급성전신발진농포증 환자의 임상 및 조직학적 분석

정인순 ( In Soon Jung ),윤숙정 ( Sook Jung Yun ),이지범 ( Jee-bum Lee ),김성진 ( Seong-jin Kim ),이승철 ( Seung-chul Lee ),원영호 ( Young Ho Won ) 대한피부과학회 2018 대한피부과학회지 Vol.56 No.10

Background: Acute generalized exanthematous pustulosis (AGEP) is typically a medication-induced acute febrile eruption. Few large-scale studies have reported clinical data regarding AGEP in Korea. Objective: This study analyzed the clinical and histopathological features of AGEP in Koreans to identify recent trends in this context. Methods: This study retrospectively reviewed 31 patients with AGEP. Age, sex, clinical features, etiologies, laboratory findings, histopathological features, and treatment outcomes were obtained from patients’ medical records and photographs. Results: The mean age of onset was 43.6 years, and the male:female ratio was 2.1:1. All patients showed non-follicular tiny pustules and erythema. Fever was reported in 13 patients and neutrophilia in 17 patients. Medications were considered the most common etiological contributors. Twenty patients showed drug-induced AGEP, and 11 of 20 patients showed antibiotic-induced AGEP. Serum C-reactive protein and lactate dehydrogenase levels increased in 93.8% and 77.8% of the patients, respectively. Histopathologically, all patients showed subcorneal or intraepidermal pustules, followed by exocytosis and neutrophilic dermal infiltrate. Twenty-five patients improved within a mean period of 7.5 days after the onset of the skin rash. The percentage of women in the drug-induced AGEP group was significantly higher than that in the non-drug-induced AGEP group. Conclusion: This report describes a large-scale study that analyzed the clinical and histopathological features of AGEP in Koreans and seems to accurately reflect the recent trends in this context. Clinically, it is important to note that the percentage of women in the drug-induced AGEP group was higher than that in groups showing other etiologies of AGEP. (Korean J Dermatol 2018;56(10):594∼602)

성인 두부백선의 임상 및 진균학적 분석(61증례, 1990∼2018)

정인순 ( In Soon Jung ),류건욱 ( Geon Wook Ryu ),윤숙정 ( Sook Jung Yun ),이지범 ( Jee Bum Lee ),김성진 ( Seong Jin Kim ),이승철 ( Seung Chul Lee ),원영호 ( Young Ho Won ) 대한피부과학회 2020 大韓皮膚科學會誌 Vol.58 No.1

Background: Tinea capitis, a superficial dermatomycosis, is caused by a dermatophyte infection on the scalp and hair. Recently, the number of adult patients with tinea capitis have been increasing; therefore, the clinical and mycological features of tinea capitis may be different from those of previous reports. However, only a few studies on adult tinea capitis have been conducted in Korea. Objective: This study aimed to analyze the clinical and mycological features of Korean adult patients with tinea capitis. Methods: A retrospective review of 61 adult patients with tinea capitis was conducted. Clinical features including age, sex, clinical type, and treatment outcome were obtained from medical records and images. The mycological features, including the result of KOH smear and fungal culture, were also analyzed. Results: The mean onset age was 61.3 years, and the male-to-female ratio was 1:4.1. Two patients (3.3%) had a family history of developing the same symptoms, and 17 (27.9%) had a history of close contact with animals. The most predilection site was the vertex, followed by the frontal and parietal areas. Microsporum canis was cultured in 66.7% patients, and Trichophyton rubrum was cultured in 28.6% patients. The number of adult patients with tinea capitis has been increasing constantly. The proportion of patients infected by T. rubrum has been increasing since 2000. Of the 51 patients who received treatments, 42 showed improvements. No significant difference was observed between patients treated with terbinafine and itraconazole. Conclusion: This is the large-scale study that analyzed the clinical and mycological features of Korean adult patients with tinea capitis. (Korean J Dermatol 2020;58(1):1∼6)

명상프로그램(MBSR)이 노인의 정신건강에 미치는 효과성 검증

정인순 ( In Soon Jung ) 동의대학교 지방자치연구소 2012 공공정책연구 Vol.29 No.2

본 연구에서는 명상프로그램이 노인의 정신건강에 미치는 효과성을 검증하는 것을 목적으로 하였다. 이를 위해서 부산광역시 ㅇㅇ구 소재의 노인대학에서 명상프로그램에 참여한 실험집단과 참여하지 않은 통제집단을 대상으로 사전?사후 설문조사하여 연구 조사하였다. 첫째, 실험집단과 통제집단의 인구사회학적 특성?정신건강 변수에 대한동질성 검증결과 실험집단과 통제집단이 동일집단임이 확인되었다. 둘째, 실험집단과 통제집단 각각 두 집단내의 사전?사후 변화를 각각 알아본 결과, 실험집단의 정신건강은 유의미한 증가를 나타났고 정신건강의 하위변수인 신체증상의 악화변수?사회활동장애는 사전?사후의 유의한 차이가 있었다. 셋째, 실험집단과 통제집단 두 집단 간의 사전?사후변화를 알아본 결과, 사후 정신건상평균은 실험집단은 58.35, 통제집단 49.56로 나타나 유의한 차이가 있는 것으로 나타났다. 즉 본 명상프로그램 “만남, 몸과 마음의 이해, 바라보기, 좋은 사이, 사랑히기, 우리는 하나”를 실시한 결과 노인의 정신건강이 증진되고 하위변수인 신체증상의 악화와 사회활동 장애가 해소되는 것으로 나타났다. The purpose of this study was to investigate the effects of meditation program on mental health of elderly people. Two groups, one group participating in a meditation program of 00 district office of Pusan and the other group not taking the program were gathered for this research. First, the homogeneity verification results for the experimental group and the control group, the population sociological characteristics of the mental health variables, the experimental group and the control group were confirmed to be the same group. Second, the experimental group and the control group, respectively each of the two groups in the pre-and post-change the results of this study, the mental health of the experimental group showed a significant increase men1tal health variables of the sub-activity disorder worsening of physical symptoms and social variables there was significant difference between the pre-and post. Finally evaluate the changes between the experimental group and the control group, the two groups pre-and post this results of the experimental group post-mental health average 58.35, 49.56 to the control group were significantly different. In other words, this meditation program “Associate, the understanding of the mind and body, look nice, and love, we conducted also” one result of promotion of mental health in the elderly and sub-variables of physical symptoms worsen disability and social activities that relieve appeared.

성인 피부근염 환자 52명의 임상적 분석

정인순 ( In Soon Jung ),윤숙정 ( Sook Jung Yun ),이지범 ( Jee Bum Lee ),김성진 ( Seong Jin Kim ),이승철 ( Seung Chul Lee ),원영호 ( Young Ho Won ) 대한피부과학회 2018 대한피부과학회지 Vol.56 No.1

Background: Dermatomyositis is one of the idiopathic inflammatory myopathies, characterized by unique cutaneous features. Unfortunately, there is little data regarding the clinical features of dermatomyositis in Korea patients. Objective: The study aimed to analyze the clinical features of Korean patients with adult-onset dermatomyositis. Methods: A total of 52 patients from 2002 to 2016 were analyzed retrospectively. Clinical features such as sex, age, symptoms, associated connective tissue disorders and malignancy were studied using medical records. Results: The mean onset age was 43.4 years, and the male to female ratio was 1 : 1.9. Forty-two patients (80.8%) were classified as having dermatomyositis, and 8 patients (15.4%), as having amyopathic dermatomyositis. Skin rash (94.2%) was the most common clinical feature, followed by proximal muscle weakness (61.5%), itching (55.8%), arthralgia (36.5%), and muscle pain (32.7%). Among skin rashes, symmetric violaceous erythema (67.3%) was the most frequent, followed by heliotrope rash (63.5%) and Gottron’s papule (59.6%). Serum aldolase level was elevated in 77.8%, and LDH in 69.6%. The prevalence of malignancy (23.1%) was similar to that in previous studies. Cervical cancer made up 25% (3/12) of the associated malignancies, followed by ovarian cancer and lung cancer (16.7%). Ten patients (19.2%) had other accompanying connective tissue diseases. Conclusion: To date, this is the first large-scale case study that analyzed the clinical features of Korean patients with adult-onset dermatomyositis. (Korean J Dermatol 2018;56(1):24∼29)

교원업무경감 방안에 대한 교원 인식 분석- 교무행정지원사 제도를 중심으로 -

고장완(Ko, Jang Wan),정인순(Jung, Inn Soon) 고려대학교 교육문제연구소 2013 敎育問題硏究 Vol.26 No.4

본 연구의 목적은 교원업무경감 방안과 이에 대한 방안의 하나인 교무행정지원사의 학교현장 배치에 대하여 교원의 인식과 만족도를 조사하고, 이를 바탕으로 서울특별시교육청의 교원업무경감 방안에 대한 초기 성과 진단 및 향후 추진 방안에 시사점을 주는 것이었다. 이를 위하여 서울시내 91개 초중등학교 교사 1,365명을 대상으로 교무행정업무와 관련한 학교현장 실태 및 교무행정업무에 관한 부서별, 학교급별 설문조사를 실시하였다. 본 연구 결과 교원업무경감 방안의 일환인 교무행정지원사 업무지원이 학교현장에 도움이 되고 있는 것으로 나타났다. 이러한 경향은 교무부 소속 교사일수록 높은 것으로 나타났다. 교사들은 교무행정지원사의 업무가 구체적으로 명시되어 있다고 생각하지만 그 정도는 높지 않았으며, 교무부나 연구부에 근무하고 있는 교사들이 생활지도부에 근무하고 있는 교사들 보다 교무행정지원사의 업무가 더 구체적으로 명시되어있다고 응답하였다. 또한, 교사들은 교무행정지원사의 업무지원으로 자신들이 교재연구 등 수업에 몰입하는데 도움이 된다고 인식하고 있었으며, 실질적으로 중학교 교사들은 교무행정지원사의 업무지원으로 학생생활지도와 상담시간이 늘어났다고 응답하였다. 이러한 응답 결과는 부서별, 학교급별 차이도 보이고 있는데 교무부와 연구부에 속한 교사들이 비교적 긍정적이고 높은 반응을 나타내었다. 또한, 고등학교 교원의 인식 및 만족도는 초중학교 교원에 비해 비교적 낮은 것으로 나타났는데 이는 대학입시 때문이라고 여겨진다. 교무행정지원사의 지속적인 배치에 대해서도 응답자의 대부분은 매우 필요하다고 응답하여 초중등학교 교원들은 교무행정지원사의 추가 배치를 희망하고 있는 것으로 나타났다. The purpose of the study was to analyze the teachers’ responses to and satisfactions on the new policy for reducing teacher workload, especially focusing on introducing the Administrative Assistant for School Affairs (AASA) in Seoul. For this we developed survey questionnaire and surveyed 793 teachers in 31 elementary schools and 39 middle schools and 21 high schools in Seoul. The results of this study showed that most teachers believed that the new policy to reduce teacher workload actually benefits teachers at all levels of schools, and schools have also tried to reduce the workload along with the new policy. Regarding the Administrative Assistant for School Affairs (AASA), many teachers indicated that specific job assignment for the AASA were somewhat clearly provided, but should be more specifically defined. In addition, teachers believed that as utilizing the AASA they had more time to prepare for the class and to help students including student guidance and personal discussion. Those responses were statistically significantly different by departments: teachers those in the department of Academic Affair and department of Research had more positive and higher scores than those in the department of Career Guidance and other departments. Finally, teachers show support for the continuous assignment of the AASA in schools in order to reduce teacher workload.

호스피스병동 말기 암 환자 및 내과의사의 사전의료지시(서)에 대한 인식

손덕승,전연주,이정화,길상현,심병용,이옥경,정인순,김훈교,Sun, Der-Sheng,Chun, Yeon-Joo,Lee, Jeong-Hwa,Gil, Sang-Hyun,Shim, Byoung-Yong,Lee, Ok-Kyung,Jung, In-Soon,Kim, Hoon-Kyo 한국호스피스완화의료학회 2009 한국호스피스.완화의료학회지 Vol.12 No.1

목적: 말기 암 환자와 의사를 대상으로 추후 의료적 치료 결정을 내리지 못하는 경우를 대비하여 심폐소생술 거부, 의료적 권한 법정 대리인, 생존시 유언장을 포함한 사전의료지시(서)에 대한 인식을 알아보고자 하였다. 방법: 2007년 5월부터 11월까지 가톨릭대학교 성빈센트병원 호스피스 병동으로 내원한 말기 암 환자와 가톨릭중앙의료원 2, 3, 4년차 내과 전공의(의사)를 대상으로 사전의료지시에 대해 구조화된 설문지를 이용한 조사를 실시하였으며, 환자 134명, 의사 97명으로부터 답변을 받았다. 결과: 환자 128명(95.5%), 의사 95명(97.9%)은 사전의료지시를 찬성하였으며, 환자 79명(59.0%), 의사 96명 (99.0%)은 추후 치료에 반응하지 않는 말기 상태일 경우 무의미한 생명연장을 위한 심폐소생술을 원치 않았고, 환자 85명(63.4%), 의사 75명(77.3%)은 본인이 의사결정을 할 수 없는 상황일 때를 대비한 의료적 권한 법정 대리인 지정에 찬성 하였다. 예로 제시된 유언장 내용에서 설문에 응한 환자 134명(100%), 의사 94명(96.9%)은 말기 상황일 경우, 가능한 편안하게 사망할 수 있도록 자신에게 시행되는 모든 치료를 중단, 보류하기를 원하였다. 결론: 본 연구에서 말기 암 환자와 의사는 인생의 마지막을 결정짓는 도구로 사전의료지시(서)에 대해 긍정적이고 적극적인 태도를 보였다. 하지만, 아직 법적, 사회적 합의가 없어 하나의 체계로 정립되지 못하고 있다. 여러 쟁점이 해결되어 힘들게 투병하고 있는 말기암 환자에게 사전의료지시(서)가 보편적이고 합법적인 의료 체계로 확립된다면 그들 인생의 마지막을 존엄하게 맺을 수 있는 선택이 될 것으로 생각한다. Purpose: We undertook this study to find out the recognitions of terminal cancer patients and doctors about advance directives (ADs), of how they would do in non-response medical conditions and whether ADs could be one of medical options for their dying with dignity. Methods: One hundred thirty four cancer patients in the Hospice Unit, St. Vincent's Hospital, and 97 medical doctors in the Department of Internal Medicine, Catholic Medical Center, were asked about ADs, including Do-Not-Resuscitate (DNR), medical power of attorney, living will and medical options. Results: One hundred thirty patients (97%) and 38 doctors (39.2%) were unfamiliar with ADs, however, 128 patients (95.5%), 95 doctors (97.9%) agreed with it. Seventy nine patients (59.0%) and 96 doctors (99.0%) wanted DNR rather then intensive treatments if they were in non-response medical conditions. Eighty four patients (62.7%) and 75 doctors (77.3%) were agreeable to medical power of attorney. One hundred Thirty four patients (100.0%) and 94 doctors (96.9%) did not want medical options to be in terminal conditions, and hoped to die in peace. Conclusion: Most of patients did not know about ADs and how to make it. However, they showed positive attitudes about it. If we advertise it properly, it is highly likely that a large number of cancer patients would make their living wills easily by ADs. Nevertheless, many legal and ethical problems have to be solved. Doctors should engage their patients in an ongoing communication about the end-of-life. Therefore, let the patients have opportunities to plan their own deaths.

[(11)C]Raclopride PET을 이용한 흡연에 의한 도파민 유리 영상 연구

김유경 ( Yu Kyeong Kim ),조상수 ( Sang Soo Cho ),이도훈 ( Do Hoon Lee ),류혜정 ( Hye Jung Ryu ),이은주 ( Eun Ju Lee ),류창형 ( Chang Hung Ryu ),정인순 ( In Soon Jeong ),홍수경 ( Soo Kyung Hong ),이재성 ( Jae Sung Lee ),서홍관 ( Ho 대한핵의학회 2006 핵의학 분자영상 Vol.39 No.6

公害와 健康敎育

鄭仁順 이화여자대학교 건강교육학과 1969 건강교육 Vol.- No.3