• Title/Summary/Keyword: infants/toddlers

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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.

A Study on the Pattern Sizes among Toddlers' Brands (유아복(乳兒服)브랜드의 내의(內衣) 패턴 사이즈 조사(調査) 연구(硏究))

  • Kim, Jin;Sohn, Hee-Soon
    • Journal of Fashion Business
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    • v.7 no.5
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    • pp.101-107
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    • 2003
  • In order to compare the sizes of infants;brands, the apparel size #70 and #80, #90 were surveyed, while upper body lengths, bust circumferences and waists, hip circumferences, shoulder length, sleeve length, neck circumferences of infants' underwears were examined. As a result, it was found that upper body lengths, chest circumferences and lower body lengths of infants' underwears differed more or by $2.0{\sim}3.0cm$ among brands than other sizes. In case of underwear size #70, the average upper body length was 32.8cm; the upper body size of "c" brand was longest or 33.5cm, while that of "e" brand was shortest or 32.0cm. In case of size #80, the average upper body length was 36.0cm; the upper body size of "a" brand was longest or 37.0cm, while that of "e" brand was shortest of 35.0cm. Such findings may be attributable to the fact that the main customers of "a" and "b" brands whose pattern sizes are larger are middle or lower class people who tend to buy larger infants' apparels than their children's actual body sizes. In contrast, "e" brand seems to target the upper class who prefers the apparels almost fitting their children's actual body sizes.

Dietary intake of n-3 and n-6 polyunsaturated fatty acids in Korean toddlers 12-24 months of age with comparison to the dietary recommendations

  • Kim, Youjin;Kim, Hyesook;Kwon, Oran
    • Nutrition Research and Practice
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    • v.13 no.4
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    • pp.344-351
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    • 2019
  • BACKGROUND/OBJECTIVES: Adequate dietary fatty acid intake is important for toddlers between 12-24 months of age, as this is a period of dietary transition in conjunction with rapid growth and development; however, actual fatty acid intake during this period seldom has been explored. This study was conducted to assess the intake status of n-3 and n-6 polyunsaturated fatty acids by toddlers during the 12-24-month period using 2010-2015 Korea National Health and Nutrition Examination Survey data. SUBJECTS/METHODS: Twenty-four-hour dietary recall data of 12-24-month-old toddlers (n = 544) was used to estimate the intakes of ${\alpha}$-linolenic acid (ALA; 18:3n-3), eicosapentaenoic acid (EPA; 20:5n-3), docosahexaenoic acid (DHA; 22:6n-3), linoleic acid (LA; 18:2n-6), and arachidonic acid (AA; 20:4n-6), as well as the major dietary sources of each. The results were compared with the expected intake for exclusively breastfed infants in the first 6 months of life and available dietary recommendations. RESULTS: Mean daily intakes of ALA, EPA, DHA, LA, and AA were 529.9, 22.4, 37.0, 3907.6, and 20.0 mg/day, respectively. Dietary intakes of these fatty acids fell below the expected intake for 0-5-month-old exclusively breastfed infants. In particular, DHA and AA intakes were 4 to 5 times lower. The dietary assessment indicated that the mean intake of essential fatty acids ALA and LA was below the European and the FAO/WHO dietary recommendations, particularly for DHA, which was approximately 30% and 14-16% lower, respectively. The key sources of the essential fatty acids, DHA, and AA were soy (28.2%), fish (97.3%), and animals (53.7%), respectively. CONCLUSIONS: Considering the prevailing view of DHA and AA requirements on early brain development, there remains considerable room for improvement in their intakes in the diets of Korean toddlers. Further studies are warranted to explore how increasing dietary intakes of DHA and AA could benefit brain development during infancy and early childhood.

A Study on Correlation of Sensory Processing ability With Feeding of Preterm Infants and Toddlers (조산으로 출생한 영유아의 감각처리능력과 섭식의 상관관계)

  • Kim, Mi-Su;Kim, Kyeong-Mi;Chang, Moon-Young;Hong, Eunkyoung
    • The Journal of Korean Academy of Sensory Integration
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    • v.17 no.2
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    • pp.31-40
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    • 2019
  • Purpose : The purpose of this study was to compare the difference between preterm infants and toddlers (PT) and full-term infant and toddler (FT) of sensory processing ability, feeding as well as investigate the correlation of sensory processing ability with feeding of preterm infants and toddlers. Methods : The subjects of a study were 107 including 51 PT and 56 FT. Infant/Toddler Sensory Profile 2 (ITSP 2) was used to assess sensory processing ability. The Behavioral Pediatrics Feeding Assessment (BPFAS) was used to assess feeding behavior. The collected data were analyzed by using SPSS 21.0. Independent sample t-test was used in order to compare the difference between PT group and FT group. Pearson correlation analysis was used in order to investigate the correlation of sensory processing ability with feeding of preterm infants and toddlers. Results : There was a significant difference in sensory sensitivity and oral sensory processing between with PT group and FT group (p<0.05). There was a significant difference in feeding behavior between with PT group and FT group (p<.05). In PT group, there are positive correlations of sensory avoidance (r=.443) and sensory sensitivity (r=.374) with feeding frequency. General behavior (r=.390) and oral sensory processing (r=.513) showed a positive correlation with feeding frequency. In addition, oral sensory processing (r=.529) showed a positive correlation with feeding problem. Conclusion : It is proved that the interrelationship of sensory processing ability with feeding and of preterm infants and toddlers. And it is meaningful to recognize significance of sensory processing characteristics to comprehend feeding and of preterm infants and toddlers.

Safety Evaluation of Snacks and Drinks in Circulation for Infants and Toddlers (유통 영유아용 과자류 및 음료류의 안전성 평가)

  • Jaerin Lee;Hyemin Park;Keunyoung Ryu;Keunyoung Ryu;Suyeon Choi;Eunhye Cho;Baesik Cho;Jinhee Kim
    • Journal of Food Hygiene and Safety
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    • v.38 no.3
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    • pp.99-111
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    • 2023
  • The purpose of this study was to provide basic data for setting more detailed standards for baby food and to provide food information that can be used in real-world settings. We purchased 80 snacks and 40 drinks for infants and toddlers from supermarkets and online markets and analyzed tar color, artificial sweeteners, mycotoxins, and nutritional components (e.g., sucrose, sodium, and calcium). Fortunately, it was confirmed that both tar color and sodium saccharin, which do not have detection criteria for labeled foods for infants and toddlers, were not detected. However, acesulfame potassium was detected at 0.07 g/kg in one snack sample. As for myxotoxins, aflatoxin (B1, B2, G1, and G2) and ochratoxin A were not detected. Fumonisin B1, fumonisin B2, and zearalenone were detected in the ranges of 9.78-78.94 ㎍/kg, 5.58-11.73 ㎍/kg, and 2.96-8.83 ㎍/kg, respectively, but only in snacks. Sucrose was detected in 65 of the snacks (0.02-40.94 g/net weight [g]) and in 24 of the drinks (0.12-27.60 g/net weight [g]). Minerals were detected in most of the samples, and in four snacks, the zinc content per net exceeded the tolerable upper intake level for infants. Sixteen snacks exceeded the food standards for sodium content for infants and toddlers, but none of them were labeled as food for infants and toddlers in the product manufacturing report, such that the corresponding standards could not be applied. Therefore, it seems necessary to establish institutional improvements, such as strengthening labeling standards, so that the currently enforced standards can be appropriately applied, and establishing standards for labeled foods for infants and toddlers.

Infants and Toddlers' Logico-mathematical Thinking Processes in a Block Building Activity (블록 쌓기 활동에서 나타난 만 0, 1, 2세반 영유아의 논리·수학적 사고)

  • Shin, Eun Soo;Kim, Hyun Jin;Lee, Sun Myoung
    • Korean Journal of Child Studies
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    • v.36 no.2
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    • pp.75-94
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    • 2015
  • The main purpose of this study was to examine the various aspects of logico-mathematical thinking and its development by observing a block building activity undertaken by infants and toddlers. The subjects comprised 73 young children from between the ages of 12- to 41-months-old. The interviewee was individually asked to build "something tall", making use of 20 blocks. The results of this study were, first, a regular increase by age is seen in congruence, the vertical use of flat blocks, and innovative ways of using triangular blocks. Second, many types of logico-mathematical thinking processes, such as classification, seriation, spatial relationship and temporal relationship, were shown during the block building activities on the part of the 12- to 41-months-olds who took part in this study.

Blindness to and evaluation of the condition of the nu turing environment at infant/toddler child care centers by principals, teachers and mothers (원장, 교사, 어머니의 어린이집 영아반 보육환경에 대한 불인지 비율과 평가)

  • 현온강;윤정혜;오선주;이완정
    • The Korean Journal of Community Living Science
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    • v.12 no.2
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    • pp.15-32
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    • 2001
  • This research was performed to examine the ratio of blindness to the child care environment and compare the evaluation of it among principals, teachers and mothers. Data were collected from questionnaires completed by respondents of this research were 37 principals, 37 teachers and 261 mothers of infants and toddlers at child care centers in Incheon, Korea. Cross tabulation, one-way ANOVA and Duncan's Multiple Range Test were utilized to analyze the data. In almost all of the items about the child care environment, mothers showed higher degrees of blindness than principals and teachers. In most of the items, mothers'evaluations were higher than those of principals and teachers. As a result, the researchers recognize a pressing need far programs far parents to improve the quality of child care.

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Clinical Application of Neurodevelopmental Assessment for Infants and Toddlers (영유아 신경발달평가의 임상 적용)

  • Im, Sang Hee;Han, Eun Young;Song, Jungeun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.23 no.4
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    • pp.175-180
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    • 2012
  • Early detection and intervention is critical in improving prognosis of developmental disorders. Developmental delay can have many different causes and the clinical features of developmental delay are diverse according to its etiologic causes and severity. The vast and rapid growth of the child's neurobehavioral repertoire from birth through adolescence requires the physician's abundant experience, knowledge, and understanding of development. Here, we summarize instruments for use in neurodevelopmental assessment of infants and toddlers, focusing on motor development, which is the most frequent complaint listed in the developmental clinic.

Features of Children's Playground Space in Kindergarten According to Children's Behavior -Focused on Kindergarten of Cheongju, Chungbuk- (아동행태 특성에 따른 유치원 내 어린이 놀이터 공간 특성 -충청북도 청주지역 내 유치원을 중심으로-)

  • Jung, Eu-Gene;Jung, Jin-Ju
    • Journal of the Korean Institute of Rural Architecture
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    • v.15 no.4
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    • pp.9-16
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    • 2013
  • The purpose of this study is presented playground space for early childhood facilities. Describes whether any development of children, and how to respond in accordance with each of the activities. The infants and toddlers life cycle is a continuation of play. Toddlers to play is the essence of life itself, through play, the world embracing and digestive, raising ideas and emotions expressed through play. It is time that paves the growth of infants age children. And equipped with personality, values, emotions, attitudes, play a very important role in this process. Play it delivers, it can not learning education. Sympathetic and experience through play, and be equipped to allow the personality, social, physical. So, we have an obligation required to provide adequate facilities and play so that children can grow properly. In this paper, from the limited play space and is listed on the importance alive to give the children a sense of space to get the sympathetic. And, analysis shown about affect for children each play, and space. In this paper, we performed a study is Performed a case studies of and domestic kindergarten and foreign kindergarten where the differences between the various lists and how to derive a plan for solving the problem by comparison and analysis were performed.