Original Article : Geographic difference of epidemiological features of HCV infection in Korea

( Kyung Ah Kim ),( Sook Hyang Jeong ),( Eun Sun Jang ),( Young Seok Kim3 ),( Youn Jae Lee ),( Eun Uk Jung ),( In Hee Kim ),( Sung Bum Cho ),( Mee Kyung Kee ),( Chun Kang ) 대한간학회 2014 Clinical and Molecular Hepatology(대한간학회지) Vol.20 No.4

Background/Aims: The prevalence of hepatitis C virus (HCV) infection in Korea exhibits significant geographic variation, with it being higher in Busan and Jeonam than in other areas. The reason for this intranational geographic difference was investigated in this study by conducting a comparative analysis of the risk factors related to HCV infection among three geographic areas: the capital (Seoul), Busan, and the province of Jeolla. Methods: In total, 990 patients with chronic HCV infection were prospectively enrolled at 5 university hospitals located in Seoul (n=374), Busan (n=264), and Jeolla (n=352). A standardized questionnaire survey on the risk factors for HCV infection was administered to these three groups of patients, and a comparative analysis of the findings was performed. Results: The analysis revealed significant regional differences in exposure to the risk factors of HCV infection. By comparison with patients in Seoul as a control group in the multivariate analysis, patients in Busan had significantly more experience of invasive medical procedures, acupuncture, cosmetic procedures, and multiple sex partners. In contrast, patients in Jeolla were significantly older, and they had a higher prevalence of hepatocellular carcinoma, a lower prevalence of multiple sex partners, and had experienced fewer invasive procedures. Conclusions: There was a significant geographic difference in the exposure to potential risk factors of HCV infection between patients from the three studied regions. This may explain the regional variation of the prevalence of HCV infection in Korea, and should be taken into account when planning strategies for the prevention and management of HCV infection. (Clin Mol Hepatol 2014;20:361-367)

영도지역의 장애인 복지서비스

김향은 고신대학교 영도발전연구소 2002 영도연구 Vol.4 No.-

The purpose of this study is to examine the actual states of the handicapped people living in Yeongdo and to investigate the present conditions and future tasks of public welfare services or progroams of the Yeongdo ward office, an asylum(Chonsung), and five community welfare centers(Yeongdo, Snaglee, Dongsam, Watchee, Jeolyoung) for the handicapped people in this community. The representative services of the ward office are supplement of the artificial instruments for the handicapped people, payment of the costs of living and medical care, and the school expenses for their children. The ward office also supports a medical center in the asylum financially. The programs of the asylum and community centers for the handicapped are classified as physical, emotional, educational, social, occupational restoration programs. For the enhancement of public social welfare services for the handicapped people, more various services or programs based upon the needs of divergent subjects should be executed, and financial support from the local government should be increased. Systematic evaluation processes for the present programs should be developed, and collaborative approaches to the integration of services and community resources including volunteers are required.

소아 급성 신우신염환아의 색도플러 초음파 검사의 유용성

김은미,권귀향,이혜경,홍현숙,최득린 순천향의학연구소 1998 Journal of Soonchunhyang Medical Science Vol.4 No.1

Purpose: Urinary tract infections are common in childhood and are most frequent in those under 1 year of age. In these children, however, differentiation of the pyelonephritis from cystitis is clinically difficult. We investigated the utility of color doppler image ultrasound in the diagnosis of acute pyelonephritis(APN) in children. Results were compared with renal cortical scintigraphy using 99mTC-DMSA. Materials and Methods : 99mTc-DMSA SPECT and color doppler ultrasound were performed within 1 week intervals in 14 patients with clinically suspected APN. (aged 4months to 15years: mean 6.1 year, 7 girls and 7boys). Urine culture was considered positive if greater than 100.000 colonied of a single organism were isolated. CDI was performed with 3.5NHz convex linear probe Ultramark 9(ATL., Bothell, Washington, USA) following a standard gray scale sonogram of the kidneys. Renal cortical scintigraphy was performed with 99mTc DMSA SPeCT(PRISM 2000, Picker, USA), Axial, coronal, both sagittal pinhole images were obtained 1.5-2 hour after 1mCi isotope was injected. Renal scan was considered to be abnormal and indicative of APN when there was a focal, wedged shaped defect in radionuclide accumulation extending from the periphery of the kidney to centrally or if there was diffuse abnormality in renal tubular function. Renal scarring was defined when defects were shallow lesions along the periphery of the kidney with evidence of volume loss, or if they could be shown from prior examination to pre-date of the acute episode. The color doppler image were interpreted to be consistent with APN if there was decrease flows in the renal cortex. Results: Of the 28 kidneys were examined, renal scan showed 5 cases of abnomal findings, 3 cases were APN, 2 cases were chronic scarring. Two fo the three cases of APN showed decreased blood flow on CDI and positive culture, for a sensitivy 67%. Two cases of renal scarring due to grade V bilateral vesicoureteral reflux show decreased blood flow at right upper pole kidney on CDI, however DMSA scan had diffculties finding the new lesion due to underlying irregularity of scarred kidney. Color doppler US correctly identified 4 of 5 renal poles with APN and 21 of 23with no APN including 2 patients with false positive. The DMSA scan was used as the standard of comparison the study; the CDI has a sensitivity 67%, specificity 84%, positive predictive value 33%, negative predictive value 95%. 84% The lesion showed decreased blood flow and on one follow up case increased blood flow. The presence of prior renal scarring made interpretation of asymmetric vascularity difficult on DMSA, the use of CDI may increase the diabnostic sensitivity of sonography in pediatric pyelonephritis.

영도지역의 청소년복지 서비스 : 공적 기관의 청소년복지 프로그램을 중심으로

김향은 고신대학교 영도발전연구소 2001 영도연구 Vol.3 No.-

The purpose of this study was to find out the appropriate conditions and programs of community-based public welfare services for the youth of Youngdo-Gu. A structured questionnaire was used for 1013 teenagers. A semi-structured questionnaire was used and data were obtained from 3 ward officials and 6 social workers of public social welfare centers in this area. The representative programs of the public centers are counseling, education, volunteer work, leisure, and festival programs. There was also a financial support program for a ward office for financially disadvantaged teenagers. Only a few adolescents participated in the programs of the public centers, and they were hardly satisfied with the programs. Many adolescents want cultural events, divergent educations, and leisure programs. For the enhancement of these social welfare services for the youth of the Youngdo community, the needs of divergent subjects especially from the lower and neglected class should be considered, a systematic evaluation process for the present programs should be developed, and the collaborative approaches to the integration of services and community resources are required.

이소말토 올리고당의 첨가가 약과의 품질특성에 미치는 영향

김향숙,서월석,김은겸,이화영 충북대학교 교육 ·생활연구소 생활과학연구센터 2002 생활과학연구논총 Vol.6 No.2

This study was to develope low-calorie Yak-kwa by using oligosaccharides instead of honey. Sensory and instrumental textur properties of Yak-kwa were examined. The calorie of oligosaccharide Yak-kwa was 31% lower than honey Yak-kwa. Color of oligosaccharide Yak-kwa was lighter than that of honey Yak-kwa. Results of nstrumental test of texural proporties showed that hardness increased and cutting decreased as soaking time increased without significant differences between oligosaccharide Yak-kwa and honey Yak-kwa. Accepance test by sensoty panel showed no significant differences between oligosaccharid Yak-kwa and honey Yak-kwa.

가토의 뇌동맥류 모형에서 모동맥 및 동맥류 협자에 따른 동맥류 내압의 변화 :기초 연구

김은영,송준혁,김명현,박향권,김성학,신규만,박동빈 대한신경외과학회 1999 Journal of Korean neurosurgical society Vol.28 No.4

안면경락마사지가 구안와사(口眼喎斜) 환자의 안면마비상태, 통증 및 스트레스에 미치는 효과

김은미,정향미 병원간호사회 2006 임상간호연구 Vol.11 No.2

Purpose: The purpose of this study was to identify the effect of meridian massage on facial paralysis status, pain and stress of Bell's palsy patients. Method: The subjects for study were Bell's palsy patients who were in the D medical center in Busan, and they were divided into two groups : one was the experimental group of 25 patients and the other was the control group of 22 patients. The data were collected from 24 August, 2004 to 30 March, 2005. The patients who were in the experimental group were given a 10 minute long facial maridian massage once a day during a week. Result: There was significant decrease of pain and stress after providing facial meridian massage. There was no significant difference of facial paralysis status after providing facial meridian massage. Conclusion: The facial meridian massage is effective for decrease pain and stress of Bell's palsy patients as an effective nursing intervention.

간호대학생의 시간관리 행동유형과 자기효능감

김현영,김세영,서향원,소은혜 한국간호과학회 간호행정학회 2011 간호행정학회지 Vol.17 No.3

Purpose: This study was done to explore time management behavior and self-efficacy in nursing students and to analyze the correlations between time management behavior and self-efficacy. Methods: The data were collected from May 12 to 20 2010 using self-report questionnaires about time management behavior and self-efficacy of nursing students. The data from 508 students were analyzed using descriptive analysis, K-means clustering, and one-way ANOVA. Results: The mean score for time management behavior was 3.03±1.11 out of a possible 5, and self-efficacy was 3.65±0.42 out of a possible 6. Four groups were identified according to time management behavior. The four groups were significantly different on self-efficacy total (p=<.05) and self-regulatory efficacy (p=.<005). The group with the highest score for time management had the highest score for self-efficacy. Conclusions: The results of the study indicate that time management behavior styles are related to self-efficacy for nursing students. Therefore, time management education programs based on the time management behavior styles are needed to increase self-efficacy in nursing students.

중학생을 대상으로 하는 노인교육 수업안의 개발

김향은 한국 가정과 교육 학회 2003 한국가정과교육학회지 Vol.15 No.1

The purpose of this study was to develop a lesson proposal about the aging for 7th grade middle school students in the class of home economics. According to this purpose a lesson proposal about the aging which contains 1) the nature of generation gap and generational conflicts and problem solving strategies, 2) knowledges about physical, emotional, and social changes of older adults and the process of aging, 3) informations of various older adult-related professions was devised. This proposal will be helpful for younger people to understand older adult much more and to prepare the adolescents' future life as an older people. It is expected to have effects on decrease the generation gap and conflicts between older and younger people based upon mutual understanding. And it is anticipated that this proposal will be valuable for many adolescents to have provision about future senior citizen's society and various older adults-related professions.

두부 손상이 골절 칭 촉진 시동물 모델 및 유전자 발현 분석

김경희,김학선,문성환,김향,권언해,이환모,박희완,한수봉,문은수 대한정형외과연구학회 2003 대한정형외과연구학회지 Vol.6 No.2