종설 : 야간 혈압의 임상적 의의

윤소윤 ( So Yoon Yoon ),편욱범 ( Wook Bum Pyun ) 대한내과학회 2011 대한내과학회지 Vol.80 No.1

It was impossible to measure the nighttime blood pressure in patients with hypertension for more than one hundred years. The introduction of ambulatory blood pressure monitoring made it possible to evaluate the nighttime blood pressure and clinical significances in recent 40 years. There are tremendous evidences for proving that the nighttime blood pressure is the more powerful predictor in cardiovascular morbidity and mortality than conventional office and ambulatory daytime blood pressure. The cardiovascular mortality can be reduced when 5% of nighttime blood pressure decreased from Ohasama registry report. So investigators should reevaluate the antihypertensive drugs in the view points of nighttime blood pressure reduction. And changing the administration schedule of antihypertensive drugs, so called chronotherapy, is effective for controlling the nighttime blood pressure and modifying the blood pressure circadian rhythm. Korean Ambulatory Blood Pressure (KORABP), nationwide ambulatory blood pressure monitoring registry in Korea, may answer unproved questions for controlling nighttime blood pressure. (Korean J Med 2011;80:31-35)

사춘기 초기 여자 어린이의 골질량 변화와 이에 영향을 미치는 요인 분석

윤소윤(Yun So Yoon),박민경(Park Min Kyoung),백희영(Paik Hee Young),정효지(Joung Hyojee) 韓國營養學會 2007 Journal of Nutrition and Health Vol.40 No.1

The study was conducted to investigate the factors associated with bone mineral content (BMC) changes among early pubertal aged girls. Two hundred and thirty girls between 9 to 11 years of age participated in four surveys over 2 year period. During each survey, dietary intakes were collected with 3-day food records, BMC of left leg's calcaneus were measured by PIXI (Lunar Ltd.) and body composition was measured by bioimpedance method (Inbody 3.0 Biospace Co. Ltd, Seoul, Korea). Mean values of BMC increased in consecutive measurements - 1.48 g, 1.54 g, 1.61 g and 1.66 g. The change of BMC between the first and last measurements was significantly positively correlated with % body fat, negatively correlated with BMC at the baseline (p<0.05). Change of BMC was also significantly positively correlated with % change of lean mass and mineral mass between the first and last measurements. Nutrient intakes during the study period were calculated as mean daily intakes from all surveys. Mean daily intakes of Vit. C and Vit. B? were positively and isoflavone intake was negatively correlated with changes of BMC (p<0.05). In stepwise regression of BMC change with body composition and nutrient intakes, baseline values of BMC, weight, BMI and age, % change of mineral mass during the study period, mean intakes of isoflavone, Vit. B?, protein, carotene and zinc were significant explanatory variables (R² = 0.38, p<.001, F = 32.39). The results imply that the change of BMC among early pubertal aged girls are associated with some body composition and intakes of certain nutrients. (Korean J Nutrition 40(1): 69~77, 2007)

이 달의 영상 : 조기 위암의 생활사

윤소윤 ( So Yoon Yoon ),심기남(교신저자) ( Ki Nam Shim ) 대한소화기학회 2015 대한소화기학회지 Vol.66 No.3

이 달의 영상 : 유방암의 위 전이

윤소윤 ( So Yoon Yoon ),심기남 ( Ki Nam Shim ) 대한소화기학회 2013 대한소화기학회지 Vol.61 No.1

태양 플레어 망원경의 제어 및 자료 분석 무른모

문용재,윤소윤,박영득,장비호,Moon, Yong-Jae,Yoon, So-Yoon,Park, Young-Deuk,Jang, Be-Ho 한국천문학회 1997 天文學論叢 Vol.12 No.1

In this paper we present a newly improved telescope control software and a newly developed data analysis software package for effective use of the Solar Flare Telescope(SOFT) The telescope control software permits us to make not only auto tacking of the SOFT, but also quantitative measurement of the solar irradiation, allowing us to provide weather monitorings. In addition we introduce an IDL widget software package for both monochromatioc (MONO version) and polarimetric data (VMG version) analysis. The MONO version is capable of loading FITS files, changing colors and contrast, image processing, displaying plots, and saving displayed plots by selected formats The VMG version, on the other hand provides a calibration of polarimetric data and plots of reduced vector magnetic fields.

위암환자의 위절제술 후 영양상태 및 섭취량 변화

박영옥(Young Ok Park),윤소윤(So Yoon Yoon),강신숙(Shin Sook Kang),한상미(Sang Mi Han),강은희(Eun Hee Kang) 대한지역사회영양학회 2012 대한지역사회영양학회지 Vol.17 No.1

The purpose of this survey is to investigate the nutritional status and dietary intake of gastrectomized cancer patients in Asan Medical Center. The subjects were 98 patients, who underwent a gastrectomy due to gastric cancer and were admitted to the General Surgery Department during March 2007 to December 2007. We examined general characteristics (sex, age, clinicopathological stage, type of operation), anthropometric data (height, weight change), biochemical data (red blood cell RBC, hemoglobin HGB, hematocrit HCT, mean corpuscular volume MCV, total lymphocyte count TLC, albumin, total cholesterol), dietary intake and dietary intake related symptoms. Weight loss of gastrectomized patients was 9.0 ± 4.3% from preillness weight to visiting out-patient department (OPD) weight. Biochemical data (RBC, HGB, HCT, MCV, TLC, albumin, total cholesterol) significantly deteriorated after gastrectomy. However, outpatient visits were all restored to the normal range. Postoperative energy intake was 785.0 ± 164.2 kcal, which corresponds to 41.6 ± 9.6% of daily energy requirement. The cause of poor oral intake is mostly fear, abdominal pain and abdominal discomfort. Therefore, to control pre-or post-operative weight change in the future requires, focusing on the body weight to maintain a normal or usual nutrition by interventions and increased caloric intake during hospitalization for the development of nutrient-dense meals. In addition, as the main reason of the lack of intake of meals after the gastrectomy was fear, the patients should be actively encouraged to consider the importance of eating proper meals. (Korean J Community Nutr 17(1) : 101~108, 2012)

영재와 공간능력간의 탐색적 고찰: STEM 분야를 중심으로

정미경 ( Mi Kyung Chung ),윤소윤 ( So Yoon Yoon ) 안암교육학회 2012 한국교육학연구 Vol.18 No.3

본 연구에서는 공간능력의 정의 및 구성요인을 기술하고, 이를 바탕으로 공간능력의 위계모형을 제시하며, 최근 들어 영재의 판별도구로써 주목받고 있는 공간능력에 대한 쟁점사항들을 중심으로 영재와 공간능력간의 관계, 영재 판별과 공간능력 검사간의 관계를 논의하여 교육적 함의를 이끌어 내는데 목적이 있다. 본 연구를 통해 다음과 같은 결론을 내릴 수 있다. 첫째, 지능연구의 역사 속에서 다양하게 정의되어 왔으나 언어와 수학적 지능과는 또 다른 측면의 지적 능력으로 볼 수 있는 공간능력이란 사물에 대한 공간관계를 이해하고 기억하는 능력, 공간에서 이미지를 조작하는 능력, 복잡한 물리적 체계가 어떻게 부분으로 분리되는지를 아는 능력으로 정의될 수 있다. 둘째, 공간능력의 구성요인에 대한 탐색을 바탕으로 본 연구에서는 Carroll(1993)의 요인분석을 기반으로 Burton과 Fogarty(2003)의 시각적 이미지 요소에 대한 연구, Tartre(1990)의 공간 시각화 모델, Ho와 Eastman(2005)의 2차원과 3차원 회전능력 요인 모델을 토대로 공간능력 위계모형(hierarchical model)을 제시 하였다. 이를 통해 공간능력은 공간 시각화, 공간 관계, 완결 속도, 완결 융통성, 지각 속도, 시각적 형상화의 6개 구성요인으로 이루어진 위계모형으로 가정하였다. 셋째, 공간능력은 영재들의 성취도와 업적을 예측하는데 있어서 좋은 지표가 될 수 있다. 특히, 공간능력 검사는 STEM 영역이나 예술영재와 같은 특정 분야에서 재능을 발휘할 수 있는 영재를 판별하기 위해 사용 되어질 수 있다. 넷째, 공간능력은 언어와 수리 능력과는 차별화된 비언어능력으로 문화, 언어, 사회경제적지위에 의한 편견을 배제하고 영재를 판별할 수 있는 수단으로써 중요하다는 것을 알 수 있었다. 이러한 결과를 바탕으로 본 연구의 의의 및 후속연구에 대한 제언이 논의되었다. This study reviews research on gifted students` spatial ability and the use of spatial ability tests to identify gifted children. To do this, we describe the definition of spatial ability and spatial factors based on a hypothetical factor structure model of spatial intellectual ability. Several points were then made to link this research to educational implications of gifted education in Korea. First, even though spatial ability has been defined in various ways in the history of intelligence research, we conceptualized it as a general term that refers to an individual`s mental ability to visualize, transform, and manipulate nonverbal information, such as symbols, figures, and two-and three-dimensional objects based on visual stimuli. Second, based on Carroll`s factor analysis, we generated a hypothetical factor structure model of spatial intellectual ability as a compilation of substructures of spatial factors identified by Burton and Fogarty`s(2003) visual imagery factor study, Tartre`s(1990) substructure model of spatial visualization, and Ho and Eastman`s(2006) substructure model of mental rotation. According to the model, we considered six spatial factors and spatial sub-factors of each spatial factor. Third, we determined that spatial ability can be a good predictor of students` performance and achievement, particularly in the talent domains, such as science, technology, mathematics, and engineering(STEM) and visual arts. Fourth, as a nonverbal ability, spatial ability can serve as an alternative assessment of gifted identification free from cultural, linguistic, and socioeconomic status biases. Based on the above implications, we presented significance of the study and suggestions for future studies.

작업치료(학)과 재학생 대상으로 정신건강작업치료사에 대한 인식도와 요구도의 상관관계 및 인식도가 요구도에 미치는 영향

이승섭(Seung-Sup Lee),김도연(Do-Yeon Kim),윤소윤(So-Yoon Yoon),정수인(Su-in Jung),김희(Hee Kim) 한국정신보건작업치료학회 2022 한국정신보건작업치료학회지 Vol.9 No.2

목적: 본 연구는 작업치료학 전공 재학생들의 인식도와 요구도를 조사하고 상관관계 및 인식도가 요구도에 미치는 영향을 알아보고자 하고자 한다. 연구방법: 2021년 8월 31일부터 9월 15일까지 연구 참여에 동의한 208명의 작업치료(학)과 재학생들을 대상으로 온라인 설문을 통해 설문 조사를 진행하였다. 설문지는 문헌고찰을 통해 본 연구의 취지에 맞게 개발하였으며 내적 일치도를 통해 신뢰도를 검증하였다. 일반적 특성을 분석하고 인식도와 요구도의 상관성 및 미치는 영향에 대해 상관분석과 회귀분석을 실시하였다. 결과: 인식도와 요구도 간의 상관관계 분석결과, 인식도와 요구도의 관련성은 직업인식도와 실습요구도의 관계, 직업인식도와 취업요구도의 관계를 제외한 모두가 통계적으로 유의하게 나타났으며 양적(+) 상관관계를 가졌다. 단순선형 회귀분석 결과, 인식도는 β=0.342(p<.001)으로 나타나 요구도에 영향을 미친다고 할 수 있으며 33.1%의 설명력을 가졌다. 또한 β가 양적(+)이므로 정신건강작업치료사에 대한 인식도가 증가하면 학생들의 요구도도 높아지는 것으로 나타났다. 결론: 정신건강 작업치료사에 대한 작업치료 전공 학생들의 인식도가 증가하는 요구도에 맞춰서 학생 교육 과정을 개발해야 한다. 향후 정신건강 분야의 실습을 경험한 학생들을 대상으로 후속 연구가 이루어져야 할 것이다. Purpose: The purpose of this study was to investigate the awareness and demands of students majoring in occupational therapy and the correlation between and effect of awareness on the demands. Method: 208 students majoring occupational therapy in college or university who agreed to participate in the study answered a survey through online from August 31 to September 15, 2021. The questionnaire was developed according to the purpose of this study through literature review, and reliability was verified through internal consistency. After analyzing general characteristics, correlation and regression analysis were performed on the correlation and influence between awareness and demand. Result: As a result of analyzing the correlation between awareness and demand, all of the relationships between awareness and demand were statistically significant and had a positive (+) correlation. Yet, the relationship between job awareness and practice demand, and between job awareness and job demand were not correlated. As a result of simple linear regression analysis, the awareness level was β=0.342 (p<.001), which could be said to have an effect on the demand. The effect had an explanatory power of 33.1%. Also, since β is positive (+), it was found that as the student’s awareness of mental health occupational therapists increase, the students' demands also increase. Conclusion: The student curriculum should be developed to meet the growing needs of occupational therapy students for mental health occupational therapists. In the future, follow-up studies should be conducted targeting students who have experienced practical training in the field of mental health.

항혈소판제 단독 혹은 병합요법이 상부위장관 출혈에 미치는 영향

배서은 ( Suh Eun Bae ),김성은 ( Seong Eun Kim ),정성애 ( Sung Ae Jung ),윤소윤 ( So Yoon Yoon ),심기남 ( Ki Nam Shim ),정혜경 ( Hye Kyung Jung ),김태헌 ( Tae Hun Kim ),유권 ( Kwon Yoo ),문일환 ( Il Hwan Moon ) 대한소화기학회 2011 대한소화기학회지 Vol.57 No.4

Background/Aims: The increasing incidence of cardiovascular disease has led to an increase in the frequency of upper gastrointestinal (GI) hemorrhage due to the use of antiplatelet agents. This study examined the clinical characteristics of patients with upper GI hemorrhage who were administered aspirin alone or a combination treatment of antiplatelet agents. Methods: A 656 patients who underwent drug-eluting coronary stenting at Ewha Mokdong Hospital in 2008 were divided into three groups according to the antiplatetlet agents used after the intervention; groups of aspirin alone, aspirin plus clopidogrel, and aspirin, and clopidogrel plus another antiplatelet agent, respectively. Patients admitted with GI hemorrhage in the same period without a medication history of antiplatelet or nonsteroidal anti-inflammatory drugs were used as the control hemorrhage group. The medical records were reviewed. Results: Significant GI symptoms were observed in 21.1% of total patients, of whom 48.2% had ulcers. The upper GI hemorrhage rate was 3.8%. There was no significant difference in the hemorrhage rate between three groups. Compared to the control hemorrhage group, the endoscopic variables of the antiplatelet-related hemorrhage group were not significantly different. However, the Helicobacter pylori infection rate was lower, the admission period was longer, and the mortality rate was higher in the antiplatelet-related hemorrhage group (p<0.05, respectively). There was no direct association between restarting or discontinuance of antiplatelets after the hemorrhage event and mortality. Conclusions: Adding other antiplatelet agents to aspirin did not increase the hemorrhage rate. However, active diagnostic and therapeutic efforts are recommended in patients with GI symptoms during antiplatelet therapy. (Korean J Gastroenterol 2011;57:213-220)

경장영양을 공급받는 중환자의 위 잔여량 현황 조사

박영옥 ( Young Ok Park ),강은희 ( Eun Hee Kang ),박소정 ( So Jung Park ),박민아 ( Min A Park ),윤소윤 ( So Yoon Yoon ),김승란 ( Seung Lan Kim ),박정윤 ( Jeong Yun Park ),정영선 ( Young Sun Jung ),홍석경 ( Suk Kyung Hong ),예병덕 ( 한국정맥경장영양학회 2009 한국정맥경장영양학회지 Vol.2 No.1

Purpose: High gastric residual volumes (GRVs) are known to be one of the frequent causes of stopping enteral nutrition. This study was performed to investigate the gastric residual volume status in critically ill patients who were admitted to intensive care units. Methods: The subjects were 96 critically ill patients who were admitted to the ICU at ASAN Medical Center between October 1, 2008 and March 31, 2009. The measured volumes were categorized in 50 ml intervals from 0 to 500 ml. Results: Of the total GRVs measured, 46% were <50ml. The patients with a GRV ≥50 ml were 54% and 4% had a GRV ≥250 ml, whereas none of the patients` GRVs were ≥500 ml. When admitted to the hospital, There was a correlation between the APACHE 2 score and the gastric residual volume. This shows that the higher the APACHE2 score was the gastric residual volume. And there was a correlation between the APACHE 2 score and the loss of calories. This shows that the higher the APACHE 2 score was the loss of calories. Conclusion: The gastric residual volume of the critically ill patients under enteral nutrition in our hospital was not higher than that presented on the guidelines from the US and Canada. In addition, there was a big difference in the gastric residual volume among the critically ill patients depending on their clinical characteristics. Strict criteria for the gastric residual volume could be a factor for inhibiting proactive enteral nutrition. (KJPEN 2009;2(1):24-29)