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손동국 ( Dong Koog Son ),홍소영 ( So Young Hong ),김현정 ( Hyun Jung Kim ),염혜영 ( Hye Yung Yum ),이수형 ( Soo Hyung Lee ),조미래 ( Mi Rae Cho ),고은실 ( Eun Sil Ko ),조성은,임완령 ( Wan Ryung Lim ),권호장 ( Ho Jang Kwon ) 대한소아알레르기호흡기학회(구 대한소아알레르기 및 호흡기학회) 2012 소아알레르기 및 호흡기학회지 Vol.22 No.2
목적: 서울시가 주관하고 서울의료원에서 주최한 2010년 아토피캠프는 아토피피부염 환아와 가족에게 아토피피 부염 관리 방법의 교육으로 생활 습관의 개선을 유도하고자 하였으며, 본 연구에서는 아토피캠프에 참여한 아토피피부염 환아들의 캠프 만족도 지식의 변화 및 생활 습관의 변화를 알아보고자 하였다. 방법: ``서울시 아토피안심학교``의 초등학교 아토피피부염 아동과 보호자를 대상으로 2010년 5월 22일부터 10월24일 까지 매월 2째, 4째주 토요일과 일요일 총 10회에 걸쳐 아토피캠프를 실시하였다. 설문조사는 캠프 전후에 실시 하였으며, 캠프 참가 환아 374명 중 미기재 응답 문항이 많은 11명을 제외한 363명의 설문지를 분석대상으로 하였다. 또한 캠프 3개월 후 효과 평가를 위해 실시한 우편 설문 조사에는 캠프참여자 374명 중 167명이 응답하였으며, 응답률은 44.7%였다. 결과: 아토피캠프의 체험프로그램이 교육프로그램보다 만족도가 높았고, 저학년이 고학년에 비해 교육프로그램 만족도가 높았다. (P<0.001) 아토피피부염에 대한 지식은 캠프 전에는 학년이 높을수록(P<0.001) 그리고 아토피피부염 증상이 있는 경우에 높았고(P0.01), 캠프 후에는 학년이 높을수록 지식이 높았다. (P<0.001) 아토피캠프 3개월후 ``1주일 동안의 목욕 및 샤워의 횟수``, ``면 수건으로 톡톡톡 두드려 닦음``, ``샤워나 목후 후 3분 이전에 보습제 바르기`` 그리고 ``1일 보습제 바르는 횟수가 통계적으로 유의하게 증가하였다. (P<0.001) 피부가 가려울 때 ``가려우면 언제라도 그냥 긁음 은 감소하였고, ``몇 번 긁는지 긁는 횟수를 세어봄``이나 ``안 긁으려고 다름 생각을 함``은 증가하였으며(P<0.001), 아토피피부염 때문에 친구들이 놀릴 때 ``하지마 라고 말함``의 비율이 증가하는 등 캠프 후 생활 습관이 긍정적으로 변화하였다. Purpose: In this study, we attempted to analyze the effectiveness of the atopic dermatitis camp for primary school students in the Seoul area. Methods: Seoul city`s atopy camp 2010 was conducted 10 times from May 22nd to October 24th for primary school students at an atopy friendly school and their parents. A total of 374 atopic dermatitis patients participated in the camp and questionnaires for 363 were analyzed, except 11 participants who had left several questions unanswered. In a 3-month follow-up survey, 167 participants out of 374 responded to the mailing questionnaire to evaluate the efficiency of the camp. The response rate was 44.7%. Results: Satisfaction with the educational program of the camp was higher for lower grade students than for higher grade students.(P<0.001) Before camp, higher grade students (P<0.001) or students with severe symptoms were more knowledgeable of atopic dermatitis.(P<0.01) After the camp, the higher the grade, the more the knowledge the student had about atopic dermatitis.(P<0.001) Three months after the camp, there was positive change in the lifestyle of atopic dermatitis patients.(P<0.001) Conclusion: Knowledge on atopic dermatitis increased and the lifestyle of atopic dermatitis patients was improved due to the camp. Consequently, Seoul city`s atopy camp can be utilized as a method to improve the quality of life of atopic dermatitis patients and their family. And Seoul city`s atopy camp is expected to be a model for atopy camps in other local communities.
Soyoung Hong,Dong Koog Son,Wan Ryung Lim,Sun Hang Kim,Hyunjung Kim,Hye Yung Yum,Hojang Kwon 환경독성보건학회 2012 환경독성보건학회지 Vol.27 No.-
Objectives: Childhood allergic diseases are a major concern because they lead to a heavy economic burden and poor quality of life. The purpose of this study was to investigate the prevalence of childhood atopic dermatitis, asthma, allergic rhinitis, and the comorbidity of allergic diseases in Seoul, Korea. Methods: We conducted a cross-sectional survey between May and October 2010 to evaluate the prevalence of childhood allergic diseases, including atopic dermatitis, asthma, and allergic rhinitis, using a questionnaire from the International Study of Asthma and Allergies in Childhood group. Each questionnaire was completed by the parent or guardian of a child. Results: In the 31,201 children studied, the prevalence of atopic dermatitis symptoms in the past 12 months was 19.3% in children 0 to 3 years of age, 19.7% in children 4 to 6 years of age, 16.7% in children 7 to 9 years of age, and 14.5% in children 10 to 13 years of age (p for trend < 0.001). The prevalence of asthma in these age groups was 16.5%, 9.8%, 6.5%, and 5.4%, respectively (p for trend < 0.001). The prevalence of allergic rhinitis in these age groups was 28.5%, 38.0%, 38.5%, and 35.9%, respectively (p for trend = 0.043). The percentage of subjects with both atopic dermatitis and asthma, both asthma and allergic rhinitis, or both atopic dermatitis and allergic rhinitis was 2.5%, 4.7%, and 8.7%, respectively. The prevalence of comorbid allergic diseases decreased with age (p for trend < 0.001). Conclusions: Our study revealed that the prevalence of some allergic diseases, such as atopic dermatitis and asthma, was relatively high in very young children and that all of the principal allergic diseases in children often co-exist.
Hong, So-Young,Son, Dong-Koog,Lim, Wan-Ryung,Kim, Sun-Hang,Kim, Hyun-Jung,Yum, Hye-Yung,Kwon, Ho-Jang The Korean Society of Environmental Toxicology 2012 환경독성보건학회지 Vol.27 No.-
Objectives: Childhood allergic diseases are a major concern because they lead to a heavy economic burden and poor quality of life. The purpose of this study was to investigate the prevalence of childhood atopic dermatitis, asthma, allergic rhinitis, and the comorbidity of allergic diseases in Seoul, Korea. Methods: We conducted a cross-sectional survey between May and October 2010 to evaluate the prevalence of childhood allergic diseases, including atopic dermatitis, asthma, and allergic rhinitis, using a questionnaire from the International Study of Asthma and Allergies in Childhood group. Each questionnaire was completed by the parent or guardian of a child. Results: In the 31,201 children studied, the prevalence of atopic dermatitis symptoms in the past 12 months was 19.3% in children 0 to 3 years of age, 19.7% in children 4 to 6 years of age, 16.7% in children 7 to 9 years of age, and 14.5% in children 10 to 13 years of age (p for trend < 0.001). The prevalence of asthma in these age groups was 16.5%, 9.8%, 6.5%, and 5.4%, respectively (p for trend < 0.001). The prevalence of allergic rhinitis in these age groups was 28.5%, 38.0%, 38.5%, and 35.9%, respectively (p for trend = 0.043). The percentage of subjects with both atopic dermatitis and asthma, both asthma and allergic rhinitis, or both atopic dermatitis and allergic rhinitis was 2.5%, 4.7%, and 8.7%, respectively. The prevalence of comorbid allergic diseases decreased with age (p for trend < 0.001). Conclusions: Our study revealed that the prevalence of some allergic diseases, such as atopic dermatitis and asthma, was relatively high in very young children and that all of the principal allergic diseases in children often co-exist.
Fasting Glucose Level and the Risk of Incident Atherosclerotic Cardiovascular Diseases
Park, Chanshin,Guallar, Eliseo,Linton, John A.,Lee, Duk-Chul,Jang, Yangsoo,Son, Dong Koog,Han, Eun-Jeong,Baek, Soo Jin,Yun, Young Duk,Jee, Sun Ha,Samet, Jonathan M. American Diabetes Association 2013 Diabetes care Vol.36 No.7
<P><B>OBJECTIVE</B></P><P>Although diabetes increases the risk of cardiovascular disease (CVD) and mortality, the dose-response relationship between fasting glucose levels below those diagnostic of diabetes with cardiovascular events has not been well characterized.</P><P><B>RESEARCH DESIGN AND METHODS</B></P><P>A prospective cohort study of more than one million Koreans was conducted with a mean follow-up of 16 years. A total of 1,197,384 Korean adults with no specific medical conditions diagnosed were classified by baseline fasting serum glucose level. Associations of fasting glucose level with CVD incidence and mortality, stroke incidence and mortality, and all-cause mortality were analyzed using multivariate proportional hazards regression.</P><P><B>RESULTS</B></P><P>The relationships between fasting glucose levels and CVD risks generally followed J-shape curves, with lowest risk in the glucose range of 85–99 mg/dL. As fasting glucose levels increased to >100 mg/dL, risks for CVD, ischemic heart disease, myocardial infarction, and thrombotic stroke progressively increased, but risk for hemorrhagic stroke did not. Fasting glucose levels <70 mg/dL were associated with increased risk of all stroke (hazard ratio 1.06, 95% CI 1.01–1.11) in men and (hazard ratio 1.11, 1.05–1.17) in women.</P><P><B>CONCLUSIONS</B></P><P>Both low glucose level and impaired fasting glucose should be considered as predictors of risk for stroke and coronary heart disease. The fasting glucose level associated with the lowest cardiovascular risk may be in a narrow range.</P>
아토피피부염 통합치료 프로그램에서의 심리적 개입의 실제
조성은 ( Sung Eun Cho ),전지은 ( Ji Eun Jeon ),조하나 ( Ha Na Cho ),손동국 ( Dong Koog Son ),김혜원 ( Hye One Kim ),이수형 ( Soo Hyung Lee ),염혜영 ( Hye Yung Yum ) 대한천식알레르기학회 2010 천식 및 알레르기 Vol.30 No.2
Background: Psychological interventions have potentials for improving disease management and quality of life in children with atopic dermatitis (AD) and their families. However, integration of medical and psychological health care in the treatment of children with AD is very rare in Korea. Objective: The aim of this study was to present descriptive data from a hospital-based interdisciplinary program that provides integrated medical and psychological health-care for children with AD. Method: Clinical records were reviewed for 127 children seen in our program as well as common problems and interventions addressed during family visits with the program psychologist. Age group differences in problems and interventions addressed during psychology sessions were evaluated. Also, the differences by symptom severity and sex in problems addressed during psychology sessions were analyzed. Result: Significant age-group differences were found in the problems and interventions addressed during psychology sessions. Among the age groups, sleep problems were most common in the <5 age group (50.0%). Negative self-image, problems of being bullied and attention problems were most common in the 6~12 age group (25.4%, 23.7% and 16.9%, respectively). Anxious/depressed mood, study burden and parent-child relational problems were most common in the 13~18 age group (65.0%, 60.0% and 45.0% respectively). Conclusion: The results of this study support the need for and feasibility of providing integrated care for children with AD and their families. Age-group differences found in problems and interventions addressed during psychology sessions could be useful especially in planning for group sessions. (Korean J Asthma Allergy Clin Immunol 2010; 30:100-109)
Effectiveness of the Educational Program in Atopy Camp
조미래 ( Mi Rae Cho ),( So Young Hong ),( Ho Jang Kwon ),( Hye Yung Yum ),( Hyun Jung Kim ),( Soo Hyung Lee ),( Sung Eun Cho ),( Ha Na Cho ),( Ji Eun Jeon ),( Dong Koog Son ) 한국피부장벽학회 2010 한국피부장벽학회지 Vol.12 No.1
Atopic Dermatitis is a complicate disease that accompanies other allergic sicknesses and requires long-term treatment. Therefore, development of an educational program that focuses on management of the disease is needed. This research attempted to enhance the educational effects on patients with atopic dermatitis. Also, as a systematic method to reduce the time and money spent for a through education about the sickness, a concentrated "Atopic Dermatitis Camp" is held at a restricted area to reveal the effectiveness of Atopic Dermatitis camps and the necessity to develop camp education is discussed. This camp provided education and recreational programs on Atopic Dermatitis to those elementary school students who live in Seoul and wants to participate. Over 4 sessions, 151 students participated in the overnight camp. As for the result of the research, a 15-point-scale survey on the Atopic Dermatitis patients` knowledge on the sickness has shown a 10.64 average points before the camp and an 11.87 average after the camp. A statistically significant 1.23 points have risen. It is expected that education about the sickness through the Atopic Dermatitis camp had a positive effect on the patients `knowledge and also that this camp has been an opportunity to recognize the patients` desires to participate in the Atopic Dermatitis camp.