다중지표 다중원인(MIMIC)분석을 통한 중년여성의 삶에 대한 탐색

배유진(You Jin Bae),양수진(Sujin Yang) 한국인간발달학회 2022 人間發達硏究 Vol.29 No.2

본 연구는 중년여성을 대상으로 그릿, 삶의 의미, 부모소명이라는 심리적 특성과 사회적지지, 취업 여부와 같은 사회 맥락적 요인에 따라 중년기에 맞이하는 건강한 삶의 결과(정신적 안녕감, 결혼만족도, 중년기 위기감, 부모소진)에 차이가 나타나는지 확인하고자 하였다. 자녀가 있는 만 50∼64세의 여성 430명을 대상으로 다중지표 다중원인(MIMIC) 모형을 검증한 결과, 개인의 심리사회적 특성에 따라 중년여성의 건강한 삶의 지표에는 차이가 나타났다. 구체적으로, 사회적지지가 높은 집단은 모든 긍정적․부정적 결과 지표에 유의한 차이를 보였으며, 그릿과 삶의 의미의 수준에 따라서는 정신적 안녕감과 중년기 위기감에서 유의한 차이가 나타났다. 부모소명 및 취업여부에 따라서는 각각 부모소진과 정신적 안녕감에 유의한 차이가 있었다. 이는 중년의 여성이 과업을 건강히 수행하기 위해 개인의 신념과 태도 그리고 사회 속의 네트워크 등 보다 성숙하고 풍부해진 심리사회적 자원을 활용할 수 있음을 시사하며, 삶의 결과마다 어떠한 자원의 활용이 가능한지 다각적인 관점에서 살펴보았다는 데에 그 의의가 있다. The purpose of this study is to examine if there are any differences in middle-aged women’s healthy life outcomes (i.e., mental well-being, marital satisfaction, mid-life crisis, and parental exhaustion) based on sociocontextual (i.e., social support, and employment status) and psychological (i.e., grit, meaning in life, parental calling) characteristics. Using the MIMIC model, the data of 430 middle-aged women (ages 50-64) with children were analyzed. Both psychological and socio-contextual factors are significantly associated with health outcomes in middle-aged women. Women with high levels of social support, in particular, had superior outcomes in all health-related variables. Grit and meaning in life, on the other hand, had a significant difference in mental well-being and mid-life crisis. Parental burnout and mental well-being were significantly accounted for by significant differences in parental calling in childrearing and employment status, respectively. The findings suggest that middle-aged women whom they know can effectively utilize psychosocial resources, such as personal beliefs, attitudes, and social support networks, not only successfully carry out age-related life tasks but also lead a healthy and happy life. We further discussed various roles that psychosocial resource factors can play in facilitating middle-aged women to maximize their health and mental outcome potential.

Goltz 증후군

배유인 ( You In Bae ),윤숙정 ( Sook Jung Yun ),이지범 ( Jee Bum Lee ),김성진 ( Seong Jin Kim ),원영호 ( Young Ho Won ),이승철 ( Seung Chul Lee ) 대한피부과학회 2008 대한피부과학회지 Vol.46 No.1

Goltz syndrome or focal dermal hypoplasia, is a rare genodermatosis, characterized by multiple abnormalities of mesodemal and ectodermal organs. Cutaneous manifestations include linear or cribriform atrophied patches with telangiectasia following Blaschko line and papillomas. The majority of patients also have skeletal abnormalities, such as syndactyly, oligodactyly, scoliosis, and short stature. Furthermore, various ophthalmic and dental manifestations have been reported. We report a case of Goltz syndrome occurring in a 2-year old female with asymptomatic erythematous atrophic patches with purpuric macules and telangiectasia mainly on extremities. She also had hypotrichia on vertex and a notching-like cleft on upper lip. A skin biopsy performed on her atrophic patch on the leg revealed dermal hypoplasia. The final diagnosis was made by typical cutaneous manifestations and histopathological findings compatible with focal dermal hypoplasia. (Korean J Dermatol 2008;46(1):122∼125)

스마트바우처에 관한 법 · 기술 쟁점

배유진(Bae, You jin),최승원(Choi, Seung Won) 행정법이론실무학회 2012 행정법연구 Vol.- No.33

오늘날 복지환경의 변화는 사회복지서비스의 개별화 및 양적 · 질적 확대요구로 이어지고 있다. 또한 ‘정보화’와 ‘세계화“라는 21세기 주요이슈를 중심으로 국가의 사회적ㆍ경제적 개입의 방식에도 큰 변화를 맞이하고 있다. 웹2.0 시대의 모토인 개방ㆍ공유ㆍ참여를 거쳐 개인에게 최적화된 정보를 제공해주는 웹 3.0 시대는 기존 사회복지서비스 전달체계의 개념 및 인식의 전환기회를 부여하고 있다. 욕구와 자원을 연결시키면서 서비스 공급자와 수요자를 어떻게 만나게 할 것인가에 관련된 일련의 관계체계를 전달체계로 이해할 때, 서비스 정보의 획득 및 전달방식의 변화가 관계체계에 대한 주요 변화를 이끌고 있다 할 것이다. 스마트폰의 확산으로 정보의 획득은 온라인의 방향으로 크게 움직여졌으며 정보의 획득이 일방향이 아닌 쌍방향 · 다방향의 소통으로 이어지고 있다. 여기에 유비쿼터스 개념까지 더해져 언제어디서나 원하는 형태로 필요한 정보를 활용하는 스마트적인 기술을 이용하여 서로간의 정보를 공유하고 있다. 이에 따라 사회복지서비스의 이용에 있어서도 기존 전달체계를 뛰어넘을 새로운 전달체계, 즉 국가와 지방 복지행정조직, 민간 복지기관과 사업자, 자원봉사자 그리고 복지 수요자간의 효율적인 쌍방향 · 다방향의 소통을 위한 Real Time의 진화· 발전된 공동형성자 개념의 전달체계가 필요한 시점이다. 고정적인 공급자 · 수요자의 모습이 아닌, 공급자도 수요자가 될 수 있고 수요자가 공급자가 될 수 있는 유동적인 역할 가능성을 부여하고 있는 것이 공동형성자 개념의 전달체계이다. 국민들 간의 직접적인 복지서비스를 주고받는 서비스 즉, 나눔문화의 사회를 일컫는 것이다. 이는 사회복지서비스가 단순히 시혜적인 권리에서 벗어나 개개인의 문제에 공감하고 인간다운 삶을 이루려는 사람들의 자발적인 복지라는 것에 큰 의미를 둘 수 있다. 또한 스마트인터넷시대에 국민들이 장소의 한계를 넘어 공동체의 문제를 실시간으로 함께 고민하며 서로의 충분한 공감대를 형성하는 과정들 속에서 의무와 책임, 공동체의 가치의 합의를 이끌어냄으로써 참여복지의 성숙된 모습을 담을 수 있을 것이다. 한편, 시대가 요구하는 전달체계의 구현은 정보를 손쉽게 원하는 형태로 이용할 수 있도록 뒷받침하는 기술이 관건이다. 즉, 실시간 맞춤형 서비스의 실현을 통해 융·복합된 복지콘테츠 및 서비스를 주고받는 연동서비스 시스템구축을 말한다. 이를 위한 기술은 글로벌 표준의 하드웨어와 소프트웨어, 네트워크에 종속되지 않는 기술로 개인의 맞춤형 데이터가 구조화되고 체계화되어 그것이 Machine to Machine의 형태로 이루어질 수 있는 것이다. 즉, 세계표준화, 데이터의 구조화, 자동화의 실현을 기술 특성으로 꼽을 수 있다. 이를 통해 유비쿼터스 개념의 서비스구현과 유기적 업무의 통합 · 연동은 복지행정의 효율성을 높일 것이라 본다. 더불어 이런 변화에 따라 G?B?C 및 기존 수요자?공급자의 역할변화를 예상하여 뒷받침할 수 있는 법제도를 바꿔나간다면, 사회복지서비스도 국민들이 주체적으로 참여하고 실천할 수 있는 패러다임으로 변화해 나갈 것이다. 이런 모습은 복지행정에 큰 가치를 부여하고 국민들 삶의 질을 높여 선진 복지국가로의 이행을 앞당기리라 기대한다. Today, changes of the welfare environment has lead to the expanding needs of quantitativeㆍqualitative and Individualization of social welfare services In addition, “information” and “globalization”, issues into the 21st century, is undergoing a big change in the intervention way of Country"s social and economic Web 2.0 era Motto “open, share, participate”, and Web 3.0 era providing information optimized to the Personal are being given the existing concept of social welfare service delivery system and transition opportunity of Recognition when the relationship system, related how to meet service providers and consumers, are being understood to Delivery system“, Changes in delivery way, acquisition of service information has led to major changes of relationship system. Acquisition of information have been moved in the direction of the online to the proliferation of smartphones. And it has led to communicate of bi-direction?multi-direction. Here to, the concept of ubiquitous has activated sharing of needed information between each other Accordingly, new delivery system, to move beyond the existing system in the use of social welfare services delivery system, is necessary joint maker conception of Real Time for the efficient communication of bi-directional and multi-directional among State and local public administration organizations, private welfare agencies and operators, volunteers, and consumer. Not fixed shape of suppliers and consumers, providers and consumers granted the possibility of a flexible role are delivery system of joint maker conception. Services giving and taking welfare services between the people In other words, it is referred to a society of sharing culture. Social welfare services is voluntary welfare sympathizing with individuals problem away from the right of simply dispensation. Meanwhile, implementation of the delivery system required by the time is the key of IT skills. In other words, global standardization, data structuring, the realization of automation technology must be composed as an attribute. In addition, if these IT technology supported, and delivery system according to the changes in the G?B?C and existing consumers?providers are changed in the legal system, Social welfare services will continue changing to paradigm of join and practice, among the people. This will expect to advance the implementation of advanced welfare state as grant a high value on public administration and improve the quality of peoples lives.

접촉피부염 환자에서 최근 5년간 표준항원 첩포시험 성적

배유인 ( You In Bae ),한정현 ( Jung Hyun Han ),윤숙정 ( Sook Jung Yun ),이지범 ( Jee Bum Lee ),김성진 ( Seong Jin Kim ),이승철 ( Seung Chul Lee ),원영호 ( Young Ho Won ) 대한피부과학회 2009 大韓皮膚科學會誌 Vol.47 No.11

Background: A number of skin manifestations in patients with allergic contact dermatitis result from sensitization with specific allergens. The patch test is a primary diagnostic tool for identifying allergens causing allergic contact dermatitis. Objective: We identified the results of patch test with Korean standard series in patients with clinically diagnosed with contact dermatitis, and evaluated the specific relationship with each allergen. Methods: During a 5-year period, 743 patients were examined with patch test of standard Korean series. The results of patch test were then evaluated. Location of the skin lesion, age, sex, and occupation of the patients were completely reviewed. Results: Overall, 68.5% of patients had at least one positive reaction and 43.6% of patients had two or more positive reactions. Allergens most frequently causing positive reactions were nickel sulfate (27.1%), cobalt chloride (22.1%), potassium dichromate (17.9%), mercuric ammonium chloride (13.8%), and 4-phenyledediamine base (10.2%). Those patients in their 10s and 40s showed the highest rate of positive reaction. Metal allergens displayed higher positive rates than any other standard allergens. Of 201 patients who showed positive reaction to nickel, 37.8% and 27.3% of them also showed positive reaction to cobalt and chromium, respectively, representing concomitant reactions between metal-related antigens. In addition, polysensitization to cosmetics-related antigens including balsam peru and fragnance mix was evident. Conclusion: There was no significant difference in overall positive rate in patch test results compared with recent studies. However, we confirmed that metal-related allergens remain most common, and that multiple contact allergy were relatively common. (Korean J Dermatol 2009;47(11):1227~1235)

Imatinib Mesylate (Gleevec(TM))에 의한 건선양 약진

배유인 ( You In Bae ),윤숙정 ( Sook Jung Yun ),이지범 ( Jee Bum Lee ),김성진 ( Seong Jin Kim ),이승철 ( Seung Chul Lee ),원영호 ( Young Ho Won ) 대한피부과학회 2009 대한피부과학회지 Vol.47 No.6

Imatinib mesylate (GleevecTM, formerly known as STI571) is an oral drug that selectively inhibits bcr-abl, c-kit and platelet-derived factor receptor (PDGFR) tyrosine kinase. It has been used for treating chronic myelogenous leukemia (CML) and gastrointestinal stromal tumors. Various adverse cutaneous reactions have been reported, yet the development of psoriasis or a psoriasiform drug eruption by the drug has rarely been reported. We herein report on a case of psoriasiform drug eruption that developed after administering imatinib mesylate to treat CML. (Korean J Dermatol 2009;47(5):722∼725)

중년 이후 양측 안검부에 대칭으로 발생한 면포 모반

배유인 ( You In Bae ),심지훈 ( Ji Hoon Sim ),양정훈 ( Jung Hoon Yang ),이상훈 ( Sang Hoon Lee ),황규왕 ( Kyu Uang Whang ),박영립 ( Young Lip Park ) 대한피부과학회 2012 대한피부과학회지 Vol.50 No.4

Nevus comedonicus is a relatively rare hamartoma, which originates from pilosebaceous unit. The disease usually occurs at birth or during childhood and most commonly unilateral or along with Blascko line. A 59-year-old man presented with black grouped dilated pores, with keratin plug on both eyelids. A histopathologic finding showed multiple keratin filled epidermal invaginations. We herein report an unusual case of bilateral nevus comedonicus developed in middle aged persons. (Korean J Dermatol 2012;50(4):346∼349)

만성 B형 바이러스 간염과 연관된 범발형 백반증

배유인 ( You In Bae ),이강모 ( Gang Mo Lee ),김정은 ( Jung Eun Kim ),이상훈 ( Sang Hoon Lee ),이성열 ( Sung Yul Lee ),박영립 ( Young Lip Park ) 대한피부과학회 2011 대한피부과학회지 Vol.49 No.12

Vitiligo universalis is an uncommon variant that is rarely seen. Interestingly, vitiligo universalis often accompanies systemic diseases such as endocrinopathies. A 43-year-old man presented with whole body depigmentation and poliosis affecting most of his scalp and body hair. He had undergone a liver transplant 2 years ago due to liver cirrhosis from a chronic hepatitis B infection and has been treated for diabetes mellitus for several years. Histopathology showed no melanocytes and an absence of epidermal pigmentation on the skin. We herein report a rare case of vitiligo universalis associated with chronic viral hepatitis B. (Korean J Dermatol 2011;49(12):1107~ 1110)

피부에 국한된 다발성 Rosai-Dorfman Disease

배유인 ( You In Bae ),이지범 ( Jee Bum Lee ),김성진 ( Seong Jin Kim ),이승철 ( Seung Chul Lee ),원영호 ( Young Ho Won ),윤숙정 ( Sook Jung Yun ) 대한피부과학회 2010 대한피부과학회지 Vol.48 No.4

Rosai-Dorfman disease (RDD) or sinus histiocytosis with massive lymphadenopathy (SHML) is an idiopathic, benign, self-limited, histiocytic proliferative disease confined mainly to cervical lymph nodes. The disease is usually accompanied by massive bilateral lymphadenopathy, fever, elevated erythrocyte sedimentation rate, leukocytosis with neutrophilia, and polyclonal hypergammaglobulinemia. Although cutaneous manifestations are observed in 10% of patients, pure cutaneous RDD without any nodal or systemic involvement is very rare. We report a case of pure cutaneous RDD occurring in a 37-year-old man with asymptomatic erythemaotus to yellowish multiple widespread nodules and tumors on the face and trunk. Histopathologic examination characteristically showed a diffuse infiltrate composed of large histiocytes exhibiting emperiopolesis and mixed inflammatory cells including many plasma cells. Immunohistochemically, these histiocytes were positive for S-100 protein and CD68, but negative for CD1a. During 2 years of follow-up, the patient showed neither nodal nor systemic involvement of the disease and the skin lesions gradually disappeared. The final diagnosis was made by typical cutaneous manifestations without nodal or extranodal involvement and histopathological findings compatible with RDD. (Korean J Dermatol 2010;48(4):300~305)

홍피증 환자 75명에 대한 임상 역학적 연구

배유인 ( You In Bae ),윤숙정 ( Sook Jung Yun ),이지범 ( Jee Bum Lee ),김성진 ( Seong Jin Kim ),이승철 ( Seung Chul Lee ),원영호 ( Young Ho Won ) 대한피부과학회 2008 大韓皮膚科學會誌 Vol.46 No.2

Background: Erythroderma, a generalized exfoliative dermatitis, is a rare but easily recognized skin condition with the potential for serious outcomes. Various conditions may be associated with the development of erythroderma. Objective: The purpose of this study was to evaluate the prevalence, clinical, laboratory, histopathological findings and evolution of erythroderma and classify the various causes of the disease. Methods: We reviewed medical records, skin biopsy results and clinical photos of 75 patients diagnosed with erythroderma from 1984 to 2006. Results: The male-female ratio was 2.4:1. The mean age at diagnosis was 57 years. 26 out of 75 patients (34.7%) had a history of drug ingestion and a preexisting dermatosis. Nineteen patients (25.3%) remained undetermined. Four patients (5.3%) had concomitant malignancies. In the dermatosis induced group, 10 patients (38.4%) had psoriasis as a possible causative dermatologic disease. Fever (≥38oC) was seen in 28% of patients. Laboratory abnormalities were seen in the order of leukocytosis, eosinophilia, elevated IgE level (>500 IU/ml), elevated erythrocyte sedimentation rate (ESR), elevated lactate dehydrogenase (LDH). There was a significant difference in the proportion of patients showing complete remission to treatment among the groups. In the group of patients who had a recent history of drug ingestion, 42% of patients showed complete remission, whereas the remaining groups, especially the group with preexisting dermatosis displayed only 8% of cases resulting in complete remission (p<0.05). Conclusion: In our view, drug use or pre-existing dermatosis induced erythroderma compose the majority of cases. The differences in response rates among groups may give a more realistic estimation of clinical outcome and provide appropriate guidance to clinicians. (Korean J Dermatol 2008;46(2):202∼208)

다발성 골수종 환자에서 발생한 원발성 전신성 유전분증

배유인 ( You In Bae ),윤숙정 ( Sook Jung Yun ),김성진 ( Seong Jin Kim ),이승철 ( Seung Chul Lee ),원영호 ( Young Ho Won ),이지범 ( Jee Bum Lee ) 대한피부과학회 2007 대한피부과학회지 Vol.45 No.12

Primary systemic amyloidosis is associated with plasma cell dyscrasia, such as multiple myeloma. The amyloid fibrils in the disease are composed of amyloid light (AL) protein that is derived from immunoglobulin L chain. Cutaneous manifestations are presented in about 20∼40% of patients with mainly petechia, purpura on flexural area of the body and waxy, translucent papulonodules. We report a case of primary systemic amyloidosis associated with multiple myeloma occurring in a 76-year old woman who had suffered from ecchymotic purpura on periorbital and flexural area with hemorrhagic bulla for one year. She also had macroglossia with grouped papulonodules on her tongue, and peripheral neuropathy. The final diagnosis was confirmed by positive PAS, Congo-red stain and specific serum/urine electrophoresis. She had been treated with several cycles of chemotherapy; however, she expired from various complications of the disease, such as congestive heart failure, renal failure, and secondary bacterial infection. (Korean J Dermatol 2007;45(12):1275∼1279)