• Title/Summary/Keyword: Medical classic

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A Study of Meridian and Collateral Diagrams of Chosun Dynasty (조선시대 경락도(經絡圖)에 관한 고찰)

  • Han, Bong Jae;Ahn, Sang Woo;Kim, Nam Il
    • The Journal of Korean Medical History
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    • v.21 no.2
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    • pp.123-133
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    • 2008
  • The Meridian and Collateral Diagram is one of the most important 圖像s of Traditional Korean Medicine. A 圖像 is a picture made on a two-dimensional surface using lines and colors to portray an object or an image. Meridian and Collateral diagram is a 圖像 of the human body with indications of acupoints and meridian passageways and have different names such as 經穴圖, 輸穴圖, 鍼灸圖, 明堂圖, 銅人圖, in accordance with its classification. The documental basis of the Meridian and Collateral Diagram is the Internal Classic and the very first Meridian and Collateral Diagram confirmed through textual evidence can be found in 葛洪's "抱朴子 雜應". The Korean 동인도 in existence today, called '銅人明堂之圖', exists in two versions; a hand-copied version and a wooden engraving block version. It displays all the locations of the acupoints located on the anterior side of the human body, labels the names of the acupoints, and specifically distinguishes 起始穴 and 終止穴 of the eight meridian vessels.

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Discussion on 「Oh-Gyun Pyun」, 『Ma Gwa Hwe Tong』 (『마진회통(麻疹會通)』·「오견편(吾見篇)」에 대한 제문제(諸問題))

  • Seo, Bong Duk;Ahn, Sang Woo;Kim, Nam Il
    • The Journal of Korean Medical History
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    • v.21 no.2
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    • pp.115-122
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    • 2008
  • Ma Gwa Hwe Tong, or 麻疹會通 is a general medicinal classic on measles which was an attempt to cope with the situation in the later Joseon Dynasty, when measles was prevailing all throughout the country. It was written in 1798 by Jung Yak Yong, who was a famous realist and a distinguished scholar, and in one of the chapters called Oh Gyun Pyun shows his thoughts. What he is trying to do through his writings, Ma Gwa Hwe Tong, was not reforming the current medicinal studies but to organize the classics on measles that he had access to with a system in order. The progressive thoughts shown in his other book, Eui-Ryung or 醫零, should be considered as his own thoughts only, and it is an overstatement to consider the book of Ma Gwa Hwe Tong to be his tryout in such thoughts.

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Design and Implementation of Intelligent Medical Service System Based on Classification Algorithm

  • Yu, Linjun;Kang, Yun-Jeong;Choi, Dong-Oun
    • International Journal of Internet, Broadcasting and Communication
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    • v.13 no.3
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    • pp.92-103
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    • 2021
  • With the continuous acceleration of economic and social development, people gradually pay attention to their health, improve their living environment, diet, strengthen exercise, and even conduct regular health examination, to ensure that they always understand the health status. Even so, people still face many health problems, and the number of chronic diseases is increasing. Recently, COVID-19 has also reminded people that public health problems are also facing severe challenges. With the development of artificial intelligence equipment and technology, medical diagnosis expert systems based on big data have become a topic of concern to many researchers. At present, there are many algorithms that can help computers initially diagnose diseases for patients, but they want to improve the accuracy of diagnosis. And taking into account the pathology that varies from person to person, the health diagnosis expert system urgently needs a new algorithm to improve accuracy. Through the understanding of classic algorithms, this paper has optimized it, and finally proved through experiments that the combined classification algorithm improved by latent factors can meet the needs of medical intelligent diagnosis.

Impact of route of reconstruction of gastrojejunostomy on delayed gastric emptying after pancreaticoduodenectomy: A prospective randomized study

  • Lokesh Arora;Vutukuru Venkatarami Reddy;Sivarama Krishna Gavini;Chandramaliteeswaran Chandrakasan
    • Annals of Hepato-Biliary-Pancreatic Surgery
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    • v.27 no.3
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    • pp.287-291
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    • 2023
  • Backgrounds/Aims: Pancreaticoduodenectomy (PD) is commonly performed pancreatic procedure for tumors of periampullary region. Delayed gastric emptying (DGE) and pancreatic fistula are the most common specific complications following PD. DGE can lead to significant morbidity, resulting in prolonged hospital stay and increased cost. Various factors might influence the occurrence of DGE. We hypothesized that kinking of jejunal limb could be a cause of DGE post PD. Methods: Antecolic (AC) and retrocolic (RC) side-to-side gastrojejunostomy (GJ) groups in classical PD were compared for the occurrence of DGE in a prospective study. All patients who underwent PD between April 2019 and September 2020 in a tertiary care center in south India were included in this study. Results: After classic PD, RC GJ was found to be superior to AC in terms of DGE rate (26.7% vs. 71.9%) and hospital stay (9 days vs. 11 days). Conclusions: Route of reconstruction of GJ can influence the occurrence of DGE as RC anastomosis in classical PD provides the most straight route for gastric emptying.

A Study on "EuiBangShinGam" by Han Byung Lyun (한병련(韓秉璉)의 "의방신감(醫方新鑑)"과 일제강점기 전염병에 대한 인식)

  • Kim, Dan-Hee;Cha, Wung-Seok;Ahn, Sang-Woo;Kim, Nam-Il
    • Korean Journal of Oriental Medicine
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    • v.14 no.3
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    • pp.173-182
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    • 2008
  • "EuiBangShinGam" is a classic on oriental medicines written by Han Byung Lyun with the pen name Shin Oh in 1913. It was written under the base of the writer's own experience as well as in the light of 36 other classics on oriental medicines such as "DongEuiBoGam", Introduction to Medicine, and Complete Works of Jingyue. In an attempt to avoid difficult theories and list only the essential informations and formulas for clinical purposes, it attained its own characteristics of not only reorganizing DongEuiBoGam in a pragmatic way but also explaining diseases classified in western medicines in oriental medicines' point of view as well as suggesting medicine formulas regarding such explanations. As a result, it is a complete and efficient medical classic through which one can gain knowledge in both classic oriental medicines and combination of western and oriental medicines. Its special features are making a separate chapter for cholera and phthisis, which is also a contagious disease, and trying in the chapter to explain the disease s in words of oriental medicines; listing details of nine major epidemic and matching them with the diseases known in oriental medicines: and recording a case of enforcing sterilization and preventive injection against contagious diseases. Han Byung Lyun, the writ er of the book, was born in northern province of Ham Gyoung, Woong Bu, and the date of death is unknown. He is one of the eight members who conceived and started the idea of organizing the Organization of Practioners of Oriental Medicines, which was a nationwide organization under the motive of restoring Oriental Medicines against the policy under the colonial government of Japan. Living a era of Japanese Imperialism, he stressed the need to accept western medicines if its beneficial to oriental medicines in order to develop oriental medicines for progressive causes. This reflects that he was a person who tried in various ways to extend oriental medicines to another level by facing up to the reality and coming up with a measure to cope up with it. In fact, he was a oriental medicine doctor who tried to protect oriental medicines by founding academic organizations, publishing academic magazines, and writing himself many papers related to oriental medicines. EuiBangShinGam can he summarized as a classic on traditional korean medicine through which one can find out about realities of Japan Imperialism and the attempts of oriental medicine practitioners under the colonial policies of Japan to make oriental medicines more developed by adding one's own thoughts as well as keeping the old, and adjusting to such situations.

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A Diagnostic Algorithm of Newborn Screening for Galactosemia (갈락토스혈증의 신생아 선별검사 후 진단 알고리즘)

  • Sohn, Young Bae
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.15 no.3
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    • pp.101-109
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    • 2015
  • Classic galactosemia (OMIM #230400) is an autosomal recessive inherited metaboic disorder caused by a deficiency of the galactose-1-phosphate uridyltransferase (GALT, EC2.7.7.12) due to mutations in the GALT gene. If untreated, classic galactosemia is a potentially lethal disease presenting with poor feeding, vomiting, jaundice, liver failure, increased bleeding tendency, and septicemia leading to death within a few days after birth. Since 2006, expansion of newborn screening has been enabled the early diagnosis and early intervention of classic galactosemia in Korea. However, newborn screening, followup testing for confirmatory diagnosis and intervention for galactosemia continue to present challenges. In Korea, the prevalence of the classic galactosemia is considered relatively low compared to that of western countries. And the genotype is also clearly different from those of other population. Therefore, our own guideline for confirmatory diagnosis and intervention is needed. Here, the diagnostic algorithm for galactosemia after positive newborn screening result in Korea has been proposed. Considering the low prevalence and different mutation spectrum in Koreans, the early mutation analysis of GALT gene could be a useful tool for the accurate diagnosis and making any treatment decision.

A Study on Medicine Qigong in Mawangdui "DaoYinTu" (마왕퇴(馬王堆) "도인도(導引圖)" 중 의료도인법(醫療導引法)에 대한 고찰(考察))

  • Lee, Hwa-Jin;Park, Hi-Joon;Chae, Youn-Byoung;Yin, Chang-Shik;Baik, You-Sang;Park, Mu-Won;Lee, Hye-Jung
    • Korean Journal of Acupuncture
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    • v.26 no.1
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    • pp.1-25
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    • 2009
  • Objectives : Medical qigong, originated from Mawangdui Daoyintu (馬王堆 導引圖), mainly consists of meditation, physical movements, and breathing exercises. It has been widely used to cure a variety of diseases as a regimen in Oriental medicine. This study was aimed to analyze the characteristics of medical qigong movements in the Mawangdui Daoyintu and to observe a link between each medical qigong movement and meridian system. Methods : We extracted fourteen medical qigong movements from forty-four figures in Mawangdui Daoyintu. We compared the 14 medical qigong movements of the Mawangdui Daoyintu with other types' movements of medical qigong methods. We also analyzed each movement of medical qigong in Mawangdui Daoyintu with a perspective of meridian system. Results : We found that there were common features between the medical qigong movements of the Mawangdui Daoyintu and other types' movements of medical qigong methods, including Yukjagyeol (六字訣), Paldangum (八段錦), Yukgengyeng (易筋經) and so on. From the comparison of each movement and meridian qi flow, we also found several movements related with Liver meridian and one movement related with several meridians. Conclusions : Our findings would be beneficial to understand the movements of medical qigong in the Mawangdui Daoyintu from the perspective of meridian system. This would be useful to develop a new medical qigong movements applying the meridian qi system for health and healing.

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Standard Translation of Terms of Korean Medicine through Consideration of Chinese-Korean Collated Medical Classics - With focus on 『Eonhaegugeupbang』, 『Eonhaetaesanjipyo』 and 『Eonhaetaesanjipyo』 - (언해의서 비교고찰을 통한 한의학용어의 번역표준안 - 『언해두창집요』, 『언해구급방』, 『언해태산집요』를 중심으로)

  • Ku, Hyunhee;Kim, Hyunkoo;Lee, JungHyun;Oh, Junho;Kwon, Ohmin
    • Korean Journal of Oriental Medicine
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    • v.18 no.3
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    • pp.49-61
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    • 2012
  • This article set out to develop an old Chinese - modern Korean collated terminology by analyzing and paralleling Chinese-Korean translational terms relevant to Korean medicine at a minimum meaning unit from "Eonhaegugeupbang", "Eonhaetaesanjipyo" and "Eonhaetaesanjipyo". Those are composed of original Chinese texts and their subsequent corresponding Korean translations. It tries to make a list of translational standards of Korean medicine terms by classifying the cases of translational ambiguity in terms of disease, body position, thumbnail-pressing acupuncture method, and disease-curing method. The above-mentioned ancient books are medical classics written by Huh Jun, the representative medical physician, and published by the Joseon government. Thus, they are appropriate enough as historically legitimate medical documents, from which are drawn out words and terms to form an old Chinese - modern Korean collation dictionary. This collation glossary will contribute to the increased relevance of data ming, or information retrieval. in a database system and information search engine of massive Korean medical records, by means of providing a novel way to obtaining synchronized results between the original writings of old Chinese and the secondary translated ones of modern Korean. The glossary will promote the collective but consistent translation of numerous old archives of Korean medicine and in other related fields as well.

Endoscopic resection of gastric gastrointestinal stromal tumor using clip-and-cut endoscopic full-thickness resection: a single-center, retrospective cohort in Korea

  • Yuri Kim;Ji Yong Ahn;Hwoon-Yong Jung;Seokin Kang;Ho June Song;Kee Don Choi;Do Hoon Kim;Jeong Hoon Lee;Hee Kyong Na;Young Soo Park
    • Clinical Endoscopy
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    • v.57 no.3
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    • pp.350-363
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    • 2024
  • Background/Aims: To overcome the technical limitations of classic endoscopic resection for gastric gastrointestinal stromal tumors (GISTs), various methods have been developed. In this study, we examined the role and feasibility of clip-and-cut procedures (clip-and-cut endoscopic full-thickness resection [cc-EFTR]) for gastric GISTs. Methods: Medical records of 83 patients diagnosed with GISTs after endoscopic resection between 2005 and 2021 were retrospectively reviewed. Moreover, clinical characteristics and outcomes were analyzed. Results: Endoscopic submucosal dissection (ESD) and cc-EFTR were performed in 51 and 32 patients, respectively. The GISTs were detected in the upper third of the stomach for ESD (52.9%) and cc-EFTR (90.6%). Within the cc-EFTR group, a majority of GISTs were located in the deep muscularis propria or serosal layer, accounting for 96.9%, as opposed to those in the ESD group (45.1%). The R0 resection rates were 51.0% and 84.4% in the ESD and cc-EFTR groups, respectively. Seven (8.4%) patients required surgical treatment (six patients underwent ESD and one underwent cc-EFTR,) due to residual tumor (n=5) and post-procedure adverse events (n=2). Patients undergoing R0 or R1 resection did not experience recurrence during a median 14-month follow-up period, except for one patient in the ESD group. Conclusions: cc-EFTR displayed a high R0 resection rate; therefore, it is a safe and effective therapeutic option for small gastric GISTs.

Novel Biomarkers for Prediction of Response to Preoperative Systemic Therapies in Gastric Cancer

  • Cavaliere, Alessandro;Merz, Valeria;Casalino, Simona;Zecchetto, Camilla;Simionato, Francesca;Salt, Hayley Louise;Contarelli, Serena;Santoro, Raffaela;Melisi, Davide
    • Journal of Gastric Cancer
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    • v.19 no.4
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    • pp.375-392
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    • 2019
  • Preoperative chemo- and radiotherapeutic strategies followed by surgery are currently a standard approach for treating locally advanced gastric and esophagogastric junction cancer in Western countries. However, in a large number of cases, the tumor is extremely resistant to these treatments and the patients are exposed to unnecessary toxicity and delayed surgical therapy. The current clinical trials evaluating the combination of preoperative systemic therapies with modern targeted and immunotherapeutic agents represent a unique opportunity for identifying predictive biomarkers of response to select patients that would benefit the most from these treatments. However, it is of utmost importance that these potential biomarkers are corroborated by extensive preclinical and translational research. The aim of this review article is to present the most promising biomarkers of response to classic chemotherapeutic, anti-HER2, antiangiogenic, and immunotherapeutic agents that can be potentially useful for personalized preoperative systemic therapies in gastric cancer patients.