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.

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.

침의 유해사례 인과성 평가 연구

정희정 ( Hee Jung Jung ),최준용 ( Jung Yong Choi ),박지은 ( Ji Eun Park ),김건형 ( Kun Hyun Kim ),최선미 ( Sun MI Choi ),오달석 ( Dal Seok Oh ) 대한경락경혈학회 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.

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.

진동운동이 난소절제 쥐의 OPG, RANKL, BMD에 미치는 영향

정희정 ( Hee Jung Jung ),이정은 ( Jung Eun Lee ),오재근 ( Jae Keun Oh ) 한국스포츠정책과학원(구 한국스포츠개발원) 2007 체육과학연구 Vol.18 No.3

신체활동은 골다공증의 예방과 치료를 위해서 권장되고 있다. 이 연구의 목적은 골 소실을 유발시킨 쥐를 대상으로 규칙적인 전신진동운동(45Hz, 0.3g, 5일/주, 12주)을 적용시킨 후, 대퇴골의 골 기질 세포의 단백질 수준에서의 OPG와 RANKL의 발현수준과 대퇴골의 골 밀도 측정을 통하며 진동운동이 골 재형성에 미치는 영향을 살펴보고자 하였다. 실험동물은 총 3집단(sham-c, ovx-c, ovx-e)으로 나누었다. 실험을 통해 얻어진 결과는 SPSS 11.0을 이용하여 평균과 표준오차를 산출하고, 집단에 따른 변인의 차이는 one-way ANOVA를 이용하였으며, 유의수준은 p<.05로 설정하였다. 본 연구의 결과는 첫째, 전신진동운동은 난소절제 집단의 OPG 발현을 유의하게 증가시켰다(p<.01 ). 둘째, 전신진동운동은 난소절제 집단의 RANKL 발현에 유의한 차이가 없었다. 셋째, 전신진동운동은 난소절제 집단의 BMD를 유의하게 증가시켰다(p<.001 ). 넷째, 전신진동운동은 난소절제 집단의 대퇴골의 골 면적에 유의한 차이가 없었다. 이상과 같은 결과는 진동형태의 물리적 자극이 골다공증 환자의 골 소실을 억제하고, 골 형성 자극을 기대할 수 있는 운동이 될 수 있다고 사료된다. 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.

Clinical study on obstetric variables affecting perinatal mortality in placental abruption

정희정 ( Hee Jung Jung ),( Eun Ha Jeong ),( Kyung Lee ),( Hee Ra Jung ),( Myoung Hwan Kim ),( Yong Kyoon Cho ),( Hoon Choi ),( Bok Rin Kim ),( Ji Kyung Ko ) 대한산부인과학회 2008 대한산부인과학회 학술대회 Vol.94 No.-

서울 북부지역 유통 농산물의 농약 잔류실태

한성희(Sung-Hee Han),박성규(Sung-Kyu Park),김욱희(Ouk-Hee Kim),최영희(Young-Hee Choi),승현정(Hyun-Jung Seoung),이영주(Young-Ju Lee),정희정(Jung-Hee Jung),김윤희(Yun-Hee Kim),유인실(In-Sil Yu),김유경(Yoo-Kyung Kim),한기영(Ki-Young Han 한국농약과학회 2012 농약과학회지 Vol.16 No.2

This study was conducted to monitor 284 pesticides residue level in 2,914 commercial agricultural products in the northern area of Seoul in 2011 by the multi class pesticide multiresidue analysis methods in Korea Food Code using GC, HPLC, GC-MSD and, LC-MSD. The detection rate of pesticide residues were 14.8% (431/2,914). The order of agricultural products in which the pesticide residues were detected was perilla leaves 40.0% (28/70), chamnamul 35.5% (11/31), amaranth 30.0% (3/10) and spinach 27.7% (38/137) etc. The percentage of products that exceeded the MRLs (maximum residue limits) were 1.0% (31/431). Those products that exceeded MRLs were ginseng (6), perilla leaves (4), leek (4), welsh onion (3) and sedeum (3) etc. The 59 kinds of the pesticides were detected on this study, 21 pesticides of them were detected over MRLs. Detection rate of fungicides (56.4%) was higher than that of insecticides (42.1%). And procymidone was detected with considerable high frequency. Additionally, residual residual violates pesticides were in the order of tolclofos-methyl, endosulfan, dimethomorph, diniconazole and fludioxonil. According to the agricultural marketing channels, detection and excess rate of them were monitored. Detection and excess rate of samples circulated in agricultural traditional market were highest. The estimated daily intakes (EDI) of the pesticides were compared to personal acceptable daily intakes (PADI) in order to risk assessment by food consumption. Diazinon in Korean cabbage showed the highest %ADI, 2.9901 and others showed below 3.0 %ADI. Overall, these results indicate that residue levels of pesticides detected were evaluated as safe.

근대건축물의 뮤지엄 리노베이션 사례연구 - 전시 및 수장공간 구성을 중심으로 -

정희정(Jung, Hee-Jung),윤동식(Yoon, Dong-Sik) 한국실내디자인학회 2023 한국실내디자인학회 학술대회논문집 Vol.25 No.3

Museum architecture has been imprinted on people as having great urban and cultural influence. In recent years, the architectural competitiveness of museums has been high, and among them, museum renovation of modern buildings is showing a trend in various cases in Korea.Prior to the opening of the National Museum of Modern and Contemporary Art, we will establish a methodology for museum renovation for the preservation and utilization of modern buildings with historical and cultural values by analyzing domestic cases. In addition, with the development of the democratization of the museum in the 1970s, the museum has increased the accessibility of its collections to the public and the public. With the development of digital technology at the end of the 20th century, cultural democratization is accelerating, and leading museums are also working to increase digital accessibility of their collections by utilizing digital technology and online networks. Based on these changes in the museum paradigm, examples of domestic museums are analyzed focusing on the composition of exhibitions and storage spaces. Therefore, this study aims to analyze the current status of museum renovation of modern buildings and present directions to incorporate rational exhibition and storage space composition according to changes in the museum paradigm.

무용 프로그램이 중·노년 여성의 혈중지질에 미치는 영향에 관한 메타분석

정희정 ( Hee Joung Joung ),노정식 ( Jung Sik Roh ) 한국체육학회 2021 한국체육학회지 Vol.60 No.5

본 연구의 목적은 메타분석을 사용하여 무용 프로그램이 중·노년 여성의 혈중지질에 미치는 효과를 알아보는 것이다. 2000년 1월부터 2021년 6월까지 국내에 발표된 학술지 및 학위논문 중 선정기준에 적합한 총 15편의 논문을 대상으로 CMA(Comprehensive Meta-Analysis) ver 3.0을 이용하여 메타분석을 실시하였다. 분석변인은 혈중지질 변인 중 총콜레스테롤(total cholesterol: TC), 중성지방(triglyceride: TG), 고밀도 지단백 콜레스테롤(high density lipoprotein cholesterol: HDL-C), 저밀도 지단백 콜레스테롤(low density lipoprotein cholesterol: LDL-C)로 선정하였다. 연구결과는 첫째, 무용 프로그램이 중·노년 여성의 혈중지질에 미치는 전체 효과크기는 0.743으로 중간 정도의 효과를 보였다. 둘째, 혈중지질의 하위분석 결과 LDL-C(0.894), TC(0.783), HDL-C(0.704), TG(0.696) 순으로 효과가 있는 것으로 나타났다. 셋째, 연령에 따른 효과크기에서는 70대(0.91)는 큰 정도의, 50대(0.667)와 60대(0.607)는 중간 정도의 효과를 보였다. 넷째, 프로그램 시행 변인에서 무용 프로그램 유형은 발레(0.928)에서 큰 정도의, 한국무용(0.715)과 생활무용(0.43)에서는 중간 정도의 효과크기를 보였다. 프로그램 시행은 1회기 진행 시간은 40분 이상 60분 이하, 주당 회기 수는 주 3회, 지속 기간은 12-24주, 총회기 수는 총 24-36회로 실시하는 것이 중·노년 여성의 혈중지질을 개선에 효과성이 있는 것으로 나타났다. 본 연구를 통해 무용 프로그램은 중·노년 여성의 혈중지질 개선에 효과적인 활동이라는 것을 확인하였고, 하위변인과 무용 프로그램 수행에 관한 종합적인 정보를 제공함으로써 추후 관련 연구와 중·노년 여성을 대상으로 한 무용 프로그램 현장 적용을 위한 근거를 마련하였다. The purpose of this study was to examine the effect of dance intervention on variables of blood lipid in middle-aged women and elderly women using the meta-analysis. 15 studies that met the inclusion criteria among the studies published in Korea from January 2000 to June 2021 by using the CMA 3.0 program. The outcome cluster included total cholesterol(TC), triglyceride(TG), high density lipoprotein cholesterol(HDL-C), and low density lipoprotein cholesterol(LDL-C). Effect size was calculated using Standardized mean difference(SMD). The results were as follow. First, the overall effect size of dance program on blood lipid was medium(0.743). Second, as a result of the sub-group analysis, it was found that LDL-C(0.897) was the largest effect, TC(0.783), HDL-C(0.704), TG(0.696). Third, as the effect size according to age, the 70s(0.91) showed the largest effect size, the 50s(0.667) and the 60s(0.607) the medium. Forth, as variables on a intervention implement, Ballet(0.928) showed the largest effect size, and Korean dance(0.715) and other dance type(0.43) a medium effect size. More than 40 to less 60 minutes per a class, three times per a week, 12-24 weeks for the duration, and over 24-35 times for the total frequency has been effective for improving blood lipids. In conclusion, this study provided evidence on the dance intervention to implement for the improvement of blood lipid in middle-aged and elderly women.

중등영어교사들의 멀티미디어 활용의도에 영향을 주는 요인에 대한 실증연구

정희정 ( Hee Jung Jeng ) 글로벌영어교육학회(구 호남영어교육학회) 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.