• Archives of Plastic Surgery
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• 제37권4호
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• pp.469-472
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• 2010

Purpose: Aplasia Cutis Congenita (ACC) is a rare disease characterized by the focal defect of the skin at birth, frequently involving scalp, but it may affect any region of the body. There are no etiology known but some conditions such as intrauterine vascular ischemia, amniotic adherences and viral infections are associated. The ideal treatment for the ACC is not known. Superficial and relatively small sized defects (< $3{\times}5\;cm$) may heal spontaneously and large defects related with risks of infection and bleeding may require aggressive surgical treatment. Hyalomatrix$^{(R)}$ is a bilayer of an esterified hyaluronan scaffold beneath a silicone membrane. It has been used as a temporary dermal substitute to cover deep thickness skin defect and has physiological functions derive from the structural role in extracellular matrix and interaction with cell surface receptor. This material has been used for the wound bed pre-treatment for skin graft to follow and especially in uncooperative patient, like a newborn, this could be a efficient and aseptic way of promoting granulation without daily irritative wound care. For this reason, using Hyalomatrix$^{(R)}$ for the treatment of ACC was preferred in this paper. Methods: We report a case of a newborn with ACC of the vertex scalp and non-ossified partial skull defect. The large sized skin and skull defect ($6{\times}6\;cm$) was found with intact dura mater. No other complications such as bleeding or abnormal neurologic sign were accompanied. Escharectomy was performed and Hyalomatrix$^{(R)}$ was applied for the protection and the induction of acute wound healing for 3 months before the split-thickness skin graft. During the 3 months period, the dressing was renewed in aseptic technique for every 3 weeks. The skin graft was achieved on the healthy granulation bed. Results: The operative procedure was uneventful without necessity of blood transfusion. Postoperative physical examination revealed no additional abnormalities. Regular wound management was performed in out-patient clinic and the grafted skin was taken completely. No other problems developed during follow-up. Conclusion: Hyalomatrix$^{(R)}$ provides protective and favorable environment for wound healing. The combination of the use of Hyalomatrix$^{(R)}$ and the skin graft will be a good alternative for the ACC patients with relatively large defect on vertex.

• 대한간호학회지
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• 제21권1호
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• pp.89-116
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• 1991

The purpose of this study was to describe mother -infant interacting behavior patterns related to newborn infant feeding and to explore the mother's cultural belief about their infant. The data collection was conducted by observation and interview. Twenty-five mothers and their newborn infants who were normally delivered and were also planned to breast feed were comprised as the subjects of this study. All subjects were interviewed and observed individuaily at 1 to 5 days after the delivery at the hospital, mid -wife's clinic, Maternal Child Health Center and their home throughout the country from remote area to big city, The observation data were recorded with symbolic letter on a recording sheet newly developed as a result of preliminary study. The interview data were taperecorded and then recorded in narrative form. Mother - infant interaction behaviors in early feeding period were analyzed based on 19 analytic sub-categories and their composing elements. Unit of analysis were mother, infant and mother -infant dyad. 8 analytic categories draw from the data. Each were preparation, instrument, interaction inducing, evaluation referred to mother's behavior, preparation, instrument, interaction inducing referred to infant's behavior and synchronic behaviors referred to mother - infant dyad. Frequencies of behavior items based on the categories were converted to percent. The result showed that in mother's preparation behavior, the breast condition of Korean mother can be an affecting factor for mother - infant interaction during feeding, and vocalization behavior was observed most frequently in interaction inducing behavior while the least frequent behavior observed was contacting. Subcultural characteristics of mother - infant interaction behaviors were analyzed for their relationships between groups of mothers who have lived in remote area vs urban area, and who were multipara vs primipara. Using a chi -square test, there were statistically significant relationships in the activity of psychological readiness in preparation behavior and the movement of extremities for the position of instrumental behavior in both groups. However, interaction inducing behaviors were not related with statistical significance in any set of groups. Accomplishment of marriage, bonding and emotional mediation of family members were the categories related to mother's cultural belief about the infant in aspect of functional values. Infant at birth is considered little more than a biological organism without social capabilities. Although the newborn infant is still be attached to his mother, he makes his mother extend her territoriality. The mother's interacting behavior toward her infant based on those beliefs appeared task oriented, separative behavioral series. On the other hand, it was seen that infant reacted independently to his mother's behavior by the in-nate perceptual abilities. Those independent behavioral series of mother and infant on the feeding situation were synchronized at any moment. Nurses are In a unique position to teach mothers about their infant's capabilities and help reducing some of uncertainty about infant's behaviors. Study results indicated that the informations infant's social capabilities and breast feeding should be given to the mothers. The results of this study have several implications for nursing. First, the study results will be used as fundamental resources for the development of the assessment tool about the early mother - infant interaction. Second, the results could be a relevant information in the fied. I of maternal child nursing education as real and useful data. Third, the behavioral patterns of early mother - infant interaction which were classified based on the qualitative analysis could be used for nursing theory development as very fundamental data.

• 한국환경보건학회지
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• 제43권3호
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• pp.167-175
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• 2017

Objectives: Children may be more exposed to certain environmental contaminants because they react with greater sensitivity and have different food intakes and breathing rate per unit of body weight compared to adults. The aim of this study was to determine general exposure factors such as skin surface area, period and frequency of exposure, and others among Korean children aged ${\leq}18$ years old. This study was carried out as the first of its kind in Korea. Methods: We developed 23 recommended exposure factors for Korean children aged 0 to 18 years by reclassifying raw data from the National Health and Nutrition Examination Survey and the National Statistical Information Service, as well as through investigation by experiments in the absence of related data. Results: Reflecting the activity patterns of about 9,000 children, the daily inhalation rates for long-term exposure ranged from $9.49m^3/day$ for children from birth to <2 years to $14.98m^3/day$ for children aged 16 to <18 years. The research found that Korean children spent an average of 22.21 hours indoors, 0.67 hours outdoors, and 1.12 hours in-transit every day. Young children (${\leq}2$ years old) spent approximately 34 more minutes outdoors on weekends than they did on weekdays. Conclusion: Various physiological variables in the human body reflect characteristics of children that can directly influence risk exposure. Therefore, the identification of general exposure factors based on Korean children is required for appropriate risk assessment.

• 한국언론정보학보
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• 제70권
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• pp.132-164
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• 2015

한국 사회에서 자신을 이루는 사람들에 대한, 혹은 사람들에 의한 앎의 형성이란 우리의 주체성 실천의 과정이다. 주체성은 자신에 대한 성찰 속에서 끊임없이 만들어지고 의심되고 수행되며 갱신되는 자아의 진실이기 때문이다. 한국 사회의 주체의 해석학을 탐구하는 이 글은 생명에 대한 인식이 관통하는 가운데, '대중, 민중, 다중, 인민, 공동체'의 언어 고리들로 구성된다. 1960년대에는 전후의 궁핍한 상황에서 모호한 덩어리로서 대중이 형성되는 가운데 내면의 의식세계를 가진 개인이 등장한다. 1970년대부터 1980년대에 이르는 시기에는 직접적이고 물리적인 위험(빈곤, 독재)에 대한 투쟁 현장에서 거대하고 강고한 이념적 연대가 집결된다. 한국의 민주화와 함께 그러한 적대 구조가 해체되는 한편 신자유주의적인 지구화 체제의 모순이 심화하는 가운데 구체적이고 특수한 위치들마다 차이와 변화를 함축하는 특이성들이 생성되고 이들이 유기적인 방식들로 연결된다. 이러한 움직임을 통해 거시 미시적인 통치성에 접합하는 다수로서 다중과 인민, 공동체에 대한 사유들이 성장한다. 개별과 보편, 차이와 공동의 원리들이 공존할 수 있기 위해, 다중과 인민성에 관한 급진적 사고의 바탕에는 열린 단수성과 소통적인 집합성을 추구하는 공동체의 윤리적 기획이 연동한다. 한국 대중에 관한 자기 인식은 여러 이론들을 변용하는 과정에서 형성되었다. 현실과의 관련성 안에서 특정한 이론들이 수용되었고, 그 이론들이 선별되어 현실에 접합되거나 탈구되는 과정에서 또 다른 앎의 행위와 의미들을 창출했다. 이는 우리 - 사람에 대한 자기 지식이 개별 이론의 내부에서 완결적으로 설명되는 대신, 이론들이 이 땅에 뿌리내리고 싹트고 성장, 변형되는 과정 속에서, 그들 사이의 관계가 설정되고 연동되는 실행을 통해 우리 - 사람에 대한 성찰적 이해가 만들어졌음을 뜻한다. 이 평탄하지 않은 역사는 앎의 실천을 거치며 한 사회의 집합적 주체성이 형성되는 치열한 생각의 운동성을 보여준다. 주체의 해석학이 완성되는 종결지는 없다. 그 한계는 늘 반성되고 갱생되어야 한다.

• Journal of Korean Neurosurgical Society
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• 제51권4호
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• pp.215-218
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• 2012

Objective: Traumatic epidural hematomas (EDHs) in children are a relatively unusual occurrence. The cause and outcome vary depending on period and reg ion of study. The aims of this analysis were to review the cause and outcome of pediatric EDHs nowadays and to discuss outcome-related variables in a large consecutive series of surgically treated EDH in children. Methods: This is a retrospective review of 29 patients with surgically treated EDHs between Jan 2000 and February 2010. Patients' medical records, computed tomographic (Cl) scans, and, if performed, magnetic resonance imaging (MRI) were reviewed to define variables associated with outcome. Variables included in the analysis were age, associated severe intracranial injury, abnormal pupillary response, hematoma thickness, severity of head injury (Glasgow Coma Scale score), parenchymal brain injury, and diffuse axonal injury. Results: The mean (SO) age of the patients was 109 months (0-185 months). Most of the injuries with EDHs occurred in traffic accident (14 cases, 48.2%) and followed by slip down in 6 cases and falls in 6 cases. There were one birth injury and one unknown cause. EDHs in traffic accidents occurred in pedestrians hit by a motor vehicle, 9 cases; motorbike and car accidents, 5 cases and bicycle accidents, 1 case. The locations of hematoma were almost same in both sides (left side in 15 cases). Temporal lobe is the most common site of hematomas (13 cases, 44%). The mean size of the EDHs was 18 mm (range, 5-40 mm). Heterogeneous hematomas in CT scans were 20 cases (67%). Two patients were referred with unilateral or bilateral dilated pupil(s). There was enlargement of EDH in 5 patients (17%). All of them were heterogeneous hematomas in CT scans. Except for 4 patients, all EDHs were associated with skull fracture(s) (87%). There was no case of patient with major organ injury. CT or MRI revealed brain contusion in 5 patients, and diffuse axonal injury in one patient The mortality was zero, and the outcomes were excellent in 26 and good in 2 patients. None of the tested variables were found to have a prognostic relevance. Conclusion: Regardless of the EDH size, the clinical status of the patients, the abnormal pupillary findings, or the cause of injury, the outcome and prognosis of the patients with EDH were excellent.

• 한국항만학회지
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• 제6권1호
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• pp.93-110
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• 1992

The most change in this century is supposed to be declination of ideology, and block of world economy. Addition to down full of cold war atmosphere around Northeast Asia, not only economic and social mood in this region is dramatically changed, but also it gave birth to the block of Northeast economy that accerlated new hub of world economy. According to dramatic change of economic surroundings the dynamic potential of growth in this region will be guided to enlarge inter-regional trade and increase volume of trade, thus suggests to grow steadily transportation. cargos in this region will have to arrange the system of delivery and inner transportation, accessary facilities, inter-regional harbors if North America and EC has connected easily. As have accerlated GATT and UR represented multilateralism and regionalism, it has regulated to increase trades of region due to relief of the trade barrier through specific areas has agreed with separately. The flow of regionalism of world economy has appeared to realize EC and NAFTA centered U.S.A, and also has presented to free trade region or one-size market agreement in Asia as APEC, EAEG in Malaysia, and etc. In defense to this block and internationalism of world economy, Pusan has to come forward to the hub of Northeast others has proposed a project to dominate the Northeast, Economy Association Agreement as Far East comprehensive development project in USSR, Hunchun development project in NK, and East Sea development project in PRC, Niigate regional development in Japan, Duman River development project in NK, and East Sea development project in Korea. As this exercise has proceed, Pusan also have arranged development strategy definitely and prepared provisions systematically. Engaging to participate center of delivery system is meant to be completed complex functions, namely the transfer storage processing & assembly function of international commodity. Pusan has ability to be terminal point of TSR. it had been connected to EC as the biggest economy block and TKR as complex transportation root to Far East, it would be the center of inground and seabase delivery terminal to Rotterdom as the biggest container pier and major piers to North-East and South East Asia. In order to provide a Role of 21 century's internationalization, Pusan has appealed to participate in management information research and development connected to Pohang-Ulsan-Changwon-Masan, and has utilized efficiently the resources such as man, material, money and information.

• 농업생명과학연구
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• 제50권4호
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• pp.113-125
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• 2016

본 시험은 성 성숙기의 한우 암송아지 18두(14개월령, 평균체중 251kg)를 이용하여 저 수준의 농후사료 급여에 따른 성장과 번식능력에 미치는 영향을 규명하기 위하여 실시하였다. 공시축은 시판 한우 번식우용 배합사료를 체중의 0.8%(T1) 및 1.2%(T2)씩 총 30개월(사양시험 20개월, 번식능력시험 10개월) 동안 섭취하였으며, 처리구당 9두를 2우리에 완전임의 배치를 하였다. 본 시험의 사양시험 결과를 한국가축사양표준의 영양소 요구량과 비교해 볼 때, T1구에서 성장이 제대로 되지 못한 이유는 에너지 보다는 단백질 섭취부족 때문인 것으로 나타났다. 공시축의 체형변화에서 저 영양수준으로 인하여 영향을 가장 많이 받는 부위는 흉폭과 체장이었으며 특히, 흉폭은 시험시작시보다도 종료시 측정치가 오히려 3.7% 작았다. 난소의 크기는 T1구가 T2구의 약 63%수준밖에 되지 않았으며, 수태율(33.3% : 77.8%)과 송아지의 생시체중(22.5kg : 29.5kg)도 T1구에서 심각하게 저하되었다. 따라서 한우번식우 사양에 있어서 성성숙기 이후에도 에너지보다는 단백질 공급수준에 의해 사양성적 및 번식능력에 많은 영향을 끼치는 것으로 나타났다.

• Asian-Australasian Journal of Animal Sciences
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• 제16권10호
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• pp.1455-1459
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• 2003

A $2{\times}3$ factorial design was used to study the impact of rearing systems, individual (I) vs. group (G) and different levels of milk/skim milk feeding (three schedules, F1, F2 and F3) on performance of crossbred (Bos indicus ${\times}$ Bos taurus) calves. Six calves (three from each sex) were taken in each group on the basis of their birth weight. All the calves were fed colostrum for three days and thereafter, were allotted to three different milk feeding schedules (F), i.e. milk fed upto 8 weeks of age (F1), milk upto 4 weeks followed by 50% (F2) and 100% (F3) replacement of milk with skim milk in the next 4 weeks. Calf starter and cereal green fodder were fed ad libitum to all the calves beginning from second week of age. A digestibility trial was conducted at 15th week of age to assess nutrient utilization during postweaning period. The digestibilty of dry matter (DM), organic matter, total carbohydrate, ether extract and crude protein (CP) were nonsignificant between the rearing systems and the feeding schedules. There was significantly higher digestibility of NDF and ADF in G than I and in F3 than F1 and F2. The concentration CP and total digestible nutrients of the diet ranged from 17.18 to 17.75% and 66.32 to 70.14%, respectively. The DM intake (kg/100 kg body weight) ranged from 1.74 to 2.14 kg during 0 to 8 weeks and 3.19 to 3.41 kg during 0 to 14 weeks of age. The effects during postweaning phase (9-14 weeks of age) showed increased performance in group housed calves compared to individually housed ones with a superior average daily gain (590 vs. 443 g) and dry matter intake (1.79 vs. 1.64 kg). Above all, replacement of milk with skim milk at 50% level after 4th week followed by complete removal after 6th week of age (F2) seemed to suit better in coping with immediate energy starvation due to sole feeding of skim milk (F3) and they performed the best under group housed system of rearing.

• 모자간호학회지
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• 제3권2호
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• pp.172-186
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• 1993

The survey was performed on 201 cases of mothers who visited pediatric hospitals and public health clinics in Pusan and Kyeong-nam provinces from Dec. 10 to Dec. 30 of 1993. If this study, each infant weighed over 2500gm and between 2 months and 12 months old. The research was statistically analyzed according to the percentage, Pearson correlation, $x^2$-test. The result of this study were as follows ; 1. Feeding method related to the job of mother (p<0.01). 2. Feeding method related to the way of bringing up child(p<0.05). 3. Whether the mother and child shared the same room effected the feeding method (p<0.01). 4. The shape of nipple before breast feeding related to feeding method. 5. The reason for stopping breast feeding related to feeding method(p<0.01). 6. First breast feeding related to period of seperation after delivery(p<0.05). 7. Plan of breast feeding related to birth weight (p<0.05).

• 대한유전성대사질환학회지
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• 제16권3호
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• pp.141-147
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• 2016

저인산증은 드문 선천성 대사 이상 질환으로, 조직-비특이 알칼리 포스파테이스(TNSALP)의 결핍으로 인해 발생한다. 상염색체 우성 혹은 열성 유전이 모두 가능하며, 발생시기에 따라서 주산기, 영아기, 아동기, 성인기로 나뉘고, 증상이 일찍 발현할수록 예후가 나쁜 것으로 알려져 있다. 혈청 알칼리 포스파테이스가 감소해 있으면서 구루병 혹은 골연화증을 보이는 환자에서 ALPL 유전자 변이를 규명하는 것이 저인산증을 진단하는 가장 확실한 방법이다. 본 증례 보고는 산전 초음파에서 장골의 이상과 출생 후 저포스파테이스증이 확인되어 ALPL 유전자 검사를 통해 양성 주산기 저인산증으로 진단된 환자 보고이다. 환자는 출생 당시 호흡곤란이나 고칼슘혈증, 피리독신 의존성 발작 등의 합병증 없이 경과가 양호하였다. 생후 12개월 이후 성장 지연이 확인되었지만, 생후 53개월까지 골격의 무기질화가 호전된 양성 경과를 가지게 되었다. 현재 재조합 TNSALP인 asfotase alfa가 개발되어 주산기 및 영아기 저인산증 환아에서 조속한 진단과 치료가 더욱 중요해진 바, 좀더 많은 환자들의 진단이 이루어져야 하겠다.