• Title/Summary/Keyword: Child survival

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Qualitative Study on a Survival Stage of Teacher Development : Focusing on the Experience of Beginning Teachers in an Eco-Early Child Care Center (교사 발달의 생존기에 대한 질적 연구 : 생태보육기관 초임교사들의 경험을 중심으로)

  • Park, Sun-Mi;Shin, Se-Ni;Jo, Hea-Soog
    • Korean Journal of Child Studies
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    • v.30 no.5
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    • pp.41-55
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    • 2009
  • This study explored the meaning of beginning teachers' first-year experience in an eco child educare center. Participants were 4 teachers at survival stages of teacher development; they had had the same preservice experience. Data were collected by semi-structured in-depth interviews, participant observation, researcher's field notes, and document collection. Five themes emerged as first year teachers' struggles and strategies for survival : (1) caring for children's daily lives vs. responsibility for formal education, (2) planned lessons vs. ease in teaching, (3) agreement or disagreement on philosophy of running the education program, (4) paradox of teacher empowerment, (5) overcoming struggle through voluntary peer supervision. These results indicated that beginning teacher' experiences at the survival stage varied by contextual and personal factors.

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Sex Preference and Sex Differentials in Child Mortality: A Comparative Analysis of Koreans, Hans and Dais in China (성선호에 따른 유아의 성별 차별사망력: 중국의 조선족, 한족과 다이족의 비교분석)

  • 김두섭
    • Korea journal of population studies
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    • v.23 no.2
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    • pp.143-166
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    • 2000
  • This paper attempts to explore the relation between health care availability and child mortality among ethnic groups with different cultural traditions of sex preference. Micro-data from the 1990 Census of China for Yanbian and Xishuangbanna Prefectures are used. Based on the analysis of data for Koreans, Hans, and Dais in these prefectures, a new model explaining the relation between sex preference, health care. and differentials in child mortality is proposed in this paper. In societies, where health care is easily available, the level of child mortality is not likely to be a function of sex preference. In societies where there is little availability of health care, members of ethnic groups with strong sex preference do whatever possible to assure survival of their children of the preferred sex. But actions to assure survival of children of the sex not preferred by their parents depend on the costs involved and other considerations. Therefore, the level of child mortality for the preferred sex is likely to be substantially lower than that of the not-preferred sex. However, as availability of health care improves and the cost of obtaining health care becomes lower, survival of children of the not-preferred sex are likely to improve. It is generally agreed that Koreans and Hans show strong son preference, while Dais have cultural traditions of daughter preference. In Yanbian, where virtually all children receive health care whenever it is needed, Korean females and Han females show lower child mortality than their male counterparts, although the difference is not found to be significant for Koreans. In Xishuangbanna, where there is little availability of health care, Dai males show markedly higher child mortality than Dai females, and Han females have higher child mortality than Han males. However, small improvements in the availability of health care in Xishuangbanna translate into substantial improvements in survival of male children for Dais, and survival of female children for Hans.

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The response of thrombosis in the portal vein or hepatic vein in hepatocellular carcinoma to radiation therapy

  • Bae, Bong Kyung;Kim, Jae-Chul
    • Radiation Oncology Journal
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    • v.34 no.3
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    • pp.168-176
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    • 2016
  • Purpose: The purpose of current study is to evaluate the response of the patients with portal vein thrombosis (PVT) or hepatic vein thrombosis (HVT) in hepatocellular carcinoma (HCC) treated with three-dimensional conformal radiation therapy (3D-CRT). In addition, survival of patients and potential prognostic factors of the survival was evaluated. Materials and Methods: Forty-seven patients with PVT or HVT in HCC, referred to our department for radiotherapy, were retrospectively reviewed. For 3D-CRT plans, a gross tumor volume (GTV) was defined as a hypodense filling defect area in the portal vein (PV) or hepatic vein (HV). Survival of patients, and response to radiation therapy (RT) were analyzed. Potential prognostic factors for survival and response to RT were evaluated. Results: The median survival time of 47 patients was 8 months, with 1-year survival rate of 15% and response rate of 40%. Changes in Child-Pugh score, response to RT, Eastern cooperative oncology group performance status (ECOG PS), hepatitis C antibody (HCVAb) positivity, and additional post RT treatment were statistically significant prognostic factors for survival in univariate analysis (p = 0.000, p = 0.018, p = 0.000, p = 0.013, and p = 0.047, respectively). Of these factors, changes in Child-Pugh score, and response to RT were significant for patients' prognosis in multivariate analysis (p = 0.001 and p = 0.035, respectively). Conclusion: RT could constitute a reasonable treatment option for patients with PVT or HVT in HCC with acceptable toxicity. Changes in Child-Pugh score, and response to RT were statistically significant factors of survival of patients.

Determinants of the Onset of Adolescent Runaway Behavior : An Application of Discrete-Time Survival Analysis (비연속시간 생존분석을 적용한 청소년의 최초 가출 발생시점에 대한 영향요인 연구)

  • Hong, Sehee;Kim, Dong Ki
    • Korean Journal of Child Studies
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    • v.28 no.2
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    • pp.217-233
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    • 2007
  • The present study investigated the effects of individual, family, school, and community factors on the onset of adolescent runaway behavior. Using the Korean Youth Panel data(n=3,118), discrete-time survival analysis was applied for research purposes. Results showed that the likelihood of onset of adolescent runaway behavior increased sharply during the early middle school years. The variables of self-control, aggression, parents' divorce, paternal abuse, attachment with parents, and number of delinquent peers were associated with the likelihood of runaway behavior. These results suggest that special attention should be paid to adolescents in the early middle school years and that various preventive programs, e.g., aggression and stress management, and peer relations programs, should be developed and implemented.

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The Characteristics of Recurrence on Intervention Cases of Child Protective Services: Application of Survival Analysis (아동보호서비스 개입사례의 재학대 특성 연구: 생존분석의 적용)

  • Jang, Hee Sun;Kim, Ki Hyun;Kim, Kyung Hee
    • Korean Journal of Family Social Work
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    • no.54
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    • pp.225-262
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    • 2016
  • This article reports on the analysis of the patterns and frequency of recurrences of substantiated instances of maltreatment in the Child Protective System (CPS). The data was collected from 2012 to 2014 by the CPS. Five-thousand-five-hundred-forty-two cases were substantiated in 2012 and then 323 cases were exposed recurrence during that time. Most recurrence families experienced only one recurrence. Results from survival analyses instances indicated that risk of recurrence was greatest during the first one month following a report. The prior CPS report, multiple type of abuse, physical abuse, and services type was linked the pattern of recurrence of maltreatment. Also, victim's age and the number of problematic behavior, perpetrator's stress and social isolation, intra family member as perpetrator, prior CPS report, and the number of reports was linked recurrence.

Prospective Study on the Survival of HCC Patients Treated with Transcatheter Arterial Lipiodol Chemoembolization

  • Mao, Ying-Min;Luo, Zu-Yan;Li, Bo;Hu, Ting-Yang
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.3
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    • pp.1039-1042
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    • 2012
  • Aim: Tanscatheter arterial embolization irrespective of with or without an anticancer agent and lipiodol has been controversial with regard to survival benefit. Therefore, we conducted a prospective study to analyze the effect of transcatheter arterial lipiodol chemoembolization (TACE) on the survival of HCC. Methods: A prospective study was conducted, and a total of 326 patients with primary liver cancer who were newly diagnosed were collected from January 2004 to January 2005 in Zhejiang Provincial People's Hospital of China. A univariate Cox's regression analysis was used to assess the survival of the HCC cases receiving TACE. Results: The duration of follow-up for the HCC patients treated with TACE ranged from 3 months to 60 months. For the overall patients, survival rate at 5 years was 42%. Both HBV Ag and HCV Ab positive patients showed significantly low survival rate at 5 years. The multivariate analysis revealed The IV TNM stage was related to an heavy increased risk of death of HCC patients, and Child C grade group showed a significant moderate increased risk. Conclusion: Our study showed TACE is associated with a better prognosis of HCC patients, and the HBV infection, TNM stage, Child-Pugh grade and number of TACE may influence the survival probability. Further TACE studies should be assess the quality of life of HCC patients, so as to provide more information for treatment of HCC.

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

  • Ahn, Young-Mee
    • Child Health Nursing Research
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    • v.15 no.1
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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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STUDY ON THE POSITIVE POWER IN INTERPERSONAL RELATIONSHIP - (II) THE ISSUE OF TRUST - (대인관계(對人關係)에 있어서 긍정적(肯定的)인 힘에 대(對)한 연구(硏究) - (II) 신뢰(信賴) -)

  • Cho, Soo-Churl
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.7 no.1
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    • pp.3-13
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    • 1996
  • All human being can not exist by oneself That is, all human being depend on intimate attachment for their survival. Physical and psychological powers are prerequisites fir one's survival and these serve important functions hi interpersonal relationships. There are two kinds of powers. One is positive power which helps one survive effectively. Another one is negative power which disturbs one's effective survival. In this paper, the author reviewed the precept of 'trust' which is described in 'Bible' and oriental classical books such as 'The Analects of Confuicus' and 'Tao Te Ching' etc. and tried to integrate this precept with the importance in everyday life, 'How to communicate' is closely related to 'trust' and one's speech is closely related to one's thinking or emotion. Thus in order to keep trustful communication, one has to introspect oneself to understand one's own emotional reaction.

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WATER AND INTROSPECTION (물과 성찰(省察))

  • Shin, Sung-Woong;Cho, Soo-Churl
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.12 no.1
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    • pp.3-24
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    • 2001
  • All human being can't exist by oneself. That is, all human being depend on intimate attachment for their survival. Physical and psychological powers and control functions are prerequisites for one's survival and these serve important functions in interpersonal relationships. There are two kinds of powers and controls. One is positive power which helps one survive effectively. Another one is negative power which disturbs one's effective survival. Introspection is one of the positive power and most important process in understanding oneself and others. Thus, the purpose of this study is to elucidate the physical and psychological meaning of the characteristics of water and based on this meaning, to suggest one way of introspection. The authors reviewed the precept of water which is described in Bible and oriental classical books such as 'the Analects of Confuicus(論語)', 'Tao Te Ching(道德經)', 'Mencius(맹자)', 'Chronicle(史記)', 'The Doctrine of the Mean(中庸)', 'University(大學)'. The author also reviewed 'The History of Three Countries(삼국사기, 삼국유사)', 'The Precept of Religion', and 'the modern poems' which includes the symbolic meaning of water. The results are summarized as follows:1) The flow of water itself is the expression of introspection. Because, water does not flow without filling a puddle. 2) Water is the symbol of 'Immortality'. 3) Water symbolizes 'Modesty and Trust'. 4) Water is the symbol of 'Freedom from Greed'. 5) Water symbolizes 'Goodness and Beauty'. 6) Water symbolizes 'Naturality and Love'. Immortality, Modesty and Trust, Freedom from Greed, Goodness and Beauty, and Naturality and Love are eternal, universal values which all human should seek and achieve. By the process of introspection through the symbolic meaning of water, we can achieve these positive aspects of human mind and spirit.

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Estimation of Under-5 Child Mortality Rates in 52 Low-migration Countries

  • Sapkota, Nirmal;Gautam, Nirmal;Lim, Apiradee;Ueranantasun, Attachai
    • Child Health Nursing Research
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    • v.26 no.4
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    • pp.463-469
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    • 2020
  • Reduction of the under-5 mortality rate is a target of the Sustainable Development Goals. Therefore, this study aimed to estimate under-5 child mortality rates in 52 low-migration countries using population data. The study utilized population data from the US Census Bureau from 1990 to 2015. The method involved first estimating mortality rates for countries with negligible net migration and then applying these rates to countries with matching mortality profiles, where it is reasonable to assume that migration is negligible for children under the age of 5 years. The highest child mortality was concentrated in the African region, followed by Asia and the Western region. However, steady progress in child mortality trends was concentrated in low-income countries. This simple method demonstrated that child mortality has significantly improved in high-income countries, followed by middle- and low-income countries. To reduce the under-5 mortality rates even further in these 52 countries, there is a need to accelerate equitable plans and policies related to child health to promote children's longevity and survival.