Comparison of the Prevalence of Cardiometabolic Disorders and Comorbidities in Korea and the United States: Analysis of the National Health and Nutrition Examination Survey

An Seokyung,Ahn Choonghyun,Jang Jieun,Lee Juyeon,Kang Daehee,Lee Jong-Koo,Park Sue K. 대한의학회 2022 Journal of Korean medical science Vol.37 No.18

Background: Comparison of the prevalence of cardiometabolic disorders (CMDs) and comorbidities in Korea and the United States (US) can be an important indicator for forecasting future risk of cardiovascular events in Korea. This study aimed to estimate and compare the prevalence of hypertension, diabetes mellitus (DM), dyslipidemia, obesity, and metabolic syndrome (MetS) in Korea and the US. Methods: A total of 15,872 individuals from the US National Health and Nutrition Examination Survey (NHANES) 2003–2014 and 26,492 from the Korea NHANES (KNHANES) 2007–2014 were included. Additionally, 164,339 (139,345 from the Health Examinees-Gem Study and 24,994 from the Cardiovascular Disease Association Study) participants enrolled in the Korea Genome and Epidemiology Study were included to investigate the differences of CMDs between urban and rural regions. To estimate the age-standardized prevalence of CMDs in individuals aged 40–69 years, direct standardization using the World Health Organization standard population was performed. Results: The prevalence of CMDs was lower in Korea than the US (hypertension 49.9% vs. 56.8%; DM 13.4% vs. 14.3%; hypercholesterolemia 16.8% vs. 17.8%; obesity 36.2% vs. 38.6%; and MetS 29.4% vs. 36.5%). According to the median survey years, dyslipidemia has become more prevalent in Korea than in the US since 2010. The prevalence of CMDs was greater in rural than that in urban areas in Korea. Conclusion: The prevalence of dyslipidemia in Korea exceeded that of the US after 2010, which was associated with increasing burden of cardiovascular events. The present study suggests that further preventive strategies are needed to mitigate the prevalence of CMDs in Korea.

Risk factors for lymph node metastasis in FIGO stage I-IIIC endometrioid carcinoma according to lymphovascular invasion

( Seokyung Kim ),( Joo-hyuk Son ),( Tae-wook Kong ),( Jiheum Paek ),( Suk-joon Chang ),( Hee-sug Ryu ) 대한산부인과학회 2019 대한산부인과학회 학술대회 Vol.105 No.-

Objective: The aim of the study was to evaluate risk factors associated with lymph node (LN) metastasis in FIGO stage I-IIIC endometrioid carcinoma patients according to lymphovascular space invasion (LVSI) status. Methods: A total of 338 FIGO stage I-IIIC patients with endometrioid histology between March 2000 and February 2018 were included. All patients received complete staging procedures including pelvic and para-aortic lymphadenectomy and were surgically staged according to the 2009 FIGO staging system. The patients were divided into LVSI-negative and LVSI-positive groups. Risk factors for LN metastasis were analyzed in LVSI-negative and LVSI-positive groups, respectively. Results: Fifty-eight patients (17.2%) were LVSI-positive and 280 (82.8%) were LVSI-negative. LVSI-positive patients were significantly older (p = 0.001) and showed higher CA-125 value (p < 0.001), more advanced stage (p < 0.001), poorer differentiation (p < 0.001), higher frequency of ≥50% myometrial invasion, and cervical stromal invasion (p < 0.001), and LN metastasis (p < 0.001) than LVSI-negative patients. In LVSI-negative group, positive peritoneal cytology (p = 0.020, OR = 27.708, 95% CI = 3.433-223.664) and ≥50% myometrial invasion (p = 0.043, OR = 8.777, 95% CI = 1.069-63.323) were significantly associated with LN metastasis. In LVSI-positive group, CA-125 ≥35 IU/mL (p = 0.020, OR = 4.303, 95% CI = 1.256-14.739) and cervical stromal invasion (p=0.022, OR = 3.939, 95% CI = 1.219-12.728) was significantly related to LN metastasis. Conclusion: In the cases that the nodal status has not been assessed surgically in clinically early-stage endometrioid adenocarcinoma, both LVSI-negative patients with ≥50% myometrial invasion or positive cytology and LVSI-positive patients with CA-125 ≥35 IU/mL or cervical stromal invasion are likely to have more lymphatic metastasis from primary tumor. Therefore, these patients may be a reasonable candidate for systematic lymphadenectomy.

A Nutrition Intervention Focused on Weight Management Through Lifestyle Improvements in Prediabetic Subjects

( Seokyung Park ),( Mi-Hye Woo ),( Hyun Jung Lim ),( Suk Chon ),( Jeong-Taek Woo ) 한국임상영양학회 2018 Clinical Nutrition Research Vol.7 No.1

We reported the cases in order to evaluate the effects of individualized nutrition interventions for enhancing self-management abilities of prediabetic subjects. We conducted four nutrition interventions for weight control in two subjects with high-risk of type 2 diabetes. The first subject was a 53-year-old housewife, and the second subject was a 46-year-old male office worker. The subjects visited the medical center 4 times during the study period, and the lifestyle interventions were advised by a clinical team comprised physicians, clinical dietitians, and nurses. In particular, nutrition intervention to achieve weight loss focused on enhancing motivation and problem-solving skills to improve self-management ability. As a result, both subjects achieved weight loss by the time of their last visits. These two case studies, which differed in terms of sex, occupation, and dietary habits showed the importance of individualized nutrition intervention and forming an intimate relationship based on trust centered on prediabetic subjects. In conclusion, systematic collaboration within the clinical team is necessary, and social infrastructure should be prepared to fully realize the benefits of a systematic intervention program.

Aspect of Anesthesiologists

Seokyung Shin 대한외과학회 2022 대한외과학회 학술대회 초록집 Vol.2022 No.11

Estimating Gestational Age Using Fetal Biparietal Diameter at 11 to 14 Weeks in a Korean Population: A Retrospective Study

( Seokyung Kim ),( Dong Wook Kwak ),( Hyun Ji Bae ),( Keun Yeok Seo ),( Moon Young Kim ),( You Jung Han ),( Hyun Mee Ryu ),( Jin Hoon Chung ) 대한주산의학회 2023 Perinatology Vol.34 No.4

Objective: To evaluate fetal biparietal diameter (BPD) between 11 and 14 weeks of gestation in pregnant Korean women after in vitro fertilization (IVF) and to construct reference charts for estimating gestational age (GA). Methods: Data of Korean women with singleton pregnancies who conceived after IVF and underwent sonography between 11 and 14 weeks of gestation were retrospectively collected. BPD was measured from the outer to the inner edge of the parietal bone in a transverse plane. GA was calculated by adding 14 to the number of days between dates of oocyte retrieval and ultrasound scan. Fractional polynomial regression model was fitted to estimate GA in relation to BPD. Results: BPD measurements were obtained for 960 fetuses. The BPD of Korean pregnancies was similar to previously described estimations at 12 weeks of gestation. However, it tended to be greater with advancing GA than those of non-Hispanic whites, non-Hispanic blacks, and Hispanics based on the Eunice Kennedy Shriver National Institute of Child Health and Human Development fetal growth studies. The best-fit equation for estimating GA from BPD was GA (day)=89.5684- (1.4667×BPD)+(0.0635×BPD²) with standard deviation=-0.4532+ (0.1007×BPD). Conclusion: Ethnic differences may exist in fetal BPD during the first trimester. The described chart can improve the accuracy of estimating GA in pregnant Korean women.

서술부의 함수체계화를 통한 인허가관련 건축법규의 자동검토 응용방안

박서경(Seokyung Park),이진국(Jin-Kook Lee),김인한(Inhan Kim) (사)한국CDE학회 2016 한국CDE학회 논문집 Vol.21 No.3

As building information modeling (BIM) is expanding its influence in various fields of architecture, engineering, construction and facility management (AEC-FM) industry, BIM-based automated code compliance checking has become possible prospects. For the automated code compliance checking, requirements in building code need to be processed into explicit representation that enables automated reasoning. This paper aims to develop high-level methods that translate verb phrases into explicit representation. The high-level methods represent conditions, properties, and related actions of the building objects and clarify the core content of the constraints. The authors analyze building permit requirements in Korea Building Code and establish a standardized process of deriving the high-level methods. As a result, 60 kinds of the highlevel methods were derived. In addition, method classification, analysis, and application are introduced. This study will contribute to the representation of explicit building code sentences and establishment of the automated building permit system of Korea.

빈곤한 여성들의 코뮌(1871): 루이즈 미셀과 앙드레 레오의 대변

노서경 ( Seokyung Roe ) 한국서양사연구회(구 서울대학교 서양사연구회) 2018 서양사연구 Vol.0 No.59

The question which motivated to compose the article is that most of the communardes was certainly working women in the state of ‘la Misere,’ in other words deprived of time and money indispensable for the idea of social transformation. Then how and why they were engaged actively in the whole process of the defeated but historical Commune of Paris (1871), in particular as the status of women? To find out some feasible answers to that question, we called on Louise Michel and Andre Leo at the same time on the assumption that both had enough reason to be represented not by any election system but through reciprocal and tacit consent among the delegated people. Without any official title in the Commune Government nor in the minority leadership for the women except a little activity of International or Montmartre Vigilance Committee, Louise Michel had been incarnated as the armed women citizen and Andre Leo as ‘soldier of idea’ by her journalism. These representative words and deeds are in a sense contradictory but both aimed for the realization of social revolution without doubt. But the social revolution for the women does not mean taking power from the bourgeois class. Rather it stands first of all in the extension of the fighting for the country known to them during the precedent Paris Occupation by the German army. The Commune women wanted to exert the full citizenship by the military participation like meal preparation and ambulance amidst the fighting National Guard against Versailles regular army. They naturally claimed for legalized reform measures like equal pay for equal work, and also for liberated from the complicated system of marriage to enjoy the independent way of life as producer and gender. More vast problem was the oppressive authority the Church largely imposed to them The women’s constant claim for better education was owing to such institutions. The Commune Government had not enough time and capability for the women question but tried to apply new principles in that field. What is remarkable for the two female communardes, was their keeping of ethic shared with their audience: they are conscious that for the durable revolutionized society could be founded upon democratic building of men and women’s relationship. If we could denominate it Commune feminism it was characterized by the intimate face to face contacts, not by distant regarding between elite and mass. Finally the feminism of Louise Michel and Andre Leo showed, even for the moment, the possibility of discovering hidden but neglected will of change in the working women of Commune For them the idea of change was cherished not only for the society itself but for each of themselves. Supported by the probable evidences we could tell the feminism of Commune was a courageous, firm adventure of laboring women who refused vanquished under the pressure of material destitution. (Humanities Research Institute of Chungnam National University / ecouter@hanmail.net)

대표 개념에 따른 프랑스 사회주의의 갈등 구도 재검토: 제3공화정, 1893~1903

노서경 ( Seokyung Roe ) 한국서양사연구회(구 서울대학교 서양사연구회) 2019 서양사연구 Vol.0 No.61

Everybody in this area are well aware that French socialism had been divided and in antagonistic conflict in the last decade of the nineteenth century. when the long pursued but defeated revolutionary ideal was contested by the emergence of the socalled reformists. One of their heated confrontations resulted in no agreement for their shared aspiration for unification was the Congress of Paris in December 1899. The debate was centered in particular to the thorny question of whether socialists' participation in the bourgeois government could be allowed or not. The idea of the article was inspired by the discourse of the Congress. It made sense that there might be some other components beyond the already formulated revolution and reformism; a phenomenon which could support and urge further questions was the nearly simultaneous publication of work like Mosei Ostrogorsky, Robert Michels and Andre Siegfried. Those distinguished observations reflected some thing unprecedented rising in the field of politics. Then which concept would give to our subject fair limitations affording realistic research questions? The concept of representation with many arguments and critical elaboration seems to us as suitable as attractive. There was somewhat paradoxical reasoning to be inclined to “representation”. It was not an idea positively recognized for French workers who had lived under historical oppression. However, socialists had enough reason to demonstrate the capacities for socialist representation. Because political force could not grow up in a day, they could not but struggle with the workers' ethics and tactics for the representation. Municipal socialism was offered as the fine place for that political space. It is true that the Nord department conducted more important roles with the disciplined working class by dint of Guesdists Mayors and municipal councils. But as the Saint-Mandet banquet in 1896 manifested, many cities and communes of France accepted socialist municipality in the narrow competitions with other republican forces. Neither did Paris municipality did not refrain the entrance of worker socialists after the latter part of 1880. At last how they esteemed and conducted parliamentary political activity in the Chamber of Deputies, especially during the ten years before the unification of socialism became important. Dissentions among the revolutionaries and reformists was not all dissipated as for the participation in the bourgeois government, but any side took care of reform acts for the betterment of workers' conditions. Even so, the ideological and practical differences between the two confronting parties under the consolidated capitalist regime was the concern of our investigations. It is evident that one consistently declared their opposition to bourgeois society, while the other accepted parliamentary virtue as an essential value, liberty. But as a conclusion we might say that French socialists on either side assumed their historical task. Representation means in that case coming and going incessantly between political tactics, metaphysical effort and the everyday life of deprived proletariat.

영유아 자녀를 둔 부모의 책 읽어주기 활동의 실태와 인식

정서경(Seokyung Jung),김승희(Seunghee Kim) 학습자중심교과교육학회 2022 학습자중심교과교육연구 Vol.22 No.5

목적 본 연구는 영유아 자녀를 둔 부모의 책 읽어주기 활동의 실태와 인식을 부모 변인과 자녀 변인에 따라 살펴보았다. 방법 본 연구는 광주광역시의 M 어린이집에 다니는 영유아의 부모 10명을 대상으로 예비조사를 시행한 후, 광주광역시와 전라남도에 소재한 유아교육기관에 다니는 영유아 자녀를 둔 부모 485명을 대상으로 설문 조사를 시행하였다. 설문지는 두 차례 내용타당도를 검증받은 후 사용되었으며, 자료는 빈도분석과 카이제곱 검증으로 분석되었다. 결과 4년제 대학을 졸업한 30대 어머니의 책 읽어주기 활동이 가장 활발하며, 맞벌이 여부가 대부분 문항에서 유의한 차이를 보이지 않았다. 또한 만 1세 미만에 책을 읽어주기 시작하고, 만 2세 미만 자녀에게 1주일 5회 이상 5~10분 미만 읽어주는 것으로 나타났다. 즉, 책 읽어주기 활동 시작 시기가 점점 빨라지고 있으며 주로 영아기 자녀를 대상으로 책 읽어주기 활동이 이루어지는 것이다. 그러나 책 읽어주기 활동 실태와 다르게 책 읽어주기 활동 인식에서는 자녀 변인에 따른 유의한 차이가 거의 없었다. 결론 본 연구는 맞벌이 여부보다 부모나 자녀의 나이에 따른 부모교육 프로그램이 임신 초기부터 시행되어야 함을 강조한다. 이처럼 부모 변인과 자녀 변인에 따른 책 읽어주기 활동에 관한 구체적 정보를 제공함으로써 부모교육프로그램의 기초자료를 제시하는 데 본 연구의 의의가 있다. Objectives The purpose of this study was to investigate the reality and perception of reading books activity of parents with young children according to parents’ parameters and their children’s parameters. Methods This study carried out preliminary survey for 10 parents with young children of M preschool in Gwangju metropolitan city, and then conducted survey research. The subjects of this study were 485 parents whose children attending preschools and kindergartens in Gwangju metropolitan city and JeollaNamdo. Questionnaire was used after being inspecting its content validity twice, and data were analyzed using frequency analysis and Chi-square test. Results The results of this study were as follows. Mothers in their thirties who graduated a four-year university most actively participated in reading books activity, and dual-income status did not show meaningful differences in most questions. The parents started reading book activity under one year of their children’s age, and read books for their children under two year of age for 5~10 minutes over five times per week. That is to say, a beginning time of reading books activity was faster and faster, and reading books activity was operated targeting children in infancy. However, the perception of reading books activity was different from the reality of reading books activity because it did not show meaningful differences nearly according to child variance. Conclusions This study emphasized that a parent education program according to the age of parents or children rather than dual income status should be conducted from the beginning of pregnancy. It was significant that this study suggested basic data of a parent education program by providing specific information about reading book activity according to parent variance and child variance.

추방당한 코뮈나르 브누아 말롱의 ‘노동자’ (1871-1885)

노서경(SeoKyung ROE) 한국프랑스사학회 2021 프랑스사연구 Vol.- No.45

무참한 유혈진압에도 불구하고 1871년 코뮌은 프랑스 사회주의와 노동운동에 뚜렷한 흔적을 남겼으며 그것은 흔히 일컬어지는 분열이기보다 분열을 일으킨 새로운 모색들 자체였다. 이 글은 그 가운데 코뮌 망명자 브누아 말롱의 선택은 어떠한 것이었고 왜 그랬는가를 문제시하면서 말롱 자신이 일선 노동자였다는 사실에 주목하여 코뮌 후 10여년 간 그가 밟은 지적 경로를 재구성하려 한다. The bloody suppression of Communards executed by the Versailles government at the end of the Commune of 1871 seems productive in the final analysis. The French socialist leaders survived and took refuge sought the unprecedented path to follow. In that sense, the Communard Benoît Malon, in Switzerland for ten years, requires a careful explanation. Contrary to the other socialists" political activity, Malon"s contribution was founding a Review after returning to France. However, Malon, born into a poor peasant family, was a proletariat deprived of any intellectual benefit. This article attempts to trace Malon"s itinerary with the question why and how he finally decided to build a bridge between labor and intellectual activity. Our work first illuminates the International Workingmen"s Association, and after explains his appreciation of the German labor movement leader Ferdinand Lassalle. Finally it investigates Malon"s concept and plans for a new workers" party not realized. La Revue Socialiste, launched in 1885 as his conclusion, remains a study to do.