• Title/Summary/Keyword: Growth of children

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Short Bowel Syndrome as the Leading Cause of Intestinal Failure in Early Life: Some Insights into the Management

  • Goulet, Olivier;Nader, Elie Abi;Pigneur, Benedicte;Lambe, Cecile
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.22 no.4
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    • pp.303-329
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    • 2019
  • Intestinal failure (IF) is the critical reduction of the gut mass or its function below the minimum needed to absorb nutrients and fluids required for adequate growth in children. Severe IF requires parenteral nutrition (PN). Pediatric IF is most commonly due to congenital or neonatal intestinal diseases or malformations divided into 3 groups: 1) reduced intestinal length and consequently reduced absorptive surface, such as in short bowel syndrome (SBS) or extensive aganglionosis; 2) abnormal development of the intestinal mucosa such as congenital diseases of enterocyte development; 3) extensive motility dysfunction such as chronic intestinal pseudo-obstruction syndromes. The leading cause of IF in childhood is the SBS. In clinical practice the degree of IF may be indirectly measured by the level of PN required for normal or catch up growth. Other indicators such as serum citrulline have not proven to be highly reliable prognostic factors in children. The last decades have allowed the development of highly sophisticated nutrient solutions consisting of optimal combinations of macronutrients and micronutrients as well as guidelines, promoting PN as a safe and efficient feeding technique. However, IF that requires long-term PN may be associated with various complications including infections, growth failure, metabolic disorders, and bone disease. IF Associated Liver Disease may be a limiting factor. However, changes in the global management of IF pediatric patients, especially since the setup of intestinal rehabilitation centres did change the prognosis thus limiting "nutritional failure" which is considered as a major indication for intestinal transplantation (ITx) or combined liver-ITx.

LONGITUDINAL STUDY OF CRANIOFACIAL GROWTH BY LATERAL CEPHALOMETRIC ANALYSIS (정상교합 아동의 두개안면부 성장에 관한 종적 연구)

  • Yang, Kyu-Ho;Park, Chang-Hun;Son, Jung-Soo;Kim, Nak-Hyun;Choi, Nam-Ki;Kim, Seon-Mi;Kim, Ki-Baek;Shin, Hye-Sung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.3
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    • pp.412-419
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    • 2009
  • The purpose of this study was to provide the reference data evaluating the treatment effect of orthopedic appliances. The skeletal and dental growth increments were measured in 24 normal mixed dentition children (boys: 14, girls: 10) by three serial lateral cephalograms: initial mean age: 9${\pm}$1.3 years, mean observation period: 13${\pm}$1.3 months. Cephalometric changes were analysed. The results were as follows: 1. In boys, the maxilla showed forward and downward growth pattern and the mandible showed forward growth pattern (p<0.05). In girls, the maxilla and mandible showed forward and downward growth pattern(p<0.05). 2. Horizontal growth of both maxilla and mandible in girls was superior to those in boys (A point; girls: 2.39mm, boys: 1.26mm, with p<0.05), whereas vertical growth of both maxilla and mandible in boys was similar to those in girls. 3. The change in tooth axis showed labioversion of upper incisor (p<0.01) and comparatively stable lower incisor position.

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Longitudinal and Complex Influence of Academic Strain on Unhappiness and Mobile Phone Dependency among Adolescents using Latent Growth Model (잠재성장모형을 사용한 청소년의 학업긴장이 불행감과 휴대전화 의존에 미치는 종단적·복합적 영향 분석)

  • Jun, Sang-min
    • Journal of Digital Convergence
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    • v.14 no.12
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    • pp.293-302
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    • 2016
  • The study explores how academic strain, unhappiness, and mobile phone dependency among adolescents have changed over time. And we conducted the longitudinal and complex analysis on the influence of academic strain on unhappiness and mobile phone dependency in order to search the ways to prevent a vicious circle among them. We used general strain theory as a conceptual research frame and analysed the data of 1,589 respondents of the 2nd~4th Korean Children and Youth Panel with latent growth modeling. It was found that the levels of academic strain, unhappiness, and mobile phone dependency among adolescents were linearly increased across time. Academic strain initial status positively affected unhappiness initial status and both the initial status and change rate of mobile phone dependency. The change rate of unhappiness positively affected that of mobile phone dependency. Academic strain change rate positively influenced that of mobile phone dependency mediated by unhappiness change rate. We provided useful implications to academic activities, negative emotions, and mobile phone dependency for adolescents and suggested future studies about reasons of the changes of those variables.

2020 Korean Dietary Reference Intakes for Protein: Estimation of protein requirements and the status of dietary protein intake in the Korean population (2020 단백질 섭취기준: 결핍과 만성질환 예방을 위한 한국인의 단백질 필요량 추정과 섭취현황)

  • Kim, Eunjung;Chung, Sangwon;Hwang, Jin-Taek;Park, Yoon Jung
    • Journal of Nutrition and Health
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    • v.55 no.1
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    • pp.10-20
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    • 2022
  • This article evaluated levels of Estimated Average Requirements (EARs), Reference Nutrient Intakes (RNIs), and Acceptable Macronutrient Distribution Ranges (AMDRs) of protein using the recently revised Dietary Reference Intakes (DRIs) for Koreans (2020). Dietary protein requirements are based on amounts sufficient to satisfy physiological demands to accomplish nitrogen equilibrium. The same principle was applied to estimate EARs and RNIs, for adults in DRIs conducted in 2015 and 2020 in Koreans. EAR was estimated to be 0.73 g/kg body weight/day, according to data (0.66 g/kg body weight/day) obtained using the nitrogen balance method and adjusted by efficiency of protein use (90%). RNI was calculated as EAR increased by an amount equal to twice the standard deviation of an age group so as to cover 97.5% of the group and was found to be 0.91 g/kg body weight/day. For weaned infants, children, and adolescents, growth requirement was added to estimate EAR. In particular, growth requirement was adjusted by efficiency of protein use in the revised EAR, which led to higher EARs for weaned infants, children, and adolescents of both genders as compared with 2015 DRIs. The AMDR for protein was set at 7%-20% of energy intake, which was the same as 2015 DRIs. Current, average protein intake by the Korean population is almost twice times the EAR, which suggests it might be better to increase the minimal margin for AMDR. However, it was not adjusted in this revision due to lack of evidence.

Somatotype Characteristics of Elementary School Girls (Part I) -Focusing somatotype changing charcteristics on each grade group- (학령기 여아의 체형 특성(제1보) -학령기별 체형 변이 특성을 중심으로-)

  • 장정아;권영숙
    • Journal of the Korean Society of Clothing and Textiles
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    • v.23 no.7
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    • pp.941-952
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    • 1999
  • The purposes of this study were to provide the fundamental data on elementary school girls' somatotype for their clothing construction by contemplating the stage of physical growth dividing into the period of school age and characterizing the variation of body type according to the school age. The results are as follows : 1. Form the results of one-way variables analysis and multiple comparson test(Duncan's test) classification of the period school age can be divided into 'early grade(1 2 grade)' ' middle grade(3 4 grade)' and 'later grade(5 6 grade)' 2. As the results of analyzing Mean Coefficient of Variation and Standard Deviation graph for direct and indirect measurments and index especially of the Coefficient Variation that explain individual difference of growth the items of height indicates individual difference related with height of lower body of early grade group the items of length individual difference related with length of upper body of later grade group and the items of circumference make little difference. The items of anagle makes pretty higher value that direct measurements and especially in lower angle of chest make a distinctive difference, This fact proves that children's somatotype change from the belly part extruded forwards of early and middle grade to the upper body part slanted slightly forward of later grade.

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Perception of Elementary School Teachers about Nutrition Education (초등학교 교사의 영양교육에 대한 인식 조사 연구)

  • 김경애;정난희;오순희
    • Korean Journal of Human Ecology
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    • v.7 no.2
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    • pp.13-30
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    • 2004
  • The purpose of this study was to investigate the status of teacher's perception about the nutrition education of elementary schooL The results of this study were as follows. Most of the teachers responded that nutrition education necessitate in curriculum of elementary school, the main reason for necessity of nutrition education was for proper growth, they thought starting period of nutrition education was to begin when children are in a kindergarten and a infant home. The perception for a suitable person to teach the nutrition education showed dietician, parents, class teacher and a related teacher in oder and the time of that is a related class, as a spare time at everyday, a special activity time, and service a meal in order. Importances of the contents of a nutrition education were proper eating habits, growth and nutrition, a food hygiene and a disease in order. Problems of elementary students' nutrition were a unbalanced eating, a ingestion a processing and instant food too much, lack of table manner, fatness and a weak child in order. The most of expected effects through the nutrition education were a good table habits and manners, the way of a efficient nutrition education were a need of link with parents, a need of link the dietician. a teacher's class and training in order. The average score of nutrition knowledge was 6.3$\sim$6.9 out of 10 and teachers of Gwangju scored more higher on nutrition knowledge than teachers of Jeonnam, as they arranged a dietician was so.

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Effects of Gender and Interpersonal Factors on Early Adolescents' Trajectories of Mobile Phone Use With Reference to its Purposes (초기 청소년의 성별 및 대인관계 요인이 휴대전화 용도별 이용빈도의 변화에 미치는 영향)

  • Seo, Mijung
    • Korean Journal of Child Studies
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    • v.38 no.2
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    • pp.93-105
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    • 2017
  • Objective: This study aimed to investigate the trajectories of mobile phone use with reference to its purposes, and to examine the effects of gender and interpersonal factors on the same in early adolescents. Methods: Latent growth modeling was used with a sample of 2,378 early adolescents from Grade 4 to 8. Data from the Korean Children and Youth Panel Survey conducted by the National Youth Policy Institute were used. Results: In boys and girls, overtime, the level of mobile phone use for communicating with family decreased, while that for communicating with friends increased. Level of mobile phone use for entertainment increased across time in boys; however, in girls, it increased from Grade 4 to 6 and decreased thereafter, until Grade 8. Gender was associated with the changes of mobile phone use according to the purpose of the same. Positive parenting, negative parenting, relationships with peers, and relationships with teachers predicted changes in mobile phone use for communicating with friends. Conclusion: These findings suggest that the processes involved in the trajectories of mobile phone use in early adolescence operate differently based on the purposes of the same. Additionally, the present results show that interpersonal factors are highly associated with mobile phone use for communicating with friends.

Clinical and Molecular Genetic Characteristics of Korean Patients with Smith-Lemli-Opitz Syndrome: A Report of New Patients with a Literature Review (한국인 스미스-렘리-오피츠 증후군 환자의 임상 양상 및 유전자형: 새로운 증례 보고 및 문헌 고찰)

  • Ko, Jung Min
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.14 no.1
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    • pp.48-53
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    • 2014
  • Smith-Lemli-Opitz syndrome (SLO) is a rare, autosomal recessive disease caused by an inborn error in cholesterol synthesis. Patients with this disease suffer from multiple malformations due to reduced activity of 7-dehydrocholesterol reductase (DHCR7), which increases 7-dehydrocholesterol (7DHC) and 8-dehydrocholesterol (8DHC) concentrations and decreases cholesterol concentration in body fluids and tissue. Here, we describe Korean siblings with SLO who were diagnosed recently, and performed a review of literature about Korean cases with SLO to date. Microcephaly and syndactyly of the second and third toes are the most common physical finding in SLOS patients. Other malformations including growth failure, cleft palate or bifid uvula, various heart malformation, genital ambiguity in males are also accompanied. Not all patients showed low levels of serum cholesterol, so DHCR7 mutation analysis can be helpful to confirmative diagnosis. Two mutations on p.R352 locus (p.R352W and p.R352Q) are commonly identified in Korean SLO patients. Although rare in Korea, SLO should be considered in the differential diagnosis of growth failure with intellectual disability, especially in patients with multiple congenital anomalies.

Trend and Perspectives of Studies on Paternal Parenting in Pediatric Nursing (아동간호학에서의 아버지 자녀양육에 대한 연구 경향과 전망)

  • Kwon, In-Soo
    • Child Health Nursing Research
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    • v.19 no.2
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    • pp.69-75
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    • 2013
  • The significance of father's parenting has been considered as a critical factor in facilitating growth and development and in promoting wellbeing of children. Pediatric nursing is a pertinent science to develop parenting roles, because it deals with knowledge and skills on growth and development and health of child. For this paper current studies were reviewed related to consequences to the family, content and factors influencing paternal parenting, and father's reactions to child rearing participation. Perspectives of future studies in pediatric nursing are summarized as follows. First, paternal parenting has to be studied more actively to contribute to family health and to meet the academic responsibility of pediatric nursing. Second, it is necessary to study the consequences to child's health and health behavior of paternal parenting. Also it is necessary to be concerned about fathers' reactions, like stress in parenting behavior, to understand the parenting father himself. Third, an objective measure of caregiving behavior (not self-reporting) is needed to determine whether the father is behaving appropriately. Further, experimental research has to be implemented to develop intervention programs for paternal parenting. It is hoped that the examination of these studies leads to develop of knowledge and practice in paternal parenting.

Neurobiological Aspects of Epistemology and Brain Areas related to Mathematical Activities (인식론의 신경 생물학적 고찰 및 수학 활동과 관련된 두뇌의 활성화)

  • Kim, Youn-Mi
    • Journal of Educational Research in Mathematics
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    • v.20 no.1
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    • pp.21-43
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    • 2010
  • In this article three types of neuro-biological epistemology have been studied and applied to mathematics. Nativism or innatism is favored by many evolutionary psychologists and some mathematicians. They believe domain specific brain functions or modules, particularly language faculty and number instinct in infants. Number/mathematical cognition is a new research area and scientists try to localize areas related with mathematics. Selectionism has adopted Darwinism to synapse growth and supports neuronal regression. Mathematical creativity can be explained using selectionism. Neural constructivism has originated from J. Piaget and supports neuronal/synapse growth in children or adults if adequate exercise and practise is given. Unlike Piaget, neural constructivists accepts the importance of structured experience for the reorganization of brain. Authors opinion is all these theories of epistemology is equally important and they all give insights on how the brain and self is made.

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