국내 3-7세 어린이의 혈중 납, 수은, 카드뮴 농도와 관련요인

서주희,김병권,김유미,김록범,정진용,홍영습,Seo, Ju-Hee,Kim, Byoung-Gwon,Kim, Yu-Mi,Kim, Rock-Bum,Chung, Jin-Yong,Hong, Young-Seoub 한국환경보건학회 2014 한국환경보건학회지 Vol.40 No.4

Objectives: Children are more susceptible to heavy metal toxicity than adults. The purpose of this study was to evaluate heavy metal concentrations in the blood of Korean preschoolers and investigate the association between metals in blood and related factors. Methods: A total of 512 subjects from 36 to 83 months of age were sampled. A questionnaire survey was performed and the levels of lead, mercury and cadmium were measured in the blood samples of all subjects. Their parents were interviewed in order to obtain information on basic characteristics, dietary patterns, socio-economic factors, and indoor/outdoor environment of the preschoolers. Multiple linear regression was used to analyze the association between the above factors and lead, mercury or cadmium concentrations. Results: The geometric mean concentrations of lead, mercury and cadmium in the blood were $1.45{\pm}1.58{\mu}g/dL$, $2.14{\pm}1.74{\mu}g/dL$ and $0.23{\pm}1.91{\mu}g/dL$, respectively. Results from multiple linear regression analysis showed that blood lead levels were associated with birth weight and paternal smoking status. Daily mercury intake from food and maternal education were also shown to influence mercury concentrations in blood. Also, blood cadmium concentrations were associated with maternal age and having a bus garage near the place of residence. Conclusion: This study suggests that smoking status, dietary patterns and the environmental status near the residence should be considered as important factors for preventable sources of heavy metal exposure in preschoolers.

Face mask를 이용한 유치열기 골격성 반대교합의 치료

서주희,이광희,김대업,이지영,Seo, Ju-Hee,Lee, Kwang-Hee,Kim, Dae-Eop,Lee, Ji-Young 대한소아치과학회 2002 大韓小兒齒科學會誌 Vol.29 No.1

III급 부정교합은 서양인에서 약 5%의 발생빈도를 보이며, 일본인과 한국인에서 교정환자중 50%정도로 증가하는 추세이다. 이런 III급 부정교합자의 63%가량이 상악골의 열성장 또는 상악골의 열성장과 하악골의 과성장에 의한 것이라고 알려져 있다. 일반적으로 환자의 나이가 많을수록 악정형력보다는 치열에서의 변화량이 크므로 치료는 조기에 시행하는 것이 바람직하다고 하였다. 조기치료시 성장조절, 환자의 협조도, 치료의 관리와 같은 결정요소들을 잘 판단하여 시행함으로써 상악골의 더 많은 전방이동이 가능하며 정상 성장을 도모하고 교합관계가 증진되며 안모의 개선으로 인해 정상적인 사회 심리적 발육이 이루어질 수 있다. 본 증례는 반대교합을 주소로 원광의료원 치과병원 소아치과에 내원한 유치열기 환아에게 facemask를 이용한 조기 치료로 양호한 결과를 얻었기에 보고하는 바이다. The prevalence of Class III malocclusion is approximately 5% in the Caucasian population, rising to as mush as 50% in the Japanese and Korean population. Recent studies have suggested than 63% of this malocclusion display maxillary retrusion. If left untreated, the malocclusion tends to worsen. Consequently, early treatment is commonly indicated to obtain a more normal jaw relationship. This report is 2 cases treated patients who diagnosed as skelectal Class III malocclusion due to deficient maxilla using facemask.

신증후군 환자에서 스테로이드 충격요법과 경구용 면역억제제 치료 중 발생한 가역성 후백질뇌병증 1례

서주희,신정욱,김지홍,윤춘식,Seo Joo Hee,Shin Jung Wook,Kim Ji Hong,Yoon Choon Sik 대한소아신장학회 2005 Childhood kidney diseases Vol.9 No.2

저자들은 정맥 주사용 스테로이드 충격요법과 경구 cyclophosphamide 치료를 받던 신증후군 환아에서 가역성 후백질뇌병증 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. The syndrome of reversible posterior leukoencephalopathy syndrome(RPLS) is characterized clinically by acute neurologic signs such as headache, vomiting, confusion, seizures, and visual abnormalities. Radiologically, abnormalities consistent with reversible white matter edema in the occipital and parietal lobes are characteristic. RPLS has often been associated with various systemic disorders, such as hypertensive encefhalopathy, eclampsia, and the use of intravenous or intrathecal immunosuppressive drugs. We report a case of RPLS that occurred after intravenous steroid pulse therapy and treatment with oral cyclophosphamide in a child with nephrotic syndrome, and we emphasize the importance of early recognition of RPLS in the treatment of nephrotic syndrome and appropriate management tn prevent Permanent neurologic disability. (J Korean Soc Pediatr Nephrol 2005;9:245-250)

초등학교 담임교사의 상담자로서 역할지각 및 수행실태와 아동의 기대 분석

서주희,김양현,Seo, Ju-Hee,Kim, Yang-Hyun 한국초등상담교육학회 2006 초등상담연구 Vol.5 No.1

The objective of this study is to conduct survey analyses of the role perception and performance of homeroom teachers in elementary schools in Seoul as well as their students' expectations for teachers' role as counsellors. The study also aims to analyze the causes behind the lackluster performance, to provide assistance in teachers' counselling and guidance activities and collect basic data for providing a plausible orientation for elementary school counselling. Research topics for achieving these study objectives are as follows. First, what is the status quo of counselling between elementary school students and teachers? Second, what is the role perception of elementary school homeroom teachers as counsellors and their current level of performance? Third, what are the differences in students' expectations for homeroom teachers' role as counsellors according to students' environmental variables such as gender and grade? Fourth, what are the discrepancies between the roles perception and performance of elementary school homeroom teachers and role expectation of students for homeroom teachers' role as counsellors? In order to answer these questions, surveys were conducted for 229 teachers and 385 students in grades 4, 5 and 6 in 11 elementary schools in Seoul, and the results were analyzed. The questionnaires used for this study were modified and supplemented according to the research objectives based on survey questions released by Gyung-Beom Lee(1989), Hak-Soo Lee(2001) and Gi-Nam Gwon(2005). Statistical analyses were peformed using the SPSS for Windows 10.0 program. The results of the study can be summarized as follows. First, most elementary school homeroom teachers were involved in counselling activities, and about half of them were providing counselling once a month or less. The classroom was the primary location of counselling, and more than half of the surveyed teachers were dissatisfied with their counselling activities. The teachers cited overwhelming teaching hours and excessive work as the factors that made counselling difficult. Second, it was revealed that most elementary school students have had experiences of anguish and most have had some form of counselling. They mostly sought counselling from their parents and friends, and the reasons behind such choices were that they were very understanding. Third, most students responded that they have had no experience of receiving counselling from their homeroom teachers. Among those with counselling experience with their homeroom teachers, most said that the counselling was helpful. The most significant reason for not receiving counselling from their homeroom teachers was that the students had no worries to talk about with their teachers. Fourth, as a result of categorizing the role of elementary school homeroom teachers as counsellors according to the areas of counselling, role perception for each area turned out to be generally high, while performance was substantially lacking. Fifth, in terms of the causes for the lackluster counselling performance, overwhelming teaching hours and excessive work were indicated for counselling areas of academic and personality issues. Sixth, the analysis of students' expectations for elementary school homeroom teachers as counsellors for counselling areas according to gender and grade revealed that there was no overall statistical significance. Seventh, from the general perspective, the level of role perception of the homeroom teachers were higher than the level of students' expectations. In conclusion, in order to enhance the teacher's role as a counsellor, there has to be a concrete perception of roles as a primary premise, calling for training sessions and programs dedicated to counseling for the teachers to take part in. Moreover, in order to alleviate the most significant causes for undermining teachers' counselling activities - overwhelming teaching hours and excessive work - there must be administrative consideration as well as

2002년 서울시 대기오염과 출생 자료를 이용한 저체중아 환경보건감시체계 연구

서주희,김옥진,김병미,박혜숙,임종한,홍윤철,김영주,하은희,Seo, Ju-Hee,Kim, Ok-Jin,Kim, Byung-Mi,Park, Hye-Sook,Leem, Jong-Han,Hong, Yun-Chul,Kim, Young-Ju,Ha, Eun-Hee 대한예방의학회 2007 예방의학회지 Vol.40 No.5

Objectives: The principal objective of this study was to determine the relationship between maternal exposure to air pollution and low birth weight and to propose a possible environmental health surveillance system for low birth weight. Methods: We acquired air monitoring data for Seoul from the Ministry of Environment, the meteorological data from the Korean Meteorological Administration, the exposure assessments from the National Institute of Environmental Research, and the birth data from the Korean National Statistical Office between January 1, 2002 and December 31, 2003. The final birth data were limited to singletons within $37{\sim}44$ weeks of gestational age. We defined the Low Birth Weight (LBW) group as infants with birth weights of less than 2500g and calculated the annual LBW rate by district. The air monitoring data were measured for $CO,\;SO_2,\;NO_2,\;and\;PM_{10}$ concentrations at 27 monitoring stations in Seoul. We utilized two models to evaluate the effects of air pollution on low birth weight: the first was the relationship between the annual concentration of air pollution and low birth weight (LBW) by individual and district, and the second involved a GIS exposure model constructed by Arc View 3.1. Results: LBW risk (by Gu, or district) was significantly increased to $1.113(95%\;CI=1.111{\sim}1.116)\;for\;CO,\;1.004(95%\;CI=1.003{\sim}1.005)\;for\;NO_2,\;1.202(95%\;CI=1.199{\sim}1.206\;for\;SO_2,\;and\;1.077(95%\;CI=1.075{\sim}1.078)\;\;for\;PM_{10}$ with each interquartile range change. Personal LBW risk was significantly increased to $1.081(95%\;CI=1.002{\sim}1.166)\;for\;CO,\;1.145(95%\;CI=1.036{\sim}1.267)\;for\;SO_2,\;and\;1.053(95%\;CI=1.002{\sim}1.108)\;for\;PM_{10}$ with each interquartile range change. Personal LBW risk was increased to $1.003(95%\;CI=0.954{\sim}1.055)\;for\;NO_2$, but this was not statistically significant. The air pollution concentrations predicted by GIS positively correlated with the numbers of low birth weights, particularly in highly polluted regions. Conclusions: Environmental health surveillance is a systemic, ongoing collection effort including the analysis of data correlated with environmentally-associated diseases and exposures. In addition. environmental health surveillance allows for a timely dissemination of information to those who require that information in order to take effective action. GIS modeling is crucially important for this purpose, and thus we attempted to develop a GIS-based environmental surveillance system for low birth weight.

오염된 유치 상아질에 대한 자가 부식 프라이머의 결합강도에 관한 연구

서주희,이광희,김대업,Seo, Ju-Hee,Lee, Kwang-Hee,Kim, Dae-Eup 대한소아치과학회 2002 大韓小兒齒科學會誌 Vol.29 No.1

연구목적은 자가부식 프라이머의 적용 시기에 따른 타액과 혈액 오염에 대한 결합력에 미치는 영향을 알아보는 것이었다. 유치 시편을 각각 10개씩 제작하여 대조군, 접착전 타액 오염, 접착제 중합후 타액 오염, 접착전 혈액 오염, 접착제 중합후 혈액 오염된 상황으로 2가지 종류의 자가부식 접착제와 복합레진을 적용하여 만능 물성 시험기로 전단결합강도를 측정, 분석하였다. 접착제 적용전 타액 오염(I군)시에는 대조군과 비교하여 결합력이 유사하거나 약간 감소되었으나, 통계학적 유의한 차이가 없었다(P>0.05). 접착후 타액 오염(II군)이나 접착 전후의 혈액 오염(III, IV군)시 유의하게 결합력이 감소하였다. (P<0.01). Clearfil SE Bond가 AQ Bond보다 유의하게 높은 결합강도를 보였다(P<0.05). The purpose of this study was to determine and compare the shear bond strength of two self-etching primer systems to primary teeth contaminated with saliva and blood. Clearfil SE Bond and AQ Bond were evaluated. One hundred specimens were made by seventy-five deciduous teeth(fifty anterior and twenty-five posterior teeth) and divided randomly into ten groups. Small flat dentinal surfaces were prepared by grinding the buccal, lingual and labial areas. Specific surface treatments were applied to each group: (1) a self-etching primer application(control group), (2) saliva contamination followed by primer(Group I), (3) primer curing followed by saliva contamination (Group II), (4) blood contamination followed by primer(Group III), (5) primer curing followed by blood contamination(Group IV). After bonding of composite resin(Z100, 3M, USA) to contaminated sample surfaces and thermocycling(1,000 cycles), shear bond strengths were measured using Universal Testing Machine(Zwick Z020, Zwick Co., Germany). The results were as follows; 1. Group I showed lower shear bond strength than control group but no statistically significant difference was found(P>0.05). 2. Group II and blood contamination group(Group III & IV) showed significantly lower shear bond strength than control group(P<0.01). 3. The shear bond strength of Clearfil SE Bond was significantly higher than that of AQ Bond(P<0.05).

알레르기비염과 형제자매와의 연관성

서주희 ( Ju Hee Seo ),김형영 ( Hyung Young Kim ),정영호 ( Young Ho Jung ),권지원 ( Ji Won Kwon ),김병주 ( Byoung Ju Kim ),김효빈 ( Hyo Bin Kim ),김우경 ( Woo Kyung Kim ),이소연 ( So Yeon Lee ),장광천 ( Gwang Cheon Jang ),송대진 ( 대한천식알레르기학회 2013 Allergy Asthma & Respiratory Disease Vol.1 No.1

Purpose: We investigated the effect of siblings on the development of allergic rhinitis (AR) in Korean adolescents. Methods: A cross-sectional study of adolescents (n=3,271) aged 12 to 15 years was conducted at three middle schools in Seoul. Demographic and disease-related information was obtained through a questionnaire. Results: The mean age of the subjects was 13.9±0.8 years comprising 48.7% males and 51.3% females. The percentage of the subjects who had ever been diagnosed with AR by physician was 30.7%. Subjects who had older sibling and who had younger sibling were 45.3% and 44.2% respectively. Subjects with older sibling were less likely to diagnose AR than subjects without older sibling (adjusted odds ratio [aOR], 0.69; 95% confidence interval [CI], 0.57 to 0.84). Subjects with older sibling, even though with family history of allergic disease had protective effect compared to subjects without older sibling (aOR, 0.62; 95% CI, 0.45 to 0.84). Subjects with younger sibling were more likely to diagnose AR than subjects without younger sibling (aOR, 1.23; 95% CI, 1.02 to 1.49). Conclusion: These findings suggest that having older sibling is one of the important protective factor for the development of allergic rhinitis and having younger sibling is risk factor for allergic rhinitis in adolescents. (Allergy Asthma Respir Dis 1?1):67-72, 2013)Allergy Asthma Respir Dis 1(1):67-72, 2013)

망막파열이 동반된 구기작통증(九氣作痛症) 환자 1례(例) 증례보고

서주희 ( Joo Hee Seo ),장하정 ( Ha Jeong Jang ),김자영 ( Ja Young Kim ),성우용 ( Woo Yong Sung ),임호제 ( Ho Jea Lim ),김주원 ( Ju Won Kim ) 대한한방신경정신과학회 2006 동의신경정신과학회지 Vol.17 No.2

Pain disorder is a category of somatoform disorder that be diagnosed when the pain is starting and getting worse associated with psychological factors. At the recent study, it revealed that stress might be more strong factor in occurring and sustaining the somatoform disorder. In this case, a 42 years old female patient had a chronic pain disorder 3 years ago, suddenly complained of an eyeball pain due to retina rupture induced by severe stress. In the view of oriental medicine, pain disorder belongs to GuQiJakTongJung. So, we diagnosed her state as GuQiJakTongJung and treated her such as herbal medicine, acupunture and phlebotomy therapy.In result, the chronic pain of the patient was improved, and also general condition was getting better.

임신중 PM₁? 노출이 태아 성장 및 임신결과에 미치는 영향 : 모자환경보건센터(MOCEH)의 임산부 및 영유아 코호트연구

서주희(Ju-Hee Seo),하은희(Eun-Hee Ha),박혜숙(Hye-Sook Park),이보은(Bo-Eun Lee),노영만(Young-Man Roh),홍윤철(Yun-Chul Hong),김양호(Yangho Kim),하미나(Mina Ha),김병미(Byung-Mi Kim),장문희(Moon-Hee Chang) 한국환경독성학회 2010 한국독성학회 심포지움 및 학술발표회 Vol.2010 No.11

웨어러블 카메라의 흔들림 방지를 위한 영상처리기반 온라인 해상도 임계값 조절 기법

서주희(Ju Hee Seo),임재봉(Jae Bong Lim),전용수(Young Su Jeon),김태구(구성),백윤주(Yun Ju Baek) 한국통신학회 2018 한국통신학회 학술대회논문집 Vol.2018 No.6