• 제목/요약/키워드: Postpartum disease

검색결과 91건 처리시간 0.026초

부인과 질환에 대한 한방건강보험 적용실태 및 개선방안에 대한 조사연구 2 (A Study on the Survey for the Application Status and the Improvement of Korean Medical Health Insurance for Ob & GY Disease ( II ))

  • 최민선;김동일
    • 대한한방부인과학회지
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    • 제21권1호
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    • pp.150-167
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    • 2008
  • Purpose: This is a following study of preceding study about application and improvement of acupuncture benefits in OB & GY disease that was performed in 2007. And this study was performed to complement and compare with a preceding study. Methods: The questionnaire used in preceding survey was distributed to general korean medical doctors who have mainly worked in oriental medical clinic. And results of this survey was compared with results of preceding survey. Results: Results of two surveys were almost similar. 1. The common suitable the sick and wounded name of Ob & Gy disease thought be added in Intra-abdominal acupuncture(腹腔內; CV13 ${\cdot}$ CV16 ${\cdot}$ CV10) in two surveys were dysmenorrhea(K05). infertility(K15), JingHa(pelvic tumor) (K11). In Puncture each adjoining acu-points in one insertion(透刺; SP6-GB39)were dysmenorrhea(K05), climacteric syndrome(K04). amenorrhea (K03), In Puncture each adjoining acu-points in one insertion(透刺; PC6-TE5) were climacteric syndrome(K04), hyperemesis(K16.0), dysmenorrhea(K05). 2. The common acupuncture benefits items that postpartum pain syndrome(K29) should be added as suitable the sick and wounded name were Intra-articular acupuncture(關節內; LI15, SI10, GB30), Intervertebral acupuncture (脊椎間; GV14, 16, 6, 4, 12, 11, 9, 8, 3), Puncture each adjoining acu-points in one insertion (透刺; SP6-GB39). Conclusion: Based on this study, Survey to more KMDs should be performed. And the academic and clinical verifications that supports this results should be supplied.

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산후 우울증의 진단과 치료 (Diagnosis and Treatment of Postpartum Depression)

  • 양수진;김재민
    • 생물정신의학
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    • 제13권1호
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    • pp.3-10
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    • 2006
  • Depression is the leading cause of disease-related disability among women. Postpartal depression (PPD) can produce substantial clinical, economic, and psychosocial impairment, not only for the women experiencing it but also for the women's children and family. Therefore, a comprehensive understanding the accurate detection and appropriate treatment of depression is mandatory in women of childbearing age. This review focused on the current knowledge of PPD.

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유방확대술 받은 수유 중인 여성에서 유축기를 사용한 뒤 발생한 유방 보형물 관련 역형성 거대 세포 림프종 모방 산후 젖낭종: 증례 보고 (Postpartum Galactocele in Augmented Breast after Using Breast Pump Mimicking Breast Implant-Associated Anaplastic Large Cell Lymphoma: A Case Report)

  • 이가영;신기원;박영미;이안복;박하영;이유진;한지연
    • 대한영상의학회지
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    • 제82권6호
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    • pp.1570-1574
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    • 2021
  • 산후에 발생하는 젖낭종은 수유 중인 여성에게서 흔히 나타나는 양성 질환이다. 유선후층 지방층, 유방확대 보형물 주변에 생긴 젖낭종은 비교적 드문 형태이다. 34세의 출산 후 1달이 지난 여성은 2주 전부터 시작된 좌측 유방의 확대를 주소로 내원하였다. 출산 후 지속적으로 유축기를 사용해왔다. 좌측 유방은 초음파상에서 보형물 주변에서 관찰되는 고에코의 액체성분으로 관찰되었다. 초음파 유도하 세침흡인으로 모유 성상의 액체가 배액되었다. 세포검사 결과에서 젖낭종을 시사하는 결정체들이 관찰되었다. 다양한 원인, 특히 유방 보형물 관련 역형성 거대 세포 림프종으로 인해 보형물 주변에 액체가 관찰될 수 있다. 영상의학적 소견, 임상적 정보 그리고 세포학적인 분석들을 종합하여 적절한 치료에 도움을 받을 수 있을 것으로 사료된다.

임신성 고혈압 환자에서 적혈구교체의 지표로서 일산화탄소 혈색소와 혈청 철의 임상적 의의 (Increased Carboxyhemoglobin and Serum Iron Concentration as an Indicator of increased Red Cell Turnover in Preeclampsia)

  • 김상헌;이광희;김미숙;이영기;박윤기;이태형;이승호
    • Journal of Yeungnam Medical Science
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    • 제10권1호
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    • pp.68-76
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    • 1993
  • 1992년 10월 1일부터 1993년 3월 31월까지 영남대학교 의과대학 부속병원 산부인과에 입원하여 만삭분만한 정상산모 35명을 대조군으로, 경증 자간전증 환자 23명을 대상군으로 일산화탄소혈색소와 혈청 철의 농도를 측정하여 다음과 같은 결과를 얻었다. 혈청철의 농도는 임신성 고혈압 환자군에서 $86.5{\pm}6.1{\mu}g/dl$, 정상 산모군에서 $53.2{\pm}6.1{\mu}g/dl$로 임신성 고혈압 환자군에서 유의성 있게 증가하였고, 일산화탄소혈색소 농도도 각 군에서 분만 전 $0.61{\pm}0.21{\mu}g/dl$, $2.55{\pm}0.4{\mu}g/dl$, 분만후 $0.53{\pm}0.2{\mu}g/dl$, $1.21{\pm}0.4{\mu}g/dl$로 임신성 고혈압 환자군에서 높게 나타났다. 간세포 손상의 근거로서 SGOT, SGOP 및 적혈구 파괴의 근거로서 혈색소치와 혈액농축의 근거로소 적혈구용적치는 각각 양 군에서 의의있는 차이가 없었다. 이상의 결과로 미루어 보아 경증 자간전증 환자군에서 정상 산모군에 비하여 혈청 철과 일산화탄소혈색소가 훨씬 증가하였음을 관찰 할 수 있었다.

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Innate immunity and carbohydrate metabolism alterations precede occurrence of subclinical mastitis in transition dairy cows

  • Dervishi, Elda;Zhang, Guanshi;Hailemariam, Dagnachew;Dunn, Suzana M.;Ametaj, Burim N.
    • Journal of Animal Science and Technology
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    • 제57권12호
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    • pp.46.1-46.19
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    • 2015
  • Background: This study examined whether activation of innate immunity and alterations of carbohydrate and lipid metabolism precede development of subclinical mastitis (SCM). Methods: Blood samples were collected from the coccygeal vein from 100 Holstein dairy cows at -8, -4, disease diagnosis week, and +4 weeks postpartum. Six healthy cows (controls - CON) and six cows that showed clinical signs of SCM were selected for serum analyses. All serum samples were analyzed for acute phase proteins (APP) haptoglobin (Hp) and serum amyloid A (SAA); proinflammatory cytokines including interleukin 1 (IL-1), IL-6, and tumor necrosis factor (TNF) and serum lactate, BHBA, and NEFA concentration. Data of DMI, milk production, and milk composition were recorded and analyzed. Results: The results showed that cows with SCM had greater concentrations of SAA, TNF (P < 0.01), and lactate before expected day of parturition (P < 0.05) compared to CON cows. Cows with SCM showed greater concentrations of lactate starting at -8 weeks (P < 0.05) and TNF starting at -4 weeks prior to the expected day of parturition (P < 0.01). Interestingly, at -4 weeks, concentrations of IL-1 and Hp were lower in cows with SCM compared to healthy cows (P < 0.01) followed by an increase during the week of disease diagnosis (P < 0.05). Subclinical mastitis was associated with lower DMI, at -4 weeks before calving, milk production (P < 0.05) and increased somatic cell counts (SCC) (P < 0.01). Conclusions: Results of this study suggest that SCM is preceded by activated innate immunity and altered carbohydrate metabolism in transition dairy cows. Moreover the results support the idea that Hp, lactate, and SAA, at -8 weeks, and TNF and IL-1 at -4 weeks can be used as early indicators to screen cows during dry off for disease state.

모유수유 중 인삼의 적응증과 용량에 관한 기존한약서 고찰 (Textual Research : Indication and Dosage of Panax Ginseng during Lactation)

  • 조선영;이윤재;김윤경;강연석
    • 대한한방부인과학회지
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    • 제23권4호
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    • pp.57-66
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    • 2010
  • Purpose: To provide basic informations for guidelines of Ginseng usage during lactation. Method: Based on a regulation of scope and preparation of herbal prescriptions by Ministry of health and welfare of Korea, we selected the formulae for postpartum care and disease in 7 Korean Medical Classics. And we searched the number of formulae including Ginseng, dosage and indications of Ginseng in formulae in those books. Results: The range of Ginseng dosage during lactation from medical classics is 1.5-18.75g/day for medical purposes. Indications of Ginseng are lethargy, excessive bleeding, asthma, fever, cold, pain, dizziness, mental disorder, spasm, digestive problem, constipation, diarrhea, urinary incontinence, edema, breast engorgement, lack of breastmilk, breast ulcer, etc. But Ginseng had not been used in the case of stroke, epistaxis, beginning of mastitis, tumor of lower abdomen. Conclusions: Ginseng should be recommended less than 1.5g/d as a nutritional supplement. If breastfeeding woman wants to take Ginseng as a medication or as a tonic, she should consult with a official specialist about proper prescription and dosage instead of risky random medication.

한국인 환자에서의 아미카신의 체내약물동태학적 파라메타에 관한 연구 (Studies on Pharmacokinetic Parameters of Amikacin in Korean Patients)

  • 용재익;김옥남;문민정;신완균
    • Journal of Pharmaceutical Investigation
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    • 제20권1호
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    • pp.19-28
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    • 1990
  • Pharmacokinetic parameters of aminoglycosides are dependent on renal function, sex, age, hematocrit, fever, lean body weight (LBW) and disease states, etc. Therefore, the individual pharmacokinetic parameters such as half life $(t^{1/2})$ and volume of distribution(Vd) are needed to achieve optimal therapy. However these parameters had not been determined in Koreans. The purpose of this study was to evaluate the Vd and $t^{1/2}$ of amikacin in Korean patients who had normal renal function, to compare the mean values of study group with that reported in the literature and to compare the measured $t^{1/2}$ with the expected $t^{1/2}$ based on actual body weight (ABW), LBW and ideal body weight (IBW), respectively. Based on data, the Vd was greater than the literature and $t^{1/2}$ was similar to the literature. The predicted $t^{1/2}$ based on IBW was the closest to actual $t^{1/2}$. And postpartum patients had greater Vd than other group and had lower correlation between actual elimination rate constant and calculated creatinine clearance but higher correlation between actual elimination rate constant and Vd than other group.

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분만 후 치골결합분리 환자 1례의 임상보고 (A Case Report of Separation of Symphysis Pubis after Delivery)

  • 조현정;구희준;양승정;박경미;조성희
    • 대한한방부인과학회지
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    • 제21권2호
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    • pp.263-272
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    • 2008
  • Purpose: Separation of symphysis pubis during delivery is a rare condition. The separation might cause pubic pain, radiating pain of both leg, inguinal pain, and gait disturbance. The purpose of this case was to report the clinical effectiveness of Traditional Korean Treatment on decreasing those symptoms. Methods: The patient in this case was 34-year-old female, The chief complains were pubic pain(right side was severe), radiating pain of right inguinal pain, gait disturbance and low back pain. She was treated by Traditional Korean medicine, acupuncture, and Placenta Herbal Acupuncture. The progress of symptoms were evaluated by visual analogue scale. Results: After those Traditional Korean therapy, most symptoms were improved. But width of symphysis pubis remained unchanged. Conclusion: This case shows that Traditional Korean therapy might be effective in decreasing symptoms on separation of symphysis pubis during delivery.

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유선염(乳腺炎) 의 한방(韓方) 외치법(外治法)에 대한 문헌적고찰(文獻的考察) (A bibliographic study on the external therapy of Acute Mastitis(乳癰Yu-ong))

  • 장성환
    • 대한한방피부미용학회지
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    • 제1권1호
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    • pp.177-197
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    • 2005
  • Acute Mastitis(急性乳腺炎=乳癰) is an acute suppurative disease appearing in the breast. It is mostly caused by galactostasis, the stagnation of liver-qi(肝鬱) and stomach-heat(胃熱). It is mostly found in breast feeding women, mostly in primiparae. It usually appears in the third and the fourth weeks of postpartum. At the beginning in the chest there appear induration, distending pain, galactostasis, inversion to cold with fever followed by the enlargement of the masses, burning red, megalgia, not subduing of chills and fever, the accumulation of it to form pus. In the early phase it is advisable to follow the therapeutic principles of soothing the liver and clearing away heat, promoting lactation and subduing swelling. After the formation of pus it is advisable to cut radially and drain the pus. External Therapy(外治法) generally refers to all the methods to treat various diseases and symptoms with application of drugs and manipulation or together with proper instruments on the body surface except the method of taking medicine orally Acute Mastitis has been regarded as surgery or the method of taking medicine orally But, based on many bibliographies, acute mastitis was treated by external therapy. Thus through the historical bibliographic studies of external therapy about acute mastitis, this study was made to help the expanding of the methods of treating acute mastitis.

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Healthcare Considerations for Special Populations during the COVID-19 Pandemic: A Review

  • Kim, Jeung-Im;Im, YeoJin;Song, Ju-Eun;Jang, Sun Joo
    • 대한간호학회지
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    • 제51권5호
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    • pp.511-524
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    • 2021
  • The coronavirus disease 2019 (COVID-19) has emerged as a threat to human health and public safety. People of all ages are susceptible to severe acute respiratory syndrome coronavirus 2 infection. However, the clinical manifestations of this infection differ by age. This study purposes to describe healthcare considerations for special populations, such as children, pregnant and lactating women, and older adults, who may have unique healthcare needs, in the pandemic situation. To realize the research purpose, we conducted a review of the practice guidelines of public documents and qualified studies that were published online/offline during a specific period. The review identified current knowledge on care for newborns, children in schools, pregnant women (from antenatal to postpartum care), and older adults suffering from high-risk conditions. Subsequently, we summarize vaccination guidance for special populations and, finally, discuss the issues currently affecting special populations. Therefore, this current knowledge on care for special populations helps nurses to provide accurate information on vaccinations aimed at preventing COVID-19 and protecting the masses from infection. Currently, the scarcity of information on COVID-19 variants necessitates further research on measures to reduce pandemic spread.