임신말기 유도분만에서 경질 misoprostol과 경구 dinoprostone의 비교

노현주(Hyun Ju Noh),김병철(Byung Cheol Kim),임연주(Yeon Ju Lim),이철우(Cheol Woo Lee),민정기(Jung Ki Min),양은영(En Young Yang),황운정(Woon Jeong Hwang),신용덕(Yong Duk Shin),김동진(Dong Jin Kim) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.9

Objective: To compare the safety and efficacy of intravaginal misoprostol versus oral dinoprostone for labor induction at term. Methods: One hundred of patients at term were randomized to receive either 50㎍ of misoprostol vaginally every 4 hours or dinoprostone 0.5mg orally every 1 hour for the maximum of six doses. Intravenous infusion of oxytocin was administered under such circumferences as the patient did not go into active labor after maximum dose, SROM was developed without an adequate contraction pattern, or the patient had arrest of dilatation(no change in cervical dilatation for 2 hours). We compared the frequency of oxytocin augmentation, administration to delivery interval, vaginal delivery rate within 12 hours and 24 hours, intrapartum complications, induction failure, mode of delivery, neonatal outcomes, and maternal complications between two groups. Results: The average interval from administration to delivery was shorter in the misoprostol group(739.4±372.4min vs 1087.7±765.1min, p<0.05), but the interval from administration to vaginal delivery of each group was similar(724.3±375.4min vs 800.3±697.0min). Regarding the frequency of vaginal delivery within 24 hours, however, misoprostol group was higher than dinoprostone group(88% vs 56%, p<0.001). And oxytocin augmentation of labor occurred less commonly in misoprostol group than in dinoprostone group(20% vs 76%, p<0.05). Any statistically significant difference in intrapartum complications, mode of delivery, and neonatal or maternal adverse outcome was not appeared between these two group. Conclusion: Vaginal misoprostol is as effective and safe as oral dinoprostone for cervical ripening and induction of labor at term. In addition, vaginal misoprostol contributes the curtailment of labor induction expenditure due to its moderate price; misoprostol costs 100 won per 50㎍.

자궁내 피임장치와 동반된 골반 및 복부 방선균증 1 례

임연주(Yeon Ju Lim),김병철(Byung Cheol Kim),노현주(Hyun Ju Noh),이철우(Chel Woo Lee),황운정(Un Jeong Hwang),신용덕(Yong Duk Shin),김동진(Dong Jin Kim) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.1

Actinomycosis is a rare entity which presents some difficulties in establishing a correct preoperative diagnosis. Many actinomycotic pelvic infections in women are related to IUD use and the colonization rate appears to increase in accordance with the duration of IUD use. So, all women in IUD use are recommended to make cervicovaginal smear and pelvic infection associated with IUD use should be suspected to have actinomycoses. We report a case which presented painful mass on right upper and lower quadrant of abdomen of a 40-year-old women. We identified sulfur granules by histopathologic exam of surgically resected specimen. Eventually it proved to be pelvic and abdominal actinomycosis associated with the use of an intrauterine device. Because variable clinical pictures and infrequency of the disease make the diagnosis more difficult, increased alertness of clinicians and microbiologists to the presence of anaerobic organism as the cause of infection are needed to make an earlier and more correct diagnosis of actinomycoses and to further avoid any inappropriate treatment.

팬데믹 전후 사회적 고립의 생애주기별 현황과 정책적 함의

김성아 ( Kim Seonga ),노현주 ( Noh Hyun-ju ) 한국보건사회연구원 2024 보건복지포럼 Vol.329 No.-

이 글은 사회적 고립이 팬데믹 전후에 어떠한 양상으로 변화했는지 생애주기에 따라 살펴보고 정책적 함의를 도출하는 데에 목적을 두고 있다. 통계청 사회조사를 통해 분석한 결과 사회적 교류와 사회적 지지체계가 부재한 사회적 고립은 팬데믹 동안 심화되었다. 팬데믹이 완화된 2023년에 사회적 고립은 생애주기에 따라 차이를 보이는데, 고립된 청년의 비율은 팬데믹 동안이었던 2021년에 비해 다소 감소하였지만, 팬데믹 이전 수준까지 회복하지는 못했다. 고립된 노인의 비율은 팬데믹 이전 수준까지 회복하였지만, 고립된 중장년의 비율은 팬데믹이 완화된 2023년에 오히려 더 증가했다. 은둔형 청소년, 고립․은둔 청년, 고독사 위험군으로서 중장년, 홀로 사는 노인에 대한 공적 지원이 효과적으로 운영되고 생애주기를 유연하게 잇는다면 고립된 이들이 기댈 수 있는 지지체계의 공백을 메울 수 있을 것으로 기대된다. This article aims to examine how the prevalence of social isolation changed in people of different life stages following the Covid-19 pandemic and explore its policy implications. Our analysis of Statistics Korea’s social survey revealed that during the pandemic, a greater number of individuals experienced social isolation, defined here as being without social connections and lacking a social support network. In 2023, with the impact of the pandemic having subsided, the extent to which the prevalence of social isolation changed varied depending on life stage. The proportion of socially isolated youth decreased somewhat from 2021 but not quite to its pre-pandemic level. While the prevalence of social isolation among older adults declined to its pre-pandemic level in 2023, the proportion of those among the middle-aged who saw themselves as socially isolated increased, if anything, compared to 2021. This article considers public support programs as a means that, if delivered adequately and flexibly to people of different life stages―adolescents living in self-chosen seclusion, isolated and secluded youth, middle-aged people identified as at risk of ‘lonely death’, and older adults living alone― can fill in where they lack a social support network to rely on.

제9분과 - 재무관리 (Part1) : A Comparative Investigation of Financial Predicatability through Data Mining Tools : Case Study of the U . S . Treasury Bill

( Steven H Kim ),노현주 ( Hyun Ju Noh ) 한국경영학회 1997 춘계학술연구발표회 발표논문집 Vol.- No.-

시한 증후군의 시초징후로 나타난 저나트륨혈증 1 예

이철우(Cheul Woo Lee),노현주(Hyun Ju Noh),민정기(Jung Ki Min),양은영(Dun Youg Yang),신용덕(Yong Duk Shin),김동진(Dong Jin Kim) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.9

36 years old women, who had cesarean section delivery in a local clinic, was transferred to our hospital in state of hypovolemic shock. After transfusion and hysterectomy, vital sign is stable and she is gradually recovering her general condition. Seven days after operation, she complained of a headache, general weakness, slurred speech and laboratory finding was syndrome of inappropriate secretion of antidiuretic hormone. Fluid restriction and hypertonic saline infusion resulted in no significant change in the blood sodium level. So, we performed basal hormone study and combined pituitary function test, the result is panhypopituitarism. Hyponatremia is corrected by administrated glucocorticoid. Sheehan's syndrome should be considered in the differential diagnosis of hyponatremia in the early postpartum period.

재난조사 활용을 위한 MPR기반 무선통신 전송 성능 평가

김성삼(Seong Sam Kim),신동윤(Dong Yoon Shin),노현주(Hyun Ju, Noh) 한국산학기술학회 2021 한국산학기술학회논문지 Vol.22 No.3

무선통신 네트워크의 끊김없는 접속 기술은 네트워크 사용자에게 서비스 지속성을 담보할 수 있으므로, 네트워크 서비스가 단절되는 상황을 극복해야 하는 재난 상황에서는 반드시 필요하다. MPR(Multiple Path Router)은 복수통신망을 이용한 고성능 데이터 전송과 가상 사설망(VPN) 기반의 무선 IP 네트워크에서의 네트워크 보안을 제공함으로써 특히 네트워크 장애가 발생할 수 있는 재난사고 환경에서 네트워크 안정성과 운용성을 향상시킬 수 있는 기술이다. 본 논문에서는 재난사고 현장조사에서 무선통신망 운용성능을 개선하기 위하여 MPR기반의 무선통신망 프로토타입을 제안하였으며, 실제 기존의 단일 무선통신망 체계와의 다양한 데이터 전송성능에 대한 비교실험을 수행하였다. 성능평가실험은 기존/신규 무선통신체계에서의 데이터 패킷 송·수신 성능과 신규 MPR의 전송 능력을 파악하기 위해 기존/신규 단일 라우터 환경에서의 UDP 전송성능을 주요 시간대(오전/오후/야간)별로 측정한 후 평가하였다. 이 실험을 통하여 기존 단일 무선통신 체계에 비해 약 2배 이상의 송수신 성능이 개선됨을 확인할 수 있었으며, 제안한 프로토타입 시스템을 활용하여 재난사고 현장조사시 보다 신속하고 효율적으로 현장 자료 공유와 전파가 가능할 것으로 판단된다. Seamless wireless communication network access technology enables users to guarantee service continuity. Hence, it is necessary for disaster situations in which network service may be interrupted. The Multi-path router is a technology to improve network stability and strengthen field operability, particularly in a disaster environment where network failure can occur by providing high-performance data transmission using multi-communication networks and network security by VPN-based wireless IP. In this paper, a prototype system for an MPR-based wireless communication network was proposed to improve the operation performance for disaster field investigation applications. A comparative experiment was performed on various data transmission performances with the existing single wireless communication network. In addition, another experiment was conducted by measuring the data packet transmission and receiving performance in the existing/new wireless communication system first and then assessing the UDP transmission performance in a single router environment to understand the transmission capability of the new MPR. The experimental results showed that the sending and receiving performance was improved by approximately double that of the existing single wireless communication system. The proposed prototype system is expected to allow users to share and disseminate collected on-site data more quickly and efficiently during a disaster site investigation.

남극 세종기지 주변의 토양의 열이동에 관한 통계적인 연구

임현수(Hyoun Soo Lim),홍순규(Soon Gyu Hong),김현철(Hyun-Cheol Kim),김옥선(Ok-Sun Kim),노현주(Hyun Ju Noh),조안나(Ahnna Cho),이진용(Jin-Yong Lee),이정훈(Jeonghoon Lee) 대한지질학회 2014 대한지질학회 학술대회 Vol.2014 No.10

국가재난 복구업무 긴급지원을 위한 드론 활용 방안

김성삼(SeongSam Kim),조시범(Si-bum Cho),박제성(Je-Sung Park),노현주(Hyun-Ju Noh) 대한공간정보학회 2018 한국공간정보학회 학술대회 Vol.2018 No.11