Purpose: This study was intended to integrate the evidence of home care service intervention for mothers and children in vulnerable groups through an integrative literature review. Methods: We searched the MEDLINE (PubMED), EMBASE, Cochrane Central Register of Controlled Trials, CINAHL, DBpia databases. The quality of the articles was assessed by one doctoral researcher and verified by one professor of community health nursing who had participated in the systematic review of literature. A framework was developed to identify the intervention patterns in the selected papers and categorize various elements. The extracted intervention elements were grouped into potential themes, which were verified by assessors on whether they clearly reflected the interventions in the papers. Results: Among 878 searched papers, we selected 16 papers after excluding literature that does not satisfy the selection criteria and quality evaluation. The intervention elements of 16 selected papers were categorized into six themes. The extracted intervention elements were divided into the themes of Patient-specific/Situation-specific care planning and intervention, Emphasis on self care competency, Intense home visit by developmental milestone, Reinforcing and modeling mother-child attachment, Communication and interaction across the intervention, Linkage with community resource and multidisciplinary approach. Conclusion: As a result of the analysis of proper interventions of home care services for mothers and children in vulnerable groups, it was found that it is necessary to consider indispensable intervention elements that can standardize the quality of home care services, and conduct studies on developing intervention programs based on the elements.
Escherichiae-like organisms were isolated from rectal specimens of 56 children who were either in preschool age or in elementary school. The isolated strains were subjected to tests to screen enteropathogens producing heat-labile enterotoxin and susceptibility test to various antibiotics by disc diffusion method on agar plates. Production of heat-labile enterotoxin by the strains was assyed in the sensitive and reproducible cultured adrenal tumor cell system. The assay was sterodogenesis of the cell in the presence of heat-labile enterotoxin. Among 56 strains, gave positive reaction in the test of toxin production. This meant that about 10% of the children population objected to the study harbored the toxigenic strain of enteropathogenes. Some of these toxigenic strains were resistant to the antibiotics employed in the test. This study suggested that considerable population in Korea may harbor entertoxigenic E. coli as a part of intestinal normal flora. The toxigenic strains which are resistant to antibiotics may bring issue of public health in the future.
Purpose: Previous studies have reported the difference in nutritional status between South and North Korean infants and young children (IYC). Clear understanding on the nature of such differences is essential for planning food and nutrition policies and programs to prepare for a possible re-unification of the two Koreas in future. This study was undertaken to yield valid statistics comparing the nutritional status between North and South Korean IYC. Methods: Raw data obtained from the 2017 Korean National Growth Chart and the 2013-2017 Korea National Health and Nutrition Examination Survey were analyzed to determine the comparable statistics that include weight for age z-score (WAZ), height for age z-score (HAZ) and weight for height z-score (WHZ), with data reported in the Survey Findings Report of the 2017 DRP Korea Multiple Indicator Cluster Survey. The average weight and height by gender and month were estimated for North Korean IYC and calculated for South Korean IYC. SPSS analysis was applied to evaluate the acquired statistics and compare the nutritional status of South and North Korean IYC. Results: WAZ, HAZ and WHZ of North Korean IYC were observed to be lower than values obtained for South Korean IYC as well as the median values of World Health Organization Child Growth Standards across all ages. Similar patterns were observed for average height and weight. The nutritional status of North Korean IYC revealed a prevalence of highly underweight (9.3%), stunting (19.1%) and wasting (2.5%) values, and was determined to be significantly lower than values obtained for South Korean IYC (0.8%, 1.8%, and 0.7%, respectively). Conclusion: This study has yielded valid statistics that compare the nutritional status of North and South Korean IYC. Results of this study confirm the prevalence of nutritional status difference between South and North Korea.
Functional gastrointestinal disorders (FGIDs) are classified as a combination of persistent gastrointestinal symptoms. The Rome IV criteria can elucidate several factors in the pathogenesis of FGIDs. The frequency of FGIDs can differ between clinical and nonclinical settings and between geographic regions. To determine the global prevalence of FGIDs in neonates and toddlers according to the Rome IV criteria. We included cohort and descriptive observational studies reporting the prevalence of FGIDs according to the Rome IV criteria in children aged 0-48 months. We searched the Medline, Embase, Lilacs, and CENTRAL databases from May 2016 to the present day. Furthermore, unpublished literature was searched to supplement this information. The Strengthening the Reporting of Observational Studies in Epidemiology statement was used to evaluate the risk of bias. A meta-analysis of the proportions was performed using MetaProp in R. The results are reported in forest plots. We identified and analyzed 15 studies comprising 48,325 participants. Six studies were conducted in Europe, three in Latin America, two in North America, and four in Asia. Most participants were 12-48 months old (61.0%) and were recruited from the community. The global prevalence of FGIDs was 22.0% (95% confidence interval, 15-31%). The most common disorder was functional constipation (9.0%), followed by infant regurgitation syndrome (8.0%). Its prevalence was higher in the Americas (28.0%). FGIDs, as defined by the Rome IV criteria, are present in 22% of children, and the most common primary disorder is functional constipation. A higher prevalence of FGIDs has been reported in America.
The Journal of Korean Academy of Sensory Integration
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v.9
no.2
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pp.41-49
/
2011
Objective : This study aims to compare children with and without pervasive developmental disorders in terms of the sensory processing ability and behavioral characteristic of oral feeding. This study also aims to identify correlation between sensory processing and characteristics of eating. Methods : The subjects of this research were normal children and those who have diagnosis of a pervasive developmental disorder, aged from 4 to 6. The research instruments were composed of Short Sensory Profile (SSP), Brief Autism Mealtime Behavior Inventory (BAMBI) and Food Items of the Sensory Checklist. Data collection was done by a professional survey institute located in 10 cities including Busan, South Korea. The survey questionnaires were distributed to 455 parents of children with and without pervasive developmental disabilities through the survey institutes. Total 263 answers were collected out of 455 questionnaires (62%) and 154 answers were used in data analysis. Out of 154 answers, 45 were for children with pervasive developmental disabilities and 109 were for normal children. Data analysis was done to identify correlations between sensory processing and characteristics of eating such as eating behavior and oral feeding. Results : 1. There was a significant difference between children with and without pervasive developmental disorders in all area of sensory processing ability (p<.05). 2. There was no difference between children with and without pervasive developmental disorders in eating behavior (p=0.881) and oral feeding (p=0.324). 3. In the group of children with a pervasive developmental disorders, it is found that there is negative correlation between sensory processing, eating behavior and oral feeding (r=-0.384, p<.01). 4. A remarkable significant correlation was found between sensory processing and eating behavior especially in taste/smell sensitivity (r=-0.6, p<.01) and auditory filtering (r=-0.326, p<.05). The correlation between sensory processing and oral feeding was most significant in under responsiveness/seeking sensation (r=-0.372, p<.05) and auditory filtering (r=-0.382, p<.05). Conclusion : This study found that there are significant correlations between sensory processing ability and some characteristics of eating behaviors for children with pervasive developmental disorders. This information can be useful to develop a program to intervene eating behavior problems of children with pervasive developmental disorders.
Objective: This research examined mothers' and preschoolers' uses of mental state terms during pretend play and linked such use to children's independent mental state terms used in hypothetical narratives. Methods: Fifty four-year-olds and their mothers were engaged in pretend play and the preschoolers were asked to provide hypothetical narratives. Mothers' and preschoolers' mental state terms were analyzed in terms of types and frequencies. Results: During pretend play, the mothers and preschoolers used desire state terms most variously and frequently, followed by cognitive and emotion state terms. In the hypothetical narratives, the preschoolers used desire state terms most variously and frequently; however they talked about emotion state terms more variously and cognitive state terms more frequently. In addition, the mothers' mental state terms were correlated with the preschoolers' mental state terms during the pretend play, and the mothers' and preschoolers' uses of mental state terms during pretend play were related to the preschoolers' mental state terms in hypothetical narratives. Conclusion: Findings from this study highlight that, during the preschool period, a mothers' mental state language might foster her child's understanding of mental states in himself/herself and in others.
The purpose of this study was to examine the change of couple relationship factors predicting marital satisfaction and divorce intention over time tv comparing the couples' first year with their present year of marriage. The couple relationship factors consisted of affection, ambivalence, affectional expression, the expression of negativity. The study subjects 355 married women having preschool children aged 7 years old and elementary school students in the 6th grade. Data were analyzed by SPSSWIN with the method of MANOVA. The results of this study showed that couples in happy groups without divorce intention became less affectionate and demonstrated less affectional expression, and more ambivalence and expression of negativity over time. However, the amount of change was not as large as that of the unhappy groups. The findings of this research indicated that the decline of affection and affectional expression and the increase of ambivalence and expression of negativity were probably, as normative, a natural consequence of the transition from the first year of marriage to a more mature relationship. Therefore, the change over time was not important. However, the amount and aspects of change were the main points which researchers and practitioners should pal attention to in the future.
Journal of the korean academy of Pediatric Dentistry
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v.26
no.1
/
pp.1-13
/
1999
To study the caries patterns in primary dentition, 719 preschool children, 4-6 years old, were examined for their caries activity(salivary reductase activity) and caries experience of individual teeth. Teeth groups were made by cluster analysis using dft indexes of individual teeth as criteria. The six major teeth groups in the order of dft index from high to low were (1) lower primary molars, (2) upper primary molars, (3) upper central incisor, (4) upper lateral incisor, (5) canines, and (6) lower incisors. There were significant differences in dft index between teeth groups except upper lateral incisor and canines. Upper and lower primary molars showed the highest correlation in dft index, and the next couples were upper central incisors and upper lateral incisors, upper lateral incisor and canines, upper central incisor and canines, upper lateral incisor and upper primary molars, and canines and upper primary molars in descending order. Upper first primary molar showed the greatest differences in dft index between caries activity levels.
This research is to verify the effects of infant massage on teacher-infant interaction and nursery adaptation. The subjects were 20 infants younger than one year of age, and the experimental group and the control group were randomly assigned. I developed an infant massage activity and trained an infant teacher to do it with 30-hours workshop. The massage was accomplished a total of 18 times, 3 times a week for 6 weeks. The research tools employed are the Caregiver Interaction Scale(CIS) which was developed by Arnett(1989) and employed by Kim(2009) and the Preschool Adjustment Questionaire(PAQ) which was employed by Yang(2005). They were modified and supplemented for this study to serve as a teacher rating scale. The collected data was analyzed after the experiment service through the t-verification. The results showed that the experimental group that took the infant massage scored higher than the control group in both teacher-infant interaction and nursery adaptation. Therefore, it demonstrated that infant massage has an effect on positive and permissive interaction in teacher-infant interaction and nursery adaptation.
The purpose of this study examined the moderating effect of maternal emotion-related socialization behaviors on the relations between preschooler's effortful control and prosocial behavior. In this study, subjects were 153 preschoolers and their mothers. The major results were as follows; there was a moderating effect of maternal emotion-related socialization behaviors on the relationship between preschooler's effortful control and prosocial behavior. Specifically, maternal negative emotion expression and response to the preschooler's positive emotion moderated the effect preschooler's effortful control on prosocial behavior. In conclusion, the impact of effortful control on preschooler's prosocial behavior were significant. Also, maternal emotion-related socialization behaviors(i.e., negative emotion expression and response to the child's positive emotion) affected on preschooler's prosocial behavior. The findings of the study will contribute to help maternal emotional interaction with their preschool aged children.
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