• Title/Summary/Keyword: obstetrics and gynecology

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A Study on the Relationship between Body Composition and Menopause Rating Scale (MRS), The Menopause-specific Quality of Life Questionnaire (MENQOL) of Postmenopausal Women (한방병원에 내원하는 갱년기 여성의 체성분 특성과 Menopause Rating Scale(MRS), The Menopause-specific Quality of Life Questionnaire(MENQOL)을 통한 증상에 대한 상관도 분석)

  • Park, Kang-In;Pak, Yeon-Kyoung;Park, Kyoung-Sun;Hwang, Deok-Sang;Lee, Chang-Hoon;Jang, Jun-Bok;Lee, Jin-Moo
    • The Journal of Korean Obstetrics and Gynecology
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    • v.28 no.1
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    • pp.85-91
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    • 2015
  • Objectives: Postmenopausal symptoms are subject to many factors. Recently, obesity has been suggested as a factor of hot flush. So this study aims to report the relationship between body composition and Menopause Rating Scale (MRS), The Menopause-specific Quality of Life Questionnaire (MENQOL) of postmenopausal women. Methods: We studied 42 climacteric women who had visited Kyung Hee University Hospital at Gangdong from April 2011 to July 2014. 42 women had filled out MRS, MENQOL, and they had taken body composition tests. Pearson correlation tests were conducted. (Correlation was statistically significant at the 0.05 level) Results: Correlation between psychological subscale of MENQOL and Waist-Hip Ratio (WHR) was statistically significant (pearson correlation coefficient=0.385; p-value=0.012). But other subscales of MRS and MENQOL were not statistically related with body composition. Conclusions: WHR could be an important factor of psychological health of menopausal women. So, abdominal fat reduction must be considered when curing menopausal symptoms. In connection with climacteric depression, well-designed studies would be necessary.

Clinical Experiences of Gamete Intrafallopian Transfer (GIFT) Procedure (Gamete Intrafallopian Transfer(GIFT)방법의 임상체험에 관한 고찰)

  • Song, J.S.;Park, Y.S.;Kye, Y.S.;Kim, E.I.;Hur, K.O.;Han, C.W.;Mok, Y.J.
    • Clinical and Experimental Reproductive Medicine
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    • v.17 no.2
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    • pp.145-151
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    • 1990
  • This study was carried out to elevating the pregnancy rate in infertile patient by Gamete intrafallopian transfer (GIFT). The GIFT program was performed from July 1988 to June 1990. Of the 131 cycles, the mean age of patient was 31.6 years and the mean duration of infertility was 5.3 years. 41 patients became pregnant, for a pregnancy rate of 31.3%. 5 preclinical abortions and 6 clinincal abortion was occured. 2 ectopic pregnanices and 1 combined pregnancy were occured. 7 twin pregnancies and 1 triplet were occured (multiple pregnancy rate;22.2%). 11 pregnancies were term delivered, 17 are ongoing pregnancies. GIFT may be considered as an alternative to in vitro fertilazation in infertility cases in which at least one fallopian tube is patent.

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A Case Report of Sequela of Operation of Hallux Valgus (족부 무지외반증 수술 후 후유증 치험 1례)

  • Jung, Soo-Jung;Park, Kyung-Mi;Song, Yu-Rim;Cho, Seong-Hee;Yang, Seung-Jeong;Ma, Young-Hun
    • The Journal of Korean Obstetrics and Gynecology
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    • v.28 no.2
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    • pp.183-192
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    • 2015
  • Objectives : This study aims to report the effect of Korean medicine treatments on a sequela of operation of hallux valgus. Methods : The patient was treated with Dangkisoosan-gami, Acupuncture treatment including Herbal-Acupuncture and physical therapy. We evaluated treatment effects by circumference of foot and ankle, Edema index score by Body Composition Analyzer, Ankle-Brachial Index (ABI) and Visual Analogue Scale (VAS). Results : After 25 days of treatment, the symptoms such as lower extremity edema, foot pain and ankle pain were improved. Conclusions : In this case, Korean medicine treatments for a sequela of operation of hallux valgus was effective. But further studies are required to confirm the effect of these methods.

Study on the Clinical Validity of Sperm Penetration Assay (Sperm Penetration Assay의 임상적 타당성에 관한 연구)

  • Pang, Myung-Geol;Oh, Sun-Kyung;Shin, Chang-Jae;Kim, Jung-Gu;Moon, Shin-Yong;Chang, Yoon-Seok;Lee, Jin-Yong
    • Clinical and Experimental Reproductive Medicine
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    • v.20 no.1
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    • pp.1-7
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    • 1993
  • The present study was designed to test the validity of the semen analysis(S/A) and the sperm penetration assay(SPA) as a prognostic indicator of male fertility in 123 patients undergoing in vitro fertilization(IVF). We attempted to correlate the traditional semen parameters or the extent of sperm penetration in SPA with the results of human IVF rate or cleavage rate. Poor correlation was found between the results of S/A and human IVF rate(sensitivity, 80.6% ;specificity, 46.7%; positive predictive value, 91.6%;negative predictive value, 25%). Conversely, good correlation was found between the results of SPA and human IVF rate(sensitivity, 100% ; specificity, 80% ;positive predictive value, 97.3% ;negative predictive value, 100%). Our results corroborate the conclusion that SPA can be a valuable tool as a prognostic indicator of male fertilizing ability.

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Prenatal detection of Xq deletion by abnormal noninvasive prenatal screening, subsequently diagnosed by amniocentesis: A case report

  • Kim, Bo Ram;Kim, Rina;Cho, Angela;Kang, Hye Sim;Park, Chul Min;Kim, Sung Yob;Shim, Soon Sup
    • Journal of Genetic Medicine
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    • v.18 no.2
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    • pp.117-120
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    • 2021
  • We experienced a case of Xq deletion -- 46,X,del(X)(q22.3) -- detected by abnormal noninvasive prenatal screening, subsequently diagnosed by amniocentesis. Genetic counseling was a challenge because there are few reports of prenatal diagnosis of Xq deletion. In each female cell, one X chromosome is inactivated at random early in development, and there may be a preferential inactivation of the abnormal X chromosome. But some proportions of genes escape inactivation. The most common manifestation in women with Xq deletion is primary or secondary ovarian failure. Critical regions for ovarian function may be located at the long arm of the X chromosome. But, the onset and the severity of ovarian failure may vary with diverse, intricate factors. We anticipate that noninvasive prenatal screening can identify the broader range of chromosomal or genetic abnormalities with the advances in technology and analytic methods. We report our case with a brief review of the literature.

Effect of Cell Stage on Development of Mice Embryo After Cryopreservation and Thawing (생쥐초기배아 세포기가 동결보존 및 융해후 생존에 미치는 영향)

  • Han, Hyuck-Dong;Kim, Young-Dae;Shon, Sung-Wook;Kwon, Jang-Yeon;Lee, Young-Jin;Chung, In-Bae;Cha, Dong-Soo
    • Clinical and Experimental Reproductive Medicine
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    • v.20 no.2
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    • pp.161-164
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    • 1993
  • To forsee appropriate developmental cell stage in human embryos for cryopreservation, we observed blastocyst development in culture medium after cryopreservatlon and thawing of one cell, two cell, four cell stage of mice embryos. According to our results, development of the blastocyst of cryopreserved two cell mice embryos was significantly higher than that of cryopreserved one cell mice zygotes or four cell mice embryos.

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A Case of Adnexal Torsion in Pregnancy (임신과 동반된 자궁부속기 염전 1례)

  • Hwang, Kwang-Young;Jeon, Kyung-Sook;Lee, Bong-Gyu;Lee, Eun-Ji;Lee, Tae-Hyung;Koh, Min-Whan
    • Journal of Yeungnam Medical Science
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    • v.16 no.1
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    • pp.137-140
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    • 1999
  • Adnexal torsion is not a common surgical emergency in obstetrics and gynecology, and is not observed frequently during pregnancy with its incidence being one out of about 5,000 pregnancies: pregnancy is a factor that encourages torsion. The traditional treatment for ischemic and twisted adnexa consists of oophorectomy or salpingo-oophorectomy. With early diagnosis. a conservative approach is recommended in cases of young women to assure future fertility. With a brief review of literature, we report a case of unilateral salphingo-oophorectomy during pregnancy due to adnexal torsion with the delivery of a normal baby.

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Challenging management of chorioamnionitis with placental listeriosis: lessons from 2 cases

  • Park, Ji Hyun;Ahn, Jung Hwan;Seo, Kyung Jin;Choi, Sae Kyung;Park, In Yang;Kim, Yeon-Hee
    • Obstetrics & gynecology science
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    • v.61 no.6
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    • pp.688-692
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    • 2018
  • Listeriosis is a rare foodborne infection caused by Listeria monocytogenes. It is 12-20 times more prevalent in pregnant women compared to the general population, with a 20-40% mortality rate in neonates. Early treatment with appropriate antimicrobial agents is critical for pregnancy outcomes; however, the infection is difficult to control because the nonspecific clinical manifestations and rarity of the disease often preclude early diagnosis. We encountered 2 cases of pregnancy-associated listeriosis that occurred at 29 and 37 weeks of gestation. Both neonates were delivered by emergent cesarean section due to fetal condition, and one of the preterm infants died immediately after birth. Pregnancy-associated listeriosis should be considered in the management of unexplained fever or inflammatory conditions in pregnant women.

Successful pregnancy following transmyometrial embryo transfer after robot-assisted radical trachelectomy

  • Hue, Hye Jeong;Choi, Hyun Ji;Park, Jee Yoon;Suh, Dong Hoon;Lee, Jung Ryeol;Jee, Byung Chul;Kim, Seul Ki
    • Clinical and Experimental Reproductive Medicine
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    • v.48 no.2
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    • pp.184-187
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    • 2021
  • Radical trachelectomy is a fertility-preserving alternative to radical hysterectomy in carefully selected young women with early-stage cervical cancer. However, in cases with subsequent severe cervical stenosis, assisted reproductive techniques can be difficult. This is a case report of a 34-year-old patient who underwent robot-assisted radical trachelectomy and cerclage for early-stage (IB2) adenosquamous carcinoma. Three months after surgery, the patient underwent ovarian stimulation using a gonadotropin-releasing hormone antagonist protocol. As it was impossible to perform transcervical embryo transfer due to the almost complete absence of the cervical opening, transmyometrial embryo transfer under ultrasound guidance was performed. This resulted in a successful singleton pregnancy. This is the first case of successful pregnancy conceived by in vitro fertilization with transmyometrial embryo transfer in a patient who had previously undergone robot-assisted radical trachelectomy.