• 임상간호연구
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• 제21권2호
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• pp.207-214
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• 2015

Purpose: This study was aimed to investigate the effect of an education program on inter-rater agreement of Neonatal/Infant Braden Q Scale for clinical nurses working at a neonatal intensive care unit (NICU). Methods: This was single-arm pre and post experimental study. The participants were 12 nurses and 128 hospitalized neonates at a NICU from December, 2012 to March, 2013. Twelve nurses were divided into four different groups; for two groups were assigned nurses with 3 to 5 years of clinical experiences, and for the others with less than 1 year of clinical experience. The interventions were given by one wound ostomy specialist and two NICU nurses with over 5 years of clinical experiences for 1 hour twice. The inter-rater agreement was measured by intraclass-correlation coefficient. Results: Overall inter-rater agreement was improved from .87(95% CI: .80~.92) at the pre-test to .94(.91~.96) at post-test. Each inter-rater agreement except moisture and nutrition was also improved. Conclusion: The developed education program on scoring for Neonatal/Infant Braden Q scale was effective to improve the inter-rater agreement among clinical nurses. We suggest to privide an education for NICU nurse before using the Neonatal/Infant Braden Q scale in clinical settings.

• Clinical and Experimental Pediatrics
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• 제50권12호
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• pp.1257-1260
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• 2007

저자들은 출생 직후부터 심한 혈변과 구토 증상을 보인 신생아의 위액과 변에서 아메바를 확인하여 자궁 내에서 감염된 것으로 판단되는 신생아 아메바증을 경험하고 치료하였기에 문헌 고찰과 함께 보고하는 바이다.

• Journal of Genetic Medicine
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• 제10권2호
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• pp.109-112
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• 2013

Treacher Collins syndrome (TCS) is the most common and well known mandibulofacial dysostosis with characteristic clinical features including downward slanting of palpebral fissures, coloboma of the lower eyelid, hypoplastic zygomatic arches, micrognathia, macrostomia, microtia, and other deformities of the ears. TCS is caused by mutations in at least 3 genes involved in pre-rRNA transcription: TCOF1, POLR1D and POLR1C. We experienced a 1-day-old female infant with characteristic clinical features of TCS. A novel, heterozygotic mutation within the TCOF1 gene (c.3874_3875insG, p.Ala1292Glyfs*30) was identified to cause a premature stop codon.

• Neonatal Medicine
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• 제17권2호
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• pp.155-160
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• 2010

Metabolic acidosis is commonly encountered issues in the management of critically ill neonates and especially of preterm infants during early neonatal days. In extremely premature infants, low glomerular filtration rate and immaturity of renal tubules to produce new bicarbonate causes renal bicarbonate loss. Higher intake of amino acids, relatively greater contribution of protein to the energy metabolism and mineralization process in growing bones are also responsible for higher acid load in premature infant than in adult. Despite widespread use of sodium bicarbonate in the management of severe metabolic acidosis, use of sodium bicarbonate in premature infants should be restricted to a reasonable but unproven exception such as ongoing renal loss. Despite concern about the low pH value (<7.2) which can compromise cellular metabolic function, no treatment guideline has been established regarding the management of metabolic acidosis in premature infants. Appropriately powered randomized controlled trials of base therapy to treat metabolic acidosis in critically ill newborn infants are demanding.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제6권2호
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• pp.197-201
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• 2003

위기형종은 모든 기형종의 1% 미만을 차지하며, 대부분 1세 미만의 남아에서 발생하고, 상복부 종괴나 복부 팽만을 주소로 내원하여 방사선학적으로 US나 CT 소견에서 위 주위에 낭성 그리고 고형성분이 섞여 있는 종괴가 지방이나 석회화를 함유한 경우 진단이 가능하며, 보고된 대부분의 경우가 양성으로 완전한 수술적 절제 후에는 추가적인 치료가 필요하지 않고 예후는 매우 양호하다. 알파 태아 단백(AFP, ${\alpha}$-fetoprotein)이 종양 표지자로 사용되며, 추적 검사에서 점차적으로 증가하거나 또는 감소하지 않는 경우 재발이나 불완전한 절제를 생각할 수 있다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제14권2호
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• pp.130-136
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• 2011

Plain X-ray radiographs are the first line of investigation taken in the diagnosis of abdominal pathology and are considered an important diagnostic tool to provide guidelines for further imaging studies and comprehensive therapeutic management. Although most abdominal pathology demonstrates non-specific radiologic findings, the plain abdominal radiography is very useful in specific diseases, including certain gastrointestinal anomalies. This review provides image findings of normal plain abdominal radiography and some common abdominal pathology in infants and children.

• Journal of Chest Surgery
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• 제28권5호
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• pp.481-486
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• 1995

During the Dec.1990 to April.1994, 14 patients were diagnosed in the Department of Thoracic and Cardiovascular surgery, Medical college of Chonnam National University,as having congenital Bochdalek hernia. All of them diagnosed and operated before the age of 20 days, neonatal period. 3 of 14 were died after operation, so mortality rate was 21%, the deaths occurred in 1,1,13 days neonate. In this retrospective study we describe our experience and results with review of the literature.

• Neonatal Medicine
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• 제28권1호
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• pp.36-40
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• 2021

Gastric volvulus in neonates is an extremely uncommon disorder, which is challenging to diagnose because of its non-specific clinical manifestations. Early diagnosis of gastric volvulus is important to avoid life-threatening complications, such as gastric ischemia, necrosis, and perforation. A definitive diagnosis could be made with radiological upper gastrointestinal series. In this report, we present two cases of neonate gastric volvulus, which were confirmed by radiological upper gastrointestinal series, and the patients underwent surgical treatment.

• Journal of Chest Surgery
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• 제30권2호
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• pp.205-208
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• 1997

심장 횡문근종은 영아나 소아기에서 가장 발생빈도가 높은 원발성 심장종양으로서 결절성 경화증을 빈번히 동반하고, 자연 퇴화가 보고된다 할지라도 좌심실 유출로 폐쇄를 동반한 종양은 아직까지는 예후가 불량하고 수술적 치료가 적응이 된다. 생후 4 일된 신생아가 청색증과 빈 호흡을 주소로 내원하여 생후 4일째에 정중흉골절개를 통한 체외 순환하에 수술을 시행하여 좌심실 유출로를 막고있는 0.7$\times$0.9$\times$0.4cm크기의 종괴를 제거하였다. 수술 후 합병증은 발생하지 않았으며 수술후 14일째에 건강하게 퇴원하였다.

• Clinical and Experimental Pediatrics
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• 제54권11호
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• pp.443-455
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• 2011

Neonatal mortality rate (NMR) or infant mortality rate (IMR) are the rate of deaths per 1,000 live births at which babies of either less than four weeks or of one year of age die, respectively. The NMR and IMR are commonly accepted as a measure of the general health and well-being of a population. Korea's NMR and IMR fell significantly between 1993 and 2009 from 6.6 and 9.9 to 1.7 and 3.2, respectively. Common causes of infantile death in 2008 had decreased compared with those in 1996 such as other disorders originating in the perinatal period, congenital malformation of the heart, bacterial sepsis of newborns, disorders related to length of gestation and fetal growth, intra-uterine hypoxia, birth asphyxia. However, some other causes are on the increase, such as respiratory distress of newborn, other respiratory conditions originating in the perinatal period, other congenital malformation, diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism. In this study, we provide basic data about changes of NMR and IMR and the causes of neonatal and infantile death from 1983 to 2009 in Korea.