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.

재판이혼 중 비자발적 내담자-상담자간 상담관계-내담자-상담자간 작업동맹 관점에서-

이숙영 ( Suk Young Lee ) 대한아동복지학회 2010 아동복지연구 Vol.8 No.2

본 연구는 재판이혼 중 법원 내 상담실에서 아동과 치료자, 부부와 치료자간의 상담관계 특성과 상담 성과를 알아보고자 하였다. 상담관계 특성으로 비자발적인 내담자로 구성된 재판이혼 상담관계의 특징과 상담관계에서 내담 아동과, 부부, 치료자간의 상담관계에 대한 상담효과를 살펴보았다. 연구대상은 재판이혼 중 부모와 함께 상담자에게 상담을 받는 부부와 6세 이상 자녀 총 5가족이다. 본 연구를 통해 재판이혼 중 비자발적 내담자의 특징과 내담자-상담자간 상담관계에서 어떠한 특성을 나타내고, 이러한 특성이 상담 성과와 관계가 있는지 알아보고자 하였다. 연구 결과를 보면 재판이혼 중 비자발적인 내담자-상담자간 상담관계는 내담자 아버지는 목표와 유대가 가장 높았으며, 어머니는 유대를 가장 높게 나타내었다. 상담자는 목표, 과제, 유대에서 전반적으로 고른 반응을 보였다. 내담 아동과 -상담자간 상담관계 사전, 사후검사를 살펴본 결과사전보다 사후검사에서 부정적 감정관계가 낮아졌음을 알 수 있다. 연구 결과는 비자발적인 부부와 상담자간 상담 관계에서 상담을 협력하는 관계로 상담 전보다 후에 긍정적인 상담관계가 상승되었음을 알 수 있다. 이 결과를 통해 재판이혼 중 비자발적 내담자는 상담 초기에는 부정적인 감정이 많은 내담자이다. 그러므로, 재판 이혼 중 비자발적인 내담자들은 상담자로부터 지지와 공감, 위로 등의 긍정적인 상담관계가 이루어지길 원한다는 것을 알 수 있다. 긍정적인 상담관계는 점차로 부정적인 감정이 낮춰지고 자발적으로 부부와 자녀 문제를 상담 하면서 상담성과가 높아지는 것을 연구를 통해 알 수 있다. 이 연구는 재판 이혼 중 부부와 아동 상담의 필요성을 알게 하였다. 이 연구는 앞으로 국가가 재판이혼 과정에서 상담의 필요성을 인식하는 계기가 되었으면 한다. I surveyed the characteristics of counseling persons who are in the process of filing for divorce and their children. Also, another purpose is to ascertain the effect of the counseling on them by the therapist and how it influences their relationships. These families aren`t spontaneous applicants for counseling. The objects of the study are five families who are in the process of filing for divorce, including their children. This study identified the characteristics of the counseling for those families, and how the relationships had changed after the counseling was finished. The study found that the characteristic of fathers in those families tends to be oriented towards control and have close ties. The mothers have the close ties tendency as the first value. The therapist appears generally balanced in the test. After pre and post tests were performed on those children, in order to find the relationship between the therapist and those children, the result of the post test showed the positive changes in the relationship since the pre test took place. In addition, the relationship between the therapist and the couples who are in the process of filing for divorce were also changed from negative to positive feelings. The study found that those people who are not spontaneous applicants for counseling have uncomfortable feelings about the program at first. Thus it is necessary to be able to console, support and empathize with them when they begin to be counseled by the therapist. By counseling them in this way, the therapist could guide them into a positive relationship with the therapist. It means that the negative feelings between them can be dispelled, and they can enjoy positive relations. As the counseling proceeded, they become spontaneous applicants for that and it improved the effects of the counseling. I hope that this study helped the counseling during a judicial divorce to be perceived as the most important process in the divorce suit.

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

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.

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.

HRD연구 학술지의 저술 특성과 연구 생산성 분석

이숙영 ( Lee¸ Suk-yeong ),이영민 ( Lee¸ Young-min ) 한국인력개발학회 2020 HRD연구 Vol.22 No.4

본 연구는 HRD분야의 대표적 학술지인 한국인력개발학회 ‘HRD연구’에 발표된 논문을 대상으로, 저자의 저술 특성과 연구 생산성을 종단적·시계열적으로 분석하는 것이 목적이다. ‘HRD연구’의 1999년부터 2019년 총 21권 4호까지 게재된 총 431편의 논문을 대상으로, 저자들의 저술 특성을 파악하기 위하여 저술유형, 편당저자수, 소속기관, 논문발표 실적, 저자의 연구지속성을 분석하였고, 저자들의 연구생산성을 분석하기 위하여 계량서지학에서 많이 활용되는 Lotka 법칙을 적용하였다. 저자의 저술 특성을 분석한 결과 첫째, 단독저술보다는 2인 이상 공동저술 비중이 점점 높아지는 경향이 있다. 둘째, 논문 1편당 저자 수도 지속적으로 증가하였다. 셋째, 저자들은 학생이나 교수 및 강사 등의 신분으로 소속되어 있는 대학교가 가장 많았고, 다음으로 정부부처·산하기관, 기업, 연구소의 순으로 빈도수가 높게 나타났다. 넷째, 저자들 다수는 한 편의 논문을 발표하고, 그 이상 저술 활동을 하지 않는 경향도 많았다. 다섯째, 저자들의 연구생산성 측면에서 보면 소수의 연구자가 다수의 논문을 저술하는 것으로 파악되었다. 이상의 연구결과, ‘HRD연구’ 학술지의 연구방향은 양적·질적으로 보다 효과적인 생산성 연구 성과를 높이기 위해서는 횡단적이거나 종단적인 연구가 병행되어, 사회적인 패러다임의 변화를 통하여 객관적이고 통합적인 HRD연구 체계를 구축하는데 기여할 것을 제안하였다. This study is to analyze the author's writing characteristics and research productivity in a longitudinal and time-sequential manner, targeting the papers published in 'HRD Research', a representative academic journal in the HRD field. The author's writing type, number of authors per edition, affiliated institution, publication performance, and author's research persistence was analyzed, and the Lotka law, which is widely used in bibliographical science, was applied to analyze the authors' research productivity targeting the total 431 papers published in 'HRD Research' from 1999 to 2019. As a result of analyzing the characteristics of authors' writings, first, there is a tendency that the proportion of co-authoring with two or more people increase gradually rather than single writings. Second, the number of authors per manuscript increased continuously. Third, it was plenty that authors belonged to universities, by a status of students, professors, and lecturers, followed by government ministries and affiliates, companies, and research institutes. Fourth, many of the authors published one paper, and there was a tendency that they did not write more than one. In terms of the research productivity of the authors applying Lotka law, it was found that a small number of researchers write multiple papers. As a result of the above research, the research direction of the journal 'HRD Research' suggested to contribute in conducting objective and integrated HRD research system through a change of social paradigm with corss-sectional or longitudinal research to improve the results of the research more quantitatively and qualitatively.

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)

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

증례보고 : 성문상 종양에 의한 성문 폐쇄 환자에서의 기관 내 삽관

이숙영 ( Suk Young Lee ),함태수 ( Tae Soo Hahm ),진현승 ( Hyun Seung Jin ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.56 No.1

Intubation in patients with an obstruction of the glottis due to a large mass may present great challenge to most anesthesiologists. If tracheostomy is not available, flexible fiberscope guided endotracheal intubation is now the part of the standard management in these cases, but difficulty in advancing the tracheal tube over the fiberscope and into the trachea may be encountered. In this case, a 60-year-old male with a huge supraglottic mass was given general anesthesia for laryngomicroscopic surgery and debulking of the mass lesion. We planned an awake flexible fiberoptic intubation but failed to railroad the tube over the fiberscope even after successfully placing the scope inside the trachea. During various attempts to pass the tracheal entrance, the patient coughed and the tube slid into the trachea as mass moved aside and we could successfully secure the airway. (Korean J Anesthesiol 2009;56:87~91)