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오태아 임신에 의해 유발된 경미한 복수와 중증 흉수의 난소과자극증후군
정희정,김훈,김용진,구승엽,김석현,최영민,김정구,문신용,Jung, Hee-Jung,Kim, Hoon,Kim, Young-Jin,Ku, Seung-Yup,Kim, Seok-Hyun,Choi, Young-Min,Kim, Jung-Gu,Moon, Shin-Young 대한생식의학회 2009 Clinical and Experimental Reproductive Medicine Vol.36 No.2
난소과자극증후군은 보조생식술에서 배란유도 및 과배란유도 시 발생할 수 있는 가장 심각한 합병증으로 알려져 있다. 흉수는 중증 난소과자극증후군에서 10%에서 보고되고 있고, 주로 심한 복수와 동반되어 나타난다. 하지만, 심한 복수를 동반하지 않는 중증 편측 흉수는 드물게 보고 있고, 아직 병태생리에 대해 명확히 밝혀진바 없다. 본 저자들은 과배란유도 및 인공수정과 관련된 오태아 임신에 의해 유발된 경미한 복수와 중증 편측 흉수를 동반한 난소과자극증후군을 경험하였고, 흉수천자와 같은 침습적 시술 없이 보존적 치료만으로 호전되었다. 이 증례를 경험하여 간단한 문헌고찰과 함께 보고하는 바이다. Ovarian hyperstimulation syndrome (OHSS) is one of the most common iatrogenic complications induced by assisted reproductive technology. Hydrothorax develops in about 10 percent of patients with severe OHSS and it is usually associated with marked ascites. On the other hand, severe hydrothorax without marked ascites is uncommon, and its pathogenesis remains unclear. We recently experienced a case of severe unilateral hydrothorax with minimal ascites induced by quintuplet pregnancy following intrauterine insemination with controlled ovarian hyperstimulation. Severe hydrothorax was resolved after only conservative and symptomatic management without invasive procedure such as thoracentesis or paracentesis. We report this case with brief review of literature.
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중년 여성의 비만도에 따른 생활습관 및 건강관련체력 비교
정희정(Hee Jung Jung),차정훈(Jung Hoon Cha),권중호(Jung Ho Kwon) 한국발육발달학회 2009 한국발육발달학회지 Vol.17 No.2
The purpose of this study was to compare daily behavior and health-related fitness in middle-aged women according to BMI, and then we intended to provide a guideline for health and controlling obesity of middle-aged women. The subjects(n=1131) of this study were classified into 4 groups(underweight, normal weight, overweight, and obese) by their BMI. We examined the difference of daily behaviors(eating vegetables and meat, drinking, smoking, sleeping, life satisfaction), health-related fitness(cardiorespiratory fitness, flexibility, muscle strength, and muscle endurance), and subjective health perception. Data was collected from the structured questionnaire of daily behavior and the measurement of health-related fitness. Collected data was analyzed by SPSS program including descriptive statistics, Kruskal-Wallis ANOVA, one-way ANOVA. A statistical significance was accepted at the level of p<.05. The results of this study were as follows; First, Subjective health perception was not different significantly among groups. Second, Taking vegetable, smoking and life satisfaction of daily behavior were statistically significant different according to BMI. By contrast taking meat, alcohol, and sleeping were not different significantly among groups. Third, Muscle strength and muscle endurance of health-related fitness were significantly different according to BMI. By contrast cardiorespiratory fitness and flexibility were not different significantly among groups. In conclusion, moderate control of body fat, desirable daily behavior and fitness are important to middle-aged women`s physical and mental health. However it is necessary to develop detailed supportive program for health promotion of middle-aged women.
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태반 조기박리에서 주산기 예후와 관련된 산과적 요인에 대한 연구
정희정 ( Hee Jung Jung ),정은하 ( Eun Ha Jeong ),이경 ( Kyung Lee ),정희라 ( Hee Ra Jung ),김명환 ( Myoung Hwan Kim ),고지경 ( Ji Kyung Ko ),조용균 ( Yong Kyoon Cho ),최훈 ( Hoon Choi ),김복린 ( Bok Rin Kim ) 대한산부인과학회 2008 Obstetrics & Gynecology Science Vol.51 No.10
Objective: To evaluate obstetric variables in the placental abruption that affect on perinatal mortality. Methods: We reviewed clinical data of all singleton deliveries complicated with placental abruption between January 2000 and December 2007, in Department of Ob. & Gyn., Sanggye Paik Hospital. Results: Placental abruption complicated 54 cases (0.55%) of all deliveries (n=9,903) from January 2000 to December 2007. The peak age was 26-30 years (42.1%). The most common symptom was vaginal bleeding (57.4%) and intrauterine fetal death had already occurred in 9.3%. Perinatal mortality rate was 13.0% and there was no maternal death. 38.9% of placental abruption occurred between 33 to 36weeks of gestational age. 38.9% of placental abruption was diagnosed before delivery with ultrasonography and 9.3% was chronic placental abruption. 33.3% of placental abruption was associated with preeclampsia, and then associated with PPROM (24.1%), uterine myoma (3.7%), chronic hypertension (1.9%) and smoking (1.9%). When the hypertensive disorders were associated, fetal distress rate was higher than normotensive pregnancy (63.2% vs 20.0%, P-value: 0.005). Mean gestational age (days) (194±32.8 vs 248.12±28.0, P-value<0.001) and the severity of placental abruption (P-value: 0.005) affect perinatal mortality in placental abruption. The most common complication of placental abruption was DIC (16 cases, 29.6%), followed by Couvelaire uterus (4 cases, 7.4%) and uterine rupture (1 case, 1.9%). Conclusion: Obstetric variables that affect perinatal mortality were gestational age at the diagnosis and the severity of placental abruption.
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진동운동이 난소절제 쥐의 OPG, RANKL, BMD에 미치는 영향
정희정 ( Hee Jung Jung ),이정은 ( Jung Eun Lee ),오재근 ( Jae Keun Oh ) 한국스포츠과학원 2007 체육과학연구 Vol.18 No.3
Physical exercise is recommended for the prevention and treatment of osteoporosis. The present study evaluated the influence of WBV(whole body vibration) exercise on the bone remodeling in ovariectomized rats. The aim of this study was to investigate possibility for activation of bone formation and decrease of bone loss while WBV exercise(frequency: 45Hz, vertical acceleration: 0.3g, 5days/wk, for 12wks) was performed. The experimental animals have been divided into 3 groups (sham-c, ovx-c; ovx-e). OPG and RANKL concentration were evaluated from bone marrow stromal cell. DXA measurement of BMD and bone area were from femur bone. All values were mean±SE. To compare the 3 groups statistically, one-way ANOVA was used. Post hoc was Scheffe and statistical significant value was p<.05. Vibration exercise group showed significantly higher OPG concentration(p<.01), BMD(p<.00l) than non vibration exercise group in ovariectomized rats. But there were not difference of RANKL concentration and bone area values compared to control group. These present results indicate that WBV exercise is effective method for activating bone formation and preventing early post-ovariectomy bone loss.
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정희정 ( Hee Jung Jung ),최준용 ( Jung Yong Choi ),박지은 ( Ji Eun Park ),김건형 ( Kun Hyun Kim ),최선미 ( Sun MI Choi ),오달석 ( Dal Seok Oh ) 경락경혈학회 2008 Korean Journal of Acupuncture Vol.25 No.2
Objectives: This study is to establish the appropriate assessment of causalities from adverse events (AEs) which are related to acupuncture treatment. Methods: We assessed thirty AEs which were caused in the early phase trial on concomitant use of acupuncture and herbal medicines. We scored each AE on the questionnaire in Naranjo and SNU algorithm scale which are for drug causality assessment in pharmacoepidemiology. Results: In Naranjo scale, there were consistencies among the evaluators qualitatively with Probable, Possible degree. In reliability test, parameters, such as, gamma and kendall`s tau-b revealed the degrees of 73%, and 32%, respectively. There were disaccordant tendency in SNU algorithm scale. Conclusion : A new algorithm which reflects acupuncture properties should be developed and elucidated.
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중등영어교사들의 멀티미디어 활용의도에 영향을 주는 요인에 대한 실증연구
정희정 ( Hee Jung Jeng ) 글로벌영어교육학회 2011 Studies in English education Vol.16 No.1
The purpose of this study is to empirically examine English teachers` behaviors of adopting multimedia. Based on the well-known technology acceptance theory, Technology Acceptance Model(TAM), this study developed a model to investigate the relationship between theoretical constructs including Teachers` Self-Efficacy, Openness, Experience, Supports, and Expectation of Learning Performance, and their impact on perceived usefulness of multimedia. A total of 228 data from teachers at middle and high schools were used to analyze the proposed model using multiple regression. The results are twofold: first, results suggest that variables in the proposed model have a significant role in regards to the perceived usefulness of teachers` multimedia, accounted for 78.6% of the variance explained in perceived usefulness. Second, results support the significant effect among TAM variables, implying that TAM is applicable in explaining English teachers` intention to use multimedia. The findings suggested that the important determinants influencing multimedia adoption should be considered for educators using multimedia in ordre to revitalize multimedia for English education.
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