• Title/Summary/Keyword: Single-child

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Epidemiology and Clinical Features of Respiratory Viruses in Pediatric Inpatients in a Single Medical Center in Daegu from 2010 to 2012 (대구지역 단일병원에서 입원 환아의 호흡기 바이러스 역학 및 임상 양상: 2010-2012년)

  • Lee, Eun-Kyung;Lee, Yun-Young;Choi, Kwang-Hae
    • Journal of Yeungnam Medical Science
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    • v.30 no.2
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    • pp.95-100
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    • 2013
  • Background: This study was performed to investigate the epidemiologic and clinical features of acute respiratory viral infection in hospitalized children. Methods: From 2010 to 2012, we tested nasopharyngeal swab specimen in 1,584 hospitalized children with multiple real-time polymerase chain reactions to identify 10 kinds of respiratory viruses (including influenza virus A, B (FluA, FluB), respiratory syncytial virus (RSV), human metapneumovirus (MPV), adenovirus (AdV), human coronavirus (CoronaV), human enterovirus (HEV), human bocavirus (HBoV), parainfluenza virus (PIV), and human rhinovirus (Rhinovirus)). We analyzed the positive rate, annual and seasonal variations, and clinical features (respiratory tract and non-respiratory tract) according to the retrospective review of medical records. Results: Respiratory viruses were detected from 678 (42.8%) of 1,584 patients. The most common detected virus was RSV (35.0%), and then AdV (19.0%), HEV (18.1%). The critical period of the respiratory viral infection was during the first 12 months of a child's life. PIV increased by 8.4%, 12.1%, and 21.1% annually. Bronchiolitis was most frequently caused by RSV, and croup was frequently caused by PIV. The most common cause of meningitis was HEV. Hepatitis-associated respiratory virus was developed 111 in 678 cases. Conclusion: Although this study was confined to a single medical center for three years, we identified the epidemiology and clinical feature of respiratory viruses in Daegu from 2010 to 2012. Future surveillance will be necessary for annual and seasonal variations.

Single-center experience of the Korean-Developmental Screening Test for infants and children

  • Suh, Chae-Ri;Sohn, Su Ye;Kim, Gun-Ha;Jung, Seong-Kwan;Eun, Baik-Lin
    • Clinical and Experimental Pediatrics
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    • v.59 no.12
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    • pp.483-489
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    • 2016
  • Purpose: We investigated the number of test takers of the Korean-Developmental Screening Test (K-DST) in a single children's hospital within a year, according to age, referral rate, and follow-up percentage. Methods: For this study, 4,062 children who visited and received K-DST at Woorisoa Children's Hospital between January and December 2015 were enrolled. Seven test sets were used according to the Korean National Health Screening Program for infants and children in the following age groups: 4 to 6, 9 to 12, 18 to 24, 30 to 36, 42 to 48, 54 to 60, and 66 to 71 months. The results of the K-DST were categorized into 4 groups as follows: further evaluation (<-2 standard deviation [-2SD]), follow-up test (-2SD to -1SD), peer level (-1SD to 1SD), and high level (>1SD). Results: The test participants' population and follow-up population were concentrated before the age of 24 months (2,532, 62.3%). The children most commonly referred for further evaluation were those in the 30- to 41-month age group. A mismatch was found between the results of the K-DST and the additional questions. Most of the infants and children with suspicious developmental delays showed catch-up development in their follow-up tests (43 of 55, 78.2%). Conclusion: The use of K-DST should be encouraged, especially among children aged over 24 months. Multiple-choice question format for the additional questions is recommended to avoid confusion. We suggest a nationwide study to evaluate and revise the K-DST.

The Gender Differences of Travel Behavior in the Seoul Metropolitan City: Analysis of Time Use Survey (서울시민의 이동행동에 있어서의 젠더차이 : 생활시간조사자료를 중심으로)

  • Son, Moon-Geum
    • Korea journal of population studies
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    • v.33 no.1
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    • pp.1-25
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    • 2010
  • This study looks into travel behavior differences by sex, gender role and economic status. Source for analysis in this study is from Time Use Survey conducted by Korea National Statistical Office in 2004. The sample considered of 3,122 women's time diaries and 2,678 men's, whose age range from 20-59. The results of the study show that married women, women with child under age 6 and unemployed women have less travel time quantity, travel during the daytime and use mass transportation than men and single women. However single women and working women, especially working women having high income level, show more similar patterns of travel behavior with men's which are quite unvarying regardless of marital, parental and economic status.

A Survey on the Consciousness of Adolescents about the Elderly Housing Life Plan from Technology.Home Economics Textbook (기술.가정 교과에 기초한 노년기 주생활 계획에 관한 청소년의 의식 조사)

  • Lee, Seung-Jin;Choi, Byung-Sook
    • Korean Journal of Human Ecology
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    • v.9 no.3
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    • pp.5-21
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    • 2006
  • The purpose of this study was to grasp the consciousness of adolescents about their future in old aged housing. This research was executed with a questionnaire survey method. Data samples were collected from 255 students who finished first grade curriculum in high schools in Chonbuk province and Seoul city. The results were as followed. First, a healthcare plan was very highly recognized by students, and they wanted to live as couples or single in their old age. Second, the respondent students recognized elderly housing as a home for the aged, a silver town and nursing home. 72.1% of the respondents preferred a single detached house as an elderly house form. They preferred an elderly housing district with well provided convenient facilities for daily living. They wanted to live in the country or rest areas for the aged. They preferred an interior space composition with LDK with 2 bedrooms. 52.0% students wanted a neighborhood for their friends to live together. Third, 28.3% of the respondent students thought the appropriate time to move in elderly exclusive housing was 66-70 years old. And when their physical condition worsened or they needed care, they would. want to move into that housing. Also, they wanted the most convenient facility and a medical care facility in elderly exclusive housing. Forth, students' space design needs for elderly were high, more than 4 points. It was especially needed safety in space design, and this grade was 4.56(,53) points. Also the needs of safety and the convenient facilities.equipments were statistically significant by boys and girls.

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Combined Screening of Cervical Cancer, Breast Cancer and Reproductive Tract Infections in Rural China

  • Li, Zhi-Fang;Wang, Shao-Ming;Shi, Ju-Fang;Zhao, Fang-Hui;Ma, Jun-Fei;Qiao, You-Lin;Feng, Xiang-Xian
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.7
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    • pp.3529-3533
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    • 2012
  • Objectives: To investigate the current prevalence and knowledge of cervical cancer, breast cancer and reproductive tract infections (RTIs) in rural Chinese women, and to explore the acceptance and feasibility of implementing a combined screening program in rural China. Methods: A population-based, cross-sectional study was conducted among women aged 30 to 59 years old in Xiangyuan County, Shanxi Province from 2009 to 2010. Socio-demographic characteristics, knowledge of cervical cancer, breast cancer and RTIs, and the attitude toward single or combined screening were collected by an interview questionnaire. Each participant received a clinical examination of the cervix, breast and reproductive tract. Examinations included visual inspection, mammography, laboratory tests and pathological diagnosis. Results: A total of 1,530 women were enrolled in this study. The prevalence of cervical precancerous lesions, suspicious breast cancer, suspicious benign breast disease and RTIs was 1.4%, 0.2%, 14.0% and 54.3%, respectively. Cervicitis, trichomonas vaginitis, and bacterial vaginitis were the three most common RTIs among our participants. Television, radio broadcast, and public education during screening were the major source of healthcare knowledge in rural China. Moreover 99.7% of women expressed great interest in participating in a combined screening project. The affordable limit for combined screening project was only 50 RMB for more than half of the rural women. Conclusion: A combined screening program would be more effective and popular than single disease screening projects, while appropriate accompanied education and a co-pay model for its successful implementation need to be explored, especially in low-resource settings.

Intervention Program on the Child Neglect of Low-income Female-headed Families (저소득 모자가족 아동방임 개입 프로그램 개발 및 효과성 연구)

  • Park, Young-Hee;Shin, Hye-Seop
    • Korean Journal of Social Welfare
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    • v.44
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    • pp.146-177
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    • 2001
  • One of the difficulties of female-headed families face is economic hardship. Low-income single mothers work long hours, become isolated and feel burdened for dual roles. And many of them don't have relatives to share parenting roles. As a result, children of low-income female-headed families are easy to be neglected and left to form a delinquency-prone group in neighborhood. Traditionally, it has been viewed that children in female-headed families have problems due to the loss of father role. However, study indicates that these children can adjust well if the relationship between mothers and children is consistent and adequate. An Intervention program for low-income female-headed elementary children was developed and delivered in two community social welfare centers. The purpose of the program is to raise self-esteem. Two goals were 1) management of daily living habits and 2) improvement of family relations. Social workers maintained contact with mothers to talk about children's behaviors and to prompt hugging and touching. In addition, workers helped children to form good relationships with peers and school teachers. Children were satisfied with the program. Their family relations were improved statistically significantly after the program(wilcoxon signed rant test z=-2.934 p<.05). However, their self esteem were not improved significantly (wilcoxon signed test z=-1.173 p>.05). Qualitative analysis of each children were also discussed. The implications of the study are the followings: Intervention programs need to be delivered separately for low-grade and high grade elementary children because they have different developmental needs. The program also need to include education on sex and marriage as well as aggression reduction. Society needs to provide more support to single mothers for their personal and parenting needs.

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EFFECTS OF LASER AND FLUORIDE TREATMENT ON THE RESISTANCE TO MICROORGANISM AND ACID IN ARTIFICIAL CARIOUS LESION (레이저와 불소가 인공우식병소의 항균성 및 내산성에 미치는 영향에 관한 연구)

  • Yoo, Jeong-Min;Kim, Yong-Kee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.24 no.2
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    • pp.405-421
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    • 1997
  • The main purpose of this study was to evaluate the acid resistance and antimicrobial effect of fluoride-laser combined application. Recently extracted third molars were used. $5{\times}3mm$ of the buccal and lingual specimens were exposed and incipient artificial carious lesions were formed by keeping them in the artificial cariogenic solution for 5 days. They were divided into five groups and treated with fluoride and laser according to the predetermined regimen. The acid resistance was compared between groups by chemical quantitative analysis of the calcium and phosphorous released into the test solution after single or combined application of fluoride and laser. The antimicrobial effect of each group was analyzed by counting the number of colony forming units after microbial incubation. The results from the present study can be summarized as follows; 1. Experimental groups showed lower values in calcium and phosphorous contents as well as in $CFU/m{\ell}$(colony forming units) than control group. Combined application groups showed lower values than single application groups. 2. Acid resistance and antimicrobial effect by fluoride and laser treatment were confirmed in this study. 3. Based upon the above-mentioned results of this study, it can be assumed that the use of laser-fluoride combined application may provide the child and adolescent patient population with antimicrobial effect as well as acid resistance. Further studies using various materials and experimental conditions are being encouraged.

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Socioeconomic Characteristics of Poverty by Types of Household with Children: Comparing Male-headed, Female-headed, and Dual-parents Household (유자녀가구 유형별 빈곤의 사회경제적 특성연구: 남성한부모가구, 여성한부모가구, 양부모가구 비교분석)

  • Kim, Hak-Ju
    • Korea journal of population studies
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    • v.29 no.3
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    • pp.73-87
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    • 2006
  • The purpose of this study is to investigate the economic deprivation of male-headed or female-headed households. Household having children under the age of 18 are categorized into three types according to the gender of household head: male-headed household, female-headed household, and dual-parents household. The findings from data, for this study came from the Korean Labor Panel Study in 2003. The analysis shows that the household's age, education, residence types, etc are key explanatory variables in determining whether to be in poverty. While the public income transfer is most effective in reducing poverty in female-headed households, the private income source is relatively more useful among male-headed families. Since single-household families are particularly at risk, public policy makers should pay special attentions to developing and expanding welfare-to-work programs which provides work incentives to overcome relative poverty and community networks on child care.

A Single Case Study of an Adolescent with a Mild Intellectual Disability in Preparation for Independence after Discharge from a Childcare Institution (아동양육시설 퇴소를 앞둔 경증지적장애 청소년의 자립준비를 위한 단일 사례연구)

  • Yu, Jin-Hee;Kim, Min-Kyeong
    • Journal of the Korea Convergence Society
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    • v.11 no.5
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    • pp.229-239
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    • 2020
  • The purpose of this study was to help young people with mild intellectual disabilities with counseling and self-supporting life experiences. The topic of the counseling contents could be categorized as follows: "institutional life was clumsy and hard, but it was also full of memories," "my adolescent was aching, growing, and lonesome," "an irresistibie being," "independence process is filled with anxiety, excitement." In his process of going independent, the subject showed a strong will for the preparation for independence where he gets through the unfavorable situation surrounding the arduous and lonely independent process. This result proves the effectiveness of the therapeutic intervention based on the coping skills that meet the needs of the social situation for the adolescents who are discharged from institutions in their independence preparation and job search.

Use of Dual-Energy X-ray Absorptiometry in Children with Inflammatory Bowel Disease: A Large Single Centre Study

  • Jois, Asha;Perera, Sajini;Simm, Peter;Alex, George
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.25 no.6
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    • pp.473-480
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    • 2022
  • Purpose: Low bone mineral density (BMD) is a complication in children with inflammatory bowel disease (IBD). There are limited data evaluating dual-energy x-ray absorptiometry (DXA) as a screening tool for low BMD in children with IBD. We performed a single site retrospective analysis of DXA use. Methods: Children aged 5-18 years with IBD diagnosed between 2013 to 2017 at the Royal Children's Hospital, Australia, were included. Patient demographics, measures of disease activity, DXA scores, and factors related to BMD were collected. Results: Over a median follow up of 5.1 (4-6.4) years, 72/239 (30.1%) children underwent DXA, and 28/239 (11.7%) children had a second DXA. Our DXA practice differed to consensus guidelines regarding initial screening based on height and/or body mass index (BMI) z-score (8/17 [47.1%]), and repeat surveillance (13/42 [31.0%]). Children had a median lumbar spine (LS) z-score -0.80 (-1.65-0.075). Children with LS z-score≤-2.0 (n=14) had lower weight (6.57 [1.78-23.7] vs. 51.1 [26.5-68.7], p=0.0002) and height centiles (3.62 [1.17-17.1] vs. 42 [16.9-67.1], p=0.0001), and higher faecal calprotectin (FCP) (3041 [1182-4192] vs. 585 [139-2419], p=0.009) compared to children with LS z-score>-2.0. No fractures were reported. Of 28 children who underwent a second DXA 1.6 (1.1-2.2) years following initial DXA, no significant change in z-scores occurred. Conclusion: Children with IBD had low BMD. In addition to height centile and weight centile, FCP was associated with lower BMD, and should be considered in DXA screening guidelines. Greater clinician awareness of DXA consensus guidelines is required. Future prospective studies are required.