• 대한간호학회지
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• 제28권2호
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• pp.510-518
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• 1998

It was assumed that the maternal identity in primi-gravida is one of the most attribute of the motherhood, that is not biological but cognitive phenomena, appears active process as intelligent human being. The purposes of this study were that the identification the cognitive structure and the influencing factors of the maternal identity in primi-gravida. Theoretical framework in this study, maternal identity in primi-gravida was constructed as a cognitive output, has the cognitive structure of cognitive-perceptual factor, cognitive-behavioral factor, and cognitive-emotional factor. Influencing factors of maternal identity was constructed as a cognitive input, which were pregnancy related perceptions (pregnancy intention, minor discomfort, value of motherhood), interpersonal relationship(relationship with mother, relationship with husband, relationship with social network), preparation to motherhood(maternal knowledge, antenatal self care), and biological factor (gestation period). This study was the descriptive correlational research design, was done from the 3rd January to the 15th March 1996, and the research subjects were selected conviniently 226 the primi-gravida during the gestation period, data collection method was self reported questionnaire cross-sectionally. Descriptive data analysis was done by SAS PC$^{+}$, testing the hypothetical model was done by covariance structural analysis using LISREL 8.03 program. The result of the hypothesis testing, the value of motherhood(y=.650, T=4.26) the maternal knowledge (y=.137, T=2.030), the gestation period( y=.113, T=2.621), showed significant causal effect on the maternal identity in primi-gravida. In conclusion, the maternal identity in primi-gravida had interrelated cognitive structure consist of perceptual, behavioral, and emotional factors. Significant causal factors influencing the maternal identity were value identified. It seems to contribute toward the understanding the characteristics of the maternal identity as a cognitive domains that has been regarded highly abstract concept, so has not been validated empirically.y.

• 혜화의학회지
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• 제25권1호
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• pp.165-171
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• 2016

Objectives : The objective of this study is to report a treated case with elderly gravida who suffered from two-times of traffic accidents during pregnancy. Methods : The patient, 39-year-old, was hospitalized to care pain and symptoms caused by traffic accidents during pregnancy. The patient was treated with herbal medicine, acupuncture, moxibustion, cupping therapy and physical treatment during the admission period. We investigated the clinical management of Korean obstetrics and gynecology in an elderly gravida during pregnancy. Results & Conclusions : Despite of hard conditions such as elderly gravida and two-times of traffic accidents, pregnancy was well maintained through medical treatment. It is suggested that medical treatment of Korean medicine is effective to manage pregnancy of symptoms after accident.

• 대한한방부인과학회지
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• 제20권4호
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• pp.217-224
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• 2007

Purpose: The purpose of this study is to report the effect of oriental treatments for the postpartum disease caused by abortion in an elderly gravida. Methods: The patient in this case, 40 years-old female was admitted at You-Min oriental medicine hospital for 26days($3rd/Jan/2007{\sim}29th/Jan/2007$) due to postpartum disease caused by abortion. Her chief complains were chilling, vertigo, nausea, whole body pain, and sweating. This patient was treated with oriental treatment such as herb medication, acupuncture and moxibustion therapy. Results: After the oriental medical treatment, the patient was improved in the clinical symptom of postpartum disease caused by abortion and the aging process. Conclusion: This case study shows that the postpartum disease caused by abortion in an elderly gravida would be treated more carefully in oriental medicine considering women#s aging.

• 대한지역사회영양학회지
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• 제6권5호
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• pp.734-743
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• 2001

Iron deficiency anemia is a worldwide public health problem relevant to unsound nutritional practice. While the prevalence of iron deficiency anemia is very common among pregnant women, appropriate nutritional service programs to improve the iron status are lacking in Korea. In an attempt to develop a nutritional screening tool to separate the high-risk subjects of iron deficiency, we carried out a nutritional survey for 115 Korean pregnant women whose gestational age ranged from 13 to 24 weeks. Each subject was interviewed with questionnaires for general characteristics and dietary habits. Food intake was measured by 24-hour recap method and 2 day record. Fasting blood was drawn for measuring hemoglobin and serum ferritin. It appeared that half of the pregnant women belonged to the anemia group and had insufficient dietary habits to provide adequate amounts of dietary iron. The first gravida and the working women had better hematological iron indicators than the second or more gravida and the housewives. It also appeared that women who had bigger family size and lower BMI in pre-pregnancy had poorer iron status. Among the food consumption habits, fruit dependent dietary habit was related to poor iron status. Sufficiently consumed green leafy vegetable and appropriate amount of food before morning sickness were positive factors of iron stares. Our results indicated that parity, BMI, current job, family size, food habits including consumption of fruits, green & yellow vegetables, and food habits before the onset of morning sickness are significant factors to contribute the Fe deficiency anemia during pregnancy.

• 대한한방부인과학회지
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• 제18권4호
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• pp.211-218
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• 2005

Purpose : The purpose of this study is to report the effect of Hwa-acupuncture for the pain due to weakened gluteus medius muscle during pregnancy Methods : The patient in this case, 35 years-old gravida, was treated at Dongseo oriental medical hospital for thirteen times (09 August 2004 - 26 August 2004) because of the pain due to weakened gluteus medius muscle during pregnancy. This patient was treated with Hwa-acupuncture and physical treatment. Results : After quite short Hwa-acupuncture and physical treatment, the symptoms of patient are remarkable alleviated. Conclusion : We think that many gravida suffered from lumbago and pelycalgia can be managed effectively by Hwa-acupuncture. After this, futher study, approach and case will be needed.

• 생약학회지
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• 제28권3호
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• pp.149-155
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• 1997

Antaeum(ATE) has been used as a prescription for threatened abortion, associated with pregnancy in traditional medicine. Because gravida could be administered ATE for a long period, its administration might cause a harmful effect on fetus and gravida during the pregnancy. This study aimed to determine whether exposure to ATE caused mutagenicity or hepatotoxicity during the pregnant period. For mutagenicity test of ATE, Salmonella typhimurium and Bacillus subtilis were used as indications for DNA damage. In the Ames test, Samonella typhimurium TA98 and TA100 were used for mutagenicity testing, and the number of histidine revertants was measured. In Rec-assay, Bacillus subtilis H $17(Rec^+)$ and $M-45(Rec^-)$ strains were used to clarify the DNA damage property. In the SOS umu test, Salmonella typhimurium TA15335 containing plasmid pSK1002 was used as a tester strain, and we monitored the levels of umu operon expression by measuring the ${\beta}-galactosidase$ activity. From the tested results, ATE did not show DNA damage and mutagenicity. On the other hand, hepatotoxicity of ATE to female ICR mice was monitored by the measurements of s-GOT, s-GPT and LDH activities after oral feeding for 15 days. ATE did not show significant change of s-GOT, s-GPT and LDH activities in mice sera.

• 가정∙방문간호학회지
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• 제8권1호
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• pp.85-95
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• 2001

This study was performed to explore the family support. the quality of marital relationship, and health promoting behaviors of the mature gravidas. and to validate the relationship between them. From November, 1999 to June. 2000. mature gravidas older than 35(N=82) were recruited from K University Hospital located in Seoul and Kyungki Province. Korea. Data was collected using a self-rating method and semi-structured interview. The questionnaires were: Perceived Social Support from Family developed by Procidano & Heller (1983). Quality of Marital Index by Norton (1983). and Health Promoting Life-style Profile by Walker, Sechrist, & Pender (1987), Interviews were conducted using the interview guide with open-ended questions related to health concerns and health promoting behaviors. Data was analyzed using a pc-SAS program for quantitative data. The levels of the perceived family support and the quality of marital relationship were relatively high. The relationship between perceived family support and quality of marital relationship, and health promoting life-style behaviors was statistically significant. Six themes emerged as primary concerns for the mature gravidas during childbearing: 'Concerns related to the fetal wellbeing', 'Concerns related to fetal education', 'Concerns related to the maternal physical health', 'Concerns related to the maternal emotional health', 'Concerns related to safe delivery' and 'Concerns related to child-rearing'. Nursing implications for practice include expanding prenatal assessment inventories to address the concerns and support system of mature gravidas.

• Journal of Chest Surgery
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• 제33권7호
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• pp.597-600
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• 2000

폐실질에 발생하는 자궁내막증은 월경시마다 반복되는 특징적인 증상을 갖는 드문 질환이다. 저자는 유산 및 출산 경험이 없는 3개월의 월경성 각혈의 증상을 가진 19세의 여자 환자를 흉부 전산화 단층촬영으로 확진 하였으며 우측 병변은 흉강경을 이용한 쐐기 절제술, 연이어 좌측 병변은 개흉술을 통한 상분엽절제술을 시행하였다. 수술 전에 시행하였던 투시경(fluoroscopy) 도음하의 hooking이 일측폐 마취에서의 병변의 확인에 도움을 주었다.

• Journal of Yeungnam Medical Science
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• 제39권2호
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• pp.150-152
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• 2022

Complications related to the vascular anastomosis of the placental vessels in monochorionic twins are fatal. The clinical syndromes of feto-fetal transfusion include twin anemia polycythemia sequence (TAPS), twin-twin transfusion syndrome, and twin reversed arterial perfusion sequence. We present an extremely rare case of TAPS in a dichorionic diamniotic pregnancy. A 36-year-old woman, gravida 0, para 0, was referred to our hospital with suspected preterm premature membrane rupture. Although her pelvic examination did not reveal specific findings, the non-stress test result showed minimal variability in the first fetus and late deceleration in the second one. An emergency cesarean section was performed. The placenta was fused, and one portion of the placenta was pale, while the other portion was dark red. The hemoglobin level of the first fetus was 7.8 g/dL and that of the second one was 22.2 g/dL.

• 대한한방부인과학회지
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• 제19권2호
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• pp.226-239
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• 2006

Background : Medical records are documents in files which consist of all diagnostic studies and medical treatments patients had received while they were hospitalized or treated as outpatients. A doctor or medical team can use medical records as a data for diagnosis, treatment, and education. In traditional eastern asian medicine, medical reports have different forms and contents. The most important thing in medical reports of traditional eastern asian medicine was how to express practitioner's medical ideas. So it has a weak point, for example, it has poor information about patient and clinical process, which make some trouble to understand it. Methods and Results : We studied medical records in Gyojubuin-yangbang, a commentary book of Chen-zi-ming's Obstetrics and Gynecology textbook done by Xue-ji in Ming dynasty, China. This book consists of 10 parts; treatment of menstruation disorders and leukorrhea, general gynecology, treatment of infertility, education for fetus, diagnosis of fetus and gravida, treatment of general and obstetrical disease in gravida, care for delivery, postpartum care and treatment, and treatment of mass and inflammation. It has 546 medical records about women's disease that commonly believed as Xue-ji's case reports. They are all review articles and made during about 23 years from A.D 1523 to 1546. Most patients of Xue-ji's case reports were common people, this fact is different from that of case reports in Chen-zi-ming's Obstetrics and Gynecology textbook. Conclusion : Xue-ji was a very famous Ob&Gy doctor who was from Suzhou Jingsu province in China. He was born in A.D 1468, died in A.D 1588. He emphasize emotional factors in pathology and to tonify spleen and kidney. We think Xue-ji's medical records are good references for us to treat psychosomatic Ob&Gy disease and chronic women's disease.