• Journal of Korean Medical classics
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• v.22 no.2
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• pp.231-261
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• 2009

"Byunjeung-okham(辨證玉函)" is composed of four volumes, Eumjeung-yangjeungbyun(陰症陽症辨, Vol.1), Heojeungsiljeungbyeon(虛症實症辨, Vol.2), Sangjeunghajeungbyun(上症下症辨, Vol.3) and Jinjeunggajeungbyun(眞症假症辨, Vol.4) (卷之一 "陰症陽症辨", 卷之二 "虛症實症辨", 卷之三 "上症下症辨", 卷之四 "眞症假症辨"). It is based on the 74 types of disease symptoms, and compared to "Byunjeungrok(辨證錄)", it is rather brief and concise. Thus, its name, "Byunjeung-okham". This study researched vol.2, "Heojeungsiljeungbyun(虛症實症辨)", which is organized according to the deficiency and excess pattern of 20 disease patterns, such as cough. The disease pattern system mentioned in this book is unique compared with other disease pattern systems. The role of the kidney is especially emphasized, and the application of the Five-phase[五行] theory is very original. Consequently, it contributed greatly in the process of broadening the disease pattern system of Traditional Korean Medicine.

• Journal of Chest Surgery
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• v.25 no.6
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• pp.630-636
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• 1992

From August 1990 through December 1991, 14 patients[all males] underwent int-rathoracic muscle transposition of extrathoracic skeletal muscles to treat empyemas, 6 patients had tuberculous empyemas, 4 had chronic empyemas of unknown etiology, 3 had pos-tpneumonectomy empyemas, and 1 had postlobectomy empyema. 9 patients had associated bronchopleural fistulas, Their ages ranged from 22 to 67 years, with mean age of 45.1$\pm$17. 6[$\pm$S.D] years. The serratus anterior was transposed in 13 patients, the latissimus dorsi in 12. In 11 patients, both the serratus anterior and the latissimus dorsi were transposed. The omental flap also transposed in 3 patients. To reduce the dead space in the thoracic cavity, thr-oacoplasty was also carried out in 10 patients. The number of the partially resected ribs was 3.0$\pm$0.8[$\pm$S.D.]. All operations were single stage procedures, and all wounds were closed primarily, with no permanent tubes or chest wall openings. There was no hospital mortality, and so no subsequent operation has been required. Follow-up of the patients ranged from 5 to 16 months with a mean of 9.2$\pm$3.1[$\pm$S.D] months, All the patints had no further signs or symptoms of the original infection after discharge. We conclude that intrathoracic transposition of extrathoracic skeletal muscle is an excellent method of treatment for persistent, life-threatening intrathoracic infections.

• Journal of Korean Medical classics
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• v.25 no.1
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• pp.51-68
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• 2012

Objective : This paper is aimed at suggesting further tasks by checking and rectifying the errors of the ancieut Chinese-vernacular Korean translations of Park Ji-won(朴趾源)'s "Kumryosocho". Method : In order to correct the wrongly transcribed "Kumryosocho" was contrasted with the original "Xiangzubiji(香祖筆記)", of which the part is "Kumryosocho". And then the errors and mistakes are discovered in published ancient Chinese-to-vernacular Korean translations. Result : In the course of checking the existing translations of "Kumryosocho", this paper identified the following types of errors. 1. Errors attributable to unfamiliar names of medicinal herbs 2. Errors due to the unfamiliarity with the names of diseases or symptoms in Traditional Koreau Medicine(TKM). 3. Errors committed in hand transcription. These types of errors were committed as well in translating jargons routinely used in TKM books. To the surprise, the errors above have been repeated even in the latest version of its translation. This means that the medicine-related materials by Silhak scholars, including "Kumryosocho", were placed at a dead zone of the research between Chinese classic scholars and TKM scholars. Conclusion : To minimize errors and mistakes, it is needed to activate the cooperative work of heterogeneous experts in two academic fields.

• Journal of Sasang Constitutional Medicine
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• v.32 no.2
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• pp.10-21
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• 2020

Objectives Genome-wide association studies(GWAS) is a useful method to identify genetic associations for various phenotypes. The purpose of this study was to develop predictive models for Sasang constitution types using genetic factors. Methods The genotypes of the 1,999 subjects was performed using Axiom Precision Medicine Research Array (PMRA) by Life Technologies. All participants were prescribed Sasang Constitution-specific herbal remedies for the treatment, and showed improvement of original symptoms as confirmed by Korean medicine doctor. The genotypes were imputed by using the IMPUTE program. Association analysis was conducted using a logistic regression model to discover Single Nucleotide Polymorphism (SNP), adjusting for age, sex, and BMI. Results & Conclusions We developed models to predict Korean medicine constitution types using identified genectic factors and sex, age, BMI using Random Forest (RF), Support Vector Machine (SVM), and Neural Network (NN). Each maximum Area Under the Curve (AUC) of Teaeum, Soeum, Soyang is 0.894, 0.868, 0.767, respectively. Each AUC of the models increased by 6~17% more than that of models except for genetic factors. By developing the predictive models, we confirmed usefulness of genetic factors related with types. It demonstrates a mechanism for more accurate prediction through genetic factors related with type.

• Journal of Korean Academy of Nursing
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• v.33 no.1
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• pp.9-16
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• 2003

Purpose : The objective of this study was the development and validation of a scale to measure the self-care of patients with chronic obstructive pulmonary disease(COPD) in Korea. Method: Self-care scale was developed based on the self-care activities patients had to carry out in order to manage their COPD. The original scale contained 34 items rated along a five-point Likert scale and was reviewed by 18 professional nurses and 10 Korean patients with COPD for content validity. Subsequently, patients with COPD were asked to complete this 23-item scale and further tests were done with the 125 useable responses. Result: Factor analysis identified eight factors-'maintaining a clean air way', 'taking medication', 'support from family', 'preventing infection', 'managing symptoms', 'breathing exercising', and 'taking in nutrition'. The internal consistency of the total scale was Cronbach's α=0.7226. These eight factors explained 60.8% of total variance. There was correlation among Korean Self-Care Scale score, administration level, and knowledge level but there was no correlation to patients' satisfaction with medical services. Conclusion: The 23 item questionnaire positively identified 8 areas defined important for COPD patients. Further studies are required to see how these can be integrated into patient education.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.13 no.1
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• pp.11-21
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• 2018

Objectives: To evaluate the evidence supporting the effectiveness and safety of Chinese medicine, including Chuna manual therapy, for the treatment ofosteoarthritis. Methods: We conducted a search of 8 electronic databases(Pubmed, Web of Science, EMBASE, Cochrane Library, CAJ, KISTI, NDSL, and RISS) to find all randomized controlled clinical trials that discuss Chuna manual therapy forosteoarthritis till May 2018. Results: Our inclusion criteria selected 7eligible RCTs involving 633 participants. The meta-analysis of 6 studies showed positive results for the useof Chinese medicine, including Chuna manual therapy, for treating knee osteoarthritis. There was no evidence of worsening symptoms or any adverse events. Conclusions: Our systematic review found favorable evidence regardingthe effectiveness of Chinese medicine, including Chuna manual therapy, for treating knee osteoarthritis. However, our systematic review had several limitations owingto the low quality of original articles andadditionalclinical trials would be necessary for stronger evidence.

• Safety and Health at Work
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• v.8 no.1
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• pp.1-10
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• 2017

Considerable effort has been made to address the issue of occupational health and environmental exposure to mercury. This review reports on the current literature of mercury exposure and health impacts on dental personnel. Citations were searched using four comprehensive electronic databases for articles published between 2002 and 2015. All original articles that evaluated an association between the use of dental amalgam and occupational mercury exposure in dental personnel were included. Fifteen publications from nine different countries met the selection criteria. The design and quality of the studies showed significant variation, particularly in the choice of biomarkers as an indicator of mercury exposure. In several countries, dental personnel had higher mercury levels in biological fluids and tissues than in control groups; some work practices increased mercury exposure but the exposure levels remained below recommended guidelines. Dental personnel reported more health conditions, often involving the central nervous system, than the control groups. Clinical symptoms reported by dental professionals may be associated with low-level, long-term exposure to occupational mercury, but may also be due to the effects of aging, occupational overuse, and stress. It is important that dental personnel, researchers, and educators continue to encourage and monitor good work practices by dental professionals.

• The Journal of Korean Medical History
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• v.29 no.1
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• pp.47-54
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• 2016

This article attempts to extract headwords for complication of "Donguibogam Dictionary" with Corpus-based Analysis. The computerized original text of Donguibogam is changed into a text file by a program 'EM Editor'. Chinese characters of high frequency of exposure among Chinese characters of Donguibogam are extracted by a Corpus-based analytical program 'AntConc'. Two-syllable, three-syllable, four-syllable, and five-syllable words including each Chinese characters of high frequency are extracted through n-cluster, one of functions of AntConc. Lastly, The output that is meaningful as a word is sorted. As a result, words that often appear in Donguibogam can be sorted in this article, and the names of books, medical herbs, disease symptoms, and prescriptions often appear especially. This way to extract headwords by this Corpus-based Analysis can suggest better headwords list for "Donguibogam Dictionary" in the future.

• Journal of Physiology & Pathology in Korean Medicine
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• v.25 no.2
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• pp.155-162
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• 2011

Sinsuntaeeuljagumdan is a medical book written by Jong-jun Lee, who was an government official in Yonsan-gun period in Chosun dynasty. This book has importance in medical history, as it was the first privately published medical book in early Choson dynasty, and written by an bureaucratic gentry, not by a professional doctor. Three versions of this book remain, among which Sungam version is printed and closest to the original, while Kyoto version is facsimile manuscript of the Sungam version. The contents of the book can be divided into three subsections, i.e. constituents and making instructions, applicable symptoms and adminstration directions, and medical records and episodes. The medical records, of these three sections, are total 8 cases, with a great value as the first ever medical record in korean history.

• Journal of Sasang Constitutional Medicine
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• v.28 no.4
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• pp.338-349
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• 2016

Objectives This case study was about a Taeyangin patient with transient ischemic attack(TIA) due to vertebrobasilar insufficiency(VBI). In this study, we report the progress of mistreat with Taeyangin as Taeeumin and the improvement of symptoms after rediagnosis as Taeyangin. Methods Patient's chief complain was weakness of lower limbs, dysarthria and dizziness. Patient first time took Taeeumin prescription such as Chunghyulganggi-tang, Chunsimyonja-tang and Sanyakbopaewon-tang. After occuring side effects we changed the prescription to Taeyangin herbal medicine such as Ogapijangchuk-tang gagam and Mihudeungsikjang-tang gagam. Result and Conclusion Patient suffered from diarrhea by taking Taeeumin prescription and symptom was continue. After changing of prescription to Taeyangin herbal medicine, not only chief symptom but also original symptom was improved.