• Title/Summary/Keyword: Children's perspective

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Management of the Most Common Functional Gastrointestinal Disorders in Infancy: The Middle East Expert Consensus

  • Indrio, Flavia;Enninger, Axel;Aldekhail, Wajeeh;Al-Ghanem, Ghanem;Al-Hussaini, Abdulrahman;Al-Hussaini, Bakr;Al-Refaee, Fawaz;Al-Said, Khoula;Eid, Bassam;Faysal, Wafaa;Hijazeen, Ruwaida;Isa, Hasan M.A.;Onkarappa, Dinesh;Rawashdeh, Mohammad;Rohani, Pejman;Sokhn, Maroun
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.24 no.4
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    • pp.325-336
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    • 2021
  • The occurrence of functional gastrointestinal disorders (FGIDs) is a formidable challenge for infants, parents, and healthcare professionals. Although data from the Middle East are scarce, experts consider FGIDs a prevalent condition in everyday clinical practice. The new Rome IV criteria revisited the definitions from a clinical perspective to provide a practical and consistent diagnostic protocol for FGIDs. However, the treatment practices for functional disorders vary considerably among Middle Eastern countries, often resulting in mismanagement with unnecessary investigations and treatments. In addition, the role of various treatment modalities, including probiotics such as Lactobacillus reuteri DSM 17938, in FGIDs requires further discussion and evaluation. During a consensus meeting, a locally relevant approach for treating common FGIDs such as infant regurgitation, infant colic, and functional constipation was discussed and approved by regional experts. The participants suggested a simplified treatment plan and protocol for general pediatricians and other primary care physicians managing FGIDs. This easy-to-follow standardized protocol will help streamline the initial management of this complex disorder in the Middle East region and even globally.

The Aspects of "Children" in Saseolsijo and its Historical Implication in Korean Classical Poetry (사설시조에 나타난 '아이'의 양상과 그 시가사적 함의)

  • Park, Sang-Young
    • Sijohaknonchong
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    • v.42
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    • pp.151-185
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    • 2015
  • The purpose of this study is to reveal the aspects of "Children" in Saseolsijo and its historical implication in Korean Classical Poetry. What was discussed can be summarized as follows: There are two types of children in Saseolsijo, one is silent, and the other is speaking. The silent child characteristics are such as being called and addressed by the poetic narrator, customary audience, passive attitude, etc. The speaking child characteristics are speaking subject, active attitude as sign of modernity. These phenomenon simply expose the differences of aesthetic order. The silent children is mainly to be utilized as a device to maximize the lyricism of the text as an ideologically product by the inner request of the poetic narrator and show identification discourse. The speaking child, gives the dynamics in text by heterogeneous discourse and informs aesthetic distance between "the reader and the text" as well and show distance discourse. These fragments from Saseolsijo's children are also found in previous genres. In the case of Hyangga, 'children' speak for solving others' desire but are targeted by poetic narrator as well. In the case of Goryosokyo, 'children' show activity and efforts to break forced silence by the poetic narrator through voluntary speaking. In Sijo's case, unlike other genres, some literary works show contents about disciplining children and the growth of children. However mostly targeted children by the poetic narrator are predominantly appeared from the discourse perspective. These aspects of children in previous genres including some of works in Saseolsijo are mainly associated with the appearance of medieval children. Unlike these, the new aspects of Saseolsijo's children show the cross-section of the signs of transition contemporary, from medieval to modern. Even if there are few literary works in these, speaking children with activity reveals novelty over medieval-imposed 'child-ness' by showing 'self', 'individual desire' strongly. This novelty is far from infants of the modern concept as naive and innocent children but these children are noted in that they show a part of modernity through various voices in the text, the comic(laughter), multiple point views, etc.

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Diagnosis of Abusive Head Trauma : Neurosurgical Perspective

  • Kwak, Young Ho
    • Journal of Korean Neurosurgical Society
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    • v.65 no.3
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    • pp.370-379
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    • 2022
  • Abusive head trauma (AHT) is the most severe form of physical abuse in children. Such injury involves traumatic damage to the head and/or spine of infants and young children. The term AHT was introduced to include a wider range of injury mechanisms, such as intentional direct blow, throw, and even penetrating trauma by perpetuator(s). Currently, it is recommended to replace the former term, shaken baby syndrome, which implicates shaking as the only mechanism, with AHT to include diverse clinical and radiological manifestations. The consequences of AHT cause devastating medical, social and financial burdens on families, communities, and victims. The potential harm of AHT to the developing brain and spinal cord of the victims is tremendous. Many studies have reported that the adverse effects of AHT are various and serious, such as blindness, mental retardation, physical limitation of daily activities and even psychological problems. Therefore, appropriate vigilance for the early recognition and diagnosis of AHT is highly recommended to stop and prevent further injuries. The aim of this review is to summarize the relevant evidence concerning the early recognition and diagnosis of AHT. To recognize this severe type of child abuse early, all health care providers maintain a high index of suspicion and vigilance. Such suspicion can be initiated with careful and thorough history taking and physical examinations. Previously developed clinical prediction rules can be helpful for decision-making regarding starting an investigation when considering meaningful findings. Even the combination of biochemical markers may be useful to predict AHT. For a more confirmative evaluation, neuroradiological imaging is required to find AHT-specific findings. Moreover, timely consultation with ophthalmologists is needed to find a very specific finding, retinal hemorrhage.

Research on the Relationship between Movement and Volition of Soldier's Service Using Causal Loop (인과지도 분석을 통한 이주가 직업군인의 복무의지에 미치는 영향에 관한 연구)

  • Ko, Seong-Pil;Lee, Jeong-Dong;Choi, Jeong-Hwan;Jung, Euy-Young
    • Korean System Dynamics Review
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    • v.14 no.1
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    • pp.69-87
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    • 2013
  • The purpose of this paper is to explore the relationship between the number of relocation and volition of soldier's service based on system thinking perspective using a causal loop analysis. Research adopting system dynamics concerning on the volition of soldier's service and relocation has not been studied yet. Causal loops are analyzed and evaluated by focusing on soldier's military performance, stress of family members and family members' welfare service. Result of this study is that soldier's periodical movement is indispensable factor maintaining military life. Most of the married soldier's life conditions are worse than ordinary people. As the number of relocation is increasing family of soldier's stress is increased by anxiety for welfare conditions is supposed to relocate. The number of movement to another place of soldier's children is more than two times and the result of learning achievement is worse than ordinary students. This kind of stress can influence the married soldier's military performance and stress. So the welfare service should be expanded to an official residence, education, facility, district network service and so on.

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Risk and Protection Factor Related to Suicide Ideation in Each Life Course based on an Ecological-system Perspective (생태체계적 관점에서 본 생애주기별 자살생각의 위험요인과 보호요인)

  • Kim, Yun-Jeong
    • The Korean Journal of Community Living Science
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    • v.22 no.3
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    • pp.429-444
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    • 2011
  • The objective of this study was to identify the risk factor and protection factor related to suicide ideation in each life course based on an ecological-system perspective. A questionnaire was carried out for 393 adolescents, 473 adults and 376 aged men living nationwide. The results are as follows. First, the suicide ideation was low with 1.78 points in the full mark of 5 points. Second, the difference in suicide ideation, depression, hopelessness, stress in the organic system variables, family solidarity in the micro system variables, intermediate system variables, residence, the existence/inexistence of counselling center and the influence of mass media in mezo system variables in each life course were significant. Third, the relative influence of organic system variables on the suicide ideation were largest in all life courses. Further, the depression and the influence of mass media in all life courses were a risk factor of suicide ideation and stress was also a risk factor of suicide ideation in the case of adolescents and the aged. When examining protection factors of suicide ideation, family solidarity, minute as it is, works as the protection factor of suicide ideation in the case of adolescents. For the adults, living in a metropolis was a protection factor from suicide ideation. For the aged, family solidarity, family history of suicide and adult children's attention to their friends and neighbors (intermediate system variable) were protection factors from suicide ideation. I suggested that policy, service, counseling and educational program proper to each life course were necessary to lower risk factors of suicide ideation and to improve protection factors.

A Critical Perspective on the Integration of Service Delivery Systems in Child-Youth Policy (아동청소년정책 전달체계의 통합방안에 대한 비판적 고찰)

  • Chung, Ick-joong
    • Korean Journal of Social Welfare Studies
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    • v.40 no.1
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    • pp.297-322
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    • 2009
  • Child policy has focused on needy children with special emphasis on residual services but youth policy has implemented to promote capabilities of general adolescents by various activities. The fragmented implementation of child-youth policy by several ministries resulted in possible redundancy of target groups and insufficient service delivery system. Thus, the Ministry of Health, Welfare, and Family Affairs has pushed forward to integrate service delivery systems in child-youth policy after the former Ministry of Health and Welfare and the Government Youth Commission were integrated as part of a government reorganization plan. The purpose of this study is to review limitations of Lee Myung-bak government's plan to integrate child-youth policy and to make important suggestions for effective integration. Lee Myung-bak government's plan seeks to help children and adolescents prepare for the future and move forward with dreams and hope. However, this plan has fatal problems of overemphasizing the efficiency of finance without expansion of budget for children and adolescents. To achieve well-being tailored to one's life cycle, the full-scale expansion of budget is indispensible through the induction of the special fund or the special tax for children and adolescents. Fortunately, Lee Myung-bak government recognized child-youth policy as the social investment that would heighten national competitiveness in the long term, but there was insufficient child-youth policy infrastructure for new implementation. Therefore, Lee Myung-bak government needs a new design for integrated and universal child-youth policy that should take into account national human resource development plan and its economic development policy. The public responsibility for children and adolescents should be strengthened and, in addition, the network function in service delivery system should be complemented.

Trajectory of Family Functioning: Self-esteem and Behavior Problems of Children (가족기능의 변화 양상에 따른 자녀의 자아존중감, 문제행동 차이)

  • Yeon, Eun Mo;Choi, Hyo-Sik
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.10
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    • pp.84-93
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    • 2020
  • This study had two aims (1) to explore the trajectory of family functioning (flexibility and cohesion) in the mothers' perspective and classify it according to the development of their child, and (2) to examine the differences in children's self-esteem as well the internal and external behavioral problems based on the latent groups. A total of 1,348 mothers and their children who participated in the survey in 2013 through to 2017 were analyzed. The group was subdivided into low incremental, average incremental, average-above incremental, and high unchanged groups according to the flexibility, and into low incremental, average incremental, decremental, high incremental, and above-high unchanged groups in terms of cohesion. From 2015 to 2017, the self-esteem of elementary school-age children showed differences depending on the flexibility and cohesion of family functioning; children in the high-unchanged group of flexibility and the above-high unchanged group of cohesion showed high self-esteem. Behavior problems of early childhood and elementary school-age children varied according to the latent classes of flexibility and the cohesion of family functioning. Children in low incremental and average incremental groups of flexibility and low incremental, average incremental, and decremental groups of cohesion showed more internal and external behavioral problems. These findings suggest that family functioning has significant effects on the psychological aspects of children.

Suhomlinsky's Theory on School Education (수호믈린스키의 학교교육론)

  • Paeng, Yeong-Il
    • Korean Journal of Comparative Education
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    • v.18 no.4
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    • pp.187-206
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    • 2008
  • The research examines the discussions on school education depicted in Suhomlinsky's works. After that, their implications upon our education are discussed. The results of this research are as follows: Suhomlinsky considered the enrichment of the learners mental life as a primary goal of education. Therefore, school education must ensure that children's learning be a part of their abundant mental life, and that it must contribute to the building of children's wisdom and their becoming a whole being as humans. In this perspective, Suhomlinsky emphasized the importance of education that enriches the mental life through reading books. He insists that education through reading books is a valuable course in lifelong education, and suggests specific ways to put it into practice. He points out the need for the students' liberty to think freely in schools, and claimed that providing students with breaks and free times is a way to obtain invaluable treasures. His experinences in educational practices may provide implications that will help solve the problems our education faces today.

Effective Exhibition Communication of Science: An Analysis of the South Korea's National Science Museum (PEP/IS 모델을 적용한 과학관의 적극적 활용에 관한 연구 : 국립중앙과학관 사례분석과 대안모색)

  • Lee, Eun-A;Kim, Hak-Su
    • Journal of Technology Innovation
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    • v.16 no.2
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    • pp.95-123
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    • 2008
  • As a medium for communication on science and technology, science museum could be important to adults who finished formal school education. By analysing all the exhibits at the National Science Museum and conducting a face-to-face interview survey toward 100 adult visitors, based on the PEP / IS model's perspective(Kim, 2007), this study aimed to find a way to induce many adults to visit science museum from the information consumer's viewpoint, not the information provider's one. The result was that most of the exhibits were not related to problems which people focused attention on. About half of visitors, therefore, did not relate their problems with exhibits and responded that there was no relationship between exhibits and their everyday life. However, they had an idea that science and technology could contribute to solving their problems. These findings could suggest that first, science exhibits in relation to people's focused problems or issues are to be developed, second, programs for parents who are accompanied by their children are to be developed, and last, adults' engagement in planning the science museum exhibits is to be considered.

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A Case Analysis on Remarried Family with Family Conflict (재혼가족의 가족갈등 사례분석)

  • Park, Tai-Young;Kim, Tae-Han
    • Journal of Families and Better Life
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    • v.28 no.4
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    • pp.15-28
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    • 2010
  • The study investigated the repeated conflict of remarried family from family systems perspective, and used the verbatim of family members, who were participated in family therapy, as analysis data. the study used Miles and Hubernam's matrix, graph, and graphical network display to analyze the data. The results of study were as follows. After the couples remarried, a husband and two step-children, who were born in ex-wife, used dysfunctional communication method to keep the established family systems. Also, a wife used dysfunctional communication method to change the existing family systems. These dysfunctional communication method, which were used by family members, caused vicious cycle rather than resolving the family conflict. The differences of remarried husband first-married wife, and the differences of blooded and non-blooded relationships among family members had influenced on family conflict.