• Title/Summary/Keyword: 산부인과

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A Case of Primary Carcinoma (원발성 안관암의 1예)

  • Lee, Y.G.;Lee, S.H.
    • Journal of Yeungnam Medical Science
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    • v.4 no.2
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    • pp.197-202
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    • 1987
  • 저자들은 영남대학교 의과대학 부속병원 산부인과에서 수술후 병리조직학적으로 확진된 원발성 난관암 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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The Effects of Pregnancy-Related Water Extract of 3 Types Herbal Medicines and Ethanol Extract of Moutan Radicis Cortex on the Endometrial and Placental Cells (임신 관련 3종 한약 처방 물 추출물과 목단피 에탄올 추출물이 자궁내막과 태반세포에 미치는 영향)

  • Park, Seo-Ye;Noh, Eui-Jeong;Seo, Chang-Seob;Lee, Sung-Ki;Shin, Hyeun-Kyoo
    • The Journal of Korean Obstetrics and Gynecology
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    • v.34 no.4
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    • pp.30-45
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    • 2021
  • Objectives: This study was performed to investigate the effects of pregnancy-related four herbal medicines (Samul-tang, Onkyung-tang, Chokyungjongok-tang and Moutan Radicis Cortex) on the endometrial and placental cells. Methods: In this study, we examined viability and decidualization of telomerase immortalized human endometrial stromal cell lines (T-HESCs) and viability and invasion ability of human first trimester trophoblast cell lines Sw.71 by four herbal medicines (Samul-tang, Onkyung-tang, Chokyungjongok-tang and Moutan Radicis Cortex) Results: In the study, we showed that Samul-tang, Onkyung-tang, Chokyungjongok-tang increased decidualization marker prolactin (PRL) and insulin-like growth factor-binding protein 1 (IGFBP1) in T-HESCs. Moutan Radicis Cortex decreased the mRNA level of PRL and IGFBP1, and the protein level of PRL and IGFBP1 had no significant effect. Moreover, four herbal medicines reduced invasion ability of Sw.71 cells. Conclusions: These results suggest that Samul-tang, Onkyung-tang, and Chokyungjongok-tang have beneficial effects on successful embryo implantation and pregnancy maintenance by increasing decidualization markers such as PRL and IGFBP1. Moutan Radicis Cortex reduces the mRNA levels of PRL and IGFBP1, which may adversely affect pregnancy. Further investigations are needed to elucidate the significance of the decreased invasive ability of Sw.71 cells induced by four herbal medications.

A Study on the Regulation of Endometrial and Placental Cell Function by Water Extract of 3 Types of Herbal Medicines and Ethanol Extract on Scutellariae Radix (3종 한약 처방 물 추출물과 황금 에탄올 추출물에 의한 자궁내막과 태반세포 기능조절 연구)

  • Park, Seo-Ye;Noh, Eui-Jeong;Seo, Chang-Seob;Lee, Sung-Ki;Shin, Hyeun-Kyoo
    • The Journal of Korean Obstetrics and Gynecology
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    • v.34 no.3
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    • pp.1-14
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    • 2021
  • Methods: We investigated the ability to induce decidualization of human endometrial stromal cells and invasive ability of human trophoblast cells by water extract of three types herbal medicines (Dangguijakyak-san, Siryung-tang, Antae-eum) and ethanol extract on Scutellariae Radix. Results: In the process of decidualization of endometrial stromal cells, three herbal medicines including Dangguijakyak-san, Siryung-tang, and Scutellariae Radix increased the production of decidual markers such as prolactin (PRL) and insulin-like growth factor-binding protein 1 (IGFBP1). However, Antae-eum increased mRNA levels of PRL and IGFBP and secretion of IGFBP in decidual stromal cells, but not PRL. Four herbal medicines inhibited the invasion of trophoblast cells. Conclusions: Four herbal medicines may play a role in implantation in women with reproductive failures. However, further studies are warranted to elucidate whether these medications are helpful in the maintenance of pregnancy.

A Preliminary Study on the Change of Intraday Heart Rate Variability and Related Factors in Healthy People (건강인의 일중 심박변이도 변화 및 관련인자에 대한 예비연구)

  • Noh, Eun-Ji;Choi, Su-Ji;Kim, Deok-Ho;Choi, Yun-Seok;Kim, Dong-Il
    • The Journal of Korean Medicine
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    • v.42 no.2
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    • pp.50-61
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    • 2021
  • Objectives: The object of this study was to examine whether there was a significant difference between morning and afternoon in heart rate variability(HRV) in healthy Korean adults. In addition, the correlation between the characteristics of the subjects and the test results was analyzed. Methods: From January 8, 2021 to January 29, 2021, twenty healthy subjects received short-term HRV test once in the morning(6:00~12:00) and twice in the afternoon(12:00~18:00). We used IBM SPSS Statistics 27 to test for statistical significance. Results: The mean heart rate and PSI decreased significantly and SDNN increased significantly in the morning compared to the afternoon. There was no significant difference except RMSSD in HRV conducted at 2 hours intervals in the afternoon. Age had a significant difference in SDNN and TP, and exercise in average heart rate. Age, weekly exercise frequency, and monthly drinking frequency showed significant correlations with HRV indicators. As a result of multiple regression analysis, monthly drinking frequency was a variable that had a significant influence on TP. Conclusions: The results of the tests performed with short interval were relatively consistent, and when comparing the results of the afternoon and the next morning, there were significant differences in several indicators. In the future, the number of HRV measurements should be increased and a larger-scale follow-up study including more subjects will be needed.

A Basic Survey of Korean Medicine Doctors to Develop Standard Evaluation Tools for Evaluating of Mental and Physical Function Improvement following Korean Medicine Infertility Treatment (한의 난임 치료의 심신 기능 개선 평가를 위한 표준 평가도구 개발에 대한 임상 한의사 대상 기초 설문조사)

  • Lee, Soo-Jin;Kim, Dong-Il;Choi, Su-Ji
    • The Journal of Korean Obstetrics and Gynecology
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    • v.35 no.4
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    • pp.105-120
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    • 2022
  • Objectives: The purpose of this study is to investigate the perception of Korean Medicine (KM) doctors toward infertility treatment evaluation tools and develop a standard evaluation tool for mental and physical function improvement following Korean medicine treatment. Methods: An online survey (Moaform) was conducted, and responses were analyzed for members of the Society of Korean Medicine Obstetrics and Gynecology and KM doctors who participated in the 2021-2022 traditional Korean medicine treatment infertility support program in Gyeonggi-do. Results: In fertility treatment, the most effective indicators that KM doctors wanted to evaluate other than pregnancy and childbirth were reproductive health indicators, overall health improvement, and stress improvement (33.1%, 21.2%, 18.9%). Furthermore, 45.1% of the respondents had experience using the presented infertility stress evaluation tools. For each evaluation tool, 52.1% and 54.6% of the respondents answered that it 'does not reflect the changing circumstances of the times' and that there were 'too many questions'. As for the developing a standard evaluation tool for infertility treatment in KM, KM doctors expected a simple and clear tool focusing on the pregnancy rate. They also wanted the tool to include a reproductive health index, overall function improvement and stress improvements. Conclusions: The survey confirmed the need to evaluate indicators for reproductive health, mental health, and infertility stress in addition to pregnancy rate to assess the effectiveness of KM infertility treatment. It also confirms the necessity of developing an infertility stress evaluation tool with simplified questions that reflects the changing time.

Gynecologic Patients' Recognition of Radiation Exposure in Gyeongbuk Area (경북 지역 산부인과 환자의 방사선피폭 인식)

  • Park, Jeong-Kyu
    • The Journal of the Korea Contents Association
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    • v.8 no.8
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    • pp.176-187
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    • 2008
  • As the radiological medical instruments have been competitively developed in recent years, its utilization for the patient treatment has been expanded. The medical examination using the radiation has been gradually increased, so that it is recognized as a significant factor of increasing the radiation exposure. In this study, the recognition about the radiation exposure was analyzed for 555 gynecologic patients in 8 secondary and tertiary medical centers in Gyeongbuk from November 17 to April 19, 2007. The results are followed. There was a significant difference on the recognition for the radiation by age and education (p<0.05), There was the significant difference in the recognition about the radiological instruments by age and occupation (p<0.05), and there was the significant difference in the information identification & analysis by age and occupation (p<0.05). As the result of analyzing a correlation of the radiation's harmfulness, recognition, psychological state and exposure prevention, there was the correlation of 0.572 between the harmfulness and recognition, the correlation of 0.740 between the harmfulness and the psychological state, and the correlation of 0.477 between the harmfulness and the exposure prevention. It was statistically very significant (p<0.01). But, there was no significance with the radiological instrument and information identification (p>0.05). As the result of the study, it could be known that the mental threat factor was more included than the physical threat from the position of gynecologic patients who were sensitive to the radiation. Accordingly, radiological technologist who manages the radiation needs to let the patient or its guardians recognize the degree of physical harmfulness exactly.

Gynecologists' perception of High-Intensity Focused Ultrasound as a treatment for uterine leiomyomas (자궁근종의 치료로서 고강도 집속 초음파 치료에 대한 부인과 의사의 인식에 대한 연구)

  • Kim, Nam Kyeong;Choi, Yae Ji;Lee, Yeji;Hwang, Sung Il;Kim, Kidong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.5
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    • pp.221-228
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    • 2021
  • Recently, there has been an increased awareness on the use of High-Intensity Focused Ultrasound (HIFU) as a non-surgical treatment option for leiomyomas. This study aimed to assess gynecologists' perception of HIFU therapy for uterine leiomyomas in Korea. We analyzed questionnaires from 162 Korean gynecologists who provided data on 1) demographics, 2) pattern of practice with respect to leiomyomas, and 3) opinion regarding HIFU therapy for leiomyomas. Of the 162 gynecologists, 2.8 % regarded HIFU as a first-line treatment for leiomyomas. HIFU was only available at the workplace of 19 % of respondents; of these, 58 % had requested the use of HIFU. When asked about their perception of HIFU for treating leiomyomas, only 19 % of the respondents thought that it was effective. The commonest perceived complication was a delay in the adequate treatment of sarcoma (59 %), followed by bowel injury (52 %). The respondents considered HIFU to be suitable in the following circumstances: age between 40 and 49 years, those patients who no longer desired pregnancy, medium-sized (5-6 cm) leiomyomas, and up to 2 leiomyomas. The Korean gynecologists' perception of HIFU as a treatment for leiomyomas is still not favorable. Gynecologists working at hospitals where HIFU is available tended to have a higher positive perception of this treatment. In addition to research involving a large number of gynecologists from multiple countries, a study on the long-term outcomes of HIFU is needed.

건강관리코너 - 성인비만

  • Jo, Su-Hyeon
    • 방재와보험
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    • s.100
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    • pp.50-51
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    • 2004
  • 요즘 비만은 대사성증후군의 하나로, 질병으로 인식되고 있다. 그러한 이유는 비만한 사람이 의학적으로 뿐 아니라, 사회적, 정신적으로도 장애를 일으키기 때문이다. 비만과 관련된 질환으로는 제2형 당뇨병, 고혈압, 뇌졸증, 심장질환, 고지혈증, 골관절염, 위장관질환, 담낭질환, 수면무호흡증, 암, 통풍, 정서장애, 수면장애, 섭식장애, 불임이 있으며, 그 외에도 다낭성 난소증후군 등 산부인과 질환이 있다.

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지혜 깊어지는 건강_건강검진 캘린더: 예뻐지는 것보다 중요한 여성 건강검진

  • 한국건강관리협회
    • 건강소식
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    • v.35 no.8
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    • pp.30-31
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    • 2011
  • 여성의 건강은 부인과 건강검진부터 시작된다. 미혼여성의 경우 산부인과 방문을 꺼려 검사로 예방할 수 있는 질환을 키워 수술까지 받는 경우도 있다. 이를 예방하기 위해 미혼여성에게 필요한 건강검진, 결혼 전 예비신부에게 필요한 건강검진, 40, 50대 폐경기에 필요한 여성들의 건강검진에 대해 알아봤다.

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