• Title/Summary/Keyword: Term infant

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The Relationships between Prematurity Stereotype, Optimism and Parenting Stress (어머니의 미숙아에 대한 고정관념, 낙관주의 그리고 양육스트레스와의 관계)

  • 김경희
    • Journal of the Korean Home Economics Association
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    • v.38 no.8
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    • pp.111-124
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    • 2000
  • The study of prematurity stereotyping is important because the optimal development of premature infants may be threatened by the operation of the stereotape. The study was conducted in which mothers were asked to rate unfamiliar infants shown on videotapes. The infants were described as either full term or premature and as either male or female. Each mother was asked to rate the infant on 23,7-point adjective scales(S-KISS) and to answer several other questionnaires(LOT, PSI). In the study, infants labeled premature were rated more negatively than were infants labeled full term, but infants labeled male and female were rated similarly. The behavioral implications for child rearing as a result of this "prematurity stereotyping" were considered. Correlational analyses revealed significant relationships between prematurity stereotyping and parenting stress, optinism and parenting stress. Optimism effects parenting stress.

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A Short-term Longitudinal Study on the Actor and Partner Effect of Parenting Efficacy on the Parenting Stress of Parents with Infants (영아기 부모 양육스트레스에 대한 양육효능감의 자기효과와 상대방 효과에 대한 단기종단연구)

  • Kim, Min Jeong;Yee, Bang Sil;Chung, Mi Ra
    • Korean Journal of Childcare and Education
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    • v.12 no.3
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    • pp.1-19
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    • 2016
  • The purpose of this study was to examine the effect of parenting efficacy measured at 6 months of infancy, and on parenting stress at 9-months of infancy through a short-term longitudinal approach. Participants were 116 couples living in Seoul and Gyeonggi-do, whose first born children were in infancy. The results of the 116 couples were analyzed through the APIM analysis method. The results of the APIM showed that mothers' and fathers' actor effect was significant, which meant that parenting efficacy at 6 months of infancy could predict the existence of parenting stress at 9 months of infancy. However, the partner effect of both mothers and fathers was insignificant. This research demonstrates the significance of parenting efficacy at early infancy, which in turn affects parenting stress as well as factors that need to be considered in pre-parental education.

Nutritional strategy of early amino acid administration in very low birth weight infants

  • Lee, Byong Sop
    • Clinical and Experimental Pediatrics
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    • v.58 no.3
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    • pp.77-83
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    • 2015
  • Relative to a fetus of the same gestational age, very low birth weight (VLBW) infants are more likely to be underfed and to undergo growth restriction during their early hospital stay. The current trend towards "early and aggressive" nutritional strategies in VLBW infants aims to overcome the early nutritional deficiency and thereby boost postnatal catch-up growth, simultaneously improving long-term neurodevelopmental outcomes. Although the minimum starting amino acid (AA) dose to prevent negative nitrogen balance is well established, the upper limit and the rate of increase of early AA doses are controversial. Most randomized controlled trials show that early and high-dose (target, 3.5 to 4.9 g/kg/day) AA regimens, with or without high nonprotein calories, do not improve long-term growth and neurodevelopment. High-dose AA supplementation may lead to early metabolic disturbances and excessive or disproportionate plasma AA levels, particularly in infants of very low gestational age. Further large studies are needed to clarify the optimal strategy for early administration of parenteral AA doses in VLBW infants.

Effects of Air Pollution on Public and Private Health Expenditures in Iran: A Time Series Study (1972-2014)

  • Raeissi, Pouran;Harati-Khalilabad, Touraj;Rezapour, Aziz;Hashemi, Seyed Yaser;Mousavi, Abdoreza;Khodabakhshzadeh, Saeed
    • Journal of Preventive Medicine and Public Health
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    • v.51 no.3
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    • pp.140-147
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    • 2018
  • Objectives: Environmental pollution is a negative consequence of the development process, and many countries are grappling with this phenomenon. As a developing country, Iran is not exempt from this rule, and Iran pays huge expenditures for the consequences of pollution. The aim of this study was to analyze the long- and short-run impact of air pollution, along with other health indicators, on private and public health expenditures. Methods: This study was an applied and developmental study. Autoregressive distributed lag estimating models were used for the period of 1972 to 2014. In order to determine the co-integration between health expenditures and the infant mortality rate, fertility rate, per capita income, and pollution, we used the Wald test in Microfit version 4.1. We then used Eviews version 8 to evaluate the stationarity of the variables and to estimate the long- and short-run relationships. Results: Long-run air pollution had a positive and significant effect on health expenditures, so that a 1.00% increase in the index of carbon dioxide led to an increase of 3.32% and 1.16% in public and private health expenditures, respectively. Air pollution also had a greater impact on health expenditures in the long term than in the short term. Conclusions: The findings of this study indicate that among the factors affecting health expenditures, environmental quality and contaminants played the most important role. Therefore, in order to reduce the financial burden of health expenditures in Iran, it is essential to reduce air pollution by enacting and implementing laws that protect the environment.

Development and Evaluation of an e-Learning Program for Mothers of Premature Infants (e-Learning을 이용한 미숙아 어머니 교육 프로그램 개발 및 평가)

  • Lee, Nae-Young;Kim, Young-Hae
    • Journal of Korean Academy of Nursing
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    • v.38 no.1
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    • pp.152-160
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    • 2008
  • Purpose: It has been attempted to support mother of premature infants by providing information of premature infant care using e-Learning because premature infants need continuous care from birth to after discharge. Method: The e-Learning Program for mother of premature was developed with Xpert, Namo web editor, Adobe Photoshop, and PowerPoint and applied for 4 weeks from 4 to 30 September 2006. Result: 1) We found that the contents of information which premature infants' need when being in the hospital and after discharge were the definition of a premature infant, orientation of NICU, care of premature infants, care of premature infants' common diseases, the connection of healthcare resources, exchange of information, and the management of rearing stress. 2) The program content consisted of cause of premature birth, comparison to full-term baby, physiology character, orientation of NICU, common health problems, follow up care, infection control, feeding, normal development physically and mentally, weaning method, and vaccination. Conclusion: Considering the results, this program for mother of premature is a useful means to provide premature-care information to mothers. This information can be readily accessible and can be varied and complex enough to be able to help mothers to the information and assistance they require.

Maternal risk factors associated with the low birth weight (저출생체중아의 출생과 산모의 제요인과의 연관성)

  • Park, Hyung-Cheol;Park, Jong;Lee, Youn-Ji;Moon, Gang
    • Journal of Preventive Medicine and Public Health
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    • v.24 no.3 s.35
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    • pp.356-362
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    • 1991
  • This study was performed to identify the maternal risk factors for the low birth weight. During the period from February to June in 1991, the medical record review and questionnaire interview were conducted upon the 465 pregnant women who were admitted to and delivered a baby in 3 general hospitals and an obstetric hospital in Kwangju area. The health and other related information from women who bore the low birth weight infant was compared with those from women who bore the normal birth weight infant. The results obtained were as follows : 1. Maternal age, low body weight at term, illegitimate birth, and maintaining work activity during pregnancy were positively associated with low birth weight. 2. The positive association was revealed between low birth weight and the previous abortion, short gestational weeks, anemia, low maternal weight gain during pregnancy, the obstetric present illness and hypertension. 3. Some maternal working conditions were associated with low birth weight although statistically not significant. 4. In multivariate logistic regression analysis, gestational weeks and maternal weight gain during pregnancy were related with low birth weight.

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A Case of Moyamoya Disease (모야모야병 환아(患兒) 1예(例)에 대한 증례(症例))

  • Yu Sun-Yae;Lee Seung-Yeon
    • The Journal of Pediatrics of Korean Medicine
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    • v.14 no.2
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    • pp.141-147
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    • 2000
  • Moyamoya is a chronic cerebrovascular disease chracterized by progressive stenosis or occlusion of the terminal parts of both internal carotid arteries with telangiectatic vascular network of collateral circuration at the base of the brain and leptomeningeal arteries. The etiology and pathophysiology of this disease are still unknown. The clinical course in those whose first symptoms occur in childhood is different from those in whom symptoms develop in adult life. The term moyamoya disease should be resserved for those cases in which the chracteristic angiographic pattern is idiopathic; moayamoya syndrome is used when the underlying condition is known. we have experienced a case of moyamoya syndrome in a 5-year-2-month-old boy who presented right-sided hemiparesis. A cerebral angiogram revealed occlusion of abnomal collateral network. Moyamoya disease is applicable to stroke of an infant from oriental medicine point of view, and The symptoms is similar to adult stroke, we have treated adult stroke patint with herb medicine and acupuncutre and physical treatment. The acute stage of stroke is applied to the external treatment(標治), and The recovery stage is applied to the basic treament(本治).

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Efficacy and safety of growth hormone treatment for children born small for gestational age

  • Hwang, Il Tae
    • Clinical and Experimental Pediatrics
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    • v.57 no.9
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    • pp.379-383
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    • 2014
  • Recombinant growth hormone (GH) is an effective treatment for short children who are born small for gestational age (SGA). Short children born SGA who fail to demonstrate catch-up growth by 2-4 years of age are candidates for GH treatment initiated to achieve catch-up growth to a normal height in early childhood, maintain a normal height gain throughout childhood, and achieve an adult height within the normal target range. GH treatment at a dose of $35-70{\mu}g/kg/day$ should be considered for those with very marked growth retardation, as these patients require rapid catch-up growth. Factors associated with response to GH treatment during the initial 2-3 years of therapy include age and height standard deviation scores at the start of therapy, midparental height, and GH dose. Adverse events due to GH treatment are no more common in the SGA population than in other conditions treated with GH. Early surveillance in growth clinics is strongly recommended for children born SGA who have not caught up. Although high dose of up to 0.067 mg/kg/day are relatively safe for short children with growth failure, clinicians need to remain aware of long-term mortality and morbidity after GH treatment.

A Case of Thyroid Hemiagenesis (갑상선 반쪽 무형성증 1례)

  • Kim, Joon-Sung;Lee, Kyung-Yeon;Kim, Ja-Hyeong;Park, Sang-Kyu;Jeong, Jin-Young;Oh, Ki-Won
    • Neonatal Medicine
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    • v.16 no.2
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    • pp.244-247
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    • 2009
  • Thyroid hemiagenesis is a rare congenital anomaly in which one thyroid lobe fails to develop. Thyroid hemiagenesis usually does not cause clinical symptoms by itself, therefore, this anomaly is detected incidentally during the evaluation of other thyroid disorders. We describe a rare case of thyroid hemiagenesis in a 1-month-old female infant who presented with prolonged jaundice and abnormal laboratory findings of congenital hypothyroidism. The patient showed the characteristic features of thyroid hemiagenesis of the left lobe in Tc-99m pertechnetate scintigraphy and ultrasonography of the thyroid gland. The patient has improved with supportive care, including thyroid hormone replacement. Further long-term follow-up is required for the investigation of recurrence of thyroid abnormalities.

A case of delayed hemorrhage of a subcapsular liver hematoma in a neonate (신생아에서 발생한 대량 피막하 간 혈종의 지연성 파열 1례)

  • Moon, Soo Kyoung;Lee, Tae Suk;Yoon, Hye Sun
    • Clinical and Experimental Pediatrics
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    • v.51 no.1
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    • pp.89-92
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    • 2008
  • A subcapsular liver hematoma (SLH) is a relatively common lesion in fetuses and neonates. Although an SLH ruptures rarely, it may be life threatening. We report on a term neonate with a delayed rupture of an SLH that occurred on day 7 of life. The infant had been resuscitated with intubation, positive pressure ventilation, and chest compression at birth because of meconium-associated perinatal depression. The SLH was diagnosed by abdominal ultrasonography and paracentesis, and the ruptured SLH was treated operatively. After intensive medical and surgical management, the infant was discharged healthy on day 27 of life. A newborn infant presenting with the sudden onset of extreme shock and pallor associated with abdominal distension should undergo differential diagnosis for SLH and a clinical evaluation concurrent with fluid resuscitation and timely surgery.