Patients with complete unilateral cleft lip and palate present difficulty in maxillary growth problems, necessitating orthognathic surgery in 25%. The aims of this study were; (1) to delineate diagnostic measures in borderline surgical cases of unilateral cleft lip and palate, (2) to verify the significance of negative overjet as a measure of anteroposterior discrepancy, and (3) to compare these diagnostic measures with those of borderline surgical cases of noncleft Class III malocclusion. The sample consisted of 29 patients with unilateral cleft lip and palate and 25 noncleft Class III patients; all had crossbites of all four incisors. Each of pretreatment study casts and cephalograms were analyzed. The Cleft group showed smaller SNA and SNB angles than the noncleft Class III group, but the ANB angles and the amount of anterior crossbites showed no statistical difference. For borderline surgical Class III unilateral cleft lip and palate cases, ANB angles, Wits appraisal, and ABGoGn angle were critical diagnostic parameters. On the other hand, the magnitude of anterior crossbite, the negative overjet, was shown not to be a significant measure of anteroposterior discrepancy.
Cleft Lip* ; Hand ; Humans ; Incisor ; Malocclusion* ; Orthognathic Surgery ; Palate*

Since its identification in April 2009, a swine-origin H1N1 influenza A virus (S-OIV) which is a reassortment of gene segments from both North American triple-reassortant and Eurasian swine influenza has been widely spread among humans in unexpected rapidity. To date, each gene segment of the 2009 influenza A (H1N1) outbreak viruses have shown high (99.9%) neucleotide sequence identity. As of July 6, 94,512 people have been infected in 122 countries, of whom 429 have died with an overall case-fatality rate of <0.5%. Most confirmed cases of S-OIV infection have been characterized by self-limited, uncomplicated febrile respiratory illness and 38% of cases have also included vomiting or diarrhea. Standard plus droplet precautions should be adhered to at all times. Tests on S-OIV have indicated that current new H1N1 viruses are sensitive to neuraminidase inhibitors (oseltamivir). However, current less virulent S-OIV may evolve into a pathogenic strain or acquire antiviral resistance, potentially with more severe clinical consequences. Efforts to control these outbreaks would be based on our understanding of novel S-OIV and previous influenza pandemics.
Diarrhea ; Disease Outbreaks ; Humans ; Influenza A virus ; Influenza A Virus, H1N1 Subtype ; Influenza, Human ; Neuraminidase ; Pandemics ; Sprains and Strains ; Swine ; Vomiting

PURPOSE: We introduce a new method for measurement of strabismic angle using corneal reflex and photograph, and report its clinical results. MATERIAL AND METHOD: The subjects were 5 orthotropic persons, 3 patients with eso-deviation of 20 prism and 30prism respectively, and 5 patients with exo-deviation of 15 prism, 20 prism, 30 prism, and 40 prism, respectively. While subject fixates distant target, we place the illuminator 1m in front of the subject and take the pictures. We got the ratio of corneal diameter and distance between right-side limbus and corneal reflex, then the difference between right and left. RESULT: If strabismic angle is Y and the difference (%) between the deviation ratio of right and left is X, Y=1.67x14.03. CONCLUSION:This new method can be used in patients of poor compliance, patients with poor visual acuity and measurement of distant strabismic angle.
Compliance ; Humans ; Reflex* ; Visual Acuity

BACKGROUND: Abdominal obesity as measured by waist-to-height ratio (WHtR) may have stronger and inverse associations with cardiovascular (CV) health than overall obesity as measured by body mass index (BMI). However, there was some challenges for controversies. We aimed to examine the associations of WHtR and BMI with CV health among Korean children using data of the 2010-2012 Korea National Health and Nutrition Examination Survey. METHODS: A cross-sectional study was conducted with the sample of 2,363 children by analyzing by gender and two-age groups (10-12 and 13-18 years). Overall obesity was categorized into 3 groups by BMI percentile: non-overweight (<85), overweight (≥85), and obesity groups (≥95). Abdominal obesity was categorized into 2 groups by WHtR: normal (<0.5) and abdominal obesity groups (≥0.5). The CV health score was defined as a z-score by calculating the sum of 7 CV factors. RESULTS: The overweight/obesity groups had significantly lower CV health scores than the normal group (P<0.05) in boys and girls aged either 10-12 years or 13-18 years after adjusting for covariates. The abdominal obesity group also showed significantly lower CV health scores than the normal group (P<0.05) in all the groups; this significant association remained significant in boys aged 13-18 years even after further adjusting for BMI category (P<0.01). CONCLUSIONS: Among boys aged 13-18 years, abdominal obesity as measured by WHtR was significantly and inversely associated with CV health, independent of BMI category. Therefore, it should be considered to assess the level of abdominal obesity as a measure of CV health in late adolescent boys.
Adolescent ; Body Mass Index ; Cardiovascular Diseases ; Child ; Cross-Sectional Studies ; Female ; Humans ; Korea* ; Nutrition Surveys* ; Obesity ; Obesity, Abdominal ; Overweight ; Pediatric Obesity* ; Risk Factors

PURPOSE: The purpose of this study is to identified patterns and trend of studies and to analyzed the nursing research related to the mother-child interaction in Korea and to improve direction of nursing research in mother-child interaction in Korea. METHOD: The research studies related to the mother-child interaction were selected from the Korean Nurses Academic Society Journal, and from dissertation, which were conducted between 1961 and 2002 with the consideration of the condition and the cultural specialty of Korea. The total numbers of the studies were 34. These studies were classified according to 1)time of publication or presentation, 2)research design, 3)type of interaction objects, 4)measurement tool, and 5)chief content of studies. Ressult: 1) Until 1984, there was no research studies related to mother-child interaction. The number of studies on the mother-child interaction on the mother-child interaction has been increased rapidly after 1985. The mother-child interaction studies were 13(38.2%) from the doctoral dissertation, 4(11.8%) from the Master's theses and 17(50%) other papers were published in academic journals. 2) Experimental studies of research design was used in these research studies was 13(38.2%). Descriptive studies was 8(23.6%), correlational studies was 4(11.8%) and comparative studies was 4(11.8%). Qualitative study was just one(2.9%) and literature review was 4(11.8%). Especially experimental studies has been increased. 3) Participants of these studies were mother and infant 29(85.5%), father and infant 2(5.9%), mother and fetus 2(5.9%) and nurse and infant 1(2.9%) 4) Utilization of instruments as follows: 13 studies used Walker et al(1986)'s MIPIS (Mother-Infant Play Interaction Scale), 6 studies used Barnard(1978)'s NCAFS (Nursing Child Assessment Feeding Scale), 4 studies used NCATS(Nursing child Assessment Teaching Scale) for assessing mother-infant interaction. 3 studies used Stainton(1981)'s Parent-Infant Interaction Scale. Choi(1987), Kim(1999) and Kim and Son(1997) used measurement tool researcher made which was modified from NCATS (Nursing child Assessment Teaching Scale) and AMIS(Assessment of Mother-Infant Sensitivity Scale). Other tools used to survey influencing factors of interaction. 5) Content of the research studies were classified 3 different types, such as (1) studies about the mother-child interactions' pattern, (2) studies about influencing factors of the mother-child interaction, (3) studies about effect of nursing intervention program to improve the mother-child interaction. CONCLUSION: Therefore we make following suggestions which are made based on the above research analysis : 1) In the future research studies need to compare with other area of discipline in mother-child interaction. 2) More attention and in depth research is needed to validate in terms of research design and statistical data analysis. 3) It is important to develop the instruments which is culturally acceptable in Korea society. 4) The results of correlational studies and experimental studies needs to the integrated by meta analysis.
Child ; Data Interpretation, Statistical ; Fathers ; Fetus ; Humans ; Infant ; Korea* ; Mother-Child Relations* ; Mothers ; Nursing Research* ; Nursing* ; Publications ; Research Design ; Child Health

PURPOSE: The purpose of this study was to develop a program promoting self-esteem and to determine the effectiveness of the program for hospitalized school-aged children. METHOD: The sample group consisted of 68 hospitalized children in a University Hospital located in Busan. The experimental group was given the program and feedback was obtained 3 times up until the day of discharge. Data were analyzed using t-test and 2-way ANOVA with the SPSS program package. RESULT: There was a significant difference between experimental and control groups in self-esteem. CONCLUSION: It was found that the program promoting self-esteem in school aged children was effective. The program, which was based on learning theory, was shown to be an effective and strong method to promote adjustment in hospitalized school-aged children.
Busan ; Child* ; Child, Hospitalized ; Humans ; Learning ; Child Health

PURPOSE: The purpose of this integrative review was to synthesize the available research on educational programs for the management of childhood atopic dermatitis. METHODS: Articles were retrieved from the following databases: Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, PubMed, and SCOPUS. Inclusion criteria were publication in the English or Korean language prior to March 2013, as a peer-reviewed empirical study focused on educational programs for childhood atopic dermatitis. RESULTS: Fifteen papers met the inclusion criteria. Four themes were derived from the data: (a) children of all ages and symptom severity, and their families as learners; (b) well-trained and family-preferred health professionals as educators; (c) long-term follow-up with diverse interventions as educational methods; and (d) quality of life for the child and family as educational goals. CONCLUSIONS: This review indicates the challenges that health professionals face in improving symptoms of atopic dermatitis. The identified strategies can be used in the development of more effective evidencebased programs. Future studies should focus on the development and evaluation of educational programs that include these themes.
Adolescent ; Caregivers ; Child ; Child, Preschool ; Dermatitis, Atopic/*therapy ; Empirical Research ; Humans ; Infant ; Infant, Newborn ; Parents ; *Patient Education as Topic

No abstract available.
Bacteremia* ; Child* ; Humans

PURPOSE: This study investigated the sexual behaviors, emotional state, and suicide-related characteristics of female adolescents with sexual experience. METHODS: This is a secondary data analysis study using the data of the 11th (2015) Youth Health Behavior Online Survey. The subjects were 889 female students who had sexual intercourse experience in middle and high schools in the Republic of Korea. For data analysis, descriptive statistics, χ² test, and hierarchical logistic regression were used. RESULTS: Among the subjects, 22.2% reported having experienced homosexual or bisexual relations. The sexual debut time of 31.9% of the subjects was in elementary school or earlier, while 8.1% and 10.7% experienced pregnancy and sexually transmitted diseases, respectively. They reported negative emotional states (high stress 51.7%, unhappiness 17.8%, depressive mood 9.8%) and substantial suicide experiences (suicidal ideation 33.6%, suicidal plan 16.6%, suicidal attempt 13.2%). Through hierarchical logistic regression (Cox & Snell R²=.31), the influencing factors for suicide ideation identified included being subjected to sexual relations, experience of pregnancy, perceived stress and happiness, and depressive mood. CONCLUSION: It is important to prevent negative mental health consequences among female students with early sexual experience. Sexual education should strengthen their physical and mental safety through psychological care strategies.
Adolescent ; Bisexuality ; Coitus ; Education ; Female ; Happiness ; Health Behavior ; Homosexuality ; Humans ; Logistic Models ; Mental Health ; Pregnancy ; Republic of Korea ; Sexual Behavior ; Sexually Transmitted Diseases ; Statistics as Topic ; Suicidal Ideation ; Suicide

PURPOSE: The aim of this study was to identify factors influencing meal satisfaction in older adults. METHODS: Authors searched four databases Ovid MEDLINE, Ovid EMBASE, the Cochrane Library, and KoreaMed using the following key search terms: “(elderly-mp. OR aged), AND (meal OR food OR eating OR feeding), AND satisfaction.” Only articles published between January 1946 and May 2018 were considered. The preferred reporting items for systematic reviews and meta-analyses guidelines were adopted for quality assessment. The authors ultimately selected 7 of 1,695 references for review and meta-analysis. RESULTS: A meta-analysis was conducted to determine the factors influencing meal satisfaction in older adults aged more than 60 years. The results showed that meal satisfaction was low when age increased and the individual was served frozen meals. Satisfaction with meals was high when food choices were available and individuals were served high-quality food and when the food smelled and tasted good or was personally tailored. Satisfaction was also high when individuals ate with their families. Moreover, meal satisfaction seemed to be influenced by physical health, whereas it did not show a significant correlation with mental health. CONCLUSION: Intending to improve the quality of life of older adults by increasing their meal satisfaction, the authors pointed out factors that institutions should attend to when providing meals to older adults. To contribute to the lack of any existing conceptual and theoretical framework in this field, further steps to be taken by the authors shall involve concept analysis that would assist in building a conceptual framework.
Adult ; Eating ; Humans ; Meals ; Mental Health ; Personal Satisfaction ; Quality of Life ; Smell