• Title/Summary/Keyword: internal congestion

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A medical historical study of Dan-kyei's congestion theory mentioned in 『DongEuiBoGam』 (『동의보감(東醫寶鑑)』에 보이는 단계담음론(丹溪痰飮論)의 의사학적(醫史學的) 고찰(考察))

  • Soh, Jin-Baik
    • The Journal of Korean Medical History
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    • v.15 no.1
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    • pp.147-182
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    • 2002
  • By studing the congestion theory of Choo Dan-kyei mentioned in "DongEuiBoGam", I have reached following conclusions. 1. Dan-kyei's congestion theory influenced greatly on "DongEuiBoGam". The congestion theory of "DongEuiBoGam" is built up with several theories centering round on Dan-kyei's theory and Huh-Jun's own opinion in addition. 2. Dan-kyei's congestion theory has given theoretical foundation to the classification and diagnosis of congestion reported in "DongEuiBoGam"-Congestion Chapter. 3. Dan-kyei's congestion theory offers many examples of symptoms reported in "DongEuiBoGam"-Congestion Chapter. It's shown well through outer symptoms, several congestion disease, congestion mass, and "congestion never sudden death", etc. 4. Dan-kyei's congestion theory has influenced greatly on treatment of congestion reported in "DongEuiBoGam"-Congestion Chapter, and it's well shown through spewing method, grand method in congestion treatment and common medicine of congestion, etc. 5. Dan-kyei's congestion theory offers variety of treating methods to symptoms caused by congestion reported in "DongEuiBoGam". It's shown variously through upper stomachache, stomachache, back pain, side pain, "San", joint pain, Summer disease, internal injury, cough and morning sickness, etc.. 6. Dan-kyei's congestion theory has factors that could be operated to common diseases of mordern people. They can be classified as food congestion, alcohol congestion, obstruction congestion and Qi congestion, and they are clinically very efficient.

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A Case Report on Cardiac Asthma due to Congestive Heart Failure (울혈성 심부전으로 인한 심장성 천식환자 치험 1례)

  • Jung Wun-Suk;Shin Jeong-In;Sea Un-Kyo
    • The Journal of Internal Korean Medicine
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    • v.24 no.4_2
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    • pp.1093-1102
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    • 2003
  • Congestive heart failure is a cardiac dysfunction that can't supply sufficient amount of blood. The disorder usually causes hypertension, ischemic cardiac disease and give rise to pulmonary congestion and pulmonary epileptic edema. The symptoms of the disease are dyspnea, palpitation, edema, etc. We treated a 82 year-old female patient who had severe dyspnea, nausea, and dizziness. At the point of differentiation of syndromes(辨證), the case was diagnosed as Su-Cheon(水喘) induced by Yang-deficiency of Both Spleen and Kidney(脾腎陽虛) and was administered Yerunpang(胃?湯). After two weeks of the treatment, we witnessed improvement in the symptoms of CHF and general depressed condition. This report describes the process and contents about the way the patient was treated.

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Effect of Banhabakchulchunma-tang on the Hepatic, Splenic and Cardiac Toxicity induced by Doxorubicin (반하백출천마탕(半夏白朮天麻湯)이 Doxorubicin에 의해 유발(誘發)된 독성(毒性)에 미치는 영향(影響))

  • Kim Bong-Suk;Oh Jung-Han;Lim Hee-Yong;Beak Jung-Han;Park Chi-Sang;Kim Sang-Chan;Byun Joon-Seok;Hwang Hui-Jeung
    • The Journal of Internal Korean Medicine
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    • v.24 no.2
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    • pp.190-202
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    • 2003
  • Object : The effect of Banhabakchulchunma-tang extracts on the hepatic, splenic and cardiac toxicity induced by Doxorubicin administration(Three injection protocol) were monitored using male ICR mice. Methods : The changes of body weight, clinical signs, necropsy findings and organ weights of liver, spleen and heart were observed with blood GOT and GPT levels. Results : 1. Decrease of body weight and The degrees of anorexia, ataxia and dehydration after Doxorubicin treatment were dose-dependently inhibited by Banhabakchulchunma-tang extracts. 2. Increase of absolute and relative liver and heart weight observed in Doxorubicin treatment group were dose-dependently inhibited by Banhabakchulchunma-tang extracts. In addition, the degrees of liver congestion necrotic spot and the degrees of heart congestion enlargement were dose-dependently decreased after Banhabakchulchunma-tang extracts dosing groups compared to that of doxorubicin treatment group. It is also demonstrated that elevated serum GOT and GPT levels in doxorubicin treatment group were significantly decreased in Banhabakchulchunma-tang extracts dosing groups. 3. Decrease of absolute and relative spleen weight observed in doxorubicin treatment group were dose-dependently inhibited by Banhabakchulchunma-tang extracts. In addition, the degrees of splenic atrophy were significantly and dose-dependently decreased after Banhabakchulchunma-tang extracts dosing groups compared to that of doxorubicin treatment group. Conclusion : the toxicity of doxorubicin treatment(decrease of body weights, clinical signs such as anorexia, ataxia and dehydration, changes of organ weights of liver, spleen and heart, elevation of serum GOT and GPT levels) was inhibited and/or prevented by Banhabakchulchunma-tang extracts. According to these results, it is considered that Banhabakchulchunma-tang has some preventive effect against to doxorubicin induced toxicity.

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One Case Treated Cerebral Infarction with Rheumatic Mitral Stenosis (류마티스성 승모판 협착증을 동반한 뇌경색 환자의 치험 1예)

  • Jeon, Jong-Chul;Gam, Chul-Woo;Park, Dong-Il;Jeong, Gwang-Sik
    • The Journal of Internal Korean Medicine
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    • v.22 no.3
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    • pp.463-469
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    • 2001
  • Valvular heart disease is one of the main current of cardiac problems and has many problems must be solved by sequelae and complications, etc. Rheumatic Mitral Stenosis is mainly attacked by rheumatic fever and developed by process of treatment of mitral valve or formation of trace. The purpose of this study is to examine the efficacy of oriental treatment for Cerebral Infarction with Rheumatic Mitral Stenosis. At the time of visiting ER, he was shown the symptoms of dull mentality, Rt. hemiplegia, global aphasia, dysphagia, chest discomfort, insomnia, dyspnea, etc, It showed that Atrial fibrillation in EKG monitoring, Atrial fibrillation, Rheumatic Mitral Stenosis, Ejection-Fraction slope 60% in Cardiac echography, Lt. atrial hypertrophy, Rt. atrial hypertrophy, Rt. ventricular hypertrophy with pulmonary congestion in chest X-ray. From the view of oriental diagnostic criteria. We classified the patient's clinical conditions and treated accordingly. As a result of treatment, symptoms were markedly improved and he was discharged. Further elaboration of oriental diagnostic classification could possibly lead to the fundamental treatment.

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Cardiac Resynchronization Therapy (심장재동시화치료)

  • Kim, Hyong-Jun;Shin, Dong-Gu
    • Journal of Yeungnam Medical Science
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    • v.22 no.2
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    • pp.131-140
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    • 2005
  • Heart failure is a clinical syndrome comprised of a number of symptoms and signs associated with congestion and/or hypoperfusion. Specific pharmacologic therapies have been developed to slow disease progression from early to more advanced stages. Once symptoms have developed, aggressive multimodality interventions are instituted to alleviate symptoms and improve clinical status and quality of life; especially in those patients that present symptoms. Recently, an evolving adjunctive therapeutic modality, that involves using implanted electrical devices: cardiac resynchronization with or without implantable cardioverter defibrillators (ICD). has been used for management. Cardiac resynchronization therapy (CRT) is a proven treatment for selected patients with heart failure-induced conduction disturbances and ventricular dyssynchrony. When used in combination with stable, optimal medical therapy, CRT is designed to reduce symptoms and improve cardiac function by restoring the mechanical sequence of ventricular activation and contraction. This review summarizes the rationale, procedure, clinical trials, and clinical indications for CRT.

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A Estimation of Dwell Time of Low-floor Buses considering S-BRT Operation Behavior (S-BRT 운행행태를 고려한 저상버스의 정차시간 예측모형)

  • Shin, S.M.;Lee, S.B.;Kim, Y.C.;Park, S.H.;Yu, Y.S.;Choi, J.H.
    • Journal of the Korean Society of Safety
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    • v.36 no.1
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    • pp.72-79
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    • 2021
  • This basic study introduces the concept of S-BRT and develops dwell time estimation models that consider road geometry and S-BRT characteristics for a signal operation strategy to meet the S-BRT's operational goal of high speed and punctuality. Field surveys of low-floor buses similar in shape to S-BRTs and data collection of passengers, station elements, vehicle elements, and other factors that can affect stop times were used in a regression analysis to establish statistically significant dwell time estimation models. These dwell time estimation models are developed by categorizing according to the locations of the signal or sidewalk that have the most impact on the dwell time. In this way, the number of people boarding and alighting the bus at the crowded door and the number of people boarding and alighting the bus at the front door considering the internal congestion was analyzed to affect the dwell time. The estimation dwell time models in this study can be used in the establishment of strategies that provide priority signals to S-BRTs.

Selection of Machine Learning Techniques for Network Lifetime Parameters and Synchronization Issues in Wireless Networks

  • Srilakshmi, Nimmagadda;Sangaiah, Arun Kumar
    • Journal of Information Processing Systems
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    • v.15 no.4
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    • pp.833-852
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    • 2019
  • In real time applications, due to their effective cost and small size, wireless networks play an important role in receiving particular data and transmitting it to a base station for analysis, a process that can be easily deployed. Due to various internal and external factors, networks can change dynamically, which impacts the localisation of nodes, delays, routing mechanisms, geographical coverage, cross-layer design, the quality of links, fault detection, and quality of service, among others. Conventional methods were programmed, for static networks which made it difficult for networks to respond dynamically. Here, machine learning strategies can be applied for dynamic networks effecting self-learning and developing tools to react quickly and efficiently, with less human intervention and reprogramming. In this paper, we present a wireless networks survey based on different machine learning algorithms and network lifetime parameters, and include the advantages and drawbacks of such a system. Furthermore, we present learning algorithms and techniques for congestion, synchronisation, energy harvesting, and for scheduling mobile sinks. Finally, we present a statistical evaluation of the survey, the motive for choosing specific techniques to deal with wireless network problems, and a brief discussion on the challenges inherent in this area of research.

Study on a Usage of Smoking Preparations, Fumigant and Buccal Preparations in 『Dongeuibogam』 (『동의보감(東醫寶鑑)』 중 연제(烟劑)·훈제(熏劑)와 함금제(含噙劑)의 활용(活用)에 관한 연구(硏究))

  • Kwon, Jae-Won;Yang, Yoon-Hong;Lee, Boo-Kyun
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.26 no.3
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    • pp.20-35
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    • 2013
  • Objectives : The purpose of this study is to provide grounds for the development of preparation of Korean medicine through investigating the usage of smoking preparation, fumigant and buccal preparations in "Dongeuibogam". Methods : We have researched the usage of related preparations as following procedure : 1. Choosing a related words such as combustion(燒, 燎, 燃) smoking(烟), fumigation(熏, 熏烟, 熏洗), inhalation(聞, 嗅, 齅), holding in mouth(含, 噙). 2. Searching sentences : We have searched sentences containing the related words in "Dongeuibogam", analyzed the selected sentences and made tables of the usage including indication, formula, material. Conclusions : 1. Smoking preparations and Fumigant can be classified into two different groups : 1) internal usage for the treatment of internal diseases such as dizziness, congestion, stroke, cough. 2) external usage for the treatment of wounds, sores, genital diseases, anal disease and for the prevention of diseases. 2. Buccal preparation is mainly used for the treatment of mouth, tongue, throat and lung diseases. 3. These preparations have been used not only for external diseases but internal diseases. 4. Each preparation has chief herbs for its peculiar properties of treatment.

Early-Onset Postcardiac Injury Syndrome after Percutaneous Coronary Intervention Recovered with Steroids (경피적 관상동맥중재술 후 급성으로 발생한 스테로이드 치료로 회복한 심근 손상 후 증후군)

  • Kim, Min-Jeong;Yoon, Seong-Bo;Lee, Myong Dong;Kim, Si-Ho;Kim, Young Woo
    • The Korean Journal of Medicine
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    • v.93 no.6
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    • pp.565-570
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    • 2018
  • Postcardiac injury syndrome (PCIS) is an inflammatory process that usually occurs within 1 to 6 weeks after an injury to the pericardium, epicardium, or myocardium. As more interventions are performed for complicated coronary artery obstructive lesions, there have been some recent reports on PCIS following percutaneous coronary intervention (PCI). The medical management of PCIS depends on nonsteroidal anti-inflammatory drugs (NSAIDs), in addition to colchicine or steroids. An 80-year-old male patient underwent a PCI. Unfortunately, the guidewire piercing failed but he showed no immediate signs of complication. However, 5 hours after the procedure, he complained of chest discomfort. An electrocardiogram showed widespread ST elevation. Chest X-ray and computed tomography showed pulmonary congestion with pleural effusion, while thoracic echocardiography showed a moderate amount of pericardial effusion. NSAIDs were initiated, but there was no improvement of symptoms. We describe an unusual case of atypical earl onset PCIS after PCI, recovered rapidly by steroids.

The Third Nationwide Korean Heart Failure III Registry (KorHF III): The Study Design Paper

  • Minjae Yoon;Eung Ju Kim;Seong Woo Han;Seong-Mi Park;In-Cheol Kim;Myeong-Chan Cho;Hyo-Suk Ahn;Mi-Seung Shin;Seok Jae Hwang;Jin-Ok Jeong;Dong Heon Yang;Jae-Joong Kim;Jin Oh Choi;Hyun-Jai Cho;Byung-Su Yoo;Seok-Min Kang;Dong-Ju Choi
    • International Journal of Heart Failure
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    • v.6 no.2
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    • pp.70-75
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    • 2024
  • With advancements in both pharmacologic and non-pharmacologic treatments, significant changes have occurred in heart failure (HF) management. The previous Korean HF registries, namely the Korea Heart Failure Registry (KorHF-registry) and Korean Acute Heart Failure Registry (KorAHF-registry), no longer accurately reflect contemporary acute heart failure (AHF) patients. Our objective is to assess contemporary AHF patients through a nationwide registry encompassing various aspects, such as clinical characteristics, management approaches, hospital course, and long-term outcomes of individuals hospitalized for AHF in Korea. This prospective observational multicenter cohort study (KorHF III) is organized by the Korean Society of Heart Failure. We aim to prospectively enroll 7,000 or more patients hospitalized for AHF at 47 tertiary hospitals in Korea starting from March 2018. Eligible patients exhibit signs and symptoms of HF and demonstrate either lung congestion or objective evidence of structural or functional cardiac abnormalities in echocardiography, or isolated right-sided HF. Patients will be followed up for up to 5 years after enrollment in the registry to evaluate long-term clinical outcomes. KorHF III represents the nationwide AHF registry that will elucidate the clinical characteristics, management strategies, and outcomes of contemporary AHF patients in Korea.