• 제목/요약/키워드: Hemoglobin saturation

검색결과 103건 처리시간 0.025초

나노초 레이져를 이용한 광-초음파 이미지 결상법 (In vivo functional photoacoustic imaging)

  • Oh, Jung-Taek;Li, Meng-Lin;Song, Kwang-Hyun;Xie, Xueyi;Stoica, George;Wang, Lihong V.
    • 한국광학회:학술대회논문집
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    • 한국광학회 2006년도 동계학술발표회 논문집
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    • pp.359-360
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    • 2006
  • Functional photoacoustic tomography is a new non-invasive imaging modality, and it is emerging as a very practical method for imaging biological tissue structures by means of laser-induced ultrasound. Structures with high optical absorption, such as blood vessels, can be imaged with the spatial resolution of ultrasound, which is not limited by the strong light scattering in biological tissues. By varying wavelengths of the laser light and acquiring photoacoustic images, optical absorption spectrum of each image pixel is found. Since the biochemical constituents of tissues determine the spectrum, useful functional information like oxygen saturation ($SO_2$) and total haemoglobin concentration (HbT) can be extracted. In this study, as a proof-of-principle experiment, hypoxic brain tumor vasculature and traumatic brain injury (TBI) of small animal brain are imaged with functional photoacoustic tomography. High resolution brain vasculature images of oxygen saturation and total hemoglobin concentration are provided to visualize hypoxic tumor vasculature, and hemorrhage on the cortex surface by the TBI.

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만성(慢性) 간질환(肝疾患)의 빈혈상(貧血像) (Anemia of Chronic Liver Diseases)

  • 신현정;이정상;고창순;이문호
    • 대한핵의학회지
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    • 제5권2호
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    • pp.41-56
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    • 1971
  • The pathogenetic mechanisms of anemia in patients with chronic liver disease were observed. Seventeen patients with moderate to advanced hepatic diseass were studied by various methods. Only patients without previous blood loss were included: 14 had cirrhosis, 2 had active chronic hepatitis, and one had inferior vena cava obstruction with associated liver cirrhosis. The followings were the results: 1. The anemia based on red blood cell count, Hb., and Ht. was found in 76.5-78.6% of the patients. 2. Red cell indices indicated that normo-macrocytic and normochromic anemia was present is the majority of the patients. 3. No evidence of megaloblastic anemia was found on the basis of the morphological examinations. 4. Serum iron, TIBC, % saturation and iron content in the bone marrow indicated that iron deficiency anemia was present in about half of the patients. 5. In the view of the erythrocyte dynamics, primary increase in the red cell destruction was ascribed to the cause of the anemia. 6. Decrease in the red cell survival time was not correlated with MCV, % saturation and S.L. ratio. Also, hemoglobin level was not correlated with MCV, % saturation and $T_{50}Cr$. Therefore, multiple causes may be involved in the pathogenesis of the anemia. 7. Anemia as determined by the red cell volume was found in only 60% of the patients. It may be possible that hemodilutional anemia is present.

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모유 수유아의 철 결핍과 조기 저용량 철분보충요법의 효과에 대한 연구 (Iron Deficiency and Early, Low-dose Iron Supplementation in Breast-fed Infants)

  • 노소정;나보미;김미정
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제11권2호
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    • pp.169-178
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    • 2008
  • 목 적: 건강한 모유 수유아의 경우 생후 6개월까지는 철분 결핍이 일어나지 않으며 6개월 이전에는 철분을 보충할 필요가 없다고 알려져 있으나, 최근 건강한 모유 수유아에서도 생후 6개월 이전에 철 결핍과 철 결핍성 빈혈이 발생한다는 보고가 있다. 따라서 본 연구에서는 생후 6개월과 12개월 영아들의 철 영양상태를 알아보고, 생후 2개월부터 조기 저용량 철분보충요법을 시행하여 철 결핍과 철 결핍성 빈혈을 예방하는데 효과가 있는지 알아보고자 하였다. 방 법: 2004년 8월부터 2005년 7월까지 만 1년간 충북대학교병원 산부인과에서 만삭으로 출생한 건강한 신생아 87명을 대상으로 하였다. 이들을 생후 2개월에 분유 수유군(A군), 모유 대조군(B군), 모유 보충군(S군, 철분 5 mg/일 보충)으로 나누어 출생 시(제대혈), 생후 6개월, 12개월에 저장철(ferritin), 혈청 철(iron), 총철결합능(total iron binding capacity, TIBC), 트랜스 페린 포화도(transferrin saturation rate, TFSAT)와 헤모글로빈(hemoglobin), 헤마토크릿(hematocrit), 평균적 혈구용적(mean corpuscular volume, MCV), 평균적혈구혈색소량(mean corpuscular hemoglobin, MCH), 적혈구분포폭(red cell distribution width, RDW)을 측정하였다. 결 과: 1) 생후 6개월에 측정한 저장철, 혈청 철, TFSAT, 헤모글로빈은 세 군 중 모유 대조군에서 가장 낮았으며, 총철결합능과 적혈구분포폭은 가장 높았다. 저장철 고갈, 철 결핍, 철 결핍성 빈혈의 빈도는 모유대조군에서 각각 33, 33, 30%로 분유 수유군의 0, 5, 8%나 모유 보충군의 1, 7, 5%보다 높았다. 2) 생후 12 개월의 저장철, TFSAT, 헤모글로빈, MCV, MCH는 세군 중 모유 대조군에서 가장 낮았으며, 총철결합능과 적혈구분포폭은 가장 높았으나, 혈청 철과 헤마토크릿은 세 군 간에 유의한 차이가 없었다. 저장철 고갈, 철결핍, 철 결핍성 빈혈의 빈도는 모유 대조군에서 각각 73, 64, 50%로 분유 수유군의 4, 4, 3%나 모유 보충군의 9, 9, 7%보다 높았다. 결 론: 철 결핍 상태와 철 결핍성 빈혈은 모유 수유아에서 분유 수유아에 비해 높은 빈도를 보였다. 또한, 철분 보충 없이 모유 수유만 했던 영아의 경우 생후 6개월에도 철 결핍과 철 결핍성 빈혈이 발생하였으며, 조기 저용량 철분보충요법은 모유 수유아에서 철 결핍과철 결핍성 빈혈을 예방하는데 효과가 있었다.

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발성훈련 전 후의 혈중산소포화도(SaO2)와 폐포 내 이산화탄소분압(PaCO2)의 비교 연구 (Acomparison of Sao2 & PACO2 Changes of pre & post vocal training Classical singer)

  • 남도현;안철민
    • 대한음성학회:학술대회논문집
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    • 대한음성학회 2007년도 한국음성과학회 공동학술대회 발표논문집
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    • pp.261-264
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    • 2007
  • Five males trained singers (age:25.0${\pm}$1.4years, career:6.8${\pm}$1.1 years) and five female trained singers (age:22.0${\pm}$1.0years, career:5.8${\pm}$1.2 years) participated in this study. SaO2(Oxi Hemoglobin saturation) measured by Oxy-Pulse meter and PAC02 (Pressure Alveolar Co2) measured by Quick et CO2 are compared with pre and post vocal training. As the result, PAC02 was lower than normal range (36-40mmHg) after vocal training, leading to Hypocapnia. This causes headache and dizziness

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고식적 단락술후 활로 4 징증의 완전교정수술 (Results of Two-stage Surgical Treatment of Tetralogy of Fallot)

  • 이재동;한승세;김규태
    • Journal of Chest Surgery
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    • 제21권1호
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    • pp.101-108
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    • 1988
  • Between July, 19S4. and July, 1987, 9 two-stage repair of symptomatic tetralogy of Fallot were carried out at the department of thoracic and cardiovascular surgery, Kyungpook national university hospital. Their age ranged from 5 years to 18 years [mean age 9.4 years] at the time of total correction, and there were improvement of systemic oxygen saturation values by 10% and decrease of hemoglobin by 1.6gm/dl after shunt procedures. The interval between the initial shunting procedure and total correction ranged for 7 to 101 months with a mean of 32.7 months. Four of these patients required patching of the infundibulum alone, three required patching of the right ventricular outflow tract across the pulmonary annulus, and valved conduit was used in one due to coronary artery anomaly. Aortic cross clamping time averaged 122.2minutes [range from 60minutes to 150minutes], and cardiopulmonary bypass time averaged 174.4 minutes [range from 80minutes to 300minutes]. The operative mortality rate was 22% [2/9].

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한국 미취학 아동의 영양성 빈혈에 관한 연구 (A Study on Nutritional Anemia of Pre-school Children in Korea)

  • 채범석;주덕숙
    • Journal of Nutrition and Health
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    • 제4권1호
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    • pp.1-19
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    • 1971
  • Nutritional anemia is an important nutritional problem affecting large population groups in most developing countries. Nutritional anemia is caused by the absence of any dietary essential involed in hemoglobin formation or by poor absorption of these dietary components. The most likely causes are lack of dietary iron, and folate, vitamin $B_{12}$ and high qualify protein. Anemia is considered to be a late mainfeastation of nutritional deficiencies, and even mild anemia is not the earilest sign of such a deficiency. Therefore, the object of therapy is to correct underlying deficiency rather than merely its manifestation. Iron deficiency anemia is generally much the most common form of anemia. And it is very prevalent particularly in pregnant women and young children, especially under five year of life. According to the rapid growth rate of infants, dietary iron should he provided for infants over three months of age in adequate amounts for the synthesis of hemoglobin required by the increasing blood volume and for the demands of newly formed cells. The principal causes of iron deficiency anemia are an inadequate dietary iron content, interference with absorption of iron from the intestine, excessive losses of iron from the body, disturbance of iron metabolism by infection, and social and cultural environments. The present study is planned to obtain informations concerning nutritional anemia through anthropometric and biochemical determinations for the assessment of nutriture in pre-school children. Determination was taken in 226 pre-school children in ruraI arae in 1968, 122 pre-school children in 1970, and 1526 hospitalized pre-school children in 1970. The results of this study are as follows; (1) According to Iowa Malnutrition Borderline (85 percentile) for weight, the proportions of underweighed pre-school boys and girls in rural area were 47.2% and 46.2% in1968, and were 36.1% and 51.8% in 1970. According to Iowa Malnutrition Borderline for height, the proportions of underheight boys and girls in rural area were 30.5% and 33.7%, and were 26.2% and 21.8% in 1970. Malnutrition scores of underweight for height values of boys and girls in rural area were 19.3 and 17.3 in 1968, and the scores of boys and girls were 15.6 and 15.5 in 1970. (2) The mean hemoglobin values of boys and girls in rural area were $11.2{\pm}1.8g/100ml\;and\;11.4{\pm}1.6g/100ml$ in 1968. In 1970, the mean values of boys and girls in rural area were $11.3{\pm}1.3g/100ml\;and\;11.7{\pm}2.4g/100ml$. The mean hemoglobin values of hospitalized boys and girls were $11.9{\pm}2.2g/100ml\;and\;11.7{\pm}2.4g/100ml$ in 1970. It is found that 92 of 215 children (42.7%) in rural area had concentrations of hemoglobin less than 11.0g/100ml in 1968. In 1970, 55 of 121 children (45.4%) in rural area and 559 of 1526 hospitalized children (36.6%) had concentrations of hemoglobin less than 11.0g/100ml. (3) The mean hematocrit levels of hospitalized boys and girls were $35{\pm}26.8%\;and\;35.4{\pm}6.4%$ in 1970. And 443 of 1334 hospitalized children (33.2%) had hematocrit values below 33%. (4) The average mean corpuscular hemoglobin concentration levels of hospitalized boys and girls were $32.4{\pm}2.2\;and\;32.3{\pm}2.2$ in 1970. And 1016 of 1352 hospitalized children (75.1%) had the mean corpuscular hemoglobin values below 34. (5) The mean iron values of young children in rural area and hospitalized children were $62.0{\pm}6.3{\mu}g/100ml\;and\;60.7{\pm}22.8{\mu}g/100ml$. The proportions of anemia cases below $50{\mu}g/100ml$ in rural area was 37.9%, and 34.3% in hospitalized children. (6) The mean total iron binding capacity of young children in rural area was $376{\pm}57.88{\mu}g/100ml,\;and\;342.2{\pm}6.15{\mu}g/100ml$ in hospitalized children. (7) The average transferrin saturation percentage of young children in rural area was $16.9{\pm}4.7%,\;and\;18.0{\pm}8.4%$ in hospitalized children. The proportions of anemia cases below 15% of young chi1dren in rural area and hospitalized children were 48.3% and 41.2%. Therefore, authors wish to recommend that the following further studies should be undertaken: (1) Standardization of simplied laboratory examination of nutritional anemia. (2) The prevalence of nutritional anemia and the requirements of iron, folate, and vitamin $B_{12}$ of pre-school children. (3) The content and absorption of iron in Korean food. (4) The pathogenesis of nutritional anemia and prevention of parasitic disease. (5) Maternal health and nutrition education.

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조피볼락, Sebastes schlegeli 어린 시기의 성장 및 체성분 조성에 미치는 미역첨가 사료의 생리적 효과 (Physiological Effects of Seamustard Supplement Diet on the Growth and Body Composition of Young Rockfish, Sebastes schlegeli)

  • 이영호;장영진
    • 한국수산과학회지
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    • 제27권1호
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    • pp.69-82
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    • 1994
  • 해조류를 첨가한 사료가 조피볼락의 어린 시기에 미치는 생리적 효과를 알아보기 위하여, 전장 $2.99{\pm}0.23\;cm$, 체중 $1.03{\pm}0.18\;g$의 인공종묘에게 미역분말을 각각 $3\%,\;5\%,\;7\%$ 첨가한 사료와 비첨가 사료를 주면서 140일간 사육하여 전장$18.52{\pm}1.07\;cm$, 체중 $120.64{\pm}19.32\;g$이 될 때까지의 어체 성장, 생존율, 체조성, 혈액조성을 서로 비교하고, 저산소 및 기아 내성에 관한 생리활성을 연구하였다. 1. 전장과 체중의 성장은 $5\%$의 미역 첨가시 가장 좋았으며, $3\%,\;7\%$, 대조구인 $0\%$ 순이었다. 2. 실험구별 사료효율은 $3\%,\;5\%,\;7\%,\;0\%$구의 순으로 높았으며, 생존율은 $7\%,\;5\%,\;3\%,\;0\%$구 순이었다. 3. 사육종료시의 체조성에 있어 등 근육의 수분, 조단백질, 조지방 및 조회분은 실험구별로 큰 차이를 보이지 않았으나, 전내장의 조지방 함량은 미역 첨가구가 대조구에 비해 많았다. 4. 미역 첨가구는 $0\%$구 보다 헤마토크릿트값이 크고, 평균적혈구수도 많았다. 5. 실험종료시 사료별 어체의 저산소내성은 미역 첨가구가 대조구에 비해 강했다. 6. 사육실험 종료후 31일간의 기아 실험에서 미역 첨가구의 어체중은 대조구에 비해 적게 감소하였다. 7. 조피볼락 양식에서 사료에 미역을 첨가해 줄 경우, 그 비율은 $5\%$가 가장 적합하며 어체의 생리조건에 좋은 영향을 줄 수 있는 것으로 판단되었다.

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급성 감염성 질환을 가진 영유아에서 철결핍 진단 지표로서의 망상적혈구혈색소량 (Reticulocyte hemoglobin content for the diagnosis of iron deficiency in young children with acute infection)

  • 김존수;최준석;최두영;유철우
    • Clinical and Experimental Pediatrics
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    • 제51권8호
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    • pp.827-833
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    • 2008
  • 목 적 : 영유아기에 발생하는 철 결핍성 빈혈은 성장, 발달에 심각한 영향을 미칠 수 있으므로 철 결핍을 조기 진단하는 것은 매우 중요하다. 고식적으로 사용되고 있는 혈청 ferritin이나 iron 대신 염증이나 만성질환 등에 영향을 받지 않고 철 결핍 상태를 진단하는데 비용이나 혈액채취량의 부담을 줄일 수 있는 장점이 있는 망상적혈구혈색소량을 다른 철 결핍 지표들과 함께 비교하였다. 방 법 : 2006년 6월부터 2007년 1월까지 을지대학병원 소아과에 급성 감염성 질환으로 입원한 생후 6개월에서 24개월 영유아를 대상으로 하였다. 정맥혈을 채혈하여 ADVIA 120 (Bayer Diagnostics, NY, USA)을 이용하여 Hb, MCV, MCH, CH, CHr, RDW를 검사하였고, 철 상태를 평가하기 위하여 iron, iron binding capacity, ferritin을 측정하였다. 혈색소 11 g/dL, Tfsat 20%를 기준으로 철 결핍성 빈혈군, 철 결핍군, 철 결핍이 없는 군을 나누었다. 결 과 : 총 69명의 영유아 중 철 결핍이 있는 환아가 47명, 이중 17명이 철 결핍성 빈혈군에 해당되었으며 철 결핍이 없는 군이 22명이었다. 빈혈을 포함한 철 결핍이 있는 집단과 철 결핍이 없는 군과는 MCH (P<0.01), CH (P<0.01), RDW (P<0.05) 및 CHr (P<0.01)이 유의하게 차이가 있었지만, ferritin은 두 집단 간에 차이가 없었다(P=0.109). CHr은 철결핍에 유의한 예측변수로 나타났다(LRT=71.25; odds ratio=0.67 [95% 신뢰구간, 0.47-0.97]; P<0.05). 철 결핍군을 빈혈이 있는 집단과 빈혈이 없는 집단과 비교하였을 때 MCV, MCH, CH, RDW가 유의한 차이를 보였다(모두 P<0.05). 또한 CHr, iron, TIBC, ferritin은 두 군간에 차이가 없었다(P>0.05). CHr의 cutoff 27.4 pg을 기준으로 전체 집단을 구분하여 비교하였을 경우에는 Hb, MCH, CH, Tfsat, iron (모두 P<0.05) 모두 통계적으로 유의한 차이를 보였으나 MCV (P=0.188), RDW (P=0.138), ferritin (P=0.730), TIBC (P=0.700)는 차이를 보이지 않았다. 결 론 : CHr은 일부 기종에 국한되어 제공되는 사항이고 적절한 참고치의 설정이 필요하지만, 6개월에서 24개월령의 유소아에서 철 결핍 상태를 진단하는데 급성염증반응에 영향을 받지 않고, 비용이나 혈액채취량의 부담을 줄일 수 있는 장점이 있어 새로운 지표로 이용이 가능하리라 생각된다.

흰쥐에 조사한 자외선B가 Nitric Oxide의 활성에 미치는 효과 (I) (Effects of ultraviolet light B irradiation on nitric oxide activity in the sprague-dawley rat in vivo (I))

  • 민경옥;김중환
    • 대한물리치료과학회지
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    • 제6권3호
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    • pp.63-82
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    • 1999
  • Recent studies have revealed that Nitric oxide(NO) was one of the demonstration for the physiological regulator, endothelial derived relaxing factor(EDRF) and that NO was produced by ultraviolet irradiation in human. Thus, the present author have carried out a experimental study on the change of hematological, histological value of ultraviolet irradiation in sprague-dawley rats. The subjects were divided into four groups of ten rats each selected at random. There were 4 groups: 1. no irradiation control; 2. ultraviolet $75mJ/cm^2$ irradiation group; 3. ultraviolet $150mJ/cm^2$ irradiation group; 4. ultraviolet $225mJ/cm^2$ group. After a irradiation, hematological and histological tests were performed to observe erythrocyte, hemoglobin, hematocrit, MCH, MCHC, MCV, $O_2$ saturation, pH, $PO_2,\;PCO_2$ value and to observe histological changes. In hematological tests, erythrocyte, hemoglobin, hematocrit significantly increased in $75mJ/cm^2$ than control group and more $150mJ/cm^2$ ultraviolet irradiation group respectively. Also In blood gas tests, $PO_2$ significantly increased in $75mJ/cm^2$ and more $150mJ/cm^2$ group than control group. Whereas $PCO_2$ significantly decreased in $75mJ/cm^2$ and more $150mJ/cm^2$ group than control group (Duncan-Tukey test, P<0.05). In histological tests, control and $75mJ/cm^2$ group unchanged, but more $150mJ/cm^2$ group changed that it was cytolysis, cytotoxic effect, acanthosis, proliferation of keratinocyte, appearance of amorphous cell and pyknotic nucleus, production of sunburn cell. In conclusion, the present author results support the importance of the relation between NO effect and hematological, histological value by ultraviolet B irradiation.

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강릉지역 일부 사춘기 소녀의 철분 영양상태에 관한 연구 (A Study on Iron Nutritional Status of Girls at Puberty in Kangnung Area)

  • 김은경;류옥남;박계월
    • 대한지역사회영양학회지
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    • 제4권2호
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    • pp.139-148
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    • 1999
  • This study was designed to assess the iron nutritional status of girls at puberty in Kangnung area. The subjects consisted of 161 adolescents in sixth-grade in primary school and first-grade in middle school girls. Anthropometric measurements were taken for body weight, height, percentage of body fat, and circumferences of waist and hip. Nutrient intakes were assessed by modified 24-hour recall method. Food models and other measuring tools were also used. Fasting blood samples were obtained and analyzed for hemoglobin(Hb) concentration, hematocrit(Hct), serum iron(FE) and total iron binding capacity(TIBC). Mean values for Hb, Hct, Fe, TIBC, TS and serum ferritin were $13.6{\pm}0.9g/dl$, $39.6{\pm}3.9%, 91.3{\pm}36.3{\mu}g/dl$, $327.9{\pm}45.2{\mu}g/dl$, $28.3{\pm}11.8%$ and $37.4{\pm}24.2ng/ml$, respectively. Prevalence of iron deficiency greatly varied by indices from 4.8% when judged by Hb to 18.4% by serum Fe concentration. The Hb concentration was positively correlated with Hct(r=0.641), serum iron(r=0.266) and transferrin saturation(r=0.237)(p<0.05). On the other hand, serum ferritin concentration showed significantly negative correlation with TIBC(r=-0.572). Mean daily intake of iron was 14.94mg and heme iron intake was 1.13mg and which was 7.6% of total iron intake. Total absorbable iron calculated by the method of Mosen was 1.38mg and bioavailability of dietary iron was 9.3%. These results suggest that the prevalence of iron deficiency of pubertal girls is very high, therefore the guidelines for diet and social supports, such as, school food service system should be provided to improve their iron status in middle school students.

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