• Title/Summary/Keyword: growth of children

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Peripheral Arterial Injuries in Pediatric Age Group

  • Ammar, Ahmed AbdulRaouf
    • Journal of Trauma and Injury
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    • v.29 no.2
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    • pp.37-42
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    • 2016
  • Purpose: Arterial injury in children is a challenging problem for its special characteristics. It is rare even during warfare. This review described a personal experience in the management and outcome of acute pediatric arterial injuries of extremities. Methods: Thirty-six children below age of 13 years were studied during period from 2004 through 2014 in Iraq. Results: Male patients were 27 (75%) and female were 9 (25%). Seven to twelve years old was the most affected age group. The incidence of iatrogenic injuries was greater in infants and toddlers while penetrating injuries were the most common in older children. Upper limbs arteries were affected in 17 (47.2%) and lower limb in 19 (52.8%) patients. Hard signs were the commonest mode of presentation (83.3%). Lateral wall tear and complete transection were the most frequent types of arterial injury (36.1% and 27.8% respectively). The most frequent procedures performed were end-to-end anastomosis and lateral arteriorrhaphy. Surgical outcome was good. In 27 cases distal pulsations were regained. Seven cases had impalpable distal pulses but still viable limbs. Limb length discrepancy was detected in one case. One case was complicated with limb loss. No death was recorded. Conclusion: Arterial injuries in children are age related. The proper treatment of arterial injuries in children requires high index of suspicion, early operative intervention and continuous postoperative follow-up throughout years of active growth. Angiogram has a limited role as a diagnostic tool in acute arterial injuries.

Nutrition Evaluation Screening Tool: An Easy to Use Screening Tool for Hospitalised Children

  • Dokal, Kitt;Asmar, Nadia;Shergill-Bonner, Rita;Mutalib, Mohamed
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.24 no.1
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    • pp.90-99
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    • 2021
  • Purpose: Nutrition screening is vital to ensure patients are appropriately managed in hospital. In paediatrics there is currently no universally accepted nutrition screening tool. The Nutrition Evaluation Screening Tool (NEST) was developed as an easy to use and practical screening tool for hospitalised children. We aim to evaluate compliance of the NEST and assess agreement of the NEST with the already validated nutrition screening tools, Screening Tool for Risk on Nutritional Status and Growth (STRONGkids), Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP) and the Subjective Global Nutritional Assessment (SGNA) tool. Methods: Retrospective review of 102 patient episodes at the Evelina London Children's Hospital. Electronic records were used to assess NEST compliance and to complete the nutrition tools for each patient episode. Cohen's kappa was used to determine the level of agreement between each nutrition tool. Results: There was moderate agreement between the NEST and the two screening tools, STRONGkids (κ=0.472) and STAMP (κ=0.416) for patients on initial screening at admission. 87.2% of patient episodes were NEST compliant within 24 hours of admission to hospital. Conclusion: The moderate agreement between these two already validated screening tools enhances the NEST's validity as a paediatric screening tool. The NEST had the strongest correlation with the SGNA tool compared to other screening tools. The NEST is user friendly screening tool for hospitalised children.

The Meaning of Experiences for mothers with young children by Participating in voluntary Small Groups (영유아기 자녀를 둔 어머니의 자발적 소모임 참여 경험의 의미 탐색)

  • Chung, Kai Sook;Park, Ji Yeong;Ryu, Su Min
    • Korean Journal of Childcare and Education
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    • v.12 no.5
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    • pp.91-113
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    • 2016
  • This study aims to find out the significance in the experiences of voluntary participation in small groups by mothers of young children. As a result of the interviews conducted by targeting five mothers, the total was divided into three categories and six sub-factors. First, mothers voluntarily participated in small groups. Free from the role of mother and wife, they focused on their real selves, and had experiences of emotional support by forming close relationships with people. Second, mothers did not just participate in small groups as a hobby, but tried to be role models that help the growth of their children. They also tried to be the catalyst that helps create positive changes in their children and husbands. Third, mothers had social experiences, participated in economic activities as members of society or exerted their capabilities through active exchange with other people. Finally, this research hopes to provide the community with parent education-related implications that can have a positive impact on mothers themselves, their families and society.

Clinical Perspectives on Obesity in Children and Adolescents (소아청소년 비만의 임상적 이해)

  • Kyung Hee Park
    • Archives of Obesity and Metabolism
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    • v.3 no.1
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    • pp.27-34
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    • 2024
  • The prevalence of obesity in children and adolescents is increasing worldwide. Obesity in children and adolescents not only increases the risk of transitioning to obesity in adulthood but also increases the risk of cardiometabolic diseases such as high blood glucose, high blood pressure, dyslipidemia, fatty liver, and hyperinsulinemia during childhood. The goal of treating obesity in children and adolescents is not to focus on weight loss but to help children reach a healthy weight while maintaining normal growth appropriate for their age and sex. To achieve this goal, regular physical activity and exercise, dietary modification, improvement of obesity-prone environmental factors, and behavioral changes are required for a healthy lifestyle. If appropriate weight control is not achieved through lifestyle modifications, pharmacotherapy may be considered for adolescents with severe obesity aged 12 and above. Recent clinical trials have reported the efficacy and safety of pharmacotherapy in severely obese adolescents. Currently, two medications can be prescribed in Korea for patients with obesity aged 12 and above: Orlistat and Liraglutide. However, despite effective weight control through drug treatment, body weight may increase again after treatment discontinuation. Therefore, it is crucial to evaluate adherence to health behaviors during visits and continue to educate on lifestyle modifications, even during pharmacotherapy, to minimize weight regain.

Study on the Effects of the Supportive Nursing Intervention Program for Body Image and Self Esteem of the Child with Cancer (지지간호중재가 암환아의 신체상 및 자존감에 미치는 영향)

  • 오상은
    • Journal of Korean Academy of Nursing
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    • v.29 no.3
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    • pp.679-687
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    • 1999
  • The increased potential for the lifespan of a child with cancer is largely due to advances in drug treatment, radiation treatment, and surgical techniques. In this generation cancer has become associated with chronic illness. Therefore supportive nursing intervention for children with cancer is needed to promote normal growth and development. This study was designed to develop and test the supportive nursing intervention program for promoting body image and self-esteem of children with cancer The supportive nursing intervention program involved emotional, physical, informational, and social support. The subjects were 41 children with cancer(20 in intervention group, 21 in control group) in K city. Measurements were taken concerning body image and self-esteem from both groups during pre and post test The data were analyzed using Cronbach's alpha, x$^2$-test, paired t-test and t-test. The results were as follows : The intervention group had a more positive body image as measured by the Body Cathexis Scale (t=2.436, p=.020) and a more self esteem as measured by the Cpopersmith self-inventory (t=2.768, p=.009) than the control group at post test. According to this study, the supportive nursing intervention program was effective for promoting the body image and self-esteem of children with cancer. Repeated research is needed to develop a refined supportive nursing intervention program for children with chronic illness.

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The importance of establishing nature-friendly public spaces for children: a focus on nature experience area project in Germany (아동을 위한 자연 친화적 공공공간 확보의 중요성 고찰: 독일의 자연체험공간 사업을 중심으로)

  • Woojin Lee
    • Journal of Wetlands Research
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    • v.25 no.4
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    • pp.366-378
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    • 2023
  • This study analyzed the impact of securing nature-friendly public spaces on the healthy growth of children. Additionally, it examined the case of Germany to extract implications for Korea. The natural environment enhances children's play, physical activity, cognitive abilities, and overall happiness. Therefore, it is generally considered a necessary space that must be provided for domestically, especially for children who experience high academic stress and low levels of happiness. However, as evidenced by Germany's "Nature Experience Area Project," creating nature-friendly spaces for children requires legal support at the national level. Additionally, such projects should be integrated with key national policies. Furthermore, beyond interdisciplinary collaboration, caregivers must have a positive perception of the natural environment.

A Study on the Physical Growth and Food Habits of Obese Children (비만아(肥滿兒)의 신체발육(身體發育)과 식습관(食習慣)에 관(關)한 연구(硏究))

  • Choi, Woon-Jeong;Kim, Kap-Young
    • Journal of Nutrition and Health
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    • v.13 no.1
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    • pp.1-7
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    • 1980
  • For the purpose of ascertaining the status of physical growth and food habit of obese children, a study was made of 1086 primary school children ranging between 2nd and 3ra grades living in Kwang-ju City in Korea. 66 subjects were selected from an anthropometrical point of view and they were classified into two groups, an obese group and a control group, according to their relative body weight. Food habits of each group were observed by means of questionnaires. In the statistical analysis of the data, percentage calculation and T-score test were used. The results of the study can be summarized as follows; 1) Viewed from relative body weight, 3.0% of the 1,086 subjects turned out to be obese, and the measure of skinfold showed 2.4%. 2) Physical growth of the obese growth is superior to that of the control group in all aspects. 3) The average score of food preference by means of Hedonic scaling method by the obese group is 3.90, while that of food preference by the control group is 3.76. The most favored food by the obese group is ice cream (4.91), while that of most favored food by the control group is banana (4.75). The statistically meaningful foods of the two groups are cucumber (0.02>p>0.01), orange (p<0.02), peach(0.05>p>0.02), watermelon (p <0.01) and ice cream (p<0.01). The score of food preference for protein foods by the obese group is 3.78 and that of food preference by the control group is 3.57(0.05>p>0.02). The excessive food intake per meal of the obese group is 45.4%, while that of the control group is 19.7% (0.05>p>0.02). Ratio of taking severely unbalanced food by the obese group is 15.1%, while that of the control group is 50.0% (p<0.01). 4) 30.3% of mothers of the obese group is fat, while 15.1% of mothers of the control group is fat (p<0.01). Concerning body weight at birth, 90.9% of the obese group and 63.6% of the control group are above-average weight. (p <0.01). From the results shown above, the obesity in children is almost due to food. It is hoped, therefore, that overeating be discouraged through the nutrition education.

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A longitudinal study of facial growth in Korean children (한국아동의 안면골 성장에 관한 누년적 연구)

  • Chung, Kyu Rhim
    • The korean journal of orthodontics
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    • v.11 no.2
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    • pp.85-100
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    • 1981
  • Serial lateral cephalometric radiographs of 40 Korean children(25 males, 15 females) ranging in age from 6 to 13 years were studied by means of computer morphometrics and statistical analysis. As a result of this study, the following conclusions can be made: 1. In both sexes, the mean growth patterns of the face were very stable and the growth directions of the face were more prominent both forward and down-ward away from the cranial base(S-N). 2. In the mandible, the rotation and the 'wave-like' manner of migration were observed. 3. The size of the lateral faces in males was larger than females at 6 and 13 years of age, and the forms of the lateral faces in males were slightly more squares than females at 13 years of age. 4. The sex differences and practical means in the growth increments and growth rates during 7 years of the growth period were as follows: (1) In the total face, there was a significant sex difference in the growth increments(males $26.21cm^2$, females $23.24cm^2$) and growth rates(males $42.02\%$, females $39.28\%$). (2) In the facial surface 1, there was a significant sex difference in the growth increments(males $21.30cm^2$, females $19.19cm^2$) but there was no significant sex difference in the growth rates(males $41.35\%$, females $39.10\%$). (3) In the anterior total facial height(N-Ne), there was no significant sex difference in the growth increments(males 18.23mm, females 17.45mm) and the growth rates(males $18.44\%$, females $18.19\%$). (4) In the posterior total facial height(S-Go), there was a significant sex difference in the growth increments(males 14.61mm, females 12.98mm) but there was no significant sex difference in the growth rates(males $23.78\%$, females $22.25\%$). 5. The percentages of anterior upper facial height to anterior total facial height in both sexes were very stable in spite of the age increase. 6. The percentage of total facial height to standing height was reduced by the age increase, and the reduced rate of anterior total facial height(males $13.26\%$, females $13.75\%$) was larger than the posterior total facial height(males $9.95\%$, females $11.70\%$). 7. The correlations of lateral facial surfaces to the standing height and the weight were higher in males than females, but the level of correlation in males was in the moderate range.

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A STUDY ON CRANIOFACIAL GROWTH ANALYSIS OF KOREAN CHILDREN BY THE FINITE ELEMENT METHOD (한국아동의 악안면성장에 관한 유한요소법적 연구)

  • Tahk, Seon-Gun
    • The korean journal of orthodontics
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    • v.18 no.2
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    • pp.343-366
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    • 1988
  • Craniofacial complex is influenced by numerical skeletal elements. Though the analysis of growth change has been done by various analytical methods, it was dependent on any method of registration and superimposition, based on reference plane and reference point. However, the craniofacial growth is composed of a number of local growth elements. Therefore, it will be necessary to use a clinically useful method for estimating craniofacial skeletal growth independently. The author analysed longitudinal cephalometric roentgenogram of 15 Korean males and 15 Korean females aged from 6 to 12 years by the finite element method and results were as follows : 1. The finite element method for craniofacial skeletal complex and soft tissue made it possible to analyze the independent local growth. 2. Regression equations from the value of each strain will make it possible to predict the craniofacial growth. 3. The growth of anterior cranial base was different from that of other facial bone. 4. The growth of posterior cranial base influenced the growth of upper pharyngeal region, midfacial region, maxilla and posterior region of mandible. 5. The growth of maxillary complex was vertical rather than horizontal. 6. The growth direction of ramus, mandibular body, alveolar bone was various. 7. The relation between hard tissue and soft tissue by finite element method was variant.

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The Effect of Self-Growth Program on the Self-Concept and Peer-Relationship of Elementary School Student (자기성장 프로그램이 초등학생의 자아개념과 또래관계에 미치는 효과)

  • Gim, Tae-Hui
    • The Korean Journal of Elementary Counseling
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    • v.4 no.1
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    • pp.215-236
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    • 2005
  • The Purpose of this study is that self-growth program searches effect self-concept and peer-relationship with elementary school student, and advance following assumption to achieve this purpose and achieved study. First, self-concept point of experiment group students who execute self-growth program will be improved is meaning than self-concept point of control group students. Second, peer-relationship point of experiment group students who execute self-growth program will be improved is meaning than peer-relationship point of control group students. Third, effect that self-growth program gets to self-concept may be meaning difference according to sex. Fourth, difference that impact that self-growth program gets in peer- relationship is meaning according to sex may join. Chose fifth-year student 2 class 68 people (experiment group n=34, control group n=34) in I primary school locating to Jeonrabuk-do Iksan-si to verify above construction for study target. Disposal about experiment group executed over 10th for 60-80 minute 2 times in a week because investigator uses reconstructing self-growth program with virtue research paper such as learning program for own growth of Lee-Hyeong-Deuk (1998). In order to verify the effect after experiment, 1 collected materials for estimation by providing the subject children with questionaires about self-concept and peer-relationship before and after the experiment, and then analyzed the average differences in number of marks between the experiment group and the control group before and after the experiment through and by using One-Way ANOVA, and SPSS 11.0 program. The following is the result what I obtained from the above study. First, there was significant difference is between average difference before and after of experiment group and control group which execute self-growth program in self-concept elevation ($F_{(1,66)} =28.734$, p <.001). From the sub-variable, there was significant difference in academic self ($F_{(1,66)}=6.423$, p<.05), Social Self ($F_{(1,66)}=48.331$, p<.001), Physical Self ($F_{(1,66)}=11.074$, p <.01), sentimental self ($F_{(1,66)}=9.402$, p <.01) Second, there was significant difference is average difference before and after of experiment group and control group which execute self-growth program in peer-relationship promotion ($F_{(1,66)}=24.109$, p <.001). From the sub-variable there W3S Significant difference in trust ($F_{(1,66)}=14.507$, p<.001), respect ($F_{(1,66)}=15.271$, p <.001). Third, there was expose that significant difference does not exist in average self-concept before and after by sex of experiment group which executes self-growth program, and was not shown significant difference in sub-vairable. Fourth, there was expose that significant difference of whole peer- relationship and in respect of sub-variable in average peer-relationship before-after by sex of experiment group which execute self-growth program, but significant difference did not appear in trust. Could get conclusion that self-growth program is effect in elementary school student self-concept elevation and peer-relationship promotion according to these study finding, and confirmed possibility that self-growth program may contribute to change emotional special quality of children positively in education spot.

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