Factors associated with liver fibrosis in young NAFLD soldiers with elevated alanine transaminase level

이재준 ( Jaejun Lee ),김태윤 ( Taeyun Kim ),이승우 ( Seong-woo Lee ),김명중 ( Myoung Jung Kim ),한창인 ( Chang In Han ),신유나 ( Yu Na Shin ),김미영 ( Mi Young Kim ),정숙영 ( Suk Young Jung ) 국군의무사령부 2023 대한군진의학학술지 Vol.54 No.1

Objective Prevalence of NAFLD is increasing globally. It is anticipated to be around 16% among young men in Korea, and those with NAFLD might be considered for active surveillance. Moreover, NAFLD with fibrotic burden has a higher risk of liver related events. The purpose of this study was to identify factors associated with liver fibrosis in young NAFLD soldiers and establish a scoring system using these factors. Method We conducted a cross-sectional study between July 2022 and January 2023, enrolling patients with NAFLD who presented with elevated levels of alanine transaminase. The FAST score was adopted to determine the presence of significant fibrosis. FAST scores greater than 0.67 were considered to indicate significant fibrosis. To develop a novel scoring system for predicting significant fibrosis, participants were randomly assigned to the derivation and the validation cohort. Results A total of 436 patients were enrolled and 67 patients were assessed to have significant fibrosis by the FAST score, indicating a 15.4% prevalence of significant fibrosis. Variables such as ALT levels, BMI, and hypertriglyceridemia were found to be associated with significant fibrosis. Two models were derived from the derivation cohort to predict significant fibrosis. The models were validated using the validation cohort and showed excellent performance (Model 1: AUROC=0.924, Model 2: AUROC=0.894). Conclusion This study identified ALT levels, BMI, and hypertriglyceridemia as factors associated with significant fibrosis in young soldiers with NAFLD. Two models with excellent performance were developed using these variables to predict significant fibrosis. However, biopsy-proven data are required to validate the performance of the proposed scoring system.

감염병으로 인한 태권도선수들의 스트레스가 운동지속 및 중도탈락에 미치는 영향

이숙영(Suk-Young Lee),김보정(Bo-Jeong Kim) 한국발육발달학회 2022 한국발육발달학회지 Vol.30 No.4

This study examined the effects of stress in taekwondo athletes due to infectious diseases on exercise sustaining and dropout, and a survey of 201 taekwondo athletes drew the following conclusions: It was used as an SPSS 27.0 program for data processing on the survey results of this study, and was analyzed with exploratory factor analysis and Cronbachs alpha coefficient, and the independent sample t test and one-way ANOVA were used for each group difference, and the post-test was confirmed by applying scheffe. The correlation by factor was performed using pearsons correlation analysis and a mid-multi-regression analysis was performed to determine the effect on the exercise duration factor and dropout factor due to stress. The criterion according to the statistical processing was α=.05. First, among the general characteristics of taekwondo athletes stress, male athletes showed a higher significant difference than female athletes by gender, and in the grades, 4th grade showed a higher significant difference than 2nd grade. Significant differences in leisure stress were found in the differences between the events, and a detailed factor was identified through a post-mortem test and found that the contestants had a statistically significant difference over the demonstrators. As a result of identifying the difficulties caused by infectious diseases, the difficulties associated with infection in training stress were higher on average than there were none, and there was a statistically significant difference. Second, an analysis of the correlation between factors of stress showed that guidance stress was significantly correlated with leisure stress. Training stress has been shown to have a significant correlation between exercise friends and leisure stress. Third, an analysis of the factor-specific correlation of dropouts showed that tendencies were significantly correlated with likelihood and infectivity, and that they also had a significant correlation with exercise friends. Likelihood has been shown to have a significant correlation between infectious and static correlation. Fourth, the correlation between factors of exercise duration was analyzed and found that exercise ability was significantly correlated with exercise habits, exercise environment, exercise interest, and exercise friends. Exercise habits have been shown to have a significant correlation between exercise environment and exercise interest, and exercise environment has been shown to have a significant correlation between exercise interest and exercise friends.

임상연구 : 제왕절개술을 위한 저용량 척추-경막외 병용 마취 시 교질용액의 동시투여가 혈역학과 Phenylephrine의 요구량에 미치는 영향

이숙영 ( Suk Young Lee ),최덕환 ( Duck Hwan Choi ),박효원 ( Hyo Won Park ) 대한마취과학회 2008 Korean Journal of Anesthesiology Vol.55 No.6

Background: Ephedrine has been recommended as the best vasopressor in obstetrics. But, recent clinical evidences show the possibility that phenylephrine has become more pertinent as a primary vasopressor. We think a phenylephrine infusion with colloid co-hydration will be more useful in maintaining baseline blood pressure in combined spinal-epidural anesthesia (CSEA) for cesarean section. Methods: CSEA was performed using 6 mg bupivacaine and 20 μg fentanyl as a spinal and 10 ml of 0.25% levobupivacaine as an epidural in randomized, colloid co-hydration (hydroxyethl starch, HES 500 ml) (group C, n = 34) or no colloid co-hydration (group N, n=34) parturients scheduled to undergo cesarean delivery. After an infusion of 100 μg phenylephrine following the spinal injection, phenylephrine was intermittently infused using a PCA-pump to maintain the baseline blood pressure (BP). Systolic BP and heart rate (HR) were checked and total phenylephrine amount was measured. Nausea and vomiting and fetal umbilical pH/base excess (BE) were also investigated. Results: There was a lower incidence of bradycardia in the C group compared with the N group (5.9% vs. 32.4%, p = 0.014), and total phenylephrine consumption was less in the C group (400 μg vs. 500 μg, p = 0.019). The incidence of reactive hypertension (11.8% vs. 55.9%, p < 0.001), and the hypotension (0% vs. 11.8%, p = 0.114) were lower in the C group, too. The others were comparable in both groups. Conclusions: Colloid co-hydration was effective in reducing the phenylephrine use and the incidences of abnormal hemodynamics such as hypotension, bradycardia and hypertension in low-dose CSEA for cesarean delivery. (Korean J Anesthesiol 2008; 55: 685~90)

유아교사의 경력과 담당유아연령에 따른 3-5세 연령별 누리과정에 대한 실행수준 및 요구

조숙영 ( Suk Young Cho ),이용주 ( Yong Joo Lee ) 한국아동교육학회 2014 아동교육 Vol.23 No.3

본 연구는 누리과정 담임유아교사를 대상으로 3-5세 연령별 누리과정의 영역별 내용에 대한 유아교사의 실행수준과 누리과정 운영 시 요구에 대하여 경력과 담당유아연령에 따라 살펴봄으로써, 3-5세 연령별 누리과정의 바람직한 실행을 위한 현직교사교육과 연수, 교재교구, 프로그램 개발 등 누리과정 정착에 필요한 정보를 제공하는데 목적이 있다. 이를 위하여 서울·경기도·강원도에 소재한 유치원과 어린이집의 3-5세 누리과정을 실행하고 있는 담임교사 315명을 대상으로 설문조사가 이루어졌다. 수집된 자료는 SPSS WIN 18.0에 의해 빈도, 백분율, 평균, 표준편차와 구인타당도, 평균검정과 t 또는 F값 산출, Scheffe 사후검정을 통해 분석되었다. 연구결과 첫째, 경력에 따른 영역별 내용의 실행수준은 모든 하위 영역에서 통계적으로 유의미한 차이가 나타났으나, 담당유아연령에 따른 영역별 내용의 실행수준은 통계적으로 유의미한 차이가 나타나지 않았다. 반면 3년 미만의 경력이 낮은 교사집단에서 가장 높은 실행수준을 보였다. 둘째, 3-5세 연령별 누리과정의 실행 시 7-9년의 경력을 지닌 교사가 가장 높은 요구를 나타내었으며, 3, 4세 교사가 5세 교사 보다 높은 요구를 나타내었다. This study intends to provide necessary information on settling the Nuri curriculum as in service teacher education, training, teaching material, and program development for proper practice of the Nuri curriculum for age of 3-5 by investigating the implementation level and demands of teachers on contents by area of the Nuri curriculum. To do so, this study conducted questionnaire on 315 homeroom teachers who practice the Nuri curriculum in kindergarten and daycare centers for 3-5 years located in Seoul, Gyunggi-do, and Gangwon-do. The collected data were analyzed through frequency, percentage, average, standard deviation, construct validity, mean test, t or F value calculation, and Scheffe post hoc using SPSS WIN 18.0. First, the research results indicated that the level of implementation of contents by area according to the work experience showed statistically significant difference in every sub domain, but the level of implementation of contents by area according to the age of children did not show statistically significant difference. On the other hand, the teacher group with low work experience of less than 3 years showed the highest implementation level. Secondly, teachers with 7-9 years of work experience showed the highest demand in the Nuri curriculum by age of 3-5, and teachers for 3-4 years of age showed higher demand compare to the teachers for 5 year olds.

국내 학술지 아동 대상 원예치료 논문의 연구 경향 분석

이숙영(Suk Young Lee), 장유진(Eu Jean Jang), 김종윤(Jongyun Kim) 인간식물환경학회 2023 인간식물환경학회 학술대회 Vol.2023 No.1

경추성 두통 환자에서 제3 후두신경의 양극탐침을 이용한 박동성 고주파 신경차단술

이숙영 ( Suk Young Lee ),심우석 ( Woo Seog Sim ),이상민 ( Sang Min Lee ),장인영 ( In Young Chang ) 대한통증학회 2008 The Korean Journal of Pain Vol.21 No.2

보육교사의 정신건강과 행복감이 임파워먼트에 미치는 영향

조숙영(Suk Young Cho),이용주(Yong Joo Lee) 한국열린유아교육학회 2016 열린유아교육연구 Vol.21 No.2

본 연구는 보육교사의 정신건강, 행복감, 임파워먼트의 변인 간에 어떠한 관계가 있으며, 그 영향력은 어떠한지 알아보고자 수행되었다. 이를 통해 보육교사의 임파워먼트에 영향을 미치는 요인을 파악하여 임파워먼트 향상에 필요한 프로그램을 만드는데 기초정보를 제공하고자 하며 보육현장에서 교사의 임파워먼트 향상을 위한 다양한 방안과 지원책을 마련하는 데에도 기초자료를 제공하고자 한다. 연구의 대상은 보육교사 320명이었으며 설문조사를 통해 수행되었다. 연구결과 첫째, 보육교사의 임파워먼트는 전공과 학력에 따른 유의한 차이가 나타났다. 둘째, 임파워먼트는 정신건강의 불안, 우울, 불능, 부적응과 유의한 부적 상관이 있는 것으로 나타났으며, 행복감과 정적 상관이 있는 것으로 나타났다. 셋째, 정신건강의 우울은 임파워먼트의 의사결정과 전문성 신장에, 정신건강의 불능은 임파워먼트의 자아 효능감에, 정신건강의 부적응은 임파워먼트의 지위와 자아 효능감과 자율성에 유의미한 영향을 나타내었다. 또한 정신건강의 긴장감은 임파워먼트의 전문성 신장ㆍ지위ㆍ자아 효능감ㆍ자율성ㆍ영향력에 유의미한 영향을 나타내었으며, 행복감은 보육교사의 임파워먼트 모든 하위영역에 유의미한 영향을 나타내었다. This study was conducted to inquire about the correlations among the variables of mental health, feelings of happiness and empowerment of child care teachers and also to understand each variable``s influences on its counterparts. This study identified the influential factors of child care teachers and contributes not only to offering fundamental information required for program-making for teachers`` empowerment improvement, but also to facilitating the preparation of plans and supports for the empowerment improvement of child care teachers who are engaged in the field. In this study, 320 child care teachers filled out a questionnaire survey. For analysis, SPSS 22.0 was used and many different methods of analysis have been applied. The results can be summarized as follows: First, as for the empowerment of child care teachers, there was a significant difference by their field of major, while no difference was shown by their level of education. Second, the empowerment has significant negative correlation with mental health and some sub-factors, while it has positive correlation with a feeling of happiness. Third, feelings of happiness and mental health of child care teachers have significant influences on their empowerment.

이달의 엑스선 사진 : 기관(Trachea) 폐쇄를 일으킨 종물

이숙영 ( Suk Young Lee ),최영미 ( Young Mi Choi ),김치홍 ( Chi Hong Kim ),권순석 ( Soon Seog Koun ),김영균 ( Young Kyoon Kim ),김관형 ( Kwan Hyoung Kim ),문화식 ( Hwa Sik Moon ),송정섭 ( Jeong Sup Song ),박성학 ( Sung Hak Park 대한결핵 및 호흡기학회 1994 Tuberculosis and Respiratory Diseases Vol.41 No.2

영유아 교사 인성교육에 관한 연구동향 분석 - 2000년~2017년 국내 학술지를 중심으로-

조숙영(Cho, Suk-Young),이용주(Lee, Yong-Joo) 한국열린유아교육학회 2019 열린유아교육연구 Vol.24 No.3

본 연구는 교사의 인성교육이 요구되어지고 있는 사회적 여건 속에서 영유아 교사의 인성교육을 강화하려는 다양한 노력에 부응하기 위하여 영유아 교사의 인성교육과 관련된 국내 연구의 현황을 파악하고자 수행되었다. 이를 통해 앞으로 영유아 교사인성교육 관련 연구의 방향을 제시하는 기초자료를 제공하고 관련 연구를 활성화하는데 그 토대를 마련하고자 한다. 연구의 대상은 2000년부터 2017년까지 국내 등재 및 등재후보학술지에 수록된 논문 총 22편이다. 연구결과 첫째, 연구시기에 따른 분석결과 2016년과 2017년에 급격한 증가를 나타내었다. 둘째, 연구유형에 따른 분석결과 기초연구와 실천연구가 가장 많은 비율을 나타내었는데, 기초연구에는 인성에 대한 인식 및 태도 · 요구도 · 실태 현황조사와 같은 연구가 진행되었으며, 실천연구에는 프로그램 개발과 인성교육 평가 관련 연구가 진행되었다. 셋째, 연구대상에 따른 분석결과 예비교사보다 현직교사 대상의 연구가 많은 비율을 나타내었다. 넷째, 연구방법에 따른 분석결과 조사연구가 가장 많은 비율을 나타내었다. The purpose of this study is to investigate the current state of Korean studies on personality education of infant and early childhood teacher in order to respond to social efforts to strengthen humanity education. The study intends to present research direction on personality education of infant and early childhood teacher, as well as to provide the basis for stimulating related research. The subjects of this study are 22 articles published in the journals from 2000 to 2017. The results of this study are as following: First, according to the analysis, a sharp increase was shown in both 2016 and 2017. Second, according to the analysis on study types, basic research and practice researches showed the most proportion and researches such as personality, attitude, demand, actual situation survey were conducted for the basic research, while researches on program development and variables related personality education were conducted for the practical study. Third, as a result of the analysis on the study subjects, a in-service teacher"s research took more proportion than pre - service teachers. Fourth, according to the study method, the survey results showed the largest proportion.

고양시 소재 명지병원 피부과 환자의 통계적 고찰(2009∼2013)

이숙영 ( Suk Young Lee ),최한규 ( Han Gyu Choi ),노병인 ( Byung In Ro ),조한경 ( Han Kyoung Cho ) 대한피부과학회 2015 대한피부과학회지 Vol.53 No.2

Background: Data regarding the incidence rates of skin diseases that are held by general hospitals provide readily available sources of information that may be representative of the provinces they serve. The population of Goyang city has increased rapidly. Hence, a statistical study of the latest data is necessary. Objective: This study aimed to investigate the prevalence rates of common dermatoses in Goyang city and to compare these with previous findings. Methods: We reviewed the records of 21,693 outpatients who visited the Department of Dermatology at Myongji Hospital from 2009 to 2013, and we statistically analyzed the findings. Results: Of the 21,693 outpatients’ records reviewed, 9,939 (45.8%) were male patients and 11,754 (54.2%) were female patients. Patients most frequently presented with dermatoses in the fourth decade of life (16.0%), followed by the first (15.2%), fifth (15.0%), and third (13.1%) decades of life, and these four age groups comprised 59.3% of the total number of outpatients. The 15 most common dermatoses were dermatophytoses, alopecia, other eczematous conditions, urticaria, herpes zoster infections, viral warts, atopic dermatitis, allergic contact dermatitis, seborrheic dermatitis, acne, irritant contact dermatitis, benign epidermal tumors, melanocytic nevi, molluscum contagiosum, and pruritus. Diseases that occurred frequently during the summer were dermatophytoses, urticaria, irritant contact dermatitis, herpes zoster infections, and molluscum contagiosum. Diseases that occurred frequently during the winter were other eczematous conditions, atopic dermatitis, and melanocytic nevi. Viral warts and acne occurred frequently in summer and winter. Seborrheic dermatitis, dermatophytoses, molluscum contagiosum, viral warts, alopecia, and benign epidermal tumors showed higher frequencies in males than in females, whereas allergic contact dermatitis, irritant contact dermatitis, herpes zoster infections, melanocytic nevi, urticaria, pruritus, acne, and other eczematous conditions showed higher frequencies in females than in males. Conclusion: Compared with previous studies, the current population of Goyang city showed higher levels of herpes zoster infections and viral warts.(Korean J Dermatol 2015;53(2):106∼112)