SNS 기반 영아기 아버지교육 프로그램에 대한 인식 및 요구도 조사

정숙향(Suk Hyang Jung),정희정(Hee Jung Jung) 한국보육학회 2020 한국보육학회지 Vol.20 No.2

본 연구의 목적은 SNS 기반 영아기 아버지교육 프로그램 개발을 위한 기초연구로서 영아기 자녀를 둔 아버지의 부모교육 인식 및 요구도를 알아보는데 있다. 연구대상은 서울시 S구 어린이집에 재원중인 영아의 아버지 295명이며, 자료분석은 SPSS 25.0 프로그램을 사용하여 빈도와 백분율을 산출하고 χ² 검정을 실시하였다. 분석결과 첫째, 영아기 자녀를 둔 아버지의 부모교육 경험은 부모교육에 참여하지 않은 아버지가 참여한 아버지보다 더 많았다. 부모교육에 불참한 이유는 시간 부족이 가장 많았고, 부모교육의 주된 내용은 ‘자녀의 양육 및 놀이방법’, ‘자녀의 발달과 심리적 특성’, ‘자녀와의 효과적인 의사소통방법’순으로 나타났다. 둘째, 영아기 자녀를 둔 아버지들은 ‘육체적 피로’로 인해 자녀양육이 어렵다고 했고, 자녀양육에 대한 책임은 ‘부모’에게 있으며 ‘아내와 함께 자녀양육을 기꺼이 감당하겠다’는 응답을 보였다. 셋째, 영아기 자녀를 둔 아버지들은 SNS를 활용한 아버지교육 프로그램이 매우 필요하다고 하였으며, SNS를 활용한 아버지교육이 필요한 이유는 ‘시간과 장소의 제약 없이 스마트폰을 활용하여 접근성이 용이하므로’ 선호하는 것으로 나타났다. 이러한 결과는 4차 산업혁명 시대에서의 미래 사회 변화 요구에 대응하는 아버지교육 프로그램의 방향성 및 효율화 방안을 마련하였다는 점에서 의의가 있다. Objective: The purpose of this study is to investigate the father"s perception and needs of parent education on infants and young children as a basic study for the development of an SNS-based early childhood father education program. Methods: The subject of the study was 295 fathers of infants in S-gu day care centers in Seoul. Data analysis was performed using SPSS 25.0 program to calculate the frequency and percentage. Also, χ² test was performed. Results: Study findings are as follows: First, regarding father’s experience of parental education at child-care centers for their infants and young children, fathers who took part in parental education were more than those who did not in number. As for the reason why they did not take part in parental education, the shortage of time was the most frequent reason. As for the main contents of parental education at child-care centers, ‘parenting method and playing technique’ were most frequent and it was followed by ‘children’s development and psychological characteristic’ and ‘effective method of communication with children,’ in order. Second, regarding father’s perception of participation in parenting education for infants and young children, the most difficult point of parenting for fathers with infants and young children was ‘physical fatigue.’ Fathers thought parenting responsibility must be carried out by ‘parents’ and ‘they were willing to share the obligation of parenting with wife.’ Third, regarding father’s need of SNS-based education for fathers with infants and young children, their need for SNS-based father education was very high. The reason of father’s preference for SNS-based father education was that ‘it has no limitations in time and space, and therefore they can easily gain access to it with a smart-phone.’ Conclusion/Implications: These results are significant in that it helped setting up the direction and the efficiency plan for the father"s education program, responding to the demand for future social change in the era of the 4th Industrial Revolution.

우리나라 간경변증 환자에서 원발성 간암 발생률 및 이에 영향을 미치는 인자들에 관한 전향적 연구

김정룡(Chung Yong Kim),이효석(Hyo Suk Lee),류지곤(Ji Kon Ryu),정숙향(Sook Hyang Jung) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.1

N/A This prospective, longitudinal study was to determine the incidence of hepatocellular carcinoma (HCC) and the risk factors of the development of HCC in patients with liver cirrhosis in Korea. We enrolled 285 patients with liver cirrhosis who had experienced the esophageal variceal bleeding and had been treated by endoscopic injection sclerotherapy in our hospital and survived more than 3 months. They were closely followed up with ultrasonography (USG) of the liver and determination of serum alpha-fetoprotein (a-FP) levels for the detection of HCC. The mean age of the patients at the time of the first episode of esophageal variceal bleeding was 47.9+-9.6 with the male to female ratio of 3.75:1. The positive rate of serum HBsAg was 64.6% and decreased with aging. The cumulative incidence was 2.6%, 6.7%, 12 3%, 18.8% and 21.5% in 1, 2, 3, 4 and 5 years, respectively. The annual incidence of HCC in HBsAg positive and negative patients was 5.2% and 2.4%, respectively and the difference was statistically significant (p<0.05). Among HBsAg positive patients, the annual incidence (9.9%) of HCC in elderly patients (>50 years) was significantly higher than that of younger (3.2%). The annual incidence in male patients (4.5%) was likely to be higher than in female (2.8%) though the difference was not statistically significant. In conclusion, the high incidence of HCC in patients with liver cirrhosis was reconfirmed by prospective study. HBsAg positivity, old age (above 50 years) and male sex turned out to be factors which increased the risk of the development of HCC.

간장 ( 肝臟 ) · 담도 ( 膽道 ) 및 췌장 ( 膵臟 ) : 고 - 고빌리루빈혈증을 보인 간실질 질환 및 담도 폐쇄 환자들의 단기 예후

김정룡(Chung Yong Kim),이효석(Hyo Suk Lee),정숙향(Sook Hyang Jung) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.4

N/A Serum bilirubin level seldom exceeds 30 mg/dl in the patients with complete extrahepatic biliary obstruction. Therefore, hyper-hyperbilirubinemia which is defined as hyperbilirubinemia above 30 mg/dl of serum bilirubin level is rarely found only in patients with accompanying pigment overload or renal failure in addition to preexisting parenchymal liver disease or biliary obstruction. In this study, shor-term prognosis of 85 patients with hyper-hyperbilirubinemia were evaluated according to the underlying hepatobiliary diseases and precipitating factors. Of 85 patients, 57(67%) were patients with primary parenchymal liver diseases which included 2 cases of acute hepatitis, 4 cases of toxic hepatitis, 5 cases of chronic viral hepatitis, 23 cases of cirrhosis, 22 cases of primary liver cancer, and 1 case of alcoholic liver disease. Seventy six patients (89%) showed clinical deterioration of which 30 terminated to death and 46 were subjected to hopeless discharge. Only 9 patients (11%) were clinically improved during hospitalized period. Most of the survived patients had acute liver diseases, suggesting that preexisting liver disease was important in the determination of short-term prognosis. Analysis of precipitating factors revealed that 96% of patients had either pigment overload or renal failure. All patients except one, who had renal failure with or without pigment overload showed clinical deterioration. Of 21 patients having only pigment overload without renal failure, 8(38%) showed clincial improvement. We concluded that the patients with hyper-hyperbilirubinemia super- imposed on preexisting acute liver disease because of pigment overload had better prognosis than those with hyper-hyperbilirubinemia because of renal failure.

장기간의 임상 경과중 대량의 하부 장관 출혈을 일으킨 아메바성 대장염

윤용범(Yong Bum Yoon),송인성(In Sung Song),최규완(Kyoo Wan Choi),김정룡(Chung Yong Kim),이효석(Hyo Suk Lee),정현채(Hyun Chae Jung),이진호(Jin Ho Lee),유권(Kwon Yoo),노임환(Im Hawn Roe),정숙향(Suk Hyang Jung) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.3

We report a case of atypical form of amebic colitis causing massive lower intestinal bleeding. Recurrent hematochezia lasting for more than 20 years and recent massive rectal bleeding were unusual manifestations of amebic colitis. The macroscopic finding of amebic colitis of the patient at sigmoidoscopy was not diagnositic and led to the patients receiving the therapy with steroid enema. Only sigmoidoscopic biopsies established the diagnosis and appropriate treatment with metronidazole resulted in complete resolution of the hematochezia during 6 months of follow-up.

국내 노인 위암 환자의 임상적 및 병리학적 특성

김연주 ( Youn Joo Kim ),이창현 ( Chang Hyun Lee ),백우현 ( Woo Hyun Paik ),김나영 ( Na Young Kim ),박영수 ( Young Soo Park ),정숙향 ( Suk Hyang Jung ),황진혁 ( Jin Hyeok Hwang ),이광혁 ( Kwang Hyuck Lee ),정현채 ( Hyun Chae Jun 대한내과학회 2007 대한내과학회지 Vol.72 No.3

목적: 위암은 국내에서 발생률이나 사망률로 볼 때 가장 중요한 암 가운데 하나이다. 빠르게 증가하는 국내 노인 인구를 감안할 때 노년층에서의 위암 발생도 계속 증가할 것으로 보인다. 노년층 위암의 임상, 내시경, 조직 특성, 수술과 관련한 회복기간과 합병증률을 분석함으로써 노인 위암의 진단, 치료 방법 결정의 기초자료를 얻고자 하였다. 방법: 2003년 5월부터 2005년 5월까지 분당서울대학교 병원에서 위암으로 진단된 환자 중 수술을 받은 268명의 환자를 대상으로 후향적으로 조사하였다. 환자들을 연령에 따라 65세 미만의 장년층과 65세 이상의 노년층으로 구분하여 두 군에 대해 성별, 가족력, 증상, 암의 위치 및 형태, 병기, 병리를 비교하였으며 수술과 관련하여 ASA 위험도, 수술 후 합병증, 회복기간 등을 비교하였다. 결과: 두 군 간 성별, 증상 유무, 가족력 유무는 통계적으로 유의한 차이를 보이지 않았다. 수술 전 노년층에서 ASA 고위험 군의 비율이 높은 것으로 나타났으나, 수술 후 회복기간은 장년층에서 평균 10.11일, 노년층에서 11.58일로 유의한 차이가 없었다(p=0.374). 수술 후합병증 발생률은 양 군간 통계적으로 유의한 차이가 없었다. 양 군에서 조기위암과 진행성 위암의 차이, 병기에서 차이는 없었다. WHO 분류에서 장년층은 저분화암(41.2%), signet ring cell (20.1%), 노년층에서 고분화암(27.4%)이 각각 통계적으로 유의하게 높은 빈도를 보였다(p<0.001). Lauren 분류에서 장년층은 미만성(58%), 노년층은 장형(59.4%)이 가장 높은 빈도를 보였다(p<0.001). MSI-H의 빈도는 장년층 5.6%, 노년층 17%으로 노년층에서 통계적으로 유의하게 높은 발현율을 보였다(p=0.010). p53의 발현율은 양 군 간 차이가 없었다. 결론: 노인 위암 환자는 장년 환자에 비해 예후가 좋다고 알려진 병리 형을 갖는 경우가 많았으며 림프절 전이를 줄임으로써 좋은 예후인자가 된다고 알려진 MSI-H의 빈도가 높았다. 또한 노인 위암 환자에서 장년 위암 환자에 비해 수술 후 회복기간이나 합병증 발생률의 차이를 보이지 않았다. 그러므로 노인 위암 환자에 대한 수술적 치료를 좀 더 적극적으로 고려할 필요가 있다. Background: Gastric cancer in elderly patients is one of the most important health issues in Korea, when considering its incidence and mortality rate. We have obtained the preliminary data concerning the diagnosis and treatment of gastric cancer in elderly people by analyzing the clinical and pathologic features. Methods: We retrospectively analyzed 268 patients who were diagnosed with gastric cancer and who also underwent surgical procedures in Bundang Seoul National University Hospital from May 2003 to May 2005. The patients were divided into two groups: those aged<65 (n=162) and those aged≥65 (n=106). We compared the clinical and pathological characteristics between the older and younger groups. Results: The elderly group had more patients with well differentiated carcinoma (11.8% vs. 33.0%, respectively, p=0.001) and the intestinal type (34.0% vs. 59.4%, respectively, p<0.001). The frequency of microsatellite instability-high (MSI-H) was higher in the elderly group (5.6% vs. 17%, respectively, p=0.010). There was no significant difference in the postoperative recovery time (p=0.374) and the operation-related complication rate between the two groups. Conclusions: Gastric cancer in elderly patients demonstrated more pathologic types that have a known favorable outcome when compared to the younger patient group. We should more frequently consider surgery for the elderly patient with operable gastric cancer because of they have similar postoperative recovery compared to the younger patients. (Korean J Med 72:256-265, 2007)

광범위한 심부 혈전증 및 Budd-Chiari 증후군을 동반하여 급성 간 부전으로 사망한 Behcet 씨병 1 예

이수진,정숙향,김연석,최동구,손민수 대한내과학회 1995 대한내과학회지 Vol.49 No.5

Behcet's disease is a systemic disease, which can invlove any part of the body mainly affecting young adult. The pathogenesis of Behcet's disease is not well known. Cardiovascular involvement is rare but may be fatal complications of Behcet's disease. It is manifested by SVC or IVC thrombosis, extensive peripheral venous thrombosis or arterial aneurysm etc. We experienced a fatal case of Behcet's disease with progressive, extensive venous thrombosis which resulted in Budd-Chiari syndrome and acute liver failure. In this case, we didn't find any other usual clinical manifestation of Behcet's disease such as aphthous oral ulcer, skin lesion, or other activity indices, during period of rapidly progressive deep vein thrombosis and development of Budd-Chiari syndrome. Deep vein thrombosis can be a fatal complication of Behcet's disease so that early detection and proper treatment to prevent progressive thrombosis should be emphasized for longterm care of Behqet's disease.

알코올 대사 효소들의 유전적 다형성이 알코올성 간경변증의 발생에 미치는 영향

이효석,김정룡,윤정환,정숙향,이한주 대한간학회 1998 Clinical and Molecular Hepatology(대한간학회지) Vol.4 No.1

Background/Aims There is considerable variance in individual susceptibility to hepato- toxic effects of ethanol as evidenced by the finding that only about 10-20% of alcoholics develop alcoholic liver cirrhosis. The aims of this study were', 1) to get the data on the genetic polymorphisms of three major ethanol-metabolizing enzymes (ADH, CYP2E1, ALDH) in normal Korean adults, and to search for the specific genotypes influencing alcohol drinking behavior by the comparison of allele frequencies between healthy control group and heavy drinker group with or without liver disease, 2) to investigate the influence of the genetic polymorphisms of these enzymes on the susceptibility to alcoholic liver disease by the comparison of allele frequencies between heavy drinker group without liver disease and alcoholic liver cirrhosis group. Methods - Healthy control group included 53 healthy males in military service without evidence of liver disease or alcoholism. Heavy drinker group without liver cirrhosis included 29 males who had been drinking 80g or more of alcohol daily for more than ten years but did not have any clinical evidence of liver disease. Alcoholic cirrhosis group included 43 male patients who had drunk 80g or more of alcohol daily for more than ten years and had clinical evidences of overt cirrhosis. Subjects with hepatitis B surface antigen or anti-hepatitis C antibody were excluded. Genotypes of the three enzymes were determined by PCR (polymerase chain reaction) and restriction fragment length polymorphism (RFLP) with genomic DNAs extracted from peripheral leukocytes. Results' 1) In healthy Korean males, allele frequency of ADH2*2, ADH3*1, CYP2E1 c2 and ALDH2*2 was 81%, 94%, 30% and 14%, respectively. 2) The absence of ALDH*2Focal nodular hyperplasia (FNH) is a rare, benign hepatic tumor which was usually discovered incidentally by imaging procedure performed for some other reasons. FNH is typically asymptomatic and, it seldom bleeds. There is no evidence to support any relation with primary liver cancer. Accordingly, the preferred management is conservative, and excision is reserved for large symptomatic and complicated lesion, or when the diagnosis remains uncertain. Although many cases of FNH has been described to date in the other countries, only four cases of FNH has been reported in Korean literature. In the present report we describe a 7 cm sized asymptomatic lesion of FNH in a 23-year-old woman, that was disclosed by various kinds of imaging procedure. The left lateral segmentectomy was performed. The mass was firm and showed areas of localized growth of mature hepatocytes and septal fibrosis accompanied with marginal ductal proliferation, consistent with FNH. It also displayed an incomplete stellate architectual configration consisted of a central fibrous scar. (Korean J Hepatol 1997;7:337 343)2 or CYP2E1 c2 allele were significant risk factors for being a heavy drinker (odds ratio,' 0.09, 0.42, respectively). 3) Although it was not associated with the polymorphism of each ethanol-metabolizing enzymes, the susceptibility to alcoholic liver cirrhosis was significantly associated with combined genotypes of ADH2(2*2) & ADH3(1*1)& CYP2E1 B or C. Conclusion- Genetic polymorphisms of ethanol-metabolizing enzyrnes are significantly associated with the suseptability to alcoholic liver disease as well as alcohol drinking behavior. (Korean J Hepatol 1998;8:1 11)

한국인에서의 만성적 궤양을 동반하는 대장염에 대한 임상적 고찰

이풍렬,윤한두,김나영,정숙향,유권,정현채,이효석,윤용범,송인성,최규완,김정룡,최상운 대한내과학회 1990 대한내과학회지 Vol.38 No.3

The purpose of this study is to compare the differences of the symptoms, signs and laboratory findings among colitis with chronic ulceration, such as ulcerative colitis, Behcet's colitis, tuberculous colitis and Crohn's disease in Korea. Were studied in Seoul National University Hospital from August 1982 to Oocober 1988. Forty-two cases of ulcerative colitis, 23 cases of Behcet's colitis, 53 cases of tuberoulous colitis and four cases of Crohn's disease were analyzed in terms of age, sex, symptomatology, laboratory findings and consequence of treatment. 1) The sex ratio of ulcerative colitis, Behcet's, colitis tuberculous colitis and Crohn's disease was 1 : 1.63, 4.74 : 1, 1 : 1. 30, and 3 : 1, respectively, and the mean age was 36.1, 34.3, 33.4, 22.5 years, respectively. 2) The duration of symptoms in tuberculous colitis was significantly shorter than in other diseases. 3) The items of symptoms and signs showed that significant differences were rectal bleeding, diarrhea, weight loss, tenesmus, oral ulcer, skin lesion and genital ulcer. 4) The items of laboratory findings revealed that significant differences were anemia, increased ESR, hypoalbuminemia and the evidenoe of tuberculous lesion on chest X-ray. 5) In view of the anatomical distribution of the lesions, the rectums of all the cases were involved in ulcerative colitis. In most cases of Behcet's colitis and tubercuious colitis, the right colon, including the cecum and the ileum, was involved. In Crohn's disease, the ileum and the jejumum were frequently involved. 6) From a discriminant analysis, we could find several items that differentiated the four diseases. There were rectal bleeding, diarrhea, oral ulcer, hypoalbuminemia and evidence of tuberculosis on chest X ray.