• 건강소식
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• v.13 no.2 s.123
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• pp.2-7
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• 1989

농업협동중앙회는 ‘86년부터 공제 계약자에 대한 환원산업의 일환으로 계약자 건강검사를 실시해오고 있다. 간염, 자궁암 검사를 중심으로 건강검사를 실시해온 농협은 그 동안 많은 농민들에게 혜택을 주어왔다. 농협전남도지회의 경우 지난해에 간염 19,488명, 자궁암 11,070명, 소변검사 30,588명을 검사해 내고 자궁암의 경우, 유소견자가 발견되었을 때는 건협과 함께 치료를 받을 때까지 권유와 사후관리를 소홀히 하지 않았다. 뿐만 아니라 검사결과 전반을 분석 · 검토하여 농민의 건강상태, 건강에 관한 의식정도, 검사과정의 문제점, 개선 방안 등을 모색하여 농민복지에 기여해야 한다는 복지 환원사업을 성실히 이끌어 나가고 있다. 이러한 노력은 어느 곳에서나 마찬가지였지만 특히 전남농협도지회는 이성재도지회장을 비롯한 직원들 모두가 일심동체가 되어 농민 건강에 대한 각별한 관심을 가지고 일해 왔다. 그것은 이 건강검사를 받은 농민들 특히 질병을 발견해 치료를 받은 사람들이 농협공제사업에 대한 필요성과 고마움을 이야기하는 데서 충분히 느낄 수 있었다. 기자는 지난해에 있었던 전남도지회 검사에서 자궁암을 발견한 17명 중 몇 사람을 만나 이야기를 들어봤다.

• The Monthly Diabetes
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• s.253
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• pp.34-35
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• 2010

50대 중반인 회사원 김 모 씨는 10년 전 당뇨병을 진단받았다. 요즘 그에게 말 못 할 고민이 생겼다. 아내와의 잠자리가 예전 같지 않다는 것. 어느 날부턴가 발기가 잘 되지 않더니 어렵사리 발기가 되도 오랫동안 유지되지 못했다. 처음에는 피곤해서 그러려니 하고 넘겼지만 그러기를 몇 번, 이제는 아내 볼 면목도 서지 않는다. 어딘가 털어놓을 곳도 마땅치 않고 남자로서 자존심 상하는 게 이만 저만이 아니다. 몇날 며칠 고민을 거듭하던 끝에 용기를 내 비뇨기과를 찾았다. 병원에서 찾은 김 씨는 발기부전에 대한 여러 가지 검사를 받았다. 기본적인 소변검사 및 혈액검사를 통해 남성호르몬 검사와 시청각 발기유발검사, 복합 초음파 검사 등이 실시되었다. 검사 결과 김 씨는 당뇨합병증으로 인해 음경의 신경과 말초 혈관에 이상이 생긴 것이 발견됐다. 바쁘게 생활하다 보니 식사조절이나 운동을 꾸준하게 실천하지 못해 혈당관리에도 신경을 쓰지 못하고 있었다.

• 건강소식
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• v.35 no.10
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• pp.30-31
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• 2011

생후 4개월부터 60개월 사이 영 유아에게 실시하는 건강검진은 성인의 건강검진과는 다르다. 성인 건강검진의 목적이 병을 조기에 발견하고 예방하는 데 있다면 영 유아 건강검진은 아이의 발육상태를 체크하기 위함이다. 영 유아 건강검진이란생후 4~60개월 사이 6차례(구강검진 3차례 포함)의 검진을 무료로 받는 것이다. 건강검진이라고 하면 피를 뽑고, 소변검사를 하는 것만 생각하는 시람들에게 영 유아 건강검진은 다소 생소할 수 있다. 키, 몸무게, 머리둘레를 재고 설문지를 작성하는 것으로 건강검진은 끝난다. 영 유아 건강검진은 기본적으로 아이의 발육상태를 체크하는 데에 그 목적이 있기 때문에 어른들이 일반적으로 받는 검사는 하지 않는다.

• Childhood Kidney Diseases
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• v.9 no.2
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• pp.128-136
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• 2005

Purpose : Urine collection using a sterile adhesive bag for urinalysis has been used commonly in infants and young children. However, this method has had some drawbacks. So, this study was performed to evaluate the usage of disposable diapers as a substitute for the routine urine collection method. Methods : 60 mL of self voided fresh urine was collected from 99 patients. Half of the urine was poured on the disposable diapers which did not contain absorbent gel beads. After 1 hr, we obtained the urine samples(extracted urine) by compressing the wet diapers using a 50 ml syringe. Routine, microscopic and biochemical analyses were performed on the other half of fresh urine and extracted urine. Then we compared each result by correlative analysis. Results : 198 samples from 99 patients were evaluated. The results of routine urinalysis except WBC and biochemical urinalysis showed a significant correlation between the two groups(P<0.05). The relative coefficients of urine SG, pH, glucose, protein, blood and leukocytes between the two groups were 0.964, 0.938, 0.977, 0.956, 0.931 and 0.738, respectively. Those of urinary sodium, potassium, chloride and creatinine were 0.997, 0.998, 0.995 and 0.998, respectively Microscopic examinations showed lower relative coefficients than the other results, 0.740 for RBC and 0.602 for WBC, but these were still significant(P<0.05). Conclusion : The results of the urine analysis with extracted urine from diapers correlates well with that of fresh urine. This new method is very helpful and can be used as an alternative of urine collection, especially for infants and young children. (J Korean Soc Pediatr Nephrol 2005;9:128-136)

• 학교보건
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• s.21
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• pp.9-17
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• 1998

• 학교보건
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• s.22
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• pp.9-21
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• 1999

• 학교보건
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• s.23
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• pp.61-73
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• 2000

• Journal of The Korean Society of Inherited Metabolic disease
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• v.16 no.1
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• pp.10-17
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• 2016

The 3-methylglutaconic aciduria (3-MGA-uria) is a heterogeneous group of several inborn errors of metabolism characterized by increased urinary excretion of 3-methylglutaconic acid. In most cases, 3-MGA is only slightly increased and combined with other metabolites. However, repeated and significant excretion of 3-MGA (40->1,000 mmol/mol creatinine) is a hallmark of the disorders of 3-MGA-urias. There have identified five distinct types of disorders: inborn errors of leucine metabolism and four disorders of mitochondrial dysfunction through different mechanism. The range of clinical and biochemical findings in this condition is variable. In the patients with 3-methylglutaconyl-CoA hydratase deficiency, increased 3-hydroxyisovaleric acid is useful in the differential diagnosis. Other forms of 3-MGA-urias are welldefined clinically such as Barth syndrome, Costeff syndrome, TMEM 70 defect, MEGDEL syndrome, and DCMA syndrome. We provide an overview of the expanding clinical spectrum and differential diagnosis of the 3-MGA-urias.

• Journal of The Korean Society of Inherited Metabolic disease
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• v.2 no.1
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• pp.89-94
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• 2002

Purpose : This study was performed to determine the safety and efficacy of recently developed specific formulas for phenylketonuria(PKU) patient by observing the growth and developmental pattern and serum phenylalanine level. Methods : We observed 14 patients diagnosed with PKU at Soon Chung Hyang University Hospital fed with formula for 1 year by checking daily diet diary and plasma aminoacids, Hb, Hct, WBC, Platelet count, ferritin, GOT, GPT, protein, albumin, globulin and urinalysis. Results : The 14 patients all liked the formula and height, weight and head circumference showed normal growth. Hemoglobin levels were in normal range, but 4 out of the 14 patients showed ferritin level lower than 12 ng/mL and needed iron supplements. Serum albumin, liver enzyme levels, urinalysis showed within normal range. The plasma phenyalanine levels were normal ranged 0.7-15.6 mg/dL. Adverse reactions such as rash, diarrhea or constipation were not observed. Conclusion : We confirmed that the specific formulas for PKU patients developed in Korea, PKU-1 and PKU-2 showed favorable results In development and treatment of PKU patients and could be used safely to children.

• Pediatric Infection and Vaccine
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• v.11 no.1
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• pp.90-100
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• 2004

Objective : Urinary tract infection(UTI) is a frequent serious bacterial infection in young infants. The clinical presentation may be non-specific and variable, depends on factors such as the age and the level of infection. Children with renal involvement may be at risk of permanent renal damage. Experimental studies have shown that renal lesions caused by acute febrile UTI may be prevented or diminished by early diagnosis and treatment. Therefore, it is important to find a method that can permit early diagnosis and identification of patients who are at risk for progressive renal damage. We designed this study to identify related factors in culture positive UTI infants, and also to identify related factors in culture negative UTI infants, who are febrile with pyuria, by using renal imaging and functional studies including renal sonography, DMSA scan and VCUG. Methods : Retrospectively analyzed the medical records of 136 febrile infants with pyuria over 2 years(from January 2001 to February 2003). Urine culture was done in all cases, and regardless of urine culture findings, renal imaging study was done if symptomatic UTI suspected. Results : Total 57 organisms were isolated in 53 patients. E. coli was the most common organism(86%), followed by E. faecalis, M. morganii, Proteus species, P. aeruginosa, S. aureus and E. fergusonii. Most of the isolates had high sensitivity on cephalosporins or amikacin and had low sensitivities on aminopenicillins. Abnormal acute phase DMSA scan or VCUG findings were seen in both urine culture positive and negative group without statistical differences(P>0.05). In febrile infants with pyuria, fever over 48 hours, older age and high CRP related to abnormal acute phase DMSA scan findings regardless urine culture results. Conclusion : 1st or 3rd generation cephalosporins with amikacin could be the first choice of treatment for UTI. Febrile infants with positive urine culture dose mean urinary tract infection but not acute pyelonephritis which directly relates to cortical damage which could be confirmed by acute phase DMSA scan. Even cases with negative urine culture findings, acute pyelonephritis should be concerned in febrile infants with pyuria who are older than 3 months of age, has fever over 48 hours or high CRP level. And in such cases, acute phase DMSA scan and VCUG should be evaluated for early treatment and long term prognosis.