임신 중 자궁부속기 종양의 초음파 소견 및 병리학적 진단에 관한 고찰

민정애 ( Jung Ae Min ),최석주 ( Suk Joo Choi ),정경란 ( Kyung Lan Jung ),오수영 ( Soo Young Oh ),김종화 ( Jong Hwa Kim ),노정래 ( Cheong Rae Roh ) 대한주산의학회 2007 Perinatology Vol.18 No.4

Objective: The purpose of this study was to investigate the role of sonographic findings and tumor markers in predicting malignancy of adnexal masses in pregnancy. Methods: From January 1995 to September 2005, 190 cases of adnexal masses were operated during pregnancy. We reviewed their sonographic findings and medical records retrospectively. Sonographic features and tumor markers were correlated with malignant pathology. Pregnancy and neonatal outcomes were also studied after treatment of adnexal mass during pregnancy. Results: From 190 cases, there were 10 cases (5.3%) of malignant tumor or tumors of borderline malignancy. In the 180 cases of benign adnexal mass, the most common type was mature cystic teratoma (36.7%). Preoperative sonographic findings were available in 110 cases. The median size was 6.3 cm for benign masses and 7.7 cm for malignant masses (p=0.05). Mixed echogenecity, septa and mural nodule were more frequently found in malignant masses (p=0.003, 0.029, 0.013, respectively). Tumor markers were available in 47 cases. In the 1st trimester, the level of serum CA-125 of the patients with benign masses were not different from those with malignant masses. However, in the 2nd and 3rd trimester, the difference was statistically significant (p=0.031). Forty-six patients underwent antepartum surgery and the overall pregnancy outcome was similar between the laparoscopic group and the laparotomy group. Conclusion: Mixed echogenecity, septa and mural nodule showed significant correlation with malignant adnexal mass in pregnancy.

지연 임신의 임상 현황에 대한 국내 조사

민정애 ( Jung Ae Min ),최석주 ( Suk Joo Choi ),정경란 ( Kyung Lan Jung ),오수영 ( Soo Young Oh ),김종화 ( Jong Hwa Kim ),노정래 ( Cheong Rae Roh ) 대한산부인과학회 2007 Obstetrics & Gynecology Science Vol.50 No.1

목적: 지연 임신의 임상적 처치에 대한 국내의 실제적 현황을 설문 조사를 통해 알아보고자 하였다. 연구 방법: 대한산부인과학회에 등록된 회원 중 2차 및 3차병원, 여성전문병원에 재직중인 1114명에게 인터넷과 우편을 통해 설문조사에 대한 취지를 밝히고 협조를 요청하였다. 설문 내용은 응답자의 연령, 성별, 지역, 전공 분야, 분만 건수 등의 개인 정보뿐 아니라 지연임신의 정의, 태아 상태 평가를 시작하는 시기 및 방법, 유도 분만의 시기 및 방법 등의 임상적 처치 현황에 대한 정보를 포함하였다. 1114명 중 23.2%인 258명으로부터 설문조사에 대한 자료 응답을 확보하였고 이를 분석하였다. 결과: 응답자의 73.6%가 지연 임신을 42주 이후로 정의하였으나 84.5%에서 41주에 유도분만을 고려한다고 응답하였다. 또한 68.3%에서 임신 40주부터 정기적인 태아 상태 평가를 시행한다고 답하였고, 평가 방법으로는 85.7%에서 NST를, 39.5%에서 modified BPP를 채택하였으며 1주일 간격으로 검사를 시행한다고 응답한 경우가 59.3%로 가장 많았다. 유도 분만의 방법에 대해서는 자궁 경부가 숙화되지 않은 경우 응답자의 약 65%가 미산부와 경산부 모두에서 옥시토신을 사용하며 45%가 misoprostol과 dinoprostone을 사용하는 것으로 나타났다. 결론: 대부분의 임상의들이 지연임신을 임신 42주 이후로 정의하고 있으나 실제 유도 분만을 시행하는 시기는 임신 41주가 가장 많았다. Objective: The purpose of this study is to survey the clinical practice pattern of postterm pregnancy in Korea. Methods: A questionnaire was mailed to 1114 physicians who are registered in Korean Society of Obstetrics and Gynecology (KSOG) and work in primary and secondary hospital as well as tertiary care center. The questions included information about the practice pattern implicating definition of postterm pregnancy, the time and the method of routine fetal surveillance and induction of labor as well as demographic information such as age, sex, location, professional part and the number of delivery. We got 23.2% (258/1114) of surveys returned and analyzed the data. Results: Seventy-four percent (73.6%) of the respondents define 42 weeks gestation or greater to be postterm. However, 84.5% consider induction of labor at 41 weeks of gestation. Sixty-eight percent (68.3%) of the respondents start postterm pregnancy fetal testing at 40 weeks and 59.3% of them perform testing every week. For fetal surveillance testing, 85.7% of the respondents use NST and 39.5% of them use modified BPP. As for induction of labor, 65% of practitioners use oxytocin and 45% of them use prostaglandins (misoprostol and dinoprostone) when inducing both nulliparous and multiparous women with unfavorable cervix. Conclusion: Most of the respondents (84.5%) routinely induce low-risk singleton pregnancy at 41 weeks gestation, whereas the majority of them (73.6%) define postterm pregnancy beyond 42 weeks gestation.

골수이형성증 환자에서 발생한 베체트병

민정아 ( Jung Ah Min ),김정은 ( Jung Eun Kim ),오신택 ( Shin Taek Oh ),조석구 ( Seok Goo Cho ),조백기 ( Baik Kee Cho ),박현정 ( Hyun Jeong Park ) 대한피부과학회 2009 대한피부과학회지 Vol.47 No.11

Behcet`s disease (BD) is a multisystemic inflammatory disease that affects various organs and it causes mucocutaneous lesions. BD is only rarely associated with leukemia or other hematologic disorders. Many cases of BD associated with myelodysplastic syndrome (MDS) have recently been reported and these cases are mainly in East Asia and the Mediterranean. We herein report on a case of a 34-year-old man who developed Behcet`s disease 8 years after the onset of MDS. He had two, firm, subcutaneous nodules on both shin and recurrent oral ulcer for 2 months. He also had a retinal vasculitis. Skin biopsy from the left shin showed the septal panniculitis, which was consistent with erythema nodosum. He had multiple ileal ulcers observed on the colonoscopy exam, so he was diagnosed with intestinal Behcet`s disease. Yet the chromosomal analysis revealed nonspecific abnormality and not trisomy 8. This is the first reported case of intestinal Behcet`s disease associated with MDS in the Korean dermatologic literature. (Korean J Dermatol 2009;47(11):1309~1313)

단축형 청소년용 정신화 프로그램의 학생정신건강 증진효과 평가

오소영(So Young Oh),문수진(Su Jin Moon),이원혜(Won Hye Lee),홍민하(Min Ha Hong),민정원(Jung Won Min),김봉석(Bong Seog Kim),황준원(Jun Won Hwang),우이혁(Ieehyok Woo),반건호(Geon Ho Bahn) 대한소아청소년정신의학회 2012 소아청소년정신의학 Vol.23 No.3

Objectives:We developed the short form of the Mentalization Improvement Program for Adolescent-Community Model (MIPAdo-CM-S), based on the concept of the mentalization. Methods:The MIPAdo-CM was composed of 6 sessions and was applied to 133 students in the 1st grade of a middle school for six weeks during their regular school hours. After 6 weeks, we compared the endpoint changes of Adolescent Mental Problem Questionnaire-Revised (AMPQ-R), Emotional Empathy Test, Peer Aggression Scale, Peer Bullying Scale, School Adjustment Scale, Test Anxiety Inventory and Visual Analogue Scale between the subject and the control group. Results:On the Visual Analoge Scale, students in the trial classes reported an increased understanding and respect for others, as well as themselves. Conclusion:The efficacy of MIPAdo-CM was subjective improvement of understanding and respect for both others and themselves. To prove objective usefulness of this program, further studies should be administered in the form of long-term, regular and structured courses.

청소년용 정신화 프로그램의 학생정신건강 증진효과 평가

문수진(Su Jin Moon),오소영(So Young Oh),이원혜(Won Hye Lee),홍민하(Min Ha Hong),민정원(Jung Won Min),김봉석(Bong Seog Kim),황준원(Jun Won Hwang),우이혁(Ieehyok Woo),반건호(Geon Ho Bahn) 대한소아청소년정신의학회 2012 소아청소년정신의학 Vol.23 No.3

Objectives:Understanding the emotions, thoughts, feelings and behaviors of others, as well as oneself, is part of the mentalizing function. We developed a new school-based community model for mental health, called the Mentalization Improvement Program for Adolescent-Community Model (MIPAdo-CM), based on the concept of mentalization. Methods:The MIPAdo-CM was composed of 12 sessions and was applied to 403 students in the 2nd grade of a middle school. Every session was conducted after the regular school hours for 6 weeks. After 6 weeks, we compared the endpoint changes of Adolescent Mental Problem Questionnaire-Revised (AMPQ-R), Emotional Empathy Test (EET), Peer Aggression Scale (PAS), Peer Bullying Scale (PBS), School Adjustment Scale (SAS), Test Anxiety Inventory (TAI) and Visual Analogue Scale between the subject and the control group. Results:There was no significant difference between two groups in AMPQ-R, EET, PAS, PBS, SAS, and TAI. On the Visual Analoge Scale, however, students in the trial classes reported more increase in understanding and respect for both others and themselves. Conclusion:The efficacy of MIPAdo-CM was subjective improvement of understanding and respect for both others and themselves, erence between two groups in AMPQ-R, Empathy test, To prove objective usefulness of this program, further studies with more structured design will be needed.

광각이 없는 양안성 시신경염

이수호(Soo Ho Lee),오중협(Jung Hyub Oh),민정식(Jeong Sik Min) 대한안과학회 1987 대한안과학회지 Vol.28 No.4

특발성혈소판감소성자반증이 합병된 임신에서 임신부와 신생아의 예후

박유나 ( Yu Na Park ),김세은 ( Sei Eun Kim ),정경란 ( Kyung Lan Jung ),민정애 ( Jung Ae Min ),최석주 ( Suk Joo Choi ),오수영 ( Soo Young Oh ),김종화 ( Jong Hwa Kim ),노정래 ( Cheong Rae Roh ) 대한산부인과학회 2007 Obstetrics & Gynecology Science Vol.50 No.7

목적: 본원에서 분만한 특발성혈소판감소성자반증 (ITP)이 합병된 임신의 주산기 예후 및 신생아 혈소판감소증의 예측 인자를 규명하고자 하였다. 연구 방법: 1994년 10월부터 2006년 10월까지 본원에서 분만한 임신부 중 ITP가 합병된 32명 임신부 및 신생아의 의무기록을 후향적으로 분석하였다. 결과: 본 연구에서 ITP는 1,000 분만 당 0.87의 발생률을 보였고 총 32명중에서 임신 중 처음 ITP를 진단 받은 경우는 12예 (37%)였으며 5만/mm3 이하의 혈소판감소증을 보였던 경우가 59%였다. 대상 임신부의 68.7%에서 혈소판 수치의 회복을 위하여 치료를 시행하였으며 분만 시 5만/mm3 이상의 혈소판 수치의 유지를 위하여 20예 (62.5%)에서 혈소판을 수혈 받았다. 치료 방법으로는 스테로이드 투여가 8예 (25%), immunoglobulin 치료 2예 (6.2%), 스테로이드와 immunoglobulin의 병합치료 6예 (18.7%), anti-Rh (anti-D) 1예 (3.1%)로 나타났다. ITP에 대한 치료를 시행받은 군에서 치료에 대한 반응은 77%에서 나타났다. 출생 후 신생아에게서 5만/mm3 이하의 혈소판감소증이 있었던 경우는 14.2%였으며 이들 모두 immunoglobulin 치료를 받았다. 신생아에서 두개내 출혈 등의 합병증은 1예에서 나타났고 신생아의 혈소판 수치는 분만전의 임신부의 혈소판 수치 및 ITP 진단 시기나 치료 여부와 상관 관계가 없었다 (Spearman correlation coefficient, 0.04; P=0.86). 결론: ITP가 합병된 임신의 경우 신생아의 혈소판감소증은 10%에서 나타나지만 아직까지 이에 대한 예측인자가 규명되지 않은 상태이다. Objective: To investigate the maternal and neonatal outcomes in pregnancies complicated with idiopathic thrombocypenic purpura (ITP) and to identify antenatal factors to predict the neonatal thrombocytopenia. Methods: We analyzed retrospectively maternal and neonatal outcomes of the32 pregnant women with ITP who were delivered over a 12-year period. Results: The prevalence incidence of ITP in pregnancy was 0.87 per 1,000 live births in this study population. The diagnosis of ITP was made more before pregnancy than with afterduring during pregnancy (63% vs 37%). Maternal platelet transfusion was done in 62.5 % of pregnancies with ITP. Sixty nine percent of pregnancies with ITP received medical therapies; steroid only in 8 cases (25%), steroid + IVIG (intravenous immunoglobulin) in 6 cases (18.7%), IVIG only in 2 cases (6.2%), and steroid + IVIG + anti-Rh (anti-D) in 1 case (3.1%). Overall response rate (Plt > 50×109/L) to medical treatment was 77%. Neonatal thrombocytopenia (Plt < 50×109/Ll) was observed seen in 4 cases (14.2%) immunoglobulin. There was no correlation between the maternal and the neonatal platelet count. Moreover medical treatment during pregnancy did not make any difference in neonatal platelet count. There was one case of neonatal ICH (germinal matrix hemorrhage). Conclusion: Although neonatal thrombocytopenia occurred in 140% of pregnancies with ITP, no antenatal factor could predict neonatal thrombocytopenia.

음문의 거대 섬유상피성 용종

오민정 ( Min Jung Oh ),기민지 ( Min Jee Kee ),강우대 ( Woo Dae Kang ),김석모 ( Seok Mo Kim ),최호선 ( Ho Sun Choi ) 대한산부인과학회 2010 Obstetrics & Gynecology Science Vol.53 No.2

Fibroepithelial polyps are benign soft tissue tumors that occur in a wide variety of sites, including the lower female genital tract. They exhibit a wide range of morphologic appearances and can be misinterpreted as malignant. A 16-year-old woman presented with a 28×27 cm polypoid lesion localized on the right labium. The labial lesion was resected and recurred 6 years following the initial treatment. The histologic findings of the initial and recurrent lesions were consistent with fibroepithelial polyps. We present a case of a fibroepithelial polyp that is larger than any previously described lesion and recurred lesion with a brief review of the literature.

비공식 주거(Informal settlements) 지역, 부산 대연우암공동체마을의 긍정적 시그널 - 무허가 판자촌 부산 대연우암마을의 사회적주거단지 계획을 대상으로 -

오민정(Oh, Min-Jung) 대한건축학회 2020 대한건축학회 학술발표대회 논문집 Vol.40 No.2

The purpose of this study is to analyze and explore the possibility of "people-led community development" considering the usage of "empowerment" strategy, empowering poor community would play an important role in deriving "partnership with the government". This strategy will proceed with research and will be analyzed by application to the community of Daeyoen Wooam, which is situated in the informal settlements, Busan.

기기 제어를 위한 저가의 초소형 임베디드 웹 서버

오민정,임성락,Oh, Min-Jung,Rim, Seong-Rak 한국정보처리학회 2002 정보처리학회논문지 A Vol.9 No.1

대부분의 기존 임베디드 웹 서버 시스템은 어떤 특정 기기를 감시하고 제어하기 위하여 고안되고 있다. 따라서 이들은 범용성 및 유연성이 없을 뿐만 아니라 비교적 가격이 저렴한 가정용 기기를 위해서는 너무 비싸다. 이러한 어려움을 극복하기 위하여 본 논문에서는 인터넷을 이용하여 가정용 혹은 산업용 기기를 감시 및 제어하기에 적합한 저가의 초소형 임베디드 웹 서버의 모델을 제시한다. 제시한 모델은 H/W 및 S/W의 비용을 최소화하기 위하여 ISP 기능과 플래시 롬을 내장한 원 칩 마이크로프로세서를 기본으로 한다. 또한 범용성 및 유연성을 제공하기 위하여 새로운 기능을 동적으로 추가할 수 있도록 한다. 마지막으로 제시한 모델의 활용 가능성을 평가하기 위하여 ATMega103원 칩 마이크로프로세서를 기본으로 한 시험용 보드를 제작하고 제어 프로그램을 작성하여 MS 익스플로러 5.0 환경에서 실험하였다. Most of the traditional embedded web server systems have been designed for monitoring and controlling some dedicated equipments. Hence, not only they have no generality and flexibility but also they are too expensive for the lower-cost domestic equipment. To cope with these difficulty, we suggest a lower-cost ${\mu}$-embedded web server model which is suitable for monitoring and controlling the industry or house equipments by using the internet. The suggested model is based on an one-chip ${\mu}$-processor in which the ISP (In-System Programming) function and flash ROM are embedded basically to minimize the cost of H/W and S/W. Also it allows to add an new function dynamically to provide the generality and flexibility. Finally, to evaluate the feasibility of the suggested model, we have manufactured a test-board based on the ATMega103 ${\mu}$-processor and programmed the control program and tested it on the MS Explorer 5.0 environment.