• Title/Summary/Keyword: 5-Year-Old Infant

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Dystocia Causing Postrenal Azotemia in a Captive Spotted Hyena (Crocuta Crocuta) (점박이 하이에나에서 신후성 질소혈증을 유발한 난산 증례)

  • Han, Jae-Ik;Kim, Jeong-Ho;Lee, Sook-Jin;Lee, Jong-Won;Han, Sang-Hui;Na, Ki-Jeong;Kim, Ill-Hwa;Kang, Hyun-Gu
    • Journal of Veterinary Clinics
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    • v.27 no.5
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    • pp.614-617
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    • 2010
  • A 3-year-old, female spotted hyena (Crocuta crocuta) was referred with dystocia. The hyena had been in labor for over 5 days, but she failed to expel the infant. The blood biochemistry profiles showed severe azotemia. During caesarian section, we confirmed that the uterus had expanded and contained 1 dead, decayed infant, which compress the urethra, leading to the expansion of the urinary bladder and that the dead fetus was nearly 3 kg in weight (approximately 5% of the maternal weight). Thus, we confirmed that the dystocia caused by oversized fetus and malposture, and the severe azotemia resulted in compression of the urethra by fetus in the hyena. This report is the first to show that the dystocia can induce postrenal azotemia in female spotted hyenas.

The Seosan County Family Planning/Maternal & Child Health Service Research Project, Korea -Project Design and Findings of the Baseline Survey- (가족계획(家族計劃) 및 모자보건사업(母子保健事業)의 효율적 통합방안(統合方案)에 관한 연구(硏究)(서산군(瑞山郡)) -기초조사보고(基礎調査報告)-)

  • Bang, S.;Cho, T.H.;Lee, S.J.;Han, S.H.;Lim, K.J.;Ahn, M.Y.
    • Journal of Preventive Medicine and Public Health
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    • v.16 no.1
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    • pp.163-192
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    • 1983
  • In order to facilitate the Korean government's efforts in integrating family planning and maternal & child health at the primary health care level (or township level), the Soon Chun Hyang College of Medicine, with the financial and technical assistance of WHO, has under-taken a service research project. The project has employed a quasi-experimental study design introducing interventions tat provide crucial factors lacking in the ongoing government programs such as midwives and qualified referral physicians. The study is being conducted in three locations, one control area and two study areas. Before introducing trained Nurse/Midewives into the study areas, a baseline prevalence survey was undertaken from 15 July 1981 to 10 August 1981 in selelcted townships of Seosan County. In this sample survey of bath the study and control areas, 2,484 eligible women (97% reponse rate) were interviewed to obtain benchmark data on basic evaluation indicators related to family planning and maternal and child health. The salients results were summarized as follows.: 1. CONTACT RATES WITH HEALTH WORKERS; During the year preceding the survey, 12% of women were visited by government health workers. The primary reason for such visits by health workers was family planning (45% of the visits). About 34% of the women visited the health centers during the year. The primary reason for visiting health centers was immunizations for their children (45% of the visits). 3. FAMILY PLANNING USE RATE; The baseline data showed little difference between women in the study area and the control area on contraceptive use. Approximately 59% were currently using some methods. However, among those current users, almost half were practicing less effective methods of birth control such as rhythm or withdrawal. Among other methods, the tubectomy was the most popular (16%), while use of the IUD, oral pill and condom together reached only 14%. 3. PRENATAL CARE RATE; About 75% of the women reported no prenatal care for their last births (the youngest child of each women), Additionally, among women received prenatal care, over half had only one visit. 4. ATTENDANCE AT DELIVERY; Most of the women surveyed (over 80%) were attended by a non-medical person during their last delivery. These figures are somewhat comparable to the national figure of 84% for remote areas. 5. POSTNATAL CARE; The proportion of women reporting postnatal care was only 4.5%, and postnatal care was not received by the majority of women surveyed. 6. CHILD HEALTH CARE: In contrast to the low rate of maternity care for women themselves, most women reported obtaining immunization care for their children. About 75% of the women obtained Polio and/or DPT, 58% BCG, and 44% Measles vaccine for their children. However, in terms of illness care, while 35% of the women stated that their youngest child had been sick during the month preceding the survey, only 28% of these women took their child to the clinic for treatment. 7. COMPLICATIONS OF PREGNANCY AND DELIVERY AND ABNORMALITIES IN THE NEWBORN; Among all last deliveries, 18% of the women had pregnancy complications and 9% of the women had complications during delivery About 5% of the women reported abnormality in their most recent newborn. 8. REPRODUCTION EFFICIENCY; PERINATAL MORTALITY AND INFANT MORTALITY Based on data from the pregnancy history in this survey, reproduction efficiency was estimated. Out of the 11,154 pregnancies reported by all women surveyed, foetal loss was 21% (almost 16% were induced abortions) and infant deaths before reaching one year old were 3.1%. The reproduction efficiency was, therefore, reduced to 76%. In terms of perinatal and infant mortality rates, the former was 40.2 per 1,000 total births and the latter was 39.3 per 1,000 live births. Both rates described J shaped relationships with age of mothers and parity, and they were also correlated with birth interval and mother's education. In summary, this baseline survey data indicated a need for (1) improving contraceptive practices with more effective methods to prevent unwanted pregnancies and (2) providing better services for maternal and child care to protect wanted pregancies. In the Korean rural setting. the author believes that the latter is more important as the value of each child has increased as a result of the family planning campaign for the past two decades. This calls for more effective integration of Family Planning and MCH programmes to meet the needs of the family in each stage of the child bearing and rearing period with deploying more qualified personnel than the current government program personnel.

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Multicentric melanotic neuroectodermal tumor of infancy: a case report (다발성 유아기 흑색 신경외배엽성 종양의 치험례)

  • Choi, Byoung-Hwan;Park, Su-Won;Jang, Soo-Mi;Park, Bong-Chan;Son, Han-Na;Son, Jang-Ho;Sung, Iel-Yong;Kim, Jong-Ryoul;Cho, Yeong-Cheol
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.36 no.5
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    • pp.434-437
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    • 2010
  • A melanotic neuroectodermal tumor of infancy (MNTI) is a uncommon osteolytic pigmented neoplasm that primarily affects the jaws of newborn infants. Most patients (> 90%) present with the tumor in the first year of life. Approximately 65% form in the maxilla, 11% in the mandible, 5% in the brain and elsewhere. MNTI is normally benign, but up to 15% may recur and a few have metastasized. Approximately 200 cases of MNTI have been reported but only 2 of them presented as multifocal. A case of MNTI in a 7 month old boy was encountered. The chief complaint was maxillary anterior ridge swelling. The incisional biopsy findings were MNTI. Two months after the first operation, mild swelling of another site was observed. The infant was examined periodically since undergoing two procedures with no recurrence. This case demonstrates the possibility of a multicentric MNTI. We report a multicentric MNTI with a review of the relevant literature.

The effects of multimedia fairytale activities on infants' prosocial actions (멀티미디어 동화 활동이 유아의 친사회적 행동에 미치는 영향)

  • kim, Yong-Sook;Ran, Sung-Young;Yoo, Ji-Eun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.7
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    • pp.4498-4510
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    • 2015
  • The purpose of this study is to investigate effective teaching media for infants' teaching-learning process by comparing the effects of multimedia fairytale activities and picture fairytale listening activities on infants' prosocial actions. Following the purpose of this study, we studied any effect to infants' prosocial actions from multimedia fairytale activities by dividing in two groups. This study was conducted with 5-year-old infants (total 40; 20 experimental group & 20 comparison group) in D daycare center in Daejeon. Verifying data tool were time series corresponding t-test, independent t-test and multi-variant analyses. As a result, multimedia fairytale listening activities are more effective for infants' prosocial actions. It has meaningful difference in the interpersonal relationship skills and early childhood education adapt which is sub-area of infant's prosocial actions. So, for various and high-quality early childhood education, using multimedia teaching media is more effective than existing teaching media.

Development of Education Program for Early childhoods (유아용 교육프로그램의, 개발)

  • 김경화;박덕원
    • Journal of the Korea Computer Industry Society
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    • v.2 no.7
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    • pp.885-894
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    • 2001
  • The production and application of multimedia by domain in accordance with an infant level on the educational spot are some what insufficient to satisfy and difficult to be connected with class activities. Therefore, This essay proposes a way that it products educational program in accordance with a child level using ToolBook II and applies to class activities directly so that the infants can promote learning achievement. The embodied program is to be classified into six domains, a letter world, a figure world, a colorful world, a nursery rhyme world, a nursery tale world and internet site, on the basis of the play domain of infant education course. It is different from the existing CD ROM Title for young children by subject. The program is appropriately applied close multimedia factor for infants, such as images and sounds in order to stimulate their hearing and vision because it is programmed just for young children. And also, it is made up to be able to be applied without suing letters because they are unaccustomed to letter. After it have been applied to infants, A Rating-measure method is chosen in the course of an evaluation. Consequently, It shows that, a letter world, a figure world and a colorful world of each domain have an efficient learning effect and also at the ages of 5~7, 7 year-old infants have the best efficient learning effect.

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Differences in Infant Problem Behaviors According to Adult Attachment and Parenting Attitudes of Mother (어머니의 성인애착과 양육태도에 따른 유아의 문제행동에서의 차이)

  • Lee, Seung Hee;Kim, Sag Ok
    • Korean Journal of Child Education & Care
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    • v.19 no.1
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    • pp.75-86
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    • 2019
  • Objective: The study looked at the relationship between the mother's adult attachment, the children's problematic behavior and the mother's nurturing attitude. In doing so, this study tried to determine whether the mother's nurturing attitude would play a moderating role in the context of the effect of mother' adult attachment on the children's problematic behavior. Methods: we surveyed 352 mothers of 3~5 year old infants who were financially dependent on day care centers. Results: The problematic behavior of being daunted is high when mothers' adult attachment of avoidance is high and when mothers have low level of controlling pattern in their nurturing of their children. The problematic behavior of anxiety and depression was observed when adult attachment of anxiety was high and low level of controlling pattern in their nurturing. Meanwhile, when the externalized problematic behaviors were examined, no interaction effect of mothers' adult attachment and nurturing pattern was observed in all sub-levels of the children's externalized problematic behaviors. Conclusion/Implications: We could see how the influence of parenting attitude appears in mothers with unstable adult attachment. In addition, mothers with unstable adult attachment may be able to confirm that the quality of the interaction of the parent-child relationship and the form of the child's problem behavior differ according to the level of the mother's parenting attitude in the child's problem behavior. The results of this study showed that mothers with unstable adult attachment differed in the form of problem behaviors of infants according to mother's parenting attitude in infant problem behaviors.

Toddler Teachers' Perception and Application of the Contents of the 3rd Standard Educare Curriculum (제3차 어린이집 표준보육과정의 영역별 내용에 대한 영아교사의 인식과 적용 실제)

  • Kim, Ji-Young;Kim, Dong-Rye
    • The Journal of the Korea Contents Association
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    • v.16 no.5
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    • pp.318-326
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    • 2016
  • The purpose of this study was to analyze differences in toddler teachers' perception and application of the contents of the Standard Educare Curriculum. The participants of this study were 205 toddler teachers in charge of two-year-old children at childcare centers in Jollanamdo. For the survey, a questionnaire was prepared for the purposes of this study based on the contents of the $3^{rd}$ Standard Educare Curriculum. Collected data were analyzed using SPSS 18.0 through frequency analysis, descriptive statistics, paired sample t test, independent sample t test, F test, and Duncan's post hoc test. The results are as follows. First, toddler teachers' perception of the contents of the National Standard Educare Curriculum was high, and the level of understanding was higher than when their academic degree was high. Second, toddler teachers' application of the contents of the Standard Educare Curriculum was relatively high. Third, there was a significant difference between toddler teachers' perception of the contents of the Standard Educare Curriculum and their actual application of the contents.

Prevention of Preterm Birth and Management of Uterine Contraction with Traditional Korean Medicine (조산 방지 및 자궁수축 관리의 한의학적 치료)

  • Kim, Eun-Seop;Jang, Eun-Ha;Kim, Nam-Hyoung;Jan, Sae-Byul
    • The Journal of Korean Obstetrics and Gynecology
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    • v.29 no.4
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    • pp.24-33
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    • 2016
  • Objectives: The aim of this study was to demonstrate the benefit of Traditional Korean Medicine as an adjuvant therapy in management of early uterine contractions and the prevention of Preterm Birth (PTB). Methods: It is a case report of a 38 year-old-woman hospitalized for irregular uterine contractions and cervical change at 33+3/7weeks of gestation. After 7 trials of IVF and artificial insemination, conception was successful via IVF with help of traditional Korean medicines. 2 TKMs were prescribed: Gami-danggui-san, and Antae-eum. 120 ml of Gami-danggui-san was given twice a day morning and evening along with same amount of Antae-eum once a day from 31 August 2013 to 28 November 2013. Tocolytics (Ritodrine) was administered as a first aid for maintenance of pregnancy. Information regarding progress until the delivery was collected during the patient’s visit. Results: As of 34+2/7 weeks of gestation, intermittent uterine contractions appeared (5-12 min) on cardiotocography and vaginal bleeding was also smeared at 34+3/7 weeks. However, enhanced tocolytics and continuous administration of herbal medicine sustained the pregnancy to term. At 37+2/7 weeks, no sign of labor with restored cervical length was confirmed. The woman gave a term birth to a healthy infant via vaginal delivery at 39+3/7 gestational weeks. Conclusions: Our report implies the potential of herbal medicine as a adjuvant therapy for preterm labor treatment. Further studies are needed to assess the safety and efficacy of TKM herbal medicine as a therapeutic alternative for curing preterm birth.

DENTAL CHARACTERISTICS OF A PATIENT WITH INCONTINENTIA PIGMENTI : A CASE REPORT (색소실조증 환자의 치과적 특성 : 증례보고)

  • Song, Jihyeo;Lee, Koeun;Song, Je Seon;Lee, Jaeho;Choi, Hyung-Jun
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.14 no.2
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    • pp.88-91
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    • 2018
  • Incontinentia pigmenti(IP), or Block-Sulzberger syndrome is a rare X-linked dominant genodermatosis that affects almost in female infant and is usually lethal for males in utero. IP is characterized by four cutaneous stages and is frequently associated with dental, ocular, central nervous system and structural anomalies. Dental problems are congenital missing of teeth, delayed eruption, abnormal crown shape. We reported a case of 5 year-old female with IP. She had congenital missing of multiple primary and permanent teeth, accessory cusp and cone-shaped crowns. Systemically, she had a problem of retina and hyperpigmented macules on her trunk and extremities as typical character of IP. As the syndrome involves many different medical problems and needs comprehensive consideration. Dental care should be performed in a multidisciplinary consultation system.

An ANKRD11 exonic deletion accompanied by a congenital megacolon in an infant with KBG syndrome

  • Seo, Go Hun;Oh, Arum;Kang, Minji;Kim, Eun Na;Jang, Ja-Hyun;Kim, Dae Yeon;Kim, Kyung Mo;Yoo, Han-Wook;Lee, Beom Hee
    • Journal of Genetic Medicine
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    • v.16 no.1
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    • pp.39-42
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    • 2019
  • KBG syndrome is an autosomal dominant syndrome presenting with macrodontia, distinctive facial features, skeletal anomalies, and neurological problems caused by mutations in the ankyrin repeat domain 11 (ANKRD11) gene. The diagnosis of KBG is difficult in very young infants as the characteristic macrodontia and typical facial features are not obvious. The youngest patient diagnosed to date was almost one year of age. We here describe a 2-month-old Korean boy with distinctive craniofacial features but without any evidence of macrodontia due to his very early age. He also had a congenital megacolon without ganglion cells in the rectum. A de novo deletion of exons 5-9 of the ANKRD11 gene was identified in this patient by exome sequencing and real-time genomic polymerase chain reaction. As ANKRD11 is involved in the development of myenteric plexus, a bowel movement disorder including a congenital megacolon is not surprising in a patient with KBG syndrome and has possibly been overlooked in past cases.