• Title/Summary/Keyword: early school-age

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Tolerability and Effect of Early High-Dose Amino Acid Administration in Extremely Low Birth Weight Infants

  • Choi, Jin Wha;Kim, Jisook;Ahn, So Yoon;Chang, Yun Sil;Park, Won Soon;Sung, Se In
    • Neonatal Medicine
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    • v.25 no.4
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    • pp.153-160
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    • 2018
  • Purpose: The aim of this study is to examine the tolerability and effect of early high-dose amino acid administration in extremely low birth weight infants (ELBWIs). Methods: This retrospective cohort study included ELBWI (birth weight <1,000 g, n=142). Biochemical, nutritional, and neurodevelopmental data were compared between infants who received conventional low amino acid (LAA; 1.5 g/kg/day) and those who received high amino acid (HAA; 3 g/kg/day) within the first 48 hours after birth. Neurodevelopmental data included weight, height, and head circumference at discharge, 12 to 14 and 18 to 24 months of corrected age and the Korean Bayley Scale of Infant Development II (K-BSID-II) score at 18 to 24 months of corrected age. Results: The HAA group demonstrated higher peak plasma albumin ($3.0{\pm}0.4$ vs. $3.2{\pm}0.5$, P<0.05) and lower serum creatinine ($1.7{\pm}0.9$ vs. $1.4{\pm}0.8$, P<0.05) during the first 14 days than the LAA group. Full enteral feeding was achieved significantly earlier in infants in the HAA group than in infants in the LAA group ($46.2{\pm}23.0days$ vs. $34.3{\pm}21days$, P<0.01). There was no difference between the two groups in the z score changes in all growth indicators from birth to discharge and at 12 to 14 and 18 to 24 months of corrected age, as well as in the K-BSID-II score at 18 to 24 months of corrected age. Conclusion: Aggressive administration of amino acids during the first 2 days of life in ELBWI was well tolerated and correlated with earlier full enteral feeding, but did not improve growth and neurodevelopment.

The Bayley-III Adaptive Behavior and Social-Emotional Scales as Important Predictors of Later School-Age Outcomes of Children Born Preterm

  • Yun, Jungha;Kim, Ee-Kyung;Shin, Seung Han;Kim, Han-Suk;Lee, Jin A;Kim, Eun Sun;Jin, Hye Jeong
    • Neonatal Medicine
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    • v.25 no.4
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    • pp.178-185
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    • 2018
  • Purpose: We aim to assess the Bayley Scales of Infant and Toddler Development, third edition (Bayley-III), Adaptive Behavior (AB) and Social-Emotional (SE) scales at 18 to 24 months of corrected age (CA) to examine their associations with school-age cognitive and behavioral outcomes in children born preterm. Methods: Eighty-eight infants born with a very low birth weight (<1,500 g) or a gestational age of less than 32 weeks who were admitted to the neonatal intensive care unit from 2008 to 2009 were included. Of the 88 children who completed school-age tests at 6 to 8 years of age, 37 were assessed using the Bayley-III, including the AB and SE scales, at 18 to 24 months of CA. Correlation, cross-tabulation, and receiver operating characteristic analyses were performed to assess the longitudinal associations. Results: A significant association was observed between communication scores on the Bayley-III AB scale at 18 to 24 months of CA and the Korean version of the Wechsler Intelligence Scale for Children (K-WISC) full-scale intelligence quotient (FSIQ) at school age (r=0.531). The total behavior problem scores of the Korean version of the Child Behavior Checklist (K-CBCL) at school age were significantly negatively related to the Bayley-III SE and AB scales but not to the cognitive, language, or motor scales. Conclusion: Our findings encourage AB and SE assessments during the toddler stage and have important implications for the early identification of children in need of intervention and the establishment of guidelines for follow-up with high-risk infants.

Early implant failure: a retrospective analysis of contributing factors

  • Kang, Dae-Young;Kim, Myeongjin;Lee, Sung-Jo;Cho, In-Woo;Shin, Hyun-Seung;Caballe-Serrano, Jordi;Park, Jung-Chul
    • Journal of Periodontal and Implant Science
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    • v.49 no.5
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    • pp.287-298
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    • 2019
  • Purpose: The aim of this retrospective study was to determine the prevalence of early implant failure using a single implant system and to identify the factors contributing to early implant failure. Methods: Patients who received implant treatment with a single implant system ($Luna^{(R)}$, Shinhung, Seoul, Korea) at Dankook University Dental Hospital from 2015 to 2017 were enrolled. The following data were collected for analysis: sex and age of the patient, seniority of the surgeon, diameter and length of the implant, position in the dental arch, access approach for sinus-floor elevation, and type of guided bone regeneration (GBR) procedure. The effect of each predictor was evaluated using the crude hazard ratio and the adjusted hazard ratio (aHR) in univariate and multivariate Cox regression analyses, respectively. Results: This study analyzed 1,031 implants in 409 patients, who comprised 169 females and 240 males with a median age of 54 years (interquartile range [IQR], 47-61 years) and were followed up for a median of 7.2 months (IQR, 5.6-9.9 months) after implant placement. Thirty-five implants were removed prior to final prosthesis delivery, and the cumulative survival rate in the early phase at the implant level was 95.6%. Multivariate regression analysis revealed that seniority of the surgeon (residents: aHR=2.86; 95% confidence interval [CI], 1.37-5.94) and the jaw in which the implant was placed (mandible: aHR=2.31; 95% CI, 1.12-4.76) exerted statistically significant effects on early implant failure after adjusting for sex, age, dimensions of the implant, and type of GBR procedure (preoperative and/or simultaneous) (P<0.05). Conclusions: Prospective studies are warranted to further elucidate the factors contributing to early implant failure. In the meantime, surgeons should receive appropriate training and carefully select the bone bed in order to minimize the risk of early implant failure.

Concrete strength monitoring based on the variation of ultrasonic waveform acquired by piezoelectric aggregates

  • Wei, Li;Wang, Zijian;Cao, Maosen;Fu, Ronghua
    • Structural Engineering and Mechanics
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    • v.76 no.5
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    • pp.591-598
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    • 2020
  • Ultrasonic waves provide a non-destructive and sensitive way to monitor the concrete hydration. However, limited works are reported to monitor the evolution of the mechanical parameter at early ages. In this study, modified piezoelectric aggregates are embedded inside a concrete beam to excite and receive primary waves. A hydration index, namely, the variation of ultrasonic waveform (VUW) is developed to characterize the variation of the transmitted waves during the hydration process. The recorded hydration indices are compared with the compressive strength measured by destructive test at different ages. The results show that the VUW is closer to the compressive strength than the other two traditional hydration indices, ultrasonic velocity and wave packet energy. The proposed VUW provides a simple and accurate way to monitor the concrete hydration at early ages.

Adjustment of Korean First-Graders to Elementary School: The Role of Family Income, Type of Early Childhood Education Program, and Private Education Before and After School Entry

  • Chun, Hui Young;Wee, Su-Jeong;Park, Soyeon
    • International Journal of Human Ecology
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    • v.14 no.1
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    • pp.115-130
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    • 2013
  • This study reviews the current status of Korean first graders, their experience with early care and education (ECE) programs, and their participation in private and after-school education. The research also examines how school adjustment during the first grade is related to family income, types of ECE programs, and participation in private and after-school education. Using the first year data of the Korean Child and Youth Panel Survey (KCYPS) 2010, this study analyzes 752 first graders who attended only one of two types of ECE programs (child care centers or kindergartens), after which two 25% income extremes were examined. The analysis demonstrates that children from low-income households attended child care centers more often, while children from high-income households attended kindergartens more often. For both low-income and high-income groups, child care centers had a lower starting age and longer attendance periods than did kindergartens. High-income household children started attending ECE programs earlier, experienced more private and after-school education, and received a larger number of private and after-school educational lessons. For the second research purpose, children from low-income families showed better peer relations in school adjustment, while children attending child care centers showed better teacher relations than children attending kindergartens. Children with after-school education also exhibited better peer relations. These findings show the importance of government support for early learning, especially for low-income families and offer a foundation for developing private education polices for early childhood before and after school entry.

EFFECTS OF EARLY SKIP DAY FEEDING ON GROWTH PERFORMANCE AND BODY COMPOSITION IN BROILERS

  • Santoso, U.;Tanaka, K.;Ohtani, S.
    • Asian-Australasian Journal of Animal Sciences
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    • v.6 no.3
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    • pp.451-461
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    • 1993
  • Four hundred and eighty broiler chicks of both sexes were obtained from commercial hatchery (Hubbard) and raised on floor pens. All chicks were allowed free access to food from 0 to 7 and 20 to 56 days of age. At 7 days of age, all broilers were weighed individually, and divided into five groups as follows: 1. feed ad libitum as the control; 2. allowed free access to food 3 days and starved 1 day ($3{\times}1$); 3. allowed free access to food 2 days and starved 1 day ($2{\times}1$); 4. allowed free access to food 1 day and starved 1 days ($1{\times}1$) and; 5. allowed free access to food 2 days and starved 2 days ($2{\times}2$). Broilers were restricted for 12 days (d 7 through 17) of a 56-day trial. Broilers were fed a commercial starter diet (crude protein 23.8% and ME 3,070 kcal/kg) for 21 days, and commercial finisher diet (crude protein 20% and ME 3,160 kcal/kg) from 22 to 56 days of age. Although there was compensatory growth in some groups, (the $1{\times}1$ female group, and the $3{\times}1$ and $2{\times}1$ male grous), its level was not sufficient to achieve normal body weight at market age. There was sexual dimorphism for accelerated growth as well as differences in the ability to achieve a complete compensation of growth to the weight, feed conversion ratio, and body composition of ad libitum chicks. Early feed restriction could be used to reduce production cost because of the lower fed conversion ratio, mortality rate and the amount of starter diet consumed by broilers. The response of chicks to early feed restriction might depend on the degree of feed restriction, the method of feed restriction, duration of feed restriction, and sexes.

Ecological Variables Affecting Library Satisfactions of Mothers of Early School-age Children (학령초기 아동 어머니의 도서관 이용만족도에 영향을 미치는 생태학적 변인 탐색)

  • Sang Eun Lee;Naya Choi
    • Journal of the Korean Society for Library and Information Science
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    • v.57 no.1
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    • pp.233-261
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    • 2023
  • Drawing on Bronfenbrenner's ecological system, the study explored the effect of the ecological variables affecting library satisfaction for mothers of early school-age children. The study used the eighth wave(2015) of Panel Study on Korean Children and conducted correlation analysis, multiple regression analysis, hierarchical regression analysis, and stepwise regression analysis. Researchers selected ecological variables for each ecological system based on previous studies. Results showed that mothers had moderate satisfaction with libraries, and their satisfaction with libraries was affected by library accessibility, satisfaction with public services, type of residence, children's reading time, and supportiveness of parenting policy. The study showed that external factors such as family, community, and policies could affect library satisfaction along with internal factors in the sociocultural context. The study suggested a possible practical implication for library policy.

The Effects of Early Cumulative Risk Factors on Children's Development at Age 3 - The Mediation of Home Learning Environment - (유아기 발달에 대한 생애 초기 가족 누적위험요인의 영향 - 가정학습환경을 매개로 -)

  • Chang, Young Eun
    • Journal of the Korean Society of Child Welfare
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    • no.54
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    • pp.79-111
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    • 2016
  • The purpose of this study was to examine the structural models in which early cumulative risk factors affect children's language(indicated by expressive vocabularies) and social development(indicated by peer competence) at age 3 thorough their effects on the home learning environment. To examine the hypothesized models, the data of 1,725 families from the second and the fourth waves of the Panel Study of Korean Children was used. Correlation analysis and structural equation modeling were conducted to test the models. First, the cumulative risk factors at age 1 and 3 were highly correlated, implying the stability of the risk factors over time. The more cumulative risk factors at age 1 predicted the lower level of the home learning environment at age 3, which, in turn, was significantly related to both language and social development at age 3. However, the early cumulative risk factors did not directly influence later developmental outcomes. Moreover, the cumulative risk factors at age 3 were directly related to the child's language development, but neither social development northe home learning environment. In addition, the mediational role of the home learning environment (i.e., cumulative risk factors at age 1${\rightarrow}$home learning environment${\rightarrow}$language and social development) was statistically supported. In conclusion, the early cumulative risk factors in infancy indirectly predicted children's development at age 3 through the home learning environment. The practical implications for the early intervention and support for the families with infants who are experiencing multiple risk factors were discussed.

A Study of Menstruation of Middle School Students (일 지역 여중생의 월경에 대한 조사연구)

  • Kim, Hae-Won;Kwon, Mi-Kyoung
    • Women's Health Nursing
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    • v.11 no.2
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    • pp.148-155
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    • 2005
  • Purpose: This study was to provide preliminary data for menstrual education and research for the early adolescents. Methods: Participants were 320 middle school students in Gangreung city. Data collection was done from May 1 to May 30, 2004 by self administered questionnaires. Results: In recollecting of menarche experiences, students felt more negative (happy 18.5%, confused 72.6%, embarrassed 82.2%, angry 38.1%, proud 26.2%, excited 15.6%, surprised 54.7%). For menarche preparation, there was a low level of explanations & knowledge of menstruation, and preparedness for menarche. Key informants regarding menstruation experiences were the mother and school teacher. The mean age of menarche was 12.3years old. 66.6% had premenstrual symptoms, and the mean score of VAS for dysmennorrhea was 4.50. Significant variables related to the VAS score were embarrassed of menarche experience(F=3.38, p=.019), preparedness for menarche(F=2.86, p=.038), and premenstrual symptoms(t=63.36, p.000), Conclusion: Preparation for a positive menarche experience prior to menarche is necessary. More active menstrual education should be given for early adolescents in the school and family setting. Replication studies in other regions and developing a menstrual education program is recommended. Systematic examinations of perimenstrual discomforts for early adolescents should be followed.

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