Nutritional management of breastfeeding infants for the prevention of common nutrient deficiencies and excesses

문진수 대한소아청소년과학회 2011 Clinical and Experimental Pediatrics (CEP) Vol.54 No.7

Breastfeeding is the best source of nutrition for every infant, and exclusive breastfeeding for 6 months is usually optimal in the common clinical situation. However, inappropriate complementary feeding could lead to a nutrient-deficient status, such as iron deficiency anemia, vitamin D deficiency, and growth faltering. The recent epidemic outbreak of obesity in Korean children emphasizes the need for us to control children’s daily sedentary life style and their intakes of high caloric foods in order to prevent obesity. Recent assessment of breastfeeding in Korea has shown that the rate is between 63%and 89%; thus, up-to-dated evidence-based nutritional management of breastfeeding infants to prevent common nutrient deficiencies or excesses should be taught to all clinicians and health care providers.

철도소화물운송의 현황과 문제점

문진수,Mun, Jin-Su 한국물류협회 2005 물류혁신 컨퍼런스 Vol.13 No.2

영유아 건강검진

문진수 대한의사협회 2010 대한의사협회지 Vol.53 No.5

National health screening program for infants and children in Korea was launched in November 2007 to cope with current health issues, such as high prevalence of accidents and incremental trends of developmental disorders and obesity. It is a kind of population surveillance systems which contains history taking, physical examination, anthropometric measurements, screening for visual acuity and questionnaires with anticipatory guidance. This program has been successfully implanted as one of the primary clinical services. First year’s rate of participation was 35.3%. For the next few years, participation rate should be improved and quality control may be needed especially about counseling with the anticipatory guidance. Sociocultural changes and legislation should be tried to encourage double-income couples to bring their children for this periodic examination. Abnormal results were relatively high in the babies with the history of prematurity and low economical status. Thus, these groups could be the targets of the public health supports. To meet the future computerization of the health screening system, it is needed to develop the Korean developmental screening tools to replace K-ASQ (Korean Ages & Stages Questionnaires), which is currently under foreign copyright. Regular revision of the protocols and questionnaires are also important to maintain this screening system as evidence-based.

충남노인의 평행교육실태와 활성화 전략

문진수 충남발전연구원 2005 열린충남 Vol.31 No.-

A Study of Trajectory Simulation of Master Arm

문진수 한국조명.전기설비학회 2008 조명·전기설비학회논문지 Vol.22 No.7

In industrial fields, human works are being replaced by robots. However, as the use of robots is limited in the process industry where they are operated fixedly, humanoid robots with wide applications need to be developed. Currently a great deal of research is being conducted on humanoid robots with the object of replacing humans in the workplace. However, because of the lack of relevant hardware and difficulty in mechanical parts, only very simple and limited progress is being made. In an effort to overcome these limitations, the purpose of the present study is to develop a kinematical mechanism and a controller. To this end, master arms with 3 degrees-of-freedom for the shoulders and the arms were composed which were able to reproduce human-like motions by simulating the characteristics of joint variables and the trajectory of the end-effector.

소아의 편식에 관련된 흔한 임상적 문제

문진수 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.4

상모춤의 프랙탈 미학

문진수 한국체육철학회 2009 움직임의철학 : 한국체육철학회지 Vol.17 No.4

This study made an effort to analyze respective layers of pungmulgut, gutmul, and sangmo dance through the cycle of‘3’, ideal number to Koreans, and to offer a new view and symbolism on sangmo dance through the peculiarity and aesthetic value of sangmo dance inherent in respective layers. Fractal aesthetics in sangmo dance is a precondition for limitless conception and shows a relationship of an endless net. So, fractal aesthetics connotes a paradox, a limitless way in a limit space, and becomes a basis of aesthetics with‘three-divided structuralization’in a cycle. This is a structure,‘three-is-one’structure, bringing to one through a irregularity formed by self-construction process with self- reproduction and repetition performed through the concentrative view of the world and a cycle process, in which all of the objects logically compose a whole with parts. Sangmo dance is noteworthy in the point that it is a series of layers based on a limitless conception through self-reproduction. This study made respective layers networks and enlarged them in the area of reciprocal action with three-divided structure from pungmulgut to pungmul dance and sangmo dance. Respective structures are basically composed of a particle and repeated in the endless process, centering on sangmo dance. A respective layer is a great existence in pungmul dance. Small particles such as sangmo dance rotate endlessly. The performance of a work is no more than a particle inside sangmo dance extended due to a series of layers. In addition, three-divided structuralization appearing in sangmo dance shows fractal aesthetics linked with traditional beauty and thought principle structurally and composed on the basis of philosophical thought. 본 연구는 한민족 관념의 수 ‘3’의 주기를 통하여 풍물굿과 굿물(㖌 物), 상모춤을 각각의 층위를 나누어 분석하고 그 속에 내재되어 있는 상모춤의 특징과 미적가치를 통하여 상모춤에 대한 새로운 시각과 상징성을 제공하고자 노력하였다. 상모춤에서 프랙탈 미학은 무한 개념을 전제하며 무한한 그물망의 관계성을 보여줌으로써, 유한한 공간 내에 있는 무한한 길이라는 역설을 내포하고 하나의 주기 안에 ‘3분할이라는 구조’를 이루는 것이 미의 근본이 된다. 전일적(全一的) 세계관과 순환과정을 통하여 끊임없이 자기 복제와 반복을 수행함으로써 비정형적 자기 조직화의 과정을 통하여 하나로 귀결되는 삼즉일(三卽一) 구조로 모든 객체가 부분 속에 전체가 될 수 있다는 논리를 취하게 된다. 상모춤은 자기복제를 통하여 무한 개념에 따른 층위의 연속이라는 점이 주목할 만 하다. 이를 위하여 풍물굿에서 풍물춤으로 다시 상모춤에 이르는 각각의 층위를 3분 구조화하는 모습으로 네트워크 시키고 상호작용의 영역 속에서 확장시켰다. 각각의 구조는 본질적으로 하나의 입자로 구성되어 상모춤을 중심으로 무한한 과정 속에 반복되며, 각 층위는 풍물굿 안에서 거대한 존재로 풍물춤의 내부구조물의 작은 입자이며 상모춤과 같은 입자들은 무수히 순환하게 된다. 이러한 작업의 수행은 층위의 연속으로 더욱 확장된 상모춤 내부에 있는 하나의 입자에 지나지 않는다는 것을 발견하게 된다. 또한 상모춤에 나타난 3분구조화(三卽一)는 한민족의 전통미와 사상적 원리가 구조적으로 연결되어 철학적 사유를 바탕으로 구성된 프랙탈 미학을 보여준다.

위저추벽성형술(Nissen Fundoplication) 시행 후 발생한 덤핑(Dumping)증후군 1례

문진수,양혜란,배선환,김재영,고재성,서정기,Moon, Jin-Soo,Yang, Hye-Ran,Bae, Sun-Hwan,Kim, Jae-Young,Ko, Jae-Sung,Seo, Jeong-Kee 대한소아소화기영양학회 2001 Pediatric gastroenterology, hepatology & nutrition Vol.4 No.1

덤핑증후군은 소아에서 위식도역류의 치료로 위저추벽성형술을 시행하는 경우에 잘 발생하는 질환으로 당 부하 검사를 통하여 식사 직후에 나타나는 고혈당과 뒤이어 나타나는 저혈당을 보임으로써 진단될 수 있으며, 생 옥수수 전분을 포함한 식이 요법으로 효과적으로 치료될 수 있다. 저자들은 위저추벽성형술을 시행 받은 뒤에 덤핑증후군이 발생한 1례를 경험하였고, 본 질환이 소아에서 위저추벽성형술과 같은 위 수술 후에 수유장애가 있을 경우 반드시 의심해보아야 할 질환이라고 사료되어 문헌 고찰과 함께 보고하는 바이다. The dumping syndrome has been a known complication of gastric surgery in adults, but it is recognized as a very rare disease in the pediatric population, especially in Korea. We report a case of dumping syndrome in a 10-month-old infant, who underwent Nissen fundoplication for the treatment of gastroesophageal reflux(GER). He was admitted because of aspiration pneumonia, and diagnosed as GER by 24-hour ambulatory esophageal pH monitoring test. For the treatment of GER, Nissen fundoplication was performed. After the operation, symptoms occurred within 30 minutes of meals, such as diaphoresis, palpitation, weakness, abdominal fullness, nausea, and diarrhea. The gastric emptying scan showed very rapid gastric emptying. His oral glucose tolerance tests revealed early-onset hyperglycema followed by delayed-onset hypoglycemia, which was the characteristic finding of the dumping syndrome. We introduced uncooked cornstarch to resolve symptoms and maintain the serum glucose level. After the feeding of uncooked cornstarch, his symptoms subsided and normal oral glucose test was restored. After the six months of treatment, his weight and height were increased dramatically from below 3 percentiles up to the normal range. The dumping syndrome should be considered when an infant suffers from the feeding difficulties after the gastric surgery like Nissen fundoplication, and the diet therapy including uncooked cornstarch could be applied as an effective measure.

세계무형문화유산 남사당의 덧뵈기 미학

문진수 한국체육철학회 2013 움직임의철학 : 한국체육철학회지 Vol.21 No.2

The purpose of this study is in order to figure out the aesthetic points of Namsadang Deotboegi, which is appointed as “Masterpieces of the Oral and Intangible Heritage of Humanity”. In order to realize the philosophical meanings and values we have studied the origin of the word “Deotboegi” by expanding its meanings to the beauty of word, exaggeration, creativity of the theatrics, and to the aesthetic sense of the deotboegi: the followings are the results after the research. First, the origin of the words used in Namsadang, includes connotative meanings like jargon. It implies that the public willingness and the perspective to create the social consensus and democratic characteristics of traditional mask dance. Second, the composition of exaggeration contains the recognition and critique toward the objects. It is the task that should be solved realistically, containing the wish of creating and integrating democratic energy and in terms of the connection structure of Deotboegi, the last actor of the former play remains and connects to the next exaggeration. Fourth, the implied musician plays a role as connecting each play. Third, Deotboegi has acquired and integrated the existing mask dance and actively accepted the unique performance artistic patterns. For this reason, it pursues its own unique aesthetics of Deotboegi, while other mask dances do not. Fourth, the theatrical structure of Deotboegi is expressed through the number ‘4’ and ‘12’. Through this number, the beginning and the ending connects to each other to be repeated and circulated continuously. It eliminates the conflict structure with materialized concepts of the community’s survival and peace. As well, it includes the philosophy and idea of Namsadang, which emphasizes the unity accompanied with the order and harmony. 이 연구는 세계무형문화유산 남사당의 덧뵈기에 내재된 미적 탐색을 목적으로 철학적 의미와 가치를 구현하고자 덧뵈기의 어원에 나타난 미, 과장 구성미, 연희의 독창미, 연결미, 덧뵈기의 미적사상 등으로 확대하여 그 의미를 탐색해 보았고, 그 결과는 다음과 같다. 첫째, 덧뵈기에 나타난 어원은 남사당패에서 사용되는 은어와 같이 함축적 의미를 지닌 것으로, 탈놀이가 지니는 민중적 성격과 공동체적 삶의 공감대를 형성하고자 하는 민중의 의지이자, 시선을 내재하고 있음을 알 수 있었다. 둘째, 과장의 구성은 대상에 대한 인식과 비판의식을 담은 것으로 현실적으로 풀어야할 과제로 민중적인 에너지를 창출해내고 집약시키는 바람을 담고 있었고, 덧뵈기의 연결 구조는 극의 진행을 마지막 배우가 남아서 다음 과장까지 이어서 연결하거나, 악사의 연결구조가 내재되어 극과 극을 이어주는 연결 구조를 지니고 있는 것으로 나타났다. 셋째, 덧뵈기는 기존의 가면무를 융합습득하고 자신들이 지니고 있는 독특한 공연예술양식을 적극적으로 수용함으로써 다른 가면극에서 볼 수 없는 덧뵈기만의 독창적인 미(美)를 추구하고 있음을 알 수 있었다. 넷째, 덧뵈기의 연희구조는 숫자 ‘4’와 ‘12’를 통하여 처음과 끝이 하나로 반복, 순환하는 지속적인 연희 구조로 공동체의 안녕과 생존을 구체화시킨 관념을 통하여 대립구조를 제거하고, 질서와 조화 속에 통일성을 강조한 남사당패의 철학과 사상이 담겨 있는 것으로 분석되었다.

2007 한국 소아 청소년 성장도표 : 개발 과정과 전망

문진수,이순영,남정모,최중명,최봉근,서정완,오경원,장명진,황승식,유명환,김영택,이종국 대한소아청소년과학회 2008 Clinical and Experimental Pediatrics (CEP) Vol.51 No.1

Purpose:Since 1967, The Korean Pediatric Society and Korean Government have developed Korean Growth Standards every 10 years. Last version was published in 1998. During past 40 years, Korean Growth Standards were mainly descriptive charts without any systematic nor statistical standardization. With the global epidemic of obesity, many authorities such as World Health Organization (WHO) and United States' Centers for Disease Control (CDC) have been changed their principles of growth charts to cope with the situations like ours. This article summarizes and reviews the whole developmental process of new 2007 Korean Growth Charts with discussion. Methods:With the initiative of Division of Chronic Disease Surveillance in Korea Centers for Disease Control and Prevention, we have performed new national survey for the development of new Standards in 2005 and identified marked increase of childhood obesity and plateau of secular increment of final height in late adolescents. We have developed new Growth Standards via adapting several innovative methods, including standardization of all available raw data, which were acquired in 1997 and 2005 national survey and full application of LMS method. Results:We could get new standardized charts; weight-for-age, length/height-for-age, weight-for- height, head circumference-for-age and BMI-for-age. Other non-standardized charts based on 2005 survey data were also published; waist circumference-for-age, mid-arm circumference-for-age, chest circumference-for-age and skinfold-for-age. Clinical guideline was also developed. Conclusion:Developmental process and results of new Korean Growth Charts are comparable with other internationally well-known Growth Standards, WHO 2006 Growth Standards and CDC Growth Charts. 2007 Korean Growth Charts are relevant especially in Korea and Korean ethnic groups. (Korean J Pediatr 2008;51:1-25) Purpose:Since 1967, The Korean Pediatric Society and Korean Government have developed Korean Growth Standards every 10 years. Last version was published in 1998. During past 40 years, Korean Growth Standards were mainly descriptive charts without any systematic nor statistical standardization. With the global epidemic of obesity, many authorities such as World Health Organization (WHO) and United States' Centers for Disease Control (CDC) have been changed their principles of growth charts to cope with the situations like ours. This article summarizes and reviews the whole developmental process of new 2007 Korean Growth Charts with discussion. Methods:With the initiative of Division of Chronic Disease Surveillance in Korea Centers for Disease Control and Prevention, we have performed new national survey for the development of new Standards in 2005 and identified marked increase of childhood obesity and plateau of secular increment of final height in late adolescents. We have developed new Growth Standards via adapting several innovative methods, including standardization of all available raw data, which were acquired in 1997 and 2005 national survey and full application of LMS method. Results:We could get new standardized charts; weight-for-age, length/height-for-age, weight-for- height, head circumference-for-age and BMI-for-age. Other non-standardized charts based on 2005 survey data were also published; waist circumference-for-age, mid-arm circumference-for-age, chest circumference-for-age and skinfold-for-age. Clinical guideline was also developed. Conclusion:Developmental process and results of new Korean Growth Charts are comparable with other internationally well-known Growth Standards, WHO 2006 Growth Standards and CDC Growth Charts. 2007 Korean Growth Charts are relevant especially in Korea and Korean ethnic groups. (Korean J Pediatr 2008;51:1-25)