• Title/Summary/Keyword: Live birth

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출산 전 양육비혼모 삶의 경험 (Living Experience of Unmarried Mothers before Childbirth)

  • 이정실
    • 한국콘텐츠학회논문지
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    • 제18권10호
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    • pp.657-668
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    • 2018
  • 이 연구의 목적은 비혼모가 되기 전 삶과 출산 전 양육비혼모 삶의 경험에 대하여 구조와 본질을 심층적으로 알아보고 이해하기 위함이다. 비혼모 10명을 대상으로 심층개별면담을 통하여 자료를 수집한 후, Colazzi의 현상학적 연구방법을 이용한 질적 연구를 하였다. 연구결과 '상처로 얼룩진 시절' 주제모음은 비혼모가 되기 전 어린 시절 단절된 가족관계와 가족기능의 해체로 인하여 부모에게 버림받거나 보호받지 못한 삶의 경험으로 나타났다. '위태로운 일상' 주제모음은 비혼모들의 이른 학업중단과 가출은 위태로운 생활로 이어졌다. 또한 무분별한 성문화와 낮은 성인식, 태도는 성을 일찍 경험하는 것으로 나타났다. '당혹스러운 임신사실' 주제모음은 비혼부의 피임 거부와 비혼모의 부정확한 피임지식과 피임방법 사용은 원치 않은 임신으로 나타났다. 마지막 주제모음 '힘들게 결정한 출산'은 임신사실을 너무 늦게 인지하여 어쩔 수 없는 출산을 선택하기도 하지만 생명의 소중함을 느껴 낙태를 거부하고 출산을 결정하는 것으로 나타났다. 이상의 연구결과를 바탕으로 비혼모를 대상으로 성교육을 강화 할 뿐 아니라 남성을 대상으로 정확한 피임지식과 방법을 제공하는 성교육 실시의 필요성을 논의하였다.

A Multicenter Matched Case Control Study of Breast Cancer Risk Factors among Women in Karachi, Pakistan

  • Shamsi, Uzma;Khan, Shaista;Usman, Sheheryar;Soomro, Saleem;Azam, Iqbal
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권1호
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    • pp.183-188
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    • 2013
  • Background: Breast cancer (BC), the most common female cancer in Pakistan, is associated with a very high mortality. However, the roles of individual risk factors for BC among Pakistani women are still controversial. To assess potential risk factors for BC, a matched case-control study was conducted in two tertiary care hospitals of Karachi, Pakistan. Materials and Methods: The study population included 297 pathologically confirmed incident cases of BC patients diagnosed between January 2009 and December 2010. 586 controls without any history of BC were matched on hospital and ${\pm}5$ years of ages. Results: Positive family history of BC (MOR=1.72; 95%CI: 1.10, 2.80 for first degree vs. none), single marital status (MOR=1.55; 95%CI: 1.10, 2.39 for single/divorced/widowed women vs. married women), older age at menopause (MOR=3.92; 95%CI: 2.52, 6.18 for menopausal women aged below 45 years, MOR=6.42; 95%CI: 3.47, 11.98 for menopausal women above 45 years of age compared with premenopausal women) conferred an increased risk of BC for women. Increasing parity decreased the risk of BC (MOR=0.90; 95%CI: 0.85, 0.97 for each live birth). Intake of Vitamin D supplements (MOR=0.30; 95%CI: 0.12, 0.81 for ${\leq}3$ years and MOR=0.27; 95%CI: 0.13, 0.56 for >3 years) was protective compared to non-users of Vitamin D. Conclusions: This study confirmed only few of the recognized risk factors in Pakistani women. The protective effect of Vitamin D is important from public health perspective and needs to be further explored through a randomized controlled trial.

Acupuncture as an adjunct treatment to increase the success rate of in vitro fertilisation: an overview of systematic reviews and meta-analyses

  • Jeong, Daun;Hyun, Min-Kyoung;Jeong, Jae-Cheol;Park, Jang-Kyung;Choi, Min-Sun;Kim, Dong-Il;Lee, Dong-Nyung
    • 대한한의학회지
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    • 제35권2호
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    • pp.1-11
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    • 2014
  • Objectives: To evaluate the effect of acupuncture as an adjunct treatment to increase the success rate of in vitro fertilisation (IVF). Methods: A review of the English and Korean literature was conducted to identify studies on acupuncture as an adjunct treatment to IVF. The main outcome measures were the biochemical pregnancy rate (BPR), the implantation rate (IR), the clinical pregnancy rate (CPR), the miscarriage rate (MR), the on-going pregnancy rate (OPR) and the live birth rate (LBR). Results: Nine meta-analyses of 11 systematic reviews (SRs) were included in this review. In four SRs, the overall IVF outcomes regardless of the procedural steps were documented; two of these SRs reported a significant effect on the CPR. One SR reported that acupuncture at the time of controlled ovarian hyperstimulation had a significant effect on the BPR. Seven SRs reported that acupuncture had no significant impact on transvaginal oocyte retrieval (TVOR). In eight SRs, significant impacts on the CPR, LIBR and OPR were reported when acupuncture was performed around the time of embryo transfer (ET). The results of repeated acupuncture after ET were included in two SRs, which included the same primary studies. The results of the SRs showed that acupuncture had a positive effect on the CPR. Conclusions: When the complete IVF procedure is analysed, there is conflicting evidence in that some reviews have found that acupuncture leads to an increased CPR but others have not. In addition, the reviews presented no evidence to suggest that acupuncture has any specific risks.

The effect of embryo catheter loading technique on the live birth rate

  • Omidi, Marjan;Halvaei, Iman;Mangoli, Esmat;Khalili, Mohammad Ali;Razi, Mohammad Hossein
    • Clinical and Experimental Reproductive Medicine
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    • 제42권4호
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    • pp.175-180
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    • 2015
  • Objective: Embryo loading (EL) is a major step in embryo transfer (ET) and affect on the success of in vitro fertilization (IVF). This study aimed to compare the effect of two different EL techniques on the rates of pregnancy and delivery in IVF/ET cycles. Methods: 207 fresh ET and 194 Frozen-thawed ET (FET) cycles were included in this retrospective study. Two groups (A and B) were defined based on the EL technique used. In group A, the entire catheter was flushed with Ham's F-10 medium. The embryos were then drawn into the catheter using one air bracket. In group B, $70{\mu}L$ of air was aspirated into the syringe and the catheter was flushed using Ham's F10 medium. The medium, air, embryos, air, and finally another layer of medium were then sequentially drawn into the catheter. The main outcome measures were the pregnancy and delivery rates. Results: The groups did not differ with respect to the etiology of infertility, the source of spermatozoa, the quality of the embryos, the type of EL catheter, and the ease of transfer. The pregnancy rate was similar between two groups. In fresh ET cycles, a higher delivery rate was observed in group B than it group A (78.1% vs. 60%, p=0.1). In FET cycles, the rate of delivery was significantly higher in group B than in group A to a nonsignificant extent (88.9% vs. 58.8%, p=0.06). Conclusion: EL techniques did not have a significant impact on the delivery rate in either fresh or FET cycles.

Potential functional roles of follistatin on bovine somatic cell nuclear transfer embryos

  • Lee, Kyung-Bon;Woo, Jae-Seok;Lee, Bo-Myoung;Park, Kang-Sun;Han, Kil-Woo;Kim, Min Kyu
    • 농업과학연구
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    • 제40권4호
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    • pp.353-358
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    • 2013
  • To demonstrate that follistatin treatment enhances the efficiency of nuclear transfer (SCNT), cell allocation and preimplantational development were determined in bovine SCNT embryos in the present study. Treatment of activated SCNT embryos with 10 ng/ml follistatin significantly increased the proportion of blastocyst development compared to untreated SCNT embryos. In addition, an increase in trophectoderm (TE) cell numbers and relatively higher proportion of TE cells to total cells were observed, but the number of inner cell mass (ICM) cell and total cell numbers were not changed (P < 0.05). No significant effect of other doses of follistatin was observed for the above endpoints. However, treatment with 1 and 10 ng/ml follistatin reduced the proportion of nuclear transfer blastocysts with an ICM ratio of > 60% relative to untreated nuclear transfer blastocysts at Day 7. No significant effect of follistatin treatment on proportions of nuclear transfer blastocysts with ICM ratio of 20-40% or 40-60% was observed. Taken together, these results suggested that follistatin can be used to increase developmental competence of SCNT embryos in terms of cell allocation, particularly TE cells, during preimplantation stages, subsequently enhancing placentation and birth of live offspring.

한국(韓國) 농촌지역주민(農村地域住民)의 사망률(死亡率) 및 사망원인(死亡原因)에 대(對)한 연구(硏究) -경기도(京畿道) 강화군(江華郡)을 중심(中心)으로- (A Study on the Death Rates and Causes of Death)

  • 김기순;이병목
    • Journal of Preventive Medicine and Public Health
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    • 제10권1호
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    • pp.142-149
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    • 1977
  • To use basic data for health planning and evaluation of Kangwha community health project of Yonsei University, a study on death rates and causes of death were investigated in two townships (Naega and Sunwon Myuns) in Kangwha County from April 1, 1975 to March 31, 1977 All death was identified and reported by family health workers who are living in each village and 2 trained public health nurses confirmed the death. The causes of death were investigated by 2 public physicians. Total number of deaths for 2 years was 230 and the followings are brief summary of the study. 1. Age-adjusted crude death rates of study area were 8.69 per 1,000 population in 1975 and 7.18 per 1,000 population in 1976. Age-adjusted crude death rates for male were 9.18 in 1975 and 6.38 in 1976 and for female were 8.33 and 7.80 per 1,000 population 2. Age specific death rate curves by year and sex showed 'U' shapes. 3. Infant and neonatal death rates were 30.08 and 22.56 per 1,000 live births in 1975, and the rates in 1976 were 18.18 and 13.64. 4. The most common cause of death was cerebrovascular disease and average cause specific death rate for the disease was 215.5 per 100,000 population. 5. Four leading causes of death were non-infectious origin; cerebrovascular disease, malignant neoplasms, senility and suicide. Pulmonary tubeculosis and pneumonia occupied 5th and 9th causes of death. 6. Stomach cancer and hepatoma occupied 61.3% of total death due to malignant neoplasms. 7. Most frequent cause of neonatal death was birth injury. Two deaths due to tetanus were found in 1975, but no death due to this disease was found in 1976. 8. About half of deceased received care from physician before death.

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Improved Reproductive Efficiency in Gilts by Intrauterine Infusion of Killed Boar Semen before Breeding

  • Capitan, Severino S.;Penalba, F.F.;Geromo, F.B.;Dalumpienes, J.M.
    • Asian-Australasian Journal of Animal Sciences
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    • 제19권6호
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    • pp.789-792
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    • 2006
  • Two separate trials were conducted to determine the effects of uterine priming prior to first breeding and quantify any changes in the reproductive efficiency of gilts. In trial I twelve (12) gilts were randomly assigned to 3 treatments:T1:infusion of distilled water (control), T2: single infusion of killed semen (KS1), and T3: double infusion of killed semen (KS2). Each treatment had 4 breeding gilts which were bred by natural insemination (NI). In trial II, another set of 12 breeding gilts were randomly allotted to the same treatments and were subsequently bred by artificial insemination (AI). Infusions, through the use of AI catheters, were done during the $2^{nd}$ estrous cycle for T1 and T2, whereas infusions for T3 were made during the $1^{st}$ and $2^{nd}$ cycles. Regular breeding was subsequently made during the $3^{rd}$ estrous cycle. All gilts that returned to cycle were rebred within the 30-day period. In trial I (natural breeding), total piglets born was higher (p<0.05) in T2 (12.75 piglets) and T3 (11.75 piglets) than in the control (10.5 piglets). T3 obtained the highest (p<0.05) litter size (10.25 piglets) and heaviest litter weight (74.12 kg) at 28 days weaning, followed by T2 (9.80 piglets and 65.0 kg, respectively). The control yielded the lowest (p<0.05) litter size (7.50) and the lightest litter weight (47.00 kg) at weaning. For Trial II gilts (artificially inseminated), T3 gave higher (p<0.05) litter size born alive (10.88 piglets), total piglets born (11.72 piglets) and live litter weight at birth (15.30 kg) than those of T2 and the control. These results indicate that prebreeding intrauterine infusion of killed boar semen, either single or double, improved the reproductive performance of gilts.

우리나라 서민녀의 일상복에 관한 민속학적 연구 (조선조말~1950년대) (A Study on Everday Wear of Korean Common Woman with Folklore)

  • 이주원
    • 대한가정학회지
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    • 제28권4호
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    • pp.15-30
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    • 1990
  • From now, we've made a study of Korean Clothing about our Royal family's or high birth person's and made little of our plain folk's. Our traditional clothing is plain folk's clothing and that is our fundamental clothing, so plain folk's clothing has an important part in our life. In this point, first we were concerned about the plain folk woman's clothing in the plain folk's clothing and it consists of the way of ethnographic method like listening from the lod about their contant living wear-daily wear. This research covers the time from the end of the Yee-Dynasty to 1950's and the place, each province where the primitive dwellers still live and respondent's age range is about from 60 to 80. In the viwepoint of our climate and construction, women should be over-worn an underwear and they have worn the underwear for the purpose of their heating and the inflating of the skirt. The end of the Yee-Dynasty, high society person wore underwear 7-8 layers thick and also the sow society person wore it 3-4 layers thick. The Plain folk woman clothing's basic system is the skirt and Korean jacket and dari-sok-got, sok-sok-got, pants, dan-sok-got as an underwear, and Korean socks and Korean shoes(straw shoes) are added. This research discusses these clothing by dividing them into each part and enlighten the peculiarity, shape, cloth and how to construct and especially about the difficult-making Korean jacket, we handled the method of rough guess sizing. As the result, we found that each province had a similar peculiarity in the general clothing but they had a different cloth name and a wearing method. Especially, An-dong an Eum-sung, they'd worn their own traditional wear, sal-chang-hojaengiee. We made a good product of rough guess sizing data those have not been known.

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Pretreatment of normal responders in fresh in vitro fertilization cycles: A comparison of transdermal estradiol and oral contraceptive pills

  • Pereira, Nigel;Petrini, Allison C.;Zhou, Zhen N.;Lekovich, Jovana P.;Kligman, Isaac;Rosenwaks, Zev
    • Clinical and Experimental Reproductive Medicine
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    • 제43권4호
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    • pp.228-232
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    • 2016
  • Objective: The aim of this study was to investigate the impact of pretreatment with transdermal estradiol ($E_2$) compared to oral contraceptive pills (OCPs) on controlled ovarian stimulation (COS) response in normal responders undergoing fresh in vitro fertilization (IVF)-embryo transfer (ET) cycles. Methods: A retrospective cohort study was performed of normal responders undergoing fresh IVF-ET cycles who received pretreatment with transdermal $E_2$ versus OCPs prior to fresh IVF-ET. The total days of ovarian stimulation, total dosage of gonadotropins, total number of oocytes, and mature oocytes retrieved were noted. Pregnancy outcomes after ET were also recorded. Results: A total of 2,092 patients met the inclusion criteria: 1,057 and 1,035 patients in the transdermal $E_2$ and OCP groups, respectively. Patients in the OCP group had a longer duration of COS ($10.7{\pm}1.63days$, p< 0.01) than the $E_2$ group ($9.92{\pm}1.94days$). Patients in the OCP group also required higher cumulative doses of gonadotropins ($2,657.3{\pm}1,187.9IU$) than those in the $E_2$ group ($2,550.1{\pm}1,270.2IU$, p= 0.002). No statistically significant differences were found in the total and mature oocytes retrieved or in the rates of biochemical pregnancy, clinical pregnancy, spontaneous miscarriage, and live birth between the groups. Conclusion: Our findings suggest that compared to OCPs, pretreatment with transdermal $E_2$ is associated with a shorter duration of ovarian stimulation and lower gonadotropin utilization, without compromising the oocyte yield or pregnancy outcomes in normal-responder patients undergoing fresh IVF.

일개 한의대 부속 한방병원에 산후풍으로 내원한 환자 104례에 대한 실태 분석 (The Clinical Analysis of 104 Sanhupung Patients that visited at an Oriental Medicine Hospital.)

  • 장세란;박영선;김동철
    • 대한한방부인과학회지
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    • 제23권3호
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    • pp.192-204
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    • 2010
  • Purpose: Sanhupung's pathological conditions is different from non-postpartum's disease. So it is important to analyze Sanhupung's construction, onset factors and Oriental theraphy. Methods: We studied 104 Sanhupung women visiting $\bigcirc\bigcirc$ hospital form January 2008 to December 2009. We analyzed the general characteristics, kinds of symptoms and Oriental theraphy's present condition. Also We compared patients' age, the number of live births and delivery month to the National Statistical Office's results. Results: 1. Patients over the age of 30, who have one child and who gave birth in September(14.42%) and in Summer(43.26%) occupied the highest percentage. But delivery method was not correlated with Sanhupung. 2. Musculo-skeletal symptoms(42.13%) were the most common symptoms. Wrist, waist, knees(59.59%) were the most common pain areas and the other pain symptoms (40.21%) appeared a significant portion of cases respectively. 3. In the 21~30days after delivery, the most patients visited. The number of patients admitted within 30 days after delivery or within 90 days was small comparing with Sanhupung onset. Patients treated within 10 days(47.12%) and treated only herb medicine(54.90%) were the most common. And the patients responded satisfacion or over were 88.46%. Conclusion: Patients' age, the number of born babies, delivery time were correlated with Sanhupung symptoms, but the method of delivery was not associated. And musculo-skeletal symptoms were the most common symptoms. Sanhupung patient's treatment period and methods were limited.