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Systemic Classification for a New Diagnostic Approach to Acute Abdominal Pain in Children

  • Kim, Ji Hoi;Kang, Hyun Sik;Han, Kyung Hee;Kim, Seung Hyo;Shin, Kyung-Sue;Lee, Mu Suk;Jeong, In Ho;Kim, Young Sil;Kang, Ki-Soo
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.17 no.4
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    • pp.223-231
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    • 2014
  • Purpose: With previous methods based on only age and location, there are many difficulties in identifying the etiology of acute abdominal pain in children. We sought to develop a new systematic classification of acute abdominal pain and to give some helps to physicians encountering difficulties in diagnoses. Methods: From March 2005 to May 2010, clinical data were collected retrospectively from 442 children hospitalized due to acute abdominal pain with no apparent underlying disease. According to the final diagnoses, diseases that caused acute abdominal pain were classified into nine groups. Results: The nine groups were group I "catastrophic surgical abdomen" (7 patients, 1.6%), group II "acute appendicitis and mesenteric lymphadenitis" (56 patients, 12.7%), group III "intestinal obstruction" (57 patients, 12.9%), group IV "viral and bacterial acute gastroenteritis" (90 patients, 20.4%), group V "peptic ulcer and gastroduodenitis" (66 patients, 14.9%), group VI "hepatobiliary and pancreatic disease" (14 patients, 3.2%), group VII "febrile viral illness and extraintestinal infection" (69 patients, 15.6%), group VIII "functional gastrointestinal disorder (acute manifestation)" (20 patients, 4.5%), and group IX "unclassified acute abdominal pain" (63 patients, 14.3%). Four patients were enrolled in two disease groups each. Conclusion: Patients were distributed unevenly across the nine groups of acute abdominal pain. In particular, the "unclassified abdominal pain" only group was not uncommon. Considering a systemic classification for acute abdominal pain may be helpful in the diagnostic approach in children.

The Comparative Results of Primary School Oral Health Program in Suncheon City (순천시 초등학교구강보건사업 수혜아동의 구강상태 조사연구)

  • Park, Hou-Jeong;Choi, Moon-Sil;Kim, Seung-Hee
    • Journal of Integrative Natural Science
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    • v.4 no.2
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    • pp.143-148
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    • 2011
  • This study was to promote the business of school dental health program in community area and to present the improvement of oral health between public health center's group of SungDong elementary school, one that started on March 1999, and the control group that is going to operate school oral health center from 2009 in primary school. It was based on the data of more than 10 years running school based oral health section. We compared the data of SungDong group with the one of control group to get a survey of dental caries experience. The preventive effect of the caries was estimated by the difference of DMFT indices between the sample group and control group. The experience rate of caries of the sample was 12.6 percentage lower than the control group and index of the experience rate of caries for the SungDong group was two times less. It showed that the sealing rate of the SungDong group composed of pit and fissure sealant was 67.7 percentage high. The prevention rate which was calculated by DMFT index was 46.34 percentage in the SungDong group that was the highest score for the fifth grade student as a 60.5 percentage. This program contributes to the improvement of the dental caries reduction in this school oral health promotion program.

Factors Influencing on the Adolescence`s Clothing Conformity -Focused on Female Middle and High School Students in Seoul- (청소년의 TV 미디어스타에 대한 의복 동조성에 영향을 미치는 요인 -서울시내 여자 중.고등학생을 중심으로-)

  • 홍혜은;나수임
    • The Research Journal of the Costume Culture
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    • v.7 no.6
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    • pp.28-40
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    • 1999
  • The purpose of this study was to understand the Korean teenagers\` clothing behavior through pointing out the factors that clothing behavior of teenagers that was initiated from the important reference group, TV stars. The subject of this study were 570 purposively selected students at female middle and high school students in Seoul. The results were as follows : 1. The clothing conformity to TV stars relating to demographic variables was influenced significantly by location and personal expense variable in the high school group. 2. The exhibition showed a more important role to the clothing conformity in middle school group than in high school group. 3. The clothing conformity to TV stars relating to the clothing related variables was significantly affected by self-confidence to clothing than clothing normative recognition, clothing risk recognition and degree of clothing importance regardless of groups. 4. The clothing conformity to TV stars relating to TV media variables was affected by TV media star identification variable in both groups. And in case of middle school group, interests in TV stars also had influence on the clothing conformity to TV stars. And in case of high school group, interests in TV had effect on the imitation to TV stars\` clothing. As middle school students tend to have self-identification about a particular person, TV media stars become the reference group for the adolescence to follow their clothing.

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Effect of school eye health education program on eye health knowledge and practice in middle school students

  • Park, HeeGyeong;Ahn, Sukhee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.28 no.2
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    • pp.117-126
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    • 2022
  • Purpose: This study aimed to examine the effects of an eye health education program on the level of knowledge and eye health practice of middle school students. Methods: This quasi-experimental study was conducted using a pretest-posttest nonequivalent control group non-synchronized design. The study participants were from one middle school first graders in a province of Korea. The experimental group was composed of three classes (76 students), and the control group was composed of three other classes (77 students). Pretests were conducted in June for the experimental group and in August for the control group. The experimental group received an eye health education program developed for this study consisting of four sessions in total, given once a week for 45 minutes per session. The control group was instructed by the school's health teacher in the eye health education included in the existing health education curriculum. Posttests were conducted three weeks after the training in the control group and immediately after the fourth eye health education session in the experimental group. Results: After being instructed in the eye health education program, the eye health-related knowledge (t=9.45, p<.001) and eye health practice (t=2.18, p=.031) of the experimental group participating in the education program were higher than those of the control group. Conclusion: The eye health education program was effective in improving middle school student's level of eye health-related knowledge and eye health practice. School health teachers could implement this program as a part of the standard eye health education for middle school students. The long-term effects of practicing eye health behavior needs to be confirmed in a future study.

Use of School Tuck-shop and Desire for Healthy Tuck-shop among High School Students in Daejeon Metropolitan City According to Snack Frequency (학교 간식 빈도에 따른 대전지역 고등학생의 학교매점 이용 실태와 건강매점에 대한 요구)

  • Kim, Yeon-Jeong;Suh, Yoonsuk;Chung, Young-Jin
    • Korean Journal of Human Ecology
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    • v.22 no.5
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    • pp.507-518
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    • 2013
  • This study aims to investigate the usage of school tuck-shops by students and the desire for healthy tuck-shop according to the frequency of snack. From April 4 to April 13, 2012, a survey was conducted on 348 2nd grade high school students from six high schools in Daejeon Metropolitan City. The snack frequency in school tuck-shops was divided into 3 groups: 2 times a week or less(lower snack group), 3~4 times a week(middle snack group), 5 times a week and above(upper snack group). Out of total subjects, lower snack group was 41.4%, middle snack group 21.8% and upper snack group 36.8%. The upper snack group showed more in male students and more in the students with monthly pocket money more than 50,000 won and more expense per snack. The main reason for taking snacks was hunger at approximate 70% of total subjects, however, no difference was found in reasons by frequency of snack. About 90% of total subjects wanted healthy tuck-shop in school, but upper snack group showed less percentage and less care for healthy snacks. This result suggests that under the circumstance that most of high school students take snacks for relieving themselves from hunger at schools, it is desired to run healthy school tuck-shops in Daejeon Metropolitan, dealing with healthy snacks of balanced nutrition at resonable prices and to implement nutrition education programs especially for high frequent snack takers.

The Effects of a Sex Education Program on Sex-related Knowledge and Attitude of 5th-Grade Elementary School Students (성교육 프로그램이 초등학교 5학년 학생의 성 관련 지식 및 태도에 미치는 효과)

  • Lee, Kwan-Sun;Lee, Chung-Sook
    • Journal of the Korean Society of School Health
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    • v.17 no.1
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    • pp.25-39
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    • 2004
  • The purpose of this study is to examine the effect of the sex education program on the elementary school students' sex-related knowledge and attitude. The research method used in this study is an equivalent control group pre-test and post-test and post-test design in a quasi-experimental research format. The subjects of this study were the 5th-grade elementary school students(63 in the experimental group and 60 in the control group) in O and O elementary school in G city. The data was collected from April 4th to July 3th, 2003. The experimental group received a sex education program while the control group did not receive any treatment. The sex education program was implemented for 40 minutes every 2-3 days which total twelve sessions over 4 weeks. Using the SPSS 10.0 program, the data was analyzed by $X^2$ - test, Fisher exact test, t-test, and a repeated measures ANOVA., Rrsults : The experimental group who received the sex education program showed a significantly higher sex-related knowledge score than the control group (F=140.52, p=.001). The experimental group showed a significantly higher sex relatied attitudes score than the control group (F=40.80, p=.001). This study concluded that the sex education program was effective in both sex-related knowledge and attitudes for elementary school students. Therefore, it appears to be effective for 5th-grade students to receive intensive sex education. It es recommended that the schools and government develop education media and a sex education program for parents, have a sex education teacher and a place where students can be counseled, and a professional consultant who can effectively counsel the students regarding sex-related issues.

Effects of School Safety Education on Safety Behavior among Elementary School Students (초등학교 아동의 안전교육이 안전생활 실천에 미치는 효과)

  • Lee, Jae-Nam;Jung, Myung-Ae;Park, Jee-Won
    • Child Health Nursing Research
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    • v.12 no.4
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    • pp.506-513
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    • 2006
  • Purpose: The purpose of this study was to evaluate the effects of school safety education for children to increase their safety behavior. Method: The participants were 262 fourth graders enrolled in S elementary school located in Anyang city. The participants were randomly assigned to three groups. For the first experimental group, school safety education was provided for both children and parents. For the second experimental group, safety education was provided only for the children. For the control group, no treatment was given. Result: The first experimental group showed the highest increment on the classroom safety activities score. The first experimental group also had the highest increment on the outside-the-classroom safety activities score. Further, the first experimental group showed the highest increment on the traffic safety activities score. Conclusion: Safety education in the elementary school is very effective to ensure children are protected from school and traffic accidents. Also safety education can be more effective if safety related parent education programs are provided to parents. Therefore safety education should be provided systematically for both children and their parents to prevent childhood accidents.

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The Effects of School Health Education on Health Knowledge, Health Attitude and Health Behavior among Middle School Students (중학생의 건강지식, 건강태도, 건강행동에 대한 학교보건교육의 효과)

  • Park, Kyung-Min;Jung, Hye-Sun;Lee, Jong-Eun;Kim, Su-Eun
    • Journal of the Korean Society of School Health
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    • v.25 no.1
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    • pp.68-76
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    • 2012
  • Purpose: This study aims at analyzing the effects of school health education through lessons on health knowledge, health attitude and health behavior among middle school students. Methods: The data was collected by self-administered questionnaires from the selected experimental group (n=136) and control group (n=148) in Seoul. Among them, 118 in experimental group and 121 in control group were included in final analysis. Experimental group took the 25-hour health education lessons from March 2010 to February 2011. The statistical method of analysis for homogeneity test of general characteristics was used ${\chi}^2$-test and for the effects of school health education through lessons was used unpaired t-test by SPSS/WIN 18.0 Program. Results: After the 25-hour health education lessons, statistical significance was observed between the experimental group and the control group to health knowledge. But two groups did not reach statistical significance on health attitude and health behavior. Conclusion: This study indicates that the school health education through lessons improves students' health knowledge. However in order to improve students' health attitude and behavior, it is necessary conduct more long-term school health education. Hence for the effective school health education, it is recommended to continue a long-term school health education and to secure a health education only classroom, textbooks, various educational materials and teaching methods and assistants.

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The Daily Intakes of Nutrients and Snacks of High School Smokers and Non-Smokers (고등학생 흡연자와 비흡연자의 1일 영양소 및 간식 섭취)

  • Song, Young-Mi;Han, Jang-Il;Kim, Seong-Ai
    • Korean Journal of Community Nutrition
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    • v.13 no.4
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    • pp.476-488
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    • 2008
  • This study investigates the relationship of smoking on daily intake of nutrients and snacks in the Chungnam and Daejeon high school students. Up to date scientific nutrition education and counseling programs in the regular school system is needed for a professional nutrition education teacher. The primary objective of this study was to provide useful information to nutrition education teachers. A survey was conducted with 400 high school students in the Chungnam and Daejeon areas. 381 out of 400 questionnaires were analyzed with SPSS 12.0K. The subjects were composed of 49.8% male, 50.1% female and 40.9% regular high school students, 59.1% business high school students and smokers 43.1%, non-smokers 56.9%. 43.4% of smokers had been smoking since middle school. On analysis of daily nutrient intakes, 16 out of 19 nutrients except animal calcium, Vitamin A and Vitamin C were much more consumed by the smoking group than the non-smoking group non-significantly. Especially vegetable fat and Vitamin E were higher in the smoking group than the non-smoking group (p<0.05). The intake ratio of carbohydrates: protein: fat was similar in the two groups (smoking group 55:15:29, nonsmoking group 56:15:28). Intakes of Vitamin B1 and potassium in comparison with the Korean dietary reference intakes(KDRI) were under 50% in both groups. However, sodium was taken over 200% compared to KDRI in both groups. Intakes of Vitamin C in the smoking group were as low as 76.5% in comparison to KDRI. Smokers need to increase the intakes of Vitamin C considering that smokers need to intake Vitamin C two times than non-smokers. Nutrient intakes from snacks in the smoking group were higher than the non-smoking group. Nutrients that originated from snacks which took over 20% among daily nutrient intakes were 12 nutrients(energy, fat, carbohydrate, calcium, P, Fe, K, Vitamin $B_1$, Vitamin $B_2$, Vitamin C, Vitamin E, dietary fiber) in the smoking group compared to 7 nutrients(energy, vegetable protein, fat, carbohydrate, calcium, Vitamin $B_2$, Vitamin C) in the non-smoking group. The smoking group was significantly paying more money for snacks each month than the non-smoking group was(p<0.01). Periods of consumption were irregular in the smoking group(p<0.05) and the smoking group was used to taking snacks in the morning compared to the non-smoking group. The smoking group preferred sweets and high calorie food over other snacks in comparison of the non-smoking group. The nonsmoking group had better eating habits than the smoking group.