旅日記속에 나타난 江戶시대의 女性像

정영인(Jeong Young-In) 동북아시아문화학회 2008 동북아시아문화학회 국제학술대회 발표자료집 Vol.- No.-

In the age of Edo, from 17th century to 19th century, for about 260 years, Japanese people had to live under the feudal system of the Tokukawas, As there was no war in Japan in that times, the Chounin class throve, their living conditions got better, so various popular cultures became prosperous. But as it was a male-dominated society and females in the middle of their history were hardly seen, it can't be emphasized that the view of Japanese modem times researched so far with males as the central figure has been half completed. So, to research historical documents to find out Japanese females' interests, thoughts, senses for things, doings and so on could be a way to understand a new side of Japanese modem society and Japanese females who held out the half of the Japan. This research is especially focusing on 〈Tabi〉 of various lives, and show modem-times females' lives and ideologies and females who wrote travel books such poor times. Females in the age of Edo, what did they see and experience in their travels, and how did they change after their travels and live the rest of their lives? To solve these questions, 『AKIKAZENOKI』 written by Shokyuni who was born in Kyushu, leaving her home not getting over current thought, lived a new life with Haikai and traveled in Oushu like Matuo Bashou(a famous poet in Japan), one of 133 travel books and letters collected and analyzed by Siba Keiko of 'Inquiring into modern-times females with their travel books and letters' in the collection of learned papers 'Females in the age of Edo' could be one of the best ways to understand her lives in modem times.

피부과 PA (Physician Assistant)의 역할과 한계

정영인 ( Young-in Jeong ),주민숙 ( Mihn-sook Jue ),박향준 ( Hyang-joon Park ),최광현 ( Kwang-hyun Choi ) 대한피부과학회 2015 대한피부과학회지 Vol.53 No.4

In Korea, physician assistants (PAs) have emerged owing to the shortage of medical residents, especially in the surgical departments of tertiary hospitals. In addition, the Korean Ministry of Health and Welfare has been planning to reduce the number of medical residents. Hence, training hospitals decided to hire PAs to replace medical residents. PAs can perform a large part of residents’ time-consuming job. However, PAs are not a common type of workforce in the field of dermatology. The aim of this study is to compare the roles of dermatology specialist, resident, PAs, and registered nurse (RN), and discuss the limitations and futures of PAs in the field of dermatology. Moreover, in Korea, the legal definition and status of PAs are absent or, if present, inconsistent. Between PAs and other positions such as residents, registered nurses, and nurse specialists, lies an unsettled conflict. Therefore, if PAs are employed, a more precise complement is needed. (Korean J Dermatol 2015;53(4):265∼269)

한센병 환자의 파라핀종에 대한 수술적 치료 경험

정영인 ( Young In Jeong ),최광현 ( Kwang Hyun Choi ),주민숙 ( Mihn Sook Jue ),안성열 ( Sung Yul Ahn ),박향준 ( Hyang Joon Park ) 대한피부과학회 2015 대한피부과학회지 Vol.53 No.2

Background: Ulnar nerve palsy leads to thumb-web depression, hypothenar flattening, and inter-digital depression in patients with leprosy. To camouflage these deformities, patients used to inject paraffin or silicone oil into the areas of muscle atrophy associated with thumb-web depression and hypothenar flattening. After several years and decades, paraffinomas eventually resulted in extensive inflammatory fibrosis and recalcitrant recurrent ulcers at the injection sites. Objective: The aim of this study is to compare the results of different surgical treatments for paraffinomas in patients with leprosy, and to find out the most effective treatment method that has a low recurrence rate. Methods: Between January 2000 and December 2012, 47 patients with paraffinomas who had visited the Korean Hansen Welfare Association Hospital were enrolled to participate in the study. The number of paraffinomas was 56, and the mean age of the patients was 73 years. A retrospective evaluation of the cosmetic results and recurrence rate was performed. Results: Of the 56 surgically treated paraffinomas, 30 lesions were treated using primary closure, 20 lesions were treated with skin graft, and 6 lesions were treated with skin flap. The cosmetic outcomes, which were assessed using a four-point grading scale, were excellent in 10.7% (6/56), good in 25% (14/56), fair in 38% (21/56), and poor in 28% (15/56) of the patients. There were no significant differences among the three surgical procedures with respect to the cosmetic results. The recurrence rate was 33% (10/31) in the primary closure group, 50% (10/20) in the skin graft group, and 17% (1/6) in the skin flap group. There were no significant differences in the recurrence rate among the three surgical procedures. Conclusion: The extensive and aggressive curettage of lesions is very important to reduce recurrence rate. When the older age of the patients is considered in conjunction with the simplicity of the operation and the total operation time, primary closure is considered the treatment of choice both cosmetically and practically.(Korean J Dermatol 2015;53(2):89∼95)

50세 이상 연령층에서 발생한 모기질종의 임상 및 병리조직학적 연구

정영인 ( Young In Jeong ),노수현 ( Soo Hyeon Noh ),박건 ( Kun Park ),김은정 ( Eun Jung Kim ),박향준 ( Hyang Joon Park ) 대한피부과학회 2016 大韓皮膚科學會誌 Vol.54 No.2

Background: Pilomatricoma is a benign, appendageal tumor differentiating towards the normal hair follicles and is characterized by basaloid, transitional, and shadow cells. It is most frequently seen in children; however, a bimodal onset distribution is observed in the first and sixth decades. Objective: The purpose of this study was to analyze the clinical and histopathological features of pilomatricomas in patients over 50 years of age, and to compare these features with those occurring in patients under 20 years of age. Methods: We retrospectively reviewed the medical records and histopathological findings of 73 patients under 20 years and above 50 years of age. The morphological stages of the tumors were analyzed through histopathological findings. Results: The age of patients in the over 50-year age group ranged from 50 to 82 years, with a mean age of 60 years. The male-to-female ratio was 1.1:1. The duration of lesions was from 1 month to several years, with half of the patients having the tumors for over 12 months. The predilection sites were the head (51%), followed by the upper extremities (21%), neck (15%), trunk (6%), and lower extremities (6%). In 73% of the patients over 50 years of age, pilomatricoma was less likely the suspected diagnosis compared with that in the under 20-year age group. Epidermal cysts were most likely suspected in patients over 50 years of age. Histopathologically, half of the tumors were located in the subcutis, which was not significantly different when compared with pilomatricomas in the under 20-year age group. The most common evolutional stage of tumors was early regressive (52%), followed by late regressive (27%), fully developed (15%), and early stage (6%). Capsulation (9%), inflammatory cell infiltration (60%), multinucleated giant cells (36%), calcification (33%), and ossification (12%) were observed. With the exception of capsulation, there were no significant differences in these histopathological features in pilomatricomas in patients over 50 years of age compared with those in patients under 20 years of age. Conclusion: Pilomatrichomas in patients over 50 years of age show no pain, are located in the head and neck, are present for a long duration, and have various clinical presentations when compared with those in patients under 20 years of age. However, they are not rare tumors in adults. Accordingly, pilomatricomas should be included in the clinical differential diagnosis of a solitary, deep skin tumors presenting in adults, especially when they occur on the head. (Korean J Dermatol 2016;54(2):98∼104)

성별과 연령에 따른 음주행동 관련 요인

이정진(Jeong Jin Lee),문은수(Eunsoo Moon),박제민(Je Min Park),이병대(Byung Dae Lee),이영민(Young Min Lee),정희정(Hee Jeong Jeong),최윤미(Yoonmi Choi),정영인(Young In Chung) 대한생물치료정신의학회 2014 생물치료정신의학 Vol.20 No.1

Objectives:It is important to examine factors affecting problem drinking to prevent social drinking from proceeding alcohol addiction. As the factors associated with problematic drinking are various according to age and gender, we aimed to investigate whether several clinical factors are associated with drinking behavior according to age and gender in general population. Methods:291 participants without experience of psychiatric diagnosis and treatment were recruited. Problematic drinking behavior was evaluated by Alcohol Use Disorder Identification Test(AUDIT). Depression, bipolarity, anxiety and impulsivity were measured using Beck Depression Inventory(BDI), Bipolar Spectrum Diagnostic Scale(BSDS), State-Trait Anxiety Inventory(STAI) and Barratt impulsiveness scale(BIS), respectively. The authors analyzed the effects of clinical factors on drinking behavior according to age and gender using univariate linear regression. Results:In younger group, there was no correlation between clinical variables and problematic drinking behavior. In middle aged group, however, BSDS total scores were significantly correlated with AUDIT scores(p=.006). Problematic drinking behaviors in middle-aged men were significantly associated with STAI-state(p=.027), total score and mania subscore of BSDS(p=.006 ; p=.001) and BIS(p=.011), but those in middle-aged women were associated with BDI (p=.022), STAI-state and trait(p=.027 ; p=.010), total score and mania subscore of BSDS(p=.031 ; p=.037), as well as depression subscore of BSDS(p=.012). Conclusion:These results suggest that factors associated with problematic drinking are different according to age and gender. Therefore, consideration on difference of gender and age effect on problematic drinking behavior is important to establish strategies for decreasing problematic drinking.

아동의 공격성 선별도구로서 “빗속의 사람(PITR)” 그림 활용 가능성 연구

함정심(Jeong-Sim Ham),정영인(Young-In Chung) 한국국제미술교육학회 2019 미술과 교육 Vol.20 No.1

본 연구는 아동의 공격성 정도에 따른 빗속의 사람(PITR: Person In the Rain)의 반응특성 차이를 파악하고, PITR이 아동의 공격성을 선별할 수 있는 검사도구로 활용 가능한지 알아보고자 하였다. 연구 대상은 경기도에 소재한 초등학교 4-6학년 365명이었다. 연구도구는 PITR 그림검사와 공격성 검사를 사용하였다. 자료 분석은 연구문제와 관련하여 공격성 정도에 따른 PITR의 반응특성 차이검증은 교차분석을, 공격성을 선별할 수 있는 도구로 타당성 검증을 위해서는 판별분석을 하였다. 연구결과는 첫째, 공격성이 낮은 집단과 높은 집단의 PITR에 나타난 스트레스 지표의 반응특성은 웅덩이의 면적에서 유의미한 차이를 보였고, 스트레스 대처자원 지표의 반응특성은 인물의 크기, 전체 인물의 모습, 신체부위 생략에서 유의미한 차이를 보였다. PDI 지표의 반응특성은 그린 순서, 그림 속 사람 나이, 그림의 느낌에서 유의미한 차이가 있었다. 둘째, 공격성 선별도구로서 PITR의 변별력은 76.0%로 나타났고, 공격성이 낮은 집단은 69.9%, 높은 집단은 82.2%를 예측하는 것으로 나타났다. 이러한 연구 결과를 통하여 PITR이 아동의 공격성의 선별도구로 활용 가능성이 있다는 것을 알 수 있었다. This study was aimed at investigating the difference in response characteristics to Person In the Rain(PITR) according to the degree of children"s aggression, and examining whether the PITR can be used as a screening tool to determine children"s aggression. The subjects were 365 elementary school in grades 4 to 6 in Gyeonggi-Do. A PITR drawing test and an aggression test were used as research tools. In order to analyze the data, regarding the research question, a cross-analysis was performed to measure the difference in response characteristics to PITR according to the degree of aggression while a discriminant analysis was conducted to verify its validity as a tool to discern aggression. The results of the study are as follows. First, the response characteristics of the stress indicators of groups with low and high aggression revealed in the PITR showed a significant difference in the area of the puddle while those of the stress coping resource index displayed a significant difference in the size of the person, the figure of the whole person, and the omission of the body part. The response characteristics of the PDI index showed a significant difference in the order of drawing, the age of the person in drawing, and the feeling of drawing. Second, the discriminatory power of PITR as a screening tool for aggression was 76.0%, predicting 69.9% for the group with low aggression and 82.2% for the group with high aggression. These results suggest that PITR can be used as a screening tool for aggression of children.

알츠하이머병 환자에서 해마 위축과 정신병적 증상

정희정(Hee Jeong Jeong)이영민(Young Min Lee),박제민(Je Min Park),이병대(Byung Dae Lee),문은수(Eun Soo Moon),김수연(Soo Yeon Kim),이강윤(Kang Yoon Lee),김지훈(Ji-Hoon Kim),정영인(Young-In Chung) 대한신경정신의학회 2018 신경정신의학 Vol.57 No.3

Objectives This study examined the difference in the volume or thickness of the medial temporal lobe between Alzheimer’s disease patients with psychosis (AD+P) and those without psychosis (AD-P). Methods Overall, 31 AD+P patients and 29 AD-P patients were included from the Memory impairment clinics of Pusan National University Hospital in Korea. AD+P was diagnosed according to Jeste and Finkel’s proposed diagnostic criteria for psychosis of Alzheimer’s disease. AD-P included AD patients with no psychotic symptoms during a 5-year follow-up period. Medial temporal volume or thickness was measured by 3-tesla MRI and freesufer analysis. Analysis of variance was used to examine the difference in the volume or thickness of medial temporal lobe between AP+P and AD-P after controlling for age, gender, education years, Clinical Dementia Rating scale-Sum of Box, and total intracranial volume. Results The hippocampal volume in AD+P was smaller than that in AD-P. Conclusion These findings suggest that AD+P is associated with a reduced hippocampal volume.

부산지역 거주 노인의 인지기능장애 및 치매 유병률

김정순,이수일,정영인,황인경,이봉숙,김민정,초의수,전진호,정인숙,Kim, Jung-Soon,Lee, Su-Ill,Chung, Young-In,Hwang, In-Kyung,Yih, Bong-Sook,Kim, Min-Jeong,Cho, Eu-Soo,Chun, Jin-Ho,Jeong, Ihn-Sook 대한예방의학회 2003 예방의학회지 Vol.36 No.1

Objectives : To investigate the prevalence of cognitive impairment and dementia in elderly people, aged 65 or above, residing in Busan Metropolitan City. Methods : Total of 1,101 old people, aged 65 or above, living in Busan as of December 31, 2001 were selected using stratified three-stage cluster sampling. Cognitive impairment was determined from the MMSE-K score, and dementia confirmed from five psychometric measures and the Barthel index. The crude prevalence, sex-age adjusted for the Korean population, were obtained. Results : With the cut-off point for cognitive impairment was set at 24 points, or below, on the MMSE-K scale, the crude rate of cognitive impairment was 29.3% (15.7% for men and 37.5% for women), and the sex-age adjusted prevalence was 30.5% (17.5% for men and 37.0% for women). When the cut-off point for cognitive impairment was set at 20 points, or below, on the MMSE-K scale, the crude rate of cognitive impairments were 10.0% (4.1% for men and 13.5% for women), and 10.6% (4.7% for men and 13.1% for women), respectively. The crude dementia, and the sex-age adjusted rates were 7.4% (2.4% for men and 10.5% for women), and 8.0% (2.7% for men and 10.0% for women), respectively. Conclusions : The prevalence of dementia in this study was somewhat lower than that reported by other domestic and foreign studies. Our results related to the difference in time and space, diagnostic tools, response rates, and distribution of male and female subjects, etc.

한국인 조현병 집단에서 신경세포접합분자 유전자의 가족 연합분석: 예비연구

윤혜원(Hye won Yun),이병대(Byung Dae Lee),박제민(Je Min Park),이영민(Young Min Lee),문은수(Eunsoo Moon),정희정(Hee Jeong Jeong),정영인(Young In Chung) 대한생물치료정신의학회 2014 생물치료정신의학 Vol.20 No.1

Objectives:A recent study performed in a large and heterogenous sample of European ancestry implied that 14 genes previously steadily replicated to contribute to the susceptibility to schizophrenia may play little role. But much work, at both the population and molecular levels, remains before dismissing these genes and their connection to schizophrenia. This is a pilot study for family based association analysis of neuronal cell adhesion molecule(NRCAM) gene in a Korean population with schizophrenia. Methods:We recruited 27 probands(with schizophrenia) with their parents and siblings whenever possible. For best diagnosis, we have used medical records and a Korean version of diagnostic interview for genetic studies(DIGS) and family interview for genetic studies(FIGS). We analyzed 12 single nucletide polymorphisms(SNPs) of neuronal cell adhesion molecule(NRCAM) gene. We performed family based association test(FBAT) analyses and linkage disequilibrium analyses with each individual SNP. Results:We did not find any significant SNP of NRCAM gene(p-value<0.05) for the qualitative phenotype of schizophrenia. But four SNPs within the NRCAM gene(rs381318 , rs1269621, rs2072546, and rs1269634) were in strong linkage disequilibrium with each other(D’>0.60). Haplotype analyses showed overtransmitted alleles(A-A-G-G, A-A-A-G) with p-value limitation. Conclusion:Our results show that a single nucleotide polymorphism in NRCAM gene could be associated with the qualitative trait of schizophrenia in Korean families with schizophrenia and help to perform FBAT analyses more finely.

태아기 성호르몬이 여성의 알츠하이머병의 발병에 미치는 영향 : 2D/4D 손가락 길이 비율을 이용한 단면 연구

강태욱(Tae Uk Kang),이영민(Young Min Lee),박제민(Je Min Park),이병대(Byung Dae Lee),문은수(Eunsoo Moon),정희정(Hee Jeong Jeong),김수연(Soo Yeon Kim),이강윤(Kang Yoon Lee),서화규(Hwagyu Suh),정영인(Young-In Chung) 대한노인정신의학회 2020 노인정신의학 Vol.24 No.2

Objective: The purpose of this study is to investigate an association between sex-hormone exposure during fetal period and the development of Alzheimer’s disease (AD). Methods: Twenty four AD patients and 25 normal controls were included from Memory Impairment Clinic of Pusan National University Hospital in Korea. Subjects are measured the ratio of the length of the second to the fourth digit (2D/4D) to estimate fetal sex-hormone exposure. Analysis of covariance was used to investigate an association between fetal sex-hormone exposure and the development of AD after adjusting age, education level, Korean Mini-Mental Status Examination and head circumference. Results: We found that the females with AD had significantly lower 2D/4D ratios than the female controls. In the females with AD, the 2D/4D ratios in the left hand was 0.021 and 0.017 in the right hand compared with the controls. Conclusion: Our findings suggest that the development of AD in female may be related with higher testosterone and lower estrogen exposure during fetal period.