Purpose: During the recent decades, the age at menarche continued to decline in Korea and worldwide. Prior studies have suggested that early menarche may increase the risk of various social, psychological, and physical health problems in young adolescent girls, but little is known about the determinants associated with early menarche. The purpose of this study is to evaluate independent determinants of early menarche among 5th~6th female graders in South Korea. Methods: Our analysis was conducted in 95 menarcheal girls and 95 age-matched pre-menarcheal girls residing in Daegu, South Korea. Demographic and lifestyle characteristics were collected using survey questionnaires for children and parents. Dietary information was assessed by 2 day~24 hour food records and survey questionnaires, which were completed by both children and their parents. Anthropometric data were obtained from the student health check-ups at the school. Results: A multiple logistic regression analysis using a conditional likelihood method was performed for simultaneous evaluation of several risk factors. There were significant differences in that higher proportion of obesity (OR, odds ratio = 5.60, 95% CI, confidence interval = 1.34~23.42), shorter sleep duration (OR = 0.45, 95% CI = 0.23~0.87), and younger mother's age at menarche (OR = 0.64, 95% CI = 0.44~0.93) were observed in the menarcheal group compared to the pre-menarcheal group. Conclusion: These findings indicate a possible association of sleep duration, mother's menarcheal age, and obesity with age at menarche. A well-planned, prospective cohort study is warranted to examine causal relationship.
Journal of the Korean Society for Library and Information Science
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v.44
no.3
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pp.199-218
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2010
This study evaluates YALSA's Competencies for Librarians Serving Youth: Young Adults Deserve the Best announced at the Young Adult Library Services Association(YALSA), a division of the American Library Association(ALA) on January 2010. For this study, we investigated fifth librarians working at the National Library of Korea to find out the requirements, effectiveness, and difficulties regarding seven areas and forth-eight detailed qualifications indicated by YALSA's Competencies for Librarians Serving Youth through survey. The results show that the more important areas required for youth services librarians were identified as knowledge of materials, administration, leadership and professionalism. Difficult areas of competencies are communication, marketing and outreach. Analysis of forty-eight detailed qualifications according to their importance and the level of difficulty shows that the more important areas are A4(encourage young adults to become lifelong library users by helping them to discover what libraries offer, how to use library resources, and how libraries can assist them in actualizing their overall growth and development) and A1(develop and demonstrate leadership skills in identifying the unique needs of young adults and advocating for service excellence, including equitable funding and staffing levels relative to those provided for adults and children), while the most difficult area of competencies is C4(Design, implement, and evaluate a strategic marketing plan for promoting young adult services in the library, schools, youth-serving agencies and the community at large).
Journal of the Korean Society of Food Science and Nutrition
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v.44
no.1
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pp.57-65
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2015
The purpose of this study was to examine dietary habits and nutrient intakes according to feeding method during infant period in elementary school students. Subjects were 1,251 elementary school students. Subjects were divided into three groups, breast-fed group (N=508), formula-fed group (N=397), and mixed group (N=346), according to feeding method during infant period. The questionnaire was composed of general characteristics, dietary conditions during infant period, dietary behaviors, and dietary intakes and was completed by children and children's parents. Average age, height, weight, and body mass index were 11.6 years, 139.0 cm, 34.6 kg, and $17.8kg/m^2$, respectively. The formula-fed group showed a smaller proportion of subjects with colostrum feeding (P<0.001) compared to the breast-fed and mixed groups. Frequency of eating snacks was significantly higher in the mixed group than in other groups (P<0.05). There was no significant difference in dietary habit total score and nutrient intakes according to feeding method during infant period. Feeding method in during infant period was associated with dietary habits (milk and vegetable intake habits) up to growth period of elementary school. A longitudinal and systematic study is needed to clarify this relationship.
The purpose of this study is to improve the curriculum of major subjects by constructing and applying design thinking centered 'early childhood language education' for prospective kindergarten teachers, and to cultivate their teaching ability in the classroom. As a result of the study, it is as follows. First, in the improvement of 'early childhood language education' subjects centered on design thinking, the "plan" stage recognizes the problem of interest in language education and the execution of language areas. In the "action" step, they created a interesting stationery for plays that can be actively expressed for young children who are hard to write. In the "re-action after reflection" steps, they have developed creative writing based on the diverse experience of the who have been working on a kindergarten field practice, Second, The meaning of the implementation for the major classes based on the design thinking is listening to young children than given practice, and self-reflection and growth through sympathy and cooperation. The implications of this study are needed to change the various major classes and the experience of problem solving is that it is also helpful for the autonomy and expertise of prospective kindergarten teachers.
Low fertility has become quite commonplace worldwide, and Europe has experienced below replacement fertility for several decades. In addition, lowest-low fertility, defined as period total fertility rate below 1.3, has rapidly spread in Europe during the 1990s and is likely to expand further. After the turn of century, lowest-low fertility started spreading in Eastern Asia. Korea's TFR of 1.19 in 2008 is lower than most European countries, although it is higher than the Hongkong(1.02) and Taiwan(1.09). The purpose of this paper is to examine the socioeconomic determinants of lowest-low fertility in Korea. In doing so, this paper discusses the effects of female labour force participation, labour instability on family formation and fertility. The data includes female labour force participation rate, unemployment rate, age at first marriage, and total fertility rate from 1980 to 2008. First, the economic recession hindered young people's economic independence and propensity to marry. Married couples were also depressed with uncertainty toward the future and avoided to have children. Second, the growth in female labor force participation had a negative impact on fertility, under the low level of compatibility between women's work and childrearing. Moreover, this paper argues that the rising cost of children including public and private educational costs is thought to be the main reason of the recent low fertility in Korea. Policy implications and some comments on population policies are also presented in the final section.
The purpose of this research is to introduce the fundamental data to develop a program to educate parents properly. To do so, the research investigates the relationship between the father's personal variables and the child's creative personality and emotional intelligence, and searches for what variable shave a significant influence on the balanced growth of a child among a father's personal variables. The participants of study were 200 children of 3~5 years old enrolled in kindergarten or child care centers located in mostly DaeGu city and GyeongBuk provinces. The research applied two tools by measuring the child's creative personality, and observing test paper for a child's emotional intelligence. The data was analyzed by the ANOVA test, Scheff$\acute{e}$ s post-hoc test, Pearson's product moment correlation test and multiple regression analysis. In subordinate variables of a child's creative personality, significance difference was discernable partly with the father's salary and education levels. However, there was no significance difference with the father's age. Especially, the positive influence of the father's education level is apparent on the entire child's creative personality variables, uniqueness and imaginative amusement. Influence Emotional self-awareness shows on entire creative personality variables, uniqueness, diverse interest and imaginative amusement. Emotional awareness in others influences on diverse interest, imaginative amusement. Others emotional control influences positively on entire creative personality. The results of this study suggest that the child's emotional intelligence are significant method to improve the child's creative personality in the education field.
This study is to study Adler's individual psychology and to study the counseling process and counseling techniques based on the counseling theory derived there. The progress of Adler's consultation process is first, and the relationship formation phase is the phase of seeking equal and mutually cooperative relations working as active partners toward agreed objectives between the counselor and the counsellor. Second, the lifestyle search phase is an important goal to understand lifestyle and how lifestyle affects life's task. Third, the insight phase is the one that has insight. Fourth, it is carried out in the financial direction (transformation of behavior). Adler's counseling techniques include general techniques and special techniques, and general techniques include promptness, advice, encouragement, paradoxical intentions, demonstration of poetry, and role play. Special techniques include pressing a doorbell, spitting on a physician's soup, Midas technique, entertaining others, avoiding low-quality children and self-restraint. In conclusion, individual psychological counseling is based on growth model, not medical model, and has more interest in re-education and re-lighting healthy individuals and societies than on the aspect of treatment. Therefore, it applies to various areas such as child guidance centers, parent-child counseling, marital counseling, family counseling, group counseling and treatment, personal counseling for children and adolescents, cultural conflicts and mental health campaigns.
Purpose : Extrauterine growth restriction (EUGR) in preterm infants is a major problem in neonatal intensive care units (NICUs) and it has been related to long-term growth deficit and neurodevelopmental issues. The aim of this study was to investigate the frequency of and risk factors for EUGR. Methods : The study subjects consisted of very low birth weight (VLBW) infants with a gestational age $\leq$32 weeks that were born at the Seoul National University Children's Hospital between November 2005 and April 2009. EUGR was defined as weight for gestation, lower than the 10th percentile on discharge. Results : The frequency of EUGR was 67% (n=111/166). By multiple logistic regression, the presence of small for gestational age (SGA) was the greatest predictor of EUGR, birth weight and daily weight gain during the first 28 days were independent predictors of EUGR. Risk factors for EUGR in non-SGA infants were evaluated because 56% (64/114) of non-SGA infants developed EUGR at discharge. Daily weight gain in the first 28 days was also decreased in EUGR group and independently predicted the risk of EUGR in the non-SGA group. Conclusion : EUGR was a common problem in the NICU. SGA was the most significant predictive factor of the EUGR. Half of the non-SGA infants also developed EUGR, revealing poor weight gain in the early days was as an important predictor. These results support the importance of early nutritional intervention for weight gain which have lagged behind other modern therapeutic interventions when the infant is clinically unstable.
Heshmat, Ramin;shafiee, Gita;Kelishadi, Roya;Babaki, Amir Eslami Shahr;Motlagh, Mohammad Esmaeil;Arefirad, Tahereh;Ardalan, Gelayol;Ataie-Jafari, Asal;Asayesh, Hamid;Mohammadi, Rasool;Qorbani, Mostafa
Nutrition Research and Practice
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v.9
no.4
/
pp.404-410
/
2015
BACKGROUND/OBJECTIVES: Although the association of body mass index (BMI) with metabolic syndrome (MetS) is well documented, there is little knowledge on the independent and joint associations of BMI and physical activity with MetS risk based on a continuous scoring system. This study was designed to explore the effect of physical activity on interactions between excess body weight and continuous metabolic syndrome (cMetS) in a nationwide survey of Iranian children and adolescents. SUBJECTS/METHODS: Data on 5,625 school students between 10 and 18 years of age were analyzed. BMI percentiles, screen time activity (STA), leisure time physical activity (LTPA) levels, and components of cMetS risk score were extracted. Standardized residuals (z-scores) were calculated for MetS components. Linear regression models were used to study the interactions between different combinations of cMetS, LTPA, and BMI percentiles. RESULTS: Overall, 984 (17.5%) subjects were underweight, whereas 501 (8.9%) and 451 (8%) participants were overweight and obese, respectively. All standardized values for cMetS components, except fasting blood glucose level, were directly correlated with BMI percentiles in all models (P-trend < 0.001); these associations were independent of STA and LTPA levels. Linear associations were also observed among LTPA and standardized residuals for blood pressure, high-density lipoprotein, and waist circumference (P-trend < 0.01). CONCLUSIONS: Our findings suggest that BMI percentiles are associated with cMetS risk score independent of LTPA and STA levels.
Kim, Seok-Kwun;Moon, In-Sun;Lee, Chang-Ho;Heo, Jung;Kwon, Yong-Seok;Lee, Keun-Cheol
Archives of Plastic Surgery
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v.36
no.2
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pp.174-182
/
2009
Purpose: The Mulliken's method is a one of the very excellent technique to correction of the unilateral cleft lip. It could decrease the need of additional operation and second operation by the early simultaneous correction of unilateral cleft lip and nasal deformity, at a time. Numerous procedures were advocated for the correction of nasal deformity, but with general dissatisfaction of the results, it became obvious that no one procedure is the ideal one. The authors have been operating on unilateral cleft lip by Mulliken's method and long term follow - up of postoperative result was evaluated. Methods: The authors have done long term follow - up of result in the 75 cases unilateral cleft lip patient, during 1 ~ 7 years. That was repaired by simultaneous correction of cleft lip and nasal deformity by Mulliken's method at the period from June, 1997 to December, 2007. The patients were unilateral complete cleft lip 39 cases, unilateral incomplete cleft lip 36 cases. In the severe complete cleft lip cases, lip adhesion operation was done before definite operation. The mean age of unilateral cleft lip operation was 3.2 months. Five anthropometric parameters, which were upper lip, cutaneous lip and vermilion mucosa height, nasal tip protrusion, columella length were measured by Sliding Vernier Caliper. The anthropometric analysis was performed preoperative and postoperative at 6 months, 3, 5 and 7 years and the results were com pared with those of age - matched, normal children. T - tests were used to analyze the differences between the measurements. Results: Long - term postoperative results were evaluated by anthropometrically. Most patients showed adequate growth of upper lip height, vermilion mucosa height and columella length. But nasal tip protrusion was relatively short compare with normal value. Incomplete cleft lip group was nearly normal growth results than complete cleft lip group. Conclusion: In conclusion, we could make harmonious Cupid's bow, natural philtrum and lip, appropriate nasal shape by Mulliken's method. But nasal tip protrusion was under the normal values on complete and incomplete group. And incomplete group was more good results than complete group. We have experienced repair of cleft lip by Mulliken's method with 75 cases of unilateral cleft lip patients and conclude that it was very useful and good method.
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