• 제목/요약/키워드: health young children

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부신백질이영양증 환자의 전신마취 하 치과 치료 : 증례보고 (DENTAL TREATMENT OF A 11-YEAR-OLD MALE PATIENT WITH ADRENOLEUKODYSTROPHY UNDER GENERAL ANESTHESIA : A CASE REPORT)

  • 장준혁;신터전;김영재;김정욱;장기택;이상훈;김종철;현홍근
    • 대한장애인치과학회지
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    • 제9권2호
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    • pp.107-110
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    • 2013
  • Adrenoleukodystrophy (ALD) is a rare, inherited disorder that leads to progressive brain damage and failure of the adrenal glands. It is passed down from parents to their children as an X-linked genetic trait. Therefore, it affects primarily males especially under the age of 10. People with ALD have excessive accumulation of very long chain fatty acids (VLCFAs) in their brain because they do not have the enzyme which break down these fatty acids. Special method for treatment of ALD is not available. Eating a diet low in VLCFAs and taking special oils, called Lorenzo's oil, can lower the blood levels of VLCFAs. But this oil cannot stop the destruction of nerve cell. This article presents a case report: Dental treatment of a 11-year-old male patient with ALD under general anesthesia. Careful management must be required during treatment procedure because of difficulty in cooperation, seizure disorders, gastroesophageal reflux, pulmonary aspiration and airway complications.

White matter injury following rotavirus infection in neonates: new aspects to a forgotten entity, 'fifth day fits'?

  • Yeom, Jung Sook;Park, Chan-Hoo
    • Clinical and Experimental Pediatrics
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    • 제59권7호
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    • pp.285-291
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    • 2016
  • That rotavirus infection can cause neurological symptoms in young children has been well established. However, it is surprising why rotavirus infection has been overlooked as a cause of neonatal seizures for many years, despite significant research interest in neonatal rotavirus infection. Neonates are the age group most vulnerable to seizures, which are typically attributed to a wide range of causes. By contrast, because rotavirus infection is usually asymptomatic, it has been difficult to identify an association between this virus and neonatal seizures. The conventional wisdom has been that, although neonates are commonly infected with rotavirus, neurological complications are rare in this age. However, recent studies using diffusion-weighted imaging (DWI) have suggested a connection between rotavirus infection and neonatal seizures and that rotavirus infection can induce diffuse white matter injury without direct invasion of the central nervous system. The clinical features of white matter injury in rotavirus-infected neonates include the onset of seizures at days 4-6 of life in apparently healthy term infants. The recent findings seem to contradict the conventional wisdom. However, white matter injury might not be a completely new aspect of rotavirus infection in neonates, considering the forgotten clinical entity of neonatal seizures, 'fifth day fits'. With increased use of DWI in neonatal seizures, we are just starting to understand connection between viral infection and white matter injury in neonates. In this review, we discuss the historical aspects of rotavirus infection and neonatal seizures. We also present the clinical features of white matter injury in neonatal rotavirus infection.

Horticultural Activity Interventions and Outcomes: A Review

  • Park, Sin-Ae;Lee, A-Young;Lee, Geung-Joo;Kim, Dae-Sik;Kim, Wan Soon;Shoemaker, Candice A.;Son, Ki-Cheol
    • 원예과학기술지
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    • 제34권4호
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    • pp.513-527
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    • 2016
  • The objective of the present study was to review the current research about the outcomes of horticultural activity interventions in order to determine research trends and analyze the characteristics of horticultural activity interventions. We reviewed the literature using search engines such as the Web of Science, Proquest Dissertation and Theses, Academic Search Premier, Research Information sharing Service, and Korean National Assembly Digital Library to locate journal articles that include relevant search terms (e.g., gardening activity, gardening program, allotment garden, urban agriculture, horticultural therapy, and horticultural activity). We initially identified 14,414 journal articles that were published before April 2014 and selected 509 of the papers for review. We found that studies investigating treating children and adults 8 to 64 years old were the most common, and horticultural activities such as gardening outdoors, planting indoors, making crafts with live plants, arranging flowers, making crafts with artificial or pressed flowers, and other activities were usually combined. Short/medium term (11 to 20 sessions) horticultural activity programs were the most frequent, and most interventions were of medium duration (> 60 min to 120 min). Most of the studies focused on the psychological or emotional effects of horticultural intervention, such as its effects on emotional intelligence, self-esteem, stress, and depression. Further studies are needed to analyze the research methodology, specific outcomes, and strengths or weaknesses of studies investigating horticultural activity interventions.

간호사의 모유수유에 대한 지식정도가 모유수유 간호활동에 미치는 영향 - 산과외래, 분만실, 산과병실 및 신생아실 간호사를 중심으로 (The Effects of the Nurses' Knowledge to Breast-Feeding on the Nursing Activities for Breast-Feeding)

  • 김영혜;김미정
    • Child Health Nursing Research
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    • 제3권1호
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    • pp.52-61
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    • 1997
  • This study was attempted to identify the knowledge to breast-feeding and the performance of nursing activities for breast-feeding and to test 'how does the degree of knowledge to breast-feeding influence the nursing activities for breast-feeding?' The subjects were 180 nurses working in delivery rooms, nursery, obstetrics & pediatrics wards or OPD of obstetrics & gynecology of 8 general hospitals in Pusan as of August 3 through 13, 1996. The results are abstracted as follows. 1) Subject nurses' age, 25-29 was 45.6%(the major), education levels graduates from junior college were 95.0%, unmarried status was 62.2%, 76.5% of married nurses had children, 39.7% in-service education for Breast-Feeding, 33.7% did nursing activities for breast-feeding actively, the reason for inadequate activities for breast-feeding was 'too much other tasks.' 2) The degree of knowledge to breast-feeding ; mean score was 13.54, the degree of performance of nursing activities for breast-feeding : 92.38±20.93 points out of possible 145 points (3.19±.74 out of possible 5 points) moaned that it was a low level. 3) The hypothesis 'the nurses who have higher degrees of knowledge to breast-feeding will show higher degrees of performance of nursing activities for breast-feeding than the nurses who have lower degrees of knowledge to breast-feeding' was tested by t-test(t=-.01, P=.9888), but rejected because it turned out statistically not significant at the level of P<.05. Above results suggested the degrees of knowledge to breast-feeding and the degrees of performance of nursing activities for breast-feeding were generally low and the degree of knowledge didn't influence the nursing activities. Researchers believe that the education for breast-feeding by the nurses need to be performed systemically & practically and new method of breast-feeding education program need to include hospital managers as well as nurses related mothers and their family. In audition, researchers propose the introduction of &lactation specialist system&, for the specialist can change the attitude of feeding-mothers positively with their specialty and authority.

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입원환아 부모의 간호요구 (Nursing Needs of Parents with Hospitalized Child)

  • 서영미;권인수;조명옥;최운주
    • Child Health Nursing Research
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    • 제5권1호
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    • pp.59-69
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    • 1999
  • The main purpose of this study is to identify nursing needs of parents who have hospitalized child. Research design is a descriptive survey. The subjects for the study were 79 parents who have hospitalized child at a pediatric ward of one of the general hospital attached to a university in J city. The data was collected by researchers using a structured questionnaire. The questionnaire was Likert type 5 point scale, composed of 5 categories with 61 items. The data was analyzed by SPSS/PC. The results of the study were as follows ; 1) Mean score of nursing needs of subjects were 3.93 at 2nd day of admission and 3.99 at 7th day of admission. 2) Among the categories, the highest nursing need at the End day and 7th day of admission was ‘dilect nursing’, in desending order, ‘facilities and environment’, ‘education and counseling’, ‘nursing assessment’. The lowest nursing need was ‘reference’. 3) Differences between the nursing needs of subjects at 2nd day and 7th day were as follows : (1) By categories, there was a significant difference only in the ‘reference’ categoly(t=2.74, P=.008). (2) By items, there were significant differences in items of ‘to check necessary materials(t=2.31, P=.024)’, ‘to understand family function and family relationship(t=2.12, P=.041)’, ‘to set up study room(t=2.22, P=.030)’, and ‘to mediate parent's meeting group(t=3.89, P=.000)’. The above result indicated that nursing needs of parents with hospitalized child were above average, especially very high in items about disease process, and items directly associated with treatment and nursing care. So, nurses have to focus on information about the patient's state of disease, treatment, test and procedure, and in efficiently giving direct nursing care to implement mure effective care for the hospitalized children and their parents. And some future researche is needed to identify the difference of degree of nursing needs of parents with hospitalized child according to admission duration using a different sample and a longer sampling interval.

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Current Status of Human Taeniasis in Lao People's Democratic Republic

  • Jeon, Hyeong-Kyu;Yong, Tai-Soon;Sohn, Woon-Mok;Chai, Jong-Yil;Min, Duk-Young;Yun, Cheong-Ha;Rim, Han-Jong;Pongvongsa, Tiengkham;Banouvong, Virasack;Insisiengmay, Bounnaloth;Phommasack, Bounlay;Eom, Keeseon S.
    • Parasites, Hosts and Diseases
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    • 제51권2호
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    • pp.259-263
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    • 2013
  • Human taeniasis was investigated in Lao People's Democratic Republic (Lao PDR) between 2000 and 2011 as part of the nation's helminthiasis survey. A total of 55,038 inhabitants, including 29,846 school children, were examined using the Kato-Katz and scotch-tape anal swab method, and morphological observation of adult worms. Molecular identification of Taenia tapeworms was performed by multiplex PCR or DNA sequence analysis of the mitochondrial cox1 gene. Taenia eggs were present at a rate of 1.5% (845/55,038) in the subject population. Adult tapeworms were identified as T. solium or T. saginata by analyzing the collectable stool specimens (n=126). Three specimens identified as T. solium were found in Luang Prabang, while the remaining 123 specimens, which were T. saginata, were found in Bokeo, Bolikhamxay, Champasak, Houaphan, Khammouane, Luang Namta, Luang Prabang, Oudomxay, Phongsaly, Saysomboune, Saravane, Savannakhet, Xayaboury, Xekong, Xieng Khouang Province, and Vientiane Municipality.

한국 청소년과 학부모의 성역할인지와 성교육요구에 관한 조사연구 (The Study of the Recognition of Sexual Roles and the Demand of Sexual Education by the Korean Junior Students and their Parents)

  • 김영혜
    • 부모자녀건강학회지
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    • 제1권
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    • pp.31-55
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    • 1998
  • The study was attempted to survey the recognition of sexual roles and the demand of sexual education. The period was May 1st through June 15th, 1998 and the subjects were 377 junior students and 251 parents in Pusan. This study was based on questionnaire which focused on the Han and Lee's inquiry. The analysis of collected data was executed by using SPSS/PC+. The results were as follows : (1) The average point as to the 12 items of recognition of sexual roles regarding the occupational functions by the boys was 2.92 which was higher than that of the girls(1.85). The average point as to the 14 items of recognition of sexual roles regarding the attitudes by the boys was 2.91 which was higher than that of the girls(2.13). The average point as to the 14 items of recognition of sexual roles regarding the abilities by the boys was 2.93 which was higher than that of the girls(1.96). The point as to the item of androgyny among the demand of sexual education by the girls was 3.17 which is higher than that of the boys(2.93). (2) The parents showed the higher recognition toward androcentrism than the students and the parents showed the higher demand of the overall sexual education than the students. (3) 15.7% of the students was engaged in the masturbation. The students who answered that their parents had known the masturbation by their children were 16.9%. The 59 masturbaters consisted of the boys(91.5%) and the girls(8.5%), and that showed significant difference. (4) The opinions about the well-qualified teacher of sexual education by the subjects were studied as under: 16.7% of the parents supported the nurse-teacher, meanwhile 24.7% of the students supported the nurse-teacher.

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치매노인 시설의탁 가족의 사회심리적 과정 (Socio-psychological Process of Families with Institutionalized Dementia Elderly)

  • 정은옥;현미영;서윤진;안옥희
    • 지역사회간호학회지
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    • 제15권1호
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    • pp.122-131
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    • 2004
  • Purpose: The purpose of the study is to explore the socio-psychological coping process and experiences of families before and after institutionalization by applying the Corbin and Strauss ground research method. Method: Data collection from 9 participants with elderly institutionalized dementia with approval from directors of the institute was done by in depth interviews during a seven month period from May, 2003 to December, 2003. Data analysis was done by repeated reading of the transcribed interviews, and 344 concepts and 39 subcategories were generated. Results: Family members of the dementia elderly experienced various degrees of exhaustion, physically, mentally, and socially. The degree of their exhaustion was related to the severity of the family member's symptoms, and length of the dementia. Coping strategies were effected by economic status, social support from blood related families or neighbors, depth of their relationship with elderly institutionalized dementia. They were even affected by the elderly family members institutionalization. Conclusion: After institutionalization participants felt some guilt from not assuming their responsibilities as children. On the other hand they regained privacy, freedom, security, and comfort, so that their life returned to normal. They even felt more comfort because their elderly were living in a safer environment, and received a better quality of care. Participants had better composure, so that they could even take care of neighbors in need. They hope that there is more governmental involvement in terms of subsidy and numbers of institutes. Findings of the study will be a ground for the development of a coping program for families with elderly institutionalized dementia. Further studies are recommended to explore types of family, and to develop programs for the families to help them interact with each other.

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인플루엔자 관련 뇌증 1례 (A Case of Influenza-associated Encephalopathy)

  • 송연이;최창환;최종운;김세영;김현수;김열;임동진
    • Clinical and Experimental Pediatrics
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    • 제46권10호
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    • pp.1024-1028
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    • 2003
  • 저자들은 인플루엔자 유행시기에, 생후 3년 1개월 환아에서 갑작스런 고열을 동반한 경련 발작과 의식소실을 주소로, 6일간 입원 치료에도 불구하고 급격한 급성 뇌증의 악화와 간기능수치 증가 및 신장기능 부전, 범발성 혈관내 응고증으로 사망한 남아에서 인플루엔자 바이러스 항체 검사상 A/H1N1에 대한 HI titer가 초 회 항체 역가의 4배 이상 증가됨을 관찰하여 국내에는 보고된 예가 없는 급성 인플루엔자 뇌증으로 진단한 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

Evaluation of Current Standards and Proposed Rules for Special Nutritional Foods

  • Kim, Dong-Yeon
    • Journal of Community Nutrition
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    • 제1권2호
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    • pp.75-80
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    • 1999
  • Special nutritional foods are one category of processed foods. In this category, 5 different food standards are defined in the current rule of the Korean Food Code ; that is, infant formulae, complementary foods for infants and young children, foods nutrient supplementation, processed dietary fiber-based foods, and foods for special dietary uses. The major differences between the special dietary uses. The major difference between the special nutritional foods and the other processed foods is that the special nutritional foods are characterized by their dietary uses for specific population groups rather than food ingredients or manufacturing and processing techniques which characterize and distinguish most of other processed foods. Although several countries establish similar standards for this type of foods, they use different legal names such as foods for special dietary uses(U.S.A., CODEX, Japan), foodstuffs intended for particular nutritional uses(EC), or special purpose foods(Australia). In addition, there are some other differences in the definitions for these food types and categorization of food types among countries. The major difference in the definitions is the description of 'special dietary uses' by specifying certain population groups whose nutrient requirements are different from those of ordinary men due to physiological or physical conditions and therefore may not be sufficiently met by consuming ordinary foods. The categorization of this type of foods is based on the type of dietary uses in the other countries, whereas we include foods simply supplemented with nutrients or foods having certain components such as dietary fibers even if these foods types do not have special dietary sues. Recently, a revision of standards for special nutritional food has been proposed. However, the description of 'special dietary uses' is not clearly indicated in the definition, and some food types which should not be categorized into the special nutritional foods still remain in this category. In order to correct these problems, the standard of food labeling in the Food Safety Law needs to be revised along with revision of food standards in the Food Code.

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