• Title/Summary/Keyword: 2-year-old infant

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Congenital Dermatofibrosarcoma Protuberans: A Case Report (선천성 융기성 피부섬유육종: 증례보고)

  • Yun, Byung-Min
    • Archives of Plastic Surgery
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    • v.37 no.3
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    • pp.285-288
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    • 2010
  • Purpose: Dermatofibrosarcoma protuberans is a rare tumor, accounting for 0.1% of all malignant tumors. Although metastasis is very uncommon, local recurrence occur frequently. Dermatofibrosarcoma protuberans occurring in children is even more rare; this is the first case report of congenital dermatofibrosarcoma protuberans in Korea. Methods: The patient is a 14-month-old male infant with a lesion that was first thought to be a birthmark. The lesion grew larger, and a punch biopsy revealed dermatofibrosarcoma protuberans. A wide local excision was performed with a 2 cm peripheral resection margin beyond the gross tumor lesion. Deep fascia and a portion of muscle underneath the central part of the lesion were also taken. The surgical defect was covered by a split-thickness skin graft. Results: There has been no clinical sign of recurrence over one year after the surgery. Conclusion: A patient with congenital dermatofibrosarcoma protuberans detected at an early stage underwent a wide local excision of the tumor after accurate diagnosis was carried out by biopsy and immunohistochemical studies. There was no clinical evidence of tumor recurrence during over a 1-year follow-up.

Nutritional status of 3~5 year old children attending kindergarten and childcare facilities: Using data from the 2010 and 2014 Korea National Health and Nutrition Examination Surveys (유치원 및 보육시설 이용 3~5세 원아들의 영양상태 : 2010, 2014년 국민건강영양 조사 자료 이용)

  • Park, Mi Yeon;Park, Pil Sook
    • Journal of Nutrition and Health
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    • v.50 no.4
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    • pp.361-375
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    • 2017
  • Purpose: The purpose of this study was to investigate the nutritional status of 3~5 year old children attending kindergarten and childcare facilities in 2010 and 2014. Methods: Data were obtained from the 2010 and 2014 Korea National Health and Nutrition Examination Surveys (KNHANES) and included 509 subjects aged 3~5 years old attending kindergarten and childcare facilities. Results: In 2014, rate of skipping meals by children was 16.2%, an increase of 5.5% compared with the rate of skipping meals by children in 2010. Calcium intake in 2014 was 397.41 mg at 3 years old, 419.27 mg at 4 years old, and 414.01 mg at 5 years old. For the mean nutrient adequacy ratio (MAR) of subjects in 2010 and 2014, MAR at 3 years old (0.86) was significantly lower than those at 4 and 5 years old (0.90, 0.91) (p < 0.01). In 2010 and 2014, EAR intake at 3 years old (2.72) was significantly higher than those at 4 years old (2.14) and 5 years olds (1.92) (p < 0.01). Conclusion: As a result, compared with 2010 before establishment of the Children's foodservice management center, there was no improvement in the polarization of nutrient intake of children in 2014. Therefore, researchers believe that a continuous monitoring system developed by nutrition experts and children's foodservice management center are needed to improve the nutritional status of children. Of children between the ages of 3~5 years old, those with intakes under EAR were mostly 3 years old. Therefore, researchers suggest that the infant age group of KDRIs, which is classified as 1~2 years old and 3~5 years old, needs to be reestablished considering the growth and development of infants.

A Study on Fitness and Awareness of Sizing System of Infants′Wear (유아복 제품치수 인지도 및 맞음새 조사)

  • 김지연;손희순
    • The Research Journal of the Costume Culture
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    • v.8 no.2
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    • pp.272-281
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    • 2000
  • The purpose of this study is to provide for the basic data useful to the effective production. For this purpose, 180 Korean mothers who bring up from newborns to four-year-old babies were sampled to survey the problems on size occurred by wearing and purchasing the Infants'Wear and positively identify the factors affecting the fitness. Data is processed by a computer(SAS) and analyzed by using frequency, perentage, mean, χ²-test, Duncan-test. The main results of this study are as follows ; 1. Consumers'awareness of sizing system of Infant's wear tent to present relatively high and tend to purchase their infants'wear larger than actual sizes or that consumers'preferences depend little on size adaptation. 2. As a result of analyzing the part not fit, neck circumference, waist circumference, total length, neck back-waist length is short, sleeve length, pants length, shoulder length is big. In all, it has been found through this study that fitness and awareness of sizing system of Infant's Wear in purchasing infants'wear was influenced by many external factors. Therefore, in order to maximize the size adaptability for infants, Infants'Wear must be present the reasonable sizes and specifications for infants'wear in consideration of domestic and foreign specifications and infants'health condition.

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A Case of Moyamoya Disease (모야모야병 환아(患兒) 1예(例)에 대한 증례(症例))

  • Yu Sun-Yae;Lee Seung-Yeon
    • The Journal of Pediatrics of Korean Medicine
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    • v.14 no.2
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    • pp.141-147
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    • 2000
  • Moyamoya is a chronic cerebrovascular disease chracterized by progressive stenosis or occlusion of the terminal parts of both internal carotid arteries with telangiectatic vascular network of collateral circuration at the base of the brain and leptomeningeal arteries. The etiology and pathophysiology of this disease are still unknown. The clinical course in those whose first symptoms occur in childhood is different from those in whom symptoms develop in adult life. The term moyamoya disease should be resserved for those cases in which the chracteristic angiographic pattern is idiopathic; moayamoya syndrome is used when the underlying condition is known. we have experienced a case of moyamoya syndrome in a 5-year-2-month-old boy who presented right-sided hemiparesis. A cerebral angiogram revealed occlusion of abnomal collateral network. Moyamoya disease is applicable to stroke of an infant from oriental medicine point of view, and The symptoms is similar to adult stroke, we have treated adult stroke patint with herb medicine and acupuncutre and physical treatment. The acute stage of stroke is applied to the external treatment(標治), and The recovery stage is applied to the basic treament(本治).

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Tetralogy of Fallot with Pulmonary Arteriovenous Fistula -A Case Report- (폐동정맥루를 동반한 팔로사징환자의 치험 -1례보고-)

  • 김상익;박국양;박철현;김정철;현성열;이재웅;이현우;이성재;김종호
    • Journal of Chest Surgery
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    • v.33 no.3
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    • pp.257-261
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    • 2000
  • Pulmonary arteriovenous fistula can occur in a variety of clinical situations including liver diseases, infections, metastatic carcinomas, systemic disorders, and after the palliation of congenital heart diseases. A 72-day-old male infant with Tetralogy of Fallot and pulmonary atresia underwent surgical correction without difficulty. However, ventilator weaning in the ICU failed initially because of an unexplained postoperative hypoxemia(FiO2: 0.8, PaO2: 40 mmHg, SaO2: 80∼90%). Postoperative follow-up lung perfusin scan at postoperative 15 days showed right-to-left shunt(33.6%) and ventilator weaning was performed on the 20th day after the operation (FiO2: 0.4, PaO2, 50mmHg, SaO2: 86.9%). Arterial oxygen saturation under room air was 80∼85% at 7 months postoperatively. One and half year follow-up lung perfusion scan showed decreased amount of right-to-left shunt (11.2%). We report a case with a review of the literatures.

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The Influence of Mother's Child-rearing Attitude, Temperament and Goodness of Fit of Infant's on Adjustment to Childcare Center (어머니의 양육태도와 영아의 기질 및 조화적합성이 보육시설 적응에 미치는 영향)

  • Kim, Ki Hong;Lee, Ju Rhee
    • Korean Journal of Childcare and Education
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    • v.6 no.1
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    • pp.47-65
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    • 2010
  • The current study aims to examine differences of mother's child-rearing attitude by background variables of infant's and mothers, the influence of mother's child-rearing attitude, temperament and goodness of fit of infant's on adjustment to childcare center, and relative influence among elements. Subjects for the study were 165 infant's of two year old attending 8 childcare centers in Seoul, Gyeonggi-do and Jeju-do, and their mothers and homeroom teachers at childcare centers. As a result of the study, it was found that there was no difference in background variables such as sex and order among siblings of infant's, childcare experience and average hours at childcare centers a day, and mother's age and job, while there were differences in mother's child-rearing attitude by mother's education, household's monthly income and mother's working hours per week. Also it was observed that mother's restrictive attitude, positive attitude and infant's regular temperament influenced their adjustment to childcare centers, and relatively influential elements on general adjustment to childcare centers were mother's restrictive attitude and positive attitude. That IS, it was found that as mother's restrictive attitude and positive attitude were high, infant's general adjustment to childcare centers became high. These study results show that if infant's learn basic rules and habits from parents at home by having positive relationship with mothers, getting appropriate educative instruction, having proper autonomy and obtaining positive assessment from their mothers, rather than strict restriction or bluff, can adapt themselves to childcare centers with no difficulty.

A Case of Bilateral Testicular Teratoma Found in Infant (소아 양측고환에서 발생한 성숙 기형종 1예)

  • Baek, Un-Gi;Chung, Seok-Young;Choi, Woo-Seok;Song, Phil-Hyun;Cho, Chul-Kyu;Moon, Ki-Hak;Kim, Dong-Sug
    • Journal of Yeungnam Medical Science
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    • v.20 no.1
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    • pp.92-98
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    • 2003
  • Testicular teratoma is characterized that has more than one germ cell layer in various stages of maturation and differentiation. The incidence of mature teratoma varies from 2 to 9% of all germinal testicular tumor. Only 3 cases of bilateral teratoma have been reported in the literature to date. The teratoma can occurs at all ages but is most common between the age of 15-35 year. It is relatively infrequently seen in childhood and infancy. In these age group, teratoma tends to be a benign. Recently, we experienced one case of bilateral testicular teratoma in 4 month-old infancy. We report a case of bilateral testicular teratoma found infancy with review of related literatures.

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A Case of Infantile Nephrotic Syndrome associated with Neuroblastoma

  • Kim, Soo Hyun;Park, Hyun-Min;Lee, Joo Hoon;Kim, Hyery;Go, Heounjeong;Kim, Dae Yeon;Park, Young Seo
    • Childhood Kidney Diseases
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    • v.22 no.2
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    • pp.91-96
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    • 2018
  • Nephrotic syndrome in the first year of life, characterized by renal dysfunction and proteinuria, is associated with a heterogeneous group of disorders. These disorders are often related to genetic mutations, but the syndrome can also be caused by a variety of other diseases. We report an infant with nephrotic syndrome associated with a neuroblastoma. A 6-month-old girl was admitted with a 10% weight loss over 10 days and nephrotic-range proteinuria. She was ill-looking, and her blood pressure was higher than normal for her age. Her cystatin-C glomerular filtration rate was decreased, and levels of plasma renin, aldosterone, and catecholamines were elevated. Renal ultrasonography and abdominal computed tomography showed a retroperitoneal prevertebral mass encasing both renal arteries and the left renal vein. The mass was partially resected laparoscopically, and the pathologic diagnosis was neuroblastoma. Findings on a simultaneous renal biopsy were unremarkable. The patient was treated with chemotherapy and several anti-hypertensive drugs, including an alpha blocker. Two months later, the mass had decreased in size and the proteinuria and hypertension were gradually improving. In an infant with abnormal renin-angiotensin system activation, severe hypertension, and nephrotic-range proteinuria, neuroblastoma can be considered in the differential diagnosis.

Maternal Conversation Style and Communicative Intent of Young Children during Free Play (자유놀이 상황에 나타난 어머니의 대화 양식과 유아의 의사소통 의도)

  • Sung, Miyoung
    • Korean Journal of Child Studies
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    • v.24 no.5
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    • pp.77-89
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    • 2003
  • The relationship of communicative intent of infants and the conversation style of mothers were investigated with 20 mothers and their 2- and 3-year old children. They conversed in naturalistic settings while playing with Lego blocks. Cluster analyses revealed 2 maternal styles: a conversation-eliciting and a directive style. Children of conversation-eliciting mothers provided more information than those of directive mothers. Children of directive mother requested more permission than those of conversation-eliciting mothers. Implications of these two maternal styles for children's communicative abilities were discussed.

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The sex difference in infants' verbal and nonverbal interactions with their teacher and peers (보육시설내 성별에 따른 영아와 교사 및 또래간의 사회적 상호작용)

  • Yi, Soon Hyung;Kim, Jung Yeon
    • Korean Journal of Child Studies
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    • v.18 no.1
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    • pp.23-38
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    • 1997
  • This study investigated the difference between infant verbal and nonverbal interactions with a partner (teacher or peer). The subjects were 20 two-year-old infants 00 boys and 10 girls, mean age 31.3 months). Verbal and nonverbal interactions were videotaped during one hour of indoor free play per child in the Center. In verbal interaction, (1) boys spoke to themselves more than girls did, and (2) girls gave orders (imperatives, requests, and prohibitions) to peers and teachers more than boys did. In non-verbal interactions, (1) girls nodded to teachers more than boys did, (2) boys came closer to peers more than girls did, and (3) girls refused by gestures to peers more than boys did. In conclusion, the majority of the boys could be classified as peer-oriented and physically active in their interactions.

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