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이혜은(Hea Eun Lee),정병훈(Byoung Hun Joung),노주영(Ju Young No),주인숙(In Sook Joo),심재식(Jae Sik Shim),서경용(Kyung Young Seo) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.6
The spontaneous rupture of splenic artery aneurysm during pregnancy is a rare but catastrophic event. Two thirds of all ruptures happen during the third trimester. Clinical presentation is often non-specific, with good hemodynamic compensation, followed by a rapid deterioration. Active management and operation are the most important procedures for diagnosis and therapy of the bleeding. Abdominal delivery will help to establish diagnosis and should be performed immediately. We report a case of a patient at 38 weeks of gestation suffering epigastric pain and fetal distress. At emergency cesarean delivery, an aneurysmal rupture of the splenic artery was found to be the reason for the hemoperitoneum. Spleen, aneurysm and the tail of the pancreas were removed. In spite of fatal hemorrhage, the patient survived but her fetus was dead. With a review of the literature on this topic, diagnostic aspects and treatment options are discussed.
폐경 후 여성에서 발견된 성숙낭기형종을 동반한 Sertoli-Leydig cell tumor
김세연 ( Se Yeon Kim ),신미영 ( Mi Young Shin ),강지현 ( Ji Hyun Kang ),서경용 ( Kyoung Yong Seo ),주인숙 ( In Sook Ju ),김정원 ( Jeong Won Kim ),김규래 ( Kyu Rae Kim ) 대한산부인과학회 2008 Obstetrics & Gynecology Science Vol.51 No.11
Sertoli-Leydig cell tumor is a gonadal tumor of the sex cord-stromal type. It is a rare tumor comprising 0.5% of all ovarian tumors and is best known for their frequent virilizing effects among the young women. They also have very rarely been reported in association with other ovarian neoplasms. We report such a tumor accompanied with a mature cystic teratoma at the same ovary in a 61-year-old postmenopausal woman without any virilization sign. We present it with brief review of literatures.
한국여성에서 폐경 후 Drospirenone 2 mg과 17-β-Estradiol 1 mg 투여의 혈압 및 체중에 대한 효과
신미영 ( Mi Young Shin ),위찬우 ( Chan Woo Wee ),주정경 ( Jung Kyung Joo ),강지현 ( Ji Hyun Kang ),주인숙 ( In Sook Ju ),서경용 ( Kyoung Young Seo ) 대한산부인과학회 2009 Obstetrics & Gynecology Science Vol.52 No.10
목적: 폐경 후 한국 여성에서 Drospirenone 2 mg (DRSP)과 17-β-Estradiol 1 mg (E2) 투여의 혈압 및 체중에 대한 효과를 평가하였다. 연구 방법: DRSP/E2 투여 전과 3개월 후에 혈압과 체중을 측정하였다. DRSP/E2 투여 전 혈압이 정상혈압 (group 1, 대조군)과 높은정상혈압 (group 2)인 군의 혈압과 체중의 변화를 비교하였으며, 항고혈압제를 복용 중인 고혈압 환자로 DRSP/E2를 추가 투여한 군 (group 3)과 투여하지 않은 군 (group 4, 대조군)의 혈압과 체중도 비교하였다. 결과: Group 1의 평균 수축기 및 이완기 혈압은 변화 없었으나 (P=0.152/P=0.088), group 2의 평균 수축기 및 이완기 혈압은 유의하게 감소하였다 (P<0.001/P=0.002). Group 3의 평균 수축기 및 이완기 혈압은 유의하게 감소하였으며 (P<0.001/P<0.001), group 4의 평균 수축기 및 이완기 혈압도 유의하게 감소하였다 (P=0.002/P<0.001). 그러나 group 3의 혈압 감소가 group 4보다 유의하게 컸다 (P=0.041/P=0.024). DRSP/E2 투여 전, 후 체중은 모든 군 유의한 변화는 없었다. 결론: 폐경 후 한국 여성에서 DRSP/E2의 투여는 높은정상혈압 이상의 혈압을 낮추며, 고혈압 환자에서 항고혈압제와 병용시 더 크게 낮추는 경향을 보였다. 그러나 투여 전, 후 체중의 유의한 차이는 없었다. Objective: To evaluate effects of Drospirenone 2 mg (DRSP) with 17-β-Estradiol 1 mg (E2) on blood pressure (BP) and body weight in postmenopausal Korean women. Methods: BP and body weight were measured at baseline and 3 months of the treatment. We compared the change in BP and body weight between normotensive (group 1, control) and high-normotensive (group 2) group during treatment. And we compared the change in BP and body weight between hypertensive group receiving anti-hypertensive with (group 3) and without (group 4, control) DRSP/E2 during treatment. Results: The mean systolic BP/diastolic BP of group 1 was not significantly decreased from baseline (116.9/75.0 mmHg) after treatment with DRSP/E2 for 3 months (116.1/73.2 mmHg) (P<0.152/P=0.088), however that of group 2 was significantly decreased from baseline (128.8/81.8 mmHg) after treatment with DRSP/E2 for 3 months (126.2/79.3 mmHg) (P<0.001/P=0.002). The mean systolic BP/diastolic BP of group 3 was significantly decreased from baseline (133.5/82.5 mmHg) after treatment with DRSP/E2 for 3 months (129.3/77.9 mmHg) (P<0.001/P<0.001), and that of group 4 was also significantly decreased from baseline (133.2/80.7 mmHg) after treatment with DRSP/E2 for 3 months (131.0/78.3 mmHg) (P=0.002/P<0.001). However change in the mean systolic BP/diastolic BP of group 3 was greater than that of group 4 (P=0.041/P=0.024). There was no weight change in all four groups. Conclusion: The use of DRSP/E2 showed a tendency to decrease the BP of high-normotensive or above in postmenopausal Korean women, and hypertensive patients receiving anti-hypertensive showed greater decline in BP. However there was no statistical significance in body weight change.
주인숙 상명대학교 자연과학연구소 1998 自然科學硏究 Vol.5 No.-
The purpose of this study was to examine the financial status of female- headed families with chilidren under age 18. The data used were taken from the 1996 Household Expenditure Survey conducted by the Ko ea National Statistical Office. Compared with husband- wife families, female- headed families were heavily relying on transfer income. They spent greater propor tions of their expenditures on housing and education, while a less proportion on the other expenditure category. A substantial percentage of female- headed families had total expenditures exceeding their income. Households with expenditures exceeding income increased as age of the female head and household size increased.