• Title/Summary/Keyword: Preschool Children

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Clinical Investigation of Pediatric Blunt Thoracic Trauma (소아 흉부 둔상 환자의 임상적 고찰)

  • Chung, Tae Kyo;Hyun, Sung Youl;Kim, Jin Joo;Ryoo, EeIl;Lee, Kun;Cho, Jin Seung;Hwang, Sung Yun;Lee, Suk Ki
    • Journal of Trauma and Injury
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    • v.18 no.2
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    • pp.119-126
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    • 2005
  • Background: Blunt thoracic trauma in children has a high morbidity and mortality. In this study, we assessed the significance of the injury pattern, mechanism and initial status in emergency department on severity and prognosis in pediatric blunt thoracic trauma patients. Method: We retrospectively reviewed medical records and chest X-ray and CT images of 111 pediatric blunt thoracic trauma patients from October 2000 to June 2005. Data recorded age, gender, season, injury mechanism, injury pattern, associated injury, length of hospital stay and cause of death. Result: Of all 111 patients, 68 patients were injured by motor vehicle accidents, 30 were falls, 5 were motorcycle accidents, 3 were sports accidents and 5 were miscellaneous. In thoracic trauma, single injury of lung contusion were 35 patients and 32 patients had multiple thoracic injuries. Hospital stay in school age group were longer than preschool age group. The causes of death were brain injury in 9, respiratory distress in 4, and hypovolemic shock in 2 patients. Emergently transfused and mechanically ventilated patients had higher mortality rates than other patients. Patients required emergency operation and patients with multiple thoracic injuries had higher mortality rates. Conclusion: In this study, patients with combined injury, emergency transfusion, mechanical ventilation, emergency operation, multiple injuries in chest X-ray had higher mortality rates. Therefore in these pediatric blunt thoracic trauma patients, accurate initial diagnosis and proper management is required.

Assessment of Foodservice Management Performance at Child Care Centers (보육시설 급식운영관리 실태 조사)

  • Lee Mee-Sook;Lee Jae-Yeon;Yoon Sun-Hwa
    • Korean Journal of Community Nutrition
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    • v.11 no.2
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    • pp.229-239
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    • 2006
  • This study was carried out to investigate foodservice management practices of 100 child care centers nationwide, and to provide background information for developing foodservice management policies at child care centers. Approximately 20% of the child care centers had a separate dining room; most of the centers were vulnerable to sanitation or safety problems. The percentage of the centers that planned menus was about 60% and 10% established standardized recipes. Fourteen percent of the centers kept records for distribution and menu evaluation and 33% kept sanitation management records. Since only 7% of the centers employed a dietitian, foodservice in most centers were not managed by professionals. The results of menu assessment revealed that 56.5% of the national/public child care centers received 19 points or higher out of 21 points, whereas 5.6% of the private child care centers received the same scores. Proper usage and storage of raw food, sanitary management of equipment and facilities, waste management/leftover food treatment, and basic facility of cooking zones were performed well by many centers. The overall scores of foodservice performance were only 31.2 out of 60 points, representing relatively poor safety management, food procurement management, and facilities and equipment management. These results indicate that the foodservice management of the child care centers are in a relatively poor state. Since nutrition management of the most centers was performed by non-professionals, it may not be possible to provide proper nutrition for health and normal growth of preschool children and to perform efficient nutrition education programs. The following suggestions are strongly recommended in order to improve foodservice performance at child care centers. First, foodservice administration should be performed by a dietitian, and second, efforts should be focused on strengthening nutrition and sanitation management.

Comparison of Nutrient Calculation Programs for Dietary Intake Analysis (식품섭취 조사 분석시 영양가 계산 프로그램의 비교 연구)

  • Mun, Hyeon-Gyeong;Kim, Eun-Gyeong
    • Journal of the Korean Dietetic Association
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    • v.5 no.1
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    • pp.100-115
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    • 1999
  • With the growing number of nutrient calculation software packages on the market, there are need to compare each programs. Since each program use different nutrient databases, the result of calculation may be different in value. In this study, we use three(A, B, C) most popular program package to compare the result of nutrient calculation. For the analysis, 24hour recall data from 97 preschool children, 66 university students and 95 aged persons were used. For the calculation if subjects gave the complete recipe, recipes from the subjects were used. Otherwise, recipe from the program database were used. Common 15 nutrients of which all program can give results, are analyzed and compared for mean nutrient intake and nutrient intake for food groups. Ten nutrients among 15 nutrients which have RDA were analyzed for % of RDA and the distribution of RDA. Mean nutrient intake of Fe, vitamin A, Na were statistically different among results of the calculation using three programs(p<0.001). The distribution of Fe, vitamin A and vitamin $B_2$, niacin were statistically different among three results of the calculation using three program(p<0.001, p<0.05). Nutrient intakes of food groups were statistically different in cereal and products, bean and products, vegetables, fruits, fishes and shellfishes, milk and products, beverages, and seasonings(p<0.0001). It is hard to say that the difference among three program are coming from the difference from nutrient database or recipe database in this study. With these result, we conclude that it is necessary to evaluate nutrient database and recipe database as the foremost consideration in selecting nutrient calculation software. Those differences should be considered when interpreting results, comparing results with other studies, and when developing treatment plans in the clinical settings.

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A Study on the Factors Concerning Non-Work Trip of the Elderly People : A case of Seoul Metropolitan Area (고령자의 비업무통행에 영향을 미치는 요인 분석: 수도권 사례를 중심으로)

  • Hahn, Jin-Seok;Oh, Sung-Ho;Park, Jong-Il;Kim, Joon-ki
    • Journal of Korean Society of Transportation
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    • v.30 no.4
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    • pp.61-70
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    • 2012
  • This research explores different non-work trip characteristics between the elderly group (65+) and the working age group (20-64) using heteroscadastic ordered logit model. The analysis is based on travel survey data of Seoul Metropolitan area in 2006. The results show that age induces heteroscadasticity and the model provides a better fit than ordered logit model. The factors increasing the number of non-work trip of the elderly were driver's license and household income. Conversely, the number of non-work trips decreased in those groups that were male, with a job, in aging, and with the number of preschool children. The factors having opposite effects (increased the number of non-work trips in the working age groups and decreased in the elderly group) between the elderly group and working age group were age and job.

Status and Training Demand on Dietary Education of Kindergarten Teachers in Jeonbuk Province (전북지역 유치원교사의 식생활교육 실태와 연수 요구도)

  • Park, Eun-Sook
    • Korean Journal of Human Ecology
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    • v.24 no.1
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    • pp.137-148
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    • 2015
  • The purpose of this study was to investigate the kindergarten teachers operation and demand of dietary education in Jeonbuk province. The study was carried out using a self administered questionnaire and the subjects were 148 kindergarten teachers. The questions were general characteristics of the subjects, operating status as frequency, place, education time, and training demand on dietary education. The results are as follows. All subjects were female(100.0%), more than half were 20's(62.8%) in their age, teaching career was 31.8% in less than 3 years, and 68.2% in more than 3 years. Frequency of the dietary education operation was 3 times per week(53.4%), place of education were classroom(81.9%), and education time was lunch time(87.5%). Twenty three point eight percent of the subjects recognized the facilities for education was lack, 32.6% of them did the education materials was lack. The desirable frequency of dietary education was 1~2 times per week(40.4%). About two third of the subjects(73.6%) recognized the objects of the dietary education was not only preschool children but also their parents. Most of the subjects(83.8%) had willing to get training, the proper training program was 10 hours(87.8%), and they prefer semester weekday(64.9%) than semester weekend(30.5%). Proper ratio in the core value of dietary education as environment : health : thanks was 31.8% : 40.9% : 27.2%. It is concluded that the demand on dietary education of kindergarten teachers is necessary for their education program in kindergarten.

Parenting Stress, Job Stress, and Parenting Behaviors in Nurses (간호사의 양육스트레스 및 직무스트레스와 양육 행동)

  • Yu, Kwang Za
    • Korean Journal of Childcare and Education
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    • v.9 no.2
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    • pp.5-21
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    • 2013
  • The purpose of this study was to identify the relationship of job stress, parenting stress and parenting behaviors in nurses. This research was carried out targeting 201 nurses in total who have preschool children and work at two university hospitals and three general hospitals in D Metropolitan. For the analysis of the research SPSS 17.0 was used for the data analysis. Regression analysis was the statistical method used for data analysis. There were significant negative correlations for parenting behavior and parenting stress in the mothers. Among daily lived stress, parental role stress and job stress significantly influenced parenting behavior. Therefore, daily life stress, job stress and parental role stress had an influence on the parenting behavior. The results of this study show that parenting stress, job stress are powerful factors for understanding parenting behavior. An important implication of this study is that nurses in future should be considered with the parenting stress and job stress.

The Relationship between Motor Proficiency and Executive Function in Preschoolers (유아의 운동 능력과 실행 기능의 관계)

  • Lee, Yun Ah;Lee, Wan Jeong
    • Korean Journal of Childcare and Education
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    • v.11 no.5
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    • pp.135-151
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    • 2015
  • The purpose of this study was to investigate the relationship between preschoolers' motor proficiency and their executive function. Participants were 72 children who participated in individual tests. Motor proficiency was measured by a shortened form of the Bruininks-Oseretsky Test of Motor Proficiency Second Edition(BOT-2). Executive functions were assessed by utilizing the revised version of the four tasks: 'Day-Night Task', 'Dimensional Change Card Sort Task', 'Lift Flag Task' and 'Digit Span Task'. The major findings were as follows. First, the 5-year-olds motor proficiency was found to be better than the 4-year-olds. Second, the 5-year-olds executive function was found to be better than the 4-yeat-olds. Last, the 4-year-olds' and 5-year-olds' motor proficiency was related to their executive function. Concretely, fine manual control of motor proficiency was executive function and there was a high correlation. And behavior response inhibition and working memory of executive function was motor proficiency and there was a high correlation. Data analysis showed that preschoolers' motor proficiency and their executive function were different by their age level and that preschoolers' motor proficiency was correlated with their executive function.

Reliability and Validity of the Korean Translation of Quantitative Checklist for Autism in Toddlers: A Preliminary Study

  • Park, Subin;Won, Eun-Kyung;Lee, Ji Hyun;Yoon, Soyoung;Park, Eun Jin;Kim, Yeni
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.29 no.2
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    • pp.80-85
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    • 2018
  • Objectives: We aimed to assess the test-retest reliability, internal consistency, and validity of the Korean version of the Quantitative Checklist for Autism in Toddlers (Q-CHAT). Methods: The Korean version of the Q-CHAT and the Korean version of the Child Behavior Checklist (CBCL) 1.5-5 were completed by parents of 24 toddlers and preschoolers with autism spectrum disorder (ASD) and 80 unselected toddlers and preschoolers. Parents of the ASD group also completed the Social Communication Questionnaire (SCQ), and Childhood Autism Rating Scale (CARS) scores were obtained from medical records. Results: The ASD group scored higher on the Q-CHAT than the unselected group. The Cronbach's alpha coefficient of the Q-CHAT was 0.658, and test-retest reliability was calculated to be 0.836. The estimated area under the curve was 0.793. The total scores of the Q-CHAT in the ASD group demonstrated significant positive correlations with findings regarding pervasive development problems in the CBCL, SCQ, and CARS. A total score of 33.5 may be a useful cutoff point to use when identifying toddlers at risk of ASD. Conclusion: The Korean version of the Q-CHAT has good reliability and validity and can be used as a screening tool in order to identify toddlers and preschool children at risk of ASD.

ICECI Based External Causes Analysis of Severe Pediatric Injury (ICECI (International Classification of External Causes of Injuries)를 이용한 중증 소아외상의 분류)

  • Ahn, Ki Ok;Kim, Jae Eun;Jang, Hye Young;Jung, Koo Young
    • Journal of Trauma and Injury
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    • v.19 no.1
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    • pp.1-7
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    • 2006
  • Purpose: Injury is a leading cause of morbidity and mortality for children. As an injury prevention measure, the differences in external causes of severe pediatric injuries based on ICECI were analyzed according to age groups. Methods: A retrospective study was performed for pediatric patients under 15 years of age, who had been admitted to the emergency department with severe injuries from January 1998 to December 2004. The external causes of injury were investigated according to the ICECI: intent, mechanisms, places of occurrence, objects/substances producing injury, and related activities. The patients were divided into four groups based on age: infant (<0 year), toddler (1~4 years), preschool age (5~8 years), and school age (9~15 years). Results: The injury mechanisms, the places of occurrence and the related objects/substances vary with the age groups. The most common subtype of traffic accidents was pedestrian injury in pre-school age group. Falls most frequently occurred in the toddler group. But falls from a height of less than l meter height (6 patients) occurred only in the infant group. The most common place of occurrence in the infant group was the home, and that of other groups was the road. The related objects/substances for falls, for example, household furnitures and playground equipment depended on the age group. Conclusion: The age-group specific characteristics of severe pediatric injury were analyzed successfully through the ICECI. Therefore, when establishing a plan for the prevention of pediatric injury, consideration must be given to the differences in the external causes of injuries according to age group.

An Analysis of Farm household Economy by Family Life Cycle (가정생활주기에 따른 농가경제 분석)

  • 최현자;최은숙
    • Journal of Families and Better Life
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    • v.4 no.2
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    • pp.35-51
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    • 1986
  • The purpose of this study is to establish family life cycle of farm and to analyze changes of economic conditions-income, consumption expenditures, savings, assets, and debts-in farm household according to the family life cycle. Income, consumption expenditures, savings, assets, and debts functions are also estimated by age of household head. The data of Farm Household Economy Survey which was conducted in 1983 by Ministry of Agriculture and Fisheries is used in this study. Among total data of 2000, 1603 are analyzed for mean, percentage, and regression using CRISP Program at Office of Rural Development. The results of study can be summarized as follows; 1) Eight stages of family life cycle of farm are established according to the growth of the first child. They are: Establishment stage, Child bearing and preschool stage, Elementary school stage, Middle and high school stage, College and vocational adjustment stage, Period of children's marriage, Re-adjustment stage, and isorganizing stage. 2) The economic conditions of farm household are significantly fluctuated by family life cycle. Among the eight stages, stage Ⅱ is considered relatively comfortable living period and stage Ⅲ, Ⅳ are the most difficult periods of farm household economy. 3) The estimated functions of income, consumption expenditures, savings, assets, and debts by age of household head are as follows; Y(income) = 2, 354, 832+98,456T-1,036T2(F=11.746) C(consumption expenditures) = 81,876+154,976T-1,552T2 (F=37.272) S(savings) = 2,272,956+56,511T+516T2(F=4.262) D(debts) = 903,929+28,300T-438T2(F=3.339) A(assets) = 200,816+1,213,336T-12,930T2(F=21.069) To carry on a reasonable farm household management, a suitable measure to cope with the desire of family and the economic conditions of farm household should be prepared.

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