• Title/Summary/Keyword: Feeding Difficulty

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A Study on Automatic Switching System for Fault Locator (고장점 표정반 자동절체 시스템에 대한 연구)

  • Park, Yong-Bum;Lho, Young-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.12
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    • pp.8927-8932
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    • 2015
  • A directional feeding method at the railway transformer is applied for supplying the power to the electric railway substations, and the pre-installed facilities with common feeder are utilized in preparation for the failure of feeding system and in finding a fault location in case that the catenary failure occurs. However, it is some difficulty in finding the fault location since there is an interface problem with the facilities when the supplying power system operates. In this paper, Auto Fault Locator Transfer Drive System (ALTDS) is designed to search for the fault location efficiently, and the measuring data are obtained and compared with the KORAIL standards. Further, the ground connection test is accomplished 24 times as the verification method, and it is shown that the methodology provides better performance than the existing traditional one.

A CASE OF PRADER-WILLI SYNDROME TREATED WITH FLUOXETINE (Prader-Willi 증후군의 Fluoxetine 치험 1례)

  • Shin, Dong-Won;Song, Dong-Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.8 no.1
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    • pp.133-138
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    • 1997
  • Prader Willi Syndrome(PWS) was first recognized and reported by Prader-Willi. The etiology of the syndrome is not fully understood, but 50-70% of the patients show small deletion in chromosome 15. Manifested symtoms vary according to developmental age. In early life, hypotonia, areflexia, feeding difficulties, hypothermia, microgenitalia, hypoplastic scrotum, cryptochordism were observed. But in several years, hypotonia disappears, and polyphagia, decreased satiety, psychomotor retardation, obesity, hypogonadism and short stature become main problems. Behavioural problems including temper and aggressive outbursts, stealing food, hoarding food, and self excoriating skin picking, trichotillomania are more prominent during adolescence and young adulthood. Also, irritable, depressed mood are described. Lots of psychological and behavioural problems explain the reason why psychiatrists have managed and reported this syndrome. However, there has been no official report of PWS in our country. So authors report the clinical characteristics and issues in management of a patient with PWS.

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SURGICAL TREATMENT OF AIRWAY OBSTRUCTION IN INFANTS WITH PIERRE ROBIN SEQUENCE (Pierre Robin sequence 환자에서 기도 폐색의 외과적 치료)

  • Ryu, Sun-Youl;Lee, Young-Uk;Seo, Il-Young
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.30 no.3
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    • pp.237-245
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    • 2004
  • The deformities of micrognathia and glossoptosis in the newborn are frequently associated with a cleft palate, which is known as Pierre Robin sequence. Upper airway obstruction is the most serious problem in these patients. Treatment of Pierre Robin sequence includes either positional or surgical intervention. Mild cases are often managed in the prone position. However, when the patient fails to thrive due to chronic upper airway obstruction, or severe respiratory distress ensures despite positional treatment, surgical intervention is mandatory to relieve the obstruction. We experienced three infants with Pierre Robin sequence who showed a symptom triad of micrognathia, glossoptosis, and cleft palate. Intermittent cyanosis, depression of the chest, respiratory difficulty and feeding problems were also observed. To relieve severe upper airway obstruction caused by micrognathia and glossoptosis, we simultaneously performed modified tongue lip adhesion (TLA) and a subperiosteal release of the floor of the mouth (SRFM). Respiratory and feeding difficulties were relieved, the tongue positioned anteriorly, body weight increased, and mandibular growth improved. Simultaneous TLA and SRFM may constitute a simple and reliable method for surgical treatment of airway obstruction in patients with Pierre Robin sequence.

BENIGN TUMORS IN THE ALVEOLAR RIDGE OF NEWBORNS (신생아의 치조제에 발생한 양성 종물)

  • Lee, Jae-Ho;Kim, So-Hwa;Yun, Jung-Hun;Choi, Byung-Jai
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.2
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    • pp.310-315
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    • 2001
  • The soft tissue tumors that occur commonly in newborn infants include palatal and gingival cyst of the newborn, congenital epulis, hemangioma, teratoma, pyogenic granuloma, and irritation fibroma. Such soft tissue tumors in the alveolar ridge of newborns are usually treated by surgical excision. If untreated, they can cause airway obstruction and breathing difficulty due to aspiration. They also cause discomfort during oral feeding. If nasal feeding is tried, since vomitting is impossible, there is a risk of aspiration pneumonia. In this case, a newborn infant visited our hospital with soft tissue tumor as chief complaint, and the infant was treated by surgical excision. It appeared to be similar to pyogenic granuloma and irritation fibroma upon histologic exam. However, it was different from those diseases since multinucleated giant cells were observed and it was congenital. The pathologic process of this neoplasm is not clear. This case is reported, since it is difficult to classify it as a specific disease.

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Significance of the tethered maxillary frenulum: a questionnaire-based observational cohort study

  • Naimer, Sody A.;Israel, Ariel;Gabbay, Aviezer
    • Clinical and Experimental Pediatrics
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    • v.64 no.3
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    • pp.130-135
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    • 2021
  • Background: The clinical significance of lip-tie, or a tethered maxillary frenulum, remains under debate. Clinicians and parents are often perplexed when deciding whether procedures available to relieve a seemingly tight or severe maxillary frenulum are needed. Purpose: No previous studies have assessed the consequences of not subjecting a tethered maxillary frenulum in newborns to surgical intervention. This study aimed to contribute the first prospective trial on this topic with a relatively extended follow-up of these newborn infants. Methods: This prospective observational questionnaire-based cohort trial was performed in a community setting and aimed to determine whether lip-tie is associated with an increased likelihood of eventual feeding or oral disorders. Results: The convenience sample comprised of 61 consecutively arriving infants with concomitant tethered frenula who were treated at the clinic for various reasons. This cohort was compared with a random sample of 66 age-matched children for a mean follow-up period of 6.42 years. Infants undergoing oropharyngeal procedures were excluded. Awareness of a deviation in oral structures was reported by 18% of the study group versus 0% of the controls. Mothers participating in the study group (24.6%) less frequently recalled painful nipples or discomfort during breastfeeding than those in the control group (47.0%) (P<0.01). There were no intergroup differences in other types of feeding difficulty, dental hygiene, pronunciation, or speech development. Conclusion: Our findings suggest that a tethered labial frenulum is not associated with an increase in breastfeeding disturbances or oral disorders. These data encourage clinicians to question the need to intervene in cases of tethered maxillary frenula.

Surgical Correction of Complete Vascular Ring Associated with Kommerell's Diverticulum (Kommerell 게실과 동반된 완전 혈관륜의 수술적 교정)

  • Kim, Hee-Jung;Jung, Sung-Ho;Kim, Kyung-Mo;Yun, Tae-Jin
    • Journal of Chest Surgery
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    • v.39 no.12 s.269
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    • pp.943-945
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    • 2006
  • An 11-month old girl with a feeding difficulty and recurrent aspiration pneumonia received surgical correction of complete vascular ring, which was formed by right aortic arch, aberrant left subclavian artery(LSCA) originating from Kommerell's diverticulum(KD) and ligamentum arteriosum. Through left posterolateral thoracotomy, the ligamentum arteriosum was divided to relieve the tracheo-esophageal bundle. KD was separated from the right descending aorta, and the left subclavian artery was severed from KD at its origin and trasfered to the side wall of left common carotid artery. Postoperative course was uneventful, and the patient has been followed up with a clinical improvement.

Power Quality Evaluation of An IAT(Intra Airport Transit) System in Incheon International Airport (인천 국제공항청사 경전철 도입에 따른 고조파 영향 분석)

  • Lee, Jun-Kyong;Lee, Seung-Hyuk;Kim, Jin-O;Jung, Hyun-Soo
    • Proceedings of the KIEE Conference
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    • 2005.07a
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    • pp.238-240
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    • 2005
  • This paper presents harmonic evaluation of an IAT(Intra Airport Transit) system in Incheon International Airport. It will be used electric vehicles with 80 kW per car that are produced Mitsubishi Heavy Industries Ltd, and one car is constructed with SIV(Static Inverter), VVVF controller and two induction motor. The operated vehicles in the IAT system are rapidly changing DC load and at a feeding substation, 3-phase electric power is transferred to DC 750 V by rectifier. Since, vehicles are also changing continuously, the voltages for the load fluctuate in the IAT system, and moreover, the fluctuating voltages generate high-order har -monies. This means that there is the difficulty in maintaining power quality in KEPCO systems' side. Therefore, the power quality of the IAT system in Incheon International Airport is evaluated using PSCAD/EMTDC simulator in the paper The THD(Total Harmonic Distortion) of voltages and TDD(Total Demand Distortion) of currents, indices are calculated for the IAT system using the results of PSCAD/EMTDC dynamic simulation.

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The Influencing Factors on Postpartum Fatigue in Parturient Women (산후 피로에 영향을 미치는 요인)

  • Song, Ju Eun;Chang, Soon Bok;Son, Youn Jung
    • Korean Journal of Adult Nursing
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    • v.19 no.4
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    • pp.670-681
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    • 2007
  • Purpose: The purpose of this study was to identify the influencing factors on postpartum fatigue in the parturient women. Methods: The data were collected from July to September, 2006 using self-report questionnaires. The sample was 143 healthy parturient women who visited the outpatient clinic at 2 hospitals for a routine follow up after childbirth. The data were analyzed by using SPSS 12.0 Win program. Results: There were significant differences in the postpartum fatigue by age, religion, sleep hour, and complaint of perceived health problem. The postpartum fatigue were significantly correlated with infant care stress(p<0.001), sleep satisfaction(p<0.001), and feeding difficulty(p=0.016). The multiple regression analysis showed that the postpartum fatigue were significantly predicted by the infant care stress, sleep satisfaction and complaint of perceived health problem. These variables explained 31.8% of the variance of postpartum fatigue. The infant care stress was the main predictor of postpartum fatigue. Conclusions: It could be concluded that the nursing intervention for reducing the infant care stress should be developed to manage the postpartum fatigue for parturient women. Prospective studies are needed to be conducted to verify the causal relationship between infant care stress and postpartum fatigue.

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Harmonic Evaluation of An Imported IAT(Intra Airport Transit) System in Incheon International Airport (인천 국제공항청사 경전철 도입에 따른 고조파 영향 분석)

  • Lee Jun-Kyong;Lee Seung-Hyuk;Kim Jin-O;Jung Hyun-Soo
    • Proceedings of the KSR Conference
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    • 2005.05a
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    • pp.788-793
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    • 2005
  • This paper presents harmonic evaluation of an IAT(Intra Airport Transit) system in Incheon International Airport. It will be used electric vehicles with 80 kW per car that are produced Mitsubishi Heavy Industries Ltd, and one car is constructed with SIV(Static Inverter), VVVF(Variable Voltage and Variable Frequency) and two induction motor. The operated vehicles in the IAT system are rapidly changing DC load, and at a feeding substation, 3-phase electric power is transferred to DC 750 V by rectifier. Since, vehicles are also changing continuously, the voltages for the DC load fluctuate in the IAT system, and moreover, the fluctuating voltages generate high-order harmonics. This means that there is the difficulty in maintaining power quality in KEPCO systems' side. Therefore, the power quality of the IAT system in Incheon International Airport is evaluated using PSCAD/EMTDC simulator in the paper. The THD(Total Harmonic Distortion) of voltages and TDD(Total Demand Distortion) of currents, indices are calculated for the IAT system using the results of PSCAD/EMTDC dynamic simulation.

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Effects of an odor or taste stimulus applied to an artificial teat on the suckling behavior of newborn dairy calves

  • Malidaki, Maria;Laska, Matthias
    • Journal of Animal Science and Technology
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    • v.60 no.4
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    • pp.16.1-16.11
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    • 2018
  • Background: In their first days of life, dairy calves in artificial rearing systems often have difficulty using an artificial teat for feeding. Methods: We examined the age at which calves are able to stand up voluntarily and suckle as well as their suckling behavior when presented with a plain dry teat versus a dry teat modified with a presumably attractive odor or taste substance. Single-housed newborn dairy calves (n = 51) were presented for ten consecutive days with a two-minute two-choice test, in which suckling time was recorded for 1) a plain (control) teat versus a glucose-coated teat (taste test) and 2) a plain teat versus a teat with a "Freshly Cut Grass" odor (odor test). Results: On average, the calves were able to stand up voluntarily and suckle from the second or third day of age on. The "Freshly Cut Grass" odor had no significant effect on their suckling behavior. In contrast, the calves showed a significant preference for suckling the glucose-coated teat and displayed a significantly longer total suckling time in the taste test compared to the odor test. There were no significant differences between sexes regarding suckling behavior. Conclusion: The results of the present study show that glucose had a significant effect on the calves' teat preference and significantly increased total suckling time with a dry artificial teat. As such, glucose may increase suckling motivation in non-efficient drinkers or ill calves with low motivation to suckle.