• Journal of Chest Surgery
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• 제37권5호
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• pp.456-459
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• 2004

16개월 된 남자 유아가 목욕탕에서 쓰러진 상태로 발견되었으나 신체 모든 부위에 타박흔적은 없었다. 점진적인 호흡곤란이 지속되어 타 병원에 내원하여 흉부 X-선 촬영상 오른쪽 가슴에 심한 수흉으로 확인되어 흉강 천자와 폐쇄식 흉관 삽입술을 시행하여 배액하였으나 하루 200 ㏄ 이상의 유미액이 배액되어 2003년 7월 17일 본원으로 전원되었다. 삽관 후 21일 이상 금식 등으로 치료하였으나 증상이 호전되지 않아 우측 소개흉으로 절개하여 흉관 결찰 수술을 시행하였다. 수술 후 우측농흉이 발생하였으나 항생제 투여로 수술 후 30일째 경과 양호하여 흉관을 제거하게 되었으며 수술 3개월 후 현재 경과 양호하여 보고하는 바이다.

• 대한지역사회영양학회지
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• 제10권3호
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• pp.264-270
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• 2005

Breastfeeding has been known as the best feeding practice to prevent allergies including atopic dermatitis (AD) However, the benefit on the prevention of allergic disease is still controversial. The objectives of this study were to examine the rate of sensitization to the protein of eggs, cow's milk and soy in exclusively breastfed infants and to evaluate antigen-antibody reaction between breast milk and serum of AD infant. Data on feeding and food hypersensitivity were obtained for 62 AD infants (32 male, 30 female) aged < 6 month who had visited Samsung Medical Center from September 2001 to May 2003. Food hypersensitivity was determined by measuring specific IgE to egg, cow's milk and soy. Specific IgE levels > 0.7 kU/L by CAP assay (Pharmacia, Uppsala, Sweden) were considered positive. The rates of sensitization in breastfed infants were $41.9\%$ (26/62) to egg, $30.6\%$ (19/62) to milk and $18.0\%$ (11/62) to soy. Immunoblotting analyses were performed using breast milk with the matched serum of seven AD infants (4 male/3 female). Binding patterns of AD infant's IgE to breast milk extract showed visible specific band for immunoglobulin, especially in case of a lactating mother who did not completely restricted ingestion of egg, milk and soy. These results indicate that sensitization to food allergen develops via breast milk feeding. Breast milk feeding should be recommended in infants at risk of developing allergic disease, but maternal intake of highly allergenic food might be restricted for prevention and treatment of food allergy among the babies with AD.

• 한국산학기술학회논문지
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• 제15권3호
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• pp.1465-1470
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• 2014

본 연구는 유아의 사회적 유능감을 위하여 유아의 리더십이 사회적 유능감에 미치는 영향을 조사하였다. 서울, 인천, 경기 지역의 만5세 남녀유아 330명을 설문조사하여 자료처리를 t-검증, f-검증을 적용하여 person상관분석을 실시하였다. 연구결과는 첫째, 유아의 성별에 따라 의미 있는 차이를 보였고 남아보다 여아가 리더십, 사회적 유능감 점수가 더 높은 것으로 나타났다. 둘째, 유아리더십과 사회적 유능감 간의 상관관계를 분석한 결과는 통계적으로 유의미한 차이를 보이는 것으로 나타났다. 셋째, 리더십 수준이 높은 집단일수록 사회적 유능감이 높은 것으로 나타났다. 결론적으로 본 연구에서는 유아의 리더십이 유아의 사회적 유능감에 미치는 영향이 크다는 것이 입증 되었다. 따라서 본 연구에서 나타나는 결과는 유아의 리더십을 향상시키는 유아 리더십 교육프로그램을 통하여 유아의 사회적 유능감을 증진 시킬 수 있다는 교육적 시사점을 가질 수 있다.

• Neonatal Medicine
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• 제25권4호
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• pp.186-190
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• 2018

Esophageal atresia (EA) with proximal tracheoesophageal fistula (TEF; gross type B) is a rare defect. Although most patients have long-gap EA, there are still no established surgical guidelines. A premature male infant with symmetric intrauterine growth retardation (birth weight, 1,616 g) was born at 35 weeks and 5 days of gestation. The initial diagnosis was pure EA (gross type A) based on failure to pass an orogastric tube and the absence of stomach gas. A "feed and grow" approach was implemented, with gastrostomy performed on postnatal day 2. A fistula was detected during bronchoscopy for recurrent pneumonia; thus, we confirmed type B EA and performed TEF excision and cervical end esophagostomy. As the infant's stomach volume was insufficient for bolus feeding after reaching a body weight of 2.5 kg, continuous tube feeding was provided through a gastrojejunal tube. On the basis of these findings, esophageal reconstruction with gastric pull-up was performed on postnatal day 141 (infant weight, 4.7 kg), and he was discharged 21 days postoperatively. At 12 months after birth, there was no catch-up growth; however, he is currently receiving a baby food diet without any complications. In patients with EA, bronchoscopy is useful for confirming TEF, whereas for those with long-gap EA with a small stomach volume, esophageal reconstruction with gastric pull-up after continuous feeding through a gastrojejunal tube is worth considering.

• Clinical and Experimental Pediatrics
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• 제45권6호
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• pp.804-808
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• 2002

저자들은 폐형성부전과 다발성 선천성 기형을 가지고 있는 생존 출생아에서 말초혈액의 염색체 검사 및 FISH로 확인된 trisomy 22 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

• Journal of Chest Surgery
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• 제27권7호
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• pp.603-609
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• 1994

Esophageal atresia is a rare congenital anomaly and it usually associated with tracheo-esophgeal fistula and other congenital anomalies. The first report of esophageal atresia with tracheo-esophageal fistula was done by Thomas Gibson in 1696. In 1941, Haight performed the first successful primary anastomosis for esophageal atresia. These accomplishments opened the gateway for clinical studies that have resulted in reinforcements and improvement in the care of infants born with this anomaly. From January 1986 to April 1994, 14 cases of esophgeal atresia with tracheo-esophgeal fistula were diagnosed in Kyung Hee Uinv. Hospital. There were 9 male and 5 female infants. 12 infants were Gross classification type C and 2 infants were type A. The average body weight was 2.7$\pm$0.4kg and Waterson Category A contained 4 infants, B contained 3 infants and C contained 7 infants. Among these infants, 9 infants were underwent anastomosis procedures. We performed retropleural approach in 6 infants, transpleural approach in 2 infants and 1 infant was performed colon interposition through substernal space.By the method of anastomosis, end-to-side anastomosis was performed in 5 infants, end-to-end anastomosis in 3 infants and esophagocologastrostomy in 1 infant.The former 8 infants were Gross classification type C and the latter was type A. Among the type C infants, 6 infants were anastomosed with one layer interrupted suture and 2 infants with 2 layer interrupted suture. Post- operative death was in 1 infant and 8 infants were discharged with good result and have been in good condition.

• 대한간호학회지
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• 제34권2호
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• pp.235-242
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• 2004

Purpose: The main purpose of this study was to identify the correlation between the child rearing attitudes and the maternal role strain of mother with infants. Method: This study is designed as a descriptive research study and the data was collected from 82 mothers and infants by means of an interview and questionnaire in a period from July 2002 to December 2002, when they came to screen their infant's growth and developmental state at a public health center. Result: The results of this study were as follows: There was a significant positive correlation between the child rearing attitudes and maternal role strain(r.=.53, p=.000). There was a significant difference between the father's employment state and child rearing attitude of mothers(t.=5.22, p<.000). There was a significant difference between male infant and female infants in maternal role strain(t.=3.8, p=0.04). Conclusion: When the child rearing attitude was positive, the subject's maternal role strain was high. Also further research is needed on social support or other factors in the subjects in child-rearing attitudes and maternal role strain.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제10권1호
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• pp.66-70
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• 2007

저자들은 말초 혈액 호산구수 증가, 반복적인 천식, 고정되지 않은 폐 침윤, 그리고 위장관 출혈 및 혈관외 호산구 침윤을 보인 영아에서 p-ANCA와 c-ANCA의 증가 소견과 스테로이드 사용 후 증상과 검사 소견이 급격히 호전을 반복적으로 보이는 임상 소견을 근거로 진단된 영아기 CSS 1예를 경험하였기에 보고하는 바이다.

• Journal of Chest Surgery
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• 제37권3호
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• pp.275-278
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• 2004

9개월 된 남환이 우연히 발견된 심장 종괴 때문에 내원하였다. 환자는 특별한 증상은 없었으며, 혈역학적 이상 증상도 없었다. 심초음파 검사상 상당히 커다란 좌심실 자유벽의 종괴가 보였으며, 그 종괴는 좌심실 유출로를 막고 있지는 않았다. 좌심실 자유벽 종괴를 최대한 절제하였고, 병리학적 진단은 심장 섬유종이었다. 수술 후 7개월 간의 추적 관찰 기간 동안 부정맥이나 종양의 재발은 보이지 않고 있다.

• Parasites, Hosts and Diseases
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• 제52권2호
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• pp.189-191
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• 2014

Visceral leishmaniasis or kala-azar is an endemic parasitic disease in some parts of the world which is characterized by fever, splenomegaly, and pancytopenia in most of the cases. Herein we report an 11 month-old male infant with diagnosis of kala-azar who presented with pallor, hepatosplenomegaly, failure to gain weight, and no history of fever. Surprisingly, fever started after beginning of meglumine antimoniate treatment in this patient. As far as we are aware of, this is a rare presentation of visceral leishmaniasis. Therefore, clinicians especially in endemic areas are highly recommended to include kala-azar among differential diagnosis of unexplained anemia without fever to prevent misdiagnosis of this potentially fatal, but treatable condition.