• 제목/요약/키워드: Infant body burden

검색결과 4건 처리시간 0.016초

A Case of Successful Treatment of Congenital Syphilis in an Extremely Preterm Baby With Severe Respiratory Distress

  • Yoon Kyung Cho;Yeon Kyung Lee;Sun Young Ko
    • Pediatric Infection and Vaccine
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    • 제29권3호
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    • pp.161-165
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    • 2022
  • We report a case of successful treatment of congenital syphilis in an extremely preterm baby. A 1,395 g female infant was born by emergency Caesarean section due to preterm labor and breech presentation at gestational age at 29 weeks and 3 days with an Apgar score of 2 and 4 at 1 minute and 5 minutes, respectively. The mother of the newborn, an illegal immigrant who did not receive any antenatal care, was diagnosed as active syphilis infection by reactive rapid plasma regain (RPR) (titer 1:128) just before the delivery. Upon birth, the newborn presented with various clinical manifestations, including severe respiratory distress syndrome, persistent pulmonary hypertension of the newborn, disseminated intravascular coagulopathy, desquamation and scaling of the whole body, and osteolytic changes of long bone ends. Results of laboratory tests showed signs of early congenital syphilis, including positive syphilis reagin test (12.7 R.U.), reactive with RPR titer of 1:64, and positive for immunoglobulin (Ig) M and IgG fluorescent treponemal antibody absorption test. However, after completion of penicillin G treatment for two weeks, laboratory results dramatically improved, showing a negative syphilis reagin test (0.5 R.U.) and non-reactive in RPR. In conclusion, the incidence of congenital syphilis is prone to be resurgent in South Korea, neonatologists should be fully aware of the clinical features of congenital syphilis because early diagnosis and prompt treatment are essential in order to reduce the social and economic burden due to congenital syphilis.

소아(小兒) 임상상(臨床上) 한약제형(韓藥劑形)에 관(關)한 연구(硏究) (Study of Oriental Medicinal Types of Medical Treatment in Children)

  • 김기봉;김장현
    • 대한한방소아과학회지
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    • 제13권2호
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    • pp.111-123
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    • 1999
  • In children, flesh and muscle are tender, mental function is feeble, digestion and absorption are weak. Also food, drink and medicine which burden the stomach and bowels must be avoided. Oriental medicines are divided in object of medical treatment into three types, liquid medicine, medicinal powder and pill. In spite of this types, time and effort are spended greatly on children's eating medicine. In this paper, studying general characteristic of oriental medicinal types and effective types of oriental medicine, I can obstain such conclusions. 1. The oriental iense pillow remedy sets at easy, promotes degistion, treats disease of theesporatory organs. 2. The distillation remedy is suited to a chronic disease of children the degistion are ak in. 3. The mother remedy, because medicine is supplied through mother's body, is effective to infant. 4. The external use remedy is suited to skin disease, eye disease and nose disease, and has similar effect to taking liquid medicine. 5. The confectionery remedy is the method which children like greatly, but is the effective method to many children because of technical manufacture.

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영유아의 모유 섭취에 따른 폴리브롬화디페닐에테르의 위해성 평가 (Human Risk Assessment of Polybrominated Diphenyl Ethers by Breast Milk Feeding of Infants)

  • 위성욱;조봉희;조유진;윤조희;최시내;민병윤
    • 대한환경공학회지
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    • 제34권2호
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    • pp.109-118
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    • 2012
  • 본 연구는 한국인 산모의 모유 중 PBDEs의 노출수준 및 위해성평가를 위해 서울지역에서 총 22개의 모유시료를 대상으로 분석되었다. PBDEs는 모든 대상 모유시료에서 검출되어, 이러한 화학물질이 서울지역에 거주하는 일반인에게 광범위하게 노출되었음을 시사한다. ${\Sigma}PBDEs$의 잔류수준은 0.84~13.1 ng/g lipid의 범위로 산술평균 농도는 3.56 ng/g lipid, 중앙값은 2.6 ng/g lipid이었다. 모유 중 ${\Sigma}PBDEs$ 농도 수준은 중국, 대만, 유럽국가(스위덴)와 유사하고 몇몇 아시아(베트남, 필리핀, 인도네시아)보다는 다소 높았다. 그러나 세계에서 PBDEs 소비가 가장 많은 북아메리카의 농도 수준보다는 10~100배 낮은 농도였다. 이성질체 기여율은 BDE-47이 가장 높았으며, 다음으로 BDE-153, BDE-100, BDE-99, BDE-28, BDE-183 그리고 BDE-154 순이었다. BDE-47과 BDE-153의 합은 대부분의 시료에서 ${\Sigma}PBDEs$의 약 65% 이상을 차지하였다. 영아의 모유 수유에 따른 ${\Sigma}PBDEs$ 위해성 평가 결과 영아의 모유 수유를 통한 6개월간 평균일일노출량은 16.5 ng/kg bw/day로 산출되었으며, BDE-47의 인체노출에 따른 위해도 지수(95th percentile)는 $1.2{\times}10^{-1}$로 예측되어 6개월간 모유 수유로 인한 영아의 건강유해영향은 나타나지 않을 것으로 평가되었다.