Sleep Patterns among South Korean Infants and Toddlers: Global Comparison

안영민,Ariel A. Williamson,서현주,Avi Sadeh,Jodi A. Mindell 대한의학회 2016 Journal of Korean medical science Vol.31 No.2

The purpose of this study was to examine sleep patterns in a large sample of infants and toddlers (ages birth to 36 months) in Korea, and to compare sleep patterns, sleep problems, sleep ecology, and parental behaviors to global sleep data on young children in both predominately Asian (P-A) and predominately Caucasian (P-C) countries/regions. We additionally examined parent and child demographic information, parental behaviors, and aspects of the sleep ecology as predictors of sleep patterns among infants and toddlers in Korea. Parents/caregivers of 1,036 Korean infants and toddlers completed an expanded, internet-based version of the brief infant sleep questionnaire. Consistent with other studies of sleep in early childhood, sleep/wake patterns became increasingly consolidated with older child age for the Korea sample. Compared to both P-A and P-C infants and toddlers, children in Korea had the latest bedtimes, shortest total sleep and daytime sleep durations, and the least frequent rates of napping. Even though half of parents perceive their children’s sleep problematic, parental perceptions of severe child sleep problems were the lowest. Within Korea, breastfeeding and bottle-feeding at sleep resumption were associated with increased nocturnal awakenings. Evening television viewing was associated with later bedtimes, which may have implications for sleep hygiene recommendations in clinical practice. The current study provides important information about sleep/wake patterns, parental behaviors, and aspects of the sleep ecology for infants and toddlers for physicians to support healthy sleep in Korea.

산삼과 산양삼 추출물의 항암 및 항산화 효능

안영민,박희수,권기록,Ahn, Young-Min,Park, Hee-Soo,Kwon, Ki-Rok 대한약침학회 2007 Journal of pharmacopuncture Vol.10 No.1

Objectives : The aim of this study was to verify anti-cancer and anti-oxidant efficacies of Korean wild ginseng and cultivated wild ginseng of Korea and China. Methods : For the measurement of anti-oxidation, SOD-like activity was evaluated using xanthine oxidase reduction method under in vitro environment. Subcutaneous and abdominal cancer were induced using CT-26 human colon cancer cells for the measurement of growth inhibition of cancer cells and differences in survival rate. Results : 1. Measurement of anti-oxidant activity of ginseng, Chinese and Korean cultivated wild ginseng, and natural wild ginseng samples showed concentration dependent anti-oxidant activity in HX/XOD system. Anti-oxidant activity showed drastic increase at 1mg/ml in all samples. 2. For the evaluation of growth inhibition of cancer cells after hypodermic implantation of CT-26 cancer cells in the peritoneal cavity of mice, Chinese and Korean cultivated wild ginseng and natural wild ginseng groups showed significant inhibition of tumor growth from the 12th day compared to the control group. Similar inhibitory effects were also shown on the 15th and 18th days. But there was no significant difference between the experiment groups. 3. For the observation of increase in survival rate of the natural wild ginseng group, CT-26 cancer cells were implanted in the peritoneal cavity of mice.

한국의 Amatoxins 중독증

안영민,이동수,이강문,강상범,양진모,박영민,이영석,정규원,선희식,박두호,노현주,강영모,이종명,허정욱,최성곤,김정호,이상인,최승옥,최홍엽,권오선,구창덕,석순자,김양섭 대한간학회 2000 Clinical and Molecular Hepatology(대한간학회지) Vol.6 No.3

한국의 amatoxins 중독증은 강원 영서 지역이 호발지역으로 알려져 왔으며 최초로 보고된 원인버섯은 알광대버섯이었으나 현재까지 재 확인된 바가 없다. 원인버섯이 확인된 예로는 강원 영서지역이나 대전지역의 독우산광대버섯과 함께 1998년 경북 일원에서 발생한 집단 중독사고의 개나리광대버섯과 대전에서 발생한 1예에서 흰알광대버섯을 들 수 있다. 최근까지 amatoxins 중독증에 관해 보고된 국내의 문헌을 살펴보면 한국에서 발생하는 amatoxins중독증은 사망률에서 외국의 20-40% 와 큰 차이가 있는 것 처럼 보이나 사실상 전체적인 발생빈도나 사망률 등을 산출한 예가 없었을 뿐아니라, 높은 사망률의 원인이 무엇인지를 비교하는 것도 불가능하였다. 저자들은 국내에서 발생하는 amatoxins 중독증의 예방과 보다 효율적인 진단 및 치료를 위해 발생빈도나 사망률 및 원인버섯 등의 기초적인 조사와 함께 문헌을 통해 amatoxins 중독증에 대한 지견을 고찰하고자 하였다. 대상과 방법: 1999년 1년간 원인버섯 식별을 위해 의뢰되었던 증례들과 연례적 호발지역의 의료기관에서 병력 및 임상소견으로 amatoxins 중독증으로 진단 또는 추정된 증례들을 조사하였다. 원인버섯의 식별은 발생지역을 방문하여 원인버섯의 확보가 가능했던 소수의 증례에서는 외관과 현미경적 소견으로 원인버섯을 식별하였으며 원인버섯의 확보가 불가능한 증례에서는 특징적인 외관으로 추정되었다. 결과: 54명의 대상환자들 중 43명에서amatoxins 중독증으로 진단되었으며 그중 35명은 중등도 이상의 중독증으로 간주하였다. 중등도 이상의 중독증에서는 7명이 사망하여 20%의 사망률을 나타내었으며 원인버섯은 독우산광대버섯과 개나리광대버섯이 확인되었다. 흰알광대버섯은 확인되지 않았으나 사실상 독우산광대버섯과의 감별은 이루어지지 않았다. 4예에서는 원인버섯이 확인되지 않아 더 연구 되어야 한다. 사망례에서는 비사망군에 비해 혈소판이 유의하게 감소한 소견을 보였다. 전예에서 간이식등의 치료는 시행되지 않았으며 대부분 수액요법을 근간으로한 보존요법을 실시하였다. 결론: 한국의 amatoxins 중독증은 주로 강원 영서지역과 경북 일원에서 호발하고, 원인버섯은 외국과는 달리 독우산광대버섯과 개나리광대버섯이 주된 원인버섯이며, 1997년 까지의 증례보고를 대상으로한 70%의 사망률과는 달리 중등도 이상의 중독증례를 대상으로 하여도 사망률은 20%로 외국에 비해 높지 않다. 그러나 외국과 달리 간이식과 같은 보다 적극적인 치료를 시도한 예가 없는데, 대부분 갑자기 나빠지기 때문에 준비를 못하는 것이 원인이다. 따라서, 사망률을 더 낮추기 위해서는 혈액이나 소변과 같은 체액에서 단시간 내에 amatoxins을 측정할 수 있는 임상 검사법이 개발되어 조기 진단이 가능해져야 하며, 중독 초기에 나쁜 예후가 예측되는 심각한 증례를 선별하여 전문적인 치료를 받을 수 있는 기회를 제공해야 한다. 아울러 amatoxins 중독증에 대한 보다 정확한 통계를 산출하여야 할 것이다. 저자들은 본 연구에 1999년도에 발생한 대부분의 amatoxins 중독증의 증례가 포함되었으나 포함되지 않은 증례들이 다수 있다고 생각한다. 이러한 기초 조사를 철저히 하기 위해서는 전국 각지에서 발생하는 버섯중독 사고를 의뢰 또는 신고 할 수 있는 일원화 된 창구가 필요하리라고 사료된다. $quot;Background/Aims: From the review of Korean literature most fatal mushroom poisonings have been due to amatoxins with high mortality. So far there have never been investigations on the amatoxins poisonings such as annual incidence, mortality, common causal species, and endemic areas. This study was carried out to develop some basic statistics as part of studies for an effective management of amatoxins intoxications. Method: For the year 1999 authors collected cases of mushroom poisonings which had been mainly gathered from hospitals nation-wide. All of the cases with suggestive amatoxins poisonings were screened by symptomatology and laboratory findings. The causal species of mushrooms were identified grossly and microscopically. Results: A total of 54 victims with mushroom poisonings were evaluated. The causal mushroom toxins were diagnosed or strongly suggested as amatoxins in 43 of 54 victims. Eleven of 54 victims did not conform to the category of amatoxins intoxication due to absent or minimal elevation of aminotransferase. Mean age of the victims was 44.3 23.3 (range: 7-78) with male predominance (1.2 : 1). The causal species were confirmed, or strongly suggested, as Amanita virosa in 25 victims, Amanita subjunquillea in 14, and unknown species in 4. Thirty-five out of a total of 43 were regarded as moderate to severe intoxication (AST or ALT $gt; 1,000 IU/L) with 20% mortality. Most fatal victims showed marked thrombocytopenia (40,000 19,000/mm3) compared to non-fatal victims (109,066 42,245/mm3). A total of 88.4% of victims was developed in the Kangwon and Kyungpuk provinces. Both are west of the Taebaek Mountains (38/43). Conclusions: Although the common causal species for amatoxins poisonings in Korea are different from European countries and North America, the mortality is similar to that of those areas. In order to further reduce the mortality, bedside diagnostic methods using biological fluids and more effective herapy for liver failure should be established$quot;.

디지털 콘텐츠 인력 양성을 위한 물리적 환경 요인 분석

안영민 한국언론학회 2004 한국언론학회 학술대회 발표논문집 Vol.2004 No.-

91 년 춘계학술대회 및 심포지엄 : 91 심포지엄 - 소아천식의 진단과 치료대책 - 학동기 이후의 진단 방법

안영민 대한 소아알레르기 호흡기학회(구 대한소아알레르기 및 호흡기학회) 1991 Allergy Asthma & Respiratory Disease Vol.1 No.1

국민학교 아동에서 흡입성 항원 9종에 대한 피부단자시험 및 집먼지 진드기 ( D . Farinae ) 에 대한 특이 IgE 항체 검사 결과

안영민,최은영 대한천식알레르기학회 1990 천식 및 알레르기 Vol.10 No.3

To assess the prevalence of allergen sensitiz ation and know the significance of the positive reactions, we performed skin prick tests with 9 common aeroallergene in randomly aelected 6- 12 yearold 661 children at a school in Seoul and specific IgE antibody was checked in 197 children who showed larger than +++ skin reactions to Dermatophagoides farinae. The following results were obtained, 1. The overall positive reaction was observed in 53.1%(>=++), 42.4%o(>=+++) and a incre- sing positive reaction rate in relation to increasing age was apparent, but no difference in the prevalence was found among boys and girls. 2. The most common allergen which caused positive skin reactions was D.farinae (44.3%) followed by D.pte ronyssinus (40.7%), house dust (33.7%), cat fur (32.7%), dog hair (20.0%), Alternaria (15.3%), mugwort (8.6%), ragweed (6.5%) and cockroach (5.7%) 3. The reaction which was same or larger than the wheal size of histamine reference( ++ +) is better related to allergic symptoms than over ++ reactions. 4. Positive skin test reaction was positively aasociated with history of allergic histories and artificial feeding. 5. D.farinae specific IgE antibody was found to correlate closely with skin prick test in randomly selected schoolchildren as an overall positivity of 81.2% was observed with +++ SPT reaction. Also the titer of RAST is increased according to the presence of allergic histories. Such a high positive skin reactivities and RAST positioty suggests the significant prevalence and sensitization of house dust mite in general childhood population in Seoul and the possibility of increasing allergic disease. Also, when the result of positive skin reaction and RAST is interpreted, we must include correlationg history and provocation test before we apply the result to the patient. Because there are asymptomatic populaton with position SPT and RATST.

여러 종류의 고양이 상피 항원에 대한 피부 반응 및 순수도 비교

안영민,임성희 대한천식알레르기학회 1989 추계학술대회 초록집 Vol.1989 No.-

Treatment of obstructive sleep apnea in children

안영민 대한소아청소년과학회 2010 Clinical and Experimental Pediatrics (CEP) Vol.53 No.10

Obstructive sleep apnea (OSA) in children is a frequent disease for which optimal diagnostic methods are still being defined. Treatment of OSA in children should include providing space, improving craniofacial growth, resolving all symptoms, and preventing the development of the disease in the adult years. Adenotonsillectomy (T&A) has been the treatment of choice and thought to solve young patient’s OSA problem, which is not the case for most adults. Recent reports showed success rates that vary from 27.2% to 82.9%. Children snoring regularly generally have a narrow maxilla compared to children who do not snore. The impairment of nasal breathing with increased nasal resistance has a well-documented negative impact on early childhood maxilla-mandibular development, making the upper airway smaller and might lead to adult OSA. Surgery in young children should be performed as early as possible to prevent the resulting morphologic changes and neurobehavioral, cardiovascular, endocrine, and metabolic complications. Close postoperative follow-up to monitor for residual disease is equally important. As the proportion of obese children has been increasing recently, parents should be informed about the weight gain after T&A. Multidisciplinary evaluation of the anatomic abnormalities in children with OSA leads to better overall treatment outcome.

高品質 豚肉 生産을 위한 고구마 사일리지의 開發에 關한 硏究 : 3. 肥肉豚에 대한 고구마 사일리지 給與가 豚肉의 品質에 미치는 影響 3. Effects of Supplementing the Sweet Potato Silage on Pork Quality

安瑛敏,高永杜,文勝式,陳詳根,鄭孟和 진주산업대학교 농업기술연구소 1999 農業技術硏究所報 Vol.12 No.-

육에 대한 소비자들의 욕구는 계속해서 증가하고 다양해지고 있어 이러한 욕구에 부응하기 위해 육의 풍미 및 육색을 증진시키는 것으로 알려진 고구마 사일리지를 급여한 돈육 일반성분과 물리적인 성질 및 도체특성을 조사하였다. 고구마 사일리지 제조는 고구마의 외부에 부착된 흙을 수세하여 마쇄한 후 고구마 사일리지 1은 고구마 70%, 맥강 20%, 대두박10%를 혼합하여 제조하였으며, 고구마 사일리지 2는 고구마 70%, 맥강 30%를 혼합하여 제조하였다. 일반성분으로는 수분, 조지방, 조단백, 조회분을 조사하였고, 물리적 성질로는 pH, 보수성, 연도, 육과 지방색, 관능검사, 도체특성을 조사하였다. 일반성분에서 수분은 고구마 사일리지 2 급여구가 다른 처리구에 비하여 유의적으로 높게 나타난(P<0.05) 반면에 조지방 함량과 조단백질 함량은 유의적으로 낮은 함량을 보였으며, 그리고 조회분 함량은 처리구간에 유의적인 차이가 없었다. 물리적 성질인 pH의 변화는 대조구와 고구마 사일리지 급여구간에는 유의적인 차이가 없었다. 보수성은 고구마 사일리지 급여구가 대조구보다 유의적으로 높게 나타났으며(P<0.05), 연도는 고구마 사일리지 급여구가 대조구에 비하여 좋은 결과를 보였다. 육색의 변화는 고구마 사일리지 급여로 명도가 유의적으로 낮게 나타났으며, 적색도와 황색도는 측정부위에 따라 값의 변화가 심하였다. 지방색은 고구마 사일리지 급여가 대조구에 비하여 황색도가 낮아 좋은 결과 였다. 관능검사 결과는 고구마 사일리지 급여가 대조구에 비하여 풍미는 유의적으로 높은 성적을 보였지만(P<0.05), 다즙성, 견고성, 탄력성에는 유의적인 차이가 없었다. 전체적인 관능검사 성적은 고구마 사일리지 2 급여구가 가장 좋은 성적을 얻었다. 도체특성에 미치는 변화를 측정한 결과 도체중은 유의적으로 낮게 나타났으나(P<0.05), 지육율은 차이가 없었다. 그러나 고구마 사일리지 급여로 등지방 두께가 유의적으로 감소하는 결과를 보였다(P<0.05). 본 실험 결과 보수성과 연도는 대조구에 비해 고구마 사일리지 급여구가 더 나은 결과 나타내었으며, 육색과 관능검사, 도체특성 결과도 대조구에 비교해 고구마 사일리지 급여구가 유의적으로 더 나은 것으로 나타나 고구마 사일리지를 급여시 특히 고구마 사일리지 1 급여구의 경우 돈육의 육질을 크게 향상시킬 수 있을 것으로 사료된다. The present study was conducted to investigate the effect of supplementary feeding of sweet potato silage on carcass and its meat quality in finishing gilts. Two sweet potato silages containing same ingredients with different ratios(silages 1 and 2; 70 and 70% sweet potato, 20 and 30% barley bran, 10 and 0% soybean meal, respectively) were fermented for 21 days in 500 kg-capacity silos. Finishing gilts were fed a commercial finishing diet(CONT), or the same basal diet plus 0.4kg silage 1(TRT 1) or silage 2(TRT 2)/head/day beginning from 90kg of body weight, 18 heads per group, up to approximately 110kg of final weight and slaughtered. After measuring carcass traits, loin eye sections were removed and their physicochemical characteristics were analyzed. The sensory evaluation on the fresh and cooked meat was performed by the panel test and the whole experiment was repeated 3 times. Backfat thickness was reduced in TRT 1 and TRT 2 compared with CONT, but carcass weight and dressing percentage were not different between the feeding regimens. Compared with CONT, TRT 1 and TRT 2 had greater water holding capacity, tenderness, fat color and palatability scores including flavor and reduced brightness, with no difference in pH, juiciness, firmness and gumminess. Overall, TRT 2 exhibited the greatest sensory evaluation score.

여러 종류의 고양이 상피 항원에 대한 피부시험 결과 및 순수도 비교

안영민,임성희,박해심 대한천식알레르기학회 1990 천식 및 알레르기 Vol.10 No.3

To evaluate the relatively high skin test reactivities to cat fur(CF) allergens compared to clinical history and RAST score, skin prick test (SPT) was done concurrently with three available commercial CF extracts(B, T, A Co)in Korea and the correlation of RAST score was evaluated. There were significant differences of SPT reactivity in CF extracts(B: 66.1%, T: 11.9%, A : 11.9%)but the results of T&A companies were comparable and correlated well with RAST rea- ctivity(T, A: 85.7%, B: 26.1%) and clinical symptoms(57.1%) and contact history(71.4%). RAST inhibition test with B, T and Korean CF extracts to D, farinae and D pteronyssinus revealed some inhibition by CF extracts(of B Co. DP 34% DF 2 1. %), but no inhibitions were noted by T and Korean CF extracts, With enzyme linked immunosorbent assay, Der p I was measurable(550ng/ml) and Der f I was also detected(6.5ng/ml) in B-CF extracts but none was found in T and Korean extracts The proportion of house dust mites was similar to the level of Der f I and Der p I in English house dust extrats. Contamination of B-cat fur extracts with house dust mites would be significant. So it is difficult to justity the use of such commercial CF extracts as diagnostic agents and further study on the allergen content must be done in other extracts, such as dog hair or mixed threshing dust which has high SPT positivity compared to clinical hstory