• Tuberculosis and Respiratory Diseases
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• 제45권4호
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• pp.876-881
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• 1998

기관지 확장제 등의 치료에도 호전되지 않는 운동성 호흡 곤란을 주소로 내원하여 기관지 내시경, 경부 컴퓨터 단층 촬영상 기관 유두종증 진단 받고 2 차례 레이저 치료를 시행받은 후 호흡 곤란 증상과 폐기능 검사 소견이 호전된 기관 유두종증 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

• 보건교육건강증진학회지
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• 제19권3호
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• pp.51-72
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• 2002

This research was conducted to understand and analyze the health-related behaviors of middle school students and get fundamental research data essential to provide efficient student guidance and public health service at school. The interview using Youth Risk Behavior Surveillance System(YRBSS). Translation and modification for Korean students of the YRBS. The Korean version of YRBS(Youth Risk Behavior Surveillance System) that translation and modification for Korean students of the YRBS developed by the Centers for Disease Control and Prevention(CDC)was used to assessment to health-related behaviors of youth. The interviewees were 1040 enrolled students at middle school in Daegu metropolitan city. YRBSS monitors six categories of priority health behaviors among youth and young adults behaviors that contribute to unintentional and intentional injuries; tobacco use; alcohol and other drug use, sexual behaviors that contribute to unintended pregnancy and sexually transmitted diseases(STDs)(including human immunodeficiency virus infection); unhealthy dietary behaviors; and physical activity. The result shows that over 30% of students rarely or never used safety belt and almost students were rarely or never wore a bicycle helmet. During the 12 months preceding the survey, 21.9% female students had felt so sad or hopeless almost every day for $\geq$ 2weeks in a row that they stopped doing some usually activities 20.5% of male middle school students have ever tried cigarette smoking. 26.2% of male students and 27.2% do female students had had over one drinks of alcohol during their lifetime(lifetime alcohol use). 47% of male students had had over one drinks of alcohol on $\geq$ 1 of the 30 days preceding the survey(current alcohol use). Over one half of female student were thought they were overweight. These results suggest that some risk behaviors be very prevalent in a korean middle school students and priority health-risk behaviors, which contribute to the leading cause of mortality and morbidity among youth and adult, often are establish during middle school age, extend into adulthood, are interrelated. Among both children and adults, the leading causes of death are closely linked to these behaviors. Among adults, chronic diseases such as cardiovascular disease, cancer, and diabetes are the national leading killers. Practicing healthy behaviors, such as eating low-fat, high-fruit-and-vegetable diets, getting regular physical activity, and refraining from tobacco use, would prevent many premature deaths. Because health-related behaviors are usually established in childhood, positive choices need to be promoted before damaging behaviors are initiated or become ingrained.

• 대한간호
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• 제36권5호
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• pp.91-100
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• 1998

This study aims to investigate smoking patterns in high school student and to give student smoker effective information. The sample of 250 male highschool students out of two different schools in Tae-Jon was questioned from July 10th to 15th. 1995. In analyzing these date. the statistics shows the realities by means of number of students. The results are summarized into 17 items as follows. Regarding the level of smoking. 140 students out of 250 admit that they have ever smoked. 52.1% of smoking students say that the motivation of beginning smoking is mainly curiosity. The survey shows that 22.9% of smoking students feel very good when smoking. It also shows that 30.0% of smoking students began smoking in the first grade of high school. With regard to the volume of smoking per day. 41.4% of smoking students smoke variably. 42.1% drink when smoking. 15.0% spend more than W 70.000 a month. About the question who knows the fact of their smoking. 51.5% answer that their friends know the fact of their smoking. In regard to the resaltionship between smoking and school per-formance. 18.2% of non smoking students make poor grades as compared with 40% of smoking students. 9.3% of smoking students say that they are satisfied with the school life. but 35.7% of them are not satisfied. Regarding the attitude to smoking teachers. 35% of smoking students state that they are affected by them. 69.3% of smoking students say that they will stop smoking. while the remaining 30.7% say that they will keep smoking. The reason of 63.9% to stop smoking is that smoking is bad for the health. The reason of 46. 5% to keep smoking is the acquired habit of smoking. 97.2% know the fact that the major element of cigarettes is nicotine and it is very harmful to the health. 40.8% recognize the harmful effect of smoking by TV and radio programs. 97.2% know that smoking could cause lung cancer. From the above results. I propose as follows We should make specific plan to keep smoking by simple curiosity from being developed into habitual smoking. We should teach them how harmful smoking is and make them stop smoking by themselves. It is very essential for family members and teachers to give continuous interest since childhood. As the teacher affect the students very much, they should give up smoking first. The incidence of smoking should be identified in each of the middle and high schools. smoking prohibition programs relevant to each school should be developed and implemented. The local community should ban cigarette vending machines. Cigarettes should not be sold to adolescents. By setting every place where adolescents gather including schools nonsmoking area. we should decrease their impulse to smoke. then smoking opportunities. and harmful effects to them caused by passive smoking.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제4권2호
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• pp.207-212
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• 2001

목적: Mycoplasma pneumoniae 폐렴은 소아과 영역에서 비교적 흔한 질환인데 동반되는 다양한 폐외 소견에 대해서는 많은 보고들이 있었으나 간염에 대해서는 연구된 바가 적으며 특히 국내에서는 이에 대한 연구가 아직 없는 실정이다. 따라서 저자들은 M. pneumoniae에 의한 간염의 전반적인 임상적 특성들을 조사하여 보고하고자 한다. 방법: 1999년 1월 1일부터 2000년 12월 31일까지 서울적십자병원 소아과에 입원한 143명의 마이코플라스마 폐렴 환아들 중 AST와 ALT 수치가 각각 50 IU/L 이상 증가된 환아로서 hepatitis A, B, C 및 cytomegalovirus와 Ebstein-Barr virus가 음성인 19명을 대상으로 계절 분포, 연령 및 성별 분포, 주요 임상증상 및 이학적 소견, 혈액학적 검사, 간기능 검사, 방사선학적 검사, 재원기간, 회복기간 등을 전향적으로 조사하였다. 결과: 1) 마이코플라스마 감염 중 13.3%에서 발생하였으며 가을과 겨울에 호발하였고 평균연령은 4.86세였고 남녀비는 2.2 대 1이었다. 2) 소화기 증상들 중 구토는 21.1%, 설사는 36.8%이었으며 간종대는 21.1%에서 관찰되었고 비장종대는 한 명에서도 관찰되지 않았다. 3) 백혈구가 $10,000/mm^3$이상으로 증가된 경우는 21.1%이었으며 $4,000/mm^3$ 미만으로 감소된 경우는 없었고 호산구증이 15.4%에서 나타났다. 혈색소가 10 g/dl 이하로 감소된 경우는 10.5%이었으며 혈소판이 $450,000/mm^3$ 이상으로 증가된 경우는 5.3%이었고 $150,000/mm^3$ 미만으로 감소된 경우는 없었다. C-반응성 단백은 0.5 mg/dl 이하가 15.4%이었으며 가장 높은 수치는 16.2 mg/dl이었고 평균 $6.34{\pm}4.82$ mg/dl였다. 4) 고빌리루빈혈증을 보인 경우는 없었으며 알부민이 3.5 g/dl 미만으로 감소된 경우는 42.1%이었다. AST의 평균은 $214.05{\pm}183.22$ IU/L였으며 가장 증가된 경우는 630 IU/L였고 ALT의 평균은 $284.16{\pm}286.84$ IU/L였으며 가장 증가된 경우는 1,089 IU/L였다. 5) 흉부 방사선 쵤영상 대엽성 또는 소엽성 형태로 폐침윤을 보인 경우는 73.7%이었고 기관지성 형태의 폐침윤을 보인 경우는 26.3%이었으며 흉막삼출액은 31.6%에서 나타났다. 6) 재원 기간은 평균 7.9일이었으며 간기능 회복 시기는 평균 8.8일 이내였고 모든 환아에서 2주 이내에 간기능이 완전히 정상으로 회복되었다. 결론: Mycoplasma pneumoniae 간염은 대부분 2주 이내에 회복되는 양성 경과를 취하나 그 빈도가 낮지 않으므로 마이코플라스마 폐렴시 간기능 검사 소견에 주의를 기울여야 한다.