• 제목/요약/키워드: Feeding Practice

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영유아 어머니의 이유식에 대한 지식정도 및 실태조사 (A Study on the Mothers' Knowledge and Practice about the Infant Weaning Diet)

  • 김미숙;최경숙
    • 한국간호교육학회지
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    • 제7권1호
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    • pp.38-53
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    • 2001
  • The main purpose of this study was to present the basic materials that help the nursing of the infants and consultation of childcare by examinating the knowledge and practice of the mothers about the weaning diet. The data for this study was collected from 205 mothers with infants(6-36 months) who visited two hospitals or one university hospital in Seoul, who were living in one apartment Suwon area between July. 7. and September 10, 2000. The 57 questionnaires were used for collecting the data and SAS program was used to analyse the data. The results are as follows. 1. The items of low score in the result of the knowledge data were as follows. [Initial weaning time, the important nutritional problem in infant, considering factor during feeding, the relation of proper weaning food & age, the time of used by cup, to apply of proper spicies in weaning food, the time of completing weaning, the time of stopping weaning at abnormal sign, and the inappopriate reason of dry mixed powdered food (Sunsik) as a weaning food.] 2. Higher educated mothers presented more high score than lower educated mothers in the knowledge about the weaning. (p<0.05) 3. Before the weaning, more mothers were using the commercial milk (51.2%) than the breast milk (13.2%). 4. Mothers get the knowledge about the weaning from the infants care book of cook books(26.4%). 68% of mothers had not received any consulting service with regard to the weaning, 10.2% of them consulted Pediatrician about the weaning and 0.5% of them with nurse. 5. Most mothers began supplymentary food, from four to six months (65.4%). the ratio was about the same as the ratio of mothers who knEw the appropriate time for the introduction of supplymentary food(83.2%) 6. The main solid food was commercial food, not home-prepared food. 7. Higher educated mothers used home-prepared weaning food more often than lower educated mothers(P<0.05). 8. The used rate by spoon was 57.4%, but the rate of mother's knowledge data was 95.0%. 9. The time of completing the weaning was in 12-18 months(53.8%). It is similar to the mother's knowledge data(52.7%) Conclusion ; According to knowledge data, it turns out that most mothers know moderatly about the weaning (everage 60/100). However their knowledge and practice on the methods & procedures on the weaning were inadquate. Especially, most mothers did not consult with those qualification about the weaning. Therefore, the role of the nurse as a provider of information on the weaning should be emphasized with varied educational programs in many health care center.

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임상간호교육의 일실험방법의 효과측정 (Experimental Study of. Clinical Obstetric Nursing Education)

  • 최연순
    • 대한간호학회지
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    • 제2권1호
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    • pp.217-236
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    • 1971
  • Introduction: The integration of theoretical material in the classroom with clinical practice in the field is an important concept in nursing education. nursing students at all levels need to acquire individual patient's needs, and applying creativity in the comprehensive nursing care. Problem solving and observation skills are important aspects in the development of nursing skills. Nursing students during their clinical work in maternal and child health observed that the major difficulties experienced by new mothers centered around psychological and physiological changes. Breast engagement and throbbing breast pain were the most frequent complaints by primiparas during the postpartum phase. In order to understand the factors affecting the discomfort, and to devise appropriate nursing care, these complaints were experimented. resent study represents an attempt to evaluate the impact of antepartal care (including breast care) on the subsequent of breast feeding difficulties. For the research purposes, hypotheses were made as follows: 1. There is a relationship between breast care and anthemata care attendance. 2. If primiparas practice treat care during their anthemata relied, they will have less throbbing breast pain during the postpartum phase. 3. If primiparas practice breast care during their antenatal period, they will have less breast engagement during the postpartum phase. Method: The researcher selected two highly specialized nurses in maternity clinical ward. They checked mother's chest circumference on the top line of breast every morning including mother's fever, caked breast, and lymphnodes on axillae. These nurses checked mother's breast while they staying hospital for four days. The total number of primiparas were 62 during June 5th to July 15th in 1971 at the Severance Hospital. For 40 days among 62 members of new mothers, 28 of them had breast care during antenatal period. Rest of them did not have breast care during antenstal period. Result: The result of this research revealed that the first hypothesis was accepted that the group which had breast care during antenatal period, had positive relationship with antenatal care. If the mothers were more educated, the more anticipated to antenatal care including breast care. For the second hypothesis, on the delivery day, there was no change on breast between two groups. On the first day of delivery, there were breast throbbing pains to the group who did not receive breast care, than the group who received the breast care. Therefore, second hypothesis was also accepted. For the third hypothesis, there was no breast engagement difference between two groups for the entire period. The third hypothesis was rejected.

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미숙아의 발달지지를 위한 간호중재에 관한 문헌연구 (Literature Review Nursing Intervention for Developmental Support on Preterm Infants)

  • 김태임;심미경
    • 부모자녀건강학회지
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    • 제4권1호
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    • pp.35-55
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    • 2001
  • Recently attention has been focused on the effects of early intervention, or its lack, on both normal and preterm infants. Particularly numerous studies suggest that premature infants are not necessarily understimulated but instead are subjected to inappropriate stimulation. Developmental support and sensory stimulation have become clinical opportunities in which nursing practice can impact on the neurobehavioral outcome of premature infants. Developmental care has been widely accepted and implemented in neonatal intensive care units across the country. Increasingly, attention and concern in caring for low-birth-weight infants and premature infants has led clinicians in the field to explore the effects of a complex of interventions designed to create and maintain a developmentally supportive environment; to provide age-appropriate sensory input; and to protect the infant from inappropriate, excessive and stressful stimulation. The components of developmental care include modifications of the macro-environment to reduce NICU light and sound levels, care clustering, nonnutritive sucking, and containment strategies, such as flexed positioning or swaddling. Sensory stimulation of the premature infants is presented to standardize the modification of a developmental intervention based on physiologic and behavioral cues. The most appropriate type of stimuli are those that are sensitive to infant cues. Evaluation of infant physiological and behavioral responds to specific intervention stimuli may help to identify more appropriate interventions based on infants' cues. A critical question confronting the clinician is that of determining when the evidence supporting a change in practice is sufficient to justify making that change. There are acknowledged limitations in the current studies. Many of the studies examined had small sample sizes; used nonprobability sampling; and used a phase lag design, which introduces the possibility of threats to internal validity and limits the generalizability of the results. Although many issues regarding the effects of developmental interventions remain unresolved, the available research base documents significant benefits of developmental care for LBW infants in consistent outcomes, without significant adverse effects. Particularly, although the individual studies vary somewhat in the definition of specific outcomes measured, instrumentation used, time and method of data collection, and preparaion of the care providers, in all studies, infants receiving the full protocol of individualized developmentally supportive care had improvements in some aspect of four areas of infant functioning: level of respiratory or oxygen support, the establishment of oral feeding; length of hospital stay, and infant behavioral regulation. In summary, based on the available literature, individualized developmental intervention should be incorporated into standard practice in neonatal intensive care. And this implementation needs to be coupled with ongoing research to evaluate the impact of an individualized developmental care programs on the short- and long-tenn health outcomes of LBW infants.

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이유식에 대한 대구지역 여성들의 인식조사 (A Survey on the Knowledge and Attitudes of Women in Taegu toward Weaning Diet for Infants)

  • 김경아;이은실;이영환;신손문;최광해
    • Journal of Yeungnam Medical Science
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    • 제14권2호
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    • pp.370-382
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    • 1997
  • 1997년 7월 25일부터 9월 15일까지 영남대학교 의과대학 부속병원 육아상담실과 소아과를 방문한 환자의 보호자와 대구시내 주택가와 상가에서 만난 여성들을 대상으로 미리 작성된 시험 문제를 포함한 설문지를 이용하여 조사를 실시하여 다음과 같은 결과를 얻었다. 1) 총 303명이 응답하였으며, 연령은 30대가 113명(37.2%)으로 가장 많았다. 2) 설문에 포함된 문제에 대한 성적은 연령별로는 30대가 가장 높았으며, 40대, 50대에서 낮아지는 것을 알 수 있었고, 학력이 높을수록 점수가 높았으며, 주위 사람들이나 시어머니 또는 친정어머니보다 육아잡지, 서적, 소아과의사로부터 지식을 습득한 경우 점수가 더 높았다(p<0.05). 많은 응답자들이 이유식을 우유병에 넣어 먹여도 좋다(69.1%), 이유식과 분유를 섞어 먹여도 된다(64.5%), 이유식에 간을 넣어 먹여야 한다(68.4%)고 잘못 알고 있어 이런 점을 강조해서 교육시켜야 할 것으로 생각되었다. 3) 이유에 대한 지식을 얻는 매체는, 학력이 높을수록 시어머니 또는 친정어머니나 주위 사람들보다 육아서적을 통해 습득하고 있으나, 전체적으로는 대부분 시어머니 또는 친정어머니나 주위사람들에 의존하고 있었다. 4) 육아서적이나 육아잡지를 이용한 경우 주위 사람들이나 시어머니 또는 친정어머니에게서 정보를 얻는 경우보다 이유를 일찍 시작하였고, 우유병 사용을 일찍 중단하였으며, 숟가락 사용을 더 일찍 시작하였고, 그 아이들에서는 편식을 하는 빈도도 낮았다(p<0.05). 5) 우유병 사용을 중단하는 시기가 늦어지면 편식을 하게 되는 경우가 통계적으로 유의하게 증가하였다(p<0.05). 6) 사용한 이유식은 직접 만든 이유식(38.8%)을 가장 많이 사용하였고, 그 다음으로 분유회사 이유식(31.6%)을, 그리고 시장에서 만든 분말 이유식(5.6%), 수입 이유식(4.3%), 선식(2.0%)의 순으로 나타났다. 어머니가 직장 생활을 하는 경우에 직장 생활을 하지 않는 경우보다 직접 만든 이유식을 더 많이 이용하며 각각 48.8%와 35.3%였고 이는 두 군간의 유의한 학력 차이와 관련이 있을 것으로 생각되었다(p<0.05). 결론적으로 이유에 관한 지식의 습득을 대부분 주위사람들이나 시어머니 또는 친정어머니에게 의존하고 있었고, 이들을 통한 부정확한 지식은 부적절한 이유 시행 및 영아의 나쁜 식습관을 형성하는 원인이 되고 있었다. 많은 수의 여성들이 이유 시행의 기분적인 원칙에 대한 잘못된 지식을 갖고 있어, 이를 해결하기 위해서는 이유에 대한 비교적 올바른 지식을 전달할 수 있는 매체인 육아 서적이나 소아과 의사에의 접근이 용이하게 이루어지지 못하는 요인을 분석하여 이를 해결할 수 있는 방안을 강구하는 것이 필요하다고 생각된다.

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양육인의 교육 및 수입정도에 따른 이유기 식생활관리에 대한 실태조사 (A Study on Infant Weaning Practices Based on Maternal Education and Income Levels)

  • 김송숙
    • 한국식품영양과학회지
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    • 제34권7호
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    • pp.1000-1007
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    • 2005
  • 영유아 보육의 실질적 책임자인 어머니들의 이유기 급식, 이유식 생활관리에 대한 지식과 인식도를 조사$\cdot$연구하고자, 보건소를 방문한 양육인 103명을 대상으로 설문조사를 실시하였으며, 그 연구결과를 요약하면 다음과 같다. 1) 영유아의 이유기 식생활관리와 이유식 공급에 대한 필요성과 중요성에 대하여 고졸과 대졸양육인 간에 인식도의 차이를 보였으며 (p<0.01), 가계소득 월 150만원을 기준으로 저소득층의 $47.6\%$와 고소득층의 $41.7\%$가 올바른 이유관리의 중요성을 인지하였다. 2) 단계별 이유식의 종류, 형 태, 조리 법, 급여 횟수와 양 등에 대한 지식과 관련하여 양육인의 $76.0\%$ 정도가 올바른 이유상식 없이 이유를 실시하였으며, 학력과 소득수준이 높을수록 이유식 도입시 발생할 수 있는 알레르기 반응에 대한 지식을 갖추고 있었다. 3) 이유정보의 출처는 대중매체 $(57.3\%)$, 또래 엄마$(34\%)$, 가족$(3.9\%)$, 보건의료인$(2.9\%)$, 기타$(1.9\%)$ 등이었으며, 대졸자는 대중매체 $(72.5\%)$를, 고졸자는 대중매체$(47.6\%)$와 또래 엄마$(39.7\%)$를 통하여 주로 정보를 얻었다. 또한 학력과 소득수준이 높을수록 이유정보와 교육의 기회를 갖고자 하는 욕구가 강하였다. 4) 시판이유식 구입시 양육인의 학력과 소득이 높을수록 TV광고에 대한 영향을 적게 받았으며, 대졸자는 영양측면에서 시판 이유식이 가정식에 비해 월등하지 않다고 응답하여 학력 수준에 따른 유의 성 이 확인되었다. 또한 선식이 영유아에게 좋거나 보통정도의 이유식으로 인식하는 비율이 양육인의 $88\%$ 정도로 나타났다. 5) 학력 에 따른 유의성은 없었으나 고졸자에 비하여 대졸자가 영양표시 라벨을 좀 더 적극적으로 인지하고 있었으며, 식생활과 건강에 대한 관심은 양육인의 교육과 수입에는 무관하게 3.5점 이상으로 높은 관심도를 보였다. 6) 영양교육의 기회가 주어지면 교육과 소득수준이 높은 양육인이 좀 더 적극적으로 활용하였으며, 식품$\cdot$영양관련 기초지식에 대하여 양육인의 $55.3\%$가 보통정도, $43.7\%$가 지식이 부족하다고 스스로 평가하였다. 양육인 중에 특히 대졸자 또는 고소득자가 본인 스스로의 지식에 대해 높은 신뢰도 점수를 보였다. 이상의 연구결과를 통하여 이유기의 식생활과 영양에 대해 실질적 책임자인 어머니들이 올바른 이유지식과 영양정보를 습득할 수 있는 환경조성이 절실하다고 판단된다. 즉 구체적이며 전문적인 이유관련 교육과 계몽이 이루어지기 위해서는 지역사회의 건강을 주도하며 지역 모자보건사업을 실시하는 보건소를 중심으로 한 영유아의 급식과 집단영양지도에 대한 교육 프로그램의 개발과 운영이 요청된다. 이 때 양육인의 사회적 배경과 기초 지식정도를 참조한 영유아 월령별 이유지도가 이루어져야 하며, 영양균형을 갖춘 식재료 선택과 조리법 등에 대한 올바른 이유식 실무교육도 병행되어야 할 것으로 사료된다. 지역사회를 기반으로 한 지속적이며 장기적인 영양지도교육은 양육인의 식품${\cdot}$영양 관련지식을 향상시키며, 이유기의 섭식 개선을 통하여 영양취약계층인 영유아의 이유 식생활관리와 영양개선에 기여할 수 있으리라 본다.

볏짚을 두충잎으로 대체급여 시 거세한우의 생산성, 도체특성 및 육의 지방산 조성에 미치는 영향 (Effects of Feeding Eucommia ulmoides Leaves Substituted for Rice Straw on Growth Performance, Carcass Characteristics and Fatty Acid Composition of Muscle Tissues of Hanwoo Steers)

  • 김재황;김영민;이문도;신재형;고영두
    • Journal of Animal Science and Technology
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    • 제47권6호
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    • pp.963-974
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    • 2005
  • 본 시험은 두충 급여가 거세한우의 성장, 도체특성, 육질특성 및 육의 지방산 조성에 미치는 영향을 구명하기 위하여 수행하였다. 기초사료로 배합사료와 볏짚을 급여하였으며, 건조 두충 잎을 건물기준으로 조사료의 3, 5 및 10%를 대체․급여하였다. 시험사료의 사료적 가치를 평가하기 위하여 평균체중 321±13kg의 거세한우 72두(4개구$\time$6 두$\time$3 반복)를 공시하여 약 15개월간 실시하였다. 일당 증체량은 대조구를 포함한 모든 처리구에서 0.81-0.86kg으로 유의차는 없었다. 사료요구율도 대조구를 포함한 모든 처리구에서 10.05-10.59로서 개선효과는 없었다. 분변내 NH3 가스 발생량은 두충 잎의 급여비율이 높을수록 감소하였다. 즉 40℃에서 12시간 발효시에는 대조구와 3% 구는 각각 30.6ppm과 29.8ppm이었으나 5% 구와 10% 구는 각각 20.3ppm과 21.6ppm으로 낮았다(p<0.05). 등지방 두께는 대조구는 15.0mm였으며 5-10% 급여시 10.2-10.5mm로 얇은 경향이었다(p<0.05). 육량 A 등급 출현율은 3% 급여시 약 20%가 증가하였으며, 육질 1+와 1 등급 출현율은 두충 잎을 5-10% 급여시 약 10-15%가 증가하였다. 등심의 육색에 대한 CIE L*, a* 및 b* 값은 각 시험구간 차이는 없었으며, 우둔의 CIE L*, a* 및 b* 값에서도 각 시험구간에 차이는 없었다. 지방산 함량에 있어서 등심과 우둔에서 공히 C18:1은 두충 잎을 5-10% 급여구에서 증가하였다(p<0.05). 등심의 cholesterol 함량은 10% 급여한 구가 53.3mg /100g으로 대조구와 3% 구 및 5% 구의 55.7-57.0mg/100g으로 비해 낮았다(p<0.05). 하리의 발생비율은 대조구가 약 20.3%였으며 두충 잎을 5-10% 대체 급여할 경우에는 10.4-12.5%로 크게 감소되었다(p<0.05). 호흡기 발병비율은 두충 잎을 대체함으로 개선되는 경향이지만 유의차는 없었다. 이상의 결과를 종합하면, 두충 잎에는 다양한 기능성을 가지는 생리활성 물질이 상당량 함유된 기능성 사료로의 개발 가능성이 매우 높다. 또한 두충 잎을 음건하여 반추동물에 급여할 경우 육질 개선 및 하리 발생비율이 감소되기 때문에 고급육 생산에 효과적이었다. 따라서 두충 잎을 거세한우에 급여할 경우 조사료의 5-10%를 대체하는 것이 가장 유리할 것으로 생각된다.

Hypotriglyceridemic effects of brown seaweed consumption via regulation of bile acid excretion and hepatic lipogenesis in high fat diet-induced obese mice

  • Han, A-Reum;Kim, Jae-Hoon;Kim, Eunyoung;Cui, Jiamei;Chai, In-Suk;Zhang, Guiguo;Lee, Yunkyoung
    • Nutrition Research and Practice
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    • 제14권6호
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    • pp.580-592
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    • 2020
  • BACKGROUND/OBJECTIVES: The present study aimed to further investigate the potential health beneficial effects of long-term seaweed supplementation on lipid metabolism and hepatic functions in DIO mice. MATERIALS/METHODS: Four brown seaweeds (Undaria pinnatifida [UP], Laminaria japonica [LJ], Sargassum fulvellum [SF], or Hizikia fusiforme [HF]) were added to a high fat diet (HFD) at a 5% ratio and supplemented to C57BL/6N mice for 16 weeks. Triglycerides (TGs) and total cholesterol (TC) in the liver, feces, and plasma were measured. Fecal bile acid (BA) levels in feces were monitored. Hepatic insulin signaling- and lipogenesis-related proteins were evaluated by Western blot analysis. RESULTS: Fasting blood glucose levels were significantly reduced in the LJ, SF, and HF groups compared to the HFD group by the end of 16-week feeding period. Plasma TG levels and hepatic lipid accumulation were significantly reduced in all 4 seaweed supplemented groups, whereas plasma TC levels were only suppressed in the UP and HF groups compared to the HFD group. Fecal BA levels were significantly elevated by UP, LJ, and SF supplementation compared to HFD feeding only. Lastly, regarding hepatic insulin signaling-related proteins, phosphorylation of 5'-AMP-activated protein kinase was significantly up-regulated by all 4 types of seaweed, whereas phosphorylation of protein kinase B was up-regulated only in the SF and HF groups. Lipogenesis-related proteins in the liver were effectively down-regulated by HF supplementation in DIO mice. CONCLUSIONS: Brown seaweed consumption showed hypotriglyceridemic effects in the prolonged DIO mouse model. Specifically, combinatory regulation of BA excretion and lipogenesis-related proteins in the liver by seaweed supplementation contributed to the reduction of plasma and hepatic TG levels, which inhibited hyperglycemia in DIO mice. Thus, the discrepant and species-specific functions of brown seaweeds provide novel insights for the selection of future targets for therapeutic agents.

아토피피부염 영아의 영양장애 사례보고와 채식주의에 관한 고찰 (Marasmus and Kwashiorkor by Nutritional Ignorance Related to Vegetarian Diet and Infants with Atopic Dermatitis in South Korea)

  • 정상진;한영신;정승원;안강모;박화영;이상일;조영연;최혜미
    • Journal of Nutrition and Health
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    • 제37권7호
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    • pp.540-549
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    • 2004
  • Infants and children with food related Atopic Dermatitis (AD) need extra dietary efforts to maintain optimal nutrition due to food restriction to prevent allergy reactions. However, nutrition ignorance and food faddism make patients even more confused and practice desirable diet more difficult. The objective of this study was to report the AD patients' malnutrition cases in Korea. We report on 2 cases of severe nutritional deficiency caused by consuming macrobiotic diets which avoid processed foods and most animal foods, i.e. one of vegetarian diet. Case 1, a 12-month-old male child, was admitted with severe marasmus. Because of a history of AD, he was started on mixed grain porridge at 3 months without any breast milk or formula feeding. His caloric intake was 66% and protein intake was 69% of the recommended dietary allowance. Patient's height and weight was under 3th percentile. On admission the patient was unable to crawl or roll over. Case 2, a 9-month-old AD female patient, was diagnosed with kwashiorkor and rickets. She was also started on mixed grain porridge at 100 days due to AD. Her caloric intake has been satisfied recommended dietary allowance until 7 months, however, she conducted sauna bath therapy and reduced both energy and protein intake at 8 months. The amount of protein intake for case 2 was higher than recommended dietary allowance, but, sauna therapy and severe AD with intakes of low guality protein may increase patient's protein requirement resulting in kwashiorkor. Case 2 patient's height and weight was on 3th percentile. Both cases showed low intake of calcium, iron, zinc, vitamin A, vitamin E and especially very low intake of vitamin B$_{12}$ and vitamin D. Allergy tests for certain foods had not done prior to admission for both cases. They followed the dietary advise operated by macrobiotic diet internet site. In conclusion, AD infants' parents and caregivers should contact a pediatrician trained as a specialist in allergy for accurate diagnosis. For infant patients, breast or formula feeding including hypoallergenic formula should be continued until their one year of age. When certain foods need to be restricted or to follow special diets such as vegetarian diet, consultation with pediatrician and dietitian is needed.d.

산모교육의 효과 측정 - 산욕기 자가간호와 신생아양육에 대한 지시와 자신감을 중심으로- (The Effects of Education on Knowledge and Confidence in Postpartal Self-care and New baby care)

  • 곽연희;이미라
    • 여성건강간호학회지
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    • 제2권2호
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    • pp.284-297
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    • 1996
  • A maternity ward in a hospital in Seoul has an educational program for postpartal mothers since its opening, but evaluation on the program has not been done. This study was to find whether the educational program contributed to increase of knowledge and confidence of the post-partal mothers in the area of postpartal self-care and the newborn baby care or not. This study aimed at improvement of the educational program for posrpartal mothers and the newborn babies. Subjects were 40 primiparae who were admitted to the obstetric ward in a general hospitals in Seoul from August 20th to September 10th, 1995. Subjects were those who had no labor pain at the admission time, had no complications during labor and delivery, gave a birth to a healthy baby, and agreed to participate in this study. All subjects were well educated and were in well-to-do group. Most of them received antenatal care adequately. They were tested on knowledge and self-confidence in the area of postpartal self-care and infant care two times, one at the admission time and the other prior to discharge. After the first test, nurses in a maternity ward and nursery taught them on postpartal self-care and infant care. Education consisted of a 1 hour planned program and incident teachings done at bed side. Four tools were developed by authors based literature review. The test tool for knowledge of postpartal self-care consisted of 15 items which included the definition of postpartum, dangerous symptoms in postpartum, lochia, time to begin coitus, postpartum exercise, sitz-bath, and perineal care. The test tool for self-confidence in postpartal self-care included such items as emergency care on dangerous symptoms in postpartum, sexual life and contraception after postpartum, self-confidence in postpartum exercise and perineal care. The test tool for knowledge of newborn baby care consisted of 18 items which included bathing, umbilical cord care, vaccination, breast feeding, abnormal symptoms of neonate. The test tool for self confidence in the newborn baby care included umbilical cord care, vaccination, breast feeding, emergency care for baby. Analysis of demographic data were analyzed with calculation of percentage. Score differences between the first test and the second test were analyzed with paired t-test. SAS / PC (Release 6.04 for DOS) program are as follows. 1. Mothers' knowledge of postpartal self-care increased significantly after education (t=10.04, df=38, p=0.0001). 2. Mothers' self-confidence in postpartal self-care increased significantly after education (t=6.53, df=38, p=0.0001). 3. Mother's knowledge of the newborn abay care increased significantly after education (t=9.74, df=38, p=0.0001). 4. Mothers' self-confidence in the newborn baby care increased significantly after education(t=8.22, df=38, p=0.0001) Suggestions for further studies and nursing practice were as follows. 1. We suggest studies by randomized control-group pretest-posttest design or nonequivalent control group pretest-posttest design will be done. 2. We suggest follow-up studies to find if mothers's confidence will last or not after discharge. 3. We suggest general hospitals to establish a phone-counseling system.

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Comparison of the gut microbiota profile in breast-fed and formula-fed Korean infants using pyrosequencing

  • Lee, Sang A;Lim, Ji Ye;Kim, Bong-Soo;Cho, Su Jin;Kim, Nak Yon;Kim, Ok Bin;Kim, Yuri
    • Nutrition Research and Practice
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    • 제9권3호
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    • pp.242-248
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    • 2015
  • BACKGROUND/OBJECTIVES: Feeding in infancy is the most significant determinant of the intestinal microbiota in early life. The aim of this study was to determine the gut microbiota of Korean infants and compare the microbiota obtained between breast-fed and formula-fed Korean infants. SUBJECTS/METHODS: We analyzed the microbial communities in fecal samples collected from twenty 4-week old Korean (ten samples in each breast-fed or formula-fed) infants using pyrosequencing. RESULTS: The fecal microbiota of the 4-week-old Korean infants consisted of the three phyla Actinobacteria, Firmicutes, and Proteobacteria. In addition, five species, including Bifidocbacterium longum, Streptococcus salivarius, Strepotococcus lactarius, Streptococcus pseudopneumoniae, and Lactobacillus gasseri were common commensal intestinal microbiota in all infants. The predominant intestinal microbiota in the breast-fed infants (BFI) included the phylum Actinobacteria (average 70.55%), family Bifidobacteriacea (70.12%), genus Bifidobacterium (70.03%) and species Bifidobacterium longum (69.96%). In the microbiota from the formula-fed infants (FFI), the proportion of the phylum Actinobacteria (40.68%) was less, whereas the proportions of Firmicutes (45.38%) and Proteobacteria (13.85%) as well as the diversity of each taxonomic level were greater, compared to those of the BFI. The probiotic species found in the 4-week-old Korean infants were Bifidobacterium longum, Streptococcus salivarius, and Lactobacillus gasseri. These probiotic species accounted for 93.81% of the microbiota from the BFI, while only 63.80% of the microbiota from the FFI. In particular, B. longum was more abundant in BFI (69.96%) than in FFI (34.17%). CONCLUSIONS: Breast milk supports the growth of B. longum and inhibits others. To the best of our knowledge, this study was the first attempt to analyze the gut microbiota of healthy Korean infants according to the feeding type using pyrosequencing. Our data can be used as a basis for further studies to investigate the development of intestinal microbiota with aging and disease status.