• Title/Summary/Keyword: 산전

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A Study on Antenatal Education about the Normal Course of Labor in Last Trimester of Gestation Influencing the State - Anxiety of Primigravida (분만의 정상경과에 관한 산전교육이 초임부의 상태-불안에 미치는 영향에 관한 연구)

  • 문영숙
    • Journal of Korean Academy of Nursing
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    • v.10 no.1
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    • pp.11-19
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    • 1980
  • The purpose of study carried out to determine the effects of antenatal education about the normal course of la-bor in last trimester (pregnancy 36 wks longer ) influencing the State- Anxiety of primigravida. And the relation-ship between primigravia’s general characteristics and State-Anxiety. This study was carried out between May 1. to October 20. 1979. The study sample consisted of 150 primigravidas who visited the out- patient of Department of obstetrics of Ewha Womans University Hospital. The method used for the collection of data were Antenatal Education Curriculum made by researcher and State-Anxiety Inventory. The questionnaire of State Anxiety Inventory is made up 20 items. The data was analysed by computer program. The followings are results. 1. There was shown State-Anxiety to to be alleviated by experimental group than control group. There was significant relation between experimental group and control group. (p< 0.01) 2. Within the experimental group, there was no significant relation to State-Anxiety by age and education level. (p > 0.05) 3. In the investigation sample, according to the primigravida's gestation, there was shown State-Anxiety to be increased by closing to the delivery ( p <0.01). There was no relation of State-Anxiety response by age, education level, religion and acceptance of pregnancy. (p >0.05).

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Effects of a Yoga-focused Prenatal Program on Stress, Anxiety, Self Confidence and Labor Pain in Pregnant Women with In Vitro Fertilization Treatment (요가중심 산전프로그램이 체외수정 시술 임산부의 스트레스, 불안, 분만 자신감 및 분만통증에 미치는 효과)

  • Shim, Chung-Sin;Lee, Young-Sook
    • Journal of Korean Academy of Nursing
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    • v.42 no.3
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    • pp.369-376
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    • 2012
  • Purpose: The purpose of this study was to identify the effects of a Yoga-focused prenatal program on the stress, anxiety, self confidence and labor pain of pregnant women who had in vitro fertilization (IVF) treatment. Methods: A quasi experimental study with a non-equivalent control group pretest-posttest design was used. The data collection period and meditation program were between January 9 and August 31, 2009. Forty-six women who were pregnant following IVF, and were between 12-20 weeks gestation, participated in the study (23 experimental group, 23 control group). Data were analyzed using Chisquare test, Mann-Whitney U Test, ANCOVA, and Cronbach's alpha coefficients with the SPSS 12.0 for Windows Program. Results: Although the sample size was limited, women who participated in the program showed statistically significant improvements in stress, anxiety, labor pain, and labor confidence for women pregnant after IVF. Conclusion: The result indicate that this 12-week Yoga-focused educational program can be utilized for women pregnant following IVF to reduce their stress, anxiety, and labor pain, and to increase delivery confidence. It is suggested that the Yoga-focused educational program be offered to every pregnant woman.

Prenatally Diagnosed Extrapulmonary Sequestration - 2 cases - (산전 진단된 폐외분리증 2예)

  • Kim, Hyun-Young;Son, Dong-Woo;Kim, Seok-Yong;Kim, Jee-Eun;Ha, Seung-Yeon
    • Advances in pediatric surgery
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    • v.15 no.2
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    • pp.173-179
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    • 2009
  • Congenital thoracic malformations such as intra- and extra-pulmonary sequestration, cystic adenomatoid malformation, congenital pulmonary airway malformation, malinosculation, bronchogenic cyst, reduplication cyst, and foregut cyst are frequently detected on routine prenatal ultrasound. There are some controversies about treatment for postnatally persistent pulmonary sequestration. Some authors recommend expectant long term follow up but most authors advocate elective surgical excision because of complication such as respiratory distress, infection, intrathoracic bleeding, haemoptysis, cardiac failure, and potential risk of malignancy. We experienced 2 cases of prenatally diagnosed extrapulmonary sequestration which were located in the subdiaphragmatic retroperitoneum. Resections were performed at 2 months and 4 months of age using intraabdominal approach. There were no complications. In conclusion, if the prenatally diagnosed extrapulmonary sequestration remained postnatally, early operation might reduce morbidity related to extrapulmonary sequestration and parental anxiety without any postoperative complication.

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Listeria Sepsis and Pneumonia in a Premature Neonate (산전 감염 후 발생한 폐혈증 및 폐렴을 동반한 미숙아 리스테리아증 1례)

  • Park, Joon-Woo;Yoon, Jeong-Min;Sung, Tae-Jung
    • Neonatal Medicine
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    • v.16 no.1
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    • pp.94-98
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    • 2009
  • Listeria monocytogenes (L. monocytogenes) is a foodborne anaerobic gram-positive rod and the third most common pathogen for neonatal meningitis. Although the mortality and morbidity of L. monocytogenes infections are high, thus causing serious problems in Western populations, neonatal listeriosis is relatively rare in Eastern countries, including Korea. Possible routes for intrauterine infection or vertical transmission of L. monocytogenes include infected placentas and the reproductive tract. Intrauterine infections may cause chorioamnionitis, preterm labor, spontaneous abortion, stillbirth, or neonatal infection. A high index of suspicion and early empirical antibiotic treatment are critical to achieve a favorable prognosis for neonatal listeriosis. We managed a case of L. monocytogenes sepsis and pneumonia in a premature neonate born at 26 weeks of gestational age from an asymptomatic mother with culture-proven placental infection. The neonate was successively treated with ampicillin and gentamicin.

A Case of Seminal Vesicle Cyst Accompanied with Ipsilateral Renal Agenesis in an Infant (영아에서 발견된 동측 신무형성증과 동반된 정낭낭종 1례)

  • Yun, Jin-Sang;Chang, Sun-Jung;Lee, Jun-Ho
    • Childhood Kidney Diseases
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    • v.13 no.2
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    • pp.252-255
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    • 2009
  • Seminal vesicle cysts have been rarely detected. Most of them are caused congenitally, and two-thirds of them are accompanied with ipsilateral renal agenesis or dysplasia. They are usually present with dysuria, urinary frequency, perineal pain, epididymitis, pain after ejaculation, scrotal pain or infertility in the second to fourth decade of patient's life. Occasionally cysts are palpable by digital rectal examination, but radiologic imaging study is necessary to diagnose. We report a case of an infant with seminal vesicle cyst accompanied with ipsilateral renal agenesis detected incidentally in postnatal sonogram. The infant's right side of kidney was diagnosed as antenatally multicystic dysplastic kidney.

Health-care Needs of High-risk Pregnant Women Hospitalized in Maternal-Fetal Intensive Care Units: A Mixed-methods Design (산모 집중치료실에 입원한 고위험 임부의 건강관리 요구: 혼합적 연구방법 적용)

  • Kim, Hyunjin;Park, Horan
    • Women's Health Nursing
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    • v.24 no.2
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    • pp.196-208
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    • 2018
  • Purpose: To identify the characteristics and health-care needs of high-risk pregnant women in maternal-fetal intensive care units (MFICU). Methods: A mixed-methods design was adopted. Data were collected from 78 high-risk pregnant women admitted to the MFICU. Qualitative data included ten participants' experiences with hospitalization and childbirth, which were analyzed using mixed content analysis. Quantitative data were analyzed using at-test and one-way ANOVA testing. Results: The average score for pregnancy and childbirth health-care needs was 3.54 points. Average score by area was before-admission health care (3.70), health care of baby (3.67), health of childbirth (3.61), postpartum health (3.51), and pregnancy health care during hospitalization (3.48). Qualitative results showed diverse feelings and experiences of high-risk pregnant women and their need for health care, which was expressed in three themes and 11 sub-themes. Conclusion: Nurses should recognize high-risk mothers' feelings and needs for pregnancy and childbirth-focused health care to help patients accept their vulnerability and cope positively.

A Study on the Relationship between Health Perception, Prenatal Care Behaviors and Health Promoting Behaviors in Unmarried Pregnant Women (미혼임부의 건강지각, 산전간호행위 및 건강증진행위에 관한 연구)

  • Chung, Kwi-Ae
    • Women's Health Nursing
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    • v.12 no.2
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    • pp.115-123
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    • 2006
  • Purpose: This study was to examine the relationship between health perception, prenatal care behaviors and health promoting behaviors of unmarried pregnant women. Method: The subjects were 97 unmarried pregnant women. The data was collected through personal interviews using a questionnaire. Adjusted instruments were the health perception scale developed by Ware, prenatal care behavior scale developed by Lee, and health promoting behavior scale developed by Pender. Data was analyzed by descriptive statistics, t-test, ANOVA, and the Pearson correlation coefficient with SPSS program. Result: The mean score of health perception was 3.3, and Resistance-Susceptibility was the highest. The mean score of prenatal care behaviors was 2.9, while that of health promoting behaviors was 2.5. The relationship between health perception and prenatal care behaviors was significant(r=0.268, p=.008). The relationship between prenatal care behaviors and health promoting behaviors was also significant (r=0.633, p=.000). Conclusion: The higher the health perception of unmarried pregnant women, the more they are concerned about good prenatal care behaviors. Unmarried pregnant women did well on health promoting behaviors when they had are high degree of good prenatal care behaviors. Therefore, in order to promote positive health perceptions of unmarried pregnant women, it is necessary to develop and adjust various education and supporting programs.

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Associations of Dietary Intake Levels with Ante-natal Depression in Pregnant Women (임부의 식이섭취 수준과 산전우울의 관련성)

  • Kim, Hae-Won
    • Women's Health Nursing
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    • v.17 no.3
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    • pp.256-264
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    • 2011
  • Purpose: This study was conducted to identify the association of dietary intake levels with ante-natal depression among pregnant women. Methods: Secondary data analysis was done using Can Pro software (version 3.0) to evaluate the diet intake levels with 24 hour recall diary method with 130 pregnant women visiting a general hospital. Statistical analysis included descriptive statistics, t-test, Mann-Whitney U test and adjusted logistic regression using the SPSS/WIN program. Results: Whole dietary intake levels of pregnant women were insufficient according to Recommended Nutrient Intake (RI) with the except of phosphorus intake. There were significant differences in RI by gestation period and high risk pregnancies. Non-depressed women showed more intake in niacin (z=1.33, p=.018) and zinc (t=3.99, p=.048) than depressed women did. Niacin was a significant determinant of ante-natal depression (Exp (B)=5.88, p=.47, 95% CI [1.02~23.83]). Conclusion: Dietary intake assessment would be necessary during pregnancies for the screening of ante-natal depression. For ante-natal depression care, a tailored dietary intervention should be applied for women with insufficient nutrient intake.

The Anaerobic Biodegradability and Methanogenic Toxicity of Pulping Wastewaters (펄프페수의 혐기성 생분해능 및 메탄 생성균의 독성에 관한 연구)

  • 박종안;허준무;장봉기
    • Journal of Environmental Health Sciences
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    • v.24 no.1
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    • pp.70-79
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    • 1998
  • 본 실험의 목적은 다양한 펄프제조 조건과 여러 형태의 리그노 셀루로우스 성분이 펄프폐수의 혐기성 생분해에 미치는 영향을 규명하는 것이다. 실험에 사용된 폐수는 일반적으로 펄프 제조시에 발생되는 폐수를 대상으로 하였으며, 펄프제조 조건은 TMP공정과 소다 펄프공정을 적용하였다. 혐기성 생분해 가능성 시험 및 독성실험은 $35\pm 2\circ$C의 중온상태에서 입상슬러지를 식종물질로 사용한 회분식 반응조를 이용하였다. TMP공정의 배출되는 폐수는 산으로의 전환율이 총 COD기준으로 68-87%로 매우 높은 혐기성 생분해 가능성을 보였다. 그리고 TMP공정폐수는 일반적으로 제지폐수 처리시 독성농도라고 알려진 농도에서도 메탄생성균에 독성을 주지 않았고, 또한 COD 10g/l의 농도에서도 처리에 저해가 일어나지 않았다. 반면에, 알카리성 상태에서 준비된 펄프폐수의 경우는 생분해성이 매우 낮아서 대략 50%정도의 산전환율을 보였으며, 메탄생성균에 상당한 저해를 주었다. 메턴생성균의 활성도에 50%저해를 주는 농도는 2.1~5.4 gCOD/l였다. 알카리성 펄프폐수의 독성에 대한 추가 실험결과 펄프내 wood resin이 산이나 중성 pH부근에서는 잘 용해가 되지 않고 알카리성 상태에서 쉽게 용해되어 메탄생성균에 저해를 나타내는 것으로 밝혀졌다. 따라서 펄프제조시 나무성분이 알카리성분과 접촉할 경우 후속하는 혐기성 처리공정의 메탄생성균에 심각한 저해를 줄 수 있다.

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Generalized Meconium Peritonitis Diagnosed with Antenatal Ultrasonography (산전 초음파검사로 진단된 범발성 태변성 복막염 2예보고)

  • Kim, Soong-Chul;Hwang, Shin;Yoo, Shi-Joon;Kim, In-Koo
    • Advances in pediatric surgery
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    • v.1 no.1
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    • pp.59-62
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    • 1995
  • Meconium peritonitis is defined as an aseptic, chemical or foreign-body peritonitis caused by spill of meconium in the abdominal cavity related to the prenatal perforation of the intestine. Perforation is usually caused by obstruction from meconium ileus, intestinal atresia, stenosis, volvulus, internal hernia, congenital peritoneal bands, intussusception, or gastroschisis. Less commonly, no evidence of distal obstruction exists. Here, we present two cases of generalized meconium peritonitis of antenatal diagnosis. The first case, detected at 8 months of gestational age, had a perforation of the proximal blind pouch of jejunal atresia, associated with respiratory distress due to severe abdominal distension. This case was successfully treated with resection and anastomosis and brief period of postoperative ventilatory support. The second case had a distal ileal perforation with thick meconium in the terminal ileum. In this case, there was no dilatation of ileum proximal to the perforation site. Resection and anastomosis was performed and postoperative course was uneventful.

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