• Title/Summary/Keyword: Feeding Techniques

Search Result 103, Processing Time 0.025 seconds

Clinical Experience of Tapering Enteroplasty Using GIA Stapler in Jejunoileal Atresias (소장 무공증 환아에서 GIA stapler를 이용한 Tapering Enteroplasty 임상경험)

  • Song, Young-Tack
    • Advances in pediatric surgery
    • /
    • v.1 no.1
    • /
    • pp.27-32
    • /
    • 1995
  • Jejunal and ileal atresias are the most common cause of congenital intestinal obstruction and accounts for about 1/3 of all cases of intestinal obstruction in newborns. Despite the relative frequency of this anomaly, its survival rate was less than 10% up to 1950, more recently the survival rate has risen rapidly to 90% with the introduction of modern surgical techniques and the use of total parenteral nutrition. In 1969 Thomas described a tapering jejunoplasty to manage the discrepancy in the size of the proximal dilated lumen & contracted distal lumen, and to preserve absorptive surface when the dilated jejunum involved a long length, and Grosfeld et al.(1979) facilitated this method by using GIA staplers. Author have also used GIA stapler to resect the antimesenteric portion of the dilated proximal bowel in 8 cases of jejunoileal atresias with good results. The following results were obtained ; 1. There we 3 jejunal atresias & 5 ileal atresias, and male to female sex ratio was 5 : 3. 2. The type of atresia was as follows ; type IIIa was 3 cases, type IIIb was 4 cases, type IIIb+IV was 1 case. 3. In non-complication cases(5 cases), the mean hospital day was 16 days, and oral feeding was feasible from 6.2 days after operation. 4. The complications(anastomotic leakage, pneumonia) were frequently occurred in type IIIb cases and in low birth weight cases(75%). 5. Mortality rate was 25% including DAMA(discharge against medical advice) discharge case.

  • PDF

Primary Laparoscopic-Assisted Endorectal Pull-Through for Hirschsprung's Disease (히르슈슈프룽병의 일차성 복강경 보조 Endorectal Pull-Through 술식의 임상적 고찰)

  • Park, Byung-Soon;Sul, Ji-Young
    • Advances in pediatric surgery
    • /
    • v.19 no.2
    • /
    • pp.130-139
    • /
    • 2013
  • The application of laparoscopic techniques for the surgical management of Hirschsprung's disease is the recent trend. We described the surgical technique and postoperative long-term outcomes of the one-stage, laparoscopic-assiseted endorectal pull-through operation for Hirschsprung's disease. The technique uses three to four small abdominal ports. Laparoscopic mobilization of the sigmoid colon and rectum is performed and marginal artery-preserving colon pedicle is prepared. The rectal mobilization is performed using a transanal endorectal sleeve technique. The anastomosis is performed 0.5~1 cm above the dentate line. The age at surgery ranged from 6 days to 4 years. The average operative time was 144 minutes. Almost all of the patients passed stool and flatus within 36 hours of surgery. The average hospital stay after surgery was 6.5 days. Among 42 patients, 32 patients older than 3 years old were evaluated for function on defecation. All 32 patients have been continent, of those who needed laxatives were 11 (34.3%) due to constipation and overflow incontinence. Four children (12.5%) have remained dependent on laxatives. Laparoscopic-assisted endorectal pull-through operation for Hirschsprung's disease appears to be safe, provides the less pain, shorter time to full feeding, shorter hospital stay, and excellent cosmetic outcomes. Helping patients and parents ensure the quality of life, they should be provided with counseling, education, and longer-term follow-up care.

Performance Assessment and Contouring Error Prediction of High Speed HMC (고속 HMC 이송계의 운동특성 평가 및 운동오차 예측)

  • 최헌종;허남환;강은구;이석우;홍원표
    • Proceedings of the Korean Society of Machine Tool Engineers Conference
    • /
    • 2004.10a
    • /
    • pp.375-381
    • /
    • 2004
  • Recently, the evolution in production techniques (e.g. high-speed milling) and the complex shapes involved in modem production design has been increasingly popular. The key to the achievement is a drastic improvement of the dynamic behavior of the machine tool axes used in production machinery. The more complex these tool paths the higher the speed and acceleration requirements. But it is very difficult to reach the target for high speed machine tool because of the limitations of servo system and motion control system. However the direct drive design of machine tool axes, which is based on linear motors and which recently appeared on the market, is a viable candidate to meet the ever increasing demands, because of these advantages such as no backlash, less friction, more mechanical simplicity and very higher acceleration and velocity comparing to the traditional system. This paper focused on the performance tests of the high speed horizontal machine tool based on linear motor. Especially, dynamic characteristics were investigated through circular test and circular form machining test is carried out considering many important parameter. Therefore these several experiments is used to be evaluated the model for prediction of circular motion error and circular machined error.

  • PDF

Current Status of Korean Premature Infant Care and its Prospective (한국 미숙아 관리의 현황과 전망)

  • Shin Yeong-Hee
    • Child Health Nursing Research
    • /
    • v.9 no.1
    • /
    • pp.96-106
    • /
    • 2003
  • Advances in neonatal care system and research have resulted in an increased survival rate among low birth weight infants in the industrialized countries. Recent Korean neonatal mortality and morbidity statistics, and current status of Korean neonatal intensive care facilities were reviewed here for the sake of future improvement and research. Morbidity statistics revealed that perinatal diseases accounted for 80% of the death of premature infants implying the possibility of its reduction by the vigorous prenatal care service in future.On the basis of extensive studies of nutritional support and growth rate of premature infants, commercial formulas for premature infants have been developed and various aspects of feeding techniques are standardized. However, problem of growth deficit of premature infants remains unsolved as medical problem. NICU specialists are challenged with the tasks of prenatal education or provision of care that minimizes the neurodevelopmental problems seen in preterm infants, various short-term outcome researches have been reported and those are reviewed here to promote research interest in the field of neonatal nursing. Systemic long-term outcome studies are also awaited in Korea for the formulation of welfare policy in future. Nursing science has to embrace all these interdisciplinary studies as their own research field in collaboration with neonatologist, nutritionist, rehabilitation therapist, social workers and teachers.

  • PDF

A Survey of Female College Students' Knowledge and Attitudes Toward Breastfeeding (여대생의 모유수유 지식 및 태도 조사)

  • Lee, Hyun-Kyo;Song, Yong;Kang, Nam-Mi
    • Korean Journal of Community Nutrition
    • /
    • v.13 no.3
    • /
    • pp.367-373
    • /
    • 2008
  • Breastfeeding is an ideal approach for physical and emotional development of babies, as well as recovery of mothers. A breastfeeding education for female students seems to be an effective intervention to increase the Korean women breastfeeding rate. The purpose of this study was to evaluate their knowledge, attitudes, and other related breastfeeding variables for developing a design for a pre-parental breastfeeding educational information for Korean female students of childbearing age. The sample consisted of 205 Korean female college students, ranging in age from 20 to 25 years old. In this study, a self-administered questionnaire included 6 pages with close-ended multiple-choice questions, and included a cover page with 15 questions on demographic characteristics and personal experiences related to breastfeeding. Data analysis was done utilizing inferential statistics using SPSS 12.0 computer program. The findings indicated that breastfeeding education programs should focus on the practical aspect of attitudes toward. breastfeeding, and that educational information design should focus on the practical aspects of breastfeeding for all. levels of students' education by nurses. Therefore, education for female college students seems to be an effective intervention to increase breastfeeding rate. This study is useful for descriptions of educational activities to help female students develop positive attitudes to breastfeed, to help these students have confidence toward breast-feeding in future by providing correct information and practical techniques on breastfeeding.

The Design of Rear Suspension Using Hydroforming (하이드로포밍을 이용한 후륜 현가장치 설계)

  • Oh, J.H.;Choi, H.H.;Lee, G.M.;Park, S.H.
    • Proceedings of the Korean Society for Technology of Plasticity Conference
    • /
    • 2008.05a
    • /
    • pp.205-208
    • /
    • 2008
  • Generally, there are several types in rear suspension. The rear suspension of subframe type consisting of side member and front/rear cross member is widely used in a medium car and full car. In the small car case, the beam of tubular type without independent suspension system is used to reduce manufacturing cost. The optimized rear suspension of subframe type using hydroforming method has been developed in this study. In designing suspension, the driving stability and durability performance should be considered as an important factor. The stability is related to dynamic frequency and durability is connected with stress analysis of structure. We focus on increasing the stiffness of suspension and decreasing the maximum stress relating to durability cycle life. For making use of the merits of hydroforming which is possible to make the bead, tube expansion, and feeding in desiring position, several optimization design techniques such as shape, size, and topology optimization are proposed. This optimization scheme based on the sensitivity can provide distinguished performance improvement in using hydroforming. Through commercial software based on the finite element, the superiority of this design method is demonstrated.

  • PDF

Evaluation of Benthic Macroinvertebrate Diversity in a Stream of Abandoned Mine Land Based on Environmental DNA (eDNA) Approach

  • Bae, Mi-Jung;Ham, Seong-Nam;Lee, Young-Kyung;Kim, Eui-Jin
    • Korean Journal of Ecology and Environment
    • /
    • v.54 no.3
    • /
    • pp.221-228
    • /
    • 2021
  • Recently, environmental DNA (eDNA)-based metabarcoding approaches have been proposed to evaluate the status of freshwater ecosystems owing to various advantages, including fast and easy sampling and minimal habitat disruption from sampling. Therefore, as a case study, we applied eDNA metabarcoding techniques to evaluate the effects of an abandoned mine land located near a headwater stream of Nakdonggang River, South Korea, by examining benthic macroinvertebrate diversity and compared the results with those obtained using the traditional Surber-net sampling method. The number of genera was higher in Surber-net sampling (29) than in the eDNA analysis (20). The genus richness tended to decrease from headwater to downstream in eDNA analysis, whereas richness tended to decrease at sites with acid-sulfated sediment areas using Surber-net sampling. Through cluster analysis and non-metric multidimensional scaling, the sampling sites were differentiated into two parts: acid-sulfated and other sites using Surber-net sampling, whereas they were grouped into the two lowest downstream and other sites using eDNA sampling. To evaluate freshwater ecosystems using eDNA analysis in practical applications, it is necessary to constantly upgrade the methodologies and compare the data with field survey methods.

Functional Dissection of Glutamatergic and GABAergic Neurons in the Bed Nucleus of the Stria Terminalis

  • Kim, Seong-Rae;Kim, Sung-Yon
    • Molecules and Cells
    • /
    • v.44 no.2
    • /
    • pp.63-67
    • /
    • 2021
  • The bed nucleus of the stria terminalis (BNST)-a key part of the extended amygdala-has been implicated in the regulation of diverse behavioral states, ranging from anxiety and reward processing to feeding behavior. Among the host of distinct types of neurons within the BNST, recent investigations employing cell type- and projection-specific circuit dissection techniques (such as optogenetics, chemogenetics, deep-brain calcium imaging, and the genetic and viral methods for targeting specific types of cells) have highlighted the key roles of glutamatergic and GABAergic neurons and their axonal projections. As anticipated from their primary roles in excitatory and inhibitory neurotransmission, these studies established that the glutamatergic and GABAergic subpopulations of the BNST oppositely regulate diverse behavioral states. At the same time, these studies have also revealed unexpected functional specificity and heterogeneity within each subpopulation. In this Minireview, we introduce the body of studies that investigated the function of glutamatergic and GABAergic BNST neurons and their circuits. We also discuss unresolved questions and future directions for a more complete understanding of the cellular diversity and functional heterogeneity within the BNST.

Review on Atomic Layer Deposition of HfO2-based Ferroelectrics for Semiconductor Devices (반도체 소자용 산화하프늄 기반 강유전체의 원자층 증착법 리뷰)

  • Lee, Younghwan;Kwon, Taegyu;Park, Min Hyuk
    • Journal of Surface Science and Engineering
    • /
    • v.55 no.5
    • /
    • pp.247-260
    • /
    • 2022
  • Since the first report on ferroelectricity in Si-doped hafnia (HfO2), this emerging ferroelectrics have been considered promising for the next-generation semiconductor devices with their characteristic nonvolatile data storage. The robust ferroelectricity in the sub-10-nm thickness regime has been proven by numerous research groups. However, extending their scalability below the 5 nm thickness with low temperature processes compatible with the back-end-of-line technology. In this review, therefore, the current status, technical issues, and their potential solutions of atomic layer deposition (ALD) of HfO2-based ferroelectrics are comprehensively reviewed. Several technical issues in the physical scaling of the ferroelectric thin films and potential solutions including advanced ALD techniques including discrete feeding ALD, atomic layer etching, and area selective ALD are introduced.

Text Classification Using Parallel Word-level and Character-level Embeddings in Convolutional Neural Networks

  • Geonu Kim;Jungyeon Jang;Juwon Lee;Kitae Kim;Woonyoung Yeo;Jong Woo Kim
    • Asia pacific journal of information systems
    • /
    • v.29 no.4
    • /
    • pp.771-788
    • /
    • 2019
  • Deep learning techniques such as Convolutional Neural Networks (CNNs) and Recurrent Neural Networks (RNNs) show superior performance in text classification than traditional approaches such as Support Vector Machines (SVMs) and Naïve Bayesian approaches. When using CNNs for text classification tasks, word embedding or character embedding is a step to transform words or characters to fixed size vectors before feeding them into convolutional layers. In this paper, we propose a parallel word-level and character-level embedding approach in CNNs for text classification. The proposed approach can capture word-level and character-level patterns concurrently in CNNs. To show the usefulness of proposed approach, we perform experiments with two English and three Korean text datasets. The experimental results show that character-level embedding works better in Korean and word-level embedding performs well in English. Also the experimental results reveal that the proposed approach provides better performance than traditional CNNs with word-level embedding or character-level embedding in both Korean and English documents. From more detail investigation, we find that the proposed approach tends to perform better when there is relatively small amount of data comparing to the traditional embedding approaches.