임신 20주에 초음파로 진단된 안면 및 경부 미성숙 기형종

심재량 ( Jae Ryang Sim ),조현 ( Hyun Cho ),김인숙 ( In Sook Kim ),박현진 ( Hyun Jin Park ),이봉주 ( Bong Ju Lee ),윤기중 ( Ki Jung Yun ),홍기연 ( Gi Youn Hong ),김흥곤 ( Heung Gon Kim ) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.9

Fetal teratomas are histologically diverse masses containing variety of tissues foreign to the anatomic site in which they reside, Sacrococcygeal teratomas are the most common and account for 50% of neonatal teratoma. Faciocervical teratomas are rare and accounts for only 5.5% of all neonatal teratoma, having an incidence of only 20,000:1 to 40,000:1 of live births. Immature teratoma was composed of poor differentiated or embryonal tissue which coexisted mature tissue and immature tissue was originated from neuroepithelium. We have experienced a large faciocervical teratoma and present this case with a brief review of literatures.

초등학생의 또래거부와 괴롭힘 피해행동의 관련성

심재량(Sim, Jae Ryang),박종효(Park, Jonghyo) 한국교육심리학회 2018 敎育心理硏究 Vol.32 No.3

본 연구는 또래거부와 괴롭힘 피해행동의 관계에 대한 학급 갈등규범의 조절효과를 살펴보는데 목적이 있다. 본 연구는 클래스넷 3차년도 데이터의 일부로서, 전국 소재 총 초등학교 7개교, 52개 학급의 4∼6학년 학생 1,194명을 연구대상으로 하며, 또래지명 방식으로 측정한 또래거부, 괴롭힘 피해행동, 괴롭힘 가해행동, 교사-학생 갈등 변인을 활용하였다. 본 연구의 주요 결과는 다음과 같다. 첫째, 남학생이 여학생에 비해 괴롭힘 피해행동 수준이 높았으며, 또래거부와 괴롭힘 피해행동은 유의한 정적 관련성이 있었다. 둘째, 학급 갈등규범은 학급마다 유의한 차이가 있었고 괴롭힘 피해행동의 학급 차이도 유의하였다. 셋째, 다층분석 결과에 의하면, 또래거부가 많을수록, 괴롭힘 피해행동은 유의하게 증가하였다. 또한 갈등규범 수준이 높은 학급에서 괴롭힘 피해행동 수준도 높았다. 특히 또래 거부와 괴롭힘 피해행동의 관계는 학급의 갈등규범 수준이 조절하였다. 즉, 갈등규범 수준이 낮은 학급에 비해, 갈등규범이 높은 학급에서 또래거부는 괴롭힘 피해행동 수준을 유의하게 증가시켰다. 본 연구결과를 토대로, 또래거부가 괴롭힘 피해행동으로 이어지는 과정에서 학급 갈등규범의 중요성을 확인하였고 담임교사의 역할에 대해 교육적 시사점을 논의하였다. The purpose of this study is to examine the relationship between peer rejection and victimization among schoolchildren and to test whether conflict norms in the classroom moderated this relationship. The analysis used the third year data derived from ClassNet research (Park, et al., 2017) supported by the National Research Foundation of Korea. The sample comprised fourth-grade through sixth-grade students in 52 classrooms of 7 elementary schools in South Korea (N = 1194). A series of multi-level analyses were performed to fulfill the study’s purpose using variables obtained by peer nomination, such as social rejection, victimization, bullying perpetration, and teacher-student conflict. The results found that boys experienced more victimization than girls and peer rejection significantly increased victimization. Furthermore, conflict norms in the classroom moderated the relationship between peer rejection and victimization. Peer rejection significantly increased the extent of victimization in classrooms with relatively high levels of conflict norms. The study concludes with a discussion on the significance of conflict norms and the educational implications of the results with a focus on ways that teachers can facilitate healthier classroom environments.

Leukemia Inhibitory Factor가 배의 배포형성에 미치는 영향

민부기,오수미,김기석,홍기연,김훈영,심재량,박승택,Min, Bu-Kie,Oh, Soo-Mi,Kim, Kie-Suk,Hong, Gi-Youn,Kim, Hun-Young,Sim, Jea-Ryang,Park, Seung-Teak 대한생식의학회 2001 Clinical and Experimental Reproductive Medicine Vol.28 No.1

Objective: To determine the effects of leukemia inhibitory factor (LIF) on embryonal development in in vitro culture. Methods: This is designed in vitro model using eggs from mouse. The eggs from mouse were assigned 29 for control group, 53 for 20 ng/ml of LIF, 88 for 40 ng/ml of LIF, 68 for 80 ng/ml of LIF respectively for in vitro fertilization. And 26 fertilized eggs at 2 cell stage from mouse also were assigned. The mouse embryos of all groups were cultured in medium supplemented with LIF in different concentrations, whereas the eggs in control group was cultured in medium without supplement of LIF. Results: At 72 hours culture of eggs from in vitro fertilization, there was a slight increas in rate of embryonal development to morula in both LIF-20 and LIF-40 as results of 64.15% and 75% respectively, while 42.65% in inferior rate of LIF-80, compare with 51.72% in control group. But the difference between these each groups were not significant in statistically ($p{\le}0.05$). And after 96 hours culture of eggs, the rates blastocyst formation was significantly higher in both LIF-20 and LIF-40 as 56.6% and 63.63% than those in control and LIF-80 as 44.83% and 35.29% respectively. On culturing eggs from in vivo fertilization, the rates of blastocyst formation was significantly not only higher as 85% and 81.81% respectively in medium supplemented with LIF-40 and LIF-80 than 42.3% in LIF-20 but also embryonal cell viability were remakedly improved at 96 hours after culture. Conclusion: The LIF in low dose is embryotrophic, but LIF in high dose is embryotoxic on eggs from in vitro fertilization. Whereas on culturing eggs from in vivo fertilization, LIF is more beneficial with dose dependent in high concentration.

자궁내막암을 동반한 자궁내막결핵

오수미(Su Mi Oh),이금신(Keum Sin Lee),심재량(Jae Ryang Sim),고경희(Kyoung Hee Ko),이봉주(Bong Ju Lee),김흥곤(Heung Gon Kim),문형배(Hyung Bae Moon) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.5

The association of carcinoma and tuberculosis in any organ is rare and in the endometrium is extremely rare. Only a small number of cases of endometrial tuberculosis with coexisting endometrial adenocarcinoma have been reported in the literature. We experienced a case of endometrial tuberculosis with coexisting endometrial adenocarcinoma and report with a brief review of literature.

난소의 암육종 1 예

박현진(Hyun Jin Park),이승필(Seung Pil Lee),심재량(Jae Pyang Sim),김홍곤(Heung Gon Kim),윤기중(Kie Jung Yun) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.9

Carcinosarcoma (also termed malignant mixed mullerian tumors) are highly malignant neoplasms that histologically contain epithelial (carcinomatous) and stromal (sarcomatous) elements. It is very rare tumor and generally has a poor prognosis. A rare form may develop anywhere in pelvic region but it is usually found in the uterus and rarely in the ovaries constituting less than 1 % of the total ovarian carcinomas. Ovarian carcino sarcomas has been rarely described in literature due to difficulty in proper diagnosis and nomenclature. We report one case that was diagnosed ovarian carcinosarcoma by pathologic biopsy obtained after surgery who is receiving chemotheraphy presently with a brief review of literature.

폐경기 골다공증 여성에 있어서 Alendronate 치료에 대한 골교체의 생화학적 표지자의 평가

김기석(Kie Suck Kim),민부기(Bu Kie Min),이승필(Seung Fil Lee),김인숙(In Suk Kim),김훈영(Hun Young Kim),심재량(Jae Ryang Sim) 대한폐경학회 2000 대한폐경학회지 Vol.6 No.1

N/A Objectives: To evaluate the clinical utility of recently developed biochemical markers of bone turnover to monitor the response of osteoporotic patients to antiresorptive therapy, we compared the results of two advanced assays for markars of bone resorption and two of bone formation. Subjects and Methods: The rate of bone turnover in 37 women (mean±SD age, 58.2±4.5yr) with low boe mass and all postmenopausal women (mean±SD yr PMP, 8.3±5.2) was compared to that in 16 Premenopausal women(mean+SD age, 40.2±5.3yr) randomly selected from out-patient in our hospital and all have a normal spine bone mineral density(BMD). Perodically during the 12-month study,the level of several markers of bone turnover wen, measured. Serum osteocalcin, bone specific alkaline phosphatase mesured by RIA were used to assess bone formation. To assess bone resorption, we measured urinary excretion of Dedxypyridinoline, type l collagen cross-linked N- telopeptide, Result: All bone formation markers and all bone resorption marker were significantly increased in PMP Osteoporotic women. Under treatment with alendronate, resorption markers decreased earlier than marker of bone formation, Conclusion: This study, using biochemical markers of bone turnover, demonstrates that bone turnover is increased in PMP osteoporotic women. Alendronate treatment decreased bone turnover to the normal premenopausal range, with a steady state level reached after 1 month of therapy with 10mg for resorption markers and after 3-6 months of therapy for markers of bone formation.