• Title/Summary/Keyword: School-age children

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Acute Spinal Epidural Abscess Presenting with Abdominal Pain in a Child (급성복통을 동반한 소아의 척추 경막외 농양 1예)

  • Jeong, Eun Young;Lee, Youn Kyung;Kim, Suck Heon;Kong, Byoung Gu;Kim, Kwang Woo;Park, Young Soo;Kim, Dong Won
    • Pediatric Infection and Vaccine
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    • v.8 no.1
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    • pp.107-113
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    • 2001
  • Spinal epidural abscess(SEA) is a rare condition in children. Classic symptoms are spinal ache, root pain, weakness and paralysis. The earliest symptoms of SEA in the pediatric age group are nonspecific and variable. Early diagnosis may be almost impossible when local spinal pain is inconspicuous or absent, when toxic epiphenomena divert attention from subtle signs of neurologic dysfunction and when the patient is an acutely distressed and uncooperative child. Failure to diagnosis and treat condition on a timely basis may lead to permanent neurolgic dysfunction or even death. This infection, usually located in the dorsal epidural space of the mid thoracic or lower lumbar regions, is the result of hematogenous dissemination of bacteria, usually Staphylococci, from foci of infection in the skin, or respiratory or urinary tracts. MRI was the diagnostic method of choice. A combination of antibiotics and surgical drainage remains the treatment of choice. Prognosis is excellent if surgery is performed before the development of neurologic deficit. We report a case of SEA in a child whose first presenting symptom was abdominal pain rather than spinal pain. A case is diagnosed by MRI and successfully treated with laminectomy and drainage and antibiotics.

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Children's View of Environmental Value and Attitudes : On the basis of Age and Gender (유치원생과 초등 학생이 가지는 자연 환경에 대한 가치관 및 태도 -연령별, 성별 차이를 중심으로-)

  • 신동희;이동엽
    • Hwankyungkyoyuk
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    • v.13 no.2
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    • pp.63-73
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    • 2000
  • The purpose of this study are two-fold; 1) to identify the differences in the view of environmental value between 6-years-olds and 12-years-old, 2) to identify the differences in the attitude towards animals and plants between male-and female students. To accomplish the purposes of this study, two researchers deeply interviewed ten 6-years-old and 12-years-old boys and girls, respectively. First, the interviewees are asked to rank six constituents in nature, human-being, tiger, ant, gingko tree, weed, and stone, from their views of environmental value. Then, the interviewees were asked to talk about their various interaction with animals and plants. The results of this study are as follows; 1) In evaluating the value of nature constituents, 12-years-olds tended to be affected by scientific knowledge. On the other hand, 6-years-olds tended to evaluate the value of nature constituents by their emotional feeling; 2) From the perspectives of environmental ethics, 12-years-olds showed attitudes in anthropocentric or holistic ethics. On the other hand, 6-years-olds showed attitudes in nonanthropocentric ethics; 3) In evaluating the value of nature constituents, 12-year-olds tended to consider the constituent′s instrumental values and 6-years-olds tended to consider their intrinsic values; 4) From the perspectives of "ethics of care", females, especially 12-years females tended to take care of plants. The results propose more emphasis of environmental "sensuous" in school environmental education. And male- and female students should be expected fairly in their environmental attitudes, especially in taking care of natural creatures.

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Analysis of Levels of Risk Perception using Psychometric Paradigm and Factors Affecting Concerns about Food Risk Elements of Housewives in Daegu (심리측정 패러다임을 이용한 대구 지역 주부들의 식품 위해요소에 대한 위험 지각 수준 및 우려도에 영향을 미치는 요인 분석)

  • Kim, Hyochung;Han, Jin-Young;Kim, Meera
    • Journal of the East Asian Society of Dietary Life
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    • v.25 no.4
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    • pp.691-702
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    • 2015
  • This study examined the levels of risk perception of food risk elements by adopting a psychometric paradigm and analyzed factors affecting concerns about food risk elements to obtain basic materials for food safety policy. The data were collected from 296 housewives in Daegu, Korea, by a self-administered questionnaire. Frequency distributions, Pearson's correlation coefficient analysis, factor analysis, Cronbach's ${alpha}$, and multiple regression analyses were conducted by SPSS 21.0. The mean level of concern for food safety was 3.75/5.00 points, and the mean percentage of correct answers about heavy metal contamination was highest among food risk elements. The respondents perceived radioactive contaminated foods, GM foods, and endocrine disruptors as a new, delayed, scientifically unknown, involuntary, serious, and uncontrollable risk in risk perception. According to the result of factor analysis for risk perception, two factors such as non-controllability and dread were categorized. In the risk perception map, radioactive contaminated foods and GM foods were considered as an uncontrollable and dreaded risk, heavy metal contamination, endocrine disruptors, and pesticide residues as a controllable and dreaded risk, and foodborne illness and food additives as a controllable and less dreaded risk. On the other hand, the levels of concerns about food risk elements were higher in order of radioactive contaminated foods, GM foods, and endocrine disruptors. The results of multiple regression analysis showed that age, concern for food safety, percentage of correct answers about food risk elements, non-controllability, and dread influenced the concerns about food risk elements. These results imply that food safety policies should consider differences in consumer's risk perception of food risk elements.

Association between BDNF and Antidepressant Effects of Exercise in Youth: A Preliminary Study (아동청소년에서 운동의 항우울 효과와 BDNF와의 관련성에 대한 예비 연구)

  • Lim, You Bin;Kim, Jun Won;Hong, Soon-Beom;Kim, Jae-Won
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.27 no.1
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    • pp.72-81
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    • 2016
  • Objectives: The purpose of this study was to evaluate anti-depressive effects of exercise on child and adolescent and its association with brain derived neurotrophic factor (BDNF). Methods: Twenty nine middle school boys (age $13.3{\pm}0.7$) were divided into two groups, 15 boys for control group and 14 in the experimental group. The control group participated in a regular exercise program, 3 times a week for 15 weeks. During the same period, the experimental group participated in an aerobic exercise program specifically designed to enhance anti-depressive effect of exercise. Serum BDNF level and its performance of each group on the Beck Depression Index (BDI), Children's Depression Inventory (CDI), Screen for Child Anxiety Related Emotional Disorders (SCARED), Aggression Questionnaire (AK-Q), and Stroop task were compared before and after the exercise program. Results: Scores of BDI, CDI, SCARED, and AK-Q were significantly lower in both groups after the exercise programs compared to those before the programs. The Stroop task performances were significantly improved after the programs. However, there were no significant differences between two exercise programs, except SCARED separation anxiety, AK-Q physical, and verbal aggression scores. Also, no association was found between serum BDNF level and anti-depressive effects of exercise. Conclusion: Our preliminary results suggest a possible effect of exercise on depression, anxiety, aggression, and cognition of child and adolescents.

The Middle-aged's Health Problems and Health Behavior in an Urban Area (서울시 일개 지역에 거주하는 중장년의 건강문제 및 건강행위)

  • Yun, Soon-Nyoung;Kim, Jeong-Hee
    • Research in Community and Public Health Nursing
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    • v.11 no.2
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    • pp.486-498
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    • 2000
  • The purpose of this study is to identify health problems and health behaviors of the middle-aged residing in urban areas and to plan and implement health promotion programs based on their health needs. The subjects' age ranged from 30-64 years in 1.040 middle-aged residing in an area of Kangbook-ku in Seoul. The data were collected from September 1998 to February 1999 with structured questionnaire using face-to-face or telephone interviews. The data were analyzed by SPSS-PC+ and identified by $X^2$ test and ANOVA. The results were as follows: 1. 35.4% of the males and 27.8% of the female responded that they were healthy regarding their perceived health status. In the order of chronic illness prevalence in the case of males was hypertension, diabetes, and digestive disorders and. in the case of females, was digestive disorders, hypertension, arthritis, anemia, and diabetes. 2. Male and female's smoking rates were 7.3% and 3.6% each and marked the highest rate of 30 to 40 years: drinking behavior was 66.9% in males and 32.2% in females. 3. The younger males had the worse dietary habits and had the lowest frequency of regular exercise. The older the females were, the more their weight increased. According to the results, health promotion programs by sex are recommended, especially in the target population of 30 to 40 years. and focused on the strategies for promoting self-care and actual health practice: it is strongly suggested that health promotion programs for adolescent and school-aged children before middle aged health behavior begins.

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Survey on Present Use and Future Demand for the Convenience Food in the Elderly Group (노인세대의 편의식 이용현황과 요구도 조사)

  • Park, Ji-Young;Kim, Ji-Na;Hong, Wan-Soo;Shin, Weon-Sun
    • Korean Journal of Community Nutrition
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    • v.17 no.1
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    • pp.81-90
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    • 2012
  • This study is to research the use and the demand of the elderly generation that pursue economic ability and active lifestyle. The composition of the meals were "homemade meals" 65.3%, "homemade & convenience meals" 26.7% overall. For the "never miss a meal" category, 70-74 years old was 48.3%, over 80 years old was 60.0%. The elderly under 70 years old showed a high frequency in the use of alternative meals (p < 0.05) and the elderly with higher education used the alternative meals more frequently (p < 0.01). The rice-cakes, bread, tuna cans, Korean side-dishes, beverages, meat, cup-noodles and seafood as alternative meals are in the order of most frequency. Also, 96.0%, 59.0% and 46.5% of the elderly had experience in using "Ready to eat (RTE)", "Ready to heat (RTH)" and "Ready to cook (RTC)". The oldest group surveyed, the elderly at the age of 80 years old and above showed lower preference for "completely cooked state" but showed highest results in the "half-cooked state". This shows the difference between people's perception and the behavior that showed high frequency of 96.0% in the experience with "RTE". This can be inferred that the elderly needs the development of convenience food that is moderately packaged according to the newer lifestyle where the elderly live independent from their children. Moreover, there is a higher demand in the healthy convenience food, which means that there is a need for development in the quality of the convenience food that will allow more faith in convenience food by the elderly.

A Study on the Practices of Clothing Reuses and Clothing Attitudes by the Green Store Users (녹색가게 이용자의 의복 재사용 실태와 의복 태도에 관한 연구)

  • 김인숙;석혜정
    • Journal of the Korean Society of Clothing and Textiles
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    • v.28 no.8
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    • pp.1088-1099
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    • 2004
  • This study looked into the features of the consumers who positively reuse the clothing through their actual exchanges at second-hand clothing stores. The findings indicate that it shows the features of the consumers who perform the environmental activities by treating the clothing to be actually left unused, in an environmentally-friendly way, and that it may present the programs that will be able to create more consumers on the basis of its findings. The study used the questionnaire method, and the subjects were selected among those who have the experience of buying the second-hand clothing. The findings are as follows. 1. The major users of Green stores were found to be many among the females in their forties by the age, with 2 million Won or more by the income, of the graduates of high school or higher by the educational background, or of the housekeepers with children by the job. 2. The practices for the Green store utilization showed the highest ratios in one or two times of uses a month, one to four pieces of purchases a month, female clothing by the article, or trousers by the purchasing item. 3. As for the level of satisfaction after the clothing purchase at green stores, 70 percent of the respondents were satisfied, and the high ratios were seen with "the price was very low" or "since it seemed to support the environmental issues" by the reason for the satisfaction. 4. The findings on the clothing attitudes by the green store users showed fashion and social status symbol (factor 1), feminine modesty (factor 2), convenience (factor 3), alignment (factor 4), and economy (factor 5).

Prevalence and Alternative Treatment of Head-Lice Infestation in Rural Thailand: A Community-Based Study

  • Singhasivanon, On-uma;Lawpoolsri, Saranath;Mungthin, Mathirut;Yimsamran, Surapon;Soonthornworasiri, Ngamphol;Krudsood, Srivicha
    • Parasites, Hosts and Diseases
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    • v.57 no.5
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    • pp.499-504
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    • 2019
  • Head-lice infestation, pediculosis capitis, remains a public-health burden in many countries. The widely used first-line pediculicides and alternative treatments are often too costly for use in poor socio-economic settings. Ivermectin has been considered an alternate treatment for field practice. This study was composed of 2 parts, a cross-sectional survey and an intervention study. The main objectives were to determine the prevalence and potential factors associated with head-lice infestation, and to evaluate the effectiveness and safety of oral ivermectin administration. A community-based cross-sectional survey was conducted among 890 villagers in rural areas along Thai-Myanmar border. Females with infestations were eligible for the intervention study, and 181 participated in the intervention study. A post-treatment survey was conducted to assess acceptance of ivermectin as a treatment choice. Data analysis used descriptive statistics and a generalized-estimation-equation model adjusted for cluster effect. The study revealed the prevalence of head-lice infestation was 50% among females and only 3% among males. Age stratification showed a high prevalence among females aged <20 years, and among 50% of female school-children. The prevalence was persistent among those with a history of infestation. The major risk factors were residing in a setting with other infected cases, and sharing a hair comb. The study also confirmed that ivermectin was safe and effective for field-based practice. It was considered a preferable treatment option. In conclusion, behavior-change communication should be implemented to reduce the observed high prevalence of head-lice infestation. Ivermectin may be an alternative choice for head-lice treatment, especially in remote areas.

Preventive Effects of Fluoride Gel Application on Dental Caries in the Permanent Tooth: A Systematic Review of Randomized Controlled Trials

  • Do, Kyung-Yi;Lee, Eun-Sun
    • Journal of dental hygiene science
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    • v.19 no.1
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    • pp.9-22
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    • 2019
  • Background: The purpose of this systematic review was to investigate the effects of topical fluoride gel application on dental caries prevention in the permanent teeth of children and adolescents. Methods: We searched the EMBASE, PubMed, and Cochrane Library databases for randomized controlled trials (RCTs) assessing the effects of self-applied or professionally applied topical fluoride gels in patients <18 years of age; the search was completed on April 1, 2018. All included trials involved an experimental group (fluoride gel application) and a control group (placebo or no treatment). The outcome measures were the D(M)FS and D(M)FT indices, which were compared between the two groups. Review Manager software was used for quantitative synthesis of the final selected articles, and a forest plot was generated via a meta-analysis conducted using a random effects model. Results: The results showed that the D(M)FS and D(M)FT indices were lower in the fluoride application group than in the control group, thus indicating that fluoride gel application was effective in dental caries prevention. We also performed a subgroup analysis to determine whether the effects of fluoride application differed if patients received oral prophylaxis (self or professional) before fluoride gel application. Therefore, the two groups showed slightly larger differences when studies without oral prophylaxis before fluoride gel application were considered; however, the difference was not statistically significant. Conclusion: These findings should be utilized to raise awareness about the caries-prevention effects of topical fluoride application among patients and guardians. Further RCTs should evaluate the effects of fluoride application with or without preceding oral prophylaxis, and appropriate fluoride application guidelines should be developed to maximize the effects of fluoride application in clinical practice.

Perceptions of Residents in Relation to Smartphone Applications to Promote Understanding of Radiation Exposure after the Fukushima Accident: A Cross-Sectional Study within and outside Fukushima Prefecture

  • Kuroda, Yujiro;Goto, Jun;Yoshida, Hiroko;Takahashi, Takeshi
    • Journal of Radiation Protection and Research
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    • v.47 no.2
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    • pp.67-76
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    • 2022
  • Background: We conducted a cross-sectional study of residents within and outside Fukushima Prefecture to clarify their perceptions of the need for smartphone applications (apps) for explaining exposure doses. The results will lead to more effective methods for identifying target groups for future app development by researchers and municipalities, which will promote residents' understanding of radiological situations. Materials and Methods: In November 2019, 400 people in Fukushima Prefecture and 400 people outside were surveyed via a web-based questionnaire. In addition to basic characteristics, survey items included concerns about radiation levels and intention to use a smartphone app to keep track of exposure. The analysis was conducted by stratifying responses in each region and then cross-tabulating responses to concerns about radiation levels and intention to use an app by demographic variables. The intention to use an app was analyzed by binomial logistic regression analysis. Text-mining analyses were conducted in KH Coder software. Results and Discussion: Outside Fukushima Prefecture, concerns about the medical exposure of women to radiation exceeded 30%. Within the prefecture, the medical exposure of women, purchasing food products, and consumption of own-grown food were the main concerns. Within the prefecture, having children under the age of 18, the experience of measurement, and having experience of evacuation were significantly related to the intention to use an app. Conclusion: Regional and individual differences were evident. Since respondents differ, it is necessary to develop and promote app use in accordance with their needs and with phases of reconstruction. We expect that a suitable app will not only collect data but also connect local service providers and residents, while protecting personal information.