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곽애정,김미정,조민정,최광해 영남대학교 의과대학 2002 Yeungnam University Journal of Medicine Vol.19 No.1
Dubin-Johnson syndrome is a form of benign, familial idiopathic jaundice presenting with chronic intermittent conjugated hyperbilirubinemia and a melanin-like pigment has been found in the parenchymal liver cells. This disorder is rarely diagnosed in the neonatal period. We report a case of Dubin-Johnson syndrome presenting with neonatal cholestasis.
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Parasitemia Characteristics of Plasmodium vivax Malaria Patients in the Republic of Korea
허애정,곽이경,김의석,이꽃실,염준섭,조용균,김창석,박재원 대한의학회 2011 Journal of Korean medical science Vol.26 No.1
Parasitemia characteristics of Plasmodium vivax malaria in temperate regions may differ from those in tropical zones. However, most parasitological and clinical features of P. vivax malaria have been investigated in the latter. In this study, we investigated 383 malaria patients to clarify the parasitemia characteristics of a P. vivax strain in the Republic of Korea (ROK). The mean parasitemia (8,396/μL) was less than half of tropical P. vivax malaria, and multiple invasions of erythrocytes were not rare (53.5% of the patients, 2.4%of the total investigated RBCs), but less than the observations in tropical zones. The intervals between the first symptom onset and diagnosis were significantly longer in gametocyte (+) patients than in gametocyte (-) patients. Only half of the total patients had both genders of gametocytes (191 of 353), and the male gametocyte density (169/μL) was lower than that of P. vivax strains of a previous study. Multiple invasions of erythrocytes and gametocytemia were coincident factors of the degree of anemia in P. vivax malaria. The present findings demonstrate the P. vivax strain in ROK reveals relatively low parasitemia and low male to female gametocyte ratio. The low ratio may be related with low transmission efficacy.
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김미정,곽애정,최광해,박용훈,이경수 대한소아청소년과학회 2003 Clinical and Experimental Pediatrics (CEP) Vol.46 No.7
Purpose : This study was performed to know the mothers' recognition of childhood obesity because the mothers' role is essential for management in childhood. Methods : Seven hundred and seventy two mothers who visited pediatrics clinics in five regional cities(Daegu, Kumi, Waekan, Kyungsan and Youngchun) were include in a questionnaire survey concerning childhood obesity. The questionnaire was anonymous and filled in by the mothers themselves. Results : Most of the mothers perceived childhood obesity as a serious disease. Sources of acquisition of knowledge about obesity were health programs on TV or radio(70.3%), advertisements in newspapers or magazines(44.0%) and from neighbors or relatives(20.0%) and hospitals or clinics(3.0 %). Mothers wish to acquire more knowledge about childhood obesity by health programs on TV or radio(43.8%) and hospitals or clinics(35.9%). The most common apprehensions of mothers carring out their childrens' obesity management program was psychologic stress(63.6%). If children were obese, almost all mothers wanted to treat them by various methods. Conclusion : For the more efficient management of childhood obesity, doctors' role in consultation and management should be emphasized. 목 적 : 최근 생활 환경의 편리, 실내 오락의 발달과 식생활의 서구화로 인해 소아 비만증이 급격히 증가하고 있는 실정이며 비만과 연관된 합병증을 예방하기 위해서는 어릴 때부터 비만을 관리하는 것이 중요하다. 소아는 성인과는 달리 비만의 치료와 예방에 부모의 역할이 매우 큰 비중을 가지며 특히 어머니들이 소아비만에 대한 올바른 인식이 없으면 소아비만의 효과적인 치료와 예방을 기대하기는 어렵다. 그러므로 소아비만에 대한 어머니들의 인식과 생각 등을 조사하여 소아비만의 접근과 치료에 도움을 주고자 본 연구를 하였다. 방 법 : 2001년 5월부터 7월까지 영남대학교병원 소아과 외래와 대구·경북 일부 지역(구미, 왜관, 경산, 영천)의 개인 소아과 의원을 방문한 어머니들을 대상으로 자기기입식 설문조사를 시행하였으며 이중 성실하게 응답한 772명을 본 연구의 대상으로 하였다. 결 과 : 비만에 대한 관심은 "많다"가 36.1%, "조금 있다"가 51.8%, "없다"가 12.1%이었다. 비만에 대한 인식은 어머니의 연령이 30대에서 가장 많이 비만을 심각한 질병으로 인식하고 있었으며, 한달 수입에 따른 차이는 없었으나, 학력이 높을수록 비만을 심각한 질병으로 인식하고 있었다. 비만에 대한 정보를 주로 얻는 곳은 TV나 라디오에서의 건강프로그램이 가장 많았으며, 자주 가는 병원이 가장 적었다. 비만에 대한 정보를 제공해주기를 원하는 곳은 TV나 라디오의 건강프로그램이 가장 많았으며, 자주 가는 병원, 비만 전문 병원에서의 정기적인 강좌, 신문의 의학정보란의 순서이었다. 만약 자녀가 비만일 경우 "집에서 아는 데로 식사조절이나 운동 등을 시켜보겠다"가 가장 많았으며, "소아비만 전문병원을 방문하겠다", "헬스클럽이나 체육관에 보내겠다"의 순서이었다.
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김미정,곽애정,최광해,Kim, Mi-Jung,Kwak, Ae-Jung,Choi, Kwang-Hae 대한소아소화기영양학회 2002 Pediatric gastroenterology, hepatology & nutrition Vol.5 No.1
비록 크기가 크지 않고, 가장자리가 뾰족하거나 날카롭지 않지만, 1개 이상의 자석을 삼킨 경우나 혹은 자석과 금속류를 함께 삼킨 경우에는 장의궤양, 천공, 누공 등의 합병증을 일으킬 수 있으므로 신속한 제거가 필요할 것으로 생각되며, 저자들은 3개의 팔찌자석을 삼킨 후 동반된 위궤양 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. The accidental swallowing of foreign body is a common problem in the children. We describe the case of 37-month-old girl in whom a gastric ulcer was caused by the ingestion of three magnets. This case report demonstrates that if more than one magnet were swallowed, they should be removed even if there are no sharp edges and small size. Because the magnets will attract each other and hold the intestinal walls between them, causing necrosis and resulting in intestinal perforation or a fistula.
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오원섭,이승준,이창섭,허지안,허애정,박윤선,허상택,배인규,박상원,김의석,김홍빈,송경호,이꽃실,이상록,염준섭,이수진,김백남,곽이경,이재훈,김영근,김효열,김남중,오명돈 대한의학회 2011 Journal of Korean medical science Vol.26 No.4
The purpose of this study was to establish a prediction rule for severe illness in adult patients hospitalized with pandemic influenza A (H1N1) 2009. At the time of initial presentation, the baseline characteristics of those with severe illness (i.e. , admission to intensive care unit, mechanical ventilation, or death) were compared to those of patients with non-severe illnesses. A total of 709 adults hospitalized with pandemic influenza A (H1N1) 2009 were included: 75 severe and 634 non-severe cases. The multivariate analysis demonstrated that altered mental status, hypoxia (PaO2/FiO2≤ 250), bilateral lung infiltration, and old age (≥ 65 yr) were independent risk factors for severe cases (all P < 0.001). The area under the ROC curve (0.834 [95% CI, 0.778–0.890]) of the number of risk factors were not significantly different with that of APACHE II score (0.840 [95% CI, 0.790-0.891]) (P = 0.496). The presence of ≥ 2 risk factors had a higher sensitivity, specificity, positive predictive value and negative predictive value than an APACHE II score of ≥ 13. As a prediction rule, the presence of ≥ 2 these risk factors is a powerful and easy-to-use predictor of the severity in adult patients hospitalized with pandemic influenza A (H1N1) 2009.
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