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성영미,이성원,양동윤,김남호,조우형 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.8
Abdominal pregnancy is a rare and life threatening variant of ectopic pregnancy with high maternal mortality and perinatal mortality. The clinical characteristics of abdominal pregnancy is extremely variable, so early diagnosis is very difficult. We have experienced a case of early abdominal pregnancy diagnosed at emergency laparotomy. We report a case of early abdominal pregnancy with a review of literatures.
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특수교사의 심리적 소진을 위한 콜라주 미술치료 사례연구
성영미,조용태 한국예술심리치료학회 2020 예술심리치료연구 Vol.16 No.2
본 연구의 목적은 콜라주 미술치료가 특수교사의 심리적 소진에 미치는 효과를 알아보기 위해 실시되었다. 연구대상은 A지역 B중학교에 다니는 심리적 소진을 겪는 특수교사 1명을 단일사례로 진행하였다. 연구기간은 2019년 12월 3일부터 2020년 1월 2일까지 매회기별 120 분씩 주 2회로 총 9회기 콜라주 미술치료를 실시하였다. 효과검증을 위하여 특수학교 교사 심리적 소진 척도를 미술치료 사전 사후에 실시하였고, 콜라주 미술치료를 통한 심리적 소 진과 관련된 회기별 행동 변화와 작품에 나타난 심리적 소진의 변화를 질적으로 분석하였 다. 연구결과는 다음과 같다. 첫째, 콜라주 미술치료 프로그램이 특수교사의 심리적소진에 효과적이었다. 특수교사 심리적 소진 척도 3가지 영역 정서적 탈진, 장애학생에 대한 비인 격화, 개인적 성취감 감소 영역에서 모두 통계적으로 유의미한 효과를 보였다. 둘째, 심리적 소진과 관련된 언어적・비언어적 행동이 긍정적으로 변화되었다. 셋째, 작품에 나타난 심리 적 소진의 변화는 작품이 긍정적인 자아상이 표현되었으며 점차 통합적이고 형식과 내용이 조화롭게 표현되었다. 따라서 본 연구에서 콜라주 미술치료가 특수교사의 심리적 소진에 긍 정적인 효과가 있는 것을 알 수 있다. The purpose of this study is to investigate the effects of collage art therapy on the psychological exhaustion of special teachers. The study was conducted as a single case of a special teacher who suffered psychological exhaustion at school B in area A. The teacher took a total of 9 art collage therapies twice a week for 120 minutes per session. Psychological exhaustion test was conducted before and after the art therapies, and the behavioral changes of each session related to psychological exhaustion and the changes in psychological exhaustion shown in the works through collage art therapy was analyzed qualitatively. The results are as follows. First, the collage art therapy programs were effective for the psychological exhaustion of the special teacher. Second, verbal and nonverbal behaviors related to psychological exhaustion of the teacher was positively changed. Third, the changes in the psychological exhaustion in the work were gradually expressed as an integrated and positive self-image. Therefore, this study shows that collage art therapies have a positive effect on the psychological exhaustion of special teachers. In conclusion, collage art therapies positively helped special teachers with psychological exhaustion, and it was done with experiencing self-understanding process, achievement, and insights through the works.
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성영미 ( Young Mi Sung ),고봉호 ( Bong Ho Koh ),이지성 ( Ji Sung Lee ),박지홍 ( Ji Hong Park ) 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.12
The Porphyrias are inherited or acquired disturbances in heme biosynthesis. Each of the porphyrias is characterized by a unique pattern of overproduction, accumulation and excretion of intermediates of heme biosynthesis. Though association with pregnancy is rare and difficult to diagnose during pregnancy due to its masquerading presentions. Also it has some deleterious pregnancy outcome and increase maternal mortality. We have experienced a case of acute intermittent porphyria, so present this case with a brief review of literatures.
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성재현,류상미,Myeongsu Yoo,이정규,김기순,지영미,조치흠,김석모,홍성란,정대훈,이원철,박종섭,김태진,Mee Kyung Kee 대한부인종양학회 2020 Journal of Gynecologic Oncology Vol.31 No.1
Objectives: Since 2007, human papillomavirus (HPV) vaccines have been administered for the prevention of cervical cancer in Korea. We investigated the status of HPV vaccination among HPV-infected adult women with abnormal cervical cytology before the introduction of National Immunization Program. Methods: From 2010 to 2016, HPV-positive women (age, 20–60 years) with atypical squamous cells of undetermined significance or low-grade squamous intraepithelial lesion (LSIL) were enrolled from five hospitals across Korea. Their HPV genotype, epidemiologic, and clinical data, including HPV vaccination history, were obtained. We compared the epidemiological characteristics and prevalence of HPV-16/18 genotypes between vaccinated and unvaccinated women. Results: Among the 1,300 women, approximately 26% had a history of vaccination. Vaccinated patients were significantly younger, unmarried, and had a higher education level than unvaccinated women. For HPV-vaccinated individuals by vaccine dose, there was a significant younger age at vaccination initiation (p=0.025), longer duration from HPV vaccination to Pap test date (p=0.001), and lower proportion of HPV-16/18 (p=0.028) in the women with three doses. There was a significantly lower prevalence of HPV-16/18 genotypes in women who were vaccinated at least 12 months prior than in unvaccinated women (adjusted prevalence ratio [aPR]=0.51; 95% confidence interval [CI]=0.29–0.88). For women with LSIL, the prevalence of the HPV-16/18 genotypes was significantly lower in women who were vaccinated more than 12 months prior than in unvaccinated women (aPR=0.35; 95% CI=0.13–0.96). Conclusion: This study highlighted the status of HPV vaccination and the prevalence of HPV-16/18 genotypes among HPV-infected women with abnormal cervical cytology according to HPV vaccination. It provides preliminary information regarding the status of HPV vaccination among Korean adult women.
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김창옥,성영미 이화여자대학교 의과대학 1984 梨花醫學誌 Vol.- No.16
Four hundred and three patients with sputue cytologic examination were presented at Ewha womens University Hospital during the period of 3 years from 1981 to 1983. 1) Age distribution was highest in the age of 60 years, 28.9% and the ratio of male to female in the patients was 1.7 : 1. 2) Among the whole 366 cases differentiated by the Pap. class, the class Ⅰ was present in 190 cases (51.9%) class Ⅱ in 123 cases (33.6%), and the class Ⅴ in 38 cases (10.4%). 3) The ratio of make to female according to Pap. class were 114 : 71 in the class Ⅰ. 71 : 51 in the class Ⅱ, 11 : 20 in the class Ⅲ, 3 : 1 in the class Ⅳ. and 28 : 8 in the class Ⅴ. 4) In the Pap. class Ⅳ. Ⅴ cases, percentage of positivity to examined number of sputum cytology was highest in the area from 91% to 100%, as 11 cases (26.2%), but the distribution covered a wide area from 11% to 80%. 5) Among the 403 cases examined by sputum cytology, class Ⅳ. Ⅴ were 42 cases, and their positivity in 4th successive sample was 35 cases (90.4%). 6) Of 34 cases dianosed by the histologic typing, the highest case was spuamous carcinome as 17 cases(50%), Adeno ca. was 7 cases (20.6%) 1 cases(2.9%). 7) In the ratio of male to female histologic typing, that of squamous carcinoma was 14 : 3 with male preponderance. That of adenocarcinoma was 3 : 4 and that of oat cell carcinoma was 8 : 1. 8) In the percentage of positivity to examined number according to histologic type, the positivity of oat cell carcinoma was high, that of adenocarcinoma was low, but that of squamous carcinoma covered a wide area. 9) In positive cases in number according to type of cancer, initial positive number of squamous carcinoma covered from 1st to 9th, that of oat cell carcinoma finished at 2nd. In summery the positivity of the sputum was lower over the 5th sputum samples but it is thought that sputum examination after 5th sputum samples were needed according to individuals. Sputum cytology was easier than other method, and has important role in the diagnosis of the lung cancer.
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