• Pediatric Infection and Vaccine
• /
• 제5권2호
• /
• pp.289-295
• /
• 1998

Group B Streptococcal sepsis and/or meningitis is one of the most serious and common diseases in the neonatal period with high mortality and frequent complications. We have experienced a case of late onset type group B streptococcal sepsis and meningitis with a complication of subclavian vein catheterization catheterization. This 29-day-old male neonate was admitted to intensive care unit with the presentation of fever and septic shock. He was born with Cesarean delivery at 36 weeks and 3 days of gestational age. He showed multiple episodes of seizure after admission and group B streptococcus was isolated from blood. CSF profiles 10 days after admission showed the features of bacterial meningitis without organism isolated. Diffuse cerebral infarction was detected on brain CT 24 days after admission. In the 13th hospital day, the complication of subclavian vein catheterization occurred; Guide wire was cut during insertion and the distal portion of it(2.5cm) was retained in the left subclavian vein. We removed the retained guide wire with goose-neck snare catheter via right femoral vein. This case was presented with a brief review of the literatures.

• 대한수의학회지
• /
• 제34권4호
• /
• pp.695-703
• /
• 1994

The development of reticulum in fetuses between 60, 90, 120 days of gestation and neonates of Korean native goats was investigated by light, scanning electron microscopy. The results were summarized as follows; 1. In the 60-day-old fetuses, the stomach was developed and differentiated into four compartments of rumen, reticulum, omasum, and abomasum. The reticular epithelial layers were differentiated into two zones; a small dark basal and a large light luminar zones. The wall of reticulum resembled that of the rumen except that the mucosa was in the cranio-dorsal region of the reticulum. 2. In the 90-day-old fetuses, the light luminar zone of the reticulum was about 10-16 times thicker than the dark zone. The outlines of the reticular ribs were visible. 3. In the 120-day-old fetuses, the wall of the reticlum had also increased in thickness. The reticular mucosa exhibited an irregular luminar surface and the invaginations had differentiated into large regularly arranged ones separated by 3-5 and small irregularly arranged ones. 4. In the neonate, the luminar surface of the reticular mucosa demonstrated clear furrows, at which the superficial cells of the light zone had undergone degenerative changes. 5. Scanning electron microscopic studies; In the 60-day-old fetuse, numerous microvilli were observed on the superficial epithelial layer of shape or dome like at 120 days. In the neonate, the reticular papillae liked the little finger.

• 대한수의학회지
• /
• 제34권4호
• /
• pp.687-694
• /
• 1994

The development of rumen in fetuses between 60, 90, 120 days of gestation and neonates of Korean native goats was investigated by light, scanning electron microscopy. The results were summarized as follows; 1. In the 60-day-old fetuses, the stomach was developed and differentiated into four compartments of rumen, reticulum, omasum, and abomasum. The ruminal epithelial layers were differentiated into two zones; a small dark basal and a large light luminar zones. 2. In the 90-day-old fetuses, the light luminar zone of the rumen was 6-12 times thicker than the dark zone. 3. In the 120-day-old fetuses, the wall of the rumen had increased in thickness, and its the mucosa was still smooth. Several undulations of various depths involving the basal zone, basement membrane and lamina propria were observed at irregular within the light zone. 4. In the neonate, the wall of the rumen had increased in thickness and the luminar surface had become wavy due to the appearance of several shallow furrows in the luminar surface of the epithelium especially between the tips of the relatively more developed undulations. 5. Scanning electron microscopic studies: In the 90-day-old fetuses, numerous microvilli and microridges were observed on the superficial epithelial layer of the rumen. The ruminal papillae were already formed at 120 days of gestation. In the 120-day-old fetuses, the ruminal papillae formed short dome-shape. In the neonate, the ruminal papillae formed pebble-shape or short finger like.

• Journal of Chest Surgery
• /
• 제41권4호
• /
• pp.499-503
• /
• 2008

원위부 대동맥-폐동맥창, 우폐동맥 대동맥기시, 온전한 심실중격결손, 개방성동맥관, 대동맥궁차단으로 구성된, 소위 Berry syndrome이라고 불리는 이 기형은 매우 드문 복잡 심기형이다. 생후 19일된 신생아에서 자가동맥 피판을 이용한 일차 완전교정술과 추적관찰에서 발생한 우폐동맥 협착 및 그의 풍선성형술에 의한 성공적 치료를 문헌고찰과 함께 보고한다.

• 한국조경학회지
• /
• 제31권4호
• /
• pp.74-81
• /
• 2003

The need for insect and mite resistant turfgrass cultivars arose because of problems associated with pesticide use. Representative cultivars and genotypes of 18 warm-season turfgrass [Zoysia japonica Steud., Z. japonica${\times}$Z. metrella hybrids, Z. japonica${\times}$Z. tenuifotia hybrids, Z. matrella (L.) Merr., Cynodon dactylon (L.) Pers., C. dactylon${\times}$C. transvallensis hybrids, Paspalum notatum Flugge., P. vaginatum Swartz., Stenotaphrum secundatum (Walt.) Kuntze, Eremochloa ophiuroides (Munro.) and Buchloe dactyloides (Nutt.) Engelm.] and 20 cool-season turfgrasses [Poa pratensis L., Festuca arundinacea Schreb., F. rubra L., F. rubra var. commutata Gaud., F. ovina var. duriuscula L. Koch. Agrostis tenuis Sibth., A. palustris Huds., and Latium perenne L.] were evaluated for host resistance to feeding by the Spodoptera depravata (Butler) in the laboratory. Two experiments were set up in the laboratory using 8.5cm diameter${\times}$4.0cm deep plastic petri dishes as larvae feeding chambers. In experiment 1, one neonate larvae were place on the grass in each dish and the dishes were arranged with 5 replicates each within an environmental chamber maintained at $25^{\circ}C$ and 15h light: 9h dark Larval survival and larval weights at 7d and 14d, pupal weights, and days to pupation were compared among turfgrasses. In Experiment 2, 4cm sections of all grasses were oriented equidistant from each other in a pattern resembling the spokes of a wheel. Five one neonate larvae were introduced to the center of each dish. Dishes were immediately placed in an environmental chamber held at $25^{\circ}C$, 15h light: 9h dark Larvae were allowed to feed for 24h. Damage was rated from 0(no damage) to 9(completely consumed) were made for eachturfgrass. Resistance as antibiosis (high mortality, slowed growth, and least preference) was identified in Z. japonica${\times}$Z. tenuifolia hybirids ‘Emerald’, Z. japonica${\times}$Z. metrella hybirds ‘Miyako’ and Eremochloa ophiuroides (Munro.). Cool-season turfgrasses tested were susceptible to feeding by Spodoptera depravata (Butler).

• 대한수의학회지
• /
• 제35권1호
• /
• pp.1-9
• /
• 1995

The development of omasum in fetuses between 60, 90, 120 days of gestation and neonates of Korean native goats was investigated by fight; scanning electron microscopy. The results were summarized as follows : 1. In the 60-day-old fetuses, the stomach was developed and differentiated into four compartments of rumen, reticulum, omasum, and abomasum. The mucosa of the omasum was thrown into folds which appeared to be three or four different orders of large, medium, small, and smallest laminae. 2. In the 90-day-old fetuses, the omasal laminae had increased greatly in length and cores of omasal laminae were invaginated laterally. 3. In the 120-day-old fetuses, the wall of the omasal laminae had increased in length and the lamina epithelialisis had slightly increased in thickness. The lateral invaginations at the dark zone had increased in length and depth. The tunica muscularis increased only slightly in thickness particularly within its inner circular layer. 4. In the neonate, the muscularis and the omasal laminae had increased in thickness. The lateral invaginations of the dark zone were observed in the first, second and third order of omasal laminae. 5. Scanning electron microscopic studies : In the 90-day-old fetuses, numerous microvilli and microridges were observed on the luminar surface of the omasal mucosa. The omasal papillae were already formed at 120 days of gestation. In the I20-day-old fetuses omasal papillae liked nipple shape. In the neonate, the omasal papillae liked the thumb.

• Journal of Chest Surgery
• /
• 제32권1호
• /
• pp.38-42
• /
• 1999

1994년 9월에서 1997년 5월까지 신생아 호흡곤란을 보였던 환아들중 폐외 공기 누출을 나타내었던 48례를 대상으로 그 임상 양상을 분석하였는데 일차성 15례, 이차성 33례를 보였고, 순수 폐간질 기종이 19례, 다른 병변과 동반된 기흉이 19례 있었다. 정상 체중아가 많고 24시간내 증상 발현의 경우가 많았다. 폐 질환으로는 유리질 막증, 태변 흡입 증후군, 폐렴 등이 있었다. 25.2%의 원내 사망율을 보였고 유리질막증 환자에서 많았다.

• Neonatal Medicine
• /
• 제16권2호
• /
• pp.234-238
• /
• 2009

출혈 후 수두증은 미숙아에서 발생하는 주요한 합병증 중 하나이다. 저자들은 출혈 후 수두증을 가진 초극소 저출생체중아에게 Ommaya reservoir를 삽입하여 2개월 이상 반복적인 뇌척수액 배액을 시행하였다. Ommaya reservoir는 출혈 후 수두증을 가진 초극소 저출생체중아에서 뇌실복강지름술이 가능한 시기까지 수두증 관리에 유용한 방법으로 생각된다. 같은 환아에서 치료 중 뇌척수액 배액에 동반된 저나트륨혈증이 발견되어 나트륨 투여로 치료하였던 1례를 보고한다. 되풀이되는 뇌척수액 배액이 필요한 영아에서 정기적 혈중 나트륨농도 측정이 필요할 것으로 생각된다.

• Journal of Chest Surgery
• /
• 제40권10호
• /
• pp.696-700
• /
• 2007

심한 엡스타인 기형을 갖고 있는 한 신생아에서 Starnes 수술 후 중기 수술 결과를 보고한다. 환아는 출생 당일 청색증과 함께 심한 심비대로 입원하였다. 생후 19일째 심방화 우심실의 축소술과 함께 삼첨판 성형술을 시도하였으나 실패하였고 관상정맥동을 우심실 족에 두면서 삼첨판을 첩포로 폐쇄시키고 체폐동맥 단락술을 시행하였다. 생후 16개월에 양방성 상공정맥-폐동맥 문합술을 시행하였고 30개월에 심외도관 폰탄수술을 시행하였다. 현재 환아는 생후 56개월로 특별한 신체적 제한 없이 잘 지내고 있다. 최근 추적 심장검사에서 동율동 상태로 매우 작은 우심실과 함께 정상적 좌심기능을 보여주고 있고 우심실에 혈전 형성의 증거는 없었다.

• Child Health Nursing Research
• /
• 제9권1호
• /
• pp.18-27
• /
• 2003

The purpose of this study is to compare the educational needs and perception of mothers of normal neonates and high risk infants. This research was designed as a descriptive study. Data were collected for two months from April 2002 to March 2002. Subjects were 41 mothers of high risk infants and 60 mothers of normal neonates in one general hospital in Seoul participated in the study. Measurement tools used in this study were the educational needs scale developed by Cho Kyoul Ja et al and the neonatal perceptive inventories scale developed by Broussard. They ask mothers to rate each item on a four point Likert type scale. The collected data were analyzed using SPSS 8.0 program. The variables were listed as frequency, mean, standard deviation, X2 test, t-test, ANOVA. The results were as follows: The educational needs of the mothers of primi pregnancy was higher than the mothers of multi pregnancy. The educational needs on management of diseases such as prevention of infection, symptoms of disease, mental development, attachment promotion, congenital metabolism test, management of convulsion, care of vomiting and fever were higher than general care of infants such as immunization, measurement of temperature, hiccough care, follow up care. The informations must be included in nursing intervention program to reduce the mothers' stress level. In conclusion, in order to promote positive mother infant relationship, nurse need to give information and educate the mothers of high risk infant and normal neonate.