http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
고경심 ( Kyung-sim Koh ) 한국모자보건학회 1999 한국모자보건학회지 Vol.3 No.1
Gestational diabetes mellitus is defined as carbohydrate intolerance of variable severity first diagnosed during pregnancy. Although gestational diabetes mellitus is associated with serious obstetric and perinatal complications, there has not been an appropriately controlled trial demonstrating the efficacy of widespread screening for gestational diabets mellitus in Korea. Our purpose was to determine how obstetricians are currently implementing screening tests to diagnose and manage gestational diabetes mellitus. Questionnaires were mailed to 85 obstetricians and perinatologists in hospitals with obstetrics and gynecology residency programs. 28(33%) of specialists responded and the results were summarized. Agreement is lacking regarding the methods of screening and diagnostic tests, selection of test subjects, test threshold of screening, glucose solutions, and interpretations. Arguments concerning screening for gestational diabetes are reviewed and some suggestions for future studies in Korea are introduced.
고경심(Kyung Sim Koh),김암(Ahm Kim),양순하(Soon Ha Yang),한정열(Jung Yeol Han),김은성(Eun Sung Kim),김문영(Moon Young Kim),양재혁(Jae Hyung Yang),박교훈(Kyo Hoon Park),김성수(Sung Soo Kim),윤보현(Bo Hyun Yoon) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.9
Objective : Our aim was to establish a multi-center birth defects monitoring system for evaluating the prevalence and serial occurrence of birth defects in Korea. Methods : Seven centers participated in this monitoring system. Trained nurses actively collected the 42,015 delivery records obtained from delivery units and pediatric clinics in the participating hospitals every month. Results : We observed 722 birth defects among 42,015 births including live births and stillbirths. The prevalence of birth defect was 1.7%. About one thirds of birth defects were terminated. The most frequent congenital anomalies were cleft lip and Down syndrome. The highest proportion of birth defects was 20.1% in urogenital system. The proportion of birth defects in cardiovascular system and gastrointestinal system were 17.1% and 14.1% respectively. Chromosomal anomalies and genetic syndromes represent 13.4% and 3.3% among birth defects respectively. Among chromosomal anomalies Down syndrome was at the first rank. Conclusion : We could establish multi-center active monitoring system for birth defects successfully. To check serial occurrence of birth defects, it is necessary to increase participating hospitals and to launch the nationwide multi-center study.
윤석준,안형식,하미나,고경심,전경자,이희영,Yoon, Seok-Jun,Ahn, Hyung-Sik,Ha, Mi-Na,Koh, Kyung-Sim,June, Kyung-Ja,Lee, Hee-Young 대한예방의학회 2004 예방의학회지 Vol.37 No.1
Objective : In this study, we aimed to produce basic data on the prenatal environmental risk factors of low birth weight infants at a community level. Methods : In 2000, we conducted the direct interview using questionnaire about prenatal environmental risk factors with low birth weight infant-delivered mothers and normal weight infant-delivered mothers in Asan-city, Chungcheongnamdo Province, Korea. The questionsgiven to the mothers included past pregnancy history, menstrual status, disease history before and during the pregnancy, family history, environmental risk factors and exposure history. The responses of the twogroups were compared to calculate the prenatal environmental risk factors of each group. Results : Mothers' smoking was significantly associated with low birth weight infants (adjusted odds ratio(AOR) 3.27; 95% confidence interval (CI) 1.25-8.56) and preterm baby (AOR 4.20; 95% CI, 1.21-14.61). Other environmental risk factors were not significantly different between the two groups. Conclusion: Smoking of mothers can be a risk factor for the delivery of low birth weight infants. These results could provide the basic data on prenatal environmental risk factors of mothers of low birth weight infants and suggest research topics for further community-based evaluation.
진건(Keon Jin),김종수(Jong Soo Kim),고경심(Kyung Sim Koh),박충학(Choong Hak Park) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.1
The term congenital anomalies here refers to structural defect (congenital malformations, deformations, disruptions and dysplasias), chromosomal abnormalities, inborn errors of metabolism and hereditary disease. The prevalence of major congenital malformation (I.e., defects either incompatible with life or severe enough to interfere with normal living) is about 2% to 3%. In the past, infection was one of the major cause of perinatal morbidity and mortality, but owing to the development of antibiotics and intensive care, congenital anomalies are becoming a major cause of perinatal morbidity and mortality. Perinatal diagnosis of congenital anomalies is becoming more important because appropriate perinatal care may minimize the effect of congenital anomalies. This report was based on the 234 cases of the congenital anomalies among 8,099 newborns delivered at Dankook University Hospital from Mar. 1st, 1995 to Feb. 28th, 2000. The analyzed results were as follows: 1. The overall incidence of the congenital anomalies was 2.9%. The incidence of congenital anomalies in male newborns (141, 60.2%) was statistically significantly higher than that of female (90, 38.5%) and ambiguous (3, 1.3%). 2. The incidence of the congenital anomalies of 21-25 year old maternal age was the lowest among each other age group. The incidence of this group was 1.6%, of less than 20 year old group was 2.7%, of over 35 year old group was 2.9%. But there was no statistically significant difference among each maternal age groups. 3. There was no statistically significant difference in the incidences of congenital anomalies between parity. 4. The incidence of low-birth weight less than 2,500 g in congenital anomalies was 9.2%, which was 5.1 times higher than that of the more than 2,500 g. 5. The incidence of vertex presentation in congenital anomalies (192, 82.1%) was very high compared to breech presentation (42, 17.9%). 6. In the method of deliveries, vaginal deliveries was 131 cases (56.0%) and cesarean section was 103 cases (44.0%). 7. The incidence of the congenital anomalies in stillbirth was 28.4%, which was 13 times higher than that of the live birth. 8. The perinatal mortality rate in congenital anomalies were 93 cases (39.7%) and stillbirths were 62 cases (28.4%). 9. When classified according to the type of congenital anomalies, the rate of the incidence was 13.3% (31 cases) in central nervous system, 9.4% (22 cases) in neck and face anomaly, 6.8% (16 cases) in cardiac anomaly, 1.3% (3 cases)in pulmonary anomaly, 5.5% (13 cases) in gastrointestinal anomaly, 13.7% (32 cases) in genitourinary anomaly, 18.4% (43 cases) in musculoskeletal anomaly, 9.0% (21 cases) in skin and soft tissue anomaly, 14.1% (33 cases) in multiple anomaly and 5.5% (13 cases) in chromosomal anomaly. The most common major congenital anomalies was hydrocephalus (14 cases, 5.9%) and polycystic kidney (14 cases, 5.9%). The rate of perinatal mortality of the congenital anomalies was 38.5%, particularly it was the highest in the CNS anomalies which were 89.7%, the next 50.0% in cardiopulmonary anomalies.
태반유착에 관한 임상적 연구 -유착태반, 감입태반 및 침투태반에 관하여-
서영훈 ( Young Hoon Suh ),송언호 ( Eun Ho Song ),김동희 ( Dong Hee Kim ),이연희 ( Yeon Hee Lee ),박혜영 ( Hye Young Park ),고경심 ( Kyung Sim Koh ),박충학 ( Choong Hak Park ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.1
Objective : The objective of this study is to investigate the clinical characteristics of placental adhesions in order to improve maternal and fetal well-beings. Methods : We reviewed the medical records of twenty cases of placental adhesions from January