• Title/Summary/Keyword: Hospital medicine

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A Case Report of a Patient with Pleural Effusion treated with Bokryunghaengingamcho-tang (복령행인감초탕(茯苓杏仁甘草湯) 투여로 호전된 흉막삼출 환자 1례)

  • Kim, Dong-Hyun;Shin, Hyun-Su;Lee, Hye-Jin;Jeong, Sun-Dae;Park, Hea-Jin;Lee, Jin-Woo;Kim, Jeong-Hyun;Ahn, Jung-Jo;Jo, Hyun-Kyung;Yoo, Ho-Ryong;Kim, Yoon-Sik;Seol, In-Chan
    • Journal of Haehwa Medicine
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    • v.20 no.2
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    • pp.99-104
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    • 2012
  • The purpose of this study is to report a patient with pleural effusion improved by oriental medical treatment. The patient was treated with Bokryunghaengingamcho-tang and acupunture. We measured pleural effusion by Chest CT, twice a month. Pleural effusion decreased in Chest CT after oriental medical treatment. This study suggests that Bokryunghaengingamcho-tang is effective in pleural effusion.

Clinical Practice Guideline for Cardiac Rehabilitation in Korea

  • Kim, Chul;Sung, Jidong;Lee, Jong Hwa;Kim, Won-Seok;Lee, Goo Joo;Jee, Sungju;Jung, Il-Young;Rah, Ueon Woo;Kim, Byung Ok;Choi, Kyoung Hyo;Kwon, Bum Sun;Yoo, Seung Don;Bang, Heui Je;Shin, Hyung-Ik;Kim, Yong Wook;Jung, Heeyoune;Kim, Eung Ju;Lee, Jung Hwan;Jung, In Hyun;Jung, Jae-Seung;Lee, Jong-Young;Han, Jae-Young;Han, Eun Young;Won, Yu Hui;Han, Woosik;Baek, Sora;Joa, Kyung-Lim;Lee, Sook Joung;Kim, Ae Ryoung;Lee, So Young;Kim, Jihee;Choi, Hee Eun;Lee, Byeong-Ju;Kim, Soon
    • Journal of Chest Surgery
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    • v.52 no.4
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    • pp.248-329
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    • 2019
  • Background: Though clinical practice guidelines (CPGs) for cardiac rehabilitation (CR) are an effective and widely used treatment method worldwide, they are as yet not widely accepted in Korea. Given that cardiovascular disease is the second leading cause of death in Korea, it is urgent that CR programs be developed. In 2008, the Government of Korea implemented CR programs at 11 university hospitals as part of its Regional Cardio-Cerebrovascular Center Project, and 3 additional medical facilities will be added in 2019. In addition, owing to the promotion of CR nationwide and the introduction of CR insurance benefits, 40 medical institutions nationwide have begun CR programs even as a growing number of medical institutions are preparing to offer CR. The purpose of this research was to develop evidence-based CPGs to support CR implementation in Korea. Methods: This study is based on an analysis of CPGs elsewhere in the world, an extensive literature search, a systematic analysis of multiple randomized control trials, and a CPG management, development, and assessment committee comprised of 33 authors-primarily rehabilitation specialists, cardiologists, and thoracic surgeons in 21 university hospitals and 2 general hospitals. Twelve consultants, primarily rehabilitation, sports medicine, and preventive medicine specialists, CPG experts, nurses, physical therapists, clinical nutritionists, and library and information experts participated in the research and development of these CPGs. After the draft guidelines were developed, 3 rounds of public hearings were held with staff members from relevant academic societies and stakeholders, after which the guidelines were further reviewed and modified. Results: CR involves a more cost-effective use of healthcare resources relative to that of general treatments, and the exercise component of CR lowers cardiovascular mortality and readmission rates, regardless of the type of coronary heart disease and type and setting of CR. Conclusion: Individualized CR programs should be considered together with various factors, including differences in heart function and lifestyle, and doing so will boost participation and adherence with the CR program, ultimately meeting the final goals of the program, namely reducing the recurrence of myocardial infarction and mortality rates.

Upregulation of adiponectin by Ginsenoside Rb1 contributes to amelioration of hepatic steatosis induced by high fat diet

  • Li, Yaru;Zhang, Shuchen;Zhu, Ziwei;Zhou, Ruonan;Xu, Pingyuan;Zhou, Lingyan;Kan, Yue;Li, Jiao;Zhao, Juan;Fang, Penghua;Yu, Xizhong;Shang, Wenbin
    • Journal of Ginseng Research
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    • v.46 no.4
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    • pp.561-571
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    • 2022
  • Background: Ginsenoside Rb1 (GRb1) is capable of regulating lipid and glucose metabolism through its action on adipocytes. However, the beneficial role of GRb1-induced up-regulation of adiponectin in liver steatosis remains unelucidated. Thus, we tested whether GRb1 ameliorates liver steatosis and insulin resistance by promoting the expression of adiponectin. Methods: 3T3-L1 adipocytes and hepatocytes were used to investigate GRb1's action on adiponectin expression and triglyceride (TG) accumulation. Wild type (WT) mice and adiponectin knockout (KO) mice fed high fat diet were treated with GRb1 for 2 weeks. Hepatic fat accumulation and function as well as insulin sensitivity was measured. The activation of AMPK was also detected in the liver and hepatocytes. Results: GRb1 reversed the reduction of adiponectin secretion in adipocytes. The conditioned medium (CM) from adipocytes treated with GRb1 reduced TG accumulation in hepatocytes, which was partly attenuated by the adiponectin antibody. In the KO mice, the GRb1-induced significant decrease of TG content, ALT and AST was blocked by the deletion of adiponectin. The elevations of GRb1-induced insulin sensitivity indicated by OGTT, ITT and HOMA-IR were also weakened in the KO mice. The CM treatment significantly enhanced the phosphorylation of AMPK in hepatocytes, but not GRb1 treatment. Likewise, the phosphorylation of AMPK in liver of the WT mice was increased by GRb1, but not in the KO mice. Conclusions: The up-regulation of adiponectin by GRb1 contributes to the amelioration of liver steatosis and insulin resistance, which further elucidates a new mechanism underlying the beneficial effects of GRb1 on obesity.

Research on Ways to Attract Foreign Patients Based on Analysis of Foreign Patients Who Visited Hospital of Korean Medicine (한방병원에 내원한 외국인 환자 분석을 통한 외국인 환자 유치 방안 연구)

  • Jun, Jae Yun;Nam, Ji Hwan;Lee, Min Jung;Kim, Kie Won;Lim, Su Jin;Lee, Chong Whan;Lee, Seul Ji
    • Journal of Acupuncture Research
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    • v.30 no.4
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    • pp.107-114
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    • 2013
  • Objectives : The purpose of this study is to analyze actual status of foreign patients who visited hospital of Korean medicine and suggest developmental direction of korean medical tourism. Methods : This study includes 675 foreign patients who visited spine-specialized hospital of Korean medicine from January 1, 2012 to December 31, 2012. Based on computerized medical records, patients' age, gender, country, date of initial and last visit, chief complaint, treatment period and species of treatment were collected. These data were used for analyzation of actual condition of medical tourism at hospital of Korean medicine. Results : A total of 675 foreign patients visited spine-specialized hospital of Korean medicine. 395 patients(59 %) were female and the forties was the most common by ages. Patients from Japan were the most common followed by Russia and United States of America. Patients visited hospital 5.1 times during 27.4 days in average. There were 526 cases of spinal pain and only 52 cases were non-musculoskeletal disease. The most frequently performed treatment was general acupuncture treatment while moxibustion and bee venom acupuncture were remarkably infrequently treated. Conclusions : The result of this study suggests potential possibility of development of Korean medical tourism focused on disease cure as well as current trend of beauty and Korean medical experience at the Korean medical tourism field.

Effects of Korean Medicine Treatment on a Patient with Functional Scoliosis with an Abnormal Gait Pattern After Hip Injury: A Case Report

  • Gi, Yu-Mi;Kim, Tae-Gyu;Jo, Hoo-In;Choi, Jong-Ho;Park, Eun-Young;Lee, Soo-Kyung;Lee, June-Haeng;Kim, Min-Kyu;Lee, KeunJae;Yu, Ok-Cheol
    • Journal of Acupuncture Research
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    • v.36 no.4
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    • pp.282-285
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    • 2019
  • Scoliosis is a 3-dimensional spinal deformity defined as lateral curvature of the spine in the coronal plane of more than $10^{\circ}$. This study describes a case of functional scoliosis after hip injury. In this case, the patient fell whilst inline skating (June 2015) causing severe tilting of her spine, and left hip pain. She received outpatient treatment from July 14, 2015 to December 28, 2015. For approximately 5 months, acupuncture therapy was performed to relax the tension in both hips, Chuna therapy, and foot orthosis were applied to reduce the body's imbalance. Based on X-ray images, the Cobb angle had decreased from $14.73^{\circ}$ (pretreatment) to $1.90^{\circ}$ (posttreatment). This case report suggested that Korean medicine treatment could be an effective therapeutic choice for functional scoliosis.

A Case Report on Recurrent Salivary Duct Carcinoma Treated with Casodex/Nolvadex and Traditional Korean Medicine (Casodex/Nolvadex와 한방치료를 병행하여 호전된 재발성 침샘관암 환자 1례)

  • Yang, Jung-min;Jang, Kwon-jun;Ko, Eun-bi;Lee, Ji-yoon;Yoon, Min-ji;Jo, On-you;Jeong, Seong-heon;Moon, Hyang-ran;Shin, Kwang-soon;Hwang, Woo-seok
    • The Journal of Internal Korean Medicine
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    • v.42 no.5
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    • pp.1062-1073
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    • 2021
  • Objectives: This study examined the case of a patient with recurrent salivary duct carcinoma and hepatic metastasis. Methods: The patient was treated with Casodex/Nolvadex from January 25th 2021 onward with doses of bicalutamide (150 mg/day) and tamoxifen (10 mg/day) every four weeks. Simultaneously, the patient was treated with Korean medicine. The tumor size was measured using computed tomography (CT). Adverse events were evaluated according to the National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI-CTCAE), version 5.0. Results: Following the four-month treatment, the extent of the proximal portion of hepatic metastasis decreased, and discomfort and physical activity gradually improved. Conclusions: The results suggest that combined chemotherapy and Korean medicine may help to reduce tumor size and improve quality of life.

Combined Korean Medicine Treatment of a Rare Case of Burst Fracture in an Elderly Patient with Kissing Spine

  • Park, Eun-Young;Choi, Jong-Ho;Jo, Hoo-In;Lee, Soo-Kyung;Lee, June-Haeng;Kang, Sun-Woo;Won, Yoon-Jae;Choi, Sung-Ryul;Cho, Yu-Jin
    • Journal of Acupuncture Research
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    • v.38 no.2
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    • pp.165-169
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    • 2021
  • A burst fracture refers to the fracture of the anterior and middle vertebral columns which are moving into the spinal canal causing neurological impairments, generally requiring surgical treatment. We herein report a rare case of burst fracture with kissing spine in a 90-year-old man who had severe lower back pain that worsened during back extension. Considering the surgical treatment risk, he was hospitalized at a Korean medicine hospital for 85 days and underwent combined Korean medicine treatments including pharmacopuncture, herbal medicine, chuna, deep-fascia meridian therapy, walking practice, and abdominal breathing. Based on patient-reported scales, his pain was alleviated, and his physical function improved. Furthermore, his range of motion and walking time increased. This case report suggests that combined Korean medicine treatments could be an effective alternative for patients with burst fracture who have surgery risks.

Regional Myocardial Blood Flow Estimation Model Using Rubidium-82 Dynamic Myocardial PET and Modified Double Integration Method (Rubidium-82 심근 Dynamic PET 영상과 변형이중적분법을 이용한 국소 심근 혈류 예측 모델)

  • Park, Yong-Woo;Lee, Jae-Sung;Lee, Tae-Hoon;Kwak, Cheol-Eun;Lee, Dong-Soo;Kang, Keon-Wook;Park, Jae-Hyung;Jeong, Jae-Min;Chung, June-Key;Lee, Myung-Chul;Seo, Joung-Don;Min, Byoung-Goo;Koh, Chang-Soon
    • Proceedings of the KOSOMBE Conference
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    • v.1995 no.11
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    • pp.157-158
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    • 1995
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Single Nodular Pulmonary Amyloidosis: Case Report

  • Lee, Seung Hyun;Ko, Young Chun;Jeong, Jong Pil;Park, Chan Woo;Seo, Seok Ho;Kim, Jong Taek;Park, Dae Won;Bak, Cheol Min;Moon, Seung Ki;Jo, Shin Hyoung;Kim, Se Mi;Jung, Ah Lon
    • Tuberculosis and Respiratory Diseases
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    • v.78 no.4
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    • pp.385-389
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    • 2015
  • Amyloidosis is defined as the presence of extra-cellular deposits of an insoluble fibrillar protein, amyloid. The pulmonary involvement of amyloidosis is usually classified as tracheobronchial, parenchymal nodular, or diffuse alveolar septal. A single nodular lesion can mimic various conditions, including malignancy, pulmonary tuberculosis, and fungal infection. To date, only one case of nodular pulmonary amyloidosis has been reported in Korea, a case involving multiple nodular lesions. Here, we report and discuss the case of a patient having single nodular amyloidosis.