지연 임신의 임상 현황에 대한 국내 조사

민정애 ( Jung Ae Min ),최석주 ( Suk Joo Choi ),정경란 ( Kyung Lan Jung ),오수영 ( Soo Young Oh ),김종화 ( Jong Hwa Kim ),노정래 ( Cheong Rae Roh ) 대한산부인과학회 2007 Obstetrics & Gynecology Science Vol.50 No.1

목적: 지연 임신의 임상적 처치에 대한 국내의 실제적 현황을 설문 조사를 통해 알아보고자 하였다. 연구 방법: 대한산부인과학회에 등록된 회원 중 2차 및 3차병원, 여성전문병원에 재직중인 1114명에게 인터넷과 우편을 통해 설문조사에 대한 취지를 밝히고 협조를 요청하였다. 설문 내용은 응답자의 연령, 성별, 지역, 전공 분야, 분만 건수 등의 개인 정보뿐 아니라 지연임신의 정의, 태아 상태 평가를 시작하는 시기 및 방법, 유도 분만의 시기 및 방법 등의 임상적 처치 현황에 대한 정보를 포함하였다. 1114명 중 23.2%인 258명으로부터 설문조사에 대한 자료 응답을 확보하였고 이를 분석하였다. 결과: 응답자의 73.6%가 지연 임신을 42주 이후로 정의하였으나 84.5%에서 41주에 유도분만을 고려한다고 응답하였다. 또한 68.3%에서 임신 40주부터 정기적인 태아 상태 평가를 시행한다고 답하였고, 평가 방법으로는 85.7%에서 NST를, 39.5%에서 modified BPP를 채택하였으며 1주일 간격으로 검사를 시행한다고 응답한 경우가 59.3%로 가장 많았다. 유도 분만의 방법에 대해서는 자궁 경부가 숙화되지 않은 경우 응답자의 약 65%가 미산부와 경산부 모두에서 옥시토신을 사용하며 45%가 misoprostol과 dinoprostone을 사용하는 것으로 나타났다. 결론: 대부분의 임상의들이 지연임신을 임신 42주 이후로 정의하고 있으나 실제 유도 분만을 시행하는 시기는 임신 41주가 가장 많았다. Objective: The purpose of this study is to survey the clinical practice pattern of postterm pregnancy in Korea. Methods: A questionnaire was mailed to 1114 physicians who are registered in Korean Society of Obstetrics and Gynecology (KSOG) and work in primary and secondary hospital as well as tertiary care center. The questions included information about the practice pattern implicating definition of postterm pregnancy, the time and the method of routine fetal surveillance and induction of labor as well as demographic information such as age, sex, location, professional part and the number of delivery. We got 23.2% (258/1114) of surveys returned and analyzed the data. Results: Seventy-four percent (73.6%) of the respondents define 42 weeks gestation or greater to be postterm. However, 84.5% consider induction of labor at 41 weeks of gestation. Sixty-eight percent (68.3%) of the respondents start postterm pregnancy fetal testing at 40 weeks and 59.3% of them perform testing every week. For fetal surveillance testing, 85.7% of the respondents use NST and 39.5% of them use modified BPP. As for induction of labor, 65% of practitioners use oxytocin and 45% of them use prostaglandins (misoprostol and dinoprostone) when inducing both nulliparous and multiparous women with unfavorable cervix. Conclusion: Most of the respondents (84.5%) routinely induce low-risk singleton pregnancy at 41 weeks gestation, whereas the majority of them (73.6%) define postterm pregnancy beyond 42 weeks gestation.

골수이형성증 환자에서 발생한 베체트병

민정아 ( Jung Ah Min ),김정은 ( Jung Eun Kim ),오신택 ( Shin Taek Oh ),조석구 ( Seok Goo Cho ),조백기 ( Baik Kee Cho ),박현정 ( Hyun Jeong Park ) 대한피부과학회 2009 대한피부과학회지 Vol.47 No.11

Behcet`s disease (BD) is a multisystemic inflammatory disease that affects various organs and it causes mucocutaneous lesions. BD is only rarely associated with leukemia or other hematologic disorders. Many cases of BD associated with myelodysplastic syndrome (MDS) have recently been reported and these cases are mainly in East Asia and the Mediterranean. We herein report on a case of a 34-year-old man who developed Behcet`s disease 8 years after the onset of MDS. He had two, firm, subcutaneous nodules on both shin and recurrent oral ulcer for 2 months. He also had a retinal vasculitis. Skin biopsy from the left shin showed the septal panniculitis, which was consistent with erythema nodosum. He had multiple ileal ulcers observed on the colonoscopy exam, so he was diagnosed with intestinal Behcet`s disease. Yet the chromosomal analysis revealed nonspecific abnormality and not trisomy 8. This is the first reported case of intestinal Behcet`s disease associated with MDS in the Korean dermatologic literature. (Korean J Dermatol 2009;47(11):1309~1313)

임신 중 자궁부속기 종양의 초음파 소견 및 병리학적 진단에 관한 고찰

민정애 ( Jung Ae Min ),최석주 ( Suk Joo Choi ),정경란 ( Kyung Lan Jung ),오수영 ( Soo Young Oh ),김종화 ( Jong Hwa Kim ),노정래 ( Cheong Rae Roh ) 대한주산의학회 2007 Perinatology Vol.18 No.4

Objective: The purpose of this study was to investigate the role of sonographic findings and tumor markers in predicting malignancy of adnexal masses in pregnancy. Methods: From January 1995 to September 2005, 190 cases of adnexal masses were operated during pregnancy. We reviewed their sonographic findings and medical records retrospectively. Sonographic features and tumor markers were correlated with malignant pathology. Pregnancy and neonatal outcomes were also studied after treatment of adnexal mass during pregnancy. Results: From 190 cases, there were 10 cases (5.3%) of malignant tumor or tumors of borderline malignancy. In the 180 cases of benign adnexal mass, the most common type was mature cystic teratoma (36.7%). Preoperative sonographic findings were available in 110 cases. The median size was 6.3 cm for benign masses and 7.7 cm for malignant masses (p=0.05). Mixed echogenecity, septa and mural nodule were more frequently found in malignant masses (p=0.003, 0.029, 0.013, respectively). Tumor markers were available in 47 cases. In the 1st trimester, the level of serum CA-125 of the patients with benign masses were not different from those with malignant masses. However, in the 2nd and 3rd trimester, the difference was statistically significant (p=0.031). Forty-six patients underwent antepartum surgery and the overall pregnancy outcome was similar between the laparoscopic group and the laparotomy group. Conclusion: Mixed echogenecity, septa and mural nodule showed significant correlation with malignant adnexal mass in pregnancy.

단축형 청소년용 정신화 프로그램의 학생정신건강 증진효과 평가

오소영(So Young Oh),문수진(Su Jin Moon),이원혜(Won Hye Lee),홍민하(Min Ha Hong),민정원(Jung Won Min),김봉석(Bong Seog Kim),황준원(Jun Won Hwang),우이혁(Ieehyok Woo),반건호(Geon Ho Bahn) 대한소아청소년정신의학회 2012 소아청소년정신의학 Vol.23 No.3

Objectives:We developed the short form of the Mentalization Improvement Program for Adolescent-Community Model (MIPAdo-CM-S), based on the concept of the mentalization. Methods:The MIPAdo-CM was composed of 6 sessions and was applied to 133 students in the 1st grade of a middle school for six weeks during their regular school hours. After 6 weeks, we compared the endpoint changes of Adolescent Mental Problem Questionnaire-Revised (AMPQ-R), Emotional Empathy Test, Peer Aggression Scale, Peer Bullying Scale, School Adjustment Scale, Test Anxiety Inventory and Visual Analogue Scale between the subject and the control group. Results:On the Visual Analoge Scale, students in the trial classes reported an increased understanding and respect for others, as well as themselves. Conclusion:The efficacy of MIPAdo-CM was subjective improvement of understanding and respect for both others and themselves. To prove objective usefulness of this program, further studies should be administered in the form of long-term, regular and structured courses.

광각이 없는 양안성 시신경염

이수호(Soo Ho Lee),오중협(Jung Hyub Oh),민정식(Jeong Sik Min) 대한안과학회 1987 대한안과학회지 Vol.28 No.4

청소년용 정신화 프로그램의 학생정신건강 증진효과 평가

문수진(Su Jin Moon),오소영(So Young Oh),이원혜(Won Hye Lee),홍민하(Min Ha Hong),민정원(Jung Won Min),김봉석(Bong Seog Kim),황준원(Jun Won Hwang),우이혁(Ieehyok Woo),반건호(Geon Ho Bahn) 대한소아청소년정신의학회 2012 소아청소년정신의학 Vol.23 No.3

Objectives:Understanding the emotions, thoughts, feelings and behaviors of others, as well as oneself, is part of the mentalizing function. We developed a new school-based community model for mental health, called the Mentalization Improvement Program for Adolescent-Community Model (MIPAdo-CM), based on the concept of mentalization. Methods:The MIPAdo-CM was composed of 12 sessions and was applied to 403 students in the 2nd grade of a middle school. Every session was conducted after the regular school hours for 6 weeks. After 6 weeks, we compared the endpoint changes of Adolescent Mental Problem Questionnaire-Revised (AMPQ-R), Emotional Empathy Test (EET), Peer Aggression Scale (PAS), Peer Bullying Scale (PBS), School Adjustment Scale (SAS), Test Anxiety Inventory (TAI) and Visual Analogue Scale between the subject and the control group. Results:There was no significant difference between two groups in AMPQ-R, EET, PAS, PBS, SAS, and TAI. On the Visual Analoge Scale, however, students in the trial classes reported more increase in understanding and respect for both others and themselves. Conclusion:The efficacy of MIPAdo-CM was subjective improvement of understanding and respect for both others and themselves, erence between two groups in AMPQ-R, Empathy test, To prove objective usefulness of this program, further studies with more structured design will be needed.

특발성혈소판감소성자반증이 합병된 임신에서 임신부와 신생아의 예후

박유나 ( Yu Na Park ),김세은 ( Sei Eun Kim ),정경란 ( Kyung Lan Jung ),민정애 ( Jung Ae Min ),최석주 ( Suk Joo Choi ),오수영 ( Soo Young Oh ),김종화 ( Jong Hwa Kim ),노정래 ( Cheong Rae Roh ) 대한산부인과학회 2007 Obstetrics & Gynecology Science Vol.50 No.7

목적: 본원에서 분만한 특발성혈소판감소성자반증 (ITP)이 합병된 임신의 주산기 예후 및 신생아 혈소판감소증의 예측 인자를 규명하고자 하였다. 연구 방법: 1994년 10월부터 2006년 10월까지 본원에서 분만한 임신부 중 ITP가 합병된 32명 임신부 및 신생아의 의무기록을 후향적으로 분석하였다. 결과: 본 연구에서 ITP는 1,000 분만 당 0.87의 발생률을 보였고 총 32명중에서 임신 중 처음 ITP를 진단 받은 경우는 12예 (37%)였으며 5만/mm3 이하의 혈소판감소증을 보였던 경우가 59%였다. 대상 임신부의 68.7%에서 혈소판 수치의 회복을 위하여 치료를 시행하였으며 분만 시 5만/mm3 이상의 혈소판 수치의 유지를 위하여 20예 (62.5%)에서 혈소판을 수혈 받았다. 치료 방법으로는 스테로이드 투여가 8예 (25%), immunoglobulin 치료 2예 (6.2%), 스테로이드와 immunoglobulin의 병합치료 6예 (18.7%), anti-Rh (anti-D) 1예 (3.1%)로 나타났다. ITP에 대한 치료를 시행받은 군에서 치료에 대한 반응은 77%에서 나타났다. 출생 후 신생아에게서 5만/mm3 이하의 혈소판감소증이 있었던 경우는 14.2%였으며 이들 모두 immunoglobulin 치료를 받았다. 신생아에서 두개내 출혈 등의 합병증은 1예에서 나타났고 신생아의 혈소판 수치는 분만전의 임신부의 혈소판 수치 및 ITP 진단 시기나 치료 여부와 상관 관계가 없었다 (Spearman correlation coefficient, 0.04; P=0.86). 결론: ITP가 합병된 임신의 경우 신생아의 혈소판감소증은 10%에서 나타나지만 아직까지 이에 대한 예측인자가 규명되지 않은 상태이다. Objective: To investigate the maternal and neonatal outcomes in pregnancies complicated with idiopathic thrombocypenic purpura (ITP) and to identify antenatal factors to predict the neonatal thrombocytopenia. Methods: We analyzed retrospectively maternal and neonatal outcomes of the32 pregnant women with ITP who were delivered over a 12-year period. Results: The prevalence incidence of ITP in pregnancy was 0.87 per 1,000 live births in this study population. The diagnosis of ITP was made more before pregnancy than with afterduring during pregnancy (63% vs 37%). Maternal platelet transfusion was done in 62.5 % of pregnancies with ITP. Sixty nine percent of pregnancies with ITP received medical therapies; steroid only in 8 cases (25%), steroid + IVIG (intravenous immunoglobulin) in 6 cases (18.7%), IVIG only in 2 cases (6.2%), and steroid + IVIG + anti-Rh (anti-D) in 1 case (3.1%). Overall response rate (Plt > 50×109/L) to medical treatment was 77%. Neonatal thrombocytopenia (Plt < 50×109/Ll) was observed seen in 4 cases (14.2%) immunoglobulin. There was no correlation between the maternal and the neonatal platelet count. Moreover medical treatment during pregnancy did not make any difference in neonatal platelet count. There was one case of neonatal ICH (germinal matrix hemorrhage). Conclusion: Although neonatal thrombocytopenia occurred in 140% of pregnancies with ITP, no antenatal factor could predict neonatal thrombocytopenia.

음문의 거대 섬유상피성 용종

오민정 ( Min Jung Oh ),기민지 ( Min Jee Kee ),강우대 ( Woo Dae Kang ),김석모 ( Seok Mo Kim ),최호선 ( Ho Sun Choi ) 대한산부인과학회 2010 Obstetrics & Gynecology Science Vol.53 No.2

Fibroepithelial polyps are benign soft tissue tumors that occur in a wide variety of sites, including the lower female genital tract. They exhibit a wide range of morphologic appearances and can be misinterpreted as malignant. A 16-year-old woman presented with a 28×27 cm polypoid lesion localized on the right labium. The labial lesion was resected and recurred 6 years following the initial treatment. The histologic findings of the initial and recurrent lesions were consistent with fibroepithelial polyps. We present a case of a fibroepithelial polyp that is larger than any previously described lesion and recurred lesion with a brief review of the literature.

사회적 배제자들에게 쾌락재는 기부를 자극시키는가?

오민정(Oh, Min Jung),박기경(Park , Kikyung),박종철(Park, Jong Chul) 한국문화산업학회 2017 문화산업연구 Vol.17 No.3

본 연구는 사회적 배제(배제 vs. 통제)조건에서 제품유형이 준거기준으로 제시되었을 때 기부의도에 미치는 영향을 살펴봄과 동시에 수혜자의 표정(슬픔 vs. 기쁨)에 따라 기부자의 기부설득에 미치는 태도가 어떻게 달라지는지를 파악하였다. 즉 기존 선행연구에 따르면, 쾌락적 제품을 구매한 기부자들의 부의도가 높았으며, 수혜자의 슬픈 표정이 기부자들의 동정심을 자극하여 기부행동을 높여주었다. 하지만 아직까지 사회적 배제상황에서의 제품유형과 수혜자의 표정에 따른 조절효과를 살펴본 연구가 없으며 특히 본 연구에서는 제품유형을 준거기준으로 제시하여 선택맥락효과를 확인하고자 하였다. 하지만 연구결과 사회적 배제 조건에서 제품유형은 기부의도에 영향을 미치지 않았고, 수혜자의 표정 역시 조절변수로서 영향을 미치지 않았다. 이러한 조절상황을 보다 심도 있게 분석하기 위해 제품이 실용적인지 쾌락적인지, 또한 수혜자의 표정이 슬픈 표정인지 기쁜 표정인지에 따라 기부의도가 어떻게 달라지는지를 검증하기 위해 삼원상호작용 효과를 살펴보았다. 그 결과, 흥미롭게도 제품유형과 수혜자의 표정이 동시에 기부의도에 영향을 미치고 있었는데 특히 사회적 배제 집단에게서 그 차이가 뚜렷이 나타났다. 구체적으로, 사회적배제집단의 기부자들이 실용적 제품을 준거기준으로 제시받았을 때는 수혜자가 웃는 표정을 보일 때 기부의도가 높아진 반면, 쾌락적 제품을 먼저 접한 기부자들의 경우는 슬픈 표정의 수혜자에게 높은 기부의도 성향을 보이는 것으로 나타났다. The purpose of this study is to investigate the effect of product type on the donation intention when the product type is presented on the basis of social exclusion(exclusion vs control) and to examine the attitude toward donor`s donation persuasion according to the recipient`s facial expression(sadness vs happy). According to the previous study, donors who purchased hedonic products had a high degree of donation intention, and the sad facial expression of the recipient stimulated the sympathy of the donors and increased donation. However, there is no study on the effect of product type and recipient"s facial expression on social exclusion. Especially in this study we tried to confirm the effect of selective context by presenting product type as reference. But, in the social exclusion condition, the product type did not affect the donation intention and the recipient"s expression did not affect as a moderating variable either. However, in order to analyze the moderating situation more deeply, we examined the effect of 3-way interaction to test whether the product is utilitarian or hedonic and whether the recipient`s facial expression is sad or happy. As a result, interestingly, the product type and the recipient`s expression influenced donation intention at the same time, especially in the social exclusion group. In particular, donors of the social exclusion group are more likely to donate when the recipient shows a smiling face when the utilitarian product, but in the case of donors who have first experienced hedonic products are more likely to donate when the recipient shows a sad expression. 본 연구는 사회적 배제(배제 vs. 통제)조건에서 제품유형이 준거기준으로 제시되었을 때 기부의도에 미치는 영향을 살펴봄과 동시에 수혜자의 표정(슬픔 vs. 기쁨)에 따라 기부자의 기부설득에 미치는 태도가 어떻게 달라지는지를 파악하였다. 즉 기존 선행연구에 따르면, 쾌락적 제품을 구매한 기부자들의 부의도가 높았으며, 수혜자의 슬픈 표정이 기부자들의 동정심을 자극하여 기부행동을 높여주었다. 하지만 아직까지 사회적 배제상황에서의 제품유형과 수혜자의 표정에 따른 조절효과를 살펴본 연구가 없으며 특히 본 연구에서는 제품유형을 준거기준으로 제시하여 선택맥락효과를 확인하고자 하였다. 하지만 연구결과 사회적 배제 조건에서 제품유형은 기부의도에 영향을 미치지 않았고, 수혜자의 표정 역시 조절변수로서 영향을 미치지 않았다. 이러한 조절상황을 보다 심도 있게 분석하기 위해 제품이 실용적인지 쾌락적인지, 또한 수혜자의 표정이 슬픈 표정인지 기쁜 표정인지에 따라 기부의도가 어떻게 달라지는지를 검증하기 위해 삼원상호작용 효과를 살펴보았다. 그 결과, 흥미롭게도 제품유형과 수혜자의 표정이 동시에 기부의도에 영향을 미치고 있었는데 특히 사회적 배제 집단에게서 그 차이가 뚜렷이 나타났다. 구체적으로, 사회적배제집단의 기부자들이 실용적 제품을 준거기준으로 제시받았을 때는 수혜자가 웃는 표정을 보일 때 기부의도가 높아진 반면, 쾌락적 제품을 먼저 접한 기부자들의 경우는 슬픈 표정의 수혜자에게 높은 기부의도 성향을 보이는 것으로 나타났다. The purpose of this study is to investigate the effect of product type on the donation intention when the product type is presented on the basis of social exclusion(exclusion vs control) and to examine the attitude toward donor`s donation persuasion according to the recipient`s facial expression(sadness vs happy). According to the previous study, donors who purchased hedonic products had a high degree of donation intention, and the sad facial expression of the recipient stimulated the sympathy of the donors and increased donation. However, there is no study on the effect of product type and recipient"s facial expression on social exclusion. Especially in this study we tried to confirm the effect of selective context by presenting product type as reference. But, in the social exclusion condition, the product type did not affect the donation intention and the recipient"s expression did not affect as a moderating variable either. However, in order to analyze the moderating situation more deeply, we examined the effect of 3-way interaction to test whether the product is utilitarian or hedonic and whether the recipient`s facial expression is sad or happy. As a result, interestingly, the product type and the recipient`s expression influenced donation intention at the same time, especially in the social exclusion group. In particular, donors of the social exclusion group are more likely to donate when the recipient shows a smiling face when the utilitarian product, but in the case of donors who have first experienced hedonic products are more likely to donate when the recipient shows a sad expression.

경영학 관점으로 살펴본 고령소비자 연구의 빅데이터 분석

오민정(Oh, Min Jung) 한국상품학회 2020 商品學硏究 Vol.38 No.4

본 연구는 1988년~2020년까지 진행된 경영학분야의 국내 고령 소비자를 대상으로 빅데이터 분석을 실시하였다. 구체적으로 초록에 ‘고령’, ‘베이비부머’, ‘실버제품’, ‘시니어제품’, ‘노인친화제품’, ‘간호식’, ‘개호식품’이 들어간 연구를 검색하였고, 총 158편의 논문을 대상으로 토픽모델링 방법을 사용하여 그동안 진행된 고령 소비자 연구의 흐름을 파악하였다. 이러한 토픽 모델 분석을 통해 5개의 토픽을 확인할 수 있었고 각 토픽별 세부 관심주제를 통해 고령 소비자 연구동향과 연구흐름을 명료하게 확인할 수 있었다. 토픽 1~5까지의 연구결과를 종합해보면 토픽1에서는 주로 고령 소비자에 대한 평생학습에 대한 연구가 주를 이루었으며, 토픽2에서는 고령인구의 급증으로 연금제도의 활성화에 대한 필요성과 국민연금, 퇴직연금, 주택연금 등에 대한 연구가 이루어지고 있었다. 토픽3에서는 인터넷의 사용량이 소득과 교육수준이 높을수록 높아지고 있으며 세대별로 그 차이를 구분하고 있었다. 토픽4에서는 고용서비스, 고령친화산업 서비스, 요양, 여가 서비스 등 고령소비자들을 위한 구체적이고 실질적인 제도마련의 필요성을 제시하고 있다. 마지막으로 토픽5에서는 소비 중에서도 가치를 중요하게 생각하며 그중에서도 사회적 가치를 고려하는 소비를 하는 것으로 나타났다. This study conducted big data analysis on domestic old aged consumer studies in the field of business administration conducted from 1988 to 2020. Specifically, we searched for studies that included old age , baby boomer , silver product , senior product , elderly friendly product , nursing food , and care food in the abstract and total 158 papers. The research trend was identified using the topic modeling method. Through this topic model analysis, it was possible to identify 5 topics, and through the detailed topics of interest for each topic, it was possible to clearly identify the old aged consumer research trend and research flow. In summary, the research results from topics 1 to 5 mainly focused on research on lifelong learning for old aged consumer in Topic 1, and in Topic 2 the need for the activation of the pension system, the national pension, and the retirement pension, housing pension plan due to the rapid increase of the elderly population. In Topic 3, the usage of the Internet is getting higher as income and education level are higher. Topic 4 suggests the need for concrete and practical institutional arrangements for the old aged consumer , such as employment services, aged-friendly industrial services, nursing care, and leisure services. Lastly, in topic 5 it was shown that value is important among consumption, and social value is considered among them.