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A Study on the Occurrences and Preventive Strategies of Accident in Children (초등학생의 안전사고 실태 및 예방전략에 관한 조사 연구)

  • Bae Jeong-Yi
    • Child Health Nursing Research
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    • v.8 no.4
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    • pp.435-448
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    • 2002
  • Accidents are important causes of death and disability in children. They also have enormous financial implications. Young children become an victim of accidents easily because of their physical fragileness and their coping behavior being vulnerable to any actions taken by accidents. Once they have a accident, the children whose not fully developed, suffer from devastating long-term after-effects. Lee, Lee, Kang and Han(1995) reported that ninety percent of accidents can be prevented. But there is no national system to manage, evaluate and analyse the information about child accidents, even though it is necessary for accident prevention policies and health promotion of the general public. The purpose of the study was to determine how often children have accidents and define the accident prevention strategies in children. The investigator conducted a descriptive study by performing the surveys, interviews, and workshops for the 2,458 young children, 10 teachers, and 1,494 parents. The data collection for the study began on September 2000 and completed on April 20, 2001. The analysis of the data was done with Window SPSS 10.0 for descriptive statistics. Among those children, 1,298 children(52.8%) injured from accidents. The children who had accident answered that they injured from traffic accident(27.3%), inside the home(26.3%), on the playground(17.0%), during playtime(13.6%), in the school(5.9%) and food poisoning(7.1%). To define accident prevention strategies for the school children, the parents and the teachers who had a special interest in this topic formed a special task force under the guidance of the investigator. The team was charged to prepare the basis of content materials by identifying the problems, setting standards for the program, prioritizing the process, and selecting the methods of implementation and evaluation. Eight issues and concerns identified by the team were: 1)allowing young children to learn undesirable habits and behaviors that would bother others without knowing; 2) not guarding young children from car accident; 3)unattended accident at playground; 4) considering home places safe; 5)unattended accident at school. These issues were found to be coinciding with the actual child accident cases occurred recent years in Korea. Greater efforts are required to reduce unnecessary deaths and disability from childhood accidents. This study gave a very useful and important data to prepare accident prevention educational program and to prepare accident prevention strategies.

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Analysis of Family History of Visual Acuity (시력의 가족력분석)

  • Pak, Yun-Suk;Park, Su-Jin;Park, Sang Shin;Paek, Domyung;Lee, Eun-Hee
    • Journal of Korean Ophthalmic Optics Society
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    • v.13 no.3
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    • pp.89-94
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    • 2008
  • Purpose: To investigate the genetic association of visual acuity(VA) between young children, schoolchildren, juveniles, and their parents. Methods: 208(4 to 18 yrs) subjects who are belongs to young children, schoolchildren and juveniles and 340 their parents were assessed. Corrected and uncorrected visual acuity in each eye were measured using Han's test chart(5m). Results: There was no correlation with father's VA on under 6years but mother's VA tend to effect on male children. In case of elementary school students, their VA shows strong correlations with their parents VA; VA uner 0.7 group shows both parents VA was under 0.7 and VA over 0.7 group tend to shows their parents VA was over 0.7. Moreover, in juvenile, there was strong correlation between mother's VA and male children's VA. Conclusion: Our study showed that the family history, especially mother's visual acuity, had more effect on the problem of their children's visual acuity.

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Clinical Practice Guideline for the Diagnosis and Treatment of Pediatric Obesity: Recommendations from the Committee on Pediatric Obesity of the Korean Society of Pediatric Gastroenterology Hepatology and Nutrition

  • Yi, Dae Yong;Kim, Soon Chul;Lee, Ji Hyuk;Lee, Eun Hye;Kim, Jae Young;Kim, Yong Joo;Kang, Ki Soo;Hong, Jeana;Shim, Jung Ok;Lee, Yoon;Kang, Ben;Lee, Yeoun Joo;Kim, Mi Jin;Moon, Jin Soo;Koh, Hong;You, JeongAe;Kwak, Young-Sook;Lim, Hyunjung;Yang, Hye Ran
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.22 no.1
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    • pp.1-27
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    • 2019
  • The Committee on Pediatric Obesity of the Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition newly developed the first Korean Guideline on the Diagnosis and Treatment of Obesity in Children and Adolescents to deliver an evidence-based systematic approach to childhood obesity in South Korea. The following areas were systematically reviewed, especially on the basis of all available references published in South Korea and worldwide, and new guidelines were established in each area with the strength of recommendations based on the levels of evidence: 1) definition and diagnosis of overweight and obesity in children and adolescents; 2) principles of treatment of pediatric obesity; 3) behavioral interventions for children and adolescents with obesity, including diet, exercise, lifestyle, and mental health; 4) pharmacotherapy; and 5) bariatric surgery.

Clinical practice guideline for the diagnosis and treatment of pediatric obesity: recommendations from the Committee on Pediatric Obesity of the Korean Society of Pediatric Gastroenterology Hepatology and Nutrition

  • Yi, Dae Yong;Kim, Soon Chul;Lee, Ji Hyuk;Lee, Eun Hye;Kim, Jae Young;Kim, Yong Joo;Kang, Ki Soo;Hong, Jeana;Shim, Jung Ok;Lee, Yoon;Kang, Ben;Lee, Yeoun Joo;Kim, Mi Jin;Moon, Jin Soo;Koh, Hong;You, JeongAe;Kwak, Young-Sook;Lim, Hyunjung;Yang, Hye Ran
    • Clinical and Experimental Pediatrics
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    • v.62 no.1
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    • pp.3-21
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    • 2019
  • The Committee on Pediatric Obesity of the Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition newly developed the first Korean Guideline on the Diagnosis and Treatment of Obesity in Children and Adolescents to deliver an evidence-based systematic approach to childhood obesity in South Korea. The following areas were systematically reviewed, especially on the basis of all available references published in South Korea and worldwide, and new guidelines were established in each area with the strength of recommendations based on the levels of evidence: (1) definition and diagnosis of overweight and obesity in children and adolescents; (2) principles of treatment of pediatric obesity; (3) behavioral interventions for children and adolescents with obesity, including diet, exercise, lifestyle, and mental health; (4) pharmacotherapy; and (5) bariatric surgery.

Utilizing the n-back Task to Investigate Working Memory and Extending Gerontological Educational Tools for Applicability in School-aged Children

  • Chih-Chin Liang;Si-Jie Fu
    • Journal of Information Technology Applications and Management
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    • v.31 no.1
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    • pp.177-188
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    • 2024
  • In this research, a cohort of two children, aged 7-8 years, was selected to participate in a specialized three-week training program aimed at enhancing their working memory. The program consisted of three sessions, each lasting approximately 30 minutes. The primary goal was to investigate the impact and developmental trajectory of working memory in school-aged children. Working memory plays a significant role in young children's learning and daily activities. To address the needs of this demographic, products should offer both educational and enjoyable activities that engage working memory. Digital educational tools, known for their flexibility, are suitable for both older individuals and young children. By updating software or modifying content, these tools can be effectively repurposed for young learners without extensive hardware changes, making them both cost-effective and practical. For example, memory training games initially designed for older adults can be adapted for young children by altering images, music, or storylines. Furthermore, incorporating elements familiar to children, like animals, toys, or fairy tales, can increase their engagement in these activities. Historically, working memory capabilities have been assessed predominantly through traditional intelligence tests. However, recent research questions the adequacy of these behavioral measures in accurately detecting changes in working memory. To bridge this gap, the current study utilized electroencephalography (EEG) as a more sophisticated and precise tool for monitoring potential changes in working memory after the training. The research findings were revealing. Participants showed marked improvement in their performance on n-back tasks, a standard measure for evaluating working memory. This improvement post-training strongly supports the effectiveness of the training program. The results indicate that such targeted and structured training programs can significantly enhance the working memory abilities of children in this age group, providing promising implications for educational strategies and cognitive development interventions.

Surgical Management and Outcome of Tethered Cord Syndrome in School-Aged Children, Adolescents, and Young Adults

  • Kang, Joon-Ki;Yoon, Kang-Jun;Ha, Sang-Su;Lee, II-Woo;Jeun, Sin-Soo;Kang, Seok-Gu
    • Journal of Korean Neurosurgical Society
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    • v.46 no.5
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    • pp.468-471
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    • 2009
  • Objective : The adolescent presentation of tethered cord syndrome (TCS) is well-recognized, but continues to pose significant diagnostic and management controversies. The authors conducted a retrospective study of clinical outcomes after surgical intervention in 24 school-aged children, adolescents, and young adults with TCS. Methods : All 83 patients with a lipomyelomeningocele (LMMC) underwent untethering surgery for caudal cord tethering between 1987 and 2007. The clinical charts and follow-up data were reviewed. Of these patients, 24 school-aged children, adolescents, and young adults with TCS were studied with respect to the clinical, radiologic, pathologic features, and surgical outcomes. Results : Untethering procedures were performed in 24 patients (age range, 7-25 years) for TCS of various origins (lipoma, lipomyelomeningocele, and tight filum terminale). Specific circumstances involving additional tugging of the already tight conus, and direct trauma to the back precipitated the onset of symptom in 50% of the patients. Diffuse and non-dermatomal leg pain, often referred to the anorectal region, was the most common presenting symptom. Progressive sensorimotor deficits in the lower extremities, as well as bladder and bowel dysfunction, were also common findings, but progressive foot and spinal deformities were noted less frequently. The most common tethered lesions were intradural lipomas, thickened filum and fibrous band adhesions into the placode sac. The surgical outcome was gratifying in relation to pain and motor weakness, but disappointing with respect to resolution of bowel and bladder dysfunction. Of the 24 patients with TCS, pre-operative deficits improved after surgery in 14 (58.3%). remained stable in 8 (33.4%). and worsened in 2 (8.3%). Conclusion : The pathologic lesions of tethered cord syndrome in school-aged children, adolescents, and young adults, are mostly intradural lipomas and tight filum. It is suggested that the degree of cord traction results in neurologic dysfunction in late life due to abnormal tension, aggravated by trauma or repeated tugging of the conus during exercise. Early diagnosis and adequate surgical release might be the keys to the successful outcome in school-aged children, adolescents, and young adults with TCS.

The Effects of Dream Start Participation on the Use of After-School Programs : Focusing on the Diversity and Amount of the Programs in Use (드림스타트 참여가 방과후 서비스 이용에 미치는 영향 : 방과후 서비스의 종류와 이용량을 중심으로)

  • Jung, Sun Young;Song, Mi Ryung;Cho, Yu Ri
    • Journal of Families and Better Life
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    • v.33 no.3
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    • pp.1-14
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    • 2015
  • This study examined the effects of Dream Start participation on the use of after-school programs, considering its emphasis on the utilization of community resources. For this, it compared the use of after-school programs in terms of the number of types and the total amount of time between children who had been participating in Dream Start and those who had not. The main findings are as follows. First, when all other conditions were held constant, children in Dream Start used more types of after-school programs compared to their correspondents. Second, children in Dream Start were more likely to use two types of after-school programs over weekdays or three types of programs for several days a week compared to their correspondents. Third, children in Dream Start spent less amount of time in the after-school programs compared to their correspondents. Even though this study found the effectiveness of Dream Start as a facilitator of community resource utilization, future research needs to examine the effects of after-school program use in terms of its diversity and amount on the development of low-income children.

The Influence of Weaning Practices on the Eating Habits of Preschool Children (이유실태가 학령 전 아동의 식습관에 미치는 영향)

  • Lee, So-Young;Jeong, Hee-Sun;Joo, Na-Mi
    • Journal of the Korean Dietetic Association
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    • v.14 no.4
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    • pp.325-336
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    • 2008
  • The principal objective of this study was to determine how weaning by mothers of preschool children between the ages of five and seven years influences the children's eating habits and food preferences. The results of this study will help to educate mothers about good weaning practices and facilitate the development of weaning programs by providing basic data on the subject. The results demonstrated significantly positive correlations between children's scores on eating habits and the level of vigorous weaning practices, the consistency of their practice, and the child's reaction to the foods provided (p<0.001). A positive correlation was noted between the frequency of providing solid food and the preference toward the food, with the exception of boiled rice and brightly colored vegetables. Thus, the results of this survey showed that the frequency and variety of solid foods that mothers try to actively provide their young children affect their food preferences and eating habits in general. These conclusions suggest that mothers should be educated about the significance of proper weaning so that their children can develop appropriate eating habits, and that there should be nutritional education for mothers, regarding the best weaning practices.

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Anger and Health Status in Late School-Age Children (학령기 후기 아동의 분노와 건강상태)

  • Park Young-Joo;Park Eun Sook;Kim Soo Jeong;Yang Seung-Sook;Shin Hyun Jeong;Im Hye Sang;Moon So-Hyun
    • Journal of Korean Academy of Nursing
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    • v.35 no.5
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    • pp.888-895
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    • 2005
  • Purpose: This cross-sectional study was designed to identify anger-expression types in late school-age children and investigate the relation between the identified anger-expression types and their health status. Method: One thousand twenty seven children in elementary school fifth and sixth grades were recruited from November to December, 2004. Data was analyzed using descriptive statistics, cluster analysis, 2-test, ANOV A, Duncan's multiple comparison test, and Wilcoxon rank sum test. Results: Three anger-expression types in late school-age children were found; Anger-out/in, Anger-control, and Low anger-expression types. Children frequently using the anger-out/in type among the three types and with a higher state anger reported higher psychosomatic symptoms and depression. Children from a divorced or separated family reported higher state anger. Conclusion: This study suggests that a specific anger management program needs to be developed for late school-age children with high state anger and frequently using the anger out/in expression type. For understanding the anger level and the anger expression types of Korean school-age children, further research needs to be done with large samples using a randomized sampling method.

Prevention of Complications in Endoscopic Third Ventriculostomy

  • Jung, Tae-Young;Chong, Sangjoon;Kim, In-Young;Lee, Ji Yeoun;Phi, Ji Hoon;Kim, Seung-Ki;Kim, Jae-Hyoo;Wang, Kyu-Chang
    • Journal of Korean Neurosurgical Society
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    • v.60 no.3
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    • pp.282-288
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    • 2017
  • A variety of complications in endoscopic third ventriculostomy have been reported, including neurovascular injury, hemodynamic alterations, endocrinologic abnormalities, electrolyte imbalances, cerebrospinal fluid leakage, fever and infection. Even though most complications are transient, the overall rate of permanent morbidity is 2.38% and the overall mortality rate is 0.28%. To avoid these serious complications, we should keep in mind potential complications and how to prevent them. Proper decisions with regard to surgical indication, choice of endoscopic entry and trajectory, careful endoscopic procedures with anatomic orientation, bleeding control and tight closure are emphasized for the prevention of complications.