경기 일부지역 초등학교 학부모의 학교급식 친환경 농산물 사용에 대한 인식도

안영언,김명희 한국식품영양학회 2018 한국식품영양학회 학술대회논문집(학술심포지움) Vol.2018 No.12

경기 일부지역 초등학생 어머니의 학교급식 친환경농산물에 대한 인식

안영언,김명희,최미경,김미현 대한지역사회영양학회 2018 대한지역사회영양학회지 Vol.23 No.3

Objectives: This study was to investigate the perception of mothers of elementary school students regarding environment-friendly agricultural products in school foodservice. Methods: A total of 282 mothers whose children were receiving environment-friendly agricultural products during elementary school foodservice in Gyeonggi participated in this questionnaire survey. The survey was conducted to investigate respondents perception and satisfaction with environment-friendly agricultural products in their children's school meals from May 29 to June 9, 2017. Results: About 79% of the subjects were satisfied with school foodservice. The most important aspects of school foodservice were nutrition (35.8%) and sanitation (34.8%). Over 80% of the subjects were aware of environment-friendly agricultural products and about 54% of the subjects checked for a certification mark when purchasing environment-friendly agricultural products. Additionally, 72.3% of the subjects knew that environment-friendly agricultural products were used at school. The advantages of using environment-friendly agricultural products in school foodservice were safety (75.5%) and high food quality (16.3%). About 66% of the mothers knew the school was receiving support from the city or education office for using environment-friendly agricultural products. Additionally, 74.5% of the mothers responded that they are willing to pay for use of environment-friendly agricultural products when subsidies were not supported. Conclusions: The positive perception and high support for use of environment-friendly agricultural products in school foodservice among elementary students’ mothers can be used as basic data for expansion of the use of environment-friendly agricultural products in school foodservice.

제 1 중족지간 및 족근-중족 관절 탈구

김용민,김종필,황정수,안영언,오형호 대한골절학회 1995 대한골절학회지 Vol.8 No.2

Dislocation of first metatarsophalangeal joint is a rare condition. Anatomically, the head of first metatarsal is stabilized by various soft tissue structures associated with the sesamoid bones. When the metatarsal head was entrapped underneath the 'sesamoid complex', it might be impossible to gain reduction via closed method. We experienced a case of dorsal dislocation of first metatarsophalangeal joint and associated dislocation of tarsometatarsal joint in a 32 year old man who was injured by fall from height. Closed reduction failed even under spinai anesthesia. Open reduction via medial approach revealed 'buttonholing' of the metatarsal head under the sesamoid complex, which had made colsed reduction impossible. Concerning about the rarity and anatomical characteristic of these injuries, we report this case with reviewing of the literatures.

우측 경골 근위부 골간단에 발생한 골육종의 항암요법 및 사지구제술

차응남,김용민,정필현,안영언,강석,유문집 東國大學校醫學硏究所 1993 東國醫學 Vol.1 No.-

과거에는 사지에 발생한 골육종에 대한 치료로 절단방법이 많이 이용되어 왔으나 최근에는 항암요법 및 자기공명 영상술의 발달과 더불어 사지구제술이 보편화 되어가고 있는 추세이다. 본 동국대학교 정형외과학 교실에서는 우측 경골 근위부 골간단에 발생한 골육종에 대한 치료로 항암요법 및 사지구제술을 실시한 례가 있어서 문헌고찰과 함께 보고하는 바이다. In the past, amputation has been the most common surgical treatment for osteogenic sarcoma of a bone of an extremity. Due to the advances, in the diagnostic imaging, in adjuvant and neoadjuvant treatment and in the surgical technique for reconstruction of limb salvage who have osteogenic sarcoma, the limb salvage surgery becomes the treatment of preferred modality. We experienced a case of osteogenic sarcoma who underwent limb salvage procedure after neoadjuvant chemotherapy. We report this case with clinical details

제5요추-제 1 천추간 외상성 전측방 탈구 - 1례 보고 -

김용민,유문집,정필현,차응남,강석,안영언,오형호 대한골절학회 1993 대한골절학회지 Vol.6 No.2

Among the various injuries of spine, dislocation of L5-S1 is very rare, because this kind of injury is caused by rare and specific mechanism, probably. About twenty cases of lumbosacral dislocation were reported in other countries. Only two cases of posterior dislocation and one case of anterior dislocation were reported in Korea. In spite of its rarity, it is very important that this kind of injury may be accompanied with considerable neurologic deficit. In August 1991, we experienced one case of traumatic anterolateral dislocation of L5-S1 , accompanied by paraparesis. Emergency manual reduction resulted in excellently reduced state radiologically, but initiai neurologic deficit improved minimally. Secondary open discectomy and posterior stabilization using Graf instrument were performed. After one year and 9 months' follow-up, the patient complains no low back pain, reveals no radioiogic instability. Most initial neurologic deficits improved greatly, however, mild steppage gait on left side due to weakened tibialis anterior power remained.

제1요추 골절에 동반된 분리형 척수원추 증후군 : 1례보고 A Case Report

김경철,황정수,정필현,차웅남,강석,김용민,안영언,조창성,김상범 대한척추외과학회 1995 대한척추외과학회지 Vol.2 No.1

The conus medullaris syndrome, which means injury of the sacral cord(conus) and nerve roots within th spinal canal, is very rare. It is usually associated with injury or disease of thoracolumbar vertebrae(T12-L1) and results in areflexic bladder, bowel and loss of sensory and motor function of lower extremities. Between the two types of conus medullaris syndrome, isolated type(lesion of sacral cord alone) is more rare than the mixed type(lesions of both the cauda equina and conus medullaris). Clinical features of isolated conus medullaris syndrome are loss of bladder, external anal sphincter and sexual function. We experienced a case of isolated conus medullaris syndrome associated with L1 bursting fracture, which showed neurologic deficits confined to areflexia of bladder and anal sphincter without any sensory and motor dystunctions of lower extremities. The patient was managed with posterior decompression and posterolateral fusing using C-D instrumentation and showed gradual recovery of the neurologic deficits.

폐쇄적 K강선 고정 및 관절 조영술을 이용한 소아 상완골 외과 골절의 치료

김용민,김경철,정필현,황정수,차응남,강석,안영언,박민효 대한골절학회 1995 대한골절학회지 Vol.8 No.1

Lateral condylar fracture of humerus is the secondly most common elbow injury in childhood. Compared to the most common supracondylar fracture which is fracture of metaphysis around olecranon fossa, lateral condylar fracture is intraarticular, epiphyseal injury and easily displaced by extensor muscle pull. Therefore, lateral condylar fractures are reduced and fixed more frequently by open method than supracondylar fractures are. In spite of affording more accurate reduction, however, open treatment of fracture can be complicated by infection, avascular necrosis, disfiguring scars, etc. So, it is more desirable that accurate reduction and rigid fixation can be achieved by closed method. Since July 1992, We manged 10 children with lateral condylar fractures of elbow using closed recuction, percutaneous K-wire fixation and intraoperative arthrogram for confirming the reduction status of articular margin. The fractures united and K-wires were removed within postop. 7 weeks(mean) in all cases. The patients were followed up for from 9 months to 2 years and 2 months postoperatively, revealed no great differences in carrying angle, range of motion and physical activity compared with contralateral elbow. Radiologic evaluation showed no definite complications except mild spur formation. Closed reduction and fixation followed by intraoperative arthrogram seemed to be one of the very useful method in the management of lateral humeral condylar fractures in children, especially in mildly displaced CRSCS.