부인과 영역에서 진단적 복강경술의 임상적 응용에 관한 연구

안정자 梨花女子大學校 醫科大學 醫科學硏究所 1987 EMJ (Ewha medical journal) Vol.10 No.3

Laparoscopy is simple, and safe procedure to evaluate clinical diagnosis under direct vision, to avoid unnecessary operation and used to assess the pelvic abnormalities and infertility. One hundreds and eighteen cases who underwent diagnostic laparosocopy from January, 1980 to December, 1986 were analyzed clinically. The results of the study are as follows; 1) Clinical indications for diagnostic laparoscopy were suspicious ectopic pregnancy(44.9%), infertility(23.8%), obscure pelvic mass(11.9%), amenorrhea(10.2%) and pelvic pain(4.2%). 2) The acurracy of clinical diagnosis confirmed by laparoscopy was 72.0%. 3) Abnormal laparoscopic findings were demonstrated in 82.2% of 28 infertility cases which included 2.5%(7cases) of unilateral tubal obstruction, 14.3%(4 cases) of unilateral hydrosalpinx, 17.8%(5 cases) of polycystic ovaries and other abnormal finding cases. Agreement between hysterosalpingography and laparoscopic finding were observed in 54% of the cases. 4) In 75.5% of clinically suspicious ectopic pregnancy cases, ectopic pregnancy was confirmed by laparoscopy, and other cases were found to be ruptured corpus luteum(11.3%), normal pelvic organ(5.6%), regurgitation of menstrual blood(3.8%), torsion of ovarian cyst(1.9%) and pyosalpinx(1.9%). 13.2% of the suspicious ectopic pregnancy cases could avoid unnecessary operation with the use of laparoscope. 5) Identical ciagnoses on clinical impression and laparoscopy were found in 63.6% of ovarian cyst cases, 100% of myoma uteri, pelvic abscess, and endometriosis cases, respectively, 50% of pelvic inflammatory disease cases, and 33.3% o uterine perforation cases. One case of ectopic pregnancy was found during the laparoscopic sterilization. 6) Laparoscopic evaluation of 8 cases of primary amenorrhea showed 50% (4 cases) of no ovaries or streak ovaries, 25%(2 cases) of Mullerian dysgenesis, 12.5%(1 case) of male hermaphroditism, and 12.5%(1case) of ovarian tumor. Polycystic ovaries were found in 50%(2 cases) of 4 secondary amenorrhea cases and other cases showed absence of one ovary and normal pelvic organ.

流産後 및 産後 敗血症

安政子 梨花女子大學校 韓國生活科學硏究院 1979 韓國生活科學硏究院 論叢 Vol.23 No.-

산과 영역에서의 패혈증은 그 발생기전이나 치료방법이 복잡하고 사망률이 높아 심각한 문제로 대두되어저자는 지난 5년간 본 이화여자대학교 부속병원 산부인과에서 경험했던 유산 후 및 산후 패혈증 환자 25예를 이상적으로 분석 관찰하여 다음과 같은 결과를 얻었다. 패혈증의 발생빈도는 0.20%였다. 패혈증의 원인적 요소를 보면 Iaminaria 삽입 후에 소파중절, Bougie 삽입 후에 임신 중반기 중절 및 정상분망, 제왕절개술 후 패혈즈잉 속발되었다. 균 배양검사에서는 E.coli, Steph. aureus, α-hemolytic strep. 등이 검출되었다. 치료는 대량의 항생제, 혈량 보충, 산소, gluco-corticoid, vasomotor drug으로 치료하고 수술적 처치를 병용하였다. 합병증 중 가장 많은 것은 창상 감염과 패혈성 쇼크였고, 그외 골반 농양, 급성 신부전증, 복막염 및 황달이 병발하였다. 패혈증 환자 25예 중 사망자는 5예(20%)였는데 2예는 패혈성 쇼크가 합병된 경우였다. 요컨데 합병증이 생기면 그 예후가 나쁘므로 유산시 또는 산후에 패혈증이 전달되면 합병증이 병발되지 않게 곧 적극적인 내과적 치료 및 수술적 치료를 해야 한다. 치료에 앞서 중요한 것은 예방이다. 처음부터 균이 없게 또는 균수를 아주 적게 침입케 하기 위한 철저한 소독을 해야 한다. Sepis in the obstetric field remains s major problem and has become a leading cause of maternal death. The important of septic shock is well recognized, with morality rates reported series ranging from 11 to 82 per cent. 25 cases of sepsis is who were admitted to Ewha Woman University Hospital during the last 5 years were evaluated clinically and the following results were obatained. 1. The incidence of sepsis was 0.20% of total obsteric cases (12859 cases) asmitted. 2. The common causes of the infection wee ,proper D&E, Bougenation, and postpartal status. 3. E. coil was the bacteria recovered from the blood stream in one case and E. coli, Staphaureus, α-hemolytic strept. were isolated from the culture of discharge of endocervical canal in 15 cases. 4. The sucess of treatment depends largely upon the promptness of diagnosis. We treated with adequate airway, adewuate fluid and blood replacement, massive aantibiotics, glucocorticoids, vasomotor drugs, digitalization, and surgical management. 5. Wound compliacation, septic shock, and turboovarian abscess were the main complications of the sepsis and also there were acute renal failure, peritonitis, and jaundice, etc. 6. 5 cases(20%) oof 25 septic patients died and 2 of 5 cases were complicated wit septic shock. Because the mortality rate in septic shock is so high, it is important to prevent the condition whenever possible.

자궁근종의 임상 및 병리조직학적 연구

안정자 梨花女子大學校 醫科大學 醫科學硏究所 1982 EMJ (Ewha medical journal) Vol.5 No.1

It is estimated that fully 20% of all women over 35 years of age harbor uterine myoma. This clinicopathological study on the uterine myoma was based upon 138 cases which we-re operated and diagnosed in the Dept. of Obstetrics and Gynecology, Ewha Womans University Hospital from the beginning of 1972 to the end of 1979. Summaries of the results were as follows: 1. Myoma was 6.1% of the total major gynecological operations. 2. The most frequent age group was 40-49 years(60.1%). There was the most common in case with parity 3 and the mean age of menarche was 16.0 years. 3. Majority of cases were corporeal myoma, 90.6%, whereas cervical myomas were 7.2%. The types of tumor consist of 47.1% of intramural myoma, 22.5% of subserous myoma and 14.5% of submucous myoma. 4. Pain and pressure symptoms were the most common chief complaints(69.5%), whereas abnormal uterine bleeding in 52.2% and palpable mass in 31.9% in orders. 5. Infertility was observed in 21% of all cases(primary infertility; 6.5% and secondary infertility 14.5%). Hemoglobin less than 10.0gm% was seen in 21.1%. 6. Total abdominal hysterectomy was performed in the majority cases(90.6%). There was no mortality due to operation. 7. The most commonly associated condition in myoma was adenomyosis(19.5%) and the most fequent secondary change was hyaline degeneration.(6.5%) 8. Postoperative morbidity was found in 12.3% of all cases and wound infection(4.3%) was the most common morbidity.

雙胎娠姙에 관한 臨床的 硏究

安政子 梨花女子大學校 韓國生活科學硏究院 1980 韓國生活科學硏究院 論叢 Vol.25 No.-

쌍태임신은 산과영역에서 높은 태아 사망율과 모체에 위험한 합병증을 초래할 수 있는 여러가지 요소를 가지고 있으므로 임상적으로 중요한 위치를 차지하고 있어 이에 저자는 쌍태임신의 조기진단 및 가능한 한 조산을 예방하고 태아사망과 모체의 합병증을 감소하고자 이화대학병원 산부인과에 입원하여 분망한 쌍태임신 102예에 대하여 임상적인 문제를 분석하여 다음과 같은 결과를 얻었다. 즉 쌍태 분만의 단태분만에 대한 비율은 1:76이었다. 쌍태임신의 가족력을 가진 임부는 19예 있었고, 임신기간은 34~42주가 77예 (75.5%)를 차지하였으며, 태위는 두위-두위가 59.8%로 가장 많았다. 쌍태아의 평균 체중은 2,104.7gm이었고, 양측 남아가 38.3%, 양측 여아가 43.1%, 남녀 이성이 18.6%였으며, 태반은 약 반수에서 단일 융모막-이중 양막을 나타냈다. 분만 전에 쌍태가 진단된 예는 87.3%였고, 산모의 합병증으로는 자간전증, 빈혈, 조산, 조기파수, 분만 후 출혈이 있었다. 주산기 사망수는 20명 (9.8%)이었고, 모체 사망은 없었다. Twin pregnancy is of interest and importance not only because they have practical signifi-cance in terms of patient management, but also because they have contributed to understand fetal physiology and endocrinology. A clinical evaluation of 102 twin deliveries at the Dept. of Obstet. Gynecol, Ewha Womans University Hospital for 4 years from Nov., 1. 1975 to Oct., 31. 1979 was presented. The following fearures were the results of the evaluation for twin pregnancy. 1) The frequency of twin birth was one in 76births. 2) The youngest was 21 year old woman and the oldest was 40 year old one in twin deliveries. Primipara was occupied 53%. 3) The familial and previous history of multiple pregnancies was found in 19(18.6%) cases and 1(0.5%) case in twin pregnancies, respectively. 4) Delivery between 37th and 39th week of gestation occurred in 39(38.2%) cases, and bet-ween 34th and 42th week of gestation in 77(75.5%) cases, In presentation, the cephalic-cephalic combination was 59.8% and cephalic-breech combination was 17.7%. 5) The average duration of lafor was 8 hours 26 mimtes and time interal between the first and second twin was 10 minutes. 6) The average body weight of first twin was 2,324.1 gm, second twin, 1,885.4 gm(average body weight of all the firs tand second twin was 2,104.9 gm). Apgar score 7-10 was shown in 70.6% of the first twin and in 59.8% of the second one. 7) There were 39 cases of both males, 38.3%, and 43 cases of both females. 43.1%, and 19 cases of opposite sex, 18.6%. And in about half of the cases the placentas with monochorionic and diamniotic mem-brames were seen. 8) In the mode of twin delivery, 58.9% of the first twin was delivered by spontaneous de-livery, 25.5% by Cesarean section, 12.7% by breech delivery, and 51.0% of the second delivered by spontaneous delivery, 27.5% by Cesarean section. 5.7% bt breech delivery. The indications for Cesarean sections in these cases of twins in order of frequency, were: Preveious Cesarean section, uterine dysfunction, premature rupture of the membrane, and malpresentation. 9) Diagnosis of twin pregnancy before labore labor was made in 87.3% of 102 twin deliveries. As maternal complication of twin pregnancy, 44.6% of preeclampsia, anemia in 19.1%, postpartum hemorrhage in 41.8%, premature rupture of membrane in 32.8%, and pre-mature labor pain in 18.2% were noted. 10) There were 20 perinatal deaths, it revealing 9.8% of perinatal mortality rate of twin and no maternal death.

OSS 게이트웨이의 보안 요구사항

안치홍,석승학,성열옥,한근희,정자욱 공주대학교 생산기술연구소 2002 論文集 Vol.10 No.-

OSS systems that are represented by the carrier preselection and number portability services con no longer be operated by themselves in their own domains since the freedom and various changes in electronic commerce require the interconnections between the heterogeneous OSS systems. However, since the cost of direct internonnections of OSS systems is so enormous we must consider the use of OSS gateways to interconnect heterogeneous OSS systems. In this research, we analyze the security weakness for interconnecting OSS systems throught gateways and suggest the security requirements for the OSS gateway.

톨루엔 폭로근로자의 요중 마뇨산과 자각증상에 관한 연구

김주자,함정오,안규동,이병국,남택승,백남원 大韓産業醫學會 1989 대한직업환경의학회지 Vol.1 No.2

To study the relationship between the urinary hippuric acid and subjective symptoms in toluene exposed workers, urinary hippuric acid was measured and subjective symptoms questionnarire was surveyed in 93 toluene exposed male workers and 96 non-exposed office male workers. The results are as follows: 1. Mean concentration of urinary hippuric acid, which is significantly higher in exposed group than in non-exposed group, was 1.3 g/1, 1.2(GM, GSD respectively) in exposed group and 0.6 g/1, 1.2(GM, GSD respectively) in non-exposed group. 2. Mean concentration of toluene in the air in the workplace, which is significantly higher in the department of coater than in the department of mexing, was 23.4 ppm, 6.2(GM, GSD respectively) in the department of mixing and 59.8 ppm, 3.4(GM, GSD respectively) in the department of coater. 3. Complained rates of subjective symptoms were significantly higher in exposed group than in non-exposed group in all items. 4. In exposed group, complained rate of CNS related symptoms was higher than that of irritation ralated symptoms in the first part but there was no significant difference and complained rate of irritation related symptoms in the second part was significantly higher than that of CNS related symptoms. 5. In exposed group, complained rates of subjective symptoms were not compatible with dose-response relationship by the concentration of urinary hippuric acid, duration of work, department of work, and age group retrospectively.

생활폐기물 소각장 작업복 샘플의 다이옥신 분석

박순자,신정화,신정숙,정명희,안윤경 한국의류학회 2004 한국의류학회지 Vol.28 No.2

PCDD/F(Polychlirinated dibenzo-p-dioxins and dibenzofurans) in both of treated fabric and untreated fabric for working clothes of a municipal waste incineration were determinated. The treated fabric for working clothes was developed for less exposure of PCDD/F in municipal waste incinerations. The total concentrations of PCDD/F in some parts such as surface, middle layer, inside for treated and untreated fabric were investigated. The I-TEQ value of surface was 0.23370ng ·TEQ/g for treated fabric, 0.15355ng ·TEQ/g for non-treated fabric. On the other hand, the value of middle layer was 0.00077ng ·TEQ/g, 0.00177ng ·TEQ/g, respectively. The surface of the treated fabric containing high levels PCDD/F was caused by absorption of them. Therefore, PCDD/F of the treated fabric in middle layer was less I-TEQ value than that of the untreated fabric. The treated fabric makes effect on preventing PCDD/F from permeating into human body.

청소년의 식이행태 조사 : 서울·양평 두 지역간 비교 The Comparison of Urban and Rural Areas

최준호,안동현,최보율,강윤주,백영석,조연규,고복자,남정현 漢陽大學校 精神健康硏究 1998 精神健康硏究 Vol.17 No.-

청소년 식이태도와 식이행동의 횡문화적 연구

백영석,안동현,조연규,남정현,최보율,강윤주,고복자 大韓神經精神醫學會 1999 신경정신의학 Vol.38 No.3

연구목적 : 청소년을 대상으로 장애가 있는 식이태도 및 식이행동과 관련된 요인들에서 인종과 문화적 차이가 있는가를 보는 것이다. 방 법 : 1996년도에 3129명의 중고등학교 남녀 학생을 대상으로 학교 장면에서 신체 계측과 설문지를 통하여 수집하였으며 연령은 13세부터 16세 사이의 학생들로 분포되었다. 학생들의 분포는 서울 지역의 663명, 양평 지역의 821명, 조선족이 사는 연길 지역의 830명 그리고 한족이 사는 길림 지역의 815명이었으며, 그들은 모두 키, 몸무게, 신체질량지수, 부모의 수입, 아버지의 학력, 체중조절 설문지, 신체상 척도 및 식이태도검사 등의 내용을 완성하였다. 결 과 : 신체질량지수(BMI)에서는 지역, 성별, 사회경제적 상태에 따른 차이가 없었다. 연길과 길림 지역의 학생들이 서울과 양평 지역의 학생들보다 심한 저체중과 심한 과체중을 갖는 학생들이 많았다. 연길과 길림 지역의 학생들이 서울과 양평의 학생들보다 식이태도검사(EAT-26)의 평균치가 높아 식이태도와 식이행동이 나빴다. EAT-26의 20점 이상인 식이장애의 고위험군은 연길 지역의 학생이 6.9%로 네 집단 중에서 가장 많았다. 한국의 양평지역과 서울 지역의 학생들이 신체상 척도(BIS)의 평균치가 연길 지역과 길림 지역의 학생들보다 의미있게 높았다. 즉 한국의 학생들이 중국의 학생들보다 자신의 신체에 대하여 부정적인 생각을 갖고 있었다. 체중조절 행동의 유병율은 서울 지역 학생들이 26.7%, 양평 지역 학생들이 23.2%, 연길 지역 학생들이 10.6%, 그리고 길림 지역 학생들이 4.6%이었다. 식이조절과 운동은 한국의 학생들이, 식이조절과 약물사용은 중국의 학생들이 가장 많이 하는 방법이었다. 결 론 : 본 연구를 통하여 한국과 중국에서도 식이장애가 결코 적지 않을 것이라는 사실을 확인하였고, 식이장애는 인종과 사회문화적 요인에 의해 크게 영향을 받는다는 것, 마지막으로 식이태도와 식이행동 및 그와 관련된 요인들을 통해서 네 지역간의 문화전이 상태를 확인할 수 있었다. Objectives : The goal of this research was to attempt to examine ethnic and cultural differences in factors associated with disordered eating attitudes and behaviors. Methods : Data were collected from the four groups of 3,129 high school students aged between 13 and 16 years who completed school-based survey conducted in 1996. The students (663 Korean urban, 821 Korean rural, 830 Korean-Chinese and 815 Chinese adolescents) completed an instrument which assessed weight, height, Body Mass Index(BMI), parental income, father's level of education, weight control questionnaire, Body Image Scale(BIS), and eating attitudes and behaviors using the Eating Attitude Test-26(EAT-26). Results : BMI did not vary significantly by race, sex, and socioeconomic status. There were many severely underweight and severely overweight students among Korean-Chinese and Chinese than among Korean urban and Koran rural students. The EAT-26 mean scores of Korean-Chinese and Chinese subjects were significantly higher than those of Korean urban and Korean rural subjects. The EAT-26 mean score of Korean-Chinese was the highest among the four racial groups. The prevalence of high risk EAT-26(EAT-26≥20) students of Korean-Chinese was 6.9% which was the highest among the four groups. The BIS mean scores of Korean rural and Korean urban subjects were significantly higher than those of Korean-Chinese and Chinese subjects. The Korean subjects were more dissatisfied with their body than the Chinese. The prevalences of weight control behaviors were 26.7% in Korean urban, 23.2% in Korean rural, 10.6% in Korean-Chinese, and 4.6% in Chinese subjects. Dieting and exercise were most popular for weight reducing in Korean subjects. Dieting and drug use were most popular in Chinese subjects. Conclusion : These data suggest that there must be many eating disorder patients in Korea and China, and the eating attitudes and behaviors are influenced by ethnic and cultural factors. Implications for understanding sociocultural influence on eating attitudes and behaviors and acculturation are discussed.

대학생의 단극성 우울증 치료를 위한 프로그램의 개발

전윤식,정영홍,안창규,임종찬,김정자 釜山大學校 學生生活硏究所 1986 硏究報 Vol.22 No.1

The study was to develop a Korean college student version of the Psychoeducational Intervention Program for unipolar depression originally developed by Lewinsohn et. al. (1982). In addition, the study was to find the effectiveness and any procedural problems for the application to the college students in unipolar depression. In order to achieve the above purposes, seven college students among volunteers were selected in terms of Beck Depression Inventory (BDI) and Depression scale of MMPI(MMPI-D). All the subjects scored above 70 points of T-score on MMPI-Depression scale, below 60 points of t-score on MMPI-Mania scale, and also above 16 points on BDI. The original program by Lewinsohn et. al. (1982) was translated and revised to seven session program for college students and also reconstructed the related materials which were workbooks and activity tasks. Examining the effectiveness of the program to the college students, pre- and post- tests of BDI and MMPI-D were given. The results showed that there were significant reduction of post- test scores of BDI and MMPI-D. Therefore, the program was confirmed to be effective for the college students in unipolar depression. The main procedural problems implementing the program was how to make students in depression actively follow and motivate in the procedures of the program.