• 제목/요약/키워드: CNS Test

검색결과 118건 처리시간 0.022초

비음측정기를 사용한 구개열 언어의 평가 및 치료 (Assessment and Treatment of the Cleft Palate Speech Disorder by Use of the Nasometer)

  • 신효근;임대호;황상준;김동칠;김현기
    • 대한구순구개열학회지
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    • 제11권1호
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    • pp.1-12
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    • 2008
  • In cleft palate patient, characteristic of speech disorder is the resonance disorder result from velopharyngeal incompetence. Clinically VPI caused by congenital factor as congenital palatal incompetence, submucosal cleft palate, and caused by acquired factor as CNS damage, tumor, palatal palsy. The clinicians more concerned about the speech disorders after cleft palate surgery rather than language pathologist. The resonance disorder devided for hypernasality, hyponasality and nasal emission, but as a rule, hypernasality is typical phenomenon of the resonance disorder. Traditionally clinicians and language pathologists evaluated four-stage or five-stage of hypernasality by subjective assessment. Although language pathologist is well-trained, results of the language level should be different. In late 1980s, Kay Elemetrics Corp. developed nasometer that objective nasalance identified with well-trained language pathologist and originate from nasometer Tonar I and II were developed by Fletcher. Therefore objective nasalance test was possible, the nasometer used in hospital, collage and speech clinic both and home and abroad. Standardization of the cleft palate speech assessment must be settled without delay because of different character result in different language and different assessment results by dialect in same language. In our study, we provide the data base for the standardization of cleft palate speech assessment which through report of objective assessment method, speech therapy effects and problems result in interdisciplinary teamwork by nasometer use in treatment of cleft palate patient.

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당뇨병성 다발신경병증 환자에서 체감각유발전위검사 시 근위부 자극법의 적용 (Application of Proximal Stimulation for Somatosensory Evoked Potentials in Patients with Diabetic Polyneuropathy)

  • 권형민;남현우;성정준;이창희;박영주;문민경
    • Annals of Clinical Neurophysiology
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    • 제5권2호
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    • pp.181-186
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    • 2003
  • Background: Somatosensory evoked potential (SSEP) is valuable for the evaluation of the central pathway. However, peripheral neuropathy sometimes renders the test useless by preventing the conduction from reaching the CNS. We postulated that the peripheral conduction problems could be overcome by proximal stimulation in SSEP and wanted to verify this in the study. Methods: Twenty patients with diabetic sensorimotor polyneuropathy were included. SSEP was elicited by stimulating the median and posterior tibial nerves. We compared the effect of distal and proximal stimulations in each SSEP in the aspect of presence/absence and various latencies of resultant waves. Results: Among the 40 cases, proximal stimulation caused reappearance of subsided waves in 10 cases (25%). In the median nerve SSEP, proximal stimulation made EN1 and CN2 visible which were not evident when distally stimulated. In the posterior tibial nerve SSEP, there was also improvement of forming waves when proximally stimulated. Conclusions: In the diabetic polyneuropathy, proximal stimulation of SSEP is more effective than the conventional distal stimulation in evaluating central pathway.

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Safety Evaluation of LB10522, a New Cephalosporin Antibiotic

  • Kim, Seong-Il;Raffi Mikaelian;Kwak, Jin-Hwan;Kim, In-Chull;Lee, Chang-Ho
    • Biomolecules & Therapeutics
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    • 제3권4호
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    • pp.316-321
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    • 1995
  • All the pharmacological studies of LB17522 described here were carried out with high doses (fifteen to sixty times of the therapeutic dose) to determine an indication of potential side effects in clinical use in terms of the acute clinical signs, cardiovascular and central nervous system. LB10522 does not produce any observable clinical signs except for the symptoms such as moist eye, skin rash, slight salivation, vomitting, and slightly reduced activity. The effects of LB10522 on the hemodynamics and cardiac function of anesthetized beagle dogs are as follows; heart rates and mean arterial blood pressure had a tendency to increase mildly, which is a normal finding in anesthetized dogs. All the animals except for one showed relatively stable respiratory rates throughout the observation period. Each animal treated with LB10522 showed slight increase in the left cardiac work and left ventricular stroke work which are mainly related to corresponding increases in cardiac output. Femoral blood flow were shown to be increased in some animals treated with LB10522. The epileptogenic activities of various cephalosporins were assessed by a direct intracerebral injection of appropriate concentration of test articles. The CD$_{50}$ values (nmol) obtained from the analysis of the dose-response data are as follows; 78.2, 175.3, 156.3, and 53.5 for cefazolin, cephaloridine, ceftazidime, and LB 10522, respectively. LB10522 seems to be equipotent with cefazolin or to be three times more potent than cephaloridine and ceftazidime in causing adverse CNS stimulation. Taken into consideration all the information obtained, LB10522 is not supposed to induce much changes in the functions examined in these studies in man at therapeutic doses.s.

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글루포시네이트 중독 후 심장독성의 다양한 임상경과를 보인 1례 (A case of various clinical aspects associated with cardiotoxicity after glufosinate poisoning)

  • 김선태
    • 대한임상독성학회지
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    • 제19권2호
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    • pp.133-138
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    • 2021
  • Glufosinate-containing herbicides is a non-selective herbicide commonly used worldwide. As the use of them increased gradually since paraquat was banned in 2012, the number of suicides by their ingestion is also increasing continuously. Complications of glufosinate-containing herbicide poisoning include various central nervous system (CNS) toxicities such as convulsions, loss of consciousness, memory impairment, and respiratory depression, which may be accompanied by hemodynamic changes such as bradycardia and hypotension. However, it is very rare that arrhythmias other than bradycardia occurred and Takotsubo cardiomyopathy was combined due to cardiotoxicity. A 71-year-old female patient was transferred to our hospital after ingesting 500 mL of glufosinate-containing herbicide and receiving 5 L of gastric lavage at a local hospital. A few hours later, she presented stuporous mentality, respiratory depression, and convulsions, and was accompanied by hypotension and bradycardia. On the second day of admission, electrocardiogram (ECG) showed bradycardia and QTc prolongation with hemodynamic Instability. Accordingly, we conducted the early treatment with continuous renal replacement therapy (CRRT) and the application of temporary cardiac pacemaker. An echocardiogram demonstrated decreased ejection fraction (EF) and Takotsubo cardiomyopathy on the third day of admission. Then, she was discharged safely with conservative treatment. At the follow-up after 1 year, Takotsubo cardiomyopathy, EF and QTc prolongation were recovered on echocardiogram and ECG. Because cardiac toxicity after glufosinate-containing herbicide poisoning may cause life-threatening consequences, caution is required while treating the patient. Therefore, if electrocardiogram changes are seen in the elderly with a large amount of glufosinate herbicide ingestion, additional cardiac function test through echocardiography should be concerned, and early treatment through CRRT or artificial cardiac pacing should be considered.

Measurement of inconvenience, human errors, and mental workload of simulated nuclear power plant control operations

  • Oh, I.S.;Sim, B.S.;Lee, H.C.;Lee, D.H.
    • 대한인간공학회:학술대회논문집
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    • 대한인간공학회 1996년도 추계학술대회논문집
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    • pp.47-55
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    • 1996
  • This study developed a comprehensive and easily applicable nuclear reactor control system evaluation method using reactor operators behavioral and mental workload database. A proposed control panel design cycle consists of the 5 steps: (1) finding out inconvenient, erroneous, and mentally stressful factors for the proposed design through evaluative experiments, (2) drafting improved design alternatives considering detective factors found out in the step (1), (3) comparative experiements for the design alternatives, (4) selecting a best design alternative, (5) returning to the step (1) and repeating the design cycle. Reactor operators behavioral and mental workload database collected from evaluative experiments in the step (1) and comparative experiments in the step (3) of the design cycle have a key roll in finding out defective factors and yielding the criteria for selection of the proposed reactor control systems. The behavioral database was designed to include the major informations about reactor operators' control behaviors: beginning time of operations, involved displays, classification of observational behaviors, dehaviors, decisions, involved control devices, classification of control behaviors, communications, emotional status, opinions for man-machine interface, and system event log. The database for mental workload scored from various physiological variables-EEG, EOG, ECG, and respir- ation pattern-was developed to indicate the most stressful situation during reactor control operations and to give hints for defective design factors. An experimental test for the evaluation method applied to the Compact Nuclear Simulator (CNS) installed in Korea Atomic Energy Research Institute (KAERI) suggested that some defective design factors of analog indicators should be improved and that automatization of power control to a target level would give relaxation to the subject operators in stressful situation.

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촬영 테이블과 IP Cassette의 세균 오염도 측정 및 소독에 관한 연구 (A Study on the Measurement of the Pollution Level of Bacteria and Disinfection of Table and IP Cassette)

  • 배석환;이무식;임창선;김가중
    • 대한방사선기술학회지:방사선기술과학
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    • 제31권3호
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    • pp.229-237
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    • 2008
  • 목적 : 검사실별 IP카세트와 테이블의 미생물 수와 세균학적 오염도를 알코올과 소독제가 포함된 티슈를 사용 전 후로 나누어 동정한 후 통계적으로 검정을 실시하여 영상의학과내 병원감염관리의 예방과 올바른 소독 지침을 위한 기초자료를 제공하고자 연구하였다. 대상 및 방법 : 본 연구는 대전광역시 소재의 1개 대학병원 영상의학과의 일반촬영실을 대상으로 하였다. 기간은 2007년 4월 5일부터 4월 12일까지 이루어졌으며, 검사실별 IP카세트와 테이블의 미생물 수와 세균학적 오염도를 알코올과 소독제가 포함된 소독용 티슈를 사용 전, 후로 나누어 실시하였으며, 정확한 수집을 위하여 병원내 감염관리 전문 간호사와 함께 시료를 채취하였다. 통계처리는 SPSS V13.0을 사용하였으며, 전 후 비교를 위해 T-검정을 실시하였으며 사후검증을 실시하였다. 결과 : 24개의 대상 중 19개(79.2%)에서 세균이 검출 되었으며 5개(20.8%)에서는 세균이 검출되지 않았다. 분리된 세균의 종류는 7종의 세균이 검출 되었는데 그 중 Methicillin Resistant coagulase-negative Staphylo-cocci(MRCNS)가 15(62.5%)곳으로 가장 많이 검출되었으며, 그 다음으로 Methicillin Resistant Staphylococcus Aureus(MRSA)가 6(16.7%)곳으로 많았으며, Enterococcus Faecium(EFM)이 5(20.8%), Acinetobacter baumannii(ABA) 2(8.3%), Bacillus sp, Coagulase-negative Staphylococci(CNS), Enterococcus sp(ENT)가 각각 1(4.2%)곳에서 검출되었다. 또한 ABA를 제외한 모든 것이 그람양성구균(Gram positive bacilli)이 30(97%) 례에서 검출 되었으며, 1(3%)례에서만 그람음성균(Gram positive bacilli)이 검출되었다. Group별 70% Alchol 사용 전 후 균의 종류 및 군락 수에서는 70% Alchol로 소독을 한 후 세균을 동정한 결과 70% Alchol 소독군에서는 IP Cassette와 Table 그룹 모두에서 100% 세균이 사멸되었다. Group별 Tissue Cleaner 사용 전 후 균의 종류 및 군락 수에서는 Tissue Cleaner 그룹에서의 균의 사멸률은 10그룹(71.2%)에서만 세균이 완전히 사멸되었으며, 4 그룹에서는 많은 감소를 보였으나 여전히 세균이 검출되었다. 전체 균의 사멸률은 91.5%로 나타났는데 다른 균들은 모두 사멸된 반면 MRCNS 균은 사멸률이 가장 낮았(83.6%)으며, 다음으로 MRSA(95%)가 낮았다. 결론 : 70% Alchol과 Tissue Cleaner의 사용전 후 검출되는 세균의 평균을 비교한 결과 모두에서 유의수준5%에서 통계적으로 유의한 것으로 나타났다.

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부하유무에 따른 수영운동이 중추신경계 손상 흰쥐의 혈청 BDNF 농도 및 행동변화에 미치는 영향 (The Effect of the Swimming Exercise by Load on Concentration of BDNF in Serum and Behavioral Change of CNS Injury in the Rats)

  • 하미숙;형인혁
    • 한국콘텐츠학회논문지
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    • 제9권12호
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    • pp.391-399
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    • 2009
  • 본 연구의 목적은 중추신경계 손상의 쥐에 운동강도에 따른 신경계 회복을 알아보기 위해 부하수영과 무부하수영이 혈청 BDNF 농도와 행동학적 변화에 어떠한 영향을 미치는가를 확인하고자 하였다. 실험동물로는 Sprague-Dawley 수컷 흰쥐를 사용하였으며, Ketamine을 복강 내에 주사하여 마취한 뒤 제 1-2요추의 척수에 6-OHDA를 $100{\mu}{\ell}$ 주입하여 척수손상을 유발시켰다. 척수 손상으로 유발된 행동학적 변화를 알아보기 위해 BBB와 경사판 검사를 기록하였다. 혈청 BDNF는 수술 후 14일에 혈액을 채취해 흡광도를 측정하였다. 척수 손상 후 무부하군에서는 행동변화가 대조군에 비해 유의하게 증가하였고, 혈청 BDNF 농도는 다른 군에 비해 무부하군에서 증가하였다. 이러한 결과로 보아 저강도 수영운동을 중추신경 손상 후 초기에 적용하면 신경조직의 회복에 영향을 주리라 생각된다.

뇌졸중(腦卒中) 환자(患者)의 기능평가방법(機能評價方法)에 대(對)한 연구(硏究) (Study on function evaluation tools for stroke patients)

  • 고성규;고창남;조기호;김영석;배형섭;이경섭
    • 대한한의학회지
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    • 제17권1호
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    • pp.48-83
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    • 1996
  • Our conclusions for function evaluation tools of Stroke patients are as follows. 1. Evaluating tools of Activities of Daily Living, Katz Index, Barthel Index, Modified Barthel Index have high validity and reliability because of ease of measuring, high accuracy, consistency, sensitivity and sufficient stastistics, but they mainly measure motor function except sense, mentation, language, and social conception. Therefore cerebrovascular disease and brain injury in trauma patients with lacked acknowledgement and sensation, we are not able to apply these tools. 2. PULSES Profile is a useful scale for measuring the patient's over-all status, upper and lower limb functions, sensory components, excretary functions, and intellectual and emotional adaptabilities. It is recognized as a good, useful tool to evaluate patient's whole function. 3. Motor Assessment Scale was designed to measure the progress of stroke patients. The scale was supplemented with upper arm function items. We believe that the Motor Assessment Scale could be a useful evaluation tool with inter-rater reliability ,test-retest reliability. 4. The existing evaluation tools, Katz Index, Barthel Index, Modified Barthel Index, PULSES Profile, Motor Assessment Scale, mainly measured the rehabilitational motor function of sequela of cerebrovascular patients. On the other hand CNS & INH stroke scale can measure cerebrovascular disease patient's neurologic deficits and over-all stautus, which are recognition ability, speech status, motor function, sensory function, activities of daily living. Those scales have been recognized as useful tools to measure function of cerebrovascular disease patients and have increased in use. 5. Every function evaluation tool was recognized to have some validity and inter-rater, test-retest reliability in items of each evaluation tool and total scores of each evaluation tools, but it is thought that none of these scales have been fully validated and proved reliable. Therefore afterward, the development of a highly reliable rating system may best be accomplished by a careful comparison of several tools, using the same patients and the same observers in order to choose the most reliable items from each. 6. Ideal evaluation tools must have the following conditions; (1) It should show the objective functional statues at the same time. (2) It should be repeated consecutively to know changed function status. (3) It should be easy to observe the treatment program. (4) It should have the same result with another rater to help rater exchange information with treatment team members. (5) It should be practical and simple. (6) The patient should not suffer from the observer.

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한국인삼론(韓國人蔘論) (Current Status of Korean Ginseng Research)

  • 한병훈
    • 생약학회지
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    • 제3권3호
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    • pp.151-160
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    • 1972
  • Recent achievements of scientific research on the pharmacologic activities and the chemical problems of dammalene glycosides, which are considered to be effective principles of Korean ginseng, are reviewed and analyzed in view of structure-activity relationship. 1) S. Shibata and his co-workers detected 12 glycoside spots of dammalene series on the two dimensional T.L.C. of total glycoside fraction from Japanese ginseng, and designated them Ginsenoside Rx(x=a, b, c, g, h, etc.) in the order of increasing Rf-value. The aglycones of those glycosides were characterized to be protopanaxadiol for the Ginsenoside $Rx(x=a,\;b_{1},\;b_{2},\;c,\;d,\;e,\;f)$ and protopanaxatriol for the Ginsenoside $Rx(x=g_{1},\;g_{2},\;g_{3},\;h_{1}\;'h_{2})$. Using Korean ginseng as the material for our study, the author and his coworkers isolated a new dammalene glycoside(Panax Saponin C), which comes under the category of protopanaxadiol glycosides based on the classification of S. Shibata et al., and characterized this saponin to be the glycoside of protopanaxatriol series. Furthermore, Panax Saponin C dissociated into $two\;components(C_{1}\;and\;C_{2}-acetate)$ by acetylation, both of which returned to original Panax Saponin C by deacetylation. Based on this result, more than 13 glycoside components of dammalene series will be expected in the Korean ginseng. 2) The structures of protopanaxadiol and protopanaxatriol, the genuine aglycones of dammalene glycosides, are fully established to be structural analogues by S. Shibata and his co-workers, therefore antagonistic and/or analogical activities will be expected for the pharmacologic activities of these glycoside series of structural analogues. K. Takaki and his co-workers found central nervous system (CNS) stimmulant activity from the glycosides of protopanaxatriol series and CNS-depressant activity from the glycosides of protopanaxadiol series. On the other hand, the author and his co-workers found stimmulating activity on the protein synthesis from both the series of dammalene glycosides with delayed and long-lasting characteristics. This delayed and long-lasting characteristics were also observed in the anti-inflammatory activity of glycosides of protopanaxatriol series on their time course tendency. For the convenience's sake of argument, pluralistic pharmacologic activities of dammalene glycosides, which were observed by many workers at various pharmacologic site, may be classified into two main categories; one is pan-cellular activity and the other is organ specific activity to the certain tissue which is a mass of cells differentiated to a certain direction for their special functions in the body. Based on the data of K. Takaki and those of the authors, following assumption will be probable; Pharmacologic activities of both series of glycosides of protopanaxadiol and protopanaxatriol aglycones may be antagonistic on their tissue-specific activities and analogic on their pan-cellular activities. Therefore, the mixture of these two series of glycosides in an appropriate ratio, as the case of total extract of Korean ginseng, will be probably beneficial to the host by increasing the synthesis of some functional proteins, due to the additive action of pan-cellular activity, and with the disappearance of any significant behavioral symptoms due to the antagonism of tissue specific activity. This fact will probably be the main reason why classical trials of pharmacologists failed in re-discovering the efficacy of Korean ginseng with their behavioral test. 3) The author and his co-workers achieved the synthesis of $C^{14}-labelled\;Panax\;Saponin\;A\;on\;C_{25}-C_{27}\;position\;of\;aglycone$ in the interest of tracer studies in vivo. The method will be applicable to other dammalene glycosides regardless of their chemical structure. 4) The author and his co-workers converted chemically betulafolienetriol, a triterpene component of Betula platyphylla, to the protopanaxadiol, one of genuine aglycone of dammalene glycosides.

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한국인 소아청소년기 발달지연의 원인질환으로서의 유기산대사이상질환 (Organic Acidopathies as Etiologic Diseases of Developmental Delay in Korean Childhood and Adolescent Age Group)

  • 이종윤;이예승;최중완;배은주;박원일;오필수;이홍진
    • 대한유전성대사질환학회지
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    • 제12권2호
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    • pp.85-93
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    • 2012
  • 목적: 유기산대사이상질환군은 신경계의 급만성 손상을 일으킬 수 있는 선천성대사장애 질환군으로 현재까지 밝혀진 질환들만 60여 질환에 이르는 다양한 질환들이 포함되어 있는 질환군이다. 그동안 국내에서는 이에 대한 연구가 되지 못하였고, 정리된 바 없다. 이에 본 연구자들은 발달지연을 일으키는 유기산대사이상질환군에 대하여 알아보고자 본 연구를 시행하였다. 방법: 2007년 1월 1일부터 2011년 12월 31일까지 5년 동안 한림대학교 춘천성심병원 임상 유전학 연구소에 유기산분석이 의뢰된 3,345명의 환자들 중 발달지연의 정보가 있었던 738명의 환자들을 2개월에서 2세까지의 영아기, 12세까지의 소아기, 12세 이후의 청소년기의 3군으로 나눠서 발작의 유무에 따른 유기산혈증을 비교 분석하였다. 2개월 미만의 신생아기의 환자들은 제외하였다. 나머지 연령군의 경우는 발달지연만 있었던 군과 발달지연과 함께 발작이 있었던 경우에는 전신발작, 국소발작, 복합발작으로 나눠서 비교분석하였고, 발달지연만 있었던 군과 발달지연과 발작이 동시에 나타났던 군의 차이를 알아보았다. 결과: 전 연령군에서 발작의 유무와 상관없이 발달지연이 있었던 모든 환자를 정리하여보면 전체 환자는 738명이었고, 그중 398명(53.9%)은 유기산분석에서 정상소견을 보였고, 340명(46.1%)에서 유기산대사이상이 진단되었다. 가장 많았던 진단은 MRCD로 253명(34.3%)이었으며, 케톤체분해이상이 39명(5.3%)로 뒤를 이었고, 3-히드록시이소부티르산혈증이 26명(3.5%)이 있었으며, 제2형 글루타르산혈증이 8명(1.1%)이 있었고, 소수의 환자들이 진단된 경우로는 피루브산탈수소효소결핍증이 3명(0.4%), 3-메틸글루타르산혈증과 제1형 글루타르산혈증이 각각 2명(0.3%)씩 있었으며, 메틸말론산혈증, 에틸말론산혈증, 3-메틸크로토닐글리신혈증, HMG-CoA lyase 결핍증 및 지방산산화이상들이 각각 1명(0.1%), 씩 진단되었다(Table 5). 결론: 발달지연을 일으킬 수 있는 유기산대사이상질환군에서 가장 높은 빈도를 차지하고 있었던 것은 MRCD였으며, 그 뒤를 케톤체분해이상과 3-히드록시이소부티르산혈증이 잇고 있었으며, 그 외 다양한 질환들이 소수지만 진단되고 있으며, 이 질환들은 치료와 재발의 예방이 가능하다는 점에서 발달지연의 감별진단에 반드시 포함시켜야 된다고 판단된다.

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