• The Journal of Korean Medical History
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• v.23 no.1
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• pp.1-10
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• 2010

Ayurveda is one of the most historic and comprehensive medical system in the world. It was passed down as Buddhist medicine with Buddhism to influence enormously to East Asian medicine. Therefore, researches on Ayurveda is important in studying East Asian medicine as well as in studying Indian traditional medicine and althernative medicine. However, in previous studies, the term, 'Ayurveda', was mistaken and misused frequently. Clarifying the relations between the definition of Ayurveda and Indian traditional medicine is essential in preventing future controversy. Therefore, such relations were studied to draw following conclusions. 1. 'Ayurveda' is the term determining the oldest medicine system in the world that originated in India. Reportedly, the first book about Ayurveda is "Agnivesha samhita", and the oldest existing book is "Charaka Samhita". No records were found on medine books named Ayurveda, and interpreting Ayurveda to be a name of a book is explicitly misunderstanding. 2. There are various divisions of Indian traditional medicine in previous studies. However, divisions in 6 types of Ayurveda, Siddha, Unani, Yoga, Naturopathy and Homoeopathy is the most proper. 3. Ayurveda gained some similarities as it exchanged with other medicine systems. However, since each medicine system has unique characteristics, they must be separately studied. Especially, current Indian traditional medicine system has many divisions. Terms of 'Indian traditional medicine' and 'Ayurveda' must be separately used.

• Journal of Preventive Medicine and Public Health
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• v.52 no.6
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• pp.377-383
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• 2019

Objectives: Self-reported disease history is often used in epidemiological studies. In this study, we acquired the hospital records of subjects who self-reported stroke or myocardial infarction (MI) and evaluated the validity of the participants' self-reported disease history. We also determined the level of agreement between specialists and non-specialists. Methods: Among the participants in the Health Examinees study, 1488 subjects self-reported stroke or MI during 2012-2017, and medical records were acquired for the 429 subjects (28.8%) who agreed to share their medical information. Each record was independently assigned to 2 medical doctors for review. The records were classified as 'definite,' 'possible,' or 'not' stroke or MI. If the doctors did not agree, a third doctor made the final decision. The positive predictive value (PPV) of self-reporting was calculated with the doctors' review as the gold standard. Kappa statistics were used to compare the results between general doctors and neurologists or cardiologists. Results: Medical records from 208 patients with self-reported stroke and 221 patients with self-reported MI were reviewed. The PPV of self-reported disease history was 51.4% for stroke and 32.6% for MI. If cases classified as 'possible' were counted as positive diagnoses, the PPV was 59.1% for stroke and 33.5% for MI. Kappa statistics showed moderate levels of agreement between specialists and nonspecialists for both stroke and MI. Conclusions: The validity of self-reported disease was lower than expected, especially in those who reported having been diagnosed with MI. Proper consideration is needed when using these self-reported data in further studies.

• Archives of Plastic Surgery
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• v.47 no.1
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• pp.78-82
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• 2020

Basal cell carcinoma (BCC) is the most common skin cancer and its incidence is steadily increasing. Prior radiation therapy is one of the most important risk factors for BCC. Although the mechanism remains undefined, long-term studies have shown that people exposed to radiation have an increased risk of BCC. Despite the fact that BCC occurs most frequently in sun-exposed areas of the body, patients with a history of radiation therapy have an increased risk of BCC in areas previously exposed to radiation. Here, we report a case of adenoid BCC on the abdomen in a 67-year-old woman after radiation therapy post-hysterectomy.

• The Journal of Korean Medical History
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• v.33 no.2
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• pp.89-104
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• 2020

The purpose of this research is to build a database structure that can be useful for evidence-based medical practices by constructing the knowledge related to oriental medicine in the classical literature knowledge in a form that can utilize new forms of information technology. As a method, "database" is used as a keyword to search published studies in the field of oriental medicine, research is conducted on classic literature knowledge, and studies describing the contents of the data structure are found and analyzed. In conclusion, the original text DB for the preservation of the original texts and the presentation of the supporting texts should include 'Contents Text', 'Tree Structure', 'Herbal Structure', 'Medicine Manufacture', and 'Disease Structure' tables. In order to search, calculate, and automatically extract expressions written in the original text of the old literature, the tool DB should include 'Unit List', 'Capacity Notation List', 'CUI', 'LUI', and 'SUI' tables. In addition, In order to manage integrated knowledge such as herbal, medicine, acupuncture, disease, and literature, and to implement a search function such as comparison of similarity of control composition, the knowledge DB must contain 'dose-controlled medicine name', 'dose-controlled medicine composition', 'relational knowledge', 'knowledge structure', and 'computational knowledge' tables.

• 대한상한금궤의학회지
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• v.6 no.1
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• pp.1-25
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• 2014

Objective : The purpose of this study is exploring value of Shanghanlun six diagnostic system as Narrative Medicine by analyzing cases. Methods : In the article, we examined the theory of narrative medicine and current studies. And then key elements of narrative medicine was defined. On the basis of these, two medical cases were analyzed by reordering in accordance with time sequences and causality for confirming narrative factors. Results : The narrative approach to analyzing cases shows us that different diseases could be the result of same pathological patterns based on Shanghanlun. This tells us following four aspects. [1] Shanghanlun is the causes-oriented records and the text includes narrative factors. [2] Shanghanlun six diagnostic system is a process of constructing plot of medical case history through the clinical interpretation of contextual meaning of patient's life. [3] In the process of diagnosis, Schemata and script are engaged in assuming and confirming six patterns diseases. [4] The subjective factors of an individual can be applied universally through the provision of Shanghanlun. Conclusions : Narrative factors of Shanghanlun six diagnostic system suggest the possibility and value of Shanghan Medicine as Narrative Medicine in terms of Medical Humanities, essence of medical diagnosis and therapeutic action.

• Journal of Korean Medical classics
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• v.34 no.2
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• pp.63-74
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• 2021

Objectives :This paper analyzes the newly discovered manuscripts of the Sanghanjijangdo(傷寒指掌圖). A bibliographic study was carried out to examine the contents and the background of publication. Methods : First, a bibliographical analysis of the Joseon text was conducted. Next, the contents of the composition were compared with the Yuanand early Ming publications of China. Results : 1. The Joseon publication was published based on the original publication from the Yuan period. The Sanghanjijangdo has been cited in several medical texts from early Joseon such as the Euibangyuchwi and Hyangyakjipseongbang. 3. The background for publication of the Sanghanjijangdo is as following. First, it is an introductory text for beginners of Shanghan[cold damage] studies. Second, its contents do not conflict with the specialized Shanghan text that was used as the textbook for the royal physician examination. Third, it contains many Shanghan formulas that could be composed of domestic drugs only. Conclusions : The Sanghanjijangdo could be described as an introductory text for beginners of Shanghan studies that contributed to the expansion of the base of Shanghan studies in 15c mid-Joseon. Publication of this book clearly shows that Shanghan studies in early Joseon was practiced within the scopes of practicality and localization of medicinals.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.16
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• pp.6697-6701
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• 2014

Background: In the etiology of cervical cancer not only HPV infection is important, but also other factors such as demographic influences andsexual and reproductive health attitudes, as well as others related to preventive measure usage (or non usage). The aim of this study was to examine factors associated with cervical dysplasia in asymptomatic women who were examined by routine cytology and cervical biopsy for early detection of cervical cancer. Materials and Methods: Socio-demographic and other characteristics were obtained from medical files of 85 examinees with pathologic cytologic findings (Pap test) and histopathologic (HP) findings after biopsy. Results: ccording to the Pap test result, a greater probability for development of cervical dysplasia was noted with examinees having a larger number of sexual partners (OR= 5.01, 95% CI 1.04-24.10), and those who are afraid of the Pap finding. Risk factors for development of cervical dysplasia according to the bioptic finding were early beginning with sexual activities, presence of any STD in personal medical history and fear of the Pap test finding. Conclusions: The only risk factor found to be important for both methods was fear of the Pap testing finding.

• Journal of Korean Medical classics
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• v.21 no.1
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• pp.79-92
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• 2008

Objective The analysis method based on the herbal formula's effects is a general tool, in traditional medicine. In effective applications of herbal formula, Korean herbal medicines traditionally used the classification methods based on the curative effects through the various compositions of herbal formulas. However' the effects of herbal formulas were not filed systemically in ancient literatures, and the standards to confirm their effects are not clear. Thus, it is not easy to classify herbal formulas according to the curative effects. Furthermore, there are no standards to estimate the effects of prescriptions frequently directed in clinic. In this study, we aimed to provide the methodology of classifying the curative effects of herbal formulas by calculating the combination of the effect of each compositional herb through the DB systems. Results : By comparing effects of herbal formula with those of compositional herbs, we found that about 25-50% of the herbal effects were included in herbal formula's effects. These results showed that the prospective estimation of herbal formula's effects may be possible through the DB systems filing herbal effects. To enhance the accuracy in explaining the herbal formula's effect, more studies are needed by giving prominence to major effects and by subtracting minor effects.

• Journal of Oriental Neuropsychiatry
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• v.22 no.3
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• pp.1-11
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• 2011

Objectives : As the number of patient with dementia increases, interest in mild cognitive impairment (MCI), which is a pre-dementia stage, has been expanding. In this study, we investigated the effects from selected clinical research articles to evaluate the effectiveness of non-pharmacological interventions. Methods : We searched MCI related articles on MEDLINE and the Web of Science using keywords related to MCI. We selected 26 articles, and 13 evaluated efficiency using the Jadad score. Results : Physical exercise and cognitive remediation techniques were effective for improving MCI. Transcutaneous electrical nerve stimulation, taichi, and music belonged to "perhaps" effectiveness group. Many of the 13 articles that evaluated MCI using the Jadad score evaluated them as "good" or "poor", and only three articles evaluated MCI as "excellent". Conclusions : The present evidence suggests that cognitive remediation techniques to improve memory and physical exercise were effective for people with MCI. However, further studies are needed to identify the physical exercise effects.

• The Journal of Korean Medical History
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• v.29 no.1
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• pp.55-69
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• 2016

This study examined the bibliographical characteristics of Hyangyak Jipseongbang that was compiled in the $15^{th}$ century (1433) and continued to publish throughout the early period of Joseon Dynasty. Various existing records and the early Joseon printed edition of Hyangyak Jipseongbang stored in a domestic Sancheong Korean Medicine Museum were reviewed from 3 perspectives as follows. First, it is the bibliographical system approach to Hyangyak Jipseongbang for some circumstances related to its compilation and publication. Second, it is the significance in terms of printing history through the analysis of bibliographical characteristics and the status of the remaining Hyangyak Jipseongbang. Particularly, the period of publication is an important factor to determine the value of a book. In this respect, most of the extant early-Joseon editions of Hyangyak Jipseongbang seem to have been published during the ruling years of King Sung Jong. Those editions are expected to have distinctive meaning from other copied editions of the $17^{th}$ century. Last, it is bibliographical orignal analysis of Hyangyak Jipseongbang. This study reviewed the contents and composition of Vol. 49 through 51 of Hyangyak Jipseongbang stored in Sancheong Korean Medicine Museum in an attempt to help understand the textual bibliography and composition system of exhibiting editions.