• Title/Summary/Keyword: Adult children

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Trends in Sleep Research: From Infancy Through Adolescence (영아기부터 청소년기까지 국내 수면 연구의 동향분석)

  • Jeeun Noh;Hyeon Chung Hong;Nana Shin
    • Human Ecology Research
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    • v.62 no.3
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    • pp.585-599
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    • 2024
  • The purpose of this study was to explore research trends in sleep from infancy through to adolescence. To achieve this, an examination was conducted of sleep research published in Korea based on the publication year, developmental stages of the study participants, research designs, measurement tools, and research topics. A total of 362 academic journal articles and theses/dissertations published in Korea up until 2023 were selected. In terms of publication year, the first study was conducted in 1967 and the field became more active from 2010 onwards. The age group studied the most was adolescents, with cross-sectional research being the most common study design. Regarding sleep measurement tools, most scales measuring sleep in infants, preschoolers, children, and adolescents were developed abroad, then adapted or validated in Korea, or were modifications of adult scales tailored for specific studies. Lastly, in terms of research topics, the most common focus was the relationship between sleep and developmental characteristics, particularly its effects on emotional development. Based on these results, future research could focus on developing sleep-related intervention programs and measurement tools.

A CLINICAL STUDY OF CHILD AND ADOLESCENT PSYCHIATRIC CONSULTATION IN A GENERAL HOSPITAL (종합병원 소아정신과에 자문의뢰된 환아에 대한 임상적 고찰)

  • Kim Yeoung-Rang;Hong Sungdo D.;Lee Sang-Sin;Lim Seong Hu;Park Jeoung Hwan
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.16 no.1
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    • pp.72-78
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    • 2005
  • Objectives : This study is to investigate the clinical characteristics of psychiatric consultation for children and adolescents in a general hospital. Methods : Hospital records of 302 children and adolescents who were referred for psychiatric consultation in a general hospital over 4 years were reviewed and analyzed. Results : The mean referral rate for psychiatric consultation for school age children and adolescents was $2.15\%$. While more girls were referred in middle and high school age group, more boys were referred in pre-school age group. Fifty percent of the consultation was requested from department of internal medicine and pediatrics. Main reason for requesting psychiatric consultation was fur the assessment of the patients from psychiatric point of view $(31.1\%)$, followed by the management of depression $(11.6\%)$ and anxiety $(11.3\%)$. Most frequently rendered psychiatric services for the treatment was psychosocial education and supportive therapy $(21.2\%)$. Conclusion : There are differences in clinical nature of psychiatric consultation and referral patterns between adult patients and child and adolescent patients. Future research is needed to strengthen the services for child and adolescent psychiatric consultation.

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An Exploration of Multicultural Concepts in Bestselling Children's Picture Books (베스트셀러 그림책에 나타난 다문화교육내용 분석)

  • Kim, Miai;Yoon, Jae Hui
    • Korean Journal of Childcare and Education
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    • v.11 no.4
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    • pp.81-107
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    • 2015
  • Ninety-eight bestselling children's picture books from 2008 to 2014 were analyzed for multicultural education. The criteria used for the analysis included Culture, Diversity, Identity, Equity, Anti-bias, and Cooperation that were drawn from Kim & Park (2011). An examination of the books revealed that they contained concepts of Cooperation, Identity, Culture, and Diversity in their orders of frequency while ideas of Equity and Anti-bias were barely depicted. Differences between domestic and translated books were found. Translated picture books reflected Diversity more frequently than domestic ones. Under a criterion of Culture, Recognizing Differences and Similarities was more frequently portrayed in translated books while Respecting for Cultures was more frequently found in domestic ones. Findings were discussed in terms of bestselling picture books' limitations of dealing with critical multicultural issues, domestic picture books' lack of reflection of changing multicultural realities, fantasy picture books'dealing with critical multicultural issues through metaphors, and possible problems of the books conveying biased or confusing messages. It was suggested that an adult's role is essential when the bestselling literature is used for the purpose of multicultural education. Their deliberate guidance can help young children engaged in critical issues of race, gender, and ability and develop their multicultural sensitivities through literature.

Cardiopulmonary Resuscitation and Pediatric Advanced Life Support for Pediatric Dentist (소아치과의사를 위한 심폐소생술과 소아고급생명구조술)

  • Kim, Jongbin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.44 no.2
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    • pp.243-255
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    • 2017
  • Cardiopulmonary resuscitation (CPR) is an emergency treatment that stimulates blood circulation and breathing when the function of the heart stops or stops breathing. CPR can be divided by basic life support (BLS) and advanced life support (ALS). BLS involves the use of chest compression to force the blood flow to the main organs, rescue breathing to improve the breathing to the respiratory failure patient and the use automated external defibrillator (AED). The categories of advanced life support include advanced cardiovascular life support (ACLS) for adult and pediatric advanced life support (PALS) for children. In the treatment of dental care for children, which is extremely difficult to deal with, and for a variety of reasons, the use of sedation is considered to treat the children who are unlikely to cooperate with dentistry. This is why there is an increasing possibility of an emergency situation involving cardiac arrest. PALS includes the BLS, and it presents a systematic algorithm to treat respiratory failure, shock and cardiogenic cardiac arrest. In order to manage emergency situations in the pediatric dental clinic, respiratory support is most important. Therefore, mastering professional PALS, which includes respiratory care and core cases, particularly upper airway obstruction and respiratory depression caused by a respiratory control problem, would be highly desirable for a physician who treats pediatric dental patients. Regular training and renewal training every two years is necessary to be able to immediately implement professional skills in emergency situations.

The Clinical Study of Biyun(sinusitis) in Children (소아비연(小兒鼻淵)에 대(對)한 임상적(臨床的) 연구(硏究))

  • Park Eun-Jeong;Lee Hae-Ja
    • The Journal of Pediatrics of Korean Medicine
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    • v.12 no.1
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    • pp.111-131
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    • 1998
  • 1. In oriental medicine, the case of sinusitis can be explained, not only external invasion such as PUNG HAN(wind-cold), PUNG YUL(wind-hot), SHUP YUL(damp-heat), but also functional disorder of internal organ such as spleen(脾), lung(肺), kidney(腎) The western medicine classified the cause of sinusitis as two factors. That is bacterial infection factor-Haemophilus influenza, streptococcus pyogeues, streptococcus pneumonia- and viral infection factor-Rhinovirus, parainfluenza, Echo28, Coxsacki21, Sinusitis is complicated to allergic rhinitis, chronic otitis media purulent, chronic tonsilitis, sinubronchitis. On the condition of nasal septum deformity, turbinates deformity, nasal septum deviation, sinusitis can be developed. the predisposing factors of sinusitis is swimming, air pollution, malnutrition, shortage of immunity.2. According to survey, sinusitis occurred that children from 4 to 12 years old and from 5 to 7 years old occupied 70% 3. From the past history data, they experienced chronic tonsillar hypertropy(20%), otitis media, atopic dermatitis, allergic rhinitis, bronchial asthma, pneumonia, bronchiolitis, chronic sore throat, urticaria, milk allergy in sequence. 4. the symptoms of sinusitis is nasal obstruction, postnasal dripping, purulunt(yellow)or white discharge, cough, nose bleeding in sequence. nasal obstruction take the portion of 95%, postnasal dripping 65%, night time or early morning cough 60%. 5. The suffering period of sinusitis is 6 month minimum, 4 years maximum, most cases are included in a year. The suffering period of children was shorter than adult. 6. Diagnosis depend on inspection of nasal cavity, postnasal dripping, X-ray finding. 75% of patient(15case) showed both maxillary sinusitis, 25%(5cases) showed left or right maxillary sinusitis. 7. Treatment of oriental medicine, consist of Herb-medicine, acupuncture and exposing of Lazer beam. Kamihyunggyeyungyotang(加味荊芥蓮翹湯) is administered mainly as the medical therapy, Kamigwaghyangjeungkisan(加味藿香正氣散) Kimizwakwieum(加味左歸飮), Kamihyangsosan(加味香蘇散) is administered for a additional symptoms which occurred by influenza recurrence. Kamijeonxibackchulsan(加味錢氏白朮散) is administered to treat gastro-intestine trouble patients who have sinusitis. 8. The period of treatment is varied with patient conditions and X-ray finding. The minimal period is 35days, maximal period is 202days. So it took about 86days in average and about 50% of patient(10cases) is recovered in one or two month.

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5 YEARS EVALUATION OF COMPOSITE RESIN RESTORATION ON PERMANENT FIRST MOLAR IN CHILDREN (어린이 제 1 대구치 복합 레진 수복물의 5년 후 임상평가)

  • Kim, In-Young;Kim, Jae-Moon;Jeong, Tae-Sung;Kim, Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.1
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    • pp.110-117
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    • 2008
  • Clinical performance of resin-based composite material depends on case selection and on the proficiency of the operator. Especially, composite resin restoration on permanent first molar in children have more limitations clinically than adult patients according to stage of tooth eruption and patient's compliance. This study was designed to evaluate the clinical performance of posterior composite resin restoration in children after 5 years. 35 teeth of 16 patients who were received composite resin restoration on permanent first molar in Department of Pediatric dentistry, Pusan National University Hospital between January 2001 and December 2001 were evaluated based on Modified USPHS criteria. From the finding in this study, following conclusions can be made. 1. 6 teeth(17%) of 35 teeth was replaced, so 5-years survival rate of posterior composite resin restoration is 82.9%. 2. As results of each evaluation criteria, on color match, anatomic form, surface roughness, sensitivity/ discomfort, ideal A grade score was 86.2%, 93.1%, 86.2%, 86.2%, clinically accepted B grade score was 13.8%, 0%, 13.8%, 10.3%. On marginal adaptation and marginal discoloration, A grade score was 13.8%, 44.8% and B grade score was 79.3%, 34.5% and secondary caries rate was 20.7%. 3. 69.1% of teeth (20 teeth) was clinically accepted on all evaluation criteria.

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A Study on the modeling of Family Life Cycle in Korean Urban Family (한국도시가족의 가족생활주기 모형 설정에 관한 연구)

  • 유영주
    • Journal of Families and Better Life
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    • v.2 no.1
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    • pp.111-129
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    • 1984
  • The purpose of this study is to make a model of Family Life Cycle in Korea now. Answers to a questionnaire were collected from 724 housewives in Seoul area, 232 housewives in big cities, 203 housewives in small cities. The questionnaire contained 10 items about family situations,. Analyzing method employed for modeling to family life cycle are frequency, percentage, X2 -test . Results and findings are as follows; 1) The mean of first marriage age is 22.4yrs old. 23.5yrs old is the result of statistical materials published by E.P.B. 1975. The age of first marriage is higher according to the age, education & residential area. 2) The mean of first baby bearing age is 24.2 yrs old (generally 1 year after marriage). This age is the same as the result of statistical materials published by E.P.B. 3) the mean of last baby berating age is 32.6 yrs old compared to the E.P.B. statistical materials 3 yrs. low. This age is very different according to the age, education & residential area. 4) The mean of first child marriage age is 46.4 yrs old compared to the E.P.B. statistical materials 2.5 yrs old low. 5) the mean of last marriage age is 52.7 yrs old. this age is also 2.3 yrs low compared to the result of E.P.B. materials. 6) The number of child & interval is quite different according to the result of family planning generation of not. 7)According to the wife's employment, it does not show and difference. 8)The result of analyzing by F.L.C.,, we don't have launching stage & middle age stage apparently. So, we can make model of F.L.C. in Korea as follows (it will be change). 1) Establishment stage; from marriage to first baby born (23yrs old -24yrs old). 2) Child bearing & rearing stage; form first baby born to first child enter primary school(24 yrs old-30 yrs old). 3) Families with children's education stage; from first child primary school to high school graduation (30 yrs old-42yrs old) 4)Families with adult children stage; form first child got army college or stay at home(42 yrs- 48 yrs old). 5)Families with children's marriage stage; from first child marriage to last child marriage (48yrs old-57yrs old). 6) Aging stage; from last child marriage to self dying.

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The Current Status and Improvement Plan of Environmental Education Program in Relation to Climate Change in the Seoul Metropolitan Area (기후변화 관련 수도권 지역의 환경교육 프로그램 현황 및 개선방안)

  • Ryu, Hyeji;Song, Cholho;Lim, Chul-Hee;Kim, Sea Jin;Lee, Woo-Kyun
    • Journal of Climate Change Research
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    • v.7 no.2
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    • pp.169-176
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    • 2016
  • This study was to conduct a literature review and a theoretical study on 95 environmental education programs currently being run in the metropolitan area and obtained Environmental Education Program Certification of Ministry of Environment. First, the suitability of the environmental education programs was analyzed in terms of the following criteria which the Second National Environmental Education Master Plan propose: strengthening environmental education within the curriculum, strengthening preschooler environmental education, diversification of environmental education among targeted groups, and invigoration of community-based environmental education, and evaluated the contents and the proportion relevant to climate change. Based on the result, the measure for the improvement of the environmental education programs was proposed. As a result of the analysis, there were only 15 programs for children, and 20 programs for adults. Also, only 9% of the children and adult education programs were addressing climate change respectively, which was indicating low percentage. 75 programs were directly related to the school curriculum, and 8 programs were not related to subjects in regular curriculum. Also, considering addressing climate change, 7 out of 11 programs were related to the school curriculum. 71 out of 95 programs were located in the facilities of local governments. Programs that were including the contents relate to climate change were only 11 out of 95 programs. It is necessary to operate programs by expanding environmental education programs targeting children and adults, so all people are took into account, and consider the connectivity between curriculum and environmental education program in South Korea to increase the effectiveness of education. Also, it is necessary to educate people sustainably by relating the programs with various resources which can be utilized in the local community, to include climate change related contents with more proportion, and to address various subjects rather than focusing on one part of the subjects.

Current Pediatric Endoscopy Training Situation in the Asia-Pacific Region: A Collaborative Survey by the Asian Pan-Pacific Society for Pediatric Gastroenterology, Hepatology and Nutrition Endoscopy Scientific Subcommittee

  • Nuthapong Ukarapol;Narumon Tanatip;Ajay Sharma;Maribel Vitug-Sales;Robert Nicholas Lopez;Rohan Malik;Ruey Terng Ng;Shuichiro Umetsu;Songpon Getsuwan;Tak Yau Stephen Lui;Yao-Jong Yang;Yeoun Joo Lee;Katsuhiro Arai;Kyung Mo Kim; APPSPGHAN Endoscopy Scientific Subcommittee
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.27 no.4
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    • pp.258-265
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    • 2024
  • Purpose: To date, there is no region-specific guideline for pediatric endoscopy training. This study aimed to illustrate the current status of pediatric endoscopy training in Asia-Pacific region and identify opportunities for improvement. Methods: A cross-sectional survey, using a standardized electronic questionnaire, was conducted among medical schools in the Asia-Pacific region in January 2024. Results: A total of 57 medical centers in 12 countries offering formal Pediatric Gastroenterology training programs participated in this regional survey. More than 75% of the centers had an average case load of <10 cases per week for both diagnostic and therapeutic endoscopies. Only 36% of the study programs employed competency-based outcomes for program development, whereas nearly half (48%) used volume-based curricula. Foreign body retrieval, polypectomy, percutaneous endoscopic gastrostomy, and esophageal variceal hemostasis, that is, sclerotherapy or band ligation (endoscopic variceal sclerotherapy and endoscopic variceal ligation), comprised the top four priorities that the trainees should acquire in the autonomous stage (unconscious) of competence. Regarding the learning environment, only 31.5% provided formal hands-on workshops/simulation training. The direct observation of procedural skills was the most commonly used assessment method. The application of a quality assurance (QA) system in both educational and patient care (Pediatric Endoscopy Quality Improvement Network) aspects was present in only 28% and 17% of the centers, respectively. Conclusion: Compared with Western academic societies, the limited availability of cases remains a major concern. To close this gap, simulation and adult endoscopy training are essential. The implementation of reliable and valid assessment tools and QA systems can lead to significant development in future programs.

Evaluation of Antibodies Against Haemophilus influenzae Type b in Korean Adults (우리나라 성인에서 Haemophilus influenzae type b에 대한 항체 평가)

  • Lee, Ji Hyen;Kim, Han Wool;Lee, Soyoung;Kim, Kyung-Hyo
    • Pediatric Infection and Vaccine
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    • v.24 no.3
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    • pp.125-133
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    • 2017
  • Purpose: After the introduction of Haemophilus influenzae type b (Hib) vaccine in 1995 in Korea, it was included in the national immunization program in 2013. In the post-Hib vaccine era, some studies in other countries reported that invasive Hib disease affects adults, especially the elderly and immunocompromised persons, more often than it affects children. To evaluate disease susceptibility, quantitative and qualitative analysis of anti-polyribosylribitol phosphate (PRP) antibodies were carried out in Korean adults aged 20 to 85 years. Methods: Sera were collected from 39 healthy adults (20 to 50 years of age) and from 30 elderly adults (75 to 85 years of age) who did not have immune-compromising conditions. The concentration of anti-PRP immunoglobulin G (IgG) and serum bactericidal indices (SBIs) were measured by enzyme-linked immunosorbent assay and serum bactericidal assay. Results: Geometric mean concentrations of anti-PRP IgG and geometric mean SBIs were $0.88{\mu}g/mL$ (95% confidence interval [CI], 0.17 to 3.85) and 354 (95% CI, 50 to 2,499) in young adults and $1.67{\mu}g/mL$ (95% CI, 0.53 to 5.24) and 449 (95% CI, 146 to 1,376) in elderly adults, respectively. When the threshold of seropositivity for anti-PRP IgG was applied as 0.15 or $1.0{\mu}g/mL$, which is the protective antibody level in children, seropositive rates were 87.2% or 53.8% in young adults and 100% or 60% in elderly adults. The seropositivity rates of the SBI ($SBI{\geq}4$) were 82.1% and 100% in the groups, respectively. Conclusions: Most subjects in the adult and elderly adult groups display immunity to Hib based on quantitative and qualitative antibody levels, but not all. Because high immunization and low Hib circulation rates may reduce the natural Hib immunity in the population, monitoring Hib immunity as well as disease are needed continuously.