This study has attempted to suggest the direction for child care policy for 0-2 year old children in Korea from analysis on the issues included in the policy for free child care services of the Korean Government. For the analysis, such materials as governmental statistical reports of child care and policy and articles regarding free child care service in daily news papers during 2012 have been collected. From this study, it has been suggested that the policy for free child care for 0-2 year old children, in future, should take into account reliably carrying out matemity leave and parental leave arrangements, equity childcare support for working couples, realization of parental subsidies, expand parental choice, introduction of a small family day care system, providing information and knowledge on the development of infants and parenting. The suggestions of this study will contribute to the development and practice of an effective child care policy for 0-2 year children, which consider the needs and requirements of young children and their parents.
The purpose of this study is to develop and evaluate a school-based alcohol and delinquency prevention program. The program emphasizes the acquisition of skills to effectively deal with peer pressure specific to alcohol use and delinquency as well as to build more healthy relationships with both parents and friends. The program was operated by social workers in a middle school in Seoul for almost 2 months. The program produced positive results. That is, students' drinking frequencies, the level of positive alcohol expectancies, and the level of delinquency have been lowered. Finally, this study suggests that the length of the program be extended and the program be replicated by future social work practitioners and researchers in order to make the program more effective.
Objectives: The present study was carried out to develop and evaluate comprehensive health care program to prevent infectious disease and promote health in child-care centers by Doctor of Korean medicine. Methods: A nonequivalent control group pretest-posttest design study was conducted on 568 children and 85 child care teacher at 12 child care facilities for 12 weeks from July to October 2012. The program was consist of management, education, screening under concepts of traditional preventive medicine, Yangsaeng and Chimibyeong. Children's medical utilization due to infectious disease and attendance means functional status were measured by reports from parents. The Difference in difference(DID) estimator was applied data analysis, and added Zero-inflated negative binomial regression model. Also, attitudes on the infection of teacher was measured and analyzed through t-test. Results: After the intervention, the total medical utilization due to infectious disease decreased, but not significantly. Total absence, early leave and lateness decreased significantly. But, Attitude on the infection of child care teacher was not changed. The parent's satisfaction showed positive overall. Conclusions: The intervention program may be effective in preventing infectious disease and managing health in child-care center partially. To measure long-term effect, long-term study improved is requested.
The purpose of this study was to develop a sexuality education program for early adolescents. The overall goals of the program were to not only increase knowledge and skirts, but also to improve the awareness of healthy sex in order to promote premarital abstinence, parent-teen communication and parental awareness of the importance of parental roles and responsibilities in prevention of sexual problems of the early adolescent. The program consisted of six sessions: puberty changes during adolescence, the meaning of sexuality, sexual drives in dating relationships, understanding of the risks associated with early sexual involvement and support for postponing sexual activities, managing and avoiding sexually risky situations, the importance of communications with parents about issues related to sexuality. The program evaluation had three steps: pre-test, immediate post-test and two month follow-up post test. The results showed that the program had a significantly positive effect on the improvement of adolescent's knowledge about sex, and attitudes and behaviors toward sex, particularly in the immediate post-test. At the two month follow-up assessment, the effect of the program still remained strong, though there was a sight and partial reduction which was not statistically significant. Most of the program participants expressed a high level of satisfaction with the program. Parental involvement appeared to be effective as well. Recommendations for further study include: to re-evaluate the curriculum for various other participants. In addition, further study which would compare post-test results of these participants with a comparison group of peers who did not receive the program would be valuable. The author believes that the program can be used in implementing specific subjects (sessions) in new settings, as well as implementing the entire package of the program.
The purpose of this study is to develop and applicate the elementary environmental textbook in order to solve its problem and to improve attitude related to the Asian dust. The results in this research are as follows. First, it was showed that three groups who composed of teachers, parents and students in the elementary school had recognized the serosities and problems caused by the Asian dust form TV, and that such problems was associated with increase of the desertification and the global warming. Especially the student group insist that the cause in Asian dust is due to the natural phenomena or industrialization. Second, as a result in analysis on the Asian dust through both textbooks on the 7th elementary curriculum and subsidiary textbooks, contents concerning Asian dusts was little or noting. In addition, in the subjects of Science, Society and Health for the 5th and 6th grade students in the elementary school, they were explained partially as one of the air pollutants. Third, the elementary environmental textbook on the Asian dust was developed for the 5th and 6th grade students. The textbook is composed of four contents on the material which is harmful of the human health and life in Asian dust, the special news of Asian dust, and the best answer to solve Asian dust as well as the cause and the source of Asian dust. Forth, as a result in classes using the environmental textbook developed by four themes about the Asian dust, its application is meaningful in the level of p value in the view of knowledge, awareness and attitude of the experiment group. They was more improved in 37%, 14%, and 15%, respectively, than the comparative group. In conclusion, the environmental textbook related to Asian dust will play an important role in useful tool to understand the right knowledge, awareness, and attitude which makes an effort on its effective management in the elementary school.
Objectives : This study was performed using a longitudinal approach to explore the predictors for current smoking among male high school students. Methods : Baseline data was collected in May 2004 through a self-administrated questionnaire completed by 607 male students in a technical high school in Daegu city, Korea. Subsequently, their smoking behaviors were followed one year after. Among the 544 followed participants, data for 439 non-smokers in the first year was used in longitudinal analysis. Current smokers were defined as those respondents who had smoked one or more cigarettes within the 30 days preceding the survey. Several potential predictors for smoking were investigated including smoking history(never, experimental, former smoker), sociodemographic factors, environmental factors, attitudes toward smoking, and behavioral factors. Logistic regression was used to predict smoking with SPSS ver. 12.0. Results : According to multiple logistic regression analysis, those students who were more likely to smoke after one year were former smokers(OR: 2.12, 95% CI=1.01-4.44), current drinkers(OR: 2.55, 95% CI=1.33-4.89), who had four or five smokers among five best friends(OR: 3.43. 95% CI=1.14-10.30). In addition, those who had smokers among family members besides parents or siblings(OR: 1.66, 95% CI=0.92-2.98), exhibited a high level of subjective stress(OR: 1.77, 95% CI=0.96-3.26), or had a very good relationship with friends(OR: 1.93, 95% CI=0.99-3.75) were also more likely to smoke albeit with marginal statistical significance(p<0.1). Conclusions : A smoking prevention program aimed at high school students may be more effective with due consideration of the predictors highlighted in this study. However, further studies with larger sample size and various target populations are necessary to find potential predictors not found in this study but suggested in other longitudinal studies.
Purpose: A cranioremodeling helmet for correcting plagiocephaly was recently developed. However, no discrete objective methods to evaluate how the deformity is being corrected have been developed. We have established an easy and cost-effective method that can be used not only to show the correction process, but can also be used by physicians to assess the degree of plagiocephaly two-dimensionally. Methods: For two-dimensional evaluation, a length of malleable memory wire (2 mm in diameter) resembling "Sun-Wukong's headband" was placed on the patient's head. The wire around the patient's head was positioned on a plane including points 1 cm above the eyebrow and 1 cm above the auricle. The wire was placed on a sheet of paper and the outline was marked using pens of various colors during each visit. The degree of plagiocephaly correction could then be shown to the patient's parents at every consultation. Results: The method established by the present study easily shows the horizontal cross-section transformation of the head, illustrates plagiocephaly correction by the helmet, and shows the degree of correction in a two-dimensional manner. Conclusion: A soft-shell helmet is widely used for correcting plagiocephaly. However, evaluating the effectiveness of the helmet has been determined in a subjective manner, and a more objective method is now in demanded. Our study found that a "Sun-Wukong's headband" wire can accurately measure two-dimensional changes. Future studies will be required to identify landmarks needed for assessing plagiocephaly correction.
This study examined the longitudinal effects of appearance satisfaction and Korean language skills on the self-esteem and school adjustment of multicultural adolescents. The study used data from 1,151 multicultural adolescents from the $3^{rd}$, $4^{th}$, and $5^{th}$ waves of the Multicultural Adolescents Panel Study (MAPS). Data were analyzed by means of descriptive statistics, Cronbach's alpha, correlation, and structural equation modeling. The results are as follows. First, appearance satisfaction and Korean language skills at grade 6 significantly predicted higher self-esteem at grade 7. Second, there was a significant influence of high levels of self-esteem at grade 7 on positive school adjustment of grade 8. Last, the self-esteem at grade 7 had a significant mediating effect in the relationship between appearance satisfaction and Korean language skills at grade 6 and school adjustment at grade 8. The results of this study highlighted the importance of self-esteem as a mediating factor in the connection between appearance satisfaction and Korean language skills as well as the level of school adjustment. This provides supporting evidence to many educators and parents for the implementation of effective support practices for multicultural adolescents to enhance their school adjustment. Other related implications of these findings and suggestions for future research are also discussed.
The aim of this study is to find out the correlations between heaith behaviours of young people and the relationships with social factors, which can be helpful for the development of health promotion programmes for youths. The main socializing arenas influencing children's development of health and health behaviour are school, peers and parents. In this study, the selected social factors are based on these arenas. And the following seven health-related behaviours were selected: smoking, drinking alcohol, drinking coffee, irregularity of taking main meals, regular exercise, brushing teeth, and use of medicine for nourishment or restoratives. These health behaviours categorized into two groups; health- promotiong and health-damaging behaviours. The results were summarized as follows; Significant positive correlations were found between health damaging behaviours-drinking alcohol, coffee, smoking, irregularity of main meals, drinking alcohol. But, No consistently significant correlations were revealed among health promoting behaviours and between health promoting and health damaging behaviours. If total group were devided into four groups by gender and grade, these correlations were a little weak. Although such division, the correlations among health damaging behaviours were still significant. The result is also found that health behavious and various social factors were strongly correlated. Particulary, health damaging behaviours showed a consistent correlation with social factors. This consiatensy was simillar to the figure of other contries in Europe. In conclusion, a more comprehensive explanation on health behaviour bacame possible if the analysis on the correlations were made by dividing health behavious into "health-promotion" and "health- damaging". And the health promotion programmes can be more effective when they focus on the correlation of health behavious and inter-relationships between health behavious and various social factors, rahter than focus on individual behavious.
Jang, Ha Won;Lee, Yong Wook;Chang, Meayoung;Kil, Hong Ryang;Kim, Sook Za
Journal of The Korean Society of Inherited Metabolic disease
/
v.18
no.2
/
pp.50-54
/
2018
Jehovah's Witnesses do not accept blood transfusions, because of their particular interpretation of the Old and New Testaments. When people with such religious convictions are in need of medical care, their faith and belief may become an obstacle for proper treatment, and pose legal, ethical, and medical challenges for the health care providers. We report two inherited metabolic disorder cases in South Korea where the infants died whilst under medical care because of parental refusal of blood transfusions for religious reasons. Case 1 had methylmalonic acidemia, Down syndrome and associated congenital cardiac anomalies requiring surgery. Case 2 had anemia and methylmalonic acidemia requiring dialysis to treat hyperammonemia and metabolic acidosis. For effective medical management, they needed life-saving blood transfusions. As a part of alternative treatment, Erythropoietin was administered in both cases. As a result, two babies died from their extremely low hemoglobin and hematocrit. The hemoglobin concentrations below 2.7 g/dL without cardiac problem and 5.4 g/dL with cardiac anomaly complicated by pulmonary hypertension are considered life-threatening hemoglobin threshold. The medical professional must respect and accommodate religious beliefs of the patients who can make informed decisions. However, when parents or legal guardians oppose medical treatment of their babies and incompetent care receivers on cultural and religious grounds, the duty to assist and save persons exposed to serious danger, particularly life-threatening events must come first.
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