• Title/Summary/Keyword: common pathophysiology

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Chronic Prostatitis/Chronic Pelvic Pain Syndrome 6 Case Series (만성전립선염/만성골반통증 환자 치험 6례)

  • Yu, Byung-kook;Lee, Eun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.30 no.3
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    • pp.201-208
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    • 2016
  • Chronic prostatitis/Chronic pelvic pain syndrome (CP/CPPS) is a common disorder to men that involved urinary symptoms and sexual activity-related discomfort. As a pathophysiology of the diseases has not been established, CP/CPPS is diagnosed on the basis of symptoms, principally pain or discomfort in the pelvic region. The purpose of this study is to report the clinical effects of Korean medicine, Sibimijihwang-tang(十二味地黃湯), bee venom pharmacopuncture, and acupuncture treatment on 6 cases of CP/CPPS. 6 patients were treated with Korean medicine, Sibimijihwang-tang and acupuncture and bee venom pharmacopuncture was given into Hoeeum(CV1) et al. National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) was used to assess treatment effect. After treatment, NIH-CPSI decreased significantly all the patients. Sibimijihwang-tang, bee venom pharmacopuncture and acupuncture treatment was shown fairly effective to CP/CPPS.

Psychiatric Manifestation in Patients with Parkinson's Disease

  • Han, Ji Won;Ahn, Yebin D.;Kim, Won-Seok;Shin, Cheol Min;Jeong, Seong Jin;Song, Yoo Sung;Bae, Yun Jung;Kim, Jong-Min
    • Journal of Korean Medical Science
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    • v.33 no.47
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    • pp.300.1-300.17
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    • 2018
  • Parkinson's disease (PD) is the second most common neurodegenerative disorder. Although its major manifestation is motor symptoms, resulting from the loss of dopaminergic neurons in the substantia nigra, psychiatric symptoms, such as depression, anxiety, hallucination, delusion, apathy and anhedonia, impulsive and compulsive behaviors, and cognitive dysfunction, may also manifest in most patients with PD. Given that the quality of life - and the need for institutionalization - is so highly dependent on the psychiatric well-being of patients with PD, psychiatric symptoms are of high clinical significance. We reviewed the prevalence, risk factors, pathophysiology, and treatment of psychiatric symptoms to get a better understanding of PD for improved management.

Sex-Gender Differences in Irritable Bowel Syndrome

  • Kim, Young Sun;Kim, Nayoung
    • Journal of Neurogastroenterology and Motility
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    • v.24 no.4
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    • pp.544-558
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    • 2018
  • Because of the sex-gender differences that are shown in a diversity of physiological and psychological factors, it can be speculated that the clinical presentation of symptoms as well as treatment strategies in women and men with irritable bowel syndrome (IBS) may differ. Studies have revealed that IBS is more common in women than men. As for the IBS subtype, IBS with constipation is significantly more prevalent among women than men. Sex hormones and gender differences may play important roles in the pathophysiology of IBS. However, its pathophysiologic mechanisms still remain largely unknown, and therapeutic implications are limited. Moreover, women IBS patients have been reported to feel more fatigue, depression, anxiety, and lower quality of life than men IBS patients. Furthermore, there has been evidence of differences in the appropriate treatment efficacy to IBS in men and women, although relatively few men are enrolled in most relevant clinical trials. A more sex-gender-oriented approach in the medical care setting could improve understanding of heterogeneous patients suffering from IBS. An individualized and multicomponent approach including sex and gender issues might help improve the treatment of IBS.

Current concepts of neurofibromatosis type 1: pathophysiology and treatment

  • Choi, Jaemin;An, Sungbin;Lim, So Young
    • Archives of Craniofacial Surgery
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    • v.23 no.1
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    • pp.6-16
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    • 2022
  • Neurofibromatosis type 1 is the most common tumor predisposition syndrome inherited in an autosomal dominant (100% penetrance) fashion with a wide variety of expressivity. From the perspective of plastic surgery, the most significant clinical symptoms, including disfiguration, peripheral neurologic symptoms, and skeletal abnormalities, are caused by various tumors originating from the affected nerves. Surgical removal is the standard of care for these tumors. However, the outcome is frequently unsatisfactory, facilitating the search for additional therapeutic adjuvants. Current trials of molecularly targeted therapies are promising.

Diplopia following posterior superior alveolar nerve block: a case report and review of literature

  • Alwala, Aditya Mohan;Ellapakurthi, Padminii;Mudhireddy, Sushma;Boyapati, Ramanarayana
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.22 no.1
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    • pp.71-74
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    • 2022
  • Posterior superior alveolar nerve block (PSANB) is one of the most common and safe injection techniques in the field of dentistry. As with any other procedure, it also has inherent complications, of which ophthalmic complications are relatively rare. Transient diplopia following the administration of PSANB is rare and daunting for both the patient and the clinician. We present a case of transient diplopia in a 26-year-old female patient following administration of PSANB and review its probable pathophysiology and management and prevention.

Deciphering the underlying mechanism of liver diseases through utilization of multicellular hepatic spheroid models

  • Sanghwa Kim;Su-Yeon Lee;Haeng Ran Seo
    • BMB Reports
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    • v.56 no.4
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    • pp.225-233
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    • 2023
  • Hepatocellular carcinoma (HCC) is a very common form of cancer worldwide and is often fatal. Although the histopathology of HCC is characterized by metabolic pathophysiology, fibrosis, and cirrhosis, the focus of treatment has been on eliminating HCC. Recently, three-dimensional (3D) multicellular hepatic spheroid (MCHS) models have provided a) new therapeutic strategies for progressive fibrotic liver diseases, such as antifibrotic and anti-inflammatory drugs, b) molecular targets, and c) treatments for metabolic dysregulation. MCHS models provide a potent anti-cancer tool because they can mimic a) tumor complexity and heterogeneity, b) the 3D context of tumor cells, and c) the gradients of physiological parameters that are characteristic of tumors in vivo. However, the information provided by an multicelluar tumor spheroid (MCTS) model must always be considered in the context of tumors in vivo. This mini-review summarizes what is known about tumor HCC heterogeneity and complexity and the advances provided by MCHS models for innovations in drug development to combat liver diseases.

Comprehensive Approaches to Shoulder Impingement Syndrome: From Diagnosis to Rehabilitation

  • Jung-Ho Lee
    • International Journal of Advanced Culture Technology
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    • v.12 no.2
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    • pp.90-97
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    • 2024
  • Shoulder impingement syndrome (SIS) is a common musculoskeletal condition characterized by pain and functional limitation due to the impingement of subacromial structures. This comprehensive review elucidates the complex nature of SIS, covering its pathophysiology, diagnostic methodologies, treatment options, and preventive measures. Through an exhaustive examination of current literature and clinical practices, the review highlights the importance of a multifaceted approach to SIS management. Physical therapy plays a pivotal role, focusing on exercises to strengthen shoulder musculature, enhance scapular stability, and improve range of motion. The review also discusses the strategic use of medications such as NSAIDs and corticosteroid injections, emphasizing their effectiveness in pain and inflammation management. Additionally, it advocates for structured rehabilitation programs post-treatment to restore function and prevent recurrence, recommending preventive strategies like ergonomic adjustments, targeted exercises, and proper technique training. This paper underscores the need for personalized and evidence-based treatment strategies, integrating physical therapy and pharmacological management when necessary.

Magnetic Resonance Imaging Grading Systems for Central Canal and Neural Foraminal Stenoses of the Lumbar and Cervical Spines With a Focus on the Lee Grading System

  • Jiwoon Seo;Joon Woo Lee
    • Korean Journal of Radiology
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    • v.24 no.3
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    • pp.224-234
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    • 2023
  • Magnetic resonance imaging (MRI) is a standard imaging modality for diagnosing spinal stenosis, which is a common degenerative disorder in the elderly population. Standardized interpretation of spinal MRI for diagnosing and grading the severity of spinal stenosis is necessary to ensure correct communication with clinicians and to conduct clinical research. In this review, we revisit the Lee grading system for central canal and neural foraminal stenosis of the cervical and lumbar spine, which are based on the pathophysiology and radiologic findings of spinal stenosis.

Chronic osteitic rhinosinusitis as a manifestation of cystic fibrosis: A case report

  • Jadhav, Aniket B.;Lurie, Alan G.;Tadinada, Aditya
    • Imaging Science in Dentistry
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    • v.44 no.3
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    • pp.243-247
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    • 2014
  • A 28-year-old male patient with a history of cystic fibrosis (CF) was referred to the University of Connecticut School of Dental Medicine for an evaluation of a cystic lesion in the right maxilla using cone-beam computed tomography (CBCT). CF is an autosomal recessive disease characterized by an abnormal production of viscous mucus, affecting the mucociliary clearance. The CBCT scan revealed a large cystic lesion in the right maxilla extending from the right maxillary second molar to the midline in the region of the right central incisor with a significant buccal expansion. Further evaluation revealed complete opacification of the paranasal sinuses with medial bulging of the lateral maxillary sinus walls. The maxillary and sphenoid sinuses also appeared hypoplastic. The peculiar finding seen in this case was the presence of marked sclerosis and an increase in the thickness of the adjacent bony framework. This report aimed to describe the common sinonasal findings associated with CF and its underlying pathophysiology.

The Roles of Frontal Cortex in Primary Insomnia : Findings from Functional Magnetic Resonance Imaging Studies (일차성 불면증에서 전두엽의 역할 : 기능적 자기공명영상 연구)

  • Kim, Bori;Park, Su Hyun;Cho, Han Byul;Kim, Jungyoon
    • Korean Journal of Biological Psychiatry
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    • v.25 no.1
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    • pp.1-8
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    • 2018
  • Insomnia is a common sleep-related symptom which occurs in many populations, however, the neural mechanism underlying insomnia is not yet known. The hyperarousal model explains the neural mechanism of insomnia to some extent, and the frontal cortex dysfunction has been known to be related to primary insomnia. In this review, we discuss studies that applied resting state and/or task-related functional magnetic resonance imaging to demonstrate the deficits/dysfunctions of functional activation and network in primary insomnia. Empirical evidence of the hyperarousal model and proposed relation between the frontal cortex and other brain regions in primary insomnia are examined. Reviewing these studies could provide critical insights regarding the pathophysiology, brain network and cerebral activation in insomnia and the development of novel methodologies for the diagnosis and treatment of insomnia.

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