매일 두통을 주소로 방문한 환자에서 새롭게 진단된 2형 당뇨병 1례

노영일 대한소아신경학회 2010 대한소아신경학회지 Vol.18 No.2

The relation between headache and diabetes mellitus (DM) is interesting. The pathogenesis of headache in diabetic patients has been suggested to stem from the fact that DM reduces vascular reactivity and causes numerous changes of neuro- transmitters that may be relevant in the pathogenesis of migraines; however, this mechanism remains unclear. We report a 17-year-old female patient with newly diagnosed type 2 diabetes mellitus, without any past history and symptoms of diabetes mellitus, who presented with persistent severe headache for 10 days. She did not complain of any headache following DM treatment. The author recommends that pediatricians consider and investigate diabetes mellitus in cases of progressive or persistent headache or refractory headache with headache treatment.

격막을 동반한 공장협착증 1례

노영일,문경래 朝鮮大學校 附設 醫學硏究所 1996 The Medical Journal of Chosun University Vol.21 No.2

Jejunal and ileal atresias are thought to be acquired in utero as the result of an intrauterine vascular accident rather than failure of initial canalization of the gut. Stenosis and diaphragm are very rare in the jejunum. We experienced a 16 day-old male who showed bilous vomiting and moderate dehydration. The plain abdominal radiograph and the UGIS revealed marked distension of the stomach, the duodenum & the proximal jejunum, and noted that gas and barium were seen distal to the obstructed segment of the proximal jejunum. Proximal jejunal stenosis with fenetrated type of diaphragm was diagnosed by an operation. We reported this case with a related literature review.

Reflex seizures induced by micturition : A pediatric case and ictal EEG finding

노영일 대한소아청소년과학회 2008 Clinical and Experimental Pediatrics (CEP) Vol.51 No.12

Reflex seizures induced by micturition are rare, and there have been few reports on ictal electroencephalogram (EEG) findings. Here, we report a 7-year-old boy with secondarily generalized partial seizures induced by micturition. The seizures occurred every time he urinated. A few seconds after micturition begun, he toppled down with hand automatism followed by a secondarily generalized tonic posture and loss of consciousness. Ictal video-EEG recording during urination was performed. An ictal EEG demonstrated a polyspike wave discharge onset from the left frontotemporal region, with rapid spread to the right frontotemporal region. He was treated with the antiepileptic drug valproate sodium, which improved seizure control. He remained seizure-free until the last followup for a period of 2 years.

Isolation and Morphological Features of Primo Vessels in Rabbit Lymph Vessels

노영일,이상석,Minsuk Rho,유영민,Sharon Jiyoon Jung 사단법인약침학회 2012 Journal of Acupuncture & Meridian Studies Vol.5 No.5

Until now, even though intensive research has been dedicated to the primo vascular system (PVS) during these years, no statistical data on primo vessels and primo vessels in lymph flow have been available. Recently, the general morphological features of primo vessels in lymph vessels around the abdominal aorta were identified from microdissections of tissues from New Zealand White rabbits, and with Alcian blue staining, primo vessels in lymphatic vessels could be definitely identified under a digital microscope. The micro-dissected specimens in situ reveal rod-shaped nuclei stained by Acridine orange. The blue-stained nuclei, which were distributed in a broken-lined stripe, formed a tube structure of about 20 mm in diameter. The distance between the nuclei of two cells on neighboring aligned stripes, which is also the diameter of the micro tube, was measured to be about 5w10mm. The average length of the primo vessels was 2.4 mm, with the longest being 5.6 mm. The average size of the primo vessel was 50 mm, and the average diameters of the primo and the lymph vessels were 26.0 mmand 258.5 mm, respectively. Occasionally, without the use of Alcian blue staining,milk-white transparent primo vessels were observed floating in lymph vessels. Thus, we suggest that the PVS might also have an important function connected with the lymph system. We also expect the traditional Korean meridian system to leave its invisible world during the last thousands of years and soon enter the visible scientific world.

격막을 동반한 공장협착증 1례

노영일,문경래 조선의대 1996 The Medical Journal of Chosun University Vol.21 No.2

소아 긴장형두통의 진단과 치료

노영일 朝鮮大學校 附設 醫學硏究所 2009 The Medical Journal of Chosun University Vol.33 No.S

The tension-type headache is at least as common as migraine, affecting 10-25% of schoolchildren and adolescents. The distinction of tension-type headache from migraine can be difficult; use of The International Classification of Headache Disorders (ICHD) criteria helps. In ICHD-2, the same diagnostic criteria are used for the diagnosis of tension-type headache in children, adolescents, and adults. These criteria divide tension-type headache into three subtypes: infrequent episodic, frequent episodic, and chronic. The pathophysiology of tension-type headache is largely unkown. Recently, many believe that tension-type headache and migraine represent the same pathophysiological spectrum. Some indications of effective treatment exist. For children with frequent headache, the antidepressant amitriptyline might be beneficial for prophylaxis. Restricted studies have suggested the efficacy of psychological and cognitive behavioural approaches in the treatment of childhood tension-type headache.

학동기 아동의 비만유병률과 체중조절 실태에 관한 연구

노영일,김강호,양은석,박영봉,박상기,박종,문경래,Rho, Young-Ill,Kim, Kang-Ho,Yang, Eun-Seok,Park, Young-Bong,Park, Sang-Kee,Park, Jong,Moon, Kyung-Rye 대한소아소화기영양학회 2000 Pediatric gastroenterology, hepatology & nutrition Vol.3 No.2

목 적: 초등학교 아동에서 체중조절 실태를 조사하고 비만도, 체형인식 정도와 체중조절과의 관련성을 파악하여, 무분별한 체중조절에 의한 건강장애 평가를 위한 기본적인 자료를 얻고자 본 연구를 하였다. 방 법: 1997년 5월부터 1997년 6월까지 광주시내 5개 초등학교 5, 6학년 1,741명을 대상으로 신장과 체중을 측정하여 비만도를 계산하고 체형인식과 체중조절실태를 설문 조사하였다. 결 과: 1) 비만도를 기준으로 남학생에서는 비만 19.5%, 정상 70.5%, 야윈 경우 10.1%였으며, 여학생에서는 각각 10.5%, 66.3%, 23.1%였다. 설문조사에서 자신의 체형을 비만, 정상, 야윈 경우로 응답한 경우가 남학생는 각각 18.4%, 58.4%, 23.2%이었으며, 여학생는 각각 24.5%, 58.6%, 16.9%이었다. 2) 체형을 인식하는 기준은 체중을 직접 재보고 88.0%, 친구와 비교해서 77.9%, 부모가 뚱뚱하다고 해서 62.7% 등의 순이었다. 3) 체중조절을 위한 정보을 얻은 곳은 라디오. TV 44.%, 책.신문.잡지 30%, 가족.친척 17%, 친구.선배 9%순이었다. 4) 비만도를 기준으로 정상이거나 야윈 남학생의 6.8%, 여학생의 19.4%는 자신이 비만에 속한다고 응답하였으며, 비만도를 기준으로 비만인 남학생의 32.6%, 여학생의 28.7%는 자신이 정상 체중에 속한다고 응답하여 여학생이 비만에 대해 더 민감한 반응을 보였다. 5) 비만도를 기준으로 남학생에서는 야윈 경우 18.0%, 정상 18.7%, 비만아의 36.7%에서, 여학생에 서는 야윈 경우 17.8%, 정상 22.4%, 비만아의 46.3%에서 한가지 이상의 체중조절 방법을 2주 이상 하였다(p<0.0005). 6) 실제체중이 정상 이하인데 정상이라고 인식하는 아동의 17.3%, 비만하다고 인식하는 아동의 37.2%에서 2주 이상 계속 한가지 이상의 체중조절을 하였다(p<0.001). 결 론: 학동기 아동에서 심지어 야윈 경우에서조차 체중조절 방법을 실시하고 있어 무분별한 체중 조절로 인하여 성장장애, 영양결핍 등의 문제점이 있을 것으로 생각되므로 이에 대한 심도 있는 연구와 적절한 보건교육의 도입이 필요하다. Purpose: The purpose of our study is to provide useful information for the prevalence of obesity by the standard weight for height and the relationship of the body image to dieting methods for weight control in children. Methods: The survey was performed by an anthropometry and a special questionnaire on children in grades 5 to 6 at elementary schools from May to June 1997 in Kwangju city. Results: 1) Selected individuals were categorized into obese, normal, thin by the standard weight for height and body image. The prevalence of obesity by the standard weight for height was 19.5%, normal was 70.5%, thin was 10.1% in males and respectively 10.5%, 66.3%, 23.1% in females. The prevalence of obesity in regards to body image was 18.4%, normal was 58.4%, thin was 23.2% in males and respectively 24.5%, 58.6%, 16.9% in females. 2) The obese body image was 6.8% in normal and thin groups in males and 19.4% in females. The body image of obese children who do not perceive themselves as obese was 32.6% in males and 28.7% in females. 3) The standard body image was 88.8% as realized by themselves, 77.9% when they compared themselves to friends, 62.7% as told by parents, 56.8% as told by friends, and 29.9% when they compared themselves to celebrities. 4) The source of information for dieting treatment was 44% from radio and television, 30% from books, newspapers, magazines, 17% from family and 9% from friends and seniors. 5) The prevalence of dieting according to the standard weight for height was 18.0% in thin, 18.7% in normal and 36.7% in obese group in males and respectively 17.8%, 22.4%, 46.3% in females. There was a statistically significant correlation between males and females (p<0.0005). 6) The prevalence of dieting up to 2 weeks in the thin and normal groups as recognized by weight centile was 17.3% according to body image. The prevalence of dieting up to 2 weeks in the obese groups was 37.2% according to body image (p<0.001). Conclusion: We suggest that many students perceived their body size incorrectly and tried weight control. The incorrect perception of body size seems to cause the problem of failure to thrive, malnutrition etc. It is necessary for further study to find and prevent side effects by unnecessary weight control and to provide proper health education and management about obesity.

Gastric inflation in prehospital cardiopulmonary resuscitation: aspiration pneumonia and resuscitation outcomes

노영일,차경철 대한응급의학회 2022 대한응급의학회 학술대회초록집 Vol.2022 No.2

6세 남아에서 다량의 은행을 먹은 후 발생한 전신발작

노영일,정지 대한소아신경학회 2010 대한소아신경학회지 Vol.18 No.1

The ginkgo nuts are commonly eaten because of its nutritive value. It also taken as an herbal medicine for its antitussive and expectorant properties throughout Korea, Japan, and China. A range of symptoms of ginkgo nut intoxication including vomiting, abdominal pain, irritability, headaches, and seizures have been reported. It can be fetal in severe cases if emergency care was not available. It was discovered that the toxicity of ginkgo nuts was due to 4-O-methoxypyridoxine. The convulsion can be prevented by administration of anticonvulsants and pyridoxal phosphate. We report a 6-year-old male, without any past or family histories of epilepsy, who presented with generalized tonic clonic seizures. About 7 hours before the seizure, he had consumed approximately 40 roasted ginkgo nuts. He exhibited vomiting and abdominal pain 5 hours after ingestion. After treatment with diazepam and pyridoxal phosphate, his symptoms were resolved and electroencephalogram was normalized. We report on the patient and emphasize pediatricians and parents who have children should be recognizing that neurotoxicity of ginkgo nuts, particularity convulsion inducing effect, can occur occasionally. 우리나라 아이들에게 흔하게 은행을 먹이고 있으나 대부분의 소아청소년과 의사나 아이를 가진 부모들이 은행 중독이 경련을 일으키고 응급처치가 이루어지지 않으면 사망할 수 있다는 것을 인식하지 못하고 있다. 이에 저자들은 다량의 은행 섭취 7시간 후 발생한 전신 발작을 항경련제와 pyridoxal phosphate로 투여하여 경련 재발없이 치료한 1례를 경험 하였고, 소아청소년과 의사나 아이를 가진 부모들에게 은행을 과량 먹으면 은행 중독에 의한 신경학적 독성을 일으킬 수 있다는 경각심을 주고자 본 증례를 보고하는 바이다.

Limited utility of end-tidal CO2 measurement in prolonged resuscitation

노영일,황성오,( Kyoung Chul Cha ),( Woo Jin Jung ) 대한응급의학회 2022 대한응급의학회 학술대회초록집 Vol.2022 No.2