• Child Health Nursing Research
• /
• v.24 no.2
• /
• pp.208-219
• /
• 2018

Purpose: The purpose of this study was to explore nursing students' experiences of debriefing after simulation-based learning and to obtain fundamental data to support the development of effective teaching strategies. Methods: Sixty-seven nursing students participated in this study from April to May, 2017. This was a descriptive study analyzing the content of students' descriptions of structured questions in 3 stages (description, analysis, and application) based on recorded videos. Results: The description stage was classified into 3 categories for problem recognition, 4 categories for the nursing plan, and 6 categories for the nursing intervention. The analysis stage was classified into 6 categories for satisfactory practice, 3 categories for experience and 4 categories for what they learned through practice. The application stage was classified into 5 categories, that were to be mastered, and 6 categories, that were important to recognize. Conclusion: This study succeeded in charaterizing learners' experiences of debriefing. During the debriefing, students watched recorded videos, and we found that self-evaluation through structured questionnaires could be a very effective way to strengthen students' core competencies. Our content analysis of the debriefing is expected to contribute to the development of effective strategies in simulation-based education for students and nurses.

• Clinical and Experimental Pediatrics
• /
• v.64 no.3
• /
• pp.130-135
• /
• 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.

• Neonatal Medicine
• /
• v.25 no.4
• /
• pp.144-152
• /
• 2018

Purpose: The aim of this study was to investigate the clinical characteristics of Respiratory syncytial virus (RSV) infection during the neonatal period to provide information that is useful in clinical practice and suggest extension of the palivizumab administration. Methods: Neonates admitted to the National Health Insurance Service Ilsan Hospital neonatal intensive care unit due to respiratory symptoms and for whom multiplex reverse transcription-polymerase chain reaction and multiplex real time-polymerase chain reaction tests were performed between October 2011 and May 2016 were included in this study. Medical records were retrospectively reviewed, and data was collected for 156 neonates. Results: Among the 156 neonates, RSV was detected in 114 (73.1%), non-RSV in 25 (16%), and no virus in 17 (10.9%). The majority were full term infants (92.4%) and peak incidence of RSV infection was in January. Post-natal care center infection was more common in the RSV group (46.6%) than that in the other virus groups (24%, P=0.0243). Clinical symptoms were severe in the RSV group in contrast to that in the non-RSV or others groups. The RSV group frequently needed oxygen therapy (P=0.0001) and the duration of hospital stays were longer (P=0.0001). Conclusion: RSV is a significant cause of respiratory infection in neonates and the severity is higher in contrast to that with other viral causes of infection. Infants in post-natal care centers have a high-risk of developing RSV infections; therefore, palivizumab administration may be considered in this group to prevent hospitalization and reduce the duration of hospital stay.

• Women's Health Nursing
• /
• v.27 no.1
• /
• pp.40-48
• /
• 2021

Purpose: This study compared maternal age at childbirth, the number of live births, and the weight of live births between Korean women and immigrant women using statistical data from the Republic of Korea for the period of 2008-2018. Methods: The analysis was conducted using data from the Microdata Integrated Service of Statistics Korea (https://mdis.kostat.go.kr/index.do). Results: Korean women and immigrant women showed a higher age at childbirth in 2018 than in 2008. The percentage of newborns of Korean women with a birth weight of less than 2.5 kg increased slightly for 3 consecutive years from 2016 to 2018, whereas for immigrant women, this percentage increased in 2017 compared to 2016 and then decreased again in 2018. Very low birth weight (less than 1.5 kg) became more common among immigrant women from 2016 to 2018. Birth at a gestational age of fewer than 37 weeks increased both among Korean and immigrant women from 2016 to 2018. In both groups, the percentage of women who had their first child within their first 2 years of marriage decreased from 2008 to 2018. Conclusion: Immigrant women had higher birth rates than Korean women, while both groups showed an increasing trend in preterm birth. Greater attention should be paid to the pregnancy and birth needs of immigrant women, and steps are needed to ensure health equity and access in order to prevent preterm births. It is also necessary to identify factors that affect preterm birth and birth of very low birth weight infants among immigrant women in the future.

• The Journal of Korean Obstetrics and Gynecology
• /
• v.22 no.1
• /
• pp.231-242
• /
• 2009

Purpose: For the importance of the postpartum period not only for the women delivered of child but also the newborn babies, the multitude of health professionals have emphasized increasingly special care during this period. However, there has been no decisional consensus both in the concepts and the ways of postpartum cares between health professionals and non-professionals. In this study, we explored the ethnical and racial diversities concerning postpartum period focusing on their beliefs and practices. Methods: Literature review was used as main research method for topic of the study. To carry out the method, papers related with postnatal care were searched at the Pubmed, the Korea Education & Research Information Service. Results: 1. Differences between Western and non-Western cultures in terms of postnatal care were found out in the study. 2. The study has proved that non-Western cultures have shared the similar beliefs and practices in postnatal care, although some ethnical and racial diversities specially in duration for care and diets for mother etc. 3. It was found that most prominent similarities among non-Western cultures in postnatal care have centered mainly on the issues such as 'Hot and Cold balance', postnatal confinement etc. Conclusion: Based on the results of the study, it should be suggested that the health professionals do their efforts in understanding deeply the intrinsic diversities on the beliefs and the practices about postnatal care and providing the adequate services and cares reflecting them properly.

• Journal of Korean Academy of Nursing
• /
• v.1 no.1
• /
• pp.49-58
• /
• 1970

For the purpose to clarify the effects of the mothers health during pregnancy on the weight and length of the newborn infants, this study was carried out on 500 new born infants delivered at St, Mary's Hospital, Ewha Woman's University Hospital and Red Cross Hospital in Seoul during the eight-month period from March, 1969 to October, 1969. In this study, the relationship between the T weight and length of the new born infants, and in each case, the weight, length, age, duration of labour, duration of pregnancy, weight gain during pregnancy and diets level during pregnancy of the mother were observed. The relationship between the weight and length of the new born infants and the parity n-as also observed. The results obtained in this study were as follows. 1. The weight of new born infants of both sexes was significantly correlated with the parity, the weight of the mother, and the duration of labour of the primipara. The weight of the mother and the duration of pregnancy were significantly correlated with the weight of the male new born infants only, and the weight of the new born infants and the weight gain of the mother during pregnancy were significantly correlated in the female new born infants. 2. In general, the weight of the new born infants of well or excellently nourished mothers were heavier than those of poorly nourished ones. 3. The length of the new born infants was significantly correlated mother the duration of labour in the primipara.

• Journal of Embryo Transfer
• /
• v.33 no.3
• /
• pp.159-168
• /
• 2018

Bovine colostrum is necessary for newborn calves to survive, grow and receive immunity from their mother. Cows in Korea produce about 35kg of colostrum, 4Kg of which is fed to the calf, and the rest is discarded. The bovine colostrum causes the harmful side effects to human, such as allergies and digestive problems; so, it is prohibited by law to consume colostrum itself as a food. However, many scientific research data have suggested that components in the colostrum can improve human health and has the ability to help treat diseases. In line with the trend of food and pharmacy industries using natural product materials, which attract positive attention, recently, some ingredients in colostrum have been used in the production of food supplements, and it has been used in its raw form in some cosmetics. This review introduces the active ingredients and physiologically active substances contained in bovine colostrum, summarizes the efficacy of physiological enhancement of the colostrum, which has been proven by scientific methods to date, and also suggests the possibility of industrial applications of colostrum as an animal-derived natural material.

• Clinical and Experimental Pediatrics
• /
• v.54 no.11
• /
• pp.443-455
• /
• 2011

Neonatal mortality rate (NMR) or infant mortality rate (IMR) are the rate of deaths per 1,000 live births at which babies of either less than four weeks or of one year of age die, respectively. The NMR and IMR are commonly accepted as a measure of the general health and well-being of a population. Korea's NMR and IMR fell significantly between 1993 and 2009 from 6.6 and 9.9 to 1.7 and 3.2, respectively. Common causes of infantile death in 2008 had decreased compared with those in 1996 such as other disorders originating in the perinatal period, congenital malformation of the heart, bacterial sepsis of newborns, disorders related to length of gestation and fetal growth, intra-uterine hypoxia, birth asphyxia. However, some other causes are on the increase, such as respiratory distress of newborn, other respiratory conditions originating in the perinatal period, other congenital malformation, diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism. In this study, we provide basic data about changes of NMR and IMR and the causes of neonatal and infantile death from 1983 to 2009 in Korea.

• 모자간호학회지
• /
• v.3 no.2
• /
• pp.95-101
• /
• 1993

The purpose of this study is to define the effect of radiation hours on the physiologic jaundice infants. Since there in no full explanation of the way of phototherapy. Data was collected from February, 1993 through August, 1993 at E University Hospital. The subjects consisting of 179 normal newborn who is to receive phototherapy due to bilirubinemia in the early postnatal period. Six groups compared the effectiveness of phototherapy based on hours of radiation ; 6hrs, 9hrs, 12hrs, 15hrs, 18hrs, 21hrs. The results were as follows 1) Effectiveness of phototherapy which means serum total bilirubin decrements were significantly different in groups (F=9.812 p=.000). And follow up study was showed the subset in less than 15hrs groups and more than 15hrs groups. 2) There was no significant difference on the effect of phototherapy between aged after birth. 3) An hours of radiation and the number of stools was not revealed the relationship. The results obtained from this study suggest that 15hrs radiation per day is effective in phototherapy. In the furture, more replication of this study will be contribute for neonatal nursing care.

• Journal of Microbiology and Biotechnology
• /
• v.24 no.6
• /
• pp.812-822
• /
• 2014

Metagenomic analysis of the human intestinal microbiota has extended our understanding of the role of these bacteria in improving human intestinal health; however, a number of reports have shown that current total fecal DNA extraction methods and 16S rRNA universal primer sets could affect the species coverage and resolution of these analyses. Here, we improved the extraction method for total DNA from human fecal samples by optimization of the lysis buffer, boiling time (10 min), and bead-beating time (0 min). In addition, we developed a new long-range 16S rRNA universal PCR primer set targeting the V6 to V9 regions with a 580 bp DNA product length. This new 16S rRNA primer set was evaluated by comparison with two previously developed 16S rRNA universal primer sets and showed high species coverage and resolution. The optimized total fecal DNA extraction method and newly designed long-range 16S rRNA universal primer set will be useful for the highly accurate metagenomic analysis of adult and infant intestinal microbiota with minimization of any bias.