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1995-2004년 Respiratory Syncytial Virus 하기도감염의 역학과 중증 감염에 대한 위험인자의 분석
한미연,이보련,서원희,안소현,김수정,황수정,박화영,안강모,이상일 대한 소아알레르기 호흡기학회 2005 Allergy Asthma & Respiratory Disease Vol.15 No.2
Purpose : Respiratory syncytial virus(RSV) infection is the one of the leading causes of hospitalization of infants in the worldwide. In particular, children younger than 6 weeks of age prematurity, bronchopulmonary dysplasia, congenital heart disease, neuromuscular disease, or immunosuppressive states are likely to have severe RSV infection. This study aims to review the epidemiologic characteristics of RSV infection and to examine the relationship of risk factors for severe disease courses and length of hospital stay. Methods : A total of 294 patients with acute lower respiratory tract infections by RSV who were hospitalized in Samsung Medical Center from December 1995 to June 2004 were enrolled in this study. The medical records were retrospectively reviewed. RSV was detected with rapid RSV antigen test or viral culture of nasopharyngeal aspirates. Results : The male to female ratio was 1.7 : 1. Children under 2 years old made up 86 percent; bronchiolitis and pneumonia patients made up 90 percent. Outbreaks of RSV occurred in September through February. One or more risk factor for severe RSV infection were present in 40 percent. The group with risk factors had longer length of hospital stay (P<0.05), were more likely to be admitted to the pediatric intensive care unit(PICU) and required oxygen therapy and mechanical ventilation(P<0.05) compared to the groups without risk factors. Conclusion : Infants and children with high risk factors are likely to develop severe RSV infection. Early detection and proper management is necessary in Korea, especially in fall and winter. 목 적 : Respiratory syncytial virus(RSV)는 선진국과 개발도상국에서 입원을 요하는 어린 소아의 하기도 감염의 주요 바이러스이다. 특히 6주 미만의 영아, 미숙아, 기관지폐 이형성증, 선천성 심기형, 신경 근육 질환, 면역 저하 등의 기저 질환이 있는 환자는 RSV 중증 감염의 위험이 있다. 본 연구에서는 RSV 하기도 감염이 있었던 환자들의 역학적 특성을 조사하였고, RSV 호흡기 중증 감염의 위험인자로 알려진 기저 질환을 동반한 환아에서 중증 감염이 얼마나 있었는지를 알아보고자 하였다.방 법 : 1995년 12월에서 2004년 6월까지 삼성서울병원에서 호흡기 감염으로 입원한 환자에서 비인두 흡인물을 채취하여 바이러스 항원 검사나 배양 검사에 의해 RSV가 동정되었던 294례를 대상으로 의무기록을 후향적으로 검토하여 연령, 성별, 임상 진단, 연도별, 월별 발생 분포, 입원 기간, 기저 질환 유무, 중증 감염 등을 조사하여 분석하였다. 결 과: 1)성별 분포는 남아가 62%(183례), 여아가 38%(111례)로 남녀 비는 1.7:1이었다. 연령은 1개월 미만에서 7세까지 분포하였고, 6개월 미만이 40%(119례), 6개월에서 1세 미만이 27%(78례), 1세 이상에서 2세 미만이 19%(56례)로 2세 미만이 전체의 86%였다. 임상 진단은 세기관지염이 48%(143례), 폐렴이 42%(123례), 기관기관지염이 7%(20례), 후두염이 3%(8례)였다. RSV 감염은 연중 발견되었고, 월별 분포는 9월에서 2월이 가장 높았다. 2)위험인자가 한가지라도 있는 군은 118례(40%)이었으며, 위험인자가 없는 군은 176례(60 %)였다. 위험인자별로는 미숙아 54례, 출생 후 6주 미만의 영아 38례, 선천성 심기형 23례, 기관지폐 이형성증 13례, 신경 근육 질환 9례, 면역 저하 8례였다. 모든 대상 환자의 평균 재원 기간은 8.4±10.3일이었으며, 위험인자가 없는 군은 평균 7.5±10.8일로 위험인자가 한 가지라도 있는 군의 9.7±9.4일에 비해 통계적으로 유의하게 적었다.(P<0.05) 위험인자가 한 가지라도 있는 군에서는 없는 군에 비해 일반 병동에 입원한 경우가 적었던 반면, 소아 중환자실 입원, 산소 치료, 인공호흡기 치료의 비율이 높았다.(P<0.05) 결 론:국내에서 RSV 감염은 연중 발견되었으나 주로 겨울철에 1세 미만의 남아에서 세기관지염이나 폐렴으로 호발하였다. 또한 위험인자가 한가지라도 있는 군이 위험인자가 없는 군보다 평균 재원 기간이 길고, RSV 중증 감염의 경과의 비율이 높았다. 따라서 RSV 감염에 의해 중증 경과를 겪을 위험인자가 있는 환자에서는 RSV 유행 시기인 가을 및 겨울철에 개인 위생 관리 등의 호흡기 감염에 대한 예방이 필요하고, 호흡기 증상을 동반할 경우 RSV 감염의 조기 진단 및 적절한 치료가 필요할 것이다.
인천지역 중학생의 가공식품 구입실태와 식품표시에 대한 인식
한미연,이제혁,Han, Mi Yeon,Lee, Je-Hyuk 한국식품영양학회 2018 韓國食品營養學會誌 Vol.31 No.5
The purpose of this study was to examine the extent of purchase of processed foods and the awareness about food label among middle school students. This survey was conducted by involving 350 middle school students in Incheon city, Korea from June 17~19, 2015. Middle school students consumed confectioneries, bread, carbonated drinks, and juices and ice creams once or twice a week at the rate of 53.4, 53.0, 40.6, and 36.9%, respectively. The most frequent place, time, and reason to purchase the processed foods were 'convenience store (36.2%)', 'after school (26.8%)', and 'hunger (77.9%)'. The subjects exhibited top priority (57.0%) on the taste at the time of purchasing the processed foods. Interestingly, the girl-students (44.7%) checked the labels of food more than the boy students (34.0%). The reasons for checking the food labels included acquiring significant information about the shelf life (27.0%), price (18.1%), nutrient (19.1%), and food additives (14.1%). Among the food labeling information, the name of the product (55.7%), the date of manufacture (49.3%) and the content (32.6%) were checked mainly by the subjects. In addition, the major reason for not confirming the food labeling was 'the food label was too small or crude (31.9%)'. It is necessary to inform about the processing methods and ingredients of the processed to middle school students so that they can make the correct choice of processed foods. Development of proper education methods on nutrition for middle school students is necessitated for healthy living.
최초 전이성 감염으로 생각되었던 Macrophagic Myofasciitis 1예
한미연 ( Mi Yeun Han ),박준원 ( Jun Won Park ),류한희 ( Han Hee Ryu ),최인아 ( In Ah Choi ),박완범 ( Wan Beom Park ),이은봉 ( Eun Bong Lee ),송영욱 ( Yeong Wook Song ),정혜연 ( Hae Yoen Jung ),이은영 ( Eun Young Lee ) 대한류마티스학회 2012 대한류마티스학회지 Vol.19 No.5
Macrophagic myofasciitis (MMF) is a rare disease, often associated with the pathological persistence of aluminum hydroxide used in some vaccines, and is characterized by macrophage infiltration of the muscle. We report a case of MMF, initially thought to be a metastatic infection. A 38-year-old woman presented with fever, as well as pain and weakness in both thighs. On physical examination both thighs were swollen and lower-extremity motor-power was decreased to grade III. Laboratory tests showed leukocytosis and elevation of acute phase reactants, but all muscle enzymes except lactate dehydrogenase (LDH) were within normal range. Initially metastatic infection was suspected but she was diagnosed with MMF by muscle biopsy showing heavy CD68 positive macrophage infiltration. Her myalgia and muscle weakness improved after systemic steroid treatment. This case suggests that MMF might be considered for a patient with unexplained inflammatory myopathy with or without a history of vaccination.
1995-2004년 Respiratory Syncytial Virus 하기도 감염의 역학과 중증 감염에 대한 위험인자의 분석
한미연 ( Mi Yeon Han ),이보련 ( Bo Lyun Lee ),서원희 ( Won Hee Seo ),안소현 ( So Hyun Ahn ),김수정 ( Soo Jung Kim ),황수정 ( Soo Jung Hwang ),박화영 ( Hwa Young Park ),안강모 ( Kang Mo Ahn ),이상일 ( Sang Il Lee ) 대한소아알레르기호흡기학회(구 대한소아알레르기 및 호흡기학회) 2005 소아알레르기 및 호흡기학회지 Vol.15 No.2
유병철,한미연,고강지,Yang Jae Won,권순효,정성진,홍유아,현영율,CHO, JANG-HEE,유경돈,배은진,박우영,선인오,Kim Dongryul,김현석,황원민,송상헌,신성준 대한신장학회 2022 Kidney Research and Clinical Practice Vol.41 No.2
Background: Evidence of the ethical appropriateness and clinical benefits of shared decision-making (SDM) are accumulating. This study aimed to not only identify physicians’ perspectives on SDM, and practices related to end-of-life care in particular, but also to gauge the effect of SDM education on physicians in Korea.Methods: A 14-item questionnaire survey using a modified Delphi process was delivered to nephrologists and internal medicine trainees at 17 university hospitals.Results: A total of 309 physicians completed the survey. Although respondents reported that 69.9% of their practical decisions were made using SDM, 59.9% reported that it is not being applied appropriately. Only 12.3% of respondents had received education on SDM as part of their training. The main obstacles to appropriate SDM were identified as lack of time (46.0%), educational materials and tools (29.4%), and education on SDM (24.3%). Although only a few respondents had received training on SDM, the proportion of those who thought they were using SDM appropriately in actual practice was high; the proportion of those who chose lack of time and education as factors that hindered the proper application of SDM was low.Conclusion: The majority of respondents believed that SDM was not being implemented properly in Korea, despite its use in actual practice. To improve the effectiveness of SDM in the Korean medical system, appropriate training programs and supplemental policies that guarantee sufficient application time are required.
김효진,한미연,송상헌,성은영 대한신장학회 2022 Kidney Research and Clinical Practice Vol.41 No.2
BackgroundWe aimed to investigate the clinical characteristics and outcomes of patients aged ≥65 years with antineutrophil cytoplasmic autoantibody (ANCA)-positive ANCA-associated vasculitis (AAV) in Korea.MethodsSeventy patients diagnosed with ANCA-positive AAV from 2006 to 2019 at a single center were analyzed and categorized into younger (aged <65 years) or elderly (aged ≥65 years) groups. Initial induction treatments were investigated according to age group. All-cause mortality and kidney outcomes were evaluated.ResultsAfter categorization by age, 34 (48.6%) and 36 patients (51.4%) were in the younger and elderly groups, respectively. In the elderly group, more patients were treated with oral cyclophosphamide (CYC) (30.6%) than with intravenous CYC (19.4%). During a median follow-up of 14.6 months (range, 3.0-53.1 months), 13 patients died (elderly group: 11 patients, 84.6%). In the elderly group, older age (hazard ratio [HR], 1.44; 95% confidence interval [CI], 1.09-1.90; p = 0.01), lower hemoglobin (HR, 0.21; 95% CI, 0.08-0.60; p = 0.003), and higher serum creatinine level (HR 14.17; 95% CI, 1.29-155.84; p = 0.03) were significant risk factors for all-cause mortality after adjustment. Oral CYC + steroid treatment was associated with decreased all-cause mortality compared to untreated induction immunosuppressants (HR, 0.01; 95% CI, 0.0003-0.47; p = 0.02). Kidney failure or renal recovery outcomes were not significantly different between the younger and elderly groups.ConclusionPatients aged ≥65 years had higher mortality rates than younger patients, and mortality was associated with older age, lower hemoglobin, higher serum creatinine level, and nontreatment compared to oral CYC + steroids.