• 제목/요약/키워드: community children's center

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아토피피부염 영유아의 식품섭취 제한에 관한 실태조사 (Excessive Food Restriction in Children with Atopic Dermititis)

  • 이석화;이희진;한영신;안강모;이상일;정상진
    • 대한지역사회영양학회지
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    • 제16권6호
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    • pp.627-635
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    • 2011
  • The prevalence of Atopic Dermatitis (AD), a non-infective chronic inflammatory skin disease, is increasing worldwide. Avoiding the allergen is the basic principle in the treatment of AD. However, when the allergen is food, excessive restriction can lead to nutrition deficiency. The objective of the study was to examine the status of the dietary restriction and compare the caregiver's restriction practice with doctor's recommendation in Korean children with AD. A total of 158 children diagnosed with Atopic Dermatitis were recruited for this study. Information about foods that aggravate AD symptoms and food restriction were collected from the mothers of 158 children aged 6 month-5 year with AD using questionnaires. Food restriction recommendation by doctor was collected through medical chart. McNemar and Margianl homogeneity tests were used to detect a relationship between food restriction recommended by doctor and current practice by mother. There were significant proportion differences of food restriction for each food between by doctor and mother. We found 75.9% of children were avoiding eggs although only 61.4% were recommended for egg restriction by a doctor. Children with restriction of more than 4 kinds of food were 53.2% compared to 13.3% by doctor. Excessive restrictors tended to be younger and diagnosed at younger age. The caregivers of excessive restrictors had trends of "being older" and "having higher income". Avoidance of common foods in children without food allergy could result in malnutrition or impaired growth. Nutrition education is needed for sound practice and nutrition care in children with Atopic Dermatitis as well as interactive communication between caregivers and experts.

영유아의 아토피피부염 중증도 관련 요인 연구 (Associated Factors with Severity of Atopic Dermatitis in Children)

  • 이재선;조선미;이희철;안강모;정상진
    • 대한지역사회영양학회지
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    • 제15권6호
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    • pp.776-782
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    • 2010
  • The prevalence of atopic dermatitis (AD) has increased over the past decades. A variety of factors are related to the development of atopic dermatitis, including genetics and environmental factors. The purpose of the study was to examine factors associated with severity of atopic dermatitis in 104 children aged 6-60 months. To investigate the association between severity and other factors children were divided into two groups, mild (n = 62) and severe (n = 42) groups, based on SCORAD index which measures the severity of atopic dermatitis. Results showed that family history, family's smoking, period of having AD and the levels of the serum total IgE were significantly higher in severe group. More than 6 months of breastfeeding and weaning after 6 month were not associated with severity of AD, but the number of food eliminated was associated with severity. Only vitamin C intake was significantly different by severity after adjusting for energy intake, family history, family’s smoking and period of having AD (p = 0.033). There was no association between the severity of atopic dermatitis and growth of children. This study concluded that the severity of atopic dermatitis was associated with family history, family’s smoking, period of having AD, children's serum total IgE, and vitamin C intakes. The result of this study should provide the significant information for better management of AD.

대도시 일부 초등학교 5학년의 보건소 영양교육 프로그램 평가 (Evaluation of a Nutrition Education Program for 5th Grade Students Provided by Community Health Centers in the Seoul Metropolitan Area)

  • 문현경;박영;박정현
    • 대한영양사협회학술지
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    • 제14권3호
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    • pp.259-275
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    • 2008
  • Children are an important target of health promotion activities due to the life long effects. Therefore, the purpose of this study was to evaluate a nutrition education program offered to primary school students by community health centers. Eight hundred and twenty-six children from 4 primary schools in Seoul voluntarily attended the program. Teachers taught the classes with materials that were provided to them. The subjects were asked to fill out a questionnaire before and then after completion of the program. The data were analysed by SPSS. The results showed that there were significant positive differences in the children's nutrition knowledge scores after the program (p<0.001). In terms of dietary attitude, the rate of 'yes' responses, as a desirable answer to many questions, had increased (p<0.001); however, this positive change in scores was not statistically significant. For dietary habit changes, it was shown that the proportion of children regularly eating breakfast five days a week had improved to 3.3%. And the proportion of children eating fast foods and instant foods decreased. There was no change in fruit intake, but vegetable intake increased (p<0.001). However, the children's overall dietary habit scores did not show a significant change. In the evaluation of the program, 52.3% of the subjects answered that was helpful, and they viewed 'fast food' as the most interesting topic, whereas 'nutrition labeling' was the most difficult topic in the program. The program's effectiveness was positive in terms of enhancing the 'nutrition knowledge', 'dietary attitudes', and 'dietary habits' of the children. Therefore, the above results indicate that this type of program, provided by community health centers, was effective for nutrition education.

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지역아동센터 아동의 또래 관계 기술 증진을 위한 창작 음악극 프로그램 효과 연구 (Study of Creative Musical Play Program for Increasing Peer Relational Skills of Children in Community Child Center)

  • 허혜진
    • 인간행동과 음악연구
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    • 제7권1호
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    • pp.37-59
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    • 2010
  • 본 연구에서는 지역아동센터 아동의 또래 관계 기술 증진을 목표로 하는 창작 음악극 프로그램의 효과성을 검증하고자 또래 관계 기술의 하위요인과 관련한 단계별 목표로 구성된 음악극 만들기 프로그램을 K 지역아동센터 소속 아동 6명에게 10주간 주 2회 총 20회기 제공하였다. 대상자의 또래 관계 기술에 대한 변화를 알아보고자 프로그램 실시 전후에 대상아동과 기관 담당교사에게 각각 또래 관계 기술 척도와 수정된 사회적 기술 척도(교사용)를 실시하였다. 또한 세션 회기별 아동의 음악적 언어적 반응에 대한 기록 자료를 바탕으로 또래 관계 기술의 하위요인에 따라 범주화하여 제시하였다. 대상 아동들이 기록한 또래 관계 기술 척도 및 하위요인인 주도성과 공감/협동 요인의 평균 점수에서 상승을 나타냈으며 통계적으로 유의미하였다(p < .05). 기관 아동복지교사에 의해 작성된 사회적 기술 척도의 사전 사후 검사 점수와 하위 요인인 협력, 자아통제와 자아주장 요인의 평균 점수 모두 상승되었다. 세션 관찰 분석 결과에서는, 초반에 나타나던 비주도성, 자기주장성 결여, 비공감, 비협동 등의 부정적 요인이 세션의 진행에 따라 점차 긍정적인 요인으로 변화된 것으로 나타났다. 따라서 창작 음악극 프로그램은 지역아동센터 아동의 또래 관계기술을 증진시키는 데 효과적인 중재도구임을 시사한다고 볼 수 있다.

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취학전 아동의 조기 시력검진사업 활성화 방안에 관한 연구 (A Study on the Way of Activating Early Eye Screening for Pre-School Children)

  • 김신자;박미리
    • 한국학교보건학회지
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    • 제9권2호
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    • pp.161-170
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    • 1996
  • This research was performed to screen eye health status for pre-school children (4~5 age) and establish as eye health checking system m community health center. This data was collected from 1st February, 1995 to 31st October, 1995. To screen the state of their vision, the Developed Visuual Test (D.V.T) was used for pre-school children. This is used at home by their parents and then it is also used among the kindergarten health team at Jung-gu health center in Seoul. This was done with the and of Randot and Han Choun Souk tests. The total number of children who were tested was 1441. Among the children, children aged 5 were 707, and those aged 4 were 734. The results of this study were as follows; * Description of the health status for the pre-school children. 1. The rate of children average vision in both eyes, whose was below 05 by Han Choun Souk are 7.6% (age 4) and 4.8% (age 5). 2. Only 20 4% (age 5) and 30 8% (age 4) of the pre-school children had been tested through the ophthalmic department. 3. The children with a level below 05 (Han Choun Souk test) had been tested only 43% (age 4), and 12% (age 5) 4. There was no particular difficulty in understanding the D.Y.T: 13.9% (age 4), 11.6% (age 5) of the tested children had eye problems. 5. 231 cases were trichiasis, entropin, strabismus, and amblyopia. * The different visual tests. The results of the visual tests between the two groups (parents and health teams) are similar and it shows that parents can easily test at home. * Delivery system of the D.V.T questionnaire The way children's parents received the D.V.T questionnaire were carried out by two ways By mall from the community health center. Send through the institution, for example the kindergarten school The receipt rate of this D.V.T questionnaire sent through the institution was higher than sent by mall.

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아동의 예방접종에 미치는 영향 요인 - Pender의 건강증진모형 적용 - (Factors Influencing Children's Immunization)

  • 임은실;천의영;임미란;이경자
    • 지역사회간호학회지
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    • 제17권2호
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    • pp.283-294
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    • 2006
  • Purpose: The purpose of this study was to identify the factors influencing childhood immunization. Method: Data were collected by questionnaires from 251 Parents who have 6 months to 7 years old children at public health centers in Seoul and Kyunggi Province. The data were analyzed using descriptive statistics, t-test, ANOVA, and multiple regression. Result: According to general characteristics of the parents and children, there were statistically significant differences in education level of parents, child immunization card, gender, age, and birth order of children. The main factors that affected children's immunization were perceived barriers of action, perceived control, birth order of children, child immunization card, and education level of parents, and these factors explained 49.4%(explanatory power of this model was 49.4%). Conclusion: The results of this study showed strategies for compliance of children immunization. Therefore, when the program are developed for public immunization, these factors need to be considered.

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한글판 아동 균형척도(Pediatric Balance Scale)의 측정자간 신뢰도 (Inter-Examiner Reliability of the Korean Version of the Pediatric Balance Scale)

  • 고명숙;이남현;이정아;전혜선
    • 한국전문물리치료학회지
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    • 제15권1호
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    • pp.86-95
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    • 2008
  • The Pediatric Balance Scale (PBS) is a modified Berg's Balance Scale developed as a balance measure for school-aged children with mild to moderate motor impairments. The purpose of this study was to determine the inter-examiner reliability of the Korean version of PBS when applied to children with developmental delays. In this study, PBS was administrated to a total of 79 children with developmental delays (17 with global developmental delay, 31 with cerebral palsy, and 31 with mental retardation) in the Seoul Community Rehabilitation Center. Two pediatric trained physical therapists with longer than 13 year of clinical experience scored the children's performance blind, while replaying videotaped data. The inter-examiner reliability was statistically determined by intraclass correlation coefficients (ICCs). The results of this study revealed that the Korean version of PBS seems to have high inter-examiner reliability when applied to children with movement disorders such as global developmental delay (ICC=.96) and cerebral palsy (ICC=.97); however, it has relatively lower inter-examiner reliability (ICC=.78) for children with developmental delay secondary to mental retardation. therefore, the results support that the Korean version of the PBS could be a useful clinical measurement to assess the balance skills for children with developmental delay who have an adequate level of cognition to enable them to fol1ow the verbal instructions to complete the test.

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대구지역 어린이급식관리지원센터 등록 어린이급식소의 염도 측정 빈도에 따른 국의 염도 및 나트륨 함량 비교 (Comparison of Salinity and Sodium Content by the Salinity Measurement Frequency of Soups of Childcare Centers Enrolled in the Center for Children's Food Service Management in Daegu)

  • 이나영;이연경
    • 대한지역사회영양학회지
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    • 제25권1호
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    • pp.13-20
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    • 2020
  • Objectives: This study examined the salinity of soups provided at childcare centers by measuring the salinity for three years and providing basic data for sodium reduction. Methods: The soup salinity was measured using a Bluetooth salinity meter from January 2015 to December 2017 at 80 childcare foodservice establishments enrolled in the Suseong Center for Children's Foodservice Management in Daegu. Results: An analysis of the soup salinity each year showed that the salinity decreased significantly from 0.48% in 2015 to 0.41% in 2017, particularly in clear soups and soybean soups compared to other soups (P < 0.05). The salinity and sodium content in seafood soups (0.45% and 179.1 mg/100 g, respectively) were highest, followed by soybean soups (0.44%, 175.2 mg/100 g), with perilla seed soups containing the lowest (0.42%, 167.2 mg/100 g) (P < 0.05). The salinity was significantly higher in institutional foodservice establishments than small foodservice establishments (P < 0.001). The salinity and sodium content were the highest in foodservice establishments with a small number of measurements, and the salinity was the lowest in foodservice establishments with salinity measurements performed an average of 151 times each year (three times a week) or more (P < 0.05). The soup salinity was low in the order of winter, spring, summer, and autumn, and the salinity decreased significantly year by year in all seasons. (P < 0.05). Conclusions: The soup salinity was significantly lower in foodservice establishments where the salinity was measured more than three times a week, indicating that continuous salinity management is effective.

영등포구 보육시설의 급식 및 영양교육실태조사 (The Survey an the Nutrition Education and Food Service Managements system of the Early Childhood Education Institute in Yongdungpo)

  • 이경희;박도영;이인영;홍주영;최병찬;배상수
    • 대한영양사협회학술지
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    • 제7권2호
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    • pp.167-174
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    • 2001
  • The purpose of this study was to investigate food service management system and nutrition education of the early childhood education institute in Yongdungpo, Seoul. Self-administered questionnaires were completed by 26 public early childhood education institute and 34 private ones. A majority of the teachers were women over 40 with at least bachelor's degree. Other than the fact that food service provides food to the children, it contributed in providing the essential nutrients to the children, as well as giving them the opportunity to learn table manners. A normal food service would provide one set of lunch and two sets of snacks, which would be provided by the institute itself. In most cases, the director or teachers planned the menus instead of dietitians. Journals, cookbooks, and other information put out by mass communication, such as TV and newspapers, were used as reference to those menus. The factors considered in planning the menus were mainly nutritional balance and the children's food preference. The difficulties in meal management were about the budget and nutritional menu planning. Fifty five percent of the subjects were did nutrition education, and they focused mainly on the table manners and hygiene education but once a year. The difficulties and complaints in execution nutrition education at the institutes were lack of nutritional knowledge, personal shortage, and excessive work. The institutes were urgently requesting for menu provisions from local Public Health Clinics. As a recommendation from the results of this study, food service management and nutrition related subjects should be more enforced into the nursery teacher training curriculum. Also, it is necessary to provide nutrition education to teachers, and as a link, the need to develop a manual for nutrition education has become urgent.

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4, 5세 유아의 선 형태 및 공간차원에 따른 그리기 세부묘사 발달 (The Development of Detailed Description of Drawing according to the Shapes of Lines and Dimension of Space from 4 to 5 Years-old Children)

  • 김형재;박기남;이옥경
    • 한국지역사회생활과학회지
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    • 제22권1호
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    • pp.95-102
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    • 2011
  • The purpose of this study was to examine the development of detailed description for drawing houses according to the shapes of lines, and dimensions of space from 4 to 5 years-old children. Participants were 76 children from a daycare center in Busan, Korea. Each child was asked to draw 4 different houses according to the shapes of lines and dimensions of space, such as: straight lines and 2-dimensional pictures straight lines and 3-dimensional Models, curved lines and 2-dimensional pictures and curved lines and 3-dimensional models. The children's drawings were scored based on a "detailed description rating table" which consisted of 10 items. Summarizing the overall results, first, 5 year-olds scored significantly higher than 4 year-olds in the detailed description of 4 different house models. Second, the houses with straight lines scored significantly higher than those with curved lines in the detailed description. Third, there were no significant differences between 2-dimensional houses and those of 3-dimensional models in the detailed description. These results suggest that the detailed description of young children's drawing is developed as children grow older, and drawing with straight lines are earlier developed than curved lined drawings.