소아, 청소년 비만 약물 치료의 올바른 이해

정수진,Jeong, Su Jin 대한소아소화기영양학회 2009 Pediatric gastroenterology, hepatology & nutrition Vol.12 No.suppl1

The incidence of childhood obesity has increased dramatically. Childhood obesity is an increasing health problem because of its strong associations with chronic health problems in children and adults. These health problems significantly contribute to the development of common chronic diseases in later life, including hypertension, type2 diabetes, hyperinsulinemia, coronary heart disease, and other psychological disorders. So it is an important issue to prevent and treat obesity during childhood and adolescent. Diet and exercise are the cornerstones of treatment for obesity and related complications. For obese children, some clinical trials have shown improvement with diet, exercise, and /or behavioral interventions. Promising interventions for high-risk individuals, such as bariatric surgery and novel pharmacological agents, also require rigorous assessment with attention to long-term patient important outcomes. There are various pharmacological approaches to the treatment of obesity in the adolescent population some of which have FDA approval. In the article we discuss pharmacological approaches to guide the treatment of obesity in the pediatric population, including risks of treatment, monitoring of potential side effects.

소아의 흔한 질병 상황에서 식이, 영양의 중요성

정수진,Jeong, Su-Jin 대한소아소화기영양학회 2011 Pediatric gastroenterology, hepatology & nutrition Vol.14 No.1

The influence of nutrition during early life on physical growth as well as mental development has been thoroughly discussed in the literature. The physical dimensions of the body are greatly influenced by nutrition, particularly during the period of rapid growth in early childhood. Nutritional status affects every pediatric patient's response toillness. Good nutrition is important for achieving normal growth and development. It is indicated that permanent impairment of the central nervous system may result from dietary restriction of imbalance during certain periods of life. If children under 3 years of age show a good nutritional status, it may be assumed that they are well nourished. Several common diseases of children such as iron deficiency, chronic constipation and atopic dermatitis are known food related diseases. Patients with chronic illness and those at risk of malnutrition should have detailed nutritional assessments done. Components of a complete nutritional assessment include a medical history, nutritional history including dietary intake, physical examination, anthropometrics (weight, length or stature, head circumference, midarm circumference, and triceps skinfold thickness), pubertal staging, skeletal maturity staging, and biochemical tests of nutritional status. The use of age, gender, and disease-specific growth charts is essential in assessing nutritional status and monitoring nutrition interventions. Nutrition assessment and dietary counseling is helpful for the cure of disease, and moreover, the prevention of illness.

Synthesis and Characteristics of the Organic Layered Structure Material of $(C_4H_9NH_3)_2Fe_xPb_1-xCl_4$

정수진,인리주,오응주,조웅인,김규홍,요철현,Jeong, Su Jin,In, Ri Ju,O, Eung Ju,Jo, Ung In,Kim, Gyu Hong,Yo, Cheol Hyeon Korean Chemical Society 2001 Bulletin of the Korean Chemical Society Vol.22 No.7

K2NiF4-type organic-based perovskites of the (C4H9NH3)2FexPb1-xCl4 (x=0.00, 0.25, 0.50, and 0.75) system have been synthesized using a low-temperatu re solution method under a flowing argon gas. When stoichiometric butylamine, iron chloride, and lead chloride are mixed, a yellow solution are obtained from slow cooling of 90 to -10 $^{\circ}C.$ The final product is a plate-like yellow crystal. The X-ray crystallographic analysis has been carried out using XRD in the range of $5^{\circ}{\leq}$ 2${\theta}$ ${\leq}80^{\circ}.$ The local symmetry around the absorbing Pb atom of the samples has been determined by the EXAFS spectroscopic study. The crystals assign to orthorhombic system by the XRD analysis. The FT-IR spectra are analyzed in the range of 600 to 3300 cm-1 . DSC and TGA are measured to detect thermal stability between 30 and 300 $^{\circ}C.$ Two endothermic peaks are detected in all samples. The electrical conductivity has been measured using the four-probes technique for the (C4H9NH3)2FexPb1-xCl4 system in 300-460 K. Photoluminescence phenomenon was also investigated at room-temperature.

건강보험 빅 데이터를 활용한 종합병원에서의 포괄수가제 적용 전·후 재원일수와 진료비의 변화

정수진,최성우,Jeong, Su-Jin,Choi, Seong-Woo 한국전자통신학회 2017 한국전자통신학회 논문지 Vol.12 No.2

본 연구는 일 종합병원 산부인과 환자를 대상으로 2013년 7월 1일 포괄수가제가 확대시행 전 후의 재원일수와 진료비를 비교 분석하여 포괄수가제 시행의 효과를 파악하고자 수행되었다. G광역시 소재 일 종합병원에서 2013년 1년간 산부인과 포괄수가제 질병군의 수술(자궁 및 자궁부속기 수술, 제왕절개술)을 받고 퇴원한 환자로, 행위별 수가제 적용 대상자는 2013년 1월~6월까지 입원한 환자 204명이었고, 포괄수가제 적용 대상자는 2013년 7월~12월까지 입원한 환자 194명으로 총 398명의 재원일수 및 진료비를 공분산분석(ANCOVA)하였다. 본 연구결과 재원일수는 행위별수가제에서 6.65(0.13)일, 포괄수가제에서 6.40(0.12)일로 감소하였고(p=0.013), 급여총진료비는 행위별수가제에서 1,726,333(46,331)원, 포괄수가제에서 2,271,115(37,069)으로 증가하였고(p<0.001), 보험자부담금은 행위별수가제에서 1,387,142(41,938)원, 포괄수가제에서 1,800,914(28,300)원으로 증가였다(p<0.001). 급여본인부담금은 행위별수가제에서 339,190(8,404)원, 포괄수가제에서 70,201(9,255)원으로 감소하였고(p<0.001), 비급여비용은 행위별수가제에서 642,243(22,039)원, 포괄수가제에서 197,507(9,091)원으로 감소하였고(p<0.001), 환자 총본인부담금도 행위별수가제에서 981,433(25,947)원, 포괄수가제에서 667,708(13,286)원으로 감소하였다(p<0.001). 본 연구결과 산부인과 환자에 대한 포괄수가제 적용은 재원일수, 비급여비용, 총본인부담금을 감소시켰고, 급여본인부담금, 보험자부담금, 급여총진료비를 증가시키는 효과를 보였다. This study aimed to identify appropriateness and efficiency in the DRG payment system by analysing the hospital length of stay and changes in fees before and after the application of DRG payment system. The subjects of the study were a total of 398 patients consisting of 204 for the fee for service system and 194 for the DRG payment system. They received surgery in the Obstetrics and Gynecology (OBGY) department of a general hospital in G metropolitan city between January and December 2013. The mean hospital length of stay was significantly decreased after application of the DRG payment system(p=0.013). Total fees, insurance charges, and deductions increased significantly(p<0.001), and non-payment charges and total deductions decreased significantly(p<0.001). Application of the DRG payment system reduced length of stay, non-payment charges and total patient's cost sharing and increased out-of-pocket, insurance charges, and total fees.

공동주택 거주자의 에너지사용의식에 따른 에너지사용행동 특성분석

정수진,한정원,Jung, Su-Jin,Han, Jeong-Won 한국주거학회 2013 한국주거학회 논문집 Vol.24 No.3

As household energy consumption has increased, serious environmental problems, such as resource depletion and global warming, are becoming global issues. It is essential to conduct the energy use of residents living in apartments in order to come up with alternative solutions for energy savings. Therefore, this study examined the energy use awareness of apartment residents and their energy use behavior by various types of awareness. To understand their energy use behavior according to the awareness of the subjects, the energy awareness dimension was created with five factors and they were subject to a cluster analysis; then, the subjects were categorized into three groups. Finally, the difference of energy use behavior was examined by groups of energy awareness. G1 represents the group that is indifferent to energy savings and believes that convenience is an important factor. Also, with respect to energy use behavior, this group tends to pursue convenience. G2 is the group that is conscious of energy use costs thereby enduring some inconvenience, and shows savings behavior in daily life and household affairs. Although, G3 is very aware of the significance for the necessity of energy saving, their energy saving behavior is relatively negative. Regarding these different characteristics of each resident group in their energy saving awareness and behaviors, diverse methods and promotion in energy education are required. Furthermore, an effective energy policy should be established based on the understanding of energy consumption.

변환효율 향상을 위한 횡방향 가변 셀밀도법을 사용한 자동차용 촉매변환기의 수치적 설계

정수진,김우승,Jeong, Su-Jin,Kim, U-Seung 대한기계학회 2000 大韓機械學會論文集B Vol.24 No.12

The optimal design of auto-catalyst needs a good compromise between the pressure drop and flow uniformity in the substrate. One of the effective methods to achieve this goal is to use the concept of radially variable cell density. But this method has not been examined its usefulness in terms of chemical behavior and conversion performance. In this work, two-dimensional performance prediction of catalyst coupled with turbulent reacting flow simulation has been used to evaluated the benefits of this method n the flow uniformity and conversion efficiency. The results showed that two cell combination of 93cpsc and 62 cpsc was the most effective for improved pressure drop and conversion efficiency due to balanced space velocity and efficient usage of geometric surface area of channels. It was also found that large temperature difference between the bricks in case that the edge of the frontal face of brick has too much lower cell density(less than 67% of cell density of the center of the brick). This study has also demonstrated that the present computational results show the better prediction accuracy in terms of CO, HC and NO conversion efficiencies compared to those of conventional 1-D adiabatic model by comparison with experimental results.

소아 만성 복통의 진단적 평가 -기능성 복통과의 감별점을 중심으로-

정수진,Jeong, Su Jin 대한소아소화기영양학회 2008 Pediatric gastroenterology, hepatology & nutrition Vol.11 No.suppl2

Chronic abdominal pain, defined as long-lasting intermittent or constant abdominal pain, is a common pediatric problem encountered by primary care physicians and medical subspecialists. Chronic abdominal pain in children is usually functional, i.e., without objective evidence of an underlying organic disorder. Functional abdominal pain is categorized as functional dyspepsia, irritable bowel syndrome, functional abdominal pain, abdominal migraine, and aerophagia according to the Rome II criteria for pediatric functional gastrointestinal disorders. There is insufficient evidence to state that the nature of abdominal pain or the presence of associated symptoms can discriminate between functional and organic disorders. The presence of alarming symptoms or signs, such as weight loss, gastrointestinal bleeding, persistent fever, and chronic severe diarrhea, is associated with a higher prevalence of organic disease. Most children with chronic abdominal pain are unlikely to require diagnostic testing; such children often need pharmacologic and behavioral therapy.

인지언어학에 기초한 한국어 공간 개념 부사격 조사의 교육 내용 기술 방안 연구

정수진(Jeong Su-jin) 한국어문학회 2011 語文學 Vol.0 No.112

This article is aimed to introduce the insights of cognitive linguistics can be contributed to the Korean language education. Language education as a field of applied linguistics, the theory is established by interdisciplinary research, such as linguistics, psychology, sociology, pedagogy. In other words, according to what the effect relationship of the academic mainstream is, the standpoint and methods of language education are changed. From this point, it is very meaningful work that to explore the application results of cognitive linguistics is a new perspective of ‘understanding and use of language’ and ‘the relationship of language form and meaning’ to second language learning(SLA) and then to examine the educational effectiveness of the cognitive linguistic approach to SLA. For this reason, I try to explore the subject of cognitive linguistics can be applied to the Korean language and to examine its educational implications. The form and meaning of language described on the basis of the cognitive linguistics coincides with the claims of the cognitive processing in cognitive psychology. Therefore to describe linguistic information under the cognitive linguistics will be beneficial for learners in terms of a ‘memory and use’. In short, the potential of the cognitive linguistics in Korean language education can be summarized as follows: (1) to enhance comprehension about the Korean structure and meaning, (2) to enhance retention about the Korean structure and meaning.

증예(症例) : 골다공증성 다발골절에 의한 하지마비로 내원한 쿠싱증후군 1예

정수진 ( Su Jin Jeong ),김소영 ( So Young Kim ),진흥용 ( Heung Yong Jin ),백홍선 ( Hong Sun Baek ),박태선 ( Tae Sun Park ),박지현 ( Ji Hyung Park ) 전북대학교 의과학연구소 2006 全北醫大論文集 Vol.30 No.2

저자들은 골다공증성 병적골절에 의한 하지마비와 통증으로 발현한 기능성 부신 피질 선종의 쿠싱증후군을 진단하고 수술 및 약물 치료를 통해 호전된 예를 경험하였기에 문헌고찰과 함께 보고 하는 바이다. (중심 단어 : 하반신마비, 쿠싱증후군, 골더 공증, 대사성 골질환) Osteoporotic vertebral fractures rarely cause neurologic deficits. We describe a case of paraplegia due to osteoporotic multiple pathologic fractures in a woman with Cushing`s syndrome. Pathologic fractures were seen in multiple ribs, left pubic bone, thoracic and lumbar vertebral bodies. These findings, accompanied by muscle weakness and fatigability, easy bruisability, plethoric face, irregular menstruation, were retrospectively compatible with those of Cushing`s syndrome, but she had no weight gain because of her calorie restriction. After adrenalectomy, the pain in her groin and back ceased. At 24-month follow-up, her BMD increased by 32% at the lumbar spine and 1.7% at the femoral neck. This case demonstrates the need to be alert for the possibility of metabolic bone disease, including Cushing`s syndrome, when we encounter paraplegia with multiple pathologic fractures in the middle-aged patients without trauma history.

유치원복 디자인의 색채 선호감성에 관한 연구

정수진(Jeong, Su Jin) 한국디자인문화학회 2015 한국디자인문화학회지 Vol.21 No.3

본 연구의 목적은 유치원복 상의 길과 소매 및 하의의 배색 변화에 따른 유치원복 디자인의 선호감성을 분석하기 위함이다. 연구방법은 자극물과 평가척도를 사용하여 피험자간 설계로 이루어졌다. 색상 5가지(빨강 노랑, 파랑, 녹색, 자주), 톤 3가지 (비비드톤, 라이트톤, 다크 톤)를 사용하여 톤온톤 배색과 톤인톤 배색이 되도록 조합된 100개의 자극물과 평가척도를 측정도구로 사용하였다. 피험자는 5∼7세 유아를 대상으로 하였다. 유치원복의 톤온톤 배색 선호감성은 길/소매 배색이 주효과로 영향을 미쳤고, 길과 소매 배색이 비비드 톤과 라이트 톤 배색일 때 선호감성이 높았다. 톤인톤 배색에는 소매색상이 주효과로 영향을 미쳤고, 소매색상이 노랑, 녹색, 파랑 소매가 빨강, 자주 소매보다 선호감성이 높았다. 파랑과 녹색 톤온톤 배색은 남아, 빨강과 자주 톤온톤 배색은 여아의 선호감성이 높게 나타났다. 톤인톤 배색에 대한 선호감성은 남아보다 여아의 선호 범위가 더 넓은 것으로 나타났다. 유치원복 디자인에 사용된 색상과 톤, 배색위치는 선호감성을 결정하는 요소가 되며, 배색되는 방법에 따라 선호감성의 차이가 있다는 점을 규명한 데 본 연구의 의의가 있다. 유아들의 정서적인 면과 심리적인 면뿐만 아니라 심미적인 면을 고려한 유치원 복을 제시하기 위해서는 유아들의 선호 경향을 파악하는 것이 요구되며 본 연구의 결과는 유치원복 디자인 개발 시 기초자료로 활용될 수 있을 것으로 본다. The purpose of this research was to investigate the preference sensibility to kindergarten uniform design according to the coloration of bodies, sleeves, and pants of kindergarten uniforms. The method of this research was used as a stimuli and response scales, it was made as a design between subjects. Sets of 100 stimuli and a response scale (5 point semantic) were used as experimental materials. The stimuli were 100 color pictures manipulated with the combination of 5 colors (red, yellow, blue, gree, and purple) and 3 tones (vivid, light, and dark) for tone on tone coloration and tone in tone coloration using a computer simulation method. The subjects were 216 people 5-7 age kindergarten students. The coloration of bodies/sleeves exerts effect on the tone on tone preference sensibility of kindergarten uniforms significantly. And preference sensibility was higher when the coloration of bodies/sleeves was vivid and light tone. It showed that the color of sleeves influenced on the preference sensibility of tone in tone coloration and the preference sensibility was higher in the case of yellow, green and blue color sleeves compared to red and purple ones. Boys showed higher preference sensibility in the blue and green tone on tone coloration and girls showed higher preference sensibility in the red and purple tone on tone coloration. The range of preference sensibility to tone in tone coloration was broader in the case of girls compared to boys. Color, tone and coloration positions used in the kindergarten uniforms design was a major factor which determining the preference sensibility and this study is important in the fact that the difference in the preference sensibility was identified depending on the coloration method. To present kindergarten uniforms considered in the aesthetic aspect as well as emotional and psychological aspect, it is necessary to understand the preference tendency of the early childhood. The results of this study will be used as a basis for the development of kindergarten uniform designs.