The clinical importance of body mass index and related blood markers in the elderly cancer patients

신지헌,손덕승,이수림,원혜성,류시영,양지현,김서리,고윤호 대한내과학회 2019 대한내과학회 추계학술대회 Vol.2019 No.1

임상 ; 산전 황산마그네슘(MgSO4) 노출에 따른 초극소 저체중 출생아의 예후

신지헌 ( Ji Hun Shin ),안소윤 ( So Yoon Ahn ),신정희 ( Jeong Hee Shin ),성세인 ( Se In Sung ),김진규 ( Ji Mi Jung ),정지미 ( Jin Kyu Kim ),김은선 ( Eun Sun Kim ),장윤실 ( Yun Sil Chang ),박원순 ( Won Soon Park ) 대한주산의학회 2011 大韓周産醫學會雜誌 Vol.22 No.3

Objective: To determine whether magnesium sulfate exposure is associated with a reduced risk of perinatal complications in extremely low birth weight infants (ELBWIs). Methods: Total 351 inborn extremely low birth weight infants admitted between January 2000 and December 2008 to Samsung Medical Center were divided into the prenatal MgSO4-exposed group (n=76), and control group (n=275), and were retrospectively analyzed. Multiple demographic, clinical characteristics and neonatal complications were compared. Results: Prenatally MgSO4-exposed ELBWIs had significantly higher gestational age, birth weight, and incidence of small for gestational age. In neonatal complications, retinopathy of premature (ROP) treated with laser was less common in MgSO4-exposed group. There were no differences between two groups in the incidence of respiratory distress syndrome (RDS), bronchopulmonary dysplasia (BPD), patent ductus arteriosus (PDA), PDA ligation, intraventricular hemorrhage (IVH), periventricular leukomalacia (PVL), necrotizing enterocolitis (NEC), and mortality. Conclusion: Perinatal exposure to magnesium sulfate was associated with decreased incidence of ROP treated with laser.

자원봉사센터 재난자원봉사 담당자의 직무요구-자원(JD-R)이 직무 열의에 미치는 영향연구

신지헌(Shin, Ji-Hun),정진경(Jung, Jin-Kyung) 한국자원봉사학회 2021 한국사회와 자원봉사연구 Vol.2 No.1

본 연구는 전국의 자원봉사센터에 근무하는 재난자원봉사 업무 담당자들을 대상으로 직무요구와 자원(JD-R) 수준을 파악하고 직무 열의에 미치는 영향을 실증적으로 분석한 것이다. 구조화된 설문지를 활용하여 온라인 조사를 통해 수집된 165명의 응답 결과를 분석한 결과는 다음과 같다. 첫째, 재난자원봉사 업무 담당자들이 인식하는 직무요구 수준은 평균 3.01로 보통 수준이나 역할모호성 요인(3.13)이 비교적 높았으며, 이들을 지원하는 직무자원은 3.15점으로 평균 이상이었지만 자기개발(2.81) 요인은 낮았다. 둘째, 직무 열의는 평균 2.98점으로 평균보다 낮은 수준이었으며 특히 재난자원봉사 업무에 대한 몰두(2.78)가 낮게 나타났다. 셋째, 재난자원봉사 업무 담당자들의 직무열의에 영향을 미치는 요인으로 직무요구에서는 ‘희생’요인이 부정적인 영향(β=-.235)을 미치고 있으며, 직무자원에서는 도구적 지원((β=.193)과 자기개발(=.358)이 긍정적인 영향을 미쳤다. 이러한 분석결과를 바탕으로 재난자원봉사 업무에 대한 직무분석을 통해 역할을 명확히 하고 직무에 필요한 도구적 지원뿐 아니라 담당자의 전문성 향상을 위한 교육 등 자기개발을 위한 지원 확대를 제언하였다. The purpose of this study is to identify job demands and resource levels (JD-R) for disaster volunteers working at volunteer centers across the country, and to empirically analyze their effects on job enthusiasm. The results of analyzing the responses of 165 people collected through an online survey using a structured questionnaire are as follows. First, the job demand level recognized by disaster volunteer work managers was average of 3.01, but the role ambiguity factor (3.13) was relatively high. The job resources to support them were 3.15 points, above the average, but the factor for self-development (2.81) was low. Second, the level of enthusiasm for the job(2.98) was lower than the average and in particular, the level of preoccupation with disaster volunteer work(2.78) was low. Third, as a factor influencing the job enthusiasm of those in charge of disaster volunteer work, the sacrificial factor had a negative effect(β=-.235) in job demands, and instrumental support(β=.193) in job resources. and self-development(β=.358) had a positive effect. Based on these results, the role of disaster volunteer work was clarified through job analysis, and support for self-development such as training to improve the professionalism of the person in charge as well as the instrumental support required for the job was suggested.

International travel of Korean children and Dengue fever: A single institutional analysis

최수한,신지헌,유건희,성기웅,구홍회,김예진 대한소아청소년과학회 2010 Clinical and Experimental Pediatrics (CEP) Vol.53 No.6

Purpose: Dengue fever occurs in many popular tourist destinations and is increasingly imported by returning travelers in Korea. Since Korea is not an endemic country for dengue fever, pediatricians do not usually suspect dengue fever in febrile children even with typical presentation and exposure history. This study was performed to describe the international travel experiences and dengue fever in Korean children. Methods: Travel histories were collected based on questionnaires completed by all patients’ guardians who visited the pediatric infectious diseases clinic at Samsung Medical Center from January 2008 to December 2008. For patients who were suspected of dengue fever, a serological test was performed. Results: Five hundred and seventeen children visited the pediatric infectious diseases clinic for the first time during this period. About 30% of patients who responded to the questionnaire (101/339) had experienced international travel within the last 2 years. Four patients were diagnosed with dengue fever by serological test. Conclusion: Increasing numbers of Korean children visit dengue endemic areas and they may return home with dengue fever. Dengue fever should be suspected in patients who have a travel history to endemic areas.

초극소 저출생 체중아(≤1,000 g)에서 조기에 시작하는 정맥 영양 공급의 효과

박원순,안소윤,신지헌,신정희,성세인,정지미,김은선,장윤실 대한신생아학회 2011 Neonatal medicine Vol.18 No.1

목적: 초극소 미숙아에서 정맥 영양 공급은 성장을 촉진하고예후를 호전시키는 중요한 요소로써, 점차 좀 더 이른 시점에 시작하는, 좀 더 적극적인 영양 공급에 관심이 집중되고 있다. 출생체중 1,000 g 미만의 초극소 미숙아에서 가능한 빨리 총 정맥영양(TPN)을 시작하여 빠른 속도로 영양과 칼로리를 증량시키는 것이 생후 수일 이후에 정맥 영양을 시작하는 것에 비해 어떠한 효과가 있는지 알아보고자 하였다. 방법: 2003년과 2009년 삼성서울병원에서 출생하여 입원한출생체중 1,000 g 이하의 초극소 미숙아 총 85명 중 생존하여퇴원한 60명을 대상으로 하였고, 생후 2-3일 이후부터 TPN을시작하는 2003년 1월 1일부터 2003년 12월 31일까지를 1기(22명), 가능한 조기에 TPN을 시작하는 2009년 1월부터 2009년12월까지를 2기(38명)로 분류하였다. 총 60명의 차트를 후향적으로 조사하였고, 정맥 영양 성분과 총 섭취 칼로리는 생후 7일까지 조사하였고. 이들의 체중의 변화와 임상경과와 합병증을비교하였다. 결과: 1기에 비해 2기에서 출생체중이 낮아지고(1기: 830±110 g, 2기: 740±164 g) 아프가 점수는 1분과 5분 모두 2기에서 높았던 것으로 나타났다. 출생 7일까지 글루코스와 아미노산의 함량과 총 칼로리량이 2기에서 1기보다 유의하게 높았고,제2기에서 1기에 비하여 생후 1주일에서 2주일까지 BUN은 유의하게 증가하여 더 높았다. 2기에서 1기에 비하여 더 낮은 출생 체중에도 불구하고 생후 2주까지 몸무게 증가 속도가 더 빨랐다. 2기에서 중등도 이상의 기관지 폐 이형성, 괴사성 장염(≥stage 2), 레이저 수술이 필요한 미숙아 망막증, 뇌실내 출혈(≥grade 3)은 1기와 차이가 없었으나, 뇌실주변 백질 연화증(36%vs. 8%) 빈도는 출생체중과 아프가 점수를 보정하여 비교하여도 제 2기에서 1기보다 유의하게 줄어들었다. 결론: 조기에 아미노산을 포함하여 적극적으로 TPN을 시작한 초극소 미숙아 군에서 초기의 이화작용을 줄이면서 동화작용을 촉진시키며, 첫 2주 동안 체중 증가가 효과적으로 빠르고뇌실 주위 백질 연화증 발생률이 감소되었다. Purpose: The object of this study was to evaluate the efficacy of early total parenteral nutrition with early amino acid in extremely low birth weight infant (ELBWI). Methods: We retrospectively analyzed the medical records of all ELBWIs who were born and admitted to Samsung Medical Center from January 2003 to December 2003 and January 2009 to December 2009 and alive at the time of discharge. Data for nutritional status and morbidities were compared between period 1 (2003, n=22), in which parenteral nutritional support was started gradually over several days and period 2 (2009, n=38), in which parenteral nutrition with amino acid was started as soon as possible after birth. Results: Compared to period 1, birth weight and Apgar score were lower in period 2. The intake amount of glucose, amino acid and total calorie was higher and the level of blood urea nitrogen was increased more from 7th day to 14th day after birth in period 2 when compared than period 1. The weight gain velocity was faster at 7th and 14th postnatal day in period 2. There were no differences in the incidence of necrotizing enterocolitis, moderate to severe bronchopulmonary dysplasia, and severe Intraventricular hemorrhage (≥ Gr III) between two periods but, the incidence of periventricular leukomalacia(PVL) was significantly lower in period 2. Conclusion: Early initiation of total parenteral nutrition with early amino acid in ELBWIs was beneficial at weight gain with lowering catabolism and increasing anabolism. And it could be related with reducing the incidence of PVL.

[학생심포지엄 후기] 현재를 바라보며 토목의 미래를 그리다!

곽다은,유재석,김대현,박형주,송자송,김지영,엄태현,이희재,신지헌 대한토목학회 2023 대한토목학회지 Vol.71 No.12

기후변화 대응 및 국민 안전 확보를 위한 국가 인프라 정책방향

배덕효,김일환,한승헌,공정식(토론자),김용균(토론자),김진수(토론자),김현준(토론자),박영준(토론자),박준홍(토론자),이영환(토론자),지석호(사회자),허준행,김민기,최인호,강득구,김병욱,송석준,김태오,김재권,신지헌,조원철 대한토목학회 2024 대한토목학회지 Vol.72 No.1