• Title/Summary/Keyword: Medical Narrative

검색결과 96건 처리시간 0.019초

Octacalcium phosphate, a promising bone substitute material: a narrative review

  • Jooseong Kim;Sukyoung Kim;Inhwan Song
    • Journal of Yeungnam Medical Science
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    • 제41권1호
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    • pp.4-12
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    • 2024
  • Biomaterials have been used to supplement and restore function and structure by replacing or restoring parts of damaged tissues and organs. In ancient times, the medical use of biomaterials was limited owing to infection during surgery and poor surgical techniques. However, in modern times, the medical applications of biomaterials are diversifying owing to great developments in material science and medical technology. In this paper, we introduce biomaterials, focusing on calcium phosphate ceramics, including octacalcium phosphate, which has recently attracted attention as a bone graft material.

Management of diabetic foot ulcers: a narrative review

  • Jahyung Kim;Otgonsaikhan Nomkhondorj;Chi Young An;Ye Chan Choi;Jaeho Cho
    • Journal of Yeungnam Medical Science
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    • 제40권4호
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    • pp.335-342
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    • 2023
  • Diabetic foot ulcers (DFUs) are among the most serious complications of diabetes and are a source of reduced quality of life and financial burden for the people involved. For effective DFU management, an evidence-based treatment strategy that considers the patient's clinical context and wound condition is required. This treatment strategy should include conventional practices (surgical debridement, antibiotics, vascular assessment, offloading, and amputation) coordinated by interdisciplinary DFU experts. In addition, several adjuvant therapies can be considered for nonhealing wounds. In this narrative review, we aim to highlight the current trends in DFU management and review the up-to-date guidelines.

『호밀밭의 파수꾼』에 나타난 1950년대 미국 청소년의 정동과 질병서사 (A Narrative of Illness and Affect of Rebel Youth in J.D. Salinger's Catcher in the Rye)

  • 김창희
    • 미국학
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    • 제44권1호
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    • pp.1-37
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    • 2021
  • J.D. Salinger's 1951 novel, Catcher in the Rye, has generally been known as a story of a young rebel, Holden Caulfield, who tries to break away from reality in the fifties, a decade prevalent with the strict rule and faultfinding culture of what he is taught at school: to simplify and unify. This novel often refers to a journey of an outsider who commits to playing a catcher in the rye, a fantasy world of innocence, infinity, and youth. As the story unfolds, Holden's ontology is rendered to show how vulnerable his affective ontology is to the ideological reality of containment and conformity. This informs how Holden is a pathological character that reifies the performative crisis of the postwar US Cold War ideology. That said, this paper examines the extent to which this novel can be possibly read as a narrative of illness to expose Holden's pathological conditions of illness, hysteria, and psychosis. Thus, it looks at his medical symptoms whose pathogens I attempt to analyze in terms of his affective potential of being ontologically engaged to the historical context, or the political unconscious, of the postwar US in the early Cold War years.

텍스트기반 임상데이터의 인터페이스 용어 매핑 방법 (Method of The Interface Terminology Mapping based Free Text Medical Data)

  • 유돈식;배인호
    • 반도체디스플레이기술학회지
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    • 제13권1호
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    • pp.97-99
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    • 2014
  • Since 2010, issues for data sharing and data exchanging in hospital information systems have been emerged. In order to solve the issues, standards should be applied to develop the systems and there should be no ambiguities between terminologies in the systems. In this paper, the terminology mapping system for narrative clinical records was implemented. The term mapping precision was 83.4%. This system could help to upgrade the text based clinical system and it would be expected to support for high quality clinical services.

Pediatric headache: a narrative review

  • Kim, Saeyoon
    • Journal of Yeungnam Medical Science
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    • 제39권4호
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    • pp.278-284
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    • 2022
  • Headache is one of the most common neurological disorders in children and adults and can cause significant distress and disability in children and their families. The spectrum of pediatric headaches is broad, and the underlying etiology is variable. The symptoms and phenotypes of headaches in children may differ slightly from those in adults. It is important to have a good understanding of headaches in children and to distinguish between primary and secondary headaches through appropriate history assessment and neurological examination. Accurate diagnosis and appropriate drug selection are helpful for effective treatment. This article reviews headaches in children and adolescents, focusing on approaches for diagnosis and management.

Advances in management of pediatric chronic immune thrombocytopenia: a narrative review

  • Jae Min Lee
    • Journal of Yeungnam Medical Science
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    • 제40권3호
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    • pp.241-246
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    • 2023
  • Immune thrombocytopenia (ITP) is a disease in which thrombocytopenia occurs because of immune-mediated platelet destruction and decreased platelet production. Although many pediatric patients with ITP experience spontaneous remission or reach remission within 12 months of first-line therapy, approximately 20% progress to chronic ITP. Patients who do not respond to first-line treatment or experience frequent relapses are of great concern to physicians. This review summarizes recent treatments for second-line treatment of pediatric chronic ITP.

Beneficial effects of intermittent fasting: a narrative review

  • Dae-Kyu Song;Yong-Woon Kim
    • Journal of Yeungnam Medical Science
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    • 제40권1호
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    • pp.4-11
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    • 2023
  • Caloric restriction is a popular approach to treat obesity and its associated chronic illnesses but is difficult to maintain for a long time. Intermittent fasting is an alternative and easily applicable dietary intervention for caloric restriction. Moreover, intermittent fasting has beneficial effects equivalent to those of caloric restriction in terms of body weight control, improvements in glucose homeostasis and lipid profiles, and anti-inflammatory effects. In this review, the beneficial effects of intermittent fasting are discussed.

양극성 장애에서의 수면장애: 일주기 리듬의 교란과 수면 무호흡증을 중심으로 (Sleep Disorders in Bipolar Disorders: A Narrative Review on Circadian Rhythm Disturbances and Sleep Apnoea)

  • 이준희;오상훈
    • 수면정신생리
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    • 제29권2호
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    • pp.40-44
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    • 2022
  • Bipolar disorders are a group of mood disorders characterised by relapsing mood episodes throughout the course of illness. Patients with bipolar disorders commonly present with various sleep problems. Patients in a manic episode generally show decreased need of sleep and those in a depressed episode frequently complain about hypersomnia. Current literature even points to evidence that patients with bipolar disorder in euthymic state may still show signs of sleep disturbances when compared to the general population. Clinicians may also note intricate interactions between changes of circadian rhythm and evolution of mood episodes in patients with bipolar disorder. Also, commonly prescribed medications which plays a crucial role in treatment of bipolar disorders including mood stabilisers and antipsychotic medications often cause significant weight gain over time. Being a risk factor of sleep apnoea, weight gain can predispose the patient to develop sleep apnoea. In this narrative review, we summarised current evidence and literature regarding characteristics of circadian rhythm and comorbid sleep apnoea in patients with bipolar disorder. We also present literature regarding implications of circadian disturbance and comorbid sleep apnoea in managing patients with bipolar disorder.

State-of-the-art update for diagnosing diabetic foot osteomyelitis: a narrative review

  • Inha Woo;Seung Jae Cho;Chul Hyun Park
    • Journal of Yeungnam Medical Science
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    • 제40권4호
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    • pp.321-327
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    • 2023
  • Recently, the International Working Group on the Diabetic Foot and the Infectious Diseases Society of America divided diabetic foot disease into diabetic foot infection (DFI) and diabetic foot osteomyelitis (DFO). DFI is usually diagnosed clinically, while numerous methods exist to diagnose DFO. In this narrative review, the authors aim to summarize the updated data on the diagnosis of DFO. An extensive literature search using "diabetic foot [MeSH]" and "osteomyelitis [MeSH]" or "diagnosis" was performed using PubMed and Google Scholar in July 2023. The possibility of DFO is based on inflammatory clinical signs, including the probe-to-bone (PTB) test. Elevated inflammatory biochemical markers, especially erythrocyte sedimentation rate, are beneficial. Distinguishing abnormal findings of plain radiographs is also a first-line approach. Moreover, sophisticated modalities, including magnetic resonance imaging and nuclear medicine imaging, are helpful if doubt remains after a first-line diagnosis. Transcutaneous bone biopsy, which does not pass through the wound, is necessary to avoid contaminating the sample. This review focuses on the current diagnostic techniques for DFOs with an emphasis on the updates. To obtain the correct therapeutic results, selecting a proper option is necessary. Based on these numerous diagnosis modalities and indications, the proper choice of diagnostic tool can have favorable treatment outcomes.

Non-Pharmacological Treatments of Psoriasis in Persian Medicine a Narrative Review

  • Rasanan, Farshad Mohammadian;Kenari, Hoorieh Mohammadi;Ghassemi, Mohammadreza;Sabbagh, Ali Jabbari;Aliasl, Jale;Ghobadi, Ali
    • 대한약침학회지
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    • 제25권1호
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    • pp.1-6
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    • 2022
  • Psoriasis is a chronic disease that has no definitive cure. In this review study, the main sources of Persian Medicine (PM) such as the Canon of Medicine (by Avicenna) and Al-Havi (by Rhazes) were assessed to identify non-pharmacological treatments for psoriasis. Several treatments that are recommended for this disease include nutritional advice, lifestyle modifications, and manipulation therapy such as wet cupping (Hijamah), leech therapy, and phlebotomy (Fasd). These recommendations may help to prevent recurrence and be useful in improving psoriasis. The efficacy of PM recommendations to improve psoriasis should be evaluated in future studies.