Superior outcomes of kidney transplantation compared with dialysis : An optimal matched analysis of a national population-based cohort study between 2005 and 2008 in Korea

Yoo, Kyung Don,Kim, Clara Tammy,Kim, Myoung-Hee,Noh, Junhyug,Kim, Gunhee,Kim, Ho,An, Jung Nam,Park, Jae Yoon,Cho, Hyunjeong,Kim, Kyoung Hoon,Kim, Hyunwook,Ryu, Dong-Ryeol,Kim, Dong Ki,Lim, Chun Soo,Ki Wolters Kluwer Health 2016 Medicine Vol.95 No.33

<▼1><P>Supplemental Digital Content is available in the text</P></▼1><▼2><P><B>Abstract</B></P><P>Data regarding kidney transplantation (KT) and dialysis outcomes are rare in Asian populations. In the present study, we evaluated the clinical outcomes associated with KT using claims data from the Korean national public health insurance program. Among the 35,418 adult patients with incident dialysis treated between 2005 and 2008 in Korea, 1539 underwent KT. An optimal balanced risk set matching was attempted to compare the transplant group with the control group in terms of the overall survival and major adverse cardiac event–free survival. Before matching, the dialysis group was older and had more comorbidities. After matching, there were no differences in age, sex, dialysis modalities, or comorbidities. Patient survival was significantly better in the transplant group than in the matched control group (<I>P</I> < 0.001). In addition, the transplant group showed better major adverse cardiac event–free survival than the dialysis group (<I>P</I> < 0.001; hazard ratio, 0.49; 95% confidence interval, 0.32–0.75). Korean patients with incident dialysis who underwent long-term dialysis had significantly more cardiovascular events and higher all-cause mortality rates than those who underwent KT. Thus, KT should be more actively recommended in Korean populations.</P></▼2>

생명사랑 지역활동가들의 자살 예방 실천 경험 연구 : 강원지역 이장과 통장을 중심으로

김경희(Kim, Kyung-Hee),김정유(Kim, Jung-Yoo),김동현(Kim, Dong-hyun),황준원(Hwang Jun-Won),김태미(Kim, Clara Tammy) 한국정신건강사회복지학회 2023 정신보건과 사회사업 Vol.51 No.1

Calcium Intake is Negatively Associated with Bone Loss During Lactation: A Pilot Study

Cheawon Lee,Seunghee Kim,Hangyeol Jeon,Suyoung Kim,Seolhui Jeong,A Mi Kim,Yoonha Kim,Jongwoon Kim,Clara Yongjoo Park 한국식품영양과학회 2021 한국식품영양과학회 학술대회발표집 Vol.2021 No.10

Calcium (Ca) requirements during lactation are unknown. We investigated the association between Ca intake and bone mineral density (BMD) during lactation. Twenty-one pregnant women with singletons (non-breastfeeding [NBF] n=7; breastfeeding [BF] n=14) were enrolled before delivery. Ca intake during the 3rd trimester and 6 months postpartum was assessed by food frequency questionnaire and interview. Maternal BMD was measured by dual energy X-ray absorptiometry at the lumbar spine, femoral neck, trochanter, intertrochanter (IT), and total hip at delivery and weaning (or 6 months postpartum). The association of Ca intake with % change of BMD (%ㅿBMD) and change of Z-score (ㅿZ) were assessed by linear regression and Spearman’s rank correlation coefficient. No association was observed in NBF women. Similarly, %ㅿBMD and 3rd trimester Ca intake were not associated in BF women. However, Ca intake during lactation was positively associated with IT ㅿZ (β: 0.613, p=0.02). Ca:P ratio during lactation was also positively correlated with IT ㅿ%BMD (β: 0.587, p=0.03). Higher intake of Ca during lactation may prevent lactation-related bone loss at the IT.

Development of the Korea-Polyenvironmental Risk Score for Psychosis

Jeon Eun-Jin,Kang Shi-Hyun,Yan-Hong Piao,Kim Sung-Wan,Kim Jung-Jin,Lee Bong-Ju,Yu Je-Chun,Lee Kyu-Young,Won Seunghee,Lee Seung-Hwan,Kim Seung-Hyun,Kim Eui-Tae,Clara Tammy Kim,Dominic Oliver,Paolo Fusa 대한신경정신의학회 2022 PSYCHIATRY INVESTIGATION Vol.19 No.3

Objective Comprehensive understanding of polyenvironmental risk factors for the development of psychosis is important. Based on a review of related evidence, we developed the Korea Polyenvironmental Risk Score (K-PERS) for psychosis. We investigated whether the K-PERS can differentiate patients with schizophrenia spectrum disorders (SSDs) from healthy controls (HCs).Methods We reviewed existing tools for measuring polyenvironmental risk factors for psychosis, including the Maudsley Environmental Risk Score (ERS), polyenviromic risk score (PERS), and Psychosis Polyrisk Score (PPS). Using odds ratios and relative risks for Western studies and the “population proportion” (PP) of risk factors for Korean data, we developed the K-PERS, and compared the scores thereon between patients with SSDs and HCs. In addition, correlation was performed between the K-PERS and Positive and Negative Syndrome Scale (PANSS).Results We first constructed the “K-PERS-I,” comprising five factors based on the PPS, and then the “K-PERS-II” comprising six factors based on the ERS. The instruments accurately predicted participants’ status (case vs. control). In addition, the K-PERS-I and -II scores exhibited significant negative correlations with the negative symptom factor score of the PANSS.Conclusion The K-PERS is the first comprehensive tool developed based on PP data obtained from Korean studies that measures polyenvironmental risk factors for psychosis. Using pilot data, the K-PERS predicted patient status (SSD vs. HC). Further research is warranted to examine the relationship of K-PERS scores with clinical outcomes of psychosis and schizophrenia.

노인의 주관적 기대여명에 영향을 미치는 요인: 연령집단별 개입요인 비교

김연경,KIM CLARA TAMMY 한국노년학회 2019 한국노년학 Vol.39 No.4

The purpose of this study was to examine and compare factors affecting the subjective life expectancy among the elderly, and to suggest health practice and social welfare service implications for later life. A total of 4,483 seniors from the 6th wave(2016) of the Korean Longitudinal Study on Aging (KLoSA) were used for analysis. The subjects were divided into three age groups: the young-old (n=2,106, 65~74 years), middle-old (n=1,803, 75~84 years), and oldest-old (n=574, 85 years and older). Control variables were sociodemographic factors and health status factors. Independent variables were health promotion behavior, cognition of public care, participating social activity, economic activity, and receiving basic pension. The data were analyzed using hierarchical multiple regression. The main results were as follows. Health promotion behavior was associated with the young-old. Social activities and economic activity were associated with the young-old and middle-old. Receiving basic pension had a significant impact on all age groups. In the middle-old, significant results were focused on socio-demographic and health status factors compared to other groups. The results of this study will provide basic data for the elderly policy and welfare service and will help to find and improve the important factors for the life of the elderly. 주관적 기대여명(Subjective Life Expectancy)이란 자신의 수명에 대한 평가로, 주관적 인지평가에 그치지 않고, 건강한 삶을 위해 건강증진, 사회적 활동, 경제적 활동 등에서 실천적 행위를 하게 하는 기전으로 알려져 있다. 본 연구는 연령집단별 노인의 주관적 기대여명에 영향을 미치는 요인을 일반적 요인과 개입요인으로 나누어 파악하여 비교해보는 것에 목적이 있다. 연구대상자는 제 6차 고령화연구패널(KLoSA)을 이용하여 연령집단별로 연소노인(65세-74세) 2,106명, 중고령노인(75-84세) 1,803명, 초고령노인(85세 이상) 574명으로 총 4,483명이다. 일반적 요인은 통제변수로써 인구사회학적요인, 건강상태요인을, 개입요인은 독립변수로써 건강증진행위, 공적돌봄인지여부, 공식적 사회활동 참여, 일자리 및 소득보장 등에 해당하는 9가지의 변수를 설정하여 카이제곱검정, ANOVA, t-test, 위계적 다중 회귀분석을 실시하였다. 그 결과 주관적 건강상태와 기초연금은 모든 연령집단의 주관적 기대여명에 영향을 미쳤지만, 그 외의 변수들은 집단별로 차이가 있었다. 공식적 사회활동 참여, 일자리 및 소득보장요인은 연소노인과 중고령노인 집단에서 유의했고, 건강증진행위요인은 연소노인에서만 유의했다. 중고령노인은 다른 연령집단에 비해 개입요인보다 일반적 요인에서 유의미한 결과가 치중된 것으로 나타났다. 본 연구의 결과는 연령집단별 노인의 주관적 기대여명과 남은 노후를 잘 보내기 위한 실천적이고 개입 가능한 요인 탐색에 기초자료를 제공할 수 있을 것이다.

미래 세대의 인식 공유를 통한 아시아 패러독스의 극복

김규현(Kim, Cuehyon Clara) 동북아역사재단 2015 영토해양연구 Vol.10 No.-

오늘날 동아시아 국가 간의 상호 경제 의존성은 커지는 반면 정치 · 군사적 갈등은 심화되고 있다. 이와 같은 ‘아시아 패러독스’의 상황은 중국의 부상, 일본의 우경화 등과 같은 여러 복잡한 정치사회적 배경에서 기인하는 바가 크지만, 해결되지 못한 과거사 문제가 상황을 더 악화시키고 있다. 국가 간의 현재관계가 과거관계에 영향을 받는 것은 너무도 당연한 일이다. 그러나 역사는 시대와 상황에 따라 다르게 해석되기도 하며, 현재의 상황이 과거사 인식에 큰 영향을 주기도 한다. 본 논문에서는 과거사의 문제 때문에 현재관계가 악화된다는 설명 대신에, 악화된 현재관계 때문에 과거사 문제가 부각되는 측면을 드러내고자 하였다. 실제 여론조사 데이터를 통해 현재관계가 우호적이냐 비우호적이냐에 따라 과거사 인식이 어떻게 달라지는지를 분석해보았다. 그리고 ‘아시아 패러독스’의 극복과 동아시아 국가간의 화해와 협력을 이끌어내는 구체적인 방안으로서 미래 세대의 인식 공유를 위한 청소년 교류 확대를 제시하였다. 그에 대한 이해를 돕기 위해 유럽의 사례를 예로 들었다. 수백 년에 걸친 반목을 불과 수십 년 만에 불식시킨 독일과 프랑스의 화해에는 청소년 교류의 역할이 컸다. 동아시아에서도 비교적 과거사와 선입관에서 자유로운 청소년 세대의 교류를 통해 미래지향적이며 장기적인 안목의 화해와 협력을 추진해야 할 것이다. Whereas mutual economic dependence is growing bigger day by day, political and military relations are worsening in East Asia. Such ‘Asian paradox’ is degenerated by unsettled disputes on East Asian history. It is commonly acknowledged that current relations between nations are affected by past relations. Yet the interpretation of history is also dependent on situation and time. Inversely, the ‘present’ rather influences the viewpoint on the ‘past’; current situations and relationships influence perceptions on unsettled East Asian history issues. Instead of explaining how past conflicts affect current relations, this paper aims to reveal how current worsening cross-border relations accentuate past disputes. Data from public opinion polls are used for analysis. Furthermore, the expansion of youth exchange is suggested as a solution for the ‘Asian paradox.’ Model examples are the youth exchange programs for reconciliation between France and Germany. Through shared and exchanged perceptions of the youth generation, who are relatively free from prejudices and historical issues, East Asia must promote cooperation and reconciliation in the end.

한국 스포츠외교 정책에 대한 문제점과 대안

김영환(Kim, Young-Hwan),주형철(Joo, Hyung-Chul),강광배(Kang, Kwang-Bae),박인실(Park, In-Sil),김민선(Kim, Clara) 한국체육과학회 2011 한국체육과학회지 Vol.20 No.5

Background: Korean sport diplomacy has played an increasing role in international sport politics over the past few decades, demonstrated by hosting of number of major international athletic events. However, organizational infrastructure remains weak and the future direction of growth remains unclear. The purpose of this paper is to identify the problems of Korean sport diplomatic policy and to present potential solutions. Methods: A qualitative study utilizing expert interviews with and comprehensive review of the literature were performed. Results: Key findings are summarized below. First in order to secure strategic executive office in international sports government, it is critical to mobilize sport elites to take more active role in the field of sport diplomacy. Countries in the forefront of sport politics utilize former athletes or individual with athlete background for sport diplomacy. Diplomats with athletic background have field expertise and are more effectively able to communicate with other international diplomats who may share athletic background Present1y, most Korean sport athletes are not capable for such task due to lack of language training. The importance of academic education of athletes, especially language proficiency, should be promoted by the Ministry of Education. Secondly, modem day sport diplomacy requires interdisciplinary approach. Seamless and sustain어collaboration of government, sport community, and business sectors is required to achieve long term goals. Thirdly, the future sport diplomacy should expand to host small and mediurn international sport events including sport forurn or sport scientific congress rather than just focusing on mega sporting events such as Olympics or World Cup. Finally in order to efficient1y adapt to the rapidly changing sport environment, the government should place a high priority in developing sport talents with interest in sport diplomacy by providing experience to work in the various international and domestic sport organizations with opportunities for networking.

Phosphorus, Retinol and Riboflavin Intake During Late Pregnancy Is Associated With Postpartum Bone Mineral Density: A Pilot Study

Hangyeol Jeon,Seunghee Kim,Jin Wan Hu,Hyun Ah Chung,Yoon Ha Kim,Jong Woon Kim,Clara Yongjoo Park 한국식품영양과학회 2019 한국식품영양과학회 학술대회발표집 Vol.2019 No.10

Association of Serum Phosphorus Concentration with Mortality and Graft Failure among Kidney Transplant Recipients

Jeon, Hee Jung,Kim, Yong Chul,Park, Seokwoo,Kim, Clara Tammy,Ha, Jongwon,Han, Duck Jong,Oh, Jieun,Lim, Chun Soo,Jung, In Mok,Ahn, Curie,Kim, Yon Su,Lee, Jung Pyo,Kim, Young Hoon American Society of Nephrology 2017 CLINICAL JOURNAL- AMERICAN SOCIETY OF NEPHROLOGY Vol.12 No.4

<P>Conclusions Serum phosphorus level 1 year after transplantation exhibits a U-shape association with death censored graft failure and patient mortality in kidney transplant patients characterized by relatively high rate of living donor transplant and low incidence of diabetes and prior cardiovascular disease compared with Western countries.</P>

COVID-19’s Impact on Korean Adults’ Daily Life Conditions

Jiyoung Lyu,Joon-Shik Park,Young Bum Kim,Clara Tammy Kim,Keung-Ja Hong,Hye-Mi Kim,Jin-Young Jeong 한국콘텐츠학회 2021 한국콘텐츠학회 ICCC 논문집 Vol.2021 No.12