• 한국식품위생안전성학회지
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• 제6권1호
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• pp.13-26
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• 1991

간의 부분적 절제수술을 하지 않고 새로운 발암성 검색법을 찾고자, 화학물질에 민감한 신생암첫 Sprague-Dawley 랫드를 이용하여 diethylnitrosamine(DENA)으로 암을 유발시킨 후, 제1군에는 강력한 촉진제로서 2-acetylaminofluorene(2-AAF)을 사료하여 0.01%가 되게 섞어 투여하였고, 제2군은 약한 촉진제인 phenobarbital을 암수에 0.05% 농도로 녹여 토여하였으며, 제 3군은 대조군으로 DENA만을 1회 투여하였다. 그리고 발암성 평가는 glutathione S-transeferase placental form을 사용하여 검색하였다. 그 결과 체중에 대한 간의 무게비는 이유후 4주째 (7주)에 제2군이 제3군인 대조군에 비해 유의성 있게 (p<0.01)높았으며, 이유후 8주째(11주)에는 제1군과 제 2군이 대조군에 비해 각각 유의성 있게 (p<0.01, p<0.001)높았다. 그리고 이유후 4주(7주)째에 GST-P 양성병변을 이용한 전암병변의 면적을 비교해본바 제 1군과 제2군이 각각 유의성있게 (p<0.01, p<0.05)높게 나타났다. 이상의 결과에서 신생 랫드를 이용한 발암성 실험은 간의 부분적 절제수술을 하지 않고도 화학물질의 발암성을 좀더 이른 시기에 검색할 수 있음을 알 수 있었다. 그러므로 신생동물을 이용한 발암성 실험은 많은 화학물질들의 발암성을 검색하는데 매우 유용한 방법으로 사료된다.

• Journal of Chest Surgery
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• 제15권3호
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• pp.285-289
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• 1982

Pneumomediastium in a newborn baby is a rare condition and is usually manifested by respiratory and circulatory distress syndrome. We recently have experienced a newborn baby of severe tension pneumomediastinum associated with bilateral pneumothorax. The patient in this report was a day old female and the mother of the baby a lot of difficulties during her delivery and the aid of vaccuum was necessary. This patient was received closed thoracotomy and followed by explothoracotomy and excision of tension multiple air bubbles. The post-op. course is not uneventful.

• 대한한방소아과학회지
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• 제17권2호
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• pp.37-53
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• 2003

Objective : To find risk factor and symptoms for transferred newborn from postpartum care center Method : We performed a follow-up study using medical record. Subjects comprised 188 neonates(include 4 twins) and 184 women in childbed who were hospitalized in oriental postpartum care center from January, 1, 2002 to December, 31, 2002. Result: Transferred newborn was total 24, N.V.D. 17, C.S. 7, male and female were 12 separately. The symptom of transfer was fever(16), diarrhea(4), jaundice(3), convulsion(1) Transferred number and rate was male 12(10.7%), female 12(15.8%). In delivery method, total normal vaginal delivery(N.V.D.) was 136 and transferred 17(12.5%), total cesarean section(C.S.) was 52 and transferred 7(13.5%). Transferred rank was N.V.D. female(17.9%). C.S. male(15.6%), C.S. female(10%), N.V.D.(8.6%). Of the 188 neonates. immature infants were 2 and transferred 1(50%), term infants were 184, transferred 23(12.5%), post-term infants were 2 and transferred none(0%). In age of women in childbed, transferred ratio was 15.4%(over 35), 15.2%(25-29), 10.5%(30-34). In fever,. C.S. infants were more transferred than N.V.D. and male infant had a tendency to transfer in later period of hospitalization and female in early period. It seems that transfer was related to abortion. In diarrhea, all was N.V.D. and their diagnosis was rotavirus. The average age of women in childbed was yonger(28.5). In jaundice, all was 1st, and average birth weight was lighter(3153g). The average age of women in childbed was older(30). In convulsion, birth weight was lighter(3153g), and age of women in childbed was older(30). Conclusion : There's any relation with sex and delivery method, birth weight and mother's age in transfer. But we cannot find any statistically significance. Further prospective studies are needed to find risk factors in transfer.

• Advances in pediatric surgery
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• 제12권1호
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• pp.99-106
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• 2006

Anorectal malformations comprise a spectrum of disease and the majority of patients have one or more abnormalities that affect other systems. In evaluating a newborn with anorectal malformation, the decision regarding the need for a colostomy and detection and management of any life threatening associated anomalies are thetwo most important considerations. Perineal inspection provides the clue to the surgical approach in about 80-90 % of male and 90 % of female newborn baby. The remaining patients who do not show any clinical evidence need radiologic evaluation to decide whether a colostomy should be performed. In most cases the decision to make a colostomy should not be made until the baby is 20 to 24 hours old and evaluation to rule out the presence of associated anomalies completed. A divided colostomy at the junction of the descending and sigmoid colon is recommended for anorectal malformations.

• Advances in pediatric surgery
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• 제3권2호
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• pp.108-116
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• 1997

The anatomical variations of the external genitalia including the hymen were observed prospectively in 1,500 female infants born between March, 1992 and July, 1992 at the Taegu Fatima Hospital. Careful inspection of the external genitalia was done within 24 hours after birth, and abnormal findings photographed. Almost all hymenal tissue appeared to be redundant. The hymen was annulus in 89.1 % of patients. Ninteen point nine percent had a central orifice and the remainder a ventral orifice. External ridges, intravaginal ridges, and clefts were present in 71.5 %, 50.7 % and 40.5 %, respectively. Congenital anomalies of the external genitalia were found in 20 patients(1.4 %). There were sixteen cases of hymenal cysts, two hymenal polyps, one imperforate hymen, and one Skene's duct cyst. Seven of the 16 hymenal cysts with stalks were excised and those without stalk were aspirated. Hymenal polyps were excised. Imperforate hymen was incised and drained, and Skene's duct cyst was aspirated successfully. The surgical procedure were done without anesthesia, and the results have been good. In conclusion, routine physical examination of the female newborn infant detects frequent developmental anomalies. The significance of those anomalies will be clarified after longitudinal long-term followup studies.

• Neonatal Medicine
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• 제15권1호
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• pp.100-104
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• 2008

난소 낭종은 신생아기 여아의 가장 흔한 복강 내 낭성 종괴로, 대부분은 자연 소멸되지만 일부는 난소 염전, 낭종 내 출혈, 난소 파열 등의 합병증으로 인해 수술적 치료를 필요로 한다. 난소 낭종의 파열은 매우 드물게 발생하는 것으로 알려져 있으며, 심한 혈성 복수나 복막염 등으로 인해 사망을 초래하기도 한다. 저자들은 산전 초음파를 통해 복강내 종괴가 발견되었고 출생 후 경도의 복부 팽만 및 두 차례의 혈뇨를 주소로 내원한 2일된 신생아에서 탐색 개복술을 통해 우측 난소 낭종의 염전 및 파열을 진단하고, 우측 난관-난소절제술을 통해 성공적으로 치료하였기에 문헌고찰과 함께 보고하는 바이다.

• Advances in pediatric surgery
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• 제13권1호
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• pp.87-92
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• 2007

An 1-month old female newborn was admitted to our hospital because of jaundice which occurred at 2 days after birth. Plain chest X-ray and chest CT revealed a collapsed right middle lobe and lobar emphysema was suspected. Right upper lobectomy of the lung was done and pathologic findings showed an infantile lobar emphysema. After the operation, the newborn was discharged without complication and was followed up through the out patient clinic. Infantile lobar emphysema is rare and male dominant. Left upper lobe of the lung is the most prevalent site. Patients with infantile lobar emphysema complain of respiratory symptoms. We report one case of infantile lobar emphysema on right upper lobe of lung, in a female with no respiratory symptoms.

• Animal cells and systems
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• 제1권4호
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• pp.595-602
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• 1997

Treatment of newborn female rats with gonadal steroids induces permanent sterility in adulthood. We investigated the alteration in expression patterns of gonadotropin-releasing hormone (GnRH) and luteinizing hormone (LH) in neonatally estrogenized sterile rats (ESR). Newborn female rats received daily injections of 17${\beta}$-estradiol (E, 10 ${\mu}$g) from the day of birth (day 1) to postnatal day 5. Controls were subjected to vehicles over the same period. All animals were sacrificed on week 7 after birth. Hypothalamic GnRH mANA levels were markedly higher in all ESR than in controls, while hypothalamic GnRH contents in ESR increased in proportion to the frequency of daily administration of E. However, both pituitary LH6 mRNA and serum LH levels were inversely decreased by the same treatment. The data indicate that neonatal exposure of E equally elevates the expression of GnRH gene, but reduces the secretion of GnRH, accordingly leading to attenuation of LH6 gene expression and circulating LH levels. The temporal effect of E and/or progesterone (P) on GnRH and LH6 mRNA levels was also examined in ESR. Newborn female rats were daily injected with E (10 ${\mu}$g) or vehicle for five successive days from day 1 and ovariectomized at week 5. They were implanted with E (235 ${\mu}$g/ml) two days prior to week 7, injected with P (1 mg) 42 h later, and sacrificed 7 h after P administration. In ovariectomized controls, hypothalamic GnRH mRNA levels were dropped to half by treatment of E and restored by subsequent treatment of P. The negative feedback action of E on GnRH mRNA levels observed in ovariectomized rats was completely blocked by neonatal exposure of E. The change in pituitary LH mRNA levels was similar to that in hypothalamic GnRH mRNA levels. Taken together, the results suggest that neonatal treatment of E alters the synthesis and release of GnRH in adulthood and furthermore blocks the negative feedback regulation of E which occurs normally after ovariectomy.

• Journal of Yeungnam Medical Science
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• 제18권2호
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• pp.287-292
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• 2001

1999년 5월부터 1999년 8월까지 영남대학교 의과대학 부속병원 산부인과에서 정상적으로 출생한 여아 68명을 대상으로 출생당시부터 출생 4일 사이의 신생아들의 음핵크기와 너비를 측정하였다. 본원에서 측정한 신생아들의 평균 음핵 길이의 크기는 $4.7{\pm}1.93$ mm, 음핵귀두의 너비는 $2.6{\pm}1.48$ mm, 음핵귀두의 길이는 $2.4{\pm}1.14$ mm였다. 본 연구에서 재태 기간과 신생아 출생 사이의 음핵 크기 사이에는 유의한 상관관계가 없었고 출생 체중과 음핵 크기 비교에 있어 저체중출생아와 정상체중출생아 사이에는 유의한 상관관계가 있었으며 과체중출생아와 정상체중출생아 사이에는 유의한 역상관관계가 있었다. 태생기에 있어 성호르몬의 분비이상은 태아 성기관의 발달에 이상을 초래하게 되어 출생시에 외생식기의 이상을 나타나게 되는 이를 근거로 성호르몬 분비이상을 확인하게 되어 조기진단에 도움을 받을 수가 있다. 이를 위해 한국 신생여아의 음핵과 음핵귀두 크기의 기준치 설립은 음핵비대여아의 조기 발견에 유용한 지표가 될 수 있다.

• Pediatric Infection and Vaccine
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• 제14권1호
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• pp.111-115
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• 2007

본 저자들은 발열과 점액성 혈변을 보인 신생아에서 대변 현미경 검사를 통해 이질아메바를 진단하고 metronidazole 경구 투약 후 증상의 호전과 이질아메바의 제거를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.