• Title/Summary/Keyword: Parents consultation

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Development of Pattern Identification Questionnaire for Attention-Deficit/Hyperactivity Disorder (ADHD) in Korean Medicine (주의력결핍 과잉행동장애(ADHD) 한의 변증 설문지 개발 연구)

  • An, Yunyoung;Jeong, Minjeong;Kim, Miyeon;Kim, Lakhyung
    • Journal of Oriental Neuropsychiatry
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    • v.30 no.1
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    • pp.1-11
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    • 2019
  • Objectives: Attention-Deficit/Hyperactivity Disorder (ADHD) is characterized by a persistent pattern of inattention and/or hyperactivity impulsivity that interferes with function or development in children. In traditional Korean medicine (TKM) and traditional Chinese medicine (TCM), ADHD is classified by several patterns based on symptoms and signs. However, currently, there is no objective diagnostic tool for ADHD in traditional medicine. The objective of this study was to develop the Pattern Identification Questionnaire for ADHD (parents-survey style) to be used in Korean medicine, through a literature review and consultation with groups of experts. Methods: The types of pattern identifications of ADHD mentioned in 13 pieces of Korean and Chinese literatures and their symptoms and signs were analyzed. The advisory committee (15 Neuropsychiatrist and 11 Pediatrist in Korean Medicine) assessed the appropriateness of the literature selection and the types of pattern identification selection and their symptoms and signs, and weighed the significance of the symptoms and signs. The Pattern Identification Questionnaire for ADHD was developed using the calculated weights by evaluated significance. The translation of symptoms and signs to the Korean language was achieved through consultation with expert translators. Results: 1. Four pattern identification types and their symptoms and signs were selected according to frequency of appearance in the Korean and Chinese literatures, and were reviewed by the advisory committee: Kidney yin deficiency and liver yang ascendant hyperactivity (腎虛肝亢), Dual deficiencies in the heart and spleen (心脾兩虛), Phlegm-fire harassing the heart (痰火擾心), and Spleen weakness and liver energy preponderance (脾虛肝旺). 2. The weights of all the symptoms and signs in the four patterns were calculated using the means and standard deviations of the symptoms and signs' importance that were obtained from specialists' significance weighting. 3. The Pattern Identification Questionnaire for ADHD (parents-survey style) in Korean medicine composed of 38 questions was suggested. Conclusions: Using a review of the literature and expert advice, Pattern Identification Questionnaire for ADHD (parents-survey style) in Korean medicine was developed. Further clinical study is required to develop a final version of the questionnaire through the evaluation of reliability and validity.

Weight change pattern and weight control behavior among middle school girls (일부 지역 여중생의 체중변이양상과 체중조절행위에 관한 연구)

  • Kim, Young Im;Kim, Yoon Dul
    • Journal of the Korean Society of School Health
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    • v.8 no.1
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    • pp.155-166
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    • 1995
  • The aim of this study was to determine the extent to which sociodemographic and health related life-style variables explain body weight distribution and to understand weight contol behavior. To study this study 298 students were selected, it was consisted of obesity group(101) and control group(197). The average age of subjects was 14.2 and the prevalence of obesity was 2-3 per class as 5.6% among 1,793. 71% among same subject was showed higher weight pattern than last one year, ovesity group which was obesity both in 93 and 94 was 34%. Correlation between body weight(under weight/obesity) and independent variables including sociodemographic factor and health- related life style tested through Multiple Classification Analysis was very significant, explained 36% of the total variance. Sociodemografic and hereditary factors such as education level, age of father and physical features of parents, life style factors as exercise preference and perceived health status showed highly contribution to body weight. Concretely, there were showed a higher obesity prevalence tendency when education level and age of father was high, physical features of parents was obesity. In otherwise, there were showed a higher underweight prevalence tendency when education level and age of father was low. Experience rates of weight control was 53% generally, 84% in obesity group, and 11% in underweight group. There were utilized weight control behaviors through diet method mainly in obesity group, diet and exercise methods in underweight group. There were showed that underweight group are prefer exercise to obesity group. Conclusionally, These findings suggest that education, age, physical features of parents, exercise preference and perceived health status is important factors related to body weight among middle school girls. Therefore, there will be considered as valuable factors when we practice health education and consultation related to body weight. Furthermore it is necessary to provide of various informations about weight control and to develop systematic weight control program.

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The Effect of Short-Term Intensive Sensory Integration Therapy Program on a Child with Sensory Modulation Disorder(Mixed Pattern) : Case Study (혼합형 감각조절장애 아동에 대한 단기집중 감각통합치료 프로그램의 효과-사례보고)

  • Kim, Eun-Young;Ji, Seok-Yeon
    • The Journal of Korean Academy of Sensory Integration
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    • v.4 no.1
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    • pp.37-46
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    • 2006
  • Objective : This single-subject study explored the effect of short-term intensive sensory integration therapy program which was provided in a 2006 sensory integration treatment course on adaptive response of a four-year-girl with sensory modulation disorder(mixed pattern). Method : Based on results of the assessment to the child, her therapist offers an organized sensory integration program during four days. Results : Improvement of child's movement quality and variety in physical environment in therapy rooms and interaction with her therapist were observed. Conclusions : This report of the case will be helpful for occupational therapists who plan to intervent with a short-term intensive sensory integration therapy program. In addition, the need for consideration of consultation with the child's parents is discussed.

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A Case of Rapunzel Syndrome

  • Kim, Joon Sung;Nam, Chang Woo
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.16 no.2
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    • pp.127-130
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    • 2013
  • Rapunzel syndrome refers to a very rare condition in which swallowed hair forms a gastric trichobezoar that has a long tail extending into the small bowel. We describe a case of Rapunzel syndrome in an 8-year-old girl who presented with abdominal mass, epigastric pain and vomiting. Abdominal computed tomography scan showed a markedly dilated stomach filled with coarse heterogeneous materials. Upper gastrointestinal endoscopy revealed a huge hairy ball with a tail extending through the pylorus. We performed a surgical laparotomy and successfully removed a huge trichobezoar with a long tail extending into the middle portion of jejunum. Psychiatric consultation with review showed her past history of trichotillomania and trichophagia 4 years ago. But her parents denied further psychiatric therapy and she was lost to the follow-up. Rapunzel syndrome should be included in the differential diagnosis in children with chronic abdominal pain and trichophagia.

Perception and Educational Demand on Health Functional Foods among School Nutrition Teachers and Dietitians in Chungbuk (충북지역 일부 학교 영양(교)사의 건강기능식품에 대한 인식 및 교육 요구)

  • Hwang, Mi-Sook;Ju, Ji-Hyeung
    • Korean journal of food and cookery science
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    • v.27 no.3
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    • pp.81-93
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    • 2011
  • We investigated perception and educational demand for health functional foods among nutrition teachers and dietitians working in schools. The subjects were 229 nutrition teachers (57.2%) and dietitians (42.7%) working in Chungbuk elementary, middle and high schools. Approximately 67% of the subjects had experience consuming health functional foods. Most of the subjects did not have experience with the side effects after consuming health functional foods. Subjects who were unaware of the legal specifications, classification, and labeling standards for health functional foods (78-91.2%) were much more common than those who were aware of those issues. Most of the subjects perceived health functional foods as a food (45.0%) or as a product between a food and a medicine (44.5%). The subjects recommended themselves (43.1%) or medical doctors/pharmacists (40.8%) as consultation/education specialists for health functional foods. Approximately 66% of the subjects had experience conducting nutritional consultation/education in their schools, but only 3.2% had experience with health functional foods. Only 17.8% of the subjects had experience receiving education on health functional foods. Most subjects (88.2%) demanded education on health functional foods for themselves. The results suggest that an effective education is needed for nutrition teachers and dietitians working in schools for them to play an active role in educating students and their parents about health functional foods in the near future.

Precise Position Monitoring System for Infant Interaction Analysis (영유아 상호작용 분석을 위한 정밀위치 모니터링 시스템)

  • Park, Hyoung-Keun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.12
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    • pp.21-26
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    • 2019
  • This paper constructs a real-time monitoring system that can identify the individual positions of infants and their proximity to other infants using an Internet of Things (IoT)-based nameplate. The system consists of a precision location tracking module, a data transmission system for calculating gateway location information, a service platform server, and a data analysis processing module considering the development of infants and young children. The purpose of this study is to extract information about how infants interact with each other. The information gathered through this system can be used as important information to improve the peer relations of all infants and toddlers, from neglected infants to infants with no social development problems, to more popular infants. It is possible, based on the proximity information between infants and toddlers, that the teacher can identify positive interactions or negative interactions, and can educate infants on how to improve their peer relationships. These results can be used for consultation with parents, and the information collected through this system can be used as a database to establish a system for improving the relationships between infants and toddlers.

The common orthopedic problems in parent's concern (부모의 관심이 많은 소아 정형외과 질환)

  • Shin, Dong Eun;Yoon, Byung Ho;Chung, Ju Hwan
    • Clinical and Experimental Pediatrics
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    • v.51 no.2
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    • pp.122-128
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    • 2008
  • Roughly one third of medical problems in children are related to the musculoskeletal system. Most of these problems are common and can be precisely diagnosed. For these problems, nonoperative treatment or reassurance can be given by the pediatrician. Occasionally, a problem needs surgical treatment, but a precise diagnosis must be made. There is little agreement about what types of orthopedic problems a primary care pediatrician should understand in order to effectively care for children. Many pediatric residencies lack an organized teaching curriculum that effectively covers these topics or that includes a required pediatric orthopedic rotation. In this article the authors delineate pediatric orthopedic problems that require recognition and urgent surgical treatment and are relatively common, but have different treatment options (observation, conservative treatment, and surgery) depending on their natural history. Whenever possible, the diagnosis should be made before a decision to refer is made. An accurate diagnosis allows the pediatrician to discuss the natural history of the condition properly. Referral to the wrong specialty can needlessly generate expensive tests and further delay in treatment or generate inappropriate treatment. The parents can be reassured rather than waiting to hear the same information from another physician. In particular, orthopedic problems are known to generate pressure from the parents to seek specialty consultation for reassurance. It is important to communicate to the specialist that the reason for the referral is for parental reassurance rather than for further work-up or treatment. After a proper diagnosis, communication directly between the pediatrician and the appropriate specialist can often avoid an unnecessary referral, and avoid unnecessary tests. The authors reviewed our experience at our outpatient clinic over last 1 year and found that it is useful to classify conditions as common or uncommon, and whether they require surgical or nonsurgical treatment. Many conditions fall in between. The following is a discussion of some of these more important or common conditions.

The Study on the Mother's Needs for Information of the Child Care Web Sites (육아관련 웹사이트의 정보에 대한 영아어머니의 요구 분석)

  • Kim, Jeong-Soo
    • Korean Parent-Child Health Journal
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    • v.5 no.1
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    • pp.38-49
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    • 2002
  • The purpose of this study was to investigate the needs of a mother when getting the information from the child care web sites. The subjects of this study were collected through on-line and off-line and constituted of 157 mothers who had neonates and infancy. All the mothers could use the internet. On-line subjects were 135 mothers who were the members of "Child Rearing" circle of internet portal site, Daum (www.daum.net) and off-line subjects were 22 mothers who visited the pediatric outpatient department. The instrument had 15 items about needs for information of the child care web sites. 12 items were multiple choice-questions and 3 items were open questions. In data analysis, SPSSWIN 10.0 program was utilized for descriptive statistics. The results were as follows. 1. The most useful web content that mothers represented was food and nutrition(24.4%) and the other rated as following order; growth and development(21.1%), supports among parents(16.8%). 2. The most great web problem that mothers represented was depth of content(43 people) and the other rated as following order; objectivity, specialty and reliability of content(29 people), no problems (23 people), too much advertisements(17 people), obligation on member(4 people). 3. Mothers represented the highest information needs about play and education(65 people) and the other rated as following order; nutrition(44 people), managements of common health problems(39 people), experiences of other parents(10 people), child caring methods (38 people), exchanges of things(7 people). 4. Mothers represented the highest consultation needs about common health problem (62 people) and the other rated as following order; growth and activity(60 people), play and education(30 people), nutrition(22 people), child caring methods(9 people).

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Kim-Won Dental Clinic Interior Design (김원치과의원 실내디자인)

  • Choi, Sun-Hee
    • Proceedings of the Korean Institute of Interior Design Conference
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    • 2006.05a
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    • pp.99-100
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    • 2006
  • The concept of dental clinic have been changed along the advanced dental science to meet the need of setting up high-technology-digital appliances. As the general idea about the dental clinic has been changed from systematic connection, the expansion of zoning needs to become more accurate and mote detailed. In the spacious waiting room. the interment cafe has been established to supply the information services, and the various multi-imaged channels, which were built in, will relieve the boredom of the waiting time. The formation of water space leads to the effect of humidification and makes parents share visual and auditory sympathy All of the unit-chairs attached cameras in the consultation room enables people to diagnose more quickly and precisely through the computerized system. Partitions have been set of to put it in and to help diagnosis process to be done smoothly in the formational space. The whole atmosphere is intended to be harmony with the natural surroundings in Je-Ju. It will inspire people visiting this clinic to image the deep blue sea in Je-Ju. By using projective non-material a lot, especially material wooden windows and doors, it is believed to create the bright and stable atmosphere. It will lead patients feel comfortable.

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The Stress and Coping in Mothers of Children with Cancer (일 대학병원 암환아 어머니의 스트레스와 대처)

  • Kim, Rang-Sun;Park, In-Hyae
    • Asian Oncology Nursing
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    • v.6 no.1
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    • pp.66-75
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    • 2006
  • Purpose: The present study was to identify the levels of stress and coping and their relationship in mothers of children with cancer. Methods: A total of 124 mothers were recruited from a university hospital from June 1, to August 31, 2004. Parental Stress Scale developed by Miles and Carter (1983), and the Coping Behavior Patterns developed by McCubbin (1979) were used. Data were analyzed using SAS PC+ 8.0 program. Results: The mean score for the stress level in the mothers of the children with cancer was 195.6 from the range of 0-250. The mean score for the level of coping stress by the mothers of children with cancer was 121.8 from the range of 0-165. The level of coping stress was particularly high when the relationship with their husband was good, and when they felt hope for the children's health status. Conclusions: The most stressful element to the mothers of the children with cancer was the 'treatment and the nursing process for the children.' The frequently used coping methods were 'communication with other parents in the same situation' and 'consultation with the expert.'

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