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대전 지역에서 로타바이러스 위장관염의 역학적 연구(2001-2005년)
채주희,김민지,김도희,이경일,강진한,이준성,Chae, Joo-Hee,Kim, Min-Ji,Kim, Do-Hee,Lee, Kyung-Yil,Kang, Jin-Han,Lee, Joon-Sung 대한소아감염학회 2007 Pediatric Infection and Vaccine Vol.14 No.2
목 적 : 저자들은 최근 5년간 대전 지역에서 로타바이러스 위장관염으로 입원한 소아의 최근 역학적 추이를 알아보고자 하였다. 방 법 : 2001년 1월부터 2005년 12월까지 최근 5년간 급성 위장관염으로 가톨릭대학교 대전성모병원 소아과에 입원하여 치료받은 환아 중, 대변 검사에서 라텍스 응집 반응법 또는 면역크로마토그래피법으로 로타바이러스 양성을 보인 540명의 입원 기록지를 후향적으로 조사하였다. 결 과 : 대상 환아들의 평균 연령은 $21.8{\pm}15.3$개월(2개월-9세)이었으며, 연령 분포는 1세 미만 144명(26.7%), 1세 228명(42.2%), 2세 93명(17.2%), 3세 40명(7.4%), 4세 이상 35명(6.5%)이었다. 남녀비는 1.4:1이었다. 연도별 발생 환아 수는 2001년 94명(17.4%), 2002년 129명(23.9%), 2003년 119명(22%), 2004년과 2005년에는 각각 99명(18.3%)으로 연도별로 큰 차이를 보이지 않았다. 계절별로 봄(3-5월) 220명(40.8%), 겨울(12-2월) 205명(37.9%), 여름(6-8월) 59명(10.9%), 가을(9-11월) 56명(10.4%) 순을 보였으며, 각 연도별 분석에서도 같은 계절의 유행 양상을 보였다. 결 론 : 최근 국내에서의 로타바이러스 위장관염은 매년 4세 미만의 소아에서 초겨울에 발생하여 초봄에 정점에 달하였다가 초여름까지 유행하는 양상을 보였으며 연도별로 큰 차이를 보이지 않았다. 역학적 양상이 매년 유행하는 바이러스의 혈청형 변화와 관계가 있는지에 대한 연구를 포함하여, 로타바이러스의 역학적 특성 및 병인에 대한 연구가 필요할 것으로 보인다. Purpose : We evaluated the epidemiologic characteristics of rotavirus gastroenteritis in Daejeon, Korea from January 2001 through December 2005. Methods : We retrospectively analyzed 540 medical records of children with gastroenteritis, who had been hospitalized at The Catholic University of Korea, Daejeon St. Mary's Hospital and were tested positive by rotavirus stool examinations (latex agglutination or immunechromatography). Results : The mean age was $21.8{\pm}15.3$ months (ranged from 2 months to 9 years of age) and the distribution of children were 144 cases (26.7%) in <1 year of age, 228 (42.2%) in 1 year of age, and 93 (17.2%) in 2 years of age, and the 505 children (93.5%) were less than 4 years of age. The male-to-female ratio was 1.4:1. The mean annual number of cases was 108, with a relative even occurrence in each year. Although the patients with rotaviral gastroenteritis occurred through the year, a higher rate of occurrence was seen in spring (March to May, 40.8%) and winter season (December to February, 37.9%), without significant differences in each year. Conclusion : In Daejeon, Korea, rotaviral gastroenteritis have occurred in children less than 4 years of age, with slight annual variations and similar seasonal occurrence in the recent years. The data indicate that the recent trend in peak rotavirus activity is different from that observed decades ago in Korea.
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1998년과 2007년 사이 12∼13세 남녀 청소년의 체격, 골격성숙도, 체력 비교
송종국(Jong Kook Song),채서연(Seo Yeon Chae),채주희(Joo Hee Chae),김현배(Hyun Bae Kim),강효정(Hyo Jung Kang) 한국사회체육학회 2008 한국사회체육학회지 Vol.0 No.34
The purpose of the present investigation was to compare physique, skeletal maturation and physical fitness in Korean adolescents measured between 1998 and 2007. Subjects participated in the study were a total of 473 Korean adolescents aged 12 to 13 years. In 1998, 349 adolescents were selected from a middle school, located in Sungnam city and 124 middle school students aged 12-13, located in Yongin city were participated in 2007. All measurements were conducted by one of the reseachers (Jong-Kook Song) with two different group of investigators between 1998 and 2007. Anthropometric characteristics were body mass, body height, sitting height, circumferences taken at sites of upper arm, flexed upper arm, chest, waist, hip, thigh, and calf, bone breadth taken at the sites of humerus, and femur, skinfold thicknesses taken at the sites of triceps, subscapular, suprailiac, thigh and medial calf. Skeletal maturity was assessed by TW3 (Tanner et al., 2001). Maturity scores for Radius-Ulna-Short bones (RUS) and bone age were calculated. Physical fitness parameters included flamingo balance, sit and reach, grip strength, sit-ups, standing long jump, bent arm hang, 50m shuttle run and multi-stage shuttle run. All data were analyzed by SAS Enterprise 3.0. Means and standard deviations were calculated by descriptive statistics. Independent t-test was applied to compare dependent variables between measurements. The level of significance was set at p<0.05. Results of the study showed that male adolescents aged 12-13years in 2007 had significantly higher (p<0.0001) femur diameter than adolescents in 1998. Male adolescents in 2007 had higher (p<0.05) chest, waist and calf circumferences than those of adolescents in 1998. Although no difference were found for RUS and bone age in males adolescents between 1998 and 2007 female adolescents in 2007 were significantly delayed for their skeletal maturity level compared to female adolescents in 1998. For physical fitness parameters male adolescents aged 12 years in 2007 performed better for flamingo balance (p<0.01), and 50m shuttle run (p<0.05) than those of adolescents in 1998. However, stand long jump and bent arm hang were significantly decreased in male adolescents in 2007. Female adolescents aged 12-13 years in 2007 had significantly higher flamingo balance, but female adolescents aged 12 years in 2007 performed significantly less for standing long jump (p<0.0001), bent arm hang (p<0.001) and speed (p<0.05) than those of female adolescents in 1998. In conclusions this study suggest that chest circumference for both male and female adolescents in 2007 was significantly higher than those in 1998. Skeletal maturity for female adolescents in 2007 were significantly delayed compared to female adolescents in 1998. Further study is needed to evaluate consistent various.
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