• Journal of Medicine and Life Science
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• 제20권2호
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• pp.99-102
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• 2023

Patients with essential thrombocythemia (ET) can undergo laparoscopy without international precautions. This case report describes an ET with a mild increase in the platelet count that developed after laparoscopic surgery and prolonged intraperitoneal bleeding. The patient underwent intensive postoperative medical and surgical treatments until cured. Patients with ET should provide informed consent for post-laparoscopic bleeding. Surgeons should perform optimal hemostasis. Further studies are required to provide clear guidelines for both medical and surgical interventions aimed at preventing thrombo-hemorrhagic complications associated with ET. A preoperative study of platelet function and the selection of the best cytotoxic drug for the perioperative period are mandatory.

• Clinical and Experimental Reproductive Medicine
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• 제29권4호
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• pp.287-294
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• 2002

Objectives: Pelvic tuberculosis (TB) causes infertility despite of anti-TB chemotherapy and IVF-ET is effective treatment to achieve pregnancy. The aim of this study is to assess the outcomes of IVF-ET in pelvic TB, especially according to main Tb lesion, and to investigate the factors affecting the successful outcome. Methods: A total of 135 IVF-ET cycles were performed in 54 patients with pelvic TB and the outcome was compared with that of control group with tubal factor not associated with TB in 301 cycles, 227 patients. Anti-TB chemotherapy was performed in the patients with pelvic TB. Pregnancy rate was compared according to main TB lesion as salpingitis, peritonitis, and endometritis. In the patients with endometrial TB, when complicated with uterine synechia, hysteroscopic lysis was done before IVF-ET and pregnancy rate was compared according to the presence of uterine synechia. Results: There was no significant difference in peak E2 ($2,790{\pm}280.1$ vs $2,554{\pm}101.2$, p>0.05), the number of retrieved oocytes ($13.5{\pm}0.7$ vs $12.5{\pm}0.4$, p>0.05) and fertilized oocytes ($7.7{\pm}0.5$ vs $7.8{\pm}0.3$, p>0.05) between patient and control group. Clinical pregnancy rate per transfer in pelvic TB group was 22.9% and showed no difference from that of control group (24.3%, p>0.05). Although it was not statistically significant, pregnancy rate in the endometrial Tb (18%) was lower than that in the salpingitis (28.5%) or peritonitis (26.5%) (p>0.05). In the endometrial TB with uterine synechia, pregnancy rate was significantly lower than that of the patients without synechia even after hysteroscopic lysis (9.7% vs 31.6%, p<0.05). Conclusion: IVF-ET after anti-TB chemotherapy is the most effective treatment to achieve pregnancy in infertile patients with pelvic TB. Because the presence of endometrial TB and resulting uterine synechia affects the outcome of IVF-ET, thorough evaluation for endometrium with endometrial biopsy and hysteroscopy is important to predict the prognosis of IVF-ET treatment.

• 대한수의학회지
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• 제49권3호
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• pp.195-200
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• 2009

Avian pathogenic Escherichia coli (APEC) is an important bacterial pathogen of chickens and causes colibacillosis such as airsacculitis, perihepatitis, omphalitis, peritonitis, salpingitis, and pericarditis. As the transfer of antibiotic resistance from animal to humans can be possible, surveillance on antibiotic resistance of APEC is very important. A total 34 APEC isolates from diseased chickens during the period from 2007 to 2009 were obtained. The susceptibility of the isolates to 13 antibiotics was determined by disc diffusion assay. Resistance to erythromycin was found in 97.1% of APEC isolated, followed by resistance to tetracycline (85.3%), doxycycline (82.3%), ampicillin (73.5%), sulfisoxazole (67.6%), enrofloxacin (67.6%), ciprofloxacin (64.7%), norfloxacin (61.7%) trimethoprim/sulfamethoxazole (52.9%), gentamycin (26.5%), amoxicillin (8.8%), colistin (5.9%), and amikacin (2.9%). The blaTEM genes were detected in 25 (100%) of the 25 ampicillin-resistant APEC isolates. Among the 29 tetracycline-resistant APEC isolates, tetA and tetB genes were detected in 18 (62.1%) and 9 (31%) isolates, respectively. Twenty six (76.5%) isolates were multiresistant to at least 6 antibiotics and seven (20.1%) isolates were multiresistant to at least 10 antibiotics. This results indicated that multiple antibiotic-resistant APEC is widespread in chicken flocks in Korea.

• 대한한방부인과학회지
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• 제15권4호
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• pp.218-227
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• 2002

Pelvic Inflammatory Disease(PID) is a spectrum of inflammatory disorders of the female genital tract involving at least the endrometrium and may include the fallopian tubes, ovaries, and pelvic cavity. Women with PID acutely experience pain and are at risk for sepsis; however, the long-term complications such as chronic pelvic pain, organic changes like chronic salpingitis, adhesions, etc., and the significant increases in ectopic pregnancy and infertility are more important and hard to control. This study is about one patient who has chronic PID with inflammatory pelvic mass. The patient was treated with retention enema therapy which use herbs effective for reducing inflammation, resolution abdominal mass, promoting blood circulation. Also, treated with herbal medication of Danchisoyosan(丹梔逍遙散) and Moxibution at Zhongwan(中脘), Guanyuan(關元). After total treatment for three months, the patient's symptoms are improved and the size of inflammatory pelvic mass is reduced. This results indicates that the combination treatment, especially the retention enema therapy is effective on reducing symptoms of PID and the size of secondary inflammatory organic changes.

• Clinical and Experimental Reproductive Medicine
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• 제16권1호
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• pp.81-91
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• 1989

It has been suggested that the prognosis for fertility of the infertile patients with healed pelvic tuberculosis is very poor. Total 60 patients(77 cycles) with previous history of pelvic tuberculosis who underwent IVF-ET from January 1988 to March 1989 at SNUH were classified into three groups according to the principal histopathological lesions : tuberculous endometritis group(N=20, 28 cycles), tuberculous salpingitis group(N=32, 37 cycles) and pelvic peritoneal tuberculosis group(N=8, 12 cycles). To evaluate the effects of previous pelvic tuberculous lesions on ovarian follicular growth and development in controlled ovarian hyperstimulation for IVF-ET and its final outcome, serum E2 levels on the day of hCG administration(Day 0) and the day after hCG administration(Day +1), the number of ovarian follicles with mean diamete ${\geqq}$ 12 mm on Day 0, the number of oocytes retrieved by transvaginal aspiration, and pregnancy rate per cycle were measured and compared with control group(N=123, 161 cycles). There were no significant differences in cancellation rate during controlled ovarian hyperstimulation, total dosage of FSH and hMG administrated, menstrual cycle date(MCD) of hCG injection, serum E2 levels, the number of ovarian follicles with mean diameter ${\geqq}$ 15 mm, and the number of oocytes retrieved between pelvic tuberculosis group and control group. But in pelvic tuberculosis group, the number of ovarian follicles with mean diameter 12-14 mm, total number of ovarian follicles(${\geqq}$ 12 mm), and pregnancy rate per cycle were significantly decreased. These data suggest that previous pelvic tuberculous lesions have no significant adverse effects on the ovarian response to gonadotropin stimulation. IVF-ET proved to be an useful treatment modality for infertile patients with previous history of pelvic tuberculosis in spite of its relatively lowered pregnancy rate.

• Investigative Magnetic Resonance Imaging
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• 제17권4호
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• pp.326-333
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• 2013

$H^1$ 자기공명분광술에서 악성 종양은 양성 병변보다 더 높은 농도의 대사물질들을 보여준다. 락테이트의 이중 첨단점은 악성 종양과 자궁내막증에서 나타났으며, 자궁내막증에서 더 높은 농도를 보였다. 자궁관난소농양과 난관염은 분명한 첨단점이 보이지 않는다. 유피낭종은 높은 수준의 지질 첨단점이 나타난다. 부난관 낭종 및 난포낭도 지질 첨단점을 보일 수 있지만, 지질의 농도는 유피낭종보다 현저히 낮다. $H^1$ 자기공명분광술은 낭성 난소병변의 대사 물 성분에 대한 유용한 정보를 제공할 수 있다.

• Clinical and Experimental Reproductive Medicine
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• 제7권1_2호
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• pp.11-20
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• 1980

Hysterosalpingograms (H.S.G.) have been done for several decades to determine causative factors in female infertility. However, the H.S.G. only reverals uterine cavity and tubal patency or inpatency. The author prefers to find more details in regard to the status and condition of the female reproductive organs and their surrounding tissue as they pertain to infertility. H.S.G. in combination with laparoscopic examination reveals the following results. Preparation and method of performance of H.S.G. during laparoscopy in a healthy reproductive age women are as follows. When laparoscopy is not contraindicated, NPO is ordered with routine bowel preparation. Analgesics administered by injection prior to procedure are valium 10mgs and pethidine 50-100mgs. The radiographic procedure is the same as for any HSG technique. During laparoscopy a solution of 3 to 10 ccs. of 60% hypaque sodium is used. Fluroscopic scout films are obtained A-P and oblique views as well as a delayed check film. 1. Age distribution of primary and secondary infertility in this studies involving tubal factors was as follows: 20-29 age group showed 46% incidence and in the 30-39 age group, 50% incidence. Duration of infertility in this study group was the following: 1-2 years showed 26.7%, 3-5 years 53.8%, and 6-9 years 13.3%. 2. Indications of laparoscopic examination were as follows: Secondary infertility in 35% of the cases, obscure tubal occlusion on previous H.S.G. in 25%, unknown origin in 11.7%, and the remaining cases included pelvic pain, small masses, dysmenorrhea, and uterine anomaly. The laparoscopic examination showed clearly the reproductive organs and the surrounding tissues in the pelvic cavity. The abnormal tubal findings there revealed were tuberculous salpingitis and hydrosalpinx in 10% each, endometriosis and peritubabl adhesions in 6.7% each, biconuate uterus in 3.3%. The remaining 58.3% of the cases showed normal findings. Laparoscopic observation for possible myoma nodules, streak ovary, and peritubal adhesions was also done at this time. 3. Comparative tubal findings in combined H.S.G. and laparoscopic examination revealed the following. Bilateral tubal occlusion was present in 14% (7cases) on laparoscopic examination but on H.S.G. 38% (19 cases) were noted. However, tubal occlusion and peritubal adhesions were found in 26% (13 cases) upon laparoscopy and only 8% (4 cases) on H.S.G. examination alone. Normal pelvic findings were present in 60% (27 cases).

• 한국가금학회지
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• 제16권3호
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• pp.175-192
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• 1989

한국 양계의 성장기이었던 1971년부터 1988년까지 최근 18연간 국내 양계농가로부터 농촌진흥청 가축위생연구소에 의뢰된 닭 가검물의 병성감정결과 질병검색된 총 9,012건 중 전염성 질병으로 진단된 6,181건에 대하여 검색 연도별, 계절별 및 일영별 검색상황을 조사 분석하였던 바 다음과 같은 결과를 얻었다. 1. 연도별 전염성 질병의 검색률은 49.3％(1973연)∼78.3％(1985년)로써 연평균 68.6％로 나타나 비전염성 질병(31.42％)보다는 월등히 높았다. 2. 전염성 질병 중에는 세균성이 32.6％(16.2∼42.5％)로 가장 높았고 다음 바이러스성 질병이 26.3％(21.8∼38.1％)이었으며 기생충성 및 곰팡이성 질병은 각각 7.7％ 및 2.1％의 낮은 검색율을 나타내었다. 3. 세균성 질병으로는 마이코프라스마병, 대장균증 및 포도상구균증의 연평균검색률이 각각 8.8％, 8.5％, 5.8％로 가장 높았으며, 다음 살모넬라균증, 추백리, 난황염 및 수란괌염이 각각 0.8∼1.5％ 이었고 피부염(0.2％) 및 연쇄상구균증(0.1％)은 매우 낮은 빈도로 검색되었다. 4. 바이러스성 질병중에는 임파성 백혈병 및 마렉병이 각각 연평균 7.5％ 및 7.2％로 가장 많았고 다음 뉴캣슬병(4.4％), 전염성 후두기관염(2.0％), 전염성 낭병(1. 7％) 및 조뇌척수염(1.0％)의 순이었으며 그 외 전염성 기관지염, 산란저하증 '76 및 봉입체간염 등이 각각 1.0％, 미만으로 검색되었다. 5. 기생충성 질병의 검색률에 있어서는 닭 콕시듐병이 연평균 4.5％로 가장 높았고 다음 회염증이 1.4％이었다. 그 외에 류코싸이토준병 흑두병, 맹장충증 및 외부기생충증이 각각 0.2∼0.7％의 낮은 비율로 검색되었다. 곰팡이성 질병으로는 곰팡이성 폐렴이 연평균 2.0％, 다음으로 캔디다증이 0.1％ 검색되었다. 6. 계절별 전염성 질병의 검색은 하계 및 추계절에 각각 27.7％ 검색되어 가장 높았으며 다음 동계(23.5％) 및 춘계절의 순으로 낮았다. 이들중 세균성, 바이러스성 및 곰팡이성 질병은 이와 유사한 경향이었으나 기생충성 질병은 하계 및 추계절에서의 검색률이 각각 34.3％ 및 39.5％로 다른 계절에 비하여 월등히 높았다. 7. 세균성 포도장구균증은 추계절에서의 검색율이 가장 높았으며, 바이러스성 질병으로는 마렉병, 전염성 후두기관염 및 전염성 낭병은 하계절에, 그리고 임파성백혈병, 계두 및 산란저하증 '76은 추계절에서 가장 높았으며 전염성 기관지염은 동계절에 최고빈도로 검색되었다. 기생충성 질병에 있어서는 콕시듐병을 위시하여 회충증, 류코싸이토준병 및 흑두병등 대부분의 주요질병이 하계절 및 추계절에 가장 많이 검색되었다. 8. 닭 일영별 전염성 질병의 검색률은 육성계(30∼150일영)에서 47.4％의 가장 높은 검색률을 나타내었고 다음 성계(150일영이상)에서 35.3％ 및 유추(30 일영미만)에서 17.3％의 순이었다. 이중 세균성 및 기생충성 질병은 육성계에서의 검색률이 가장 높았으나, 바이러스성 질병은 육성계 및 성계에서 거의 같은 비율로 높았으며 곰팡이성 질병은 유추에서 가장 높은 검색률을 나타내었다.