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계류 유산 후 한방치료 위해 내원한 환자의 Heart Rate Variability(HRV) 특성 연구
유은실 ( Eun Sil Yoo ),김민영 ( Min Young Kim ),황덕상 ( Deok Sang Hwang ),이진무 ( Jin Moo Lee ),장준복 ( Jun Bok Jang ),이경섭 ( Kyung Sub Lee ),이창훈 ( Chang Hoon Lee ) 대한한방부인과학회 2015 大韓韓方婦人科學會誌 Vol.28 No.3
Objectives: This study aims to analyze Heart Rate Variability (HRV) in women after missed abortion compared with healthy women Methods: We studied 35 women who visited Kang-Nam Kyung-Hee Korean Hospital after missed abortion from 01 January 2012 to 28 February 2015 (missed abortion group) and 35 normal women visiting medical examination center from 1 January 2014 to 31 December 2014 (Normal Group). We measured HRV of each women and investigated the difference of HRV between two groups. Results: The standard deviation of NN intervals (SDNN) in Missed abortion group is lower than normal group. The square root of the mean square difference of successive NNs (RMSSD) in Missed abortion group is lower than normal group. However there was no significant difference. Total Power (TP) and Low frequency power (LF) is significantly lower in Missed abortion group compared with normal group. High frequency power (HF), Very low frequency power (VLF) and LF/HF ratio in missed abortion group is lower than normal group. but There was no significant difference. Conclusions: Missed abortion group is lower in function of overall autonomic nervous system, especially sympathetic nerve.
김효영,유은실,김열,공경애,송혜영,최진영,Kim, Hyo-Young,Yoo, Eun-Sil,Kim, Yeol,Kong, Kyoung-Ae,Song, Hye-Young,Choi, Jin-Young 한국호스피스완화의료학회 2011 한국호스피스.완화의료학회지 Vol.14 No.4
Purpose: Since 2005, the Ministry of Health & Welfare has provided financial support to promote palliative care for terminal cancer patients. We analyzed how palliative care facilities used the funding between 2006 and 2010. Methods: Frequency analysis was conducted by the item of expenditure based on fiscal reports of the palliative care facilities. Linear regression analysis was performed to examine a trend over time. Kruskal-Wallis test and Wilcoxon rank-sum test were used to compare expenditure items, the number of provision of financial support and type of palliative care units. Results: About a half of the fund was spent to pay care givers salary, improve facilities and purchase equipment regardless of the year, the number of financial support provided or facility type. By year, the operation cost for palliative care program and the education cost for health care workers have significantly increased in linear regression analysis (P<0.01). However, the amount of financial support for the low income group has decreased over years (P=0.024). This trend was affected by evaluation criteria and weight. Conclusion: The government aid for palliative care units has been used to improve facilities and equipment. Moreover, desirable changes were noted such as a higher portion of expenses for program operation and care giver training to enhance the quality of care. However, the evaluation criteria need to be adjusted to prevent any further decrease in the support provided to the low income group. 목적: 본 연구는 완화의료 활성화 및 서비스 질 향상이라는 정책적 목표를 위하여 2005년부터 완화의료 전문기관에 지원된 운영비가 구체적으로 어떻게 사용되고 있는지 연도별, 지원 횟수별 그리고 종별로 현황을 파악하고, 지원사업의 효과성에 대해 평가하고자 하였다. 방법: 지원 대상 기관이 제출한 사업비 정산 보고서를 토대로 운영비의 비목별 사용 비율을 빈도분석 하였다. 연도별 추세를 파악하기 위해 선형회귀분석을 실시하였고, 지원받은 횟수별, 기관 종별에 따른 완화의료 전문 기관 운영비의 비목별 사용액에 차이가 있는지 알아보기 위해 추리통계방법인 Kruskal-Wallis Test와 Wilcoxon Rank-Sum Test를 이용하였다. 결과: 연도별 분석에서, 프로그램 운영비와 교육 훈련비 및 홍보비에 대한 지출 비율은 지속적으로 증가한 것으로 나타났다(P<0.001). 그러나 저소득층 지원비는 감소하는 추세를 보였다(P=0.024). 연도별 지원받은 횟수별 의료기관 종별에 관계없이 운영비의 절반가량을 인건비, 시설비, 장비비 등의 하드웨어 마련에 사용하고 있었다. 결론: 정부의 완화의료 활성화 지원사업은 장비와 시설 개선 그리고 서비스 질 향상을 위한 활동에 지원금이 꾸준히 사용되고 있음을 알 수 있다. 또한 당해 사업의 평가 기준이 기관의 운영비 사용 흐름에 영향을 주는 것으로 보이는데, 이에 따라 환자 가족을 위한 프로그램 운영과 전문가 교육 훈련에 대한 지출 비율이 늘어나고 있어 서비스 질 향상 위한 바람직한 변화로 보인다. 다만, 평가 기준 조정을 통해 감소하고 있는 저소득층 지원 비율을 향상시킬 필요가 있다고 판단된다.
자궁난소질환에 대한 봉독(Bee Venom)을 활용한 국내외 연구 동향 분석
이진욱,강나훈,유은실,박남춘,양혜린,김남훈,박경선,이진무,이창훈,장준복,황덕상,Lee, Jin-Wook,Kang, Na-Hoon,Yoo, Eun-Sil,Park, Nam-Chun,Yang, He-Rynn,Kim, Nam-Hoon,Park, Kyoung-Sun,Lee, Jin-Moo,Lee, Chang-Hoon,Jang, Jun-Bok,Hwang, Deok- 대한한방부인과학회 2017 大韓韓方婦人科學會誌 Vol.30 No.4
Objectives: Bee Venom has been used to relieve pain and to treat various diseases, such as arthritis, cancer and skin disease. Although Bee Venom has used extensively in gynecological fields, we don't have enough evidence with it. This study is to investigate efficacy and safety of Bee Venom on women by investigating papers, then we are going to suggest the direction of research. Methods: We searched for papers which had Bee Venom from Pubmed, OASIS, Journal of Korean Obstetrics & Gynecology, Journal of Korean Medicine up to August 2017, then classified according to the type of studies. Results: Eleven papers have been finally selected. One paper was a case report about atypical squamous cells of undetermined significance. Four papers were in vivo studies about 1 endometriosis and 1 polycystic ovarian syndrome and 2 human cervical cancer. Among eight papers that were in vitro studies, four papers were reported about ovarian cancer and four papers reported about human cervical cancer. Among ten papers that were experimental studies, two papers have been studied both in vivo and in vitro. Most of studies have shown that Bee Venom is useful for gynecological disorders. Conclusions: It has been identified that Bee Venom could be a good treatment for female disorder. However, more clinical reports and well-designed studies will be needed.
원발성 월경통의 전침 치료 연구에 관한 체계적 문헌 고찰
박남춘,강나훈,유은실,이진욱,윤준걸,이진무,이창훈,장준복,황덕상,Park, Nam-Chun,Kang, Na-Hoon,Yoo, Eun-Sil,Lee, Jin-Wook,Yoon, Jun-Geol,Lee, Jin-Moo,Lee, Chang-Hoon,Jang, Jun-Bok,Hwang, Deok-Sang 대한한방부인과학회 2017 大韓韓方婦人科學會誌 Vol.18 No.4
Objectives: This review aims to report the efficacy and safety of electroacupuncture in the treatment of primary dysmenorrhea. Methods: We searched for randomized controlled studies (RCTs) using electroacupuncture on primary dysmenorrhea up to Dec 2016. The following databases were searched : OASIS, PubMED, EMBASE, CENTRAL. The results of the studies were analyzed and the risk of bias was assessed. Results: Five studies were included in this review. In most studies, the effect of electroacupuncture at Sameumgyo (SP6) was better than that of electroacupuncture at Hyeonjong (GB39), nonacupoint and no intervention about Visual analog scale (VAS), Verbal rating scale (VRS) and Retrospective symptom scale (RSS). But there were no significant effects on Resistance Index (RI) and S/D ratio (the ratio between peak systolic to end-diastolic flow velocity in uterine arteries). Serous adverse events were not reported. Conclusions: This review shows that electroacupuncture is effective on primary dysmenorrhea with no serious adverse events.
Familial Juvenile Hyperuricemic Nephropathy 2례
박진호,최보화,이소영,유은실,박영서,Park Jin-Ho,Choi Bo-Hwa,Lee So-Young,Yoo Eun-Sil,Park Young-Seo 대한소아신장학회 1997 Childhood kidney diseases Vol.1 No.2
Familial juvenile hyperuricemic nephropathy is an autosomal dominant disease characterized by progressive renal disease and hyperuricemia or gout, affecting young people of either sex equally. There are two biochemical markers of this disorder. The first is hyperuricemia disproportionate to the degree of renal dysfunction; the second is a grossly reduced clearance of uric acid relative to creatinine, dispropotionate to age, sex and degree of renal failure. We experienced 2 family members with hyperuricemia. One family member, a 13-year-old girl who had suffered from tophaceous gout and chronic renal failure. Her younger brother also had hyperuricemia and moderately reduced renal function. Their urinary excretion fractions of uric acid($FE_{uric\;acid}$) were reduced and renal biopsy specimens showed interstitial fibrosis with tubular atrophy and interstitial urate crystal deposition. We have treated these two patients with allopurinol but we have done renal transplantation because she progressed to end stage renal disease at 16 year old age.
김민영 ( Min Young Kim ),유은실 ( Eun Sil Yoo ),황덕상 ( Deok Sang Hwang ),이진무 ( Jin Moo Lee ),장준복 ( Jun Bock Jang ),이경섭 ( Kyung Sub Lee ),이창훈 ( Chang Hoon Lee ) 대한한방부인과학회 2015 大韓韓方婦人科學會誌 Vol.28 No.3
Objectives: This study is performed to recognize the relationship between atrophic vaginitis and stress that have an affect on autonomic nervous system. Methods: We studied 47 patients who visited Kangnam Kyunghee Korean Hospital Medical Examination Center from November, 2013 to June, 2014. They were devided into two groups, atrophic vaginitis group (AV, n=18) and non-atrophic vaginitis group (NAV, n=29). We compared the result of HRV between the two groups. Results: The mean of The standard deviation of NN intervals (SDNN), the square root of the mean squared difference of successive NNs (RMSSD) in AV group was lower than NAV group, but there was no significant difference between the two groups. Total power (TP), low frequency (LF) and very low frequency (VLF) of AV group was significantly lower than NAV group. There was no significant difference in high frequency (HF). Conclusions: Women with atrophic vaginitis is expected to have low adaptive capacity against stress.
부인과영역 질환 수술 후 한방입원치료를 받은 환자에 대한 전반적 현황분석 및 통계적 고찰
이진욱 ( Jin-wook Lee ),강나훈 ( Na-hoon Kang ),유은실 ( Eun-sil Yoo ),박남춘 ( Nam-chun Park ),박경선 ( Kyoung-sun Park ),이진무 ( Jin-moo Lee ),이창훈 ( Chang-hoon Lee ),장준복 ( Jun-bok Jang ),황덕상 ( Deok-sang Hwang ) 대한한방부인과학회 2017 大韓韓方婦人科學會誌 Vol.30 No.3
Objectives: This study aims to analyze the current status of hospitalized patients and effects of Korean medical treatment after gynecological surgery. Methods: We analyzed the medical records of patients admitted to our hospital from January 2015 to May 2017 and categorized the pre-operative and post-operative contents. We performed statistical analysis using SPSS ver.20 for the patients` pains among symptoms. Results: Among total 87, patients 82.8% had hysterectomy. The most cause of the surgery were adenomyosis. The average duration of hospitalization was 10.4±5.7 days and all patients were treated with acupuncture. Gami-sibjeon-tang was used most frequently. Among the symptoms that occurred after the operation, abdominal pain, low back pain, pelvic pain were in the order of pain and statistically significant decrease in the mean NRS score. In the symptoms of system, general weakness, insomnia, digestive disorder were in the order of the frequency and were improved respectively. Conclusion: We were able to find out the effectiveness of post-operative Korean medical treatment through hospitalized patients. More data collection and systematic research designs are needed.
한의표준임상진료지침 개발을 위한 유방암 보완치료 실태조사
김남훈 ( Nam-hoon Kim ),강나훈 ( Na-hoon Kang ),유은실 ( Eun-sil Yoo ),박남춘 ( Nam-chun Park ),이진욱 ( Jin-wook Lee ),박경선 ( Kyoung-sun Park ),이진무 ( Jin-moo Lee ),이창훈 ( Chang-hoon Lee ),장준복 ( Jun-bock Jang ),장보형 ( 대한한방부인과학회 2018 大韓韓方婦人科學會誌 Vol.31 No.4
목 적: 한의사의 유방암 보완치료에 대한 실태를 조사하고 임상진료지침의 필 요성을 알아보고자 본 연구를 시행하였습니다. 방 법: 본 연구는 e mail 설문지를 사용하였으며 유방암 환자 치료 여부, 내원 환자들의 병기, 증상, 진단, 치료, 기타 의견 등을 설문하였습니다. 결 과: 322명이 응답하였으며 그 중 84명이 해당 기관에서 유방암 치료를 시행하고 있었습니다. 내원 환자들의 주된 호소는 피로 및 전신 소력감이었고 변증 및 맥진을 주된 진단법으로 한약 및 침뜸을 중심으로 치료하고 있다고 응답하였습니다. 유방암의 한의학적 보완치료로서 임상진료지침이 필요하다고 생각하며 개발된 다면 적극적으로 사용하겠다고 응답하였습니다. 결 론: 유방암 보완치료 실태조사를 통해 임상진료지침에 대한 필요성을 알 수 있었으며 추가적인 연구가 필요합니다. Objectives: To determine the current status of the treatment of breast cancer patients by Korean Medicine doctors (KMDs) and to examine the need for clinical practice guidelines (CPGs) for the supportive care of these patients. Methods: This cross-sectional study used a self-administered questionnaire. Participants were asked about their experience in treating breast cancer patients; the number of breast cancer patients they currently treat; the main complaints expressed by, diagnoses of, and treatments used for such patients; and their opinions about Korean Medicine (KM) as the basis for providing supportive care for breast cancer. Results: The data for this study were collected from 322 respondents. 84 of whom reported having ever treated patients with breast cancer. Most breast cancer patients who visited the KM clinic were classified as stage I or Ⅱ, and their major complaints were fatigue, general weakness and musculoskeletal pain. The major diagnostic strategies were syndrome differentiation and pulse diagnosis. The major treatments administered were herbal medicine, acupuncture, and moxibustion. KMDs cited a need for medical information, such as CPGs, as their most important concern with regard to the treatment of breast cancer patients. Conclusions: This survey determined the prevalence of the use of KM for Korean breast cancer patients. Our results underscore the need for clinical practice guidelines for using of KM as the basis of supportive care for breast cancer and for informing clinicians and patients about this approach.