• Title/Summary/Keyword: pre-school children

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The effect of Functional Electrical Stimulation and Far Infrared on the Ankle Plantar Flexor Spasticity in Cerebral Palsy. (기능적 전기자극과 원적외선 복합적용이 뇌성마비 환자의 족저굴곡근 경직에 미치는 영향)

  • Kim Young-Ji;Oh Jung Lim;Kim Jae Yoon;Park Rae Joon
    • The Journal of Korean Physical Therapy
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    • v.14 no.2
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    • pp.51-64
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    • 2002
  • Spasticity is the most troublesome problems in the management in cerebral palsy. The purpose of this study was to observe the effect of the FES and FIR to spasticity.8 cerebral palsy children were selected for this study. Assessment was carried out before treatment for obtain baseline measurement of spasticity and reassessment were carried out at after 10, 20 treatment sessions and 24hours after treatment. The results of this study were as fellowing : 1. MAS scores were significantly reduced after 10th and 20th after treatment compared with pre-treatment. 2. MAS scores were significantly reduced after 20th and maintained 24hours after treatment compared with pre-treatment These results indicated that FES and Far infrared appears to reduce significantly MAS scores and maintained 24hours after treatment compared with pre-treatment.

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Prediction of 6-Month Mortality Using Pre-Extracorporeal Membrane Oxygenation Lactate in Patients with Acute Coronary Syndrome Undergoing Veno-Arterial-Extracorporeal Membrane Oxygenation

  • Kim, Eunchong;Sodirzhon-Ugli, Nodirbek Yuldashev;Kim, Do Wan;Lee, Kyo Seon;Lim, Yonghwan;Kim, Min-Chul;Cho, Yong Soo;Jung, Yong Hun;Jeung, Kyung Woon;Cho, Hwa Jin;Jeong, In Seok
    • Journal of Chest Surgery
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    • v.55 no.2
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    • pp.143-150
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    • 2022
  • Background: The effectiveness of extracorporeal membrane oxygenation (ECMO) for patients with refractory cardiogenic shock or cardiac arrest is being established, and serum lactate is well known as a biomarker of end-organ perfusion. We evaluated the efficacy of pre-ECMO lactate for predicting 6-month survival in patients with acute coronary syndrome (ACS) undergoing ECMO. Methods: We reviewed the medical records of 148 patients who underwent veno-arterial (VA) ECMO for ACS between January 2015 and June 2020. These patients were divided into survivors and non-survivors based on 6-month survival. All clinical data before and during ECMO were compared between the 2 groups. Results: Patients' mean age was 66.0±10.5 years, and 116 (78.4%) were men. The total survival rate was 45.9% (n=68). Cox regression analysis showed that the pre-ECMO lactate level was an independent predictor of 6-month mortality (hazard ratio, 1.210; 95% confidence interval [CI], 1.064-1.376; p=0.004). The area under the receiver operating characteristic curve of pre-ECMO lactate was 0.64 (95% CI, 0.56-0.72; p=0.002; cut-off value=9.8 mmol/L). Kaplan-Meier survival analysis showed that the cumulative survival rate at 6 months was significantly higher among patients with a pre-ECMO lactate level of 9.8 mmol/L or less than among those with a level exceeding 9.8 mmol/L (57.3% vs. 31.8%, p=0.0008). Conclusion: A pre-ECMO lactate of 9.8 mmol/L or less may predict a favorable outcome at 6 months in ACS patients undergoing VA-ECMO. Further research aiming to improve the accuracy of predictions of reversibility in patients with high pre-ECMO lactate levels is essential.

Efficacy of sucrose application in minimizing pain perception related to dental injection in children aged 3 to 9 years: a randomized control trial

  • Ishani Ratnaparkhi;Jasmin Winnier;Divya Shetty;Sanjana R. Kodical;Reema Manoj;Shilpa S Naik
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.24 no.2
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    • pp.109-117
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    • 2024
  • Background: Dental fear and anxiety are significant challenges in managing behavior in children. Oral administration of sucrose or sweet-tasting solutions has shown effectiveness in reducing procedural pain in infants and neonates. This study aimed to investigate whether pre-application of sucrose solution had an effect on minimizing pain perception during injection and to assess the potential impact of the child's age and sweet preference. Methods: A randomized control clinical trial was conducted on 60 children aged 3-9 years requiring buccal infiltration injections. Following parental consent, demographic data of the children were recorded. Sweet preferences was assessed using a modified forced-choice test. Children were equally and randomly allocated into study (sucrose) and control groups using a lottery method. Sucrose solution or distilled water, respectively, was applied to the lateral surface of the tongue for 2 min. Topical anesthetic was applied at the site of injection, followed by local anesthesia administration. The children rinsed their mouths thrice with water immediately after anesthetic injection. A video was recorded during injection which was then scored by three blinded examiners on the Sound Eye Motor (SEM) scale. The children also self-evaluated using Wong-Baker Faces Pain Rating Scale (WBFPS). Results: The mean SEM scores and WBFPS scores were analyzed using the Kruskall-Wallis test. The mean SEM score in the study group was 1.37 ± 0.61, compared to 3.17 ± 0.87 in the control group, showing a statistically significant difference (P < 0.001). Mean pain scores assessed by WBFPS in the study group were 0.60 ± 1.4, while in the control group, they were 6.27 ± 2.33, also showing a statistically significant difference (P < 0.001). Children with a sweet preference demonstrated a subjective reduction in pain perception. Conclusion: Application of sucrose before dental injections in children helps to minimize pain upon injection across all age groups.

Comparative Study on the Effectiveness of a Health Promotion Program Using School Forest and a Traditional School-based Health Promotion Program in Elementary Students

  • Lee, Insook;Bang, Kyung-Sook;Kim, Sungjae;Choi, Heeseung;Lee, Juna
    • Journal of the Korean Society of School Health
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    • v.29 no.2
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    • pp.116-122
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    • 2016
  • Purpose: This study compared the effects of two six-week school-based intervention programs - a health promotion program using a school forest and a traditional school health promotion program (TSHPP) - on physical and mental health among elementary school students. Methods: A total of 73 students participated in the study: 21 students in the 6-week school forest program conducted in a rural area and 52 students in the 6-week TSHPP conducted in an urban area. Children's health promotion behavior, depression and hyperactivity were measured using a self-report questionnaire. To assess children's physical health, body mass index (BMI), body fat percentage, and heart rate variability (HRV) were used. Results: Overall, both intervention programs improved participants' physical and mental health. Both programs significantly decreased the body fat percentage; this effect was more prominent in the TSHPP group. Only the TSHPP significantly decreased the participants' BMI after the intervention. The school forest group showed significantly improved relaxation and diminished hyperactivity; the TSHPP group showed significantly improved health promoting behavior and social relationship after the intervention. Comparing the two groups'post-pre difference scores, the two groups significantly differed only in social relationship. Both group showed significantly improved depression after the intervention. Conclusion: These findings support the effectiveness of these 6-week school-based health promotion programs in improving physical and mental health among school-aged children.

Emotional reading education to improve the character of of Pre-Education Teachers (예비유아교사의 인성 증진을 위한 감성독서교육)

  • Kim, Sung Won;Yun, Mi Seung
    • Journal of the International Relations & Interdisciplinary Education
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    • v.1 no.2
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    • pp.68-79
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    • 2021
  • This study tried to analyze the case of character education class using reading for pre-primary early childhood teachers. To this end, the criteria for character education were established based on literature research, and a list of books appropriate for it was selected, and then applied to practice. The goal of character education class using reading for pre-school teachers is to cultivate the character that an early childhood teacher should have and to develop the ability to apply character education program through reading to young children. This study selected books based on the contents of personality virtues after taking a course on the concept and theory of personality contents for college students who are taking the 'personality and emotional reading' course in their major. Therefore, this study is meaningful in that it presents contents that can be practiced in connection with the family as a personality education program that can be applied not only to pre-primary teachers, but also to early childhood teachers and young children.

Study on Somatotype Analysis and Somatotype Discrimination of the Children's Upper Body (유아 상반신에 대한 체형분석 및 체형판별에 관한 연구)

  • Kim, Hyun-Jin;Lee, Young-Ju;Hong, Jung-Min
    • Korean Journal of Human Ecology
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    • v.12 no.5
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    • pp.787-795
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    • 2003
  • This research studied several somatotypes for children's upper bodies in order to suggest the basic data of bodice patterns of children's clothing. By extracting the component factors from the children's bodices, they were classified into several somatotypes to recognize an individual body type. Three hundred and fifty eight children's wears were estimated as research objects to analyze their somatotypes for the 44 items representing upper bodies through anthropometric measurement and photometric measurement. The results are as follows : 1. Seven factors were extracted as a result of factor analysis. 2. Data were classified into three types as a result of cluster analysis : Type 1 was characterized as low fat body, small skeleton size, and forward belly ; type 2 as high fat body, normal hight, backward shoulder, and the lowered shoulders ; type 3 as medium fat body, tall height, somewhat crouching back, and the rising shoulders. 3. As a results of the discrimination analysis for the three types, the highly discriminated items were height, width of bosom, front center length. weight, width of waist or the length of waist. One could discriminate one's own body type by obtaining the classification function from these five items.

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Clinical characteristics and prevalence of vitamin D insufficiency in children less than two years of age

  • Yoon, Ji-Hyun;Park, Cheong-Soo;Seo, Ji-Young;Choi, Yun-Sun;Ahn, Young-Min
    • Clinical and Experimental Pediatrics
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    • v.54 no.7
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    • pp.298-303
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    • 2011
  • Purpose: To evaluate the clinical characteristics of vitamin D deficiency and its association with iron deficiency anemia (IDA). Methods: A total of 171 children aged less than two years underwent 25-hydroxyvitamin $D_3$ tests between January 2007 and July 2009. The study was classified into two groups: normal and vitamin D insufficiency, by their vitamin 25-hydroxyvitamin $D_3$ levels. Results: In total, 120 children were in the normal group (mean age, body weight and heights $12.5{\pm}7.0$, $9.3{\pm}0.9$ kg and $76.8{\pm}1.1$ cm), and 51 children in the vitamin D insufficiency group ($9.9{\pm}5.4$ months, $9.0{\pm}0.9$ kg and $75.1{\pm}0.9$ cm). Vitamin D insufficiency was most commonly diagnosed in the spring (44%). The proportion of complete breast-feeding was higher in the insufficiency (92%), and 25.5% of the children in the deficient group also experienced IDA compared that 12% of normal group. Ten children in the insufficiency group experienced bony changes. Six children received calcitriol medication in the normal group, in whom the mean vitamin 25-hydroxyvitamin $D_3$ level increased from $39.6{\pm}14.6$ ng/mL (pre-medication) to $41.8{\pm}17.2$ ng/mL (post-medication), and 13 in the insufficiency group, in whom the mean vitamin 25-hydroxyvitamin $D_3$ increased from $20.7{\pm}7.0$ ng/mL to a mean post-treatment level of $43.7{\pm}23.8$ ng/mL. Conclusion: This study demonstrated that approximately 30% of children aged ${\leq}2$ years experienced vitamin D insufficiency associated with subclinical rickets. Many children also experienced concurrent IDA. Guidelines for vitamin D supplement in such children must therefore be established.

Effect of Sensory Integration Therapy Combined with Eye Tracker on Sensory Processing and Visual Perception of Children with Developmental Disabilities (아이트래커를 병행한 감각통합치료가 발달장애아동의 감각처리 및 시지각에 미치는 영향)

  • Kwon, So-Hyun;Ahn, Si-Nae
    • The Journal of Korean Academy of Sensory Integration
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    • v.21 no.3
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    • pp.39-53
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    • 2023
  • Objective : The purpose was the effect of sensory integration therapy combined with an eye tracker on the sensory processing and visual perception of children with developmental disabilities. Methods : It was a single-subject study with a multiple baseline design between subjects, and the intervention applied sensory integration therapy combined with an eye tracker. Visual-motor speed and saccadic eye movements were assessed at each session of baseline and intervention periods. As pre- and post-evaluation, sensory profile, Korean-Developmental Test of Visual Perception and Trail Making Test were conducted. The results of each session evaluation and pre- and post-evaluation researched the effectiveness of the intervention through visual analysis and trend line analysis. Results : As a result of the evaluation for each session, the slope of the trend line for all children in visual-motor speed and saccadic eye movement increased sharply during the intervention compared to the baseline. As a result of the pre- and post-evaluation, the sensory processing of movement, body position, and visual changed from more than that of peers to a level similar to that of peers. In visual perception, all children's ability of Visual Closure increased. As a result of Trail Making Test conducted to confirm the improvement of children's visual tracking and visual-motor abilities, all children showed a decrease in performance time after the test compared to before. Conclusion : It was confirmed that sensory integration therapy combined with an eye tracker for developmental disabilities has effect on sensory processing and visual perception. It is expected to play an important role clinically as it can stimulate children's interest and motivation in line with recent technological improvements and the spread of smart devices.

Parenting Stress of Employed and Unemployed Mothers (취업모와 비취업모의 양육스트레스)

  • Moon Hyuk Jun
    • Journal of the Korean Home Economics Association
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    • v.42 no.11
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    • pp.109-122
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    • 2004
  • This study examined the characteristics of children, parents, family, and the extra context related to the parenting stress of employed and unemployed mothers from a broader perspective. The subjects were 323 employed mothers 3nd 300 unemployed mothers of pre-school age children. Parenting stress due to the role of being a parent for both employed and unemployed mothers was correlated with the chid's activity level, husband support, quality of life, available social support, and satisfaction of early childhood program's location. Parenting stress due to child-rearing of both employed and unemployed mothers was correlated with child's birth order, activity level and rhythmicity of child, husband support, quality of life, available social support, and satisfaction of early childhood program. Number of children was the strongest predictor of parenting stress due to the role of being a parent for employed mothers and the child's activity level for unemployed mothers. Besides, the child's activity level was the strongest predictor of parenting stress due to child-rearing for both employed and unemployed mothers.

Impact of Single Dose Praziquantel Treatment on Schistosoma haematobium Infection among School Children in an Endemic Nigerian Community

  • Adewale, Babatunde;Mafe, Margaret A.;Sulyman, Medinat A.;Idowu, Emmanuel T.;Ajayi, Morakinyo B.;Akande, David O.;Mckerrow, James H.;Balogun, Emmanuel O.
    • Parasites, Hosts and Diseases
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    • v.56 no.6
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    • pp.577-581
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    • 2018
  • Schistosomiasis is prevalent in Nigeria, and the foremost pathogen is Schistosoma haematobium, which affects about 29 million people. Single dose of the drug praziquantel is often recommended for treatment but the efficacy has not been documented in certain regions. Therefore, this study was designed to assess the impact of single dose praziquantel treatment on S. haematobium infection among school children in an endemic community of South-Western Nigeria. Urine samples were collected from 434 school children and 10 ml was filtered through Nucleopore filter paper before examination for egg outputs by microscopy. The prevalence was 24.9% at pre-treatment. There was no statistically significant difference for the prevalence of infection between males (14.7%) and females (10.2%), although the mean egg count for the females (9.87) was significantly more (P<0.05) than the males (6.06). At 6 and 12 months post-treatment there was 74.4% and 86.4% reduction in the mean egg count, respectively. Interestingly, an increased prevalence of infection from 2.1% at 6 months to 7.7% at 12 months post-treatment was observed, nonetheless the mean egg count was reduced to 0.27 at 12th month from 1.98 at 6 months post-treatment. Resurgence in the prevalence rate between 6 and 12 months post-treatment with praziquantel is herein reported and the need for a follow-up treatment in endemic areas for adequate impact on schistosomiasis control is discussed.