• Title/Summary/Keyword: Nutritional diagnosis

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How to approach feeding difficulties in young children

  • Yang, Hye Ran
    • Clinical and Experimental Pediatrics
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    • v.60 no.12
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    • pp.379-384
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    • 2017
  • Feeding is an interaction between a child and caregiver, and feeding difficulty is an umbrella term encompassing all feeding problems, regardless of etiology, severity, or consequences, while feeding disorder refers to an inability or refusal to eat sufficient quantities or variety of food to maintain adequate nutritional status, leading to substantial consequences, including malnutrition, impaired growth, and possible neurocognitive dysfunction. There are 6 representative feeding disorder subtypes in young children: infantile anorexia, sensory food aversion, reciprocity, posttraumatic type, state regulation, and feeding disorders associated with concurrent medical conditions. Most feeding difficulties are nonorganic and without any underlying medical condition, but organic causes should also be excluded from the beginning, through thorough history taking and physical examination, based on red-flag symptoms and signs. Age-appropriate feeding principles may support effective treatment of feeding difficulties in practice, and systematic approaches for feeding difficulties in young children, based on each subtype, may be beneficial.

Acute kidney injury and continuous renal replacement therapy in children; what pediatricians need to know

  • Cho, Myung Hyun;Kang, Hee Gyung
    • Clinical and Experimental Pediatrics
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    • v.61 no.11
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    • pp.339-347
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    • 2018
  • Acute kidney injury (AKI) is characterized by abrupt deterioration of renal function, and its diagnosis relies on creatinine measurements and urine output. AKI is associated with higher morbidity and mortality, and is a risk factor for development of chronic kidney disease. There is no proven medication for AKI. Therefore, prevention and early detection are important. Physicians should be aware of the risk factors for AKI and should monitor renal function in high-risk patients. Management of AKI includes optimization of volume status and renal perfusion, avoidance of nephrotoxic agents, and sufficient nutritional support. Continuous renal replacement therapy is widely available for critically ill children, and this review provides basic information regarding this therapy. Long-term follow-up of patients with AKI for renal function, blood pressure, and proteinuria is recommended.

Chylous Ascites After Aorto-Bifemoral bypass Graft (대동맥-양측대퇴동맥 우회술 후 발생한 유미 복수)

  • Jo, Gyu-Cheol;Kim, Dong-Won;Yu, Se-Yeong
    • Journal of Chest Surgery
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    • v.27 no.9
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    • pp.798-800
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    • 1994
  • Chyloascities is an extravasation of milky chyle into the peritoneal cavity due to tumor , inflammation or rarely postoperative lymphatic trauma.It is an unusual complication that can lead to significant immunologic and nutritional consequences.We experienced one case of chyloascites after aorto-bifemoral bypass graft in a patient with aorto-iliac occlusive disease.The patient was a 62-year-old male, who suffered from severe progressive claudication for 5 months. A 16$\times$ 8mm gelsealed Dacron-Y shaped graft was used in arterial reconstruction. A bloody-milky fluid was drained through the operative wound from 3days after operation and evaluated biochemically.Diagnosis of chyloascites was made with repeated paracentesis and examination of the fluid.After Total parenteral nutrition[T.P.N] for 3 weeks from 6days after operation, chyloascites was controlled sufficiently and maintained a good graft-patency in abdominal sonogram.

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Pediatric Acute Kidney Injury: Focusing on Diagnosis and Management

  • Cho, Myung Hyun
    • Childhood Kidney Diseases
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    • v.24 no.1
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    • pp.19-26
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    • 2020
  • Acute kidney injury (AKI) is common in critically ill children, and is associated with increased mortality and long-term renal sequelae. The definition of pediatric AKI was standardized based on elevation in serum creatinine levels or decrease in urine output; accordingly, epidemiological studies have ensued. Although new biomarkers appear to detect AKI earlier and predict prognosis more accurately than traditional markers, they are not frequently used in clinical setting. There is no validated pharmacological intervention for AKI, so prevention and early detection are the mainstays of treatment. For high risk or early stage AKI patients, optimization of volume status and blood pressure, avoidance of nephrotoxins, and sufficient nutritional support are necessary, and have been demonstrated to be effective in preventing the occurrence of AKI and improving prognosis. Nevertheless, renal replacement therapy is needed when conservative care fails.

Case Study on Community Level Rural Statistics in Korea (농촌지역(農村地域) 영농실태조사방법(營農實態調査方法)에 관(關)한 사례연구(事例硏究))

  • Shin, Dong Wan;Kwon, Yong Dae
    • Korean Journal of Agricultural Science
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    • v.11 no.2
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    • pp.328-335
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    • 1984
  • As the typical farming of the most Asian countries are of small and subsisting scale, the infrastructure is variable depending on the region and more complicated than in the industrialized countries. Except such basic statistics as acreage of farm land, farming population and production, there are no common standard methods to be used for indepth analysis on the farming status, the level of farming techniques, financial status of farming, consciousness of farmers and others. Therefore, it is necessary to develop survey models which can be commonly used to compare with different circumstances. The purpose of this report is to provide examples of survey models which are used to measure farming performances in Korea. Those are (1) Diagnosis and analysis on farming technique, labor utilization and farm income, (2) Management performance analysis, (3) Planning for farming, (4) Survey on the nutritional status of farming, (5) Survey on rural village status and planning regional agricultural development.

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Effects of Copper Reduction on Angiogenesis-Related Factors in Recurrent Glioblastoma Cases

  • Jazayeri, Shima;Feli, Alireza;Bitaraf, Mohammad Ali;Dodaran, Masoud Solaymani;Alikhani, Mazdak;Hosseinzadeh-Attar, Mohammad Javad
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.10
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    • pp.4609-4614
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    • 2016
  • Purpose: To evaluate the therapeutic effects of copper reduction on angiogenesis-related factors in patients with glioblastoma multiforme treated by gamma knife radiosurgery. Materials and Methods: In the present block randomized, placebo-controlled trial, fifty eligible patients with a diagnosis of glioblastoma multiforme who were candidates for gamma knife radiosurgery were randomly assigned into two groups to receive daily either 1gr penicillamine and a low copper diet or placebo for three months. The intervention started on the same day as gamma knife radiosurgery. Serum interleukin-6 (IL-6), tumor necrosis $factor-{\alpha}$ ($TNF-{\alpha}$), vascular endothelial growth factor (VEGF) and copper levels were measured at baseline and after the intervention. The serum copper level was used as the final index of compliance with the diet. In order to control probable side effects of intervention, laboratory tests were conducted at the beginning, middle and end of the study. Results: The patients had a mean age and Karnofsky Performance Scale of 43.7 years and 75 respectively. Mean serum copper levels were significantly reduced in intervention group. Mean survival time was 18.5 months in intervention group vs. 14.9 in placebo group. VEGF and IL-6 levels in the intervention group were also significantly reduced compared to the placebo group and $TNF-{\alpha}$ increased less. Conclusions: It seems that reducing the level of copper in the diet and dosing with penicillamine leads to decline of angiogenesis-related factors such as VEGF, IL-6 and $TNF-{\alpha}$. Approaches targeting angiogenesis may improve survival and can be used as a future therapeutic strategy.

A System for Nutritional Assessment and Diagnosis of Dietary Intakes through Internet (인터넷을 이용한 식사섭취의 진단 및 영양평가 시스템)

  • 한지숙
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.29 no.6
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    • pp.1177-1184
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    • 2000
  • 본 연구는 영양분야의 전문 웹사이트로서 인터넷 상에서 이용할 수 있는 영양평가 시스템을 개발하기 위하여 수행되었다. 프로그램의 구성은 표준체중 및 열량필요량 자료, 식품 및 음식의 영양소 함량, 영양소별 20순위 식품, 식사섭취자료, 한국인 영양권장량 자료 등을 데이터베이스로 하여 사용자의 신체계측치와 활동정도에 따른 비만도 및 열량필요량의 분석과 섭취한 음식에 대하여 영양섭취상태를 평가받고 영양소별 함유량이 높은 식품과 음식에 대한 열량 및 영양소의 정보를 제공받을 수 있도록 웹 페이지 형식으로 만들어졌으며, 사용자는 인터넷 사이트로 들어가 자신의 이름, 성별, 나이, 키, 체중 및 활동정도를 입력함으로서 자신의 체중범위, 표준체중, 체격지수, 비만도, 기초대사량, 1일 열량필요량 및 이들의 섭취열량과의 과부족을 비교 평가한 자료를 얻을수 있으며, 만약 사용자가 비만이라면 체중을 감소하기 위한 1일 열량필요량도 얻을 수 있다. 또한 사용자는 음식입력 항목을 선택하여 날짜별, 식사별로 자신이 하루동안 섭취한 음식 및 섭취량 등을 입력하고 영양섭취상태를 클릭하면 식사섭취상태의 진단과 평가를 받을 수 있다. 즉 열량과 각 영양소에 대한 하루의 섭취량 및 아침, 점심, 저녁 및 간식의 섭취량이 분석되어지며 이들중 권장량이 정해진 영양소는 다시 사용자의 섭취량에 대한 권장량광의 비율을 그래프로 나타냄으로서 섭취된 영양소의 과부족을 쉽게 평가받을 수 있다. 지방질 역시 구성지방산과 콜레스테롤의 섭취 상태가 분석되어 이들의 표준섭취비율과 비교해 제시됨으로서 그릇된 섭취형태를 평가받을 수 있다. 이 밖에 식사별 열량영양소 구성비가 표준섭취비율과 비교 평가되어 그래프로 나타나며 급원식품에 대한 영양소 정보를 줄 수 있는 식품군별 영양소 섭취상태와 동식물성 식품 섭취상태도 평가되어진다. 따라서 본 프로그램은 인터넷을 이용하여 누구라도 자신의 영양섭취상태를 평가받고 과부족이 되기 쉬운 영양소의 급원 식품과 음식에 대한 영양정보도 제공받을 수 있도록 할 뿐 아니라 식이요법을 필요로 하는 질환의 영양상담을 위한 기본 프로그램으로 활용될 수 있도록 하는데 그 의의가 있다.

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Preparation and Management of Recipients in Bovine Embryo Transfer (수정란이식에 있어서 수란우의 준비와 관리)

  • 김창근
    • Journal of Embryo Transfer
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    • v.1 no.1
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    • pp.35-49
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    • 1986
  • Recipients are an integral part of embryo transfer and they are expensive to maintain as a good recipient. Recipient management is one of the most important components in a successful embryo transfer program. Management includes selection and subsequent care of the animals. A good recipient is basically on "open" cows or heffers whose reproductive tract is capable of receiving one or two embryos and incubating it to term. Potential recipients should be always be healthy and cycling normally ranging from 18 to 23 days. A thorough veterinary examination is recommended for candidate of recipients and cattle for questionable health should be eliminated from the recipient herd. Age and size of recipients are particularly important considerations when heifers are used, because of most embryos available for transfer are from large dams and sires. Body condition can influence a recipient's production, reproduction and health. Obese and underconditioned cattle should be avoided for use. Transfer of fresh embryos especially requires precise synchronization of donors and recipients. For estrus synchronization, PGF$_2$$\alpha$ is injected twice 10 to 12 days apart and short4erm progestagen treatment is applied to potential recipient cattle by coil into vagina (PRID) or ear implant (Synchro-Mate-B). The highest pregnancy results are achieved in recipients at exact synchrony with donors or 12 to 24 hr earlier than donors. Estrus detection is a major factor in breeding efficiency. High accuracy can be achieved by use of heat mount detection alds or by obserbing cattle for 30-minute peroids 3 times daily. Assay progesterone in milk can be used to discrIminate between pregnant and nonprenant recipients. Rectal palpation on day 35 to 70 after is an accurate and safe method of pregnancy diagnosis. Embryonic mortality in recipients may be associated with factors such as high environmental temperature and nutritional or lactational stress in early lactation period. Achievement of short calving interval requires concentrated management activity during the first 90 days following calving. Acceptable candidate for a recipient should be routinely vaccinated for infectious diseases. Proper nutritional programs according to NRC requirements and body condition scoring system for recipient cattles are vital to the ultimate success of an embryo transfer program.r program.

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A Study on the Anorexia and Diet Patterns in Cancer Chemotherapy Patients (항암 화학요법을 받는 환자의 식욕부진 정도와 식이양상에 관한 연구)

  • Choi Eun-Sook;Kim Keum-Soon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.2 no.1
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    • pp.19-35
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    • 1995
  • This study was designed to identify the severity of anorexia and the diet patterns in receiving chemotherapy. The identification of anorexia would provide useful and basic information to oncology nursing care. The subjects of this study were 102 hospitalized chemotherapy patients in a September 10, 1994. The subjects were 20 years old or above and who agreed to participate in this study and could understand the questionnaire. Three-days diet history were collected and analysed. The study subjects change, food aversions, the severity of anorexia. Data related to demographic and other mecdical characteristics such as age, diagnosis, and medication were collected by review of patient medical record. The results of this study were summarized as follows : 1) The score of anorexia was 73.7 in Anorexia Visual Analogue Scales and mean amount of fool intake per a day was 823cc. The larger the anorexia VAS score, the more severe of anorexia. 2) The food preferences of subjects were identified. Those were aversions, or dislikes the meat such as beef, pork, and chicken, and greesy or fried foods. The Caffeinated drinks such as coffee and tea were disgusted, also. The patients preferred vegetables and Korean traditional food especially kimchee and soy bean soap. 3) Those who were administered analgesics and cisplatin suffered more severe in anorexia than those who analgesics and cisplatin was not administarted. The patients with gastrointestinal cancer has more severe anorexia than those who have the other site cancer ; head and neck, genirourinary etc. The result of this study in turn provide valuable nursing practice guidelines for nutritional counseling in cancer chemotherapy patient. Nurses working with chemotherapy ward should identify the severity of anorexia and diet patterns. In conclusion, the severity of anorexia in cancer chemotherapy patients is very important problems. Health care personnels recognize the potential problems of anorexia and encourage the nutritional counseling in cancer chemotherapy patients.

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Nutrient Intake and Dietary Behaviors of Patients with Functional Dyspepsia (기능성 소화불량증 환자의 영양소 섭취 및 식행동)

  • Shin, Ji-Won;Lee, Geum-Ju;Park, Jae-Woo
    • Journal of the Korean Dietetic Association
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    • v.18 no.4
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    • pp.283-296
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    • 2012
  • As a disease that reduces quality of life, functional dyspepsia (FD) is associated with foods that may worsen its symptoms or cause it. The purpose of this study was to examine the nutritional status and dietary behaviors of FD patients. We investigated food intake, food intake frequency, and dietary habits of 45 FD subjects according to the Rome III Diagnosis Criteria. Average age and body mass index (BMI) were 47.7 years and $22.6kg/m^2$ (males: $23.4kg/m^2$, females: $22.1kg/m^2$), respectively. Average energy intake was 77% of Korean Dietary Reference Intake (KDRI), and it was less than that of the Korea National Health and Nutrition Examination Surveys (KNHANES). Other nutrient intake levels were similar to the KNHANES. Energy intake proportion of carbohydrates : protein : fat was 56 : 18 : 26, and the ratio of fat intake was higher than that of the KNHANES. Beans, laver, tomato, and yogurt were consumed very frequently. In the results of meal regularity, dietary behaviors and composition of diet were relatively good. It is likely that the patient controlled their diet by eating cautiously and by reducing alcohol drinking and smoking. Our results indicate that FD patients' nutritional status by consumption of nutrients was at a level of normal healthy people and that dietary habits were better than normal adults. However, their fat intake levels were somewhat higher than normal people. Therefore, further research is required to identify the relationship between dietary intakes and FD.