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    ์ทจ์—…๋ชจ์˜ ์ข…์‚ฌ์ƒ ์ง€์œ„๋ณ„ ์ƒํ™œ์‹œ๊ฐ„ ์‚ฌ์šฉ ์–‘ํƒœ ๋ฐ ์‹œ๊ฐ„๋ถ€์กฑ๊ฐ

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    ํ•™์œ„๋…ผ๋ฌธ (์„์‚ฌ)-- ์„œ์šธ๋Œ€ํ•™๊ต ๋Œ€ํ•™์› : ์•„๋™๊ฐ€์กฑํ•™๊ณผ, 2015. 2. ์ง„๋ฏธ์ •.์‹œ๊ฐ„์˜ ๊ฐ€์žฅ ํฐ ํŠน์ง•์€ ์œ ํ•œ์„ฑ๊ณผ ๋น„๊ฐ€์—ญ์„ฑ์ด๋‹ค. ํ•˜๋ฃจ๋Š” 24์‹œ๊ฐ„์œผ๋กœ ๋ˆ„๊ตฌ์—๊ฒŒ๋‚˜ ๋˜‘๊ฐ™์ด ์ œํ•œ๋˜์–ด ์žˆ์œผ๋ฉฐ, ์ง€๋‚˜๊ฐ„ ์–ด์ œ๋ฅผ ์˜ค๋Š˜๋กœ ๋˜๋Œ๋ฆด ์ˆ˜๋„ ์—†๊ธฐ ๋•Œ๋ฌธ์ด๋‹ค. ๋”ฐ๋ผ์„œ ์‹œ๊ฐ„์€ ๋งค์ผ ๋งค์ผ์„ ๋ฐ”์˜๊ฒŒ ์‚ด์•„๊ฐ€๋Š” ํ˜„๋Œ€์ธ์—๊ฒŒ ์ค‘์š”ํ•œ ์ž์›์ด๋‹ค. ๊ทธ๋Ÿฐ๋ฐ ์ด๋Ÿฌํ•œ ์‹œ๊ฐ„์„ ๋ˆ„๊ตฌ๋ณด๋‹ค๋„ ๋ถ€์กฑํ•˜๋‹ค๊ณ  ๋Š๋ผ๋Š” ์‚ฌ๋žŒ์ด ์žˆ์œผ๋‹ˆ, ๊ทธ๋Š” ๋ฐ”๋กœ ์ผํ•˜๋Š” ๊ธฐํ˜ผ์—ฌ์„ฑ์ด๋‹ค. ์ผํ•˜๋Š” ๊ธฐํ˜ผ์—ฌ์„ฑ์€ ์˜ค๋ž˜ ์ „๋ถ€ํ„ฐ ์ƒํ™œ์‹œ๊ฐ„ ์—ฐ๊ตฌ์—์„œ์˜ ์ฃผ์š” ์—ฐ๊ตฌ๋Œ€์ƒ์ด์—ˆ๋‹ค. ๊ทธ๋“ค์€ ์ง์žฅ์ƒํ™œ๊ณผ ๊ฐ€์กฑ์ƒํ™œ์„ ๋ณ‘ํ–‰ํ•˜๋ฉฐ, ์ž์‹ ์˜ ํ•˜๋ฃจ๋ฅผ ๋‹ค์–‘ํ•œ ํ™œ๋™์œผ๋กœ ์‰ด ํ‹ˆ ์—†์ด ๊ตฌ์„ฑํ•˜๊ณ  ์žˆ๊ธฐ ๋•Œ๋ฌธ์ด๋‹ค. ๊ทธ๋Ÿฐ๋ฐ ์ผํ•˜๋Š” ๊ธฐํ˜ผ์—ฌ์„ฑ์˜ ์ƒํ™œ์‹œ๊ฐ„๊ณผ ๊ด€๋ จ๋œ ์—ฐ๊ตฌ ๊ฒฝํ–ฅ์„ ๊ฒ€ํ† ํ•ด๋ณด๋ฉด, ๊ทธ๋™์•ˆ ์ž„๊ธˆ๊ทผ๋กœ์— ์ข…์‚ฌํ•˜์ง€ ์•Š๋Š” ์ž์˜์—…์ฃผ์— ๋Œ€ํ•œ ๊ด€์‹ฌ์€ ํฌ์ง€ ์•Š์•˜์Œ์„ ์•Œ ์ˆ˜ ์žˆ๋‹ค. ์ด๋Ÿฌํ•œ ๋ฐฐ๊ฒฝ์—์„œ ๋ณธ ์—ฐ๊ตฌ๋Š” ์ทจ์—…๋ชจ์˜ ์ข…์‚ฌ์ƒ ์ง€์œ„์— ๋”ฐ๋ผ ์ƒํ™œ์‹œ๊ฐ„์ด ์–ด๋–ป๊ฒŒ ๊ตฌ์„ฑ๋˜๋ฉฐ, ์ข…์‚ฌ์ƒ ์ง€์œ„๊ฐ€ ์‹œ๊ฐ„๋ถ€์กฑ๊ฐ์— ์–ด๋–ค ์˜ํ–ฅ์„ ๋ฏธ์น˜๋Š”์ง€ ๋ฐํžˆ๊ณ ์ž ํ•˜์˜€๋‹ค. ์ด์™€ ๊ฐ™์€ ์—ฐ๊ตฌ๋ฌธ์ œ๋ฅผ ๊ทœ๋ช…ํ•˜๊ธฐ ์œ„ํ•ด์„œ, ๋ณธ ์—ฐ๊ตฌ์—์„œ๋Š” ํ†ต๊ณ„์ฒญ์˜ 2009๋…„ ์ƒํ™œ์‹œ๊ฐ„์กฐ์‚ฌ ์ž๋ฃŒ ์ค‘์—์„œ ๋ฏธ์ทจํ•™ ์ž๋…€๊ฐ€ 1๋ช… ์ด์ƒ ์žˆ๊ณ , ์ „์ผ์ œ ์ž„๊ธˆ๊ทผ๋กœ ํ˜น์€ ์ž์˜์—…์— ์ข…์‚ฌํ•˜๊ณ  ์žˆ๋Š” ์ทจ์—…๋ชจ 334๋ช…์˜ 668๊ฐœ์˜ ์‹œ๊ฐ„์ผ์ง€๋ฅผ ๋ถ„์„ํ•˜์˜€๋‹ค. ํ†ต๊ณ„๋ถ„์„ ํ”„๋กœ๊ทธ๋žจ SPSS 18.0์„ ์‚ฌ์šฉํ•˜์—ฌ, ๋นˆ๋„๋ถ„์„๊ณผ ๊ต์ฐจ๋ถ„์„์„ ํ†ตํ•ด ์—ฐ๊ตฌ๋Œ€์ƒ์ž์˜ ์‚ฌํšŒ ์ธ๊ตฌํ•™์  ํŠน์„ฑ๊ณผ ์ฃผ์š” ๋ณ€์ˆ˜์˜ ๊ธฐ์ˆ ํ†ต๊ณ„์น˜๋ฅผ ์‚ดํŽด๋ณด์•˜๊ณ  ๋…๋ฆฝํ‘œ๋ณธ t๊ฒ€์ฆ, ์œ„๊ณ„์  ํšŒ๊ท€๋ถ„์„์„ ํ†ตํ•ด ์—ฐ๊ตฌ๋ฌธ์ œ๋ฅผ ๋ถ„์„ํ•˜์˜€๋‹ค. ๋ถ„์„์„ ํ†ตํ•ด ์–ป์€ ๋ณธ ์—ฐ๊ตฌ์˜ ์ฃผ์š” ๊ฒฐ๊ณผ๋Š” ๋‹ค์Œ๊ณผ ๊ฐ™๋‹ค. ์ฒซ์งธ, ๊ธฐํ˜ผ์—ฌ์„ฑ ์ž„๊ธˆ๊ทผ๋กœ์ž์™€ ์ž์˜์—…์ฃผ์˜ ์ƒํ™œ์‹œ๊ฐ„ ์‚ฌ์šฉ ์–‘ํƒœ๋ฅผ ๋น„๊ตํ•ด๋ณธ ๊ฒฐ๊ณผ, ํ‰์ผ์—๋Š” ์ž„๊ธˆ๊ทผ๋กœ์ž์— ๋น„ํ•ด ์ž์˜์—…์ฃผ๋Š” ์ผํ•˜๋Š” ์‹œ๊ฐ„์ด ์งง๊ณ  ๊ฐ€์ • ๊ด€๋ฆฌ ๋ฐ ๊ฐ€์กฑ ๋ณด์‚ดํ”ผ๊ธฐ์— ์‚ฌ์šฉํ•˜๋Š” ์‹œ๊ฐ„์€ ๊ธธ์—ˆ๋‹ค. ๋ฐ˜๋ฉด์— ์ฃผ๋ง์— ์ผํ•˜๋Š” ๋น„์œจ์€ ์ž์˜์—…์ฃผ๊ฐ€ ์ž„๊ธˆ๊ทผ๋กœ์ž๋ณด๋‹ค ๋†’์•˜๋‹ค. ๋‘˜์งธ, ์ž„๊ธˆ๊ทผ๋กœ์ž๋ณด๋‹ค ์ž์˜์—…์ฃผ๊ฐ€ ์‹œ๊ฐ„๋ถ€์กฑ๊ฐ์„ ๋” ๋งŽ์ด ๋Š๊ผˆ๋‹ค. ์ด๊ฒƒ์€ ์ž์˜์—…์ด๋ผ๋Š” ๊ทผ๋ฌด๋ฐฉ์‹์ด ์ผ-๊ฐ€์กฑ ์–‘๋ฆฝ์— ํ›จ์”ฌ ์šฉ์ดํ•  ๊ฒƒ์ด๋ผ๋Š” ์˜ˆ์ƒ๊ณผ ๋‹ค๋ฅธ ๊ฒฐ๊ณผ์˜€๋‹ค. ์…‹์งธ, ์ผํ•˜๋Š” ์‹œ๊ฐ„์ด ๊ธธ์ˆ˜๋ก ์‹œ๊ฐ„๋ถ€์กฑ๊ฐ์€ ์ฆ๊ฐ€ํ•˜์˜€๊ณ , ์ •๊ธฐํœด์ผ์ด ์—†๋Š” ๊ฒฝ์šฐ๋Š” ์ •๊ธฐํœด์ผ์ด ์žˆ๋Š” ๊ฒฝ์šฐ๋ณด๋‹ค ์‹œ๊ฐ„๋ถ€์กฑ๊ฐ์ด ๋†’์•˜๋‹ค. ๊ทธ๋Ÿฐ๋ฐ ์ผ, ๊ฐ€์ • ๊ด€๋ฆฌ, ๊ฐ€์กฑ ๋ณด์‚ดํ”ผ๊ธฐ ๊ด€๋ จ ์‹œ๊ฐ„๊ณผ ์ •๊ธฐํœด์ผ ์œ ๋ฌด๋ฅผ ๋…๋ฆฝ๋ณ€์ˆ˜๋กœ ํˆฌ์ž…ํ•˜์˜€์„ ๋•Œ ์‹œ๊ฐ„๋ถ€์กฑ๊ฐ์— ๋Œ€ํ•œ ์ข…์‚ฌ์ƒ ์ง€์œ„(์ž์˜์—…์ฃผ)์˜ ์˜ํ–ฅ๋ ฅ์ด ์‚ฌ๋ผ์กŒ๊ธฐ ๋•Œ๋ฌธ์—, ์ •ํ•ด์ง„ ํœด์ผ ์—†์ด ์ผํ•˜๋Š” ์ž์˜์—…๋งŒ์˜ ๊ทผ๋ฌดํŠน์„ฑ์ด ์ข…์‚ฌ์ƒ ์ง€์œ„๋ณ„ ์‹œ๊ฐ„๋ถ€์กฑ๊ฐ์˜ ์ฐจ์ด๋ฅผ ์„ค๋ช…ํ•œ๋‹ค๊ณ  ๋ณผ ์ˆ˜ ์žˆ๋‹ค. ์ด์ƒ์˜ ์—ฐ๊ตฌ๊ฒฐ๊ณผ๋ฅผ ๋ฐ”ํƒ•์œผ๋กœ, ์ทจ์—…๋ชจ ์ง‘๋‹จ์˜ ๋‹ค์–‘์„ฑ์„ ๊ณ ๋ คํ•œ ์ผ-๊ฐ€์กฑ ์–‘๋ฆฝ ์ง€์› ์ œ๋„๊ฐ€ ํ•„์š”ํ•˜๋‹ค๋Š” ์‚ฌ์‹ค์„ ์•Œ ์ˆ˜ ์žˆ์—ˆ๋‹ค. ์ž์˜์—…์ฃผ๋Š” ์ž„๊ธˆ๊ทผ๋กœ์ž์™€ ๋‹ฌ๋ฆฌ ์ •ํ•ด์ง„ ํœด์ผ์ด ์—†๊ฑฐ๋‚˜ ์ฃผ๋ง์—๋„ ์ผํ•˜๋Š” ๋น„์œจ์ด ๋†’๊ธฐ ๋•Œ๋ฌธ์—, ๊ธฐ์กด์˜ ์•„์ด๋Œ๋ณด๋ฏธ ์„œ๋น„์Šค์™€ ๊ฐ™์€ ๋ณด์œก์„œ๋น„์Šค๋ฅผ ์‹ฌ์•ผ๋‚˜ ์ฃผ๋ง ๋“ฑ ํ‹ˆ์ƒˆ ์‹œ๊ฐ„๋Œ€์—๋„ ํ™œ๋ฐœํ•˜๊ฒŒ ์šด์˜ํ•  ํ•„์š”๊ฐ€ ์žˆ๋‹ค. ๋ณธ ์—ฐ๊ตฌ๋Š” ์—ฐ๊ตฌ ๋Œ€์ƒ์ž์˜ ์ง์ข…์ด๋‚˜ ์—…์ข…, ์‚ฌ์—…์ฒด ๊ทœ๋ชจ๋ฅผ ๊ณ ๋ คํ•˜์ง€ ์•Š์•˜๊ณ , ์—ฐ๊ตฌ๋Œ€์ƒ์ž์˜ ์ˆ˜๊ฐ€ ์ ๋‹ค๋Š” ํ•œ๊ณ„๊ฐ€ ์žˆ๋‹ค. ๊ทธ๋Ÿผ์—๋„ ๋ถˆ๊ตฌํ•˜๊ณ  ๋ณธ ์—ฐ๊ตฌ์—์„œ๋Š” ์ทจ์—…๋ชจ์˜ ๊ฐ๊ด€์ ์ธ ์ƒํ™œ์‹œ๊ฐ„ ์‚ฌ์šฉ ์–‘ํƒœ๋ฅผ ํŒŒ์•…ํ•˜์˜€์„ ๋ฟ๋งŒ ์•„๋‹ˆ๋ผ, ์‹œ๊ฐ„ ์‚ฌ์šฉ์— ๋Œ€ํ•œ ์ฃผ๊ด€์ ์ธ ์ธ์‹์ธ ์‹œ๊ฐ„๋ถ€์กฑ๊ฐ๋„ ํ•จ๊ป˜ ์‚ดํŽด๋ด„์œผ๋กœ์จ, ์ทจ์—…๋ชจ์˜ ์ง์—…์  ํŠน์„ฑ์ด ์‹œ๊ฐ„ ์‚ฌ์šฉ ๋ฐ ์ •์„œ์— ๋ฏธ์น˜๋Š” ์˜ํ–ฅ์— ๋Œ€ํ•œ ํฌ๊ด„์ ์ธ ์—ฐ๊ตฌ๊ฒฐ๊ณผ๋ฅผ ์ œ์‹œํ•˜์˜€๋‹ค๋Š” ์ ์— ์˜์˜๊ฐ€ ์žˆ๋‹ค.โ… . ๋ฌธ์ œ์ œ๊ธฐ 1 โ…ก. ์„ ํ–‰์—ฐ๊ตฌ ๊ณ ์ฐฐ 6 1. ๊ธฐํ˜ผ์—ฌ์„ฑ ์ž„๊ธˆ๊ทผ๋กœ์ž์™€ ์ž์˜์—…์ฃผ์˜ ํŠน์„ฑ 6 2. ์ทจ์—…๋ชจ์˜ ์ผ-๊ฐ€์กฑ ์–‘๋ฆฝ ๊ด€๋ จ ์ƒํ™œ์‹œ๊ฐ„ ์—ฐ๊ตฌ ๋™ํ–ฅ 10 3. ์ทจ์—…๋ชจ๊ฐ€ ๋Š๋ผ๋Š” ์‹œ๊ฐ„๋ถ€์กฑ๊ฐ 14 (1) ์‹œ๊ฐ„๋ถ€์กฑ๊ฐ์˜ ๊ฐœ๋… 14 (2) ์ทจ์—…๋ชจ์˜ ์‹œ๊ฐ„๋ถ€์กฑ๊ฐ์— ์˜ํ–ฅ์„ ๋ฏธ์น˜๋Š” ์š”์ธ 17 โ…ข. ์—ฐ๊ตฌ๋ฌธ์ œ ๋ฐ ์—ฐ๊ตฌ๋ฐฉ๋ฒ• 19 1. ์—ฐ๊ตฌ๋ฌธ์ œ 19 2. ์—ฐ๊ตฌ๋Œ€์ƒ ๋ฐ ๋ถ„์„์ž๋ฃŒ 20 3. ๋ณ€์ˆ˜์˜ ์ •์˜์™€ ์ธก์ • 21 (1) ์ƒํ™œ์‹œ๊ฐ„ 21 (2) ์‹œ๊ฐ„๋ถ€์กฑ๊ฐ 22 (3) ์ข…์‚ฌ์ƒ ์ง€์œ„ 22 (4) ์ •๊ธฐํœด์ผ ์œ ๋ฌด 22 (5) ํ†ต์ œ๋ณ€์ˆ˜ 23 4. ๋ถ„์„๋ฐฉ๋ฒ• 24 โ…ฃ. ์—ฐ๊ตฌ๊ฒฐ๊ณผ ๋ฐ ํ•ด์„ 25 1. ์—ฐ๊ตฌ๋Œ€์ƒ์ž์˜ ์‚ฌํšŒ ์ธ๊ตฌํ•™์  ํŠน์„ฑ 25 2. ์ทจ์—…๋ชจ์˜ ์ข…์‚ฌ์ƒ ์ง€์œ„๋ณ„ ์ƒํ™œ์‹œ๊ฐ„ ์‚ฌ์šฉ ์–‘ํƒœ 28 (1) ์ทจ์—…๋ชจ์˜ ์ข…์‚ฌ์ƒ ์ง€์œ„๋ณ„ ํ‰์ผ ์ƒํ™œ์‹œ๊ฐ„ ์‚ฌ์šฉ ์–‘ํƒœ 28 (2) ์ทจ์—…๋ชจ์˜ ์ข…์‚ฌ์ƒ ์ง€์œ„๋ณ„ ์ฃผ๋ง ์ƒํ™œ์‹œ๊ฐ„ ์‚ฌ์šฉ ์–‘ํƒœ 31 3. ์ทจ์—…๋ชจ์˜ ์ข…์‚ฌ์ƒ ์ง€์œ„๊ฐ€ ์‹œ๊ฐ„๋ถ€์กฑ๊ฐ์— ๋ฏธ์น˜๋Š” ์˜ํ–ฅ 33 4. ์ทจ์—…๋ชจ์˜ ์ผ, ๊ฐ€์ • ๊ด€๋ฆฌ, ๊ฐ€์กฑ ๋ณด์‚ดํ”ผ๊ธฐ ๊ด€๋ จ ์‹œ๊ฐ„๊ณผ ์ •๊ธฐํœด์ผ ์œ ๋ฌด๊ฐ€ ์‹œ๊ฐ„๋ถ€์กฑ๊ฐ์— ๋ฏธ์น˜๋Š” ์˜ํ–ฅ 35 โ…ค. ๊ฒฐ๋ก  ๋ฐ ๋…ผ์˜ 37 ์ฐธ ๊ณ  ๋ฌธ ํ—Œ 42 Abstract 56Maste

    ๊ด‘์ˆ˜์šฉ์ฒด์ธ GULLIVER2PHYTOCHROME B์˜ ๋ธŒ๋ผ์‹œ๋…ธ์Šคํ…Œ๋กœ์ด๋“œ ์‹ ํ˜ธ์ „๋‹ฌ ์–ต์ œ๋ฅผ ํ†ตํ•œ ์‹๋ฌผ ์ƒ์žฅ ์กฐ์ ˆ

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    ํ•™์œ„๋…ผ๋ฌธ(์„์‚ฌ)--์„œ์šธ๋Œ€ํ•™๊ต ๋Œ€ํ•™์› :์ƒ๋ช…๊ณผํ•™๋ถ€,2006.Maste

    ๋ฏธ๊ตญ ๋‚ด ๋‹ค๋ฅธ ์ธ์ข… ๊ฐ„์˜ ์ตœ์  ์ถœ์ƒ์ฒด์ค‘๊ณผ ์‚ฌ๋ง๋ฅ  ๋ถ„์„

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    Background: Among different U.S. ethnic groups, mortality at term may differ according to optimal birth weight at the least mortality and birth weight-specific mortality within the term birth weight distribution. We explored these two questions, examining births among five ethnic groups in the U.S. Methods: Our study population was derived from U.S. birth data from 1995 to 2006, consisting of singleton live births at between 37 and 42 weeks from five parental groups: 1) non-Hispanic White (WW), 2) non-Hispanic Black (BB), 3) Hispanic (HH), 4) Korean, Japanese, and Chinese (KJC), and 5) Filipino, Vietnamese, and Asian Indian (FVA). Results: The WW ethnic group had the highest mean birthweight (3,475 g), while FVA had lowest (3,228 g). KJC had the longest mean gestational age (39.2 wks), while FVA had the shortest mean gestational age (39.0 wks). Optimal birthweight was higher in WW (3,890 g) than in HH (3,745 g), KJC (3,666 g), or BB (3,650 g), and was the lowest in FVA (3,491 g). Compared to the WW group, neonatal mortality at term was lower in KJC (Odds Ratio(OR), 0.47; Confidence Interval(CI) 0.39, 0.55) and HH (OR, 0.96; CI 0.92, 0.99), higher in BB (OR, 1.27; CI 1.22, 1.32), and the same in FVA. Adjusting for parental sociodemographic characteristics other than parental race/ethnicity had little effect on these differences in mean birth weight, optimal birth weight, and birth weight-specific mortality in term birth weight distribution. Conclusions: In the U.S., mean birth weight, optimal birth weight at minimum mortality, and birthweight-specific mortality rates within the term birthweight range differ among different ethnic/racial groups. The optimal birthweight or term birth weight distribution of one ethnic group cannot be applied to other ethnic groups and should not be aimed for or insisted upon. In conclusion, different guidelines for perinatal care and outcomes should likely be applied for different racial groups. ๋ฐฐ๊ฒฝ: ๊ฑด๊ฐ•ํ•œ ์‹ ์ƒ์•„๋ฅผ ํ‰๊ฐ€ํ•˜๋Š”๋ฐ ๊ฐ€์žฅ ์ผ๋ฐ˜์ ์ธ ๊ธฐ์ค€์ด ์ž„์‹ ๋‚˜์ด์™€ ์ถœ์ƒ์ฒด์ค‘์ด๋‹ค. ์ž„์‹ ๋‚˜์ด๋Š” ๋™์ผํ•˜๋‚˜, ์ถœ์ƒ์ฒด์ค‘์€ ๋‹ค๋ฅธ ๊ฒฝ์šฐ๊ฐ€ ๋งŽ๋‹ค. ์šฐ๋ฆฌ๋‚˜๋ผ๋„ ๋‹ค๋ฌธํ™”๊ฐ€์ •์ด 10%๋Œ€๋กœ ์ฆ๊ฐ€ํ•˜๋ฉด์„œ ๋™์ผํ•œ ์ž„์‹ ๋‚˜์ด์—๋„ ๋ถˆ๊ตฌํ•˜๊ณ  ๋ถ€๋ชจ์˜ ์ธ์ข…์— ๋”ฐ๋ผ ์‹ ์ƒ์•„ ์ถœ์ƒ์ฒด์ค‘์ด ๋‹ค๋ฆ„์„ ๊ฒฝํ—˜ํ•˜๊ณ  ์žˆ๋‹ค. ๋‚˜๋ผ๋ณ„๋กœ ๋ณด๊ณ ๋œ ์‹ ์ƒ์•„ ์ถœ์ƒ์ฒด์ค‘ ์ฐจ์ด๊ฐ€ ์žˆ๋Š” ๊ฒƒ์„ ๋ณด๊ณ , ์ธ์ข… ๊ฐ„์˜ ์ถœ์ƒ์ฒด์ค‘ ์ฐจ ์ด๊ฐ€ ์žˆ์„ ๊ฒƒ์ด๋ผ๊ณ  ์ƒ๊ฐํ•˜์˜€๋‹ค. ์ด์— ์ธ์ข…์— ๋”ฐ๋ฅธ ์‹ ์ƒ์•„ ์ถœ์ƒ์ฒด์ค‘๊ณผ ์‚ฌ๋ง๋ฅ ์ด ์œ ์ „์  ์š”์ธ ๋•Œ๋ฌธ์ธ์ง€ ํ›„์ฒœ์  ํ™˜๊ฒฝ์ ์˜ํ–ฅ ๋•Œ๋ฌธ์ธ์ง€ ์•Œ์•„๋ณด๊ณ , ๊ฐ ์ธ์ข…๋งˆ๋‹ค ์‚ฌ๋ง๋ฅ ์ด ๊ฐ€์žฅ ๋‚ฎ์€ ์ตœ์ ์˜ ์‹ ์ƒ์•„ ์ถœ์ƒ์ฒด์ค‘์„ ์•Œ์•„๋ณด๊ณ ์ž ํ•˜์˜€๋‹ค. ์ €์ž๋“ค์€ ๊ฐ™์€ ์ง€๋ฆฌ์  ํ™˜๊ฒฝ๊ณผ ์‚ฌํšŒ ํ™˜๊ฒฝ์„ ๋™์ผ์‹œ ํ•œ ์ƒํƒœ์—์„œ ๋‹ค๋ฅธ ์ธ์ข… ๊ฐ„์˜ ์ฐจ์ด๋ฅผ ๋ณด๊ณ ์ž ๋‹ค๋ฏผ์กฑ์œผ๋กœ ๊ตฌ์„ฑ๋œ ๋ฏธ๊ตญ ์ถœ์ƒ ์ž๋ฃŒ๋ฅผ ๋ถ„์„ํ•˜์˜€๋‹ค. ๋ฐฉ๋ฒ•: 1995๋…„๋ถ€ํ„ฐ 2006๋…„๊นŒ์ง€ ๋ฏธ๊ตญ ์ถœ์ƒ์ž๋ฃŒ์—์„œ 37์ฃผ ์ด์ƒ, 42์ฃผ ๋ฏธ๋งŒ์˜ ๋‹จ์ผ์•„ ์ถœ์ƒ ์ค‘์—์„œ ์ƒ์กดํ™˜(n=28,876,197)๋ฅผ ๋Œ€์ƒ์œผ๋กœ ํ•˜์˜€๋‹ค. ๋ถ€๋ชจ๊ฐ€ ๊ฐ™์€ ์ธ์ข…์ผ ๊ฒฝ์šฐ๋งŒ ๊ฐ™์€ ๊ทธ๋ฃน์œผ๋กœ ๋ถ„๋ฅ˜ํ•˜์—ฌ 5๊ฐœ ๊ทธ๋ฃน์œผ๋กœ ๋‚˜๋ˆ„์–ด ๊ทธ ๊ทธ๋ฃน์—์„œ ์ถœ์ƒํ•œ ์ƒ์กด ๋‹จ์ผ์•„๋ฅผ ๋Œ€์ƒ์œผ๋กœ ๋ถ„์„ํ•˜์˜€๋‹ค. 1) WW ๊ตฐ(n=19,018,822): ๋ถ€๋ชจ ์–‘์ชฝ์˜ ์ธ์ข…์ด ํžˆ์ŠคํŒจ๋‹‰์ด ์•„๋‹Œ ๋ฐฑ์ธ๊ทธ๋ฃน, 2) BB ๊ตฐ(n=3,086,435): ๋ถ€๋ชจ ์–‘์ชฝ์˜ ์ธ์ข…์ด ํžˆ์ŠคํŒจ๋‹‰์ด ์•„๋‹Œ ํ‘์ธ๊ทธ๋ฃน, 3) HH ๊ตฐ(n=5,905,096): ๋ถ€๋ชจ ์–‘์ชฝ์˜ ์ธ์ข…์ด ํžˆ์ŠคํŒจ๋‹‰์ธ ๊ทธ๋ฃน, 4) KJC๊ตฐ(n=357,926): ์–‘์ชฝ ๋ถ€๋ชจ๊ฐ€ ํ•œ๊ตญ์ธ(K), ์ผ๋ณธ์ธ(J), ์ค‘๊ตญ์ธ(C) ์ธ ๊ทธ๋ฃน, 5) FVA ๊ตฐ(n=507,918): ์–‘์ชฝ ๋ถ€๋ชจ๊ฐ€ ํ•„๋ฆฌํ•€์ธ(F), ๋ฒ ํŠธ๋‚จ์ธ(V), ์•„์‹œ์•ˆ ์ธ๋””์–ธ์ธ(A)์ธ ๊ทธ๋ฃน์œผ๋กœ ๋‚˜๋ˆ„์—ˆ๋‹ค. ๊ฐ ๊ตฐ์˜ ์‚ฌ๋ง๋ฅ ๊ณผ ํŠน์ง•, ์‚ฌ๋ง๋ฅ ์˜ ์œ„ํ—˜์š”์ธ, ์ตœ์  ์ถœ์ƒ์ฒด์ค‘, WW ๊ตฐ๊ณผ ๋น„๊ตํ•˜์˜€์„ ๋•Œ ์‹ ์ƒ์•„ ์‚ฌ๋ง๋ฅ ์˜ ์œ„ํ—˜๋„(Odds Ratio: OR), ์‹ ์ƒ์•„ ์ถœ์ƒ์ฒด์ค‘๊ณผ ์‚ฌ๋ง๋ฅ ๊ณผ์˜ ๊ด€๊ณ„๋ฅผ ๊ทธ๋ž˜ํ”„๋กœ ๋น„๊ต ๋ถ„์„ํ•˜์˜€๋‹ค. ๊ฒฐ๊ณผ: WW ๊ตฐ์ด ํ‰๊ท  ์ถœ์ƒ์ฒด์ค‘ 3,475 g์œผ๋กœ ๊ฐ€์žฅ ์ปธ๊ณ , FVA ๊ตฐ์ด 3,228 g์œผ๋กœ ํ‰๊ท  ์ถœ์ƒ์ฒด์ค‘์ด ๊ฐ€์žฅ ์ž‘์•˜๋‹ค. KJC ๊ตฐ์€ ํ‰๊ท  ์žฌํƒœ์ฃผ๋ น(39.2์ฃผ)์ด ๊ฐ€์žฅ ๊ธธ์—ˆ๊ณ , FVA ๊ตฐ์˜ ์žฌํƒœ์ฃผ๋ น (39.0์ฃผ)์ด ๊ฐ€์žฅ ์งง์•˜๋‹ค. ์‚ฐ๋ชจ์˜ ๊ต์œก์ •๋„๊ฐ€ 12๋…„์ด์ƒ ๊ธธ์ˆ˜๋ก ๋ถ€๋ชจ์˜ ๋‚˜์ด๊ฐ€ ๋งŽ์•˜์œผ๋ฉฐ, ๊ฒฐํ˜ผํ•œ ๋ถ€๋ถ€์˜ ๋น„์œจ์ด ๋†’์•˜๋‹ค. ์‚ฐ๋ชจ์˜ ์ž„์‹  ์ค‘ ํก์—ฐ ๋ฐ ์Œ์ฃผ ๋นˆ๋„๋Š” ๋‘ ์š”์ธ์ด ๊ฐ™์ด ๋†’๊ฑฐ๋‚˜ ๋‚ฎ์•˜์œผ๋ฉฐ, WW ๊ตฐ์ด ํก์—ฐ 10.7%, ์Œ์ฃผ0.8% ๋กœ 5 ๊ทธ๋ฃน ์ค‘์— ๊ฐ€์žฅ ๋†’์€ ๋น„์œจ์„ ๋ณด์˜€๋‹ค. ์‹ ์ƒ์•„ ์‚ฌ๋ง๋ฅ ์€ KJC ๊ตฐ์ด 0.36(์‹ ์ƒ์•„ ์ถœ์ƒ1,000๋ช… ๋‹น ์‚ฌ๋ง์ž์ˆ˜)์œผ๋กœ ๊ฐ€์žฅ ๋‚ฎ์•˜๊ณ , BB ๊ตฐ์ด 0.98(์‹ ์ƒ์•„ ์ถœ์ƒ 1,000๋ช… ๋‹น ์‚ฌ๋ง์ž์ˆ˜)๋กœ ๊ฐ€์žฅ ๋†’์•˜๋‹ค. WW ๊ตฐ๊ณผ ๋น„๊ตํ•˜์˜€์„ ๋•Œ, ์‹ ์ƒ์•„ ์‚ฌ๋ง๋ฅ ์˜ ์œ„ํ—˜๋„๊ฐ€ ๋ถ€๋ชจ์˜ ์‚ฌํšŒ ๊ฒฝ์ œ์  ์š”์ธ๋“ค์„ ๋ณด์ •์„ ํ•ด๋„, KJC ๊ตฐ(OR, 0.49; 95%CI 0.41-0.59)์œผ๋กœ ๊ฐ€์žฅ ๋‚ฎ๊ณ , BB ๊ตฐ์ด ์—ฌ์ „ํžˆ ์œ„ํ—˜๋„๊ฐ€ 1.17( 95%CI 1.12-1.22)๋กœ ์œ ์˜ํ•˜๊ฒŒ ๋†’์•˜๋‹ค. ์‚ฌ๋ง๋ฅ ์ด ๊ฐ€์žฅ ๋‚ฎ์€ ์ตœ์  ์ถœ์ƒ์ฒด์ค‘์€ WW ๊ตฐ์ด 3,890 g, HH ๊ตฐ์ด 3,745g, KJC ๊ตฐ์ด 3,666 g, BB ๊ตฐ์ด 3,650 g, FVA ์ด 3,491 g ์ด์—ˆ๋‹ค. ๊ฐ ๊ตฐ์˜ ํ‰๊ท  ์ถœ์ƒ์ฒด์ค‘, ์ตœ์ ์ถœ์ƒ์ฒด์ค‘, ์ถœ์ƒ์ฒด์ค‘๋ณ„ ์‚ฌ๋ง๋ฅ ์ด ๊ฐ ๊ตฐ ๊ฐ„์— ์œ ์˜ํ•œ ์ฐจ์ด๊ฐ€ ์žˆ์—ˆ๋‹ค. ๊ฒฐ๋ก : ๋งŒ์‚ญ์•„ ๋‹จ์ผ์•„์—์„œ ํ‰๊ท  ์ถœ์ƒ์ฒด์ค‘, ์ตœ์  ์ถœ์ƒ์ฒด์ค‘, ์ถœ์ƒ์ฒด์ค‘ ๋ณ„ ์‚ฌ๋ง๋ฅ ์ด ์ธ์ข… ๊ฐ„ ์ฐจ์ด๊ฐ€ ์œ ์˜ํ•˜๊ฒŒ ์žˆ์—ˆ๋‹ค. ๊ทธ๋Ÿฌ๋ฏ€๋กœ, ํ•œ ๋‚˜๋ผ์—์„œ ๊ตญ๊ฐ€ ๋ณด๊ฑด ์ง€ํ‘œ ์„ค์ •ํ•  ๋•Œ ํš์ผ์ ์œผ๋กœ ๋™์ผํ•œ ๊ธฐ์ค€์„ ์„ธ์šฐ๊ธฐ ๋ณด๋‹ค๋Š” ๊ฐ ์ธ์ข…๋ณ„, ์‚ฌํšŒ ๊ฒฝ์ œ์  ํ™˜๊ฒฝ์„ ๊ณ ๋ คํ•˜์—ฌ ์ •์ฑ… ๊ฒฐ์ •ํ•ด์•ผ ํ•œ๋‹ค๊ณ  ์‚ฌ๋ฃŒ๋œ๋‹ค.open๋ฐ•

    7์›”์™•์ •์ดˆ ๋ฆฌ์˜น์˜ ๋…ธ๋™์šด๋™(1831-1834) : ๊ฒฌ์ง๊ณต๋“ค์˜ ๊ฒฐ์‚ฌ์™€ ๋‹จ์ฒดํ–‰๋™์„ ์ค‘์‹ฌ์œผ๋กœ

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    ํ•™์œ„๋…ผ๋ฌธ(์„์‚ฌ)--์„œ์šธ๋Œ€ํ•™๊ต ๋Œ€ํ•™์› :์„œ์–‘์‚ฌํ•™๊ณผ,1997.Maste

    Diagnostic prediction of maternal inflammatory markers for neonatal sepsis

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    ์˜ํ•™๊ณผ/์„์‚ฌ[ํ•œ๊ธ€]๋ชฉ์ : ๋ณธ ์—ฐ๊ตฌ๋Š” ์กฐ๊ธฐ ์‹ ์ƒ์•„ ํŒจํ˜ˆ์ฆ์˜ ์ง„๋‹จ์—์„œ ์‚ฐ๋ชจ ๊ฐ์—ผ ํ‘œ์ง€์ž๋ฅผ ์ด์šฉํ•˜๋Š” ์—ฐ๊ตฌ๊ฐ€ ์ ์–ด, ์‚ฐ๋ชจ ๊ฐ์—ผ์˜ ํ˜ˆ์•กํ•™์  ์ง€ํ‘œ๋ฅผ ์ด์šฉํ•˜์—ฌ ์‚ฐ๋ชจ ๊ฐ์—ผ์˜ ์‹ ์ƒ์•„์— ๋Œ€ํ•œ ์˜ํ–ฅ์„ ํ‰๊ฐ€ํ•˜๊ณ , ์‚ฐ๋ชจ์˜ ์ฃผ์‚ฐ๊ธฐ ๊ฐ์—ผ ์ƒํƒœ์— ๋”ฐ๋ฅธ ์‹ ์ƒ์•„ ํŒจํ˜ˆ์ฆ์— ๋Œ€ํ•œ ์˜ํ–ฅ์„ ํ‰๊ฐ€ํ•˜๊ณ ์ž ์‹œํ–‰ํ•˜์˜€๋‹ค. ๋ฐฉ๋ฒ• : 2001๋…„ 1์›”๋ถ€ํ„ฐ 2002๋…„ 12์›”๊นŒ์ง€ ์„ธ๋ธŒ๋ž€์Šค๋ณ‘์› ์‹ ์ƒ์•„ ์ง‘์ค‘์น˜๋ฃŒ์‹ค์— ์ž…์›ํ•œ ๋ฏธ์ˆ™์•„ 126์˜ˆ(์žฌํƒœ ์—ฐ๋ น 32ยฑ3.4 ์ฃผ, ์ถœ์ƒ ์ฒด์ค‘ 1,887ยฑ623 g)์™€ ์‚ฐ๋ชจ 126์˜ˆ๋ฅผ ๋Œ€์ƒ์œผ๋กœ ์‹ ์ƒ์•„๋Š” ํŒจํ˜ˆ์ฆ ์–‘์„ฑ๊ตฐ(65์˜ˆ)๊ณผ ๋Œ€์กฐ๊ตฐ(61์˜ˆ)์œผ๋กœ ๋ถ„๋ฅ˜ํ•˜์˜€๊ณ , ํ˜ˆ์•ก ๋ฐฐ์–‘์ด ์–‘์„ฑ์ธ ๊ฒฝ์šฐ์™€ ํ˜ˆ์•ก ๋ฐฐ์–‘์€ ์Œ์„ฑ์ด๋‚˜ ์ƒํ›„ 3์ผ ์ด๋‚ด์— ์ž„์ƒ ์ฆ์ƒ์ด ๋‹ค์Œ 6ํ•ญ๋ชฉ ์ค‘ 3ํ•ญ๋ชฉ ์ด์ƒ ์–‘์„ฑ์ธ ๊ฒฝ์šฐ๋ฅผ ์‹ ์ƒ์•„ ํŒจํ˜ˆ์ฆ์œผ๋กœ ์ •์˜ํ•˜์˜€๋‹ค: โ‘  1์‹œ๊ฐ„ ์ด์ƒ ์ฒด์˜จ ๋ถˆ์•ˆ์ •, โ‘ก ์‹ฌํ˜ˆ๊ด€๊ณ„ ์ด์ƒ, โ‘ข ํ˜ธํก๊ธฐ ์ด์ƒ, โ‘ฃ ๋Œ€์‚ฌ์„ฑ ์‚ฐ์ฆ, โ‘ค ์œ„์žฅ๊ด€ ์ด์ƒ, โ‘ฅ ์‹ ๊ฒฝํ•™์  ์ด์ƒ. ์‚ฐ๋ชจ๋Š” ์กฐ์งํ•™์  ์œต๋ชจ์–‘๋ง‰์—ผ๊ตฐ(27์˜ˆ), ์ž„์ƒ์  ์œต๋ชจ์–‘๋ง‰์—ผ๊ตฐ(18์˜ˆ)[๋‹ค์Œ 6ํ•ญ๋ชฉ ์ค‘ 2ํ•ญ๋ชฉ ์ด์ƒ ์–‘์„ฑ: โ‘  38โ„ƒ ์ด์ƒ์˜ ๊ณ ์—ด, โ‘ก ์ž๊ถํ†ต, โ‘ข ํƒœ์•„ ๋นˆ๋งฅ(โ‰ฅ160 ํšŒ/๋ถ„), โ‘ฃ ์‚ฐ๋ชจ ๋นˆ๋งฅ(โ‰ฅ100 /๋ถ„), โ‘ค ์•…์ทจ๋‚˜๋Š” ์ž๊ถ ๋ถ„๋น„๋ฌผ, โ‘ฅ ๋ฐฑํ˜ˆ๊ตฌ ์ˆ˜ ์ฆ๊ฐ€], ๊ธฐํƒ€ ๊ฐ์—ผ๊ตฐ(12์˜ˆ, ๋ฐœ์—ด ๋ฐ ๊ธฐํƒ€ ์ „์‹  ๊ฐ์—ผ ์งˆํ™˜)๊ณผ ๋Œ€์กฐ๊ตฐ(69์˜ˆ)์œผ๋กœ ๋ถ„๋ฅ˜ํ•˜์—ฌ ๋ถ„์„ํ•˜์˜€๊ณ , ์‚ฐ๋ชจ C-reactive protein(CRP) 1.86 mg/dL์„ ๊ธฐ์ค€์œผ๋กœ ์–‘์„ฑ๊ตฐ๊ณผ ์Œ์„ฑ๊ตฐ์œผ๋กœ ๋‚˜๋ˆ„์–ด ์‹ ์ƒ์•„ ํŒจํ˜ˆ์ฆ๊ณผ์˜ ๊ด€๊ณ„๋ฅผ ๋น„๊ตํ•˜์˜€๋‹ค. /๊ฒฐ๊ณผ: ์‹ ์ƒ์•„ ํŒจํ˜ˆ์ฆ ์–‘์„ฑ๊ตฐ์€ ๋Œ€์กฐ๊ตฐ๋ณด๋‹ค ์‚ฐ๋ชจ CRP๊ฐ€ ์œ ์˜ํ•˜๊ฒŒ ๋†’์•˜์œผ๋ฉฐ, ์‚ฐ๋ชจ CRP ์–‘์„ฑ(โ‰ฅ 1.86 mg/dL)์ธ ๊ฒฝ์šฐ ์‹ ์ƒ์•„ ํŒจํ˜ˆ์ฆ์— ๋Œ€ํ•œ ์ง„๋‹จ ์˜ˆ์ธก๋„๋Š” ๋ฏผ๊ฐ๋„ 74%, ํŠน์ด๋„ 34%์˜€๋‹ค. CRP ์–‘์„ฑ๊ตฐ์ด ์Œ์„ฑ๊ตฐ์— ๋น„ํ•ด ์‹ ์ƒ์•„ ํŒจํ˜ˆ์ฆ์˜ ์œ„ํ—˜๋„๊ฐ€ 2.61๋ฐฐ๋กœ ๋†’์•˜๊ณ , ์‚ฐ๋ชจ CRP๊ฐ€ ์ฆ๊ฐ€ํ•จ์— ๋”ฐ๋ผ ์‹ ์ƒ์•„ ํŒจํ˜ˆ์ฆ์˜ ์œ„ํ—˜์ด 1.31๋ฐฐ ์ฆ๊ฐ€ํ•˜๋ฉฐ ํ†ต๊ณ„์ ์œผ๋กœ ์œ ์˜ํ•˜์˜€๋‹ค. ์‚ฐ๋ชจ ๊ฐ์—ผ ์ƒํƒœ์— ๋”ฐ๋ฅธ ์‹ ์ƒ์•„ ํŒจํ˜ˆ์ฆ์˜ ๋น„๊ต ์œ„ํ—˜๋„๋Š” ์กฐ์งํ•™์  ์œต๋ชจ์–‘๋ง‰์—ผ๊ตฐ, ์ž„์ƒ์  ์œต๋ชจ์–‘๋ง‰์—ผ๊ตฐ๊ณผ ๊ธฐํƒ€ ๊ฐ์—ผ๊ตฐ์ผ ๊ฒฝ์šฐ์— ๊ฐ๊ฐ 2.57, 1.21, 2๋ฐฐ ์˜€์œผ๋‚˜, ํ†ต๊ณ„์  ์œ ์˜์„ฑ์€ ์—†์—ˆ๋‹ค. ๊ฒฐ๋ก : ์‚ฐ๋ชจ์˜ ๊ฐ์—ผ ํ‘œ์ง€์ž ์ค‘ CRP ์–‘์„ฑ์ด๊ฑฐ๋‚˜ CRP๊ฐ€ ์ฆ๊ฐ€ํ•จ์— ๋”ฐ๋ผ ์‹ ์ƒ์•„ ํŒจํ˜ˆ์ฆ์˜ ์œ„ํ—˜์ด ์œ ์˜ํ•˜๊ฒŒ ์ฆ๊ฐ€ํ•˜๋ฏ€๋กœ, ์‹ ์ƒ์•„ ๊ฐ์—ผ์˜ ์œ„ํ—˜์ธ์ž๋กœ์„œ ์กฐ๊ธฐ ์‹ ์ƒ์•„ ํŒจํ˜ˆ์ฆ์˜ ์ง„๋‹จ ๋ฐ ์น˜๋ฃŒ์— ๊ณ ๋ คํ•ด์•ผ ํ•  ๊ฒƒ์œผ๋กœ ์‚ฌ๋ฃŒ๋œ๋‹ค. [์˜๋ฌธ]Objective: In this study we evaluated neonatal sepsis through maternal inflammatory conditions and the diagnostic performance of maternal hematologic inflammatory markers for neonatal sepsis. Method: Demographic data was collected from 126 babies and their mothers being admitted in Severance Hospital from January 2001 to December 2002. Neonates were divided into sepsis group(65 infants) including both definite(blood culture positive) and probable(blood culture negative +more than 3 abnormal clinical symptoms) episodes and control(61 infants). Mothers were grouped into histologic chorioamnionitis(n=27), clinical chorioamnionitis(n=18), other infection(n=12), and control(n=69). We grouped into maternal CRP positive group and maternal CRP negative group by CRP 1.86 mg/dL and calculated relative risk for neonatal sepsis according to maternal condition. Results: Neonatal sepsis had significantly higher maternal CRP than control. Maternal CRP(cutoff value 1.86 mg/dL) had sensitivity 74%, specificity 34% for neonatal sepsis. Maternal CRP positive group had significantly more neonatal sepsis than CRP negative group, and was 2.61 times as high as CRP negative group for relative risk of neonatal sepsis. The relative risk of histologic chorioamnionitis was 2.57, clinical chorioamnionitis 1.21, and other infection 2 for neonatal sepsis, but not significant. Conclusion : The risk of neonatal sepsis significantly increases in the case of CRP more than 1.86 mg/dL as maternal inflammatory marker, which must be considered in diagnosis and treatment of early neonatal sepsis as a significant risk factor.ope

    Presentation on Health Impact Assessment of Transportation Noise

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