Mother and infant relationship has a great influence on child's developments. In this study, nursing intervention to increase maternal sensitivity to the infant's cues was applied to 25 primiparas (Experimental Group). Mother and infant interacations of these primiparas were compared with those of 25 primiparas (Control Group) who did not receive the nursing intervention. Fifty primiparas and infants were recruited from a university hospital, a general hospital, and an OBGY clinic located in Taegu city. Mother and infant interactions were assessed at 6 weeks after birth using videotapes. Feeding situations were videotaped and two trained observers analyzed the tapes. Data were collected from March 23rd to July 27th of 1998. Mother and infant interactions during feeding were assessed by the response rating scale which was modified by the author based on NCAST feeding scale (Barnard, 1978a) and AMIS scale (Price, 1983). The validity of the modified rating scale was verified by faculty members and researchers who previously had research experience in the area. Cronbach's Alpha of the modified scale for this study was .90. The data was analyzed by SAS program, using wilcoxon rank sums test, chi square test, Fisher's exact test, and ANOVA. Findings were as follows: 1. Mothers in the experimental group were more likely to have higher scores in mother and infant interactions during feeding than mothers in the control group. 2. Mothers in the experimental group showed better sensitivity to infant's signals or cues, provided growth fostering, and had higher responsibility to the infant's distress than mothers in the control group. 3. Infants in the experimental group showed higher clarity of cues and responsibility to the mother's behaviors than infants in the control group. 4. Mothers and infants in the experimental group showed higher synchronic responses than mothers and infants in the control group. In conclusion, this study has shown that the applied nursing intervention promoted mother and infant interaction among primiparas. Therefore, this study suggests that the nursing interventions to increase maternal sensitivity to the infant's cues should be broadly applied to primiparas, which can be beneficial to the social, affective, and cognitive developments of their children.
This study was performed to determine dietary and lifestyle factors associated with hypertension in Korean adolescents. Study subjects were 12~19 years (n = 521) adolescents who participated in the 2005 Korean National Health and Nutrition Examination Survey (KNHANES III). Subjects were divided into the hypertensive group (HG, n = 102) and normotensive group (NG, n = 419) by '2007 Korean children and adolescents growth standard' and the relationships between blood pressure and physical measurement, nutrients intakes, eating behaviors and health related factors were analyzed. HG showed significantly higher levels in weight, waist circumference and BMI than NG. The amount of nutrient intakes was not different between NG and HG. Index of nutritional quality (INQ) for phosphate was higher in HG compared with NG. In both male and female HG, INQ for iron was higher but INQ for vitamin B1 was lower than NG. HG revealed higher consumption frequencies of snack, yoghurt, and ice cream compared with NG. In eating and behavioral factors, 'dinner with family', 'eat proper amount', 'keep Korean traditional diet', alcohol drinking, and mean alcohol intake were significantly different between the two groups. By logistic regression method, risk factors for hypertension revealed in this study were gender (male), age (15~19 years), BMI (${\geq}\;85$ percentile), and not keeping Korean traditional diet. These results suggest that education program for hypertension prevention in adolescents should include eating habits improvement and lifestyle modification as well as weight control.
According to the research on the gender ratio of furniture design courses at universities, female students account for 70 to 80 percent of the total enrollments. Likewise, other design courses reveal the similar trend. Even though female students want to build up their career in the furniture design or related fields, the figure is not so high. There is a trend that many female designers tend to take time off or quite their jobs after their marriage for that reasons such as pregnancy, childbirth, the upbringing of children and so on. The study also shows that women with higher education feel more difficult to resume their careers after being left from economic activity for a long period; this results in the lower figure of women involved in the specialized jobs than men. In particular, the furniture companies avoid hiring old female designers because they believe that younger candidates are more capable of learning the latest style; therefore, it has become harder for the job seeks to win the competition in the job market. The data released by Statistics Korea in 2015 shows that there was the higher increase in female employees than the figure of the male workers, compared to the previous year. As it can be seen, female workforce was emerged as the new growth power; Nevertheless, the working environment and conditions haven't meet the demands from women despite the gradual rise of female job seekers inspired by their wish to achieve self-realization, gender equality. To conclude, this is to suggest the plans for the foundation and management of small-scale carpentry studios so that women, who have a degree in furniture design studies and wish to resume their careers after their long breaks, start their own carpentry studios so as to reach self-realization and feel satisfied with their work while earning their livelihoods.
Journal of Family Resource Management and Policy Review
/
v.19
no.3
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pp.121-142
/
2015
The purpose of this study is to resolve the factors that affect happiness levels and leisure life satisfaction of middle-class and to find way to incorporate them into policy. In this study, a status analysis on leisure life and One-Way ANOVA conduct a study on leisure resource and income levels that affect the happiness level and leisure life satisfaction. To recap briefly, to reduce the social and cultural polarization caused by economic disparity and to promote leisure life satisfaction and happiness level is possible quantitative-qualitative growth and maturation of middle class. The most important thing here is increasing in leisure time and leisure costs that consumed in real leisure life. In other words, leisure life satisfaction and happiness levels in the middle class has seen a significant difference in depending on whether and how much to spend on leisure time and cost, rather than differences of the monthly average household income. More particularly, analysis results seem to hoping of the extra leisure costs about 50,000 won per person and increasing the leisure time on weekdays and long weekend holiday. Above all, It is important to redefine the middle class that meets the recognition of the people and it should reflect government policy. Ultimately, The state of the socio-economic-welfare policies will be further expanded in the direction for the middle class, thinking of themselves as middle class and leading national consciousness.
To assess the clinical and nutritional status of long-term survivors of biliary atresia, history taking, medical record review, physical examination (height, weight, MAC, TSF), blood tests (LFT, prothrombin time, platelet count, prealbumin, calcium) and liver needle biopsy were performed in 12 patients in whom Kasai procedure were performed more than 10 years ago at Department of Pediatric Surgery in Seoul National University Hospital. None were below the 5th percentile in height and weight. TSF was above the 75th percentile in all patients and showed good subcutaneous fat deposition. MAC was above the 5th percentile in all patients. Serum prealbumin level was abnormal in 2 patients with abnormal liver function and revealed visceral protein malnutrition. Serum calcium level was decreased below normal range in 4 patients with abnormal liver function. One patient had mild ascites. Five patients had abnormal liver function and 7 patients showed clinical manifestation of portal hypertension. Liver needle biopsy was performed in 5 patients and no cirrhotic change was observed. Although some patients who have survived for more than 10 years after Kasai procedure developed protein malnutrition and vitamin deficiencies, growth and development and nutritional status were generally satisfactory. Five patients(42%) showed normal liver function and no portal hypertension. In conclusion, Kasai procedure is satisfactory as a primary treatment in biliary atresia but significant portion of long-term survivors had abnormal liver function and portal hypertension. Continuous and careful follow-up is necessary to determine when liver transplantation may be indicated.
Kim, Dae-Hee;Ahn, Sam-Young;Kang, A-Reum;Yoo, Bo-Ram;Lee, Bok-Nam
Hwankyungkyoyuk
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v.22
no.4
/
pp.66-80
/
2009
While global warming and climate change have been issues with global implications for ecology and nature as well as for the economy, politics and social sector, Korean's climate change awareness has been reported to be low. This phenomenon can be attributed to the fact that there is neither a systematic and continuous educational program for climate change nor a system to implement and support it. Although environmental education traditionally has not been a center of focus in most schools, the move towards "green growth" in national policies are slowly influencing school education as well. Throughout the year 2009, Green Suncheon 21 has offered a program called 'Suncheon Climate School' designed for elementary schools and regional centers for underprivileged children. Program instructors were sent to schools and centers that requested such climate change education. The aim of this study is to evaluate the success of the program and to provide feedback on its impacts. According to the study, students' interests in climate change have increased after the climate change education, and students found the lectures to be informative and interesting. Students said that they became more aware of the serious consequences of global warming and climate change and found that such education is beneficial and should be available to a wider population. This study suggests that first, school teachers should be aware of climate change and support such educational programs to be a part of the regular curriculum. Second, the content and the level of the program should be designed in consideration of the corresponding school curriculum to make the subject relevant and accessible to students.
This study presents the effects and phenomenological meanings of child poverty on child development by implementing in-depth interviews with 19 adults and 20 children in Korean Welfare Qualitative Panel Study and analyzing multi-dimensional categories of child poverty experiences. By focusing on relative deprivation, this study lists the insider's view on poverty experiences such as pauperization, housing, health, education, child-raising, culture, family and child's dream, and then it describes poverty experiences in a heuristic and hermeneutic way from the child's view. Findings shows that poverty experiences of childhood are associated with negative child development experiences such as trauma, deprivation of growth and opportunity, childhood adultification, intergenerational transmission of poverty and limiting dreams. This qualitative study based on the insider's view, can contribute not only to profound understandings of multi-dimensional child poverty but to identification of client based policy demand, which enables poverty policy studies expand their boundaries.
Our Team Approach consists of following five stages; (1) Peri-natal care until lip repair After ultrasound diagnosis, some obstetricians recommend the mother with CL/P fetus to undergo prenatal counseling in our CLP clinic. On the day the CL/P baby was born, our oral surgeon, nurse, and pedodontist visit the maternity clinic, and take counseling and take impression for a feeding plate. The cheiloplasty is performed in three months old. (2) From lip repair to palatal repair At one year of age, Otorhinolaryngologist checks middle-ear disease. Palatoplasty is carried out at 1.5 - 2 years old. (3) In deciduous and early mixed dentitions Speech is the most important issue in social life for the CL/P subjects, therefore the training of velopharyngeal function is essential. Orthodontist monitors dentofacial development from 5 years of age. In the case of severe maxillary under-growth or severe collapse, maxillary protractor or lateral expansion is indicative, respectively. In early mixed dentition, upper central incisor on the cleft area erupts with some torsion, and then the traumatic occlusion with tooth torsion must be corrected. (4) In mixed dentition Right before the eruption of upper canines, secondary bone grafting is performed. One year prior to the operation, maxillary fan-type expansion is carried out to correct the collapse of maxillary segments. Following the surgical operation, the erupted canine will be moved into the transplanted bone to avoid alveolar resorption. (5) In permanent dentition Final tooth alignment is carried out after eruption of second molars. Some cases may require orthognathic surgery after physical maturation. Prosthetic oral rehabilitation including the dental-implant is carried out after age eighteen.
Purpose: The incidence of high-risk pregnancies is increasing in Korea as the birth age increases due to late marriage. Maternal-fetal attachment is an important factor that affects children even after childbirth, but it is difficult for high-risk pregnant women to form maternal-fetal attachment. The current study aimed to explore whether taegyo practice (i.e., pregnant women's efforts for fetal good growth and development), self-esteem, and social support influenced the degree of maternal-fetal attachment in women with high-risk pregnancies. Methods: The participants included 226 pregnant Korean women at ≥20 gestational weeks, hospitalized with 15 high-risk pregnancy conditions as defined by the Ministry of Health and Welfare. Recruitment via convenience sampling was done at four sites in Busan, Korea. Surveys were distributed and collected from February 1 to 28, 2022. Data analysis was conducted using descriptive statistics, the t-test, one-factor analysis of variance, Pearson correlation coefficients, and hierarchical multiple regression. Results: On average, participants were 33.97±4.23 years of age and at 31.65±6.23 gestational weeks. Preterm labor (35.4%) and gestational diabetes (21.0%) were the most common high-risk conditions. Maternal-fetal attachment was positively correlated with taegyo practice (r=.70, p<.001), self-esteem (r=.53, p<.001), and social support (r=.53, p<.001), all with statistical significance. Taegyo practice (β=.50, p<.001) and social support (β=.17, p=.030) explained 53% of variance in maternal-fetal attachment in women with high-risk pregnancies. Conclusion: Nurses caring for women with high-risk pregnancies during hospitalization can use these findings by promoting taegyo practice and enhancing social support to increase maternal-fetal attachment.
This study explores the case manager's experiences in terms of how they were challenged by the difficulties of the case management process, overcame them, and obtained the positive outcomes. Qualitative methodologies were used, employing a focus group interview with 10 case managers. The findings suggest that case managers were aware of the importance of strength among clients and communities. Case managers commented that they tried to actualized the principles of Strength Case Management, thereby facing the changes and growths among clients and communities. Several suggestions were made for the effective settlement of Strength Case Management.
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