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S-298 Recurrent stroke in relation to the grade of patent foramen ovale
( Yoonjung Jang ),( Woo Jin Jang ),( Woo Jung Chun ),( Ju Hyeon Oh ),( Mirae Lee ) 대한내과학회 2016 대한내과학회 추계학술대회 Vol.2016 No.1
Purpose: Previous studies have demonstrated a strong association between the presence of patent foramen ovale (PFO) and cryptogenic stroke. We aimed to investigate the relationship between the grade of PFO and recurrent stroke.?Methods: Consecutive 120 patients who underwent transesophageal echocardiography (TEE) for evaluation of cryptogenic stroke were retrospectively collected. Each stoke in all patients was classified as an index stroke and a recurrent stroke; the recurrent stoke was defined as a case which had definite history of previous stroke and/or showed old ischemic lesion on brain MR in addition to acute lesion. PFO was diagnosed by a cardiologist based on TEE using agitated-saline contrast and Valsalva maneuver. Quanti?cation of PFO was graded as 0 (no microbubbles), I (1-5 microbubbles), II (6-20 microbubbles), or III (>20 microbubbles). We also reviewed conventional risk factors of ischemic stroke in all patients.?Results: A total of 96 patients (55±13 years, 66 men) were analyzed after excluding 34 patients who showed extracardiac shunt, interatrial septal defect, or nondiagnostic TEE. PFO was observed in 88 (92%) patients; 8 patients with grade 0, 16 with grade I, 35 with grade II, and 37 with grade III. Index stokes and recurrent strokes were observed in 59 and 37 patients, respectively. Risk factors of hypertension (n=43), diabetes (n=12), dyslipidemia (n=25) and smoking (n=30) were observed. Increasing grades of PFO was not related to the presence of recurrent stroke in the study patients (p=0.118). In multivariate analysis including age, sex, PFO grading, and the risk factors, PFO grading was still not a significant predictor for recurrent stroke (odds ratio=0.68, 95% confidence interval [CI]=0.42-1.11). In the multivariate analysis, age, sex, and the risk factors were also not significant predictors for recurrent stroke (data not shown).?Conclusions: Despite a well-known association between the presence of PFO and cryptogenic stroke, the amount of shunt through PFO was not related to recurrent strokes in this study. The relationship between the grade of PFO and the recurrence of stroke needs large prospective study.
여성 성소수자의 드러내기와 심리사회적 적응 간의 관계: 무조건적 자기수용과 사회적 지지의 조절효과
장미래(Mirae Jang),송현주(Hyunjoo Song) 한국심리치료학회 2021 한국심리치료학회지 Vol.13 No.1
본 연구는 여성 성소수자의 드러내기, 무조건적 자기수용, 사회적 지지 그리고 심리사회적 적응 간의 관계를 탐색하기 위한 목적으로 드러내기와 심리적 안녕감 간의 관계에서 무조건적 자기수용, 사회적 지지를 조절변인으로 설정하여 검증하였다. 이를 위해 만 18세 이상 여성 성소수자를 대상으로 드러내기 척도, 삶의 만족도 척도, 심리적 안녕감 척도, 우울 척도, 무조건적 자기수용 척도, 사회적 지지 척도를 사용하여 설문을 실시하였다. 설문조사에 앞서 연구 참여자들에게 설문에 관한 내용을 충분히 설명하였으며 연구 참여자들의 동의하에 설문을 시행하였다. 총 215명의 설문지 중 자신을 성소수자로 인지하지 않는 경우, 설문을 끝까지 완료하지 않은 경우, 생물학적 남성이거나 간성인 경우를 제외하고 총 151명의 설문지를 본 연구의 분석 자료로 사용하였다. 분석은 SPSS 20.0을 활용하여 진행하였으며, 주요 결과는 다음과 같다. 첫째, 드러내기는 심리사회적 적응과 유의한 정적 상관관계를 보이는 것으로 나타났다. 즉, 드러내기와 삶의 만족도, 심리적 안녕감 변인이 동시에 증가하고 우울 변인은 감소하였다. 둘째, 무조건적 자기수용은 드러내기가 심리사회적 적응에 미치는 영향을 조절하지 않는 것으로 나타났다. 셋째, 사회적 지지는 드러내기가 심리사회적 적응에 미치는 영향을 조절하는 것으로 나타났다. 즉, 사회적 지지가 낮은 집단에 비해 사회적 지지가 높은 집단에서 드러내기와 심리사회적 적응 변인이 동시에 증가하였다. 특히, 사회적 지지는 성소수자 친구에게 드러내기가 심리사회적 적응에 미치는 영향을 조절하는 것으로 나타났다. 이러한 연구 결과를 토대로 국내의 성소수자 상담에서 활용하고 성소수자를 깊이 있게 이해하는 데 기여하고자 제언하였다. The purpose of this study was to investigate the relationship between the coming out of female sexual minority, unconditional self-acceptance, social support, and psychosocial adjustment, and it was verified by setting unconditional self-acceptance and social support as the moderating variables in the relationship between coming out and psychological adjustment. To do this, we conducted to sexual minority over 18 years a questionnaire survey using the coming out scale, satisfaction with life scale, psychological well-being scale, the center for epidemiological studies depression scale, unconditional self-acceptance and the social support scale. Participants were fully briefed on the questionnaire and the survey was conducted after obtaining consent from the participants. Of the 215 questionnaires, 151 were used as the analysis data for this study, except for those who did not recognize themselves as sexual minorities, did not complete the questionnaire, or were male or female. Analysis was conducted by utilizing SPSS 20.0, the main results are as follows: First, there was a significant positive correlation between coming out and psychosocial adjustment. In other words, satisfaction with life and psychological well-being increases as much to coming out and depression have been shown to decrease. Second, unconditional self-acceptance did not control the effects of exposure on psychosocial adjustment. Third, social support has been shown to control the effects of coming out on psychosocial adjustment. In other words, the group with higher social support than the group with lower social support showed more psychological and social adjustment with more coming out. In particular, coming-out to friends of sexual minorities is more significant. Based on the results of this study, we aim to contribute to the understanding of gender minority and to utilize it in domestic gender minor counseling.
P003 : Blood type B-specific difference in skin phenotypes of Korean women
( Jang Hee Oh ),( Inn Gyung Oh ),( Chi Hyun Park ),( Min Kyeong Shin ),( Serah Lee ),( Dong Hun Lee ),( Mira Choi ),( Seon Pil Jin ),( Soyun Cho ),( Jin Ho Chung ) 대한피부과학회 2014 대한피부과학회 학술발표대회집 Vol.66 No.2
Background: ABO blood group antigen expression was found on many tissues including the granular of the epidermis. Objectives: To investigate the blood type-specific difference in normal skin phenotypes in Korean women. Methods: Skin hydration, transepidermal water loss (TEWL), wrinkle depth, elasticity, or skin erythema/melanin index, were analyzed according to the blood type. Results: The skin hydration at buttock skin showed significantly lower in B blood type individuals than non-blood type B individuals of same young age range (20~49 yr, mean age; 34.0±9.3 yr, n=40), but TEWL of them showed no difference. However, the skin hydration and TEWL in old age range (54~84 yr, mean age; 70.4±6.2 yr, n=126) showed no B blood type-specific difference in inner-arm skin. The eye wrinkle depth in old B blood type individuals also was observed to be significantly deeper than non-B blood type individuals of same old age range. Deeper eye wrinkle was also observed in O blood type than A or AB blood type, but seemed less than B blood type. However, their skin elasticity showed no difference. The melanin index in old B blood type individuals also showed less measurement, which means bright skin color, than non-B blood type individuals, while the erythema index did not. Conclusion: In conclusion, we found that B blood type individuals probably has most distinct skin phenotypes, including less hydration, deeper eye wrinkle, and bright skin color in Korean women.
Deeper Wrinkle Formation and Less Melanin Production in Aged Korean Women with B Blood Type
( Jang-hee Oh ),( Inn-gyung Oh ),( Chi-hyun Park ),( Min Kyeong Shin ),( Se-rah Lee ),( Dong Hun Lee ),( Mira Choi ),( Seon-pil Jin ),( Hyun-sun Yoon ),( Soyun Cho ),( Jin Ho Chung ) 대한피부과학회 2018 Annals of Dermatology Vol.30 No.3