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한용보 ( Yong Bo Han ),김광준 ( Gwang Jun Kim ),정연욱 ( Yeon Uk Jung ),권오준 ( Oh Jun Kweon ),김금석 ( Kum Seok Kim ) 대한주산의학회 2002 Perinatology Vol.13 No.2
산전 초음파의 발달로 산전에 신경아세포종이 진단되는 경우가 늘어나고 있다. 신경아세포종의 예후는 진단 당시 환자의 연령과 병기에 따라 많은 차이가 있으며 진단시 나이가 많을수록 원격전이가 많을수록 예후가 나쁘다. 치료는 수술, 항암화학 요법, 방사선 치료 등이 있으나 진행된 신경아세포종에서는 장기생존율이 불량하여 진단시 예후 인자에 따른 치료 방법의 선택이 중요하다. 저자들은 간으로의 전이를 포함한 원격전이를 보인 신경아세포종 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. The increasingly common use of obstetrical sonography has led to a growing number of prenatally diagnosed neuroblastomas. The two most important factors in the prognosis of clinical neuroblastoma are the age of the patient at diagnosis and the stage of the disease. Patients with disease at an earlier stage and well-differentiated tumors have a better prognosis than those with disease at a more advanced stage and poorly differentiated tumors. We have experienced a case of congenital neuroblastoma that was recognized prenatally by ultrasonography and identified as stage IV disease postnatally. We report the case with brief review of related literatures.
40~60대 중년기 강화 주민의 사회경제적 특성 및 신체적 건강상태에 관한 평가
김은미(Eun Mi Kim),최윤정(Yoon Jung Choi),권오준(Oh Jun Kweon) 대한지역사회영양학회 2006 대한지역사회영양학회지 Vol.11 No.6
This study was performed to assess socioeconomic status and physical health status of middle-aged men (40`s~60`s) in Ganghwa country. We interviewed 1,267 middle-aged men (602 male, 665 female) by trained interviewers using structured questionnaires including demographic information, general health status, and anthropometric measurements. And all the data were analyzed by chi-square test, Student`s t-test and one-way ANOVA using SPSS 12.0 version at p<0.05. These results were that males were higher than females in educational levels (p=0.000) and most of them decreased according to age in educational levels (p=0.000) and family income (p=0.000), and prevalence of chronic diseases (p=0.000): stomach-duodenum disease, fracture, arthritis, or hypertension. They took to the health information on TV and radio and their health managing methods were exercise and walking and resting and diet regulation. Body Mass Index (BMI) was decreased in older males (p=0.024) but increased in older females (p=0.001). In females, obesity prevalence of 40`s, 50`s and 60`s was 31.3%, 49.7% and 48.0%, respectively. Waist circumference was the highest in 50`s males (p=0.015), but hip circumference was the highest in 50`s females (p=0.015). Waist-hip ratio (WHR) increased in older males (p=0.028) and females (p=0.000). In spite of the subjects were engaged in agriculture and fishery and had desirable lifestyles, obesity rate especially abdominal obesity, was the serious problem. Socioeconomic status, especially education and income were related to SRH (p=0.006, p=0.000), chronic disease (p=0.000) and BMI (p=0.028, p=0.000). Therefore, it is necessary that the public health policy and nutrition education programs to alter lifestyles and to improve health preservation and health promotion in the farming and fishing communities. (Korean J Community Nutrition 11(6) : 725~739, 2006)