• Title/Summary/Keyword: 선천(先天)

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선천성 심기형의 술전후 환아 관리

  • Lee, Jeong-Ryeol
    • 아동간호학회:학술대회논문집
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    • 1996.06a
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    • pp.46-53
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    • 1996
  • 선천성 심기형 환아의 중환자실 관리를 포함한 술전후 관리를 위하여는 각질환에 대한 해부학적, 혈역학적 욧점을 이해하고, 교정의 내용, 교정후 일어날 수 있는 혈역학적 특징을 간파하여야한다. 그런다음 소아 심장 환아의 중환자 관리상 필요한 각종 지표가 어떤 것들이 있는지 숙지해야하고 이를 바탕으로 시시각각으로 정상 범위를 벗어나려고 하는 각종 지표들을 철저히 감시하여 환아의 상태가 안정권에 돌입할때까지 신속하게 대처하는 것이 중환자 관리 요령이자 목표이다.

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Hiatal Hernia in Neonate (신생아의 식도 열공 탈장)

  • 임용택;정승혁;김민용;김병열;이정호
    • Journal of Chest Surgery
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    • v.34 no.2
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    • pp.184-188
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    • 2001
  • 선천성 횡경막탈장은 2000∼5000명의 신생아 당 한명 꼴의 발생율을 가진 드문 질환이다. 그 중 신생아에서 열공탈장은 더욱 희귀한 질환이다. 저자는 생후 1주일된 신생아의 선천성 복합열공탈장을 경험하였다. 진단은 빠른 시간내 이루어졌으며 수술은 우측 흉곽절제술을 통해 탈장된 장기를 복원하고 Belsey-mark IV 술식을 시행하였다. 환아는 술후 3일째 음식을 먹었고 퇴원 6개월후 지금까지 별 문제없이 잘 지내고 있다.

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선천성.감음성 최중도 난청아를 위한 음성언어지도

  • 한옥희
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.7 no.1
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    • pp.113-122
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    • 1996
  • 장애복지 선진국의 통계에 의하면 감음성 난청아의 약 80%가 중도(severe, 71-90dB, WHO 분류)와 최중도(profound, 91dB이상, WHO 분류) 난청이라고 한다. 출생 이전 및 출생시(선천성)에, 또는 2세 이전의 전언어기부터 청력을 않은 감음성 난청아 중에서, 청력 손상 정도가 심한 중도 이상인 경우에는 음성언어능력의 발달을 기대할 수 없는 것으로 간주되어, 즘은 의미에서의 구화에 의한 의사소통 내지 일반교육장에서의 교육도 불가능한 것으로 여겨져 왔다. (중략)

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Etiology of the Laryngotracheal Stenosis (후두 및 기관협착증의 원인)

  • 조재식
    • Korean Journal of Bronchoesophagology
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    • v.1 no.1
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    • pp.13-23
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    • 1995
  • 후두 및 기관협착증은 선천적으로 발생하기도 하지만 대부분이 후천적으로 발생한다. 후천적인 원인으로는 외부로부터의 외상에 의하기도 하지만 대개가 기관내 삽관 후유증으로 발생하는 것으로 알려져 있다. 기관내 삽관에 의한 기도 점막의 손상은 대부분 가역적이기는 하지만 영구적으로 협착을 초래하는 경우, 그 치료에 있어서 많은 노력이 필요할 뿐만 아니라 치료 자체가 매우 까다롭고 실패 할 수도 있다. 따라서 후두 및 기관협착증의 원인을 정확히 이해하고 예방하는 것이 매우 중요하다. 이러한 관점에서 후두 및 기관협착증의 선천적, 후천적 원인들에 대해서 검토하여 보았다. 특히 기도 내 삽관에 따른 협착증이 가장 많은 빈도를 차지하는 만큼, 이의 병태생리와 발생에 관여하는 여러 인자들에 대해서 중점적으로 문헌 고찰하였다.

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건강관리 사례담56-정신박약아

  • KOREA ASSOCIATION OF HEALTH PROMOTION
    • 건강소식
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    • v.14 no.12 s.145
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    • pp.2-5
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    • 1990
  • 지금 이 순간에도 어느 병원 분만실에서는 탄생의 기쁨을 알리는 아이의 울음소리가 우렁차게 울려나고 있다. 그러나 그중에는 결코 기쁨만으로 느껴지지 않는 울음소리가 있다. 선천성 대사이상으로 인한 정신박약아의 출생. 우리나라에서만 1년에 300명 정도라고 한다. 그러나 더더욱 안타까운 것은 신생아기에 발견만 되었으면 정신박약아로의 성장이 아닌 정상인으로의 성장이 가능함에도 이들이 방치되고 있다는 사실이다. 이미 모든 신생아에게 선천성 대사이상 검사가 실시되고 있는 선진각국의 추세를 감안, 몇 년 전부터 국내에서도 제기되고 실시되기 시작한 이 검사가 현재 어느 정도까지 주진되었는지를 이번호에서 알아보기로 한다.

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Stapedectomy for Stapedes Fixation (등골고정증에 대한 등골절제술)

  • 김종선;이광선;조애영
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1983.05a
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    • pp.19.3-19
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    • 1983
  • Congenital stapes fixation may develop alone or with other systemic anomalis. Acquired stapes fixation is found in otosclerosis or in chronic otitis media. It is our intent to review 4 cases (5ears) of congenital stapedial fixation and 2 cases (2 ears) of acquired stapedial fixation following chronic otitis media, treated by stapedectomy.

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Diagnostic Accuracy of $^{99m}Tc$-DISIDA Scintigraphy in Biliary Atresia (선천성 담도폐쇄증에서 $^{99m}Tc$ DISIDA 신티그라피의 진단정확성)

  • Hyun, In-Young;Lee, Dong-Soo;Lee, Kyung-Han;Kim, Jong-Ho;Chung, June-Key;Suh, Jung-Key;Lee, Myung-Chul;Koh, Chang-Soon
    • The Korean Journal of Nuclear Medicine
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    • v.28 no.3
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    • pp.357-363
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    • 1994
  • We evaluated the diagnostic accuracy of $^{99m}Tc$-DISIDA scintigrauhy as a mean of differentiating biliary atresia from neonatal hepatitis. $^{99m}Tc$-DISIDA scintigraphy was visually interpreted by assessing the presence or absence of radioactivity in the intestine or gall bladder. In patients without intestinal radioactivity, we measured the hepatic retention index and the hepatic uptake index. The hepatic retention Index was expressed as the amount of change of liver activity from 5 minutes to 30 minutes postinjection. The hepatic uptake Index was graded visually with 5 minute images using the following scoring scheme : grade 0(normal hepatic uptake), grade 1(decreased hepatic uptake), grade 2(hepatic uptake equal to cardiac uptake), and grade 3(hepatic uptake less than cardiac uptake). Age, total bilirubin, and hepatic uptake index were compared between the biliary atresia and the neonatal hepatitis group, between neonatal hepatitis patients with and without intestinal radioactivity, and between the biliary atresia and neonatal hepatitis patients with absent intestinal radioactivity. The results were as follows ; 1) None of the 30 biliary atresia patients showed intestinal radioactivity, while 31/40 neonatal hepatitis patients showed intestinal radioactivity. The sensitivity, specificity, and accuracy of the presence of intestinal radioactivity ?or the diagnosis of biliary atresia was 100%, 78%, and 87%, respectively. 2) In patients with absent intestinal radioactivity the mean hepatic retention index was $1.5{\pm}0.6$ in the 16 biliary atresia patients, and $1.1{\pm}0.2$ in the 7 neonatal hepatitis patients(p<0.01). All 7 patients with hepatic retention index over 1.5 had biliary atresia. But there were 9 patients with biliary atresia below 1.5. 3) No significant differences were found in age, total bilirubin, or hepatic uptake Index between biliary atresia and neonatal hepatitis patients. However there were differences in age, total bilirubin, and hepatic uptake index between neonatal hepatitis patients with and without intestinal radioactivity. The hepatic uptake index was significantly lower, age was old, and total bilirubin was low in the group with intestinal radioactivity compared the group without intestinal radioactivity(p<0.05). Relation between total bilirubin and the hepatic uptake index was that total bilirubin was relatively low at normal hepatic uptake index in biliary atresia and neonatal hepatitis patients. 4) When hepatic uptake index and hepatic retention index were high it suggest that biliary atresia is more likely, considered relation between hepatic uptake Index and the hepatic retention index. Thus, we conclude that $^{99m}Tc$-DISIDA scintigraphy is accurate in the differential diagnosis of biliary atresia and neonatal hepatitis. In patients without intestinal radioactivity, the hepatic retention index and hepatic uptake index, along with the patient's age and total bilirubin level may supplement diagnosis and improve diagnostic accuracy.

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A Transcendental Pragmatic Interpretation on the Notion of 'Injon' in Daesoon Thought (대순사상의 인존(人尊)에 대한 화용론적(話用論的) 해석)

  • Baek, Choon-hyoun
    • Journal of the Daesoon Academy of Sciences
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    • v.39
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    • pp.33-67
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    • 2021
  • This paper aims at revealing the core concept of Injon (Human Nobility). The concept of Injon is one of the salient fundamental ideas which makes Daesoon Jinrihoe recognizable as Daesoon Jinrihoe. The concept of Injon has the basic meaning of 'human nobility,' but within the context wherein the nobility of humankind is considered to be greater than the nobility of Heaven and Earth. Although the religious and ideological interpretations of Injon (human nobility) that have developed over time have been quite diverse and abundant, these interpretations are all limited in that they generally assume the relationship between 'Heaven and Earth' and 'Humanity' to be antagonistic. However, if human nobility is relativized in that manner, it can reduce the potential broader meanings of mutual beneficence and the earthly paradise of the later world. These interpretations are grounded in the view of semiotic interpretation. Such interpretations have composed their view point via the semiotic meaning of the words. The semiotic point of view suggests that meanings of words consist in the relation of the word and the object to which it denotes. We will introduce a new view point which can be termed the transcendental view point. This view focuses on how the exact interpretation of words and sentences depends on the comprehension of the triad of systematic relations among the word, object, and speaker. In the Daesoon Thought, the Former World is considered to be the world wherein all creations unfolded according to the principle of mutual contention. This led to the accumulation of grievances and grudges which condensed and filled the Three Realms of Heaven, Earth, and Humanity. The Former World was dominated by Western material civilization, selfishness, and exclusivism. It was also a world where humans suffered from various natural disasters such as floods, droughts, plagues, and wildfires. The Former World lost the constant Dao and was overwhelmed with all kinds of disasters and calamities. That world fell into various kinds of wretchedness. The causes which made the Former World so cruel came from humans misunderstanding their relation to nature and life in general; including human life. The anthropocentric modern cosmology insisted that the human race was the only one to have the powers and rights to exercise dominion over nature. On the other hand, there is the Later World, which means the ideal and perfect, immanent eternal world for all humankind in Daesoon Thought. This world consists of life, peace, and equality and is also characterized by three typical attributes: goodness, peace, and all kinds of life. All living beings previously struggled for survival, but in the Later World, those lifeforms will embrace each other; even across different realms. In Daesoon Thought, the world and cosmos contain diverse forms of life, and human have both an earthly life and life in the after world should they die before the Later World. There are also the lives of divine beings and animals, and other such living entities. Daesoon Thought subsumes pan-vitalism, which allows they acknowledgement of myriad possible lifeforms. The concept of the Later World in Daesoon Thought, which mainly revealed in The Canonical Scripture and the words of Sangje (Kang Jeungsan), suggests that all kinds of life, including humans, animals, and even spirits in the afterworld, can live together in a perfect coming earthly paradise which is immanent. The concept of Injon can be interpreted though the view of transcendental pragmatics as an alternative to the typical views discussed in Daesoon Thought. Thinkers should attempt to improve current discourse on Injon in Daesoon Thought by focusing on the point that all kinds the original teachings demonstrate a value of all lifeforms. Therein, Injon would indicate not only the human nobility and dignity but also the nobility and dignity of divine beings, divine humans, and all other forms of life that have existed across time. The dimension of time allows for recognition of lifeforms from the Former World, the afterworld, and the Later World. This revised appraisal of Injon could further accommodate denizens of the afterworld, animals, ghosts and spirits, the earth and cloud souls of humans, and other lifeforms held to exist in the cosmology of Daesoon Thought.