2.A Case of Fetal Alcohol Syndrome.
Jeong Ho KIM ; Myoung Ki HAN ; Jeong Lim KIM ; Yu In PARK ; Jung Joo LEE
Journal of the Korean Child Neurology Society 2001;9(2):393-397
The teratogenic effects of alcohol have been recognized in fetal alcohol syndrome (FAS). FAS is a collection of signs and symptoms seen in some children exposed to alcohol in the prenatal period. An 8 month-old-male with an alcoholic mother was diagnosed as a case of FAS according to the following : 1) early-onset intrauterine growth retardation and persistent postnatal growth failure 2) psychomotor retardation 3) craniofacial dysmorphism. Early diagnosis and continued education are advantageous at all levels, benefiting both the individual and all of society. We present this case with a brief review of related literatures.
Alcoholics
;
Child
;
Early Diagnosis
;
Education
;
Fetal Alcohol Spectrum Disorders*
;
Fetal Growth Retardation
;
Humans
;
Mothers
3.Growth Assessment and Diagnosis of Growth Disorders in Childhood.
Journal of the Korean Pediatric Society 2003;46(12):1171-1177
No abstract available.
Diagnosis*
;
Growth Disorders*
4.Household food security and with stunting among preschool children in Occidental Mindoro.
Kim Leonard G. DELA LUNA ; Ernani R. BULLECER
Philippine Journal of Health Research and Development 2018;22(3):67-76
Background and Objective: Food security is achieved when the population at all times has access to safe, sufficient, and nutritious food to sustain a healthy and active life. This study aimed to determine the significant association between household food security and the prevalence of stunting among preschool children in Occidental Mindoro.
Methods: This study utilized a cross- sectional study design and a three-level, multi-stage, stratified random sampling to answer the study objectives. A total of 480 preschool children (n=240 urban; n= 240 rural) were included in the study. The Radimer-Cornell Tool was used to determine the food security status of the household. A validated- constructed questionnaire was used to determine other factors which were controlled in this study. Multiple Logistic Regression was used to determine significant association between the exposure and the outcome variable while controlling the confounding variable simultaneously.
Results: This study revealed that the prevalence of food insecurity in the province was 51.04% (95% CI: 46.55, 55.53) while the prevalence of stunting was 36.04% (95%CI: 31.73, 40.35). Meanwhile, after controlling the confounding effect of household income and low dietary diversity score it was found that the odds of having a stunted child were 23 times higher among food insecure households (OR: 23.00, 95%CI: 12.05, 43.91).
Conclusion: Based on the results of this study, the magnitude of household food insecurity and stunting were
found to be very high in the study areas. There was a significant association between household food security
and stunting among preschool children.
Growth Disorders ; Child, Preschool
5.Determinants of stunting in young women Age 13-15 years in South Galesong District, Takalar Regency, Indonesia: A cross-sectional study
Novi Aryanti ; Veni Hadju ; Abdul Salam ; Abdul Razak Thaha ; Ansariadi ; Masni
Acta Medica Philippina 2024;58(8):132-138
Background and Objectives:
Malnutrition is a serious public health problem in developing countries, including Indonesia. Based on RISKESDAS 2018, the prevalence of stunting aged 13-15 years in Takalar Regency is 24.83%. This study aimed to assess the prevalence of stunting and the determinants of stunting in adolescent girls aged 13-15 years in the South Galesong District, Takalar Regency.
Methods:
This is a cross-sectional study using purposive sampling method that included 247 adolescent girls in selected junior high schools. Data collection used questionnaires and anthropometric measurements. An anthropometric measurement was converted to the indices of nutritional status using World Health Organization Anthro Plus software.
Results:
The prevalence of stunting was 25.1%. Bivariate analysis showed determinant factors related significantly to stunting were energy intake (p<0.001), protein intake (p<0.001), iron intake (p<0.005), and zinc intake (p<0.001). Multivariate analysis showed determinant factors related significantly to stunting were zinc intake (p<0.001, OR=7.993), protein intake (p<0.05, OR=2.248), and knowledge level (p<0.05, OR=2.032).
Conclusion
The occurrence of stunting is related to the quality and quantity of food and the level of adolescent knowledge about balanced nutrition. It is necessary to hold educational programs and interventions on improving nutrition initiated by stakeholders and the department of health, in this case, the health center is needed to reduce stunting rates, especially among adolescents.
Malnutrition
;
Growth Disorders
;
Adolescent
6.First Korean case of factor V Leiden mutation in pregnant woman with a history of recurrent pregnancy loss
Sung Hee HAN ; Jung Jae SEO ; Eun Seol KIM ; Jae Song RYU ; Seong Hyeon HONG ; Seung Yong HWANG
Journal of Genetic Medicine 2019;16(1):23-26
Thrombophilia refers to inherited or acquired hemostatic disorders that result in a predisposition to blood clot formation. When combined with the hypercoagulable state that is characteristic of pregnancy, there is an increased risk of severe and recurrent pregnancy complications. Activated protein C resistance caused by factor V Leiden (FVL) mutation is known to be the most common cause of inherited thrombophilia in Caucasian population. FVL mutation has been related to pregnancy complications associated with hypercoagulation, e.g. miscarriage, intrauterine fetal demise, placental abruption, and intrauterine growth retardation. Although the FVL mutation is easily detected using molecular DNA techniques, patients who are heterozygous for this disorder often remain asymptomatic until they develop a concurrent prothrombotic condition. Because there are potentially serious effects of FVL mutation for pregnancy, and because effective treatment strategies exist, early detection and treatment of this condition might be considered.
Abortion, Spontaneous
;
Abruptio Placentae
;
Activated Protein C Resistance
;
DNA
;
Factor V
;
Female
;
Fetal Death
;
Fetal Growth Retardation
;
Hemostatic Disorders
;
Humans
;
Pregnancy Complications
;
Pregnancy
;
Pregnant Women
;
Thrombophilia
7.Risk factors for extrauterine growth retardation in very low birth weight infants: a multicenter study.
Chinese Journal of Pediatrics 2020;58(8):653-660
To investigate the incidence and risk factors of extrauterine growth retardation (EUGR) in very low birth weight infants (VLBWI). This prospective, multicenter observational cohort study was conducted based on Shandong Neonatal Network (SNN). The clinical data of the VLBWI (=1 051), who were admitted to 27 neonatal intensive care units from January 1, 2018 to December 31, 2018, were collected and analyzed. According to the weight at discharge or 36 weeks of postmenstrual age, all the enrolled VLBWI were assigned into EUGR group and non-EUGR group. Univariate and multivariate logistic regression analyses were used to detect the risk factors for EUGR in preterm small for gestational age (SGA) and non-SGA infants. A total of 1 051 VLBWI were enrolled, with 51.7% (543/1 051) male. The incidence of EUGR in the whole group was 60.7% (638/1 051), and were 78.3% (90/115) and 46.9% (53/113) in extremely low birth weight infant (ELBWI) and extremely preterm infants (EPI), respectively. The incidence of EUGR in SGA and non-SGA infants were 87.6% (190/217) and 53.7% (448/834), respectively. Logistic regression analysis showed that, withholding feeds (1.531, 1.237, 95: 1.180-1.987, 1.132-1.353, both <0.01) and time to achieve full enteral feeding (1.090, 1.023, 95: 1.017-1.167, 1.002-1.045, 0.014, 0.034) were independent risk factors of EUGR in both SGA and non-SGA infants. For SGA infants, cesarean delivery was an independent risk factor for EUGR (8.147, 95: 2.127-31.212, 0.002); while for non-SGA infants, hypertensive disorders during pregnancy (2.572, 95: 1.496-4.421, 0.001) and the duration of invasive ventilation (1.050, 95: 1.009 - 1.092, 0.016) were independent risk factors of EUGR. Besides, moderate and severe bronchopulmonary dysplasia (2.241, 95: 1.173-4.281, 0.015), necrotizing enterocolitis (5.633, 95: 1.333-23.796, 0.019) and retinopathy of prematurity (2.219, 95: 1.268-3.885, 0.005) were associated with EUGR. The incidence of weight-defined EUGR is high in VLBWI, especially in preterm SGA infants. Avoiding delaying feeds after birth and achieving full enteral feeding early may reduce the incidence of EUGR.
Birth Weight
;
China
;
epidemiology
;
Cohort Studies
;
Female
;
Fetal Growth Retardation
;
epidemiology
;
Gestational Age
;
Growth Disorders
;
Humans
;
Infant
;
Infant, Extremely Low Birth Weight
;
Infant, Newborn
;
Infant, Premature
;
Infant, Very Low Birth Weight
;
Male
;
Pregnancy
;
Prospective Studies
;
Risk Factors
10.A Case of Pregnancy in Essential Thrombocythaemia with Low dose Aspirin Treatment.
Mi Joung AHN ; Jin Hwa JEONG ; Hyo Sook BAE ; Youn Jung KIM ; Min Kyung SONG ; Kyoung Ah SONG ; Young Soo KANG ; Byung Chang KIM ; Chun Ho CHANG ; Hyun Il CHOI ; Young Hee HWANG
Korean Journal of Perinatology 2007;18(2):163-167
Essential thrombocythaemia (ET) is a chronic myeloproliferative disorder characterized by markedly elevated platelet count in the peripheral blood due to an excessive proliferation of bone marrow megakaryocytes. The pregnancy outcome among patients with ET is mostly successful but adverse outcome due to thrombotic and bleeding complications is a matter of concern: miscarriage, intrauterine growth retardation, abruptio placenta, intrauterine fetal death and preterm delivery. Various treatments such as acetylsalicylic acid, hydroxyurea, anagrelide, heparin, interferon alpha and plateletpheresis have been proposed to improve the pregnancy outcome. We report a case of pregnant woman in condition of ET who succeeded in normal vaginal delivery without specific obstetric complications after low dose aspirin therapy during pregnancy.
Abortion, Spontaneous
;
Aspirin*
;
Bone Marrow
;
Female
;
Fetal Death
;
Fetal Growth Retardation
;
Hemorrhage
;
Heparin
;
Humans
;
Hydroxyurea
;
Interferon-alpha
;
Megakaryocytes
;
Myeloproliferative Disorders
;
Placenta
;
Platelet Count
;
Plateletpheresis
;
Pregnancy Outcome
;
Pregnancy*
;
Pregnant Women