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RISS 인기검색어
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- 저자 : 서민후 ( Min Hoo Seo ) (검색결과 2 건)
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국내 남동 해안지역의 음식물 관련 아나필락시스의 임상 양상
서민후 ( Min Hoo Seo ),김선휴 ( Sun Hyu Kim ),홍정석 ( Jung Seok Hong ),김우연 ( Woo Youn Kim ),최승원 ( Seung Won Choe ) 대한천식알레르기학회 2010 천식 및 알레르기 Vol.30 No.2
Background: Food-induced anaphylaxis accounts for the most proportion of the anaphylaxis treated at the emergency department. In Korea, reports regarding food-induced anaphylaxis are very few. Objective: The purpose of this study is to evaluate the general characteristics and clinical features of food-induced anaphylaxis in the southeastern coasted area of Korea. Method: A retrospective study was conducted on the patients visiting the emergency department at Ulsan University Hospital between 2000 and 2009. We reviewed patients` medical records diagnosed with food-induced anaphylaxis and other related diseases. Result: We identified 66 patients with food-induced anaphylaxis. The mean age of the patients was 41.9 years (SD±13.8). The inciting agent included seafoods in 29 cases (43.9%), wheat in 5 cases (7.6%), pork meat in 5 cases (7.6%), buckwheat in 2 cases (3.0) and cowmilk in 2 case (3%). Mucocutaneous manifestations were the most common, followed by respiratory, cardiovascular, gastrointestinal and neurologic manifestations in decreasing order of frequency. There were 32 patients (48.5%) with moderate anaphylaxis and 51.5 patients (51.5%) with severe anaphylaxis. There were no significant correlations between severity and epidemiologic factors including age, sex, comorbid disease and smoking. Conclusion: We found that seafoods are major causative agents of food-induced anaphylaxis in the southeastern coastal area of Korea. Therapeutic fluid was more frequently required, and the time from arrival at the emergency department to discharge was longer in patients with severe anaphylaxis. (Korean J Asthma Allergy Clin Immunol 2010;30:110-115)
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가정 내 낙상으로 인한 아동 손상의 유발 환경 인자에 관한 예비연구
유정민 ( Jeong Min Ryu ),서민후 ( Min Hoo Seo ),김원영 ( Won Young Kim ),김원 ( Won Kim ),임경수 ( Kyoung Soo Lim ) 대한외상학회 2009 大韓外傷學會誌 Vol.22 No.1
Purpose: The purpose of this study was to investigate environmental factors contributing to childhood home slip-down injuries. Methods: Among a total of 2,812 injured children in our Customer Injury Surveillance System (CISS), we performed a prospective study on 262 children with home slip-down injuries who visited the pediatric emergency department of Asan Medical Center between March 2008 and February 2009. We made a frequency analysis on parameters such as activities just before the accident, the presence of any obstacles or lubricant materials, specific home place in the home where the injuries occurred, flooring materials on which the slipdown happened, additional objects hit after slip down, the site and kind of injury, the duration of therapy, and the disposition. Results: Walking was the most common activity just before the injury. Because rooms and bathrooms were most common places in the home for slip down injuries, laminated papers/ vinyl floor coverings and tiles were the most common flooring materials used in the places where the injuries occured. Most commonly, no obstacles caused the children to slip down, but the furniture, stairs, doorsills, wetness, or soapy fluid followed after that. Over half of the children who slipped (58%) also collided with other than the floor itself after the slipdown, most common objects hit were the edges of the furniture, and doorsills, followed by stairways. The head and neck were the most commonly injured sites, and a laceration was the most common kind of injury. Most children needed less than 1 week of therapy, only 4 children (1.53%) admitted. There were no mortalities. Conclusion: The environmental factors contributing to slip-down injuries were the bathroom, laminated papers/vinyl floors, the furniture, stairs, doorsills, and wetness or soapy fluid. Especially, the furniture, stairs, and doorsills can be both primary obstacles and secondary collision objects. For the safety of our children, we must consider these factors on housing, when decorating or remodeling our house. (J Korean Soc Traumatol 2009;22:51-56)
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