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보건직 여성공무원의 인유두종바이러스 감염에 대한 인식 및 지식조사
조동휴 ( Dong Hyu Cho ),김은경 ( Eun Kyung Kim ),이동현 ( Dong Hyun Lee ),최원구 ( Won Ku Choi ),임은지 ( Eun Ji Lim ),김종현 ( Jong Hyun Kim ),이정헌 ( Jeong Heon Lee ),조성남 ( Seong Nam Cho ),오병찬 ( Byung Chan Oh ),정영주 ( Y 대한산부인과학회 2010 Obstetrics & Gynecology Science Vol.53 No.5
목적: 보건직 여성공무원의 인유두종바이러스 감염에 대한 인식도와 지식도를 알아보기 위해 본 연구를 실시하였다. 연구 방법: 2007년 4월부터 6월까지 전라북도 보건직에 종사하는 공무원 여성 총 991명에게 인터넷을 통한 설문을 실시하였다. 사용된 설문은 일차적으로 대상자의 일반적 특성을 묻는 11문항, human papillomavirus (HPV) 감염에 대한 지식을 묻는 9문항으로 구성되었다. 결과: 완전하게 설문답변을 한 546명 중 인유두종바이러스에 대해 들어 본 적이 있다고 답한 여성은 145명 (37.6%)이었다. 인유두종바이러스 감염과 관련된 인식도는 기혼여성, 성경험이 있었던 여성, 과거 자궁경부암 검사상 이상이 있었던 경우, 성병기왕력이 있었던 경우, 정기적으로 1년에 한 번씩 자궁경부암 검진을 받고 있는 경우에 유의하게 높았다. HPV 감염에 대해 들어 본 적이 있다고 답한 여성에 있어서, HPV 감염에 대한 지식을 묻는 문항 정답률의 총 평균은 56.3%였다. 70% 이상 높은 정답률을 보인 질문은 4문항이었다. `HPV는 자궁경부암을 일으키는 주된 원인이다` 124명 (88.6%), `HPV는 성교를 통해 감염되는 질환이다` 111명 (79.3%), `피임약을 통해 HPV 감염을 예방할 수 없다` 107명 (76.4%), `남자가 HPV를 옮길수 있다` 100명 (71.4%). 정답률이 50% 미만은 3문항이었다. `HPV는 크게 고위험군과 저위험군 2가지로 나뉘어져 있다` 62명(44.3%), `HPV 감염은 평생 지속된다` 41명 (29.3%), `콘돔으로 HPV 감염을 예방할 수 있다` 18명 (12.9%). 결론: 보건직 여성공무원의 HPV 감염에 대한 인식도와 지식도는 낮은 편이었다. 따라서 여성들의 HPV 감염에 대한 인식 및지식 정도를 높이기 위해서는 매스미디어를 통한 더 많은 교육과 홍보가 필요하다. Objective: To assess the level and accuracy of understanding of human papillomavirus (HPV) infection among female public health personnel in Chonbuk province. Methods: Nine hundred ninety-one female public health personnel were asked to complete a questionnaire assessing HPV awareness and specific knowledge about the virus. The questionnaire contained 11 demographic informations and nine true-false questions on knowledge about HPV infection. Results: Questionnaires were completed by 546 women, of whom 145 (37.6%) had heard of HPV. Married women (P=0.019), those with a history of candida, genital warts (P<0.001), or an abnormal smear result (P=0.001), annually visitor for a Pap smear (P=0.023) were more likely to have heard of human papilloma virus. Medical doctor (38.6%) was the most common source of hearing of HPV. Overall percentage of knowledge among those who had heard of HPV was 56.3%. Responses indicated than more than 70% had up-to-date knowledge about several issues: HPV is the main cause of cervical cancer, HPV is sexually transmitted, The pill protects against HPV, and Men can carry HPV. Fewer than 50% knowledge of HPV infection were as follows: HPV viruses are divided to low-risk and high-risk type, HPV infections persist forever, condoms protect against HPV. Conclusion: In this well educated samples, awareness of HPV infection was poor. And also, knowledge about HPV infection was relatively low. We recommend that more educational effort is needed for improving women`s knowledge and awareness of HPV infection.
이동현 ( Dong Hyun Lee ),조동휴 ( Dong Hyu Cho ),이정헌 ( Jeong Heon Lee ),김영란 ( Young Ran Kim ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.6
Mycobacterium infection manifesting pyometra in postmenopausal women is a extremely rare disease that hardly responds to the usual treatment of pus drainage and antibiotics therapy. We present a case of a postmenopausal woman with pyometra caused by endometrial tuberculosis. Almost all of the pus could be drained through the stenotic cervical canal, with difficultly. The result of Pipelle endometrial biopsy was negative. However, her symptoms continued and fluid gradually re-accumulated in the uterine cavity, despite successful pus drainage and sufficient antibiotics use. Therefore, the endometrial tissue was obtained by fractional curettage after cervical dilatation to identify the accurate cause of pyometra. A pathologic examination and polymerase chain reaction confirmed the diagnosis of endometrial tuberculosis. After completion of antituberculous medication, she was doing well without further development of pyometra. In a case of postmenopausal pyometra, endometrial sampling should be performed to rule out endometrial tuberculosis.
Posterior Reversible Encephalopathy Syndrome이 합병된 자간증에서 뇌혈관 연축과 혈관성 부종의 관계 증례보고
최원구 ( Won Gu Choi ),이정헌 ( Jeong Heon Lee ),조동휴 ( Dong Hyu Cho ) 대한주산의학회 2011 Perinatology Vol.22 No.3
Posterior reversible encephalopathy syndrome (PRES) is a transient clinical neuroradiological disease entity characterized by clinical signs and symptoms including hypertension, generalized seizure, mental status change, headache, and vision change. It is most commonly reported in the literature in association with obstetrical patients suffering from preeclampsia and eclampsia. Two theories of vasospasm and vasogenic edema have been suggested to explain cerebral abnormalities associated with eclampsia. But, the pathophysiology of PRES remains unclear. Here we present one patient who suffered from eclampsia complicated by PRES and we could assume the pathophysiological mechanism in the development of PRES through this case.
김선영 ( Sun Young Kim ),진세진 ( Se Jin Jin ),조동휴 ( Dong Hyu Cho ),장규윤 ( Kyu Yun Jang ),정영주 ( Young Ju Jeong ),류철희 ( Chul Hee Rheu ),오병찬 ( Byung Chan Oh ) 대한산부인과학회 2008 Obstetrics & Gynecology Science Vol.51 No.12
Hemangiopericytoma is a rare vascular tumor arising from the adventitial pericytes of the small capillaries. Hemangiopericytomas primarily affect adults and are rare in infants and children. Both genders are equally affected. The most common anatomic locations for hemangiopericytoma are the lower extremity, axilla, pelvis, retroperitoneum, and head and neck. Surgical resection is the treatment of choice for hemangiopericytoma. The occurrence of this tumor in the vulva is rare, and to our knowledge we report the first case of a hemangiopericytoma arising from the vulva in Korea.
후질원개부에 착상된 복강임신의 수술 후 경도관 동맥색전술치료
김영란 ( Young Ran Kim ),전경식 ( Gyeong Sik Jeon ),정영주 ( Young Ju Jeong ),이정헌 ( Jeong Heon Lee ),조동휴 ( Dong Hyu Cho ) 대한산부인과학회 2011 Obstetrics & Gynecology Science Vol.54 No.12
Primary abdominal pregnancy with implantation on the posterior cul-de-sac area is a very rare form of ectopic pregnancy that involves nonspecific clinical symptoms and physical findings, making early diagnosis very difficult. Whereas diagnostic laparoscopy can be performed in suspicious of abdominal pregnancy for accurate diagnosis and treatment, complete ligation of the vessel supplying blood to the placenta during surgery is often difficult. In many cases, there is continuous massive hemorrhage after litigation, significantly increasing maternal morbidity and mortality. We herein report with literature references a case of a 33-yearold female patient of primary abdominal pregnancy with implantation on the posterior cul-de-sac area. She showed hemostatic failure in a blood vessel after undergoing a surgery to remove the gestational sac, and was successfully treated with additional transcatheter arterial embolization.
불임 여성에서 복식 자궁근종절제술 후 임신에 미치는 인자에 관한 연구
김재덕 ( Jae Duk Kim ),박정규 ( Jeong Kuy Park ),박선희 ( Sun Hee Park ),양미애 ( Mi Ai Yang ),문창식 ( Chang Sik Moon ),김현영 ( Dong Hyu Cho ),조동휴 ( Hyun Young Kim ),황호명 ( Ho Myong Hwang ),장인석 ( In Suck Jang ),두재균 ( 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.3
목적 : 불임 환자에 대한 치료로써 복식 자궁근종절제술의 효과와 임신성공률에 영향을 주는 요인들에 대해 알아보고자 하였다. 연구 방법 : 1995년 1월부터 2001년 12월 사이에 전북대학교 병원 산부인과에서 불임 또는 습관성 유산이 있는 39명의 여성을 대상으로 복식 자궁근종절제술을 시행하였다. 결과 : 대상 환자 39명 중 31명에서 임신이 되었으며, 그 평균 연령은 32.3세였다. 자궁근종과 더불어 다른 관련 요인이 있는 경우와 없는 경우의 임신 Objective : To determine the effect of myomectomy as a treatment for infertility and to define the factors that influence reproductive outcomes Materials and Methods : During the period from January 1995 to December 2001, on 39 patients who suffered from