http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
3차원 초음파와 MRI를 이용하여 진단한 배꼽탈장을 동반한 흉제대쌍둥이
윤종숙 ( Jong Sook Yoon ),박미선 ( Mi Sun Park ),김민정 ( Min Jeong Kim ),이귀세라 ( Gui Se Ra Lee ),박인양 ( In Yang Park ),임현욱 ( Hyun Wook Lim ),신종철 ( Jong Chul Shin ),김사진 ( Sa Jin Kim ) 대한산부인과학회 2007 Obstetrics & Gynecology Science Vol.50 No.12
One of the most interesting congenital malformations is a conjoined twin. Conjoined twins are a rare occurrence in obstetric practice. More commonly known as Siamese twins, this phenomenon is shrouded in mystery and considered a curiosity by general public. Current technology is providing a basis for earlier diagnosis and a better prognosis. Frequently, the twins are born dead, but there are a few cases in which the twins survive. We present a case of thoraco-omphalophagus with omphalocele in 35 years old woman at 25weeks 5 days gestation by 3-D ultrasonography and MRI.
임신 중기에 반복적으로 발생한 원인 불명의 거대융모막하 혈종
김민정 ( Min Jeoung Kim ),윤종숙 ( Jong Sook Yoon ),남선영 ( Sun Young Nam ),박인양 ( In Yang Park ),허수영 ( Soo Young Hur ),이귀세라 ( Gui Se Ra Lee ),임현욱 ( Hyun Wook Lim ),신종철 ( Jong Chul Shin ),김사진 ( Sa Jin Kim ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.7
Placental abnormality is the important predisposing cause of intrauterine growth retardation. Massive subchorionic hematoma is defined as a large size of maternal blood clot that separates the chorionic plate from the villous chorion and can result in serious obstetrical complications. We report a case of massive subchorionic hematoma diagnosed prenatally, and propose an additional peculiar finding detectable on both the ultrasound and magnetic resonance images: a large hematoma in the subchorionic region at 17 weeks gestation. At 18 weeks 2 days gestation, the fetus was miscarried. The clinical and pathological findings were compatible with massive subchorionic hematoma. Recurrent massive subchorionic hematoma without thrombophilic finding was observed at the next pregnancy in 17 weeks 5 days by ultrasound. The patient was managed conservatively and had successful outcome at term. So we report the case with the brief review of literatures.
주부의 나트륨 저감화 행동변화 단계에 따른 식행동 특성 분석 및 저나트륨 식사 방법의 실천용이도에 관한 연구
안소현(So Hyun Ahn),권종숙(Jong Sook Kwon),김경민(Kyung Min Kim),윤진숙(Jin Sook Yoon),강백원(Baeg Won Kang),김종욱(Jong Wook Kim),허석(Seok Heo),조해영(Hea Young Cho),김혜경(Hye Kyeong Kim) 대한지역사회영양학회 2012 대한지역사회영양학회지 Vol.17 No.6
This study was intended to investigate the sodium-related perception, dietary behavior, and practicability of methods for reducing sodium intake(RSI) according to the stage of change in consumers. The survey was conducted to 770 housewives, among them 553 subjects who answered the key questions for the stage of change were categorized into ‘Maintenance (M)’ stage (maintaining reduced salt intake for more than 6 months; n = 287, 51.90%), ‘Action (A)’ stage (maintaining reduced salt intake for less than 6 months; n=139, 25.14%), and ‘Pre-Action (P)’ stage (not starting reduced salt intake; n = 127, 22.97%). The subjects in M and A were significantly older than those in P (p < 0.01). The scores of desirable dietary habit and dietary balance were the highest in M followed by A and P. When eating out, the subjects in P considered ‘price’ more and ‘healthiness of food’ less than those in M and A did. Among the guidelines for RSI, ‘Avoid Processed Foods’, ‘Eat enough vegetables and fruits’ and ‘Add little amount of dipping sauce for fried food’ were selected as the three easiest items to perform. With regard to the sodium-related perception, the subjects in M considered eating-out food to be more salty than homemade dishes, read nutrition labels more, avoided table salt or dipping sauce for fried food more, and had ‘own low-sodium recipe’ than those in P (p < 0.001). It is suggested that practicability of actions for RSI and the stage of change should be considered to develop effective personalized education program and nutrition guidance. (Korean J Community Nutr 17(6) : 724~736, 2012)
사회인지론 모델을 적용한 나트륨 섭취 줄이기 소비자 영양교육 프로그램 개발
안소현(Soh Yun Ahn),김혜경(Hye Kyeong Kim),김경민(Kyung Min Kim),윤진숙(Jin Sook Yoon),권종숙(Jong Sook Kwon) 대한지역사회영양학회 2014 대한지역사회영양학회지 Vol.19 No.4
This study aimed to develop nutrition education program for consumers to reduce sodium intake based on social cognitive theory (SCT).Methods: The main factors of SCT related to low sodium diet were investigated by using focus group interview (FGI) with 30 women who participated in consumer organizations. Results: The main target groups for the education program were housewives (H), parents (P), and the office workers (OW), for which we considered their influences on other people and the surroundings. According to the results of FGI, in carrying out low sodium diet, ‘positive outcome expectation’ were prevention of chronic disease and healthy dietary habit, and ‘negative outcome expectation’ were low palatability of foods, difficulty in cooking meals, and limited choice of foods. The contents of the program and education materials were individualized by each group to raise self efficacy and behavioral capability, which reflected the results of the FGI. The program included ‘salt intake and health’ to raise positive outcome expectation. For improving the ability to practice low-sodium diet, the program contained the contents that focused on ‘cooking’ and ‘food purchasing’ for H, on ‘purchasing and selection of low-sodium food with the children’ for P, and on ‘way of selecting restaurant menu’ for OW. Also the program included ‘way of choosing the low-sodium foods when eating out’ with suggestions on sodium content of the dishes and snacks. Further, ‘dietary guidelines to reduce sodium intake’ was also suggested to help self-regulation. Conclusions: This nutrition education program and education materials could be utilized for the community education and provide the basis for further consumer targeted education program for reducing sodium intake.
권지영 ( Ji Young Kwon ),신우미 ( Woo Mi Shin ),윤종숙 ( Jong Sook Yoon ),황성진 ( Seong Jin Hwang ),박인양 ( In Yang Park ),민기옥 ( Ki Ouk Min ),김찬주 ( Chan Joo Kim ),김창이 ( Chang Yi Kim ) 대한산부인과학회 2007 Obstetrics & Gynecology Science Vol.50 No.7
복강임신은 자궁외 임신의 드문 형태이며 발생한 경우 급작스런 출혈 등의 결과를 낳을 수 있다. 이러한 복강내 임신이 성립된 경우라도 전형적인 증상을 나타내지 않으며 현재까지 진단에 도움을 줄 수 있는 명확한 방법이 알려져 있지 않다. 또한 복강내 임신이 발견된 경우라 할지라도 치료에 많은 난점을 내포하고 있다. 본 저자들은 3주전 자궁내 임신으로 오인하여 임신중절수술을 받았던 환자에서 갑자기 하복부 통증이 발생하여 초음파 검사와 더글라스와 천자술에 의하여 혈복강을 진단하였으나 명확히 자궁외 임신을 의심할 수 없는 상황에서 진단적 복강경을 시행하였다. 복강경 수술 중 우측 자궁천골인대에서 출혈성 낭종을 발견하여 절제 후 조직 검사를 통해 매우 드문 형태의 자궁외 임신으로 확인된 예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Abdominal pregnancy, a rare type of ectopic pregnancy is difficult to be suspected at its first presentation. The diagnosis of this rare disease may often be delayed, since early symptoms are usually non-specific. In some cases, delayed diagnosis of abdominal preganacy can be associated with catastrophic hemorrhage secondary to placental separation. A 24-year old woman visited our emergency unit, presenting with a sudden-onset low abdominal pain. She had undergone uterine curettage 3 weeks before. Transvaginal sonogram of the cul-de-sac revealed complex fluid consistent with blood. On diagnostic laparoscopic operation, we found a ruptured cystic, conception-like structure near the right uterosacral ligament. Histology of the resected structure finally showed chorionic villi consistent with abdominal pregnancy. In this report, we present an unusual case of abdominal pregnancy. This case underscores the careful ultrasonic determination of gestational location at early pregnancy.