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Impact of Obesity-Related Inflammation on Cardiac Metabolism and Function
Terje S. Larsen,Kirsten M. Jansen 한국지질동맥경화학회 2021 지질·동맥경화학회지 Vol.10 No.1
This review focuses on the role of adipose tissue in obese individuals in the development of metabolic diseases, and their consequences for metabolic and functional derangements in the heart. The general idea is that the expansion of adipocytes during the development of obesity gives rise to unhealthy adipose tissue, characterized by low-grade inflammation and the release of proinflammatory adipokines and fatty acids (FAs). This condition, in turn, causes systemic inflammation and elevated FA concentrations in the circulation, which links obesity to several pathologies, including impaired insulin signaling in cardiac muscle and a subsequent shift in myocardial substrate oxidation in favor of FAs and reduced cardiac efficiency. This review also argues that efforts to prevent obesity-related cardiometabolic disease should focus on anti-obesogenic strategies to restore normal adipose tissue metabolism.
Clinical reasoning in traditional medicine exemplified by the clinical encounter of Korean medicine
김태훈,Terje Alraek,Zhaoxiang Bian,Stephen Birch,Mark Bovey,Ju Ah Lee,Myeong Soo Lee,Nicola Robinson,Christopher Zaslawski 한국한의학연구원 2021 Integrative Medicine Research Vol.10 No.2
Background: Clinical reasoning is generally defined to be a way of thinking for diagnostic or therapeutic decision making in clinical practice. Different cognitive models have been proposed for the clinical reasoning which takes place during the clinical encounter with a patient. This may have similarities with similar approaches used in Traditional Korean Medicine (TKM). Jinchal, the clinical encounter, has specific features in TKM and different Jinchal processes are closely related to several underlying cognitive models in clinical reasoning. It is a necessary process to see the patient, but in TKM, the method has a characteristic aspect and emphasis is placed on importance. Methods: Experts consensus were reached through panel discussion. Narrative description on the concept of clinical reasoning and explanation on Jinchal process in TKM were suggested. Results: This article analyses the Jinchal process using theoretical concepts from four authentic KM schools of clinical reasoning which are currently used in contemporary practice. Conclusion: Future research should focus on the similarities and differences in understanding clinical reasoning in KM as well as the broader field of traditional East Asian Medicine.
Verification of Laboratory Model Testing and Calibration of Suction Pile Installation in Sand
박기철,Terje Preber,김인철 대한토목학회 2010 KSCE JOURNAL OF CIVIL ENGINEERING Vol.14 No.4
As a part of the feasibility study of the Mobile Offshore Bases, suction piles are currently being studied to provide the necessary mooring capability. This paper presents the results of a series of suction pile installation tests performed in a model tank consisting of 59.2 cm diameter and 176.8 cm height. Suction piles ranging in diameter from 15.9 cm to 29.8 cm were tested with various surcharge weights and initial pile penetration depths in loose through medium sand conditions to measure the relationship between the applied suction pressure inside the pile and the resulting pile penetration from the beginning till the complete installation. The results have been used to verify the laboratory model testing and calibrate the mobilized soil friction angle included in the analytical solution of the suction pile installation, i.e., the suction pressure vs. pile penetration relationship. This mobilized soil strength is described as a function of non-dimensional parameters characterizing the variation and transition of the soil strength during pile installation. The non-dimensional parameters include all pertinent pile and soil parameters that are thought to govern the pile behavior during installation.
Stephen Birch,Myeong Soo Lee,Terje Alraek,김태훈 한국한의학연구원 2019 Integrative Medicine Research Vol.8 No.3
Background: Recently research on acupuncture for cancer related symptoms has significantly increased. To what extent have medical professionals recommended to use acupuncture in light of that evidence? Methods: Evidence of effectiveness and safety was found by searching Pubmed for reviews to identify for what conditions and general results. Publications that recommend acupuncture in oncology were searched in the database of an ongoing general search for publications that recommend acupuncture. This database was developed by searching google for publications that recommend the use of acupuncture with the terms ‘name of symptom’ and ‘clinical practice guideline’ or ‘treatment guideline’. Results: Acupuncture is moderately or weakly effective for 19 symptoms in patients with cancer and cancer survivors. Acupuncture is a safe therapy in cancer care if administered by trained acupuncturists. Acupuncture is targeted to improve symptoms associated with the cancer and different cancer treatments, not to treat the cancer itself. More than 350 publications by clinical practice guideline groups and expert groups, including public health statements made by national and government agencies recommended the use of acupuncture for 61 cancer related symptoms many with positive evidence of effectiveness. Conclusion: The strength of evidence is weak for many indications, however the evidence for many standard therapies is either not very strong or if stronger, the incidence of adverse events is more, which makes acupuncture a treatment option despite the weak evidence. We have found evidence that many oncologists around the world have started to incorporate acupuncture into the treatment of various cancer related symptoms.