• Title/Summary/Keyword: Multiple birth

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The Association between Health Behaviors and Mental Health in Middle Aged

  • Choi Mi-Kyoung
    • Korean Journal of Health Education and Promotion
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    • v.21 no.4
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    • pp.109-119
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    • 2004
  • This study was conducted to examine factors influencing mental health of middle-aged adults(N=203) in relation to sociodemographic variables, health behaviors, and social support. The survey with questionnaire was carried out for the subjects of the residents in two communities of a local city located in Gangwon-do, Korea from September 3 to 15, 2003. Data analysis procedure included stepwise multiple regression using mental health as the dependent variable, and sociodemographic variables, health behaviors, and social support as independent variables. There were significant differences in the mental health by birth place(t=-1.67, p<0.10), religion (t=2.27, p<0.05) and subjective economic status(F=2.29, p<0.10). Mental health showed significant positive correlations with both health behavior (r=0.462, p<0.001) and social support (r=0.142, p<0.05). Stepwise multiple regression analysis for mental health revealed that the most powerful predictor was health behavior(β=0.453, p<0.001). Health behavior and religion explained 24% of the variance. The results suggest the necessity of a intervention that considers the health behaviors should be included in middle-aged adults so as to promote mental health.

Combination Therapy of Conventional and Korean Medicine for Multiple Vertebral Compression Fractures Associated with Postpartum Osteoporosis: A Case Report

  • Lee, Ki-Beom;Yang, Kyu-Jin;Gi, Yu-Mi;Kim, Tae-Gyu;Jo, Hooin;Choi, Jongho
    • Journal of Acupuncture Research
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    • v.35 no.4
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    • pp.244-247
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    • 2018
  • Multiple vertebral compression fractures are a rare condition and are a serious consequence of postpartum osteoporosis. This report describes the case of a 35-year-old woman who had given birth to her first child 2 months before the onset of pain. Magnetic resonance imaging showed compression fractures of 7 vertebrae. The patient was treated with both conventional, and Korean medicine methods including acupuncture and herbal prescriptions. The patient's progress was assessed using self-reported symptoms, scale scores and laboratory test results. Her pain was gradually alleviated and biochemical inflammation marker levels improved, but her functional status remained severely impaired. Clinical practitioners who treat women in the postpartum period must be aware of osteoporosis and potential vertebral fractures and need to consider Korean medicine as an alternative therapy to help such patients.

Successful engraftment after infusion of multiple low doses of CD34+ cells from a poorly matched sibling donor in a patient with severe aplastic anemia

  • Kum, Chang Dae;Lee, Mi Jin;Park, Jun Eun
    • Journal of Yeungnam Medical Science
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    • v.36 no.2
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    • pp.148-151
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    • 2019
  • The dose of CD34+ cells is known to influence the outcome of allogeneic peripheral blood stem cell (PBSC) and/or T-cell-depleted transplantation. A previous study proposed that $2{\times}10^6\;CD34+\;cells/kg$ is the ideal minimum dose for allogeneic transplantation, although lower doses did not preclude successful therapy. In the case we present here, CD34+ cells were collected from a matched sibling donor on the day of allogeneic hematopoietic stem cell transplantation; however, the number of cells was not sufficient for transplantation. Consequently, PBSCs were collected three additional times and were infused along with cord blood cells from the donor that were cryopreserved at birth. The cumulative dose of total nuclear cells and CD34+ cells was $15.9{\times}10^8\;cells/kg$ and $0.95{\times}10^6\;cells/kg$, respectively. White blood cells from this patient were engrafted on day 12. In summary, we report successful engraftment after infusion of multiple low doses of CD34+ cells in a patient with severe aplastic anemia.

Multiple Intelligences, Creative Home Environment, Social economic status, and Leadership of Children (유아의 다중지능, 창의적 가정환경 및 사회인구학적 변인이 유아의 리더십에 미치는 영향)

  • Kim, Min Young;Moon, Hyuk Jun
    • Korean Journal of Childcare and Education
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    • v.7 no.3
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    • pp.259-284
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    • 2011
  • This thesis examined the effects of social demographical variables, multiple intelligences, and creative home environment on the child leadership. Study samples are 5 years old children at the kindergartens located in Seoul and metropolitan areas as well as their parents and (homeroom) teachers. 173 copies were analyzed. Results of this study are as follows: First, in terms of difference of multiple intelligences, creative home environment and child leadership depending on social demographical background, The second child showed significantly different interpersonal intelligence among other multiple intelligences from the first child with regard to the birth order. In terms of mother's education level and creative home environment, mothers with education more than universities showed big difference in family pressure. In terms of effects of total income, the children from families with total income over 4 million won showed significant difference in logical, mathematical, naturalist intelligence. and language intelligence. In terms of creative home environment, significant difference was found with regard to learning environment and child respect. Second, multiple intelligences, creative home environment, and child leadership showed correlated strongly. Third, total income in social demographic variables, language intelligence in multiple intelligences, and family pressure in creative home environment were found to have effects on it. Total income in social and demographical variables and family pressure in creative home environment were found to have effects on it. Interpersonal relation intelligence in multiple intelligences and learning environment in creative home environment were found to have effects on it. Total leadership had effects on family pressure only in creative home environment.

The Identification of the High-Risk Pregnacy, Usign a Simplified Antepartum Risk-Scoring System (단순화된 산전위험득점체계를 이용한 고위험 임부의 확인)

  • Jo, Jeong-Ho
    • The Korean Nurse
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    • v.30 no.3
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    • pp.49-65
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    • 1991
  • This study was carried out to assess the problems with the pregnant women, and check out the risk-factors in the high-risk pregnancies, using a simplified antepartum risk-scoring system, which was revised from Edwards' scoring system to be suitable for Korean situaition. This instrument was included 4 categories, demographic, obstetric, medical and miscellaneous factors. This survey was based on the 1300 pregnant women who were admitted, $x^2$-test, F-test, Pearsons correation, using statistical package SAS in NAS computer system, KIST. The results of the study were as follows; 1. 1313 infants were deliveried of these 560 infants(42.7%) were born to mothers with risk-scores > 7, and 753 infants(57.3%) were born to mothers risk-scores <7. 2. Maternal age" parity, education level, of the demographic factors were significant relation statistically to identify the high risk pregnancies($X^2$=20.88, 42.87, 15.60 P < 0.01). 3. C-section, post term, incompetent cervix, uterine anomaly, polyhydramnios, congenital anomaly, sensitized RH negative, abortion, preeclampsia, excessive size infant, premature, low birth weight infanl, abnormal presentation, perinatal loss, multiple pregnancy, of the obstetric factors were significant relation statistically to identify the high risk-pregnancies. ($X^2$ = 175.96, 87.5, 16.28, 21.78, 9.46, 8. 10, 6.75, 22.9, 64.84, 6.93, 361.43, 185.55, 78.65, 45.52, P < 0.01). 4. Abnormal nutrition, anemia, UTI, other medicalcondition(pulmonary disease, severe influenza), heart disease, V.D., of the miscellaneous and medical factors, were significant relation statistically to identify the high risk-pregnancies. 5. Premature, low birth weight infant, contracted pelvis, abnormal presentation, of the risk factors were significantly related with Apgar score at 1 '||'&'||' 5 minute after birth and neonatal body weight. 6. Apgar score at 1 '||'&'||' 5 minute after, birth and neonatal body weight were significantly negative correlated with risk-score. 7. There were statistically significant difference between risk-score and Apgar score at 1 '||'&'||' 5 minute after birth, 3 group(0-3, 4-6, above 7), and neonatal body weight, 2 group(below 2.5kg, the other group) (F=104.65, 96.61, 284.92, P<0.01). 8. Apgar score at 1 '||'&'||' 5 minute after birth(below 7), and neonatal body weight(below 2.5kg), were significant relation statistically with risk score.($x^2$=65.99, 60.88, 177.07, P<0.01) were 60.8 %, 60% . 9. Correct classifications of morbid infants(l '||'&'||' 5 minute Apgar score < 7) were 77.8%, 83.8% and that of nonmorbid infants(l '||'&'||' 5 minute Apgar score > 7) were 60.8%, 60%. 10. There were statistically significant difference between dislribution of maternal risk-score among the morbid infants(l '||'&'||' 5 minute Apgar score < 7) and non morbid infants(l '||'&'||' 5 minute Apgar score> 7) ($x^2$=64.8, 58.8, P < 0.001). 11. There were statistically significant difference between distribution of morbid infants(l '||'&'||' 5 minute Apgar score < 7) and fetal death. 12. The predictivity for classifying high.risk cases was 12 % and for classifying low-risk cases was 98.3 % in 5 minute Apgar score. Suggestions for further studies are as follows; 1. Contineous prospective studies, using this newly revised scoring system are strongly recommended in the stetric service. 2. Besides risk facto~s used in this study, assessmenl of risks by factors in another scoring system and paralled studies related to perinatal outcome are strongly recommended.

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Effects of Maternal Attitude toward Parenting and Children's Basic Living Habit on Children's Social Maturity (어머니의 양육태도와 유아의 기본생활습관이 유아의 사회적 성숙도에 미치는 영향)

  • Kim, Ju-Young;Moon, Hyuk-Jun
    • Journal of the Korean Home Economics Association
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    • v.44 no.11
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    • pp.13-22
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    • 2006
  • This purpose of this study was to examine the effects of maternal attitude toward parenting and children's basic living habit on children's social maturity. Subjects were 252 mothers of 5-6 year-old children in Seoul and Gyeonggi-do. The data obtained were analyzed by Cronbach's alpha, Pearson's correlation, t-test, and multiple regression. The major result of this study was that exercise and conversation ability of children had close relationships with several elements: birth order of children, educational background of mother, and affectionate and autonomous child-rearing attitude. Especially, mother's educational level and mother's warmth and self-regulatory child-rearing attitude were the most strongly related variables for children's social maturity.

Diagnosis and treatment of positional plagiocephaly

  • Jung, Bok Ki;Yun, In Sik
    • Archives of Craniofacial Surgery
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    • v.21 no.2
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    • pp.80-86
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    • 2020
  • Positional plagiocephaly is increasing in infants. Positional plagiocephaly is an asymmetric deformation of skull due to various reasons; first birth, assisted labor, multiple pregnancy, prematurity, congenital muscular torticollis and position of head. Positional plagiocephaly can mostly be diagnosed clinically and by physical examinations. The simplest way to assess the severity of plagiocephaly is to use a diagonal caliper during physical examination, which measures the difference between the diagonal lengths on each side of the head. Plagiocephaly can be treated surgically or conservatively. Positional plagiocephaly, which is not accompanied by craniosynostosis, is treated conservatively. Conservative treatments involve a variety of treatments, such as change of positions, physiotherapy, massage therapy, and helmet therapy. Systematic approaches to clinical examination, diagnosis and treatment of positional plagiocephaly can be necessary and the age-appropriate treatment is recommended for patients with positional plagiocephaly.

Severe Cytomegalovirus Infection in a Late-Preterm Infant at 2 Months of Age (후기 미숙아에서 생후 2개월에 진단된 중증 거대 세포바이러스 감염)

  • Choi, Seo Yeol;Lee, Kun Song
    • Pediatric Infection and Vaccine
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    • v.23 no.2
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    • pp.137-142
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    • 2016
  • Severe cytomegalovirus (CMV) infection involving multiorgan is very rare except in very low-birth weight infants, or in immunocompromised pediatric patients. We report an unusual case of severe CMV infection involving multiple organs including the central nervous system, liver, lung, and gastrointestinal tract in a late-preterm infant at 2 months of age.

Comparative Study on Predictors of Maternal Confidence between Primipara and Multipara (초산모와 경산모의 모성역할 자신감에 대한 영향요인 비교)

  • Chung, Sung-Suk;Joung, Kyoung-Hwa
    • Child Health Nursing Research
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    • v.17 no.3
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    • pp.181-189
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    • 2011
  • Purpose: This study was done to investigate the predictors of maternal confidence between primipara and multipara mothers. Methods: The participants enrolled in this study were 145 mothers between 2 and 5 days postpartum. Data were collected using a questionnaire and analyzed using descriptive analysis, t-test, $X^2$ test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. Results: The predictors of maternal confidence among primipara mothers were social support, self-esteem, mode of delivery ($R^2$=.287, p<.001). Whereas, gender of baby, antenatal fetal attachment, and educational status explained maternal confidence among multipara mothers ($R^2$=.270, p<.001). Conclusion: The results indicate that when nurses develop programs to encourage maternal confidence for new mothers, they should take into account the differences between predictors of maternal confidence according to the mothers' experience of birth.

A girl with sternal malformation/vascular dysplasia association

  • Lee, Na Yong;Cho, Hye Kyung;Kim, Kyung-Hyo;Park, Eun Ae
    • Clinical and Experimental Pediatrics
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    • v.56 no.3
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    • pp.135-138
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    • 2013
  • Sternal malformation/vascular dysplasia association is a rare congenital dysmorphology, which has not yet been reported in Korea. Its typical clinical features include a sternal cleft covered with atrophic skin, a median abdominal raphe extending from the sternal defect to the umbilicus, and cutaneous craniofacial hemangiomata. We report a case of a full-term newborn who presented with no anomalies at birth, except for a skin defect over the sternum and a supraumbilical raphe. Multiple hemangiomas appeared subsequently on her chin and upper chest wall, and respiratory distress due to subglottic hemangioma developed during the first 2 months of life. Her symptoms were controlled with oral prednisolone administration. No respiratory distress have recurred during the 3-year follow-up period.