• 제목/요약/키워드: anemia

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국민건강영양조사 제7기 (2016-2018년)에서의 가구 유형에 따른 성인의 빈혈 유병율과 식이 섭취 (The relationship between the prevalence of anemia and dietary intake among adults according to household types based on data from the 7th (2016-2018) Korea National Health and Nutrition Examination Survey)

  • 김혜원;김지명
    • Journal of Nutrition and Health
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    • 제56권5호
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    • pp.510-522
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    • 2023
  • 본 연구에서는 국민건강영양조사 제7기 (2016-2018년) 자료를 활용하여 가구 유형에 따른 빈혈 유병률과 식이 섭취와의 관계를 살펴보았다. 그 결과 빈혈 유병률은 남성 1인 가구가 다인 가구보다 높았으며, 여성은 다인 가구가 1인 가구보다 높았다. 식품 섭취량은 남성 1인 가구는 다인 가구보다 총 식품 섭취량, 견과류, 채소류, 과일류, 생선류, 해조류의 섭취량이 낮았으며, 우유류, 유지류, 가공식품 섭취량이 높았다. 또한 남성 1인 가구는 다인 가구보다 식물성 식품을 통한 철 섭취량이 적었으며, 철의 영양섭취량과 영양 밀도, 영양소섭취기준 RNI 대비 섭취비율이 낮았고, 75% RNI 미만 섭취비율과 EAR 미만 섭취비율이 더 높았다. 여성 1인 가구는 다인 가구보다 해조류의 섭취량이 적었고, 우유류의 섭취량이 많았다. 남성과 여성 모두 KHEI 총점은 1인 가구가 다인 가구보다 낮았다. 교란인자를 보정하여 가구 유형과 빈혈 위험도의 관계를 분석하였을 때에는 남성 1인 가구가 다인 가구보다 빈혈 위험도가 높았으나, 여성은 관련을 보이지 않았다. 또한, 남성과 여성 모두 총 KHEI 점수와 가구 유형별 빈혈 위험도는 관련성이 없었다. 결론적으로, 우리나라의 1인 가구와 빈혈 유병율이 증가하는 가운데, 남성 1인 가구가 다인 가구보다 식이 요인으로 인한 빈혈 위험이 더 높음이 확인되었기에, 남성 1인 가구에서의 빈혈 예방 및 관리를 위한 식사지침이 마련되어야 할 것이다.

빈혈이 있는 여호와의 증인 환자에서 무수혈 양악교정 수술 (Experience of a Bloodless Two-Jaw Surgery and Care in Jehovah's Witnesses with Anemia)

  • 이정만;서광석;김현정;신순영
    • 대한치과마취과학회지
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    • 제12권1호
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    • pp.25-31
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    • 2012
  • We report a case of 15 year-old Jehovah's Witness patient with mild anemia who underwent a successful orthognathic two-jaw surgery. Jehovah's Witness patients refuse transfusion of blood or blood products even in life threatening situations. The use of recombinant human erythropoietin and iron supplement increased hemoglobin during preoperative period. Intraoperatively, meticulous surgical hemostasis, acute normovolemic hemodilution and induced hypotension enabled the completion of the operation without the use of blood products.

철분 결핍성 빈혈을 동반한 Esophageal Web [PlummerVinson Syndrome]치험 1 (Upper esophageal web with dysphagia and Iron-deficiency Anemia [Plummer-Vinson syndrome] - A case report -)

  • 김주현;나명훈
    • Journal of Chest Surgery
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    • 제20권2호
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    • pp.374-378
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    • 1987
  • Plummer-Vinson syndrome is also termed Paterson-Brown-Kelly syndrome and sideropenic dysphagia, because it was described originally by Paterson and Kelly in 19`19 and it was often combined with iron-deficiency anemia. The syndrome is encountered most often in middle-aged anemic female. It is characterized by dysphagia referred to the upper esophagus, atrophy of the oral or pharyngeal mucous membranes, koilonychia, and stenosis or webs of the upper esophageal mucosa. And it is also related to the late occurrence of the carcinoma of the upper esophagus. Here is presented a case of upper esophageal web with dysphagia and iron-deficiency anemia with review of literature, which was treated by the surgical esophagoplasty to relieve the symptom of dysphagia and to widen the upper esophageal narrowing.

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녹혈이 빈혈유발 Mouse에 미치는 영향 (Effect of Deer Blood on Aplastic Anemia Induced Mouse)

  • 김상미;하혜경;홍순복;김정숙
    • 한국한의학연구원논문집
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    • 제10권1호
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    • pp.127-135
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    • 2004
  • Hematopoietic stem cells in bone marrow form all kinds of blood cells. In traditional medicine, functions of bone marrow cells are very similar to those of Essence(精) which is a fundamental factor of physical development and reproduction. Our experiment examined the effect of deer blood on aplastic anemia induced mouse using cyclophosphamide 150 mg/kg i.p injection before experiment and then another cyclophosphamide 120 mg/kg i.p injection on day 10. Then we administrated dried deer blood in distilled water for 5 days, 9 days and 10 days. We examined blood and marrow samples. In results, deer blood showed a trend of effectiveness on recovery of red blood cells and erythropoietin although they were not statistical significant. And deer blood did not show changes in CD34.

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만성골수성(慢性骨髓性) 백혈병(白血病)의 Ferrokinetics (Ferrokinetics on Chronic Myelogenous Leukemia)

  • 황기석;정창근;이재창
    • 대한핵의학회지
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    • 제1권2호
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    • pp.35-39
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    • 1967
  • Ferrokinetcs by Pollycove's method on 2 cases of Chronic myelogenous leukemia were presented in order to study the erythropoietic function and pathogenesis of anemia. The results are as follows. (1) The daily hemoglobin syntheses were slightly elevated. Both the mean effective hemoglobinization time and mean erythron life span were shortened. The maximum net ROC incorporations of $^{59}Fe$ weere decreased. The in vivo surface measurements of radioactivity over liver, spleen, and sacral bone marrow revealed findings consistant with hemolysis and extramedullary hematopoies. (2) Based upon those findings it is assumed that anemia in chronic myelogenous leukemia may result from hemolysis and inadequate compensation to the developing anemia.

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잔여 심실중격결손과 우심실 유출로 협착으로 유발된 용혈성 빈혈의 외과적 치험 (Surgical Treatment of Hemolytic Anemia Induced by Residual VSD and PS)

  • 홍민수
    • Journal of Chest Surgery
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    • 제25권11호
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    • pp.1250-1253
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    • 1992
  • A patient with intravascular hemolysis due to residual shunt and right ventricular outflow track obstruction after total correction of TOF was presented. The patient was 29 years old female. She underwented VSD closure with dacron patch, infundibulectomy, pulmonic valvotomy and direct closure of PFO. 8 months after the operation, severe intravascular hemolysis and hemolytic anemia appeared. Conservative therapies were not effective, her general condition and laboratory finding got worse gradually. She underwent reoperation, the shunt was closed and right ventricular outflow tract obstruction was corrected by pulmonary valvotomy, infudibulectomy and transannular patch. After operation, hemolysis disappeared dramatically. Severe hemolysis may induce renal failure and necessitate transfusion frequently. If hemolytic anemia is not corrected by conservative treatment, early reoperation is required.

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단기간 과량의 마늘투여가 HK phenotype 진도견의 혈액상에 미치는 영향 (The Effect of Short-Term Administration of Excessive Amount of Garlic on Hematology in HK Phenotype Jindo-Dog)

  • 진태원;김홍태;장우석;오태호;송재찬;정규식;박승춘;이근우
    • 한국임상수의학회지
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    • 제18권3호
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    • pp.232-236
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    • 2001
  • It has been known that garlic, one of the essential ingredient in korean food, has a hypotensive effect. and it is reported that they lower the level of triglycerides, cholesterol and glucose in blood. Especially, the sulfur containing amine acid and the derivatives of the garlic has the counteracting effect to heavy metals. Nowadays, the garlic is known for its efficiency for the various kinds of cancer, neoplasms, hypertension, arteriosclerosis and apoplexy. But, it is reported that the intake of the excessive amount of garlic causes hemolytic anemia recently. The hemolytic anemia is more severe especially in HK phenotype dogs which has a Na-K-ATPase activity. Therefore, this study was performed to examine the effect on the blood of the HK phenotype Jindo dogs when administered the excessive amount of garlic. HK phenotype group showed the significant decrease on RBC, WBC, PCV, Hb, MCV, MCHC, GSH, Met-Hb but LK phenotype group didn't show the significant decrease.

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개에 있어서 면역매개성 용혈성빈혈 일례 (Immune Mediated Hemolytic Anemia in a Dog)

  • 최은화;이창우
    • 한국임상수의학회지
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    • 제18권3호
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    • pp.288-292
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    • 2001
  • A 3-year-old, 4.0 kg, intact male shih-tzu dog with anorexia, depression, pale mucous membranes, tachypnea, tachycardia was referred to the Veterinary Medical Teaching Hospital. Autoagglutination was observed by naked eye when blood was collected in an EDTA-tube and many spherocytes were found on a Diff-Quik stained blood smear. PCV was 6% and indirect bilirubin was increased markedly. So the immune-mediated hemolytic anemia was diagnosed. Autoagglutination was too severe to perform cross-matching test. Blood was not transfused as it might accelerate or precipitate hemolytic crisis, and regeneration of erythrocytes was very good. Thus corticosteroid of immunosuppressive dose and fluid were administered and PCV was monitored. Although blood was not transfused, PCV increased from 6 to 15.9% in a day and to 30% 7 days later. Therapy for liver was concurrently conducted because liver enzyme activities were high. Corticosteroid tappering therapy was conducted for 75 days and PCV was recovered to 46% after 4 months form start of the treatment.

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A case of protein losing nephropathy in a dog infected with canine Babesia gibsoni

  • Kim, Ha-Jung;Park, Chul;Jung, Dong-In;Kang, Byeong-Teck;Kim, Ju-Won;Lim, Chae-Young;Park, Hee-Myung
    • 대한수의학회지
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    • 제46권1호
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    • pp.77-81
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    • 2006
  • A 1-year and 6-month-old, intact male, Shih-tzu dog was referred to the Konkuk University Veterinary Teaching Hospital, due to ascite, melena, severe anemia, and polyuria/polydipsia. Complete blood count showed moderate leukocytosis, lymphocytosis, monocytosis, and microcytic hypochromic nonregenerative anemia. On serum biochemistry profiles, hypoalbuminemia and hypoproteinemia were observed, and proteinuria was detected on urinalysis. Pleural effusion and mild ascites were noted in radiological findings, and bilateral nephromegaly was noted on ultrasonography. Babesia gibsoni was detected by PCR. Babesiosis and glomerular disease was treated at a time with prednisolone and buparvaquone. This therapeutic regime was very efficacious and clinical sings were rapidly improved. Proteinuria and severe anemia were disappeared following therapy.

Pembrolizumab-related autoimmune hemolytic anemia in a patient with metastatic lung adenocarcinoma: a case report

  • Baek, Dong Won;Chae, Yee Soo
    • Journal of Yeungnam Medical Science
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    • 제38권4호
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    • pp.366-370
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    • 2021
  • Immune checkpoint inhibitors (ICIs) have become the main drugs for programmed cell death receptor-1 or ligand-1 expressing non-small cell lung cancer (NSCLC) combined with conventional chemotherapy. ICIs are generally more tolerable than cytotoxic chemotherapies in terms of toxicity, and ICI-related adverse events are mild and manageable. However, these drugs may lead to unexpected severe adverse events such as immune-related hematologic toxicities, which could be life-threatening. Here, a rare case of a pembrolizumab-related adverse event in a patient with NSCLC who showed early-onset hemolytic anemia and recovered by high-dose steroid and a series of plasma exchanges is reported.