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이주연 ( Ju Yeun Lee ),정재우 ( Jae Woo Jung ),강혜련 ( Hye Ryun Kang ),이세훈 ( Se Hoon Lee ),김향숙 ( Hyang Sook Kim ),조상헌 ( Sang Heon Cho ) 대한내과학회 2013 대한내과학회지 Vol.85 No.4
Background/Aims: To describe the toxicity profile of anti-neoplastic agents from real clinical settings, we analyzed spontaneously reported adverse events (AEs) using data from the adverse drug reaction (ADR) reporting system of the Korean Food and Drug Administration (KFDA). Methods: Data were extracted from the nationwide spontaneous ADR reporting system of KFDA from July 2009 to December 2010. We extracted and analyzed data related to chemotherapy and identified unlabeled ADR that were not described in the package insert of the products. Results: In total, 5,867 cases of antineoplastic agent-related AE reports were identified after excluding cases for duplication and cases assessed as ‘unlikely’ and ‘unclassifiable’, based on expert opinion. Of the patients with AEs, 52.4% were males and the median age was 56 years. In total, 460 AEs (7.8%) from 267 patients were reported as ‘serious’ AEs. The most common causative anti-cancer drug class was pyrimidine analogs (31.5%), followed by platinum compounds (19.9%), protein kinase inhibitors (10.8%), and taxanes (8.8%). The most common clinical manifestation of AEs was gastrointestinal toxicities (25.5%), followed by skin disorders (25.3%), and generalized reactions (14.3%). In total, 168 cases (2.9%) of unlabeled AEs were identified. Among these, 10 were reported as serious AEs. Conclusions: The most common causative class of antineoplastic agents was that of pyrimidine analogs. Gastrointestinal and dermatological toxicities were the most common clinical chemotherapy-related adverse events. Further investigation and monitoring to evaluate causality associated with unlabeled AEs identified in this analysis are needed. (Korean J Med 2013;85:385-395)
청소년의 인터넷 중독이 학업적응에 미치는 영향 -정서조절의 매개효과를 중심으로-
이주연 ( Ju Yeun Lee ),전종설 ( Jong Serl Chun ) 한국청소년복지학회 2015 청소년복지연구 Vol.17 No.1
The purpose of this study was to identify the mediating effect of emotion regulation in relations between adolescent internet addiction and academic adjustment. The secondary data analysis was conducted using a validation study of a diagnostic tool for internet addiction by National Information Society Agency. Using the purposive sampling method, a total of 408 adolescents in metropolitan area were recruited from middle schools, PC rooms, and hospital. The internet addiction, emotion regulation, academic adjustment, control variables such as gender, academic records. and economic status were measured. The analysis of data used correlation analysis, regression analysis, Baron & Kenny(1986)``s mediating analysis, and Sobel test. The study results were as follows. Adolescent``s internet addiction had a negative influence on the academic adjustment. Also, the emotional regulation had a partial mediating effect between adolescents`` internet addiction and academic adjustment. Based on these findings, this study suggests that preventive education and counseling for internet addiction in school and community need to be focused. Also, interventions for improving emotional regulation need to be developed and implemented.
저소득가정 어머니의 양육스트레스가 우울에 미치는 영향 -자기효능감의 매개효과를 중심으로-
이주연 ( Ju Yeun Lee ),전종설 ( Jong Serl Chun ),전혜숙 ( Hye Sook Jeon ),정하은 ( Ha Eun Chung ) 한국사회복지연구회 2015 사회복지연구 Vol.46 No.2
The purpose of this study was to identify the mediating effects of self-efficacy on the relationship between parenting stress and depression among mothers in low-income families. The study sample of 174 mothers with 23-29 month-old children was taken from the 3th Korean Child Panel (2010) by Korea Institute of Child Care and Education. Using Baron & Kenny(1986)``s mediating analysis and Sobel test, the study found that parenting stress has positive relationship with depression among mothers in low-income families, while self-efficacy plays a partially mediating role between the two variables. The study results suggest that the prevention and intervention programs for depression among mothers in low-come families must pay attention to decreasing parenting stress and improving self-efficacy.
이수현(Suhyun Lee),아영미(Young-Mi Ah),허규남(Kyu Nam Heo),이아영(Ah Young Lee),민상일(Sang il Min),김아정(A Jeong Kim),김성환(Sung Hwan Kim),조윤희(Yun Hee Jo),조윤숙(Yoon-Sook Cho),한지민(Ji Min Han),이주연(Ju-Yeun Lee) 대한약학회 2022 약학회지 Vol.66 No.5
Despite the fact that a considerable number of preventable adverse events are managed in primary care settings, medication-related risks have been evaluated mainly through hospital admissions. While interest in high-alert medication management in the community and primary care settings is increasing internationally, Korea does not have accreditation for the same and lacks established standards for high-alert medications. Therefore, this study aimed to develop a nationallevel list of high-alert medications for community and primary care. The candidates for the high-alert medication list included medications recommended by Institute for Safe Medication Practices and those suggested by each guideline of the World Health Organization, Japan and Korea. We analyzed the adverse events related to medication errors reported by the patients' safety reporting system. Seven experts working in the community and primary care settings evaluated the adequacy and priority of the candidate medications. The final list included 20 high-alert medications, including nine essential and eleven optional medications. The national-level list of high-alert medications which we developed may be useful in formulating accreditation guidelines or treatment standards for community and primary care patients.
권지민(Ji-Min Kweon),이주연(Ju-Yeun Lee),권지원(Ji-Won Kwon) 대한안과학회 2023 대한안과학회지 Vol.64 No.5
Purpose: The characteristics of pediatric dermoid cyst patients. Methods: This was a retrospective chart review of 64 dermoid cyst patients (65 eyes) aged < 18 years. Results: Limbal dermoids and conjunctival dermolipomas were observed in 49 and 16 eyes (48 and 16 patients), respectively. Limbal dermoids were more common in the left eye (61%), particularly on the inferotemporal side (80%). Three (6%) of the patients were diagnosed with Goldenhar syndrome. The horizontal diameter (3.76 ± 1.30 mm) was greater than the vertical diameter (3.74 ± 1.30 mm). Most of the lesions were yellow (35.2%) in color, mildly elevated (n = 19, 55.9%), and not visible when the eyes were closed. The mean best corrected visual acuity was 0.8 ± 0.2 in 23 patients, with mean astigmatism and mean corneal astigmatism values of -2.1 ± 2.2 diopters (D) and -2.0 ± 1.1 D, respectively. None of the conjunctival dermolipoma patients had any ocular history. The left eye (75%), particularly the temporal and superiotemporal conjunctival fornix, was the most commonly affected site. The mean best corrected visual acuity was 0.9 ± 0.0 in seven patients, with an average astigmatism of -0.3 ± 0.2 D. Conclusions: Dermoid cysts are congenital benign tumors that may be associated with congenital diseases. They vary in size, location, color, and extent of invasion, and may cause functional problems, such as astigmatism and amblyopia. Therefore, timely surgical treatment is desirable. 목적: 소아 유피종 환자의 임상 양상을 알아보고자 하였다. 대상과 방법: 2019년 7월부터 2021년 7월까지 본원 안과에서 유피종으로 진단된 만 18세 미만 소아 환자 64명 65안을 대상으로 의무기록을 후향적으로 분석하였다. 결과: 총 64명의 환자 중 48명 49안에서 각막유피종이 관찰되었고, 16명 16안에서 결막유피지방종이 관찰되었다. 각막유피종 환자중 골덴하증후군을 진단받은 환자는 3명(6%)이었고, 위치는 좌안(61%)에서 더 많이 관찰되었으며, 주로 하이측(80%)에서 관찰되었다. 크기는 수평직경(3.76 ± 1.30 mm)이 수직직경(3.74 ± 1.30 mm)에 비해 더 큰 것으로 조사되었고, 색은 노란색(35.2%)이 가장 많았으며, 눈 감을 때 관찰되지 않는 경도 융기(55.9%)가 가장 많이 관찰되었다. 각막유피종 환자 중 시력 측정이 가능했던 23명 23안의평균 최대교정시력은 0.8 ± 0.2였고, 평균 난시값은 -2.1 ± 2.2 diopters (D), 평균 각막난시값은 -2.0 ± 1.1 D로 측정되었다. 결막유피지방종 환자 중 특이 병력이 있는 환자는 없었고, 위치는 좌안(75%)에서 더 많이 관찰되었으며, 이측 혹은 상이측 결막 구석에서관찰되었다. 결막유피지방종 환자 중 시력 측정이 가능했던 7명의 평균 최대교정시력은 0.9 ± 0.0였고, 평균 난시값은 -0.3 ± 0.2 D로측정되었다. 결론: 선천성 양성 종양인 유피종은 선천성 질환과 동반되어 발생하기도 하고, 크기, 위치, 색 등에 있어 다양한 양상을 보인다. 크기나위치, 침범 범위에 따라 난시, 약시를 유발하는 등 기능적 문제를 일으킬 수 있어 적절한 시기에 수술적 치료를 하는 것이 바람직하겠다.