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Genial tubercle position and genioglossus advancement in obstructive sleep apnea (OSA) treatment: a systematic review

  • Chang, Edward T.;Kwon, Yong-Dae;Jung, Junho;Capasso, Robson;Riley, Robert;Liu, Stanley C.;Camacho, Macario
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.41
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    • pp.34.1-34.5
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    • 2019
  • Background: To systematically review the literature for methods to localize the genial tubercle as a means for performing an advancement of the genioglossus muscle. Methods: PubMed, Google Scholar, CRISP, EMBASE, CINAHL, and Scopus were searched from inception through June 16, 2015. Results: One hundred fifty-two articles were screened, and the full text versions of 12 articles were reviewed in their entirety and 7 publications reporting their methodology for localizing the genial tubercle. Based upon these measurements and the results published from radiographic imaging and cadaveric dissections of all the papers included in this study, we identified the genial tubercle as being positioned within the mandible at a point 10 mm from the incisor apex and 10 mm from the lower mandibular border. Conclusion: Based upon the results of this review, the genial tubercles were positioned within the mandible at a point 10 mm from the incisor apex and 10 mm from the lower mandible border. It may serve as an additional reference for localizing the genial tubercle and the attachment of the genioglossus muscle to the mandible, although the preoperative radiological evaluation and the palpation of the GT are recommended to accurately isolate.

Yoon Gil-Young's "A Study on the Methodology of Traditional Korean Medical Physiology" : Review from an Insider's Viewpoint (현곡(玄谷) 윤길영(尹吉榮)의 "한방생리학(漢方生理學)의 방법론(方法論) 연구(硏究)" 재 조명)

  • Lee, Choong-Yeol
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.4
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    • pp.751-760
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    • 2009
  • Yoon Gil-Young(1911-1987) was a frontier of the field of Traditional Korean Medical Physiology(TKMP) who was academically active since mid 1950s until early 1970s. He wrote several important papers and books. Among his writings, "A Study on the Methodology of Traditional Korean Medical Physiology", which was published serially in the "Korean Oriental Medical Journal" from June 1966 until March 1967, played an important role in establishing the contemporary TKMP and showed his academic stance on Traditional Korean Medicine(TKM). This review will evaluate this paper's contribution to the establishment of TKMP in historical context, summarize the unique characteristics of his understanding of TKMP by analyzing the text, and then based on those information, examine his view on TKMP and TKM. Historically, this paper was written in transition period from the traditional TKM knowledge system to the modernized one. Aim of this paper was to provide a methodology for establishing TKMP as a scientific knowledge system like that of the western medicine. Based on his study of Yin-Yang theory and theory of five circuits and six qi in Huangdi's Internal Classics, he suggested those theories as methods to observing life phenomena and systematizing the observations. And he regarded these methods as of great value in determining the unique characteristics of TKM compared to those of western medicine. Through re-reading this paper, it was found that he had pride and confidence in the methodology of TKM, and also that he thought in scientizing and modernizing TKM it was very important to understand and efficiently put in use the methodology of TKM. It was also found that his view on TKMP and TKM was pro modernization.

Liuwansu's 『Fire-Heat』 & 『Warm disease』 -on pathology(pathogenesis)of exterior-contact causes- (유완소(劉完素)의 화열론(火熱論)과 온병학(溫病學) - 외감(外感) 병기(病機)를 중심으로 -)

  • Jin, Jupio;Cha, Wung-Seok;Kim, Nam-Il
    • The Journal of Korean Medical History
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    • v.22 no.1
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    • pp.57-67
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    • 2009
  • The results of analyzing "Shanghanlun-Shanghan examples" of Song Dynasty Text and Liuwansu's writings in the pursuit of comprehending his views written in "Fire-Heat" & "Warm disease" -are as follow. 1.He introduced Exterior-Interior Shanghan and Latent in the Winter & recurrent in the Spring Shanghan concept in the Febrile disease pathology as the link and the bifurcation point. His perception on Febrile disease encompassed Shanghan and Febrile disease on the same plane but actually discriminated in the treatment and medication between the two actually. 2.He suggested Febrile disease pathology in the concept of Shanghan and Febrile disease, which is coherent in the formation of interior heat as the result of the invasion of the lung by warm pathogen described in Warm disease Wei, Qi, Ying and Xue Fen Syndrome differentiation. He expanded the concept of esoteric portal 玄府 of "Suwon Tiaojinglun", to that of the omni-present portal & way of Qi's all directions movement, which is in accordance of invasion of upper energizer 上焦 by warm or hot pathogen via mouth and nose as used in Warm disease three-energizer differentiation. 3.He recognized both exterior-interior febrile disease in the context of both exterior-interior contact cause disease. He prescribed pungent-cool exterior releasing medicinal similar to that of exterior-releasing treatment adopted in warm disease. As lily-talc powder百合散 introduced in "Golden chamber synopsis" dispells heat by promoting excretion of urine and defecation, it is regarded as the original formula of later ikwonsan yiyuansan 益元散.

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Comparison of Zhusang Between as Discovered in a Medical Book Excavated in China and Other Classical Books (중국 출토의서에 보이는 '제상(諸傷)'과 전래문헌의 비교 고찰)

  • Lee, Kyung
    • Journal of Korean Medical classics
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    • v.31 no.4
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    • pp.17-26
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    • 2018
  • Objectives : This paper studies Zhushang, which is the name of a disease found in excavated books. Zhusang is the first disease listed in Wushierbingfang, which is a medical textbook excavated at Mawangdui, and Zhusang was followed by diseases such as Jinshang and Renshang. The paper studies what disease each of the word is refering to in terms of graphonomy, and compared the difference of their treatment from other classical texts. Methods : The scope of the study of this paper includes the excavated textbooks that seem to contain any disease related to Zhusang, and the two major text books of these are Wushierbingfang and Wuweihandaiyijian. Then Shennongbencao jing, which is the one of the earlier books on herbology, and Bencao gangmu, which was written based on the former, wer used to make comparisons. Parts in Donguibogam that seem to be related to the parts in the excavated texts were also compared. The study was done by first performing historical research on the names of the diseases in the excavated books, and compared them with the contents of the classical texts. Results : The Zhushang discovered in Wushierbingfang refers to wounds caused by metal or wood. It was interesting how they created a word for diseases depending on the cause. Only Jinshang is found in Wuweihandaiyijian, and the fact that different causes gave way to different names tells us that they had corresponding treatment. The categorization of Zhushang, Jinshang, and Renshang is corresponded better in Donguibogam than Chinese medical books.

Development of Program for Relative Biological Effectiveness (RBE) Analysis of Particle Beam Therapy

  • Chung, Yoonsun;Ahn, Sang Hee;Choi, Changhoon;Park, Sohee
    • Progress in Medical Physics
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    • v.28 no.1
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    • pp.11-15
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    • 2017
  • Relative biological effectiveness (RBE) of particle beam needs to be evaluated at particle beam therapy centers before the clinical application of the particle beam. However, since RBE analysis is implemented manually, it is useful to have a tool that can easily and effectively handle the data of experiments to generate cell survival curve and to analyze RBE simultaneously. In this work, the development of a program for RBE analysis of particle beam therapy was presented. This RBE analysis program was developed to include two parts; fitting the cell survival curves to linear-quadratic model and calculating the RBE values at a certain endpoint using fitting results. This program was also developed to simultaneously compare and analyze the template results that stored experiment data with photon and particle beam irradiations. The results of the cell survival curve obtained by each irradiation can be analyzed by the user on a desired data after reading the template stored in the easy-to-use excel file. The analysis results include the cell survival curves with error range, which are appeared in the screen and the ${\alpha}$ and ${\beta}$ parameters of linear-quadratic model with 95% confidence intervals, RBE values, and $R^2$ values to evaluate goodness-of-fit of survival curves to model, which are stored in a text cvs file. This software can generate cell survival curve, fit to model, and calculate RBE all at once with raw experiment data, so it helps users to save time for data handling and to reduce the possibility of making error on analysis. As a coming plan, we will create a user-friendly graphical user interface to present the results more intuitively.

Clinical Features of Delirium in Liver Transplantation in a General Hospital in Korea-Retrospective Study (일병원에서 나타난 간이식 환자들의 섬망 양상-후향적 연구)

  • Choi, Soon-Ho;Son, Jung-In;Kim, Sang-Eok;Han, Oh-Su
    • Korean Journal of Psychosomatic Medicine
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    • v.15 no.2
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    • pp.93-99
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    • 2007
  • Object : This study aimed to investigate the characteristics of delirium in liver transplanted patients in a hospital in Korea. Method : We reviewed the medical records of 29 liver transplanted patients who were confirmed as delirium by psychiatrists with DSM-IV-TR diagnostic criteria. We estimated the correlation between delirium and clinical conditions of liver transplantations. Result : Post-operative delirium duration was significantly correlated with frequency of hepatic encephalopathy, pre-operative mental status, and stay of intensive care unit. Conclusion : Although there were many limitations of this study, it seemed that pre-operative hepatic encephalopathy affected post liver transplantation delirium.

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Comparison of the Graduate Medical School Student's Perception Structure about 'Happy Doctor' by Clerkship Experience (임상실습 경험에 따른 의학전문대학원생들의 '행복한 의사' 개념 인식 비교)

  • Yoo, Hyo-Hyun;Shin, Sein;Lee, Jun-Ki
    • The Journal of the Korea Contents Association
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    • v.17 no.1
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    • pp.262-269
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    • 2017
  • The purpose of this study is to provide direction of medical education by analysing medical school student's perception structure about 'happy doctor'. In particular, this study compared perception structure between two groups of students before clerkship and after clerkship. The subject of this study were 1~4 academic year students in medical school. Students' text about 'happy doctor' were collected by open-ended questionnaire and analyzed by using sematic network analysis. Based on the result of network analysis, perception structure of each groups were confirmed. The network of each groups have 'Professionalism' group including words such as 'patient', 'treatment', 'worthwhile' in common. Three groups, 'Professionalism', 'Quality of life' and 'Self-realization' constituted the before clerkship network. And five groups, 'Professionalism', 'Time with family', 'Balance between work and household', 'Interpersonal relationship', 'Physical and psychological health' constituted the after clerkship network. The results of this study is expected to contribute for developing the basic medical education curriculum for 'happy doctor'.

Age-dependent root canal instrumentation techniques: a comprehensive narrative review

  • Solomonov, Michael;Kim, Hyeon-Cheol;Hadad, Avi;Levy, Dan Henry;Itzhak, Joe Ben;Levinson, Oleg;Azizi, Hadas
    • Restorative Dentistry and Endodontics
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    • v.45 no.2
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    • pp.21.1-21.12
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    • 2020
  • The aim of this article was to review age-dependent clinical recommendations for appropriate root canal instrumentation techniques. A comprehensive narrative review of canal morphology, the structural characteristics of dentin, and endodontic outcomes at different ages was undertaken instead of a systematic review. An electronic literature search was carried out, including the Medline (Ovid), PubMed, and Web of Science databases. The searches used controlled vocabulary and free-text terms, as follows: 'age-related root canal treatment,' 'age-related instrumentation,' 'age-related chemo-mechanical preparation,' 'age-related endodontic clinical recommendations,' 'root canal instrumentation at different ages,' 'geriatric root canal treatment,' and 'pediatric root canal treatment.' Due to the lack of literature with practical age-based clinical recommendations for an appropriate root canal instrumentation technique, a narrative review was conducted to suggest a clinical algorithm for choosing the most appropriate instrumentation technique during root canal treatment. Based on the evidence found through the narrative review, an age-related clinical algorithm for choosing appropriate instrumentation during root canal treatment was proposed. Age affects the morphology of the root canal system and the structural characteristics of dentin. The clinician's awareness of root canal morphology and dentin characteristics can influence the choice of instruments for root canal treatment.

Automatic Korean to English Cross Language Keyword Assignment Using MeSH Thesaurus (MeSH 시소러스를 이용한 한영 교차언어 키워드 자동 부여)

  • Lee Jae-Sung;Kim Mi-Suk;Oh Yong-Soon;Lee Young-Sung
    • The KIPS Transactions:PartB
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    • v.13B no.2 s.105
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    • pp.155-162
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    • 2006
  • The medical thesaurus, MeSH (Medical Subject Heading), has been used as a controlled vocabulary thesaurus for English medical paper indexing for a long time. In this paper, we propose an automatic cross language keyword assignment method, which assigns English MeSH index terms to the abstract of a Korean medical paper. We compare the performance with the indexing performance of human indexers and the authors. The procedure of index term assignment is that first extracting Korean MeSH terms from text, changing these terms into the corresponding English MeSH terms, and calculating the importance of the terms to find the highest rank terms as the keywords. For the process, an effective method to solve spacing variants problem is proposed. Experiment showed that the method solved the spacing variant problem and reduced the thesaurus space by about 42%. And the experiment also showed that the performance of automatic keyword assignment is much less than that of human indexers but is as good as that of authors.

A Study on The Invigorative Prescriptions(補氣方劑) in "The Elimination & Supplement about The Famous Prescription Comments(刪補名醫方論)" of "The Golden Mirror of Medicine(醫宗金鑑)";focus on translation & comparative study with "The Famous Prescription Comments on Ancient and Modem Times (古今名醫方論)" ("의종금감(醫宗金鑑).산보명의방론(刪補名醫方論)"의 보기(補氣) 처방에 대한 연구;번역 및 "고금명의방론(古今名醫方論)"과의 비교고찰을 중심으로)

  • Kim, Seung-Hwan;Lee, Yong-Bum
    • Journal of Korean Medical classics
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    • v.20 no.1
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    • pp.65-74
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    • 2007
  • "The Golden Mirror of Medicine(醫宗金鑑)" was compiled by the medical officers of the Qing government, headed by Wu-Qian(吳謙)."The Elimination &Supplement about the Famous Prescription Comments(刪補名醫方論)", a collection of notes written by famous scholars, is one part of "The Golden Mirror of Medicine(醫宗金鑑)" . Through the translation and comparative study of invigorative prescription(補氣方劑) in "The Elimination & Supplement about the Famous Prescription Comments(刪補名醫方論)" of "The Golden Mirror of Medicine(醫宗金鑑)" with "The Famous Prescription Comments on Ancient and Modem Times(古今名醫方論)" , we confirmed that many sentences of "The Famous Prescription Comments on Ancient and Modern Times(古今名醫方論)" were quoted, but that most of the text was not quoted as the same: it was revised and supplemented. In organization, invigoration prescriptions are placed at the head of the chapter, indicating their importance. In classification, prescriptions for reinforcing middle-jiao(中焦) and replenishing qi(補中益氣湯類 方劑) were usually included in the invigoration prescriptions(補氣方劑), which is explained in chapter II, thereby clearly distinguishing between treatments of deficiency of qi(氣虛) and combining it with the sinking of qi of middle-jiao(中氣下陷).

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