• Title/Summary/Keyword: Developmental assessment scale

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Effect of Neonatal Developmental Intervention Program (NDT) on Motor Development and Growth in Premature Infants

  • Park, Geun-Hwa;Choi, Sang-Youn;Kim, Sung-Mi;Kim, Mi-Ae;Lee, Eun-Ju
    • Neonatal Medicine
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    • v.17 no.2
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    • pp.207-216
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    • 2010
  • Purpose: The aim of this study was to identify the effects of neonatal developmental intervention program (NDT) in promoting motor development and growth and to determine the usefulness of Hammersmith Neonatal Neurological Examination (HNNE) and Neonatal Behavioral Assessment Scale (NBAS) in premature infants. Methods: We performed NDT on selected premature infants (PI, n=42) and compared them with the full term control group (FC, n=20). NDT protocol and development assessment (HNNE, NBAS) were manipulated by the physical therapist in the neonatal intensive care unit. The data of this study were collected prospectively. Results: The PI with GA <34 weeks (VPI) subgroup showed a more use of mechanical ventilator and surfactant, severe bronchopulmonary dysplasia and intraventricular hemorrhage, and patent ductus arteriosus treated surgically than the PI with GA $\geq$34 weeks but less than 37 weeks (LPI) subgroup. The average scores improved significantly in the PI group between the 1st, 2nd, and 3rd assessment by repeated measure (P=0.000). Also, the PI group showed significantly higher total scores and average score at 40 weeks postmenstrual age, P=0.000, respectively than in the FC group. The LPI subgroup showed more weight gain and change in the head circumference between the 1st and 3rd assessment by repeated measure, respectively, P<0.05. The PI group showed no apnea, bradycardia and late sepsis associated with intervention and assessment. Conclusion: The NDT might be a safe and useful intervention to promote motor and growth outcomes in premature infants. Also, the HNNE and NBAS might be safe and useful tools for assessing neurodevelopment in premature infants.

The Degree of Perceived Stress, Depression and Self Esteem of University Students (대학생이 지각하는 스트레스와 우울 및 자아존중감)

  • Lee, Soon-Hee;Kim, Shin-Jeong
    • Journal of Korean Public Health Nursing
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    • v.26 no.3
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    • pp.453-464
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    • 2012
  • Purpose: The purpose of this study was to provide the basic data for university students to develop program for achieving successful developmental task. Method: The subjects involved this study were 462 1-4th grade university students located at Kangwon-Do & Chungchung-Do. Data were measured using Global assessment of recent stress scale, CES-D and Self-esteem scale. Data were analyzed using SPSS WIN 17.0 program that included mean, standard deviation, ANOVA, Sheffe test and Pearson correlation coefficients. Results: 1) The mean score of the degree of perceived stress was 4.17(${\pm}1.43$), depression was .92(${\pm}.47$), and self esteem was 2.89(${\pm}.48$). 2) There were significant differences in the degree of stress according to gender(t=2.03, p=.043), level of living(F=3.55, p=.029). Likewise, there were significant differences in the degree of depression according to gender(t=3.35, p=.001), age(t=2.15, p=.032), level of living(F=3.38, p=.035) and in the degree of self-esteem there were significant difference according to gender(t=3.64, p<.001), age(t=2.81, p=.005), participation of regular meeting or not(t=3.14, p=.002), frequency of alcohol drinking(F=5.59, p=.004), onset age of alcohol drinking(t=2.43, p=.016). 4) There was a significant relationship between stress and depression(r=.556, p<.001), self-esteem (r=-.423, p<.001). Also, there was a significant relationship between depression and self esteem(r=-.667, p<.001). Conclusions: Nursing interventions and educational programs which can help the students to accomplish the developmental tasks required.

Rapid Assessment of Ecosystem Services Apply to Local Stakeholders (지역 이해당사자 참여 생태계서비스 간이평가)

  • Kim, Byeo-Ri;Lee, Jae-Hyuck;Kim, Il-Kwon;Kim, Sung-Hoon;Kwon, Hyuk-Soo
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.22 no.1
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    • pp.1-11
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    • 2019
  • This study suggested that various stakeholder can be participated in regional Environment planning and practical use of policy with rapid assessment of Ecosystem Services(ES). We applied to the rapid assessment of ES method to Ansan city and local registers selected Ecosystem assets that considered to space of ES. Ecosystem assets were measured 5 types Likert scale about 37 indicators of ES and confirm the main ES through the basic statistics. Furthermore Ecosystem assets classified according to similar character of ES. Ecosystem assets of Ansan were selected 47 site and Local climate regulation, Research and education, Primary production was high among the ES indicators. As a result two main group deduced that ecological education group(such as Research and education, Habitat) and safety regulation group(such as Air regulation, Fire regulation) through the factor analysis. In terms of location characteristics of each group, the ecological education-centered ecosystem assets were located near the downtown area, while the safety regulation group was located at the outskirts, such as mountains and coasts. This indicates that the ecological education about the habitat provision can be achieved in Ansan city downtown area and that outskirts should be approached from the aspect of ecological function to establish a plan. The result of Rapid assessment of ES, which can be lead a balanced and developmental consultation when establishing polices for environment planning and management in region.

A Study on direction of developmental policy for coastal management in the central southern sea (남해중부연안관리의 발전적 정책방향에 대한 고찰)

  • Yoon, Sung-Yoon
    • Journal of Wetlands Research
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    • v.2 no.1
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    • pp.11-17
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    • 2000
  • The natural ecology of our coastal zone has been well preserved because of the designation of Han-Ryea national sea park. However, recently, it is being threatened by the frequent request of district regulation of national park and relaxation of green belt, etc. And also, with the reclamation of the foreshore by the development of industrial complex and tourism resource cultivation on a large scale, development pressure for natural coast is increasing. For that reason, preservation of the ecology, organized management and investigation is needed for the islands which scenery is beautiful and rare animals and plants inhabit. And also, it is worried that major habitats of migrants are diminishing because of the district regulation of national park, relaxation of green belt zone and construction of coastal streets. Therefore. on the basis of the through environmental impact assessment, only the business which are aimed at the preservation and restoration of the natural coast should be admitted and the act of eroding must be restricted.

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A Study on the Qualities of Infant Day-Care Centers and Caregiver′s Interactions with Infants (영아보육의 실태 및 질적 특성 평가에 기초한 보육의 질 제고)

  • 정옥분;김숙령;권민균
    • Journal of the Korean Home Economics Association
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    • v.42 no.6
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    • pp.123-136
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    • 2004
  • The purposes of this study were to investigate the qualities of infant day-care centers and the caregivers' interactions with infants. Forty-six day-care centers from Seoul, Daejeon, and Daegu were enrolled in this study. Two kinds of methods were used for data collection; one was the Assessment Scale for Infant/Toddler Care Center developed by Choi and the other was the Qualitative Rating Scale for Caregiver used in the NICHD Early Child Care Project. Frequency, percentile, Crollbach's, one-way ANOVA, and Pearson's correlation were calculated for data analysis. Qualities on 5 factors of infant day-care centers were ranged from 3.44∼4.35, the highest with health managing and the lowest with support system in the Likert 5-point scales. Sensitivity, developmental stimulation and positive regard to child, which are the caregiver's positive interactions with infants were rated minimally or usually characteristic. In addition, intrusiveness, detachment, negative regard to child and flatness, which are negative interactions with infants were rated never or minimally characteristic. Finally, some suggestions for good quality and facilitation of infant care were made.

Difference between Children's Self-Reports on Depression and Parents' Assessment of Children's Behaviors (아동의 우울보고에 따른 부모 아동행동평가의 차이)

  • Yang, Jae-Woong;Kim, Yu-Jin;Kim, Hyun-Soo;Shin, Kyung-Min;Shin, Yun-Mi
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.23 no.2
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    • pp.76-81
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    • 2012
  • Objectives : Childhood is a critical period involving various developmental tasks that need to be accomplished. Childhood depression has overall negative implications for certain areas of development, including cognition, emotion, social skills, academic achievement, and ability to cope with stress. Yet, because depression can be "masked" by accompanying behavioral problems, early detection and diagnosis of childhood depression is somewhat challenging. In this study, using the Korean version of the Child Behavior Checklist (K-CBCL), we evaluated the association between children's self reports on depression and parents' assessment of children's behaviors. Methods : Subjects were recruited from the S city, a cohort comprising a non-random convenience sample of 226, 10-year-old ethnic Koreans in their fourth year of elementary school and their parents. All participants underwent several tests, including Children's Depression Inventory (CDI) and K-CBCL. Results : A total of 226 children, including 166 boys (73.5%) and 60 girls (26.5%), participated in the study. The average CDI for the participants was 14.57 (SD=7.54). Two items on the K-CBCL, total scale of adjustment scale and social withdrawal problems, showed a close association with the CDI. Conclusion : Although much remains to be elucidated, after controlling for covariates, the results of this study suggested that behavioral problems observed in children may be closely associated with depression.

Effect of Sensory Integration Group Therapy on Fine Motor, Social Interaction and Playfulness of Preschool Children With Intellectual Disabilities (그룹감각통합치료가 학령전기 지적장애 아동의 소근육 기능, 상호작용 및 놀이에 미치는 영향)

  • Choi, Ji-Hyun;Kim, Hee
    • The Journal of Korean Academy of Sensory Integration
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    • v.16 no.1
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    • pp.25-34
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    • 2018
  • Objective : This study aims to figure out the effect that sensory integration group therapy has on the fine motor, social interaction and playfulness of preschool children with intellectual disability. Methods : Participants were four children from three to five years old who were diagnosed with intellectual disabilities and they participated in twelve sessions of sensory integration group therapy, sixty minutes per session and once a week. Sensory integration group therapy was composed of parallel and peer play-centered gross motor activities, art activities and sensory plays that were related to each theme. Erhardt Developmental Prehension Assessment (EDPA), Penn Interactive Peer Play Scale (PIPPS) and Test of Playfulness (ToP) were used to evaluate participants' fine motor, social interaction and playfulness before and after the intervention. Results of fine motor, social interaction and playfulness before and after the intervention were compared using Wilcoxon matched-pair signed rank test. Results : After sensory integration group therapy intervention, the fine motor skills of participants did not show significant increases, but social interaction and playfulness showed significant increases (p< .05). Conclusion : Although sensory integration group therapy with preschool children with intellectual disability did not show positive improvement in fine motor skills, it showed positive effect on social interaction and playfulness. Group sensory integration therapy might be an intervention approach for all children with disabilities.

The Effects of Trunk Exercise on Mobility, Balance and Trunk Control of Stroke Patients

  • An, Seung-Heon;Park, Dae-Sung
    • Journal of the Korean Society of Physical Medicine
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    • v.12 no.1
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    • pp.25-33
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    • 2017
  • PURPOSE: The initiation of the trunk muscles in stroke patients is delayed because the muscles involved in reach arm are activated earlier than the trunk muscles. The objective of this study was to examine the effects of mobility, balance, and trunk control ability through selective trunk exercise (STE) in patients with chronic stroke. METHODS: A randomized pre-test and post-test control group design was initially used, with subjects randomly assigned to the STE group (n=15) and a control group (n=14). All groups underwent physical therapy based on the neuro-developmental therapy (NDT) for 30 minutes a day, five times per week for four weeks. Additionally, the STE group did the trunk exercise for 30 minutes a day, three times per week for four weeks. The timed up and go test (TUG), Berg balance scale (BBS), and trunk impairment scale (TIS) were used for assessment. RESULTS: The scores of the TUG, BBS, dynamic sitting balance subscale, and coordination subscale of TIS improved significantly in both groups but the improvement was more pronounced in the STE group (p<.05). This study showed a large effect on the scores of the TIS coordination subscale (d=.93) (p<.05), TIS dynamic balance subscale (d=.81) (p<.05), TUG (d=.75) (p<.05), and BBS (d=.73) (p<.05). CONCLUSION: The combined STE and NDT program showed improvements in measures of mobility, balance, and trunk control in chronic stroke patients. These results suggest that STE should be considered to be included in the treatment program for patients with chronic stroke.

Review of Non-invasive Interventions for Drooling Problems in Children With Cerebral Palsy: Trends and Analysis of Interventions for Drooling (신경발달장애 아동의 침흘림치료를 위한 비침습적 중재방법에 관한 고찰: 경향 및 중재방법 분석)

  • Jeon, Joo young;Park, Hae Yean
    • Therapeutic Science for Rehabilitation
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    • v.10 no.2
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    • pp.37-51
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    • 2021
  • Objective : The purpose of this study was to analyze non-invasive treatments and drooling assessment methods in children with cerebral palsy and developmental disabilities, who drool. Methods : This study searched two hundred papers published in 2005-2019. Forty-four papers were selected based on their abstract and title, and ten papers were finally selected following a secondary search. Results : The PEDro Scale of the selected papers was high with an average of seven points. As a result of analyzing the overall trends, the study participants were primarily patients with cerebral palsy, and recently, the therapeutic intervention of oral sensory exercise was more actively studied than behavioral modification. Studies of behavioral modification and oral sensory exercise intervention methods were found to have differences in participant age and, cognitive level, number of participants, research design, treatment time, and duration. Studies to confirming the frequency and severity of the drooling measurement method were found to be the main factor. Conclusion : This study analyzed typical behavioral modification and oral sensory exercise interventions as examples of non-invasive therapeutic interventions for children with cerebral palsy and developmental disabilities and provided information to help select appropriate therapeutic intervention methods when planning non-invasive therapy using behavioral modification and oral sensory exercise therapy.

Assessment and Improvement of Documentation Status on the Statements for the Sea Area Utilization Consultation according to the Project of Ports and Fishery Harbors (항만·어항개발사업의 해역이용협의서 작성실태 평가 및 개선방안)

  • Tac, Dae-Ho;Oh, Hyun-Taik;Kim, Gui-Young;Lee, Dae-In
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.21 no.4
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    • pp.361-371
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    • 2015
  • This study analyzed the 91 cases of the statements for the Sea Area Utilization Consultation according to the developmental projects of ports and fishery harbors for 2012 2014 and the status of the record of document, and suggested the improvement way to go. The marine environmental timpact assessment items both marine chemistry such as water quality, sediment and marine biology such as benthic animal, plankton, and fisheries show highly rate of site survey. But, the utilization of those data through site survey is too low, and it is necessary to adopt the QA/QC for the reliability of survey data. The items of marine physics such as tide, tidal current analyzed based on references not a site survey. However, the simulation performed actively without calibration and verification compared to the result of site survey. When the projects of port and fishery harbor perform, it is necessary to monitor the physical parameter such as wave, tide and tidal current especially. Based on the scale and the type of project, we need introduce the system of scoping for prediagnosis the key assessment items and checklists.