• Title/Summary/Keyword: Preschool child

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A Study on the Validity and Utility of Korean-Age and Stage Questionnaire for Children in Community (지역사회 아동의 Korean-Age and Stage Questionnaire 타당도와 효용성 연구)

  • Lee, Seong-A;Hwang, Sang-Hui
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.9
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    • pp.3390-3397
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    • 2010
  • The purpose of this study was to evaluate the validity and utility of the Korean-Ages and Stages Questionnaires(K-ASQ) as a screening tool for detecting developmental delay of preschool child in community. Informed consents from parents of 229 children were received for the process of the study. The subjects were 229 parents and the children of three to five years old who did not have reported genetic diseases or developmental delays. The result of this study, validity were calculated for the K-ASQ sensitivity 0.41%, specificity 0.76%, hyper-referral 0.14%, hypo-referral 0.21%. Predictive value of delayed development were K-ASQ 0.70% and that of normal development were K-ASQ 0.77%. K-ASQ can be feasibly used in the setting of health clinic and be the highly predictive criteria for delayed development and normal development.

A Clinical Study on Growth of Children Based on Analyzing Body compositions And Measuring Bone Age (체성분 분석과 골연령 측정을 통한 취학 전 아동의 성장에 대한 임상연구)

  • Yun, Hye-Jin;Lee, Yu-Jin;Han, Baek-Jung
    • The Journal of Pediatrics of Korean Medicine
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    • v.23 no.2
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    • pp.131-144
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    • 2009
  • Objectives : The purpose of this study is to have better data and to make efficient clinical reviews on pre-school children's growth based on two measurements; Body composition for measuring body volume and bone age for potential growth. Methods : The study was conducted with 221 children(118 of boys and 103 of girls) from three kindergartens. Body compositions(soft lean mass, body fat mass, percent body fat) were measured by bioelectrical impedance analysis, bone age was measured by bone density through ultrasonic image of calcaneus. Results and Conclusions : 1. The higher level on weight or BMI, the more averages of soft lean mass, body fat mass, percent body fat. 2. The average bone ages and bone age-chronological age were lower in under 50 percentile's group, but it was higher in upper 50 percentile's group. Also, children with high BMI had older in bone ages and bone age-chronological age. 3. The higher in height percentile based on the bone age; there were more soft lean mass. 4. The averages of bone age and bone age-chronological age were significantly decreased, the more percentiles of height according to bone age were big, they were higher than total average in under 50 percentile's group of height, lower than total average in over 50 percentile's group of height in both boys and girls. 5. The average of MPH were significantly decreased in top percentiles of children's height distribution. Also, in the upper percentiles of height distribution based on bone age were big in only boys. 6. The body compositions(soft lean mass, body fat mass, percent body fat) were related to body volume growth, which can he measured by weight or BMI. The bone age, bone age-chronological age, and MPH were related in terms of hight. The body volume growth was a little hit related with potential growth.

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A case of intestinal tuberculosis complicated by miliary tuberculosis (파종성 폐결핵을 가진 남아에서 합병된 장결핵 1례)

  • Chung, Min Kook;Choi, Jeong Ho;Yoo, Jung Suk;Ahn, Seung In;Lee, Jin;Kim, Bong Lim;Kim, Jung A;Chang, Jin Keun
    • Clinical and Experimental Pediatrics
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    • v.49 no.11
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    • pp.1227-1231
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    • 2006
  • Intestinal tuberculosis presents with nonspecific and variable clinical manifestations. It is rarely seen in current clinical practice and the diagnosis may be missed or confused with many other disorders such as Crohns disease and intestinal neoplasms. The route of infection by tuberculous enteritis is variable and the treatment regimens used for treating pulmonary tuberculosis are generally effective for tuberculous enteritis as well. Uncomplicated tuberculous enteritis can be managed with a nine to 12- month course of antituberculous chemotherapy. If not treated early, the prognosis for intestinal tuberculosis is poor, with an overall mortality of between 19 percent and 38 percent. However, 90 percent of patients will respond to medical therapy alone if started early. Therefore, early detection and treatment is essential. Here we report a case of intestinal tuberculosis secondary to miliary tuberculosis.

Sleep problems in children and adolescents at pediatric clinics

  • Kim, Dong Soon;Lee, Cho Long;Ahn, Young Min
    • Clinical and Experimental Pediatrics
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    • v.60 no.5
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    • pp.158-165
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    • 2017
  • Purpose: To investigate the frequency of childhood sleep problems at pediatric clinics in Seoul and Gyeonggi provinces. Methods: Children (n=936) and their parents who visited 5 primary and 1 secondary pediatric outpatient clinics were invited to complete a Pediatric Sleep Questionnaire. Results: Among patients, 901 (96.3%) answered questionnaires in sufficient detail for evaluation. The participant's mean age was $4.35{\pm}3.02years$ (range, 0-18 years). The male to female ratio was 1:0.93 (466 boys, 435 girls). Habitual snoring (>3 day/week) was reported in 16.9% of the participants. The prevalence of habitual snoring in children <2 years and those between 2-5 years was 9% and 18%, respectively. Sleep disordered breathing was found in 15.1% (106 of 700) of children >2 years. Insomnia was reported in 13.2% of children. The prevalence of sleepwalking, night terrors, and bruxism, is 1.6%, 19%, and 21.1%, respectively. Snoring was associated with increased incidence of sleepwalking, night terrors, and bruxism. Age was associated with insomnia and habitual snoring (P<0.05). Insomnia was more prevalent in younger (21%) than in older children (6%). Snoring was more frequent in both preschool (34%) and school-aged children (33%). The frequency of sleep disordered breathing and insomnia did not vary significantly with gender. However, snoring was more prevalent in boys. Conclusion: Sleep problems are frequent among children in Korea. Children with snoring have an increased risk of sleepwalking, night terror, and bruxism. Primary clinicians should consider children's sleep habits to improve their health.

The Study of Home Environment Stimulation Of Preschool Children, Parenting Self-Efficacy and Family Health of the Mothers (취학전 유아의 가정환경자극 및 양육효능감과 가족건강성과의 관계)

  • Seul, Kyung Ok;Moon, Hyuk Jun
    • Korean Journal of Childcare and Education
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    • v.7 no.1
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    • pp.23-40
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    • 2011
  • The purpose of this study was to investigate relationships between home environment stimulation, and parenting self-efficacy and family health. Participants consisted of 569 mothers and their children living Incheon and Buchon Province. Home Environment Stimulation Scale, Parenting Self-Efficacy, and Family Health questionnaire were administered to the mothers. Descriptive statistics, t-test, F-test, correlation analysis, and regression were used for data analysis. Analysis of variance revealed statistically significant differences in the family healths according to mothers' employment, income, Mothers' education level predicts Mothers' parenting self-efficacy, home environment stimulation and family health.

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 Empirical Analysis on Supply of Volunteer Labor and Economic Valuation of Volunteering in Korea (한국 자원봉사활동의 결정요인과 경제적 가치평가)

  • Kim, Tae-Hong;Kim, Nan-Jue;Kwon, Tae-Hee
    • Korea journal of population studies
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    • v.30 no.3
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    • pp.83-105
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    • 2007
  • This study investigates the stance of the social capitals that explain voluntary services. The testing results indicate that the decision to join the voluntary services is significantly affected by ages, householder, marriage, preschool child, gender, physical condition, income, education, job position, occupation, region, day, etc. And a giving time is significantly influenced by ages, marriages, working together of husband and wife, gender, income, job, occupation position, a type of living house, etc. Moreover, we find that the economic values of the voluntary services estimate at 21,467 billion won a year in 2004, and GDP ratio is 0.2% that is lower than those of major developed countries.

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.

Fire Safety Education Programs for Preventing Fire Accident of Young Children (유아 화재사고 예방을 위한 화재안전 교육프로그램 개발 방향 탐색)

  • Yoon, Sun-Hwa
    • Fire Science and Engineering
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    • v.26 no.2
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    • pp.112-122
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    • 2012
  • The purpose of this study is to explore appropriate fire safety education programs for young children by both examining the actual damage condition and problems associated with fire accident in young children and considering fire safety education programs in America and legal basis for fire safety education in Korea. The results are as follows. First, the mortality of young children by fire accident in Korea is higher than that of U.K, Germany, and Sweden. Second, it is defined by the Child Welfare Law in Korea to implement the mandatory fire safety education for young children in kindergarten and preschool programs. Third, in order to activate fire safety education programs for young children, the fire safety education needs to be suitable for children's developmental characteristics, and various audiovisual materials and activity programs should be developed and provided. Fourth, fire safety education both for early childhood teachers and parents needs to be interrelated and systemized to reduce the risk of fire accident.

Socioeconomic Inequality in Malnutrition in Under-5 Children in Iran: Evidence From the Multiple Indicator Demographic and Health Survey, 2010

  • Kia, Abdollah Almasian;Rezapour, Aziz;Khosravi, Ardeshir;Abarghouei, Vajiheh Afzali
    • Journal of Preventive Medicine and Public Health
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    • v.50 no.3
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    • pp.201-209
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    • 2017
  • Objectives: The aim of this study was to assess the socioeconomic inequality in malnutrition in under-5 children in Iran in order to help policymakers reduce such inequality. Methods: Data on 8443 under-5 children were extracted from the Iran Multiple Indicator Demographic and Health Survey. The wealth index was used as proxy for socioeconomic status. Socioeconomic inequality in stunting, underweight, and wasting was calculated using the concentration index. The concentration index was calculated for the whole sample, as well as for subcategories defined in terms of categories such as area of residence (urban and rural) and the sex of children. Results: Stunting was observed to be more prevalent than underweight or wasting. The results of the concentration index at the national level, as well as in rural and urban areas and in terms of children's sex, showed that inequality in stunting and underweight was statistically significant and that children in the lower quintiles were more malnourished. The wasting index was not sensitive to socioeconomic status, and its concentration index value was not statistically significant. Conclusions: This study showed that it can be misleading to assess the mean levels of malnutrition at the national level without knowledge of the distribution of malnutrition among socioeconomic groups. Significant socioeconomic inequalities in stunting and underweight were observed at the national level and in both urban and rural areas. Regarding the influence of nutrition on the health and economic well-being of preschool-aged children, it is necessary for the government to focus on taking targeted measures to reduce malnutrition and to focus on poorer groups within society who bear a greater burden of malnutrition.