일 종합병원에서의 지속적 신대체요법 적용에 관한 실태

서민정,최앵자,서지영,조용애,성영희,Seo, Min-Jeong,Choi, Ang-Ja,Suh, Ji-Young,Cho, Yong-Ae,Sung, Young-Hee 한국중환자간호학회 2009 중환자간호학회지 Vol.2 No.1

Purpose: The treatment effects and operation status of continuous renal replacement therapy (CRRT) for acute renal failure patients have been investigated. Method: Two expert nurses reviewed the records of 731 patients undergoing CRRT in an intensive care unit of a general hospital from Jan. 2002 to Dec. 2006 with the CRRT assessment sheet and situation sheet developed for this study. Results: The number of patients received CRRT increased from 90 in 2002 to 194 in 2006. The most common indication for CRRT was azotemia (40.0%). Before CRRT treatment, patients were 78.6 ($\pm55.5$) of BUN value and 5.0 ($\pm3.2$) of Cr. value. The standard values of BUN and Cr. were lowered. Compared the survival group with the death group, there were significant differences among the medical departments and the main diagnosis group. Their BUN and creatinine value, APACHE II score, mean blood pressure, and oliguria were significantly different (p<0.05). Conclusion: This survey demonstrates a trend that patients receiving CRRT has been increased. We suggest further studies are needed in some hospitals in order to generalize the results and to find how CRRT treatment affects patient’s survival and death rate.

전자간증 및 자궁내성장제한에서 사람 백혈구 항원-G 발현의 분석

서민정 ( Min Jung Suh ),문정민 ( Jeong Min Moon ),허수영 ( Soo Young Hur ),김사진 ( Sa Jin Kim ) 대한산부인과학회 2007 Obstetrics & Gynecology Science Vol.50 No.3

목적: 전자간증 및 자궁내성장제한 임신부와 전자간증과 자궁내성장제한이 동반된 임신부를 대상으로 태반의 발현과 혈액내의 수용성 형태 (soluble form)의 HLA-G 발현을 조사하고 그 결과를 정상 임신부와 비교 분석하였다. 연구방법: HLA-G 발현은 전자간증이 합병된 임신 11예, 자궁내성장제한이 합병된 임신 18예, 전자간증과 자궁내성장제한이 동반된 임신 8예 및 다른 합병증이 없는 정상 임신 10예를 대상으로 하여 sandwich enzyme-linked immHLA-G unosorbent assay (ELISA)를 시행하고 정량적으로 분석하였다. 결과: 전자간증, 자궁내성장제한 및 전자간증과 자궁내성장제한이 동반된 임신부의 혈장 내 HLA-G 단백질 농도의 중앙값은 각각 0.072 μg/ml, 0.081 μg/ml, 0.086 μg/ml로 측정되어 정상 임신부 (중앙값, 0.360 μg/mL)와 비교하였을 때 통계적으로 유의하게 감소된 것으로 나타났다 (P=0.002, P=0.003, P=0.049). 전자간증, 자궁내성장제한 및 전자간증과 자궁내성장제한이 동반된 임신부의 태반 HLA-G 단백질 수치의 중앙값도 각각 0.016 μg/mg, 0.021 μg/mg, 0.015 μg/mg로 측정되어 정상 임신부 (중앙값, 0.091 μg/mL)와 비교하였을 때 역시 통계적으로 유의하게 감소된 것으로 나타났다 (P<0.001, P=0.001, P=0.002). 한편, 대상 임신부 모두의 혈장 내 HLA-G 단백질 농도와 태반 HLA-G 단백질 수치는 통계적으로 유의한 상관관계를 보였다 (r=0.807, P<0.001). 결론: 전자간증과 자궁내성장제한과 같은 비정상적인 임신에서 태반 내 HLA-G 발현의 감소와 이에 따른 모체내로 HLA-G 순환의 감소가 태아와 모체사이의 면역체계 조절에 변화를 유발하고, 이러한 질환 발생의 병태 생리에 중요한 요인으로 작용할 것이라는 가능성을 제시한다. 또한 전자간증과 자궁내성장제한의 발생을 예견하는 데에 HLA-G 단백질 수치 측정이 유용하게 이용될 것으로 생각된다. Objective: To determine whether soluble HLA-G protein levels in plasma and/or HLA-G protein in placental tissues differ between women with gestational complications (preeclampsia and/or intrauterine growth restriction, IUGR) and women with normal pregnancies. Methods: A sandwich enzyme-linked immunosorbent assay was used to investigate the HLA-G expression level in 11 cases of preeclampsia, 8 cases of preeclampsia with IUGR, 18 cases of IUGR, and 10 normal control subjects. Results: Plasma HLA-G levels were decreased significantly in the preeclampsia group (median, 0.072 μg/mL), the preeclampsia with IUGR group (median, 0.086 μg/mL), and the IUGR group (median, 0.081 μg/mL), in comparison with normal pregnant women (median, 0.360 μg/mL) (P=0.002, P=0.049, and P=0.003, respectively). Also, Placental HLA-G levels were decreased significantly in the preeclampsia group (median, 0.016 μg/mg), the preeclampsia with IUGR group (median, 0.015 μg/mg), and the IUGR group (median, 0.021 μg/mg), in comparison with normal pregnant women (median, 0.091 μg/mg) (P<0.001, P=0.002, and P=0.001, respectively). There was a significant correlation between plasma and placental HLA-G levels (r=0.807, P<0.001). Conclusion: Our results indicate that the attenuated expression of placental HLA-G and reduced release of this protein into the maternal circulation in gestational complications, such as preeclampsia and IUGR may alter the maternal-fetal immune relationship, and thus could be at play in the pathophysiology of these diseases. This suggests that assessment of levels of HLA-G proteins may be useful in predicting development of preeclampsia and IUGR.

노년층의 인터넷 이용 유형에 따른 인터넷 이용만족도와 여가만족도에 관한 연구

서민정(Min Jeong Suh),문승일(Seung Il Moon) 한국호텔외식관광경영학회 2010 호텔경영학연구 Vol.19 No.4

The purpose of this study is to understand the internet based leisure for the elderly in terms of internet based leisure and leisure satisfaction based on type of activities. Because of new media development, our leisure on type of activities has been changed. Internet media has a upside potential for making good use of the elderly leisure. Data for this study were obtained by 134 internet user in the elderly. The result for this study are as following: The internet based leisure has something to do with education, age, salary. Specially, the satisfaction of internet based leisure is closely related with internet based leisure satisfaction.

대학생이 지각하는 진로장벽, 일 자유의지, 진로결정자기효능감, 진로준비행동 간의 관계

서민정(Min-Jeong Suh),김사훈(Sahoon H. Kim) 인문사회과학기술융합학회 2018 예술인문사회융합멀티미디어논문지 Vol.8 No.7

본 연구에서는 대학생의 진로장벽, 일 자유의지, 진로결정자기효능감, 진로준비행동 간의 관계를 확인하고 주요 변인들이 진로준비행동에 미치는 영향과 경로를 검증하였다. 전국 소재 대학 재학생을 대상으로 자료를 수집하였으며, 유효한 응답 205부를 분산분석, 상관분석, 경로분석 등에 사용하였다. 수집된 자료는 SPSS 21.0 및 AMOS 21.0 프로그램을 이용하여 분석하였다. 연구 모형의 적합도는 검정 및 적합도 지수(GFI, AGFI, RMR, NFI, CFI, RMSEA)를 고려하여 평가하였으며, 주요 변인 간의 영향 경로를 파악하기 위해 경로분석(Path analysis)을 실시하였다. 연구결과는 첫째, 인구통계학적 특성에 따라 진로장벽, 일 자유의지, 진로준비행동에 유의한 차이가 나타났다. 둘째, 진로장벽, 일 자유의지, 진로결정자기효능감, 진로준비행동 간에 유의한 상관관계가 나타났다. 셋째, 진로장벽, 일 자유의지, 진로결정자기효능감이 진로준비행동에 직·간접적인 영향을 미치고 있음을 알 수 있다. 따라서 진로장벽과 일 자유의지를 재평가하고 진로결정자기효능감을 제고하여 대학생의 진로준비행동을 향상시킬 수 있는 진로상담의 구조화가 요구된다. In this paper, this study was conducted to clarify the relationship among perceived career barriers, work volition, career decision-making self-efficacy and career preparation behaviors in college students and to verify the effect and path of main variables on career preparation behavior. Participants were college students nationwide, 205 valid responses were analyzed variance analysis, Pearson correlation analysis and path analysis. The collected data were analyzed using SPSS 21.0 and AMOS 21.0 programs. The research model was evaluated by considering the test and fit index (GFI, AGFI, RMR, NFI, CFI, RMSEA). Path analysis was conducted to identify the path of major impacts. Results: First, There were significant differences in career barriers, work volition and career preparation behavior according to demographic characteristics. Second, There was a significant correlation among career barriers, work volition, career decision-making self-efficacy and career preparation behaviors. Third, Career barriers, work volition, and career decision-making self-efficacy have direct or indirect effects on career preparation behaviors. Therefore, in order to improve career preparation behavior of college students, it is required to structure career counseling that can reevaluate career barriers and work volition, and improve career decision-making self-efficacy.

태반조기박리의 임상적 고찰

서민정 ( Min Jung Suh ),김옥경 ( Ok Kyoung Kim ),김두만 ( Du Man Kim ),유희정 ( Hee Jeong Yu ),박철훈 ( Cheol Hoon Park ),노덕영 ( Duck Yeong Ro ),김태응 ( Tae Eung Kim ) 대한주산의학회 2006 Perinatology Vol.17 No.1

목적 : 태반조기박리는 응급처치를 요하는 산과적 질환이나 현재로써는 이 질환을 임신 중 예견할 수 있는 진단적 방법이 없으므로, 본 연구는 환자의 기록을 임상적으로 고찰하고 기존 연구 문헌과 비교하여 산모와 태아의 합병증을 감소시키기 위하여 실시하였다. 방법 : 1991년 1월 1일부터 2003년 12월 31일까지 시행된 20,483예의 분만 중 태반조기박리로 진단된 80예의 임상 자료들을 분석하였다. 결과 : 13년 동안 태반조기박리의 발생 빈도는 0.4%였고, 97.5%가 임신 28주 이후에 발생하였다. 원인적 요소를 알 수 없는 경우가 67.5%로 나타났고, 임신성 고혈압이 동반된 경우가 22.5%의 빈도를 보였다. 임상 증상은 자궁내 태아 사망 10예를 포함한 질출혈이 46.3%, 하복부 통증 33.75 %, 태아 긴박증 10%, 조기 진통 5%를 보였다. 과반수의 산모에서 분만 전에 태반조기박리의 진단이 가능하였고, 제왕절개율은 93.8%였다. 태반 박리 정도에 따른 태아 생존율은 경도는 94.1%, 중등도는 84.6%였으나, 중증의 경우는 14.3%로 낮았다. 아울러 태반 박리 정도에 따른 태아의 1분/5분 Apgar score는 경도, 중등도, 중증에서 각각 5.9±2.5점/7.5±2.2점, 5.5±2.7점/7±2.8점 및 1.3±2.4점/1.3±3.0점으로 경도와 중등도의 태반조기박리 때보다 중증의 태반조기박리 때 1분/5분 Apgar score가 각각 유의하게 낮았다(p<0.01). 본 연구에서 산모가 사망한 예는 없었다. 결론 : 본 연구에서 태반조기박리의 원인적 요소를 알 수 없는 경우가 2/3로 임신성 고혈압의 원인적 요소나 임상증상의 파악이 치료의 중요한 지침을 제공한다고 생각된다. 또한 태반조기박리로 인한 태반기능부전은 태아에게 중대한 위험요소로 나타났으며, 이에 태반조기박리로 의심이 되는 경우는 박리가 더 이상 진행되지 않도록 즉각적인 분만을 시도함과 아울러 필요한 경우 미숙아 분만에 대한 관리를 준비는 것이 태아의 합병증을 줄이기 위하여 중요하다고 할 수 있겠다. Objective : Placental abruption is one of the obstetric hemorrhage diseases that needs emergent treatment. But there is no predictable tool for placental abruption at present, we clinically analyzed its incidence, etiological factors, signs and symptom and neonatal outcome for reducing complications of this disease. Methods : The data presented here were based on 80 cases of placental abruption among 20,483 deliveries during 13 years of period from January, 1991 to December, 2003. Results : The incidence of placental abruption was 0.4%. Most of cases (97.5%) occurred over 28 weeks of gestational age. The incidence of unknown etiological factor was 67.5% and pregnancy-induced hypertension was related in 22.5% of cases. The most common signs and symptom was vaginal bleeding (46.3%). Lower abdominal pain (33.8%), fetal distress (10%), premature labor (5%) were also noted. The half of the patients was diagnosed before delivery and the mode of delivery was cesarean section in 93.8%. The survival rate of newborns in severe degree group (14.3%) of placental abruption was lower than that of mild degree group (94.1%) or moderate degree group (84.6%). Additionally, Apgar scores at 1min and 5min of newborns in severe degree group (1.3±2.4/1.3±3.0) were significantly lower than that of mild degree group (5.9±2.5/7.5±2.2) or moderate degree group (5.5±2.7/7±2.8) (p<0.01). There was no maternal death in our study. Conclusion : Because the etiological factor of this disease was uncertain in two thirds of cases, comprehension of etiological factor such as pregnancy-induced hypertension and signs and symptom is emphasized. Bleeding and uteroplacental insufficiency caused by placental abruption affect fetal jeopardy in severe cases. Accurate diagnosis and adequate treatment including management of premature baby should be conducted in suspicious case of placental abruption for prevention of progression of this disease.

패션 명품 선택 시 로고 명확성에 따른 선호도 차이

서민정(Min Jeong Suh),황선진(Sun Jin Hwang),여준상(Jun Sang Yeo) 한국복식학회 2016 服飾 Vol.66 No.1

There are differences in preference according to the brand signal explicitness when selecting fashion luxury brand, and the purpose of this study is to verify the moderating effects of self-construal and implicit theory in relation to those preferences. This study divided the experiment design into two 2x2 mixed design studies: Study 1 and Study 2. The study 1 was composed of the following factors: brand signal explicitness(subtle vs. explicit signal) and self-construal(independent vs. interdependent self-construal). Study 2 was composed of the following factors: brand signal explicitness( subtle vs. explicit signal) and Implicit theory(entity vs. incremental theorist). Convenience sampling was conducted to find the subjects of study 1 and study 2. Study 1 analyzed data from 172 women in Seoul, Gyeonggi-do and Busan who prefer luxury brand, and study 2 used data from 138 women. The results of this study are as follows. 1) Independent self-construal primed group was shown to prefer subtle signal product to explicit signal product, whereas interdependent self-construal priming group preferred explicit signal product to subtle signal product. 2) The entity theorist to prefer explicit signal product to subtle signal product. On the other hand, the incremental theorist did not show significant difference in the preference between subtle and explicit signal products. Therefore, the results of the present study shown the importance of understanding consumers through the difference depending on consumer inclination and psychology, recommending preferred luxury brand according to the inclination of the target customers, and establishing segmented marketing strategy to captivate consumers with these various characteristics.

다수의 모터와 엑츄에이터를 제어하기 위한 단일선로 아날로그 제어회로

서민정(Min-Jeong Seo),한명진(MyeongJin Han),서영석(YoungSuk Suh) 한국정보통신학회 2019 한국정보통신학회 종합학술대회 논문집 Vol.23 No.2

파이프라인이 많은 산업플랜트나 공장 같은 곳에서 배송파이프의 흐름을 제어하기 위해 파이프의 절점부위에 그룹화된 다수의 모터와 엑츄에이터가 사용된다. 본 논문에서는 그룹화된 다수의 모터와 엑츄에이터를 단일 선로로 공통 연결하고 개별 제어대상에 별도의 IE를 부여할 필요가 없는 간단한 아날로그 제어기를 개발하였다. 개발한 아날로그 제어기는 아날로그 전압의 크기변화와 상승 혹은 하강동작에 따라 제어대상의 동작을 결정하고 이에 대응되는 스위치(MOSFET)를 동작시킨다. 각 모터와 엑츄에이터는 전압비교기, 게이트 구동회로, 구동용 MOSFET로 구성된 제어 및 구동회로를 가지고 있다. 본 연구결과는 기존의 복잡한 통신선로나 ID를 판별하기 위한 디코더가 장착된 기존의 제어기를 대체하여 적용될 수 있을것으로 기대된다. In industrial plant or factories that have a lot of pipe lines, the grouped motors and actuators are used to control the fluid paths. In this paper, a simple analog controller that need not the multiple control lines or identification codes is proposed. The developed analog controller manage the switches(MOSFETs) refering the analog command signal whose magnitude and state that rising up or not. Each motor and actuator have the analog controller whose components are compose of voltage comparator, gate driver, and driving MOSFET. Each controller of elements are connected two twisted pair line in parallel. The proposed method can be applied to the control the previous pipe lines which have complex communication lines or decoder circuits.

복강경하 병기설정 수술을 시행한 난소의 Sertoli-Leydig Cell Tumor, 1예

서민정 ( Min Jung Suh ),유시현 ( Sie Hyun You ),최주혁 ( Joo Hyuk Choi ),오은경 ( Eun Kyeong Oh ),남궁정 ( Jeong NamKung ),박미선 ( Mi Sun Park ),지은영 ( Eun Young Ji ),강영화 ( Young Hwa Kang ),윤주희 ( Joo Hee Yoon ) 대한산부인과학회 2007 Obstetrics & Gynecology Science Vol.50 No.7

Sertoli-Leydig cell tumor는 난소 종양 중 0.5% 이하를 차지하는 드문 성색간질 종양이으로, 대부분 젊은 여성 (30-40세)이고, 1% 이하에서 양측성을 보이기 때문에 종양의 보존적 절제와 환측 난관의 절제가 치료이다. 최근 개인 산부인과 병원에서 Sertoli-Leydig cell tumor, pooly differentiated, Stage Ia, grade III로 진단되었으나, 불충분한 수술 후 본원에 전원되어 복강경하에 성공적으로 병기설정수술을 시행한 1예를 경험하여 문헌고찰과 함께 보고하는 바이다. Sertoli-Leydig cell tumors are rare sex cord-stromal tumors. These tumors account for less than 0.5% of all ovarian tumors. Because these tumors appear predominantly in young women (between the age of 30 and 40) and are bilateral in less than 1% of cases, conservative removal of the tumor and adjacent fallopian tube is justifiable. Recently, we experienced a case of successful laparoscopic surgical staging in patient of Sertoli-Leydig cell tumor which was previously incompletely evaluated in local OBGY clinic. There are no solid data to suggest that usefulness and risk of laparoscopic surgical staging and adjuvant therapy with stage I disease of these tumors until now. So we present it with a brief review of literature.

국내 저가항공사의 발전방안에 관한 연구

문승일(Seung Il Moon),서민정(Min Jeong Suh) 한양대학교 관광연구소 2009 觀光硏究論叢 Vol.21 No.2

안양시의 도시마케팅 활성화 전략에 관한 연구

장준호 ( Jang June-ho ),서민정 ( Suh Min-jeong ) 한국지역사회발전학회(구 한국지역사회개발학회) 2020 地域社會開發硏究 Vol.45 No.2

The importance of urban branding is increasingly emphasized as distinct differences between cities are removed worldwide. In order to market cities, it is important to identify each city's assets and image them to make them look attractive. And finding and promoting each and every attractive place in the city is also an important factor in city marketing. Through this paper, we analyze the assets of Anyang City and discover the factors that can be used to market the city. The reason why Anyang City was chosen as the place for urban marketing is that it does not have a clear image of the city compared to other regions of Korea, especially cities in the surrounding Gyeonggi Province. In case of Anyang City, we think it is an area with high potential for future development through urban marketing because it has good access to Seoul and traffic is well connected. We looked into the current status of urban marketing in Anyang City and studied what parts should be developed in the future. Earlier papers on Anyang City and papers on urban marketing were analyzed and suggestions were derived through domestic and foreign cases. We analyzed the marketing factors such as the place assets and festivals and slogans that Anyang City currently has. And We investigated the area where urban marketing is taking place and analyzed the awareness and urban marketing development strategy for Anyang City through the Enquete survey.