Since the onset of modern psychosomatic medicine decades ago. it has made significant at contribution to general medicine in terms of understanding the patient as a whole person suffering from an illness rather than as a disease per se. However, initial expectation of delineating specific psychogenesis and developing specific treatment modality has not been fulfilled. Consequently, it has raised substantial concern about the continuing utility of psychosomatic medicine in modem medicine. The author attempted to review critically the evolution of psychosomatic medicine from the perspective of the present and to make projections into the near future. It is concluded that psychosomatic medicine in the future will continue to contribute to development of modem medicine not only as the scientific principle but also as the practical methodology, working as creative interface among disciplines and fusing ideas from rapidly developing molecular biology and neuroscience with psychosomatic concepts. Finally, suggestions for further developing psychosomatic medicine in Korea are made.
Objective : This study aimed to develop and preliminary validate the Mibyeong Questionnaire (MQ) based on Deficiency-Stagnation pattern, which was report of a person's health condition that comes directly from the person. Method : The first phage of developing a MQ was to generate and exhaustive list of all MQ issue that are relevant to the domain of interest, using literature research and expert group discussions. Through those steps, we established MQ with 33 items divided into two parts: 21-item deficiency pattern and 12-item stagnation pattern. The second phage, we examined the preliminary tests of reliability and validity including the 16-item Deficiency of MQ (16D-MQ), with data (n=1,890) already collected on the Korean medicine data center in KIOM. Results : Exploratory factor analysis revealed three factors of the 16D-MQ. These factors were fatigue(Qi, 氣); psychic and physical elements(Shen, 神); and skin and hair(Jing, 精). Cronbach's coefficient alpha was 0.876 and the intraclass correlation coefficients was 0.368-0.538. In support of criteria validity, the 16D-MQ was weakly correlated with EQ-5D and physicians's opinion, but it was acceptable. Conclusion : The MQ shows that it has an appropriate level of internal consistency and validity. We think further study to reveal its reliability and validity, including stagnation pattern as well as deficiency pattern, is needed.
Kim, Shin Mi;Heo, Ji Seung;Shim, Eun Jung;Lee, Dae Hyoung;Cho, Do Jun;Kim, Dug Ha;Min, Ki Sik;Yoo, Ki Yang
Clinical and Experimental Pediatrics
/
v.51
no.5
/
pp.533-537
/
2008
Mycoplasma pneumoniae (M. pneumoniae) infection causes a wide variety of clinical manifestations in children and young adults, the main one being pneumonia. M. pneumoniae is transmitted from person to person by infected respiratory droplets. Symptoms caused by M. pneumoniae infection can be divided into those involving the respiratory tract, and those caused by extrapulmonary disease. M. pneumoniae infections may cause central nervous system (CNS) complications-with encephalitis being the most frequent-and stroke being a rare complication. The pathogenesis of the CNS disease is unclear; possibilities include direct infection and an immune-mediated reaction. We present two cases of CNS complications subsequent to infection with M. pneumoniae; both cases had convincing evidence of preceding M. pneumoniae respiratory disease with no evidence of viable M. pneumoniae in the cerebrospinal fluid. We report cases of encephalitis and stroke following a recent M. pneumoniae infection.
Gil, Jong Won;Park, Jong Hyock;Park, Min Hui;Park, Chan Young;Kim, So Young;Shin, Dong Wook;Kim, Won Dong
Journal of Radiation Protection and Research
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v.39
no.3
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pp.142-149
/
2014
Korea conducts a national health screening program to improve and check-up on public health and in recent years, the screening usage has been increased. Given the increased screening usage for radiographic exams, this study predicts the frequency of using radiographic exams and the exposure dose. This study estimates the usage of radiographic exams by isolating radiographic exams from the 2011 analysis of the national health insurance corporation, and estimates the public exposure dose by applying each procedure's dose table from UNSCEAR 2008. As a result of the analysis, in the 2011 National Health Screening, the average exposure dose per person is assumed to be 0.57 mSv, and depending on the type of screening program from the radiographic exam, an examinee could be exposed to between 0.2 mSv and 11.081 mSv. The frequency of using radiographic exposure was found to be 16,005,914 and the exposure dose was 6,311.76 person-Sv. The most frequent exam is the Chest X-ray, which was performed 1,070,567 (69.17%), and the UGI has the highest exposure dose at 5,217.94 person-Sv (82.67%). The outcome is categorized based on gender and age, excluding those under 39 years old. In all age groups, the screening usage and exposure dose are higher in females than in males. In particular, females between 50 and 54 years old have the highest screening usage (1,674,787, 10.5%) and exposure dose (701.59 person-Sv, 11.1%). As UGI accounts for 82.76% of procedures, except when done for medical purposes, if the government supports a voluntary UGI exam (which includes the UGI exam in the National Screening Program) or abolishes it completely, as seen overseas, the cost-effectiveness and validity of the UGI exam, as well as the exposure dose from the National Screening Program will all decrease significantly.
Journal of Physiology & Pathology in Korean Medicine
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v.19
no.4
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pp.1092-1098
/
2005
In order to research effects of Bettazone on the glycosuria complication patient, according to the Study of administration of Bettazone on 31 person clinical research object people (intermediate falling off sleeping inclusion) who were diagnosed Sasang constitution at department of Sasang constitutional Medicine in Dongeui Oriental Hospital, e investigated and analyzed the glycosuria complication symptoms, a glycosuria clinical symptoms and the clinical pathological examination, The result of Et, Level of FBS(it excepts first, second exam.) and Level of HBA1c (it excepts first, sixth exam.) from the clinical pathological result were significantly decreased. but, The improvement ratio of symptoms improvement was not high. It comes to think that the additional research on the improvement of symptoms will be necessary.
Objective: The objective of this study was to describe the characteristics of exposure to humidifier disinfectants (HDs) and their association with the presence of a person who experienced the adverse health effects in general households in Korea. Methods: During the month of December 2016, a nationwide online survey was conducted on adults over 20 years of age who had experience of using HDs. It provided information on exposure characteristics and the experience of health effects. The final survey respondents consisted of 1,555 people who provided information on themselves and their household members during the use of HD. Exposure characteristics at the household level included average days of HD use per week, average hours of HD use per day, the duration within which one bottle of HD was emptied, average input frequency of HD, amount of HD (cc) per one time used, and active ingredients of HD products (PHMG, CMIT/MIT, PGH, or others). The risk of the presence of a person who experienced adverse health effects in the household was evaluated by estimating odds ratios (ORs) and 95% confidence intervals (CIs) adjusted for monthly income and region using a multiple logistic regression model. Subgroup analyses were conducted for households with a child (≤7 years) and households with a newborn infant during HD use. Results: The level of exposure to HD tended to be higher for households with a child or newborn infant for several variables including average days of HD use per week (P<0.0001) and average hours of HD use per day (P<0.0001). The proportion of households in which there was at least one person who experienced adverse health effects such as rhinitis, asthma, pneumonia, atopy/skin disease, etc. was 20.6% for all households, 25.3% for households with children, and 29.9% for households with newborn infants. The presence of a person who experienced adverse health effects in the household was significantly associated with average hours of HD use per day (Ptrend<0.001), duration within which one bottle of HD was emptied (Ptrend<0.001), average input frequency of HD (Ptrend<0.001), amount of HD per one use (Ptrend=0.01), and use of HDs containing PHMG (OR=2.23, 95% CI=1.45-3.43). Similar results were observed in subgroup analyses. Conclusion: Our results suggest that level of exposure to HD tended to be higher for households with a child or newborn infant and that exposure to HD is significantly associated with the presence of a person who experienced adverse health effects in the household.
Allergic Purpura is similar to Yangdokbalban Syndrom in Oriental Medicine. The main symptoms of Yangdokbalban Syndrom and allergic purpura are rashes and fevers in body. In Sasang Constitutional Medicine, Taeumin have an Yangdokbalban Syndrom by Ganyeol as their inherent symptomatic phamacology. An inpatient diagnosed as allergic purpura in other hospital who has fevers in body, rashes and itchings at fevers was seen to Taeumin by his external figures and internal emotions. And, he has an symptomatic distinctiveness that general conditions refreshed after sweating and can drink water in chilling. Therefore A person was diagnosed as Taeumin with allergic purpura as above distinguishing symptoms, the curative value will be outperformed by taking Galgeunhaekitang.
Purpose : The purpose of this article is to make a clarification that Hwang Doyeon(黃度淵) was a official doctor(醫官) who even served as royal doctor(御醫), rather than merely a general doctor who worked in the private sector. The article also attempts to give a new perspective on the medical history about the late period of Joseon(朝鮮) Dynasty. Methods : In researching Hwang Doyeon's master work, the Gains and Losses of Medical Orthodoxy(醫宗損益), the article looks at his clinical medicines. Analyzing the historical records, the article makes an assumption that Hwang Doyeon and Hwang Dosoon(黃道淳), who was selected as an officer to discuss medicine with other medical officers(議藥同參), are the identical person. On this assumption, the article tries to reinterpret the medicine during the later Joseon Dynasty period. Result & Conclusion : The records, including the royal medical treatment records of the Gains and Losses of Medical Orthodoxy, the Daily Records of Royal Secretariat(承政院日記), the genealogy of Changwon Hwangs(昌原黃氏世譜), academic paper and government documents released posthumously, demonstrated that Hwang Doyeon and Hwang Dosoon are the same person. If so, we can have new historical interpretation about medical history of late Joseon Dynasty. First, during the late of Joseon Dynasty, there was an official and active medical knowledge interaction between government and private sector. Second, the Joseon's medicine has been established its own medical system based on the Treasured Mirror of Eastern Medicine(東醫寶鑑), trying to cope with cholera and other contemporary epidemics without relying on Chinese warm disease(溫病) medicine. Third, the Compilation of Formulas and Medicinals(方藥合編), is regarded not only as a must-read medical reading for medical doctors, also playing an important role on popularization of Korean medical knowledge.
Lee Shi Zhen(李時珍) raised a question in argument on the writer of Bao Ming Shi(保命集), which had been believed to be written by Liu Wan Su(劉完素), arguing that Bao Ming Shi(保命集), also called Huo Fa Ji Yao(活法機要), was written by Zhang Yuan Su(張完素). There were three representative arguments on the writer of Bao Ming Shi(保命集). One suggested that it was written by Zhang Yuan Su(張完素) while the other argued that it was definitely written by Liu Wan Su(劉完素). And another suggested thai it was edited by posterity by combinding the works of the former two miters. After this study, it was found that Bao Ming Shi(保命集) has Liu Wan Su(劉完素) and Zhang Yuan Su(張完素)'s unique medical thoughts in many descriptions resulting in controversial dispute. Through these arguments, a new hypothesis has been made that the third person who had studied Liu Wan Su(劉完素) and Zhang Yuan Su(張完素)'s medical thoughts wrote Bao Ming Shi(保命集). Liu Wan Su(劉完素) and Zhang Yuan Su(張完素) were quite different in medial thoughts and their works and they found different school, respectively. Therefore, if Bao Ming Shi(保命集) was written by Liu Wan Su(劉完素) or Zhang Yuan Su(張完素), it is impossiple that Bao Ming Shj(保命集) has the two medical thoughts in many descriptions. So, it is regarded reasonable to argue that the person who had aquainted with the two medical thoughts wrote this book. Then enother question can be raised : why the persion wrote Bao Ming Shi(保命集) which integrated the two medical thoughts and. The answer is as follows. Liu Wan Su(劉完素) and Zhang Yuan Su(張完素) became the rounders of He Jian(河間) school and Yi Shui(易水) school, respectively, which have considerably affected later generations, suggesting advanced medical theory. The medical thoughts suggested by the two were sure advanced compared with the former generation, but subjective and biased enough be critisized. So, it is thought that the third person wrote Bao Ming Shj(保命集) to recover those demerits and to describe more advanced medical theory. Zhongyi Xueshushi(中醫學術史) suggests that posterity edited Bao Ming Shi(保命集) by combinding Liu Wan Su(劉完素) and Zhang Yuan Su(張完素)'s works, which is different flam my suggestment. In above description, it is said that the two medical thoughts were quite different, but Bao Ming Shi(保命集) has well-understood medical thoughts containing the two medical thoughts in chaptor to chaptor, and well coincides from cover to cover, which shows that it is written by one person not edited by posterity. My hypothesis can admit other arguments on the writer of Bao Ming Shi(保命集), recover the bias of those argument and solve the questions raised in other arguments. Therefore, I suggest that the person, who was well aquainted with Liu Wan Su(劉完素) and Zhang Yuan Su(張完素)'s medical thoughts, wrote Bao Ming Shi(保命集) to describe more advanced and complete medical theory by amending the bias and taking the merits of the two medical thoughts.
Background : There are many korean women who have localized fat despite of they have normal or slightly over weight. The relationships of traditional diagnostic method with total body fat and body mass index had been reviewed in other study, but there is no study regarding the relationship of traditional diagnostic method and localized fat. So we designed this study to find out the relationships between localized fat and traditional diagnostic method among Korean high-school girls. Methods : This research was performed in 21 high-school girls with localized fat during April 2007. We measured body mass index, percent of body fat, waist circumference, hip circumference and means of both thigh circumference. Phlegm questionnaire, blood stasis questionnaire, cold-heat questionnaire, Korean eating attitude test-26 and questionnaire of Sasang constitution classification Ⅱ+ have been administered. Results : There were significant correlations between body mass index, percent of body fat and body size. Regardless of body mass index, they had high phlegm and heat pattern. Most of them are classified as Tae-um type person. Conclusions : High-school girls with localized fat had pattern of high phlegm, heat and characteristics of Tae-um person.
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