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Interventional Treatments for Femoropopliteal Arterial Disease and Recent Updates (대퇴슬와동맥의 인터벤션과 최신 지견)

  • Minuk Kim;Soo Buem Cho
    • Journal of the Korean Society of Radiology
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    • v.82 no.3
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    • pp.527-540
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    • 2021
  • Peripheral arterial occlusive disease (PAOD) of the femoropopliteal artery is commonly caused by atherosclerosis. It can present with varying clinical symptoms depending on the degree of disease, ranging from intermittent claudication to critical limb ischemia and tissue loss. Therefore, appropriate and timely treatment is required to improve symptoms and salvage the affected limbs. Interventional approaches for femoropopliteal arterial disease commonly include percutaneous transluminal angioplasty, atherectomy, and stent placement. Over the years, endovascular recanalization has been widely performed for treating PAOD due to continuous developments in its techniques and availability of dedicated devices with the inherent advantage of being minimal invasive. In this review, we introduce various types of endovascular treatment methods, discuss the results of clinical research from existing literature, and illustrate the treatment procedures using representative images.

A Study on the Way of Organizing Contents of State Sponsored Medical Text in Ancient China (중국 주요 국가간행의학서의 편제구성과 질병분류인식에 대한 소고)

  • Cha, Wung-Seok;Kim, Namil;Ahn, Sang-Woo;Kim, Dong-Ryul
    • The Journal of Korean Medical History
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    • v.30 no.2
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    • pp.1-12
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    • 2017
  • This paper is focused on the 'contents' of database level medical texts sponsored by the Chinese government. The premise of the study is that the contents of state-sponsored medical texts would show how medical policy makers and practitioners approached the body and diseases of the time, and by association the medical text would reveal the policy associated with state medical education and distribution of medical resources associated with the practitioners' approaches. This paper analyzes the contents of four representative state-sponsored medical texts: Cao's Treatise on the Origins and Symptoms of Various Diseases (巢氏諸病源候論, 610, Sui China); Great Peace and Sagely Benevolence Formulas (太平聖惠方, 996, Song China); Complete Record of Sagely Benevolence (聖濟總錄, 1117, Song China); Formulas for Universal Relief (普濟方, 1406, Ming China).

Smoking Behavior and Predictors of Smoking Initiation in Childhood and Early Adolescence (학령기 및 청소년 초기 흡연행태와 흡연시작에 영향을 주는 요인)

  • Park, Sun-Hee
    • Journal of Korean Academy of Nursing
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    • v.39 no.3
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    • pp.376-385
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    • 2009
  • Purpose: The purposes of this study were(a) to identify smoking behavior by following a cohort representative of the population of 4th grade elementary schoolers in South Korea over a four-year period(2004-2007), and(b) to explore predictors of smoking initiation among non-smokers in Wave 1. Methods: Secondary data, the Korea Youth Panel Study, was analyzed in this study. First, frequencies or percentages were calculated to identify smoking behavior(i.e., smoking initiation, smoking intensity, and smoking duration). Second, binary logistic regression analysis was performed to examine significant factors related to smoking initiation. Results: Smoking initiation and daily smoking were more pronounced when the participants entered middle school. In bivariate analysis, statistically significant predictors of smoking initiation were loneliness at school, self-control, delinquent behavior, depressive symptoms, and stress. However, after controlling for other factors, only a high level of risk-taking tendency and a greater number of delinquent behaviors remained statistically significant. Conclusion: Based on greater involvement in smoking among first-year middle schoolers, smoking prevention strategies should be provided to elementary schoolers rather than middle schoolers. A risk-taking tendency and delinquent behaviors should be considered as proxy measures to detect the high-risk group for smoking initiation.

First report of Cucumber mosaic virus in African Impatiens (Impatiens walleriana) in Korea

  • Choi, Seung Kook;Choi, Gug-Seoun;Kwon, Sun-Jung;Cho, In-Sook;Yoon, Ju-Yeon
    • Research in Plant Disease
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    • v.21 no.4
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    • pp.341-345
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    • 2015
  • Virus-like symptoms including stunt, severe mosaic with malformation of leaves, fern-like leaves and abnormal petals were observed from an African impatiens (Impatiens walleriana) grown in a plant nursery in Icheon, Korea. Serological analysis using immuno-strip kits for viruses reported in African impatiens indicated that Cucumber mosaic virus (named CMV-Im) was a causal agent for the symptomatic African impatiens. Biological properties of CMV-Im were analyzed using responses of host plant species, suggesting that CMV-Im is a typical strain that belongs to CMV subgroup I. RT-PCR analysis verified CMV-Im infection from naturally infected African impatiens or mechanically inoculated some host species. Analysis of multiple alignments of CMV capsid protein (CP) sequences showed that CMV-Im shared high CP amino acids identities with other CMV strains. Phylogenetic tree analysis for the CP sequences of CMV-Im and representative CMV strains confirmed that CMV is a typical member of CMV subgroup I. To our knowledge, it is the first report of CMV in African impatiens in Korea.

Andrographolides and traditionally used Andrographis paniculata as potential adaptogens: Implications for therapeutic innovation

  • Thakur, Ajit Kumar;Chatterjee, Shyam Sunder;Kumar, Vikas
    • CELLMED
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    • v.4 no.3
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    • pp.15.1-15.14
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    • 2014
  • Andrographis paniculata (Burm. F.) Wall. Ex Nees (Family: Anthaceae) is a traditionally known Ayurvedic medicinal plant. Several well-controlled clinical trials conducted during recent years have consistently reconfirmed that Andrographis paniculata extracts are effective in suppressing cardinal symptoms of diverse inflammatory and infectious diseases. Despite extensive efforts though, many questions concerning bioactive constituents of such extracts and their modes of actions still remain unanswered. Amongst diverse diterpene lactones isolated to date from such extracts, andrographolide is often considered to be the major, representative, or bioactive secondary metabolite of the plant. Therefore, it has attracted considerable attention of several drug discovery laboratories as a lead molecule potentially useful for identifying structurally and functionally novel drug. Critical analysis of available preclinical and clinical information on Andrographis paniculata extracts and pure andrographolide strongly suggest that they are pharmacologically polyvalent and that they possess adaptogenic properties. Aim of this communication is to summarize and critically analyze such data, and to point out some possibilities for more rationally exploiting their adaptogenic properties for discovering novel therapeutic leads, or for obtaining pharmacologically better standardized phyto-pharmaceuticals.

Associations of Internet Use with Oral Hygiene Based on National Youth Risk Behavior Survey

  • Park, Subin;Lee, Jung Hyun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.29 no.1
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    • pp.26-30
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    • 2018
  • Objectives: To investigate the association of problematic Internet use with oral health behaviors and oral health status in a nationally representative sample of Korean adolescents. Methods: Data from the 2010 Korea Youth Risk Behavior Web-based Survey (73238 Korean adolescents; mean age $15.06{\pm}1.75years$; age range, 12-18 years) were used. Problematic Internet use was measured using the Korean Internet Addiction Proneness Scale for Youth-Short Form. Self-report questionnaires were used to assess oral health behaviors and oral health status of adolescents. Results: Problematic Internet users were less likely to brush their teeth frequently [adjusted odds ratio (AOR)=0.59; 95% confidence interval (CI)=0.56-0.63] and at school after lunch (AOR=0.89; 95% CI=0.83-0.94) as well as more likely to perceive their oral health to be poorer (AOR=1.63, 95% CI=1.54-1.72) and experience oral symptoms (AOR=1.75, 95% CI=1.65-1.86) compared to usual Internet users. Conclusion: The study results indicate that problematic Internet use may adversely affect the oral health of Korean adolescents. Thus, oral health screening and Internet-based education are needed for adolescents experiencing problematic Internet use.

Investigation on the Meridian-Muscle Therapy for Myogenic Nerve Entrapment Syndrome (경근요법(經筋療法)을 통한 근원성 신경 포착 증후군의 치료)

  • Heo, Su-Young;Choi, Jin-Man;Seo, Hae-Kyung
    • The Journal of Korea CHUNA Manual Medicine
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    • v.2 no.1
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    • pp.43-50
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    • 2001
  • Objectives : Scalenus anticus syndrome and Piriformis syndrome is representative of myogenic Nerve entrapment syndrome, and their clinical symptoms are similar to HIVD(herniated Intervertebral disc) of cervical or lumbar spine. But, distinguished by muscle test, these syndrome apply to Meridian-muscle therapy. Methods : Meridian-muscle therapy consists of Ashi(阿是)-point therapy, taping therapy, myofascial release technique, manipulation, their based on the traditional meridian-muscle theory. This theory is similar to myofascial pain syndrome in western medicine. The study population consisted of 9 patients who were already diagnosed as Nerve entrapment syndrome with radiological examination & physical examination and muscle test. The evaluation of clinical outcome was done by Visual Analogue Scale (VAS) and Pain Assesment Questionnaire(PAQ). Results and Conclusions : After treatment, All patient's VAS is decreased as $2.11{\pm}1.59$ and the evaluation of clinical effect was excellent(6 cases) or good(3 cases) according to PAQ. Conclusively, Meridian muscle therapy is efficacious against Nerve entrapment syndrome.

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Physical Therapy for Esophageal Cancer Patient With Long Thoracic Neuropathy After Esophagectomy: A Case Report

  • Do, Junghwa;Lim, One-bin;Kim, Ja-young;Jeon, Jae Yong;Cho, Young-ki
    • Physical Therapy Korea
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    • v.27 no.3
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    • pp.220-226
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    • 2020
  • Esophageal cancer is a representative cancer that occur physical deterioration but, physical problems after surgery were not well reported. The purpose of this study is to report on the long thoracic neuropathy after surgery, and to identify the symptoms and effects of physical therapy after esophageal cancer surgery. This is a case of a 61-year-old man who showed winging of the scapula with long thoracic nerve injury on the results of electromyography after an esophageal cancer surgery. Physical therapy programs were implemented 8 sessions during hospitalization. The quality of life, fatigue, shoulder range of motion (ROM), numeric rating scale (NRS), 6-minute walk test, and 30-second chair stand test were assessed. The quality of life, fatigue, shoulder ROM, NRS (pain), 6-minute walk test, and 30-second chair stand test were improved. However, the esophageal-specific symptom was not different after physical therapy program. As esophageal cancer suffers from physical difficulties after surgery, physical therapy programs are thought to be helpful.

Clinical characteristics and treatment plan for patients with snoring and obstructive sleep apnea (코골이와 수면무호흡증 환자의 임상적 특징과 치료계획)

  • Jung, Jae-Kwang;Kim, Ki-Rim;Byun, Jin-Seok;Choi, Jae-Kap
    • The Journal of the Korean dental association
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    • v.53 no.4
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    • pp.249-258
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    • 2015
  • Snoring and obstructive sleep apnea are the representative sleep disordered breathings, caused by the temporary and repetitive constriction or obstruction of upper airway during sleep. They present with excessively vibratory noise and repetitive cease of respiration. These disorders commonly result in sleep disturbance and the subsequent daytime sleepiness, chronic fatigue. Furthermore, they can cause the serious and extensive complications including increased risk of hypertension, cardiac arrhythmia, cardiovascular disease, cerebrovascular accident, neurocognitive disturbance, traffic and occupational accidents, type II diabetes, childhood growth interruption, awakening headache and finally, relatively increased mortality rate. Because appropriate therapeutic intervention is best way for patients to relieve their symptoms and prevent their possible complications, it is very important for dentists to recognize their own role and responsibility in diagnosis and treatment of these disorders. For this, the present article provides the understanding of the clinical features, possible complications, various treatment modalities, and suitable treatment strategies for snoring and obstructive sleep apnea.

Study on Application of the Herbal Medicines Mentioned in ${\ulcorner}$Sanghanron${\lrcorner}$, ${\ulcorner}$GeumGweyoryak${\lrcorner}$ with Regards to the abdominal Diagnoses Impressions of Epigastric Fullness and Rigidity (심하부 복진 소견과 연관된 상한론, 금궤요략 수재 약물, 처방의 응용에 관한 연구)

  • Choi, Myong-Hee;Kim, June-Ki
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.6
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    • pp.1375-1387
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    • 2006
  • Through abdominal diagnoses, deficiency and excess, and cold and heat of the eight principles for differentiating syndromes can be determined, pathogens such as fluid retention, dry stool, retention of undigested food, abdominal mass, blood stagnation, stagnation of Gi, deficiency of Kidney Yang, and, spermatorrhea can be identified, nature and stages of the symptoms can be understood and then pathogenesis analyzed. Abdominal diagnosis can be one of primary factors in deciding treatment, expecting prognosis and treatment effect, and choosing herbal prescriptions. Representative herbs for epigastric stuffiness/fullness are Radix Ginseng, Pericarpium Citri, etc; for fullness of epigastrium, Rhizoma Pinelliae, Pericarpium Citri, Rhizoma Rhei, etc.; for severely rigid epigastrium, Radix Glycyrrhizae, Radix Ginseng, etc.; for epigastric pain, Rhizoma Pinelliae, Pericarpium Citri, etc.; for epigastric fullness and rigidity, Rhizoma Coptidis, Radix Ginseng, etc.; for feeling of obstruction in the epigastirum, Radix Bupleuri, Radix Ginseng, etc.; for palpitation in the epigastrium, Radix Glycyrrhizae, Ramulus Cinnamomi, etc. It is essential to rightly diagnose through comprehensive analysis of the data gained by the four methods of diagnosis, and in doing this, further studies on how to utilize abdomen diagnosis for clinical practice.