• Child Health Nursing Research
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• 제26권2호
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• pp.173-180
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• 2020

Purpose: The purpose of this study was to explore nursing students' recognition and understanding of the clinical environment of high-risk neonatal nursing care after watching a documentary about the neonatal intensive care unit (NICU), where high-risk newborns are treated. Methods: This study was a qualitative content analysis. In total, 151 nursing students' personal essays describing their reactions to a documentary about the NICU were analyzed using the NVivo 12 program. Results: Nursing students' experiences of engaging with a documentary about the NICU were structured into four thematic categories: 'actual observations of the imagined NICU', 'observation and recognition of nursing knowledge', 'empathy with people related to the baby', and 'establishing attitudes and values as a nurse'. Conclusion: Based on the results of this study, it is suggested that documentaries can be applied in nursing education about high-risk newborns.

• Neonatal Medicine
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• 제18권1호
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• pp.6-13
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• 2011

All newborn infants with clinically significant bleeding should be evaluated for a hemostatic deficit. Medical history should include the following data: familial bleeding disorders, maternal illness and medication, age of bleeding onset, and prophylactic administration of vitamin K. The first essential step for evaluating bleeding neonates is determining whether the baby is sick or well. The physician should also evaluate the extent of the bleeding, features of bleeding lesions, and other abnormal findings from the physical examination. Skeletal anomalies may provide diagnostic clues. Depending on the clinical features and results of screening tests, other tests including coagulation factors may be useful for determining the diagnosis. All laboratory results must be considered in the context of age-related reference values. The platelet function analyzer provides a promising alternative to bleeding time. Fibrin degradation products and D-dimers are used for screening and specially testing fibrinolytic activity, respectively. The Apt test may help to rule out factors derived from maternal blood. Radiologic imaging studies are important because asymptomatic intracranial hemorrhages are common in neonates.

• Journal of Dairy Science and Biotechnology
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• 제30권2호
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• pp.139-143
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• 2012

For human including newborn baby, the intestinal microbiota can play an important role in the development of the intestinal mucosa and in maintaining the balance of the immune cells. Important functions of the intestinal microbiota include the inhibition of the colonization of the intestine by potentially pathogenic microorganisms. Thus, the research of probiotics have been focused on the prevention and treatment of disorders associated with the gastrointestinal tract (GIT), including pathogen infection, traveler's diarrhea, antibiotic-associated diarrhea, and constipation. Probiotics have also been suggested as therapeutic agents against irritable bowel syndrome and inflammatory bowel diseases. An increasing amount of evidence from clinical studies suggests that they are effective in the prevention of atopic allergies and may have potential anti-carcinogenic effects. Until recent years many scientific research for this use has been based on empirical observations. Therefore, probiotics in the form of fermented milk products have been long part of attempts to maintain good health in world wide.

• 대한디지털의료영상학회논문지
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• 제15권1호
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• pp.9-20
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• 2013

PACS is one of the most used medical information system and share information from other hospitals through the PACS. Data integrity means zero defects data and this is a prerequisite of information system performance. but I wonder if I can trust these informations that Incorrect information from radiotechnologist's mistakes, anonymous in emergency department, Newborn baby department, modified informations at later. And Modified informations causes defect in integrity of the data. When we import, we use DICOM header not DB data. so error occurs that DB data is deferent with DICOM Header information. This paper discusses to resolve as above problem using DICOM object such as DICOM PR, SR. And propose quality management system that can guarantee the patient information and can manage exam history.

• Advances in pediatric surgery
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• 제18권1호
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• pp.35-40
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• 2012

Gastric duplication is a rare anomaly which account for only 3.8% of all gastrointestinal duplication. Gastric duplications are usually cystic lesion without communication with lumen. Most frequent presentation is an abdominal mass with vomiting, mainly diagnosed within the first year of life. Surgical removal is necessary in all cases, and optimal timing for surgery is the time that diagnosis is made. However, prenatally diagnosed gastric duplication is getting more common, and determining timing for surgery is not easy due to absent or minimal symptoms just after birth. We experienced prenatally diagnosed gastric duplication in a female newborn baby that gastric duplication was suggested in $24^{th}$ week of gestational age through prenatal ultrasonogram. Surgical removal was done at 3 months after birth, and showed good results. We think that natural history of gastric duplication and prevalent age of surgical disease which is similar to gastric duplication such infantile hypertrophic pyloric stenosis should be considered when timing of surgery on prenatally gastric duplication is decided.

• 감성과학
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• 제20권2호
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• pp.171-178
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• 2017

캥거루 케어의 특징을 반영하여 신생아의 감성에 긍정적인 영향을 미치는 스마트 감성 매트(SSM; Smart Sensibility Mat)를 개발, 제작하였다. 청감 자극의 경우 사전에 녹음된 어머니의 심장박동소리와 목소리를 30dB로 제공할 수 있는 블루투스 스피커를 매트에 삽입하였다. 촉감 자극의 경우 $32^{\circ}C$의 일정한 온도를 제공하기 위해 실리콘 소재의 온수 튜브를 매트의 표면에 삽입하고 자동온도조절장치와 연결하였다. 매트의 전체에 균일한 온도 제공을 위해 열전도성 실을 삽입한 직물을 매트 표면에 부착하였다. 면 패드로 매트를 감싼 후 피부 접촉과 비슷한 촉감 자극을 주기 위해 폴리우레탄 폼을 매트 표면에 접착하였다. SSM이 신생아의 감성에 미치는 효과를 보기 위해 생후 2주 이내의 건강한 신생아 10명을 대상으로 일반 매트(GM; General Mat) 및 SSM에 있을 때 생리신호인 심박수, 호흡수와 체온을 10분 간격으로 2회씩 측정하였다. 이를 3일에 걸쳐 1일 1회씩 측정한 후 대응표본 t검정을 실시하였다. 그 결과, GM에 있을 때 보다 SSM에 있을 때 심박수(t=8.131, p<.001)와 호흡수(t=7.227, p<.001)가 정상범위 안에서 유의적으로 감소하였다. 이는 SSM의 감각 자극이 신생아의 심리적 안정에 긍정적인 영향을 미쳐 GM보다 빠른 시간 내에 심리적 안정을 주는데 기여한 것으로 볼 수 있다.

• Clinical and Experimental Pediatrics
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• 제52권3호
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• pp.376-379
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• 2009

가성 저알도스테론혈증은 신장 세뇨관의 알도스테론 수용체의 이상으로 알도스테론의 분비는 증가되지만 반응성은 감소되어 저알도스테론혈증의 증상을 보이는 질병이다. 가성 저알도스테론혈증은 다뇨증, 과도한 소변 내 염분소실, 저나트륨혈증, 고칼륨혈증, 대사성 산증을 특징으로 하며, 산전부터 다뇨 증상이 시작되면 양수과다증을 초래할 수 있다. 미숙아에서는 생후 초기 불감 수분 손실량이 많으며, 폐 기능과 신장 기능이 미숙하여 전해질 이상을 흔히 동반하는데, 몸무게의 소실에도 불구하고 지속적인 다뇨와 저나트륨혈증, 고칼륨혈증의 증상이 있다면 전해질 불균형을 초래하는 기저질환을 확인하여야 한다. 저자들은 양수 과다증의 산전력이 있는 산모에게서 출생한 재태주령 32주 미숙아에서 지속적인 몸무게 감소에도 불구하고 계속되는 다뇨와 저나트륨혈증, 고칼륨혈증이 있어 17수산화프로게스테론을 조기에 선별 검사하여 선천성 부신 과형성증의 가능성을 배제함으로써 불필요한 스테로이드 치료를 피하고, 지속적인 전해질 보충으로 점차 전해질 이상의 호전을 보인 가성 저알도스테론혈증 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

• 한국식품과학회지
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• 제34권3호
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• pp.472-479
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• 2002

식중독 미생물의 증식을 억제하며, probiotic으로 작용할 수 있는 균주로서 가능성이 있는 젖산균을 신생아 분변과 동치미서 젖산균을 분리(0.15%의 담즙산염과 pH 3.0인 산성조건)하였고, 항균활성이 우수한 젖산균을 선발하였다. D2와 F35-2 균주는 Lactobacillus plantarum, F20-3 균주는 L. fermentum으로 동정되었다. 젖산균 대사산물의 특성과 항균 기작을 알아보기 위해 몇 종의 식중독 미생물(Listeria monocytogenes, Bacillus cereus, Staphylococcus aureus, Salmonlla Typhimurium, Escherichia, coli O157:H7, Salmonella Enteritdis)을 사용하였으며, 항균활성 Bioscreen C로 측정하였다. 젖산균의 대사산물의 특성을 확인한 결과 pH가 중성으로 갈수록 항균효과가 감소하는 경향을 나타내었다. Catalase 효소처리 후에는 F20-3 균주만 항균활성이 소실되어 항균활성의 원인으로 $H_2O_2$의 영향이 있을 것으로 추정되었다. 단백질 분해 효소(trypsin, pepsin)처리에는 항균활성에 영향이 없었고, $121^{\circ}C$ 15분간 열처리에도 안정한 물질로 추정되었다. 분리균주 대사산물은 유사한 pH와 젖산 농도보다 식중독 미생물의 증식 억제가 우수하여 분리된 균주의 증식억제 물질은 유기산 및 대사산물과 관계가 있을 것으로 추정되었다. 분리균주가 생성하는 유기산을 HPLC로 정량 한 결과, D2와 F35-2는 발효 24시간에 각각 1.84, 1.85%의 젖산만이 생성되었고, F20-3은 발효 24시간에 0.91%의 젖산과 0.22%의 초산을 생성하였다. 이것으로 볼 때 젖산발효형태는 D2와 F35-2는 homo형이고, F20-3은 hetero형의 발효를 하는 것으로 확인되었다.

• Journal of Genetic Medicine
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• 제16권2호
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• pp.62-66
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• 2019

Harlequin ichthyosis (HI, OMIM #242500) is one of the most severe skin diseases among the autosomal recessive congenital ichthyoses, with high morbidity and mortality, particularly in newborns. Clinically, it is characterized by a typical appearance of generalized, thick, yellowish, hyperkeratotic plates with deep erythematous fissures on the skin. Herein, we present the case of a newborn girl with HI that was genetically confirmed by targeted gene panel analysis. The premature baby was encased in an opaque white membrane with erosion covering the skin of the entire body except the lips, with her hands and feet restricted by the membrane. Humidification, emollient, and retinoic acid treatment were started; the thick ichthyosis gradually peeled off and the underlying skin was only covered with thin scales. Targeted gene panel analysis using next-generation sequencing and validation with Sanger sequencing and quantitative polymerase chain reaction analyses confirmed compound heterozygous mutations of the ABCA12 gene (p.N1380S and a partial gene deletion encompassing exon 9). The parents were carriers for each of the identified mutations. Early recognition of the genetic etiology of congenital ichthyosis can, thus, facilitate genetic counseling for patients and their families.

• Asian-Australasian Journal of Animal Sciences
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• 제10권4호
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• pp.435-438
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• 1997

Twelve newborn goat kids born of philippine does (3.5 and 5 years old) were used in this study. Four mother (candidate) doe goats were randomly allocated to each group. The mother does were infected orally with three levels (0, 15,000 and 30,000 larvae) of infective Haemonchus contortus larvae. Before infection all animals were housed in individual pens with concrete floors. They were provided with a uniform management. Estrus of does were synchronized using PGF2 alpha. All the animals were bred naturally by the same buck. Baby goat born of infected mother goats were divided into three groups. $T_1$, $T_2$ and $T_3$), respectively, from mother treatment groups. Birth weight and growth of goat kids born from H. contortus infected mother goats were determined. Birth weights of kids of $T_1$, $T_2$ and $T_3$ were 1.9, 1.5 and 1.2 kg, respectively. No significant (p > 0.05) differences in birth weight of kids for the 3 treatment groups were found. However, significant (p < 0.05) effects of stomach worm infection and duration of infection on liveweight gain of kids were observed. After second and third week of birth, respectively, the kids of groups 3 and 2 registered lover liveweight gains than the kids in control group. However, no significant (p > 0.05) difference in liveweight gain was found between the kids of infected mother does. Fecal egg counts of the infected mother does showed patent infections which also indicated by postmortem worm counts. However, no worm egg was found in the feces of the test kids.