학령기 아동의 비만수준과 비만관련요인

최길순(Gil-Soon CHOI),정영(Young CHUNG) 조선대학교 지식경영연구원 2008 기업과 혁신연구 Vol.1 No.1

본 연구는 지금까지 문헌에서 보고되어 있는 비만에 영향을 미치는 요인들에 대해 좀 더 포괄적인 접근을 통해서 비만의 예방과 관리에 실제적인 도움을 줄 수 있는 프로그램개발을 위한 기초 자료를 제공하고자 시행한 상관관계 연구이다. 자료 수집은 2006년 6월 15일부터 7월 27일까지 광주광역시 2개 초등학교와 전라남도 지 역 4개 초등학교 4, 5, 6학년을 대상으로 설문조사와 학생신체검사 자료를 이용하였고 1,866명의 자료가 분석에 이용되었다. 수집된 자료는 SPSS/PC (version 12.0)을 이용하여 기술적 통계와 상관관계 분석 방법을 사용하였다. 연구 결과, 초등학생의 비만도에 영향을 미치는 요인은, 남학생이 여학생보다, 도시지역이 농촌지역 보다, 학년이 낮을수록, 형제, 자매 중에서 비만한 아동이 있는 경우, 아버지가 비만한 경우, 어머니가 비만한 경우, 식습관이 불규칙적이고 올바르지 못한 경우, 인터넷 이용시간이 많은 경우, 부모님간에 갈등이 있는 경우, 학교성적과 자아존중감이 낮을수록 비만도가 높았다. 따라서 이와 같은 변인들이 아동의 비만도를 상승시키는 변인으로 파악되었으므로 가정, 학교, 사회에서 이와 같은 변인을 고려한 중재프로그램의 개발이 필요한 것으로 사료된다. This study is a correlation research to provide basic materials for developing practical program in preventing and managing obesity through more comprehensive approach to factors affecting obesity which have been reported in related literatures. Data were collected with the fourth, fifth and sixth graders from two elementary schools in Gwangju and 4 elementary schools in Jeonnam through questionnaire and physical examination from June 15 to July 27, 2006 and data from 1,866 students were used for analysis. Collected data were analyzed with technical statistics and correlation analysis using SPSS/PC (version 12.0). Consequently, the factors affecting the obesity of elementary school students are as follows: male students rather than female students, urban area compared to rural area, lower grade, children with obese siblings, obese father and mother, irregular eating habit and more internet uses and children with conflicting parents and lower school records and self-respect showed higher obesity. Therefore, since these variables were understood as exact variables increasing children’s obesity, it is considered that multiple intervention programs considering these at home, school and community are needed.

급성 출혈성 직장 궤양에 의한 직장 출혈

최길순 ( Gil Soon Choi ),유준환 ( Jun Hwan Yoo ),신성재 ( Sung Jae Shin ),이기명 ( Kee Myung Lee ),함기백 ( Ki Baik Hahm ),김진홍 ( Jin Hong Kim ),김장희 ( Jang Hee Kim ) 대한내과학회 2008 대한내과학회지 Vol.75 No.5

출혈성 직장 궤양 증후군은 하부 위장관 출혈의 매우 드문 원인이다. 그러나 심각한 전신 질환을 동반한 노인에게서 복통 없이 갑작스러운 대량의 선홍색 혈변을 보일 때 혈변의 원인으로 급성 출혈성 직장 궤양을 고려해보는 것은 중요하다. 출혈성 직장 궤양을 인식하고 있다면 불필요한 검사를 피하고 조기에 정확한 진단을 함으로서 환자의 예후도 향상시킬 수 있을 것이다. 저자는 하부 위장관 출혈의 원인으로 알려져 있으나 인지되지 않아 아직까지 국내에서 보고되지 않은 것으로 생각되는 급성 출혈성 직장 궤양 증후군 환자를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Acute hemorrhagic rectal ulcer syndrome (AHRUS) is characterized by the sudden onset of painless, massive, fresh rectal bleeding in elderly or bedridden patients with serious underlying illnesses. With increasing elderly populations, and improved survival in critically ill patients, the incidence of AHRUS has increased in Japan and Western countries in recent years. However, AHRUS remains a controversial disease entity and has not yet been documented in Korea. Here, we present a case of AHRUS to highlight this uncommon disease entity as a potential etiology of massive rectal bleeding in critically ill patients. (Korean J Med 75:577-581, 2008)

MLE12 및 RAW264.7세포에서 Alternaria와 Alternariol Mycotoxin의 알레르기 염증반응 효과

최길순 ( Gil Soon Choi ),김희규 ( Hee Kyoo Kim ) 대한천식알레르기학회 2012 천식 및 알레르기 Vol.32 No.4

Background: Alternaria and their secondary metabolites, alternariol mycotoxins, may cause respiratory symptoms and asthma. Moreover, microbial compounds, such as bacterial endotoxins, act as potential contributors in such situations. Alveolar epithelial cells and macrophages appear to initiate airway inflammation through proinflammatory cytokines after exposure to aeroallergens or toxic materials. The present study investigated the effects of Alternaria and alternariol mycotoxins on inflammatory cytokines secreted from airway epithelial cells and macrophages, especially interleukin-33, interleukin-6 and tumor necrosis factor-α, which were assessed association with lipopolysaccharide. Methods: In vitro MLE12 cells and RAW264.7 cells were treated with Alternaria, alternariol monomethyl ether and alternariol at different doses for 24 hour. The levels of interleukin- 33, interleukin-6, and tumor necrosis factor-α in each cell supernatants were measured by ELISA. Then, each mycotoxin (100 ng/mL) was added to lipopolysaccharide stimulated cells and incubated with them. Cell viability was measured by flow cytometry. Results: Alternaria and alternariol mycotoxin-treated cells released pro-inflammatory cytokines partly in a dose-dependent manner. Moreover, lipopolysaccharide induced the synergic effect of mycotoxins on cytokine production by RAW264.7 cells. However, the different cytokine productions among groups were not related to cell viability. Conclusion: This study suggests that alternariol mycotoxins, such as Alternaria, would provoke airway inflammation through interleukin-33, interleukin-6 and tumor necrosis factor- α uction from epithelial cells and macrophages.

Ebastine (Ebastel(R)) 복용 후 발생한 두드러기 2예

최길순 ( Gil Soon Choi ),성준모 ( Jun Mo Sung ),이진우 ( Jin Woo Lee ),박한정 ( Han Jung Park ),예영민 ( Young Min Ye ),남동호 ( Dong Ho Nahm ),박해심 ( Hae Sim Park ) 대한천식알레르기학회 2009 천식 및 알레르기 Vol.29 No.1

Ebastine (ebastel(R)) is one of the most frequently used antihistamines for allergic diseases. It is a long-acting H1 receptor antagonist belonging to the family of piperidines. Recently, we experienced 2 cases of patients who developed urticaria after taking ebastine. There have been a few reported cases of urticaria induced by antihistamines, such as cetirizine, levocetirizine, fexofenadine, clorpheniramine and hydroxyzine. To our best knowledge, this is the first case of urticaria caused by ebastine. (Korean J Asthma Allergy Clin Immunol 2009;29:64-68)

혈장교환술 치료로 호전된 독성표피괴사용해증

최길순 ( Gil Soon Choi ),박준성 ( Joon Sung Park ),유수경 ( Su Kyong Yu ),박진선 ( Jin Sun Park ),강준구 ( Joon Koo Kang ),임남규 ( Nam Kyu Lim ),이명희 ( Myoung Hee Lee ),박해심 ( Hae Sim Park ),남동호 ( Dong Ho Nahm ) 대한천식알레르기학회 2007 천식 및 알레르기 Vol.27 No.3

Toxic epidermal necrolysis (TEN) is an uncommon but life-threatening condition. It is characterized by the rapidly progressive onset of widespread epidermal necrosis, resulting in flaccid bullae with epidermal sloughing and frequent involvement of the mucous membrane. Currently, there is no clinically proven effective therapeutic modality for TEN. There have been several uncontrolled studies reporting beneficial clinical efficacy of plasmapheresis in patients with TEN. We report a case of severe TEN which was successfully improved by plasmapheresis treatment. A 26-year-old male patient was admitted due to severe myalgia and sore mouth at 8 days after medication with ofloxacin and loxoprofen for 3 days after eye surgery. After admission, a high spiking fever and erythematous skin rashes on both palm and sole developed in this patient and his skin lesions subsequently progressed to generalized bullous skin lesions covering the whole body area with oropharyngeal ulceration and conjunctivitis. The patient was diagnosed with TEN and administered intravenous immunoglobulin (IVIG) for 3 days, but he did not improved. Then he received plasmapheresis treatment for 3 days. After the plasmapheresis treatment, the progression of epidermal detachment of the skin was stopped and no new lesions developed. His bullous skin lesions progressively resolved. (Korean J Asthma Allergy Clin Immunol 2007;27:195-199)

유아교육과 학생의 소아심폐소생술 교육 전·후 지식과 수행자신감 차이

최길순(Gil Soon Choi) 한국보건기초의학회 2023 한국보건기초의학회지 Vol.16 No.1

일 군 지역 병원 응급의료서비스 만족도 조사연구

최길순(Choi Gil-Soon),강성심(Kang Sung-Sim),정영(Chung Young) 조선대학교 지식경영연구원 2005 지역개발연구 Vol.10 No.2

This study examines the degree of satisfaction with first-aid medical service provided in an emergency room of a county supported hospital to identity basic data for improving first-aid medical service at a county level hospital. The subjects of this study were 235 patients, over 18 years old who had first-aid treatment at the emergency room and left the hospital, or either hospitalized or were transferred to other hospital or agency. For collecting data, the instrument developed by Yun Seong-Ja (1996), revised by Song Bong-Ae (2000). The results of this study are as follows; 1. The mean of the level of satisfaction with the provided first-aid medical service was 3.60 scores and their responses, 'The noise due to medical equipments was too loud' was reported as highest as 4.20 scores and the response that 'it was easy to use facilities within emergency room' showed the lowest satisfaction as 2.24 scores. 2. According to difference in the degree of satisfaction with first-aid medical services depending on general characteristics, patients in 'medical insurance' showed significantly higher satisfaction than those in 'medicaid' (p=.006). 3. On difference of degrees of satisfaction with first-aid medical service before arriving at emergency room, cases visited directly to the 'emergency room' showed significantly satisfied with comparing with '119 or 112' (p=.010). 4. On difference of degrees of satisfaction with first-aid medical service after arriving at emergency room, cases which had medical treatment' as soon as arrive' at emergency room showed higher satisfaction and cases which waited for treatment for '10-30 min.'. showed lower satisfaction, and group of waiting for 'less than 30 min.' (p=.023) showed significantly higher satisfaction than group of waiting for '30 min, ~1 hour'. From above results, placement of appropriate medical personnel, shortening of waiting time at emergency room, preparation of comfortable environment and private space are urgently required to enhance the degree of satisfaction of patients at emergency room.

과도한 음주로 아연 결핍에 따른 후천성창자병증 말단피부염 1예

최길순 ( Gil-soon Choi ),장민수 ( Min-soo Jang ),김희규 ( Hee-kyoo Kim ) 대한천식알레르기학회(구 대한알레르기학회) 2017 Allergy Asthma & Respiratory Disease Vol.5 No.6

Acrodematitis enteropathica is an uncommon disease due to zinc deficiency which is characterized by perioral and acral dermatitis, alopecia, and diarrhea. This disease typically presents in infants, either due to an autosomal recessive genetic disorder or after cessation of breastfeeding. Acquired adult-onset acrodermatitis enteropathica has rarely been reported so far. We report a case of a 38-year-old man who had a history of chronic alcohol intake and presented with severe acrodermatitis enteropathica. The patient was successfully managed with zinc supplement and supportive care. (Allergy Asthma Respir Dis 2017;5:361-365)

전문대학생의 중도탈락 의도에 영향을 미치는 요인

최길순(Gil-Soon CHOI),Soon-Rye HAM 조선대학교 지식경영연구원 2010 기업과 혁신연구 Vol.3 No.1

본 연구는 대학에 재학 중인 학생들이 학업을 중도에 포기하려는 의도가 얼마나 있는지 알아보고, 이러한 의도에 영향을 미치는 요인을 파악하여 중도탈락 의도가 있는 학생들이 실제 중도탈락으로 이행되지 않도록 하는 대처방안을 모색하기 위한 기초자료를 제공하고자 시행된 연구이다. 연구 결과 부모의 경제수준이 낮을수록, 학점이 낮을수록, 인문사회 계열이나 공업계열보다는 보건, 가정, 체육 계열 학생들에서, 교수ㆍ강사진의 전문성이나 교수와의 상호작용, 다양한 교수매체 활용, 수업ㆍ강의 내용에 대한 만족도가 낮을수록 중도탈락 의도가 높은 것으로 나타났다. 또한 학교시설(강의실, 도서관, 휴게시설)이나 행정직원에 대한 서비스, 학교의 재정적 지원, 통학시간에 대한 만족도가 낮을수록, 가족의 경제적, 정신적 지원이나 교우와의 상호작용 만족도가 낮을수록, 취업이나 승진 기회의 제한, 낮은 연봉, 수도권 대학에 비해 낮은 처우를 받고 있다고 느낄수록 중도탈락 의도가 높아지는 것으로 나타났다. Purpose: This study examines intention to decide dropout in 1,400 college students of D college in G metropolitan city (except students who were frequently absent from school due to employment, clinical practice, preparation of national examination and other reasons) and factors affecting their decision of dropout in order to devise effective measures to cope with it. Methods: Data were collected for 19 days from Oct. 12 to 30, 2009 from the researcher, adviser and research assistant with questionnaire made on the basis of preceding studies and related literatures. 1,259 answers except for 141 which gave unfaithful responses were analyzed with frequency analysis, cross tabulation and logistic regression analysis using SPSS/PC version 12.0. Conclusion: As described above, this study examined the factors which decided college students' intention to decide dropout. As a result of the study, some specific variables don't affect their intention to decide dropout, but it was found that overall factors including individual, family, school and social variables influenced their intention to decide dropout and then diversified intervention programs should be developed and applied to reduce dropout and increase students who intend to attend school.

119무선페이징의 이용실태에 관한 연구 - 일 지역을 중심으로 -

권혜란,정지연,최길순,Kwon, Hay-Rran,Jung, Ji-Yun,Choi, Gil-Soon 한국응급구조학회 2007 한국응급구조학회지 Vol.11 No.2

Health and disease related characteristics of 226 selected by systematic sampling from 452 personal emergency response system(PERS) beneficiaries and actual conditions of using PERS by them are as follows. Over 86% of PERS beneficiaries have not good health conditions and 70.7% of them have chronic diseases. On social supports family was highest as 52.2% and cases having social workers' assistance were 15.2%, but 53 as 23.7% had not visit or call from anyone and showed very low social supports. 86.2% was given PERS within 3years and 79.1% had it by the recommendation from related agencies and 4.0% was by their demand. On wearing it, 78.3% didn't bring it with them and 92% of them answered they were not sick and then it was found that they didn't use it because they had not special emergency. On satisfaction with paging system's operation, 81.3% answered they were satisfied with it, 48.8% used it for 'acute and emergency diseases' and 29.3% called ambulance for 'appointed medical treatment'. Time required for ambulance to arrive at the field was within 10 min. in 87.8% and after 10 min. in 12.2% and emergency service for beneficiaries by fire service was very good. On satisfaction with use of PERS, 85.4% were satisfied with it, 81.9% who requested repair or replacement of radio paging got it back after one or two days of their request and they answered they were satisfied with A/S. 45.5% answered they powered off it because 'they didn't use it' and 12.1% had 'economical reason of phone charge'.