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      • 未熟兒의 臨床的觀察 및 給養에 關한 硏究

        車順香,李敏志 최신의학사 1975 最新醫學 Vol.18 No.4

        A clinical and statistical analysis was made on 308 cases of premature infants,,admitted to the departments of pediatrics at Korea hospital and St. Mary's hospital during the period of May, 1972' to April, 1974. Also a study of! feeding habits of premature babies who were admitted to four general hospitals was carried out in June, 1974. The following results were obtained. 1. The following observations were made with regard to the births studied: 62.3% of the total births were NSD, 17.2% were, C-section and 9.6%, NVD. The brth rate was high in January & September. It was found that previous experience of abortion on the mother's part had no remarkable effect on the incidence of premature birth. 2. The general mortality rate of the cases studied was 19.5%. The mortality rate was high in July & November and it was high in cases of mother's more than 41 years old. It was found that the shorter the period of gestation, the higher the rate of mortality. Also the mortality rate was higher in proportion to lower birth weight. Initial weight loss was greater in the group of lower birth weight, regain & true weight gain during the first month of -life was also slower in the lower birth weight group. Within 24 hours after birth the average measurements of premature infants were: 45.9 cm in height, 31.2 cm round the head, 29. 1 cm round the chest. 3. The lower the weight at birth, the longer the waiting period before the first feeding. The quantity of this first feeding also was in propotion to the weight at birth. The feeding method begins with gavage feeding and gradually has changed to bottle feeding according to the baby weight increased. As additional nutrients for the prematures Vitamin K was given intravenously immediatly after birth. After three weeks Iron was given to the prematures orally. Nam Yang powdered milk was used regularly for prematures and some hospitals used Similac along with Nam Yang powdered milk.

      • 병원식이 종류와 그 적용

        차순향 中央醫學社 1977 中央醫學 Vol.33 No.5

        The aim of this paper is to serve as a. medium of communication between dietitians, doctors and nurses in patient-care at hospitals. It may also be used as supplementary reference material in the teaching of diet therapy to dietetics and nursing students. I tried to include in this paper only those diets that are commonly prescribed in most general hospitals. The source material for this paper was received from dietitians in hospitals of many different countries in-cluding Korea. 1) 7 kinds. of standard hospital diets and indications for use. 2) 12 kinds of therapeutic diets and indications for use.

      • 看護員의 一日消費熱量 및 營養攝取量에 關한 硏究

        車順香 최신의학사 1974 最新醫學 Vol.17 No.11

        These studies were undertaken to determine the daily calorie expenditure and calorie intake of nurses. Our conclusions were based on time-motion study of 40 nurses selected at random in St. Mary's Hospital. Our data was collected from three different work shifts, day duty (7:OOa, m-3:30p. m), eve?ning duty (3:30p) m-10:30 p. m) and night duty (10:30 p. m-7:30 a. m). Time-motion studies were carried out using a stop-watch. The daily . energy expenditure was calculated by summation of data using energy cost per minute, and the time spend one each duty shifts. Since there are no obtained from the individual examinations, they were quoted from the reports given by Passmore & Durnin, Consolazio, Johnson and Pecora, Kim and Chia. Food survey was also carried out regarding the daily calorie intake. All measurements were determined from the standard table of food compositions published by the Office of Rural Development. The results of this study were as follows: 1. The average height and weight of nurses were 158.2 cm and 4_9.3 kg. 2. The average daily energy expenditure of nurses was 2.310 Calories. The break down of this cal?orie expenditure was as follow: nursing care activities 922Cal. (39%). personal physiological activities 579 Cal. (27%), recreation activities 62'9 Cal. (26%), and domestic activities 180 Cal. (8%). 3. The average daily calorie intake was 2389 Cal. The total calorie intake was composed of carbo?hydrate 69%, protein 13%, and fat 20% respectively. The total protein intake was composed of 43% of animal protein and 57% of others. Twenty-two percent of total food intake came from snacks between meal times. The minerals and vitamins content of daily nutrients consumption was found to be much less than the recommended average.

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