• Title/Summary/Keyword: Gynecological Disease

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The study of Cervi Pantotrichium Cornu in Bang-Yak-Hap-Pyun (방약합편처중(方藥合編處中) 녹용(鹿茸)을 포함하는 처방(處方)에 대한 고찰(考察))

  • Choi, Jae-Young;Oh, Min-Suck
    • Journal of Haehwa Medicine
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    • v.15 no.1
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    • pp.161-167
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    • 2006
  • In oriental traditional medicine, Cervi Pantotrichium Cornu is used mainly to replenish the insufficient part of our body. Bang-Yak-Hap-Pyun(方藥合編) is a widely used book for clinical herbal prescription. In addition to replenishing what is lacking inside our body, Cervi Pantotrichium Cornu is also used in treating cardiac disease and Gynecological illness. In Bang-Yak-Hap-Pyun, there are 10 prescriptions including Cervi Pantotrichium Cornu only in sang-tong(上統) and it's portion among whole Bang-Yak-Hap-Pyun prescriptions marks 2.14%. In large, dosage of Cervi Pantotrichium Cornu in prescriptions vary 2~160g. It's ratio with other herbs vary 3.57~100%. Also, number ratio with other herb constituent vary 5.26~100%. The references are Yi-Hak-Ib-Moon(醫學入門), Dong-Yi-Bo-Gam(東醫寶鑑), Je-Joong-Sin-Pyun(濟衆新篇), etc.

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Classification of endometriosis

  • Lee, Soo-Young;Koo, Yu-Jin;Lee, Dae-Hyung
    • Journal of Yeungnam Medical Science
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    • v.38 no.1
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    • pp.10-18
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    • 2021
  • Endometriosis is a chronic disease associated with pelvic pain and infertility. Several classification systems for the severity of endometriosis have been proposed. Of these, the revised American Society for Reproductive Medicine classification is the most well-known. The ENZIAN classification was developed to classify deep infiltrating endometriosis and focused on the retroperitoneal structures. The endometriosis fertility index was developed to predict the fertility outcomes in patients who underwent surgery for endometriosis. Finally, the American Association of Gynecological Laparoscopists classification is currently being developed, for which 30 endometriosis experts are analyzing and researching data by assigning scores to categories considered important; however, it has not yet been fully validated and published. Currently, none of the classification systems are considered the gold standard. In this article, we review the classification systems, identify their pros and cons, and discuss what improvements need to be made to each system in the future.

Endometriosis and Environmental Endocrine Disruptors

  • K. E. Joung;Kim, J. S.;H. W. Song;Y. Y. Sheen;S. K. Hong;S. B. Kang;Kim, H.;S. I. Cho
    • Proceedings of the Korea Society of Environmental Toocicology Conference
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    • 2003.05a
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    • pp.190-191
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    • 2003
  • Endometriosis is classically defined as the growth of endometrial glands and stroma at extrauterine sites. Although it is a common gynecological problem accompanied by chronic pelvic pain, infertility, and adhesion formation, the etiology of this disease is unknown. Endometriosis pathogenesis may involve endocrine and immune dysfunction since uterine endometrial growth is regulated by sex hormones in concert with bioactive mediators produced by uterine immune and endocrine cells. Thus, exposure to environmental toxicants disrupting endocrine and immune responses potentially affect the development and progression of endometriosis.

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Current Status of Clinical Study on Traditional East Asian Medicine Using Taiwan Health Insurance Claim Data (대만 건강보험청구데이터(NHIRD)를 이용한 전통 동아시아 의학(TEAM) 임상연구의 현황)

  • Jeung, Chang-Woon;Jo, Hee-Geun;Seol, Jae-Uk
    • Journal of Korean Medicine Rehabilitation
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    • v.27 no.2
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    • pp.67-75
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    • 2017
  • Objectives The study of the clinical effects of traditional east asian medicine (TEAM) using Taiwan national health insurance claim dataset (NHIRD) is useful in Korean Medicine research. We reviewed the clinical studies of TEAM using NHIRD as a whole through this study. Methods We comprehensively searched PUBMED and NHIRD DB for clinical effects of TEAM study using NHIRD from inception to 17, January 2017. As a result, 40 studies investigating the contribution of TEAM intervention to health benefit have been confirmed. We analyzed publication time, target disease, sample size, outcome measurement and main result of 40 searched studies. Results The number of TEAM studies using NHIRD grdually increasing. The topics of the team study using NHIRD covered a wide range of subjects including cardiovascular disease, tumor, gynecological disease, diabetes and kidney disease. The studies have shown large samples and reported significant effects on severe diseases. Conclusions The results of this study suggest that the study of Korean Medicine using Big data will be useful for decision making related to health care in Korea. However, considering the limited domestic Korean health insurance data, it will be necessary to activate the big data research of Korean Medicine through the establishment of a separate cohort in Korea.

A Study on the Pattern of 'Heat Entering The Blood Chamber' (열입혈실증(熱入血室證)에 대한 소고(小考))

  • Baik, You-Sang
    • Journal of Korean Medical classics
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    • v.26 no.4
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    • pp.267-280
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    • 2013
  • Objective : One of the unique syndromes in Asian traditional medicine named 'heat entering the blood chamber(熱入血室, HEBC)' first appeared in Shanghanlun(傷寒論) and Jinguiyaolue(金匱要略) written by Zhangzhongjing(張仲景) who is the most famous doctor in ancient China. Method : Through comparison between Huangdineijing(黃帝內經), Shanghanlun(傷寒論), Jinguiyaolue(金匱要略) and other medical texts, the correct meaning, causes and mechanisms of HEBC can be analysed and organized to suggest new view of HEBC in modern society. Result : This syndrome is usually occurred in women during catching cold and menstruation, accompanying alternation of chillness and fever, pseudo-malaria, delirium, raveled chest(結胸), uterine hemorrhage, etc. The main sign of this syndrome, delirium belongs to the category of liver disease and fever in Huangdineijing(黃帝內經) which is a document more early published than Shanghanlun. Although there are still many other comprehensions about what blood chamber is, it could be the same as uterus according to Huangdineijing, it is relevant to the control of menstruation and emotions, and the function of liver and thoroughfare vessel(衝脈). Conclusion : HEBC is a syndrome exclusive to women, caused by their unique physical and psychological characteristics. It's beginning can be found in Huangdineijing, and by Shanghanlun and Jinguiyaolue, its concept as a single disease pattern becomes established. In other words, HEBC is a complex disease related to menstruation and its related hormonal dysfunctions, closely related to PMS, menopausal syndrome of today. Physical symptoms accompanied by psychological anxiety and fear is characteristic of this condition. Therefore gynecological approaches as well as socio-cultural issues related to women in modern society must be adopted when dealing with HEBC.

What Cases Are Worth Publishing in the Korean Medical Case Report? (한의학증례보고에서 가치 있는 증례는 무엇일까?)

  • Han, Gajin;Kim, Song-Yi
    • Korean Journal of Acupuncture
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    • v.37 no.3
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    • pp.159-171
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    • 2020
  • Objectives : This study aimed to understand the characteristics of the cases covered in the case studies on traditional Korean medicine (TKM) and furthermore, to provide basic information that can lead the discussion on 'what cases are worth reporting' in future case reports. Methods : Case reports on TKM were searched using the OASIS. The searched researches were analyzed according to the type of case, including information on disease/symptoms and intervention. Results : A total of 940 researches were searched. The most frequently reported type of case study was the report on the effectiveness of intervention. Case reports, which were only two cases in the 1970s, increased rapidly in the 2000s, and in particular, 314 cases within the last five years accounted for about 33% of the total literature. As for the number of studies by disease, the cases dealing with musculoskeletal diseases such as spine, shoulder and knee joint disorders were the most prevalent. Besides, there were many case reports related to cardiovascular, gynecological, cancer, psychiatric, and dermatological diseases. In a total of 51.9% of the included case reports, a combination of two or more Korean medical treatments such as acupuncture and herbal medicine was used at once, and western treatment was used with Korean medical treatment in 28.2% of the studies. The types of Korean medical treatments were varied, such as acupuncture, moxibustion, pharmacopuncture, electroacupuncture, Chuna, acupotomy, herbal medicine, external preparation, and psychotherapy. The main purpose of the publication of the included case reports was analyzed as a report of TKM treatment for rare diseases, or the application of TKM treatment to diseases or symptoms that are "uncommon in TKM treatment" even if it is not a rare disease. Conclusions : Case reports have the strength of generating new scientific hypotheses by detecting the basic needs and novelty of medicine. The current case studies of TKM do not seem to be sufficient to highlight these strengths. It is necessary to discuss which cases are reported as cases of patients worth publishing, and based on this, it is necessary to activate case studies of TKM by utilizing diagnostic tools and science technology.

Health Status, Reproductive Health Problems, and the Degree of Prenatal Management in Married Working Women (기혼 취업여성의 건강상태, 생식건강상태 및 산전관리상태)

  • Kim, Jeung-Im;Han, Seung-Hyun
    • Women's Health Nursing
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    • v.10 no.3
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    • pp.226-234
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    • 2004
  • Purpose: This study was to examine health status, reproductive health problems and the degree of prenatal management in working women. Method: The subjects were 902 married working women among 2,000 women selected by cluster sampling. The work area was classified to product factory, school, office, etc. After an Informed consent was obtained, participants were asked to fill out a self-administered questionnaire. The instruments included a questionnaire, parity check list, menstrual problems and gynecologic problem check list. Result: Many women have experienced menstrual cycle change during the past year. There was a significant difference in general health, menstrual regularity, reproductive health and prenatal management by occupation type. 40.6 percent of the subjects have gynecological problems such as menstrual cycle change, perineal inflammation, irregular vaginal bleeding, amenorrhea, ovarian/uterine disease, infertility, or abortion. Prenatal care was received in only 28.5% of the total subjects. In addition, 16.3% answered they had experienced low birth weight babies. Conclusion: We can conclude that working woman have changes in menstruation cycle and in reproductive health status. Therefore, we suggest that some occupational characteristics may affect subject's reproductive health, these should be clear and avoided as much as possible.

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The Effect of Nursing Information on the Women's Emotional Adaptation Undergoing a Hysterectomy (간호정보 제공이 자궁적출술 환자의 수술 후 정서적 적응에 미치는 영향)

  • Chung, Eun-Soon;Jang, Sei-Jung;Hwang, Sun-Kyung
    • Women's Health Nursing
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    • v.8 no.3
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    • pp.380-388
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    • 2002
  • The purpose of this Quasi-experimental design was to assess the effects of a hysterectomy on women's emotional response and ultimately, to develop a nursing protocol recommending nursing education for women undergoing a hysterectomy. The subjects at D university hospital receiving a hysterectomy,(for benign gynecological disease) were invited to participate in the study. Subjects who agreed to participate were allocated into control or experimental groups. Each group consisted of 30 women. The subjects emotional adaptation was surveyed through mood questionnaires. The data were analyzed using SAS program. The findings of the study are as follows: In the post test, the "experimental group" reported higher emotional adaptation than the "control group". Between pre and post testing, the "experimental group" showed significant improvement in emotional response; the "control group" did not. In conclusion, allocating nursing information to women both before and after undergoing a hysterectomy was confirmed as an effective nursing intervention for promoting women's emotional adaptation. Therefore, we propose a nursing protocol should be adapted recommending nursing education for women undergoing a hysterectomy.

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The Factor of Influencing Cervical Cancer and Human Papilloma Virus(HPV) Infection Preventive Behavioral Intention of Nursing Students (간호대학생의 자궁경부암 및 인유두종 바이러스감염 예방행위의도 영향요인)

  • CHOI, Won-Hee;CHO, Gyoo-Yeong
    • Journal of Fisheries and Marine Sciences Education
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    • v.28 no.5
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    • pp.1339-1347
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    • 2016
  • The purpose of this study was to identify factors of influencing cervical cancer and Human papilloma virus(HPV) infection preventive behavioral intention of nursing students. The research design for this study was a descriptive survey design. Data collection was done using self-report questionnaires with 218 nursing students in B city from November 30 to 15 December, 2015. Data were analyzed using percentage, mean, standard deviation, t-test, ANOVA, Pearson's correlation analysis and multiple regression with SPSS Win 21.0 program. The significant factors of cervical cancer and HPV infection preventive behavioral intention was cervical cancer knowledge(${\beta}=.246$, p<.001), health belief about HPV vaccination(${\beta}=-.223$, p<.001), HPV vaccination(${\beta}=.173$, p=.008), and Gynecological Disease History(${\beta}=.145$, p=.026). And these factors explained 15.4% of the variance in the cervical cancer and HPV Infection preventive behavioral intention. In conclusion, the results of this study indicated that it's a need to develop the effective education program in addition to knowledge improvement on HPV and cervical cancer for nursing students.

A Review of the Effect of Korean Medicine on Genital Herpes (항문생식기 헤르페스에 대한 한의학적 치료의 국내외 연구동향 분석)

  • Pak, Yeon-Kyoung;Park, Chi-Young
    • The Journal of Korean Obstetrics and Gynecology
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    • v.31 no.1
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    • pp.99-121
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    • 2018
  • Objectives: Genital herpes is common disease in gynecological field. Although various treatment options such as herbal medicine, acupuncture, moxibustion are used in genital herpes, there is not enough evidence about the treatment options. This study is to prove the efficacy of oriental medicine on genital herpes by investigating papers and suggest direction of future research. Method: We searched for papers which had both genital herpes and oriental medicine from Cochrane, Pubmed, Scopus, CNKI, Oasis, Korean traditional knowledge portal, Journal of Korean Obstetrics & Gynecology up to November 2017. After searching papers, we classified according to the study design and analyzed selected studies. Results: Sixteen papers were finally selected. Four papers are laboratory studies with Hartley guinea pig with recurrent genital herpes. Twelve papers are clinical trials which includes one single group trial, one controlled trial, ten randomized controlled trials. All of the studies have shown that herbal medicine is effective in improving the symptom of genital herpes and decreasing the recurrent rate of genital herpes and also has immunoregulatory effect. Conclusions: This study shows that herbal medicine could be a good treatment option for genital herpes. However, more well-designed clinical studies and laboratory studies will be needed.