고영양수액을 투여 받은 환자에서 나타난 헤파린 유발 혈소판감소증

최수안 ( Soo An Choi ),남궁형욱 ( Hyoung Uk Namgung ),이은숙 ( Eun Sook Lee ),박도중 ( Do Joong Park ),한호성 ( Ho Seoung Han ),신완균 ( Whan Gyoon Shin ) 한국정맥경장영양학회 2007 한국정맥경장영양학회지 Vol.1 No.1

성인 정맥 영양 중의 미량 원소 보충에 대한 실질적 측면 고찰

최수안 ( Soo An Choi ) 한국정맥경장영양학회 2013 한국정맥경장영양학회지 Vol.5 No.3

Parenteral nutrition (PN) became an established hospital pharmacy in the 1960s. Some of the early patients on long-term PN developed micronutrient deficiency syndromes, emphasizing the importance of a complete nutritional formula. Trace elements currently considered essential for humans are the metals, copper, chromium, iron, manganese, molybdenum, zinc, and the metalloid selenium. Supplementation of PN regimens with trace elements is now mandatory. Interactions between micronutrients and macronutrients can affect their availability and the correct chemical balance must be attained for achievement of maximum stability, metabolic function, and clinical efficacy. A complex relation exists among individual trace elements, where symptoms of toxicity of one element can often be attributed to the resulting deficiency of another, due to enhanced excretion of that metal. Routine measurement of most trace elements is not essential in short-term PN. However, careful observation and monitoring of trace element levels is important in patients with renal or hepatic dysfunction, those on long-term PN, or when pharmacologic doses over the normal nutritional recommendations are given. Continual monitoring and reassessment of clinical symptoms is important to determination of any additional micronutrient requirements. Contamination of PN products with significant amounts of trace elements and absorption to container surfaces can significantly affect actual dosage, with clinical repercussions over time. Therefore, in 2009, American Society for Parenteral and Enteral Nutrition concluded that changes were needed in the recommendations for the daily requirements for these micronutrients in PN. In this review, I provide recent guidelines for the use of trace elements in nutrition therapy. This should be helpful to nutritional professionals in understanding the important role as a critical component, without negative outcome due to inadequate supplementation. (J Korean Soc Parenter Enter Nutr 2013;5(3):102-109)

결혼이주여성의 정신건강에 관한 연구동향 탐색

최수안(Choi Soo-an),오영섭(Oh Young-sup) 중앙대학교 문화콘텐츠기술연구원 2021 다문화콘텐츠연구 Vol.- No.38

본 연구는 결혼이주여성의 정신건강에 관련된 연구동향을 종합적으로 살펴보고, 결혼이주여성의 정신건강 측면에서 다문화가족정책 제2차, 제3차 시기별로 비판적으로 검토함으로써, 향후 제4차 기본계획 수립에 있어 결혼이주여성의 정신건강에 대한 정책적인 시사점을 제공하는 것을 목적으로 한다. 이를 위해 2013~2021까지 KCI 등재(후보) 이상 학술지 98편을 선정하고 연구동향 분석을 실시하였다. 이에 따른 연구결과는 다음과 같다. 첫째, 결혼이주여성에 대한 자녀양육 및 진로관련 연구동향이 증가추세인 것과 대조적으로 결혼이주여성 정신건강에 관한 연구는 2017년을 기점으로 감소 추세를 보이고 있었다. 둘째, 결혼이주여성의 다양성에 집중하기보다는 결혼이주여성이라는 단일한 집단으로만 주로 연구 및 정책이 진행되어 왔다. 셋째, 양적 연구의 비율이 월등이 높았다. 비록 제3차 기본계획 시기 질적 연구가 증가하긴 하였으나 결혼이주여성의 정신건강에 대한 경험을 심도있게 살펴보기엔 부족한 면이 있다. 넷째, 연구주제의 방향성이 가족중심적 사고에서 한국사회의 구성원으로서의 측면이 강조되고 있었다. 그러나 다문화가족정책에서 이러한 방향성을 다루기에 한계가 있었다. 따라서 제4차 다문화가족정책 기본계획에서는 결혼이주여성의 정신건강 정책에 있어, 이들의 복합적인 특성 고려, 정신건강에 관한 다양한 요소와 경험을 고려할 필요가 있다. 이를 위해 지역사회 기관 연계를 통한 맞춤형 상담 프로그램 제공, 다문화상담 지원인력 양성 등과 같은 구체적이고 실천적인 논의가 이어져야 한다. This study’s aim is to provide implications for the upcoming 4th multicultural family policy by comprehensively examining research trends on the mental health of marriage immigrant women and by critically reviewing the 2nd and 3rd multicultural family policy in terms of the mental health. For this purpose, this study selected 98 journal articles which had been indexed in Korea Citation Index(KCI) and published during the period from 2013 to 2021. And those articles’ research trend was systemically reviewed. The results of this study are as follows: First, in contrast to the increasing trend of research trends on child rearing and career for marriage immigrant women, the research on marriage immigrant women’s mental health has been showing a decreasing trend since 2017. Second, rather than focusing on the diversity of marriage migrant women, research and policies have mainly been conducted with a single group called marriage migrant women. Third, the ratio of quantitative research was much higher. Although qualitative research increased during the 3rd Basic Plan, it is insufficient to examine in depth the experiences of marriage immigrant women on mental health. Fourth, in the direction of the research topic, the aspect of being a member of Korean society was emphasized from the family-centered thinking. However, there were limitations in dealing with this direction in multicultural family policy. Therefore, in the 4th Basic Plan for Multicultural Family Policy, it is necessary to consider their complex characteristics and various factors and experiences related to mental health in the mental health policy of married immigrant women. For this, concrete and practical discussions such as providing customized counseling programs through connection with local community organizations and nurturing multicultural counseling support personnel should continue.

저비용 항공사의 SNS 특성이 브랜드태도와 재구매의도에 미치는 영향

최수안(Soo-Ahn Choi),이형룡(Hyung-Ryong Lee) 한국관광연구학회 2018 관광연구저널 Vol.32 No.6

의사의 스테로이드 외용제 처방 현황 및 부작용 인지도에 대한 설문조사

박수진 ( Sujin Park ),최수안 ( Soo An Choi ),이주연 ( Ju-yeun Lee ),김은영 ( Eun Young Kim ),신완균 ( Wan Gyoon Shin ),김도영 ( Doyoung Kim ) 대한피부과학회 2021 대한피부과학회지 Vol.59 No.2

Background: Topical steroids are the most commonly prescribed anti-inflammatory agents in dermatology, and patients often experience various adverse events of topical steroid application. Patients’ awareness of adverse effects and understanding of coping strategies for these unwanted events are pivotal elements for the safe use of topical steroids. Objective: This study aimed to assess the prescribing pattern of topical steroids and patient education for safe use by dermatologists and non-dermatology specialists in Korea. Methods: A questionnaire was sent to dermatologists, pediatricians, and other specialists through an online survey. A total of 444 answers were analyzed; then, the numbers were adjusted according to the nationwide proportion of specialists prescribing topical steroids. The total number of respondents was set to 720 after the adjustment. Results: Dermatologists prescribed topical steroids to 49% of their patients, while other specialist doctors prescribed to 6.4% of the patients. Mid-potency steroids were most commonly prescribed (52.9%), followed by low/weak potency (37.6%), in adjusted analysis. Overall, 12.5% of all respondents and 14.5% of dermatologists reported adverse events due to topical steroids within the last month. The physicians spent 2.1 minutes on average (2.0 minutes for dermatologists) for patient education on proper use of topical steroids. The majority (79.1%) of physicians informed patients of the fact that the prescription contained steroids, while some were reluctant to disclose this information because of the negative perception about steroids in the general population. Conclusion: This survey provides thorough information on the current status of prescription, counseling condition, doctors’ perception of patients’ knowledge of adverse events, and proper use of topical steroids. (Korean J Dermatol 2021;59(2):100∼107)

복숭아씨 및 살구씨기름의 triglyceride 조성

박진우,김태수,박영호,최수안,천석조 한국농화학회 1984 Applied Biological Chemistry (Appl Biol Chem) Vol.27 No.4

The triglyceride compositions of peach kernel and apricot kernel oil have been investigated by a combination of high performance liquid chromatography(HPLC) and gas liquid chromatography(GLC). The triglycerides of peach kernel and apricot kernel oil were first separated by thin layer chromatography(TLC), and fractionated on the basis of their partition number(PN) by HPLC on a C-18 μ-Bondapak column with methanol-chloroform solvent mixture. Each of these fractionated groups was purely collected and analysed by GLC according to acyl carbon number(CN) of triglyceride. Also the fatty acid compositions of these triglycerides were determined by GLC. From the consecutive analyses of these three chromatography techniques, the possible triglyceride compositions of peach kernel and apricot kernel oil were combinated into fifteen and thirteen kinds of triglycerides, respectively. The major triglycerides of peach kernel oil were those of (3×C_(18:1) 30.9%), (2×C_(18:1), C_(18:2), 21.2%). (C_(18:1), 2×C_(18:2), 10.6%), (3×C_(18:2) 3.8%), (C_(18:0), 2×C_(18:1), 1.8%), (C_(16:0), C_(18:1), C_(18:2), 1.5%), (C_(18:0), C_(18:1), C_(18:2), 1.1%) and those of apricot kernel oil were (3×C_(18:1), 39.5%), (2×C_(18:1), C_(18:2), 24.5%), (C_(18:1), 2×C_(18:2), 14.2%), (3×C_(18:2). 2.0%).

남대양산 크릴의 이용에 관한 연구 : 1 . 크릴의 식품원료학적인 성장 1 . Compositional Characteristics of Fresh Frozen and Preboiled Frozen Krill

이응호,이강호,박영호,최수안,변재형,류홍수,김선봉 한국수산학회 1979 한국수산과학회지 Vol.12 No.3

새로운 蛋白質資源인 南氷洋産크릴의 效率的인 利用을 위한 基礎資料를 얻기 위하여 食品原料學的인 特性의 究明에 主目的을 두어 硏究를 遂行하였다. 즉 1978年 1月 30日 南氷洋에서 漁獲하여 生凍結 및 煮熟凍結한 크릴을 試料로 하여 一般成分組成, 아미노酸組成, 重金屬類의 含量, 可食部의 比率, 解凍時의 drip 發生量 및 그 組成 등에 대하여 硏究檢討하였으며, 그 結果를 要約하면 다음과 같다. 1. 一般成分組成에 있어서 生凍結크릴은 煮熟凍結 크릴에 비하여 脂肪 및 遊離아미노窒素의 含量이 높고 灰分含量이 낮았다. VBN量은 生凍結크릴이 37.6㎎%, 煮熟凍結크릴이 26.4㎎%로 상당히 높고, pH는 生凍結크릴은 7.1, 煮熟凍結크릴이 7.2로 비교적 낮았는데, 이러한 VBN 및 pH값은 試料 크릴의 저장기간이 길고, 冷凍保管의 빈번한 變動으로 鮮度가 많이 低下한 때문이라고 생각된다. 2. 生凍結크릴의 肉質部아미노酸組成은 glutamic acid, aspartic acid, lysine, proline 및 leucine의 含量이 높고, methionine, histidine, serine, tyrosine 및 phenylalanine의 含量이 적었으며, 必須아미노酸에 있어서는 lysine 및 leucine의 含量이 높고 methionine 및 phenylalanine의 含量이 낮았다. 한편 遊離아미노酸組成에 있어서는 proline, lysine, glycine, arginine 및 alanine의 含量이 높고 histidine, methionine, aspartic acid, serine 및 threonine의 含量이 낮았으며, 必須아미노酸에 있어서는 lysine 및 leucine의 含量이 많고 methionine 및 threonine의 含量이 낮았다. 크릴의 構成아미노酸이나 遊離아미노 酸組成에 있어서 必須아미노酸인 lysine의 含量이 많은 점은 營養的으로 意義가 크다고 할 수 있다. 3. 크릴의 重金屬含量은 Hg가 0.039∼0.048ppm, Pb가 0.06∼0.11ppm, Zn가 0.32以下 Cd가 0.008∼0.012ppm, Cr가 ND, Fe가 0.61∼0.68ppm, Cu가 0.87∼1.37ppm로 전반적으로 含量이 낮았다. 단 Cu의 含量이 비교적 높은 것은 甲殼類의 血液構成成分인 때문이라고 생각된다. 4. 可食部와 不可食部의 比率은 生凍結크릴이 37:63이고 煮熟凍結크릴이 42:58로 外見上 可食部比率이 煮熟凍結크릴이 많았다. 5. 解凍時의 drip의 流出量은 生凍結크릴이 액 36% 煮熟凍結이 약 24%로 生凍結크릴이 많았고, 크릴의 成分組成에 있어서는 生凍結크릴의 경우가 固形分粗蛋白質 및 粗脂肪의 含量이 현저하게 많았고 灰分含量은 적었다. For the use of antarctic krill as a food protein source its compositional characteristics were investigated as the first part of the work that includes other subjects such as processing of krill paste, concentrates, and fermented or seasoned product. In general composition of fresh frozen and preboiled frozen krill on board, the contents of crude fat and free amino nitrogen were higher in the former than in the latter which contained a high amount of ash. VBN was rather high as much as 37.6 and 26.4 ㎎% in both fresh frozen and preboiled krill. The pH of krill homogenates was 7. 1 to 7. 2 in both cases. Such a low pH might be attributed to a long term storage and temperature fluctuations during frequent transshipping. The amino acid composition of fresh frozen krill meat showed relatively high amount of glutamic acid, aspartic acid, lysine, proline, and leucine while methionine, histidine, serine, tyrosine, and phenylalanine were lower. Among the essential amino acids lysine and leucine were higher and methionine was lower. In the composition of free amino acid proline, lysine, arginine, and alanine were higher comparatively to the contents of histidine, aspartic acid, serine, and threonine, It is noteworthy for nutritional qualification that the essential amino acids particularly as lysine were abundant similarly to that of fishes. Heavy metal contents of krill meat 0.039 to 0.048 ppm as Hg, 0.06 to 0. 11 ppm as Pb, less than 0.32 ppm as Zn, 0.008 to 0.012 ppm as Cd, 0.61 to 0.68 ppm as Fe, 0.87 to 1.37 ppm as Cu, and nondetective as Cr. A high Cu content seems to be resulted by the blood pigment of crustacea. The ratios of edible portion to non-edible portion were 37:63 in fresh frozen and 42:58 in preboiled frozen krill respectively. Release of drip after thawing was more in fresh frozen than in preboiled frozen krill marking 36% and 24% of both respectively.