• The Journal of Korean Obstetrics and Gynecology
• /
• v.36 no.2
• /
• pp.101-113
• /
• 2023

Objectives: The purpose of this case study is to report clinical effectiveness of the Boheo-tang-gagambang with acupuncture, moxa and physiotherapy treatments on the after-effects of myomectomy or hysterectomy. Methods: The subjects of this study were five women who were diagnosed with uterine myoma and underwent myomectomy or hysterectomy. They mainly complained of lower abdominal pain, back pain, and pelvic pain. They received combination treatment of Korean medicine and physiotherapy. The Korean medicine included Boheo-tang-gagambang, acupuncture and moxa. The effects were evaluated through Numeric Rating Scale (NRS). Results: In this study, patient's clinical symptoms, including lower abdominal pain, low back pain, and pelvic pain, improved after hospitalization treatment. Conclusions: This case report shows that the combination treatment of Korean medicine with Boheo-tang-gagambang, acupuncture and moxa may be effective for treating after-effects of myomectomy or hysterectomy.

• The Journal of Korean Obstetrics and Gynecology
• /
• v.35 no.3
• /
• pp.88-104
• /
• 2022

Objectives: The purpose of this study is to report the effectiveness and satisfaction of traditional Korean medicine (TKM) for enhanced recovery after surgery (ERAS) after gynecological surgery. Methods: The study is conducted by analyzing the medical records of hospitalized patients in a Korean medicine hospital. Sixty-five patients who received TKM for ERAS after gynecological surgery from May 2020 to July 2021 were included. We performed statistical analysis by using SPSS ver. 25.0. To verify the effect of TKM for ERAS, we analyzed improvement of symptoms. Also, we analyzed survey of patients' satisfaction to verify the satisfaction of TKM for ERAS. Results: Among the symptoms of pain, there was a statistically significant decrease in all types of pain on the questionnaire. Other systemic symptoms showed statistically significant improvement in all symptoms on the questionnaire. The satisfaction level questionnaires for TKM for ERAS showed a mean value of 4.37±0.63 out of 5-point scale. Especially, herbal medicine, acupuncture, and moxibustion showed high satisfaction without dissatisfaction. Conclusions: The result has shown that TKM for ERAS after gynecological surgery is effective and the satisfaction of the patients is high. Further study on TKM for ERAS for quality of life assessment is needed.

• Proceedings of the Korean Information Science Society Conference
• /
• 1998.10a
• /
• pp.609-611
• /
• 1998

본 고에서는 분산 통신망 환경에서 여러 지역에 분산되어 있는 이기종의 각종 시스템들에게 효율적으로 정보보호 서비스를 제공하기 위해 수행중인 프로젝트인 일부분으로서, 송신자가 송신자의 이득을 위해, 수신자가 수신자의 이득을 위해 메시지를 보낸적이 없다고 부인하는 것을 방지하는 발신처 부인방지와 수신처 부인방지 서비스의 제공과 통신망에서 오류에 의한 전송 실패와 수신자의 파일의 수신자부인을 구분해 주는 전송 부인방지 서비스를 제공해주는 FTP를 설계하였다. GSS-APTI를 사용하여 소스 수준에서 호환성을 갖도록 안전성 서비스들에 대해 일관된 인터페이스를 제공하도록 하였고, 응용 클라이언트와 응용 서버간의 안전한 문맥을 확립하기 위해 세션키를 사용하여 효율적인 키 사용으로 공개키 시스템에서의 오버헤드를 축소하였다. 논문서 설계된 안전한 FTP는 전자상거래 등의 여러 응용에서 활용될 수 있을 것이다.

• Proceedings of the Korean Information Science Society Conference
• /
• 1999.10c
• /
• pp.342-344
• /
• 1999

인터넷 ED 시스템은 TCP/IP 프로토콜을 사용하여 문서를 전송하게 되는데 전송 도중 패킷 스니핑에 의하여 문서정보가 노출될 수 있다. 이러한 정보노출을 방지 할 수 있는 대표적인 보안 기법에는 인터넷 EDI 보안 프로토콜로 권고되고 있는 S/MIME과 전자우편 암호화 프로그램인 PGP가 있다. S/MIME은 내부에서 사용되는 암호알고리즘의 사용제약으로 인하여 완벽한 구현이 어려우며 PGP의 경우 보안측면에 있어서 수신부인 방지 기능을 제공하지 못하고 있다. 본 논문에서는 S/MIME과 PGP에서 사용되고 있는 보안 기법을 분석하여 기밀성, 인증, 무결성, 송수신 부인방지 기능을 가지는 시스템을 제시한다. 본 시스템은 기존 암호화 알고리즘들의 문제점을 보완할 수 있는 혼합모델을 사용하여 기밀성과 무결성, 송신부인방지 기능을 구현하였고, 인증서버인 삼성 PKI 서버와의 인터페이스를 개발하여 인증을 획득하였다. 수신부인방지의 경우 암호화 메카니즘만으로 획득될 수 없기 때문에 수신자가 문서를 읽는 순간 송신자 측으로 수신자의 전자서명을 자동으로 전송해 주는 프로토콜을 통하여 구현하였다.

• The Journal of Korean Obstetrics and Gynecology
• /
• v.32 no.4
• /
• pp.25-38
• /
• 2019

Objectives: The purpose of this study is to analysis differences of heart rate variability (HRV), body composition, digital infrared thermal imaging (DITI), and electro pulse graph by whether there are some causes of dysmenorrhea or not. Methods: We studied 89 patients who took at least one test among HRV, Body composition, DITI, and electro pulse graph visiting Kyung Hee University Hospital at Gangdong from March 1, 2014 to May 7, 2019. Results: There were statistically significant differences in Low frequency (LF), LF norm and High frequency norm (HF norm) of HRV between primary dysmenorrhea patients and secondary dysmenorrhea patients. There were statistically significant differences in Body Mass Index (BMI) and body fat percentage of Body composition between two groups. But both BMI were included in normal range. There were no statistically significant difference in DITI results. And there was significant difference of Estimated circulation resistance (ECR) between two groups. Conclusions: The results suggest that hormone imbalance of secondary dysmenorrhea patients can affect HRV results. And because of high ECR, phlegm pathology can be more considered in secondary dysmenorrhea patients. Further study should be conducted to confirm the results of body composition and DITI differences.

• The Journal of Korean Obstetrics and Gynecology
• /
• v.32 no.4
• /
• pp.144-158
• /
• 2019

Objectives: The purpose of this study is to report the effect of Korean medical treatment in case of germ cell tumor patient treated by chemotherapy. Methods: The patient was treated with Korean medical treatment (herbal medicine, acupuncture) for 11 months. By taking computed tomography and laboratory testing, we could compare before and after. Results: The patient treated with combination of Korean medical treatment and Chemotherapy recovered after taking Korean medicine for 11 months. Panax ginseng, C.A. Meyer, Astragalus membranaceus, Rhus Verniciflua Stokes were main ingredient of the korean medical treatment. Conclusions: This report shows the Korean medical treatment is effective on Germ cell tumor patient. Korean medical treatment alleviates the side-effect of Chemotherapy such as nausea, vomiting, hot flush and anorexia. Also Blood test results prove long-term use of Korean medicine is safe for lung and kidney function.

• The Journal of Korean Obstetrics and Gynecology
• /
• v.32 no.1
• /
• pp.108-126
• /
• 2019

Objectives: The purpose of this study is to report the effect of Korean medical treatment in case of irregular menstruation (amenorrhea, oligomenorrhea) patients due to Polycystic ovarian syndrome (PCOS). There are some case reports about effectiveness of the Korean medical treatment to this disease, but cases are still deficient. And this case has significance for ascertaining PCOS patients' ovulation. Methods: 6 Amenorrhea or oligomenorrhea patients with PCOS were treated with Korean medical treatment (herbal medicine, moxibustion, acupuncture) at least 3 months. We estimated the effects of treatments through the change of menstrual pattern. Also, we checked follicles by ultrasonography for ovulation. Results: All patients recovered ovulatory menstrual cycle after taking Korean medical treatment for 3~9 months. Conclusions: These cases show the Korean medical treatment is effective on PCOS patients with irregular menstruation by recovering ovulatory menstrual cycle.

• The Journal of Korean Obstetrics and Gynecology
• /
• v.32 no.3
• /
• pp.57-72
• /
• 2019

Objectives: This study aims to assess the maternal characteristics and changes of body among patients who received Korean medicine postpartum care compared to pre-study. Methods: From January 1, 2018 to February 28, 2019, we included 31 postpartum patients who had body composition analysis at admission and discharge among 34 patients who received postpartum care in ${\square}{\square}$ University Hospital. We used SPSS 21.0 for window to test for statistical significance. Results: The average age, weight, and caesarean section rate increased compared to previous study. The average period of postpartum care has decreased. After postpartum care, abdominal circumference, body weight and Body Mass Index (BMI) was significantly decreased, but not as much as pre-study. The coefficient of determination was derived to predict the effects of postpartum care and calculated as "$Abdominal\;circumference\;change=2.745+0.593{\times}admission\;period$", "$weight\;change=0.214+0.345{\times}admission\;period$" and "$BMI\;change=0.198+0.120{\times}admission\;period$". Conclusions: Compared to previous study, as the maternal age increased and admission period decreased, the weight loss after childbirth decreased. It is necessary to provide individual treatment through coefficient of determination.

• The Journal of Korean Obstetrics and Gynecology
• /
• v.32 no.3
• /
• pp.73-85
• /
• 2019

Objectives: The purpose of this study was to analyze efficacy and safety of Korean Medicine treatment for traffic accidents during pregnancy. Methods: We investigated the studies on Korean Medicine treatment for traffic accidents during pregnancy via searching through PUBMED, the Cochrane Library, CNKI, and domestic search engines and a total of 6 studies were selected. Results: The major complaints of traffic accidents during pregnancy were low back pain, neck pain and gastrointestinal symptoms. And there were vaginal bleeding and pruritus vulvae in the complaints. All of the studies were given acupuncture treatment for symptom relief, and chuna, herbal acupuncture and cupping were administered. Herbal medicine was also performed, and the most prescribed herbal medicine was Antaeeum-gamibang. All cases reported as traffic accidents during pregnancy showed a reduction in symptoms, normal pregnancy maintenance and delivery, and no miscarriage were reported. Conclusions: Korean Medicine treatment is an effective and safe treatment option for traffic accidents during pregnancy. Further systematic studies are needed to establish the basis for Korean Medicine treatment for traffic accidents during pregnancy.

• The Journal of Korean Obstetrics and Gynecology
• /
• v.32 no.2
• /
• pp.100-118
• /
• 2019

Objectives: The purpose of this study is to analyze clinical performance examination (CPX) ability using standardized patient (SP) in Korean traditional medical school. Methods: Standardized middle-aged female patients were used for clinical examination of 53 medical students, grade 6. The SP and professors assessed their communication skills and level of medical interviews. Results: 1. There is no statistically significant difference between SP score, communication skill score, medical skill score and inter-test score at the extracurricular activities level. 2. There is no statistically significant difference between SP score, communication skill score, medical skill score and inter-test score at number of medical service. 3. There is no statistically significant difference between SP score, communication skill score, medical skill score and inter-test score at personality type. 4. There is a statistically significant positive correlation between SP score, communication skill score and medical skill score. Conclusions: A variety of educational programs and practices should be conducted to improve the level of medical care and communication of Korean traditional medicine students.