• Title/Summary/Keyword: Child health

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Body composition by bioelectrical impedance analysis in children below 7 years old (7세 미만의 소아에서 생체전기저항법에 의한 체성분 분석)

  • Jung, Jiyoung;Kim, Han Wool;Kim, Tae Hyun;Hong, Young Mi
    • Clinical and Experimental Pediatrics
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    • v.53 no.3
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    • pp.341-348
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    • 2010
  • Purpose : Body composition is important to define and manage obesity and undernutrition. Obesity is a significant health problem with medical and psychological consequences for children and adolescents. Body composition analysis (BIA) is a simple, rapid, noninvasive, and reproducible technique. However, comparative analysis of body composition has not been done in young children below 7 years old. The aim of this study is to estimate antropometric data and body composition by BIA, and to investigate the correlation between anthropometric data and fat mass or fat percent in young children. Methods : We measured height, weight, body mass index (BMI), fat mass, and fat percent by BIA in 1,376 children aged 3-6 years of whom 688 were males and 688 were females. Results : Fat mass, fat percent, intracellular fluid, extracellular fluid, protein, and minerals were significantly higher in the obese group. A significant positive correlation exists between fat mass and BMI or weight. A significant positive linear correlation was also noted between fat percent and BMI. Protein, weight, fat mass, and fat percent were significantly different among groups. Conclusion : BIA is an objective, accurate method to estimate body fat in childhood obesity cases. Fat mass and fat percent data acquired by using BIA highly correlated with BMI. However, a large-scale study is needed to diagnose obesity in young children.

State of Visual Acuity Test and Factors Related to Vision Deterioration of Preschoolers (미취학 아동의 시력검진 실태와 시력저하 관련요인)

  • Lee, Sunghwa;Lee, Haejung
    • The Journal of the Korea Contents Association
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    • v.16 no.12
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    • pp.132-142
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    • 2016
  • The study aimed to examine the state of visual acuity tests in preschoolers and determine the factors affecting the deterioration of their vision. A total of 172 pair, child aged 5-7 years and either one of their parents, were recruited from childcare centers or kindergarten between August 2015 and January 2016. Questionnaires were administered to the parents, and the children's visual acuities were measured. Using forward selection in logistics regression analysis, factors affecting vision deterioration were elucidated. Of 172 children, 128 (74.4%) had undergone a visual acuity test previously and 77 (44.8%) showed a deterioration in their vision. Children who had undergone their first visual acuity test after the age of 7 years (OR=7.425, CI=2.844- 19.385) and showed more abnormal eye symptoms, such as squinting or tilting the head to see or falling down frequently (OR=3.084, CI=1.202-7.914) and whose age was younger (OR=10.335, CI=3.252-32.848), were more likely to develop deterioration of vision. Children who had a posture such that they looked up at the computer monitor from below (OR=.075, CI=.022-.255), were less likely to show deterioration of vision. It can be inferred that early visual acuity tests is essential to detect deteriorated vision of preschoolers. Therefore, it is necessary to educate parents, personnels in day care center, and health clinics about the importance of early visual acuity tests and close observation of specific behaviors related to vision deterioration. Development of precautionary intervention program of vision deterioration in preschoolers and examination of its effects are needed.

Occupational Therapy Intervention for Improving Play of Children : A Systematic Review (아동의 놀이 향상을 위한 작업치료 중재에 관한 체계적 고찰)

  • Lee, Sun-Hee;Park, Hae Yean
    • The Journal of Korean Academy of Sensory Integration
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    • v.15 no.2
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    • pp.93-106
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    • 2017
  • Objective : The purpose of this study is to provide an evidence for clinical practice by systemic analysis on occupational therapy interventions for improvement of children's play. Methods : Articles used in this study were collected from database of Pubmed, ProQuest, EBSCOhost, Scopus, RISS, KISS, and National Library of Korea. The key words used in the search were "Play AND Occupational Therapy AND (Intervention OR Treatment)" and the publication period was limited from January 2007 to April 2017. 11 articles in total were selected for the systematic review analysis. Results : The results revealed that the majority of studies was one-group non-randomized study and the majority of intervention used was play-based intervention in case of that play itself was the intervention goal. The most frequently used environment for the intervention was parallel setting of home and treatment room. The majority of studies was for children with ADHD and the most commonly used assessment tool was Test of Playfulness (ToP). Dependent variables measured along with play were language skills, social interactive skills, communication and pragmatic skills, problem-solving skills, caregiver responsiveness, and parent-child interaction. Conclusion : This study help to understand the current state of occupational therapy intervention for improvement of children's play. Starting with the understanding, it is expected that various studies on play of children will be done in the future.

A Study on Psychological Well-being of Married Female Teachers (기혼 여교사의 심리적 복지수준 연구)

  • Jeong, Hye-Young;Oh, Yoon-Ja
    • Journal of Korean Home Economics Education Association
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    • v.19 no.4
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    • pp.187-199
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    • 2007
  • The purpose of this study is to investigate the psychological well-being of married female teachers working in public elementary schools in Gyeonggi Province and Seoul. Statistical analysis was carried out using SPSS 12.0 including frequencies, one-way ANOVA, Duncan-test. The findings were summarized as follows: First, they scored average 3.23 on a five-point scale of psychological well-being, which meant they were positive about psychological well-being. Second, with the background variables considered, marital status and subjective standard of life resulted in significant differences. Those who answered their subjective standard of life were high scored the highest point on the scale. Third, with the background variables considered, age, subjective standard of life and happiness, family relation and psychlogical health were shown to affect the psychological well-being.

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A study on the Effects of Employees' Socio-emotional Problems on Stress, Depression, and Self-esteem (근로자의 사회정서적 문제가 스트레스와 우울 및 자아존중감에 미치는 영향 연구)

  • Choi, Soo-Chan;Park, Hae-Woong
    • Korean Journal of Social Welfare
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    • v.57 no.4
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    • pp.177-196
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    • 2005
  • Today's employees are facing various socio-emotional problems due to the lack of appropriate supports and intervention in the workplace. These problems, however, cause considerable stress and inflict fatal damage on the quality of the employees' lives. Thus, this study analyzed the negative effects of the employees' socio-emotional problems on their stress, depression, and a sense of self-esteem. As a result, the study has identified that the problems occurred widely in the work life area such as job-related problem, predicament of retirement, workplace violence, family life area such as family relationship, child education, crisis problem, and lastly culture and health related area. This study also found that the socio-emotional problems in the three areas were the main stressors after all and they once again negatively affected depression and a sense of self-esteem. However, the role of social support, which is known to have the buffering effect on depression and a sense of self-esteem, was not sufficiently proved. This strongly implies that traditional social supports necessarily have limitations to overcome employees' socio-emotional problems in hand and thus systematic intervention toward the troubled workers in the organizational level must be required.

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Parent-Child Difference in Attitudes, Resources, and Constraints, and the Impacts of these Factors on Generational Proximity in the United States and Japan (노인 부모와 자녀 사이의 지리적 근접성에 대한 연구 : 미국과 일본의 사례를 중심으로)

  • 박경숙
    • Korea journal of population studies
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    • v.20 no.2
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    • pp.67-98
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    • 1997
  • This study examines multi-level factors geographic proximities between elderly parents and their children in the United States and Japan. Despite their similar economies, the United States and Japan show a significant difference in their patterns of generational proximity. In 1993, half of US non-Hisapnic white parents aged 70 or over lived separately but within 10 miles of their nearest children and a majority of them lived far from their non-nearest children. The family geographic network for Japanese elderly parents is more hierarchial. In 1989, 74 percent of Japanese parents aged 70 and over lived with their nearest children but most of them lived far from their non-nearest children. To explain this distinctive pattern of inter- and intra-family differences in generational proximities in the two societies, this study employs a multi-level analysis which compares the relative importance of life course conditions of elderly parents and their children and economic and ecological characteristics of elderly parent's places of residence in influencing generational proximities.

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Completeness Estimation of the Korean Medical Insurance Data in Childhood Asthma : Using Capture-Recapture Method (소아 천식을 통해서 본 의료보험 상병 자료의 완전성 추정 : Capture-Recapture 분석방법의 적용)

  • Ha, M.N.;Kwon, H.J.;Kang, D.H.;Cho, S.H.;Yoo, K.Y.;Joo, Y.S.;Sung, J.H.;Kang, J.W.;Kim, D.S.;Lee, S.I.
    • Journal of Preventive Medicine and Public Health
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    • v.30 no.2 s.57
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    • pp.428-436
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    • 1997
  • Objectives : The purpose of this paper is to estimate the completeness of the Korean Medical Insurance Data in childhood asthma. Methods : Capture-recapture method was used to estimate the prevalence of childhood asthma and case ascertainment rate(completeness) of Korean Medical Insurance Data using two source model, 'Korean Medical Insurance Committee Data (KMICD)' and 'Nationwide Study of Asthma and Allergies in Korean Children'. The asthma cases were restricted to those who were born from 1981 to 1989 and were identified by their Resident Register Number. Asthma cases in Korean Medical Insurance Data were defined as cases coded by ICD-9 493 and ICD-10 J45. In 'Nationwide Study of Asthma and Allergies in Korean Children', asthma cases were defined as the children who had been diagnosed asthma and had experienced symptoms of asthma during the past 12 months. The defined cases in two data sources were matched by 13 digits Resident Register Number. The numbers of matched patients in two data sources were 245 of 32,825 eligible total subjects. Chapman and Wittes' nearly unbiased estimation was used for capture-recapture analysis of two data sources. Results : Observed prevalence rate of childhood asthma was 5.3% and estimated prevalence rate by capture-recapture analysis was 11.6%. The highest prevalence rate was observed in 6-7 age group and the older the rate decreased. The completeness (the proportion of cases ascertained by KMICD to the total observed cases by two data sources) was 20.6%, and ranged form 10.8% to 28.8% by area. Conclusions : Invalid diagnosis of cases might overestimate the prevalence of child-hood asthma and might underestimate the completeness of Korean Medical Insurance Committee Data in this study.

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A Meta-analysis of The Factors Related to Bullying Damage Experience of Adolescent (청소년의 집단따돌림 피해경험과 관련된 요인에 대한 메타분석)

  • Moon, Dong-Kyu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.1
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    • pp.685-697
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    • 2020
  • This study conducts meta-analysis of the effect size of related factors using research papers published within the past 20 years in relation to adolescent bullying experience in Korea. The verification results are as follows. First, in inducing factors, the overall effect size, personal psychology factor, and school life factor group showed a medium effect size. In the causative factors, the aggression, anxiety, stress, depression, suicidal thoughts, and school stress of school psychological factors showed a moderate effect size. Second, in terms of deterrent, the overall effect size, family environment factor, personal psychology factor, and school life factor group showed a medium effect size. In the sub-factors of determinants, the parenting attitude, parental support, and self-esteem and self-resilience of the family environmental factor group also showed a medium effect size. In conclusion, this study is meaningful in that it tried to quantitatively integrate the previous studies to examine objective results. It is meaningful that it provided basic data in program development and policy making to prevent and reduce the bullying of youth.

Prevalence of Schistosomes and Soil-Transmitted Helminths among Schoolchildren in Lake Victoria Basin, Tanzania

  • Siza, Julius E.;Kaatano, Godfrey M.;Chai, Jong-Yil;Eom, Keeseon S.;Rim, Han-Jong;Yong, Tai-Soon;Min, Duk-Young;Chang, Su Young;Ko, Yunsuk;Changalucha, John M.
    • Parasites, Hosts and Diseases
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    • v.53 no.5
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    • pp.515-524
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    • 2015
  • The objectives of this study was to conduct a survey on schistosomiasis and soil-transmitted helminth (STH) infections in order to come up with feasible control strategies in Lake Victoria basin, Tanzania. Depending on the size of the school, 150-200 schoolchildren were recruited for the study. Duplicate Kato-Katz stool smears were prepared from each child and microscopically examined for Schistosoma mansoni and STHs. Urine specimens were examined for Schistosoma haematobium eggs using the filtration technique. After the survey, mass drug administration was done using praziquantel and albendazole for schistosomiasis and STHs infections, respectively. A total of 5,952 schoolchildren from 36 schools were recruited for the study and had their stool and urine specimens examined. Out of 5,952 schoolchildren, 898 (15.1%) were positive for S. mansoni, 754 (12.6%) for hookworms, 188 (3.2%) for Ascaris lumblicoides, and 5 (0.008%) for Trichuris trichiura. Out of 5,826 schoolchildren who provided urine samples, 519 (8.9%) were positive for S. haematobium eggs. The results revealed that intestinal schistosomiasis, urogenital schistosomiasis, and STH infections are highly prevalent throughought the lake basin. The high prevalence of intestinal and urogenital schistosomisiasis in the study area was a function of the distance from Lake Victoria, the former being more prevalent at localities close to the lake, whilst the latter is more so away from it. Control of schistosomiasis and STHs in the study area requires an integrated strategy that involves provision of health education to communities, regular treatments, and provision of adequate safe water supply and sanitation facilities.

Analysis of increased nuchal translucency: Chorionic villi sampling and second-trimester level II sonography

  • Park, Ji Eun;Park, Ji Kwon;Cho, In Ae;Baek, Jong Chul;Kang, Min Young;Lee, Jae Ik;Shin, Jeong Kyu;Choi, Won Jun;Lee, Soon Ae;Lee, Jong Hak;Paik, Won Young
    • Journal of Genetic Medicine
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    • v.11 no.2
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    • pp.56-62
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    • 2014
  • Purpose: To assess the outcomes of increased fetal nuchal translucency (NT), to aid in prenatal counseling and management in our practice. Materials and Methods: We retrospectively reviewed the medical records of patients who underwent first trimester fetal karyotyping using chorionic villi sampling (CVS) and second trimester level II sonography for a fetal NT thickness ${\geq}3.0mm$ between 11 weeks and 13 weeks 6 days' gestation, at Gyeongsang National University Hospital. Pediatric medical records and a telephone interview were used to follow-up live-born children. Exclusion criteria included incomplete data and CVS for other indications. Results: Seventy cases met the inclusion criteria (median NT thickness, 4.7 mm; range, 3.0-16.1 mm). Twenty-nine cases (41.4%) were aneuploid. The prevalence of chromosomal defects increased with NT thickness: NT 3.0-3.4 mm, 16.7%; NT 3.5-4.4 mm, 27.3%; NT 4.5-5.4 mm, 66.7%; NT 5.5-6.4 mm, 37.5%; NT ${\geq}6.5mm$, 62.5%. The most common karyotype abnormality was trisomy 18 (n=12), followed by trisomy 21 (n=9). In chromosomally normal fetuses (n=41), fetal death occurred in 2 cases (4.9%), and structural malformations were found in 11 cases (26.8%). In chromosomally and anatomically normal fetuses (n=28), one child had neurodevelopmental delay (3.6%). Twenty-eight infants who had a prenatal increased NT were alive and well at follow-up (40%). Conclusion: Outcomes of increased fetal NT might help inform prenatal counseling and management. The high prevalence of chromosomal defects associated with increased fetal NT implies that CVS should be performed in the first trimester, particularly considering the stress associated with an uncertain diagnosis.