다운증후군의 산전진단을 위한 다양한 선별검사의 기여율 비교 - 산전 및 신생아때 진단된 96 례 분석 -

한정열(J . Y . Han),김문영(Y. M . Kim),조준형(J . H . Cho),안현경(H . K . Ahn),류현미(H . M . Ryu),김진미(J . M . Kim),김영미(Y . M . Kim),박소연(S . Y . Park),한혜경(H . K . Han),이영호(Y . H . Lee),양재혁(J . H . Yang) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.10

연구의 목적은 다운증후군을 산전진단하기 위한 다양한 산전선별검사 (나이; 35세 이상, 임산부 혈청 marker를 이용한 triple test, 초음파; 비정상 소견, 후경부 투명대 (nuchal translucency), 후경부두께 (nuchal fold thickness))의 기여율를 비교하기 위한 것이다. 1990년 1월부터 1999년 9월까지 본원에서 산전 및 산후에 진단된 례는 총 96례 이었다. 산전 및 신생아기에 진단된 다운증후군의 빈도는 각각 68례 (71 %), 28례 (29 %)였다. 다운증후군 태아를 임신했던 임산부의 평균연령은 33±5.7세이다. 다운증후군의 1,000분만당 연도별 빈도율은 1990년부터 1999년까지 각각 0.4, 1.3, 0.7, 0.7, 1.6, 0.7, 1.2, 2.2, 2.0, 그리고 2.3 (Y=0.28±0.18 year, P=0.01)이었다. 산전진단된 다운증후군의 비율 (%)은 지난 10년간 각각 0 (0/2), 43 (3/7), 50 (2/4), 25 (1/4), 56 (5/9), 100 (5/5), 71 (5/7), 78 (14/18), 78 (14/18), 그리고 89 (17/19) (Y=12.9±8.9 year, P=0.000) 이었다. 다운증후군을 산전진단하기 위한 다양한 산전선별 검사에 따른 기여율은 35세이상의 연령에 의하면 30.2±5.6 %, triple test의 경우 18.2±3.4 %, 초음파에 의한 경우 51.7±6.3 % 이며, 초음파에 의한 산전 선별 검사가 통계적으로 유의하게 연령이나 triple test에 의한 경우 보다 다운증후군의 산전진단에 기여율이 높았다. (P=0.008) 결론적으로 본 연구에 의하면 지난 10년 동안 다운증후군을 산전 진단하기 위한 여러 선별 검사방법의 적용은 효율적이었으며, 특히 초음파에서 다양한 소견을 이용한 다운증후군의 산전선별검사는 연령이나 triple test 보다는 더욱더 의미가 있다고 추론된다. Objective : The purpose of this study was comparison of the contribution rate for prenatal diagnosis of Down syndrome using various screening methods (Age: greater than or equal to 35 years old, Serum markers: Triple test, Ultrasonography: abnormal sonographic findings, nuchal translucency, nuchal fold thickness).Methods : Total 96 cases of Down syndrome, prenatally or postnatally diagnosed between Jan. 1990 and Sept. 1999, made up the study population. We got the contribution rate of various prenatal screening methods of down syndrome, and obtained the efficiency of various screening program applied for last 10 years. Results : The frequencies of Down syndrome confirmed in prenatal and postnatal were 68 (71%) and 28 (29%) in respectively. The mean age of mother of Down syndrome fetus was 33.0±5.7 years old. The frequency rate of Down syndrome was 0.4, 1.3, 0.7, 0.7, 1.6, 0.7, 1.2, 2.2, 2.0 and 2.3 a 1,000 deliveries from 1990 to 1999 (Y= 0.28+0.18 year, P=0.01). The percentage of Down syndrome diagnosed prenatally was 0 (0/2), 43 (3/7), 50 (2/4), 25 (1/4), 56 (5/9), 100 (5/5), 71 (5/7), 78 (14/18), 78 (14/18) and 89 (17/19) from 1990 to 1999 (Y= 12.9+8.9 year, P=0.000). The contribution rate of prenatal diagnosis for Down syndrome was 30.2±5.6% by age, 18.2±3.4% by triple test and 51.7±6.3% by ultrasonography, and was significantly difference among each screen methods (P=0.008). Conclusions : This study shows that our prenatal screening program is highly effective to detect Down syndrome and especially ultrasonographic findings (abnormal sono findings, Nuchal translucency, Nuchal fold thickness) may be more important than that of age or Triple test to detect the Down syndrome prenatally.

2001년 11월 오염시기와 2002년 봄 황사시기 제주도 고산에서의 미량원소 농도 변화

한진석,김영성,문광주,안준영,김정은,류성윤,김영준,공부주,이석조 한국대기환경학회 2004 한국대기환경학회지 Vol.20 No.2

The chemical composition of PM_(2.5) was measured at Gosan. Jeju for two weeks each in November 2001 and spring 2002. In the latter part of the measurement period of November 2001, designated as the polluted period in this work, secondarily formed ion components as well as primarily emitted elemental carbon were high, PM_(2.5) mass concentration was also high in this polluted period compared with the yellow sand period, in which daily average of PM_(10) peaked up to 520㎍/㎥. Increase of major components of anthropogenic origin in the polluted period was not correlated with the variation in sea salt components while increase of crustal components in the yellow sand period was highly correlated with the variation in sea salt components. Trace elements were generally higher in the yellow sand period: however, toxic heavy metals such as zinc, cadmium and lead were the highest in the polluted period.

대학생의 정서적 데이트 폭력 인식과 이성관계 만족도의 상관관계

구은정,권민지,김소라,류연수,신지연,유현아,장민주,홍자인,Lanjingjing,배성희,도지영 이화여자대학교 간호과학대학 2019 이화간호학회지 Vol.- No.53

Purpose: This study aims to identify the correlation between perception of emotional dating violence and satisfaction of relationship of college students to provide objective data for college students to improve perception of emotional dating violence and satisfaction of relationship. Methods: Data was collect using questionaries between November 3rd to November 20th, 2018. Participants of this study were 110 male college students and 127 female college student who are currently attending universities aged 18 to 29 years old. Data were analyzed using average, standard deviation, t-test, ANOVA, and Pearson’s correlation using the SPSS 21.0 program. Result: The study has established the negative correlation between perception of emotional dating violence and satisfaction of relationship(R=-.587, p<.001). As the level of perception of emotion dating violence is lower, satisfaction of relationship is higher. The number of relationships recognized by oneself, experience of dating violence, and severity of dating violence also demonstrated significant difference in perception of emotional dating violence and satisfaction of relationship. Conclusion: The result of the study suggests that perception of emotional dating violence is negatively related to satisfaction of relationship. Furthermore, this study suggests that it is important to increasing perception of dating violence for healthier and better quality of relationships.

초기성인의 생활습관과 당뇨에 대한 지식

소선이,마지은,고지윤,김은혜,박현화,서유진,서형은,유은미,이하늬,이혜인,정지연,현혜리,이자형,정덕유,강지숙 이화여자대학교 간호과학대학 2009 이화간호학회지 Vol.- No.43

Purposes :The purposes of this study was to investigate the self-managing status according to the life styles and the diabetic knowledge of early adulthood. The subjects in this study were 240people, the early adult aged twenties to thirties living in the metropolitan area. Data were collected by using self-administered questionnaires that measure about the knowledge of diabetes; the dietetic behavior; the knowledge of diet; the exercise behavior; the knowledge of exercise. Descriptive statistics, t-test, ANOVA, and correlation were used for data analysis. Result :1. At the knowledge of diabetes degree based on the general character, the subjects who had experiences of diabetic education have higher degree of the diabetic knowledge. 2. At the knowledge of diabetes degree according to the life style, the subjects who have regular diet are appeared highly. Also the subjects who don't take much food of animal origin have higher degree. 3. At the knowledge of diet based on the life style, the subjects who don't keep three times meals a day are appeared highly. Also the subjects who have regular diet have higher degree. 4. At the knowledge of exercise according to the life style, the subjects who take extra nutritions 3-4 times a week are appeared highly. Although the subjects tend to know about dietary, exercise and health management, it showed that they actually don't perform what they know in their everyday of life. The reason for this could be the lack of perceived seriousness about diabetes mellitus. Thus as nursing professionals, we should provide them proper health education and support. Moreover, advanced research on the empowerment is warranted.

남자 대학생의 인터넷 음란물 노출 정도에 따른 성폭력 인지도와 성 태도

김정은,류지원,박보성,배수진,신서우,신유미,안세미,오혜수,정예지,조현아,최다해,차지영,박송이 이화여자대학교 간호학회 2018 이화간호학회지 Vol.- No.52

Purpose: The purpose of this study was to examine university male students’ exposure to internet pornography, and its influence on sexual violence awareness status and sexual attitude to provide educational materials. Methods: Data were collected through self-reported questionnaires from 286 male students who are attending universities in Seoul and Gyunggi-Do from August 20th to October 16th in 2017. 81 questionnaires in total were analyzed using mean, S.D, t-test, ANOVA, Scheffe with SPSS 22.0. Result: The results summarized according to research subject matter are as follows. First, most of the participants watched pornography 1-2 times per week(36.0%), 20mins-30mins(57.0%), heterosexual intercourse(92.0%) by cell phone(52.4%). Second, general characteristics of male university students’ influenced by sexual violence awareness status and sexual attitude showed significant difference in 4 factors of sexual attitude according to general characteristics of male university students in order of ‘chastity’, ‘homosexuality’, ‘contraception’, and ‘sexual consciousness’. Third, the influence of male university students’ internet pornography exposures on sexual awareness and sexual attitude showed significant difference in sexual awareness according to ‘change in sexual behavior after watching pornography’. There was significant difference in 3 factors of sexual attitude according to exposure of university male students to internet pornography. Conclusion: This study suggest that sexual education development for male university students is needed in order to establish upright sexual values that can lead to healthy sexual behaviors.

여대생의 월경시 불편감과 삶의 질에 대한 연구

김지선,노자민,류진영,오정연,이서주,정미영,조재실,주한별 이화여자대학교 간호과학대학 2011 이화간호학회지 Vol.- No.45

The purpose of this study was to investigate the aspect and degree of female university students' menstruation discomfort and to study how the menstruation discomfort affects their quality of life The subjects consisted of 315 female university students in Seoul City by convenience sampling from July 22 to August 3, 2010. The data was collected by structured questionnaire that included general characteristics, Menstrual Distress Questionnaire and Smith Kline Beecham 'Quality of Life' Scale. To analyze the data, used the following methods: frequency, mean, standard deviation, t-test, ANOVA, Pearson's correlation coefficients with the SPSS program 15.0. The Results as follows: The participants indicated water accumulation, the ache, negative emotion, conduct change and attention intensive obstacle order to show the women's menstrual discomforts and the quality of life was high competent feeling, body and mental stability, vitality and stability order. The correlation of the women's menstrual discomforts and the quality of life was r=-.605 and p=.000, the women's menstrual discomforts and the quality of life show considerably negative correlation. In the event that the women's menstrual discomforts was high comes to be low appeared the quality of life. As a result, this study showed that the women's menstrual discomforts and the quality of life have negative correlation, and discovered various factors which effect to the menstrual discomforts and the quality of life for the women's college students. Thus in the future, do a research for the middle school girls, the maiden and married women, and the repetition research of the women's college student is necessary. The nursing arbitration program development for relaxation of the women's menstrual discomforts is necessary as well.

韓國에서 分離한 病原性細菌의 藥劑耐性에 關한 硏究 (第1報)

孫準鏞,염곤,柳在根,金永翰,李明遠,奇政卓,溫玉,閔昌泓 國立保健硏究院 1972 국립보건연구원보 Vol.9 No.-

충청지역에서 발생한 쭈쭈가무시병의 임상상, 원인균의 혈청형 및 혈청역학적 연구

김선영,김윤성,박장규,윤태영,강재승,송인숙,최명식,최인학,차창룡,이우곤,박종우,이증훈,장우현,유영해,윤광혁,송계용 대한감염학회 1989 감염 Vol.21 No.2

From September to december 1987, eighty-six cases of tsutsugamushi disease were diagnosed by indirect immunofluorecent test or by isolating the causative agent in Chungcheung area. Their clinical features and patterns of antibody response to R. tsutsugamushi were analyzed. For the indenfication of prevalent antigenic types of R. tsutsugamushi in Chungcheung area, twenty-seven strains isolated were tested by indirect immunofluorescent test. To assess the extent of exposure to R.tsutsugamushi of a general population in Korea, the prevalence of antibody was investigated in 6,572 sera obtained from the residents of Chungcheung area by indirect immunofluorescent test. The female patients slightly outnumbered the male patients. More cases (68%) were older than 40 years of age. The epidemic peaked in October. The mean incubation period estimated was about 8 days. The major clinical features were fever and chill, headache, rash, eschar, and lymphadenopathy. Increased serm transaminase was the most singificant laboratory findings. Abnormalities in the chest roentgenography were often observed. The antibody titer rose rapidly 5 days after the onset, reached its peak at 20 days (1:640), and then declined agradually until 7 months(1:20). The seroype of 23 out of the 27 isolates wase found to be karp, one was Gilliam, and 3 isolates could not be classified by using polyclonal mouse hyperimmune sera. The prevalence of antibody to R.tsutsugamushi in the residents of Chungcheung area was 4.8%. The prevalence of antibody was higher in the female than in the male. The prevalence was higher in the residents of age above 40 years than below 40 years, and was the lowest in the children less than 10 years of age. Of the 318 positive sera from normal residents, only 2 sera showed the titers higher than 1:80.

인자분석을 통한 대기 입자상 물질의 입경별 발생원 추정 : Drum impactor를 이용한 2002년 5월 제주도 고산지역 측정을 중심으로 For the Measurement using Drum Impactor at Gosan, Jeju Island in May 2002

한진석,문광주,공부주,류성윤,김영준 한국대기환경학회 2004 한국대기환경학회지 Vol.20 No.5

Size-segregated measurements of aerosol composition are used to estimate the transport of natural and anthropogenic aerosols at Gosan site during May 2002. The results of measurement show that not only soil dust but also anthropogenic aerosols, including sulfur and enriched trace metals such as Pb, Zn, Cu, are transported to Gosan. This study combines the size- and time-resolved aerosol composition measurements with factor analysis in order to identify some source materials. As a result, coarse particles (2.5 ㎛~12㎛) are influenced by soil, sea-salt, coal, coal combustion, and nonferrous sources. But fine particles have different sources. The fine particles, which the diameter is from 0.56㎛ to 2.5㎛, are more affected by road dust, oil combustion, industry. municipal incineration, and ferrous metal sources. The very fine particles, from 0.09㎛ to 0.56㎛, mainly supplied by biomass burning, oil combustion, nonferrous and ferrous metal sources.

A Supporting Platform for Semi-Automatic Hyoid Bone Tracking and Parameter Extraction from Videofluoroscopic Images for the Diagnosis of Dysphagia Patients

Lee, J. C.,Nam, K. W.,Jang, D. P.,Paik, N. J.,Ryu, J. S.,Kim, I. Y. Springer Science + Business Media 2017 Dysphagia Vol.32 No.2

<P>Conventional kinematic analysis of videofluoroscopic (VF) swallowing image, most popular for dysphagia diagnosis, requires time-consuming and repetitive manual extraction of diagnostic information from multiple images representing one swallowing period, which results in a heavy work load for clinicians and excessive hospital visits for patients to receive counseling and prescriptions. In this study, a software platform was developed that can assist in the VF diagnosis of dysphagia by automatically extracting a two-dimensional moving trajectory of the hyoid bone as well as 11 temporal and kinematic parameters. Fifty VF swallowing videos containing both non-mandible-overlapped and mandible-overlapped cases from eight patients with dysphagia of various etiologies and 19 videos from ten healthy controls were utilized for performance verification. Percent errors of hyoid bone tracking were 1.7 +/- 2.1% for non-overlapped images and 4.2 +/- 4.8% for overlapped images. Correlation coefficients between manually extracted and automatically extracted moving trajectories of the hyoid bone were 0.986 +/- 0.017 (X-axis) and 0.992 +/- 0.006 (Y-axis) for non-overlapped images, and 0.988 +/- 0.009 (X-axis) and 0.991 +/- 0.006 (Y-axis) for overlapped images. Based on the experimental results, we believe that the proposed platform has the potential to improve the satisfaction of both clinicians and patients with dysphagia.</P>