• Clinical and Experimental Pediatrics
• /
• 제51권9호
• /
• pp.911-921
• /
• 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.

• Journal of Genetic Medicine
• /
• 제18권2호
• /
• pp.94-100
• /
• 2021

Early onset scoliosis (EOS) describes the onset of scoliosis before the age of 10 years and is associated with significant health risks. Compared to adolescent idiopathic scoliosis, studies on the etiology of EOS in children are more common. EOS includes inhomogeneous groups of patients, and the etiology of EOS may be congenital, neuromuscular, syndromic, or idiopathic. The identification of the molecular etiology underlying patients with EOS has been increasing. This could provide valuable information for optimizing the management and care of these children. In this review, EOS was reviewed from a medical genomic perspective.

• Child Health Nursing Research
• /
• 제11권3호
• /
• pp.263-272
• /
• 2005

Purpose: This study was done to identify the scope of internet addiction in school age children in early grades of elementary school in Korea, and to identify factors affecting internet addiction fur these children. Method: The participants were 408 children from in grades 1 to 4 in four urban elementary schools. Data were collected through self-report questionnaires which were constructed to include a parent-child internet addiction test, a self-control rating scale, and a scale of parent control of on-line use. The data were analyzed using the SPSS program. Results: Of the children, $71.6\%$ reported being average on-line users, $27.9\%$, heavy on-line users, and $0.5\%$, internet addicted. Self control and parent control of on-line use for average on-line users were different from that of heavy on-line users. Significant predictors influencing internet addiction were time spent on-line, self control, gender, father's occupation, on-line games, on-line use alone, and conversation with parents. These predictors accounted for $42\%$ of variance in internet addiction. Conclusion: The prevalence of heavy on-line use in children was higher than expected, and internet addiction was influenced by self control, time spent on-line, and related factors. Therefore nursing interventions for prevention and management of internet addiction need to be developed and provided to these children.

• 한국의류학회지
• /
• 제23권7호
• /
• pp.941-952
• /
• 1999

The purposes of this study were to provide the fundamental data on elementary school girls' somatotype for their clothing construction by contemplating the stage of physical growth dividing into the period of school age and characterizing the variation of body type according to the school age. The results are as follows : 1. Form the results of one-way variables analysis and multiple comparson test(Duncan's test) classification of the period school age can be divided into 'early grade(1 2 grade)' ' middle grade(3 4 grade)' and 'later grade(5 6 grade)' 2. As the results of analyzing Mean Coefficient of Variation and Standard Deviation graph for direct and indirect measurments and index especially of the Coefficient Variation that explain individual difference of growth the items of height indicates individual difference related with height of lower body of early grade group the items of length individual difference related with length of upper body of later grade group and the items of circumference make little difference. The items of anagle makes pretty higher value that direct measurements and especially in lower angle of chest make a distinctive difference, This fact proves that children's somatotype change from the belly part extruded forwards of early and middle grade to the upper body part slanted slightly forward of later grade.

• Clinical and Experimental Pediatrics
• /
• 제65권1호
• /
• pp.10-20
• /
• 2022

The prevalence of developmental disabilities is increasing worldwide over time. Developmental issues in infancy or early childhood may cause learning difficulties or behavioral problem in school age, further adversely affecting adolescent quality of life, which finally lead to low socioeconomic status in family, increase in medical expenses, and other relevant issues in various ways. Early childhood has brain plasticity, which means there is a high chance of recovering from developmental issues by early detection and timely intervention. Pediatricians are placed an ideal position to meet with young children till 6 years of age, of which age range is the time applicable to early intervention. Determining child's developmental status can be made by 2 pathways such as developmental surveillance and developmental screening tests. For better results, pediatricians should update their knowledge about developmental issues, risk factors, and screening techniques through varying educational program or other relevant educating materials. This paper will update reports on the prevalence of developmental disabilities and review the recent results of the Korean developmental screening test and discuss relevant issues. Finally, it will be addressed the pediatrician's role in early detecting developmental issues and timely intervention.

• Child Health Nursing Research
• /
• 제18권2호
• /
• pp.60-67
• /
• 2012

Purpose: This study was done to examine the importance of health promotion behavior for infants and toddlers as perceived by mothers of children in early childhood, and graduate students in nursing and to provide information for health promotion in early childhood. Methods: This study was a cross-sectional survey research study. The participants were 91 mothers of children in early childhood, and 115 graduate students in nursing. Results: The comparisons showed that graduate students in nursing reported higher perception of the importance health promotion behavior for infants and toddlers than did the mothers. In health promotion behavior, the highest score was in the category of safety. Conclusion: Providing information by nurses is necessary to promote health promotion behavior for mothers of children in early childhood. Therefore, it is important for healthcare professionals to develop effective programs for these mothers who want to promote good health promotion behavior in their children.

• 대한소아치과학회지
• /
• 제40권1호
• /
• pp.72-81
• /
• 2013

최근 2세에서 5세 사이 소아의 우식 발생율이 상당히 증가하고 있다. 유아기우식증(Early Childhood Caries)은 향후 영구치의 우식 발생 가능성에 대한 예측인자이며 사회 저소득층과 다문화 가정 자녀에서 특히 발생빈도가 높은데, 이는 충분히 예방과 관리가 가능하다. 만1세때부터 정기적으로 치과를 방문하고 이 때 우식위험도를 체계적으로 평가하여 환자들에게 맞춤형 예방 전략을 제시할 수 있기 때문이다. 유아기우식증의 예방을 위한 CAMBRA (Caries Management by Risk Assessment)에 대해 가장 최신의 개념과 사용법을 소개하고자 한다. 소아치과의사는 CAMBRA를 통해 개개인의 위험인자를 분석하여 연령에 따른 적절한 예방법을 수립하고 향후 우식 발생시 치료방향의 지침을 정하게 된다.

• 대한소아치과학회지
• /
• 제51권2호
• /
• pp.185-196
• /
• 2024

Temporomandibular joint disorders (TMDs) can occur at any age, including childhood and adolescence, and pain-related TMDs can affect growth and quality of life. In the present study, recent trends in the diagnosis and treatment of TMDs in children and adolescents were analyzed over a 10-year period. Using 10 years of data from the Health Insurance Review and Assessment Service (HIRA) and Jeonbuk National University (JBNU) Dental Hospital, patients between 0 and 19 years of age diagnosed with K07.6 (temporomandibular joint disorders) were analyzed by 5-year bins. Both datasets indicated a higher prevalence in females (1.2-fold in HIRA, 1.5-fold in JBNU) and in ages 15 to 19 years (72.1% in HIRA, 74.7% in JBNU). HIRA reported a 42.3% increase in prevalence per 100,000 people, from 651.4 in 2011 to 927.0 in 2020. JBNU reported K07.66 (masticatory muscle disorders) as the most common diagnosis in subjects under 10 years of age and K07.60 (internal derangement of temporomandibular joint) in those over 10 years of age. In addition, both were treated mainly by a combination of physical therapy and medication, and the treatment rate increased in accordance with age. Because TMDs can affect various structures in the orofacial region and cause pain that tends to differ with age, an early and specific diagnosis appropriate for age is important for treatment. Therefore, pediatric dentists need to promptly recognize TMDs in children and adolescents and consult with specialists as the prevalence increases.

• 사회복지연구
• /
• 제48권2호
• /
• pp.303-329
• /
• 2017

본 연구에서는 아동발달의 변화성과 다양성을 고려하여 시간의 경과에 따라 학령기 아동의 게임 사용시간의 변화궤적을 유형화하고, 각 유형에 영향을 미치는 예측요인을 다차원적으로 검증하였다. 이를 위해 한국아동 청소년패널조사의 초1패널의 2차년도에서 6차년도까지의 자료를 활용하였으며, 본 연구의 최종 분석대상자는 총 1959명이다. 분석방법으로는 학령기 아동의 게임 사용시간 변화궤적 유형화를 위해서 잠재계층성장분석을 실시하였으며, 이후 다중로지스틱 회귀분석을 통해 유의미한 예측요인을 검증하였다. 분석결과, 학령기 아동의 게임 사용시간 변화궤적은 '게임 저사용 증가집단', '게임 초기 고사용-변동 집단', '게임 고사용 증가집단'으로 분류되었으며, 성별, 공격성, 주의집중, 방과후 보호자 부재, 주양육자의 교육수준, 형제자매, 방임, 가구소득, 연간 가족여행 횟수, 학교성적, 또래관계가 각 유형의 분류에 유의미한 영향을 미치는 예측변인으로 나타났다. 이러한 연구결과들을 바탕으로 학령기 초기 아동의 게임 과다사용에 대한 예방적 개입의 필요성을 강조하고 유용한 실천적 제언을 하였다.

• Child Health Nursing Research
• /
• 제16권1호
• /
• pp.41-48
• /
• 2010

Purpose: The purpose of this study was to examine the relationship of body image, self-esteem, and behavior problems comparing children of short stature and children of normal height, and to enhance growth development through early detection of social or emotional problems in children of short stature. Methods: The data were collected from June 2 to September 25, 2008. The participants were 38 children who were diagnosed with short stature and their mothers and 38 children of age appropriate stature and their mothers selected from 311 elementary students in D city. The participants were matched by using propensity analysis for controlling confounding variables. Sapiro-Wilk test, t-test, Wilcoxon test, and Pearson correlation coefficients with SPSS/WIN 14.0 program were used to analyze the data. Results: There were significant differences in body image and behavior problems between children of short stature and children of age appropriate stature. There was no significant difference in self-esteem between the two groups. Positive correlation was found between body image and self-esteem. In children of age appropriate stature, a negative correlation was found between body image and behavior problems. Conclusion: A specialized program which focuses on behavior problems, body image, and self-esteem should be developed to help children of short stature in school-based settings.