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초등학생들의 운동부 활동이 신체적 자기개념에 미치는 영향
신승주(Seung Ju Shin),서재복(Jae Bok Seo) 한국체육교육학회 2009 한국체육교육학회지 Vol.14 No.2
This study is to investigate how sports club activities of elementary school students affect their physical self-concept. Differences in physical self-concept between the 5th and 6th grade boy and girl students in elementary school belonging to sports club and general students were examined, with the aim of analyzing physical self-concept levels according to gender, grade, exercise type, and years of participation. To this end, a total of 200 students participating in sports club activities composed of 100 boys and girls, respectively, and general students amounting to 200 in the 5th and 6th grade of elementary schools located in Gangwon-do were selected as the population for this study on which an analysis of their physical self-concept was made, with the Korean-version physical self-concept questionnaire. For this study, a questionnaire reorganized fit for the goal of this study following a preliminary research was employed, while comparison analysis and analysis of variance were carried out with SAS program for the purpose of data analysis. On the basis of above methods, the results of the analysis on how sports club activities of elementary school students affect their physical self-concept are as follows; First, in reference to gender differences in physical self-concept, boys were found to exhibit higher physical self-concept than their counterparts, in all the areas of sport competence, physical activity, endurance, and the body at large. Second, as far as differences in physical self-concept by grade were concerned, most of the subjects were more than the average, while the 5th graders had statistical significance in body fat/slimness, compared to the 6th graders. Third, regarding the differences in physical self-concept between students participating in sports activities on a regular basis and general students, the former were found to be higher in every item, being statistically significantly higher in all the factors, except self-esteem. Fourth, as a result of the analysis of gender differences limited to those students participating in sports activity, sport competence and self-concept of girls were higher than those of boys in health, physical activity, and endurance. Fifth, there were differences of physical self-concept by sport type in terms of such variables as sport competence, appearance, health, and physical activity factors. Sixth, in connection with the differences in physical self-concept by years of participation, students of more than 1 and a half years of participation were found to have a higher level of overall physical self-concept in all the variables except appearance. In general, sports activities had a positive effect on physical self-concept of students participating in sports activities on a regular basis, compared to general students, and there were differences in the levels of physical self-concept by gender, grade, sport type, and years of participation.
산욕기 동안의 산후보양식품(MMQ) 투여가 산후 빈혈, 산후 비만과 자궁수축에 미치는 영향
신승주 ( Seung Ju Shin ),강석호 ( Suk Ho Kang ),조형준 ( Hyoung Jun Cho ),김유신 ( Yu Shin Kim ),은미나 ( Mi Na Eun ),이종원 ( Jong Won Lee ),김세현 ( Se Hyoun Kim ),김상우 ( Sang Woo Kim ),김무섭 ( Mu Sub Kim ) 대한주산의학회 2003 Perinatology Vol.14 No.1
목적:본 연구에 사용되는 임상시험제제는 의약품이 아닌 특수영양식품으로서 미역, 가물치 부추 등 민간에서 전통적으로 사용되고 있는 식품에 한방재료인 대추, 율무, 산초 등을 추가하여 함께 달여 추출한 생약추출물에 철분 칼슘, 엽산과 비타민 C 성분을 복합시킨 것으로, 저자들은 상기 산후보양식품의 산후 조리기간 중 투여가 조혈작용, 비만억제작용과 산후 회복기간의 단축에 미치는 영향을 객관적으로 평가하여 보고자 본 연구를 시행하였다. 연구대상 및 방법:2002년 6월부터 2002년 11월까지 포천중문의과대학교 분당차병원 산부인과에서 질식분만한 정상산모 60명을 대상으로 하였다. 모든 피험자는 임상시험제제(MMQ, 주식회사 알바이오메드) 또는 위약을 매일 식후 30분에 4주간 복용하도록 하였고 분만 후 1일과 28일째에 비만도(BMI)측정, 혈액검사(CBC, Reticulocyte count, AST/ALT) 및 초음파검사를 실시하였다. 본 연구기간 중 임상시험 제제에 의해 발생할 수 있는 이상반응을 알아보기 위하여 간기능검사, 흉부 X선 검사, 심전도검사와 생체활력증후를 측정하고 이상반응을 포함한 피험자의 임상적 상태를 평가하고 이를 기록하도록 하였다. 결과:전체 대상 환자는 20명으로, 일반적인 특성은 실험군과 대조군 간에 전반적으로 통계학적으로 유의한 차이를 보이지 않았으며 임상시험제제 투여에 따른 산후 혈색소치, 혈구용적치, 비만도 및 자궁크기의 변화는 두 군간에 통계학적으로 유의한 차이를 보이지 않았다. 본 임상시험제제 투여에 따른 이상 반응의 발현은 관찰되지 않았다. 결론:본 임상시험제제를 투여한 후 안정성에는 문제가 없는 것으로 나타났으며, 위약대조군과 비교 평가하여 본 결과 산후 비만억제, 조혈작용과 산후 회복기간의 단축에 있어 통계학적으로 유의한 차이를 보이지 않았다. 그러나 본 연구에서는 철분결핍성빈혈일 것으로 예상되는 산욕기 산모에게 철분공급을 하지 않는 것 자체가 윤리적 고려의 대상이 될 수 있어 실험군과 대조군에 투여되는 임상시험제제와 위약 모두에 헴철성분을 포함시켰고, 임상시험제제외 섭취하는 음식물이 동일하지가 않으며, 임상시험제제에 포함된 성분인 미역은 우리나라 산모는 누구나 산후 미역국을 먹는다는 점을 고려하여야 하고, 퇴원 후 집에서 다른 산후보양식품을 연구자에게 알리지 않고 몰래 복용하는 것을 제어할 수가 없으며 연구대상자의 수가 적은 한계점을 지니고 있어 향후 이러한 변수들을 조정한 후 보다 광범위한 연구가 필요할 것으로 사료되는 바이다. Objectives : The purpose of this study was to evaluation the effect of administration of postpartum tonic agent(MMQ) on postpartum anemia during puerperal period, obesity control and uterine involution. Subjects and Methods : From June 2002 to November 2002, twenty women who underwent spontaneous vaginal delivery at department of obstetrics and gynecology, college of medicine, Pochon CHA University hospital were included in this study. All women were randomly assigned to receive postpartum tonic agent (MMQ, Albiomed Co.Ltd) or placebo two times a day after each meal for four weeks. They were assessed obesity test (BMI), hematologic examination (CBC, reticulocyte count) liver function test (AST/ALT) and ultrasound test at first day and 28th days after delivery. Results : There was no statistically significant difference between the two group in demographic characteristics. No statistically significant difference were found in this study between the two group in hemoglobin, hematocrit, BMI and the size of uterus. There was no adverse effect to the tested drug. Conclusion : There was no significant difference in efficacy and safety between MMQ and placebo in the effect of postpartum anemia, obesity control and reduction of recovery period. The following limitations have to be considered ; Iron supplement, variable diet, seaweed ingestion, consumption of herb and small sample size. Therefore, a extensive prospective study with control of these variables should be required.
임신 중 음주가 산모의 임신 중 체중증가와 신생아의 체중에 미치는 영향
김은주(Eun-Ju Kim),이소희(So Hee Lee),신승주(Seung Ju Shin),구민성(Min Sung Koo),김혜진(Hye Jin Kim),오동열(Dong-Yul Oh) 한국중독정신의학회 2011 중독정신의학 Vol.15 No.1
Objectives : This study aimed to evaluate how drinking during pregnancy affected women’s pregnancy weight gain and neonatal birthweights. Methods : We gave 1,000 pregnant women self-administered questionnaires asking about their demographic characteristics and alcohol use histories. The questionnaire used the Alcohol Use Disorder Identification Test (AUDIT-C). After 406 participants’ deliveries, we examined medical records of each participant and her baby. Results : Women who did drink during pregnancy showed a significant difference in pregnancy weight gain from those who did not drink, but we found no differences in the weights of their respective neonates. Conclusion : Pregnancy weight gain is one of the most important predictors of intra-uterine growth retardation. In our study, women drinking during their pregnancies failed to gain sufficient weight. How-ever, the study did not prove drinking during pregnancy had a negative effect on neonatal weight. Further study is needed.
임상 ; 특발성 혈소판 감소성 자반증으로 진단된 산모의 임신 및 분만에 관한 임상양상
송송아 ( Song Ah Song ),신승주 ( Seung Ju Shin ),최영일 ( Young Il Choi ),김수현 ( Su Hyen Kim ),신지은 ( Ji Eun Shin ),오예은 ( Yei Eun Oh ) 대한주산의학회 2007 Perinatology Vol.18 No.4
목적: 특발성 혈소판 감소성 자반증은 출혈 경향으로 인해 분만이라는 특수한 상황을 겪게되는 산모나 신생아에게 출혈 위험의 가능성이 있으므로 이에 대한 진료지침이 필요하다. 방법: 특발성 혈소판 감소성 자반증 산모 19명에게 분만된 22예의 증례를 의무 기록을 열람하여 후향적으로 분석하였다. 특발성 혈소판 감소성 자반증 산모의 출혈 증상의 유무, 임신 전과 임신 중, 분만 시의 평균 혈소판 수, 치료 방법, 분만 방법, 분만 관련 합병증의 유무를 조사하였으며, 신생아의 혈소판 수와 출혈 합병증 발생 유무를 조사하였다. 결과: 산모는 임신 기간중 부신피질 호르몬 치료, 면역글로불린 정주, 혈소판 수혈 등의 치료를 받았으며 특히 분만에 임박해서는 혈소판 수혈을 통해 혈소판 수치를 50,000/μL 이상으로 유지하려는 경향을 보였다. 분만 방법은 질식 분만이 10예(45%), 제왕 절개가 12예(55%)에서 시행되었다. 분만과 관련된 합병증은 모든 산모에서 발생하지 않았다. 특발성 혈소판 감소성 자반증 산모에서 출생한 17명의 신생아 혈소판 수치의 중앙값은 220,000/μL (범위, 59,000~315,000/μL)이었다. 분만 직후 신생아에서 150,000/μL 이하의 혈소판 감소증을 보인 경우는 4예(23%)에서 관찰되었으나 심각한 출혈 합병증은 한 건도 발생하지 않았다. 결론: 특발성 혈소판 감소성 자반증 환자의 임신과 분만은 출혈 부작용 없이 모두 안전하게 이루어졌으며, 신생아에서도 출혈 부작용은 없었던 점으로 미루어 보아 특발성 혈소판 감소성 자반증 환자에서의 임신과 출산은 산모와 신생아 모두에게 대부분 안전하게 시술될 수 있음을 알 수 있었다. Objective: Idiopathic thrombocytopenic purpura (ITP) frequently occurs in young women. Consequently, clinicians often give medical treatment to pregnant women who are diagnosed with ITP. This study might help to make a clinical guidelines for obstetrical ITP patients and their infants. Methods: We retrospectively investigated the medical charts of 19 cases of deliveries and 22 neonates which from mothers with the diagnosis of ITP during pregnancy from March 1998 to March 2007. Result: Corticosteroid treatment was administrated in 13 cases, high-dose immunoglobulin therapy in 3 cases, and concentrated platelet transfusion in 17 cases during their antenatal care. Ten (45%) vaginal deliveries and twelve (55%) cesarean sections were performed. There were no obstetrical complications associated with their ITP and only four infants with platelet counts below the 150,000/μL were reported after birth. However there were not any signs and symptoms of neonatal complications resulting from their maternal ITP. Conclusion: Our results demonstrate that mothers with ITP can successfully deliver healthy infants in most case. Although maternal and fetal bleeding may occur, such a fatal complication is uncommon.
김수진 ( Su Jin Kim ),정은호 ( Eun Ho Jeong ),김지연 ( Ji Yeon Kim ),이미화 ( Mee Wha Lee ),심성신 ( Sung Shin Shim ),이용희 ( Yong Hee Lee ),손석우 ( Suk Woo Son ),신승주 ( Seung Ju Shin ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.9
Fetus in fetus is a rare pathologic feature consisting of a parasitic twin included within the body of the other twin, which most likely arises from inclusion of a monozygotic, diamniotic twin pregnancy. The exact embryogenesis of fetus in fetus is cont