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자궁내막증 수술 후 GnRH-agonist 투여 중인 환자의 저에스트로겐 부작용에 대한 복합 한의 치료: 증례보고
박혜린 ( Hye-rin Park ),조희근 ( Hee-geun Jo ),조현정 ( Hyun-jeong Jo ),최지현 ( Ji-hyun Choi ) 대한한방부인과학회 2018 大韓韓方婦人科學會誌 Vol.31 No.4
Objectives: This study is to report the clinical effectiveness of the complex Korean medicine therapy on a postoperative endometriosis patient’s hypoestrogenic side effects who is treated with GnRH-agonist injection. Methods: The patient in this case was diagnosed with endometriosis and has been treated with GnRH-a injection after laparoscopic operation. The patient complained hot flash and sweating mainly after GnRH-a treatment. The patient received complex Korean medicine therapy during 10 days admission period. The clinical effects were evaluated through KI (Kupperman’s Index) and SF-36 (36 item Short Form Health Survey). Results: After the complex Korean medicine therapy, the various clinical symptoms including hot flash and sweating were improved. Also, the quality of life was enhanced. Conclusions: This case report shows that the complex Korean medicine therapy was effective for treating hypoestrogenic side effects occurred after GnRH-a treatment in postoperative endometriosis patient.
여성 복압성 요실금에 대한 뜸 치료의 효과 : 체계적 문헌 고찰
박혜린 ( Hye-rin Park ),조희근 ( Hee-geun Jo ) 대한한방부인과학회 2020 大韓韓方婦人科學會誌 Vol.33 No.4
Objectives: The purpose of this review is to evaluate the efficacy of moxibustion for stress urinary incontinence (SUI) in women. Methods: For relevant randomized controlled trials (RCTs), we searched the following databases from their inception to September 1, 2020: The Cochrane Library, PubMed, EMBASE, Chinese National Knowledge Infrastructure Database (CNKI), Koreanstudies Information Service System (KISS), Research Information Sharing Service (RISS), and National Digital Science Library (NDSL). The key search terms were ‘stress urinary incontinence’ and ‘moxibustion’. Data extraction and assessment of risk of bias were conducted by two authors independently. Results: A total of 11 RCTs were finally included in this systematic review. In all studies, moxibustion treatment was applied as an adjuvant therapy to the conventional treatment, and the most common conventional treatment was pelvic floor muscle training (PFMT). The treatment group (conventional treatment plus moxibustion) showed statistically more significant effect than the control group (conventional treatment only) in various evaluation indicators including urinary incontinence frequency, 1 hour urine pad test, quality of life, the clinical efficacy rate, and pelvic muscle strength. Conclusions: In this study, we investigated the efficacy of moxibustion as an adjuvant therapy for female SUI patients. Further studies are needed to supplement the safety of moxibustion and the evaluation of moxibustion dose.
증례 : 신이식 환자에서 신부전을 동반한 신장 유육종증 1예
박혜린 ( Hae Lin Park ),반가영 ( Ga Young Ban ),배창범 ( Chang Bum Bae ),임현이 ( Hyun Ee Yim ),김흥수 ( Heung Soo Kim ),박인휘 ( In Whee Park ),신규태 ( Gyu Tae Shin ) 대한내과학회 2013 대한내과학회지 Vol.84 No.2
본 증례는 당뇨병성 신증으로 인한 신부전으로 신이식 후 발생한 신장 유육종증의 예로, 육아종성 간질성 신염에 의해 신기능 악화 소견을 보였으나 스테로이드에 치료 반응을 보였으며, 신이식 후 신기능 저하의 감별진단에 드물지만 신장 유육종증도 포함되어야 하겠다. Sarcoidosis, systemic inflammatory disease characterized by non-caseating granulomas, is rarely associated with renal failure in a kidney transplant. We report a 51-year-old woman with a kidney transplant who was diagnosed to have renal sarcoidosis. After 7 years of renal transplantation, the patient presented with relatively rapid deterioration of renal function and, subsequently, she underwent kidney transplant biopsy. Renal biopsy revealed interstitial nephritis with non-caseating granulomas compatible with granulomatous interstitial nephritis (GIN). She was also found to have granulomatous lymphadenitis and skin lesions. Diagnosis of sarcoidosis was made based on histopathologic findings, the high serum angiotensin converting enzyme level and exclusions of other causes of GIN including tuberculosis, ANCA associated glomerulonephritis and tubulointerstitial nephritis and uveitis syndrome. The patient was started on oral prednisolone, and subsequently her renal function improved. (Korean J Med 2013; 84:290-294)
박혜린(Hyerin Park),장웅조(WoongJo Chang) 한국예술경영학회 2018 예술경영연구 Vol.0 No.49
2018년 현재 국내의 타투 산업은 2만 명의 업계 종사자와 2백만 명에 육박하는 소비자 층을 갖고 있지만, 여전히 유사 의료 행위라는 명목 아래 불법으로 취급되고 있다. 본 연구는 대한민국 타투계의 현 상황과 이에 따른 제도화 과정의 의미를 고 찰한다. 국내 타투 업계 종사자들을 대상으로 참여관찰 및 심층 면접을 진행하고 이를 제도주의, 예술 제도론, 전문직업화의 문헌 연구로부터 도출한 제도화 과정의 분석틀을 기반으로 분석 및 해석하였다. 이를 통해 국내 타투계는 제도화와 전문직 업화 과정에 있는 것을 확인 할 수 있었고 사회와 대중들의 요구를 받아들여 윤리적 문제 혹은 사회 이슈가 반영되어있는 그들만의 규율과 관습을 만들어가고 있었다. 연구 결과를 바탕으로 정부 차원의 체계적인 교육 시스템과 최소한의 의료 보 건 보장 시스템 확충의 필요성을 제기하며, 아울러 국내 타투계의 안정적인 제도화와 타투이스트라는 직업의 전문화를 위해 타투계 내부적인 노력 또한 불가피함을 제언한다. There are over 20,000 tattooists, and more than 2,000,000 people have enjoyed their tattoo arts in South Korea. However, the South Korean tattoo world retains unenviable notoriety as the government does not yet legitimize the industry by legalization. This thesis examines the tattoo world in South Korea from the perspective of institutionalization with the goal of understanding the current state of South Korea s tattoo industry and the hardships it faces to fully institutionalized. We established the framework by examining the theoretical studies of institutionalization, the institutional theory of the arts and professionalization. Then, we conducted in-depth interviews with full-time, career tattooists and carried out observations at their workplaces. Significant findings include: (1) ongoing institutional processes in the current South Korean tattoo world is at the processes of “habitualization” and “objectification,” based on Tolbert and Zucker s(1999) institutionalization model; (2) the phase of full institutionalization of South Korean tattoo world would be to be legalized and professionalized; (3) both internal and external conflicts were discovered to impede full institutionalization. According to the findings, we suggest that the tattoo industry nationwide needs supporting professional associations, formal educational and medical systems, and informed public to accomplish full institutionalization. We conclude that support from the community, government, and the South Korean tattoo world itself is necessary to develop the South Korean tattoo industry into a thriving global cultural industry.
구리전극이 설치된 미생물 전기화학적 혐기성 소화조에서 메탄올 생성
박혜린 ( Hye-lin Park ),전항배 ( Hang-bae Jun ) 한국폐기물자원순환학회(구 한국폐기물학회) 2019 한국폐기물자원순환학회 춘계학술발표논문집 Vol.2019 No.-
혐기성 소화는 런던 협약이후 유기성 폐기물의 분해와 온실가스 배출량 감축을 동시에 대응할 수 있는 방법중 하나로 주목받고 있다. 하지만 혐기성 미생물의 느린 성장 속도와 긴 수리학적 체류시간이 요구되며 환경조건에 민감하여 안정적인 운전이 쉽지 않다. 이를 극복하기 위한 방안으로 생물전기 화학적 혐기성 소화조(BEAD-SBR<sub>Cu</sub>)를 이용하여 전압을 걸어줌으로써 혐기성 소화 미생물의 활성을 높이고 안정화에 단계에 빨리 도달하도록 하는 연구가 활발히 진행되고 있다. 또한, Cu가 코팅된 환원 전극에서는 CO<sub>2</sub>와 H<sub>2</sub>가 메탄올로 환원되기 쉽다고 알려져 있다. 따라서 본 연구에서는 구리가 코팅된 환원 전극을 사용한 BEAD-SBR<sub>Cu</sub>에서 메탄올의 대사와 미생물 군집의 변화를 조사 하였다. BEAD-SBR<sub>Cu</sub>에서는 구리가 코팅된 환원 전극에 전압을 걸어 음식물폐기물에서 메탄올을 생성하였다. BEAD-SBR<sub>Cu</sub>는 혐기성 소화조(AD-SBR)보다 메탄올 제거 및 메탄 생산 효율이 더 높았다. BEAD-SBR<sub>Cu</sub>의 메탄 생성과 pH는 높은 유기 부하율 (OLR) 하에서도 안정적이었다. 높은 OLR에서 BEAD-SBR<sub>Cu</sub>는 hydrogenotrophic methanogens는 32.2%에서 60.0%로 증가하였고, hydrogen-dependent methylotrophic methanogens는 19.5%에서 37.7%로 증가하였다. 메탄올을 BEAD-SBR<sub>Cu</sub>에 단일 기질로 직접 주입한 경우 메탄올 생성의 주요 대사는 생물 전기 화학 반응을 통해 산화 전극에서 메탄올을 산화시킴으로써 방출되는 이산화탄소와 수소를 사용하는 hydrogenotrophic methanogenesis다.
퇴원손상심층조사 자료를 이용한 영아 병태 및 손상 이환율과 치료 호전율
박혜린 ( Hye-rin Park ),정선락 ( Sun-rak Jeong ),신은경 ( Eun-kyoung Shin ),이원기 ( Won Kee Lee ) 한국보건정보통계학회 2022 보건정보통계학회지 Vol.47 No.2
Objectives: The purpose of this study was to investigate the morbidity and treatment recovery rates for the conditions and injuries of infants who were hospitalized and treated. Methods: The analysis was based on infants under the age of 1 from the 2nd-15th data (patients discharged from 2006 to 2018) of the Korea Centers for Disease Control and Prevention’s ‘In-Depth Discharge Injury Survey’. Results: As a result of the study, it was confirmed that most infants admitted to the hospital from 2006 to 2018 improved and were discharged with an overall improvement rate of 98.47%. In addition, the morbidity rate of infants admitted to hospitals with specific conditions originating before and after birth showed a steady decrease, but increased around 2018, and the morbidity rate of infants hospitalized due to injury showed a gradual decrease, and showed a sharp decline after 2015. It was found that the overall infant condition improvement rate increased and the injury morbidity rate was rapidly decreasing. Conclusions: If systems and policies are established to provide medical services to mothers and newborns who are in medically vulnerable groups, as well as to improve the high-risk maternal emergency system and high-risk neonatal intensive care unit, it is possible to reduce the risk of diseases and unintentional damage that can occur before and after childbirth. Therefore, it is suggested that the morbidity rate can be improved.