• Archives of Plastic Surgery
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• v.51 no.1
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• pp.80-86
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• 2024

Background Among the cleft types, bilateral cleft lip and palate (BCLP) generally requires multiple surgical procedures and extended speech therapy to achieve normal speech development. This study aimed to describe speech outcomes in 5-year-old Korean children with BCLP and examine whether normal speech could be achieved before starting school. Methods The retrospective study analyzed 52 children with complete BCLP who underwent primary palatal surgery at a tertiary medical center. Three speech-language pathologists made perceptual judgments on recordings from a speech follow-up assessment of 5-year-old children. They assessed the children's speech in terms of articulation, speech intelligibility, resonance, and voice using the Cleft Audit Protocol for Speech-Augmented-Korean Modification. Results The results indicated that at the age of five, 65 to 70% of children with BCLP presented articulation and resonance within normal or acceptable ranges. Further, seven children with BCLP (13.5%) needed both additional speech therapy and palatal surgery for persistent velopharyngeal insufficiency and speech problems even at the age of five. Conclusion This study confirmed that routine follow-up speech assessments are essential as a substantial number of children with BCLP require secondary surgical procedures and extended speech therapy to achieve normal speech development.

• Journal of the Korean Home Economics Association
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• v.37 no.8
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• pp.103-116
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• 1999

The purpose of this study was to explore leacher and peer relationships and child development in two types of early childhood program; halfway kindergarten and full-day childcare. The subjects were 90 four and half year old children and their teachers enrolled in 10 kindergartens and 20 childcare centers in Seoul. Each teacher evaluated her children with six scales developed by NICHD Early Child Care Research Network(1996); child-leacher relationship, peer relationship, social competence, adaptive language, behavior characteristics, and behavior problems. The data were analyzed by ANOVA. The results of this study were as follows: First, the girls in both programs had closer relationship with their teachers than the boys. The boys in the daycare were less dependent than those of kinder; on the other hand, the girls in the daycare were more dependent than those of kinder. Second, there was no significant difference in peer relationship between the children in both centers. Third, the girls of both centers scored higher than the boys in social competence. Fourth, in the child's adaptive language, both boys and girls were well developed, but girls were higher than boys, especially in kinder Fifth, the children in both centers behaved attentively in the groups, but in particular, the girths were more attentive. Finally, most of children were received low scores in the behavior problem scale.

• Korean Journal of Human Ecology
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• v.20 no.3
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• pp.611-623
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• 2011

The purpose of this study was to investigate young children's play preferences through observation at their classrooms and to examine the relationship between children's play preferences and their peer competence and peer acceptance. The subjects were 55 four-year-old children from a kindergarten in C city of Chungnam province. The data was analyzed by MANOVA, t-test, and Pearson's correlation. The results were as follows: first, boys and girls showed different play preferences except for language play and science play. Boys were better liked by same-sex peers while girls were better liked by other-sex peers. Second, there were significant correlations among certain play preferences. Block play preferences were negatively correlated with other play preferences. Third, some play preferences were significantly associated with some sub-dimensions of peer competence. Language play displayed a positive relationship to pro-social behavior, but art play showed a negative relationship to leadership. Finally, peer acceptance was positively correlated only with number/manipulation play preferences. Other-sex peer acceptance was positively correlated with number/manipulation play preferences and art play preferences but negatively with block play preferences.

• Korean Journal of Childcare and Education
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• v.13 no.2
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• pp.149-164
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• 2017

Objective: This study aimed to examine the mediation effects of parenting style and daily activity on the relationships between cumulative parental stress and cognitive and language development of children. Methods: The participants of this study were 1,154 mothers, their five-year-old children, and teachers enrolled in the population-based study of the Panel Study of Korea Children (PSKC) conducted by the Korea Institute of Childcare and Education from 2008 to 2013. In order to analyze the data, descriptive analysis, Pearson correlation analysis, and structural equation modeling were used. Results: The results revealed that warm parenting style as well as daily activity had dual mediating effects between cumulative parental stress and child development (cognitive and language development). However, warm parenting style did not have any direct effects on child development in this model. Conclusion/Implications: Given that actual mother-child daily activity had an important role in affecting child development, support programs for parenting should include activities that include specific materials and activities which parents can do with their children in everyday life.

• Archives of Plastic Surgery
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• v.33 no.3
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• pp.308-312
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• 2006

Time to time, we face patients who missed the proper time for primary palatal repair. Although we do not have enough available documents, it is important to establish efficacy of palatal repair in patients more than 4 years old. From May 1995 to March 2005, we selected 14 patients who underwent palatal repair in more than 4 years old patients and they are able to tolerate speech articulation tests. Out of 14 patients 5 males an 9 females in sex, aged form 4 to 50 years old. 6 patients with incomplete cleft palate and 8 patients with submucous cleft palate. Double reversing Z-plasty(n=5), pushback palatoplasty(n=4), two flap palatoplasty(n=2), von Langenbeck palatoplasty(n=2), and intravelar veloplasty(n=1) were performed. Preoperative and postoperative speech articulation test, "Simple method of speech evaluation in Korean patients with cleft palate", were conducted. Satisfaction rate was sorted into 5 levels. There is no significant statistical correlation in the speech improvement, satisfaction rate, patients sex, cleft type and operative method. But there is significant statistical correlation between the speech improvement and patienet's age. There were better result in younger patient group than aged patients group.

• Clinical and Experimental Pediatrics
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• v.48 no.9
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• pp.924-928
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• 2005

Purpose : Treatment efficacy for children with speech and language delay has been the subject of considerable debate in recent years. We evaluated the clinical features of children with delayed speech and language and their prognoses according to their etiologies after 6 months of speech and language therapy. Methods : From January, 2000 to March, 2004, we retrospectively reviewed 56 children with speech and language delay who were administered speech and language therapy for 6 months in Uijongbu St. Mary's Hospital. Results : Of 56 cases, the proportion of developmental language disorder was 66.1 percent, structural malformation 19.6 percent, mental retardation 12.5 percent, hearing defect 1.8 percent. The ratio of male to female was 4.6 : 1 and the most frequent age group was over 47 months. The mean age of first spontaneous words with useful meaning was 15.9 months. The mean gestational age of the subjects was 39.8 weeks. The proportion of full-term infants was 96.4 percent and of premature infants was 3.6 percent. As for the birth order, the proportion of the first baby was 51.8 percent, the one of second babies it was 42.9 percent, and percent of third babies it was 7.1 percent. After 6 months of language intervention, 32.4 percent of patients with developmental language disorder showed normal linguistic development. All the patients with mental retardation showed sustained language and speech delay. As for the patients with structural malformations, five out of 11 patients showed normal linguistic development. Conclusion : The relatively advanced old age of majority of participants in this study suggests the necessity of screening test for language delay in this local community.

• Korean Institute of Interior Design Journal
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• v.19 no.6
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• pp.214-223
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• 2010

As the population of preschooler increases with the increment of employed women today, the physical environment of day-care center is becoming an important factor for the preschooler as well as home environment. In order to create a suitable and desirable day-care environment for preschoolers, the using behavior of the preschoolers, who are the main users, needs to be applied to the spacial design. In this research, play preference area of Korea and United States which have different physical environments are analyzed. Child behavior observation analysis technique, interview with the teacher in charge, floor plan and furniture arrangement plan of the day-care centers and photography were performed for this research. The subjects were 63 preschoolers of 50 months old who are using Korean and American day-care centers and play of five minutes per preschooler was filmed for 3 days. Total 01 189 motion pictures were analyzed for this research. As a result, the physical environment, programs, preference area and finally the similarity and difference according to the gender were clarified for each countries' day-care center. The Korean preschoolers preferred the block area most, the second most favorite area being art for the younger class and language for older class. According to the gender, girls preferred language area while boys chose block area. On the other hand in American preschoolers' case, due to the large variety of play area, the play preference was distributed among various area except several high preference area. Based on this research, when designing indoor play area of day care centers, the area of block, language, and art which are popular play preferences should be considered firsthand, and gender preference is also needed to be thought of. These results may be used as an important data for planning the day care center play area in the future.

• Speech Sciences
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• v.12 no.2
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• pp.101-108
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• 2005

Apraxia of phonation (AOP) has often been described as a feature of apraxia of speech or of severe non-fluent type of aphasia. Pure AOP is rare and, to our knowledge, only two cases have been reported. Brain lesion sites of the reported cases were not those sites known to be responsible for apraxia of speech. This study presents a case of AOP which resulted from the secondary stroke in the left corona radiata immediately following the first stroke in the left temporoparietal lobe. A 61-year old right-handed man shwoed a global type of aphasia after the first cerebral infarction, but was able to generate spontaneously some short fragments of speech. On the day after the first infarction, he suffered from the secondary infarction, leaving him a complete loss of voluntary phonation. He did not showed any significant change in language functions. Several occurrences of involuntary phonation were observed upon laughing or crying. He was also able to cough unintentionally. A vidoe-stroboscopic examination failed to reveal any evidence of structural and functional impairment in larynx. Although this case is not of pure form of AOP, AOP appeared after the secondary stroke without significant changes of language impairment since the first stroke. Therefore, AOP may be a consequence of the brain lesion from the secondary stroke even though we cannot rule out the possibility of an additive effect of the secondary to the first stroke.

• Language and Information
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• v.13 no.1
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• pp.127-143
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• 2009

Tough-construction is, undoubtedly, one of the most puzzling syntactic problems in the history of transformational grammar. Various approaches have been proposed including Deletion approaches (Akmajian, 1972; Lasnik and Fiengo, 1974) and movement approaches. Among the movement approaches, Chomsky (1977; 1981) argues for movement of null Operator, and Hornstein (2001) argues for a two-step movement equipped with Sideward movement. Most recently, Schueler (2004) and Hartman (2009) each have also argued for a kind of movement approach. With the development of the Minimalist syntax (Chomsky, 1995; Chomsky, 2000; Chomsky, 2001), tough-construction, an age old problem in the description of grammar, turns into another round toward to a more satisfactory answer. By examining the most recent competing analyses of tough-constructions, this paper defends and extends Schueler's (2004) analysis, rather than Hartman's (2009) two step movement approach. Furthermore, this paper proposes that tough-subject originates from the intermediate CP internal Spec-TopicP position rather than from the iterated CP layer (Authier, 1992). This approach has more descriptive power than it was originally argued for in Schueler (2004) and is a step closer toward Minimalism insofar as the conception of government is no longer utilized.

• Korean Journal of Culture and Social Issue
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• v.21 no.4
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• pp.649-669
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• 2015

Korea has entered a multicultural society. As the number of multicultural family grows, identifying factors that facilitate family adjustment seems important. The relationship between parent and children can be a crucial predictor in family adjustment. Thus this study examined how the concordance/discordance in language fluency affects youth's satisfaction towards their parents. This research employed the 2012 National Survey of Multicultural Families (NSMF) using 9 to 24 year-old multicultural youth'(N=4314) data and that of their parents. Since some youth were from the same family, we used Multilevel Models to take into account youth-level data (level-1) and family-level data (level-2). The major findings are as follows: First, concordance/discordance in both national and ethnic language fluency is associated with the quality of relationship between parents and youth. Second, youth's satisfaction toward parents is highest when foreign parent and youth are fluent in Korean, as well as, when Korean parent and youth are fluent in ethnic languages. These findings can suggest directions for Korean multicultural policy to encourage fluency in both Korean and ethnic languages in multicultural families.