• Title/Summary/Keyword: Early infancy

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The Study of Nutrient Intakes of Formula-Fed Infants from Formula and Solids in Early Infancy (인공영양아의 에너지, 칼슘 및 철분 섭취에 관한 연구)

  • 배현숙
    • Journal of Nutrition and Health
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    • v.29 no.5
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    • pp.517-527
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    • 1996
  • The food consumption of 148 healthy infants from 4 to 6 months of age have been measured. Three groups were assigned to change of feeding pattern. Formula group(FF, n=102) were fed formula from birth till 6 months of age. Convert 1 group (C1F, n=14) and Convert 2 group (C2F, n=32) were fed breast milk and mixed milk at 2months of age afterthat switched to formula milk, respectively. All infants received solids (solid foods) from 4 months of age. No significant difference was found in the intake of nutrients among three feeding groups excluding carbohydrate intake of C1F-female at 4 months of age. No significant difference was found in the intake of nutrients among three feeding groups excluding carbohydrate intake of C1F-female at 4 months of age. The FF-female(70.9g/d) and C2F-female(66.9g/d) had significantly higher carbohydrate intake when compared to the C1F-female (54.3g/d). The average total energy intake at 4, 6 months were 648.3 and 709.7kcal/d among all infants. At 4 and 6 months of age, mean intake of nutrients was as follows. Calcium intake was 526.7mg/d and 760.0mg/d at 4 and 6 months of age respectively. Iron intake was 8.3mg/d and 10/5mg/d at 4 and 6 months of age respectively. Calories from solids provided 22.5% of total energy intake at 4 months of age, and nearly 32% at 6 months of age. The average energy and protein intakes of all infants were less than the RDA for calcium and iron at 4, 6 months of age.

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A Case of Urachal Cyst Infection Occurring During Corticosteroids Therapy in a Patient with IgA Nephropathy (IgA 신병증 환자에서 부신 피질 호르몬 치료 중에 발생한 요막관 낭종의 감염)

  • Kweon, Young-Lan;Hahn, Won-Ho;Seo, Jin-Soon;Kim, Sung-Do;Cho, Byoung-Soo
    • Childhood Kidney Diseases
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    • v.13 no.2
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    • pp.248-251
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    • 2009
  • The urachus is a normal embryonic remnant of the primitive dome. It generally exists as a fibrous cord extending from the dome of the bladder to the umbilicus. Disorders of the urachus are developed as a result of its incomplete regression. The urachal cyst is the most common urachal anomaly, and is usually asymptomatic in infancy and childhood. However, when the cysts are large or accompanied with secondary infection, they may be detected in its early stage. A sonography or CT scan may be helpful to confirm the diagnosis of urachal cyst. The managements of infected urachal cyst are varied from simple drainage to radical excision. Here, we report an unusual case of urachal cyst infection that occurred during corticosteroids therapy in a girl with IgA nephropathy.

X-linked recessive myotubular myopathy with MTM1 mutations

  • Han, Young-Mi;Kwon, Kyoung-Ah;Lee, Yun-Jin;Nam, Sang-Ook;Park, Kyung-Hee;Byun, Shin-Yun;Kim, Gu-Hwan;Yoo, Han-Wook
    • Clinical and Experimental Pediatrics
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    • v.56 no.3
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    • pp.139-142
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    • 2013
  • X-linked recessive myotubular myopathy (XLMTM) is a severe congenital muscle disorder caused by mutations in the MTM1 gene and characterized by severe hypotonia and generalized muscle weakness in affected males. It is generally a fatal disorder during the neonatal period and early infancy. The diagnosis is based on typical histopathological findings on muscle biopsy, combined with suggestive clinical features. We experienced a case of a newborn who required intubation and ventilator care because of profound hypotonia and respiratory difficulty. The preliminary diagnosis at the time of request for retrieval was hypoxic ischemic encephalopathy, but the infant was clinically reevaluated for generalized weakness and muscle atrophy. Muscle biopsies showed variability in fiber size and centrally located nuclei in nearly all the fibers. We detected an MTM1 gene mutation of c.1261-1C>A in the intron 10 region, and diagnosed the neonate with myotubular myopathy. The same mutation was detected in his mother.

The Korean Practice Parameter for the Treatment of Pervasive Developmental Disorders : Diagnosis and Assessment (전반적 발달장애의 한국형 치료 권고안 : 진단 및 평가)

  • Yoo, Hee-Jeong;Cho, In-Hee;Koo, Young-Jin;Yoo, Han-Ik;Son, Jung-Woo;Chung, Un-Sun;Ahn, Joung-Sook;Ahn, Dong-Hyun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.18 no.2
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    • pp.97-108
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    • 2007
  • Multiple areas of development are affected in pervasive developmental disorders(PDD), and assessments of various aspects of behavior and development are essential for diagnosis. The object of this review is to provide the practical guidelines for the assessment of core features of PDD, including abnormalities in communication, social interaction, and repetitive and stereotyped behavior. It covers the issues of differential diagnosis within and outside the PDD category, standardized diagnostic tools, assessment of intellectual and language functions, and the early diagnosis of PDD in infancy. This guideline also stresses the process of medical and neurological evaluation for proper diagnosis of PDD.

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Solid Foods Intake Pattern During the First 6 Months of Life (영아 전반기 영양공급방법에 따른 이유보충식의 섭취 양상)

  • 배현숙;안홍석
    • Korean Journal of Community Nutrition
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    • v.1 no.3
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    • pp.335-345
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    • 1996
  • The solids(supplementary food) consumption of 200 healthy infants aged from 4 to 6 months have been measured. Five groups were assigned to different feeding patterns. Breastfed group(BF, n=38), formula-fed group(FF, n=102) and mixed-fed group(MF, n=14) were fed breast milk, formula and mixed(breast mile+formula) from birth until 6 months of age respectively. Convert 1 group(C1F, n=14) and convert 2 group(C2F, n=32) were fed breast milk and mixed milk at 2 months of age respectively and were switched to formula thereafter. All infants received solids form 4 months of age. The energy intake from solids at 4 and 6 months averaged 59.1 and 110.3㎉/d among BF groups vs 151.9 and 239.3㎉/d among FF groups respectively. Intakes of protein, calcium and iron were 38-46$\%$, 34-44% and 25-37$\%$ higher in the FF than in the Bf group during the first 6 months. However, no significant differences were found in the intakes of energy and nutrient intakes from solids in all 4 groups excluding BF group(39$\%$). Although BF infant's nutrient intakes from solids were lower than other group's intakes, they intaked evenly solids from various food groups. As the age of infant had increased, the energy intake ratio from solids was cereals and dairy products was increased whereas energy intake ratio from meats, eggs, fruits and vegetables was decreased. TSC4, TSC6(the frequency score for the kinds of weaning food taken) showed no significant difference among 5 feeding groups but CIF-and C2F group's scores tended to be high. Consequently, these results suggest that BF group's solid intake pattern is more desirable and that Korean lactating Mother's dependence on commercial weaning food is too high.

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A Clinical Study of the Children and Adolescents Inpatients Admitted to the Oriental Medical Hospital (한방병원에 입원한 소아.청소년 환자에 관한 임상적 연구)

  • Son, Mi-Ju;Han, Jae-Kyung;Kim, Yun-Hee
    • The Journal of Pediatrics of Korean Medicine
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    • v.25 no.2
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    • pp.55-72
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    • 2011
  • Objectives: The purpose of this study is to investigate clinical features of children and adolescents patients admitted to the oriental medical hospital. Methods: The study composed of 1284 inpatients aging from 0 to 19 who had been admitted in 4 oriental medical hospitals located in Daejeon and Chungcheong. Results: 1. In this study, 688 boys and 715 girls were examined, giving the ratio of 0.96:1. Average age of the children and adolescents was 11.5, and the number of inpatients has increased as getting older. 2. The percentage of children and adolescents inpatients has increased every year : 9.1% in 2005, 13.0% in 2006, 13.8% in 2007, 16.3% in 2008, 18.0% in 2009, with 22.2% in 2010, 7.8% until May 2011. The month scored the highest admittance was December and the lowest was March. 3. In systemic division, the musculoskeletal system was the most common, followed by neuromuscular system, respiratory system, digestive system, psychological system, and nervous system. 4. Most patients have admitted in acupuncture & moxibustion department, followed by oriental pediatrics, oriental rehabilitation medicine. 5. In Pediatrics, 196 boys and 166 girls were admitted. The age distribution showed that 6.4% were in infancy, 43.6% in preschool period, 30.1% in prepuberal period, 18.8% in early puberty and 1.1% in late puberty. The percentage of pediatrics inpatients has increased every year. Conclusions: More data of patients should be collated for further study. More detailed study with different kinds of diseases are expected based on this study.

A Case of Atypical Teratoid/Rhabdoid Tumor Arising from the Supratentorial Area (천막상부에 발생한 비정형 기형/횡문근양 종양 1례)

  • Jung, Kyeong Hun;Kwon, Young Se;Jun, Yong Hun;Kim, Soon Ki;Hong, Young Jin;Son, Byong Kwan;Kim, Eun Young;Park, In Suh
    • Clinical and Experimental Pediatrics
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    • v.48 no.2
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    • pp.228-231
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    • 2005
  • Atypical teratoid/rhabdoid tumor may arise at any central nervous system location, but it is most commonly located in the cerebellum(60 percent). The incidence of this tumor remains unclear but it occurs most commonly in children less than 2 years of age. This highly malignant tumor shows a rapid progression and nonspecific radiologic findings. We report a case of primary intracranial atypical teratoid/rhabdoid tumor arising from the supratentorial area in early infancy. The diagnosis was made based on distinctive light microscopy and immunohistochemical findings. Despite aggressive surgical treatment with adjuvant chemotherapy, he died six months after his second operation.

Two cases of spinal muscular atrophy type 1 with extensive involvement of sensory nerves (광범위한 감각신경 침범을 동반한 척수성 근위축증 2예)

  • Lee, Ran;Chung, Sochung;Koh, Sung-Eun;Lee, In Kyu;Lee, Jongmin
    • Clinical and Experimental Pediatrics
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    • v.51 no.12
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    • pp.1350-1354
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    • 2008
  • Spinal muscular atrophy (SMA) is an autosomal recessive disease characterized by diffuse proximal and distal weakness due to deletion of the survival motor neuron (SMN) gene localized on chromosome 5 (5q11.2-13.3). SMA has been considered as a pure lower motor neuron disorder, and a definitive diagnosis can be established by molecular genetic testing. Here, we describe two patients with severe hypotonia and frequent aspirations at early infancy. Nerve conduction studies showed more extensive sensory involvement in these patients diagnosed to have SMA by genetic study than in classical cases of SMA. To the best of our knowledge, this is the first report of SMA Type 1 with sensory nerve involvement in Korea.

Joubert syndrome with peripheral dysostosis - A case report of long term follow-up - (말초 이골증을 동반한 Joubert Syndrome 1례)

  • Kim, Jung Tae;Kim, Sun Jun;Joo, Chan-Uhng;Cho, Soo Chul;Lee, Dae-Youl
    • Clinical and Experimental Pediatrics
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    • v.50 no.3
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    • pp.315-318
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    • 2007
  • This report describes the long-term follow-up of a 10-year-old female patient with Joubert syndrome with short stature and brachydactyly. She presented with hyperpnea alternated with hypopnea, uncontrolled jerking eye movements, and hypotonia during early infancy. She was diagnosed with Joubert syndrome based on clinical symptoms and typical MRI findings at 5 months of age. Abnormal ventilation and eye movements disappeared at around 4 years of age. Head circumference kept within normal range for her age, but her height and weight growth were markedly retarded. Simple X-ray showed an enlarged skull with increased digital markings, hypoplasia of facial bones, and abnormal enchondral bone formations in hands and feet. This article is the first report of Joubert syndrome with peripheral dysostosis.

A Study on Living Room Furniture Design to Promote Children's Reading - Based on The Theory of Environmental Psychology and Behavior - Focused on The 60~90 ㎡ Apartment Dwellers - (환경심리행태학에 기반한 아동기의 독서습관 증진을 위한 거실가구 디자인에 관한 연구 - 60~90 ㎡대 아파트 거주자를 중심으로 -)

  • Jeoung, Tae Yeun;Park, Kyung Jin
    • Journal of the Korea Furniture Society
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    • v.27 no.2
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    • pp.111-121
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    • 2016
  • In the structure of modern houses, a living room is the space most frequently used by family members. In a living room, they rest, talk together, watch TV, study, read books and enjoy hobbies. A living room is furnished with a TV cabinet, a storage closet, a sofa, a bookshelf, a desk and etc. depending on the purposes of activities in it, which can be different in each house. Furniture is the required tool for indoor architectural space and humans to lead a life. In most families, a man and a woman marry each other and become man and wife, go through the honeymoon phase, give birth to one or two children and become a family with three or four members. According to the children's growth cycle from birth to infancy, early childhood, childhood, adolescence, youth and adulthood, furniture layout and kinds of furniture in a living room change. Depending on the family life cycle, most parents of young children try to help their children to form good habits of reading books and studying for their future. As for the environmental elements interrupting reading and studying, watching TV and using smart phones excessively are being regarded as problems. As the number of two-income families is increasing in this era when many women are participating in the social activities with the government's encouragement, children are having more time.