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한국 소아 및 청소년 Graves병의 자연 경과 및 예후 인자
송승민,윤지석,고정민,전종근,최진호,유한욱,Song, Seung-Min,Youn, Ji-Seok,Ko, Jung-Min,Cheon, Chong-Kun,Choi, Jin-Ho,Yoo, Han-Wook 대한소아청소년과학회 2010 Clinical and Experimental Pediatrics (CEP) Vol.53 No.4
목 적: Graves병은 소아 및 청소년의 갑상선 기능항진증의 가장 흔한 원인으로 한국 소아 및 청소년 Graves병의 자연 경과 및 예후 인자를 알아보기 위하여 이 연구를 시행하였다. 방 법: 1991년 11월부터 2006년 7월까지 15년간 서울아산병원 소아청소년과에서 Graves병으로 진단 받고 2년 이상 추적관찰이 가능하였던 환자 113명(여자 88명, 남자 25명)을 대상으로 하였다. 성별, 진단 시 연령, 치료 기간, 혈액 검사, 임상 증상, 가족력을 후향적으로 분석하였다. 결 과 : 모든 환자들은 항갑상선제 투여로 치료를 시작하였고 7명(6.2%)에서 PTU, 106명(93.8%)에서 MZ을 투여하였다. 전체 환자 113명 중 75명(66.4%)은 첫 번째 관해가 되었으며, 이 중 23명(전체의 20.4%)은 약물 치료를 중단한지 평균 $25.5{\pm}33.7$개월 후 재발하였다. 재발한 23명 중 13명(전체의 11.5%)은 두 번째 관해가 되었으나 이 중 2명은 다시 재발하였다. 1명은 4년간의 약물 치료에도 정상 갑상선 기능이 되지 않아 방사선 요오드 요법을 시행하였다. 완전 관해군의 진단 시 연령이 질병 지속 상태군에 비해 의미 있게 높았다(12.7세 vs. 11.7세, $P$=0.034). 즉, 연령이 높은 경우 관해율이 높을 것으로 나타났다. 결 론: 진단 시 연령을 소아 및 청소년 Graves병의 예후 인자로 고려할 수 있으며 이는 Graves병의 치료 방법 및 기간을 결정하는데 도움이 될 것으로 생각된다. Purpose : Graves' disease is the most common cause of hyperthyroidism in children and adolescents. In this study, we investigated the natural course and the prognostic factors of Graves' disease in Korean children and adolescents. Methods : One-hundred thirteen (88 girls and 25 boys) patients were included in this study. A retrospective analysis was made of all patients who were diagnosed with Graves' disease. The following parameters were recorded and analyzed: patient's sex, age at diagnosis, duration of disease, laboratory findings, symptoms and signs, and family history of autoimmune thyroid disease. Results : All patients were initially treated with antithyroid drugs, either methimazole (93.8%) or propylthiouracil (6.2%). Antithyroid drugs had been discontinued in 75 (66.4%) of 113 patients. Of these 75 patients, 23 (20.4%) relapsed after $25.5{\pm}33.7$ months. Thirteen (11.5%) of 23 patients, who experienced the first relapse, showed a second remission. However, 2 (1.8%) of 13 patients relapsed again. Euthyroid state could not be achieved by antithyroid drugs in 1 patient, and radioactive iodine therapy was performed. The older the patient at diagnosis, the greater the likelihood of remission ($P$=0.034). Conclusion : Age at diagnosis seems to be a prognostic factor in Korean children and adolescents with Graves' disease, and should be taken into account in treatment plan determination.
조부모의 학령 초기 손자녀 대리양육 경험에 관한 질적 연구
송승민(Seung-Min Song),이운경(Woon Kyung Lee),이윤형(Yoon Hyung Lee),강현아(Hyunah Kang),김은혜(Eun Hye Kim),강하라(Hyunah Kang) 한국아동학회 2017 아동학회지 Vol.38 No.1
Objective: The present study examined the perspectives of grandparents raising their grandchildren in an attempt to better understand grandparents’ child-rearing experience while providing kinship foster care to their primary-grade grandchildren. Methods: Data were collected through individual in-depth interviews with eight grandparents who have raised one or two primary-grade (ages 8—10) grandchildren using a qualitative approach. Results: First, the participants viewed the reason for their kinship foster care as a failure for caring for their own children and accepted the present grandparent-care provision as their responsibility. Second, the participants communicated constant struggles with their own health and grandchild-care as well as positive/negative emotions associated with the care provision. Third, most of the participants did not fully understand the developmental needs of their primarygrade grandchildren. Fourth, the participants articulated concerns for their primary-grade grandchildrens learning, peer interactions, school adjustment, and extra-curricular activities. Lastly, the participants all agreed on hoping to raise grandchildren with good personality traits as members of a society and to have them fill the gap from the loss of their parents. Conclusion: Although most participants accepted the current circumstances as their obligation, they still noted difficulties in child-care provision. Given the developmental needs of grandchildren and the resource needs of grandparents, proper and continuous intervention approaches should be developed/provided.
프랑스와 한국의 보육 체계 비교: 보육 정책과 보육료 지원을 기준으로
송승민 ( Seung Min Song ) 한국EU학회 2006 EU학연구 Vol.11 No.1
The main purpose of this study is to compare child care system of France to Korea for providing some insightful perspectives in improving Korea`s child care system. France has the highest child care rate among OECD countries and the highest level of birth rate. Through the comparison, it is possible to get the insights that Korea has to offer better public early childhood educare service for children. This study concludes that success or failure of the policies that recently discussed mostly depend on the investment capability of the government to increase the supply of child care centers because the responsibility of providing child care services relies mostly on the government in Korea. Also, tuition support policy should diversify the criteria according to family income and the number of children of the household.
부모와 학생들의 만족을 고려한 한국 사립초등학교에서의 최적 스쿨버스 경로 결정
송승민(Seung Min Song) 한국SCM학회 2012 한국SCM학회지 Vol.12 No.2
The purposes of this paper are to evaluate the performance of current school bus routes used by Korean private elementary schools, to suggest an alternative to prioritize the satisfaction of parents and students rather than the efficiency of the schools, and to compare the results of the alternative with those of the classic school bus routing model. Although numerous studies have examined the school bus routing problem, this study addresses school bus routing at Korean private elementary schools because they are quite different from those of other-level schools. Moreover, this paper considers parents’ and students’ satisfaction as the most important consideration. Using quantitative methodologies to analyse the source of route generation problem, this research demonstrates that there is ample room for improvement in school bus routing of Korean private elementary schools to enhance customer satisfaction.