• Hip & pelvis
• /
• v.34 no.3
• /
• pp.127-139
• /
• 2022

There is still controversy regarding clinical outcomes following primary hip arthroplasty after solid organ transplantation (SOT). The aim of this study was to determine whether clinical outcomes after hip arthroplasty differ between previous SOT recipients and control subjects with no history of undergoing SOT. We conducted a systematic search of MEDLINE, Embase, and the Cochrane Library for studies comparing the clinical outcomes after hip arthroplasty following SOT published up to January 5, 2022. A comparison of medical and surgery-related complications, as well as the readmission rate and 90-day mortality rate between previous SOT recipients and control subjects was performed. Subgroup analyses of the SOT types, liver transplantation (LT) and kidney transplantation (KT), were also performed. Ten studies that included 3,631,861 cases of primary hip arthroplasty were included; among these, 14,996 patients had previously undergone SOT and 3,616,865 patients had not. Significantly higher incidences of cardiac complications, pneumonia, and acute kidney injury were observed in the SOT group compared with the control group. Regarding surgical complications, a higher transfusion rate was observed in the SOT group. The readmission rate and 90-day mortality rate were also significantly higher in the SOT group. A significantly higher incidence of deep vein thrombosis was observed in the KT subgroup compared with the control group. A higher risk of medical and surgical complications, as well as higher readmission and mortality rates after hip arthroplasty was observed for previous SOT recipients compared to patients with no history of SOT.

• Journal of Community Nutrition
• /
• v.5 no.2
• /
• pp.83-92
• /
• 2003

Several self-administered dietary assessment questionnaires have recently been developed, validated, and used in nutritional epidemiological and clinical studies in Japan. This article describes recent evidence on development and validation of them. After extensive search of published articles both in English and Japanese languages, we identified 25 articles on 13 questionnaires of which validation studies have existed. Number of foods/menus assessed varied from 31 to 169 according to questionnaires. Eleven questionnaires were food frequency type, either with fixed portion size or semiquantitative, and two diet history types. All the 13 questionnaires were validated against intakes assessed with dietary record or 24-hour recall, and only two with biomarkers. Number of subjects used in the studies was between 23 and 350. All the studies used adult subjects. In the studies with dietary record or recall, the correlation coefficient for or orgy intake was between 0.22 and 0.65 (median = 0.44). Median correlation coefficient for nutrients was between 0.21 and 0.61. In the studies with biomarkers, serum marine-origin n-3 polyunsaturated fatty acids and carotenes, and urinary potassium seemed useful biomarkers. In conclusion, recent progress of this field in Japan is remarkable. But more research is needed for validation studies with biomarkers, and the development and validation of questionnaires for children and elderly subjects. (J Community Nutrition 5(2) : 83∼92,2003)

• Journal of Korean Medical classics
• /
• v.32 no.1
• /
• pp.159-169
• /
• 2019

Objectives : As for the effect of Polygonum multiflorum on malaria treatment, this study analyzed the characteristics of Herenyin use in Korea and the contents mentioned in major Herbs books of the past. Methods : This study searched, collected and analyzed in the literature and data DB including the contents in herbs books on the treatment of malaria with Polygonum multiflorum, and the contents of various medical books about Herenyin used in Korea, etc. Results :Since Ming and Qing dynasties, Polygonum multiflorum was used mainly for patients with malaria, whose vitality gets weakened with time. Such effects are described in numerous Herbs books. Herenyin, consisting of major medicinal materials of Polygonum multiflorum and ginseng, was also frequently used in malaria treatment in Korea in late Joseon, rather than in China since it was listed in "Jingyuequanshu". Conclusions : Based on the mechanism studies of Polygonum multiflorum with malaria treatment effects and the study of malaria treatment medication including Polygonum multiflorum, it is hoped that the development of new therapies for complete eradication of malaria will be made in the future.

• Journal of Korean Medical classics
• /
• v.34 no.3
• /
• pp.55-72
• /
• 2021

Objectives : This paper investigates the significance of the transmission ritual (TR) documented in the Huangdi Neijing (HN) and its effects on medicine pursued by HN's authors (medical bureaucrats). Methods : Descriptions of knowledge transmission and related ritual were identified from HN texts. They were compared with similar types of actions in ancient China, then historically reconstructed. They were also approached from the perspective of ritual studies. Results : It appears highly probable that TR in HN had actually been performed by the authors themselves, which shows characteristics of rites of passage. The participants accepted the in-group order based on patrimonial piety. TR consecrates the participants as well as its object, which is medical knowledge. Conclusions : In the field of TR, the participants shared not only a specific document or knowledge, but also their common experiences of medical perfection and sanctity. They constructed their noble group identity through TR. At the same time, TR inhibited arguments inside the group, in favor of one-way communication.

• Journal of Korean Medical classics
• /
• v.35 no.3
• /
• pp.71-90
• /
• 2022

Objectives : This paper summarizes contents on fish in the Injeji and Jeoneo-Ji parts in the Imwon-Gyeongje-Ji and compares them with those in the Dong-uibogam from a Korean Medical perspective. Methods : Most of the knowledge of fish in the Imwon-Gyeongje-Ji is based on preceding material medica studies such as the Dongui-bogam in Joseon, the Bencao-gangmu in China, and the Hwahan Samjaedohoe in Japan. The influential relationships and the process of change among these knowledge information were examined within the context of each literature's development or through identifiable changes in knowledge on each particular kind of fish. Results & Conclusions : In the Imwon-Gyeongje-Ji, the consisting 16 parts are organically connected, sometimes functioning as cross-references. In particular, the medical contents on the efficacy of fish for treating disease is closely linked to contents on fish ecology and environment as written in the Jeoneo-Ji, which deals with the field of living things. On the more detailed knowledge on about 30 kinds of fish, one could grasp the formation process and changes of East Asian traditional knowledge on fishkind among historical study of influential Chinese texts, new stimulation and methodology through Japanese literature on natural history, and dynamic processes of inheriting and selectively accepting traditional knowledge of Joseon.

• Clinical Nutrition Research
• /
• v.13 no.1
• /
• pp.61-73
• /
• 2024

A diet rich in proinflammatory components and inflammation are suggested to be significant risk factors for multiple sclerosis (MS). This study aimed to investigate the association between the risk of MS and the inflammatory potential of an individual's diet and dietary diversity through pro-inflammatory/anti-inflammatory food intake score (PAIFIS) and dietary diversity score (DDS). In a hospital-based case-control study, 397 participants, including 197 patients with MS and 200 healthy participants aged over 18 years, were evaluated. The history of smoking, dietary intake, and anthropometric characteristics, including body mass index, waist circumference, total body fat, and fat-free mass were assessed. A validated 160-item semiquantitative food frequency questionnaire was used to calculate the PAIFIS and DDS scores. The mean age of the participants was 32.45 ± 8.66 years, and most were females (274, 79.4%). The PAIFIS score was significantly higher among MS patients than healthy participants (p = 0.001). Between PAIFIS and DDS, only PAFIS was significantly related to MS risk (odds ratio, 1.002; 95% confidence interval, 1.001-1.004; p = 0.001). PAIFIS, as an index of dietary inflammation, can predict MS. Further studies are needed to document these findings.

• Parasites, Hosts and Diseases
• /
• v.61 no.2
• /
• pp.183-193
• /
• 2023

Balamuthia mandrillaris amebic encephalitis (BAE) can cause a fatal condition if diagnosis is delayed or effective treatment is lacking. Patients with BAE have been previously reported in 12 provinces of China, with skin lesions being the primary symptom and encephalitis developing after several years. However, a significantly lower number of cases has been reported in Southwest China. Here we report an aggressive BAE case of a 64-year-old woman farmer with a history of skin lesions on her left hand. She was admitted to our hospital due to symptoms of dizziness, headache, cough, vomiting, and gait instability. She was initially diagnosed with syphilitic meningoencephalitis and received a variety of empirical treatment that failed to improve her symptoms. Finally, she was diagnosed with BAE combined with amebic pneumonia using next-generation sequencing (NGS), qRT-PCR, sequence analysis, and imaging studies. She died approximately 3 weeks after the onset. This case highlights that the rapid development of encephalitis can be a prominent clinical manifestation of Balamuthia mandrillaris infection.

• Journal of Korean Medical classics
• /
• v.34 no.2
• /
• pp.1-22
• /
• 2021

Objectives : A transition course of 'Introduction to Clinical Korean Medicine' was developed to meet the demands for better preparation for clinical application of Korean Medicine within the curriculum. A Korean Medical Classics curriculum reflecting such demands was newly designed. Methods : Based on the 'Introduction to Clinical Medicine(ICM)' course of the Medical School curriculum that follows the medical education guideline, the 'Introduction to Clinical Korean Medicine(ICKM)' course was designed and developed. The role of Korean Medical Classics was suggested in the process. Results : In the following course, Korean Medical diagnosis, diagnostics, patient intake methods reflecting the Korean Medical diagnostic system, clinical skills, basic skills, treatment planning, patient education, etc. are included. Faculty members of the basic sectors of the Korean Medical school will participate in this curriculum, of which a head will be appointed to overlook the curriculum. In the case of Korean Medical Classics, previous learning outcomes need to be reorganized based on clinical expression while clinical case studies need to be added to course material. A more active approach utilizing new pedagogic strategies and teaching methods should be taken. Conclusions : The Korean Medical Classics curriculum could effectively take on the introductory role to clinical Korean Medicine, successfully strengthening the connection between the basic and clinical Korean Medicine to improve learners' satisfaction.

• Journal of Chest Surgery
• /
• v.33 no.1
• /
• pp.112-115
• /
• 2000

A-13-urar-old with a history of Alport syndrome had been suffering from progressive dysphagia and postprandial vomiting for over 7 years. Exophagogram and manoemtric studies were consistent with achalasia. Barum study demonstrated marked esophageal dilatation and smooth tapered narrowing of the distal esophagus. However in spite of the medical treatment including the injection of the distal esophagus. However in spite of the medical treatment including the injection of botulinum toxin at the lesion site using an endoscope symptom did not improved and he suffered growth failure and malnutrition. Esophagectomy and esophagogastrostomy were performed to relieve the dysphagia. A firm circumferential intramural mass about 7$\times$5$\times$5 cm was found in the distal esophagus. The lumen of the esophagus was markedly dilated and esophageal wall was hypertrophied. Histologic examination of the neoplasm revealed a rather ill defined tumor tissue consisting of interlacing or whirling spindle cells without significant mitosis and esophageal leiomyo-matosis was confirmed. The patient was discharged uneventfully.

• Journal of Society of Preventive Korean Medicine
• /
• v.7 no.2
• /
• pp.35-44
• /
• 2003

Research papers must be expression given by letter that had fixed types, rules and universal sentence languages to inform many persons about study results until present when these research paper was considered review, oriental medical papers had some problems, as like difficult contents not to inform absolutely, usage of past language, not considerable in logic history and continuity, and have used not fixed types and rules, error of statistical analysis and research construction. Also centered clinic that had trends important treat tools by drugs ,acupuncture and moxa studies. In briefly, papers of korea traditional medicine had some several problems. Oriental medicine has very concerns not only korean but other countries in present and then it will increases much more study in future. For the purpose cope with this concerns korea traditional medicine researchers need much educations of relation department and must recognized much concerns.