• Title/Summary/Keyword: health diagnostics

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Diagnosis and Management of Ménétrier Disease in Children: A Case Series Review

  • Krikilion, Jasmina;Levy, Elvira Ingrid;Vandenplas, Yvan
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.24 no.1
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    • pp.109-117
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    • 2021
  • Purpose: Ménétrier disease (MD) was first described in 1888, and 50 cases have been reported until now. We aimed to discuss the etiology, diagnostics, and management of MD in children. Methods: We searched for case reports published from 2014 till 2019 in English using PubMed. Articles were selected using subject headings and key words of interest to the topic. Interesting references of the included articles were also included. Results: The pathophysiology of MD is still uncertain. However, overexpression of transforming growth factor alpha with transformation of the gastric mucosa has been observed, which may be mediated by genetics and provoked by an infectious trigger. Clinically, MD is diagnosed by abdominal pain, vomiting, anorexia, and edema secondary to hypoalbuminemia. A gastroscopy with biopsy is the gold standard for the diagnosis of MD. In children, the disease is self-limiting and only requires supportive treatment. In general, children have a good prognosis and recover spontaneously within a few weeks. Conclusion: Few pediatric cases of MD have been described in recent years, and with all different etiology. Endoscopy with biopsy remains the golden standard for the diagnosis of MD, and in children, the disease is self-limiting.

International Health Project for Improving the Level of Mother and Child Health in Developing Countries: Focusing on KOICA CTS Cases in Vietnam (개발도상국 모자보건 수준 향상을 위한 국제보건사업: 베트남 KOICA CTS 사례를 중심으로)

  • Choung, Yoo-Chan;Shin, Jae-wan
    • Journal of Appropriate Technology
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    • v.6 no.1
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    • pp.45-50
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    • 2020
  • We developed the world's first wireless ultrasound diagnostic device. For the smooth delivery of pregnant women, the WHO requires four prior examinations, and the use of ultrasound diagnostic devices is essential for this purpose. However, income levels and medical facilities in developing countries are falling short. We conducted KOICA's CTS program in Vietnam using a self-developed radio ultrasound diagnostic device. We supplied Sonon300C, a portable wireless ultrasound diagnostic device, to health centers and hospitals in Huong-Hoa district, Vietnam, and conducted an outreach program in an effort to further enhance business performance. As a result, the rate of ultrasound diagnostics in the region reached 100% and the percentage of trained graduates increased to 59%.

Clinical Evaluation of Human Papillomavirus DNA Genotyping Assay to Diagnose Women Cervical Cancer

  • Kim, Sung-Hyun;Lee, Dong-Sup;Kim, Yeun;Kim, Gee-Hyuk;Park, Sang-Jung;Choi, Yeon-Im;Kim, Tae-Ue;Park, Kwang-Hwa;Lee, Hye-Young
    • Biomedical Science Letters
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    • v.18 no.2
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    • pp.123-130
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    • 2012
  • In this study, we evaluated the human papillomavirus (HPV) genotyping test called MolecuTech REBA HPV-$ID^{(R)}$ (YD Diagnostics, Seoul, Korea) for 704 women who also had cervical cytological evaluations by Thin Prep. The infection rate of high-risk HPV genotypes was 56.6% in patients with normal cytology, 59.8% in those with benign, low-grade squamous intraepithelial lesions, 51.4% in those with atypical squamous cells of uncertain significance, 92.3% in those with high-grade squamous intraepithelial lesions, and 94.1% in those with squamous cell carcinoma or adenocarcinoma. HPV 16 was the most common genotype detected in any lesion, followed by HPV 53, 58, 33, 52, 45, 31, and 35, in order. The HPV DNA test with PCR-REBA is a very highly sensitive, but less specific, method. The infection rates and HPV genotype distribution of non-Korean people versus people from South Korea showed regional differences.

Basic Study for Development of Qigong Exercise Appropriate for Musculoskeletal Characteristics of Seniors (노인의 근골격계 특성에 적합한 기공운동 개발을 위한 기초연구)

  • Kim, Yi Soon;Lee, Jeong Won;Kim, Gyeong Cheol;Park, Tae Soeb;Kwak, Yi Sub;Lee, Hai-Woong
    • Journal of Society of Preventive Korean Medicine
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    • v.18 no.2
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    • pp.115-123
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    • 2014
  • Objective : The objective of this study is to develop a Qigong exercise program to reinforce musculoskeletal system of seniors appropriate for physical strength and conditions of seniors aged 65 years or above based on health Qigong exercise of oriental medicine. Method : Qigong exercise motions that can improve strength, muscular endurance, flexibility, and cardiovascular endurance of seniors were developed by primarily performing literature review of Qigong experts on the fields like oriental medicine, Qigong exercise, physical education and health science and secondarily using motion training for increased validity of motions. Results : The Qigong exercise program for musculoskeletal system of seniors was designed with 12 motions repeated 8 times and 20 minutes per session, including shoulder exercises (alternate turning of left and right shoulders, turning both arms back and forth, holding and lifting elbow to put it aside), waist exercises (wrapping the head with hands to bow, twisting waist while looking at the tip of hand, large spinning of ball, putting hands together to pull back), and knee exercises (going up a down while lifting a rock, balancing the body while lifting a knee, lifting and spreading knees while drawing circle with arms, raising both arms to the side while lifting heels, breathing). Conclusion : Once the effects of Qigong exercise for musculoskeletal system of seniors developed in this study are tested, the program is expected to contribute to development of Qigong exercise, a core part of oriental medicine health improvement project.

Effect of Aralia contientalis water-extracts on the Level of Cholesterol Accumulation in Rat, which were Treated with High-cholesterol Diet (Aralia contientalis가 고콜레스테롤 식이로 유발된 흰쥐 동맥경화에 미치는 영향)

  • Shin, Sung-Ahn;Park, Sun-Dong;Choi, Dall-Young;Park, Won-Hwan
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.21 no.1
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    • pp.104-110
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    • 2007
  • Aralia contientalis show several beneficial effects including anti-oxidant effects. Aralia contientalis is used as a therapeutic agent to stop haemorrhages and a tonic to promoted health in Korean and Chinese medicine. The pharmacokinetic profiles of the main Aralia contientalis is still not accurately investigated. In present study, I examined the effects of water extracts of Aralia contientalis on high cholesterol diet atherosclerosis-induced rats in serum and abdominal aorta. A total of 3-week old 9 male rats of Sprague-Dawley were divided into 3 groups and fed with the basal diet (normal group), high cholesterol diet (atherosclerosis induced group) for 8 weeks, high cholesterol diet supplemented with water extracts of Aralia contientalis (Aralia contientalis group) for 2 weeks. And rats were sacrificed, serum lipid level, abodominal aortic anti-oxidant activities and lipid peroxide were measured. These results indicated that serum total cholesterl, LDL-cholesterol, triglycerides concentration significently lowered in Aralia contientalis group than high cholesterol diet group. But HDL-cholesterol concentraion significently higher in Aralia contientalis group than high cholesterol diet group.

Recognition Surrey of Patients about Eight Constitution Medicine (8체질의학에 대한 환자 인식 조사)

  • Park, Jae-Sung;Park, Young-Jae;Min, Jae-Young;Shin, Yong-Sup;Lee, Sang-Chul;Park, Young-Bae;Kim, Min-Yong
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.11 no.1
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    • pp.130-145
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    • 2007
  • Background and purpose: The purpose of this study is to search recognition patients in Eight constitution Oriental Medical Clinic. And we compare Eight constitution acupuncture methods with the another acupuncture methods. Methods: The subjects were comprised of 200 volunteers. In 3 Eight constitution Oriental Medical Clinic participants were chosen through questionnaire. Finishing answer participants put in their lacked name questionnaire to gathering box. DecisionTree (AnswerTree 3.0 Ver.) statistical software was used for statistical analysis. Results and Conclusion: As a result of the analysis of cognition to Eight constitution acupuncture methods was influenced to patients health, dietetic therapy is best influenced. Next influenced acupuncture reflex degree, age, job, constitution, cure periods, sex distinction, cure degree, diagnosed participant's Constitution by pulse diagnosis in 8 Constitution Medicine.

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A Systemic Review of Pulse Contour Analysis and Fourier Spectrum Analysis on the Photoplethysmography of Digit (지첨용적맥파의 파형분석과 주파수분석에 대한 문헌적 연구)

  • Nam, Tong-Hyun;Park, Young-Bae;Park, Young-Jae;Shin, Sang-Hoon
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.11 no.1
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    • pp.48-60
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    • 2007
  • Palpation of the pulse has been used in Korean traditional medicine since ancient times to assess physical health. Pulse wave contour may be obtained by measuring arterial pressure or blood volume change of skin. The latter is called as Photoplethysmography(PPG) or digital volume pulse(DVP). The PPG signal is measured by a device comprising an infrared light sourece and a photodetector. Although less widely used, this technique deserves further consideration because of its simplicity and ease of use. The contour of the PPG is formed as a result of a complex interaction between the left ventricle and the systemic circulation. It usually exhibits an early systolic peak and an early diastolic peak. the first peak is formed mainly by pressure trasmitted along a direct path from the left ventricle to the finger. The second peak is formed in part by pressure transmitted along the aorta and large arteries to sites of impedance mismatch in the lower body. The contour of the PPG is sensitive to changes in arterial tone and is influenced by ageing and large artery stiffness. Measurements taken directly from the PPG or from its second derivative can be used to assess these properties. In some mathematical approaches, the extraction of periodic components using frequency analysis was tried to analysis of the PPG. But we don't understand yet what kind of factor in the cardiovascular system or human body is related with the respective specific Fourier components of PPG. This review describes the background to measurement principles, representative contour, contour analysis and frequency domain analysis of PPG, and current and future.

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Pathogenic variant in NLRP7 (19q13.42) associated with recurrent gestational trophoblastic disease: Data from early embryo development observed during in vitro fertilization

  • Sills, E. Scott;Obregon-Tito, Alexandra J.;Gao, Harry;McWilliams, Thomas K.;Gordon, Anthony T.;Adams, Catharine A.;Slim, Rima
    • Clinical and Experimental Reproductive Medicine
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    • v.44 no.1
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    • pp.40-46
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    • 2017
  • Objective: To describe in vitro development of human embryos derived from an individual with a homozygous pathogenic variant in NLRP7 (19q13.42) and recurrent hydatidiform mole (HM), an autosomal recessive condition thought to occur secondary to an oocyte defect. Methods: A patient with five consecutive HM pregnancies was genomically evaluated via next generation sequencing followed by controlled ovarian hyperstimulation, in vitro fertilization (IVF) with intracytoplasmic sperm injection, embryo culture, and preimplantation genetic screening. Findings in NLRP7 were recorded and embryo culture and biopsy data were tabulated as a function of parental origin for any identified ploidy error. Results: The patient was found to have a pathogenic variant in NLRP7 (c.2810+2T>G) in a homozygous state. Fifteen oocytes were retrieved and 10 embryos were available after fertilization via intracytoplasmic sperm injection. Developmental arrest was noted for all 10 embryos after 144 hours in culture, thus no transfer was possible. These non-viable embryos were evaluated by karyomapping and all were diploid biparental; two were euploid and eight had various aneuploidies all of maternal origin. Conclusion: This is the first report of early human embryo development from a patient with any NLRP7 mutation. The pathogenic variant identified here resulted in global developmental arrest at or before blastocyst stage. Standard IVF should therefore be discouraged for such patients, who instead need to consider oocyte (or embryo) donation with IVF as preferred clinical methods to treat infertility.

Clinical Significant of Breathing in the oriental, western Medicine (조식(調息)의 동서의학적(東西醫學的) 임상(臨床) 의의(意義))

  • Park, Jin-Sung;Park, Young-Jae;Park, Young-Bae;Huh, Young
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.12 no.1
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    • pp.63-79
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    • 2008
  • Background: The consequences of disordered breathing patterns are not only distressing to the patient but also expensive to our health care systems if they are not diagnosed and treated. So we performed this study to investigate clinical significants trough gigong, yoga and hyperventilation in oriental medicine and westen medicine Method: Voluntary control of respiration is one of the main methods of physical and mental training such as meditation, qigong meditation or Yoga. So, this study focuses on breathing in qigong and yoga. This study appreciates a role that a control of respiration has in physical, mental aspects and searches side-effects in qigong and yoga Conclusions: A control of respiration has a function that manages Jung(精), Qi(氣), Shin(神) in Oriental Medicine. It manages Autonomic Nerve system, Endocrine system and induces natural awareness. So Briging the body and mind work through a control of breathing. Breathing pattern disorder has Damum and Qiher pattern in Oriental Medicine pattern. This disease pattern concearnes ATP metabolism. Qiher is concearned with a mitochondria disorder and Damum is concearned with a products of lactate. we guess that Lactate analysis may be utilized as a diagonostic criteria of Breathing pattern disorder. After this, It needs a study that Lactate analysis is concearned with Breathing pattern disorder as Damum pattern. Result: A control of respiration is related not only breathing but also spiritual and physical state. Joo-hwa-ip-ma as Breathing pattern disorder is smiliar to hyperventilation. HVS is patternated Damum and Qi-Weakness pattern in oriental medicine. Lactate is an important complement that diagonates HVS and will be concearned with Damum.

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Basic Study on the Image Instrument of the Facial-form by the 3D-facial Scanner (얼굴스캐너를 활용한 안면형상 영상진단기의 기초 연구)

  • Kim, Gyeong-Cheol;Lee, Jeong-Won;Kim, Hoon;Shin, Soon-Shik;Lee, Hai-Woong;Lee, Yong-Tae;Chi, Gyoo-Yong;Kim, Jong-Won
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.22 no.2
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    • pp.497-501
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    • 2008
  • 3D facial scanner for an accurate analysis is measured precisely a distance in straight, a distance in curved line, an angle in 3D data, the area of surface. We can easy acquire 3D data by the method of 0.8sec in each scan with easy handling, simple merge to whole face, harmless and fast process. In the HyungSang medicine, the inspection of the facial shape includes the Dam(gall bladder) - Bang Kwang(urinary bladder) body, the Jung${\cdot}$Gi${\cdot}$Shin${\cdot}$Hyul, the six merdian types etc. And we will collect the evidence based date verifing in the HyungSang clinical medicine. As we will analyze the facial whole form and the size${\cdot}$length${\cdot}$angle of the facial part, put the facial form's standardization on a solid foundation.