• Title/Summary/Keyword: At-risk children

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A Study on Internet Addiction and Parental Marital Conflict, Parenting Attitudes, and Parental Monitoring and Control as perceived by Elementary School Children (아동이 지각한 부모의 부부갈등, 양육태도, 감독과 통제와 인터넷 중독에 대한 연구)

  • Yang, Myong-Suk;Jo, Eun-Joo
    • Korean Journal of Human Ecology
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    • v.20 no.2
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    • pp.339-351
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    • 2011
  • The purpose of this study was to inquire into how children's internet addiction is affected by home environments, computing environments, parental marital conflicts, parenting attitudes and parental monitoring and control as perceived by children. The study was conducted on 579 sixth graders at elementary schools located in Daejeon City. The data was analyzed by frequency, percentage, $X^2$, one way ANOVA, and scheffe analysis using the SPSS 18.0 version program. The results were as follows: first, out of 579 students, 5.0% were classified as at high-risk for addiction; 22.8% as at potential-risk; 72.2% as normal. Second, in the high-risk group, boys accounted for a higher percentage compared to girl students. Mothers' academic backgrounds and fathers' occupations affected the children's internet addiction. Third, the high-risk group tended to use the internet in internet cafes, to use it before going to elementary school, to use it for at least 4 hours once, and to use it to play games. Fourth, the high-risk group perceived parents marital conflicts as more frequent and more severer, as compared to other groups. Fifth, while the high-risk group perceived parenting attitudes as negative, the normal group perceived them as positive. Sixth, the potential-risk group and the normal group perceived parental monitoring and control as more frequent, as compared to the high-risk group.

Renal scar formation after urinary tract infection in children

  • Park, Young Seo
    • Clinical and Experimental Pediatrics
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    • v.55 no.10
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    • pp.367-370
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    • 2012
  • Urinary tract infection (UTI) is a common bacterial illness in children. Acute pyelonephritis in children may lead to renal scarring with the risk of later hypertension, preeclampsia during pregnancy, proteinuria, and renal insufficiency. Until now, vesicoureteral reflux (VUR) has been considered the most important risk factor for post-UTI renal scar formation in children. VUR predisposes children with UTI to pyelonephritis, and both are associated with renal scarring. However, reflux nephropathy is not always acquired; rather, it reflects reflux-associated congenital dysplastic kidneys. The viewpoint that chronic kidney disease results from renal maldevelopment-associated VUR has led to questioning the utility of any regimen directed at identifying or treating VUR. Despite the recognition that underlying renal anomalies may be the cause of renal scarring that was previously attributed to infection, the prevention of renal scarring remains the goal of all therapies for childhood UTI. Therefore, children at high risk of renal scar formation after UTI should be treated and investigated until a large clinical study and basic research give us more information.

A Study on setting the Environment of Inclusive Playground Including Disabled Children and Children without Disabilities (including at-risk children) based on J. Ayres' Sensory Integration Theory (감각통합이론에 근거한 장애와 비장애를 포용하는 놀이터 환경 구성에 관한 연구)

  • Kim, Naeri
    • Korean Institute of Interior Design Journal
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    • v.24 no.3
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    • pp.205-212
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    • 2015
  • This study starts at the at-risk children(the students in the margins)' needs for the inclusive education environment who increased lately. It is studied in the limited scope, which is about spacially 'playground' and 'Sensory integrative therapy' in terms of the special education therapy. The 6 environmental setting principles are suggested, which is redefined in terms of suitable for applying to the environment design based on the training way and arbitration principle of J. Ayres' Sensory integrative therapy. And then various environment design methods are drawn from above-mentioned 6 principles, they are categorized in 4 elements for environmental setting - sensory element, behavior element, mental element and design expression element. This trial brings daily practice of therapeutic stimulate to sensory integration dysfunction children, and sensory experiential diversity promoting development to general children. Expecially it has some advantage that at-risk children(the students in the margins) feel a sense of belonging as a member of society.

Prevalence of Cardiovascular Risk Factors in School-aged Children (학령기 아동의 심혈관계 질환 위험인자의 유병률)

  • Yun, E-Hwa;An, Ji-Yeon;Lee, Bong-Suk;Tak, Young-Ran
    • Journal of Preventive Medicine and Public Health
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    • v.38 no.3
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    • pp.366-372
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    • 2005
  • Objectives : This study was conducted to assess the distribution of cardiovascular risk factors (serum lipid profiles, BMI, blood pressure, fasting blood sugar) and evaluate the risk profile of CVD by the clustering of the cardiovascular risk factors in school-aged children in the Kyoung-Gi area. Methods : The study sample consists of 208 11 year-old children (51.4% boys, 48.6% girls) who participated in a cross-sectional screening of cardiovascular risk factors. We surveyed their socio-demographic characteristics, measured the anthropometric variables and analyzed the biochemical markers. Results : Of the cardiovascular risk factors, the percentage risk of the BMI, dyslipidememia and hypertension were highest. The prevalence rates of total cholesterol and LDL-cholesterol in girls was higher than in boys. Also, the associations of the BMI, total cholesterol, LDL-cholesterol, HDL-cholesterol, triglycerides, systolic and diastolic blood pressures were highly significant. In addition, the proportion of subjects with 1, 2, 3 and 4 or more risk factors were 29.3, 12.5, 2.9 and 1.9%, respectively; therefore, a total of 97 subjects (46.6%) had at least one more risk factor. Conclusions : From these findings, we concluded that the rates of hypercholesterolemia, cardiovascular risk groups and obesity prevalence of these groups were relatively high. These data provide further evidence that the early intervention for cardiovascular health prevention and promotion in school-aged children is necessary at the population level.

Chemical Risk Factors for Children's Health and Research Strategy (어린이 건강관련 유해물질 연구방향)

  • Lee, Hyo-Min;Jung, Ki-Hwa
    • Journal of Food Hygiene and Safety
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    • v.23 no.3
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    • pp.276-283
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    • 2008
  • To provide the research strategy for protection of children's health from hazardous chemical, we reviewed the hazardous chemicals can be exposed through maternity, children's life style and living environment. Recently, diseases related with children's living condition were focused as asthma, atopy, childhood developmental disability, congenital malformations and obesity. Children can be exposed to hazardous chemicals through an ambient air, water, soil, food, toys and other factors such as floor dust. Also children's health was deeply related with a wrong life style and neglectful caring by a lack of knowledge and information of harmful ones at parents and child care center's nursers. According to the previous study, the chemical risk factor of children's health were identified as inorganic arsenic, bisphenol A, 2,4-D, dichlorvos, methylmercury, PCBs, pesticide, phthalates, PFOA/PFOS, vinyl chloride, et al. Domestic studies for identification of causality between children exposure to chemicals and resulted hazardous effects were not implemented. The confirmation of chemical risk factors through simultaneously performing toxicological analysis, human effect study, environmental/human monitoring, and risk assessment is needed for good risk management. And also, inter-agency collaboration and sharing information can support confirming scientific evidence and good decision making.

Individual Risk and Social Risk as Interacting Determinants of Peer Victimization (개인적인 요인과 사회적인 요인에 따른 직접적인 괴롭힘과 관계에서의 따돌림)

  • Lee, Jeom Sook;Yoo, An Jin
    • Korean Journal of Child Studies
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    • v.20 no.3
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    • pp.107-121
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    • 1999
  • This hypothesis of this study was that individual risk variables (behavior problems) compounded by social risk variables (peer rejection) would place children at risk for victimization by peers. Subjects were 385 boys and girls in 3rd and 5th grade. Data were collected with questionnaires. As predicted, behavior problems (both internalizing and externalizing) were more strongly related to victimization when children were rejected by peers than when they were accepted. These results illustrate the principle that individual risk variables depend on social context.

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Analysis of Relationships between Parenting Stress, Maternal Depression, and Behavioral Problems in Children at Risk for Attention Deficit Hyperactive Disorder (주의력결핍 과잉행동장애 위험요인에 따른 어머니의 양육스트레스, 우울 및 아동문제행동 간의 관계분석)

  • Shin, Hee-Sun;Kim, Jeong-Mee
    • Journal of Korean Academy of Nursing
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    • v.40 no.3
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    • pp.453-461
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    • 2010
  • Purpose: In this study differences in behavioral problems between children at risk for Attention Deficit Hyperactive Disorder (ADHD) and normally developing children were identified. Further, relationships between parental stress, depression, and child behavioral problems according to ADHD symptoms were explored. Methods: Participants were 222 elementary school children and their parents. The ADHD risk group was determined by the Korean-ADHD Rating Scale. Data were collected using the Korean-ADHD Rating Scale, Korean version of Child Behavior CheckList (K-CBCL), Parenting Stress Index, and Beck Depression Inventory. Data were analyzed using t-test, Pearson correlation coefficients, and regression analysis. Results: 1) The ADHD risk group showed higher levels of behavioral problems, parenting stress, and maternal depression than the normal group. 2) There were significant relationships between ADHD scores and parenting stress (r=.66), maternal depression (r=.35), internal behavioral problems (r=.47), and external problems (r=.55), but, ADHD risk scores were negatively correlated with social competence (r=-.40). 3) The regression analysis revealed that ADHD levels affected the child's internal behavioral problems, mediated by maternal depression ($\beta$=.29, p<.001). Conclusion: The study results show that higher risk scores for ADHD indicate a significant effect for behavioral problems. Also, parenting stress and depression influence child's behavioral problems. These results suggest that identification of children at risk for ADHD and development of parental education programs would contribute to the prevention of behavioral problems and aggravation of the ADHD symptoms.

Analysis on the Risk-Based Screening Levels Determined by Various Risk Assessment Tools (III): Proposed Methodology for Lead Risk Assessment in Korea (다양한 위해성평가 방법에 따라 도출한 토양오염 판정기준의 차이에 관한 연구(III): 우리나라 납 오염 위해성평가 방법 제안)

  • Jung, Jae-Woong;Nam, Kyoungphile
    • Journal of Soil and Groundwater Environment
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    • v.20 no.6
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    • pp.1-7
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    • 2015
  • The most critical health effect of lead exposure is the neurodevelopmental effect to children caused by the increased blood lead level. Therefore, the endpoint of the risk assessment for lead-contaminated sites should be set at the blood lead level of children. In foreign countries, the risk assessment for lead-contaminated sites is conducted by estimating the increased blood lead level of children via oral intake and/or inhalation (United States Environmental Protection Agency, USEPA), or by comparing the estimated oral dose to the threshold oral dose of lead, which is derived from the permissible blood lead level of children (Dutch National Institute for Public Health and the Environment, RIVM). For the risk assessment, USEPA employs Integrated-Exposure-Uptake-Biokinetic (IEUBK) Model to check whether the estimated portion of children whose blood lead level exceeds 10 µg/dL, threshold blood lead level determined by USEPA, is higher than 5%, while Dutch RIVM compares the estimated oral dose of lead to the threshold oral dose (2.8 µg/kg-day), which is derived from the permissible blood lead level of children. In Korea, like The Netherlands, risk assessment for lead-contaminated sites is conducted by comparing the estimated oral dose to the threshold oral dose; however, because the threshold oral dose listed in Korean risk assessment guidance is an unidentified value, it is recommended to revise the existing threshold oral dose described in Korean risk assessment guidance. And, if significant lead exposure via inhalation is suspected, it is useful to employ IEUBK Model to derive the risk posed via multimedia exposure (i.e., both oral ingestion and inhalation).

Projected lifetime cancer risk from cone-beam computed tomography for orthodontic treatment

  • Jha, Nayansi;Kim, Yoon-Ji;Lee, Youngjun;Lee, Ju Young;Lee, Won Jin;Sung, Sang-Jin
    • The korean journal of orthodontics
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    • v.51 no.3
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    • pp.189-198
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    • 2021
  • Objective: To estimate the projected cancer risk attributable to diagnostic cone-beam computed tomography (CBCT) performed under different exposure settings for orthodontic purposes in children and adults. Methods: We collected a list of CBCT machines and their specifications from 38 orthodontists. Organ doses were estimated using median and maximum exposure settings of 105 kVp/156.8 mAs and 130 kVp/200 mAs, respectively. The projected cancer risk attributable to CBCT procedures performed 1-3 times within 2 years was calculated for children (aged 5 and 10 years) and adult (aged 20, 30, and 40 years) male and female patients. Results: For maximum exposure settings, the mean lifetime fractional ratio (LFR) was 14.28% for children and 0.91% for adults; this indicated that the risk to children was 16 times the risk to adults. For median exposure settings, the mean LFR was 5.25% and 0.58% for children and adults, respectively. The risk of cancer decreased with increasing age. For both median and maximum exposure settings, females showed a higher risk of cancer than did males in all age groups. Cancer risk increased with an increase in the frequency of CBCT procedures within a given period. Conclusions: The projected dental CBCT-associated cancer risk spans over a wide range depending on the machine parameters and image acquisition settings. Children and female patients are at a higher risk of developing cancer associated with diagnostic CBCT. Therefore, the use of diagnostic CBCT should be justified, and protective measures should be taken to minimize the harmful biological effects of radiation.

Writing Performance and Error Type in At-risk Children with ADHD : Comorbidity of ADHD and Learning Disabilities in Written Expression (ADHD 위험군 아동의 쓰기 수행 수준과 오류유형 : ADHD와 쓰기학습장애의 공존성 탐색)

  • Kim, Eun-Hyang;Kim, Dong-Il;Koh, Eun-Young
    • Korean Journal of Child Studies
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    • v.34 no.1
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    • pp.71-86
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    • 2013
  • The purpose of this study was (1) to examine the level of learning disabilities reflected in the written expression and writing performance of at-risk children with ADHD, (2) to investigate the level of differences in writing learning disabilities and writing performance depending on ADHD subtypes, and (3) to explore the error types and contents in the written expression of at-risk children with ADHD. The participants in this study were 46 upper grade elementary school children. They were firstly screened by teacher nomination, and only participants with a K-ARS score of over 17 were then selected to be among the 46 children involved in this study. Two further tests were then carried out : K-LDES as an index of learning disabilities in written expression and BASA-writing as an index of writing performance. The results showed that the at-risk children with ADHD possibly had comorbid writing learning disabilities. They were significantly different in terms of the number of total syllables, errors and correct syllables that they produced, in comparison to normal children. But there were no differences as regards the level of learning disabilities in terms of written expression and writing performance based on ADHD subtypes. As regards the implications of these results for future research, we suggested that there is a need for the identification of comorbid writing learning disabilities in ADHD assessment.