• Title/Summary/Keyword: 아동건강관리

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A Case Study on Implementation of a School-Based Tooth Brushing Program in Gangneung City, Korea (강릉시 일부 초등학교 양치교실 운영 사례 보고)

  • Shin, Sun-Jung;Shin, Bo-Mi;Bae, Soo-Myoung
    • Journal of dental hygiene science
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    • v.13 no.4
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    • pp.518-527
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    • 2013
  • In 2011, South Korea's Ministry of Health and Welfare started a national tooth brushing room program without a pilot project. This study aimed to assess the effect of the implementation of this program in Gangneung, Korea. One-year outcomes of oral health behavior and self-reported oral symptoms in the study group after installation of the tooth brushing room were evaluated and compared with those of the control group using chi-square test. The prevalence rate of good self-rated oral health in grade 1-3 students increased from 35.7% immediately after installation to 48.9% after 6 months (p=0.031) compared to 37.3% in the control group (p=0.051). Immediately after installation of the tooth brushing room, 53.5% of grade 1-3 students in the study group brushed their teeth every day, but after 6 months, only 35.5% of students brushed daily (p<0.001) compared to 28.6% in the control group (p=0.007). The prevalence rate of bad breath in grade 1-3 students was 26.2% for the study group immediately after installation compared to 25.5% in the control group (p=0.065), but it declined 16.5% after 6 months (p=0.055). The prevalence rate of bad breath in grade 4~6 students was 14.7% for the study group after 6 months compared to 25.3% in the control group (p=0.016). We recommend the creation of a healthy school environment through a school-based tooth brushing program under the active supervision of classroom teachers and the continuous monitoring of program processes in order to promote children's oral health.

Study on the Oral Health Care by Parents Who have The Child (자녀(子女)에 대한 구강(口腔) 보건(保健) 기초(基礎) 지식(知識)에 관한 연구(硏究) (대구시내(大邱市內) 치과내원(齒科內院) 환자(患者)의 부모(父母)를 중심(中心)으로))

  • Lee, Jong-Do
    • Journal of Technologic Dentistry
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    • v.19 no.1
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    • pp.175-184
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    • 1997
  • The purpose of this study is to examine the effect of parents knowledge on oral health status toward their children. This study was carried out to investigate and analyze the congnitive degree of dental subjects and public who have an experience to be treated for their teeth on the dental knowledge, operative dentistry, and dental prothesis in the oral health care through the questionnaires. The results are as follows; 1. In questioning the fundamental knowledges, 47.6% of respondents in their thirties said that milk tooth of their children are number 20. Although schooling level of their parents is not rel evant to this survey, 21.9% who have only high-school diploma, said also "number 20". As a conclusion, most parents have a big concern in their children's teeth. 2. 44.0% parents answered, asked "who do decayed teeth sping up, and 26.4% said" It is why children eat sugary. Asked "What is efficient preventive measures decayed teeth", 26.5% said it is very relevant to be in the utilization of F-tooth-paste. 3. For children's good theeth, periodically brushing is the important. Most parents recognized brushing efficient. 4. In questioning the possession amount of decayed teeth, 45.8% have more than four. Usually those parents who have children filled their decayed teeth with artificial or installed with dental prosthesis. As a conclusion age is relevant in this study in P<0.05 level. 5. In asking for efficient starting-year of tooth brushing, 42.6% said that 2 or 3 year age is the most efficient, and especially 80.6% teath children to learn brushing themselves(P<0.05) 6. In surveying the way they obtained dental information, 38.9% were given from mass media, but 90% were once not delivered with the education of dental health. Because parents have been know narrow and deficient information of dental health mass media, experts in dental health have to deliver help their parents to be delivered with systematical dental information. The conclustion of this study can summarized that parent's role very important to their children's tooth health and the education program for systematical dental information should be delivered to their parents.

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Nutritional Status of Mentally Retarded Children by Residence and by Degree of Handicap (정신지체아동의 거주형태별 및 장애등급별 영양상태 비교)

  • 김창임;박기순;박영숙
    • Korean Journal of Community Nutrition
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    • v.8 no.1
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    • pp.112-119
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    • 2003
  • We studied the nutritional status of on mentally handicapped children living at home or in institutions since early teenage years are nutritionally important. The subjects of 7 to 12 year old mentally retarded children attenending a special education school in Seoul were surveyed with questionnaires as well as 2-day dietary recall records, with the help of persons of their care-giver when needed. Among the 64 children,54.7% are living in institutions and the rest of them are living at home. They were ranged from the trainable (64.1%) , the educable (26.6%) , and the non-trainable (9.4%) . Their average daily intake of energy intakes (%RDA) was 2,070.1 kcal (94.1%) , Ca 603.9 mg (75.5%) , Fe 11.1 mg (92.5%), Vt.A 507.5 RE (84.6%) , Vt. B$_2$.1g (88.2%), niacin 14.1 g (93.6%) and Vt. C 58.2 g (83.1%) . Their average intakes of these nutrients were significantly higher in subjects of institutions than at home. The nutrients consumed at a much higher level than the RDh of the normal children were Vt. B, (1.6 g,146.8%) and protein (75.3g, 136.9%) . The higher percentage of children at home were under consumed of several nutrients (< 75% RDA) than ones in institutions. When comparing the degree of handicap, energy and nutrient intakes except Vt. C were highest in educable children than trainable ones or Dawn's children. MAR of the diets of the subjects was 0.84. Children at home showed lower MAR as well as NAR of each nutrients, whereas children belonged to INQ < 1 were less at home. Handicapped children at home were snacking higher amount relative to their calorie intake and too frequently, that may lead to their poor nutrition. There was positive correlations between factors of nutrition and physical and dietary behaviors, but there were no correlations between factors of nutrition and health-related habits. Nutritional caring mentally handicapped children in institutions seemed to be more effectively managed.

Literature Review on the Research and Developments of Korean Rural Living Science -Food & Nutrition- (한국 농촌 생활과학 연구동향 및 문헌고찰 -식생활 분야-)

  • 강미영
    • Korean Journal of Rural Living Science
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    • v.2
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    • pp.1-23
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    • 1991
  • 농촌주민들의 영양 섭취실태에 대한 동향을 요약해 보면 1. 총 섭취식품중 약 90% 정도를 식물성식품으로써 섭취하고 있으며, 곡류가 차지하는 비율은 점차 감소되는 반면 콩류, 채소류 및 과일류의 섭취 비율은 현저히 증가하고 있다. 2. 총 열량섭취는 감소하는 추세이고 총열량에 대한 탄수화물 :단백질 :지방의 비율이 74 : 12 : 12의 수준이다. 총 단백질 섭취에 대한 동물성 단백질 섭취율은 36%로써 질적으로 바람직하게 변화되고 있다. 칼슘의 섭취수준이 권장량의 90%정도로서 조금 부족한 듯 하지만 철분, 비타민 등 대체로 영양섭취상태는 많이 개선되었음을 알 수 있다. 3. 농촌 영아들의 경우는 모든 영양소가 권장량에 현저히 미달되는 상태이다. 이유식품 개발 및 이유 방법에 대한 상담 지도가 적극 필요한 실정이다. 4. 새마을 유아원의 설치 및 유아급식의 혜택으로 농촌 유아들의 영양 섭취 상태는 두드러지게 개선되었으나 철분섭취 상태는 권장량에 미달되는 실정이다. 취학전 아동의 영양향상을 위해서는 유아 교육시설 확충 및 간식의 중요성에 대한 농촌 주부 대상의 영양 교육 확대 실시가 요청된다. 5. 국민학교 아동들에게서는 빈혈의 발생 빈도가 높게 나타났다. 성장 발육기에 있는 이들의 심신발달에 필요한 영양공급 및 올바른 식습관 형성을 위해서는 학교에서 일정한 지도 목표를 설정하여 계획적으로 실시하는 학교 급식의 필요성이 강조된다 하겠다. 6. 청소년기 및 임신 수유부의 경우도 철분의 섭취상태가 부족하기는 하지만, 철 결핍성 빈혈증상이 나타날 정도는 아니고 영양섭취상태도 대체로 양호하다. 7. 노인들의 식품 영양 섭취실태는 권장량에 크게 미달되는 실정이기는 하지만 혈액검사의 수치들이 대체로 정상인 범위에 있고 건강상태도 양호한 편이다. 식품 개발 및 조리법에 관해서 요약해 보면 1. 식량수급의 안정을 기하고자 다수확 품종인 통일계통 쌀의 취반 및 가공적성에 대한 검토가 진행되었으며, 잡곡류 및 감자류의 효과적인 이용을 위해 복합분의 사용에 의한 식품가공 적성에 대한 연구들이 실시되었다. 2. 콩류에 대한 연구로는, 기름을 추출하고 남은 탈지대두박의 단백질 식품으로의 이용을 위해 추출법의 검토 및 탈지대두박을 이용하는 두부제조법 등 다각적으로 식품에의 적용에 관해 연구가 진행 되었다. 3. 발효식품 중 김치에 대해서는 농촌지역에서 제조되는 김치의 종류와 섭취실태에 관한 연구 및 김치의 저장성을 증진시키기 위한 일련의 검토가 있다. 간장, 고추장, 된장에 대해서는 Koji를 이용한 개량식 제조법 및 팽화시킨 곡분을 사용하는 간편 제조법, 비용 절감을 위한 대체원료 이용에 대한 연구 등이 진행되었다. 4. 이밖에도, 병조림 제조방법, 어린이를 위한 고영양 보충식 개발, 생선의 폐기 부분을 이용하여 칼슘 급원 식품으로서의 유용성에 관한 조리과학적 검토 등이 실시되었다. 식습관 및 식생활 관리 지도에 관한 연구에 의하면, 농촌여성의 농업역할이 가중되면서 자녀들의 식생활을 방임하기 쉬운 실정이므로 유아 교육시설 및 학교 급식 등을 통해서 바람직한 식습관 형성을 위한 프로그램이 개발되어져야 하며, 한편, 식생활 담당자인 농촌주부에 대한 규칙적이고 정확한 영양교육이 이루어져야 하리라 본다.

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A study on practice behavior of toothbrushing in preschool children by observing survey (미취학 아동의 잇솔질 실천 행동에 관한 관찰조사 연구)

  • Lee, Ji-Young
    • Journal of Korean society of Dental Hygiene
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    • v.10 no.6
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    • pp.1129-1139
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    • 2010
  • Objectives : The purpose of this study was to examine the toothbrushing practice behavior of preschool children by observing children's actual toothbrushing behavior and further to offer basic data available for being reflected in direction and goal establishment of the systematic and organized oral health education in consideration of individual characteristic. Methods : It targeted 225 preschool children from May 6, 2010 to June 8, and analyzed by having the survey results of totally 208 people, except 17 who are noncooperative with the observation survey. As for the collected materials, it carried out frequency analysis and $x^2$-test in order to grasp subjects' general characteristics and toothbrushing practice behaviors and to examine correlation, by using SPSS 12.0 for window. Results : 1. A grasp of toothbrush was indicated 47.1% for "proper" and 52.9% for "improper." The position of holding a toothbrush was indicated to be the highest with 59.6% for "the center in grip." 2. Toothpaste amount was indicated to be 49.0% for" tip in toothbrush, "followed by 38.9% for "half in toothbrush" and 12% for "every side of toothbrush" in order. Significant difference was shown according to age($x^2$=19.125. p<.05). 3. Average toothbrushing time per once was surveyed to be $106{\pm}56$ seconds. 4. As for a toothbrushing method by region, the labial and the baccal surface were indicated to be horizontal scrub with 63% and fones method 11.5%. Significant difference was shown according to gender($x^2$=10.275. p<.05). The anterior lingual surface wasn't washed with 72.6%. Significant difference was shown according to appearance of education($x^2$=6.056. p<.05). 5. A case of requiring exchange because of being widened toothbrush was indicated to be 59.2%. The toothbrush replacement in the highest ratio was needed in kindergarten teachers. Conclusions : The actual toothbrushing practice attitude of preschool children was surveyed to be not right as a whole such as toothbrushing time, toothbrushing method, toothpaste amount, and replacement of toothbrush. Accordingly, the oral health education will need to be performed in order for a change into positive attitude and for improvement in practice level. In addition, it is considered to be likely necessary for development in substantial oral health educational program available for enhancing knowledge level of oral health care in mothers and kindergarten teachers.

Exploring Social Service Demand and Policy Implications of the Vulnerable in Rural Areas (농어촌 취약계층의 사회서비스 수요탐색과 정책함의)

  • Kim, Yun-Yong;Lee, Seok-Hwan
    • The Journal of the Korea Contents Association
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    • v.20 no.12
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    • pp.332-345
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    • 2020
  • This study sought to explore the demand in the social service sector and present policy implications, focusing on the vulnerable in rural villages exposed to worse conditions amid the Covid-19 crisis. To this end, the social service needs of vulnerable groups by household type were analyzed by utilizing the raw data of the 2018 Survey on Rural Well-Being. Analysis showed that the greatest demand social services for all rural villages, the elderly, the disabled, one-person, one elderly and low-income households were income support services, while in household that included children the demand was for childcare and education-related services. The second-highest social services in terms of demand were cultural leisure vacation support services for all rural villages, healthcare-related services for the elderly, the disabled, one elderly and low-income households, cultural leisure vacation support services for households including children and daily life support services for single-person households. Based on these results, a measure was proposed to support social services, tailored to vulnerable groups in rural villages. In addition, the government's lack of a consultation system between urban and rural welfare policies, such as a basic plan for health and welfare in rural villages, led this paper to discuss the need for a feedback function and dedicated formulation of mid- to long-term policies in rural villages. It also proposed the establishment of conditions for providing customized social services for rural villages.

Psychosomatic Management of Medically Ill Children and Adolescents (신체질환이 있는 소아청소년의 정신신체의학적 관리-총론)

  • Lee, Moon-Soo;Joe, Sook-Haeng
    • Korean Journal of Psychosomatic Medicine
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    • v.16 no.1
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    • pp.17-24
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    • 2008
  • Psychosomatic medicine is also known as consultation-liaison psychiatry. Pediatric consultation-liaison psychiatry is composed of all consultation, liaison, diagnostic, therapeutic support and research activities carried out by psychiatrists and other mental professionals in pediatric ward to provide mental health services to physically ill pediatric patients. As the differences in the basic concepts of disease models between psychiatry (psychosocial model) and pediatrics(biomedical model) exist, active communication between the child psychiatrist and pediatric medical staffs is required. Although the general guidelines are similar, there are specific considerations for consultation in children and adolescents. Much work is still needed to identify empirically supported treatments which are effective for managing a board range of psychosocial difficulties in children and adolescents.

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Research Trends Investigation Using Text Mining Techniques: Focusing on Social Network Services (텍스트마이닝을 활용한 연구동향 분석: 소셜네트워크서비스를 중심으로)

  • Yoon, Hyejin;Kim, Chang-Sik;Kwahk, Kee-Young
    • Journal of Digital Contents Society
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    • v.19 no.3
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    • pp.513-519
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    • 2018
  • The objective of this study was to examine the trends on social network services. The abstracts of 308 articles were extracted from web of science database published between 1994 and 2016. Time series analysis and topic modeling of text mining were implemented. The topic modeling results showed that the research topics were mainly 20 topics: trust, support, satisfaction model, organization governance, mobile system, internet marketing, college student effect, opinion diffusion, customer, information privacy, health care, web collaboration, method, learning effectiveness, knowledge, individual theory, child support, algorithm, media participation, and context system. The time series regression results indicated that trust, support satisfaction model, and remains of the topics were hot topics. This study also provided suggestions for future research.

A study on oral health knowledge and behavior of mothers of children attending kindergartens and child care facilities in some parts of Chungnam (충남 일부지역유치원 및 보육시설 아동 어머니의 구강보건 지식과 행동에 관한 연구)

  • Jang, Hee-Kyung;Park, Hyang-Sook;Kim, Sook-Hyang
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.1
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    • pp.30-37
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    • 2013
  • Objectives : Since most oral diseases are not life threatening, it can be assumed that an individual's behavior to maintain one's oral health is most likely influenced by one's oral health knowledge. Methods : Mothers whose children are attending five kindergartens and child care facilities in the city of Danjin, Chungnam were selected as subjects of this study. Out of a total of 230 questionnaires collected. A self-administered survey was conducted from April 1 to April 30, 2012. The data were analyzed using SPSS 19.0 (SPSS 19.0 K for window, SPSS Inc, USA) with the level of significance as 0.05. Results : 1. Most of the participants correctly answered questions on the oral health knowledge with a mean of 7.37 out of 9. 2. In the section of caring a child's oral health behavior, 'caring a child to brush his or her teeth three times a day' had the highest score of 3.45 out of 5. 3. Looking at caring a child's oral health behavior and a mother's oral health knowledge by general characteristics of mothers, there were no significant differences based on the mother's age, whether a mother is currently working or not, her level of education, and her monthly average income. Conclusions : Based on the above results, we can draw a conclusion that the lower the difference between the rate of correct answers and that of incorrect answers on mother's oral health knowledge to her child, the higher the mother's score of caring her child's oral health behavior, leading to better caring.

Psychosocial Impacts of Newborn Bloodspot Screening on Parents: A Scoping Review (신생아 스크리닝이 부모에게 미치는 사회심리적 영향: 주제범위 문헌고찰)

  • Kyoung Eun Yu;Jin Sun Kim
    • Journal of Industrial Convergence
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    • v.22 no.5
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    • pp.137-153
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    • 2024
  • This study synthesized the literature to identify parental psychosocial impact and related factors on newborn bloodspot screening (NBS) process. A scoping review, using the framework proposed by Arksey and O'Malley (2005), was conducted. A literature search was performed of electronic databases (PubMed, CINAHL, RISS, KISS, DBpia) from 2000 to 2023. In total 749 published articles were identified, and 32 articles were included for the final analysis. Almost studies were descriptive studies using survey or interviews and only one intervention study to reduce negative psychosocial impacts was identified. Parents were experiencing negative psychosocial impacts, particularly related to how positive results were initially communicated and had difficulties accessing timely and reliable information. Findings identified that knowledge, quality and satisfaction of education and communication, information sources and providers as related factors of parental psychosocial impacts. Prenatal and postpartum repeated education, providing timely and reliable information, effective communication between health care providers and parents were key to mitigate negative psychosocial impacts. Nurses can play important roles to improve quality on NBS.