비중격만곡증 환자의 눈물주머니코안연결술의 임상예후

이윤정,문상원,조희윤,정진혁,Yoon Jung Lee,M,D,Sang-Won Moon,M,D,Hee Yoon Cho,M,D,Jin-Hyeok Jeong,M,D 대한안과학회 2008 대한안과학회지 Vol.49 No.5

Purpose: Septal deviation has few subjective symptoms. However, a difficulty remains in doing DCR (dacryocystorhinostomy) in these patients. We investigate the clinical course of DCR in patients with a septal deviation. Methods: Acquired nasolacrimal duct-obstructed patients who had undergone DCR with septal deviation from 2003 to 2006 in our hospital were retrospectively analyzed. We measured the septal distance using paranasal computed tomography taken preoperatively and compared the sex and age of patients, the kinds of operations, outcome of surgery, and ocular and nasal complications in our analysis. Results: Twenty-two eyes of 22 patients with a mean age of 55.3 years (range 29~74) were analyzed (4 males, 18 females). Mean septal distance was 4.84 mm (range 2.18~6.99 mm). Nineteen eyes had endonasal DCR, and three had external DCR. Two had DCR combined with septoplasty. Three had septoplasty as a secondary operation, Nasal complication was synechiae in 9 eyes. DCR success was seen in 15 eyes, and DCR failure in 7 eyes. Septal distance was not correlated with DCR success but was correlated with nasal complication (Mann-Whitney test, p=0.003) Conclusions: In the case of DCR with septal deviation, the surgical technique used will need to minimize the mucosal injury and ensure appropriate nasal correction to prevent future complications.

도인승기탕에 의한 당뇨병성 혈관장애 개선효과

이윤정,김언국,김혜윰,윤정주,이소민,이용표,이건목,강대길,이호섭,Lee, Yun Jung,Kim, Eon Kuk,Kim, Hye Yoom,Yoon, Jung Joo,Lee, So Min,Lee, Yong-Pyo,Lee, Geon Mok,Kang, Dae Gill,Lee, Ho Sub 대한한의학방제학회 2013 大韓韓醫學方劑學會誌 Vol.21 No.1

Objectives : Diabetes mellitus is the leading cause for vascular complications such as atherosclerosis. The present study is to investigate whether Doinseunggi-tang (DST) improves diabetic vascular dysfunction in type II diabetes. Methods : The db/db mice were treated with high fat/high cholesterol diet and DST (200 mg/kg/day) for 8 weeks. Results : DST significantly lowered blood glucose and systolic blood pressure. In addition, DST also markedly decreased total plasma cholesterol, triglyceride, and LDL-cholesterol, whereas increased the HDL-cholesterol. Vascular relaxation of aortic rings by acetylcholine or SNP was ameliorated by DST in a dose-dependent manner. Damage of vascular intima and hypertrophic of media was improved by DST. Immunohistological study revealed that DST attenuated the increase of ICAM-1, VCAM-1, and ET-1 expression in thoracic aorta. Conclusions : Taken together, DST suppressed hyperglycemia and diabetic vascular dysfunction in type II db/db mice. The present data suggests that Doinseunggi-tang may be prevent a development of diabetic atherosclerosis.

고지혈증 동물모델에서 홍삼과 천마 혼합투여에 의한 혈관 염증 개선연구

이윤정,김혜윰,윤정주,이소민,고정현,이호섭,최경민,강대길,Lee, Yun-Jung,Kim, Hye-Yoom,Yoon, Jung-Joo,Lee, So-Min,Kho, Joung-Hyun,Lee, Ho-Sub,Choi, Kyung-Min,Kang, Dae-Gill 대한한의학방제학회 2012 大韓韓醫學方劑學會誌 Vol.20 No.1

Objectives : This experimental study was designed to investigate the inhibitory effects of combination with Korean red ginseng and Gastrodia rhizoma on vascular dysfunction in high-fat/cholesterol diet-induced hyperlipidemia. Methods : Sprague-Dawley rats were fed with 7.5% cocoa butter and 1.25% cholesterol for 10 weeks, with Panax ginseng (PG), and mixtures of Panax ginseng and Gastrodia rhizoma (PGM), respectively. Results : Chronic treatment with PG and PGM significantly decreased body weight. The aortic expression of cell adhesion molecules such as intracellular adhesion molecule-1 (ICAM-1), vascular cell adhesion molecule-1 (VCAM-1), and E-selectin were markedly increased in hyperlipidemia rats. Interestingly, PGM significantly decreased cell adhesion molecules expression. However, there was no significant decrease in PG group. In addition, PG and PGM group inhibited high-fat/cholesterol diet-induced cytokine such as monocyte chemoattractant protein (MCP-1) mRNA expression. Furthermore, PG and PGM group significantly decreased c-reactive protein protein (CRP) level. Especially, PGM significantly accentuated the decrease of MCP-1 mRNA expression and CRP level. Conclusions : the present study provides an evidence that combination with Panax ginseng and Gastrodia rhizoma enhances anti-vascular protective effects through suppression of vascular inflammation in hyperlipidemic rats.

위눈꺼풀 성형술 후 눈꺼풀계측치의 변화

이윤정,강일봉,김준현,Yoon Jung Lee,Il Bong Kang,Joon Hyun Kim 대한안과학회 2007 대한안과학회지 Vol.48 No.3

Purpose: To evaluate the morphological changes in the external eyes after upper blepharoplasty. Methods: Twenty-six eyes of 13 patients undergoing upper blepharoplasty from May 2002 to May 2003 were selected. All surgeries were performed by one surgeon. MRD1, MRD2, interpalpebral fissure height, and levator function test were each measured twice, and the averages were calculated. Likewise, significant changes were checked before and after the operation. The subjects were divided into two groups. For group A (n=12), a double line suture was stitched at the levator aponeurosis, which was directly superior to the tarsal plate. In group B (n=14) the suture was stitched at a levator aponeurosis 3 mm superior to tarsal plate. The delta levator function (postoperative mean levator function minus preoperative mean levator function) measurements were calculated and compared between the two groups. Results: The MRD1 was 2.04±0.75 (mean±SD) before the operation, and 2.0±0.81 after the operation. MRD2 was 5.23±0.75 before the operation, 5.35±0.54 after operation. Interpalpebral fissure height was 7.27±0.38 before the operation and 7.35±0.63 after the operation. There were no statistically significant factors before and after the operation in MRD1, MRD2 and interpalpebral fissure height. The levator function was 14.04±1.80 before versus 16.19±1.58 after. This increase was statistically significant (p<0.01, Wilcoxon signed ranks test). The delta levator function was 1.58±0.90 for group A and 1.96±1.36 for group B. Conclusions: After upper blepharoplasty, the measurement of levator function increased significantly.

사체를 이용한 아래눈꺼풀지방의 해부학적 연구

이윤정,강일봉,신선영,백두진,Yoon Jung Lee,M,D,Il Bong Kang,M,D,Sun Young Shin,M,D,Doo Jin Paik,M,D 대한안과학회 2007 대한안과학회지 Vol.48 No.7

Purpose: This study investigated the anatomy of infraorbital fat and the relationship between surrounding structures and infraorbital fat. Methods: Forty-one orbits from adult Korean cadavers were dissected. Among them 20 orbits were male and 21 orbits were female. The cadavers were perfused and embalmed in formalin solution. The skin and orbicularis oculi muscle were dissected to expose the arrangement and compartments of infraorbital fat. A punctal probe was used to find a deeper fat compartment lying under the another compartment. The width of each compartment and the distances from the inferior orbital rim and from the lower lid margin to the topmost point of each compartment were measured using a digital caliper. The distance from the top of the medial compartment and lower lid margin to the first appearance of the inferior oblique muscle, located between the medial and the central fat compartments, were measured, respectively. Results: The width of the medial compartment was 11.49±2.54 mm, the central compartment was 21.78±5.69 mm, and the lateral compartment was 17.94±4.99 mm. The distance from the inferior orbital rim to the medial compartment was 8.13±2.72 mm, to the central compartment was 9.91±3.44 mm, to the lateral compartment was 9.58±3.76 mm. The distance from the lower lid margin to the medial compartment was 5.55±1.22 mm, to the central compartment was 7.09±3.22 mm, and to the lateral compartment was 5.41±3.07 mm. The distance from the inferior oblique muscle to the medial compartment was 9.09±2.63 mm, and to the lower lid margin was 13.60±2.27 mm. Conclusions: Our study evaluates the normal anatomy of the infraorbital fat compartments in Korean patients and suggests a useful index for lower blepharoplasty and lower orbital surgery.

건강가정지원센터의 교육사업 담당 건강가정사의 직무와 역량에 관한 연구

이윤정,Lee, Yoon-Jung 한국가족자원경영학회 2008 가족자원경영과 정책 Vol.12 No.4

The aims of this article were to examine the basic law, contents and concept of educational program for healthy family and provide the jobs and competency of healthy family supporter for educational work. The research objects were 53 healthy family supporters for educational work inclusive of full-time and part-time position. They was analyzed through the survey. The process of research consisted of two parts. One was to suggest their jobs and requirements, the other were to offer their core competency and area for improvement. First, the jobs of healthy family supporters for educational work were the planning and valuation of program. The requirements for the performance of their duties are having a bachelor's degree or a master's degree, career for 1-3years, and a certificate of qualification of healthy family supporters, social worker and family counselor. Second, their competencies were the understanding of education for family life, management for healthy family support center, planning and valuation of educational program, a theory of counsel, community networking, ability of documentation, sociality, communication skill, the ability of solving the problem, the adaptation of various environments, receptiveness, positiveness and so on.

당김줄을 이용한 소아 열상 환부의 쉽고 빠른 발사 방법

이윤정,이경석,김준식,김남균,Lee, Yoon-Jung,Lee, Kyung-Suk,Kim, Jun-Sik,Kim, Nam-Gyun 대한성형외과학회 2010 Archives of Plastic Surgery Vol.37 No.2

Purpose: Except for continuous suture in skin layer, stitching out in facial laceration, we have to hold each knots up and cut the knots by No. 11 blade or small scissors. However, we often have difficulty in stitching out the knots on children who do not cooperate well. Therefore we introduce an easy and fast stitch out method of pediatric lacerations. Methods: From January to May 2009, we studied 15 pediatric patients (mean age 5.6 years old) who had facial laceration on face or underwent any surgery on operation room. For easy stitch out, we left the one string of the first knot long enough to extend at the opposite end of laceration site. And then the extended string was fixed to skin using Steri-strip. Next we do simple interrupted suture including the extended traction nylon string inside the knot. Through this method, we can stitch out all knots simply by lifting up the traction nylon needless to hold the each knot one by one. Results: Until stitching out, the traction nylon was just right position and there was no normal tissue injury during stitch out all knots. Patients were satisfied with the short stitch out time. Conclusion: By using the traction nylon on pediatric laceration suture, we can stitch out all the knots with no normal tissue injury in less time.

변호사의 성공보수약정의 효력과 규제 방향에 대한 소고

이윤정(YOON JUNG LEE) 강원대학교 비교법학연구소 2018 江原法學 Vol.53 No.-

대법원은 2015. 7. 23. 선고한 2015다200111 전원합의체 판결(이하 ‘대상판결’이라고 함)에서 형사사건의 성공보수 약정에 관하여 ‘부당하게 과다하여 신의성실의 원칙이나 형평의 원칙에 반한다고 볼 정도가 아닌 한 유효하다’고 보았던 기존의 입장을 바꾸어 ‘변호사 직무의 공공성에 반하고, 사법제도에 대한 신뢰를 떨어뜨릴 염려가 있어 선량한 풍속 기타 사회질서에 위반되는 것으로 민법 제103조에 따라 무효’라고 판시하였다. 이 판결로 그 동안 액수의 적정성만 문제될 뿐 그 자체로는 유효성을 인정받아 오던 변호사의 성공보수약정은 형사사건에 관한 한 액수에 상관없이 그 효력을 인정받을 수 없게 되었다. 나아가 대상판결은 ‘종래 이루어진 보수약정의 경우 보수약정이 성공보수라는 명목으로 되어 있다는 이유만으로 무효라고 단정하기는 어려우나 대법원이 이 판결을 통하여 형사사건에 관한 성공보수약정이 선량한 풍속 기타 사회질서에 위반되는 것으로 평가할 수 있음을 밝혔음에도 향후 체결된다면 이는 민법 제103조에 의하여 무효로 보아야 한다’고 판시함으로써 사실상 판결의 장래효를 선언하였다. 대상판결 이전부터 변호사의 성공보수약정에 대한 금지 여부 논의가 있어 왔고, 대체로 형사사건에서의 성공보수약정에 대한 금지나 규제에 대한 찬성의 입장이 다수였으나 대상판결은 결론에 대한 찬반을 논하기 앞서 그 논거에 지지하기 어려운 부분이 많다. 대상판결은 형사사건의 성공보수약정을 무효로 판단하면서 그 근거로 변호사 직무의 공공성과 형사사법절차에 대한 신뢰에의 위험을 들고 있는데, 형사사건의 성공보수약정이 무효라고 한 대상판결 결론의 타당성을 떠나 변호사 수의 폭발적 증가와 사법연수원 폐지 및 로스쿨제도의 도입, 법률시장의 개방 등으로 인한 법률시장의 변화의 시점에 대상판결이 변호사 직무의 공공성을 강조하는 방향으로 입장을 바꾼 것은 적절하지 않다. 또한 전관예우 관행과 법조비리 등의 추문으로 얼룩진 법조현실에 대한 자각과 반성에서가 아니라 형사사법제도의 염결성과 이에 대한 신뢰 하락의 위험이라는 일반적인 우려를 근거로 들어서 성공보수약정을 민법 제103조의 ‘선량한 풍속 기타 사회질서 위반’이라고 판단하는 것은 민법 제103조의 내용에도 맞지 않다. 나아가 재판의 본질과 민법 제103조 위반에 따른 무효라는 효과의 성격에 비추어 대상판결이 법원의 판결로 일정한 유형의 행위에 대해 장래 무효를 선언하여 판결 이후에 체결된 성공보수약정의 효력만을 무효로 선언한 것은 법리적으로도 타당하지 않다. 대상판결을 계기로 변호사의 성공보수약정에 대한 찬반의 논의가 적어도 형사사건에 대해서는 구체화되고, 입법화의 움직임도 가시화된 것은 의미 있는 결과이지만 대상판결의 빈약한 논거와 무리한 장래효의 판단에 대하여는 비판을 피하기 어렵다. 변호사의 성공보수는 특히 형사사건에서 전관예우 관행과의 결탁을 끊어내기 위해 원칙적으로 금지하면서 보수 총액의 한도를 설정하거나 지급 사유를 제한하는 등의 규제가 뒤따라야 할 것이고, 형사사건과 유사하게 공익적 성격을 갖는 가사사건, 행정사건, 헌법소송사건, 조사 및 심의사건 등에서도 성공보수약정이 아울러 규제가 되어야 할 것이나 이러한 규제는 재판이 아닌 입법을 통해 이루어 져야 할 것이다. Lately, The Supreme Court has changed the existing position on effect of lawyer"s contingency fee agreement and declared that the effect of lawyer"s contingency fee agreement in a criminal case is null and void in the future. It caused a huge impact on the lawyer industry. The old ruling was "lawyer"s contingency fee agreement in a criminal case is valid unless it is too big and against the principles of faithfulness. But the changed ruling is that because lawyer"s contingency fee agreement in a criminal case is against the publicity of the lawyer"s duties and there is a concern that it may reduce trust in the judicial system, it violates goodwill and other social order so is invalid According to Article 103 of the Civil act. This study reviews Conventional pros and cons of this Whether the lawyer"s success-fee agreement, in particular the validity of the contract of success of the criminal case, can be admitted. And This study analyzes that it is appropriate that this judgment emphasizing the publicness of the lawyer"s duties considering the explosive increase in the number of lawyers, the abolition of the judicial training institute, the introduction of the law school system, and changes in the legal market due to the opening of the legal market as well as the validity of the conclusion of the judgment that invalidated the contingency fee of the criminal case. In light of the nature of the trial, it is not judiciously reason-able that the object judgment has declared invalidation of a certain type of act in the judgment of the court in the future and declared invalidation of the effect of contingency fee agreement concluded after the judgment.

한국 남성의 근육 만들기에 대한 관심과 신체만족도에 관한 연구

이윤정 ( Yoon Jung Lee ),김영미 ( Young Mi Kim ),권순장 ( Soon Jang Kwon ) 대한가정학회 2010 Human Ecology Research(HER) Vol.48 No.4

With the sex role changes in the post-modern society, men are becoming increasingly interested in appearance and their bodies. Male muscles in particular, which also is a visual manifestation of masculine strengths, has become the focal interest for those men who care about appearance management. The purpose of this study was to identify the extent to which Korean culture emphasizes muscles in defining masculine body, and to understand Korean men`s perception of muscle building and their bodies. For this purpose, a content analysis and a survey were conducted. The content analysis aimed at identifying the ideal masculine image represented in the ads featured in male fashion magazines. For the purpose of comparison, U.S. magazines were also examined. The result showed that male models` images shown in Korean magazines were not significantly different from the male images in American magazines in terms of the body size, muscularity, and the nudity of the models. A survey to 339 men aged between 20 to 50 living in Seoul area was conducted to explore the motives of muscle building, the criteria men use to evaluate muscled bodies, and the influence of muscle building on body satisfaction. Factor analysis and analyses of variances followed by Scheffe multiple comparisons were conducted for data analysis. The results showed that physical appearance improvement is one of the motives of muscle building especially for younger men. Muscle building in general is found to contribute positively to men`s body satisfaction.

간호대학생의 부적응적 완벽주의와 임상 실습 스트레스의 관계에서 인지적 정서조절전략의 매개효과

이윤정(Lee Yoon-Jung),전소연(Jun So-Yeun) 학습자중심교과교육학회 2020 학습자중심교과교육연구 Vol.20 No.10

본 연구는 간호대학생의 부적응적 완벽주의와 임상 실습 스트레스의 관계에서 인지적 정서조절 전략이 유의한 매개효과가 있는지를 파악하고자 하였다. 이를 위해 서울시에 소재한 1개교 S 대학교의 간호학과에 재학 중이며 임상 실습 경험이 있는 3, 4학년 학생 209명을 대상으로 부적응적 완벽주의, 인지적 정서조절 전략, 임상 실습 스트레스를 측정하였다. 자료처리는 SPSS 25.0과 Mplus 8.4를 활용하였으며 구조방정식모형(Structural Equation Modeling : SEM)을 통해 분석하였다. 본 연구에 대한 결과는 다음과 같다. 첫째, 상관 분석에서 부적응적 완벽주의와 임상 실습 스트레스 사이에 유의한 정적 상관이 있었지만, 구조모형 검증에서는 부적응적 완벽주의와 임상 실습 스트레스 간의 직접 경로가 유의하지 않은 것으로 나타났다. 둘째, 부적응적 완벽주의와 임상 실습 스트레스 관계에서 적응적 인지적 정서조절 전략의 매개효과가 통계적으로 유의하지 않은 것으로 나타났다. 셋째, 부적응적 완벽주의와 임상 실습 스트레스의 관계에서 부적응적 인지적 정서조절 전략이 완전 매개 하는 것으로 나타났다. 본 연구는 완벽주의 성향을 가진 간호대학생의 인지적 전략이 임상 실습 스트레스에 영향을 미치는 과정을 검증하여, 완벽주의 성향과 임상 실습 스트레스의 관련 연구를 확장하였다는 점에서 의의가 있다. 또한 본 연구의 결과를 통해 간호대학생의 임상 실습 스트레스를 감소시키는 방안에 대한 유용한 자료를 제공하였다. 마지막으로 이러한 결과를 바탕으로 본 연구에 대한 의의 및 제한점을 논의하였다. This The objective of the current study is to identify whether the cognitive emotional regulation strategy has a significant mediated effect on the relationshipbetween maladaptive perfectionism of nursing college students and their clinical practice stress. For this, 209 junior and senior year nursing students who have experiences with clinical practices had their levels of maladaptive perfectionism, cognitive emotional regulation strategy, and clinical stress measured. The data were processed using SPSS 25.0 and Mplus 8.4 and analyzed via Structural Equation Modeling (SEM). The following results were obtained from the current study. First, while there was a significant positive correlation between maladaptive perfectionism and clinical practice stress, structural model validation showed that the direct path between maladaptive perfectionism and clinical practice stress was not significant. Second, the mediated effect of the adaptive and cognitive emotional regulation strategy was not found to be statistically significant in the relationship between maladaptive perfectionism and clinical practice stress. Third, maladaptive cognitive regulation strategy was found to completely mediate the relationship between maladaptive perfectionism and clinical practice stress. The results of the current study provide useful data on developing ways to reduce the clinical practice stress of nursing students. Lastly,based on these results, the implications and limitations of the current study were discussed.