Prevalences and Management of Diabetes and Pre-diabetes among Korean Teenagers and Young Adults: Results from the Korea National Health and Nutrition Examination Survey 2005–2014

Cho, Eun-Hee,Shin, Dayeon,Cho, Keun-Hyok,Hur, Junguk The Korean Academy of Medical Sciences 2017 JOURNAL OF KOREAN MEDICAL SCIENCE Vol.32 No.12

<P>The rapid increases in childhood obesity and physical inactivity are linked to the incidence of diabetes among young individuals. However, few studies have evaluated the prevalence of diabetes among this population. Therefore, we used Korea National Health and Nutrition Examination Survey (KNHANES) data to evaluate the prevalence and management of diabetes and pre-diabetes among young Koreans. We evaluated KNHANES data (2005–2014) from 10–29-year-old individuals. Individuals were considered eligible if they had completed the health examination and the health interview survey, and we excluded individuals with missing data regarding fasting glucose or glycated haemoglobin levels. Among the 100,101 potentially eligible individuals who participated in KNHANES (2005–2014), we included 83,577 (37,677 male and 45,900 female) individuals. The overall prevalences of diabetes and pre-diabetes among 10–19-year-old individuals were 0.2% and 11.9%, respectively. Among 20–29-year-old individuals, the prevalences of diabetes and pre-diabetes were 0.9% and 9.6%, respectively. The overall rates of diabetes awareness during the study period were 36.6% for 10–19-year-old individuals and 50.8% for 20–29-year-old individuals. However, the prevalence of diabetes and pre-diabetes had noticeably increased at the 2013–2014 KNHANES: 0.6% and 25.9% among 10–19-year-old individuals, and 0.8% and 19.2% among 20–29-year-old individuals. The prevalence of diabetes and pre-diabetes is rapidly increasing among Korean teenagers and young adults. Pre-emptive interventions to diagnose and treat diabetes and pre-diabetes are needed to improve glycaemic control among this population.</P>

무아레 기법을 이용한 지문인식 성능 개선 방안 제안

서초롱 ( Cho-rong Seo ),강혁 ( Hyok Kang ),전유부 ( You-boo Jeon ),박진수 ( Jin-su Park ),이근호 ( Keun-ho Lee ) 한국정보처리학회 2017 한국정보처리학회 학술대회논문집 Vol.24 No.2

최근 보안 시장에서 주목을 받고 있는 생체인증 기술 중 지문인식 기술은 높은 인식률과 빠른 시간 내에 검증이 되는 장점이 있어 많이 사용되고 있지만 지문 일부분이 손상된 사용자들에게는 적용이 불가능하다는 단점이 있다. 이러한 단점을 보완하고자 본 논문에서는 지문등록과 동시에 무아레 기법을 이용하여 해당 지문을 더욱 더 세밀하게 분석하여 본 정보를 저장한다. 그런 후 지문인식 기술을 사용해오던 사용자가 도중에 지문이 손상되었을 시에도 지문인식 기술을 사용할 수 있도록 손상된 부분을 제외한 일부분만을 세밀하게 비교하여 무아레 기법으로 저장된 지문 정보와 일치할 경우 본인 인증에 성공하게 된다.

High Serum Osteopontin Levels Are Associated with Low Bone Mineral Density in Postmenopausal Women

조은희,Keun-Hyok Cho,이향아,김상욱 대한의학회 2013 Journal of Korean medical science Vol.28 No.10

Osteopontin (OPN) is an acidic, noncollagenous matrix protein produced by the bone and kidneys. It is reportedly involved in bone resorption and formation. We examined the association between serum OPN levels and bone mineral density in postmenopausal women. Premenopausal women (n=32) and postmenopausal women (n=409) participated in the study. We measured serum osteopontin levels and their relationships with bone mineral density and previous total fragility fractures. The postmenopausal women had higher mean serum OPN levels compared to the premenopausal women (43.6±25.9 vs 26.3±18.6 ng/mL; P<0.001). In the postmenopausal women, high serum OPN levels were negatively correlated with mean lumbar bone mineral density (BMD) (r=-0.113, P=0.023). In a stepwise multiple linear regression model, serum OPN levels were associated with BMD of the spine, femoral neck, and total hip after adjustment for age, body mass index, smoking, and physical activity in postmenopausal women. However, serum OPN levels did not differ between postmenopausal women with and without fractures. Postmenopausal women exhibit higher serum OPN levels than premenopausal women and higher serum OPN levels were associated with low BMD in postmenopausal women.

우주용 부품의 Bake-out시 Out-gassing 결과 분석

김경근(Kyung-Keun Kim),서희준(Hee-jun Seo),조혁진(Hyok-jin Cho),박성욱(Sung-wook Park),이혜진(Hye-jin Lee),백선기(Sunki Baek),김근식(Keunshik Kim),정상헌(Sag-hun Jung) 한국항공우주학회 2018 한국항공우주학회 학술발표회 논문집 Vol.2018 No.11

급성 족관절 내반염좌의 비골근 자침에 대한 효과의 비교 연구

임준혁 ( Jun Hyok Yim ),윤석훈 ( Seok Hoon Yoon ),정우석 ( Woo Seok Jung ),신현승 ( Hyun Seung Sin ),조송현 ( Song Hyun Cho ),김성근 ( Sung Keun Kim ) 한방재활의학과학회 2011 한방재활의학과학회지 Vol.21 No.2

Objectives: This study was planned to show the influences of acupuncture treatment on peroneus muscles of acute inversion ankle sprain patients. Methods: This study was carried out on the 24 patients who had been treated for their acute inversion ankle sprain from July 1 to December 31, 2010 in the department of oriental rehibilitaion medicine, Dongsuwon oriental medicine hospital. And we divided those 24 patients into 2 groups; group A took near acupuncture point needling treatment on the peroneus muscles along with common treatment, group B took common treatment only. To evaluate the efficiency of each treatment, all patients were examined with visual analogue scale(VAS) and ankle-hind foot scale(AHS) score before treatment and after the 3rd treatment. Results: On the AHS scores, there`s no significant difference between the two groups after the treatment. And on the VAS scores, group A who took near acupuncture point needling treatment on the peroneus muscles along with common treatment showed higher change of VAS than group B who took common treatment only, but it did not show statistical significance in VAS score. Conclusions: In this study, there is no significant effect between common treatment only and near acupuncture point needling treatment on the peroneus muscles along with common treatment for acute ankle sprain.

소아에서 발생한 전거비 인대 거골 부착부 견열 골절(1예 보고)

조형래,황태혁,왕태현,김근영,Cho, Hyung-Lae,Hwang, Tae-Hyok,Wang, Tae-Hyun,Kim, Keun-Young 대한족부족관절학회 2011 대한족부족관절학회지 Vol.15 No.3

Inversion injury of the lateral ankle ligaments is very common. Few studies, however, have focused on avulsion fracture of the lateral ankle ligaments. A fracture producing a small fragment usually avulsed from lateral malleolus and may be easily misdiagnosed as a sprain because the fragment is superimposed on the lateral malleolus and goes undetected on early radiographs, especially in skeletally immature patients. We present a case of isolated avulsion fracture of the talar attachment of the anterior talofibular ligament in 13-year-old male patient. Diagnosis was confirmed by computed tomography and avulsed fragment was fixed to original talar footprint with suture anchors. A high level of suspicion must be maintained to obtain an accurate diagnosis of avulsion fracture in inversion ankle injury because of the high incidence in children and to prevent recurrent instability.

Repeated Dry Sauna Therapy Improves Quality of Life in Obese Korean People

최훈성,Hyuki Kwon,Keun-Hyok Cho,Le Cong Thuc,So Young Park,김남훈,Wae-Jung Kim,Yun-Ki Kim,Woo-Seok Jeon,Ju-Ah Lee,Hyoung-Chun Kim,조은희 대한가정의학회 2020 Korean Journal of Family Medicine Vol.41 No.5

Background: Dry sauna treatments improve the quality of life for chronic pain, congestive heart failure, and type 2 diabetes patients. This study aimed to determine whether dry sauna therapy improved the quality of life of obese people. Methods: A total of 38 consecutive participants aged over 20 years with a body mass index of ≥25 kg/m2 were recruited for the study. The participants were treated with a 90°C dry sauna for 15 minutes, twice daily for 4 consecutive days. To assess the quality of life, all participants completed the 5 level EQ-5D questionnaires and the EQ-Visual Analog Scale. Study parameters were measured on the same day prior to commencing the sauna sessions in a fasted state and 2 days after the last sauna session. Results: The average age was 62.3±9.5 years; 84.2% of the participants were female. The mean body mass index was 28.5±2.4 kg/m2. Dry sauna significantly improved the mean 5 level EQ-5D index scores from 0.83±0.12 to 0.89±0.11 and increased the mean EQ-Visual Analog Scale from 79.0±15.2 to 91.1±9.7. However, there were no significant changes in body mass index, blood pressure, heart rate, or body composition before and after the 8-session sauna therapy. Conclusion: Dry sauna improved the health-related quality of life of obese patients without adverse events. Further clinical studies in larger study populations are needed to verify these findings and provide concrete evidence for obesity treatment.

국소 진행성 두경부암 환자에서의 Docetaxel과 Cisplatin 유도화학요법

조은희(Eun Hee Cho),조근혁(Keun Hyok Cho),송영봉(Young Bong Song),최익성(Ik Sung Choi),최재원(Jae Won Choi),남승현(Seung Hyun Nam),김봉석(Bong Seog Kim) 대한두경부종양학회 2005 대한두경부 종양학회지 Vol.21 No.2

Objectives: To evaluate the efficacy and safety of induction chemotherapy with docetaxel and cisplatin in locally advanced head and neck cancer. Materials and Methods: Between June 1998 and December 2004, 30 patients were enrolled and among them, 20 patients were evaluable. Patients were treated with docetaxel 75mg/m² and cisplatin 60mg/m² on day 1 every 21 days. Results: The median age was 71(range 54-80) years old. All 20 patients were male. Nineteen patients had pathologically squamous cell carcinoma and 1 had undifferentiated carcinoma. Fourteen of 20 patients(70%) demonstrated an objective response with two(10%) achieving a complete clinical response and eleven(60%) a partial response. The median response duration was 5.3(1.6-32.1) months and the median time to progression was 5.6(1.4-33.8) months. The median overall survival of all patients was 14(range 2.2-34) months. The median overall survival of responders was 17.5(range 5-34) months and that of non-responders was 3.2(range 2.2-23) months, but it was not statistically significant(p=0.106). During a total of 92 cycles, granulocytopenia worse than CTC(Common toxicity criteria) grade 2 occurred in 6%, thrombocytopenia in 2%, and anemia in 3%, respectively. Non-hematologic toxicities were minor and easily controlled. Conclusion: The induction chemotherapy of docetaxel and cisplatin has moderate efficacy with acceptable toxicities in patients with locally advanced head and neck cancer.

견갑골 극관절와 결절종의 관절경하 감압술

황태혁,왕태현,조형래,김근영,Hwang, Tae Hyok,Wang, Tae Hyun,Cho, Hyung Lae,Kim, Keun Young 대한관절경학회 2011 대한관절경학회지 Vol.15 No.2

목적: 견갑골 극관절와 결절종에 대한 관절경하 감압술의 술기와 임상적 결과를 보고하고자 한다. 대상 및 방법: 2006년 3월부터 2009년 6월까지 견관절 극관절와 결절종에 대해 관절경하 감압술을 시행한 8예(남자 7명, 여자 1명; 평균 연령 40.6세; 범위 21~61세)를 대상으로 하였다. 가장 흔한 증상은 평균 6.4개월(범위: 3~8개월)가량 지속된 환측 견관절의 외회전 근력 약화와 모호한 동통이었다. 근전도 검사 상 총 8예중 5예에서 견갑상 신경의 이상소견을 보였으며 자기공명영상 검사 상 전 예에서 평균 2.6 cm(범위 1.8~3.6 cm)의 극관절와 결절종이 관찰되었다. 관절경 소견 상 모든 예에서 후상방 관절순의 병변이 관찰되었으며 관절경하 후상방 관절낭 절개술을 통해 감압술을 시행하였고 6예에서 봉합나사못을 이용한 관절와 순 봉합술을 시행하였다. 결과: Constant 점수 및 단순 견관절 검사를 포함한 임상적 점수는 최종 추시 상 유의하게 향상되었으며 수술과 관련된 특이한 합병증은 없었다. 근전도 검사 상 이상 소견을 보인 예를 포함한 전 예에서 등속성 근력 측정 상 외회전 근력의 회복소견을 보였다. 전 예에서 술 후 평균 5.2개월(범위: 3~12개월)에 촬영한 자기공명영 검사에서 결절종의 소실을 관찰할 수 있었으며 평균 18개월(범위: 12~26개월)의 추시기간 중 재발의 증거는 관찰되지 않았다. 결론: 견갑골 극관절와 결절종에서 관절경하 감압술을 시행하여 유의한 기능적 회복을 얻었으며 전 예에서 술 후 자기공명영상 검사 상 결절종의 소실을 관찰할 수 있었다. 또한 관절경하 감압술은 동반된 관절와 순 병변을 치료하는데 유용한 방법이며 이를 통해 결절종의 재발을 줄일 수 있을 것으로 사료된다. Purpose: We describe a all-arthroscopic technique for decompression of spinoglenoid ganglion cyst and present our clinical results for this procedure. Materials and Methods: From March 2006 to June 2009, eight patients (7 males, 1 female; mean age 40.6 years; range: 21~61) were included who underwent arthroscopic decompression of spinoglenoid ganglion cyst. The most common symptoms were vague shoulder pain and external rotation weakness, which lasted 6.4 months (range: 3~8) on average. Five of eight patients were noted abnormalities on electromyographic (EMG) examination to have suprascapular nerve neuropathy and magnetic resonance imaging (MRI) showed spinoglenoid ganglion cysts in all eight patients and the cyst size was 2.6 cm (range: 1.8~3.6). Labral pathology was identified intraoperatively in all patients and the cysts were decompressed by the posterosuperior capsulotomy under arthroscopic control and labral repair with suture anchors was performed in six patients. Results: The average clinical outcome scores including Constant and Murley, Simple shoulder test (SST) all improved significantly at the time of the final follow-up and there were no complications resulting from the procedures. All patients including the patients with abnormal EMG study recovered strength on isokinetic strength testing. Follow-up MRI scans were performed on all patients at a mean of 5.2 months postoperatively (range: 3~12) revealed complete resolution of the cysts and no evidence of recurrences were seen at an average of 18 months (range: 12~26) of follow-up. Conclusion: Arthroscopic decompression of spinoglenoid ganglion cyst effectively restores patient function and all patients in this study showed improvement in their postoperative MRI findings. Arthroscopic decompression is also useful in the appropriate treatment for labral pathology and may contribute to decreased risk of cyst recurrence.

증례 : 소화기 ; 에피네프린 점막하 주사 후 발생한 허혈성 위괴사 1예

이태희 ( Tae Hee Lee ),이준성 ( Joon Seong Lee ),조근혁 ( Keun Hyok Cho ),김성한 ( Sung Han Kim ),김진오 ( Jin Oh Kim ),조주영 ( Joo Young Cho ),심찬섭 ( Chan Sup Shim ) 대한내과학회 2009 대한내과학회지 Vol.77 No.4

위는 복강동맥으로부터 풍부한 혈액 공급을 받으며 위벽내에 발달된 측부 혈관으로 허혈성 위 괴사는 드물다. 이에 대한 원인으로 주로 알려진 것은 수술 후 합병증 또는 복강동맥의 동맥경화증이다. 에피네프린 점막하 주사는 비교적 안전하게 비정맥류 위장관 출혈의 치료에 이용되지만 조직괴사를 유발할 수 있다. 현재 전세계적으로 보고된 문헌을 살펴보면 에피네프린 주입 후 발병한 위 허혈이 6예로 매우 드물다. 저자들은 평소 고혈압 및 협심증으로 항 고혈압제와 아스피린을 복용 중인 61세 여자 환자에서 에피네프린을 점막하 주사 후 발생한 허혈성 위 괴사를 경험하였기에 문헌고찰과 함께 보고하는 바이다. 고령, 당뇨병, 고혈압, 협심증 등의 동맥경화증 위험인자를 가진 환자에서 궤양 반흔의 에피네프린 점막하 주사는 허혈성 위 괴사를 유발할 수 있으므로 이에 대해 주의가 필요하다. Ischemic gastric necrosis is rare because of the abundant anastomotic supply to the stomach, and it is usually associated with surgery and disruption of the major vessels. Although the injection of epinephrine is safe and effective for non-variceal bleeding, it may cause tissue necrosis. Six cases of ischemic gastric necrosis after submucosal epinephrine injection have been reported. We describe a case of ischemic gastric necrosis after submucosal epinephrine injection in a 61-year-old woman with hypertension and angina pectoris treated with antihypertensives and aspirin. We should exercise caution when injecting epinephrine submucosally in a patient with atherosclerotic risk factors such as old age, hypertension, diabetes mellitus, or angina pectoris due to a possible risk of ischemic gastric necrosis. (Korean J Med 77:488-492, 2009)