Purpose: This study aimed to determine the serum 25-hydroxy-vitamin D (25(OH)D) status of breastfed infants less than six months old and their mothers, and factors affecting the status. Methods: This cross-sectional study was done on breastfed, term, Filipino infants less than six months old who were seen at local health centers and clinics in an urban area. The serum 25(OH)D levels of these infants and their mothers were determined, and their demographic data, nutritional status, sun exposure behavior, and maternal vitamin D intake were analyzed for correlation using regression models. Results: Among the 131 infants, 101 (77%) had vitamin D deficiency (VDD), which was defined as having 25(OH)D levels <37.5 nmol/L, and 13 (10%) had vitamin D insufficiency (VDI), with levels >37.5-50 nmol/L. Conversely, maternal VDD with levels <50 nmol/L was seen in 31 (24%) mothers and maternal VDI with levels 50-75 nmol/L, in 63 (48%) mothers. Infant age and maternal 25(OH)D status were independent predictors of infant VDD. Infants less than three months old were found to have a six-time increased risk of infant VDD (p=0.004). Infants who had mothers with VDD had a six-time increased risk, whereas those with maternal VDI had a four-time increased risk of infant VDD (p=0.049 and p=0.020, respectively). Conclusion: Both infant and maternal VDD and VDI were seen to be highly prevalent in this tropical, urban community. Young infants and maternal VDD/VDI independently increased the risk of infant VDD, whereas lack of sun exposure of the mothers increased the risk for maternal VDI.
Objective: This study was performed to evaluate the influence of maternal age on embryo quality and the frequency of multiple pregnancy in IVF-ET program. Method: 86 conventional IVF-ET cycles were divided into three groups according to the age by 5 year (group A: 26-30, group B: 31-35, group C: 36-40 yrs). The in vitro fertilization and development outcome (fertilization, cleavage and high quality embryo rate) and the pregnancy outcome (pregnancy, implantation, G-sac/high quality embryo and multiple pregnancy rate) were examined. And then, these results were compared among the groups. Results: The rates of fertilization (62.7, 68.5 and 65.4%, respectively) and cleavage (95.6, 97.6 and 98.0%, respectively) were not different among the groups. And the high quality embryo (HQE) rate also was not different among the groups (61.8, 62.9 and 62.8%, respectively). The pregnancy rate of group C (23.3%) was significantly lower than that of group A (41.2%) and B (48.7%). And the implantation rate was significantly decreased with advance in maternal age (group A; 17.3%, B; 12.6% and C; 6.0%). The G-sac/high quality embryo rate was significantly higher in group A (70.8%) when compared to group B (32.2%) and C (40.0%). On the other hand, the multiple pregnancy rate was significantly lower in group C (14.3%) when compared to group A (71.4%) and B (36.8%). Conclusion: The pregnancy rate was significantly decreased over 35 years. The G-sac/HQE and multiple pregnancy rate were significantly high below 31 years. Thus, these results suggest that the number of high quality embryo transferred should be limited by the age and another criteria for embryo quality evaluation were required for single embryo transfer.
Objective: The purpose of this study was to explore the influences of maternal attitude toward child emotional expressiveness, young child attachment stability, and emotion regulation ability on problematic behaviors. The participants of this study consisted of 279 children (age 5), and their mothers, and 48 teachers. Methods: The data was analyzed by means of t -test, Pearson correlation, confirmatory factor analysis, and SEM analyses. Results and Conclusion: The major findings were as follows. First, higher maternal attitude toward child emotional expressiveness was associated with better child attachment stability. Second, higher child attachment stability was associated with better child emotion regulation at home and lower problematic behavior. Third, higher child emotion regulation at home and in the classroom was associated with lower problematic behavior. Fourth, maternal attitudes toward child emotional expressiveness directly impacted levels of problematic behavior. Fifth, child emotional regulation fully mediated the effect of attachment stability on problematic behavior.
The purposes of this study were to investigate the relationship between children's private speech during the individual session and maternal scaffolding during mother-child session. Subjects were twenty 3-year-old children and twenty 5-year-old children and their mothers recruited from day-care centers in Seoul. Mother-child interaction was videotaped for 15 minutes and maternal utterances were transcribed for analysis maternal scaffolding. Individual session of child after 3-5days was videotaped for 15 minutes and children's utterance was transcribed. Subcategories of maternal scaffolding were significantly related with children's private speech during individual session. There did appear to be an age difference in this relationship. In verbal strategy for scaffolding that 3-year-old's mother used, other-regulation and control, praise strategy was significantly related with children's private speech. In verbal strategy for scaffolding that 5-year-old's mother used, other-regulation and control, teaching strategy was significantly related with children's private speech. In maternal physical control strategy, withdrawal of mother physical control the maze task over time was significantly related with children's private speech. Withdrawal of mother physical control 5-year-old's physical performance was significantly related with children's private speech.
The purpose of this study was to explore the effect of maternal perception of children's temperament on parenting stress. The subjects of this study were 303 mothers of four to six-year-old. Evaluations of Parent and Teacher temperament questionnaire for Children 3-7 years of age(Tomas, Chess, & Kom, 1977)(korean version) was used to measure children's temperament, and PDH(Parenting Daily Hassles) was used to measure maternal perception of parenting stress. Data were analyzed by descriptive analysis, t-test, ANOVA, Peasons's Correlation and multiple regression analysis and Duncan test for post test by SPSS WIN program. The results of this study were as follows; First, the average level of maternal perception of children's temperament was the highest in the category of adaptability and the lowest in the category of threshold of responsiveness. Second, maternal perception of children's temperament was significantly different according to children's sex. Boys were perceived higher than girls for the category of activity level. Third, the degree of daily hassles was explained by adaptability, the quality of mood, and activity level relatively, while the intensity of parenting stress could be predicted orderly by adaptability, threshold of responsiveness, attention span & persistence, regularity, and activity level. Fourth, mother's daily hassles was explained 22% valiance by children's temperament such as adaptability, the quality of mood, and activity level. Future research should be done to identify the interaction of temperamental factors.
Purpose: The study was done to investigate behavioral problems in toddlers who were born prematurely and to analyze related factors. Methods: A cross-sectional explorative study was conducted with 72 preterm birth (PTB) children at 24 to 41 months of corrected age who were born at 28 to 37 weeks' gestation. During home visits, behavior problems were assessed using the Behavior Rating Index for Children (BRIC). Using a BRIC score of ${\geq}30$, children with suspected behavior problems were grouped in the non-regular behavior group. Results: Of the children, 38.9% belong to the non-regular behavior group. The mental development index score for the Korean-Bayley Scale of Infant Development- II was higher for the non-regular behavior group compared to the regular behavior group (t=2.26, p=.027). Logistic regression analysis showed that lower maternal attachment (<96, OR=3.4, 95% CI[1.1, 10.4]) and higher parenting stress (${\geq}97$, OR=4.8, 95% CI[1.3, 17.3]) were independently related to non-regular behavior. Conclusion: PTB Toddlers are at risk for behavior problems which are associated with low cognitive performance. Maternal-child attachment and maternal parenting stress were strongly related to behavior problems in these children. More attention is needed to understand possible behavior problems in young children with PTB, particularly focusing on maternal-child interaction and maternal mental well-being.
The purpose of this study was the development of a scale to assess maternal anxiety after mother-child separation. Subjects consisted of 384 mothers who had children from 6 to .36 months of age. A questionnaire consisting of eighty Likert-type items and Spielberger's(1970) State Anxiety Scale were administered to mothers and data were analyzed using item analysis. factor analysis. multiple regression. Cronbach's ${\alpha}$. Pearson's correlation and F-test. Sixty of the eighty items were significant and deemed acceptible through item discrimination method with indices ranging from. 32 to .95. Factor analytic procedures have selected 54 items of the 60-item scale and supported a 5-factor solution. The subscales labeled 'Maternal Separation Anxiety'. 'Perception of Separation Effects on the Child', 'Desire for Physical Cuddling and Closeness'. 'Attitudes toward the Value or Importance of Exclusive Maternal Care' and 'Employment-related Separation Concerns,' Finally. a multiple regression analysis conducted to reduce the length of the scale yielded a 39-item form for the Maternal Separation Anxiety Scale(MSAS). Internal consistency of the MSAS was high(Cronbach's ${\alpha}$ =.85). The correlation of the MSAS with the Spielberger's State Anxiety measure yielded a coefficient of .36, revealing a moderate and positive relationship.
The purpose of this study was to research the actual state of mother's internet use and to explore the possibility of the internet use as a social support. The affect of mother's internet use on maternal efficacy is also examined. The Subjects were 250 mothers, who have their first child under 8 years old, in Seoul and Ilsan. Data were gathered through questionnaires. As predicted, mother's internet use was popular among young mothers. And, the main reason of internet use of mothers was to find some information on parenting and nurturing child. Moreover, mothers believed that they could get some social support from using internet in terms of informational, instrumental, and emotional service. However, it should be noted that mother's perceived level of support was significantly different, depending on mother's age, level of mother's education, household income, and the age of the first child. It was also found that mothers who received social support from internet showed higher material efficacy. Thus, we believe that internet use could be a new source of social support for the mothers of young children.
The purpose of this study is to evaluate child - care effects on young child's aggression in ecological context. For this, main effects, interaction effects and cumulative effects between child care experiences(quantity, quality, age of entry and stability) and maternal behavior as well as characteristics of child(sex, age and temperament) were examined. A total of 62 young children(34 boys and 28 girls) enrolled in child - care center were observed, and mothers and caregivers completed questionnaires. Data was analysed by three - way ANOVA, logistic regression and crosstabs. As result, first, main effects of quantity, rejective and regulative mothering on children's aggression were found. Second, there were significant interaction effects between both quality and quantity of day-care and rejective mothering. In particular, the interaction effects provided evidence that high - quality child - care served a compensatory function for extensive care and rejective mothering. Third, logistic regression analysis revealed risk factors for child's aggression and the effects of these risk factors were cumulative. Interaction effects of day-care quality and cumulative effects of day-care, characteristics of child and maternal behavior on child aggression were discussed.
The purpose of this investigation was to examine whether early child-care experience, alone or in combination with mother/child factors, was associated with emotion regulation. Participants were forty 12-18 month-old infants, their mothers and their caregivers. Infants were observed in the Strange Situation to assess the pattern of emotion regulation. Mothers were interviewed, given Questionnaires, and observed in play. Caregivers were observed in child care to assess the caregiving environment. There were significant main effects of good quality child care on open emotion expression and heightening emotion expression. Significant interaction effects revealed that infants were more likely to be open emotion expression when high maternal sensitivity /responsiveness was combined with good quality child care, or nonmaterial care initiated prior to six month of age. Infants were more likely to be minimizing emotion expression when low maternal sensitivity/responsiveness was combined with nonmaternal care initiated after six month of age, or more than one care arrangement. Difficult temperament infants received nonrelative care were somewhat more likely to be minimizing emotion expression. Infants were more Likely to be heightening emotion expression when high maternal sensitivity/responsiveness was combined with relative care. Boys experiencing nonrelative care were more Likely to be heightening emotion expression.
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