• Title/Summary/Keyword: Obstetrics & Gynecology

검색결과 3,402건 처리시간 0.042초

골다공증의 국내 연구 동향에 대한 고찰 - 한의 학술 논문 검색을 중심으로- (The Review on the Study of Osteoporosis in Korean Medicine Journals)

  • 서민수;김현철;추원정;정상윤;김세정;최정욱;최요섭;유영기
    • 척추신경추나의학회지
    • /
    • 제8권2호
    • /
    • pp.67-78
    • /
    • 2013
  • Objectives : The present study examines the domestic trend of Osteoporosis studies in Korea. Method : We reviewed oriental medicine papers published in last ten years (2003-2012). Korean literature search was used for domestic Internet search portal. 'Naver specialized information retrieval', 'Korea Traditional Knowledge Portal', 'Korea Medical Information Portal (OASIS)',' Scientific and Technological Information Integration Services (NDSL)',' Academic Research Information Service (RISS)'as the primary destination of the search were. Since 2003 until 2012, the thesis o'f osteoporosis'and found 92 papers with the search term '(golwi)' to the search terms found in 3 papers Korean medical target of on going research trends in osteoporosis about investigated. Results : 1. We researched 95 papers in 15 journals and patterns of study were as follows : experimental studies were 79(83%), clinical studies were 12(13%), reviewed studies were 3(3%) and etc. were 1(1%). 2. The experimental studies(79) were divided into papers on efficiency testing of herbal medications(67) and herbal acupuncture(12). 3. The clinical studies(12) showed that research has been carried out in the fields of follow up surveys for the herbal medication efficiency testing, basic research, case report, the relativity of osteoporosis to age and sex, and the perception about osteoporosis and korean medicine treatment. 4. The reviewed studies showed that research has been carried out in the fields of osteoporosis about acient literature and domestic studies about herbal medication of osteoporosis. Conclusion : Reviewing the domestic trend of Osteoporosis studies and examining the strong and weak points of those treatments are essential for the future studies. It is anticipated that this review benefits the future in-depth study on the treatments for osteoporosis in Korean medicine.

  • PDF

성선 자극호르몬의 비율이 인간난자의 체외수정에 미치는 영향에 관한 연구 (The Significance of Gonadotropin Ratio in In Vitro Fertilization of Human Oocytes)

  • 문신용
    • Clinical and Experimental Reproductive Medicine
    • /
    • 제15권2호
    • /
    • pp.135-147
    • /
    • 1988
  • To compare the stimulation effect of the ratio in follicle stimulating hormone and luteinizing hormone in induction of multiple follicular growth, the serum $E_2$ level, the diameter of follicle, number of aspirated follicles and cleavage rate of in vitro fertilized preovulatory oocytes as well as the pregnancy rate were evaluated. Forty one patients with irreparable tubal disease were stimulated by hMG(n=24) or FSH/hMG(n=17) for the purpose of in vitro fertilization and embryo transfer. The following results were obtained. 1. Serum estradiol($E_2$) levels on the day of hCG administration were $921.0{\pm}353.3\;pg/ml$ in hMG group and $1272.9{\pm}1060.6\;pg/ml$ in FSH/hMG group. The serum $E_2$ value of hMG group was significantly lower than that of FSH/hMG group. 2. The diameter of leading follicle by ultrasonogram on the day of hCG administration were $16.2{\pm}2.0\;mm$ in hMG group and $16.2{\pm}2.6\;mm$ in FSH/hMG group. No significant difference of follicle diameter between two groups was demonstrated. 3. The number of follicles with diameter above 10 mm by sonogram on the day of hCG injection were $3.91{\pm}2.32$ in hMG group and $6.52{\pm}3.86$ in FSH/hMG group. There was significant difference of number of follicles between two groups, (p< 0.01). 4. The number of oocytes found per patient at aspiration were $2.59{\pm}1.00$ in hMG group and 3. $76{\pm}2.31$ in FSH/hMG group. There was significant difference of number of aspirated oocytes between two groups. (p< 0.05). 5. The detection rate of preovulatory oocyte at aspiration were 68.4%(39/57) in hMG group (n=22) and 77.6%(38/49) in FSH/hMG group (n=13). 6. The cleavage rate of preovulatory oocyte at 44 hours after insemination were 74.4%(29/39) in hMG group(n=22) and 81.6%(31/38) in FSH/hMG group (n=13). When only hMG was used, one pregnancy was established in 15 patients to whom 29 zygotes were transferred. And a full term normal female baby was delivered by elective cesarean section. In the FSH/hMG group, five pregnancies out of 9 transferred patients were confirmed by serum ${\beta}-hCG$. Two pregnancies were spontaneously aborted before the 6th week of pregnancy. One patient aborted her baby at the 18th week of pregnancy because of incompetent internal os of the cervix. Two patients delivered two full term babies by elective cesarean section. From the above findings, paralell with the increase in the ratio of exogenous follicle stimulating hormone to luteinizing hormone, an increase in oocyte recovery was observed as well as an improvements in pregnancy rate. It was concluded that FSH enrichment early in the follicular phase had a beneficial effect in the controlled ovarian hyperstimulation.

  • PDF

국내 베트남 결혼이민여성과 한국인 배우자의 식이섭취 및 식습관에 대한 상관관계 (Dietary Intakes and Eating Behaviors of Vietnamese Female Immigrants to Korea through Marriage and Korean Spouses and Correlations of Their Diets)

  • 김선혜;김화영;유지은;정혜원;황지윤
    • 대한지역사회영양학회지
    • /
    • 제14권1호
    • /
    • pp.22-30
    • /
    • 2009
  • This study aimed to examine nutritional status and similarities of diets between Vietnamese female immigrants and Korean spouses and dietary changes of Vietnamese females after immigration. Subjects were 608 couples visiting 13 medical centers for the Cohort of Intermarried Women in Korea from November 2006 to November 2007. Anthropometric and biochemical measurements were obtained and dietary intakes were assessed using one-day 24-hour recall. Sixty-eight percent of wives answered there have been changes in their diets and consumptions of meats, fish, dairy products, vegetables, and fruits increased after immigration. Energy intakes of wives and spouses were 1491.7 kcal and 1788.8 kcal, respectively, showing most couples (80.1%) consumed less than the Korean estimated energy requirements. More than half of the couples were below the Korean estimated average requirements of zinc, vitamin $B_2$, and folate. The correlation coefficients between couples ranged 0.15-0.38 for unadjusted, 0.22-0.35 for per 1000 kcal, and 0.21-0.40 for energy-adjusted, respectively. The proportions of couples in the same quartiles of each nutrient intake and in the same answers of each question of Mini Dietary Assessment were about 30% across nutrients and around 50% across questions. The length of residence is related to similarities of nutrient intakes between couples: similarities decreased after 3 years of residence in Korea. In conclusion, nutritional intakes of inter-married couples were inadequate although wives reported that their dietary intakes increased after immigration. Inadequate nutrient intakes of wives were partly explained by similar diets between couples because these wives without enough adjustment to Korean culture were more likely to follow what their spouses ate. Findings from this study may be helpful to improve the nutritional status of inter-married couples and make policies and programs for them. A follow-up study should identify factors affecting inadequate nutritional status of intermarried couples and similarities of their diets.

Long-Term Priming by Three Small Molecules Is a Promising Strategy for Enhancing Late Endothelial Progenitor Cell Bioactivities

  • Kim, Yeon-Ju;Ji, Seung Taek;Kim, Da Yeon;Jung, Seok Yun;Kang, Songhwa;Park, Ji Hye;Jang, Woong Bi;Yun, Jisoo;Ha, Jongseong;Lee, Dong Hyung;Kwon, Sang-Mo
    • Molecules and Cells
    • /
    • 제41권6호
    • /
    • pp.582-590
    • /
    • 2018
  • Endothelial progenitor cells (EPCs) and outgrowth endothelial cells (OECs) play a pivotal role in vascular regeneration in ischemic tissues; however, their therapeutic application in clinical settings is limited due to the low quality and quantity of patient-derived circulating EPCs. To solve this problem, we evaluated whether three priming small molecules (tauroursodeoxycholic acid, fucoidan, and oleuropein) could enhance the angiogenic potential of EPCs. Such enhancement would promote the cellular bioactivities and help to develop functionally improved EPC therapeutics for ischemic diseases by accelerating the priming effect of the defined physiological molecules. We found that preconditioning of each of the three small molecules significantly induced the differentiation potential of $CD34^+$ stem cells into EPC lineage cells. Notably, long-term priming of OECs with the three chemical cocktail (OEC-3C) increased the proliferation potential of EPCs via ERK activation. The migration, invasion, and tube-forming capacities were also significantly enhanced in OEC-3Cs compared with unprimed OECs. Further, the cell survival ratio was dramatically increased in OEC-3Cs against $H_2O_2$-induced oxidative stress via the augmented expression of Bcl-2, a pro-survival protein. In conclusion, we identified three small molecules for enhancing the bioactivities of ex vivo-expanded OECs for vascular repair. Long-term 3C priming might be a promising methodology for EPC-based therapy against ischemic diseases.

군용 항공기 이륙소음이 청력, 혈압, 스트레스 및 주관적 인지도에 미치는 영향 (The effects of aircraft noise on the hearing loss, blood pressure and response to psychological stress)

  • 한상환;조수헌;고경심;권호장;하미나;주영수;신명희
    • Journal of Preventive Medicine and Public Health
    • /
    • 제30권2호
    • /
    • pp.356-368
    • /
    • 1997
  • In effort to determine whether aircraft noise can have health effects such as hearing loss, hypertension and psychological stress, a total of 111 male professors and administrative officers working a college near a military airport in Korea(exposed group) and a total of 168 males and 112 females matched by age groups(control groups) were analyzed. Personal noise exposure and indoor and outdoor sound level of jet aircraft noise were measured at the exposed are3. And pure tone, air conduction test and measurement of blood pressure were given to the exposed(males) and matched control groups (males and females). BEPSI(Brief Encounter Psychological Instrument) and psychological response to aircraft noise were examined for the exposed group. The noise dosimetry results revealed time-weighted averages(TWAs) that ranged from 61 to 68 dBA. However the levels encountered during taking off jet airplanes reached 126 dBA for two half minutes time period. Th, audiometric, test showed that mean values of HTL(hearing threshold level) in exposed group at every frequency(500, 1,000, 2,000, 4,000, and 8,000 Hz were much lower than them of male and female control groups. And in old age groups, interaction of age and noise was observed at 8,000 Hz in both ears(p<0.05). Conclusively, aircraft noise does not appear to induce hearing loss directly in high frequency, but may decreased hearing threshold level by interaction of aging process and noise exposure. However, difference of mean values of exposed and control groups on blood pressure was not significantly. In psychological test, annoyance was the most severe psychological response to noise in exposed group, but mean value of BEPSI was not correlated with job duration in exposed group.

  • PDF

Study on the Five Tastes in the Yellow Emperor's Canon of Internal Medicine

  • 문영옥;안민섭;박진수;김훈영;이시형;금경수;박민철;조은희
    • 동의생리병리학회지
    • /
    • 제23권6호
    • /
    • pp.1247-1260
    • /
    • 2009
  • This dissertation aims to study the five tastes in the Yellow Emperor's Canon of Internal Medicine. Medicinals as well as Foods are classified by the five tastes: sweet, sour, bitter, salty and pungent, which can be tasted by the tongue. With the development of the theory dealing with the medicinal properties, some flavors are summarized out of clinical actions of medicinals, therefore, there is a little difference between the flavors of medicinal herbs and the tastes got by tongue. Each taste acts on or has direct influence on a specific vital organ, and each of which has different physiologic actions. Taste also has a long-term or post digestive effect on the body and its metabolism. When each taste is consumed in moderation, it benefits the corresponding organ. Over-indulgence in any taste harms the organ and creates imbalance among the five vital organ systems. The Korean medicinal herbs with same flavor mostly possess similar actions while the medicinal herbs with different flavors show different actions in the treatment, which are shown as follows. Sour has absorbing, consolidating and astringent actions and acts on the liver. Bitter has the actions of drying or resolving dampness, purging and lowering and acts on the heart. Sweet has the nourishing, harmonizing and moistening actions and acts on the spleen. Pungent has an action of dispersing and promoting circulation of gi and blood and acts on the lungs. Salty has the effects of softening hard nodes or masses and promoting defecation, etc and acts on the kidneys. The five organ systems control and support each other. Proper coordination only exists when there is no one organ stronger or weaker than the rest. Since the five tastes have direct influences on the five organs, the diet we take should have a good combination of the five tastes in order to promote internal balance and harmony. They control our well-being and create dietary balance. Excessive consumption of any of these could result in adverse effects. In a word, when the properties of the five tastes respectively are distinguished, their natures and flavors cannot be separately considered. I think the harmonization of food and medicinals should be stressed on good nutritional diet to maintain good health. The traditional belief that food and medicine share the same origin is a part of Korean medicine tradition.

자궁근종을 동반한 원발성 기관지 평활근종 (Primary Endobronchial Leiomyoma Combined with Uterine Leiomyoma)

  • 심현정;임정환;이석;김대현;박강진;이세련;정종필;손준광;김수옥;오인재;김규식;김유일;임성철;김영철;김석모;나국주
    • Tuberculosis and Respiratory Diseases
    • /
    • 제61권5호
    • /
    • pp.490-495
    • /
    • 2006
  • 자궁근종의 병력을 가진 51세 여자가 기침, 가래, 발열을 주소로 내원하였다. 기관지내시경하 조직 생 검상 평활근종이 발견되었고 환자의 자궁근종의 병력을 고려했을 때 양성 전이성 폐평활근종과의 감별이 필요하였다. 좌하엽 절제술과 동시에 자궁 절제술을 시행하였고 두 병변의 조직학적 소견을 비교해 보았을 때 폐의 병변은 자궁근종과는 무관한 원발성 기관지 평활근종으로 확진되었으며 이후 증상의 호전을 보여 현재 경과관찰 중이다.

콜센터 상담사의 직무스트레스와 이직의도와의 관련성 (Relationship Between Occupational Stress and Turnover Intention Among Call Center Counselors)

  • 신삼철;조영채;김종수;김동현
    • 한국산학기술학회논문지
    • /
    • 제16권2호
    • /
    • pp.1318-1327
    • /
    • 2015
  • 본 연구는 콜센터 상담사의 인구사회학적 특성, 건강행태 및 직업관련 특성에 따른 이직의도 수준을 파악하고, 특히 직무스트레스와 이직의도 간의 관련성을 규명하고자 시도하였다. 조사 대상은 콜센터를 운영하고 있는 병원 9개소와 기업체 5개소에 근무하고 있는 콜센터 상담사 158명으로 하였으며, 자료 수집은 2013년 2월 1일부터 6월 30일까지의 기간 동안에 자기기입식 설문조사(self-administered questionnaire)에 의하였다. 연구결과, 이직의도에 관련된 요인으로는 연령, 수면시간, 업무요구도, 업무자율성이 유의한 변수로 선정되었다. 특히 직무스트레스 내용과 이직의도 간의 관련성에서는 업무요구도가 높아질수록 이직의도가 높은 반면, 업무의 자율성이 높아질수록 이직의도가 낮아지는 것으로 나타났다. 이직의도에 대한 직무스트레스의 위험비는 업무 요구도가 높은 군에서, 업무자율성이 낮은 군에서, 상사의 지지도 및 동료의 지지도가 낮은 군에서 이직의도가 높은 군에 속할 위험비가 유의하게 증가하였다. 따라서 이직의도를 감소시키기 위해서는 직무스트레스 요인의 개선을 위한 노력이 필요하다고 생각된다.

외음부 암의 방사선 치료 (Radiation Therapy in Carcinoma of the Vulva A Review of Fifteen Patients)

  • 이형식;오원용;서창옥;김귀언;박찬규
    • Radiation Oncology Journal
    • /
    • 제3권1호
    • /
    • pp.51-58
    • /
    • 1985
  • 외음부에서 발생하는 악성종양은 부인과 영역의 악성종양 중에서는 드물게 발생하는 것으로 알려져 있으며 치료에 있어서도 수술 또는 방사선치료 단독의 경우보다는 수술 후 보조적으로 방사선 치료를 시행하는 것이 더 효과적이고 치료율도 높은 것으로 알려져 있다. 이에 1971년 1월부터 1985년 4월 사이에 연세대학교 의과대학 치료방사선과에서 외음부 악성 종양으로 진단되어 방사선 치료를 받았던 15예에 대하여 후향성 분석을 시행한 바 다음과 같은 결과를 얻었기에 보고하는 바이다. 1. 15예의 외음부 종양 환자 중 4예는 수술요법 시행 후 보조적요법의 방사선 치료를 받았으며, 1예는 수술전 방사선 치료를 받았고, 나머지 10예는 근치적 목적의 방사선 치료를 받았다. 2. 방사선치료만을 시행한 군과 방사선치료 및 수술요법을 병행한 군과의 국소제어율을 비교하여 본 결과, 전 15예의 국소제어율은 $53\%(8/15)$였으며, 단지 방사선 치료만을 시행한 군에서는 $40\%$(4/10), 방사선 치료 및 수술요법을 병행한 군에서는 $80\%(4/5)$의 국소제어율을 보였다. 3. 치료 실패율은(국소적 잔존+국소재발 또는 원격전이) 단지 방사선 치료만을 시행한 군에서는 $70\%(7/10)$, 수술 후 방사선 치료를 시행한 군에서는$40\%(2/5)$의 성적을 보였으며, 치료실패 호발부위는 원발병소(외음부)였다.

  • PDF

자궁 경부암 환자의 추적검사시 혈장내 CEA치 측정의 임상적 의의 (Clinical Significance of Plasma CEA Levels in the Patients with Cervical Carcinoma during Follow-Up)

  • 반성범;김주영;최명선;나중열;이민재
    • Radiation Oncology Journal
    • /
    • 제9권2호
    • /
    • pp.293-301
    • /
    • 1991
  • CEA 측정으로 부인과 영역 악성종양의 치료결과나 재발 여부의 조기 진단을 할 수 있나를 연구한 결과이다. 1985년 1월부터 1989년 12월까지 239명의 자궁경부암 환자를 대상으로 치료전과 치료후 CEA치를 체계적으로 측정했고 이를 비교하기 위하여 정상군으로 아무런 증상이 없는 건강한 부인 65명과 양성종양을 가진 18명의 부인을 상대로 CEA치를 측정하였다. 혈장내 CEA치는 종양의 진행정도와 기의 직접관계가 있는 것을 알 수 있고 종양의 기가 진행되면 될수록 CEA치가 비정상인 경우가 높아지고 있다. 또한 CEA치가 비정상인 경우 편평상피종 환자보다는 선세포나 선세포와 편평세포가 혼합된 경우 더욱 증가되는 것을 볼 수 있었다. 결론으로 혈장내 CEA을 체계적으로 측정함으로써 치료 끝난 후 추적검사시 재발의 조기발견 및 치료결과를 확인할 수 있는 좋은 방법이라는 결론을 얻었다.

  • PDF