• 한국임상수의학회지
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• 제26권6호
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• pp.619-621
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• 2009

개에서 백혈병성 반응은 흔하지는 않다. 이 것은 백혈구가 많이 증가하여 백혈병성 반응을 보이는 증례이다. 10년령의 암컷 말티즈로 화농성의 혈액섞인 질 분피물이 있었다. 전체혈구계산에서 백혈병성 반응($976\times10^9$ cells/l)을 나타내고 비 재생성 빈혈이 있었다. 혈액도말검사에서 증가된 백혈구는 호중구와 단핵구만 나타났다. 방사선 및 초음파검사에서 자궁은 확장되고 복합적인 액체가 차있는 것이 확인되었다. 자궁절제술 이후에 E. coli가 자궁내 액체로부터 분리되었다. 저자의 조사에 의하면 국소감염의 예에서 이와 같이 극도의 백혈병성 변화를 보이는 것은 처음이다.

• 대한한의학회지
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• 제32권5호
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• pp.25-40
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• 2011

Objectives: This study was performed to assess whether herbal medicine and acupuncture before in vitro fertilizationembryo transfer (IVF-ET) is effective on clinical pregnancy. Methods: From May 2010 to January 2011, a prospective analysis study was performed in 38 patients planning to undergo IVF-ET after taking herb medicine and acupuncture treatment. This study investigated the pregnancy rate and analyzed the change of dysmenorrhea by visual analog scale (VAS), body heat and condition of premenstrual syndrome (PMS), vaginal discharge and menstruation status. Results: 1. During herbal medicine and acupuncture treatment, five patients (13.16%) naturally became pregnant and six patients (15.79%) withdrew. After treatment, 15 patients (39.47%) received IVF-ET, 12 patients (31.58%) did not. 2. The biochemical pregnancy rate was 26.67%, the clinical pregnancy rate 26.67%, miscarriage rate 25% and ectopic pregnancy rate was 0%. 3. After treatment, PMS, dysmenorrhea and dysmenorrhea VAS was significantly decreased and the overall menstrual status improved. 4. After treatment, temperature difference of CV17-CV12 and CV4-CV12 increased, but it was not a statistically significant difference. 5. After treatment, decrease of hemoglobin and protein and increase of total bilirubin and creatinine were statistically significant. All the blood test results were within normal levels which proves safety of treatment. Conclusions: This study suggests that herbal medicine and acupuncture treatment before IVF-ET shows similar pregnancy rates with existing rates, but contributes to increasing the possibility of natural pregnancy.

• 가정∙방문간호학회지
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• 제18권2호
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• pp.88-98
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• 2011

Purpose: This study was done to develop and test a maternal role strengthening program based on home care nursing. Methods: A quasi-experimental design was employed. Changes in the variables(maternal identity and confidence of maternal role) were evaluated to test the effects of the developed program. Participants were first-time mothers receiving home care nursing from S Medical Center following normal spontaneous vaginal delivery(experimental group 29; control group 29). Data collection was conducted from December 2008 to February 2009. $X^2$-test, Fisher's exact test and t-test were used to analyse the data. Results: Hypothesis 1, that the experimental group receiving this program would experience a stronger maternal identity than the control group, was supported(t=-7.990, p=<.001). Hypothesis 2, that the experimental group would have higher confidence in their maternal role than the control group, was also supported(t=-10.109, p=<.001). Conclusion: The maternal role strengthening program based on home care nursing developed in this study was found to be an effective means of improving maternal identity and confidence of maternal role. As these traits are developed once the baby is born, active nursing programs which provide continuous training and demonstrations to mothers are needed prior to hospitalization and following hospital discharge.

• 한국임상수의학회지
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• 제26권6호
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• pp.655-658
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• 2009

복부 팽만과 간헐적인 가벼운 좌측후지의 파행을 나타낸 11년령의 암컷 말티즈견이 내원하였다. 신체검사에서 복부 촉신 시 동통을 호소하였고 농성의 질 삼출물을 나타내었다. 혈액화학적 검사결과 독성변화를 동반한 심한 백혈구감소증, 질소혈증, 고인산혈증, 그리고 저나트륨혈증이 관찰되었다. 복부 방사선검사에서 소장을 앞쪽과 등쪽으로 변위시키는 연부조직음영의 관상구조를 가진 매스가 관찰되었고 복부 초음파검사에서 에코성의 물질이 함유된 종괴는 자궁음영으로 판단되어 자궁축농증으로 진단하였다. 후지의 방사선검사결과 양쪽 무릎에서 내측 슬개골탈구와 외측 종자뼈가 4-5 조각으로 분화된 다분화를 관찰하였다. 환자는 곧바로 난소자궁적출술을 받아 잘 회복되었으며 정상적인 혈액화학 수치를 보였다. 좌측 후지의 파행은 간헐적이고 매우 경미하였으므로 특별한 처치를 하지 않았다. 이후 지금까지 3개월동안 뚜렷한 후지파행은 관찰되지 않았다. 여러조각으로 갈라진 후지의 양측성 외측종자뼈는 선천적인 종자골 다분화로 여겨지며 파행과 직접적인 관련성은 없는 것으로 판단된다.

• 동국한의학연구소논문집
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• 제5권
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• pp.231-271
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• 1996

Obstetrics and Gynecology include gynecology which is concerned with the treatment for the disease based on physiology and pathology of women, and obstetrics which is concerned with pregnancy delivery. These obstetics and gynecology can be said to date from the birth of human beings. This paper has carried on the studies about the generating and developing process of obstetics and gynecology. The results of this study are as follows : Distinction in Northern and Southern Dynasties were much more Obstetrics and Gynecology studying the Obstetrics and Gynecology books in that time, the study about "oncosis" (腫瘤) and forms of drug, pill, powder, pIaster were carried on. The highest distinction in Sui age were research and development on pathogenesis and cause of disease about Obstetrics and Gynecology disease and it was appeared representatively in "Zhubingyuanhoulun""諸病源候論" which was special book on cause of disease and pathogenesis and syndrome, And it was explained about abnormal vaginal discharge in this book. Obstetrics and Bynecology were developed on theory and clincis in Tang age when "Taiyshu"(太醫暑) was established. "Taiyshu"(太醫暑) taked complete charge of medical operation and education, published much excellent Obstetrics and Gynecology books than the past. Among them specially "Qianjinyaofang""千金要方" explained Obstetrics and Gynecology matter first in three volumes and "Qianjinyifang""千金翼方" explained this matter first in four volumes. This point indicate that Obstetrics and Gynecology's importance was established in Tang age, so Obstetrics and Gynecology's developmental history, Song age was the acme period. "Taiyju"(太醫局) was established in "xining""熙?" 9 year and Obstetrics belonged to one of nine departments under "Taiyun"(太醫局), so Obstetrics and Gynecology was separated from the other medical parts and it was prepared of it's progressing bases independently and appeared of changes in quality and increase in quantity about theory and prescription of Obstetrics and Gynecology, specially determination of treatment based on the differentiation of symptoms and sighs was taked a serious view. Besides four great physicians in Jing and Yuan dynasies diversified Obstetrics and Gynecology contents through their only medical theory and clinical treatment.

• 모자간호학회지
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• 제1권
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• pp.16-22
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• 1991

Various minor discomforts are reported to be complained by the pregnant women. but what were and how much were they complained has not been revealed until recently. So, These lack of knowledge have given nurses difficulties in planning of care to promote the health during the pregnancy. Objectives of this study were to identify the rate of complaints in each minor discomforts and to explore the influencing factor on reduction of complaints of minor discomforts. The subjects were 120 mothers, who delivered their babies in hospital, from September to December 1990 and the reason why the postpartum mothers were selected as the subjects were minor discomforts could develope during the entire period of pregnancy. Data were gathered by the questionnares and analized statistically using SAS and SPSS program. Results were as follows. 1. More than one third of the subjects complained frequent urination, fatigue, increase of the vaginal discharge, morning sickness, the increased urination at night, pain in leg, backache, edema in leg, constipation, dyspnea, varicose vein, flatulence, headache. 2. Minor discomforts complained to be severe in more than one third of the subjects were frequent urination and increased urination at night. 3. The influencing factor to reduce the complaints of minor discomfort was revealed to be the perceived family support (r=0.030431, t=0.0007). We suggest that nurses should emphasize the importance of the family support to the pregnant women and their family, and to explore the relationships among the locus of control, the perceived family support and the complaints of minor discomforts.

• 대한한방부인과학회지
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• 제28권3호
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• pp.40-53
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• 2015

Objectives The purpose of this study is to report the gynecologic use of Angelicae Gigantis Radix in uterus and gynecology part of Dongeuibogam. Methods I searched prescriptions containing Angelicae Gigantis Radix in uterus and gynecology part of Dongeuibogam and analyzed the selected prescriptions to research the use of Angelicae Gigantis Radix in uterus and gynecology part of Dongeuibogam. Results Prescriptions containing Angelicae Gigantis Radix are utilized for 10 disease patterns in uterus part. The number of prescriptions containing Angelicae Gigantis Radix is 50 in uterus part. Prescriptions containing Angelicae Gigantis Radix are utilized for 29 disease patterns in gynecology part. The number of Prescriptions containing Angelicae Gigantis Radix is 90 in gynecology part. Angelicae Gigantis Radix was taken as a sovereign, minister drug of prescriptions containing Angelicae Gigantis Radix of uterus and gynecology part. In many prescriptions, Angelicae Gigantis Radix is used in the treatment of amenorrhea and dysmenorrhea in uterus part. Prescriptions containing Angelicae Gigantis Radix are used to treat not only female infertility but also male infertility in gynecology part. The Samul-tang is the most useful prescription which contains Angelicae Gigantis Radix. Conclusions Angelicae Gigantis Radix is an effectual medicinal herb for menstrual disease, vaginal discharge, pregnancy disease, postpartum disease. So I consider that it is necessary to study methods which improve convenience and effect of prescriptions containing Angelicae Gigantis Radix.

• 셀메드
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• 제11권4호
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• pp.17.1-17.4
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• 2021

Episiotomy is the commonest obstetrics intervention in the world to reduce severe perineal injuries. Its prevalence is 43% to 100% in primiparous women in Asia. Further, worldwide approximately 10-95% of pregnant women undergo episiotomy incision during birth. Delay in wound healing probably increases the risk of wound infection, changes the muscular structure, and ultimately causes muscle tone loss. So, wound care is of specific significance to postnatal maternal outcomes. Hence, this case study aimed to evaluate the effect of Marham-i-Raal in episiotomy wound healing and pain relief. The study was conducted in eleven postpartum primi or multipara pregnant women aged between group 19 and 35 years with term gestational age, singleton pregnancy in a cephalic presentation who had a normal vaginal delivery with mediolateral episiotomy, without a perineal tear, and perineal hematoma. Externally, application of Marham-i-Raal 2g on episiotomy incisional wound, twice a day for 10 days was advised. Wound healing of episiotomy and pain intensity was assessed with REEDA ["redness, oedema, ecchymosis, discharge and approximation of the edges"] scoring and VAS scoring for pain intensity respectively. At one hour (baseline), the REEDA mean score of eleven patients was 3.90±1.04 whereas on day 7-10 it was 0.18±0.40 with statistically significant difference (p<0.001). The VAS mean score at one hour was 6.90±1.22 whereas on day 7-10 it was 0.72±0.78 with a statistically significant difference (p<0.001). Marham-i-Raal would be effective in episiotomy wound healing and reducing pain intensity. Further, randomized double-blind controlled trials in large sample size are recommended.

• Clinical and Experimental Pediatrics
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• 제52권8호
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• pp.888-892
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• 2009

목 적 : 신생아실에서 만삭아에 준한 경과 관찰 후 퇴원한 후기 조산아들의 재입원과 관련된 위험 요인과 재입원 원인을 알고자 연구를 계획하였다. 방 법 : 2003년 1월부터 2008년 12월까지 일신 기독 병원 신생아실에서 만삭아에 준한 경과 관찰 후 퇴원한 후기 조산아들 중 생후 28일 이내에 재입원하였던 135명의 신생아들의 의무 기록지를 후향적으로 조사하였다. 재입원의 위험 요인을 알고자 대조군과 비교 분석하였다. 결 과 : 재입원과 관련된 위험 요인 연구에서 재태주수, 출생 체중, 성별, 분만 방법, 산모의 나이, 교육 정도, 결혼 여부, 진통과 분만 과정상의 합병증은 관련이 없었고, 모유 수유(71.9% vs 44.4%), 짧은 신생아실 경과 관찰 기간($3.3{\pm}1.6$일 vs $4.1{\pm}2.0$일), 초산모(60.0% vs 45.3%)와 임신 합병증이 있었던 경우(31.9% vs 18.8%) 통계적으로 유의하게 재입원율이 높았다. 재입원 시점은 출생 후 평균 $6.2{\pm}3.6$일로, 출생 5-6일 사이에 재입원하는 경우가 40.7%로 가장 많았다. 재입원 시 83.7%가 황달을 주소로 입원하여 가장 흔한 원인이었고, 자연 분만(43.4% vs 1.8%), 산모의 나이가 적은 경우($29.8{\pm}3.4$세 vs $32.1{\pm}4.2$세), 임신과 관련된 합병증 동반이 적은 경우(28.3% vs 50%)가 황달로 인한 재입원과 관련 있었다. 결론 : 후기 조산아들의 재입원과 관련된 위험 요인은 모유 수유, 짧은 신생아실 경과 관찰 기간, 초산모와 임신 합병증이 있었던 경우였고, 재입원 시점은 평균 $6.2{\pm}3.6$일, 가장 흔한 재입원 원인은 황달이었다.

• 대한미생물학회지
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• 제21권2호
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• pp.261-270
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• 1986

A total of 339 urethral, vaginal swab and eye discharge materials from the out-patients in the hospitals of Seoul area was microbiologically collected for the detection of Chlamydia trachomatis infection during May through August, 1985. McCoy cell culture system (MCC) and enzyme-likned immunosorbent assay (EIA) methods were employed in this study as the tools for the detection of C. trachomatis, and the detectabilities of two methods were compared. The results obtained in this study are summarized as follows: 1. The positive rate of C. trachomatis in 339 swab specimens was 18.6%, and the rate in females (20.1%) was much higher than that in males (7.1%). 2. The positive rate of C. trachomatis infection the prostitutes was the highest (24.2%), and the rate in the eye discharge specimens obtained from the new barns was 12.8%. 3. The positive rates of C. trachmoatis infection detected in the specimens from the patients with vaginitis and leucorrhea, with infertility, with cystitis and with nongonococcal urethritis were 17.2%, 21.9%. 18.0% and 7.1%, respectively. 4. The positive rate of C. trachomatis infection in 20-25 age group was 30.5%. This rate was the highest among the other age groups. 5. The positive rate of C. trachomatis infection in the randomly screened 89 swab specimens by EIA (30.3%) was much higher than the rate detected by MCC (18.6%). 6. The positive rate of C. trachomatis infection in females detected by EIA was also much higher than in males, and the 20-25 age group showed the highest positive rate as compared to the other age groups. 7. Sensitivity and specificity of EIA for the detection on C. trachomatis were 100% and 88.6%, respectively, in case that MCC was regarded as perfect method. In summarizing the above results, it is known that considerable cases with genital diseases and with eye discharges were associated with C. trachomatis, and that EIA method is recommendable for the detection of C. trachomatis especially in the specimens swabed from the genital tracts.