• Journal of Nutrition and Health
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• 제13권1호
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• pp.27-36
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• 1980

A dietary survey of 100 children, aged 5 to 6, of Y.C. Kindergarten located in Yowido apartment compound of Seoul, was conducted July 18 to August 21, 1979. The results are summarized as follows: General family environment: Ninety four percent of the subjects were from families having two to three children, without grandparents in the home. One hundred percent of fathers were educated at or above the college level, while 83.9% of mothers had completed college. Mothers' ages ranged from 30 to 40 years, with 58% in the $31{\sim}35$ age bracket. Nearly 60% of the fathers were office and government employees, 10% were professors and teachers, 30% were engaged in businesses and other work, while 91.3% of mothers were unemployed. Anthropometric measurements: Mean values of standing height, body weight, girth of head and girth of chest, ranged from the 75th to the 90th percentile of Korean standards. None of the subjects had anthropometric indicators below the 5th percentile, representing the malnutrition borderline, of the Korean standards; while 12%, 24%, 17% and 14% of subjects supposed the 97th percentile in standing height, body weight, girth of head, and girth of chest, respectively. Furthermore, 58% of subjects exceeded Jelliffe's standard in arm circumferences; 60%, in triceps skinfold thickness; and 14.5% of subjects exceeded 120% of the latter standard. From this data, a certain number of these children were judged to he rather overweight. Dietary intake: Mean intake per day of energy and of nutrients, excluding iron, reached or exceeded Korean recommended dietary allowances. The energy input ratio of carbohydrate: protein: fat was 61.4 : 13.2 : 25.4, showing lower dependance on carbohydrates and higher dependance on fat for energy needs, compared with the average for Korean children of the same age group. Mean FAO-protein score of each subject's diet was shown to be as high as 90.6. Energy intake was divided among breakfast, lunch, and evening meal, on the average, in a ratio of 19.6 : 24.1 : 23.0. Approximately 33.3% of the daily caloric intake came from the snacks. Nutrition Knowledge of mothers: Nutrition knowledge of mothers was highly scored. Mothers' self-evaluations of their knowledge of nutrition was highly correlated with attitudes toward nutrition behavior.

• 대한한방소아과학회지
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• 제12권1호
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• pp.111-131
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• 1998

1. In oriental medicine, the case of sinusitis can be explained, not only external invasion such as PUNG HAN(wind-cold), PUNG YUL(wind-hot), SHUP YUL(damp-heat), but also functional disorder of internal organ such as spleen(脾), lung(肺), kidney(腎) The western medicine classified the cause of sinusitis as two factors. That is bacterial infection factor-Haemophilus influenza, streptococcus pyogeues, streptococcus pneumonia- and viral infection factor-Rhinovirus, parainfluenza, Echo28, Coxsacki21, Sinusitis is complicated to allergic rhinitis, chronic otitis media purulent, chronic tonsilitis, sinubronchitis. On the condition of nasal septum deformity, turbinates deformity, nasal septum deviation, sinusitis can be developed. the predisposing factors of sinusitis is swimming, air pollution, malnutrition, shortage of immunity.2. According to survey, sinusitis occurred that children from 4 to 12 years old and from 5 to 7 years old occupied 70% 3. From the past history data, they experienced chronic tonsillar hypertropy(20%), otitis media, atopic dermatitis, allergic rhinitis, bronchial asthma, pneumonia, bronchiolitis, chronic sore throat, urticaria, milk allergy in sequence. 4. the symptoms of sinusitis is nasal obstruction, postnasal dripping, purulunt(yellow)or white discharge, cough, nose bleeding in sequence. nasal obstruction take the portion of 95%, postnasal dripping 65%, night time or early morning cough 60%. 5. The suffering period of sinusitis is 6 month minimum, 4 years maximum, most cases are included in a year. The suffering period of children was shorter than adult. 6. Diagnosis depend on inspection of nasal cavity, postnasal dripping, X-ray finding. 75% of patient(15case) showed both maxillary sinusitis, 25%(5cases) showed left or right maxillary sinusitis. 7. Treatment of oriental medicine, consist of Herb-medicine, acupuncture and exposing of Lazer beam. Kamihyunggyeyungyotang(加味荊芥蓮翹湯) is administered mainly as the medical therapy, Kamigwaghyangjeungkisan(加味藿香正氣散) Kimizwakwieum(加味左歸飮), Kamihyangsosan(加味香蘇散) is administered for a additional symptoms which occurred by influenza recurrence. Kamijeonxibackchulsan(加味錢氏白朮散) is administered to treat gastro-intestine trouble patients who have sinusitis. 8. The period of treatment is varied with patient conditions and X-ray finding. The minimal period is 35days, maximal period is 202days. So it took about 86days in average and about 50% of patient(10cases) is recovered in one or two month.

• Clinical and Experimental Pediatrics
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• 제51권3호
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• pp.329-334
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• 2008

Kwashiorkor는 단백질 결핍으로 인한 영양실조로 저알부민혈증, 설사, 피부염, 부종을 증상으로 나타낸다. 단백질-열량 결핍은 면역결핍을 초래하고 이는 감염에 대한 감수성을 높임으로써 생명을 위협하는 상태가 될 수 있다. 치료는 조기 영양공급, 감염증 치료가 주이며, 치료 경과 중 확장성 심근증이 나타날 수 있으며 이 경우 예후가 안 좋다. Kwashiorkor는 주로 빈곤한 나라에서 생긴다고 알려져 왔으며, 기술적으로 진보한 나라에서 치명적인 결과까지 낳은 예는 보고된 바가 없었다. 치명적인 kwashiorkor 1례를 경험하였기에 보고하는 바이다. 환아는 가난때문이 아니라 부모의 잘못된 생각으로 2개월 동안 곡물에 태운 곡식가루만 먹었으며, 설사, 전신 부종, 홍반, 저체온증 등을 주소로 입원하였다. 면역 결핍이 있는 상태였으며, 혈액 배양 검사상 Alcaligenes Xylosoxidans가 동정되었다. 단백질 보충식이 및 항생제 치료, 정주용 면역글로불린치료, 미세영양소 보충하였으나 확장성 심근병증, 다발성 장기 부전으로 사망하였다.

• Journal of Nutrition and Health
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• 제45권1호
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• pp.30-43
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• 2012

Patients undergoing peritoneal dialysis are at risk for protein-energy malnutrition because of nutrient losses during dialysis. This study determined the nutritional status of patients undergoing continuous ambulatory peritoneal dialysis (CAPD). Forty-four patients receiving CAPD were divided into two groups according to dialysis period. We investigated the nutritional status of the patients by measuring anthropometric and biochemical parameters, as well as food intake, self-appetite, dietary habits, a subjective global assessment, and a total nutritional status assessment. Group I subjects (7 males, 13 females) had received dialysis for < 2 years, whereas the group II subjects (18 males, 6 females) received dialysis for ${\geq}$ 2 years. Energy intake with added dextrose in the dialysate per kg of body weight was $30.3{\pm}5.8$ kcal in group I and $29.0{\pm}8.1$ kcal in group II. The average protein intake per kg of weight was $1.0{\pm}0.3$ g in group I and $1.0{\pm}0.4$ g in group II, which were less than the recommended protein intake for patients undergoing CAPD (1.2-1.5 g/kg). Mean serum albumin level was significantly lower in group II than that in group I (p < 0.05). A recent self-appetite score was significantly higher in group II than that in group I (p < 0.01). The dietary habits score was significantly lower in group II than that in group I (p < 0.05). The subjective global assessment was significantly higher in group I (85.0%) than that in group II (54.2%) under normal nutrition status (p < 0.05). The dialysis period was significantly and negatively correlated with the subjective global assessment (r = -0.502, p < 0.01) and the total nutritional status assessment (r = -0.575, p < 0.01). These results demonstrated that patients undergoing CAPD for ${\geq}$ 2 years had worse nutritional status than those who had been undergoing dialysis for < 2 years. Good nutritional status can predict the long-term survival of patients undergoing peritoneal dialysis. Additionally, the exact evaluation of nutritional status before 2 years will be important to maintain long-term dialysis therapy in patients undergoing CAPD.

• Journal of Nutrition and Health
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• 제25권2호
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• pp.187-199
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• 1992

1960년에서 1990년까지 발표된 영양조사 관련논문 336편을 9(영유아, 학동기아동, 청소년, 대학생, 임신수유부, 주부, 노인, 근로자, 환자)개 대상 집단별로 나누어 각 대상집단의 영양조사에 적용된 조사방법을 분석한 결과는 아래와 같다. 영양조사의 대상별 분포를 보면 영유아, 학동기아동, 대학생, 청소년, 주부, 노인, 근로자, 수유부, 환자의 순이었다. 조사건수의 85%가 식이조사를 포함였으며, 식이섭취조사법의 이용이 증가되었다. 설문지의 조사표를 이용하여 식습관, 영양지식등 식생활 상황을 파악한 논문이 가장 많았으며 그 내용도 대상집단에 따라 다양하였다. 논문의 53%가 신체계측조사를 적용하였으며 영유아, 학동기 아동의 경우는 신장과 체중을 계측하여 발육표준치와 비교하여 성장발육을 측정하였고, 성인의 경우는 신장과 체중을 이용하여 body mass index를 구하거나 피부투겹두께를 측정하여 체조성을 관찰하였으며, 최근에는 영양부족으로 인한성장 지연이나 열세한 체위보다는 영양과잉섭취로 인한 비만 쪽으로의 연구가 증가하고 있었으며 따라서 정확한 체지방측정 방법을 모색하는 연구논문이 다수 있었다. 생화학적 조사를 수행한 연구논문은 32%로서 숫자에 있어서는 거의 빈혈에 관한 생화학적 조사가 대부분을 차지하였다. 단백질 영양상태 판정을 위한 조사가 다수 있었으며, 무기질에 있어서는 Na과K이 주를 이루었고 비타민에 관한 생화학적 조사는 매우 부진하였다. 임상조사는 26%로서 그 적용빈도가 가장 낮았으며 특히 영양결핍성 신체징후를 관찰한 경우는 5%정도에 그쳤다. 반면에 대상자의 자각증상에 관한 설문 또는 조사표를 이용한 건강상태자각정도와 피로도 등을 측정하는 사례가 많았다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제32권3호
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• pp.260-264
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• 2010

Treatment of the mandibular fracture consists of reduction and fixation. The apparatus that is used to keep the jaws together during healing will often reduce the fracture as well. When the jaws are brought together and intermaxillary elastic rubber traction is placed, the occlusion of the teeth will help to orient the fractured parts into good position. Intermaxillary fixation, that is, fixation obtained by elastic bands between the upper & lower jaws to which suitable anchoring devices have been attached, will successfully treat most fractures of the mandible. Arch bars are perhaps the ideal method for intermaxillary fixation. Several types of ready-made arch bars are used. But, daily occupational life and oral hygiene is difficult to maintain during the period of longterm immobilized intermaxillary fixation (commonly 6-8 weeks), owing to malnutrition and emotional disorders in a position of the patient with mandibular fractures. Most mandibular fractures heal well enough to allow removal of fixation in about 6 weeks. Though there are many complications of mandibular fracture, such as infection, hemorrhage, trismus, paresthesia and nonunion, it is favorable to attain the short-term removable intermaxillary fixation care by use of an additive incision & drainage establishment on the oral lacerated wounds of adjacent mandibular compound fractures. The purpose of an additive incision & drainge establishment is the prevention of wound infection & nonunion by removing the hematoma & seroma in the fracture sites.

• 한국임상약학회지
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• 제9권1호
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• pp.19-26
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• 1999

Adequate nutrition is important in maintaining optimal health. Malnutrition can expose individual to increased risks of morbidity and mortality. The purposes of this study were to determine the basal energy expenditure (BEE) of Korean healthy subjects and TPN patients using Bioelectrical Impedance Analysis (BIA) method and to compare these values with those predicted by Harris-Benedict equation (H-B). BEE values measured by BIA were compared with predicted BEE values by the H-B formula in 59 clinically stable TPN patients and 65 healthy volunteers. In healthy volunteers and TPN patients, statistically significant differences were not shown between the BEE values measured by BIA (1392.5 Kcal and 1325.9 Kcal) and those predicted by H-B formula (1384.1 Kcal and 1270.1 Kcal). In male volunteers, statistically significant differences were not shown between BEE values measured by BIA (1670.7 Kcal) and the H-B formula (1550.9 Kcal), but in female volunteers, statistically significant differences were shown between BEE values measured by BIA (1194.8 Kcal) and the H-B formula (1265.6 Kcal). In male TPN patients, statistically significant differences were shown between BEE values measured by BIA (1453.5 Kcal) and the H-B formula (1335.9 Kcal), but in female TPN patients, statistically significant differences were not shown between BEE values measured by BIA (1126.4 Kcal) and the H-B formula (1167.2 Kcal). In normal healthy volunteers, $90.8\%$ of BEE values measured by BIA and in TPN patients $89.8\%$ of BEE values measured by BIA were within $15\%$ of BEE values predicted by the H-B formula in non-obese subjects. In conclusion, BEE values predicted by H-B formula or measured by BIA can be applied to non-obese Koreans. However, these values should be confirmed with Indirect calorimetry for Koreans.

• 한국농촌생활과학회지
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• 제4권2호
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• pp.155-162
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• 1993

BIDANI는 활동-연구계획으로서 지역주민이 상부기관의 계획 입안자와 밀접한 관계를 유지하면서 자신의 활동과 포부를 프로그램에 반영토록 하는데 그 목표를 두고 있다. BIDANI는 지역차원의 종합개발 접근이며, 주민의 참여서비스로 지역종합개발계획(BIDP)을 수립한다. 지역의 상황분석, 문제점 우선순위 및 잠재자원의 확인은 주민에 의해 수행된다. 상향식 접근으로 참여 계획을 수립하고 BIDP를 공식화한다. 적절한 유인과 지원으로 지역주민의 참여를 촉진한다. 정부와 사립기관의 사업과 자원활용의 접근성과 효율성을 높힌다. 고위험영양불량 가족집단을 개발프로그램 활동에 참여케 하여 영양의 중요성을 인식케 한다. 정치 및 사회경제적 배려를 최하위 수준에 통합 시키토록 운영한다. 군/시장을 사업소장으로 임명하는 제도화를 통해 프로그램 수행과 지속성을 촉진한다. 따라서 시/군 종합개발프로그램 (C/MIDP)의 “하향식” 계획은 지역의 “상향식” 계획과 연계된다. 시/군지역개발훈련원을 설립하여 지역주재 요원과 주민의 계속 교육을 도모하는 것이 성공과 활력으로 유인하는 개발촉진 요소이다. 비정치적 부문, 즉 학술기관과 사립기관과의 기능적 연계를 강화한다.

• 한국지역사회생활과학회지
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• 제18권2호
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• pp.335-348
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• 2007

This study aimed to investigate how the current elementary school teachers think about nutrition education, how they are teaching, and what kind of problems have occurred. And this study was made to provide basic materials to be used for the effective nutrition education in the elementary school. The survey was done on 60 elementary school teachers and 570 elementary school students of the 5th and 6th grade in Gyeonggi Province by questionnaire and analyzed for the perception of nutrition education, current status of nutrition education, nutrition knowledge and cooking knowledge. The average scores of nutrition knowledge were 2.72 for male and 3.75 for female students out of full score of 5. The fifth grade students learned more nutrition education than the sixth grade ones in accordance with the different curricula. Nutrition education was taught as apart of other subjects(87%) and mainly done by lectures. For most of the students, information source of the nutrition education was the meal service(47.4%) and the most common one was the Internet that 38.1 % of the teachers used. Most of the students responded that nutrition education was necessary in the curriculum of elementary school for proper growth(36.2%), intelligence(25.9%), health(21.5%), and dieting(16.4%). The perception for the suitable teacher was in the order of nutrition specialist and dietician. And the right time of the related class was in the order of spare time everyday, a special activity time, and the meal service time. The important contents of nutrition education were in the order of proper eating habits, growth & nutrition, food hygiene and diseases. Nutrition problems of the elementary students were in the order of unbalanced diet, too much ingestion of processed and instant foods, lack of table manners, and child fatness and weakness. 80.0% of the teachers supported the early nutrition education and demanded it should begin when children are in kindergarten. The analysis showed that nutrition education should be taught by parents(29.4%), teachers(29.2%), and nutritionists(25.9%) and that family and school should cooperate closely. Main responses of the teachers to the children's problems were that they had too much instant food, did not eat in a variety, and had no manners in eating. Ironically, they thought malnutrition, fainting and growth stunt were not important nutrition related problems.

• 한국방사선학회논문지
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• 제4권3호
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• pp.19-25
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• 2010

연하장애는 뇌졸중 후 환자들에게 일반적으로 발생하지만 동시에 매우 심각한 증상이다. 기도 흡인을 동반한 뇌졸중 환자는 탈수, 영양실조, 폐렴, 폐혈증 심하면 사망에 이를 수 있다. 최근까지도 구개반사와 숨막힘 경험 등이 기도흡인을 결정하는 임상적 지표로 주로 사용되어져 왔다. 이 연구의 목적은 뇌졸중 후 연하장애 환자들을 대상으로 비디오투시 연하검사를 통해 기도흡인을 평가하고 적절한 식이 형태를 선택하는데 있다. 58명의 뇌졸중 환자와 10명의 정상군을 대상으로 하였고 액체, 푸딩, 요플레, 밥 등을 바륨과 혼합하여 투시를 실시하며 먹게하였다. 두명의 재활의학과 의사와 한 명의 방사선사가 위상(구강기, 인두기, 식도기)을 분석하였고, 식도 통과시간을 체크하였다. 인두기는 38명의 환자에서 비정상으로 나타났고, 13명의 환자가 구강기와 인두기에서, 3명의 환자는 구강기에서 2명의 환자는 인두기와 식도기에서 비정상적인 소견을 보였다. 전체 환자중 43명(65.2%)에서 기도흡인을 보였고, 그 중 23명은 턱을 치켜 올리는 자세를 취하여 개선이 관찰되었다. 흡인이 일어난 환자중 34명은 액체타입에서, 2명은 죽타입에서 흡인이 일어났고, 밥에서는 흡인이 없었다. 비디오투시 검사 결과를 통해 비위관을 통해 음식을 섭취하던 23명중 13명이 구강으로 섭취방법을 변경하였으며, 구강 섭취를 하던 43명중 2명은 비위관으로 섭취방법을 변경하였다. 결론적으로 비디오투시 연하조영검사는 뇌졸중 후 연하장애환자의 기도흡인을 평가하는데 매우 유용하다고 할 수 있다.