호흡곤란을 가진 준 만삭 및 만삭 신생아에서 폐외공기누출증후군 발생의 위험인자 분석

허영희 ( Young Hee Heo ),이영재 ( Young Jae Lee ),장지영 ( Ji Young Chang ),배종우 ( Chong Woo Bae ) 전북대학교 의과학연구소 2012 全北醫大論文集 Vol.36 No.2

목적: 신생아 시기의 기흉은 빠르게 진행할 수 있으며 경우에 따라서는 사망에 이를수도 있다. 그리하여 이번 연구에서는 신생아중환자실에 입원하는 준 만삭 및 만삭아에서 폐외공기누출증후군(pulmonary airleak syndrome, PALs) 발생과 연관된 인자를 찾아 신속한 진단과 치료에 도움을 얻고자 한다. 방법: 2009년 3월부터 2011년 6월까지 강동경희대학교병원 신생아중환자실에 호흡곤란을 주소로 입원하였던 임신기간 35+0주이상의 신생아 203명을 대상으로 하였다. 이들 중 임상 양상과 흉부 X선 소견에서 종격동기종, 공기가슴증 등을 보인 PALs군 36명을 조사군으로 하였고, PALs이 발생하지 않은 신생아 76명을 무작위로 선택하여 대조군으로 하였다. 결과: PALs군과 대조군 에서 MAS는 각각 10명(28%)과 5명(6%) (P = 0.039), 초기흉부 X선 소견상 병변이 있는 쪽 폐의 과팽창은 각각 20명(56%) 과 17명(22%) (P=0.001), 초기 동맥혈가스분석검사에서 PaO2<60 mmHg은 각각 17명(47%) 과 14명(18%) (P =0.004)으로 통계적으로 유의한 차이를 보였다. 또한 PALs군과 대조군의 산모 나이가 고령(35세 이상)인 경우는 각각10명(28%)과 10명(14%) (P =0.006)로 의미 있는 차이를 보였다. 결론: 호흡곤란이 있는 준 만삭 및 만삭신생아에서 태변착색, 초기 흉부 X선 사진상에서 병변이 있는 쪽 폐의 과팽창, 초기동맥혈가스분석검사에서 PaO2 <60 mmHg, 등의 위험인자가 있는 경우 PALs 발생 위험이 4배 이상 증가된다. 따라서 PALs의 발생을 낮추고 증상악화를 줄이기 위한 노력이 필요할 것으로 사료된다. PURPOSE: Pneumothorax progresses rapidly in newborns and even can lead to death. The aim of this study is to determine the risk factors associated with development of pulmonary air leak syndrome (PALs) among late preterm and term neonates admitted to neonatal intensive care units (NICU) and to help for prompt diagnosis and management. METHODS: The medical records of 203 neonates with 35+0 or above weeks of gestational age hospitalized in the NICU of Kyung Hee University Hospital at Gangdong were analyzed retrospectively. From these patients, 36 neonates with clinical or radiographic signs of pulmonary air leak were selected as the pulmonary air leak syndrome group while76 neonates without PALs evidences were selected as the control group. RESULTS: In comparison between the PALs group and control group, there were statistically significant differences in the number of neonates with meconium aspiration, 10(28%) vs. 5 (6%) (P=0.039), hyperinflation of right lung from initial chest x-ray, 20 (56%)vs. 17 (22%) (P=0.001), the PaO2 <60 mmHg of initial arterial blood gas analysis, 17(47%) vs. 14 (18%) (P=0.004) and mothers with an advanced age (over 35 years old)between the groups with 10 (28%) vs. 10 (14%) (P=0.006).CONCLUSION: Late preterm and full term neonates who had respiratory distress with risk factors such as meconium aspiration, findings of hyperinflation in right lung from initial chest x-ray and a PaO2 level <60 mmHg from initial arterial blood gas analysis had4.6 times higher occurrence rate of PALs.

현행 스토킹처벌법의 문제 진단과 입법 정책적 관점의 개선방안 연구

한동효 ( Han Dong-hyo ),허영희 ( Heo Young-Hee ) 경상대학교 법학연구소 2022 법학연구 Vol.30 No.1

On March 23, 2021, the day after the unfortunate incident in which three mothers and daughters were murdered in Nowon-gu, the National Assembly held a plenary session and decided to enact the Stalking Punishment Act. After that, the Stalking Punishment Act was enacted on April 20 and came into effect on October 21. After 22 years of stalking punishment after the stalking punishment law has been abolished and reissued several times, stalking is fined less than 3 years in prison or 30 million won, and if using a weapon, it will be punished with imprisonment for 5 years or less and fines of 50 million won or less. Although the enactment of the Stalking Punishment Act has great significance, there are still high voices of concern pointing out its limitations regarding the effectiveness of the current law to prevent stalking crimes. In particular, only emergency measures and provisional measures are stipulated to protect victims, so the actual measures to protect victims are quite insufficient. Therefore, this study examines the definition and characteristics of stalking crimes, then examines countermeasures through foreign stalking-related laws, and analyzes the status of reporting and judicial processing of stalking crimes in Korea. In addition, the problems of the Stalking Punishment Act enacted on April 20, 2021 are largely addressed, such as the non-intentional punishment clause, the criminal establishment requirements requiring continuity and repeatability, the problem of indeterminate concepts, the problem of victim protection measures, the problem of aggravated punishment, the problem of cyber stalking punishment, etc. and proposed legislative supplements. In addition, it was proposed to prepare a legal basis for requesting emergency livelihood support by including it as a means of protecting and supporting victims of stalking crimes. Lastly, at the policy level, a stalking support center that prevents stalking crimes and supports victims should be installed to establish a reporting system through linkage and cooperation between relevant organizations such as the local police and experts and experts. In addition, there is a need to prepare practical protection measures that victims can feel, such as measures to protect and support victims.

성전환증 환자에 대한 간호사의 인식 유형: Q-방법론적 접근

이은남,서지민,주현옥,송영선,이동매,이복남,신선미,주연희,최옥희,허영희,Lee, Eun-Nam,Seo, Ji-Min,Ju, Hyeon-Ok,Song, Young-Sun,Lee, Dong-Mei,Lee, Bok-Nam,Shin, Sun-Mi,Ju, Yeon-Hee,Choi, Ok-Hee,Heo, Yeong-Hee 한국간호과학회 2006 Journal of Korean Academy of Nursing Vol.36 No.7

Purpose: The purpose of this study was to identify the attitude of nurses toward transsexuals. Method: The Q-methodology which provides a method of analyzing the subjectivity of each item was used. Twenty-nine nurses classified the 50 selected Q-statements into a normal distribution using a 9 point scale. The collected data was analyzed using the Quanl PC program. Result: Four types of attitudes toward transsexuals were identified. The first type (humanitarian acceptance) showed an attitude of respecting transsexuals as human beings and understanding and accepting their desires and difficulties. The second type (superficial understanding) understood the psychological conflicts and suffering of transsexuals but could not accept them as members of families or society, The third type (insufficient understanding) did not feel a sense of rejection toward transsexuals but showed a lack of understanding of their desires and difficulties. The fourth type (rejection) failed to understand the desires and difficulties of transsexuals and showed a sense of rejection toward them, in addition to regarding them as sexually immoral people. Conclusion: The results of the study indicate that different. approaches of educational programs based on the four types of attitudes toward transsexuals are recommended.

단백질 수준이 흰쥐의 철, 구리 및 아연의 대사에 미치는 영향

高鎭福,許英姬 新羅大學校 1989 論文集 Vol.28 No.-

This thesies is focused on the effects of alternate changes of dietary protein levels on iron., copper and zinc metabolism in mature(18-month-old) male rats. In the experiment, the rats were fed on diets of various protein levels for 4 weeks:(1) Group Ⅰ,Ⅱ and Ⅲ received diets of 8%, 16% and 24% protein respectively throughout the experiment; (2) Group Ⅳ received alternate 3-day diets of 8% protein and 1-day diets of 24% protein throughout the experiment: and (3) Group Ⅴ received alternate 3-day diets of 24% protein and 1-day diets of 8% protein throughout the experiment. The iron concentrations of the heart of rats in Group Ⅱ and of the muscles of those in Group Ⅲ proved to be lower than those in the other groups, at the end of 4-week's experiment. The iron concentration of serum was significantily higher in Group Ⅰ than those in other groups. Group Ⅲ was highest of all the groups in the copper concentrations of kidney, muscle, and serum and the femur zinc concentration. However, neither the constancy of a protein level nor the alternate changes of protein levels affected the iron concentrations of liver, kidney, and spleen, the copper concentrations of liver and heart, and the zinc concentrations of serum and spleen. The experiment also proved that the increased proportion of dietary protein did not change the rates of apparent absorption of iron, copper and zinc.