• Title/Summary/Keyword: growth of children

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RECONSTRUCTION OF MANDIBULAR DEFECT WITH COMPOSIITE AUTOGENOUS ILIAC BONE AND COSTOCHONDRAL GRAFTS (자가장골 및 늑연골의 복합이식을 통한 하악골 재건술)

  • Chang, Se-Hong;Ann, Jye-Jynn;Soh, Jae-Jung;Park, Chi-Hee
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.13 no.1
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    • pp.104-109
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    • 1991
  • Loss of mandibular continuity due to neoplasm, trauma, or infection results in major esthetic and biologic compromise. The use of costochondral grafts for reconstruction of temporomandibular joint, described first by Gillies in 1920, has been accepted as a suitable method for replacing the mandibular condyle, especially in growing children. Autogenous iliac bone graft has been a satisfactory source of mandibular reconstruction since Sykoffs report in 1900. Autogenous bone grafts from the posterior aspects of the ilium provide large amount of PMCB with acceptable donor site morbidity. In timing of reconstruction, initial disease, age, medical history, growth and development, esthetic and psychologic factors should be considered. We present a case of osteosarcoma in the mandible that was treated by a hemimandibulectomy and the defect was reconstructed 20 months later with composite method of costochondral and posterior iliac bone graft.

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A Longitudinal Study on the Effects of Child Maltreatment Experiences on School Bullying Experiences: Focusing on the Mediating Effects of School Violence Victimization Experiences and Aggression

  • Kim, Hyung-Hee;Kim, Yong-Seob
    • Journal of the Korea Society of Computer and Information
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    • v.27 no.8
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    • pp.203-210
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    • 2022
  • In this study, we tried to examine the longitudinal mediating effects of school violence damage experience and aggression in the relationship between child maltreatment experiences and school bullying experiences. For the analysis data for this purpose, the 3rd, 5th, 6th, and 7th data of the Korean Children and Youth panel data of the Korea Youth Policy Research Institute were used. A total of 1,813 data were analyzed using the statistical program SPSS 26.0 and Amos 26.0 version as a multivariate latent growth model. As a result of the analysis, it was possible to confirm the mediating effects of school violence victimization experiences and aggression. These results suggest that multilateral efforts are needed to lower the level of maltreatment, school violence victimization, and aggression that affect the school bullying experiences. Based on the results of this analysis, this study specifically suggested practical measures to prevent adolescents' maltreatment experiences from being reproduced as school bullying experiences.

Rome IV Clinical Criteria and Management of Functional Constipation: Indonesian Health Care Professionals' Perspective

  • Andy Darma;Khadijah Rizky Sumitro;Leilani Muhardi;Yvan Vandenplas;Badriul Hegar
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.27 no.2
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    • pp.125-135
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    • 2024
  • Purpose: The updated ROME IV criteria for functional constipation (FC) in children were published in 2016. However, information on the use of these criteria is scarce. This study aimed to report the frequency of the use of the ROME IV criteria by Indonesian pediatricians and general practitioners (GPs) in FC management in infants and toddlers. Methods: An anonymous cross-sectional online survey was conducted between November 2021 and March 2022. Results: A total of 248 respondents (183 pediatricians and 65 GPs) from 24 Indonesian provinces completed the survey. Most respondents reported an estimated prevalence of FC to be less than 5% both in infants and toddlers. On average, only 64.6% of respondents frequently used the ROME IV criteria. Pediatricians used the ROME IV criteria more often than GPs did (p<0.001). The most frequently used criteria were painful or hard bowel movements (75.0%) and ≤2 defecations/week (71.4%). Lactulose as a laxative was the preferred treatment choice, followed by changing the standard formula to a specific nutritional formula. Most of the respondents carried out parenteral reassurance and education. Normal growth, as a marker of good digestion and absorption function, and normal stool consistency and frequency were the most reported indicators of gut health. Conclusion: The ROME IV criteria for functional constipation are not extensively used by pediatricians and GPs in Indonesia. Laxatives and specific nutritional formulas were the most used management approaches in infants and toddlers. Medical education, especially for general practitioners, should be updated.

Qualitative Study on the Rearing Experiences of Adolescent Single Parents Living in the Local Community (지역사회 거주 청소년 한부모의 자녀양육 경험에 관한 질적 연구)

  • Lee, Kyungran;Choi, Jung Sook
    • Korean Journal of Family Social Work
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    • no.55
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    • pp.189-236
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    • 2017
  • This study utilized the Giorgi's phenomenological analysis to understand the rearing experiences of the single adolescent parent. The study consisted of eight single parents living in the local community. The single parents had given birth during the ages between 16 and 24 and were currently rearing children between 6 months and 11 years of age. The results of the research consisted of 140 meanings, 34 subcategories, and 7 structure factors. The final structure factors consisted of 'onset as an escape from the unfulfilling reality', 'conflict upon unexpected choice situation', 'difficulties of starting and adapting to single adolescent parenting', 'brutal realities of at home single parenting', 'search for the best parenting role for the young parent', 'changes and growth associated with discovering one's self identity as a single parent', and 'concerns and wishes for a better life of the single adolescent parent'. Based on the results, discussions and suggestions to better understand the experiences of the single adolescent parent with anticipations for organized institutional aid and changes of the social attitude have been proposed.

Meaning in Life Among the Elderly (노인의 생애의 의미에 대한 연구)

  • ;Patricia M. Burbank
    • Journal of Korean Academy of Nursing
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    • v.30 no.2
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    • pp.259-271
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    • 2000
  • This study was attempted to explore meaning in life and it's relationship to problematic life events, health status and depression among older people. 198samples of elderly were over the age 60 (mean age=70.06) conveniently selected in Seoul, Korea. The data were collected through questionaires by interview with subjects from April, 1, 1999 to May 30, 1999. The research instuments were the main framework in the experiment. They involved meaning fulfillment and problematic life events which were developed by Burbank (1988) and short form geriatric depression scale(Sheikh & Yesavage, 1986). The data were analysed by SAS Program. The results are followed; 1. 172 lists were given out and had objects that would bring meaning to one's life. They were categrized as wishing for offsprings' prosperity, their relation with their grand-children, marriage of their offspring, health of family members, strong family ties, caring for the family, relation with husband, health for self, religious activity, helping others, individual hobbies, needs for growth such as writing, education, relationships with friends and personal achievements. In the end, 50% of total list dealt with in the relationship with their family members. 2. The mean fulfillment of the subjects was 38.31(SD=13.58) with a range of 12-60. The degree fulfillment varied according to the subjects' characteristics such as age group(F=4.44, 0P=.0008), education status (F=6.44, P=.0001), economic status (F=10.27, P=.0001), marrital status (F=9.12, P=.0002) and religious background (F=3.68, P=.006). 3. According to the pearson correlation, analysis significant variables were found between meaning fulfillment and health(r=.47, P=.0001), depression and the number of problematic life events for a life time (r=.147, P=.04), the stress score of problamatic life events for the past one year and the stress score of problematic life events for a life time was r=.43, P=.002, meaning fulfillment and the stress score of problamatic life events r=-.26, P=.04, depression and meaning fulfillment r=-.70, P=.0001 and depression and health r=-.521, P=.0001. 4. According to multiful regression analysis, depression was found as a most predictable variable for health(F=12.51, P=.001).

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Association between Regular Breakfast and Sleep-related Factors in Korean Adolescents (청소년의 규칙적 아침식사를 위한 수면 관련 요인 분석)

  • Cho, Yoon Jeong;Hwang, Jun Hyun
    • Journal of the Korean Society of School Health
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    • v.30 no.3
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    • pp.317-324
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    • 2017
  • Purpose: Breakfast is the most important meal to provide energy for the day. Breakfast is especially important to give enough nutritional support to children and adolescents for their physical growth and sexual development. Sleep-related factors like average sleep duration and wake up time would mostly be associated with regular breakfast. This study aimed to investigate the effect of sleep on regular breakfast consumption in Korean adolescents. Methods: The study used the data from the 12th Korea Youth Risk Behavior Web-based Survey (KYRBS-XII) conducted in 2016 by the Korea Centers for Disease Control and Prevention. The data of 62,820 subjects (middle/high school students) were included in the final analysis. The study examined the factors related to regular breakfast, focusing on weekday average sleep duration and wake up time of middle school students and high school students, respectively. Results: Regular breakfast consumption was shown to have a statistically significant association with high economic status, nutritional education, weekday average sleep duration, wake up time, and subjective sleep satisfaction in the multivariate logistic regression. Regardless of the school level, regular breakfast consumption was significantly associated with early wake up time. As to the effect of weekday average sleep duration on regular breakfast consumption, it showed some different results depending on the school level. Conclusion: Regular breakfast consumption of Korean adolescents was related to weekday average sleep duration and wake up time. Having breakfast regularly was affected by both adequate weekday average sleep duration and early wake up time.

Analysis of the Association between Teacher Relationship, Peer Relationship, and Multicultural Acceptability among Adolescents in Korea: Using Latent Growth Modeling (교우관계와 교사관계가 청소년의 다문화수용성에 미치는 영향에 대한 분석: 다변량 잠재성장모형의 적용)

  • Taekho Lee;Seokyoung Lee;Yoonsun Han
    • Korean Journal of Culture and Social Issue
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    • v.22 no.1
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    • pp.65-85
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    • 2016
  • In this study, we examined the longitudinal change of multicultural acceptability, peer relationship, and teacher relationship using latent growth curve modeling. This study used data from the second, third, and fourth waves of the middle school student cohort (N=2,178) of the Korean Children-Youth Panel Survey (KCYPS). The dependent variable was multicultural acceptability. The independent variables were peer relationship and teacher relationship. The major longitudinal findings of this study are as follows: First, peer relationships, teacher relationships and multicultural acceptability increased with time. Second, peer relationship showed a significant effect on the multicultural acceptability over time. Finally, the teacher relationship showed a significant effect on the multicultural acceptability over time. These results show differentiation with previous cross-sectional studies of multicultural acceptability. Furthermore, it is expected that this study will provide educational implications for the cultivation of multicultural acceptability.

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The Relationship Between Bone Mineral Density and The Environmental Factors in Korean Pubescent Girls (한국 사춘기 소녀들의 골밀도와 환경요인들과의 관계(I))

  • 최미자
    • Journal of the East Asian Society of Dietary Life
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    • v.4 no.3
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    • pp.21-30
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    • 1994
  • The relationship between bone mineral density and the environmental factors were investigated from the view point of preventing osteoporosis in Korean pubescent girls. The effects of calcium, nutrient intake, physical activity on total bone mineral density, lumbar spine and femoral bone mineral density and total bone mineral content were evaluated 33 healthy pubescent girls aged 14∼16y. A convenient method was used to assess nutritional and energy intake and calcium index was used together. Calcium intake in childhood was estimated by asking whether subjects usually drank milk as children. Eating habits data and history of menstruation were obtained by questionnaire and interview. Average energy expenditure was calculated. Bone mineral density and content were measured by dual energy x-ray absorptiometry using a Lunar DPX+Scanner (Lunar, Madison, WI). The lumbar spine(L2∼L4) and three sites in the proximal femur (femoral neck, trochanteric region, and Ward's triangle)were measured. Height and weight were measured, and the body mass index(BMI) was derived from the formula : BMI=kg/㎡ Statistical analysis was performed by simple correlation using the SAS package. The mean calcium intake (736mg) was below the RDA of 800mg/d. Twelve percent of the total subjects did not drink milk at all because they did not like the taste. Skipping meals, low calcium intake and low energy intake were significantly correlated with the low BMD. Also the data indicate that girls who reported drinking milk with every meal during childhood had significantly higher bone densities than girls who reported drinking milk less frequently. The results suggest that milk consumption in childhood appears to be needed not only for growth and development, but possibly also to assure an optimal peak of bone mass and thus greater latitude for the maintenance or skeletal integrity in the face of bone losses. There was a highly significant correlation between the total BMD and overall level of physical activity. Body weight was a better predictor of total BMD than was and other factor. Simple mechanical loading may explain why body weight, but total BMC was positively relatd to height. Conclusively, increasing calcium intake and physical activity in the pubescent girls could influence BMD.

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A Novel Mutation in the MUT Gene in an Asymptomatic Newborn with Isolated Methylmalonic Acidemia (메틸말론산혈증 신생아의 MUT 유전자에서 발견된 새로운 돌연변이)

  • Kwak, Min Jung;Kim, Yoo-Mi
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.14 no.2
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    • pp.174-177
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    • 2014
  • Isolated methylmalonic acidemia (MMA) is a group of autosomal recessive inborn errors of metabolism caused by impaired activity of methylmalonyl-coenzyme A mutase (MCM). Mutations in the gene encoding MCM (MUT ) is the most common cause of isolated MMA. In this report, we identify an asymptomatic 15 days old female who had elevated C3-acylcarnitine (C3) in the newborn screening. Her serum homocysteine was normal and urine methylmalonic acid was increased that suggested isolated MMA. She was maintained on a low-protein diet and carnitine supplementation. At 3 months of age, she was still asymptomatic and had normal growth. We analyzed MUT gene mutations. Two heterozygote mutations in the MUT gene were identified including c.323G>A and c.1672+2T>C (IVS8(+2)T>C. Among these, c.1672+2T>C (IVS8(+2)T>C) have not been described previously.

The Influence of Parenting Attitudes on Adolescents' School Adjustment : Mediating Effects of Ego Resilience and Care (부모양육태도가 청소년의 학교적응에 미치는 영향 : 자아탄력성과 배려심의 매개효과)

  • Noh, Miwha;Heo, MiJeong;Choi, Youn Shil
    • Journal of Families and Better Life
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    • v.33 no.2
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    • pp.119-134
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    • 2015
  • The purpose of the study is to explore how parenting attitudes, ego resilience, and care affects adolescents' adjustment to school so as to provide a necessary basic guideline needed to seek various intervention methods. To achieve this end, the study referred to the 2014 Annual Report of the Korean Children and Youth Panel Survey. By using both SPSS 19.0 and AMOS 19.0, the study yielded the following results. First, the study showed that parenting attitudes, ego resilience, care, and school adjustment all have a positive correlation. Second, by conducting path analysis in order to verify the mediating effect of ego resilience and care with regards to the relationship between parenting attitudes and school adjustment, the direct influence that parenting attitudes had on school adaptation was shown to be relevant. Third, adolescents' ego resilience and care have a partial mediating effect on the relationship between parenting attitudes and school adaptation. Therefore, together with intervention in actual school settings, assessing various factors that would aid the recovery of adolescents' characters and pursuing a positive reinforcement of character by finding protective factors would enable this study to be used as a basic guideline that would prevent adolescents' maladjustment to school and social deviance as well as aid the growth of their characters.