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학령기 아동의 시력저하 실태 및 관련 요인 (Factors Related to Vision Disturbances in the Elementary School-Age Children)

  • 신희선;오진주
    • Child Health Nursing Research
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    • 제8권2호
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    • pp.164-173
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    • 2002
  • The vision disturbances of school-age children has been recognized as and important school health problem. The purpose of this study is to describe the current status of the visual health and to explore the related factors for the decrease in visual acuity in the elementary school age children. The study subjects were 697 children (Boys: 338, Girls: 359) of 4th to 6th grade in two school in urban area. The visual acuity data of the school health examination in 1999 and 2000 were utilized for analysis. The questionnaire for children and parents was used for survey. The findings were as follows. 1. The prevalance rate of the children with the visual acuity less than 0.7 on the left eye were 26.84% ( Grade 4), 31.30% (Grade 5), and 38.39% (Grade 6). The rate on the right eye were 28.31% (Grade4), 30.37% (Grade 5), and 37.92% (Grade 6). There was a significant difference in the rate of the visual acuity less than 0.7 according to grade (p<.01). 2.The rate of visual acuity decrease was 40.12%. 3. The factors related to the decrease in the visual acuity were grade, sex, genetic factor, posture, and the awareness of the visual acuity. There was more decrease in the visual acuity when the children were in higher grade (O.R= 1.06), girls (O.R=2.29). Children having parents with better vision (Father: O.R=1.26; Mother O.R= 1.25) showed better vision. On the other hand, when the children have siblings with glasses, there was more decrease in the visual acuity (O.R=2.31). Students with good posture during study (sitting on the chair) and watching TV to the lower direction showed less decrease in the visual acuity. Also, when the students know their visual acuity, the rate of decrease were lower. The variables which odds ratio were statistically significant were sex (p<.01), siblings with glasses (p <.01), and awareness of visual acuity (p<.01).

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The Effects of Water-based Exercise on Respiratory Function in Children with Spastic Diplegic Cerebral Palsy

  • Shin, Hwa-Kyung
    • The Journal of Korean Physical Therapy
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    • 제24권3호
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    • pp.198-201
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    • 2012
  • Purpose: We investigated to evaluate the effectiveness of water-based exercise (WE) program on respiratory functions for children with spastic diplegic cerebral palsy (CP). Methods: Fourteen children with spastic diplegic CP were randomly assigned, to either the experimental group (EG, n=7), or the control group (CG, n=7). Respiratory function was measured by a spirometer, a CardioTouch 3000S ( Bionet, Seoul, Korea) at a chair-sitting posture. Forced vital capacity (FVC), forced expiratory volume at one second (FEV1), peak expiratory flow (PEF) were measured. The intervention program will last 8 weeks, with three 40 minutes sessions per week (24 training session). The usual care and the addition of a WE program, were compared in the CG and EG, respectively. Results: The EG showed a significant increase in the FVC, FEV1, PEF after training (p<0.05), whereas there was no significant difference in the CP after training. In the EG, FVC increased significantly, compared to the control group (p<0.05), but not FEV and PEF. Conclusion: These findings suggest that WE program have an effect on the respiratory function in children with spastic diplegic CP.

Theoretical Basis of Studying the Educational Environment with the Application of GR-Technologies

  • Romanchenko, Inna;Vasylevska, Olena;Haltsova, Svitlana;Babicheva, Hanna;Batsula, Natalia;Kravchenko, Hanna;Lytvyn, Aelita
    • International Journal of Computer Science & Network Security
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    • 제21권4호
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    • pp.28-32
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    • 2021
  • The article discusses the theoretical and methodological part that characterizes and assessment of the current state of the theory of GR-activity, disclosed the essence and content of the concept of GR-technologies, as well as their classification. The analysis of the system of additional education for children in the social structure, as well as the analysis of the current state of the education system is carried out. The formulation of tasks for the construction of an effective model for the use of GR-technologies in the process of developing the education system using GR-technologies

Socioeconomic Impacts of Gluten-Free Diet among Saudi Children with Celiac Disease

  • Sarkhy, Ahmed;El Mouzan, Mohammad I.;Saeed, Elshazaly;Alanazi, Aziz;Alghamdi, Sharifa;Anil, Shirin;Assiri, Asaad
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제19권3호
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    • pp.162-167
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    • 2016
  • Purpose: To determine the socio-economic impact of gluten free diet (GFD) on Saudi children and their families Methods: A cross-sectional study was conducted in which an online questionnaire was sent to all families registered in the Saudi celiac patients support group. We included only children (age 18 years of age and younger) with biopsy-confirmed celiac disease (CD). Results: A total of 113 children were included in the final analysis, the median age was 9.9 years; 62.8% were females. One hundred (88.5%) of the participating families reported that GFD food was not easily available in their areas, 17% of them reported that it was not available at all in their area. One hundred and six (93.8%) reported that the price of GFD food was very expensive and 70 (61.9%) families that the diet was heavily affecting their family budget. Significant social difficulties were reported among the participating families and their children including interference with the child's interaction with other children (49.6%), the families' ability to attend social gatherings (60.2%), the families' ability to eat in restaurants (73.5%), and the families' ability to travel (58.4%). Conclusion: There is significant negative socio-economic impact of GFD on children with CD & their families. Health care providers should be aware of these psycho-social difficulties and be well trained to provide a proper education and psychological support for these patients and their families.

Clinical Characteristics of Celiac Disease and Dietary Adherence to Gluten-Free Diet among Saudi Children

  • Al Sarkhy, Ahmed;El Mouzan, Mohammad I.;Saeed, Elshazaly;Alanazi, Aziz;Alghamdi, Sharifa;Anil, Shirin;Assiri, Asaad
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제18권1호
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    • pp.23-29
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    • 2015
  • Purpose: To describe the clinical characteristics of celiac disease (CD) among Saudi children and to determine the adherence rate to gluten free diet (GFD) and its determinant factors among them. Methods: A cross-sectional study was conducted, in which all the families registered in the Saudi Celiac Patients Support Group were sent an online survey. Only families with children 18 years of age and younger with biopsy-confirmed CD were included. Results: The median age of the 113 included children was 9.9 years, the median age at symptom onset was 5.5 years and the median age at diagnosis was 7 years, the median time between the presentation and the final diagnosis was 1 year. Sixty two of the involved children were females. Ninety two percent of the patients were symptomatic at the diagnosis while eight percent were asymptomatic. The commonest presenting symptoms included: chronic abdominal pain (59.3%), poor weight gain (54%), abdominal distention, gases, bloating (46.1%) and chronic diarrhea (41.6%). Sixty percent of the involved children were reported to be strictly adherent to GFD. Younger age at diagnosis and shorter duration since the diagnosis were associated with a better adherence rate. Conclusion: CD has similar clinical presentations among Saudi children compared to other parts of the ward; however, the adherence to GFD is relatively poor. Younger age at diagnosis and shorter duration since the diagnosis were associated with a better adherence rate.

Accessory Respiratory Muscle Activation during Chest Expansion Exercise using Elastic Bands in Children with Cerebral Palsy

  • Shin, Seung-Oh;Kim, Nan-Soo
    • 대한물리의학회지
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    • 제11권3호
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    • pp.119-124
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    • 2016
  • PURPOSE: The aim of this study was to evaluate activation of accessory respiratory muscles using electromyography during chest expansion upper extremity flexion, abduction, and external rotation exercises with an elastic band in children with cerebral palsy. METHODS: The subjects were 10 children with cerebral palsy. The inclusion criterion for participation was a Gross Motor Function Classification System level of I to III. The subjects were instructed to perform upper extremity flexion, abduction, and external rotation exercises with inspiration, and extension, adduction, and internal rotation exercises with expiration while seated on a chair without a backrest. PM (Pectoralis major), SCM (sternocleidomastoid), RA (rectus abdominis), and EO (external oblique) muscle activities were measured using electromyography. RESULTS: All tested muscles showed a statistically significant increase in activity after elastic band exercise. There were significant differences in PM, SCM, RA, and EO results after chest expansion exercise using elastic band. SCM showed the largest increase in activity after use of elastic bands, at $52.37{\pm}45.88$%, followed by the RA ($50.56{\pm}79.31$), EO ($35.42{\pm}35.45$), and PM ($31.72{\pm}25.64$). The increase in the SCM was greatest, followed by increases in the RA, EO, and PM CONCLUSION: These finding suggest that activity of accessory respiratory muscles increases with use of elastic bands during chest expansion exercise in cerebral palsy.

The Comparison of 'Knowledge of Result' and 'Knowledge of Performance' in the Children with Cerebral Palsy

  • Lee, Hye-Young;Lee, In-Hee
    • The Journal of Korean Physical Therapy
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    • 제27권2호
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    • pp.81-84
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    • 2015
  • Purpose: The purpose of this study was to compare the effect of 'knowledge of result' and 'knowledge of performance', two types of extrinsic feedbacks, during the sit-to-stand movement in children with hemiplegic cerebral palsy. Methods: A total of ten children with hemiplegic cerebral palsy (ages 8 to 12 years) were recruited for the study. Subjects with hemiplegic cerebral palsy performed sit-to-stand movement in front of a mirror. Their performance was supervised and revised for normal movement by a pediatric physiotherapist. In the knowledge of the result, subjects performed sit-to-stand using a chair with an armrest in their mind with normal movement. In the knowledge of performance, subjects performed sit-to-stand under verbal instructions. Randomized cross over trials were used in this study. Main outcome measurements were as follows: mediolateral speed, anteroposterior speed, velocity moment, extent in mediolateral direction, extent in anteroposterior direction, and vertical distance of the center of pressure. Results: The mediolateral speed and extent of center of pressure was higher for 'knowledge of performance' in comparison with the other type of extrinsic feedbacks (p<0.05). The other parameters, including anteroposterior speed and extent, and vertical speed of the center of pressure, did not differ between the two types of extrinsic feedbacks (p>0.05). Conclusion: These findings suggested that training in sit-to-stand movement with 'knowledge of result' may result in better use of extrinsic feedback.

흔들의자의 양식 변천 연구(1) - 흔들의자의 이론적 배경과 윈저 Rocker 및 보스톤 Rocker의 양식 - (Study on the historical change of rocker style(1) - Theoretical background of rockers and the style of Windsor rockers and Boston rockers -)

  • 임승택;정우양
    • 한국가구학회지
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    • 제17권2호
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    • pp.57-68
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    • 2006
  • This study understands rockers of today and supplies basic data of design and manufacture studying pattern change of rockers arisen in West, there is the purpose. Also, this study is investigated by dividing theoretical background of rockers, 7 kinds of American traditional rockers and European rockers from 18th century to opening part of 20th century and contemporary rockers since 20th century. The theoretical background and the style of 2 rockers (Windsor rocker, Boston rocker) were investigated to study the stylistic changes of rockers. Originally a rocker was invented by a European farmer around 1700. It developed to a household which equip practicality and comfortablness in the United States than Europe. Early rockers in a primal form appeared in the 1740s in the United States. American early rockers connected skate to established chair bridge. Rockers are deep connection with family's emotion. Rockers can provide playing functions for children and medically treating functions for adults. Windsor Rockers developed by attaching skate is mammy bench and according to shape of back form bow or hoop-back rocker, birdcage rocker, comb-back rocker. Windsor Rockers formed peculiar American tradition of craftsman furniture through structure that have a unique back of a chair and round seat. Boston Rockers were the first chairs made by mass production method. They show a particular shape with S-curve style seat and rectangular crest at the upper part of the back. Often Crests were decorated by stenciled pattern with curled leaves such as rosettes and scrolled designs.

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공공도서관 아동열람실의 공간구성 및 가구특성 분석 (Analyses on Spatial Compositions and Furniture Characteristics of Children's Reading Rooms in Public Libraries)

  • 전세란;이지현;김수영
    • 설비공학논문집
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    • 제24권7호
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    • pp.567-577
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    • 2012
  • This study examines the spatial compositions of children's reading rooms, furniture characteristics, and users' satisfaction levels for the furniture in public libraries. Field measurements and surveys were performed in 5 public libraries. Results imply that the spatial compositions of reading rooms in libraries were classified into three categories according to the locations of bookshelves and reading space. Management areas should not be located at the edge of reading rooms but be located at the center of reading rooms to avoid clerks' narrow viewing angle toward young kids and to ensure security for the kids. The evaluation for bookshelves according to evaluation checklists was acceptable, but users were not always satisfied with the bookshelves due to the inappropriate positions of books in shelves. The evaluation for desks was generally acceptable according to the checklists and users were satisfied with them. In general, the desk with higher scores by the checklist provided better satisfaction to users. However, the score by checklist for chair and user satisfaction were not always similar each other. Convenience areas in reading rooms were not enough compared to bookshelf, reading and management area. Computer tables that were designed in a way that users sit down and use the computers were highly preferred.

우식위험도 검사 결과와 유아기 우식증 사이의 상관관계에 대한 예비연구 (A Pilot Study of Relationship Between Early Childhood Caries Experience and Chair-side Test Results for Caries-Risk Assessment)

  • 허선재;신터전;현홍근;김정욱;장기택;이상훈;김영재
    • 대한소아치과학회지
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    • 제44권3호
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    • pp.298-305
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    • 2017
  • 본 연구는 임상에서 사용되는 진단도구들이 소아에서 우식위험도와 상관관계를 가지는지 여부를 확인하고, 소아에서 우식위험도를 효과적으로 반영하는 지표가 무엇인지 알아보기 위함이다. 32명의 6세 미만의 소아를 두 군(I군 : dmft < 6, II군 : dmft > 6)으로 나누었다. Plaque-check PH을 이용해 치태의 pH를 측정하고, Saliva-check buffer를 이용해 타액의 pH와 완충능력를 측정하였다. S. mutans 검출을 위해 Saliva-check mutans와 Cytoperio analysis system을 이용하였다. 타액 완충능력은 두 군에서 유의한 차이를 보이며 dmft와 상관관계를 보였고, 타액의 pH와도 유의한 상관관계가 있는 것으로 확인되었다. 두 군 사이에 치태 pH, 타액 pH의 유의한 차이는 관찰되지 않으며 dmft와 상관관계를 가지지 않는 것으로 밝혀졌다. S. mutans의 단일클론항체를 이용하는 Saliva-check mutans와 real-time PCR에 기반한 Cytoperio analysis system은 dmft와 유의한 상관관계를 가지고 있지 않는 것으로 밝혀졌다.