• Journal of Chest Surgery
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• 제28권7호
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• pp.693-697
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• 1995

Intrathoracic cyst was considered rare entity but one of the important diseases in the field of thoracic surgery. Authors had experienced 17 cases of intrathoracic cysts that were treated in the department of thoracic and cardiovascular surgery of Pusan NationalUniversity Hospital for 10years from January, 1983. to December,1992. The summary is as follows: Their age distribution was from 2 years and 9 months to 59 years of age, mean age 27.2 years. There were 8 males and 9 females. The type of intrathoracic cyst was 10 cases of Bronchogenic cyst, 2 cases of Pericardial cyst and 4 cases of Non specific cyst. The anatomical locations of intrathoracic cysts were 6 cases of anterior mediastinum, 2 cases of middle mediastinum, 3 cases of posterior mediastinum and 6 cases of lung parenchyme. The most common symptom was coughing and followed by general weakness, fatigue, chest pain & discomfort and hemoptysis and 6 patients were asyptomatic. The successful complete removal was done at all cases.Postoperative complications were developed in 5 patients but there was no case of hospital mortality.

• Journal of Chest Surgery
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• 제24권11호
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• pp.1125-1132
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• 1991

Myasthenia gravis is a disorder of neuromuscular transmission which is characterized fatigue and weakness of the voluntary muscle. From 1985. 1 to 1991.6, 34 patients underwent managed including 12 patient thymectomy, at the kyunghee medical center. A clinical analysis was performed and following result was obtained. Among the 34 patients, male to female ratio was 11 : 23 and the age was ranged from 2 years to 63 years. Thymectomy was done in 12 case and 1 case of malignant thymoma was not resectable. There were 2 deaths after operation due to respiratory failure and 1 death dur to gradually progression. THe effect of thymectomy in mtasthenia graves was 66.7% (8cases). The prognostic factors were severity of the disease and histopathological findings. Others were not related to the prognosis of the mayasthenia gravis. The severity of the myasthenia gravis was classified by Osserman modified classification.

• Annals of Clinical Neurophysiology
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• 제5권2호
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• pp.202-209
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• 2003

Postpolio syndrome (PPS) refers to a constellation of neuromuscular and orthopedic symptoms and signs that have been noted to occur in patients with remote antecedent poliomyelitis. It has been increasingly recognized that individuals recovering from acute poliomyelitis develop new symptoms, most commonly weakness, fatigue, and pain that develops decades after initial disease in the region previously affected. Associated symptoms may include dysphagia, respiratory insufficiency, new muscular atrophy, dysarthria, muscle cramps, fasciculations, sleep abnormalities, and cold intolerance. Although the concepts of PPS was first described in the late 1800s, it was not until nearly 100 years later that the concept of PPS was more widely recognized and defined. This was due largely to the polio epidemic of the 1940s and 1950s that left many survivors in the world. The virtual epidemic of PPS that occurred among these polio survivors in the 1980s and 1990s has served as a catalyst to attract medical attention to this syndrome.

• 셀메드
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• 제3권3호
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• pp.23.1-23.3
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• 2013

According to the traditional Korean medicine (TKM), kidney has been recognized as the roof of innate endowment because it plays an important role in the birth, growth, sexual reproduction, and aging. Kidney essence insufficiency syndrome (KEIS) is caused when kidney is impaired. KEIS is characterized by retarded development, decreased reproduction, tinnitus, loosening of teeth, and loss of hair and forgetfulness. In traditional Chinese medicine, KEIS mouse model was established by use of threatinjuring the kidney combined with over-fatigue. However, the TKM theory-based KEIS experiment model has not been described correctly. In the present study, we suggest a new KEIS experiment model including following cases; 1) weakness of father essence and mother blood, 2) life nurturing during pregnancy, 3) full-term gestation period.

• 사상체질의학회지
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• 제21권3호
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• pp.202-208
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• 2009

1. Objectives: The purpose of this study is to report one case of the Taeumin Hangwol Syndrome diagnosed as Upper Respiratory Infection with unknown cause. 2. Methods: The patient had the symptoms including chilling sensation, general weakness and fatigue. We diagnosed him as Taeeumin Hangwol Syndrome. So we treated him by Handayeolso-tang(寒多熱少湯), and acupuncture. The serial changes of his symptoms were evaluated in hospital. 3. Results and Conclusions: After treated by Handayeolso-tang(寒多熱少湯), his symptoms were improved.

• The Journal of Korean Physical Therapy
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• 제13권3호
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• pp.761-767
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• 2001

Myasthenia gravis is an autoimmune disorder mainly caused by antibodies to the muscle acetylcholine receptors at the neuromuscular junction Loss of these receptors leads to a defect in neuromuscular transmission with muscle weakness and fatigue. In this study, to understand of myasthenia gravis, were viewed about anatomical and physiological view of neuromuscular junction.

• Journal of Dental Anesthesia and Pain Medicine
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• 제19권1호
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• pp.67-72
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• 2019

Myasthenia gravis (MG) is a neuromuscular autoimmune disorder which clinically presents as muscular weakness and fatigue due to autoantibody formation against acetylcholine receptors (AChR), leading to their subsequent destruction. Due to the neuromuscular implications of MG, certain considerations must be taken into account when providing anesthesia to MG patients. In the following case report, we have outlined procedural considerations for the anesthetic management of a patient with MG undergoing deep sedation for an elective oral surgery in an outpatient setting, as well as a discussion of relevant literature.

• Journal of Chest Surgery
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• 제27권7호
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• pp.610-616
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• 1994

Myasthenia gravis is a rare condition, affecting only 1/75000. It is characterized by weakness and fatigue of the voluntary muscles due to impaired neuromuscular transmission at the acetylcholine receptor site. It is probably caused by an autoimmune mechanism leading to reduction of the available nicotinic acetylcholine receptors at the neuromuscular junction. A relationship between the thymus and myasthenia gravis was suggested by Weigert in 1901, and Blalock was the first to report the efficiency of thymectomy in the treatment of myasthnia gravis in 1939. Since that time, thymectomy has become increasingly important in managing patients with myasthenia gravis. Fourteen patients with myasthenia gravis underwent thymectomy between September 1987 and March 1994 and got the following results; 1. The sex distribution was 10 females and 4 males with ages ranging from 15 to 51 years[mean, 34.8 years]. 2. Clinical manifestation of ocular symptoms were seen in all cases, dysphagia in 12[85.7%], extremity weakness in 11 [78.6 %], and dyspnea in 3 [21.4 %]. 3. According to the modified Osserman`s classification, 8 patients were in group IIb, 3 in IIa, 2 in I and 1 in IIc, respectively. 4. Histopathologic examination of the resected thymuses revealed hyperplasia in 8 patients, benign thymoma in 3, and malignant thymoma in 3. 5. There were no perioperative or immediate postoperative deaths but one patient died about two months after the thymectomy due to respiratory failure. 6. During the follow-up period, 11 patients [78.6 %] showed clinical improvement. Among them, 4 cases [28.6 %] showed complete remission, 3 [21.4 %] showed marked improvement, and 4 [28.6 %] showed subjective improvement. 7. Among the 8 patients with thymic hyperplasia, clinical improvement was noticed in 7 patients 5 %]. Among the 6 patients with thymoma, 4 patients [66.7 %] showed improvement.

• 사상체질의학회지
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• 제19권1호
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• pp.137-147
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• 2007

1. Objectvies This study is to examine the expected general condition change, clinical distinctive feature about using Ohgapichangchuk-Tang and Mihooteungshikchang-Tang and the range of using them based on the patient taken care by Taeyangin herb-medicines. 2. Methods We had observed 20 patients who visited Sasang Constitutional medical department in Dongguk Univ. oriental medical hospital from October 2003 to October 2006, diagnosed as Taeyangin and took Taeyangin herb-medicines more than twice. 3. Results and Conclusions 1) The chief complains of Taeyangins were 5 skin problem, 5 rhinitis, 2 digestion problem, 2 neurological problem, 3 fatigue ${\cdot}$ general weakness, 2 hand and foot hyperhidosis, 2 chest pain and discomfort, 2 genecological problem, 1 halitosis. Ohgapichangchuk-Tang was used for 4 rhinitis, 2 atopy, 1 fatigue, 1 halitosis. Mihooteungshikchang-Tang was used for 3 skin problem, 2 digestion problem, 2 neurological problem like dizziness or dysphagia ${\cdot}$ dysarthria, 2 hand and foot hyperhidosis, 2 chest pain and discomfort and 2 genecological problem. 2) The meaningful part after using Ohgapichangchuk-Tang and Mihooteungshikchang-Tang is 'dyspepsia', 'insomnia', 'dyspnea', 'dry skin' and 'sialosis'. It is necessary to check the general symptom. 3) Taeyangin used to have hard stool and not to sweat. 4) Ohgapichangchuk-Tang seemed to be used when there is digestion problem comparing with Mihooteungshikchang-Tang however it is not significant differences. 5) We require further examination to study Taeyangin's prescriptions.

• 대한한방내과학회지
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• 제42권2호
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• pp.104-113
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• 2021

Introduction: The aim of this study is to report on the effectiveness of Korean medicine to improve symptoms of chemotherapy-induced peripheral neuropathy (CIPN). Some patients are treated with medication, but medications may have no effect in some patients. Korean medicine treatments have been used in such patients, but few reports exist. Case Presentation: A 58-year-old female patient with CIPN reported symptoms of bilateral limb pain and tingling sensations as well as cold sensations in bilateral lower legs and hands, fatigue, and bilateral limb weakness. To reduce the patient's symptoms, we provided Korean medical treatment, including herbal medicine (Uchashinki-hwan), acupuncture, and moxibation. To evaluate the results of this treatment, we used a numeric rating scale (NRS), the manual muscle test (MMT), the National Cancer Institute Common Toxicity Criteria for Adverse Events (CTCAE), and the European Organization for Research and Treatment of Cancer quality-of-life questionnaire about CIPN (EORTC-QLQ-CIPN20). After 49 days of treatment, the NRS scores decreased for bilateral limb pain and tingling, for bilateral lower leg and hand cold sensation, and for fatigue. The MMT results for the upper and lower extremities were improved. CTCAE Grade and EORTC QLQ-CIPN20 score were also decreased. Conclusion: According to these results, Korean medicine treatment may be considered an effective treatment for CIPN. Prospective studies are needed in the future to confirm and expand these findings.