• Title/Summary/Keyword: 임신 성공

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The Effect of the Preoperative Semen Parameters for a Patient with Varicolcele on its Operative Results (정계정맥류 환자에서 수술 전 정액지표가 수술 결과에 미치는 영향)

  • Kim, Kyung-Tae;Kim, Tae-Hong;Joo, Young-Min;Choe, Jin-Ho;Lee, Joong-Shik;Seo, Ju-Tae
    • Clinical and Experimental Reproductive Medicine
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    • v.35 no.4
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    • pp.303-308
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    • 2008
  • Purpose: The purpose of this study is to determine the effect of preoperative semen parameters on both seminal improvement and pregnancy rates following varicocelectomy. Methods: This survey was done in 278 patients who underwent microsurgical inguinal varicocelectomy from January 2001 until October 2006. By the total motile sperm counts (TMSC) before operation, the patients were stratified into three groups. Group A (mild oligoasthenospermia) was defined as above 20 million, group B (moderate oligoasthenospermia) was defined as between 5 and 20 million, and group C (severe oligoasthenospermia) was defined as below 5 million. Improvement rates of TMSC and pregnancy rates following varicocelectomy of each groups were compared. Results: The average TMSC of all the patients was 25.75 million before operation and after operation, it was 80.24 million, showing an average increase of 54.49 million (211.6%). To take a look at mean absolute increase (mean relative increase proportion), group A showed 67.90 million (131.2%), group B 62.20 million (482.5%) and group C 26.33 million (1841.2%). The patients with varicocele whose semen parameter is in bad condition show relatively a low mean absolute increase but high mean relative increase proportion. There was no significant difference in natural pregnancy rate among each groups (p=0.119, p=0.059). Conclusions: Even in the varicocele patient whose semen parameter was in bad condition before surgical operation. varicocelectomy could be chosen as the first treatment to male infertility.

Short Coasting of One or Two Days by Withholding Both Gonadotropins and GnRH Agonist Prevents Ovarian Hyperstimulation Syndrome without Compromising the Outcome (성선자극호르몬 및 GnRH agonist을 동시에 중단하는 1$\sim$2일 단기 코스팅이 임신율을 포함한 난소과자극증후군 예방에 미치는 효과)

  • Lee, Soo-Kyung;Joo, Bo-Sun;Park, Sea-Hee;Lee, Su-Kyung;Kim, Kyung-Seo;Moon, Sung-Eun;Moon, Hwa-Sook
    • Clinical and Experimental Reproductive Medicine
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    • v.34 no.1
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    • pp.49-56
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    • 2007
  • Objective: To evaluate the effect of short coasting, by withdrawing both gonadotropins and GnRH agonist (GnRHa), on the prevention in severe ovarian hyperstimulation syndrome(OHSS) without compromising pregnancy outcome. Method: Thirty-seven women who had been coasted during COH for IVF were coasted when $\geq$20 follicles > 15 mm with serum E$_2$ level of 4,000 pg/ml were detected. Coasting was initiated for one or two days depending on the status of follicle on ultrasound and serum E$_2$ level. Both gonadotropin and GnRHa were withheld for coasting. Retrospective study was carried and changes of serum E$_2$ levels, number of oocytes retrieved, fertilization rate, pregnancy rate were compared and analyzed. Results: The mean serum E$_2$ level fell from 6,993 pg/ml on the onset of coasting to 3,396 pg/ml on the day of hCG administration. The mean number of oocytes retrieved and fertilization rate were 15.7 and 70.0%, respectively. Fifteen patients were pregnant (40.6%) and implantation rate was 15.2%. Twenty-six (70.3%) patients were coasted for one day and 11 (29.7%) were coasted for two days. The mean decrease rate of serum E$_2$ level was 43% in one day coasting group and 15% (1$^{st}$ day) and 81% (2$^{nd}$ day) in two day coasting group. The pregnancy outcome was similar between the two groups. After coasting, no severe or moderate OHSS occurred in any patients and mild OHSS occurred in 3(8.1%) patients. Conclusions: Coasting for one or two days can be used successfully in the prevention of OHSS without compromising IVF cycle outcome.

Calves Derived from in Vivo Frozen-Thawed Embryos Collected from Canada Holstein Friesian Cows with High Genetic Background (캐나다산 고능력 젖소에서 생산된 동결-융해 배아 유래의 송아지 생산)

  • Lee, Won-You;Lee, Woo-Sung;Kim, Hyung-Jong;Kim, Bong-Han;Hong, So-Gun;Lee, Byeong-Chun;Jang, Goo
    • Journal of Veterinary Clinics
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    • v.27 no.2
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    • pp.154-158
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    • 2010
  • Embryo Transfer (ET) is one of the assisted reproductive technologies and a useful tool for improving herds. The purpose of this study is to produce the calves using frozen embryos which were produced in the top one percent Holstein in Canada by ET. One hundred seventeen recipients were used for surrogate mothers and seventy cows were diagnosed to be pregnant. Fifty seven calves were born successfully and thirteen out of them failed to produce viable calves (abortion: 4, stillbirth: 9). Their gestational length, birth body weight and sex ratio for all the viable calves(n = 57) were $278.1{\pm}3.6$ days (range: from 271 to 286 days), $44.0{\pm}3.0\;kg$ (range: from 37 to 49 kg) and 57.9 vs. 42.1 % (male 33 and female 24), respectively. Microsatellite analysis confirmed that they were derived from frozen embryos. In conclusion, this study demonstrated that viable calves derived from frozen-thawed embryos from Canada were born by ET.

Transcatheter Arterial Embolization for Palliation of Uterine Body Cancer Bleeding (자궁체부암 출혈에 대한 보존적 치료로써의 경카테터 동맥 색전술)

  • Jaeyeon Choi;Ji Hoon Shin;Hee Ho Chu
    • Journal of the Korean Society of Radiology
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    • v.84 no.3
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    • pp.606-614
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    • 2023
  • Purpose This study aimed to evaluate the efficacy and safety of transcatheter arterial embolization (TAE) for bleeding due to uterine body cancer. Materials and Methods In this retrospective study, six patients with varying types of uterine body cancer who underwent TAE for bleeding control were investigated. Angiographic findings, cross-sectional images, TAE details, and clinical outcomes were studied. Technical and clinical success rates were calculated. Results The identified patients had endometrioid adenocarcinoma, sarcoma, and gestational trophoblastic neoplasia, and most were patients with advanced-stage cancer. In four patients, tumor bleeding presented as vaginal bleeding. Technical success was achieved in all seven TAE procedures in six patients. Two patients with recurrent masses who had undergone hysterectomy presented with hematochezia, and TAE was able to provide technical success in these patients as well. The clinical success rate was 50%, indicating bleeding control for > 1 week. Rebleeding was directly associated with death in one patient. On the following day, mild fever was observed in one patient. Conclusion TAE can be considered an effective and safe method of bleeding control for uterine body cancer, especially during critical periods throughout the disease course of patients with inoperable, advanced-stage cancer.

Korean Medical Treatments for Subfertility 6 Cases, Mainly Managed by FCST, TMJ Balancing Medicine (턱관절 균형의학 치료를 위주로 한 한방 난임 치료 출산 6례)

  • Chae, Ki-heon
    • Journal of TMJ Balancing Medicine
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    • v.9 no.1
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    • pp.24-34
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    • 2019
  • It was observed in the Subfertility Cases that Customized yinyang Balance Appliance (CBA) and Balancing Upper Cervical Alignment Technique of functional cerebrospinal therapy (FCST) for meridian and neurologic yinyang balance are theraputic. Four Subfertility cases were managed with the CBA, combined with acupuncture and herb-medicine. The other cases were managed with the Balacing Upper Cervical Alignment Technique, combined with acupuncture and herb-medicine. Clinical outcome measurement was based on subjective measures and clinical observations. Patients showed positive changes in subjective symptoms after the treatment and these effects maintained over the follow-up period. And each patient gave a birth to a male/female child. Further clinical and biological research with FCST therapy on hormone-related disordres is expected.

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Korean Medical Treatments for Health Center Cooperation Subfertility 2 Cases, Mainly Managed by FCST, a TMJ Therapy for the Balance of Meridian and Neurological System (FCST 치료를 위주로 한 한방 난임 치료 출산 2예, 보건소 협력 사업)

  • Chae, Ki-heon
    • Journal of TMJ Balancing Medicine
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    • v.6 no.1
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    • pp.11-18
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    • 2016
  • Therapeutic effect of Customized yinyang Balancing Appliance (CBA) and Balancing upper cervical alignment technique of Functional Cerebrospinal Therapy (FCST) for the balance of meridian and neurologic system was observed with regard to subfertility, a difficulty in fertility. One subfertility case was managed with the CBA, combined with acupuncture and herbal medicine. The other case was managed with the balacing upper cervical alignment technique, combined with acupuncture and herb-medicine. Clinical outcome measurement was based on subjective measures and clinical observations. Patients showed positive changes in subjective symptoms after the treatment and these effects were maintained over the follow-up period. And each patient gave a birth to a male child. Further clinical and biological research on FCST is expected.

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Comparison Between a Swim Up after Sperm Washing and a Percoll Gradient Technique for Intrauterine Insemination Outcome (정자 세척후 SWIM-UP 처치와 Percoll정자 처리방법의 자궁강내 인공수정술 후 임신 성공예후에 대한 비교 관찰)

  • Park, Hyun-Jue;Park, Hyun-Jeong;Lee, Yu-Il
    • Clinical and Experimental Reproductive Medicine
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    • v.20 no.1
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    • pp.57-63
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    • 1993
  • From September 1988 to August 1992, two different methods of preparing human sperm before intrauterine insemination(IUI) were compared using the semen samples of seventy-three infertile couples. The sperms were prepared by a swim-up after sperm washing or by a continuous percoll gradient technique. Fourteen of 35 women conceived during IUI cycles using a sperm washing and swim-up method (40%), and 12 of 38 women conceived during IUI cycles using a percoll gradient technique(31.6%). Among the group with male infertile etiologic factor only, one of 5 women conceived during sperm washing and swim-up cycles(20%); one of 4 women conceived during percoll gradient cycles(25%). On the contrary, among the group with cervical factor only, six of 10 women conceived during sperm washing and swim-up cycles (60%) ; Five of 17 women conceived during percoll gradient cycles(29.4%). It is suggested that sperm separation by sperm washing ar -up is a useful technique for intrauterine insemination in cervical infertility, and sperm separation in percoll gradient appears to be more valuable for intrauterine insemination of male subfertility.

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One Case of Pregnancy and Delivery in Habitual Abortion by Korean Traditional Medicine (한방치료로 임신 및 출산에 성공한 난치성의 습관성유산 1례 증례보고)

  • Bae, Kwang-Rok;Hwang, Deok-Sang;Lee, Jin-Moo;Lee, Chang-Hoon;Jang, Jun-Bock
    • The Journal of Korean Obstetrics and Gynecology
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    • v.33 no.4
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    • pp.143-150
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    • 2020
  • Objectives: The purpose of this study is to report the Pregnancy and delivery in habitual abortion with ectopic pregnancy and loop electrosurgical excision procedure after Korean Traditional Medicine Treatment. Methods: The patient was diagnosed as habitual abortion that had missed abortion three times. She was treated by moxibustion, cupping, acupuncture, Gungguijohyeol-eum-gamibang, and Gwisin-hwan-gamibang for 6 months. The effect of dysmenorrhea was evaluated through the Numeric Rating Scale (NRS). Results: After the treatment, dysmenorrhrea was improved. She was pregnant during the treatment and delivered a child. Conclusions: The case report shows that Korean medical treatment can be helpful for habitual abortion.

Music Genre Classification System Using Decorrelated Filter Bank (Decorrelated Filter Bank를 이용한 음악 장르 분류 시스템)

  • Lim, Shin-Cheol;Jang, Sei-Jin;Lee, Seok-Pil;Kim, Moo-Young
    • The Journal of the Acoustical Society of Korea
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    • v.30 no.2
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    • pp.100-106
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    • 2011
  • Music recordings have been digitalized such that huge size of music database is available to the public. Thus, the automatic classification system of music genres is required to effectively manage the growing music database. Mel-Frequency Cepstral Coefficient (MFCC) is a popular feature vector for genre classification. In this paper, the combined super-vector with Decorrelated Filter Bank (DFB) and Octave-based Spectral Contrast (OSC) using texture windows is processed by Support Vector Machine (SVM) for genre classification. Even with the lower order of the feature vector, the proposed super-vector produces 4.2 % improved classification accuracy compared with the conventional Marsyas system.

Two Case Report of Spontaneous Pregnancy Treated with Gamiseogagjihwang-tang after Repeated Failure in In Vitro Fertilization or Intrauterine Insemination Treatment (보조생식술 실패 후 서각지황탕가미(犀角地黃湯加味) 복용치료를 통해 자연임신에 성공한 난임 환자 치험 2례)

  • Koh, Ji-Eun;Lyou, Myung-Sook
    • The Journal of Korean Obstetrics and Gynecology
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    • v.28 no.1
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    • pp.128-137
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    • 2015
  • Objectives: Spontaneous pregnancy is a rare event after repeated failure of in vitro fertilization (IVF) or Intrauterine insemination (IUI) treatment. So this paper is to report the natural pregnancy of Gamiseogagjihwang-tang treatments on two infertile patients who were repeatedly failed in IVF or IUI. Methods: One patient was a 35-year-old patient diagnosed with the adenomyosis and contralateral tubal obstruction, treated with 90 cc Gamiseogagjihwang-tang two times per day for 6 weeks after second failure of IVF. The other patient was a 34-year-old patient undergone induced abortion by three times, treated with 90 cc Gamiseogagjihwang-tang two times per day for 4 weeks after second failure of IUI. Results: Through taking Gamiseogagjihwang-tang without assisted reproduction techniques, two cases got pregnant naturally. Conclusions: These cases suggest that Gamiseogagjihwang-tang is effective in treating infertile female after failure in IVF or IUI and inducing spontaneous pregnancy. Therefore, there needs to be more trial on infertile patients treated with Seogagjihwang-tang.