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철결핍빈혈을 가진 저체중출생아에서 식이력 조사 및 이유지식 평가
박소현,전용훈,김순기,김재숙 대한소아혈액종양학회 2014 Clinical Pediatric Hematology-Oncology Vol.21 No.2
Background: As improving of the techniques and equipments of NICU, the survival rate of low birth weight (LBW) infants has been increased. LBW babies have the risk for iron deficiency anemia (IDA) due to their rapid growth after birth and the low endowment of iron. We investigated weaning practices in LBW infants and their mother’s knowledge about weaning with respect to iron nutrition. Methods: The 112 infants born lower than 2,500 g brought to Inha University hospital from March 2000 to July 2012 were assigned to this study. The range of the age of the infants is from 5 to 24 months. We classified the infants to 2 groups, that is, IDA group (n=41) and non-IDA group (n=71). We compared the hematologic value-hemoglobin<11 g/dL and serum ferritin <10 ng/mL or transferring saturation <15%-of the 2 groups, and the questionnaire about feeding pattern, weaning practice and mother’s nutritional knowledge about weaning. Results: The IDA group showed significant lower level of hematological parameters than non-IDA group (P<0.05). The group diagnosed IDA before the first 6 months of life was tendency to breastfeed without iron-fortification (P<0.01). The starting time for weaning showed no significant difference in 2 groups. The groups started weaning at 6-6.6 months after the birth (P=0.66). Both Education level of mother and gestational age have no effect on the time of beginning weaning. The food with weaning start is mainly home-made rice soup (over 80%) on both group (P=0.55). Over 20% of the IDA group tended to be delayed in weaning course (over 4 month), compared to the non-IDA group. Only 17% of IDA infants took iron, whereas 88% of non-IDA infants did. There were no significant differences in knowledge about weaning. Conclusion: Most of the IDA infants did feeding just by maternal milk until 6 months without iron fortification. LBW infants revealed lower hematologic values about IDA, and IDA group had a higher tendency to be delayed over 4 months in completing weaning course. Therefore, we recommend that the LBW infants with maternal feeding should take iron supplements or high-iron containing foods earlier.
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왕수경,김지현 대한지역사회영양학회 1999 대한지역사회영양학회지 Vol.4 No.4
This study was conducted to investigate the weaning practice of 198 infants in Taejon city in October, 1998. Information on infant feeding and weaning practices were obtained by interviewing mothers in gynecologist and pediatric clinics located in Taejon. The results obtained were as follows : In the survey 37.4% of the infants were breast-feeding, while 31.3% of them were bottle-feeding and 29.3% of them were mixed-feeding. The reason for bottled-feeding was due either to the lack of breast-milk secretion or motner’s job. The educational level of the mother and maternal job affected the feeding methods before weaning. Lower rates of breast-feeding were found among mothers witn a lover level of education. The breast-feeding rate was lower in full-time and part-time job worker groups than in housewife. There was no significant difference in the feeding methods according to family income. Among the subjects, 71.5% of infants began to be weaned within 7 months. The onset of weaning was delayed in the full-time worker group. There was no significant difference in the onset time of weaning according to feeding method, the educational level of the mother, and family income. 60.6% of infants received fruit juice and 29.6% of them received cereals for first-given-supplementary food. ‘For baby’s nutritional status’ was the most common motivation for the onset of weaning. Commercially prepared foods were used more than home-made food for supplementary food.
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심장수술 환자를 위한 전문간호사 주도의 인공호흡기 이탈 프로토콜 적용 결과
임영주,최수정 한국중환자간호학회 2024 중환자간호학회지 Vol.17 No.2
Purpose : This study aimed to assess the effectiveness of an advanced practice nurse (APN)-driven ventilator weaning protocol for patients undergoing cardiac surgeries.Methods : A retrospective analysis was conducted on 226 patients admitted to the intensive care unit (ICU) of a tertiary hospital between January and June 2020, following a cardiac surgery. Patients were divided into an APN protocol-applied group (experimental group, n=152) and a control group managed based on doctors' judgment (n=74). Ventilator weaning criteria and clinical outcomes, including duration of ventilation, length of ICU stay, and rate of reintubation, were compared between the two groups.Results : Patients in the control group were older and had a higher incidence of massive bleeding from chest tube drainage (>100 cc/hr) at baseline. The average duration of ventilation was significantly shorter in the experimental group compared to the control group (7.44 vs. 21.61 hours, <i>p</i> <.001). Furthermore, the mean length of ICU stay was shorter in the experimental group compared to the control group (47.96 vs. 77.97 hours, <i>p</i> <.001). There was no difference in the rate of reintubation between the two groups.Conclusion : These findings suggest that an APN-driven ventilator weaning protocol can improve clinical outcomes without significant complications. These results support the adoption of APN-driven mechanical ventilator weaning protocols in clinical practice.
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청주지역 영유아의 이유 실태 및 영유아 어머니의 이유식 광고에 대한 신뢰도
김기남(Ki Nam Kim),고선미(Sun Mi Ko),권현정(Hyun Jung Kwon) 충북대학교 생활과학연구소 2005 생활과학연구논총 Vol.9 No.2
A survey was carried out to investigate the weaning practices of infants and their mothers" reliability on advertisements of weaning foods. Subjects included 120 mothers who visited public health centers in Cheongju city between Jan. 24th and Feb. 14th in 2003 and had babies aged under 24 months, and were interviewed using a questionnaire. The results were as follows: In the start time of weaning, half of subjects(50.0%) answered that they began when their babies were three or four months old, and in the cessation time, 34,5% of respondents stopped weaning when their ages were 12 or 13 months. In the kinds of weaning foods, 42.6% of subjects answered that they fed commercial formula, and 40.9%, home made foods, and 16.5%, both of them. In the reason of feeding commercial formula, 48,3% replied because of "convenient", and 25.0%, "more nutritious than home-made. Majority of subjects who used commercial weaning foods answered that they satisfied with that foods, and the main reason why they selected the specific brand was "high credit of manufacturer". Mean score of reliability on advertisements showed 2.05-3.02(full score 4.00) in five categories of advertisement messages. 68.1% of the subjects answered that they met some over-exaggerated advertisements. In the characteristics of the group according to the degree of reliability on advertisement, those, who had high reliability, used commercial weaning foods more frequently, and accepted advertisements more positively compared to those who had low reliability. Therefore, the education for women who consume weaning foods should be needed, and monitoring and supervision over baby food advertisements are required to protect consumers from the adverse effect of exaggerated advertising.
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강원 일부 지역 영유아의 수유 및 이유실태와 영아 영양에 대한 어머니들의 태도
이정실,최경순,Lee Jeong-Sill,Choi Kyung-Soon 동아시아식생활학회 2005 동아시아식생활학회지 Vol.15 No.4
This study was carried out to investigate the lactation and weaning practice of infants and their mothers' attitude on infant nutrition. We interviewed 152 mothers in three pediatric clinics located in Sokcho city. From this survey, $76.3\%$ of infants was fed colostrum milk during first one week of life. During the first 4 months, $31.6\%$ of infants was fed breast-milk, while $42.8\%$ of them was fed bottled-milk. More housewives fed their babies with breast milk than the working mothers. Infants ate first weaning food at 5.73$\pm$1.86 months of life. Highly educated mothers showed positive response to the questionnaire : Breast-feeding is good for baby but it requires mother's sacrifice, and Breast-feeding may ruin the good shape of mothers. Highly income mothers responded negatively to the statement : Breast-feeding is not a must for infants since bottled-milk is a good substitution for breast-milk. Comparing with the mothers whose income was about 1 -2 million won per month, with ones who got paid less than 1 million won per month the former responded positively to : Breast-feeding is good for baby but it requires mother's sacrifice. Mothers recognized the importance of weaning in the following order : Supply of nutrition, Enforcement of digestion and absorption capability, Variety of taste, Disease prevention, Development of self-reliance, and Development of baby tooth. To improve the infants' nutritional status, education program on infant nutrition should be organized and run for the pregnant and lactating women in obstetrician and pediatric clinics and through the mass media as well.
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Seonmin Huh,Jee Eun Lee 한국언어과학회 2014 언어과학 Vol.21 No.2
This paper investigated what types of classroom practices were being used in reading classes with native English speaking teachers. With the issues of NESTs' quality of teaching and lack of experience teaching reading over conversational English, understanding what went on in the actual classroom was urgently needed. Seven NESTs' classrooms were observed for teaching practices and were analyzed for their productivity. Findings covered: 1) meaning-oriented discussion; 2) accuracy over fluency; 3) no comprehension check as failed literacy pedagogical content knowledge; 4) activities without clear linguistic goals. It was found that while NESTs provided rich meaning-oriented discussion, they lacked their monitoring of students' comprehension and did not design class activities with strong linguistic goals. They tended to concentrate on accuracy over fluent reading. Based on these findings, the educational implications for NEST training and model classroom practices were suggested. (Woosong University)
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