소아에서 소장형 장중첩증; 자연 정복과 수술적 치료의 비교

박미란,임미선,서정기,고재성,장주영,양혜란,임윤정,김우선,Park, Mi-Ran,Lim, Mi-Sun,Seo, Jeong-Kee,Ko, Jae-Sung,Chang, Ju-Young,Yang, Hye-Ran,Lim, Yoon-Joung,Kim, Woo-Sun 대한소아소화기영양학회 2010 Pediatric gastroenterology, hepatology & nutrition Vol.13 No.2

목 적: 장중첩증은 영아기 급성 복통의 흔한 원인 중 하나로 대부분 특발성의 소장-대장형이다. 반면 소장형 장중첩증은 드물며 시작점을 보이는 경우가 있고 수술적 정복을 필요로하는 경우가 흔하다. 본 연구의 목적은 소아에서 소장형 장중첩증의 임상 양상과 경과에 대해 알아보고자 한다. 방 법: 2005년에서 2010년까지 서울대병원에서 소장형 장중첩증으로 진단받은 21명의 환아들의 임상 양상 및 영상 소견을 후향적으로 분석하였다. 결 과: 임상 양상은 복통 및 보챔(85%), 구토(23%), 발열(14%), 혈변(14%) 및 복부 종괴(4%) 등이었다. 여섯 명(28%)의 환아에서 수술적 치료가 필요하였다. 초음파에서 병변의 직경은 1.6${\pm}$0.7 cm였고 가장자리의 두께는 1.7${\pm}$1.8 mm였다. 열한 명에서 병변이 왼쪽 복부 혹은 배꼽 주위였다. 수술적 치료가 필요했던 환아들은 자연 정복된 환아들에 비해 평균 연령이 높았다(109${\pm}$17개월: 51${\pm}$20개월). 병변의 평균 직경 및 가장 자리의 두께는 수술적 치료가 필요했던 환아들에서 더 큰 소견을 보였고 위치는 두 그룹 간에 차이를 보이지 않았다. 결 론: 소장형 장중첩증은 많은 소아에서 자연 정복된다. 그러나 초음파에서 크기가 크고, 나이가 많을수록 또한 병변의 시작점이 있으면 수술적 치료를 고려할 수 있다. Purpose: Intussusception is one of the most common causes of an acute abdomen in infancy. The majority of pediatric cases of intussusception are of the ileocolic type and usually idiopathic. Small bowel intussusception is rarely diagnosed in children, and few cases have been reported. The purpose of this study was to determine the clinical features and causes of small bowel intussusception in children. Methods: We retrospectively reviewed the clinical and radiologic findings of 21 children with small bowel intussusception who were admitted to Seoul National University Children's Hospital between March 2005 and January 2010. Results: The clinical presentation of small bowel intussusception included abdominal pain or irritability (85%), vomiting (23%), fever (14%), bloody stools (14%), and abdominal masses (4%). Six patients required surgical management. Ultrasonography showed that the mean diameter of the lesions and mean thickness of the outer rims were 1.6${\pm}$0.7 and 1.7${\pm}$1.8 mm, respectively. Eleven lesions were located in the left abdominal or paraumbilical regions. Children who underwent surgical management were older than children with transient small bowel intussusception (mean age, 51 vs. 109 months). The mean diameter of the lesions and mean thickness of the outer rims were greater in the surgically-managed group. The location of intussusception was not significantly different between the two groups. Conclusion: Small bowel intussusception was spontaneously reduced in a large number of pediatric patients. However, sonographic demonstration of larger size, older age, and pathologic lead point warrant surgical intervention.

실크섬유를 이용한 팬티스타킹 개발에 관한 연구 -실크필라멘트사와 나일론 텍스쳐사 혼방에 따른 스타킹의 물성 및 착용성능 비교-

박미란,조정숙,조길수,Park, Mi-Ran,Jo, Jeong-Suk,Jo, Gil-Su 한국섬유공학회 1995 한국섬유공학회지 Vol.32 No.5

The objectives of this study were 1) to compare physical and wear performances of panty hoses made with silk 61amen1 and texturized nylon filament yams, 2) to examine these characteristics as a function of the percentage of texturized nylon filament yarn, 3) to evaluate thermal resistances and thermoyaphic assessments of those panty hoses worn on a thermal manikin, and 4) to investigate objective wear performances including microclimate and subjective wear sensations and relationships with their physical performances. Five digrent types of panty hoses made with silk filament yarn(S4), texturized nylon filament(N4), and blending level of the two types of yarn were(SIN3, S2N2, S3Nl) used as test specimens. Warmth retention values and Q-max values were measured using Thermo Labo II, and breaking strengths and elongations were evaluated by Instron Tensile Tester. Thermal manikin and subject wear tests were conducted in the following environmental conditions 21$\pm$1$^{\circ}C$, 60$\pm$ 5% RH., and 0.25m/sec air velocity. Ten healthy female subjects followed the repeated exercises consisting of walking on a treadmill and resting. The results were as follows: 1) In warmth retention values and Q-max values, S4 showed higher values than N4. 2) The wickability and moisture regain of S4 showed higher performance than those of N4 but elongation and breaking strength of S4 was lower than that of N4. 3) As the blending level of silk filament yarn increases, warmth retention value, 0-max values, moisture regain, and wickability were increased but elongation and breaking strength were decreased. 4) Clo values measured using thermal manikin increased in the following order: S4>S2N2>N4. 5) Microclimate temperatures of the subjects who worn S4 were significantly higher than those of subjects who worn S2N2 and N4. But microclimate humidities were not significantly different among the subjects who worn S4, S2N2 and N4. 6) Thermal sensation rating of subjects who worn S2N2 was significantly higher than that of subjects who worn S4 and N4. Humidity, tactile and overall sensation ratings of subjects who worn S4 and S2N2 were lower than those of subjects who worn N4.

전국민의료보험에 대비한 의무기록분야 관리방안

박미란,Park, Mi-Ran 대한병원협회 1989 대한병원협회지 Vol.18 No.3

병원경영 효율화와 의무기록 대처방안

박미란,Park, Mi-Ran 대한병원협회 1997 대한병원협회지 Vol.26 No.4

반복되는 복통과 고혈압을 동반한 급성 간헐성 포르피린증 1예

박미란,서정기,고재성,장주영,양혜란,Park, Mi-Ran,Seo, Jeong-Kee,Ko, Jae-Sung,Chang, Ju-Young,Yang, Hye-Ran 대한소아소화기영양학회 2011 Pediatric gastroenterology, hepatology & nutrition Vol.14 No.1

16세 여아에서 복통, 구토, 고혈압, 경련 및 고지혈증을 보였던 급성 간헐성 포르피린증 1예를 경험하였기에 보고하는 바이다. 소아에서 원인을 알 수 없는 복통에 고혈압, 경련 등 특징적 포르피리아 증상이 동반된 경우에 반드시 급성 간헐성 포르피린증을 고려해야 한다. Acute intermittent porphyria (AIP) is a rare disorder characterized biochemically by the increased excretion of porphyrins and porphyrin precursors, including delta-aminolevulinic acid (ALA) and porphobilinogen (PBG). AIP has variable clinical manifestations, such as acute abdominal pain, vomiting, nausea, constipation, peripheral neuropathy, seizures, tachycardia, and hypertension. A 16-year-old girl presented with recurrent abdominal pain, vomiting, hypertension, seizures, hypercholesterolemia, and red urine. AIP was confirmed by clinical features and increased 24-hour urine ALA and PBG. AIP should be considered in the differential diagnosis of patients who have abdominal pain, hypertension, and seizures when the results of all other tests are normal.

김의경의 초기작에 드러난 서사극 실험 연구

박미란(Park, Mi-ran) 영남대학교 인문과학연구소 2021 人文硏究 Vol.- No.95

이 논문은 김의경의 1960년대 작품에 나타난 서사극적 기법의 활용에 주목함으로써 김의경의 초기 극작 세계에 대한 이해를 더하고, 1960년대 연극계에서 이루어지고 있었던 연극 실험과 현대극 모색의 실천 양상을 밝혀내고자 한다. 김의경은 가상의 시공간이나 추상적 시공간을 배경으로 설정하여 당대 현실을 우의적으로 드러내고, 인물들이 어떤 결과를 맞게 되는가를 관객들이 관찰할 수 있게 함으로써 무대가 하나의 시험대가 될 수 있도록 한다. 이때 시험의 대상이 되는 것은 1960년대 근대화 담론에서 긍정적으로 인정되는 가치이다. 〈신병후보생〉, 〈애욕의 우화〉, 〈무익조〉에서는 목표를 향한 강한 의지를 지니고 있는 인물이 만들어내는 부정적인 결과를 통해, 〈갈대의 노래〉는 근면함과 동정심을 지닌 인물이 겪는 비극적 사건을 통해 1960년대의 지배적 가치에 대한 관객의 비판적 인식을 이끌어낸다. 김의경은 서사극적 기법을 활용하면서 무대의 이동성을 강화하여 현실의 유동성과 모순을 드러내고, 무용과 노래, 가면, 슬라이드 등 다양한 요소를 무대에 활용함으로써 연극적 감각을 확장하고 논평적 기능을 수행하도록 한다. 이러한 연극적 양식에 대한 실험과 함께 무대의 전문화를 꾀함으로써 1960년대 연극계의 과제를 풀어나가려는 시도를 보여준다. This study would add an understanding of the world of Kim Eui-Kyung’s early play writing by paying attention to the use of epic theater techniques and reveal the practical aspects of theatrical experiments in the 1960s. Kim Eui-Kyung allegorically reveals the realities of the times by setting virtual space-time as a background and lets the stage become a testing stand by allowing the audience to observe what consequences the characters come to see. The subject of the test at this time is the value recognized as positive in the discourse on modernization in the 1960s. 〈Recruit Cadet〉, 〈Fable of Passion〉, and 〈Bird without Wings〉 draw out critical perceptions of the audience through negative consequences created by characters who have a strong will toward the goal, and 〈Song of Reeds〉, through tragic incidents experienced by characters with diligence and compassion, dominant values in the 1960s. Kim Eui-Kyung reveals the contradictions of reality, improving the mobility of the stage while utilizing epic theater techniques and expands the theatrical senses and lets them perform critical functions by utilizing various elements such as dance, song, mask, slide on the stage. By attempting the specialization of the stage he shows an attempt to resolve the tasks of the theatrical circles in the 1960s.

한부모가구 청소년의 성별에 따른 음주 영향요인

박미란(Mi-Ran Park),윤경순(Kyoungsun Yun) 학습자중심교과교육학회 2023 학습자중심교과교육연구 Vol.23 No.2

목적 본 연구에서는 한부모가구 청소년의 성별에 따른 음주정도와 음주 영향요인을 분석하였다. 방법 이를 위하여 제17차 청소년 건강행태온라인조사 중 연구목적에 적합한 764명을 대상으로 복합표본분석을 실시하였다. 한부모가구 청소년의 성별에 따른 인구사회학적 특성, 음주, 건강행동특성의 차이 및 음주에 따른 인구사회학적 특성, 건강행동특성의 차이는 Rao-Scott chi-square검정을 하였으며, 성별에 따른 음주 영향요인은 복합표본 Logistic regression을 실시하였다. 결과 한부모가구 여학생 330명, 남학생434명의 자료를 분석한 결과 한부모가구의 여학생 53.3%, 남학생 52.3%은 음주를 하고 있었다. 여학생은 음주 유무에 따라 흡연과 성경험에서, 남학생은 현재 흡연과 성경험, 스트레스 인지에서 유의한 차이가 있었다. 한부모가구 여학생의 음주 영향 요인은 현재 흡연으로 비흡연 여학생보다 5.89배 음주할 가능성이 있었다. 한부모가구 남학생의 음주영향요인은 주관적 체형인지, 현재 흡연, 성경험으로 보통 체형이라고 생각하는 경우보다 마르다고 생각하는 청소년이 0.75배, 현재 흡연하는 경우가 비흡연 경우보다 4.92배, 성경험이 있는 경우가 없는 경우보다 2.41배 음주할 가능성이 높았다. 결론 본 연구결과를 근거로 한부모가구 청소년의 성별에 따른 음주 영향 요인의 차이를 인식하고 성별에 맞는 차별화된 금주교육이 필요하며, 한부모가구 청소년이 건강하게 성장할 수 있도록 가정과 학교의 지속적인 관심이 필요하겠다. Objectives This study aimed to analyze the drinking level and influencing factors according to the gender of adolescents from single-parent households. Methods A total of 764 adolescents were selected and analyzed using the 17th Korean Youth Risk Behavior Survey. The Rao-Scott chi-square test was conducted to examine the differences in demographic characteristics, drinking, and health risk behavior according to gender of single parent household adolescents, and the differences in demographic and health risk behavior according to drinking. and complex sample logistic regression was performed for factors affecting drinking according to gender. Results As a result of analyzing the data of 330 female students and 434 male students from single-parent households, 53.3% of female students and 52.3% of male students in single-parent households were drinking. The factor influencing drinking among female students from single-parent households was current smoking, which was 5.89 times more likely to drink than non-smoker female students. The factors influencing drinking among male students from single-parent families were subjective body type, current smoking, and sexual experience. Male students who considered themselves to be thin drank 0.75 times more than male students who considered themselves normal, smokers 4.92 times more than non-smokers, and students with sexual experience 2.41 times more than non-sexual experience. Conclusions Based on the results of this study, differentiated education program according to the gender of adolescents from single-parent households is needed, and continuous attention from home and school is needed so that adolescents from single-parent households can grow up healthy.

유산된 산모 혈액에서 분리한 Listeria Monocytogenes 1례

박미란 ( Mi Ran Park ),김성일 ( Sung Ii Kim ),유희종 ( Hee Jong Yoo ) 대한임상검사과학회 1988 대한임상검사과학회지(KJCLS) Vol.20 No.1

진로성숙에 미치는 개인적 변인과 학교교육의 효과 검증

박미란 ( Mi Ran Park ),이지연 ( Jee Yon Lee ) 서강대학교 학생생활상담연구소 2010 人間理解 Vol.31 No.1

본 연구는「한국교육종단연구 2005 (KELS:2005)」 2차년도 자료를 이용하여 진로성숙에 영향을 미치는 학교 진로 교육의 효과를 위계적 선형모형을 적용하여 분석하고 관련 변인을 탐색하는데 그 목적이 있다. 본 연구의 기본 가정은 개인의 진로 성숙은 개인 수준의 변수와 학교수준의 변수를 통하여 변화될 수 있는 부분으로 나눌 수 있다는 것이다. 전체적으로 보면, 진로성숙은 학교 수준의 특성과 진로 교육의 차이 보다 학생 수준의 차이가 훨씬 큰 것으로 나타났다. 학생 수준에서 진로 성숙에 영향을 주는 변수는 성별, 부모의 자녀에 대한 성취기대, 부모의 학업지원, 교우관계, 독서 향유정도, 문화 활동 참가, 동아리, 학생회 활동 등으로 나타났으며, 학교 수준에서는 평준화 및 비평준화, 가구 평균소득, 산업체관련 및 상급교육기관 인사초청 강연, 자율학습실시 여부 등이 있었다. 본 연구결과를 바탕으로 청소년의 진로성숙 향상을 위한 부모와 학교교육 및 생활지도 개입방안을 제안하고 한계점을 기술하였다. The purpose of this study was to examine the effects of person-level and school-level variables on students` career maturity. A multi-level analysis was conducted using the second year data of the Korea Education Longitudinal Study 2005. Overall, results suggested that career maturity was accounted for more by person-level variables than by school-level ones. The person-level variables influencing career maturity included sex, parents` expectation for their children`s achievement, parents` support for schoolwork, peer relationship, degree of enjoying reading, participation in cultural activities, and club and student council activities. The school-level variables affecting students` career maturity included equalization, household income, lectures by those from industry and higher education, and implementation of autonomous study. Implications for parent education and counseling strategies are discussed

부산, 경남, 경북지역 치과 병ㆍ의원에 근무하는 치과위생사의 직무만족도 관련요인

박미란 ( Mi Ran Park ),이정화 ( Jung Hwa Lee ) 대한구강보건학회 2016 大韓口腔保健學會誌 Vol.40 No.3

Objectives: This study was aimed at seeking an effective method of improving job satisfaction and practice performance of clinical dental hygienists by analyzing their job satisfaction factors. Methods: Questionnaires were distributed to 210 clinical dental hygienists working at dental institutions in Busan, Gyeongnam, and Gyeongbuk, from the 25th of July through to the 30th of August, 2015, after receiving approval of the Institutional Review Board. The following conclusions were derived as a result of analyzing a total of 198 of the 210 questionnaires, 12 of which were excluded due to non-response or suspicious authenticity. Results: Analysis of the job satisfaction according to the participants’ general characteristics revealed significant differences in terms of marital status (P<0.001), age (P<0.001), education (P=0.002), income (P<0.001), and total work experience (P<0.001). Further, groups showing high scores on the internal marketing system, structural factors, communication system factors, and compensation factors had higher job satisfaction (P<0.01). Analysis of oral health education, a factor in the job satisfaction related to practice performance, was carried out by the high group. This led to high satisfaction with professional pride (P<0.01) and patient relationships (P<0.01). Preventive treatment, another factor in job satisfaction related to practice performance, led to high satisfaction with colleague relationships (P<0.05). The job satisfaction for medical cure cooperation tasks showed no significant differences. Administration and management tasks for high groups led to higher satisfaction with professional pride, ability to work, work environment, compensation, and patient relationships (P<0.01). Conclusions: These results show the need for an expansion in oral health education and preventive treatment tasks in order to ensure greater job satisfaction in dental hygienists. Additionally, the development of internal marketing systems within dental care institutions is necessary to further enhance and promote a sense of accomplishment at work.