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      • SCOPUSKCI등재

        초경시기와 아동기 및 청소년기의 신체성장의 변화 : 강화연구

        김창수,남정모,김덕희,김현창,이강희,지선하,서일,Kim, Chang-Soo,Nam, Chung-Mo,Kim, Duck-Hi,Kim, Hyun-Chang,Lee, Kang-Hee,Jee, Sun-Ha,Suh, Il 대한예방의학회 2000 예방의학회지 Vol.33 No.4

        Objectives : To assess height, weight and body mass index from childhood to adolescence according to the age at menarche and hence to study the influence of childhood growth on the menarche age. Methods : $\lceil$The Kangwha Study$\rfloor$was a community-based prospective cohort study which included the entire population of 219 female first graders in Kangwha county in 1986. Among the 219 girls, 119 girls who had received complete follow up checks during the study period$(1986\sim1997)$, were included in this study, except one for whom menarche age information was unavailable. The remaining 118 girls were divided into three groups according to the timing of menarche : early(<25 percentile), intermediate and late($\geq75$ percentile) maturers. Results : The average age at menarche was 12.7 years . early 11.3 years, intermediate 12.6 years and late 13.7 years. The early maturers were taller and heavier between $6\sim8$ years. But, the mean weight and body mass index at the menarche age did not differ statistically among the three groups. The weight and body mass index of the early maturers were consistently higher than those of the late maturers over the entire period of the study. Conclusions : Critical body weight and body mass index must be attained for menstruation to be attained and the age at menarche is largely determined by the childhood growth. In addition, it seems that childhood growth and age at menarche are associated with adolescent weight and body mass index.

      • SCOPUSKCI등재

        간장 및 담도 : 알콜성 간상해에 관한 연구

        정주섭(Ju Sup Jung),박병엽(Byeung Yeub Park),이강희(Kang Hi Lee),나산균(San Gyun Rha),유방현(Bang Hyung Liu) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.1

        N/A Twenty-seven patients with alcoholic liver disease who had had a habbit of excessive alcohol consumption and had had a characteristic liver biopsy findings and had been diagnosed as alcoholic liver disease at Pusan National University Hospital during the period of March 1980 to August 1985 were studied. Their epidemiologic, laboratory, histologic and imaging studies were summarized as follows; 1) When the amount of daily alcohol intake is larger, or the duration of alcohol intake is longer, the incidence of alcoholic cirrhosis is more common. 2) The twenty-seven cases were 17 cases with fatty liver, 10 cases with alcoholic cirrhosis. 3) On the chemical liver function test, the value of rGPT & SGOT were elevated nearly all cases and the mean ratio of SGOT/SGPT was above 2. 4) On 99mTC liver scanning, 2 cases with alcoholic cirrhosis showed characteristic scanning change and 6 cases out of 9 cases of fatty liver showed minor non-homogeneity of hepatic uptake and hypertrophic pattern of the liver. 5) On CT scanning, 7 cases with fatty liver showed lower CT numbers than that of control(p<0.01)

      • SCOPUSKCI등재

        HBsAg 양성 만성간염과 음성군과의 비교연구

        유방현(Bang Hyun Liu),양웅석(Ung Suk Yang),이강희(Kang Hi Lee),조중현(Joong Hyeon Cho),백대근(Dae Kun Baik),김성은(Seong Eun Kim) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1

        N/A A clinical study on 71 cases of chronic hepatitis, proven by liver biopsy, and its contrasting feature according to HBsAg positivity was performed at Pusan National University Hospial from Mar. 1983 to Dec. 1986. The results were as follows; 1) Of the total 71 cases, involving 45 cases of chronic active hepatitis and 26 cases of chronic persistent hepatitis, male to female ratio was 5.5:1. The mean age of chronic active hepatitis with HBsAg was significantly lower than that of chronic acive hepatitis without HBsAg (p<0.001). 2) The incidence of HBsAg was 80.0% in chronic active hepatitis and 65.4% in chronic persistent hepatitis. 3) On admission, the chief complaints were fatigue, indigestion, epigastric and RUQ discomfortness, hepatomegaly, jaundice, and splenomegaly in order of frequency respectively. 4) On chemical liver function studies, chronic active hepatitis with HBsAg showed more increased value of serum AST, ALT than that of chronic hepatitis without HBsAg (p<0.05). 5) On radioisotope liver scan, hypertrophic pattern of liver and mild spleen visualization was the most common findings. 6) Liver biopsy findings showed the increased incidence of piecemeal necrosis and concomitant fibrosis in chronic active hepatitis than chronic persistent hepatitis, but no significant difference was found between HBsAg positive and negative chronic hepatitis.

      • SCOPUSKCI등재

        Dieulafoy 병

        유방현(Bang Hyun Liu),문한규(Han Kyu Moon),허윤(Yoon Huh),양웅석(Ung Suk Yang),이강희(Kang Hi Lee),조중현(Joong Hyeon Cho),백대근(Dae Geun Baek),김무현(Moo Hyung Kim) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1

        In cases of Gastointestinal Vascular Malfomnation, which involve the mucosa and submucosa of the gastrointestinal tract, Dieulafoys erosion consists of abnormally large gastric submucosal artery, and ruptures into the stomach. They cause massive or recurrent intragastric bleeding. The lesion is very small and easily overlooked even at laparotomy and can only be correctly diagnosed by endoscopy or arteriography when the patient is actively bleeding. The authers recently observed a case of Dieulafoys disease, this 41-year old man presented an episode of severe melena, but endoscopy and barium enema were all unremarkable. There was history of analgesic abuse because of spondylolisthesis of L4-5. The physical examination was unremarkable except for grossly melenic stools. The hemoglobin was 4.8g/dl. Repeated endoscopy by a more experienced endoscopist demonstrated a vascular malformation at the posterior wall of upper body of stomach with coated blood clot. An angiography including superior mesenteric artery studies, reveal vascular malformation of the left gastroepiploic artery. A total of 30 units of blood had been replaced prior to gastrectomy. Postoperatively, he had no further bleeding. Pathologic examination of the stomach showed dilated prominent blood vessels in the submucosa with focally ectatic capillaries in the lamina propria. Two weeks after operation, the hemoglobin showed 14.0g/dl, and he discharged after improvement.

      • KCI등재후보

        선천성 간좌엽 형성부전 2 예

        김영훈,한상영,양웅석,유방현,문한규,허윤,이강희,백대근 대한내과학회 1987 대한내과학회지 Vol.33 No.6

        Congenital aplasia in left lobe of liver is extremely rare congenital anomaly. The authors bad observed two cases of congenital aplasia in left lobe of liver at Pusan National University Hospital during Apr. 1986 to Feb. 1987. They were confirmed by ultrasonography, 99mTc phytate liver scan, 99mTc DISIDA hepatobiliary scan, ERCP, and abdominal CT, which showed anatomical and functional absence of left lobe of liver. In these patients, they disclosed the absence of left lobe of liver with accompanying biliary tract, displacement of stomach, and symptoms of acute cholecystitis in one case and clonorchiasis in other case. However, no other congenital anomalies were found.

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