• 제목/요약/키워드: early intervention

검색결과 941건 처리시간 0.025초

The Infant and Child Growth Assistance System Based on a Smartphone

  • Byun, Ki-Won;Kang, Joon-Gyu
    • 한국컴퓨터정보학회논문지
    • /
    • 제21권8호
    • /
    • pp.95-103
    • /
    • 2016
  • Food habit forming the basis for a lifetime of food and nutrient intake is established in early childhood and has an effect to the child's growth, sociality, and obesity. A variety of nutrition screening tools exists for assessing the health and nutrition status of children such as the Growth Curve, for determining if growth is appropriate. Body mass index(BMI) as a more reliable index of overweight to prevent childhood obesity, and Nutrition Quotient(NQ) and eating behaviors questionnaire for young children and parents to estimate their nutrient intake adequate or not. Such tools are mainly used by health practitioners, such as doctor and dietitian to provide nutrition intervention services to children at risk, especially and are not easy to use for general parents, who need assessment at any time and at any place. We propose Growth Assistance System for infants and children, which is possible to assess their physical condition, nutritional status, and eating behavior integrated. To be convenient and portable, it is implemented over the smartphone as an application. The system offers the growth charts, the BMI curves, NQ and eating behavior questionnaire to take a monitoring and the functionalities operate well. We hereby expect this system support the normal growth and development of infants and young children. And also support for the health practitioner (dietitians and nutritionists) to take a role in providing nutrition counseling and education to children needing nutrition services.

보육교사의 교사-유아 상호작용 평가 척도 개발 연구 (A Study on the Development of Interaction Scale between Teachers and Children for Childcare Teachers)

  • 김현지
    • 한국보육지원학회지
    • /
    • 제1권1호
    • /
    • pp.1-19
    • /
    • 2005
  • 본 연구의 목적은 여성가족부에서 발간한 2005년 보육시설 평가인증지침을 기초로 보육교사의 교사-유아 긍정적 상호작용을 평가할 수 있는 도구를 개발하는데 목적이 있으며, 본 척도의 타당도와 신뢰도를 검증함으로써 그 적합성을 알아보는데 있다. 어린이집에서 만 3세 이상의 보육을 담당하는 보육교사 205명이 연구대상이며, 보육교사의 교사-유아 상호작용 평가도구의 타당성을 검증하기 위해 요인분석을 실시한 결과, 8요인으로 분류되었고, 각각 '긍정적인 교사의 말과 행동', '또래간 긍정적 상호작용의 격려', '낮잠시간배려', '화장실 사용배려', '유아의 부정적 정서수용 및 문제상황개입', '유아의 자유놀이에 긍정적 참여', '유아에 대한 평등한 대우', '식사와 간식시간배려'등으로 명명되었다. 보육교사의 교사-유아 상호작용 평가 도구의 신뢰도는 .94이며, 제작된 보육교사의 교사-유아 상호작용의 영역들간에 유의한 정적상관이 있는 것으로 나타났다.

  • PDF

The Interactive Effects of Mothers' Reactions and Children's Temperament on 3- to 6-Year-Olds' Aggression

  • Cho, Hye Jung
    • Child Studies in Asia-Pacific Contexts
    • /
    • 제3권2호
    • /
    • pp.139-158
    • /
    • 2013
  • The present study investigated the direct and interactive effects of children's temperament and mothers' reactions to hypothetical vignettes of children's aggression on 3- to 6-year-old children's overt aggression (OA) and relational aggression (RA). A total of 317 mothers of 3- to 6-year-old children and 26 teachers from eight day-care centers and kindergartens were contacted. Each mother reported her child's background, assessed her child's temperament and responded to the Mothers' Reaction to Hypothetical Vignettes of Children's Aggression (MRCA) scale. Children's OA and RA were assessed by teachers. Results showed that high levels of children's surgency predicted children's OA and RA. Although mothers' reactions did not predict children's OA and RA directly, significant interactions indicated that mothers' restrictive reactions were more strongly related to children's OA for children with high levels of surgency and low levels of effortful control. In addition, mothers' responsive reactions were more strongly related to children's OA for children with low levels of surgency. This study demonstrates that relative contributions of children's temperament and mothers' reactions differ according to the form of children's aggression. It also shows that certain types and levels of mothers' reactions to children's aggressive behavior can be critical for children with certain types and levels of temperament in developing children's overt aggression. The findings of this study can be applied to building early prevention and future intervention programs for young children's aggression.

게이트키퍼 (Gatekeeper)를 활용한 우울군 독거노인에 대한 맞춤형 사례관리 효과 -정신건강 사례관리를 중심으로- (Effects of Tailored Case Management using a Gatekeeper for the Depressed Single-household Elderly Population -Focusing on the Mental Health Case Management-)

  • 최윤정;원미라
    • 지역사회간호학회지
    • /
    • 제23권4호
    • /
    • pp.376-385
    • /
    • 2012
  • Purpose: The aim of this study was to evaluate the effects of tailored case management using a gatekeeper on depression and life satisfaction in the single-household elderly population. Methods: The design of Quasi experiment was applied to compare the variables before and after the management. Ninety-seven people who had depression categorized by the Korean Geriatric Depression Scale. Results: Depression (t=11.22, p<.001) and life satisfaction (t=-5.36, p<.001) were improved after management in comparison to the results of pre-tests, and the differences were statistically significant. The difference in the pre-test and post-test scores of the support system ($x^2$=13.89, p<.001) were significant, while the differences in the perception of depression ($x^2$=.02, p=.891) and coping methods ($x^2$=.34, p=.558) were not statistically significant. Conclusion: Tailored case management using a gatekeeper is effective to reduce the degree of depression and improve life satisfaction in the single-household elderly population having depression. This study offers a model of individualized as well as systemic mental health care for the community of single-house hold elderly people as an effective means for prevention of and early intervention in depression.

소아외과에서의 Henoch-Sch$\ddot{o}$nlein 자반증 (Henoch-Sch$\ddot{o}$nlein Purpura in Pediatric Surgery)

  • 김대연;김성철;김인구
    • Advances in pediatric surgery
    • /
    • 제6권1호
    • /
    • pp.45-49
    • /
    • 2000
  • Henoch-Sch$\ddot{o}$nlein purpura is a systemic vasculitis of unknown etiology that is probably related to an autoimmune phenomenon. Henoch-Sch$\ddot{o}$nlein purpura is characterized by a purpuric rash, arthralgia, nephritis, and gastrointestinal manifestations. We reviewed 169 children hospitalized with a diagnosis of Henoch-Sch$\ddot{o}$nlein purpura between 1989 and 1998. One-hundred thirty-nine (82.2 %) had gastrointestinal findings including abdominal pain, nausea, vomiting and gastrointestinal bleeding. Surgical consultations were obtained for ten children, and laparotomy was performed in five. Three children suspected of having appendicitis underwent appendectomy. None had appendicitis. One child thought to have been intestinal strangulation was found to have hemorrhagic edema of the proximal jejunum and of the distal ileum. Another child underwent resection for an hemorrhagic infarct of the distal ileum. A high index of suspicion of this disease entity in the differential diagnosis of abdominal pain in children can avoid unnecessary laparotomy in most cases. However, life-threatening gastrointestinal complications may occur in low percentage of cases. Prompt recognition and adequate radiologic evaluation of the abdominal manifestation of this entity is necessary for early surgical intervention.

  • PDF

성공적인 노화 정의를 위한 문헌연구 (In Search of a Definition of Successful Aging: A Review of Literature)

  • 홍현방;최혜경
    • 가정과삶의질연구
    • /
    • 제21권2호
    • /
    • pp.145-154
    • /
    • 2003
  • As the life-expectancy is ever-increasing, and the proportion of the elderly population is growing steadily in every society of the world, it is ever more important to establish what factors allow certain elderly people to age successfully and remain relatively independent while others grow old less successfully and require extensive intervention. However, there is no consensus yet as to what successful aging means. Researchers have defined successful aging in a variety of ways. This study attempted to define the concept of successful aging and to clarify some dimensions of it through literature review. Previous approaches of studying successful aging and related themes were examined. Early perspectives including activity, disengagement, and continuity theories, Selective Optimization with Compensation (SOC) model by Baltes and Baltes, three different conceptions of successful aging, that is, psychological well-being, physical health, and wisdom, and MacArthur research on successful aging have been reviewed for this study. The definition derived from the review is: Keeping up continuous developmental processes to achieve wisdom or ego-integrity, without suffering any major disabilities in either physical or mental functioning, while maintaining psychological well-being and employing SOC strategies, and participating in positive relationships with significant others. The dimensions of successful aging are 1) personal resources, including physical health, cognitive competences, self esteem, and social support 2) adaptation process of SOC, and 3) psychological aspects, including psychological well-being and wisdom.

Mitochondrial dysfunction and Alzheimer's disease: prospects for therapeutic intervention

  • Lim, Ji Woong;Lee, Jiyoun;Pae, Ae Nim
    • BMB Reports
    • /
    • 제53권1호
    • /
    • pp.47-55
    • /
    • 2020
  • Alzheimer's disease (AD) is a multifactorial neurodegenerative disease and has become a major socioeconomic issue in many developed countries. Currently available therapeutic agents for AD provide only symptomatic treatments, mainly because the complete mechanism of the AD pathogenesis is still unclear. Although several different hypotheses have been proposed, mitochondrial dysfunction has gathered interest because of its profound effect on brain bioenergetics and neuronal survival in the pathophysiology of AD. Various therapeutic agents targeting the mitochondrial pathways associated with AD have been developed over the past decade. Although most of these agents are still early in the clinical development process, they are used to restore mitochondrial function, which provides an alternative therapeutic strategy that is likely to slow the progression of the disease. In this mini review, we will survey the AD-related mitochondrial pathways and their small-molecule modulators that have therapeutic potential. We will focus on recently reported examples, and also overview the current challenges and future perspectives of ongoing research.

성인여성의 피로와 수면장애에 관한 연구 (A Study on Women's Fatigue and Sleeping Disturbance)

  • 이선옥;안숙희;김미옥
    • 여성건강간호학회지
    • /
    • 제11권2호
    • /
    • pp.163-168
    • /
    • 2005
  • Purpose: This study was to identify the relationship between fatigue and sleep disturbance in adult women so as to provide basic data for developing a women's health promotion program and nursing intervention. Method: A convenience sample of 184 women who visited a Well-baby clinic at P city Maternal child center during October in 2004 was obtained. Data was collected by self-administered questionnaires. Results: The Subjects' mean age was 36.87 years and 70% were employed and had more education than high school. The mean level of fatigue was 56.65, mean sleeping hours were 6.54, and time until falling asleep was 17.58 minutes. Scores of fatigue differed by subject's age, level of education, and menstruation status. In addition, sleeping hours differed by age, occupation status, and income level. There were significant low levels of correlation between fatigue and sleeping hours (r=-.16) and getting up too early (r=-.15). Conclusion: This study concludes that fatigue and sleeping patterns have a significant relationship.

  • PDF

산후여성의 임신중 요통, 요통장애와 분만중 통증에 관한 연구 (A Study on Back Pain, Pain Disability, and Labour Pain of Postpartum Women)

  • 심미정
    • 여성건강간호학회지
    • /
    • 제10권1호
    • /
    • pp.8-14
    • /
    • 2004
  • Purpose: The purpose of this study was to look into back pain, pain disability, labour pain, and related areas of pain experienced by postpartum women. Method: A survey about pain including a Visual Analogue Scale (VAS), Oswestry pain disability, and pain drawing was used in a descriptive research method on 98 women 2-3 days after delivery. Result: 57.1% of those surveyed reported experiencing back pain before pregnancy. 75.5% reported experiencing back pain during pregnancy. The average starting time of back pain for pregnant women was 2.9 months into pregnancy. 48.8% reported the most severe back pain in the last trimester of pregnancy, while most women complained of left and right pubic pain and lumbar area pain during pregnancy. Statistical relations were calculated and menstrual symptoms (F=5.938, p=0.004), back pain prior to pregnancy (F=4.714, p=0.000), back pain during pregnancy (F=-3.429, p=0.001), and back pain disability prior to pregnancy (F=-1.994). Conclusion: There is a relation in postpartum women's back pain between back pain prior to pregnancy and back pain during pregnancy. Pelvic examinations early in pregnancy can determine if back pain will change for the worse or relapse. Therefore, the application of a pain relieving nursing intervention is needed.

  • PDF

An idiopathic delayed maxillary hemorrhage after orthognathic surgery with Le Fort I osteotomy: a case report

  • Park, Byungho;Jang, Wan-Hee;Lee, Bu-Kyu
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • 제45권6호
    • /
    • pp.364-368
    • /
    • 2019
  • A Le Fort I osteotomy is a common procedure for correcting dental and facial deformities in orthognathic surgery. In rare cases, a delayed hemorrhage can occur as early as several hours or up to 12 weeks, postoperatively. The most frequently involved blood vessels in a delayed hemorrhage are the descending palatine artery, the internal maxillary artery, and the pterygoid venous plexus of veins. Intraoral bleeding accompanied by severe epistaxis in these cases makes it difficult to locate the precise bleeding focus. Eventual uncontrolled bleeding would require Merocel packing or surgical intervention. In general, a severe late postoperative hemorrhage is most effectively managed by angiography and embolization. Herein we describe a delayed hemorrhage case in which the cause was not evident on angiography. We were able to detect the bleeding point through an endoscopic nasal approach and treat it using direct cauterization.