http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
The Prevalence of Marfan Syndrome in Korea
장신이,서수라,박승우,김덕경 대한의학회 2017 Journal of Korean medical science Vol.32 No.4
The aim of this study was to assess the prevalence of Marfan syndrome (MFS) in Korean adults. Data were collected from the National Health Insurance Service in Korea from 2006 through 2013. The data consisted of primary diagnoses related to MFS (Q87.4) diagnosed according to the 10th revision of the International Statistical Classification of Diseases and Related Health Problems. The age-standardized prevalence of MFS in adults was calculated using the estimated Korean population in 2010 as a reference. Overall, the prevalence of MFS was 0.90 per 100,000 persons in 2006 and 2.27 in 2013. For males in 2013, the prevalence per 100,000 persons was 2.61 in overall and 4.32 in 15–19 years-old. For females in 2013, the prevalence per 100,000 persons was 1.92 in overall and 3.02 in 10–14 years-old. In conclusion, currently, the age-standardized overall prevalence of MFS was 2.27 persons per 100,000 persons. And the overall age-standardized prevalence of MFS increased between 2006 and 2013 especially in 15–19 years-old males and 10–14 years-old females.
Association between Sleep Duration and Obesity in Young Korean Adults
장신이,주은영,박경민,서수라,최수정,이창관,천희란,박승우 대한비만학회 2016 The Korean journal of obesity Vol.25 No.4
Background: The purpose of this study was to investigate the association between number of sleep hours and obesity based on body mass index (BMI) after adjusting for socioeconomic position, health behaviors, and clinical factors. Methods: Data from subjects aged 20-64 years (n=12,688) in the Korea National Health and Nutrition Examination Survey in 2007-2009 was analyzed. Subjects were divided into two groups according to age: 20-44 (young adults) and 45-64 years (middle-aged adults). With respect to sleep time, subjects were classified as short sleepers (<6 hr/day), long sleepers (≥9 hr/day), and normal sleepers (6-8.9 hr/day). Obesity was defined as a BMI ≥25. Results: The proportion of patients who were obese was 27.8%. The distribution of short sleepers, long sleepers, and normal sleepers was 6.4%, 13.7%, and 79.9%, respectively. The adjusted short sleeper and long sleeper odds ratios (OR) for obesity in young adults were significantly different from that in middle-aged adults after adjustment for confounding factors. In women, the adjusted short sleeper OR for obesity was 1.56 (95% CI, 1.02-2.37). Conclusion: This community-based random sample of Korean adults showed that women with short sleep duration may be at significant risk of obesity.
청소년의 스마트폰 의존이 학교적응에 미치는 영향 : 직업결정의 조절효과
장신재 서울장신대학교 출판부 2022 서울長神論壇 Vol.- No.30
본 연구의 목적은 우리나라 청소년의 스마트폰 의존과 학교적응 간의 관계에서 직업결정의 조절효과를 분석하는 데 있다. 이를 위해 2019년 한국청소년패널조사 데이터를 활용하였으며, 이 중에서 중1패널 2,590명을 최종 분석에 활용하였다. 본 연구의 주요한 분석결과는 다음과 같다. 첫째, 청소년의 스마트폰 의존이 심할수록 학교적응의 수준은 높아졌다. 둘째, 스마트폰 의존과 청소년의 학교적응 간의 관계에 있어 직업결정이 조절효과를 보이는 것으로 나타났다. 즉, 장래 직업결정이 높을수록 스마트폰 의존이 학교적응에 미치는 영향을 완화시키는 것으로 나타났다. 연구결과를 토대로, 청소년의 학교적응과 같은 가족관계의 질을 향상시키기 위한 주요한 요인으로서 직업결정 등과 같은 진로지도, 장래 계획 등에 대한 점검,관리 및 체계화가 요구됨을 제언하였다. The purpose of this study is to analyze the moderating effect of job decisions on the relationship between smartphone dependence and school adaptation among Korean adolescents. For this purpose, data from the 2019 Korean Youth Panel Survey were used, and among them, 2,590 middle school panelists were used for the final analysis. The main analysis results of this study are as follows. First, as adolescents' smartphone dependence increased, the level of school adaptation increased. Second, it was found that occupational decision had a moderating effect on the relationship between smartphone dependence and adolescents' school adaptation. In other words, it was found that the higher the future career decision, the less the influence of smartphone dependence on school adaptation. Based on the results of the study, it was suggested that the examination, management and systematization of career guidance and future plans such as career decisions are required as major factors to improve the quality of family relationships such as school adjustment.
Survival Rates in Peripheral Artery Disease
장신이,김덕경,박승우,김영욱 한국지질동맥경화학회 2017 지질·동맥경화학회지 Vol.6 No.1
Objective: The aim of this study was to analyze the long-term survival of subjects with peripheral artery disease (PAD). Methods: The data included 415 Korean PAD patients aged ≥20 years hospitalized from 1994 through 2004 at a single tertiary center in Korea. Death data were obtained from all participants between 1994 and 2009. Results: The mean of age was 64.4±9.3 years in PAD. The proportion of peripheral vascular bypass operation (re-vascularized) was about 50%. The proportion of males was 90.6% in PAD. Five- and 10- year survival rates were 79.2% and 60.5% in PAD, respectively. The 5- and 10- year survival rates were 83.0% and 64.1% in re-vascularized group, and 75.5% and 56.3% in non-revascularized group (p<0.05). For PAD, the adjusted hazard ratios (HRs) were 1.75 (95% confidence interval (CI) 1.17-2.68) in over 65 years, 1.53 (95% CI 1.05-2.27) in diabetes, and 2.21 (95% CI 1.51-3.23) in chronic kidney disease (CKD). Interestingly, HRs in PAD were 0.55 (95% CI 0.34-0.84) in overweight and 0.45 (95% CI 0.25-0.76) in obesity. Conclusions: The 5- and 10- year survival rates were 79.2% and 60.5% in PAD. The survival rate in re-vascularized group was higher than that in non-revascularized group. Independent predictors of mortality were age, diabetes, and CKD in PAD. Obesity showed improved survival rates.
Long-term Survival Rates for Patients with Aortic Aneurysm
장신이,김덕경 한국지질동맥경화학회 2017 지질·동맥경화학회지 Vol.6 No.1
Objective: The aim of this study was to determine factors affecting the long-term survival of subjects with aortic aneurysm (AA). Methods: We included 294 Korean patients aged ≥30 years who were hospitalized from 1994 through 2004. Diagnosis was confirmed in 267A subjects (75.8% with abdominal only AA (AAA) and 24.2% with thoracic AA (TAA)) by computed tomography angiography in Samsung Medical Center, Seoul, Korea. AA repair direct operation or percutaneous endovascular AA repair (Revascularized group) was performed in 60.3% of the total patients. Death data were obtained from all participants between 1994 and 2009. Results: The mean age of AA subjects was 68.7 (±8.1) years. The proportion of males was 82%. Five- and 10-year survival rates were 89.8% and 82.6%, respectively. The 5- and 10-year survival rates were 92.3% and 84.9% in revascularized group and 86.4% and 79.5% in non-revascularized group, respectively. Adjusted hazard ratios were 1.11 {95% confidence interval (CI) 1.04-1.21} in ages and 3.07 (95% CI 1.26-7.90) in smoking for AA. Conclusions: Age and smoking contributed to death in Korean AA patients. In addition, the 10-year survival rate for AA patients in Korea was over 80%.
Prehypertension and Left Ventricular Diastolic Dysfunction in Middle-Aged Koreans
장신이,김수진,이창관,조은정,조수진,이상철 대한심장학회 2016 Korean Circulation Journal Vol.46 No.4
Background and Objectives: Left ventricular diastolic dysfunction is known to be a marker of myocardial damage, in particular myocardial fibrosis resulting from hypertension (HT). However, few studies have shown an association between the grade of diastolic dysfunction and blood pressure classification. We investigated the association between diastolic dysfunction and prehypertension (preHT) in apparently healthy adults who underwent routine health examinations. Subjects and Methods: The study sample included 4261 Koreans, 45 to 64 years of age with no previous history of HT, diabetes mellitus, malignancy, proven coronary artery disease, or valvular heart disease based on echocardiography, who underwent routine health examinations including echocardiography. The subjects were classified into three groups based on resting blood pressure: prehypertensive, hypertensive, and normotensive. Results: The prevalence of preHT in our study was 42.1%. After adjusting for age, gender, smoking status, alcohol consumption, fasting blood sugar, serum lipid profile, and body mass index, left ventricular diastolic dysfunction grades 1 and 2 were significantly more frequent in subjects with preHT (odds ratio [OR] 1.66 [95% confidence interval {CI} 1.40-1.96] and 1.37 [95% CI 0.95-1.97], respectively). When analyzed according to gender, the increased OR was especially notable in males. Conclusion: Left ventricular diastolic dysfunction appears to be significantly associated with preHT in Korean middle-aged males.
장신이,주은영,조성일,이승욱,김덕경 대한심장학회 2013 Korean Circulation Journal Vol.43 No.5
Background and Objectives: The objective of this study was to analyze and compare risk factors for peripheral artery disease (PAD) and coronary artery disease (CAD). Subjects and Methods: The sample included 7936 Korean patients aged ≥20 years who were hospitalized from 1994 to 2004. Of the 7936 subjects, PAD (n=415), CAD (n=3686), and normal controls (Control) (n=3835) were examined at the Health Promotion Center, Sam-sung Medical Center. Results: The mean age (years) of PAD subjects was 64.4 (±9.3), while CAD subjects was 61.2 (±9.9), and Control subjects was 59.9 (±9.1)(p<0.01). The proportion of males was 90.6% for PAD, 71.4% for CAD, and 75.5% for Control subjects (p<0.01). The adjusted odds ratios (ORs) for hypertension, diabetes mellitus, hypercholesterolemia, smoking, metabolic syndrome and chronic kidney disease were significantly higher in subjects with PAD or CAD compared to those in Control. However, the ORs for high density lipoprotein, being overweight, and be-ing obese were significantly lower in PAD subjects compared to those in Control. Conclusion: We found that cardiovascular risk factors were in fact risk factors for both PAD and CAD.
장신이,주은영,조성일,이승욱,김덕경 한국자료분석학회 2011 Journal of the Korean Data Analysis Society Vol.13 No.4
The aim of this study was to investigate the risk for metabolic syndrome (MetS) in subjects with a positive family history (FHx) of hypertension/cerebrovascular accident, cardiovascular disease, and/or type 2 diabetes mellitus. The sample population included 5,742 Korean men and women aged ≥20 years. A numeric score of 1 was assigned to study subjects with positive FHx. The MetS group showed a higher score for FHx of cardiovascular risk factors (FHx scores). After adjusting for age, gender, and socioeconomic position, the odds ratio of MetS classification varied by FHx score: 1.47 (95% CI 1.27- 1.71), 1.54 (95% CI 1.13-2.09) and 3.98 (95% CI 1.33-11.9) for FHx scores 1, 2, and 3, respectively. This study suggests that subjects with higher FHx cardiovascular disease scores have a higher risk for MetS.