• 제목/요약/키워드: growth of children

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고위험아동의 건강관리를 위안 최적적응건강이론 (Theory for Health for Optimal Fitness in Health Care for High-Risk Children)

  • 안영미
    • Child Health Nursing Research
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    • 제15권1호
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    • pp.42-52
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    • 2009
  • Child is a being and provides the genetic continuity of parents and society, and therefore the fitness of these children for survival, growth and development towards reproduction, is of significance to parents and society. The aim of health care for high-risk children is not only to minimize or eliminate health problems, but also to optimize their fitness. Considering that the health care of children is influenced by available resources of parents and society, and sociocultural values and paradigms in a given environment of evolutionary adaptedness (EEA), child health care professionals need to understand factors affecting the optimal fitness of children with risks. This paper introduces a new integrated theory for health care in high-risk children, entitled, Health for Optimal Fitness of High-Risk Children. Five main components were identified with associate concepts or midrange theories affecting heath for optimal fitness of high-risk children; EEA, optimal fitness, health problems, investment resources, and anthropological values. It may provide an integrated perspective on health of high-risk children in both the proximately biomedical approach and ultimately evolutionary approach as optimizing their fitness. Further study is needed to develop substantial statements between components with existential examples.

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2세 여아에서 성장 부진과 다리 통증을 동반한 1형 고셔병 증례 (A Case of a 2-year-old Girl with Type I Gaucher Disease Presenting with Growth Retardation and Leg Pain)

  • 박예슬;황재연;황은하;전종근;이범희;유한욱;김유미
    • 대한유전성대사질환학회지
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    • 제17권2호
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    • pp.63-68
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    • 2017
  • 고셔병은 리소좀축적병으로 lysosomal hydrolase glucocerebrosidase 결여로 간비장비대, 골격계 증상, 빈혈, 혈소판 감소증의 증상을 나타내는 드문 상염색체 유전 질환이다. 본 증례에서는 2세 여아에서 간비장비대, 다리 통증, 성장부진이 관찰되어 시행한 단순 방사선 촬영 검사에 Erlenmeyer flask 변형을 확인하여 고셔병을 의심하였고 효소 분석 및 유전자 검사를 통해 확진하였다. 환아에서 한국인 비신경형 고셔병에서만 관찰되는 G46E 돌연변이를 확인하였고 1년 간의 효소 대체 요법을 통해 성장, 혈액학적 지표, 간비장비대 및 골증상의 호전을 확인하였기에 본 증례를 보고하는 바이다.

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여주지역 영유아 대상 영양플러스 사업 효과 - 영유아 영양보충 및 보호자 영양교육 실시에 따른 영유아의 영양개선효과를 중심으로 - (The Effect of Nutrition Plus Program among 0~5 Year Children in the Yeojoo Area - The Improvement in Nutritional Status of Children after Nutrition Supplement of Children and Nutrition Education in Parents/Guardians -)

  • 박옥진;이민준;김지향;민성희;이현숙
    • 대한지역사회영양학회지
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    • 제14권6호
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    • pp.767-776
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    • 2009
  • This study evaluated the effect of nutritional improvement of 0~5 year children of financially poor families after nutrition supplement of children and nutrition education in parents/guardians. The subject selected among applicants for low-income family financing of the government included 198 children (0~12 months:92, 1~5 years:106), and the average ages were 5.3 months and 2.4 years respectively. Food that includes each nutrient factor was provided to the subject for six months. Nutrition education was performed in two ways, through class and private education, once a month for both. Nutritional improvement was evaluated by body measurement and anemia prevalence rate. As to the survey on breast-feeding, complete breast-feeding accounted for 58.7%, weaning food 27.3%, and combined feeding 14.1% respectively, which shows that breast-feeding accounted for the largest percentage. The education program improved knowledge and attitude of the parents/guardians, which brings in positive effects on growth of children as well. The nutrition knowledge score was improved after nutrition education in 0~12 month children $(8.5\pm1.75\;to\;8.9\pm1.69)$ and 1~5 year children $(7.3\pm1.39\;to\;7.8\pm1.30)$. The nutrition attitude score was significantly improved in 0~12month children $(52.0\pm6.99$ to $53.5\pm5.21$, p < 0.001) and 1~5year children ($45.1\pm7.30$ to $49.0\pm5.96$, p < 0.001). In evaluation on nutritional improvement based on body measurements, it turned out that the wasting was reduced as for children in consideration of the height and weight according to the subject's age. The concentration of hemoglobin after the nutrient treatment for six months was significantly improved, and the anemia prevalence rate as well was reduced from 40.6% to 13.5%, which indicates the significant improvement. Based on the findings above, it turned out that providing quality food to children and nutrition education to the parents/guardians poorly fed in low-income families improved knowledge and attitude of the guardians and prevents anemia and improves growth, which brings in positive effects on growth of children. In the results regarding attitude and knowledge on nutrient/dietary life; however, the improvement level was relatively low when the extent before the education was too small, which indicates the need to revise and complement the contents and methods. In addition, as shown in the result of body measurement, long-term and consistent investigation is necessary since it is difficult to judge the effect on growth only based on short-term nutrient supplement.

수면 시 동반되는 증상이 소아·청소년 성장에 미치는 영향 (The Impact on Growth in Childhood and Adolescence Based on Sleeping Symptoms)

  • 홍효신;김덕곤;이진용
    • 대한한방소아과학회지
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    • 제27권2호
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    • pp.20-30
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    • 2013
  • Objectives Sleep is closely related to children's and adolescent's growth. The purpose of this cross-sectional study is to examine the frequency of symptoms associated with sleep in childhood and adolescence and the impact in their growth. Methods This study had used questionnaire targeting 1001 children and adolescents. 532 of them were visited the Department of Pediatrics, the Oriental Medicine Hospital of ${\bigcirc}{\bigcirc}$University located in Dongdaemun-gu, Seoul, during the period between May and September in 2012. 469 of them were students in the lower grades at ${\bigcirc}{\bigcirc}$Elementary School located in Gangnam-gu, Seoul, during June, 2012. We used PASW Statistics 18.0 to analyze the relation between growth and symptoms associated with sleep by using Independent samples t-test, one-way ANOVA, and ANCOVA. Results As the result of this research, snoring(54.9%), sleep bruxism(34.2%), sleep talking(31.5%), sleep terror(17.1%) were most frequently seen as symptoms associated with sleep. Group of habitual snoring($p=0.008^{**}$) and sleep terror($p=0.016^*$) had lower height percentile than other groups. Groups with sleep talking($p=0.022^*$) had lower weight percentile than group without sleep talking. Groups with sleep talking($p=0.018^*$) or sleep walking($p=0.045^*$) had lower BMI percentile, and group with habitual sleep apnea($p=0.039^*$) had higher BMI percentile. Conclusions Symptoms during sleep such as snoring, sleep bruxism, sleep talking, and sleep terror occur frequently among children and adolescents. More importantly, snoring, sleep terror, and sleep talking may be associated with growth of children and adolescents.

유아체육프로그램이 정상체중유아와 비만유아의 체력과 혈중지질 및 성장관련인자에 미치는 영향 (The Effects of Physical Activity Programs on Physical Fitness, Blood Lipids, and Growth-Related Factors among Young Normal Weight and Obese Children)

  • 박형곤;김군도;박찬호
    • 생명과학회지
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    • 제22권3호
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    • pp.380-386
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    • 2012
  • 본 연구는 비만유아 7명과 정상체중유아 7명을 대상으로 유아체육프로그램이 신체조성, 체력, 혈중지질 및 성장관련인자의 변화를 분석하기 위해 실시되었다. 본 연구에서 실시한 유아체육프로그램이 체지방량을 감량시키는데 효과적인 결과를 얻지 못하였지만 비만군과 정상체중군 모두 체력은 향상되는 것으로 나타났다. 그리고 정상체중유아들의 경우 HDL-C와 제지방량의 증가는 본 연구에서 실시한 유아체육프로그램이 성인기의 비만과 성인병 예방 측면에서 정상체중유아들에게 권장될 수 있는 것으로 사료된다. 또한 성장관련인자 IGF-I은 성장을 촉진하는 활성 물질로 성장호르몬 분비의 증가에 따라 IGF-I 농도 역시 상승한다. 본 연구에서도 정상체중군에서 긍정적인 효과가 나타나 유아체육프로그램이 성장기 유아의 성장호르몬의 분비를 활성화시키고 성장을 촉진시키며 신체발달을 증진시키는데 도움을 줄 수 있을 것으로 생각한다.

유소년기 골밀도와 성장과의 상관관계 (The Relationship of Bone Mineral Density to Growing Age)

  • 홍성민;신정식;한은옥;안중환;한승무
    • 대한기계학회논문집A
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    • 제28권10호
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    • pp.1451-1457
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    • 2004
  • Bone density parameters of children, unlike that of adult, might reflect growth effect along longitudinal direction as well as bone mass. The clinical test was performed for 859 male/female children with age 6-16 years. Ultrasonic imaging system was used to measure bone density, and relationship of bone density to age was evaluated. The bone quality index appeared to be highly correlated with age for male/female children. It was found that bone quality index rose rapidly in the first growth period. The bone quality index was then kept almost unchanged in the period of puberty, and slowly rose after puberty. It was also found that growth of female stopped earlier than that of male. Also, if more clinical examinations are performed by applying various sizes of region of interest, relationship between bone density and age is expected to be more reliable.

만성질환아 어머니의 희망, 핵심신념, 사회적 지지가 외상 후 성장에 미치는 영향 (Influence of Hope, Core beliefs and Social support on Posttraumatic growth in Mothers of Chronically Ill Children)

  • 김미영;김금순
    • 기본간호학회지
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    • 제19권4호
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    • pp.493-502
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    • 2012
  • Purpose: The purpose of this study was to identify the influence of hope, core beliefs, and social support on the posttraumatic growth of mothers with chronically ill children. Methods: In this study, 94 mothers who gave written consent completed the questionnaires between July 21 and July 31, 2012 when they visited a university hospital in Seoul, Korea. Data were analyzed using t-test, ANOVA, Pearson correlation coefficient and stepwise multiple regression. Results: Hope, core belief and social support had positive correlations with posttraumatic growth. Models including these variables explained 64.8% (F=55.276, p<.001) of the variance for posttraumatic growth. Hope (${\beta}$=.441, p<.001) was the most influential factor. Conclusion: The findings demonstrate that it is essential for nurses to mediate and facilitate posttraumatic growth of mothers caring for chronically ill children. Furthermore, there is an need to develop and implement new strategies in clinical practice that will result in improvements in posttraumatic growth.

Stunting and Gut Microbiota: A Literature Review

  • Jessy Hardjo;Nathasha Brigitta Selene
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제27권3호
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    • pp.137-145
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    • 2024
  • Stunting, a condition characterized by impaired growth and development in children, remains a major public health concern worldwide. Over the past decade, emerging evidence has shed light on the potential role of gut microbiota modulation in stunting. Gut microbiota dysbiosis has been linked to impaired nutrient absorption, chronic inflammation, altered short-chain fatty acid production, and perturbed hormonal and signaling pathways, all of which may hinder optimal growth in children. This review aims to provide a comprehensive analysis of existing research exploring the bidirectional relationship between stunting and the gut microbiota. Although stunting can alter the gut microbial community, microbiota dysbiosis may exacerbate it, forming a vicious cycle that sustains the condition. The need for effective preventive and therapeutic strategies targeting the gut microbiota to combat stunting is also discussed. Nutritional interventions, probiotics, and prebiotics are among the most promising approaches to modulate the gut microbiota and potentially ameliorate stunting outcomes. Ultimately, a better understanding of the gut microbiota-stunting nexus is vital for guiding evidence-based interventions that can improve the growth and development trajectory of children worldwide, making substantial strides toward reducing the burden of stunting in vulnerable populations.

만성 소아 신질환 환자에서의 성장호르몬 치료 인제의대 부산백병원 소아청소년과 (Growth Hormone Treatment in Children with Chronic Kidney Disease)

  • 정우영
    • Childhood Kidney Diseases
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    • 제13권1호
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    • pp.14-20
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    • 2009
  • Growth retardation is a common consequenc of chronic kidney disease (CKD) in childhood. Many recent clinical and experimental data indicate that growth failure in CKD is mainly due to a relative GH insensitivity and functional IGF-I deficiency. Glucocorticoids also glucocorticoids interfere with the integrity of the somatotropic hormone axis at various levels. Over the past 10 years, recombinant growth hormone (rhGH) has been used to help short children with chronic kidney disease. A GH dosage of 0.35 mg/kg/week (28 IU/$m^2$/week) appears efficient and safe. Some clinical trial data show that final height will be within the normal target height range when GH treatment is continued for many years without remarkable adverse events.

입원아동 어머니의 치료적 놀이 요구 및 어머니가 지각한 간호사의 치료적 놀이 수행정도 (Therapeutic Play Need and the Nurses′s Therapeutic Play Performances Perceived by Hospitalized Children′s Mothers)

  • 오원옥
    • Child Health Nursing Research
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    • 제8권1호
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    • pp.5-19
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    • 2002
  • The purpose of this study was to identify therapeutic play need and the degree of the nurses's therapeutic play performances perceived by hospitalized children's mothers, and then to compare the difference between the degree of the need and perceived performances. The subjects of this study consist of 121 hospitalized children's mothers. A questionaire for this study was 29 item likert type 4 point scale developed on the basis of literature review, hospitalized children's mother interview and researcher's clinical experiences. Data was analyzed by Paired t-test, t-test, ANOVA & Duncan's comparison. Results of this study are summarized as follows : 1. The degree of the therapeutic play need was measured to be high (3.20). The degree of perceived therapeutic play need by five components were followed as : physiologic suffering relief & enhancing play (3.39), growth & development facilitating play (3.26), instructional play (3.24), emotional well-being promoting play (3.18) and providing play tool & environment(2.97). 2.The degree of the nurse's therapeutic play performances perceived by mothers was measured to be low (1.60). The degree of perceived performances of the therapeutic play by the five components were followed as : physiologic suffering relief & enhancing play (1.87), instructional play (1.74), emotional well-being promoting play (1.64), providing play tool & environment (1.44) and growth&development facilitating play (1.42). 3. The difference between the degree of the therapeutic play need and nurese's perfor- mances perceived by hospitalized children's mothers were significant statistically (t= 38.54, p=.0001). Also, five components of therapeutic play were significant statistically (p=.0001). Therapeutic play has unique benefits among health care intervention for children. These findings will help in building of the theoretical framework of therapeutic play and enhancing the quality of nursing care for hospitalized children. Therapeutic play program for hospitalized children according to child growth & development and physiologic status are recommended to be developed.

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