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철 결핍 빈혈 영.유아의 수유 형태 및 이유 지식 평가
김부영,최은혜,강성길,전용훈,홍영진,김순기,Kim, Boo-Young,Choi, Eun-Hye,Kang, Sung-Kil,Jun, Yong-Hoon,Hong, Young-Jin,Kim, Soon-Ki 대한소아소화기영양학회 2009 Pediatric gastroenterology, hepatology & nutrition Vol.12 No.2
목 적: 최근 모유수유의 장점이 알려지며 모유수유 아들이 늘고 있다. 이유기 영유아의 가장 흔한 영양장애인 IDA (Iron deficiency anemia)가 모유수유아와 다른 형태의 수유아에서 어떻게 나타나고 있는지 알아보고 IDA와 대조군의 이유식 진행 상황 및 이유지식 등에 대해 알아보았다. 방 법: 2006년 3월부터 2009년 1월까지 인하대병원에 내원한 6~24개월의 영유아 중 IDA를 진단받은 70명과 IDA가 없는 140명의 보호자에게 수유 형태, 이유식 진행 상황 및 이유지식을 묻는 설문을 시행하였다. IDA군의 자료와 함께 IDA가 없는 군을 대조군으로 하여 분석하였다. 결 과: IDA군은 IDA가 없는 군에 비해 이유식을 늦게 시작하며 IDA군에의 모유수유아 비율이 대조군에 비해 높은 것으로 나타났다(p<0.01). 모유수유군은 다른 형태의 수유군에 비해 의미 있게 늦은 6.4개월에 이유식을 시작하는 것으로 나타났다. 이유식을 완성하기 까지 58.1%가 1개월 정도 걸렸으며 4개월 이상 걸린 경우도 19.8%나 되었다. 이유 지식 정도에서 두 군은 의미 있는 차이를 보이지 않았다(p=0.32). 결 론: 생후 6개월경에 체내 저장철이 떨어지며 철의 요구량이 급증하게 된다. 일반적으로 영유아가 이유식에 익숙해지기까지 시간이 걸리고, 초기 이유식 내에는 철분 함량이 적으므로 이 시기 철분 필요량을 충분히 공급할 수 없을 것으로 생각한다. IDA 또는 철결핍을 예방하기 위해 이유식을 좀 더 일찍 권장 해 6개월에는 체내 필요량만큼의 철분이 공급될 수 있게 해야할 것으로 보인다. Purpose: Recently, the favorable merits of breast feeding have received widespread attention and the number of breast feeding children is increasing. We investigated the weaning practices between breast feeding infants and non-breast feeding infants with respect to iron deficiency anemia (IDA). Methods: Between March 2006 and January 2009, we surveyed 70 parents, the children of whom had been medically diagnosed with IDA, and 140 parents, the children of whom did not have IDA, about how they feed their children and how much they know about the weaning process. The infants and children were 6∼36 months of age and attended the Inha University hospital. Results: IDA patients started weaning later than non-IDA patients. Also, breast feeding in IDA patients was more frequent than in non-IDA patients (82% vs. 30%). The breast feeding group began weaning at approximately 6.4 months of age, which was statistically meaningfully compared to non-breast feeding infants. There were no differences in knowledge between the two groups of parents. Conclusion: According to our research, we assume that if weaning begins at 6 months, we cannot supply sufficient iron to meet the infant's needs, which increase sharply around 6 months of age because of depletion of stored iron. Thus, infants need to initiate weaning from breast feeding at 4 months of age to furnish an ample amount of iron or take iron-containing supplements. These methods would be expected to prevent IDA in breast feeding infants.
김부영(Boo-Young Kim),강보성(Bo-Seong Kang),김병국(Byung-Guk Kim),박소영(So-Young Park),오정훈(Jeong-Hoon Oh),서은주(Eun-Joo Seo) 대한두경부종양학회 2007 대한두경부 종양학회지 Vol.23 No.2
Kimura disease is an uncommon chronic inflammatory disorder of unknown etiology. Clinically, patients present nontender subcutaneous swelling in the head and neck region. Peripheral eosinophilia, an elevated serum IgE are also present. The clinical course of Kimura disease is often progressive, and the main problem with treatment is disease recurrence. Treatment options in the recurrent cases range from observation to surgical excision, steroid therapy, and radiotherapy. We report a case of recurrent Kimura disease, initially thought to be chronic submandibular sialadenitis, along with the appropriate review.
하기영,서현우,김부영,김태연,박성규,Ha, Ki-Young,Suh, Hyeun-Woo,Kim, Boo-Yeong,Kim, Tae-Yeon,Park, Sung-Gyu 대한성형외과학회 2010 Archives of Plastic Surgery Vol.37 No.3
Purpose: Most of the bilateral structures in our body are not perfectly balanced, such that one side is preferred than the other or it has physiological superiority. Eyes also have an imbalance; the eye with sensory and motional superiority compared to the other is called dominant eye. Authors of this study focused on analyzing the correlation between the dominant eye and levator palpebrae superioris muscle. Methods: The subject of this study was 42 patients with no ptosis and with no past history of blepharoplasty. Hand dominance was identified through questionnaire and dominant eye was identified by hole-in-the-card dominance test (Dolman's test) in all patients. The function of levator palpebrae superioris muscle was measured by MLD (marginal limbal distance). During the measuring procedure, frontalis muscle was not inhibited to avoid the eyelid skin hooding. Results: Out of 42 patients, 27 patients (64.3%) were right ocular dominant, 15 patients (35.7%) were left ocular dominant, 36 patients (85.7%) were right hand dominant and 4 patients (9.5%) were left hand dominant. Out of 27 right ocular dominant patients, right MLD was larger than the left in 26 patients (96.3%). It was larger in average of 0.47 mm (p<0.001) in 27 right ocular dominant patients. Also, left MLD was larger than the right in 11 patients (73.3%) out of 15 left ocular dominant patients. It was larger in average of 0.57 mm (p=0.003) in 27 left ocular dominant patients. MLD on the side of the dominant eye was larger in average of 0.50 mm (p<0.001) than the MLD of non-dominant eye side. Right MLD was larger than the left in average of 0.28mm (p=0.010) in right hand dominant patients, and left MLD was larger than the right in average of 1.15 mm (p=0.025) in left hand dominant patients. Conclusion: The function of levator palpebrae muscle differs in right and left, and the difference correlates with the dominant eye. Also, the function of levator palpebrae muscle is stronger in the dominant eye. We were able to present statistical evidence regarding the difference of the function in right and left levator palpebrae muscle. This may be a factor worth consideration in terms of balancing the eyes during the blepharoplasty.
김현범(Hyun Beom Kim),김부영(Boo-Young Kim),김성원(Sung Won Kim),전신수(Sin-Soo Jeun) 대한두개저학회 2013 대한두개저학회지 Vol.8 No.2
Juvenile ossifying fibroma is a rare benign neoplasm with locally aggressive growth and high recurrent rate. Juvenile ossifying fibroma is classified into juvenile psammomatoid and trabecular type by histological findings. juvenile psammomatoid ossifying fibroma is generally seen in younger age group and the most common site is paranasal sinuses, orbits, and fronto-ethmoidal complex. Clinical symptoms vary from diplopia, nasal obstruction and headache to cosmetic disfigurement, depending on the location and the size of lesion. Complete excision is the treatment of choice because of its high tendency to recur. The author recently experienced a psammomatoid ossifying fibroma of anterior skull base in a 16-year-old boy who had the past history for about completely healed acute lymphocytic leukemia. We removed that tumor by endonasal endoscopic transseptal approach. We present a case of JPOF, and a comprehensive review on its clinical, histo-pathological, therapeutic and prognostic aspects.