초음파검사에 의한 한국인 태아의 임신주수별 대퇴골 길이의 정상치에 관한 연구

박금자,유국영,강경일,박영자,신숙진,정미정,이병관 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.2

1993년 1월부터 1995년 8월까지 박금자 산부인과에 내원하여 산전검사를 받고 분만한 산모증 3,178명을 대상으로 후향적 연구를 시행하였으며, 태아의 아두대횡경치와 대퇴골 길이의 주수별(7일 간격) 평균치와 표준편차 및 백분위를 구하였고 임신주수와 이들 성장지표 간의 회귀분석을 통하여 임신주수에 따른 아두대 횡경치와 대퇴골의 예측치를 회귀분석을 시행하여 구하였으며 대퇴골 길이가 분만력, 태아의 성별에 따라 유의한 차이가 있는지 검증하여 다음 결과를 얻었다. 1. 아두대횡경치로 주수를 예측하는 경우, 1차 회귀식은 BPD=-0.61207+0.26602(GW)였고 2차 희귀식은 BPD=-3.4358+0.49768(GW)-0.00434(GW)^2였으며, 각각의 결정계수는 0.973과 0.986 이었다. 2. 대퇴골 길이의 경우 1차식은 FL=-1.7555+0.24182(GW)였고 2차식은 FL=-3.8783+0.41598(GW)-0.00326(GW)^2였고 각각의 결정계수는 0.973과 0.982이었다. 3. 대퇴골 길이로 임신주수를 예측하는 희귀식은 GW=7.7243+0.4034(FL), R2=0.973과 GW=10.7113+0.2381(FL)+0.0019(GW)^2,R^2=0.980이었다. 4. 기존에 쓰이던 구미 태아를 대상으로한 초음파 대퇴골 기준치와 비교하였을 때, 본연구에 의한 임신주수별 대퇴골 길이는 다소 짧았으며, 한국인 태아를 대상으로한 대퇴골 기준치를 이용하는 것이 바람직할 것으로 사료되었다. 5. 성별과 분만력은 주수에 따른 대퇴골 길이와 상관관계가 없었다. Ultrasonography is popular method for evaluating fetuses well-being and the determination of their gestational age. Several studies revealed that gestational age is strongly correlated with the femur length rather than the biparietal diameter. The fetal biparietal diameter and femur length were measured by ultrasonography in 3,178 Korean pregnant women. We caculated the mean, standard deviation and percentiles for each gestational week, and performed a linear and quadratic regression analysis. 1. The linear quadratic regression equation of the biparietal diameter for gestational ages were BPD=-3.4358+0.49768(GW)-0.0434(GW)^2, (R^2=0.982, p$lt;0.05). 2. The linear quadratic regression equation for the femur length of the gestational ages were FL=10.7113+0.2381(FL)+0.0019(GW)^2(R^2=0.980, p$lt;0.05). 3. The linear quadratic regression equation for the gestational age of the femur length was GW=10.7113+02381(FL)+0.0019(GW)^2, (R^2=0.980, p$lt;0.05). The predicted biparietal diameter and femur length were calculated using regression equations and compared with the findings from studies on western women. 4. Korean women`s gestational age predicted by fetal femur length is delayed when compared to the western standard. Therefore it is reasonable to use a Korean standard for fetal femur length.

참고작품 : 박금자 작품 ( 한국꽃예술 ( 화예 ) 디자인학회논문집 제 4 집 , 2001 )

박금자 한국화예디자인학회 2001 한국화예디자인학 연구 Vol.4 No.-

산부인과 영역에 있어서 에포세린 (Epocelin(r))에 관한 임상적 연구

박금자 中央醫學社 1984 中央醫學 Vol.46 No.3

선천성 질 기형환자에서 질 성형술 2 례

박금자,유명숙,유국영,김동철,박영자,이병관 대한산부인과학회 1995 Obstetrics & Gynecology Science Vol.38 No.6

저자들은 본원에서 46.XX, dup(1)(q12)로 partial 1q trisomy 핵형을 가진 Rokitansky-Kuster-Hauser증후군 환자에서 발생된 질 결손증을 McIndoe씨 수술법으로 성공적으로 치료한 후 추적관찰중이며, 선천성 부신증식증 환자에서 발생된 질 기형을 회음부피판술을 이용한 질 성형술을 시행한 재건을 하였기에 이에 문헌고찰과 함께 보고하는 바이다. The congenital anomaly of female genital organ is one of the causes of primary amenorrhea. Among these, Rokitansky-Kuster-Hauser Syndrome is not uncommon, occuring ones in every 4000-5000 births. It involves the congenital absence of vagina, cervix and corpus uteri, and/or proximal fallopian tubes. In addtion to the mullerian agenesis, skeketal and renal anomalies have been noted in affected young women. And congenital adrenal hyperplasia is a main cause of female hermaphroditism and most affected individuals have a failure of 21-hydroxylation in enzymatic steps of steroidogenesis, and so lead to excessive production of adrenal androgens casuing virilization. We report two vaginoplasties in patients of congenital anomaly of vagina, one is McIndoe operation in patient of Rokitansky-Kuster-Hauser Syndrome, and the other is vaginoplasty using perineal skin flap in patient of congenital adrenal hyperplasia including a review of the literatures.

혈액과 그 유도물이 순환 백혈구수에 미치는 효과

박금자 부산의대 1967 부산의대잡지 - 부산대학교 의과대학 Vol.7 No.1

수필-피서지에서 생긴일

박금자,Park, Geum-Ja 한국과학기술단체총연합회 1990 과학과 기술 Vol.23 No.8

항생제 및 인삼이 유즙 분비에 미치는 영향에 관한 연구

박금자,송찬호,곽현모 대한산부인과학회 1983 대한산부인과학회 학술대회 Vol.51 No.-

부산시내 일부여성들의 골다공증에 대한 지식, 태도, 실천에 관한 연구

박금자 고신대학교(의대) 고신대학교 의과대학 학술지 1997 고신대학교 의과대학 학술지 Vol.12 No.1

-Abstract- The purpose of this study was to investigate knowledge, attitude and practice toward osteoporosis among women in Pusan. The subjects for this study were 236 women in Pusan. Data were collected during 30 days from June 1 to 30, 1995, by means of a structured questionnaire. The data were analyzed using the SAS program and included descriptive statistics, t-test, ANOVA, Pearson correlation. The results of this study were as follows : 1. The mean knowledge score for total sample was 0.63, median, for the total score was 1.0. 2. The mean attitude score for total sample was 2.25, median, for the total score was 3.0. 3. The mean practice score for total sample was 1.91, median for the total score was 3.0. 4. No correlation was found between knowledge and attitude & between knowledge and practice. 5. The correlation was found between attitude and practice. 6. The mean attitude score of those with higher socioeconomic state was high. 7. The mean practice score of those with higher socioeconomic state was high. From the results of this study it can be said that women need to be given information about osteoporosis so they can prevent this disease more effectively.

의료보험공단 건강진단시 자궁경부암검진 수진실태와 수진에 영향을 미치는 요인에 관한 연구

박금자 고신대학교(의대) 고신대학교 의과대학 학술지 1997 고신대학교 의과대학 학술지 Vol.12 No.1

-Abstract- This study investigated the actual condition of receiving cervical cancer examination (pap smear) of married women at health examination of medical insurance and found the factors which affected upon receiving the examination. The subjects of this study were 117 married female teachers over 30 years of age in the 7 elementary schools at Pusan area, who had the health examination in 1996. Questionnaire survey was conducted during 20 days from July 1, to July 20, 1996. The instrument developed by the researcher was based on references having to do with the Health Belief Model. The data was analyzed by T-test, ANOVA and X-test by means of SPSS package. The conclusion through this study is as follows. 1. The frequency of receiving the cervical cancer examination in health examination of medical insurance was 53.0%, not receiving was 29.9%, not being able to receiving because of having the menstruation was 14.5, and not receiving because of just after birth or in pregnancy was 2.6%. 2. In the cause of not receiving the cervical cancer examination, because the way of the examination is a psychological burden upon me was 48.6%, because of receiving the examination from other place was 28.6%, because the examination does not matter for me was 22.8%. 3. I received intermittently the cervical cancer examination before the health examination of medical insurance was 52.1%, I have never received the examination was 34.2%, I regularly receive he examination was 13.7%. 4. a) The first hypothesis that the degree of the perceived susceptibility of the received group will be higher than that of not received group was rejected. b) The second hypothesis that the degree of the perceived benefit of the received group will be higher than that of the not received group was rejected. 5. The significant difference was not found in the actual condition of receiving the cervical cancer examination according to age, the age of marriage, the age of the first birth, the number of pregnancy, the educational level, the religion, the living standard, and the existance of the cervical cancer patients in neighborhood. According to above result, it was found that many persons did not receive the cervical cancer examination because the way of the examination was a psychological burden to them, and it seems that the rate of the receiving the cervical cancer examination was low because the cervical cancer examination was an selective ite in the health examination of medical insurance. Therefore, it is considered that the rate of the receiving the cervical cancer examination of medical insurance can be raised by means of offer of education in necessity about of the importance of the receiving of the cervical cancer examination, by the means of improvement of difficult factors and by the means of the adjustment of the law. In addition, the nurse who have the role of counselor and leader for the women have concern about the health education and policy related to health management and should offer the nursing intervention to lead to change the behavior.

Schumann의 二臺의 Piano를 위한 Andante and Variations. op. 46에 對한 小考

朴錦子 同德女子大學校 1982 同大論叢 Vol.12 No.1

Robert Alexander Schumann was born on 8. June, 1812, at Zwickau in Saxony. His father, August Schumann, was a bookseller and publisher. Robert received his early education at the Zwickau Lyceum until he was 18. His private music education began with the local organist Ludwig Kuntzsch, who gave young Schumann piano lesson. After graduated from Lyceum, Schumann entered Leipzig Law School, but he soon found that his professional carrier should be music, not law. Schumann stayed at Friedrich Wieck's house as a pupil-in-residence and studied piano. Shortly after, Schumann had to give up becoming a vituroso pianist because his right hand was completely crippled due to excessive mechanical excercise. After this tragic day, Schumann wholly devoted himself to composition and to music hournalism. Schumann's early compositions until 1840's are almost confined to virtuosic piano pieces, but from 1840, the marriage year with Clara, he composed numerous lyric songs. Jn 1841, he enlarged his composition repertoire to orchestral music. Jn 1842, he began to compose chamber music and his best chamber works, Piano Quintet, Op.44 and Piano Quartet, Op.47 came out. Andante and variations, Op.46, which is reviewed in this paper, was composed in 1842. It is better known as a composition for two pianos, but it was originally a chamber work arranged for two pianos, two cellos and one french Horn. After the first rehersal, Schumann changed it to a composition only for two pianos. Clara and Mendelssohn played this piano version in 1844. Jn 1868, this version was played by Clara and Brahms in Vienna and became widely known. When Schumann rearranged for two pianos only, he omitted the short introduction and variations 6, 11, 12, 13, and 14. from the original version of chamber music, hence the piano version consists of slow theme, nine variations and coda. From this work, one can detedt Schumann's favor of variation four, Bach's counterpantal style, Beethoven's passionate pianistic technique and Schubert's lyrical melodic ideas which Schumann admired and attempted to manifest.