scholarly journals A Study of Tongue and Pulse Diagnosis in Traditional Korean Medicine for Stroke Patients Based on Quantification Theory Type II

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Mi Mi Ko ◽  
Tae-Yong Park ◽  
Ju Ah Lee ◽  
Byoung-Kab Kang ◽  
Jungsup Lee ◽  
...  
Keyword(s):  
Type Ii ◽  
Pulse Diagnosis ◽  
University Hospitals ◽  
Stroke Patients ◽  
Traditional Korean Medicine ◽  
Positive Direction ◽  
Quantification Theory ◽  
Korean Medicine ◽  
The Status ◽  
Diagnostic Standards

In traditional Korean medicine (TKM), pattern identification (PI) diagnosis is important for treating diseases. The aim of this study was to comprehensively investigate the relationship between the PI type and tongue diagnosis or pulse diagnosis variables. The study included 1,879 stroke patients who were admitted to 12 oriental medical university hospitals from June 2006 through March 2009. The status of the pulse and tongue was examined in each patient. Additionally, to investigate relatively important indicators related to specialist PI, the quantification theory type II analysis was performed regarding the PI type. In the first axis quantification of the external criteria, the Qi-deficiency and the Yin-deficiency patterns were located in the negative direction, while the dampness-phlegm (DP) and fire-heat patterns were located in the positive direction. The explanatory variable with the greatest impact on the assessment was a fine pulse. In the second axis quantification, the external criteria were divided into either the DP or non-DP patterns. The slippery pulse exhibited the greatest effect on the division. This study attempted to build a model using a statistical method to objectively quantify PI and various indicators that constitute the unique diagnosis system of TKM. These results should assist the development of future diagnostic standards in stroke PI.

scholarly journals Interobserver Reliability of Four Diagnostic Methods Using Traditional Korean Medicine for Stroke Patients

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Ju Ah Lee ◽  
Mi Mi Ko ◽  
Byoung-Kab Kang ◽  
Terje Alraek ◽  
Stephen Birch ◽  
...  
Keyword(s):  
Interobserver Agreement ◽  
Interobserver Reliability ◽  
Diagnostic Methods ◽  
University Hospitals ◽  
Stroke Patients ◽  
Traditional Korean Medicine ◽  
Korean Medicine ◽  
Clinician Training ◽  
High Pulse ◽  
Medical University

Objective. The aim of this study is to evaluate the consistency of pattern identification (PI), a set of diagnostic indicators used by traditional Korean medicine (TKM) clinicians.Methods. A total of 168 stroke patients who were admitted into oriental medical university hospitals from June 2012 through January 2013 were included in the study. Using the PI indicators, each patient was independently diagnosed by two experts from the same department. Interobserver consistency was assessed by simple percentage agreement as well as by kappa and AC1statistics.Results. Interobserver agreement on the PI indicators (for all patients) was generally high: pulse diagnosis signs (AC1=0.66–0.89); inspection signs (AC1=0.66–0.95); listening/smelling signs (AC1=0.67–0.88); and inquiry signs (AC1=0.62–0.94).Conclusion. In four examinations, there was moderate agreement between the clinicians on the PI indicators. To improve clinician consistency (e.g., in the diagnostic criteria used), it is necessary to analyze the reasons for inconsistency and to improve clinician training.

scholarly journals Interobserver Reliability of Pulse Diagnosis Using Traditional Korean Medicine for Stroke Patients

2013 ◽  
Vol 19 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Mi Mi Ko ◽  
Tae-Yong Park ◽  
Ju Ah Lee ◽  
Tae-Young Choi ◽  
Byoung-Kab Kang ◽  
...  
Keyword(s):  
Interobserver Reliability ◽  
Pulse Diagnosis ◽  
Stroke Patients ◽  
Traditional Korean Medicine ◽  
Korean Medicine

scholarly journals Interobserver Reliability of Tongue Diagnosis Using Traditional Korean Medicine for Stroke Patients

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Mi Mi Ko ◽  
Ju Ah Lee ◽  
Byoung-Kab Kang ◽  
Tae-Yong Park ◽  
Jungsup Lee ◽  
...  
Keyword(s):  
Interobserver Agreement ◽  
Interobserver Reliability ◽  
Pattern Identification ◽  
University Hospitals ◽  
Stroke Patients ◽  
Traditional Korean Medicine ◽  
Fundamental Study ◽  
Korean Medicine ◽  
Tongue Diagnosis ◽  
Fur Quality

Observation of the tongue, also known as tongue diagnosis, is an important procedure in diagnosis by inspection in Traditional Korean medicine (TKM). We investigated the reliability of TKM tongue diagnosis in stroke patients by evaluating interobserver reliability regarding tongue indicators as part of the project named the Fundamental Study for the Standardization and Objectification of Pattern Identification in TKM for Stroke (SOPI-Stroke). A total of 658 patients with stroke admitted to 9 oriental medical university hospitals participated. Each patient was independently seen by two experts from the same department for an examination of the status of the tongue. Interobserver agreement about subjects regarding pattern identification with the same opinion between the raters (n=451) was generally high, ranging from “moderate” to “excellent”. Interobserver agreement was nearly perfect for certain signs of special tongue appearance (mirror, spotted, and bluish purple), poor for one of the tongue colors (pale) and moderate for others. Clinicians displayed measurable agreement regarding tongue indicators via both observation and pattern identification consistency. However, interobserver reliability regarding tongue color and fur quality was relatively low. Therefore, it is necessary to improve objectivity and reproducibility of tongue diagnosis through the development of detail-oriented criteria and enhanced training of clinicians.

scholarly journals Traditional Korean Medicine Home Care for the Older Adults during the COVID-19 Pandemic in South Korea

2022 ◽  
Vol 19 (1) ◽  
pp. 493
Author(s):  
Soo-Hyun Sung ◽  
You-Sang Baik ◽  
Ji-Eun Han ◽  
Eun-Jin Lee ◽  
Jihye Kim ◽  
...  
Keyword(s):  
Older Adults ◽  
Home Care ◽  
Local Governments ◽  
National Development ◽  
Home Care Services ◽  
Traditional Korean Medicine ◽  
Korean Medicine ◽  
Care Services ◽  
The Status ◽  
Medical Policy

Objectives: The aim of this study was to examine the status of community care services regarding traditional Korean medicine (TKM) for older adults and raise awareness on current opinions and services of TKM institutions. Methods: The National Development Institute of Korean Medicine conducted a survey of 16 local governments by sending official letters through an electronic document system from October 2020 to November 2020. The survey items included basic demographic information and information about TKM service. Results: Eleven (68.8%) of the 16 local governments provided TKM home care services. A total of 136 TKM clinics provided home care services for 598 older adults with musculoskeletal disorders. The number of TKM services provided in five or more local governments were cupping 11 (100.0%), acupuncture 11 (100.0%), education and consulting 10 (90.9%), and moxibustion 9 (81.8%). Moreover, pain (recorded on visual analogue scale) and quality of life significantly improved following TKM services (p < 0.001). Conclusions: Covered under medical policy, TKM homecare services could function as a viable alternative for continued medical care disrupted during the coronavirus disease 19 pandemic. In addition, standardisation and legalisation of these services could ensure and improve their efficiency.

scholarly journals Intravenous thrombolysis outcome in posterior vs anterior circulation stroke in a tertiary stroke center in Egypt

2021 ◽  
Vol 57 (1) ◽  
Author(s):  
Nourhan Abdelmohsen Taha ◽  
Hala El Khawas ◽  
Mohamed Amir Tork ◽  
Tamer M. Roushdy
Keyword(s):  
Intravenous Thrombolysis ◽  
Posterior Circulation ◽  
University Hospitals ◽  
Stroke Patients ◽  
Anterior Circulation ◽  
Time Points ◽  
Posterior Circulation Stroke ◽  
First Line Therapy ◽  
Insignificant Difference ◽  
Stroke Center

Abstract Background Intravenous thrombolysis (IVT) with alteplase is the first-line therapy for acute ischemic anterior and posterior circulation strokes (ACS and PCS). Knowledge about safety and efficacy of IVT in posterior circulation stroke is deficient as most of the Egyptian studies either assessed IVT outcome in comparison to conservative therapy or its outcome in anterior circulation stroke only. Therefore, our aim was to compare the relative frequency and outcome after intravenous thrombolysis in anterior versus posterior circulation stroke patients presenting to stroke centers of Ain Shams University hospitals (ASUH). Results A total of 238 anterior circulation stroke and 61 posterior circulation strokes were enrolled, onset-to-door and door-to-needle time were statistically insignificant. NIHSS showed comparable difference at all time points despite higher scores along anterior circulation stroke; 90-day modified Rankin Scale (mRS) showed significant improvement in both groups from mRS >2 to ≤2 with a better percentage along posterior circulation stroke patients. There was insignificant difference for either incidence of death or intracranial hemorrhage (ICH) between the two groups. Conclusion IVT significantly reduced NIHSS for both anterior and posterior circulation stroke along different studied time points. Meanwhile, a higher percentage of patients with posterior circulation stroke had a better mRS outcome at 90 days.

scholarly journals Current Status of Traditional Korean Medicine Services in Public Sector: A Study for Integrating Traditional Korean Medicine into Community Care System

Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 493
Author(s):  
Soo-Hyun Sung ◽  
Minjung Park ◽  
Jihye Kim ◽  
Sun-Woo Jeon ◽  
Angela Dong-Min Sung ◽  
...  
Keyword(s):  
Local Governments ◽  
Community Care ◽  
Central Government ◽  
The Elderly ◽  
Current Status ◽  
Traditional Korean Medicine ◽  
Korean Medicine ◽  
Service Programs ◽  
Care Systems ◽  
Care System

Korea is currently executing a pilot program for community care of its aging population and aims to implement community care systems on a national scale by 2025. This study examines the traditional Korean medicine (TKM) service to be provided within community care by understanding the current status of TKM services. The Ministry of Health and Welfare (MoHW) sent official letters to 242 local governments (cities, districts, and counties) from October to November 2019 to survey the status of the public TKM services provided in 2018. The items of the survey included basic demographic information as well as information that could reveal how the program was implemented. In 112 local government jurisdictions (response rate 46.3%), a total of 867 TKM service programs were in place. As a result of the survey, it was revealed that they did not have any service manuals or evaluation results. To provide home-care-based TKM service for the elderly as an integrated part of a community care system, it is necessary to develop, distribute, and evaluate a standard service manual including an evaluation index by the central government.

scholarly journals Anti-inflammatory effects of a traditional Korean medicine: Ojayeonjonghwan

2017 ◽  
Vol 55 (1) ◽  
pp. 1856-1862 ◽  
Author(s):  
Sun-Young Nam ◽  
Kyu-Yeob Kim ◽  
Mi Hye Kim ◽  
Jae-Bum Jang ◽  
So-Young Rah ◽  
...  
Keyword(s):  
Traditional Korean Medicine ◽  
Korean Medicine ◽  
Anti Inflammatory
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