비정상 간기능 환자에서 Pringle 술식시 혈역학 변화

안미영,박광민,최규택,황규삼,박은순 대한마취과학회 1999 Korean Journal of Anesthesiology Vol.37 No.6

Background : During the Pringle maneuver (PM), the increase of systemic vascular resistance (SVR) and the active constriction of the intrahepatic capacitance vessels could minimize arterial blood pressure change. Pressor reactivity to sympathetic agonists is impaired and blood volume buffering capability is less efficient in a cirrhotic liver. Accordingly, we evaluated the relations between hemodynamics during PM and preoperative liver function test (LFT) by serum aminotransferase and Indocyanine Green (ICG) clearance. Methods : Twenty-seven patients undergoing hepatectomy with PM were classified into two groups according to the liver function state assigned by serum aminotransferases and ICG clearance test. Sequential changes of hemodynamics were measured with Doppler flowmeter during PM. Hemodynamic data were analyzed by using ANOVA for repeated measurement. Correlation between LFTs were sought using Pearson correlation and logistic regression. Results : During the PM, cardiac output decreased significantly compared to the preclamping period in the abnormal LFT group. There were no significant changes in any other hemodynamic variables in the normal LFT group. When comparing the two groups during PM, mean arterial blood pressures and cardiac output were significantly lower in the abnormal LFT groups compared to the normal LFT groups (P< 0.05). Conclusions : These differences may suggest that cardiovascular responsiveness to reflex autonomic stimulation during the PM is significantly impaired in patients with abnormal LFT compared with normal LFT subjects. (Korean J Anesthesiol 1999; 37: 1020∼1026)

[여성목회의 현장 27] 직거래와 전통식품으로 농촌의 숨통을 틔운다

안미영 새가정사 1995 새가정 Vol.- No.-

[여성목회현장 31] 갚을 수 없는 사랑의 빚을 갚으며 - 주치리교회 김선옥 전도사를 찾아서

안미영 새가정사 1995 새가정 Vol.457 No.5

해방이후 박태원 작품에 나타난 ‘영웅’의 의의

안미영 한국현대문학회 2008 한국현대문학회 학술발표회자료집 Vol.- No.-

徐居正 詠物詩의 特性 硏究

安美映 부산여자대학교 국어교육학과 수련어문학회 2001 睡蓮語文論集 Vol.26 No.-

박문관의 전이공간 성격별 인지특성에 관한 연구

안미영,오세규 대한건축학회 1999 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.19 No.2

This study identified the relation between then styles of both transitional space and surrounding space, and were able to identify viewers' characteristics of $quot;recognition ability,$quot; according to the style of viewers' behavior, in the transitional space. When the transitional space is well exposed to the exterior, viewers tend to take a rest, sit on a chair or looking off into the distance. The more the transitional space is exposed to the outside, the more the viewers can exactly recognize the surrounding space and the displays in an exhibition room. This influences viewers' behavior, the behavior's period of duration. It also allows the viewer to better recognize the surrounding space and the exhibition mom display. When the transitional space is exposed to the outside, it can influence when the viewer moves to other exhibition rooms or how the viewers perceives the adjacent exhibition rooms.

Time Use and Gender Inequality in Korea: Differences in Paid, Unpaid and Non-productive Activities

안미영 숙명여자대학교 아시아여성연구원 2008 Asian Women Vol.24 No.3

This paper examines trends and gender differences in time use in Korea. The economic/bargaining approach suggests that changes in women’s employment, the delay in marriage and decline in fertility have reduced demand for unpaid work. In addition, improvements in women’s employment and wages have given women more bargaining power in relation to men consequently men spend more time on unpaid care work. As a result, the amount of time spent on paid and unpaid work between men and women is converging. At the same time, the gender perspective argues that due to changes in economics, demographics and norms the differentiated time use between men and women can be fine-tuned, but the gender inequality remains fundamental. This research examines the Korean case in light of these explanations. In traditional Korean society, gender roles were rigidly divided. In post industrial society, however, changes in women’s role and in the family are evident. These changes have been facilitated by the decline in fertility, the increase in divorce, the increase in women’s labor market participation, and the decrease in the number of extended families. This research uses the national representative time use survey data of 1999 and 2004 and examines how much time women and men spent on paid work, unpaid work and non-productive activities. This paper argues that women’s increased involvement in paid work, changes in gender role, and in family forms may have increased the amount of time that men spend on unpaid care work. However, the increases are far from meaningful for gender relations in practice despite the significant social and economic changes.

S-518 : Clinical application of respiratory virus multiplex PCR

안미영,최성호,정진원 대한내과학회 2013 대한내과학회 추계학술대회 Vol.2013 No.1

최근 연구에서 성인 지역사회 폐렴이 호흡기 바이러스에 의해 흔히 발생하는 것으로 보고되었고, 호흡기 바이러스가 세균과 마찬가지로 성인 중증 폐렴을 유발하여 높은 사망률을 보인다는 국내 연구 자료가 발표되면서 호흡기 바이러스에 대한 관심이 어느 때보다 높아져 있으나, 호흡기 바이러스 검출을 위한 respiratory virus multiplex PCR (RV-PCR) 검사는 성인에서 아직 널리 사용되지 않고 있다. 본 연구자들은 한 대학병원의 성인 입원 환자 중 RV-PCR 검사를 받은 사람들의 특성을 정리하여 성인에서 RV-PCR 검사 시행의 실태를 조사하고 향후 RV-PCR검사의 적용 방향에 대한 기초 자료를 얻고자 이 연구를 시행하였다. 2012년 1월부터 2013년 5월까지 중앙대학교 병원에 입원한 17세 이상의 성인 환자 중 RV-PCR 검사를 시행 받은 환자를 대상으로 의무기록을 조회하여 성별, 나이, 기저질환, RV-PCR 검사 결과, 검사 시행의 이유, 호흡기 증상 유무 등을 조사하였다. 2012년 1월부터 2013년 5월까지 총 312명의 성인 환자에서 321건의 RV-PCR 검사가 시행 되었다. 검사를 시행 받은 성인 환자들의 평균 나이는 52.8세, 남성이 57.4%였다. 기저 질환으로는 혈액암을 포함한 혈액질환이 가장 많았고 (11.2%), 고형암(10.3%), 만성폐질환(10.3%), 당뇨(6.5%), 면역억제제 복용자(1.9%), 만성신질환(1.9%)의 순이었다. 독감 유행 기간에 시행된 경우가 75.7%, 호흡기 증상이나 질환으로 입원한 경우 66.4%, 폐렴 등 하기도 감염의 영상 소견이 있는 경우는 57.0%였다. 321건 중 90건(28.0%)에서 양성 소견을 보였다. 검출된 호흡기 바이러스로는 influenza virus가 46.7%로 가장 많고, respiratory syncytial virus (RSV) A(26.7%), rhinovirus (16.7%), parainfluenza virus 1-3 (13.3%), adenovirus (13.3%), RSV B (10.0%), enterovirus (10.0%), coronavirus (6.7%)의 순이었다. 성인 입원 환자에서 RV-PCR 검사는 독감 유행 기간 동안 호흡기 증상이나 호흡기 질환으로 입원한 경우에 가장 많이 시행되어, influenza를 target으로 가장 많이 시행되었음을 알 수 있다. 그러나 검출된 바이러스 중 influenza virus는 절반에 미치지 못하였다. Influenza외의 기타 바이러스의 경우 influenza에 비해 분명한 치료약은 없으나 각종 면역저하자에 중증 폐렴 발생의 보고가 늘고 있는 점을 감안할 때, 원내 면역저하자에 대한 감염 전파 방지, 원인 불명 중증 폐렴의 원인 감별 등을 위해 influenza virus외의 기타 바이러스를 target으로 RV-PCR 검사의 시행이 더욱 고려되어야 할 것으로 사료된다.

신영복 글쓰기 고찰 - 『처음처럼』(돌베개,2016개정신판)을 중심으로 -

안미영 한중인문학회 2016 한중인문학회 국제학술대회 Vol.2016 No.06

Valuation of Unpaid Care Work Through a Comparison of Economic Measures in Korea: Focus on Mean Earning Approach and a Generalist Approach

안미영 대한가정학회 2008 International Journal of Human Ecology Vol.9 No.2

This paper examines the value of unpaid care work using the 2004 time use survey and compared them to economic measures such as GDP, tax revenue, value of paid work, government expenditure on care-related personnel expenditure and remuneration of paid care workers. It employs the mean earnings approach and generalist approach. It finds that the value of unpaid care work (compared to GDP) is between 18% and 29% using different approaches. The value of care of household members and for others in the community (person care) is between 5% and 8%. Furthermore, thevalue of unpaid care work is greater than that of direct tax regardless of the approach used. In addition, the value of person care is estimated at between 22% and 35% of the total value of the paid economy. The value of unpaid care work far exceeds the value of government expenditure on care-related personnel and the remuneration of paid care workers. This research suggests that unpaid care work (mostly conducted by women) should be recognized as part of production activities. This is because caring and household maintenance activities are necessary for individual wellbeing but also it contributes to the national economic competitiveness particularly through human resource development.