다산 정약용의 < 삼리 (三吏) > 고찰 - 두보의 (杜甫) < 삼리 (三吏) > 와 비교 -

안정자 수련어문학회 1990 睡蓮語文論集 Vol.17 No.-

N/A

평신도를 품에 안고 : 나의 감사 일주일_윈프리 다이어리 ; 나는 복 있는 사람

안정자 기독교대한성결교회 활천사 2013 활천 Vol.713 No.-

한국인 일본어 학습자의 학습전략에 관한 연구

안정자 한일일어일문학회 2005 한일어문논집 Vol.9 No.-

1980代にアメリカを中心に展開された学習ストラテジーの研究が日本語敎育に応用されたのは、海外の日本語教育からであった。日本国内では1990年以降、海外から帰ってきた留学生によって紹介され、その後、大学の研究活動と共に、講演会や学会、セミナーの開催、関連雑誌の発刊、教材開発など多大な発展をかきねてきた。 最近は韓国においても、学習者の年齢層や学習動機、学習環境などが多様化し、言語学習でもコミニケーション能力の向上が重要視されるようになった。そこで、今までと同じような教師中心の教育で学習者の学習ストラテジーに目を向けるようになった。しかし、韓国の日本語教育では、学習ストラテジ一理論を重点的に扱った研究がほとんどなく、海外の日本語教育でなされている学習ストラテジーに関連した研究の紹介もほとんどない。そのうえ、韓国人学習者が駆使している学習ストラテジーに対する分析調査も行われていない。よって、本研究では、国内外の日本語教育の分野でなされている学習ストラテジーに関する研究の步みを紹介し、韓国人日本語学習者が駆使する学習ストラテジーを調査ㆍ分析した。

만성 간 질환자의 사회적 지지에 대한 지각과 삶의 질에 관한 연구

安睛子,鄭承姬 全北大學校 1995 論文集 Vol.39 No.-

This study was designed to identify the relation between perceived social support and quality of life in chronic hepatic disease patients. The subjects for this study were 103 adult patients who admitted for the treatment of liver disease and who were receiving treatment in outpatient clinic at one general hospital and two university hospitals in Chon-Buk. The data Collection Period was from June 25, 1994 to September 5, 1994. The perceived social support was measured by family support scale and the professional medical support scale made by Tae, Young Suk and the Quality of life was measured using the Q. O. L. scale developed by U.S.A. National Conference on Cancer Nursing, Modified by Kwon, Young Eun. Data were analyzed using Percentage, T-test, ANOVA, Pearson Correlation Coefficient by SPSS-PC. The results of this study were as follows; 1. The relationship between perceived social support and quality of life showed significant positive correlation(r=.2524, P<.05). 1) "The higher the level of perceived family support, the higher the quality of life" was accepted(r=.2317, p<.05). 2. "The higher the level of perceived professional medical support, the higher the quality of life" was accepted(r=.2096, P<.05). Therefore, hypothesis:"The higher the level of perceived social support, the higher the quality of life" was accepted. 2. A statistically significant difference was noted between the level of perceived social support and patients, whether they knew their diagnosis or not(t=2.06, P<.05). 3. There was significant difference by types of occupation In the relationship between general characteristics of subjects and quality of life(F=2.78, P<.05). 4. There was negative correlation between the level of social support and quality of life according to illness duration, the number of hospitalization. In Conclusion, it can be said that social support was important variable related to quality of life in chronic hepatic patients.

延長妊娠에서 妊産婦의 管理 및 胎兒의 豫後에 관한 臨床的 硏究

安政子 梨花女子大學校 韓國生活科學硏究院 1984 韓國生活科學硏究院 論叢 Vol.33 No.-

연장임신이란 마지막 월경일 이후 42주(294일)를 초과한 임신을 말하며 태아에게 과숙의 위험을 초래할 수 있으므로 산과영역에서 중요한 문제로 취급되었다. 본 연구는 과숙의 예측을 위한 임산부의 관리 및 태아의 예후를 관찰하여 주산기 사망이나 이환을 감소시키고져 시행하였다. 1982년 12월부터 1983년 11월까지 만1년간 이화여자대학교 의료원 부속병원 산부인과에서 분만한 42주 이상의 연장임신 162예에 대하여 임상적으로 연구, 분석하여 다음과 같은 결과를 얻었다. 1. 연장임신의 발생빈도는 5.99%였다. 연장임신중 과숙아의 빈도는 162예중 45예로 27.78%였다. 2. 진통의 발생 상태를 보면 자연 진통이 유발된 예는 56.79%(92예)였고 유도 분만을 시행한 예는 37.65%(61예)였다. 3. 태아 감시장치에 의해 태아 심박의 이상을 나타낸 예는 7예로 4.32%였다. 양수에 태변 착색을 나타낸 예는 59예로 36.42%였다. 4. 총 분만 시간은 3∼20시간이 82.1%(133예)였고 3시간 미만의 급속 분만은 9.26%(15예), 20시간을 초과한 자연 분만은 3.09%(5예)였다. 분만 방법은 자연 분만이 59.88%(97예), 제왕절개술이 37.65%(61예), 흡입 분만이 1.85%(3예)였다. 5. 제왕절개술의 적응증은 아두 골반불균형이 25예로 제왕절개술의 약 41%였고 유도 분만 실패로 15예, 약 24.6%, 태아 절박증 6예, 약 9.8%, 초산 둔위 4예 약6.6%였다. 6. 신생아 체중은 3.00∼3.49kg군이 64예, 39.51%로 가장 많았고, 그 다음은 3.50∼3.99kg군으로 54예, 33.33%였다. 4.00kg이상의 거대아는 22예(13.58%)가 있었고 2.50kg미만의 저체중아는 5에(3.09%)가 있었다. 7. 신생아의 Apgar Score는 7이상이 133예로 82.1%를 차지하였고 4∼6의 Apgar Score는 14예, 8.64%였으며 3이하의 낮은 Apgar Score도 15예, 9.26%나 있었다. Apgar Score와 태변 착색과의 관계를 보면 6이하의 낮은 Apgar Score는 태변 착색이 된 군의 27.12%였으나 태변 착색이 안된 군에서는 12.62%였다. 8. 임산부의 산전 합병증으로는 조기 양막 파수가 28예로 가장 많았고임신 중독증 25예, 산전빈혈 10예, 간염 9예, 임신성 당뇨병 4예 순이었다. 분만중 및 산후 합병증으로는 산후 빈혈이 49예로 가장 많았고 자궁 경부 열창이 13예, 산후 이완성 자궁 출현 10예, 급속 분만 8예, 산후 임신 중독증 3예 순이었다. 9. 신생아 이환은 23예(11.7%)로 가장 흔한 것은 황달로 11예였고, 태변 흡입성 폐염이 3예, 선천성 기형이 3예, 신생아 간염이 2예 선천성 매독이 1예 있었다. 10. 주산기 사망은 자궁내 태아 사망 2예, 신생아 사망 2예로 모두 4예였고 주산기 사망율은 24.7이었다. Prolonged pregnancy is defined as a pregnancy extending beyond 42 weeks or 294 days from the first day of the last menstrual period and is associated with a greater risk of perinatal death and morbidity. The present study was performed to predict the postmaturity and to decrease the further incidence of perinatal death and morbidity. 162 cases of prolonged pregnancy admitted at the department of Obstetrics and Gynecology, Ewha Womans University Hospital from Dec. 1982, to Nov. 1983, were taken part for this study. The results of this study are as follows: 1. The incidence of prolonged prognancy was 5.90%. The postmaturity in the newborn occurred in 27.78% of prolonged pregnancies. 2. The onset of labor in prolonged pregnancies revealed that 56.79% was spontaneous and 37.65% was induced. 3. It revealed that 4.32% of prolonged pregnancies showed abnormal fetal heart rate pattern by fetal monitoring and meconium in amniotic fluid was present in 36.42% of prolonged pregnancies. 4. Total duration of labor: 82.1% of cases with prolonged pregnancy had 3∼20 hours, and precipitate labor less than 3 hours-9.26%, and prolonged labor exceeding 20 hours-3.09%. Normal spontaneous vaginal delivery was performed in 59.88% and 37.65% delivered y cesarean section and vacuum extracted delivery was 1.85%. 5. The indications for cesarean section: the most common indication was cephalopelvic disproportion (41%), and the rest were failed induction (24.6%), fetal distress (9.8%), and primary breech (6.6%) in the order. 6. Weight of newborn infant: 39.5% of cases has 3.00∼3.49kg, 3.50∼3.99kg-33.33%, large baby 4.0kg or more-13.58% and low birth weighed baby less than 2.5kg-3.09% 7. The Apgar Score of newborn infants: 82.1% of cases showed 7 or more, 4∼6-8.64%, and 3 or less-9.26%. Low Apgar Score 6 or less was present in 27.12% of the cases of meconium staining group, and 12.62% of cases without meconium staining. 8. There were 87 cases (53.7%) of maternal antepartum complications. The most common was spontaneous premature rupture of membrane, and the others were preeclampsia, antepartum anemia, hepatitis, and gestational diabetes melli-tus in the order. The most common maternal complications of intrapartum and postpartum period was postpartum anemia, and the rest were cervical laceration, immed iate postpartum atonic bleeding, the precipitate delivery and postpartum preec-lampsia in the order. 9. There were 23 cases (11.7%) of neonatal morbidity. The most common was jaundice, and the others were meconium aspiration pneumonia, congenital anomaly, neonatal hepatitis, and congenital syphilis. 10. There were 4 cases of perinatal death of which 2 cases were intrauterine fetal deaths and 2 were neonatal deaths. Perinatal mortality rate was 24.7 per 1,000 births.

Chorioamnionitis : Diagnosis and Treatment

안정자 中央醫學社 1996 中央醫學 Vol.61 No.5

이상자궁출혈 환자에서 자궁내막의 병리조직학적 연구

안정자 梨花女子大學校 醫科大學 醫科學硏究所 1992 EMJ (Ewha medical journal) Vol.15 No.1

90 patients with abnormal uterine bleeding who were admitted to the Department of Obstertrics and Gynecology. Ewha Womans University Hospital during the period of 6 years from January 1985 to December 1990 wer analysed. The patients with abnormal uterine bleeding secondary to pregnancy and pelvic mass were excluded in this study. This study was planned to evaluate the clinical aspects and the histopathology of the endometrium. The results were as follows: 1) 44.4% of the patients were included in the 40 to 49 years, and the patients of 30 to 39 years and of 50 to 59 years were 16.7% respectively. Mean age of the patients was 40.9 years. 2) The most common gravidity of the patients was 7 or more in number(32.2%), but 20.0% or the patients had never pregnancy and mean gravidity was 4.6 in number. Para 3 to 4 in number(31.1%) was the most common parity of the patients, but 22.2% of the patients had never delivery, and mean parity was 2.7 in number. 98.9% of the patients had 1 to 2 times of abortion's history, but 20.0% of the patients had never abortion, and mean number of abortion was 1.9. 3) Mean age of onset menarche was 14.9 years and the majority of the patients were included in the 13 to 16 years. Mean age of onset menopause was 50.1 years and the patients were included in the 49 to 54 years. 4) The most common bleeding pattern was intermenstrual bleeding(33.3%), and the next pattern was menorrhagia(30.0%). Others were bleeding with amenorrhea, menorrhagia, vaginal spotting, and postmenopausal bleeding, 5 of 8 patients with postmenopausal bleeding were confirmed to endometrial adenocarcinoma. Other symptoms were lower abdominal pain, lumbago, and dizziness. 5) The most common histological finding of endometrium was proliferative phase(33.8%), and the next finding was endometrial hyperplasia(20.3%), and the third finding was secretory phase(14.9%). Other findings were atrophic endometrium, adenocarcinoma, menstrual phase and irregular shedding of endometrium. 6) Coexisting diseases in patients with abnormal uterine bleeding were myoma uteri(10.0%), adenomyosis(10.0%) and hypertension(10.0%). Others were ovarian cyst, primary infertility. endometrial polyp, cervical polyp. and diabetes. 7) 30.0% of the patients with abnormal uterine bleeding had 1 to 4 times of previous bleeding episode and curettage was performed in the majority of the patients. 8) 35.5% of the patients had initial hemoglobin level below 10g% at admission and mean hemoglobin level of these patients was 7.99g%. The majority of these patients had blood transfusion, and mean volume of blood transfusion was 2.88 pints. 9) 16.7% of the patients with abnormal uterine bleeding had conservative treatment and 28.9% of the patients had curettage. Total abdominal hysterectomy with or without salpingoophorectomy, and adjuvant radiation therapy were performed in the other patients.

악성 난소종양의 병리 조직학적 및 임상적 연구

안정자 梨花女子大學校 醫科大學 醫科學硏究所 1989 EMJ (Ewha medical journal) Vol.12 No.3

This study was planned to evaluate the clinical status of 33 patients with malignant ovarian tumors, who were admitted, operated, and confirmed histopathologically at the Department of Obstetrics and Gynecology, Ewha Womans University Hospital during the period of 5 years from January 1984 to December 1988. The results were as follows : 1) The incidence of malignant ovarian tumors was 13.1% of all ovarian tumors. 2) The most common clinical symptom was palpable abdominal mass(54.5%), and the rest were abdominal discomfort(42.4%), abdominal distention(30.3%), and vaginal bleeding(24.2%) in that order. The patients with malignant ovarian tumor were comprised of stage Ⅰ(51.5%), stage Ⅱ(15.2%), stage Ⅲ(21.2%) and stage Ⅳ(12.1%). 3) According to histopathological classification, patients with epithelial tumor were 81.8%, and epithelial tumors were divided into the serous type(34.3%) and mucinous type(30.3%), undifferentiated type(12.1%), and endomentrioid type(6.1%), Other tumors were germ cell tumor(endodermal sinus tumor, malignant teratoma), granulosa cell tumor(endodermal sinus tumor, malignant teratoma), granulosa cell tumor, and Krukenberg tumor. 4) Operative methods for malignant ovarian tumor were total abdominal hysterectomy with bilateral salpingo-oophorectomy(24.3%), total abdominal hysterectomy, bilateral salpingo-oophorectomy with omentectomy(21.2%), and total abdominal hysterectomy, bilateral salpingo-oophorectomy with lymphnode biopsy(9.1%). Postoperative chemotherapy for patients were done in 75.7% of patients, and 30.3% of patients with melphalan, 39.4% with combination therapy of cisplatinum-based regimen(aclacinon plus cyclophosphamide, cyclophosphamide, adriamycin, bleomycin). 5) 14 patients(42.4%) were alive in the follow-up period from less than 1 year to 5years and 11 patients were in stage Ⅰ, 2 patients in stage Ⅱ, and 1 patient in stage Ⅲ. 12 patients(36.4%) were dead; 2 patients with stageⅠendodermal sinus tumor were dead within 6 months since the diagnosis was confirmed, 6 patients with stage Ⅲ and 4 patients with stage Ⅳ were dead within 6-18 months.

객혈의 임상적관찰과 간호

안정자 中央醫學社 1978 中央醫學 Vol.35 No.2

성병

안정자 中央醫學社 1991 中央醫學 Vol.56 No.7