• Title/Summary/Keyword: 인공수유

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Edutech in the Era of the 4th Industrial Revolution (4차 산업혁명 시대의 에듀테크)

  • Park, Ji Su;Gil, Joon-Min
    • KIPS Transactions on Software and Data Engineering
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    • v.9 no.11
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    • pp.329-331
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    • 2020
  • Edutech is a compound word of education and technology, and is an educational paradigm in the era of the 4th industrial revolution. This refers to next-generation education using information and communication technology (ICT) such as big data, artificial intelligence (AI), robots, and virtual reality (VR) of the 4th industrial revolution. e-Learning is being used as an online lecture for education in ICT, but edutech is attracting attention along with e-learning as the feeding of non-face-to-face education has rapidly increased due to COVID-19. Therefore, this paper summarizes the reviewed papers on the blockchain-based badge service platform, simulation-based collaborative e-Learning system, video English dictionary, and blockchain-based access control audit system.

High Flow Nasal Cannula versus Nasal CPAP in Preterm Infants (미숙아에서 경비지속기도양압과 가습고유량비강캐뉼라의 사용에 대한 비교 연구)

  • Yoon, Seong-Ho;Kwon,Young-Hee;Park, Hyun-Kyung;Kim, Chang-Ryul;Seol, In-Jun;Lee, Hyun-Ju
    • Neonatal Medicine
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    • v.18 no.2
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    • pp.293-300
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    • 2011
  • Purpose: The aim of the study was to investigate the change in usage and clinical outcomes of using a humidified high flow nasal cannula (HHFNC) in preterm infants. Methods: A retrospective review of patients with gestational age <32 weeks born at our neonatal intensive care unit from January 2008 to March 2011 was performed. First, data were compared between Era 1 (January 2008 to February 2009) and Era 2 (March 2009 to March 2011) to describe the increased usage of HHFNC. Second, the patients (gestational age 25-30 weeks) were divided into two groups to compare clinical outcomes. nasal continuous positive airway pressure (NCPAP) and HHFNC groups who received either NCPAP or HHFNC as a respiratory support within 14 days of birth. Results: Compared to Era 1, HHFNC usage increased from 10 to 55% in Era 2, whereas NCPAP usage decreased from 40 to 5%. No difference in pulmonary or adverse outcomes including the incidence of reintubation and bronchopulmonary dysplasia (BPD), days on oxygen and a ventilator, and other outcomes was observed between the HHFNC and NCPAP groups. Days to reach full feed (32.2${\pm}$16.7 vs. 24.7${\pm}$10.2, P=0.05) and regain birth weight (20.9${\pm}$16.9 vs. 17.2${\pm}$4.3, P=0.04) decreased in the HHFNC group. Conclusion: HHFNC was feasible and did not differ in respiratory and other outcomes, but days to reach full feed and regain birth weight decreased in the HHFNC, when compared with the NCPAP. An additional prospective multicenter designed study is needed to better define safety and efficacy of HHFNC.

Clinical Use and Complications of Percutaneous Central Venous Catheterization in Very Low Birth Weight Infants (극소 저출생 체중아에서 경피 중심정맥 도관의 유용성과 합병증)

  • Kim, Hyang;Kim, Sun Hui;Byun, Hyung Suck;Choi, Young Youn
    • Clinical and Experimental Pediatrics
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    • v.48 no.9
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    • pp.953-959
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    • 2005
  • Purpose : The administration of total parenteral nutrition(TPN) has become a standard procedure in the management of nutritionally deprived and critically low birth weight neonates. Sepsis remains the most frequent serious complication during TPN, resulting in increased morbidity, mortality and health care costs. This study was performed to evaluate the clinical efficacy and complications of percutaneous central venous catheterization(PCVC) in very low birth weight infants. Methods : A total of 56 very low birth weight infants below 1,500 g during the period from January 1998 to December 2003 were enrolled and their medical records reviewed. Study group(n=32) included the babies who had undergone PCVC and a control group(n=24) included babies who had not undergone PCVC. We compared the study group with the control group for factors such as subject characteristics and catheter-related complications. Results : There was no difference in subject characteristics, such as birth weight, gestational week, respiratory distress syndrome, duration of ventilator therapy, duration from tube to complete oral feeding, days at TPN and its total duration, body weight at discontinuation of TPN and the days taken to reach to 2,000 g. However, the morbidity rate due to patent ductus arterious, chronic lung disease, necrotizing enterocolitis, osteopenia, cholestasis, and sepsis showed no difference. The study group with infants below 1,000 g showed a higher incidence of sepsis compared to the control group of the same weight group. The study group with infants between 1,000 to 1,500 g showed significantly higher incidences of intraventricular hemorrhage and took longer reach the a body weight of 2,000 g. Conclusion : Considering the high incidence of sepsis in the PCVC group, every attempt should be made to minimize the length of TPN therapy and encourage early enteral feeding. We also recommend the use of PCVC carefully in patients requiring prolonged nutritional support.

Development of Nutritionally Balanced Weaning Foods for Korean Infants I - Investigating the conditions of lactation and peoples perspectives on breast feeding and formular feeding - (영유아를 위한 영양적으로 균형된 이유 보충식의 개발을 위한 연구 I - 수유실태 및 모유와 인공유 영양에 대한 의식구조 -)

  • Sohn, Kyung-Hee;Lee, Jin-Sil;Jeon, Hyung-Joo;Choi, Jung-Sun;Min, Sung-Hee;Park, Hyun-Kyung;Park, Jin
    • Journal of the Korean Society of Food Culture
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    • v.11 no.2
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    • pp.217-228
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    • 1996
  • Infanthood is a crucial period when mental and emotional developments take place along with physical growth. Adequate supply of nutrition is essential during this period and there is an urgent need for proper education and guidance on balanced nutrition. Therefore, this study was designed to assess to current status of lactation and to investigate mothers' perspectives on human milk and formular milk. As random samples for this study, a total of 352 mothers having infant under the age of 4 were surveyed. 27.3% of mother surveyed were breast-feeding, 38.0% were formula-feeding and 34.7% were mixed-feeding. According to the result of this study, the percentage of breast feeding was on the decrease, while the dependence on formular milk was on the rise. The main reason of formula-feeding was insufficient secretion of human milk on mothers part. The major factors that affect to select feeding method were employment status, degree of education, family income and age. Also, the interviewees desired the product fortified with special ingredients that are hot contained in formular milk currently available in the market. The most concerned problem of formula milk was indigestion and the interviewees wanted the formular milk to be improved digestibility.

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The characteristics of a fine O/W emulsion by non-aqueous method (비수유화법에 의한 미세 o/w에멀젼의 특성)

  • Lee, Seong-Jun;Yun, Myeong-Seok;Gang, Se-Hun
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.21 no.1
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    • pp.19-37
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    • 1995
  • A fine oil -in-water (O/W) emulsion using non-aqueous emulsification technique was developed. And the behaviors of POE(25)octyldodecyl ether in non-aqueous polyol/oil systems were studied by observing the surface tension, interfacial tension, turbidity and transition temperature. It was found that POE(25)octyldodecy1 ether hardly existed as the micelle in the non-aqueous polyol system while, in water, it formed micelles very easily. So, when a polyol, like glycerine in which POE(25)octyldodecyl ether has a poor solubility, was added, POE(25)octyldodecyl ether moved to the surface. After saturated at surface, POE(25)octyldodecyl ether began to precitate. The mean particle size of the final emulsion was 230nm. Also, the emulsion system was stable at 0$^{\circ}C$, 25$^{\circ}C$, 40$^{\circ}C$, 50 $^{\circ}C$ and freeze-thaw cycle chamber for a month, while a conventional emulsion system was unstable. It is concluded that, by pertinent combination of polyols, we can improve the adsorption efficiency of surfactant.

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A study on the definition of the healthy urban water cycle (건전한 도시물순환의 정의에 대한 연구)

  • Kim, Hyeonju;Khatatbeh, Arwa;Kim, Young-Oh
    • Proceedings of the Korea Water Resources Association Conference
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    • 2021.06a
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    • pp.476-476
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    • 2021
  • 도시화로 인한 불투수율 증가는 자연 물순환을 왜곡시켜 표면 유출량 증가, 침투량 감소, 증발량 감소 등을 야기한다. 뿐만 아니라 도시화로 인한 인구밀도 집중은 배출오염물질의 평균 농도와 물 사용량을 증가시켜 인공 물순환의 왜곡을 초래한다. 왜곡된 물순환의 회복을 위해 건전한 도시 물순환의 정의를 정립하는 것은 필수적이다. 본 연구는 물순환과 관련된 문헌조사와 평가 분석 방법을 검토하여, 건전한 도시 물순환을 지속가능성, 공평성, 안전성, 효율성 측면에서 시간, 공간, 이해관계자들이 균형을 이루는 것에 초점을 맞추고자 한다. 과거와 현재 상태, 그리고 미래 기후변화시나리오 적용 시 어떤 변화가 있으며, 이에 따른 물순환 관리체계가 확보될 수 있는 모습, 공간적 측면에서 물의 수평적·수직적 이동이 치우침이 없는 모습, 수요자 입장에서 가뭄이나 홍수로 인한 재산·인명 피해가 최소화된 모습, 공급자 입장에서 수량·수질 관리체계가 확보된 모습을 각각 지속가능성, 공평성, 안전성, 효율성으로 정의 내렸다. 도시 물순환의 적절한 상태를 제안하기 위해서 도시 물순환의 지표로 증발산율, 지표수유출률, 지하수유출률, 침투율로 선정하였다. 앞서 언급한 네 가지 측면(지속가능성, 안전성, 공평성, 효율성)에서의 모습과 네 개의 지표 상태를 비교하여 균형 잡힌 도시 물순환의 상태를 제안하고자 한다. 정의에 제시된 네 가지 측면에 대한 하위 항목은 WAMIS, KOSTAT 등을 통해 조사하고 국내 주요 도시와 서울대학교 관악캠퍼스 내에서 분석하고자 한다. 본 연구를 통해 도시 정책 설립 및 이해관계자들에게 수문학적 관점에서 건전한 도시화의 방향을 줄 수 있을 것이다.

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A clinical study of congenital chylothorax and octreotide therapy (선천성 유미흉의 임상적 고찰과 옥트레오타이드 치료)

  • Oh, Ung Geon;Choi, Kyoung Eun;Kim, Kyung Ah;Ko, Sun Young;Lee, Yeon Kyung;Sin, Son Moon
    • Clinical and Experimental Pediatrics
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    • v.51 no.11
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    • pp.1172-1178
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    • 2008
  • Purpose : Congenital chylothorax is an accumulation of lymphatic fluid within the pleural space. It is a common cause of unidentified hydrops fetalis. We examined the perinatal history, clinical manifestation, diagnosis, treatment, and outcome in 6 newborns diagnosed to have congenital chylothorax with hydrops fetalis. We also studied the effect of octreotide therapy for congenital chylothorax in relation to conservative treatment. Methods : We retrospectively reviewed the medical records of 6 patients diagnosed to have congenital chylothorax with hydrops fetalis among 27,907 newborns who were born at the Cheil General Hospital and Womens Healthcare Center between January 2004 and July 2007. The diagnosis of chylothorax is based on the analysis of pleural fluid before and after milk feeding. Results : Incidence of congenital chylothorax in this study was 0.021%. All 6 cases were noted in over the 92% lymphocyte in pleural analysis. Transudate was changed into chyle with increasing triglyceride levels above 200 mg/dL after milk feeding. Three of 6 infants improved with conservative treatment, including thoracostomy and assisted ventilation. The others had persistent symptoms despite conservative treatment and responded to octreotide therapy. A complication, specifically vomiting was noted in 1 case during octreotide therapy. Conclusion : In this study, octreotide therapy resulted in a safe and excellent outcome. Therefore, octreotide therapy is considered in severe refractory congenital chylothorax in conservative treatment. Further studies are required to determine appropriate guidelines for octreotide therapy.

A Clinical Study of Hypertrophic Pyloric Stenosis (비후성 유문 협착증의 임상적 고찰)

  • Kim, Yoon Hee;Jung, Myung Sup;Byun, Soon Ok
    • Clinical and Experimental Pediatrics
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    • v.45 no.11
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    • pp.1389-1396
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    • 2002
  • Purpose : This study was done to analyze the changes in the clinical conditions and the diagnosis of hypertrophic pyloric stenosis. Methods : We report a retrospective clinical analysis of 39 patients with hypertrophic pyloric stenosis from Jan. 1992 to Aug. 2001. The age and sex distribution, family and birth history, clinical symptoms, the ultrasonographic and the operative sizes of pyloric canals were compared. Results : The body weight was below the 3 percentile at admission in eight cases(20.5%). "Olive like mass" in right upper quadrant was palpated during physical examination in 23 cases(59%) and gastric peristaltic wave observed in six cases(15%). The ultrasonographic measurements showed that the pyloric muscle thickness to be $4.95{\pm}0.99mm$($mean{\pm}SD$), pyloric diameter $14.42{\pm}2.64mm$, and pyloric length $20.17{\pm}3.92mm$. Fredet-Ramstedt pyloromyotomy was employed in all cases. The operative measurements of the pyloric muscle thickness was $5.11{\pm}1.01mm$, pyloric diameter $15.01{\pm}2.47mm$, and pyloric length $22.32{\pm}3.43mm$. Conclusion : There was no significant difference between the ultrasonographic and operative measurements. Currently, the hypertrophic pyloric stenosis patients showed lesser clinical hallmarks of the disease. The earlier diagnosis using imaging studies before development of significant metabolic abnormalities is becoming an important factor that change the future outcomes of hypertrophic pyloric stenosis.

Risk factors associated with complicated methicillin-resistant Staphylococcus aureus bacteremia in neonates (신생아의 MRSA 균혈증에서 합병증 발생과 연관된 위험인자)

  • Lee, Young Jin;Kim, Hyen Jin;Byun, Shin Yun;Park, Su Eun;Park, Hee Ju
    • Clinical and Experimental Pediatrics
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    • v.53 no.2
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    • pp.173-177
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    • 2010
  • Purpose : Methicillin-resistant Staphylococcus aureus (MRSA) is an important pathogen that causes nosocomial infection in NICU. It contributes to neonatal morbidity and mortality with variable complications. This study was conducted to identify the risk factors associated with complicated MRSA bacteremia in neonates. Methods : We reviewed the medical records of 44 neonates with positive blood culture for MRSA who were admitted to the NICU of Pusan National University Hospital from January 2002 to December 2007. We compared various factors of the complicated and uncomplicated MRSA bacteremia cases. Results : Of the 44 neonates, 31 were male and 13, female. The mean gestational age and birth weight were $33.2{\pm}4.9$ weeks and $1,859.9{\pm}962.2g$, respectively. Twenty-one of infants were treated with a mechanical ventilator during a mean of $8.8{\pm}13.8$ days. There were 13 cases of complicated and 31 cases of uncomplicated MRSA bacteremia. Between the 2 groups, we compared the following variables: gestational age, birth weight, ventilator use, umbilical catheter use and central catheter insertion, $O_2$ inhalation, first oral feeding day after birth, underlying disease, transfusion, and initial vancomycin use. The underlying disease and transfusion were the risk factors related to complicated MRSA bacteremia. Conclusion : Complicated MRSA bacteremia is related to underlying disease and transfusion. Since this was a retrospective study with a small sample size, it offered limited capacity to compare complicated and uncomplicated MRSA bacteremia. A prospective study with a larger population is needed to determine the exact characteristics of MRSA bacteremia in NICU.

Evaluation of Acid Steatocrit in Korean Infants (한국인 영아에서의 Acid Steatocrit 표준치에 관한 연구)

  • Kim, Kyo-Sun;Park, Ji-He;Sim, Jae-Geon
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.4 no.1
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    • pp.77-82
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    • 2001
  • Purpose: The fecal acid steatocrit is an improved steatocrit method for the evaluation of fecal fat. The present study was set up in order to define the normal range of acid steatocrit values during the first 3 months of life. Methods: Fecal acid steatocrit values were determined in 78 healthy full term and in 21 healthy prematurely born infants between May 1998 and April 2000. The acid steatocrit method was performed in these babies during the first 3 months of life. Results: Steatorrhea occurs during the first month and then decreases, as shown by the fall in the acid steatocrit curve from 1st to 3rd month in our subject. Very high acid steatocrit results (above 90%) were found in all full term and premature infants during the first month of age. Acid steatocrit results of human milk-fed infants were significantly lower than those of formula-fed infants (p=0.0018). Conclusion: We conclude that high acid steatocrit results during the first 1 month of age can be due to physiologic steatorrhea. The acid steatocrit micromethod can be used for the evaluation of milk fat absorption in infants and monitoring steatorrhea instead of other more cumbersome methods.

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