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분만 후 심한 촉지에 의해 유발된 갑상선 중독발증 1 예
정성진 ( Jeong Seong Jin ),황정혜 ( Hwang Jeong Hye ),박용수 ( Park Yong Su ),김동선 ( Kim Dong Seon ),함준수 ( Ham Jun Su ),김태화 ( Kim Tae Hwa ),안유헌 ( An Yu Heon ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.2
Although the mortality has been reduced with aggressive approach, thyrotoxic storm or crisis is still a life-threatening condition and usually triggered by preeclampsia, placenta previa, congestive heart failure, infections and induction of labor during pregnancy. We report here a 28-year-old pregnant woman suspicious of placenta previa without a previous history of hyperthyroidism was admitted to the hospital with vaginal spotting and labor. After receiving a Cesarean section, thyrotoxic manifestations were developed and she became stable with antithyroid therapy. The second attack of thyrotoxic storm was presented after a thyroid ultrasonographic study. It appears that the vigorous examination of thyroid gland carries a significant risk of thyrotoxic crisis in poorly controlled hyperthyroidism.
한동운,김운용,최수정,황정혜,Han, Dong-Woon,Kim, Yoon-Yong,Choi, Soo-Jeong,Hwang, Jung-Hye 대한예방한의학회 2012 대한예방한의학회지 Vol.16 No.3
Objectives : The objective of this study is to determine the present state of patients with breast cancer use of Korean medicine(KM) and predictive factors for the use. Through this, the present study is intended to present reasonable treatment approaches for patients with breast cancer as well as communicating correct information on KM to healthcare providers and presenting objective alternatives for patients with breast cancer management based on the subjects' experience in health benefits obtained from their use of KM. Methods : To collect data for the present study, questionnaire surveys were conducted on outpatients who visited four hospitals located in Seoul, Korea during around three weeks from May 31, 2012. Although the total number of the questionnaire sheet distributed in the form of directly asking questionnaire questions was 300, 12 incomplete questionnaire sheets were excluded. Therefore, the number of questionnaire sheets actually used in analyses was 288 and thus the collect rate was 96%. Results : Major results of this study are as follows. First, the number of subjects who responded to the questionnaire was 288 in total. Forty-six percent of the patients reported KM usage and the most commonly used ginseng and qigong/exercise. KM use was found to be associated with age, experiencing side effects of cancer treamnent. Factors that affect the use of KM were analyzed by Linear Logistic Regression and the results showed that age, experiencing side effects of cancer treatment, effectiveness of cancer treatment, and satisfaction of the treatment were factors that were related with relatively more frequent use of KM. Conclusions : Comparing the previous studies, it could be seen that patients with breast cancer were highly interested in and used KM in which conventional medicine and KM are used simultaneously. Knowledge on the integrative use of KM and conventional therapies is necessary for cancer physicians and traditional Korean medical doctors to help patients make informed choices. KM use may play a role in the positive benefits associated with process of breast center treatment. Healthcare providers should communicate correct information on the KM use that has been scientifically verified and talk with each other openly. The fact that the significant correlation between predictive factors for the use of KM was identified trough the present study is quite meaningful.
임신성 당뇨병 선별검사에서 비정상 50 gm 경구 당 부하 검사의 임상적 의의
이정한 ( Jung Han Lee ),황정혜 ( Jeong Hye Hwang ),김승룡 ( Seung Ryong Kim ),박문일 ( Moon Il Park ),정성로 ( Sung Ro Chung ),황윤영 ( Yeon Young Hwang ),안유헌 ( You Hern Ahn ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.2
목적 : 임신성 당뇨병 선별검사인 50 gm 경구 당 부하검사에서 비정상이나, 100 gm 경구 당 부하 검사에서 임신성 당뇨병으로 진단되지 않은 산모들의 일반적 특성과 임상적 의의를 알아보고자 하였으며, 또한 거대아, 자간전증, 제왕절개술의 위험인자를 알아보고자 하였다. 연구 대상 및 방법 : 1999년 3월부터 2001년 2월까지 한양대학교 구리병원에서 임신성 당뇨병의 진단을 위하여 경구 당 부하 검사를 시행하고, 분만한 산모 812명 중 50 gm Objective : The purpose of this study was to compare the clinical significance of pregnant women who had abnormal 50 g oral glucose tolerance test (GTT) but normal 100 g oral GTT with those who had normal 50 g oral GTT. Materials and Methods : Between Mar
황체기 결함이 있는 불임환자에게 클로미펜 투여 후 자궁내막에서의 Leukemia inhibitory factor (LIF)의 발현
고승희 ( Go Seung Hui ),황정혜 ( Hwang Jeong Hye ),장세진 ( Jang Se Jin ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.11
목적 : 자궁내막에서 배아의 착상을 조절하는 기전에 대해서는 아직까지 확실치 않지만 많은 사이토카인과 성장인자들이 자궁내막의 착상 전 발달에 중요한 역할을 담당하고 있는 것으로 밝혀지고 있고 이 중 LIF는 착상을 위해서는 반드시 필요한 인자로 알려져 있다. 클로미펜은 불임치료로 가장 많이 사용되고 있는 약제이나 자궁내막에 대한 항에스트로겐 효과 때문에 배란율에 비해 임신 성공률이 낮은 것으로 보고되고 있다. 본 연구는 황체기 결함을 가진 불임환자에게 Objective : Although the regulation of implantation is not clearly understood, recent studies have revealed that many cytokines and growth factors play an essential role in preimplantation endometrial development. Among the cytokines, the expression of le
한 민간종합병원에서 진단된 폐결핵 환자의 특성과 치료성적
고원중 ( Go Won Jung ),권오정 ( Kwon O Jeong ),김철홍 ( Kim Cheol Hong ),안영미 ( An Yeong Mi ),임성용 ( Im Seong Yong ),윤종욱 ( Yun Jong Ug ),황정혜 ( Hwang Jeong Hye ),서지영 ( Seo Ji Yeong ),정만표 ( Jeong Man Pyo ),김호중 ( K 대한결핵 및 호흡기학회 2003 Tuberculosis and Respiratory Diseases Vol.55 No.2