• Pediatric Infection and Vaccine
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• 제14권2호
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• pp.145-154
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• 2007

목 적 : 로타바이러스는 전 세계적으로 영유아 및 소아 설사의 흔한 원인이며, 신생아의 원내 감염 중 가장 중요한 원인체로 알려져 있다. 본 연구는 출생한 병의원에서 퇴원 후에 즉시 산후 조리원으로 입소한 정상 신생아를 통해 출생한 병의원으로부터 기원한 로타바이러스 원내 감염을 분석하여 로타바이러스 항원 양성률, 연관인자, 증상 발현율, 임상 증상 및 감염 통제 방법에 대해 알고자 시행하였다. 방 법 : 2005년 3월부터 2006년 9월까지 서울위생병원 부설 산후 조리원에 입소한 정상 신생아 957명 중 입소하여 24시간 이내에 시행한 대변 내 로타바이러스 항원검사에서 양성을 보인 신생아 216명을 대상으로 하였다. 로타바이러스 항원검사는 면역 크로마토그래피법을 이용하여 시행하였다. 신생아에 대한 정보는 간호 기록지를 후향적으로 검토하여 입소 신생아의 성별, 출생 체중, 재태 연령 및 월별 로타바이러스 항원 양성률, 출생한 병의원, 분만 방법, 수유 방법, 증상 발현율 및 임상증상 등에 대해 조사하였다. 결 과 : 1) 입소 24시간 이내에 로타바이러스 항원 양성을 보인 신생아는 총 216명(22.6%)으로 남아가 126명(58.3%), 여아가 90명(41.7%)이었고, 출생 체중 및 재태 연령에 따른 차이는 없었다. 2) 입소한 신생아의 월별 로타바이러스 항원 양성률은 10-36%이었고, 출생한 병의원에 따른 로타바이러스 항원 양성률은 3.5-53.6%로 다양한 분포를 보였다. 3) 총 957명 중 정상 질식 분만으로 출생한 신생아는 655명(68.4%)으로 평균 재원기간은 2.4일이었고 제왕절개 분만으로 출생한 신생아는 302명(31.6%)으로 평균 재원기간은 5.7일이었다. 로타바이러스 항원 양성률은 정상 질식 분만군은 17.6%, 제왕 절개 분만군은 33.4%로 정상 질식 분만군에 비해 제왕 절개 분만군에서 로타바이러스 항원 양성률이 유의하게 높았다(P<0.001). 4) 입소 전 수유 방법에 따른 로타바이러스 항원 양성률은 모유 수유군 27명(12.5%), 분유 수유군 101명(46.8%), 혼합 수유군 88명(40.7%)이었고, 대조군에서는 모유 수유군 83명(38.4%), 분유 수유군 47명(21.8%), 혼합 수유군 86명(39.8%)으로 모유 수유군에서 로타바이러스 항원 양성률이 유의하게 낮았다(P<0.001). 5) 로타바이러스 항원 양성자 중 무증상군 및 증상군은 각각 65.3%, 34.7%이었다. 임상 증상으로 가장 많이 나타난 것은 설사로 69명(92.0%)에서 관찰되었고 수유부진 34명(45.3%), 열 30명(40.0%), 구토 19명(25.3%), 체중 증가의 지연 9명(12.0%), 소변양의 감소가 4명(5.3%)에서 나타났다. 대변의 양상은 수양변이 43명(61.3%)으로 가장 많았다. 입원 치료가 필요했던 경우는 24명(11.1%)이었고 중증 질환으로 진행된 경우는 없었다. 결 론 : 산후 조리원에 입소하는 신생아들 중 일부는 이미 출생한 병의원의 신생아실에서 로타바이러스 원내감염이 된 상태에서 입소하는 경우로 산후 조리원에서 신생아의 관리가 제대로 이루어지지 못할 때에는 2차적으로 산후 조리원 내 감염으로 급속히 전파될 수 있다. 따라서 로타바이러스의 감염 전파를 예방하기 위하여 모유 수유를 권장하고, 최근 증가하는 산후 조리원의 상황을 인지하여 항원 양성자를 격리하여 관리하는 것이 도움이 될 것으로 생각된다. 또한 산후 조리원에 대한 규제와 관리, 철저한 위생 교육 및 앞으로 좀 더 많은 연구가 필요하다.

• 여성건강간호학회지
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• 제29권4호
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• pp.263-273
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• 2023

Purpose: This study aimed to identify the perceptions, importance, and performance of midwives' roles among midwives and nurses in Korea. Methods: A descriptive correlational design was employed. Data were collected from 164 nurses and 79 midwives from April 1 to June 25, 2021. Midwives enrolled in the Korean Midwifery Association and nurses and midwives from two hospitals each Daegu and Gyeonggi Province in Korea were invited to participate. The independent t-test, chi-square test, the Welch-Aspin test, and Pearson correlation coefficient were used for analysis. Results: The midwives' role perception score (3.47±1.46) was lower than that of nurses (3.95±0.85), and the midwives' role performance score (2.98±0.83) was also lower than that of nurses (3.34±0.89). Significant differences were observed between midwives and nurses in their perception and performance of roles related to prenatal management, childbirth management, management of psychological changes, postpartum management, and newborn care. Higher role perception and performance among midwives were linked to the management of psychological changes and women's health, indicating potential areas for future development. Conclusion: The study results suggest directions for developing new roles for midwives. It is necessary to find a way to expand the field of midwives in public health by benchmarking the roles of midwives in various countries.

• 한국응급구조학회지
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• 제27권2호
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• pp.79-89
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• 2023

Purpose: This study aimed to develop a standardized protocol of systematic and explicit roles and procedures for paramedics for the maternal and newborn management during prehospital emergency delivery situations. Methods: This study is a methodological study with detailed step-by-step items proposed by an expert group based on evidence from a literature review. The content validity of the proposed preliminary prehospital emergency delivery protocol was verified before the final protocol was confirmed. Results: All 23 detailed items of the preliminary protocol met the reference cut-off (CVI value of 0.8 or higher). After considering, revising, and supplementing expert opinions for each of the 23 items 23 detailed in the proposed protocols, four steps were confirmed. The steps included five items for the management of the imminent mother, 10 items for delivery progress, five items for newborn management, and three items for postpartum management of the mother. Conclusion: This study's findings may serve as reference for developing future specialized training programs for paramedics, to ensure enhanced competence in prehospital emergency delivery situations. The protocol should be reviewed and revised periodically to ensure currency.

• Asian-Australasian Journal of Animal Sciences
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• 제5권3호
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• pp.411-418
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• 1992

Recently, onset of bacterial disease, especially infiltration of chronic respiratory diseases have been increasing at high rate. The main cause of these diseases are originated from inappropriate sanitary management and slow progress in introducing system and herd free system, which are the base of productivity improvement in bigger pig management, Methods for the prevention and removal of these diseases, are divided into four categories. The first category includes prevention and removal of infectious diseases by organizing strict animal quarantine, enforcing vaccination, and legal regulation and disposal at the time of outbreak. The second category includes improvement of production systems. This purpose can be achieved by discontinuing the open herd system, which brings on the invasion of foreign pathogens and replacing the system by the closed type of farm. To Continue eradication process step-wisely by performing the all-in all-out system at every pig pen or herd level is also effective for this purpose. The third category includes introduction of herd free system can be achieved by repopulating conventional pigs with SPF pigs. If these means are unrealizable from economic or technical viewpoint, medicated early weaning system is perfomed. This system consists of disinfection of pigsty at pre-postpartum stage, application of drugs to pregnant sows and newborn piglets in accordance with the medication program, and early weaning and rearing of newborn piglets in isolation. The fourth category is sanital leading by veterinarians, aimed to eliminating incentives for diseases through diagnoses. Their main activities include periodical monitoring and improvement leading on each responsible subject.

• 가정∙방문간호학회지
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• 제28권2호
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• pp.186-196
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• 2021

Purpose: Breast cancer is becoming increasingly prevalent among young Korean women. During pregnancy, women's concern regarding their breasts heightens. Thus, pregnancy provides a window of opportunity for breast cancer prevention and management along with antenatal care. This study developed and evaluated an integrated breast health program for pregnant women. Methods: This study employed a non-equivalent control group and non-synchronized design (22 experimental, 29 control). Women pregnant for over 28 weeks participated. The two-session integrated breast health program focused on breast management during breastfeeding and education about breast cancer prevention and early screening. Results: During the early postpartum period (within three months after the program), there were statistically significant differences in knowledge and attitude about breast cancer and breast self-examination before and after the program. There were also statistically significant differences in BSE at 6 and 12 months after the program and mammography at 12 months after the program. However, there were no statistically significant differences in clinical breast examination and breast ultrasonography at 6 and 12 months after the program. Conclusion: The integrated breast health management program was effective in increasing knowledge and improving attitudes regarding breast cancer, BSE, and early screening practices among pregnant women. Further studies should consider providing breast health programs differently for each phase of pregnancy and continuing the same after delivery.

• Asian-Australasian Journal of Animal Sciences
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• 제16권11호
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• pp.1614-1618
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• 2003

Twenty crossbred (HF${\times}$Tharparkar) dry pregnant cows were divided into four equal groups. They were supplemented with 1,000 I.U. $\alpha$-tocopheryl acetate from 0 (group I), 15 (group II), 30 (group III) and 60 (group IV) days before parturition to 1month of lactation. All the cows were kept under similar feeding and management conditions. Blood plasma samples collected on specific days were analyzed for $\alpha$-tocopherol, retinol, total antioxidant activity (FRAP), immunoglobulin and calcium. Plasma $\alpha$-tocopherol concentration at 30 days prepartum averaged 3.5, 4.1, 4.4 and $3.9{\mu}g/ml$ and decreased by 50.0, 41.4, 34.1 and 33.3 percent on the day of parturition in the four respective groups. After calving, plasma vitamin E started to recover earlier in groups II, III and IV as compared to group I. Mean plasma $\alpha$-tocopherol concentration at 21 days postpartum was significantly higher in groups II, III and IV (2.9, 3.5 and $3.1{\mu}g/ml$) compared to group I ($1.9{\mu}g/ml$) cows. Plasma retinol concentration also showed a substantial decrease in all the groups on the day of calving but recovered to its normal value at 3 weeks postpartum. Plasma total antioxidant activity averaged 901, 895, 859 and $875{\mu}mol/l$ in the four respective groups on 30 days prepartum and decreased on the day of calving in all the groups, but the decrease was less in groups III and IV. Plasma immunoglobulin concentration was higher in group IV, followed by groups III, II and I, respectively, showing better immune status of vitamin E supplemented cows due to less oxidative stress. Supplementation of vitamin E resulted in higher plasma calcium concentration. The data showed that vitamin E supplementation should be started at least 30 days prepartum to reduce oxidative stress in periparturient cows.

• 대한수의학회지
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• 제14권2호
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• pp.253-268
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• 1974

A total of 331 dairy cattle in Jeonnam area were examined for the breeding status and hematological values during the period from June to August. 1971 and 1974. The data obtained were analysed according to the status of breeding and the type of farm management. The results obtained in this work were summarized as follows: 1. 331 dairy cows were grouped as pregnant (63.81%) anestrus after parturition (12.45%), pregnancy unknown (11.48%), repeat breeder (10.32%), and others (1.94%). 2. The summery of reproductive histories and clinical examination were as follows. Average of calving interval was 16.5 months, interval from parturition to first breeding 97 days and postpartum interval to first estrus 72 days. Services per conception was 1.6 rate of postpartum estrus (60 days) 12.0%, and the rate of repent breeder 10.3%. 3. Generally, the blood values of RBC, Hb, serum total protein and A/G ratio were lower than those normal values, especially, the cows which showed abnormal values belonged to the repeat breeder and the unknown to conception group. The mean value for serum inorganic phosphorus was the normal value or hyperphosphatemia, on the other hand, the mean value for serum calcium of the repeat breeder group was the lowest than the other group. 4. Follow-up evaluations on the results of the laboratory tests strongly suggest that the problems of repeat breeder had a tendency to occur more frequently in the large herd (A and B type farm), and the Ca/P ratio of almost all the cows showed abnormal values.

• Clinical and Experimental Reproductive Medicine
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• 제48권4호
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• pp.380-384
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• 2021

Theca lutein cysts are rare, benign lesions responsible for gross cystic enlargement of both ovaries during pregnancy. This condition is also termed hyperreactio luteinalis. Elevated human chorionic gonadotropin (hCG) levels or states of hCG hypersensitivity seem to promote these changes, which in up to 30% of patients produce clinical signs of hyperandrogenism. Given the self-limiting course of theca lutein cysts, which are subject to spontaneous postpartum resolution, conservative treatment is the mainstay of patient management. Described herein is a rare case of theca lutein cysts with maternal virilization that failed to regress by 9 months after childbirth. Surgical intervention was eventually undertaken, necessitated by adnexal torsion.

• 대한영상의학회지
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• 제82권6호
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• pp.1570-1574
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• 2021

산후에 발생하는 젖낭종은 수유 중인 여성에게서 흔히 나타나는 양성 질환이다. 유선후층 지방층, 유방확대 보형물 주변에 생긴 젖낭종은 비교적 드문 형태이다. 34세의 출산 후 1달이 지난 여성은 2주 전부터 시작된 좌측 유방의 확대를 주소로 내원하였다. 출산 후 지속적으로 유축기를 사용해왔다. 좌측 유방은 초음파상에서 보형물 주변에서 관찰되는 고에코의 액체성분으로 관찰되었다. 초음파 유도하 세침흡인으로 모유 성상의 액체가 배액되었다. 세포검사 결과에서 젖낭종을 시사하는 결정체들이 관찰되었다. 다양한 원인, 특히 유방 보형물 관련 역형성 거대 세포 림프종으로 인해 보형물 주변에 액체가 관찰될 수 있다. 영상의학적 소견, 임상적 정보 그리고 세포학적인 분석들을 종합하여 적절한 치료에 도움을 받을 수 있을 것으로 사료된다.

• 한국정보처리학회:학술대회논문집
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• 한국정보처리학회 2022년도 추계학술발표대회
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• pp.1019-1021
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• 2022

본 연구는 산후조리원 내 신생아를 위한 원격 관리 시스템을 제안한다. 기존 시스템들은 공기질 문제만을 해결하거나, 모니터링 문제만을 해결하는 등 단순한 동작과 감시에 초점이 맞추어졌으나, 제안하는 시스템은 실내와 신생아 주변에 설치된 각각의 센서를 통하여 공기질을 포함한 실내 환경과 신생아를 모니터링하여 간호사와 산모가 쉽게 신생아의 건강을 웹과 엡으로 모니터링하고 원격으로 관리한다. 또한, OpenCV 라이브러리를 이용하여 신생아의 얼굴을 인식하고 표정별 이미지를 저장할 수 있도록 설계 및 구현하고 있다.