慶北地方 優良兒 選拔大會에 參加한 ?乳兒의 成長發育狀

殷鍾大,趙龍勳,李相範,具滋薰,安斗洪 慶北大學校 醫科大學 1978 慶北醫大雜誌 Vol.19 No.1

慶北地方 優良兒 選拔 大會에 參加한 瓔育兒의 成長發育相

殷鍾大 慶北大學校 醫科大學 1978 慶北醫大雜誌 Vol.19 No.1

慶北地方 優良兒 選拔大會에 參加한 양乳兒의 成長發育狀

殷鍾大,趙龍勳,李相範,具滋薰,安斗洪 慶北大學校 醫科大學 1978 慶北醫大誌 Vol.19 No.1

1977年 4月에 慶北小兒科學會에서 主催한 優良兒選拔大會 및 全國優良兒 慶北豫選大會에 參加한 乳兒(6個月∼24個月) 491名(男兒 394名, 女兒 97名)의 身體發育(體重, 身長, 胸圍, 頭圍), 榮養狀態(血色素値), Kaup 指數, 비타민 D 缺乏症狀), 離乳狀況 및 鐵分과 비타민 D 投與狀況을 調査하여 다음과 같은 成績을 얻었다. 體重은 男女 모두 韓國 標準値 및 日本 平均値보다 各各 1.56∼4.14kg과 1.25∼2.94kg의 優位를 나타내며, 身長은 男女 모두 韓國 標準値 및 日本 平均値보다 各各 2.75∼8.37cm와 2.28∼5.08cm의 優位를 나타내며, 胸圍는 男女 모두 韓國 標準値 및 日本 平均値 보다 各各 2.53∼5.54cm와 2.33∼4.92cm의 優位를 나타내며 그리고 頭圍는 男女 모두 韓國 標準値 및 日本 平均値 보다 各各 0.62∼2.15cm와 0.22∼1.31cm의 優位를 나타내었다. 分娩場所는 醫療機關이 81.7%로서 가장 많았으며 家庭分娩은 14.0%였다. Kaup 指數는 20以上인 아이가 男女 各各 19.3%와 16.5%였으며 15以下는 없었다. 授乳法은 母乳榮養을 한 아이가 46.0%였으며 人工營養을 한 境遇는 12.8% 그리고 混合榮養을 한 境遇는 41.2%였다. 離乳는 6個月以前에 시작한 아이는 55.6%였으며 大部分이 12個月以前에 離乳를 시작하였다. 血色素値는 10.5gm%미만인 男女 各各 18.1%와 17.3%였으며 授乳法에 따라서는 10.5gm%미만인 境遇가 母乳營養兒에서 30.1%로써 人工營養兒의 8.5% 및 混合榮養兒의 7.3%보다 훨씬 많았다. 授乳法에 따른 비타민 D 缺乏症狀은 母乳營養兒의 23.0%, 人工營養兒의 20.6% 그리고 混合榮養兒의 20.3%에서 나타났으며 授乳法에 다른 差異는 없었다. 비타민 D와 鐵分을 投與한 아이는 各各 25.7%와 22.7%였다. 위와 같이 身體發育이 좋은 優良兒에서 貧血 민 비타민 D 不足症狀이 많은 것은 올바른 育兒指導를 받지 못하고 그리고 父母의 育兒에 對한 知識不足으로 생각되며 앞으로 乳兒에 對해 올바른 育兒指導를 하므로서 어린아이의 成長發育에 最善을 기할 수 있을 것으로 思料된다. Yearly Well-Baby Contest has been held in order to recognize the importance of the child's growth and development. The total number of the infants (6 months to 24 months) who paricipated in this Kyungpook regional contest, held on April 1977, were 491 comprising 394 infant boys and 97 infant girls. After throughful investigation of the several important parameters including their physical development (body weight, length, chest and head circumference), nutritional status (Kaup Index, hemoglobin and signs of the vitamin D deficiency) and the feeding history, the following results were obtained. Comparing their body weight, length, chest and head circumference with Korean Children's Growth Standard (K. S.) and Japanese Children's Growth Standard (J. S.), their body weight were superior to those of K. S. (1.56∼4.14kg) and J. S. (2.28∼2.94kg), their body length superior to those of K. S. (2.75∼8.37cm) and J. S. (2.28∼5.08cm), their chest circumference superior to those of K. S. (2.53∼5.54cm) and J. s. (2.33∼4.92cm), and their head cirumference superior to those of K. S. (0.62∼2.15cm) and J. S. (0.22∼1.31cm). The majority (81.7%) of the infants were born at the hospital or clinic, followed by home in 14.0% and midwife's in 4.3%. The kaup Index was above 20 in 9.3% of male infant and 16.5% of female infant. Breast feeding was the most common form of the infant feeding, comprising 46.0%, followed by mixed feeding in 41.2% and bottle feeding in 12.8%. Weaning was started within 6 months of age in 55.6% of the infants and majority of the infants within 12 months of age. About one fifth (male infants; 18.1%, female infants; 17.3%) of the infants showed anemia, using the criteria of anemia as being hemoglobin less than 10.5m%. Incidence was the highest among breast-fed infants (30.1%), followed by bottle fed infants (8.5%) and mixed-fed infants (7.3%). In about one fifth of the infants (21.6%), there were signs of the Vitamin D deficiency including Harrison's groove, rachitic rosary, pigeon chest etc., and no difference was noticed between different types of feeding. In 25.7% of the infants supplemental vitamin D was given and 22.7% of the infants was given iron as supplement. The conclusion arrived from these results indicated that their physical growth was quite good but nutritional status was inadequate, represented in many infants such as signs of the vitamin D deficiency and anemia. It is hoped that by education and guidance of the mothers, especially about the proper feeding method, infant growth and developmet could be improved further.

Neuroacanthocytosis Syndrome Misdiagnosed as Inflammatory Myopathy: A Case Report

박진호,은종대,김선웅,성덕현 대한근전도전기진단의학회 2021 대한근전도 전기진단의학회지 Vol.23 No.2

Neuroacanthocytosis syndromes are a category of diseases characterized by progressive basal ganglia degeneration and acanthocytosis. Chorea- acanthocytosis (ChAc), a core neuroacanthocytosis syndrome, is characterized by chorea, psychiatric symptoms, and cognitive decline. It is also associated with neuromuscular abnormalities, including myopathy and axonal neuropathy. Herein, we describe a case of ChAc that was misdiagnosed and inappropriately treated as an inflammatory myopathy due to lower extremity weakness and hyper-creatine kinase (CK)-emia. Careful clinical and laboratory evaluations are always warranted to rule out neuroacanthocytosis in patients with myopathy presenting with chorea and peripheral neuropathy. Although rare, it is necessary to consider ChAc as a potential cause of hyperCKemia. A prompt differential diagnosis can prevent unnecessary treatment with steroids or immunomodulating agents.

1978년도 경북지방 우량아 선발대회에 참가한 영유아의 성장 발육상

조남근,은종대,이상범,안두홍 慶北大學校 醫科大學 1978 慶北醫大誌 Vol.19 No.2

Authors have conducted a study on 222 infants (boy 174, girl 48), paricipated in Kyungpook regional well baby contest, held in April 1978. After throughful investigation of the several important parameters including their physical development (body weigt, length, chest and head circumference), nutritional status (Kaup Index, serum protein, hemoglobin and signs of the vitamin D deficiency), the feeding history and comparing this with data obtained from last 2 years, the following results were obtained. Comparing their body weight, legnth, chest and head circumference with Korean Children's Growth Standard (K.S.) and Japanese Children's Growth Standard (J.S.), their body weight were superior to those of K.S. (1.8∼4.34kg) and J.S. (1.44∼3.14kg), their body length superior to those of K.S. (2.52∼6.31cm) and J.S. (2.17∼3.72cm), but there were no difference between this data and those obtained form last 2 years. The arm circumference were superior to those of Hong (1.15∼1.84cm), and no difference was found between age and sex. The total mean serum proteins were 7.63 gm% in boy and 7.80gm% in girl. The Kaup index was above 20 in 19.6% of male infant and 18.8% of female infant, and none below 15. Mixed feeding was the most common form of the infant feeding, comprising 44.6%, followed by breast feeding in 28.8% and bottle feeding, in 26.6%. Weaning was started within 6 months of age in 53.6% of the infants and the majority of the infants within 12 months of age (86.5%). About one eighth (male infants: 12.6%, female infants: 14.7%) of the infants showed anemia, using the criteria of anemia as being hemoglobin less than 10.5gm%. The highest incidence was seen in breast-fed infants (22.7%), followed by bottle-fed infants (15.3%) and mixed-fed infants (10.2%). In about one fourth of the infants (26.6%), there were sings of the vitamin D deficiency including Harrison's groove, rachitic rosary, pigeon chest etc., and the prevalence rate among the breast-fed infants was somewhat higher than mixed and bottle-fed infants was somewhat higher than mixed and bottle-fed groups. In 28.4% of infants supplemental vitamini D was given and 44.1% of the infants was given iron as supplement. The conclusion arrived from these results indicated that though infant's growth and nutritional status have been improved as seen by yearly comparison, there are still many area like anemia and vitamin D deficiency, which should be combated by vigorous efforts from pediatrician and other patricipating health personel.

肝吸蟲 代謝産物과 蟲體構成物로 感作한 마우스에서의 細胞性免疫

崔東翊,殷鍾大 慶北大學校 醫科大學 1985 慶北醫大誌 Vol.26 No.3

肝吸蟲 成蟲의 代謝産物과 蟲體構成物을 Freund incomplete adjuvant와 混合하여 emulsion을 만들어 ICR系 마우스의 footpad에 皮下注射하여 5日, 10日, 15日, 20日 및 30日후에 頸部骨折로 마우스를 잡아 Jerne plaque assay로 마우스 脾臟에서의 plaque 形成細胞의 出現與否와 그 經過를 보았다. 肝吸蟲의 代謝産物과 蟲體構成物로 感作한 마우스의 脾臟에서 plaque 形成細胞를 感作後 5日에 찾아볼 수 있었으며 15日에 그 數가 最大値를 나타내었고 20日 以後부터 적었다. 肝吸蟲 plaque 形成細胞數는 大體로 肝吸蟲의 蟲體構成物보다 代謝産物로 감작한 마우스에서 많았다. 肝吸蟲의 代謝産物과 蟲體構成物로 感作한 마우스에서의 plaque 形成細胞數는 肺吸蟲의 그 數보다 적었다. In order to clarify the cellular immunity of Clonorchis sinensis by the Jerne plaque assay, emulsions were prepared by mixing equal volumes of incomplete Fruend's adjuvant and the metabolites or somatic constituents of Clonorchis sinensis in Medium 199. The mice of highly inbred ICR strain were stimulated by an injection of the emulsions into their footpads. The mice were killed by neck fracture on 5, 10, 15, 20 and 30 days after a primary stimulation. Spleen cell suspensions were obtained from organs of the mice and were used for the determination of plaque forming cells (PFC) by the Jerne plaque assay. PFC were found in the spleen of mice sensitized with the metabolites and somatic constituents of C. sinensis in 5 days after sensitization. The peak of PFC was observed in 15 days and dropped in 20 days after immunization. In general, the mean number of PFC pers pleen of mice sensitized with the metabolites was higher than those with the somatic constituents. Similarly, the numbers of PFC in mice sensitized with C. sinensis were lower than those with Paragonimus westermani.

1978년도 경북지방 우량아 선발대회에 참가한 영유아의 성장 발육상

조남근,은종대,이상범,안두홍 慶北大學校 醫科大學 1978 慶北醫大雜誌 Vol.19 No.2