• Title/Summary/Keyword: infant and children

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Percutaneous ultrasound-guided thrombin injection is effective even in infants with external iliac artery pseudoaneurysms

  • Cho, Min-Jung;Jeon, Ung-Bae;Choo, Ki-Seok;Lee, Hyoung-Doo
    • Clinical and Experimental Pediatrics
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    • v.57 no.4
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    • pp.199-201
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    • 2014
  • Iatrogenic pseudoaneurysms are extremely rare in children. Conventional management of pseudoaneurysms in adults has included surgical repair, ultrasound-guided compression, and more recently, endovascular embolization. However, in infants and children, there is little information regarding the applicability of such treatment modalities, which have been effective in adults, because of its rarity. Here, we present the case of a 6-month-old infant who developed a postprocedural pseudoaneurysm of the external iliac artery, which was successfully treated with ultrasound-guided percutaneous thrombin injection.

Two Cases of Infantile Intra-abdominal Inflammatory Myofibroblastic Tumor

  • Kim, Soo-Hong;Cho, Yong Hoon;Kim, Hae Young
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.17 no.2
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    • pp.116-120
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    • 2014
  • Inflammatory myofibroblastic tumor (IMT) is rare mesenchymal solid tumor that consists of proliferating myofibroblasts with an inflammatory infiltrate background. It has a very low prevalence in infants and occurs mainly in children and young adults. IMT are mainly located in the thoracic cavity, but intra-abdominal lesions are rare. IMT can exhibit locally aggressive neoplastic processes and metastases similar to malignancies, so, have clinical importance. Herein, we describe two infantile intra-abdominal IMT cases presenting with incidentally found palpable abdominal mass. A 4-month-old male infant had IMT at the ileal mesentery and a 5-month-old male infant had IMT at liver. Both cases were successfully treated by complete surgical resection without complication or recurrence. Considering the biological behavior of the intermediate type of neoplasm in IMT, we expect good survivals when achieving appropriate surgical resection without adjuvant therapy in infantile intra-abdominal IMT.

The Effects of Infant Massage on Teacher-infant Interaction and Nursery Adaptation of Infants (영아 마사지가 교사-영아의 상호작용 및 어린이집 적응에 미치는 효과)

  • Lee, Mi Na
    • The Korean Journal of Community Living Science
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    • v.24 no.3
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    • pp.381-390
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    • 2013
  • This research is to verify the effects of infant massage on teacher-infant interaction and nursery adaptation. The subjects were 20 infants younger than one year of age, and the experimental group and the control group were randomly assigned. I developed an infant massage activity and trained an infant teacher to do it with 30-hours workshop. The massage was accomplished a total of 18 times, 3 times a week for 6 weeks. The research tools employed are the Caregiver Interaction Scale(CIS) which was developed by Arnett(1989) and employed by Kim(2009) and the Preschool Adjustment Questionaire(PAQ) which was employed by Yang(2005). They were modified and supplemented for this study to serve as a teacher rating scale. The collected data was analyzed after the experiment service through the t-verification. The results showed that the experimental group that took the infant massage scored higher than the control group in both teacher-infant interaction and nursery adaptation. Therefore, it demonstrated that infant massage has an effect on positive and permissive interaction in teacher-infant interaction and nursery adaptation.

A Case of Infantile Nephrotic Syndrome associated with Neuroblastoma

  • Kim, Soo Hyun;Park, Hyun-Min;Lee, Joo Hoon;Kim, Hyery;Go, Heounjeong;Kim, Dae Yeon;Park, Young Seo
    • Childhood Kidney Diseases
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    • v.22 no.2
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    • pp.91-96
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    • 2018
  • Nephrotic syndrome in the first year of life, characterized by renal dysfunction and proteinuria, is associated with a heterogeneous group of disorders. These disorders are often related to genetic mutations, but the syndrome can also be caused by a variety of other diseases. We report an infant with nephrotic syndrome associated with a neuroblastoma. A 6-month-old girl was admitted with a 10% weight loss over 10 days and nephrotic-range proteinuria. She was ill-looking, and her blood pressure was higher than normal for her age. Her cystatin-C glomerular filtration rate was decreased, and levels of plasma renin, aldosterone, and catecholamines were elevated. Renal ultrasonography and abdominal computed tomography showed a retroperitoneal prevertebral mass encasing both renal arteries and the left renal vein. The mass was partially resected laparoscopically, and the pathologic diagnosis was neuroblastoma. Findings on a simultaneous renal biopsy were unremarkable. The patient was treated with chemotherapy and several anti-hypertensive drugs, including an alpha blocker. Two months later, the mass had decreased in size and the proteinuria and hypertension were gradually improving. In an infant with abnormal renin-angiotensin system activation, severe hypertension, and nephrotic-range proteinuria, neuroblastoma can be considered in the differential diagnosis.

A Case Report of Rare Complications after Epicardial Permanent Pacemaker Implantation in an Infant: Airway Compression, Skin Necrosis, and Bowel Perforation

  • Kim, Woojung;Kwak, Jae Gun;Min, Jooncheol;Kim, Woong-Han
    • Journal of Chest Surgery
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    • v.53 no.2
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    • pp.82-85
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    • 2020
  • Insertion of an epicardial pacemaker is a useful treatment for pediatric patients with an abnormal heart rhythm. However, there are limitations and concerns when implanting epicardial pacemakers in infants and neonates due to their small body size. We report a patient who experienced rare complications after implantation of a permanent pacemaker.

Renal artery stenosis presenting as congenital nephrotic syndrome with hyponatremic hypertensive syndrome in a 2-month-old infant: a case report

  • Dabin Kim;Yo Han Ahn;Hee Gyung Kang;Ji Hyun Kim;Seon Hee Lim
    • Childhood Kidney Diseases
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    • v.27 no.2
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    • pp.117-120
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    • 2023
  • Here, we present the case of a 2-month-old male infant with hyponatremic hypertensive syndrome resulting from stenosis of the right proximal and mid-renal arteries. The patient exhibited nephrotic-range proteinuria, low serum albumin, increased serum creatinine, and elevated renin and aldosterone levels. Doppler ultrasonography and computed tomography angiography revealed decreased vascular flow in the small right renal artery. Following a successful percutaneous balloon angioplasty, the patient experienced a decrease in blood pressure and normalization of serum electrolyte levels within a few days. However, it took 3 months for the proteinuria to resolve completely. This case is significant as it represents the first reported instance of a neonate presenting with clinical features resembling congenital nephrotic syndrome caused by renal artery stenosis that was successfully treated with percutaneous renal angioplasty.

A Concept and Standard of the Environment Design for the Joint Infant-rearing Facilities (공동육아시설을 위한 환경디자인의 개념과 기준)

  • 문금희
    • Archives of design research
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    • v.12 no.2
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    • pp.31-40
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    • 1999
  • Because of the oocIear family due to the rapid industrialization and the growth of husband and wife bah working, the base of the tradition that the parents, all of the famly or the hamet oonmunity bring up the infants together in the important time to the infarts has been collapsed in Korea. Because working mothers camot bring up their children by themselves they got stressed and housewives do not have the oonfidence in rearing their infants and the fathers are isolated from home and the chikten instead of being exempted from the responsibility of rearing children. Therefore the common and comprehensive rearing system should be made for solving the child-rearing problem. For solving these problems and for the desirable infant-rearing and education, the joint irlart rearing, whidl compensates for the life, education and furthermore the sdlool edJcation through the volur1ary participation, has been prepared altematively. Compared to the traditional rearing system, joint infant-rearing is not only operated by the residents with the dues paid by the union members but also makes children experience the life force of natu"e in themselves. So the preparation of the standard of the suitable environment design for the joint infant-rearing is required which is diffrent from the traditional standard of the environmertal facilities for the traditional rearing system. The concept of joint infant-rearing was defind in this study through the reference and the ooncept of infant edJcation which is in operation suocessfully in Italy and Sweden in order to understand how the ooncept of infant education has changed as the ages have dlanged. And the basic principals for the formation of physical envirorvnert and the spare design and the envirorYnertal oondition for the practical environmental design was also studied through the reference. And after study about the concept. figure and physical environmental suggestion, the concept, standard and element of joint infant-rearing environment design was suggested. And as the final conclusion, the design requirement of the envirorvnertal design for the joint infant-rearing was suggested.

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Successful Treatment of Vancomycin-Resistant Enterococcus Bacteremia With a Combination of Daptomycin and Tigecycline in an Infant who Underwent Heart-Lung Transplantation

  • Kang, Jeong Eun;Byun, Joung-Hee;Kim, Younga;Park, Su Eun
    • Pediatric Infection and Vaccine
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    • v.29 no.2
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    • pp.105-109
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    • 2022
  • The treatment of invasive infections caused by multidrug-resistant vancomycin-resistant enterococci (VRE) is challenging, particularly in pediatric patients with underlying medical conditions. Newer antibiotics used to treat VRE infections in pediatric patients are insufficiently studied. This report presents the case of a 6-month-old infant who underwent heart-lung transplantation and was successfully treated with a combination of daptomycin and tigecycline for recurrent VRE bacteremia shortly after the discontinuation of linezolid.

Teacher Recognized Toddler-teacher Relationships Compared with Observed Toddler-teacher and Toddler-peer Interactions in Play (교사가 인식한 영아-교사 관계와 놀이 시 나타난 영아-교사 및 영아-또래 상호작용)

  • Jung, Mi-Jo;Kim, Hee-Jin
    • Korean Journal of Child Studies
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    • v.30 no.3
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    • pp.99-112
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    • 2009
  • This study examined how infant-teacher relationships perceived by teachers related to observed toddler-teacher and toddler-peer interactions in play. Participants were 57 2-year-old toddlers and their 8 teachers. Toddler-teacher perceived relationships were examined by questionnaire toddler-teacher and toddler-toddler interactions were observed and recorded during play. Data were analyzed by correlation. Results were : (1) the perceived relationships of toddlers to multiple teachers in the classroom were very similar. (2) The pattern of interactions between toddlers and teachers was similar to that of interactions between toddlers and peers. (3) The more positive the toddler-teacher perceived relationship, the more positive the observed interactions between the children and teachers and between children and their peers.

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Esophageal Reconstruction with Gastric Pull-up in a Premature Infant with Type B Esophageal Atresia

  • Han, Young Mi;Lee, Narae;Byun, Shin Yun;Kim, Soo-Hong;Cho, Yong-Hoon;Kim, Hae-Young
    • Neonatal Medicine
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    • v.25 no.4
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    • pp.186-190
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    • 2018
  • Esophageal atresia (EA) with proximal tracheoesophageal fistula (TEF; gross type B) is a rare defect. Although most patients have long-gap EA, there are still no established surgical guidelines. A premature male infant with symmetric intrauterine growth retardation (birth weight, 1,616 g) was born at 35 weeks and 5 days of gestation. The initial diagnosis was pure EA (gross type A) based on failure to pass an orogastric tube and the absence of stomach gas. A "feed and grow" approach was implemented, with gastrostomy performed on postnatal day 2. A fistula was detected during bronchoscopy for recurrent pneumonia; thus, we confirmed type B EA and performed TEF excision and cervical end esophagostomy. As the infant's stomach volume was insufficient for bolus feeding after reaching a body weight of 2.5 kg, continuous tube feeding was provided through a gastrojejunal tube. On the basis of these findings, esophageal reconstruction with gastric pull-up was performed on postnatal day 141 (infant weight, 4.7 kg), and he was discharged 21 days postoperatively. At 12 months after birth, there was no catch-up growth; however, he is currently receiving a baby food diet without any complications. In patients with EA, bronchoscopy is useful for confirming TEF, whereas for those with long-gap EA with a small stomach volume, esophageal reconstruction with gastric pull-up after continuous feeding through a gastrojejunal tube is worth considering.