• Title/Summary/Keyword: OB&GY

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Pathogenesis Study of Oriental OB & GY Questionnaires (한방부인과 진단용 설문지의 병기 연구)

  • Lee In Sun;Jean Ran Hee;Cha Hye Suk;Bae Kyung Mi;Kim Mi Jin;Lee Yong Tae;Ji Gyu Yang;Kim Jong Won
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.18 no.2
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    • pp.401-407
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    • 2004
  • Purpose : This study investigated reliability of Oriental DB & GY(obstetrics & gynecology) Questionnaires's items which was used by Dong-Eui OB & GY through analysis of oriental OB & GY books. Method : This study investigated differentiation of syndrome through analysis of oriental OB & GY book's. Result: This study investigated differentiation of syndrome through analysis of oriental OB & GY disease and pathogenesis. This study's pathogenesis was such that deficiency of Ki, deficiency of blood, stagnation of Ki, stagnated blood, deficiency of Yang, deficiency of Um, cold syndrome, heat syndrome, dampness, dryness, phlegm, kidney, liver, heart, spleen, wind, lung. We except lung from Questionnaires's pathogenesis because it is stuck for importance. We except wind from Questionnaires's pathogenesis because it is stuck for preguence. Oriental OB & GY Questionnaires's pathogenesis consist of 15 items such that deficiency of Ki, deficiency of blood, stagnation of Ki, stagnated blood, deficiency of Yang, deficiency of Um, cold syndrome, heat syndrome, dampness, dryness, phlegm, kidney, liver, heart, spleen. Oriental OB & GY Questionnaires construct pathogenesis's question and guide post through we examined it's reasonableness.

A Study on the Status of Insurance Benefits in the Oriental Medical Ob & Gy -Focusing on Acupuncture Benefits- (한방부인과 영역의 보험급여 현황에 대한 조사연구 -침술급여를 중심으로-)

  • Choi, Min-Sun;Kim, Dong-Il
    • The Journal of Korean Obstetrics and Gynecology
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    • v.21 no.3
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    • pp.218-230
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    • 2008
  • Purpose: This study was performed to investigate the percentage of the oriental medical Ob & GY disease group in Korean Medical Health Insurance and to gain the basic data of enlargement and improvement of Acupuncture Benefits in the oriental medical Ob & Gy field. Methods: We requested data about the status of Insurance Benefits in 2005. 2006 to Health Insurance Review & Assessmenstatus Service(HIRA). And on the basis of this 2005. 2006 data, we analyzed the status of Insurance Benefits and Acupuncture Benefits in the oriental medical Ob & Gy disease group. Results: 1. Total health care benefit costs of Korean medical health insurance in 2005, 2006 took 4.38 percent and 4.25 percent of total health care benefit costs of Health insurance. 2. Total health care benefit costs of the oriental medical Ob & Gy disease group in 2005, 2006 took 0.38 percent and 0.40 percent of total health care benefit costs of Korean medical health insurance. 3. The percentage of Acupuncture benefits costs of the oriental medical Ob & Gy disease group in 2005, 2006 was merely 0.22 percent and 0.23 percent of total Acupuncture Benefits costs. 4. The main sick and wounded name of Ob & Gy diseases of Acupuncture Benefits was limited to Menstrual Disorder(K01)과- Uterus Abnormality(K13). Conclusion: The percentage of the oriental medical Ob & Gy disease group in Korean Medical Health Insurance was very low and the percentage of Acupuncture Benefits of he oriental medical Ob & Gy disease group was also very low. From now on, Searching ay of enlargement of Acupuncture Benefits in the oriental medical Ob & Gy field is required.

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Reliability Study of Oriental OB & GY Questionnaires (한방부인과 진단용 설문지의 신뢰도 연구)

  • Lee In Sun;Jeon Ran Hee;Bae Kyung Mi;Kim Mi Jin;Yeum Yun Kyung;Lee Yong Tae;Ji Gyu Yong;Kim Jong Won;Kim Gyu Gon
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.18 no.3
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    • pp.701-712
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    • 2004
  • This study investigated reliability of Oriental OB & GY Questionnaires, evaluated the items and correlation relation of differentiation of syndromes of Oriental OB&GY Questionnaires which was used by Dong-Eui OB&GY. We analyzed the results of 553 outpatients's Questionnaires from April 2002 to February 2004. The reliability of Oriental OB&GY Questionnaires above 95% was stagnated blood most, above 90% deficiency of blood, deficiency of Um, heat syndrome, dampness, kidney, liver, heart, spleen, with the exception of phlegm all that was above 80%. The frequency diagnosed of items of differentiation of syndromes dampness, hear, stagnation of Ki was most, the average of item of differentiation of syndromes stagnation of Ki, dampness, deficiency of Ki was most. Correlation coefficient of deficiency of Ki, deficiency of blood, deficiency of Um, cold syndrome, heat, stagnated blood, heart, spleen, kidney, dryness, stagnation of Ki, liver with more than pure question was above 0.8, phlegm was under 0.5. The frequency diagnosed of items of the differentiation of syndromes was not which is related to repeated question and physiology and pathology of oriental medicine.

A investagation on OB&GY in ${\ulcorner}$Hwang\;Jae\;Nai\;Kyung${\lrcorner}$ ("황제내경(黃帝內經)"에 나타난 부인과(婦人科)에 관(關)한 문헌고찰(文獻考察))

  • Kim, Hye-Won;Cho, Jung-Hoon;Jang, Jun-Bock;Lee, Kyung-Sub
    • Journal of Korean Medical classics
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    • v.18 no.1 s.28
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    • pp.137-145
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    • 2005
  • ${\ulcorner}$Hwang\;Jae\;Nai\;Kyung${\lrcorner}$ is the greatest and oldest book on oriental medicine. It contains all the basic theories of oriental medicine. OB&GY in oriental medicine have been developed on the foundation of ${\ulcorner}$Hwang\;Jae\;Nai\;Kyung${\lrcorner}$. However no intensive gynecological studies on ${\ulcorner}$Hwang\;Jae\;Nai\;Kyung${\lrcorner}$ has been performed to this day. Hereupon, an investigation on OB&GY in Hwang Jae Nai Kyung is done for future theory and clinical study. The phrases that contain OB&GY are totally 24 in the chapter 16 of Somun and total of 9 in the chapter 8 of Youngchu. Phrases dealing with pregnancy were total of 9, which was the most frequent. Also statements about amenorrhea, lower abdominal pain, bleeding, discharge, menstruation, jangdam, sukga, postpartum, infertility were found. Hence, more studies of OB&GY in ${\ulcorner}$Hwang\;Jae\;Nai\;Kyung${\lrcorner}$ is needed in order to verify and apply the theories stated in ${\ulcorner}$Hwang\;Jae\;Nai\;Kyung${\lrcorner}$.

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A Study on ${\ulcorner}Buin-daejeon-yangbang(婦人大全良方){\lrcorner}$ (${\ll}$부인대전량방(婦人大全良方)${\gg}$ 에 관한 연구)

  • Oh, Soo-Seock;Lee, Tae-Kyun;Kim, Dong-Il
    • The Journal of Korean Obstetrics and Gynecology
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    • v.15 no.4
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    • pp.76-97
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    • 2002
  • Buin-daejeon-yangbang is one of the special book on the traditional eastern medicine(T.E.M) Ob&Gy in Song dynasty. It remains very important book of the department of the Ob&Gy in today's T.E.M. There are a good deal of the useful theories and prescriptions about clinical Ob&Gy in it. Chen-zi-ming(陳子明) was a very famous Ob&Gy doctor and professor on T.E.M who came from Lincuan Jingxi(江西 臨川) province China in the South-Song dynasty. He was born in AD 1190, was died in AD 1270. Buin-daejeon-yangbang was written by him in AD 1237 and remained several kinds of edition now. It takes form total 8 volumes, 24 chapters. There are more than 260 medical references and 1500 prescriptions in it. And the formation of the book which the arrangement of theories and prescriptions is to keep in order. But it has some unreasonable and superstitious contents too. It performed as a bridge which link the results of pre-Song dynasty about clinical T.E.M Ob&Gy and after-Song dynasty about that. So it is a grandfather of a book for about clinical T.E.M Ob&Gy as following books like Gyoju-Buin-daejeon-yangbang, Yeougwa-Jeungchi-Junsung and Jeieum-Gangmock.

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A Study on the Reliability of Oriental OB & GY Diagnosis Questionnaires (한방부인과 진단설문지의 신뢰도연구)

  • Min Byeong-Hwa;Um Yun-Kyung;Kim Mi-Jin;Cho Hye-Sook;Kong Bok-Cheul;Lee Yong-Tae;Kim Gyu-Gon;Lee In-Seon
    • The Journal of Korean Medicine
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    • v.26 no.2 s.62
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    • pp.126-139
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    • 2005
  • Objective: This study was undertaken to examine the reliability of disease mechanism diagnosis, estimate the disease mechanism items of questionnaires and inquire about the relation of disease mechanisms to the oriental OB & GY diagnosis program. Questionnaires and abridged questionnaires were used for the object diagnosis of oriental medicine in the dept of Oriental OB & GY, Oriental Medical Hospital of Dong-Eui University. Methods: We analyzed the results of questionnaires about 1706 outpatients who had OB & GY disease in the Oriental Medical Hospital of Dong-Eui University from April 2000 to March 2004. Results: 1. The reliability of Oriental OB & GY questionnaires between $90\%$ and $95\%$ were 9 cases, between $85\%$ and $90\%$ were 3 cases, and under $85\%$were 3 cases. Abridged questionnaires were lower than original questionnaires, but 12 cases of a total 15 cases of disease mechanism were above $85\%$. Therefore, both abridged questionnaires and original questionnaires had similar results. 2. Abridged questionnaires were usually lower than existing questionnaires in the comparison of disease mechanism output frequency and that of disease mechanism average score. Therefore, the results of abridged questionnaires seemed to be poorer than those of existing questionnaires, but a great difference wasn't seen. 3. Disease mechanism that was over $50\%$ in the rate of pure question per disease mechanism was 10 cases $(66.7\%)$. Disease mechanism that contributed to producing disease mechanism result and in which pure question was over relevance calculation 0.9 was also 10 cases $(66.7\%)$. In abridged questionnaires, the duplication of questions per disease mechanism Was decreased, the rate of pure questions was increased, and the number of related disease mechanisms was decreased by abridgment of the questionnaires' questions. 4. The calculation of disease mechanism went with the increase of the duplication of questions in many cases, but Tam­Umhe, Kihe-Hyule, Kihe-Umhe, and Shin-Tam went with disease mechanism in many cases despite no duplication of questions. Conclusions: About the reliability of Oriental OB & GY questionnaires, 12 of a total 15 cases of disease mechanism were above $85\%$; therefore both abridged questionnaires and original questionnaires had similar results.

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A study on the survey for the Application Status and the Improvement of Oriental Medical Health Insurance for the Ob & Gy Disease (부인과 질환에 대한 한방건강보험 적용실태 및 개선방안에 대한 조사연구 1)

  • Choi, Min-Sun;Kim, Dong-Il
    • The Journal of Korean Obstetrics and Gynecology
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    • v.20 no.1
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    • pp.239-257
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    • 2007
  • Purpose : In the part of Ob & Gy disease, the health insurance application is very limited. This study has been performed for gaining the basic data of enlargement of insurance coverage and reform of the insurance system corresponded with real clinical conditions. Methods : The survey has been practiced twice, the subjective questionnaire was used at the first survey. Then the questionnaire written using the results of first survey was distributed to the Korean medical doctors(KMD) who participated in the autumn symposium of the society of Oriental Obstetrics & Gynecology. Results : 1. The main Ob & Gy disease that the acupuncture treatment has been used actually or thought be positively necessary on the clinic were Dysmenorrhea(including premenstrual syndrome), Climacteric syndrome, Menstrual disorder, Postpartum Pain syndrome. Amenorrhea, Low back pain with pregnancy, JingHa(pelvic tumor), Infertility etc. 2. The main additional complex the sick and wounded names given to visiting patients for Ob & Gy disease as the limits of acupuncture items of insurance coverage were Low back Pain(J10), Qi-stasis(B13.0), SimHwaHangYeom(C2l.1). 3. Suitable the sick and wounded name of Ob & Gy disease thought be added in BokGangNae(Intra-abdominal acupuncture: CV13 ${\cdot}$CV16${\cdot}$CV10). TuJa(Puncture each adjoining acu-points in one insertion : SP6-GB39), TuJa(PC6-TE5) among acupuncture items of insurance coverage were Dysmenorrhea(K05). Menstrual disorder(K02) and Dysmenorrhea(K05), Hyperemesis(K16.0). 4. Climacteric syndrome(K04) and Dysmenorrhea(K05) should be added as suitable the sick and wounded name of TuJa(SP6-GB39), and Postpartum pain syndrome(K29) as KwanJeolGangNea(Intra-articular acupuncture: S35, LE201). Conclusion : Standing on this study, additional survey to general KMD should be continued. And the academic verifications through the oriental medical literatures and RCT papers on acupuncture should be also required.

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Effect of evaporation-induced osmotic changes in culture media in a dry-type incubator on clinical outcomes in in vitro fertilization-embryo transfer cycles

  • Chi, Hee-Jun;Park, Jun-Sang;Yoo, Chang-Seok;Kwak, Su-Jin;Son, Ho-Jeong;Kim, Seok-Gi;Sim, Chae-Hee;Lee, Kyeong-Ho;Koo, Deog-Bon
    • Clinical and Experimental Reproductive Medicine
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    • v.47 no.4
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    • pp.284-292
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    • 2020
  • Objective: This study investigated whether adding outer-well medium to inhibit osmotic changes in culture media in a dry-type incubator improved the clinical outcomes of in vitro fertilization-embryo transfer (IVF-ET) cycles. Methods: In culture dishes, the osmotic changes in media (20 µL)-covered oil with or without outer-well medium (humid or dry culture conditions, respectively) were compared after 3 days of incubation in a dry-type incubator. One-step (Origio) and G1/G2 (Vitrolife) media were used. Results: The osmotic changes in the dry culture condition (308 mOsm) were higher than in the humid culture conditions (285-290 mOsm) after 3 days of incubation. In day 3 IVF-ET cycles, although the pregnancy rate did not significantly differ between the dry (46.2%) and humid culture (51.0%) groups, the rates of abortion and ongoing pregnancy were significantly better in the humid culture group (1.5% and 49.5%, respectively) than in the dry culture group (8.3% and 37.8%, respectively, p<0.05). In day 5 IVF-ET cycles, the abortion rate was significantly lower in the humid culture group (2.2%) than in the dry culture group (25.0%, p<0.01), but no statistically significant difference was observed in the rates of clinical and ongoing pregnancy between the dry (50.0% and 25.0%, respectively) and humid culture groups (59.5% and 57.3%, respectively) because of the small number of cycles. Conclusion: Hyperosmotic changes in media occurred in a dry-type incubator by evaporation, although the medium was covered with oil. These osmotic changes were efficiently inhibited by supplementation of outer-well medium, which resulted in improved pregnancy outcomes.

Clinical Study for the Four Cases of Secondary Amenorrhea and Hypomenorrhea by Serum Hormone Assay (호르몬검사를 이용하여 관찰한 속발성무월경 및 과소월경의 치험 4례)

  • Kim, Ji-Ryang;Kim, Hae-Jung;O, Kwang-Woo;Kang, Jung-Ah;Ryu, Ik-Han;Choe, Chang-Min;Cho, Han-Baek;Kim, Song-Baeg
    • The Journal of Korean Obstetrics and Gynecology
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    • v.22 no.3
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    • pp.267-276
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    • 2009
  • Purpose: The purpose of this study is to assess the effects of oriental medicine on secondary amenorrhea & hypomenorrhea objectively. Methods: By serum hormone assay and history interview, we classified the causes of each patient having secondary amenorrhea & hypomenorrhea. We also diagnosed and treated each patient according to them. And then we estimated the results of treatment by follow-up measurements of serum hormone level. Results: 1. We diagnosed case I as hypothalamic-pituitary disfunction, case II, III as PCOS and case IV as ovarian failure by classifying the causes from western medical scientific angle. 2. We also diagnosed and treated the cases from oriental medical scientific angle. 3. We confirmed the improvement of cases by follow-up measurements of serum hormone level. Conclusion: These results of serum hormone assay showed how medically effective oriental medical therapies of secondary amenorrhea & hypomenorrhea were.