비스포스포네이트 일차성 골다공증 치료에서 골에 미치는 효과

오영림,어완규,최영식,김홍열 고신대학교의과대학 2006 고신대학교 의과대학 학술지 Vol.21 No.2

Background Bisphosphonates are well-known agents for treatment of osteoporosis. Oral pamidronate treatment for osteoporosis were studied on Caucasian, but not in Korean. Effects of oral pamidronate was studied in Korean primary osteoporosis patients. Methods Twenty primary osteoporosis patients were treated with 100 mg of daily pamidronate (panorin, Hanlim Co, Korea) for mean duration of 14.5±1.9 months. Serum alkaline phosphatase, urine calcium/creatinine ratio, bone mineral densities of spine(L1-4) and femur (neck, trochanter, ward, and total) were followed up. Results Serum alkaline phosphatase decreased from 93.6±18.3 to 71.2±15.3 IU/L(P<0.0l). Urine calcium/creatinine ratio decreased from 0.121±0.054 to 0.072±0.031(P<0.05). Bone mineral density of spine increased form 0.691±0.123 to 0.752±0.125 g/cm2(p<0.01). Conclusion Bone mineral density of total proximal femur increased biochemical bone turnover rate.

전문대학 사회복지과 전공심화 교육과정 개발에 관한 연구

오영림,손덕순,박종팔 한국임상사회사업학회 2013 임상사회사업연구 Vol.10 No.2

이 연구는 전문대학 전공심화과정의 효율적 운영을 위해 재학생과 산업체 현장 전문가의 교과과정 욕구를 분석한 것이다. 재학생의 경우 심화된 전공학습 공부, 능력개발, 상급학교 순 으로 진학욕구가 나타났으며 이는 전문대 졸업 후 현장에서 근무할 때 좀 더 사회복지 전문 직으로서의 욕구가 강하며 이것은 전문대 졸업 후 현장과 연계되어 좀 더 전문적인 학업의 연계의 필요성을 시사한다. 자격증 과정에 대해서는 재학생과 산업체 현장 전문가 모두 심리 상담사, 아동 심리상담사, 노인심리상담사, 미술심리상담사 등이 공통되게 높게 나왔다. 사회 복지현장 근무 시 도움이 될 것으로 예상하는 사회복지 관련 교과목을 살펴보면 재학생, 산업 체 현장 전문가 모두 심리학 관련 교과가 가장 높게 나타났다. 따라서 실제로 클라이언트의 문제에 개입 시 심리문제의 개입과 사정, 적절한 상담에 대한 욕구가 높음을 알 수 있고 교과 과정에서 전문지식과 임상실무 학습 시 심리 상담에 분야 별 심리 상담 교과과정 편성이 필요하다.

아동, 청소년 정신건강을 위한 부모교육의 실제

오영림 한국정신건강사회복지학회 2018 한국정신건강사회복지학회 학술발표논문집 Vol.2018 No.11

부산지역 여대생들을 대상으로 한 성의식 실태 조사

오영림,김흥열 고신대학교 의과대학 2009 고신대학교 의과대학 학술지 Vol.24 No.2

Objective: This survey aims to analyze unmarried women's attitude toward sex in Busan. We researched sexual experiences, experiences regarding sex education, attitude toward sex, experiences of contraception/contraceptive awareness and use to indicate the direction of the future. Methods: The respondents were 456 unmarried college girls from 17 to 25 years old. The question about general characteristics, general characteristics, general sexual awareness, coitus history and contraception were given to them. The survey were undergone from June to December, 2007. Result: The age distribution of 456 respondents was 156 (34%) of age 17-19, 257 (56%) of age 20-22 and 40 (9%) of age 23-25, 84% of respondents were christian and it was the most common religion. 4% of respondents were found to have sexual experience. The mean age of first intercourse was 20.4 and thee average number of coitus was 20.1 and the average number of sexual partner was 1.53. Among single females aged 17-25, 0.02% were found to have a sex partner currently. They were found to have sexual intercourse 7.3 times per month on average. Most respondents got sex education at educational institutions like middle school (78%) and high school (71%), However, only 11% were satisfied with the contents of sex education. About a half of respondents got sex history were worried about pregnancy and 59% were found to always use contraceptives. Condom (85%), periodic abstinence (46%), coitus interruptus (31%) and oral contraceptives (8%) were commonly used contraceptive methods. Conclusion: As unmarried womens get older, gradually opened sexually. Therefore, more practical sex education about effective contraception to prevent unwanted pregnancy is necessary according to our survey.

폐경 후 자궁 출혈과 내막암에 관한 상관관계

오영림,김흥열,정민형,지용일 고신대학교 의과대학 2011 고신대학교 의과대학 학술지 Vol.26 No.1

OBJECTIVES: To investigate correlation between risk factors of endometrial carcinoma and histopatholgic findings of endometrium. METHODS: We reviewed medical records of 148 postmenopausal women with abnormal uterine bleeding, who underwent endometrial biopsy from January 2009 to April 2010. Women who had hematologic disease, or had non-uterine pelvic diseases were excluded. Hormone therapy was performed in indicated subjects. Age, body mass index (BMI), associated diseases, endometrial thickness checked by transvaginal sonography, whether hormone therapy was used were reviewed according to endometrial histopathology. RESULTS: Mean age of the subjects was 58.9 +/- 8.4years old. Among the endometrial histopathologic findings, atrophic endometrium was the most common finding (32.7%), followed by hyperplastic endometrium (17.8%), endometrial carcinoma (10.4%), and endometrial polyp (9.2%). BMI was not correlation of the prevalence of endometrial carcinoma and endometrial hyperplasia. Mean endometrial thickness was 9.8 +/- 5.56 mm, while it was 14.0 +/- 5.89 mm in endometrial hyperplasia, and 16.0 +/- 6.56 mm in endometrial carcinoma. The prevalence of endometrial cancer was high in those whose endometrial thickness was more than 10 mm (P < 0.001). The prevalence of endometrial hyperplasia in those whose postmenopausal bleeding was related to hormone therapy was higher than of women in whom hormone therapy was not performed. However, there were no statistical significance. CONCLUSIONS: Postmenopausal bleeding must be considered as indicative of malignant disease until proven otherwise. Endometrial biopsy should be performed to exclude endometrial carcinoma in postmenopausal women whose endometrial thickness measured by transvaginal sonography is thick.

“아동ㆍ청소년 정신건강 영역 사례관리 현황과 과제”

오영림 한국정신건강사회복지학회 2015 한국정신건강사회복지학회 학술발표논문집 Vol.2015 No.10

아동,청소년 정신건강 사정 및 정신보건 서비스

오영림 한국정신건강사회복지학회 2009 한국정신건강사회복지학회 학술발표논문집 Vol.2009 No.11

주의력결핍과잉행동장애를 가지고 있는 청소년이 경험하는 ADHD의 본질과 의미에 관한 현상학적 연구

오영림 한국정신건강사회복지학회 2010 정신보건과 사회사업 Vol. No.

The intent of this study is to identify what problematic activities, which others view as symptoms, mean from the viewpoint of adolescents with the ADHD. It is focused on discussing the change of viewpoint looking at the ADHD activities freshly through essential meaning that the youths themselves experience, as the ADHD-related activities have been perceived as problematic ones only. For this, I used phenomenological research method, conducted in-depth interviews with nine youths who are diagnosed with the ADHD (Attention Deficiency & Hyper Activity), and analysed according to Giorgi's analysis steps. As a result of analysis, the essence of the ADHD activities that are viewed as symptoms to others was "my mind and my body make each different thought," and compositional factors that are derived from the whole context through 18 low compositional factors are consisted of "my mind and my body make each different thought," "Confusion over myself who appears different from others," and "repetitive vicious cycle." The ADHD is a phenomenon in which one's own body and mind are out of control, a difficulty in terms of perception to the ADHD youths. I found that negative responses from the surrounding lead to low self-respect, and this shows a vicious cycle of persecutional mindset and social inadaptability. The understanding of adolescents with the ADHD can present a brandnew viewpoint in intervention for social integration. 이 연구는 주의력결핍과잉행동장애를 경험하는 ADHD청소년들이 타인이 증상이라고 생각하는 문제 행동에 있어서 당사자적 입장에서는 그 행동들이 무엇을 의미하는 것인지 밝혀보고자 하였다. 기존의 관점에서는 ADHD행동이 문제행동으로만 인식되었으므로 당사자들이 경험하는 본질의 의미를 통해서 ADHD행동을 새롭게 바라보는 관점의 전환을 논의하고자 한 것이다. 이를 위해 현상학적 연구 방법을 사용하였고, ADHD로 진단을 받은 청소년 9명을 심층 면접하여, Giorgi의 분석단계에 따라 분석하였다. 분석결과 타인에게 증상이라고 보여지는 주의력결핍과잉행동의 본질은 “몸따로 마음 따로” 였으며, 18개의 하위구성요소를 통해 전체적인 맥락에 따라 도출된 구성요소는 “몸하고 마음하고 따로 노는 불편함”, “남과 다른 자신에 대한 혼란스러움”, “반복되는 악순환”으로 구성되었다. 이러한 기본구조를 통해 주의력결핍과잉행동장애가 ADHD청소년에게는 지각측면의 어려움으로 자신의 몸과 마음이 제어가 안 되는 현상이었으며. 주변의 부정적인 반응들이 ADHD청소년에게 낮은 자아존중감을 만들고 이것은 피해적 생각과 사회부적응의 악순환을 보임을 알 수 있었다. ADHD청소년에 대한 이해는 사회통합을 위한 개입에 있어서 새로운 관점을 제시 할 수 있음을 제언하였다.

복강경하 근종절제술을 시행받은 병력을 가진 임신 28주 산모에서의 자연자궁파열 1예

오영림 고신대학교(의대) 고신대학교 의과대학 학술지 2010 고신대학교 의과대학 학술지 Vol.25 No.2

Spontaneous uterine rupture during pregnancy is a very uncommon but resulting in high maternal and neonatal mortality despite of prompt therapy. But it was difficult work in early detection, proper treatment, and prevention. Recently, we experienced a case of uterine rupture without bleeding nor fetal distress in pregnancy at 28 gestation weeks and a healthy infant was successfully delivered by Cesarean section in patient having a previous laparoscopic myomectomy. So we report this case with a brief review of the literature.

난소암으로 혼동된 골반방선균증 1예

오영림,김홍열 고신대학교의과대학 2006 고신대학교 의과대학 학술지 Vol.21 No.2

골반 방선균증은 여성 생식기의 감염에서 드물게 보는 질환의 하나로서 수술 전 진단이 어렵고 골반 또는 복부 악성종양으로 오인되어 수술하는 경우가 많다. 저자들은 자궁내 피임장치를 착용한 병력이 없으면서 하복부 동통을 호소하던 환자에 대하여 임상 소견상 난소암을 의심하고 개복수술을 시행한 결과 병리학적 소견상 양측성 난소난관 농양과 골반내 방선균증으로 판명된 1예를 경험하였기에 이를 문헌고찰과 함께 보고한다. Actinomycosis is a rare entity, especially in the female genital tract, which presents some difficulties in establishing a correct preoperative diagnosis. Pelvic actinomycosis can mimic pelvic or intraabdominal malignancy leading to multilating surgical exercise. We have experienced a case of abdominal actinomycosis and report this case with brief review of literatures.