• Title/Summary/Keyword: guardians

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Unilateral cleft lip: evaluation and comparison of treatment outcome with two surgical techniques based on qualitative (subject/guardian and professional) assessment

  • Adetayo, Adekunle Moses;Adetayo, Modupe Olushola;Adeyemo, Wasiu Lanre;James, Olutayo O.;Adeyemi, Michael O.
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.45 no.3
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    • pp.141-151
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    • 2019
  • Objectives: The outcomes of the treatment of unilateral cleft lip can vary considerably due to variations in repair techniques. The aim of this study was to evaluate and compare treatment outcomes of surgical repair of unilateral cleft lip using either the Tennison-Randall or Millard technique based on (qualitative) parent/subject and professional assessments. Materials and Methods: This was a prospective, randomized, controlled study conducted at Lagos University Teaching Hospital between January 2013 and July 2014. A total of 56 subjects with unilateral cleft lip presenting for primary surgery who satisfied the inclusion criteria were recruited for the study. Subjects were randomly allocated to surgical groups A or B through balloting. Group A underwent cleft repair with the Tennison-Randall technique, while group B underwent cleft repair with the Millard rotation advancement technique. Surgical outcome was assessed using qualitative evaluation by the guardian/subject and independent assessors based on a modified form of the criteria described by Christofides and colleagues. Results: Of the 56 subjects enrolled in this study, 32 were male, with a male to female ratio of 1.3:1. Fifteen of the guardians/subjects in the Tennison-Randall group were most bothered about the lower part of the residual lip scar, while 12 guardians/subjects in the in the Millard group were most bothered about the upper part of the scar. More noses were judged to be flattened in the Millard group than in the Tennison-Randall group. Assessors observed a striking disparity in scar transgression of the philtral ridges between the two groups. Conclusion: Essentially, there were no major difference in the overall results between Millard rotation-advancement and Tennison-Randall repairs. Both Millard and Tennison-Randall's techniques require significant improvements to improve the appearance of the scar on the upper part and lower part of the lip, respectively.

Effect of Gait Exercise Program on the Self-Efficacy and Parenting Attitude of Adolescent Spastic Cerebral Palsy - Case Study (보행운동프로그램이 청소년 경직형뇌성마비아동의 자아효능감 및 부모의 양육태도에 미치는 영향 - 사례연구)

  • Lee, Yeonseop;Seo, Dongkwon;Kim, Kyunghun;Lee, Yangjin
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.4
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    • pp.183-190
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    • 2020
  • Purpose : The purpose of this study was to investigate the effect of increased gait function enhancement exercise in three adolescent convulsive cerebral palsy sinuses on children's large movement function, balance and gait function, self-efficacy, and guardian attitude. Methods : The purpose of this study was to conduct a program to strengthen trunk muscles and strengthen walking ability 5 times a week for 8 weeks in 3 children with convulsive cerebral palsy in adolescence. The main reinforcement of the program was 20 minutes of muscle strength and 20 minutes of walking on a treadmill five times a week. Exercises were focused on the reinforcement of the flexor muscles of the proprioceptive neuromuscular promotion (PNF) and the extension of the legs in the bridge posture exercise and squat movements. Results : The results of GMFM-88 to determine the effects of this functional enhancement program on the body of children with convulsive cerebral palsy, and PBS & TUG to determine the effects of balance and gait ability were improved. In addition, parenting attitudes of guardians, self-efficacy of children, and self-efficacy of parents increased positively due to mental consequences. Conclusion : The results of GMFM-88 to determine the effects of this functional enhancement program on the body of children with convulsive cerebral palsy, and PBS & TUG to determine the effects of balance and gait ability were improved. In addition, parenting attitudes of guardians, self-efficacy of children, and self-efficacy of parents increased positively due to mental consequences.

Design and implementation of an integrated management system for infants in a mobile service environment

  • Song, Mi-Young
    • Journal of the Korea Society of Computer and Information
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    • v.27 no.4
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    • pp.223-229
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    • 2022
  • The emergence of smartphones is creating a faster and easier digital communication society along with the existing Internet. Among the various methods of communication, the smart notification is most often used in early childhood education institutions for information exchange between parents, teachers and directors. And the notification helps parents understand the development status and curriculum of infants more easily. Therefore, this paper developed an integrated infant management system based on a web-based platform and a mobile app platform for exchanging various information on infants management between directors, teachers and parents. Through the established system, the director, teachers, and parents can check the information they need at any time, and it is possible to provide a mobile service environment where multiple guardians can safely take care of one infant. In addition, multiple guardians can provide appropriate feedback information through the collection and analysis of various data by using the infant and toddler integrated management system. In the future, if the functions provided based on the smartphone app are configured according to the user, it is expected that it will be able to expand from daycare centers to educational institutions.

Short-term safety profile of COVID-19 vaccination in children and adolescents with underlying medical conditions: a prospective cohort study

  • Naye Choi;Seung-Ah Choe;Yo Han Ahn;Young June Choe;Ju-Young Shin;Nam-Kyong Choi;Seong Heon Kim;Hee Gyung Kang
    • Childhood Kidney Diseases
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    • v.27 no.1
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    • pp.34-39
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    • 2023
  • Purpose: This article was to collect data on the safety of coronavirus disease 2019 (COVID-19) vaccines in children with underlying medical conditions. Methods: We constructed a prospective cohort of children and adolescents aged 5 to 19 years who had received at least one dose of COVID-19 vaccine. Patients diagnosed with and treated for chronic kidney disease, autoimmune disease, or other chronic conditions at the Seoul National University Children's Hospital were recruited from June to December 2022. A mobile survey questionnaire was sent to their guardians. The presence of adverse events on the day (day 0), 3 weeks (day 21), and 6 months (day 180) after the 1st dose of COVID-19 vaccine was recorded by the guardians. Results: A total of 73 children participated. The median age was 14 years, and 64.4% of the patients were male. On the day of immunization, 65.8% of the patients reported at least one adverse event. Pain at the injection site, fatigue, headache, arthralgia, and myalgia were the most common symptoms. The prevalence of adverse events decreased over time (65.8% on day 0, 27.4% between days 0 and 21, and 24.6% between days 21 and 180). Severe acute respiratory syndrome coronavirus 2 infection after the 1st dose occurred in 17 patients (23.3%) and one of the patients (5.88%) was hospitalized due to infection. Conclusions: Adverse events after COVID-19 vaccination were generally mild in children and adolescents with underlying medical conditions. Our findings provide evidence for the safety of COVID-19 vaccination in the vulnerable pediatric population.

A Questionnaire on Using Informed Consents of Parents or Guardians in Vaccination of Children (소아 예방접종시 예진표(동의서) 사용에 관한 보호자 설문조사)

  • Paik, Seung-Hi;Chung, Eun Hee;Uhm, Mie Ryung;Shin, Son Moon;Lee, Woo Gill;Lee, Mi Na;Lee, Hoan Jong
    • Clinical and Experimental Pediatrics
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    • v.46 no.7
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    • pp.647-654
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    • 2003
  • Purpose : This study was done to evaluate the parents' or guardians' compliance of obtaining individual informed consent before vaccination and the possible problems of using informed consent. Methods : One hundred and twelve children were randomly selected among 2,820 children who visited Samsung Cheil Hospital during July 2002. A questionnaire about using informed consent of vaccination was given to all parents or guardians of these children. Results : Most of the responders were mothers(80.4%). As for the places of vaccination, 87(77.7%) persons vaccinated their children at general hospitals. In response to a request for informed consent of vaccination, 73(65.2%) complied well with requests every time. In subscribing to informed consent, 62(55.4%) were pleased, 40(35.7%) stated it was necessary despite in inconveniance. Because of dislike of subscribing to informed consent(55), 33(60%) persons stated that it was difficult to subscribe to informed consent during the inconveniant time of nursing baby. Eighty(71.4%) found it useful to read informed consent for an understanding of potential negative reactions. Being informed of potential negative reactions, 105(93.8%) stated that they would vaccinate their children despite of the potential of a worrisome negative reaction. In dealing with negative reaction, 77(68.8%) said that they would contact a hospital, 32(28.6%) said that they would care for their children at home. Eleven(9.8 %) experienced negative reactions after vaccination. Conclusion : Compliance of parents to informed consent was relatively good. Parents or guardians should receive relevant information and the aim of informed consent also should be adequately understood.

Study on the correlation between nutrition knowledge, dietary attitudes of guardians, and nutritional status of infants and toddlers - Nutrition-Plus program in Jeonju (보호자의 영양지식 및 식생활태도와 영유아의 영양상태와의 관계연구 - 전주지역 영양플러스 참여자를 중심으로)

  • Song, Eun Young;Rho, Jeong Ok
    • Journal of Nutrition and Health
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    • v.51 no.3
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    • pp.242-253
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    • 2018
  • Purpose: The purpose of the study was to identify the nutrition knowledge, dietary attitudes of guardians, and nutritional status of infants and toddlers as well as the relationships between these variables. Methods: The participants were selected among applicants for low-income family financing provided by the government and included 115 infants and toddlers as well as their guardians. Demographic data, nutrition knowledge, dietary attitudes, and nutrition intakes were assessed using a self-administered questionnaire, biochemical examination, and 24 Hour-Recall method. Results: The score for guardians' nutrition knowledge was 12.97 points of a possible 15, and the score for dietary attitudes was 53.38 points of a possible 75. The nutrition knowledge and dietary attitudes showed significant differences by education level (p < 0.05) and family structure (p < 0.05). Energy intakes of subjects aged 6 ~ 24 months and over 25 months were lower than the DRI for Koreans. The intakes of carbohydrates, protein, and fat of subjects aged 6 ~ 24 months and over 25 months showed no significant differences by level of nutrition knowledge or dietary attitudes. The intake of Ca of subjects aged over 12 months showed significant differences by level of nutrition knowledge (p < 0.05). The intakes of Thiamin of subjects aged 6 ~ 11 months and P of subjects aged over 12 months showed significant differences by level of dietary attitudes (p < 0.05). There was a small positive correlation between education level and nutrition knowledge as well as between dietary attitudes. Nutrition knowledge showed a positive correlation with dietary attitudes. There was a positive correlation between nutrition knowledge and Ca, Riboflavin, as well as Vit C levels. Conclusion: Therefore, it is necessary to consider an educational program for increasing the practical application of knowledge to nutrition management for improvement of nutrition intake in infants and toddlers.

Radio Frequency Based Emergency Exit Node Technology

  • Choi, Youngwoo;Kim, Dong Kyoo;Kang, Do Wook;Choi, Wan Sik
    • Journal of Positioning, Navigation, and Timing
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    • v.2 no.1
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    • pp.91-100
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    • 2013
  • This paper introduces an indoor sensor fusion wireless communication device which provides the Location Based Service (LBS) using fire prevention facility. The proposed system can provide information in real time by optimizing the hardware of Wi-Fi technology. The proposed system can be applied to a fire prevention facility (i.e., emergency exit) and provide information such as escape way, emergency exit location, and accident alarm to smart phone users, dedicated terminal holders, or other related organizations including guardians, which makes them respond instantly with lifesaving, emergency mobilization, etc. Also, the proposed system can be used as a composite fire detection sensor node with additional fire and motion detect sensors.

A Study on the Service Policies for Dyslexia-Friendly Libraries (DFL(Dyslexia Friendly Library)을 위한 서비스 정책에 관한 연구)

  • Kim, Seon-Ho
    • Journal of the Korean Society for Library and Information Science
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    • v.46 no.1
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    • pp.201-221
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    • 2012
  • The study identified the various service factors for dyslexia-friendly library in promoting accessibilities and eliminating barriers. The results from the in-depth interviews and social survey for dyslexia students and their guardians suggested some of the new library policies. These are: 1) more intensive need for PR and ads programs; 2) the revision of the existing library regulations and the assignment of dyslexia librarians; and 3) the expansion and customization of library stocks and dyslexic private rooms.

A Study on an Architectural Plan of Social Welfare Hall in Seoul through the Consideration of Competition (현상설계를 통해 고찰한 서울시 사회복지관 건축계획에 관한 연구)

  • Jung Rye-Hwa
    • Korean Institute of Interior Design Journal
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    • v.14 no.5 s.52
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    • pp.177-184
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    • 2005
  • It is expected that the need of a social welfare hall gradually arise in our community, since we regard the meaning of social welfare as a right which all of the people should have as guardians of the weakest members. Today, ambiguous guidelines on architectural plan of the social welfare hall, which are still not suitable for function and role of this hall, and are not corresponded with architectural design from the early design phase, are proposed in our design competition, because these kinds of halls have not been often built according to functional requirements of the social welfare. Therefore, this study proposes an architectural strategy that should be considered before designing a new social welfare hall, through an analysis of spatial usage in operation programs of various newly-built halls in Korea.

A Question on Theoretical Justification of Cataloging Outsourcing (편목업무 아웃소싱의 이론적 근거에 대한 의문)

  • Rho Jee-Hyun
    • Journal of Korean Library and Information Science Society
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    • v.37 no.2
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    • pp.231-253
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    • 2006
  • This study intends to make a comprehensive inquiry about the theoretical foundations of cataloging outsourcing. To the end, this study examined (1) backgrounds of cataloging outsourcing, 2) the pros and cons of cataloging outsourcing, (3) theoretical justification suggested by guardians of cataloging outsourcing, and (4) methodological limitations found in literatures on the subject. On the basis of it, finally suggested are methodologies for evaluating 'effectiveness' of cataloging outsourcing.

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