• Journal of Korean society of Dental Hygiene
• /
• v.7 no.4
• /
• pp.405-418
• /
• 2007

The purpose of this study was to examine the interest level of mothers in oral health. The subjects in this study were 184 mothers whose children attended daycare centers in the city of K. A survey was conducted from March 15 through April 30, 2007, and SPSS WIN 11.5 program was employed to analyze their answer sheets. The findings of the study were as follows: 1. A group of mothers whose children brushed their teeth three times a day on the average made up 55.7 percent of those who were at the age of 35 and under. Among the mothers having three or more children, those mothers accounted for 59.1 percent. The daily mean toothbrushing frequency of children was higher among the better-educated mothers. 2. Concerning dietary and oral guidance, the mothers whose academic background was better curbed their children's excessive sugar intake more often, and the gap between them and the others was statistically significant(pE.05). As to the importance of oral health by the number of child and academic credential, those who had two children(36.0%) taught them the importance of oral health frequently(pE.01), and the better-educated mothers taught about it often(pE.05). The gap between the groups and the others was significant. 3. As for experience of visiting dental institutions, the working mothers visited dental institutions more often than the stay-at-home mothers, and the gap between them was statistically significant(pE.05). Regarding purpose of the visit, the largest group aimed to get treatment(64.6%), followed by having a dental checkup(14.6%) and receiving preventive treatment(13.5%). As to any inconveniences in using dental institutions, those who were working and who were in the upper income bracket found it more inconvenient to do that because of a long distance or time constraints. The gap between them and the others was significant. 4. In regard to concern for dental care, the mothers who were better educated(pE.001) and whose family income was 3 million won or more had their teeth scaled more often, and the gap between them and the others was statistically significant(pE.01). The rate of the regular visitors of dental institutions stood at 32.7 percent of the junior-college graduates, 31.0 percent of the mothers receiving college or higher education and 10.1 percent of the high-school graduates(pE.01). And those who earned larger income paid a visit to dental institutions more often and on a regular basis. The gap between them and the others was statistically significant(pE.05).

• Journal of the Korean Society of Child Welfare
• /
• no.36
• /
• pp.101-132
• /
• 2011

Using data collected from Korean mothers (N＝429) with preschool children (aged 3 to 5 years) in 12 day care centers in Seoul, this study aims to empirically demonstrate the different pathways acute and chronic stress affect parenting efficacy of mothers according to the income group to which they belong. Analytic results show mothers in the low-income group show higher levels of depressive symptoms than mothers in the middle-income group, and the former also show more frequent and higher levels of acute and chronic stress than the latter. The mediation model results show that acute stress and chronic stress did not directly affect parenting efficacy, but rather indirectly affect parenting efficacy through maternal depressive symptoms. Acute stress and chronic stress are both significant factors affecting depressive symptoms with chronic stress exerting greater influence. When the total effect was analyzed, chronic stress has a greater effect on parenting efficacy than acute stress. The effect of chronic stress on maternal depressive symptoms is greater on low-income mothers than middle-income mothers, while the effect of acute stress on maternal depressive symptoms and the effect of those symptoms on parenting efficacy are greater on middle class families than low-income families. In order to maximize effective parenting in high-risk situations, the psychological welfare of mothers needs to be protected from the environmental difficulties they face. Based on the results, policies to support women and parents at the national and social levels are discussed.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.13 no.11
• /
• pp.5229-5237
• /
• 2012

Occupational therapist is required for patient-centered approaches to actively seek the perspectives of patients and their families in clinical settings. The purpose of this study was to investigate the current trends and to suggest future-oriented view of examination and assessment used by neurological occupational therapist in clinical settings. Sixty-six occupational therapists who work in persons with neurological disorders participated in this study. The survey was measured from Seoul and GyeongGi by means of E-mail about commonly used assessment tools and selecting considerations. The participants were 66 neurological occupational therapists. The number of patients by one day was from 10 to 14 persons, and the length of time for initial evaluation was 20-40 minutes per one patient, and reexamination periods was every 1 month or as functional changes were detected. The using tool was not limited only neurological tools, and choice consideration was the reliability and validity of clinical measures. The most frequently used tools for adults were: JHFT for motor function in upper extremity, MMSE-K for cognitive perceptual assessment, MBI for daily activity assessment, and COPM for occupational performance. The most frequently used tools for child were: MVPT for cognitive perceptual assessment and Wee-FIM for daily activity assessment. The results of this study suggest that it is necessary to integrate and associate patient-report, care-giver report, and results of performance-based assessment for estimating plan of care more quality.

• Korean Journal of Childcare and Education
• /
• v.12 no.1
• /
• pp.1-17
• /
• 2016

The objective of the study is to find out the effects of toddler's temperament and mother's parenting behavior on the development of vocabulary ability. The study was conducted with 299 infants between the ages of 18 and 24 months and their mothers in 47 day care centers in I city, Jeollabukdo. The results of the study are as follows. First, according to the correlation between infant's temperament and vocabulary based on the composition of temperament, approach-avoidance, adaptability, and mood showed a negative correlation with receptive and expressive vocabulary, and response intensity showed a positive correlation with receptive vocabulary. Second, according to the relation between mother's parenting behavior and infant's vocabulary ability based on the sub-factors of mother's parenting behavior, instructional parenting behavior and setting-limits parenting behavior showed a positive correlation with receptive and expressive vocabulary. Third, according to the effects of infant's temperament and mother's parenting behavior on the development of infant's vocabulary ability, as for the understanding of vocabulary, the explanation power of approach-avoidance is the highest, followed by instructional parenting behavior, response intensity, and mood. As for expressive vocabulary, the explanation power of instructional parenting behavior is the highest, followed by mood, response intensity and activity. In the development of infant's vocabulary ability, it was found that receptive vocabulary was affected the most by approach-avoidance, and expressive vocabulary was affected the most by instructional parenting behavior. Mothers will have to have interrelation skills suitable for temperament for the development of infant's receptive vocabulary, and have parenting behavior expressing the traits of things and events for the development of expressive vocabulary.

• Korean Journal of Childcare and Education
• /
• v.12 no.1
• /
• pp.143-170
• /
• 2016

This paper organized a cooperative activity using character-related picture books for guiding children to cooperate as a part of an effort to present solutions against the increasing tendency of individualism and the de-communization phenomenon among serious social issues affecting children in modern society. This paper aims to help the children to build the proper caring thinking for others and understanding the self by applying those cooperative activities. The subjects were 50 children of 4 years old in K and S day care centers in city C. The data were analyzed by caring thinking tool using t-test. It also recognized change to children's caring thinking of play situation by way of video and observation journal. The results of the research found that the experimental group's caring thinking score was significantly higher than that of the control group. In accordance with the general analysis of the program results, it was verified that the cooperative activity's use of character-related picture books included caring thinking, understanding the self, and respecting others' emotionsin them. The results of this study can be used as basic data to develop an educational activity program for character development and help with the application of character-related picture books.

• Korean Journal of Childcare and Education
• /
• v.10 no.1
• /
• pp.131-146
• /
• 2014

The purpose of this study was to examine the effects of ego-resilience and professionalism awareness on occupational stress of early childhood teachers. The subjects of this study were 154 early childhood teachers working at day care centers and kindergartens. The data and information were collected through questionnaires. Correlation analysis and multiple regression analysis were performed on the collected data with the SPSSWin 18.0 statistics program. The following results were shown: First, in regards to the relationship between ego-resilience, professionalism awareness and occupational stress, there were high correlations among them. Second, ego-resilience of early childhood teachers had a greater influence on occupational stress. Third, professionalism awareness of early childhood teachers had an influence on occupational stress. Forth, ego-resilience and professionalism awareness of early childhood teachers had influences on occupational stress, and their explained variance was 28%. These results imply that the support systems shoud be prepared to improve positive thoughts and attitudes of early childhood teachers.

• Asian Pacific Journal of Cancer Prevention
• /
• v.15 no.14
• /
• pp.5921-5926
• /
• 2014

A large proportion of patients with thyroid nodules in China undergo thyroidectomy in order to get confirmatory histology diagnosis. The financial impact of this modality remains to be investigated. To evaluate rationality of performing thyroidectomy without a routine FNA preoperatively from the economic perspective, we conducted a retrospective, observational study of all archival thyroidectomies with records of cost per stay (CPS), cost per day (CPD) and length of stay (LOS) from 2008 to 2013 in the First Affiliated Hospital of Nanjing Medical University. We compared all the parameters between cancer and non-cancer thyroidectomies. We recruited 6, 140 thyroidectomies with valid records of CPS, CPD and LOS in this period. The CPS of cancer thyroidectomy was significantly higher than non-cancer thyroidectomy. The percentage of cancer thyroidectomy increased from 26.5% to 41.6%. The percentage of annual cost of cancer thyroidectomies rose from 30.2% to 45.2%. The LOS for cancer and non-cancer thyroidectomy decreased while the CPD increased in the past six years. The estimated national cost in 2012 for all thyroidectomies would be USD 1.86 billion with USD 1.09 billion for non-cancer thyroidectomies. We have witnessed great improvement in the healthcare for patients with thyroid nodules in China. However, given limited healthcare resources, currently thyroid FNA for more precise preoperative diagnosis may help to curb the rapidly increasing demand in healthcare costs in the future for nodular thyroid disease in China.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.17 no.8
• /
• pp.389-396
• /
• 2016

This article aims to help improve day care qualitatively to offer base data for applying the standard childcare curriculum and improve the management, by analyzing the teacher's recognition, organization and management on the 3rd standard childcare curriculum. For this, we examined teacher's recognition, organization and management on the 3rd standard childcare curriculum and determined how much a teacher of an infant class and a teacher of a young children class conduct for every sector. A questionnaire was prepared to study the recognition, organization and management on the $3^{rd}$ standard childcare curriculum and the selected study subjects were educare teachers in G-do. T-test and one-way analysis of variance were conducted with the collected research data. The study results are as follows. First, the educare teachers mostly recognized the $3^{rd}$ standard childcare curriculum. Second, they were properly organizing and managing the 3rd standard childcare curriculum. Third, all the teachers of an infant class and a young children class were conducting the $3^{rd}$ standard childcare curriculum for every sector.

• Clinical and Experimental Pediatrics
• /
• v.53 no.3
• /
• pp.314-322
• /
• 2010

Purpose : Through a clinical and retrospective analysis of pediatric patients who visited the Regional Emergency Medical Center of Masan Samsung Hospital from January 2007 to December 2008, we characterized pediatric and adolescent emergency patients to improve emergency care in future. Methods : We reviewed the medical records of 14,065 pediatric patients below 19 years of age. Results : The male to female ratio was 1.5:1, and the most common age group was less than 3 years (49.6%). The peak month was May (10.0%), the peak day of the week was Sunday (24.7%), and the peak time of day was 20:00-0:59 (8.5%). There was no difference in the number of visits per day based on weather (sunny, rain [below 10 mm per day], snow, and fog) or daily temperature difference; however, visits increased on sandy, dusty days and decreased on rainy days with more than 10 mm of rain per day. Based on the international classification of disease (ICD)-10 system, the most common disease code was code R (symptoms, sign, and abnormal clinical laboratory finding) (31.5%), and the most common symptom was fever (13.1%). Final outcomes were discharged (73.8%), admitted (25.7%), transferred (0.4%), and expired (0.1%). In adolescent patients aged 15-9 years, the most common disease code was Injury & Poisoning (code S&T, 36.9%); the most common symptom was abdominal pain (9.6%). Conclusion : Pediatric patients visiting the emergency center were most likely to be male and under 3 years of age and to visit between 20:00 and 21:00 on Sundays and in May, and the most common symptom was fever. Differences between adolescents and pediatric patients showed that adolescents had a higher visiting rate with abdominal pain and a larger temperature difference.

• Journal of The Korean Society of Inherited Metabolic disease
• /
• v.16 no.1
• /
• pp.18-23
• /
• 2016

Objective: Newborn screening leads to improved treatment and disease outcomes, but false-positive newborn screening results may impact include parental stress and anxiety, perception of child as unhealthy, parent-child relationship dysfunction, and increased infant hospitalizations. The purpose of this study was to investigate of the false positive rates and the causative factors of false positive results in Tandem Mass Spectrometry (TMS) in single center. Methods: Records were reviewed for all 18,872 subjects who were born in Cheill General Hospital, during January 1st, 2012 to December 31st, 2014. 17,292 neonates (91.62%) were tested for tandem mass screening almost in 2-5th day of life. Newborn babies whose first results were abnormal had been tested repeatedly by same methods in 7-14 day. If the results were abnormal again, further evaluation was performed. TMS analysis included data for the 43 disorders screened for using TMS broken down into three categories: fatty acid oxidation disorders, organic acidurias, and aminoacidopathies. The impact of several factors on increased false positive rates was analyzed using a multivariate analysis: time from birth to sample collection, birth weight, birth height, BMI, gender, gestational age, delivery type. Results: Males of the subjects were 8942 (51.7%), female 8350 (48.3%), the mean gestational age was $38.6{\pm}1.7$ weeks, the average birth weight $3,155.6{\pm}502.4g$, the average birth height $49.1{\pm}2.9cm$, and the average BMI $13.0{\pm}3.8(kg/m^2)$. Vaginal delivery cases were 9713 (56.2%), caesarean section 7,579 (43.8%). The average date of the inspection was $2.8{\pm}1.1$ days. 224 cases were identified as TMS positive. All the subjects were false positive (222/17,292, 1.30%) except 2 cases (1 male; benign phenylketonuria and 1 female; Short chain acyl-CoA dehydrogenase deficiency). The false positive rates were 0.61% in fatty acid oxidation disorders, 0.25% in organic acidurias, and 0.45% in aminoacidopathies. In our study, the date of inspection got late, the false positive rates got higher. Because almost the cases of late test date were in treatment in neonatal intensive care unit so their test date was affected by their medical conditions. False positive rate was higher in extreme immaturity${\leq}27$ weeks than newborns of gestational age >27 weeks [OR=6.957 (CI=1.273-38.008), p<0.025] and extremely low birth weight<1,000 g than newborns of birthweight ${\geq}1,000g$ [OR=5.616 (CI=1.134-27.820), p<0.035]. Conclusion: False positive rate of TMS was 1.30% in Cheil General Hospital. Lower gestational age and birth weight impacted on increased false positive rates. Better understanding of factors that influence the reporting of screening tests, and the ability to modify these important factors, may improve the screening process and reduce the need for retesting. of screening tests, and the ability to modify these important factors, may improve the screening process and reduce the need for retesting.