The effects of tocolytics on the risk of postpartum bleeding in preterm delivered women

윤내리 대한산부인과학회 2015 대한산부인과학회 학술대회 Vol.101 No.-

GO-30 : he Clinical Impact Of Human Papilloma Virus On the Patients With ASCUS/LSIL

윤내리,김정옥,이정훈,정민재,최수란,황성욱,이병익,송은섭 대한산부인과학회 2014 대한산부인과학회 학술대회 Vol.100 No.-

목적: To analysis of relation between HPV and risk of malignancy by reviewing our experience of screening test for cervix cancer. 방법: All patients who did pap smear, HR-HPV test and cervical biopsy between 1996 and 2013 were retrospectively identified. 결과: 358 patients were identified, ASCUS were 214 and LSIL were 144. In ASCUS, mean age was 42 years old, 151 were positive for HR-HPV test and 63 were negative. And in the biopsy results of conization surgery, 16 were normal, 45 were CIN 1, 28 were CIN 2, 104 were CIN 3, 12 were microinvasive cancer, 9 were invasive cancer. In LSIL, mean age was 40 years old, 115 were positive HR-HPV test and 29 were negative. And in the biopsy results of conization surgery, 11 were normal, 24 of CIN 1, 37 were CIN 2, 52were CIN 3, 2 were microinvasive cancer and there wasnot patient in invasive cancer. In total 358, 266 (74.3%) were positive in HR-HPV test. In this patients, results of conization surgery atients had more severe disease. 결론: There are many progressed cases in ASCUS/LSIL, so we should follow up closely. And if we do the HPV test concurrently with cytology, there will be advantages to predict the progession of disease and follow patients.

자궁경부의 일차성 악성 흑색종의

윤내리 ( Nae Ri Yun ),박정우 ( Jung Woo Park ),박지현 ( Jee Hyun Park ),최석진 ( Suk Jin Choi ),황성욱 ( Sung Ook Hwang ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.5

After the discovery of melanocytes in the cervix in 1959, it was recognized that primary malignant melanoma of the cervix exists as a separate entity. A 74-year-old woman visited hospital for vaginal bleeding from a black colored cervical mass. The pathology of cervical punch biopsy showed a malignant melanoma with positive immnunohistochemical stainings for S100 protein and HMB- 45 antibody. Abdominal radical hysterectomy with pelvic and paraaortic lymphadenectomy was performed. The fi nal pathology was a malignant melanoma of the cervix with metastases for both external iliac lymph nodes and tumor involvement in the margin of vaginal resection. She received cisplatin based concurrent chemoradiotherapy postoperatively. But 6 months later, she received another chemotherapy with dacarbazine and cisplatin for recurrence. We report a case of a 74-year-old patient with a malignant melanoma of the uterine cervix with a brief review.

GO-42 : Clinical Profile of Cone for LSIL and HSIL at a single institution

송은섭,이정훈,윤내리,정민재,민경진,홍혜리,황성욱,이병익 대한산부인과학회 2012 대한산부인과학회 학술대회 Vol.99 No.-

To know the clinical profile of cone for LSIL and HSIL From 1996 to 2013, medical records of patients who had undergone conization for LSIL or HISL were reviewed at an institution. Additional treatment and results of pathology were analyzed. 29 patients with LSIL and 106 with HSIL had undergone conization. Among the patients with LSIL, the distribution of age was from 27 to 58 years old(42.7±8.0). 26 had undergone cone only, 1 done TAH, 1 done TAH+ICR, and 1 done TLH. There were 2 cervicitis, 5 CIN 1, 11 CIN2, 11 CIN3. Among the patients with HSIL, the distribution of age was from 23 to 78 years old(43.1±13.1). 99 had undergone cone only, 1 done reconization, 3 done TAH, and 3 done TLH. There were 6 cervicitis, 9 CIN 1, 16 CIN2, 69 CIN3, 1 adenocarcinoma and CIN3, 1 adenocarcinoma and microinvasive cervical cancer(MIC), and 4 MIC. As there are a lot of CIN 2 and CIN 3 lesions at the patients with LSIL, care investigation is necessary for them.

하비프러너(Hobby-preneur) 사례를 통해 본 일-삶 균형(WLB)의 의미 연구

설동준(Seol, Dongjun),하선민(Ha, Sunmin),송은영(Song, Eunyoung),윤내리(Yoon, Naeree) 한국여가문화학회 2021 여가학연구 Vol.19 No.4

일-삶 균형(WLB) 연구는 일-가정 ‘갈등’(WFC)에서 출발해 ‘균형’에 대한 담론으로, 가정 외 여가(leisure), 성장(growth) 등을 포함하는 삶(life) 전반을 다루는 분야로 확장되어왔다. 또, 최근에는 ICT의 발달로 원격-유연근무가 확대되고, 1인 창업이 활성화되는 등 일을 둘러싼 환경이 변하면서 일-삶 균형에 대한 지속적인 재해석이 이뤄지고 있다. 본 연구에서는 일-삶 균형이 당대의 일과 삶의 양태를 반영하는 동시대적 개념이라는 점에 착안하여, 여가의 의미와 중요성이 커지는 지금 시대의 맹아적 현상인 취미를 직업으로 발전시킨 하비프러너(hobby-preneur)를 통해, 일-삶 균형의 현재적 의미를 탐색해보았다. 특히 하비프러너는 좋아서 하는 여가와 직업으로서의 일이 내용상 중첩되는 사례인데, 이로부터 외견상 같은 활동 안에서 일과 삶(여가)의 경계는 어디인지, 균형의 의미는 무엇이고, 일의 본질은 무엇인지에 관해 심층적으로 살펴보았다. 이를 위해 하비프러너에 해당하는 4명의 연구참여자를 대상으로 심층 면담 기법으로 질적 자료를 수집하고, 현상학적 방법론으로 자료를 분석하여, 4가지 주제묶음과 12가지 주제를 발견하였다. 그 결과 다음과 같은 결론을 도출하였다. 첫째, 일-삶 균형 경험의 본질은 일과 삶의 물리적 균형이 아닌, 내용적, 가치적 통합 상태에 있다. 둘째, 이와 같은 일-삶의 내용적, 가치적 통합을 만드는 데 있어서 결정적 영향을 미치는 요인은 일과 삶에 대한 통제력의 소유 유무이다. 셋째, 이처럼 일-삶의 내용적, 가치적 통합 상태에 있는 경우에는 성장(growth)의 의미와 여가의 의미도 그 본질에 가까운 방향으로 변하게 된다. 그 외 최근에 학술지에 처음 소개된 하비프러너의 개념에 관한 재해석과 후속 연구를 위한 제언으로 연구를 마무리하였다. The study of work-life balance (WLB) has been expanded from work-family conflict (WFC) to discourse on balance including life, leisure, and growth. Recently, the change in working environments such as remote and flexible working, solo-entrepreneur emerged from ICT (Information and Communication Technology) development, thus continuous reinterpretation of work-life balance is being carried out. This study explores the present meaning of work-life balance through Hobby-preneur who developed hobby as a profession. Hobby-preneur can be interpreted as a embryonic figure of life in the present era which expands the meaning and importance of leisure, given that work-life balance is a contemporary concept that reflects daily work-life style. Hence, Hobby-preneur is a case of whose work is the same as life (leisure) activity. Through this study we were able to look deeply from the internal experience of the parties on where the boundary between work and life is, what is the meaning of balance, and what is the essence of work. This study was conducted to find four themes and 12 meaning units by collecting qualitative data through in-depth interview techniques and analyzing data using phenomenological methodology for four participants who can be named as Hobby-preneur. The following conclusions were drawn: First, the essence of work-life balance (WLB) experience is in a state of content and value integration, not a physical balance between work and life. Second, the determinant factor in creating such content and value integration of work-life is whether they have the control over work and life. Third, in the case of the integrated state of work-life, the meaning of individual growth and the meaning of leisure also change in the direction close to its essence. The study includes a reinterpretation of the concept of Hobby-preneur, which was first introduced in a journal of arts management, and a suggestion for follow-up research.

골반내 종양의 분석에서 네 가지 악성 위험지수의 비교

박정우 ( Jung Woo Park ),박지현 ( Jee Hyun Park ),송은섭 ( Eun Seop Song ),이병익 ( Byoung Ick Lee ),이정훈 ( Jeong Hoon Le ),김기원 ( Ki Won Kim ),김경미 ( Kyoung Mi Kim ),정민재 ( Min Jae Jung ),윤내리 ( Nae Ri Yun ),황성욱 ( Su 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.9

목적: 수술 전 골반내 종양의 악성 여부를 평가하는 데 있어서 네 가지 악성 위험지수 risk of malignancy indexs (RMIs: RMI 1, RMI 2, RMI 3, and RMI 4)의 효용성을 비교해 보고자 한다. 연구방법: 2007년 1월부터 2010년 12월까지 자궁부속기 종양을 주소로 내원한 환자 547명을 대상으로 한후향적 연구이다. 악성 위험지수는 초음파 소견, 폐경 유무, 종양 크기 및 혈중 CA-125를 바탕으로 산출하였으며, 이를 통해 악성 위험지수의 민감도, 특이도, 양성 및 음성 예측률, 진단 정확도를 구하여 비교하였다. 결과: 수용자 특성 곡선(receiver operating characteristic)상에서 네 악성 위험지수의 곡선 아래의 면적은 각각 0.9233, 0.9151, 0.9132, 0.9263로 나왔다. 네 악성 위험지수는 골반내 종양의 악성 여부를 평가하는데 있어 폐경 유무(P=0.001), 종양의 크기(P=0.03)에 비해서는 통계적으로 유의한 결과를 보였으나, 혈중 CA-125, 초음파 소견(P>0.05)에 비해서는 통계적으로 유의하지 않았다. 결론: 네 악성 위험지수는 수술 전골반내 종양의 악성 여부를 평가하는 데 있어서 폐경 유무와 종양의 크기에 비해 통계적으로 유의하다. Objective: The purpose of this study was to evaluate the ability of the four malignancy risk indices for discrimination of a benign mass from a malignant pelvic mass. Methods: This is a retrospective study of 547 women admitted to the Department of Obstetrics and Gynecology of Inha University College of Medicine, between January, 2007, and December, 2010, for surgical exploration of a pelvic mass. Sensitivity, specificity, positive and negative predictive values, and diagnostic accuracy of four risk of malignancy indices (RMIs: RMI 1, RMI 2, RMI 3, and RMI 4) were obtained for diagnosis of a malignant pelvic mass, Results: Results of receiver operating characteristic analysis of RMI 1-4, CA-125 serum levels, ultrasound score, menopausal status, and tumor size showed values of the area under the curve of 0.9233, 0.9151, 0.9132, 0.9263, 0.8472, 0.9007, 5870, and 0.7714, respectively. The four RMIs showed statistical significance with menopausal status (P=0.001) and tumor size (P=0.03), but not with CA-125 and ultrasound score (P>0.05). Conclusion Four RMIs were found to be statistically significant diagnostic criteria, compared with menopausal status and tumor size, which can discriminate between benign and malignant pelvic masses.

악성 위험지수 (Risk of Malignancy Index) 1을 이용한 골반내 종양의 분석

박정우 ( Jung Woo Park ),황성욱 ( Sung Ook Hwang ),박지현 ( Jee Hyun Park ),이병익 ( Byoung Ick Lee ),이정훈 ( Jeong Hoon Lee ),김기원 ( Ki Won Kim ),김경미 ( Kyoung Mi Kim ),정민재 ( Min Jae Jung ),윤내리 ( Nae Ri Yun ),송은섭 ( 대한폐경학회 2013 대한폐경학회지 Vol.19 No.1

Objectives: To assess the ability of risk of malignancy index (RMI) 1 to discriminate between benign and malignant pelvic masses. Methods: Between January 2007 and December 2010, 547 women with pelvic masses were evaluated. Their medical records are reviewed here retrospectively. The sensitivity, specificity and positive and negative predictive values of the cancer antigen (CA) 125 level, ultrasound findings and menopausal status in the prediction of malignant pelvic masses were calculated and compared individually or combined using the RMI 1. Results: The receiver operating characteristic (ROC) curves of CA 125, the ultrasound score and the RMI 1 were all found to be relevant predictors of malignancy. ROC analysis of the RMI 1, CA 125 serum levels, ultrasound score and menopausal status showed areas under the curves of 0.795, 0.782, 0.784 and 0.594, respectively. The RMI 1 was found to be statistically significantly correlated with menopausal status (P = 0.001), while not statistically significantly correlated with CA 125 (P = 0.628) or the ultrasound score (P = 0.541). The RMI 1 at a cut-off of 150 - with a sensitivity of 77.9%, specificity of 81.1%, positive predictive value of 51.7% and negative predictive value of 93.4% - showed the highest performance in determining the malignant tendency of pelvic masses. Conclusion: Accepting a RMI 1 cut-off value of 150 results in statistically more significant diagnostic criteria than menopausal status for the discrimination of benign and malignant pelvic masses. (J Korean Soc Menopause 2013;19:18-25)