• Title/Summary/Keyword: Nature of Medicine

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Lipoblastoma of Mediastinum - A case report - (종격동 지방모세포종 -1예 보고-)

  • Cho, Jung-Soo;Kim, Kwang-Ho;Baek, Wan-Ki;Kim, Joung-Taek;Son, Byong-Kwan;Kim, Won-Hong;Kim, Lucia
    • Journal of Chest Surgery
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    • v.41 no.3
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    • pp.395-398
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    • 2008
  • Lipoblastoma is a rare benign tumor that usually originates in children from the embryonic lipid cells of the extremities. This condition shows an early childhood occurrence, a benign nature without metastasis, a cellular composition of mainly mature lipid cells and an ability to differentiate into a simple lipoma. We have experienced a 15 month old girl who had developed a lipoblastoma in the right anterior mediastinum. Surgical resection was carried out without complications. Her postoperative course was uneventful. She has been well 6 months after the operation.

Analysis of Social Needs for Doctors and Medicine through a Keyword Analysis of Newspaper Articles (2016-2020) (신문기사 키워드 분석(2016-2020년)을 통한 의사 및 의료에 대한 사회적 요구 분석)

  • Jung, Hanna;Lee, Jea Woog;Lee, Geon Ho
    • Korean Medical Education Review
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    • v.24 no.2
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    • pp.103-112
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    • 2022
  • The purpose of this study was to explore, using topic modeling, the social value of doctors and medicine demanded by society as reflected in published newspaper articles in Korea. Ultimately, this study aimed to reflect social needs in the process of developing the Patient-Centered Doctor's Competency Framework in Korea. For this purpose, a total of 2,068 newspaper articles published from 2016 to 2020 were analyzed. Through topic modeling of these newspaper articles over the past 5 years, 18 topics were derived and divided into four categories. Focusing on the derived topics and keywords, the topics derived in specific years and the proportion of topics by year were analyzed. The results of this study make it possible to grasp the needs of society projected through the press for doctors and medicine. Due to the nature of the press, topics that frequently appeared in newspaper articles were mainly social phenomena related to requirements for doctors, particularly dealing with economic and legal aspects. In particular, it was confirmed that doctors are now required to have a wider range of competencies that go beyond their required medical knowledge and clinical skills. This study helped to establish doctor's competencies by analyzing social needs for doctors through the latest research methods, and the findings could help to establish and improve doctor's competencies through ongoing research in the future.

Effect of Resource Mindfulness on Emotional State, Focusing on Anxiety and Stress Reduction (리소스 마인드풀니스에 관한 효과성 연구)

  • Seung Ho Lee;Do-Eun Lee;Yeoung-Su Lyu;Moon Joo Cheong;Hyung Won Kang
    • Journal of Oriental Neuropsychiatry
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    • v.35 no.2
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    • pp.177-189
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    • 2024
  • Objectives: This study aimed to evaluate the impact of Resource Mindfulness on participants' emotional state, focusing on anxiety and stress reduction and to explore the importance of psychological resources in this process. The effectiveness of Resource Mindfulness was investigated through both quantitative and qualitative analyses, examining its influence on subjective distress, mindfulness, core emotions, and identification of personal resources. Methods: This study involved 27 participants, including Korean medicine students, psychological counselors, clinical psychologists, and Korean medicine specialists, who attended a 2-night, 3-day M&L psychological support education program from July 2 to July 4, 2022. Participants were informed of the study's purpose and procedures. They provided written consent. Quantitative measures included Subjective Units of Disturbance Scale (SUDS), Five Facet Mindfulness Questionnaire (FFMQ), and Core Seven-Emotions Inventory Short Form (CSEI-s). Qualitative analysis was conducted using the "Drawing the Rooms of the Mind" technique. Pre- and post-program assessments were conducted to compare changes in subjective distress, mindfulness, and core emotions. Data were analyzed using paired t-tests and qualitative content analysis methods. Results: Significant reductions in subjective distress and improvements in mindfulness components were observed. Core emotions showed significant decreases in negative emotions. Qualitative analysis revealed increased tranquility, relief, and confidence, with resourceful places often being nature-related. Conclusions: Resource Mindfulness effectively reduced anxiety and stress and enhanced self-awareness and self-efficacy. It is useful for managing various mental health issues. Further research is needed to generalize these findings.

Korean Pain Descriptors in Patients with Neuromusculoskeletal Pain (신경근골격계 환자들의 한국어 통증 표현)

  • Park, Gi-Young;Kwon, Dong Rak;Woo, In Ho
    • Clinical Pain
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    • v.18 no.2
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    • pp.82-87
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    • 2019
  • Objective: To evaluate which Korean pain descriptors are frequently used in the patients with neuromusculoskeletal diseases and compare the frequency of Korean pain descriptor according to age, gender, pain pattern and intensity, and clinical diagnosis. Method: Two hundreds sixty nine patients with neuromusculoskeletal diseases were enrolled in this study. The patients were asked to fill out a pain questionnaire using Korean. The Korean pain descriptors were collected and classified according to neurophysiological mechanism. The frequency of Korean pain descriptor was analyzed by age, gender, pain pattern and intensity, and clinical diagnosis. They were divided into axial spine and peripheral joint pain group depending on the location of causal disease and shoulder pain descriptors were divided into intra-articular and bursa group. Results: Among 24 Korean pain descriptors, 'arida' was the most common pain descriptor, followed by 'ssusida' and 'jjireunda'. When the pain descriptors were classified according to neurophysiological mechanism, superficial somatic pain was the most common, followed by deep somatic pain. There was a significant difference in the frequency of the pain descriptor between axial spine and peripheral joint pain group (p=0.007). The pain descriptor 'danggida' was used significantly more in the patients with axial spine pain than peripheral joint pain (p=0.024). However, there was no significant difference in other factors. Conclusion: The patients with neuromusculoskeletal diseases expressed their pain using various Korean pain descriptors with stabbing nature and superficial somatic pain. Our results may be helpful to assess and develop a new Korean pain quality measure in the patients with neuromusculoskeletal diseases.

Trigeminal Neuralgia Cases Managed by Yinyang Balancing Appliance of FCST, a TMJ Therapy for the Balance of Meridian and Neurological System (FCST의 음양균형장치를 활용 삼차신경통 증례보고)

  • Lee, Young Jun;Lee, Sang-bae;Park, Min-Cheol;Lee, Hwa Jeong;Yin, Chang Shik
    • Journal of TMJ Balancing Medicine
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    • v.5 no.sup
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    • pp.11-18
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    • 2015
  • Therapeutic effect of Yinyang Balancing Appliance (YBA) of functional cerebrospinal therapy (FCST) for meridian and neurologic yinyang balance was observed in a trigeminal neuralgia case. One Trigeminal neuralgia case was managed with YBA on temporomandibular joint (TMJ), combined with acupuncture. Clinical outcome measurement was performed by subjective rating and clinical observations. The patient's subjective rating and clinical symptoms showed improvement immediately after the initial treatment and this improvement maintained over the follow-up period. Although it is not clear whether the effect is temporary in its nature, a positive effect was observed and further clinical and biological research on FCST is expected.

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Analysis on the Traditional Knowledge Appearing in "Yi, SeikKan Experience Prescriptions" Which is a Book on Medicine in Joseon Dynasty in the 16th Century : with a Focus on Medical Treating with Eating Foods Using Porridge and Rice (16세기 조선 의서 "이석간경험방"에 나타난 전통지식 분석 : 죽과 밥을 이용한 식치 처방을 중심으로)

  • Oh, Junho
    • Journal of Society of Preventive Korean Medicine
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    • v.17 no.1
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    • pp.125-135
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    • 2013
  • Objectives : Medical treating with eating foods is one of important therapies in East Asian traditional medical knowledge and is referred as a therapy to treat diseases through foods. Since the food cannot be separated from ordinary people living, the medical treating with eating foods is a therapy with strong locality and contains many autogenous parts. Methods : Recently, the world is showing much interest for genetic resources, and the concept of intellectual property is rapidly expanding as the field of 'new knowledge property right' as well. Thus, the knowledge of medical treating with eating foods recently draws much attention in the economic aspect beyond the scholarly interest for traditional medicine. Here, I would like to summarize and report the contents related to medical treating with eating foods on "Yi, SeikKan experience prescriptions" which was discovered before. Results & Conclusions : First, medical treating with eating porridge on "Yi, SeikKan experience prescriptions" is classified into one with nonglutinous rice as the main ingredient and the other with other grains as the main ingredient. It is differently utilized depending on the nature of the grain. Second, medical treating with eating rice on "Yi, SeikKan experience prescriptions" was born from our nation's unique way of living and is classified into one way to eat rice mixed with ground medicinal herbs, another one to cook and eat rice with mixed grains and the other way to use as the external application. Medical treating with eating rice is assumed to replace the meal. Third, "food section" was given separately and discussed in this book. There were some parts different from existing medical knowledge due to the accumulation of experience using medicinal herbs. Fourth, we should pay attention to experience a book on medicine where vibrant medical information has been recorded in order to discover and process our traditional knowledge resources as a useful form.

The Formation of the Historical Identity of Korean Doctors (한국 의사의 역사적 정체성 형성)

  • Yeo, In-sok
    • Korean Medical Education Review
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    • v.23 no.2
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    • pp.75-79
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    • 2021
  • In modern society, doctors are a representative example of professionals-that is, doctors are members of an occupation with high barriers to entry. For doctors, long-term education, training, and licensing are factors that make it difficult to enter medical practice. These external characteristics, which have mainly arisen in the modern era, play an important part in the professional identity of doctors. Nonetheless, the core of the doctor's identity is the identity of the healer. In today's Korean society, the universal identity of doctors as healers results from a combination of the special historical identity of professionals with high entry barriers. Korean society currently demands a high level of ethical awareness from doctors. These demands are partly derived from the nature of the practice of medical care, but they also reflect demands for strong social responsibility as professionals. It is difficult to cultivate professional ethics simply by imposing legitimate virtues, presenting an ideal model, or emphasizing moral education that is not fully realistic. A deep-rooted sense of professional ethics stems from a clear awareness of professional identity. Education plays an important role in the formation and awareness of doctors' professional identity, and various types of content and methods can be used in education. However, since the identity of an entity is formed through the process of historical experience, it is thought that the historical process of the formation of doctors as a profession should be included as an important part of education.

Late Biological Effect of Gamma Radiation and the Effect of Bu-Zhong-Yi-Qi-Tang on Radiation-Induced Late Biological Effect in Mice (감마선 조사 마우스의 만성장해와 보중익기탕 투여 효과)

  • Kim, Se-ra;Jo, Sung-kee;Kim, Sung-ho
    • Korean Journal of Veterinary Research
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    • v.43 no.3
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    • pp.323-331
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    • 2003
  • We performed this study to determine the late biological effect of gamma radiation and effect of Bu-Zhong-Yi-Qi-Tang (BZYQT), a prescription of traditional Oriental medicine, on radiation-induced late biological effect (survival, hematological change, carcinogenesis) of mice irradiated with 3 Gy of gamma-radiation. There were little difference in body weights between normal and irradiated mice. Survival rate were decreased in irradiated mice and the survival rate and mean survival time of the groups treated with BZYQT were far better than the irradiation control group. A significant elevation of total leukocyte or lymphocyte counts was seen at week 4 and 12 of the group treated with BZYQT. Stimulated recovery by the extract from BZYQT was also observed in thrombocyte. Main gross findings of irradiated mice were appeared as enlargement of spleen, thymus and liver, tumorous nodules of lung and cyst or mass of ovary. Microscopically, there were various findings including hematopoietic and lymphoid tumor, lung cancer, ovarian cancer and cancer of other lesions. BZYQT reduced the incidence of tumor development. Further studies are needed to characterize better the protective nature of ingredients and active compounds.

Application of Zhishi(Poncirus fructus) as Examined in the Changes in Pi Pattern(痞證) Treatments (비증(痞證) 치법(治法)의 변천(變遷)으로 살펴본 지실(枳實)의 활용(活用))

  • Kang Ji-woo;Shin Sang-won
    • Journal of Korean Medical classics
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    • v.36 no.3
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    • pp.27-54
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    • 2023
  • Objectives : To determine the background against which Zhishi has been applied to treat Pi pattern, through examination of changes in Pi pattern treatments in a historical context. Methods : The properties and nature of Zhishi as written in multiple bencao texts were analyzed. In addition, understanding of the Pi pattern, the changes in its treatment were examined diachronically based on opinions of Zhang Zhongjing, Zhugong, and Li Dongyuan. Examples of Zhishi application in Pi pattern treating formulas were collected and their mechanisms analyzed. Results : Zhishi is strongly effective in relieving accumulation and stagnation, due to its properties of dispersing and lowering. The early view of contrasting Pi with Jiexiong shifted to viewing the Pi pattern as an inner damage, from the perspective of rising and lowering of the Qi mechanism based on the Spleen and Stomach. As a result, Zhishi became a key ingredient in the treatment of the Pi pattern. Conclusions : As the perspective of seeing Pi as one end of the Yin-Yang coupling with Jiexiong from the Shanghanlun shifted to seeing it as a problem of Qi mechanism of the Spleen and Stomach, Zhishi became a key ingredient in the formulas to treat Pi pattern. The complexity of Zhishi's direction made it appropriate to treat the changed Pi pattern.

Urinary Cytologic Findings of Plasmacytoid Transitional Cell Carcinoma of the Urinary Bladder - A Case Report- (방광의 형질세포양 이행상피암종의 요세포학적 소견 - 1예 보고 -)

  • Park, Mi-Ok;Kim, Yong-Jin;Park, Jae-Bok
    • The Korean Journal of Cytopathology
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    • v.10 no.1
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    • pp.67-71
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    • 1999
  • We report a case of 53-year-old man with plasmacytold transitional cell carcinoma of the urinary bladder, which may be confused with plasmacytoma. The patient initially presented with gross hematuria and dysuria for two months. Cystoscopy and radiologic studios revealed multiple intraluminal protruding masses on the urinary bladder invading perivesical fat tissue. After urinary cytologic examination and cystoscopic biopsy, radical cystectomy and pelvic lymph node dissections were done. Urine cytology showed single cells and poorly cohesive cells with round eccentric nuclei, bi-or multi-nucleation, indistinct nucleoli, coarse chromatin, and abundant basophilic cytoplasm within relatively clear background. The cytologic findings of tumor cells were similar to the plasma cells seen in plasmacytoma. The tumor of the bladder was composed on discohesive, individual cancer cells with diffuse pattern that simulated lymphoma or plasmacytoma. Immunohistochemical and electron microscopic studies clearly established the epithelial nature of the neoplasm. Recognition of this plasmacytoid type of transitional cell carcinoma of the urinary bladder can avoid the misdiagnosis.

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