• 한국지역지리학회지
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• 제7권3호
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• pp.14-28
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• 2001

본 연구는 경상북도 울릉도 자연환경자원보호구역에서의 난개발의 문제점과 개선방안을 제시하는 것이다. 울릉도 자연환경자원 보전구역에서 발생되는 난개발 형태는 국토이용변경, 일주도로의 개설, 항만건설에 따른 석산개발, 관광지 지정조성 및 군사시설 설치 등이다. 문제점으로는 첫째, 국토이용변경으로 인한 동식물의 서식영역 감소와 식수원 오염이다. 둘째, 일주도로개설로 인한 자연생태계파괴이다. 셋째, 항만건설과 석산개발로 인한 자연경관 훼손 및 해양생태계 변화이다. 넷째, 관광지 지정조성과 군대시설 설치에 따른 회귀한 식물의 훼손과 식수원 오염이다. 개선되어야 할 점으로는 첫째, 국토이용변경으로 인하여 회귀한 식물이 훼손되지 않도록 친환경적으로 개발한다. 둘째, 도로 시설, 항만을 설치할 때는 환경영향평가를 실시하여 자연경관 및 환경자원의 훼손을 최소화하도록 한다. 셋째, 도서지역 개발에 소요되는 석재 등은 전부 육지에서 반입하도록 하고 도서지역의 열악한 재정을 감안하여 그 소요예산은 전적으로 국가에서 부담하여야 한다. 넷째, 관광지 지정조성에 대해서는 이미 조성된 지역은 계획적으로 관리하며, 미 조성된 지역은 자연환경보전지역으로 재조정하도록 한다. 다섯째, 군대시설을 설치할 경우, 당해 자치단체와 반드시 협의하여 설치하도록 한다. 다섯째, 공무원 및 해당 주민들의 자연환경자원보전 및 보호하고자하는 의식이 필요하다 마지막으로 지역주민들에 대한 재정적인 지원이다.

• Advances in pediatric surgery
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• 제12권1호
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• pp.91-98
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• 2006

Artificial classification of anorectal malformation (ARM) is difficult because it is a spectrum of embryologic maldevelopment. However, the establishment of an ideal classification of ARM should be established in order to choose the adequate treatment and evaluate the prognosis. The classification system of ARM has followed the development of medicine, and the pediatric surgeons, who manage the ARM, should understand the change of this classification system.

• Journal of Yeungnam Medical Science
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• 제7권2호
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• pp.181-187
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• 1990

저자들은 심잡음을 주소로 입원한 9세 여아에서 독립된 좌심실 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

• 동남아시아연구
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• 제19권2호
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• pp.173-218
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• 2009

Bring this analysis down to people-centered development perspective and looking through democratization in the Philippines, Thailand and Indonesia, we find similarities and differences among them related with the intensity of conflicts between development and human rights in the process of democratization in line with global transformation. Civil society in the Philippines criticized the developmental path in the Philippines which failed to implement land reform and eradication of poverty under the transition from 'patrimonial oligarchy' to democracy. In Thailand the coalition of military and the royalists had consolidated its power since Sarit military regime, which later paved the way 'hybrid oligarchy' era. Most Thai civil society organizations has regarded their developmental experience rather as 'maldevelopment' which disregarded economic and social rights. It has been especially believed by Thai localists that the stimulation of local markets and the building of autonomic community society will form the alternative economy without going against the conservative banner of nation, religion and king. Thaksin as a populist successfully took advantage of Thai localist ethos in favour of taking the seat of power. He projected himself as a modernizer focused on economic growth and cleaner politics. However Thaksin's procedural legitimacy was overthrown by counterattacking from military-royalist alliance, pretexting that Thaksin caused internal conflicts and lacked morality. Soeharto's New Order regime which can be called 'administrative oligarchy' had an antipathy towards notions of economic and social rights as well as civil and political rights. In spite of the fact that the fall of Soeharto opened the political space for democratic civil society organizations which had long struggled with development aggression and human rights abuses, there have been continuously a strong political and military reaction against human rights activists, NGOs and ethnic minorities such as Aceh and Papua. Nevertheless, Indonesian democracy is more promising than Philippine's and Thai democracy in terms of comparatively less pre-modern legacies.

• 대한장애인치과학회지
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• 제10권2호
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• pp.101-105
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• 2014

Moebius syndrome is a rare, congenital neurological disease involving facial paralysis and limitation of eye movements. It results from maldevelopment of the sixth and seventh cranial nerves. Dental features of this syndrome include micrognathia, microstomia, tongue deformity, cleft palate, hypoplasia of the teeth, and congenital missing teeth. A 7-year-old female with Moebius syndrome was referred from a local dental clinic for caries treatment. She presented with facial paralysis and microstomia. Oral findings included multiple caries with enamel hypoplasia, congenital missing teeth, and tongue deformity. Dental treatments including restorative and preventive procedures were performed. Oral findings and management aspects of Moebius syndrome for this case are discussed. Early evaluation and multidisciplinary care are needed for children with Moebius syndrome.

• Clinical and Experimental Pediatrics
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• 제55권10호
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• pp.367-370
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• 2012

Urinary tract infection (UTI) is a common bacterial illness in children. Acute pyelonephritis in children may lead to renal scarring with the risk of later hypertension, preeclampsia during pregnancy, proteinuria, and renal insufficiency. Until now, vesicoureteral reflux (VUR) has been considered the most important risk factor for post-UTI renal scar formation in children. VUR predisposes children with UTI to pyelonephritis, and both are associated with renal scarring. However, reflux nephropathy is not always acquired; rather, it reflects reflux-associated congenital dysplastic kidneys. The viewpoint that chronic kidney disease results from renal maldevelopment-associated VUR has led to questioning the utility of any regimen directed at identifying or treating VUR. Despite the recognition that underlying renal anomalies may be the cause of renal scarring that was previously attributed to infection, the prevention of renal scarring remains the goal of all therapies for childhood UTI. Therefore, children at high risk of renal scar formation after UTI should be treated and investigated until a large clinical study and basic research give us more information.

• Journal of Yeungnam Medical Science
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• 제1권1호
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• pp.139-144
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• 1984

식도(食道)와 연결(聯結)되고 기관지점막(氣管枝粘膜)으로 내면(內面)이 덮여있는 foregut낭종(囊腫) 일례(一例)를 증례보고(症例報告)하고 그 이상생성(異常生成)의 발생학적(發生學的) 근거(根據)를 고찰(考察)하였다. 실제(實際)로 연결부위(聯結部位)와 그 구성물질(構成物質) 및 세포(細胞)만으로 호흡기낭종(呼吸器囊腫)인지 장관성낭종(腸管性囊腫)인지 확연(確然)히 구분(區分)하기는 어려운 경우가 많고 그 이유(理由)는 태생기(胎生期) 식도점막(食道粘膜)은 보투 11국(局)까지 심지어 6개월(六個月)까지 원시(原始) foregut의 점막(粘膜)으로 구성되고 또한 기관지점막(氣管枝粘膜)인 직모성(織毛性) 상피세포(上皮細胞)로 구성(構成)되기 때문이며 또 원시(原始) foregut이 기관(氣管) 및 기도(氣道)로 분지(分枝)하는 과정(科程)에서 생기는 발아(發芽)의 불완전(不完全), 비정상(非正常) 발아(發芽)의 부위(部位), 시기(時期) 등(等)에 따라 기관지성(氣管枝性)과 소화기성낭종(消化器性囊腫)사이의 아주 다양(多樣)한 여러 변이(變異)가 다 발생가능(發生可能)하기 때문이다. 따라서 낭종(囊腫)이 기관지성(氣管枝性)인지 소화기성(消化器性)인지를 구분(區分)하는 일반적(一般的)인 동의점(同意點)으로는 연결부위(聯結部位)에 관계(關係)없이 장관성점막(腸管性粘膜)이 전체적(全體的) 혹(或)은 부분적(部分的)으로 발견(發見)되면 장관성낭종(腸管性囊腫)의 범주(範疇)로, 그러나 연골조직(軟骨組織)을 가지고 있으면 호흡기성낭종(呼吸器性囊腫)으로 분류(分類)할 수 있겠고 그 중간(中間)에 어느 쪽으로 분류(分類)할것인지 결정(決定)하기 곤란(困難)한 다양(多樣)한 많은 변이(變異)가 있을수 있다고 사료(思料)되는 바이다.

• Journal of Chest Surgery
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• 제20권4호
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• pp.659-672
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• 1987

Nitrofen [2,4-dichlorophenyl-P-nitrophenyl ether] is a diphenyl ether herbicide used for pre and post-emergent control of broad leafed weeds. This chemical was known to induce a variety of congenital cardiovascular anomalies with diaphragmatic hernia and hydronephrosis in the rate fetuses. The present study was conducted to produce congenital cardiovascular anomalies in the rat fetuses by oral nitrofen administration at the indicated doses and days of gestation, and to find the characteristics of nitrofen-induced cardiovascular anomalies. All the observed fetuses were removed from the pregnant Sprague-Dawley rats sacrificed on the twenty-first day of gestation. They were preserved in 10 per cent formalin and dissection for examination were carried out under a dissecting microscope using forceps and scissors. Following results and conclusion were based on dissecting microscopic findings on 482 offsprings. 1. The eleventh day of gestation was the most sensitive day for nitrofen induction of congenital cardiovascular anomalies in the rat. This incidence was dose-related in rats exposed on the eleventh day of gestation. 2. Ventricular septal defect was the most common single anomaly that represented more than half of the total cardiovascular anomalies, followed by aortic arch anomalies and tetralogy of Fallot. 3. Cardiac anomalies derived from infundibular maldevelopment such as tetralogy of Fallot and pulmonary atresia with ventricular septal defect were only observed in the eleventh gestation day treated group. 4. Aortic arch anomalies were found in high frequency and the great majority were characteristically anomalous right subclavian artery with left aortic arch. Key words; nitrofen, congenital cardiovascular anomalies.

• 대한장애인치과학회지
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• 제3권2호
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• pp.75-79
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• 2007

Background: Down's syndrome, or trisomy 21, is the commonest congenital chromosome anomaly. With improvement in medical care, these patients increasingly reach adulthood in spite of their physical maldevelopment and mental retardation. And, the number of those who required general anesthesia for dental treatment is increasing. Methods: We reviewed the 26 cases of 22 patients with Down's syndrome who underwent outpatient general anesthesia for dental treatment at the clinic for the disabled in Seoul National University Dental Hospital. Results: The mean age was 22 years. They all had severe mental retardation and some had congenital heart anomaly, epilepsy, hypothyroidism, acute leukemia, autism, cleft palate, and chronic renal failure. For anesthesia induction, 4 cases was needed physical restriction, but others showed good or moderate cooperation. Drugs used for anesthesia induction was thiopental (17 cases) and sevoflurane (9 cases). All patients received nasotracheal intubation and 3 cases needed difficult airway management. Mean total anesthetic time was $166{\pm}60$ min and staying time at PACU was $92{\pm}48$ min. There was no death or long term hospitalization because of severe complications. Conclusion: If general anesthesia is needed, pertinent diagnostic tests and workup about anomaly, and appropriate anesthetic planning are essential for safety.

• 대한골관절종양학회지
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• 제15권2호
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• pp.151-154
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• 2009

기관지기원낭종은 primitive foregut의 발생학적 이상에 의해 형성되는 드문 질환이며, 주로 폐실질과 종격동에 발생한다. 피부나 피하조직에서 발생한 기관지기원낭종은 흔하지 않으며, 이 중 견갑부에 발생한 것은 매우 드문 것으로 알려져 있다. 저자들은 20개월 된 남아의 좌측 견갑부에 발생한 기관지지원 낭종 1예를 보고하고자 한다. 환아는 피부과에서 절개 생검 및 소파술을 시행 받았고, 표피 낭종으로 진단되었다. 하지만 상흔 치유 도중 추가적인 낭성 종괴가 촉진되었다. MRI상 피하조직에 경계가 분명한 낭성 종괴가 관찰되었다. 절제된 낭종은 점액세포를 동반하는 pseudostratified ciliated columnar epithelium로 피복되어 있었으며, 기관지기원낭종으로 진단되었다.