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김준미 ( Jun Mi Kim ),구난숙 ( Nan Sook Koo ) 한국식생활문화학회 2011 韓國食生活文化學會誌 Vol.26 No.4
This survey was conducted to investigate the attitude towards food hygiene, and the correlation between sanitary knowledge and the performance of college students in Daejeon. The respondents were composed of 218 food majors and 296 nonmajors. The answer that food hygiene was very important was given more often by food majors (82.9%) and those educated (80.5%) than non-majors (65.1%) and the uneducated (68.7%) (p<0.05). Information on food hygiene was mainly obtained from TV, radio, or the internet. The average food hygiene knowledge score was 4.08 and that in practice was 3.37 (p < 0.001). The average score was lower in practice than knowledge for personal hygiene, food separation use and storage, washing-sterilization of food, and utensils. The average knowledge score was higher for food majors and educated than that in non-majors and uneducated (p<0.001). The degree of HACCP perception was much higher in food majors (34.9%) and educated (37.4%) than in non-majors (5.4%) and uneducated (8.2%). The knowledge and practice scores were correlated (p<0.01). It is necessary that college students be educated to obtain useful knowledge about food hygiene and conduct proper personal food sanitation in their daily life.
강보영,한승정,이지은,최선근,김준미,홍영진,손병관,Kang, Bo-Young,Han, Seung-Jeong,Lee, Ji-Eun,Choi, Sun-Kun,Kim, Jun-Mi,Hong, Young-Jin,Son, Byong-Kwan 대한소아소화기영양학회 2003 Pediatric gastroenterology, hepatology & nutrition Vol.6 No.2
저자들은 전신부종과 심한 저알부민혈증으로 내원한 환아에서 테그네슘표지 인혈청알부민 스캔을 이용하여 결장에서 단백이 소실되는 것을 확인하고, 바륨 관장 대장 조영술 검사, 상부 위장관 촬영, 소장 조영술, 대장과 십이지장 내시경 검사를 통해 단백 소실 장증으로 발현한 연소성 용종증을 진단하여, 전대장 절제술 후 단백 소실 장증이 호전된 증례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Juvenile polyposis is an uncommon condition characterized by the development of multiple juvenile polyps predominantly in the colon but also in the rest of the gastrointestinal tract. Patients with juvenile polyposis commonly present with rectal bleeding, diarrhea, abdominal pain, anemia, prolapse of the polyp. We experienced a juvenile polyposis in a 7 year-old male patient with protein losing enteropathy who was diagnosed by $^{99M}Tc$-human serum albumin abdominal scintigraphy, colonoscopy, and small bowel series. Proctocolectomy with ileostomy was performed and then protein losing enteropathy was resolved.
김미영,김영수,박상준,신용운,권계숙,이돈행,민효영,조현근,김대혁,김준미,김범수,최 원 대한소화기학회 1999 대한소화기학회지 Vol.33 No.6
Actinomycosis is a chronic granulomatous and suppurative disease caused by Actinomyces species. As a pathogen, it can cause fistulas or sinuses, and may form a mass. Sulfur granules in the lesion, sinu walls or discharge are characteristics of actinomycosis. The most common location of abdominal actinomycosis is the appendix or ileocecal region of the intestine. In addition, actinomycosis has been found in the rectum, the sigmoid and the transverse colon as well as the liver, the pancreas and th pelvis. However, primary rectus abdominis actinomycosis is a rare form of actinomycosis. We repor a case of primary rectus abdominis actinomycosis presenting an abdominal mass in a 60-year-old man whose chief complaint is fever.
김영수,최원,박경수,신현주,신용운,권계숙,이돈행,김범수,조현근,이재수,김준미,김형길 대한소화기내시경학회 2000 Clinical Endoscopy Vol.20 No.2
A glomus tumor is a benign neoplasm arising from the neuromyoarterial glomus body, a specialized arteriovenous communication. It functions as a temperature regulator, predominantly in the skin. The glomus tumor occurs rarely in the stomach. The common presenting symptoms are upper gastrointestinal bleeding, epigastric discomfort, nausea, and vomiting. This benign tumor is seen as an intramural mass and is most frequently located in the gastric antrum. Because of its highly cellular nature, the frozen section is often misinterpreted as malignant, and an unduly extensive resection is sometimes performed. A 57-year-old woman was recently admitted due to hematemesis and melena for one day. A gastrofibroscopy was performed and a 3 4 cm sized submucosal mass with central ulceration was found on the anterior wall of the antrum. Fresh blood clots were noted on the ulcer base. Due to recurrent bleeding, a hemigastrectomy was performed. Pathologic findings, including immunoreactivity to α-smooth muscle actin and vimntin, was consistent with a glomus tumor of the stomach.
칸디다 식도염에 대한 임상적 고찰 : 내시경 소견을 중심으로 A retrospective study, with emphasis on endoscopic findings
김영수,김경아,신용운,권계숙,김범수,문희용,정석,조현근,김준미 대한소화기내시경학회 1998 Clinical Endoscopy Vol.18 No.2
Background/Airns: Generally, candida esophagitis has a low incidence of occurrence, but the prevalence of candida esophagitis was found to be higher in cases involving patients with impaired immunity due to an underlying disease and thereby using immunosupressive drugs. This study was designed to evaluate the relation of symptoms, endoscopic findings, and pathologic findings of each patient. Methods: Between January 1993 and August 1996, 14,090 upper digestive tract endoscopies were done in Inha hospital. Among those patients, 20 cases of candida esophagitis (0.14%) were confirmed by an endoscopic biopsy. During these same endoscopic sessions, retrospectively reviews were conducted. Results: Thirteen cases were male and seven cases were female with a range of 22∼79 years, and mean age of 47. The underlying disease was 12 cases of immunocompromise (chronic active hepatitis-3, diabetes mellitus-2, lymphoma-1, alcoholism-1, nephrotic syndrome-1, herpes zoster-1, ulceratve colitis-1, seborrheic dermatitis-1, cerebrovascular attack-1), 3 cases of esophageal organic disease (stricture-2, Barren esophagus-1), and five other cases. Nineteen patients had lower retrosternal pain, seven had dysphagia, and one had no symptoms. Regarding candida, six involved the whole esophagus, one on the upper one third, two on the mid portion, seven on the lower one third, and the remaining four were combined on the upper one third and mid portion, but two of the remaining four did not fully evaluate to the lower one third portion because of the esophageal stricture and submucosal tumor. Twelve patients were classified as having a di1-fuse scattering appearance, two as having a linear configuration, three as having a scattering of ring type lesions, and the remainder as having a conglomeration on the lower esophagus, diffuse scattering with ulcerations and conglomerations on the mid esophagus with diverticulum. By Baroukh, nine were classified as grade 1, nine as grade 2, and two as grade 3. Mucosal invasion of candida was seen nnicroscopically in ten of twenty patients. In the ten patients of candida invasion, seven of ten showed a diffuse scattering apperance. The sites of lesions with candida invasion were four on the whole esophagus, four on the lower third, and two combined on the lower third and mid portion. All five patients with prolonged steroid administration showed candida invasion microscapically, and four of them displayed a diffuse scattering apperance endoscopically. Fifteen patients were. treated with an antifungal agent and one patient was operated on for esophageal stricture. The remainders were not treated. Conclusions: Candida esophgitis is more likely developed in immunocompromise patients with an underlying disease and prolonged steroid administration. All five patients with prolonged steroid administration showed candida invasion microscopically and four of them displayed a diffuse scattering apperance endoscopically. But in other cases, correlations between symptoms, endoscopic findings, and pathologic findings were not found. We need further prospective studies to clarify the correlations.
전신성 홍반성 낭창 환자에서 발병된 골 Cryptococcosis 1예
채양석,김우주,김준미,신상원,우흥정,강세용,최윤상,임채승,박승철 대한감염학회 1991 감염 Vol.23 No.3
Cryptococcosis is a systemic fungal infection by Crytococcus neoformans. This mycosis most commonly involves central nervous system, but bone involvement may occur as many as 5-10% of the patients. We experienced a case of bone cryptococcosis in a patient with SLE. The patient was a 28-year old woman, who diagnosed as SLE 3 years ago. She had been treated with immune suppressants such as steroid and cyclophosphamide. She noticed painful erythematous swelling on her left forearm and skin of left breast. X-ray findings showed sclerotic changes on her posterior aspect of left proximal ulnar. Pathologic and microbiologic examination revealed characteristic findings compatible with bone cryptococcosis. The patient was treated with bone curettage and systemic amphotericin B. The clincal symptoms and bone lesion were improved significantly without sequellae.