• Title/Summary/Keyword: early intervention

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Development of a Scale for Identification of Mental Health and Developmental Disorders in Newborn- to Three-Year-Old Children (0-3세 영유아의 정신건강 및 발달장애 조기진단을 위한 척도제작 연구)

  • Jang, Mikyung
    • Korean Journal of Child Studies
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    • v.26 no.1
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    • pp.47-59
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    • 2005
  • The Early Life Problems Scale consisting of 5-point rating for each item was prepared from the results of a questionnaire of 163 items with two sub scales constructed on the basis of Diagnostic Classification: 0-3. Respondents were 361 parents with newborn to 3-year-old children (197 boys and 164 girls). Hypothetical constructs of mental and developmental problems were identified by exploratory factor analysis. The resulting 22 factors explained 58.5% and 72.9% of the common variance for scales I and II, respectively. The rotation procedure yielded 134 items of which 118 had factor loadings of more than .30. Face validity was obtained on the basis of 18 items. The coefficients of correlation between and within factors suggest that there are interrelationships. The reliability of total scales by Cronbach's Alpha was relatively high.

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Early Hospice Consultation Team Engagement for Cancer Pain Relief: A Case Report

  • Jisoo Jeong
    • Journal of Hospice and Palliative Care
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    • v.27 no.2
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    • pp.77-81
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    • 2024
  • This case report explores the challenges and complexities associated with opioid management of cancer pain, emphasizing the importance of early involvement of a hospice consultation team and the adoption of a multidisciplinary approach to care. A 56-year-old man with advanced pancreatic cancer experienced escalating pain and inappropriate opioid prescriptions, highlighting the shortcomings of traditional pain management approaches. Despite procedural intervention by the attending physician and increased opioid dosages, the patient's condition deteriorated. Subsequently, the involvement of a hospice consultation team, in conjunction with collaborative psychiatric care, led to an overall improvement. The case underscores the necessity of early hospice engagement, psychosocial assessments, and collaborative approaches in the optimization of patient-centered palliative care.

Effects of Early Exercise Education using Video on Exercise Knowledge and Compliance of Elderly Patients Who Undergo Total Knee Replacement Surgery (동영상을 이용한 수술 후 초기 운동교육이 슬관절 전치환술 노인 환자의 운동지식 및 운동이행도에 미치는 효과)

  • Kim, Yun-Jeong;Kang, Hee-Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.22 no.3
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    • pp.316-325
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    • 2016
  • Purpose: This study was conducted to identify the effects of early exercise education using videos on exercise knowledge and compliance of elderly patients who undergo total knee replacement surgery. Methods: This is a quasi-experimental study with a nonequivalent control group non-synchronized design. The participants were 70 elderly patients who had total knee arthroplasty in the C university hospital located in G city, Korea. Thirty-five patients were assigned to an experimental group and the other patients were assigned to a control group. After the total knee arthroplasty, the early exercise education accompanied by watching video instruction was conducted on the experimental group at post-operation second and third day for 15 minutes. General exercise education was administered to the control group. The exercise knowledge and compliance of the elderly patients were measured through structured questionnaires. Conclusion: The results of this study indicate that early exercise education using videos has positive effects to improve the exercise knowledge and compliance of elderly patients after total knee arthroplasty. This early exercise education can be used going forward as nursing intervention for elderly patients who undergo total knee replacement surgery.

Musculoskeletal Workload and Job Stress in Early Childcare Teachers (유아교사의 근골격계 작업부담과 직무 스트레스)

  • Kim, Chae-Bong;Cho, Hye-Kyung;Park, Mi-Seon;Yang, Kyung-Soo
    • The Korean Journal of Health Service Management
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    • v.10 no.2
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    • pp.205-216
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    • 2016
  • Objectives : The purpose of this study was to determine the association between musculoskeletal workload and job stress in early childcare teachers. Methods : This study was based on The Korean Working Condition Survey conducted on wage workers. The total number of individuals included in the analysis was 395 (286 childcare teachers and 109 kindergarten teachers) early childcare teachers in 2011. The collected data were analyzed by frequency statistic, cross-tabulation analysis and logistic regression. Results : The adjusted odds ratio showed a statistically effective association for job stress exposure. The results were as follows: education level, service environment, emotional labor, fatigue or posture led to pain for a high level of job stress. Additionally, for childcare teachers, the results showed that fatigue or posture led to pain when moving a heavy object frequently. Conclusions : When childcare teachers are assigned a task to lift heavy or awkward or objects, care should be taken on who is assigned the task, and it should be done safely. An intervention program should be developed to train childcare teachers to safely and efficiency do heavy labor in early childcare education classes.

Body Image Dissatisfaction and Self-esteem among Korean Pre- and Early Adolescent Girls and Boys: A Five-year Longitudinal Panel Study (후기 아동기 및 초기 청소년의 신체상불만족과 자존감: 종단적 패널 연구)

  • Park, Woochul
    • Human Ecology Research
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    • v.58 no.2
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    • pp.163-176
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    • 2020
  • Longitudinal studies have shown mixed findings on the association between body image dissatisfaction and self-esteem among adolescents. This study examined the longitudinal, reciprocal influences between body image dissatisfaction and self-esteem among Korean pre- and early adolescents by using nationally representative longitudinal panel data from the Korean Youth Panel Study (KYPS). Analyses based on 2,230 participants indicated that girls' body image dissatisfaction was significantly higher than boys'. The trajectory of body image dissatisfaction increased sharply during pre- and early adolescence, but stabilized afterwards for both boys and girls. Self-esteem deteriorated rapidly initially, but began to recover as adolescent girls and boys matured. Structural equation modeling showed that reciprocal influences between body image dissatisfaction and self-esteem were detected for boys. Body image dissatisfaction among girls predicted self-esteem during the entire period, while the opposite direction from self-esteem to body image dissatisfaction emerged two years later. The present study found that, during pre- and early adolescence, body image dissatisfaction and self-esteem develop in a circular fashion by forming a vicious cycle. Implications for the development of intervention and prevention programs are discussed in consideration of age and gender.

Pediatric approach to early detection of learning disabilities (학습장애의 조기 발견을 위한 소아과적 접근)

  • Sung, In Kyung
    • Clinical and Experimental Pediatrics
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    • v.51 no.9
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    • pp.911-921
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    • 2008
  • Learning disabilities (LD) are heterogeneous group of disorders with evidences of genetic or familial trait, intrinsic to the individual and presume to be due to central nervous dysfunction. Learning disabilities and attention deficit hyperactivity disorder (ADHD) are the two of the most common disorders in the population of school-age children. Typically academic achievements in children with learning disabilities are significantly lower than expected by their normal or above normal range of IQ. Although academic and cognitive deficits are hallmarks of children with LD, those children are also at risk for a broad range of behavioral and emotional problems. Almost all cases meet criteria for at least one additional diagnosis such as ADHD, developmental coordination disorder, depression, anxiety, obsessive compulsive disorder, tic disorder, among which ADHD is particularly predominant. Because of the response to the therapeutic intervention program is promising and positive when applied early, it is critical to recognize patients as early as possible. Pediatricians often are the first to hear from parents worried about a childs academic progress. It is not the responsibility of pediatrician to make a diagnosis, referring children for a diagnostic evaluation of LD is a reasonable first step. Pediatricians can make early referral of suspicious children by asking some serial short questions about basic and processing skills. With a basic knowledge about the clinical characteristics, diagnostic and therapeutic procedures of LD, pediatricians also can provide primary counseling and education for parents at their outpatient clinical settings.

Implications of American Early Head Start for the Korean Infant/toddler Care System (미국 조기헤드스타트의 문헌고찰을 통한 한국의 영아보육에 관한 연구)

  • Kim, Ji-Eun
    • Journal of the Korean Home Economics Association
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    • v.43 no.12 s.214
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    • pp.97-111
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    • 2005
  • Early Head Start (EHS) can provide services to a child and family from pre-birth until the child is three years old. Services are comprehensive, intensive, individualized and flexible according to child and family needs, and integrated with community service delivery systems. The local program designs and operations were developed and carried out within the framework of the Head Start Revised Performance Standards, which included specific provisions for services to pregnant women, infants and toddlers and emphasized prevention, early intervention, safety, and health education. As with preschool Head Start, EHS programs are required to make available 10 percent of their enrollment for infants and toddlers with disabilities as defined by Part C regulations of the state in which the program operated. Quality child care has become a priority for EHS. A majority of EHS children need child care, and the quality is important to their development. An evaluation of EHS in 17 programs selected from the first program cohorts showed that the program had significant and positive impacts on a wide range of parent and child dimensions, some with implications for children's later school success. Among the issues for policy attention identified by American EHS for the Korean system are: - The need to create a comprehensive infant/toddler care system - The need to address access of teachers for young children - The need to improve quality.

Influence of an Early Latching-on Program on the Breastfeeding Rate (빠른 젖물리기 프로그램이 모유수유 실천율에 미치는 영향)

  • Kim, Boyeoul;Kim, Jinhyun
    • Perspectives in Nursing Science
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    • v.10 no.2
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    • pp.97-110
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    • 2013
  • Purpose: This study sought to identify how initiating breastfeeding soon after birth affected breastfeeding practice. Methods: The subjects were mothers and newborns in Seoul's S. University Hospital maternity unit who elected to breastfeed. They were divided into an experimental group, which practiced an "early latching-on program" (latching-on within 30 minutes after birth), and a control group, which did not. Both groups' daily frequencies of breastfeeding and supplementary-glucose or bottle feeding were recorded. Results: The correlation between socio-demographic and medical characteristics and the breastfeeding rate was examined; 3 variables showed statistical significance: neonatal health anomaly, Apgar score after 1 minute, and Apgar score after 5 minutes. The difference in breastfeeding rates between the two groups was clear: the experimental group's rate was 1.93, while the control group's was 3.76 (t-statistic difference: 14.865), with the experimental group's rate during hospitalization being twice that of the control group (73.3% and 32.6%, respectively). Multiple regression analysis assessing the influence of the latching-on program yielded a t-statistic of -4.735 and a p-value of .000, indicating statistical significance. Conclusion: An early latching-on program's positive effect on the breastfeeding practice of mother's of newborns was demonstrated. Therefore, an early latching-on program could be a practical and effective nursing intervention for after mothers give birth.

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An Analysis of Nursing Research on Cancer Prevention and Early Detection, Reported in Korea from 1980-2001 (한국인 6대 암의 예방과 조기발견 관련 연구논문 분석)

  • Park, Jeong-Sook;Oh, Yun-Jung;Jang, Hee-Jung;Choi, Young-Hee;Park, Eun-A
    • Research in Community and Public Health Nursing
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    • v.13 no.2
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    • pp.363-375
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    • 2002
  • Objectives: The aim of this study was to analyze the trend of research on cancer prevention and early detection in Korea, in order to suggest a future direction of research on cancer prevention and early detection for Koreans. Methods: A total of 97 studies published from 1980 to 2001 were analyzed according to the year of publication, research design, journal type, cancer type, major study concepts, and findings. Results: 1) The number of studies related to cancer prevention and early detection had increased rapidly since the year 1995. 2) The most frequently used research design in the studies was the descriptive study design (55.7%). 3) There were 10 master's theses on cancer prevention and early detection, and 10 studies published in the Korean Epidemiology Journal. 4) When classified by the published field, 47 studies (48.5%) were published in nursing journals, 46 studies (47.4%) were published in medical journals, and 4 studies (4.1%) were published in public health journals. 5) The major topics of the studies were cancer prevention (51.5%), early detection (44.4%), and cancer prevention and early detection (4.1%). 6) Breast cancer was the most largely addressed issue in the studies (N=25; 25.7%), followed by lung cancer (N=23; 23.7%), hepatoma (N=17; 17.5%), gastric cancer (N=16; 16.5%), other general type of cancer (N=6; 6.2%), colorectal cancer (N=5; 5.2%) and cervical cancer (N=5; 5.2%). Conclusion: It is suggested that there should be more studies on cancer prevention and early detection in the future, and, particularly, experimental studies to exam the effects of intervention on cancer prevention and early detection are considered necessary.

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The Effect of Early Removal of Mesiodens for the Correction of Central Incisor Rotation (정중과잉치 조기 발거에 따른 상악 영구중절치 회전의 개선)

  • Lee, Jueun;Kim, Youngjin;Kim, Hyunjung;Nam, Soonhyeun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.41 no.1
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    • pp.64-71
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    • 2014
  • Mesiodens is defined as a supernumerary tooth in the premaxillary region. It can cause several clinical manifestations in normal eruption and position of adjacent teeth, such as displacement and impaction. Although the mesiodens accompanied by a clinical complication is indicated for removal, the optimal time of mesiodens removal is still controversial. Some authors suggest immediate intervention defining the removal of mesiodens as soon as possible after the first detection. On the other hand, others recommend delayed intervention which denotes the removal of mesiodens after complete root development of adjacent teeth. This case report is presented with three cases of spontaneous correction and proper alignment of rotated maxillary central incisors by extraction of mesiodens when the crowns of rotated incisors were completely formed while the roots of them were at an early developmental stage.