초음파를 이용한 정상태아의 신장 크기 측정에 관한 연구

서용수 ( Yong Soo Seo ),최철훈 ( Cheol Hun Choi ),최석주 ( Seok Joo Choi ),최성진 ( Seong Jin Choi ),김영아 ( Yong A Kim ),양순하 ( Soon Ha Yang ),서정민 ( Jeong Min Seo ),박관현 ( Kwan Hyun Park ),김종화 ( Jong Hwa Kim ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.3

Objective : To establish size ranges of normal fetal kidneys by ultrasonogram during pregnancy. Methods : The A-P diameter and length of each of 450 kidneys in 225 consecutive fetuses between 19 and 41 weeks of gestation were measured on sonogram from Mar

저혈당성 경련으로 내원한 환자에서 진단된 Silver-Russell 증후군 1례

이정용(Jung Yong Lee)ㆍ김영아(Young A Kim)ㆍ이경연(Kyung Yeon Lee)ㆍ오기원(Ki Won Oh)ㆍ김자형(Ja Hyeong Kim)ㆍ김준성(Joon Sung Kim)ㆍ정진영(Jin Young Jeong)ㆍ박상규(Sang Kyu Park) 대한소아신경학회 2010 대한소아신경학회지 Vol.18 No.1

저자들은 저혈당성 경련을 주소로 내원한 4세 여아에서 자궁 내 성장 지연, 출생 후 지속되는 저신장과 저체중, 몸에 비해 상대적으로 큰 머리, 신체의좌우 비대칭, 특징적인 얼굴 모양을 보인 Silver-Russell 증후군 1례를 경험하였기에 문헌 고찰과함께 보고하는 바이다. The Silver-Russell syndrome(SRS) is a clinically heterogeneous syndrome characterized by intrauterine and postnatal growth retardation with spared cranial growth, characteristic facial features, and body asymmetry. Although mild to moderate hypoglycemic symptoms occasionally appear in children with SRS especially those who are not fed frequently and regularly, hypoglycemic seizures rarely occur. We report a rare case of SRS which was diagnosed in a 4-year-old female who admitted with hypoglycemic seizure. The patient showed the haracteristic features of SRS. Endocrinologic studies were normal except for partial growth hormone insufficiency. To prevent seizures and chronic neurologic deficits in children with SRS, the early recognition and appropriate management of hypoglycemia is critical.

50-g 경구 당부하 검사의 결과와 임신성 당뇨와의 상관관계에 관한 연구

김종화 ( Kim Jong Hwa ),서용수 ( Seo Yong Su ),최성진 ( Choe Seong Jin ),김영아 ( Kim Yeong A ),노정래 ( No Jeong Lae ),양순하 ( Yang Sun Ha ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.11

Objective : To evaluate the relationship between results of 50-g one-hour glucose screening test (50 GTT) and gestational diabetes and to find cut-off result value of 50 g GTT which can diagnosis the gestational diabetes without other confirmative tests.

농어촌민박의 안전관리 기준 및 안전지표에 관한 연구

서혜승,이용수,김영아,Suh, hey-sung,Lee, Yong-soo,Kim, Youna-ah 한국건설안전학회 2020 한국건설안전학회 논문집 Vol.3 No.1

Various support is provided for the increase in the number of private lodging users in farming and fishing villages and related government policies. However, the bed-and-breakfast accommodation in rural areas lack safety standards or safety indicators for the service pension Gangneung, carbon monoxide leak accident in December 2018, 2020 East Sea in January, Pension. Large gas explosion, accident and is threatening the security of their citizens. Unlike lodging facilities, private lodging in farming and fishing villages is allowed to operate with certain requirements such as fire extinguishers and fire alarms. The purpose of this study is to present safety standards and safety indicators for lodging facilities in farming and fishing villages, which are necessary for the operation management and inspection of local governments and the government related to lodging in farming and fishing villages. Through the study, safety management areas of private lodging in farming and fishing villages were divided into facility safety, fire safety, food safety and living safety, and detailed inspection indicators were presented. There is an academic implication that research on safety management of lodging facilities has been expanded through safety research in areas related to private lodging in farming and fishing villages. It has practical implications in that it provides management standards and indicators that can be used for safety management of private lodging in farming and fishing villages. The limitations of this study are that more studies on private lodging in farming and fishing villages are expected to be conducted through the results of this study, and the lack of research on accommodation safety has prevented more detailed indicators from being derived.

하행 대동맥류 파열 산모에서 응급 제왕절개술과 병행된 대동맥류 교정술

최철훈 ( Choe Cheol Hun ),김영아 ( Kim Yeong A ),서용수 ( Seo Yong Su ),최성진 ( Choe Seong Jin ),양순하 ( Yang Sun Ha ),김종화 ( Kim Jong Hwa ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.9

Aortic aneurysms are extremely uncommon in women under age 40 and are rarely encountered by obstetricians. Various physiologic changes of pregnancy appear to make pregnancy a risky situation of rupture of an aortic aneurysm and pregnancy is discouraged in

자궁경부의 개대가 진행된 자궁경부무력증에서 응급 자궁경부봉축술의 유용성

양순하 ( Soon Ha Yang ),김지운 ( Ji Un Kim ),최성진 ( Seong Jin Choi ),서용수 ( Yong Soo Seo ),김영아 ( Young Ah Kim ),김종화 ( Jong Hwa Kim ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.3

Objective : To investigate the clinical significance of emergency cerclage on prologation of pregnancy and perinatal outcome in mid-trimester cervical incompetence with advanced cervical dilatation. Methods : We analyzed the pregnancy outcome retrospectiv

자궁내막암 환자의 임상병리학적 예후인자에 따른 생존율 분석

노재홍(Jae Hong Noh),이지수(Ji Soo Lee),이용승(Yong Seung Lee),이수호(Soo Ho Lee),최중섭(Joong Sub Choi),김영아(Young A Kim),박창수(Chang Soo Park),김병기(Byoung Gie Kim),이제호(Je Ho Lee),배덕수(Duk Soo Bae) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.10

Objective : This study was performed to evaluate the clinicopathologic characteristics and prognostic factors of uterine endometrial cancer affecting survival of the patients. Methods : Form Jan. 1995 to Dec. 2001, medical records including operation record and pathologic reports of 111 patients with histologically proven endometrial cancer at Samsung Medical Center were reviewed. The survival of patients was determined by description of last follow up date in medical records or phone calls. Results : The median age of all patients was 52 years and the most common presenting symptom was abnormal vaginal bleeding (74.0%). Histologic type of endometrioid adenocarcinoma was the most common (90%) type of all endometrial cancers. The grades were classified into G1 (65.7%), G2 (17.1%), G3 (12.6%) and unknown (4.5%). The FIGO surgical stage was also classified into stage I (75.7%), stage Ⅱ (14.4%), stage Ⅲ (9.0%), and stage Ⅳ (0.9%). All patients were treated by primary surgery and postoperative adjuvant therapy including radiation therapy (54.1%), chemotherapy (4.5%) was applied. The overall 5-year disease free survival rate (DFSR) was 86.5% and overall 5-year survival rate was 87.8%. The age (p=0.04), grade (p=0.04), myometrial invasion (p=0.047), FIGO surgical stage (p=0.0067), lymph node metastasis (p=0.0001), lymphovascular space invasion (p=0.01) and C-erb B2 (p=0.04) were significant prognostic factors by univariate analysis. Conclusion : The age, grade, myometrial invasion, FIGO surgical stage, lymph node metastasis, lymphovascular space invasion and C-erb B2 were significant prognostic factors of uterine endometrial cancer affecting survival of the patients.

자궁내 태아사망에 관한 임상적 고찰

노재홍 ( Jae Hong Noh ),이선주 ( Sun Joo Lee ),노정래 ( Cheong Rae Roh ),서용수 ( Yong Soo Seo ),황종대 ( Jong Dae Whang ),김영아 ( Young A Kim ),양순하 ( Soon Ha Yang ),김종화 ( Jong Hwa Kim ) 대한주산의학회 2002 Perinatology Vol.13 No.1

Objective:To evaluate the causes, methods of delivery, and maternal complications in cases of fetal death in utero(FDIU) at Samsung Medical Center. Methods:There were 92 cases of FDIU among 25,195 deliveries at Samsung Medical Center during 7 years from 1994 to 2001. In these cases, perinatal autopsy and placental biopsy was performed in 35 and 71 cases, respectively. All the clinical informations were obtained by reviewing medical records retrospectively. Results:The overall incidence of FDIU was 0.37%. Most of FDIU occurred in 25 to 29 years old group(43.5%). Recurrence rate of FDIU was 3.3%. Most of FDIU were low birth weight(79.3%) and preterm(79.6%). The modes of delivery were induced labor(68.5%), laparotomy(18.5%), and the spontaneous delivery(13.0%). The causes of FDIU were chorioamnionitis(15.2%), placental abruption(14.1%), severe preeclampsia(11.9%), congenital and chromosomal anomaly(6.5%), but it was unexplained in 27.2%. There were 25 cases with maternal complications and the most common complications were intra-/postpartum fever(18.5%), postpartum hemorrhage(8.7%) and DIC(8.7%). Conclusion:The causes of FDIU could not be determined in only about 1/4 cases at Samsung Medical Center. Since FDIU recurred in 3.3%, thorough studies including perinatal autopsy and chromosomal study must be made on stillborn infants and placenta to determine the recurrent causes.

산전 부신피질 호르몬 다회 투여요법이 조산아의 예후에 미치는 영향에 대한 비교 연구

최석주 ( Suk Joo Choi ),양순하 ( Soon Ha Yang ),최성진 ( Seong Jin Choi ),서용수 ( Yong Soo Seo ),김영아 ( Young Ah Kim ),노정래 ( Cheong Rae Roh ),김종화 ( Jong Hwa Kim ) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.11

Objective: The aims of this study are to determine the effects of multiple courses of antenatal corticosteroid therapy on the perinatal outcomes, especially the respiratory outcomes of the preterm neonates and to compare them with the single course of ant

갑상선 중독증과 이상 동루를 동반한 급성 화농성 갑상선염 1예

김경원,박영주,김태용,문민경,한세원,천정은,김영아,진태훈,정희순,박도준,조보연 대한내분비학회 2004 Endocrinology and metabolism Vol.19 No.1

본 증례는 갑상선 중독증과 이상동루를 동반한 급성 화농성 갑상선염의 국내최초의 예이다. 환자는 평소 건강하던 17세 여자로, 내원 2주전 감기증상과 함께 경부 통증이 있어서 외래를 방문하였다. 해열제 치료에 반응이 없고 점점 환자상태가 악화되어 입원 후급성 화농성 갑상선염을 진단 받았다. 배농액에서 group D Streptococcus가 동정되었으며 항생제 및 절개/배농 후 임상양상이 호전되었다. 급성 갑상선염의 호전 후 바륨 조영검사에서 이상 동루를 확인하였으며, 이에 대한 화학적 소작술을 시행하였다. 본 증례에서와 같이, 갑상선의 동통과 갑상선중독증을 동반한 경우 급성 갑상선염을 아급성 갑상선염과의 감별 진단하는 것은 매우 중요한 반면 그 구별이 어려운 경우가 있다. 그러므로 본 논문에서는 저자들이 경험한 증례를 통하여 급성 갑상선염과 아급성 갑상선염을 감별 진단 과정을 문헌 고찰과 함께 보고하는 바이다. This is the first case report about acute suppurative thyroiditis with thyrotoxicosis and pyriform sinus in Korea. A female patient, who was previously healthy, visited our hospital for the treatment of common cold symptoms and neck pain which developed 2 weeks before the visit. The condition of the patient did not improve through the use of antipyretics and even worsened. The patient was admitted to the hospital and was diagnosed with acute suppurative thyroiditis. The culture result of the drained fluid revealed group D Streptococcus. The patients condition was improved after using antibiotics and drainage. After recovery from acute thyroiditis, esophagography was performed and the pyriform sinus was found to be obliterated by chemical cauterization. It is very important yet difficult to differentiate acute thyroiditis with thyrotoxicosis from subacute thyroiditis. In this study, we discussed the differential diagnosis between acute thyroiditis and subacute thyroiditis with a review of literature (J Kor Soc Endocrinol 19:69∼75, 2004).