• Title/Summary/Keyword: 아동의 반응

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Pain Response to Procedural Pain in Premature Infants (미숙아의 시술 관련 통증 반응)

  • Kim, Jung-Sook;Lee, Eun-Jung;Ham, Eun-Ha;Kim, Ji-Hyun;Yi, Young-Hee
    • Child Health Nursing Research
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    • v.16 no.4
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    • pp.352-359
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    • 2010
  • Purpose: To explore premature infants' pain response to routine procedures in the neonatal intensive care unit (NICU). Methods: The participants were 56 preterm infants who showed 149 pain responses to 8 high frequency routine procedures which were evaluated using the Premature Infant Pain Scale (PIPS). Videotaped recording was used for data collection. Data were analyzed with descriptive analysis, paired t-test, and Pearson's correlation coefficient. Results: PIPS scores for each procedure were as follows; for removal of central catheter dressing, 6.17 (2.04), venous sampling, 6.12 (2.87), intramuscular injection, 6.05 (2.38), insertion of a peripheral line, 5.38 (2.16), insertion of feeding tube, 4.40 (1.34), heel stick, 4.33 (1.23), insertion of central line, 4.00 (2.12), and endotracheal suctioning, 2.90 (1.25). PIPS score was negatively correlated with gestational age (r=-.218, p=.007) and birth weight (r=-.249, p=.002) among general characteristics of the infants. Conclusion: The majority of 8 routine procedures were found to be painful for premature infants in the NICU. Therefore, adequate pain management related to procedures should be provided to premature infant in the NICU.

An Analysis of Domestic Research Trend and Educational Effects in Relation to Robot Education (로봇교육 관련 국내 연구동향 및 교육효과 분석)

  • Kim, Chul
    • Journal of The Korean Association of Information Education
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    • v.16 no.2
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    • pp.233-243
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    • 2012
  • The purpose of this study is to suggest the direction and implications of robot education by analyzing domestic research trend related to robot education and effectiveness papers from 2001 to the recent time. For examining the research trend related to robot education, 112 papers in total 10 kinds of professional academic journals of National Research Foundation of Korea were selected and they were analyzed by academic journal, year, research form, research subject, research object and research method. As the result of analyzing the number of papers by year, they are greatly increased from 2007. And, for the research subjects, they showed high rate of research, programming education and children's response research in order. For the research method, the experimental research was fulfilled the mostly. In the research on the educational effects of robot, it's reported to be effective in creativity, problem-solving ability, academic accomplishment of subjects, justifying factors of studying concentration and studying attitude. Based on the studying material, direction and implications of robot education were suggested.

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The Effects of Maternal Heart Sound on the Weight, Physiologic Responses and Behavioral States of Premature Infants (산모의 심장소리가 미숙아의 체중, 생리적 반응 및 행동상태에 미치는 효과)

  • Yeum, Mi-Kyung;Ahn, Young-Mee;Seo, Hwa-Sook;Jun, Yong-Hoon
    • Child Health Nursing Research
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    • v.16 no.3
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    • pp.211-219
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    • 2010
  • Purpose: The study was done to measure the effects of maternal heart sound on body weight, physiologic reactions (heart rate [HR] and cortisol) and behavioral states of preterm infants. Methods: Thirty-five preterm infants were recruited from a neonatal intensive care unit at a university hospital. Institutional Review Board approval and informed consent were obtained. The infants were assigned to an experimental group (n=18) with an auditory stimulation for 7 days of life, a continuous delivery of maternal heart sound using MP3 attached inside the incubator, or to a control (n=17) without any auditory stimulation. The outcome variables, daily variations in weight, HR and behavioral states, and differences in cortisol were analyzed. Results: There were differences in variations of daily weights (F=3.431, p=.011) and in cortisol (t=3.184, p=.006) between groups, but no difference in variations of daily HR (F=0.331, p=.933) and behavioral states (F=1.842, p=.323). Conclusion: The findings support the safety of continuous maternal heart sound as no changes in HR and behavioral states occurred, and the efficacy as weight increased and cortisol decreased. This auditory simulation may lead to more efficient utilization of energy in preterm infants by consistently providing familiar sounds from intrauterine life and blocking noxious sounds from NICU environments.

The Tendency of Children's Response on Scientific Evidence Materials (과학적 증거 자료에 대한 아동들의 반응유형 경향성)

  • Lee Yong-Kyung;Yang Il-Ho;Kim Jin-Soo
    • Journal of Korean Elementary Science Education
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    • v.24 no.4
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    • pp.443-451
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    • 2005
  • This study was designed to investigate children's response types, which are always consistent when they meet with different evidence materials. The participants in this study were 119 students of 6th grade in elementary school, who were acquainted with evidence materials presented and able to state logically. Evidence materials were constructed on the main subjects of a cause of the dinosaur extermination and a purpose of the astronomical observatory establishment. The criteria, 'whether or not believe evidence materials presented', 'whether or not believe evidence materials newly presented', 'where or not decrease their belief in the preinstructional evidence materials', and 'whether or not change their belief' were used to classify the type of their responses. So the students' responses to the evidence materials were classified into low types: rejection, reinterpretation, belief decrease, and valuation by evidences. Only about a third of them was also consistent with response types, but the others showed individually different responses to new evidence materials. The types of belief decrease and valuation by evidences were relatively below, while those of the rejection and reinterpretation were likely to represent them again, and these results did not reflect a meaningful difference between male and female. These results show that children's response type are not always coherent, and that they respond variously according to the evidence materials except for an individual cognitive view and a background in estimating evidence materials, and most of them are contents dependent in evaluating evidences. Therefore we are expected to apply it to studies on a thought process of the student as data on the basis of them and develop more various evidence materials responded by basis on evidence.

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The Comparative Analysis of Overseas and Domestic cases of School-based Mental Health Project: Focusing on Singapore, the U.S., and Australia (학교중심 정신건강사업의 해외(싱가포르, 미국, 호주)와 한국의 비교분석)

  • Lee, Ju-Yong;Lee, Eun-Jin;Baik, Hyung-Ui
    • Journal of Digital Convergence
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    • v.20 no.5
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    • pp.789-802
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    • 2022
  • The purpose of this study is to present implications for effective operation of domestic school-based mental health services by comparing those in Singapore the United States, Australia. Based on reviewing the public data and previous article, researchers conducted a comparative study on the background, history, goal, and managing process of overseas and domestic organizations. The result of comparison in overseas cases suggests that the foundation of school-based mental health project was laid with the national health plan and detailed frame work for implementation. It was also discussed that domestic school-based mental health project is still in introduction stage, while foreign services were delivered efficiently through the leading agency and the cooperation between government ministries and institutions were active. It suggests that cooperation between government ministries, preparation of an effective operating system, and various approaches for students, guardians and teachers are need for domestic school-based mental health project.

Legal-systematic alternative to domestic Violence: Therapeutic Jurisprudence (가정폭력에 대한 법제도적 대안: 치료적 사법이념의 관점)

  • Kwang-Bai Park;Hyung-KI Ji
    • Korean Journal of Culture and Social Issue
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    • v.10 no.spc
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    • pp.69-86
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    • 2004
  • A review of literature revealed that damaged self-confidence of men as social agents may be the primary, if not proximal, cause of domestic violence. Accumulated damages in social confidence and self-assurance may be moderated by action repertoire acquired during childhood, and mediated by adulthood circumstances such as marital discords and the lack of social support to result in the typical cycle of violence and subsequent feeling of remorse. The present treatments for the domestically violent men in Korea seem to be ineffective to reduce the number of incidents in the society because the treatments are viewed as punishments by the men, damage their social confidence further by stigmatizing them in the community, and destroy their social resources and support systems. It was suggested in this paper to reduce the role of law enforcement and correctional administration to rehabilitate the currently violent men. At the same time, it was also suggested for the Korean court to implement the paradigm of Therapeutic Jurisprudence in handling domestic violence cases. It was argued that the court should take active roles as a healing and rehabilitating agent by cooperating with non-government community establishments such as hospitals, universities and self-help organizations. The reasons and implications of those suggestions were discussed in detail.

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A PRELIMINARY STUDY OF B LYMPHOCYTE ANTIGEN D8/17 IN TOURETTE SYNDROME CHILDREN WHO SUGGESTED PANDAS (PANDAS가 의심되는 뚜렛장애 아동에서의 B 임파항원 D8/17에 관한 예비연구)

  • Joung Yoo-Sook;Lee Young-Sik
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.17 no.1
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    • pp.27-31
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    • 2006
  • Objectives : We examined whether D8/17 expression in Tourette syndrome children who suggested PANDAS were higher than comparison group, and there was my clinical difference by D8/l7 expression. Methods : Nine Tourette's syndrome children suggested PANDAS and two ADHD children without tic disorder were evaluated far percentage of D8/17 expression-positive B cells by immunofluorescence flow cytometric assay and anti-streptolysin O titer. Results : The frequency of D8/17 positive B lymphocyte rate was significantly higher in Tourette's syndrome than ADHD, whose average rate were 77.9 and 24.8, respectively. Among 9 TD patients,4 patients showed above 90% D8/l7 expression. There was high concordance expression rate between mother (98.4%) and daughter (99.0%) The significant relation between percentage of D8/17 expression and tic severity were not detected. The significant relation between percentage of D8/17 expression and anti-streptolysin O titer were not detected, however in 66.7% TD patients showed above 100IU/ml. Conclusion : We concluded that subgroup of TD children are streptococcal infected tic disorder, so called PANDAS.

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The Effects of a Full Body Massage on Apgar Score, Postparturm Mother′s Childbirth Experience and Mother-Infant Attachment (분만중 시행한 전신마사지가 신생아 아프가 점수, 분만경험 및 모아애착 반응에 미치는 효과)

  • Lee Kun-Ja;Chang Chun-Ja;Jo Hyun-Sook
    • Child Health Nursing Research
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    • v.9 no.4
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    • pp.359-367
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    • 2003
  • Purpose: This study is designed to test the effects of a full body massage on Apgar score, postpartum mother's childbirth experience, and mother-infant attachment for primipara during labor. Method: Data were collected using a quasi-experiment method (nonequivalent control group, pre-post test design) from November 1, 2001 to July 31, 2002. The subjects for this experiment consist of 28 women in the experimental group and 29 in the control group, out of 57 primipara hospitalized at the U OB & GYN hospital in Inchon. A 20 minute full body massage was given to the experimental group on each of three delivery phases (latent, active, and transition), and a conventional delivery care to the control group. The experimental tools for the study are Apgar score scale developed by Apgar(1958), postpartum mother's childbirth experience scale developed by Marut and Mercer(1979), and mother-infant attachment scale developed by Cropley et al(1981). The data collected were analyzed using t-test, χ2 test, and ANCOVA on the SPSS program. Result: The results of the experiment are as follows: One minute(t=6.756, p=.000; F=9.181, p=.004), and five minute(t=6.129, p=.000; F=7.918, p=.007) Apgar score are increased significantly. Postpartum mother's childbirth experience is significantly increased(t=11.691, p=.000; F=11.741, p=.001). Verbal touch score(t=5.256, p=.000; F=7.169, p=.010), skin touch score(t=11.332, p=.000; F=27.073, p=.000), and total score(t=12.105, p=.000; F=30.104, p=.000) of postpartum mother's childbirth experience are significantly increased, but not for eye touch score(t=3.236, p=.002; F=.800, p=.375). Conclusion: This study shows that a full body massage has a significant positive effect on Apgar score, postpartum mother's childbirth experience. and mother-infant attachment. Therefore, it is suggested that the full body massage might be used clinically to help primipara during labor.

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A study on behavior response of child by emotion coaching of teacher based on emotional recognition technology (감성인식기술 기반 교사의 감정코칭이 유아에게 미치는 반응 연구)

  • Choi, Moon Jung;Whang, Min-Cheol
    • Journal of the Korea Convergence Society
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    • v.8 no.7
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    • pp.323-330
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    • 2017
  • Emotion in early childhood has been observed to make an important effect on behavioral development. The teacher has coached to develop good behavior based on considering emotional response rather than rational response. This study was to determine significance of emotional coaching for behavior development according emotion recognized by non-verbal measurement system developed specially in this study. The participants were 44 people and were asked to study in four experimental situation. The experiment was designed to four situation such as class without coaching, behavioral coaching, emotion coaching, and emotion coaching based on emotional recognition system. The dependent variables were subjective evaluation, behavioral amplitude, and HRC (Heart Rhythm Coherence) of heart response. The results showed the highest positive evaluation, behavioral amplitude, and HRC at emotion coaching based on emotional recognition system. In post-doc analysis, the subjective evaluation showed no difference between emotion coaching and system based emotion coaching. However, the behavioral amplitude and HRC showed a significant response between two coaching situation. In conclusion, quantitative data such as behavioral amplitude and HRC was expected to solve the ambiguity of subjective evaluation. The emotion coaching of teacher using emotional recognition system was can be to improve positive emotion and psychological stability for children.

IL-1 gene polymorphisms in Korean periodontitis patients (한국인 치주염 환자에서의 IL-1 유전자 다변성 연구)

  • Nam, Seung-Ji;Chung, Hyun-Ju;Kim, Ok-Su;Kim, Young-Joon;Koh, Jung-Tae
    • Journal of Periodontal and Implant Science
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    • v.34 no.3
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    • pp.623-637
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    • 2004
  • 중증 만성 치주염과 1L-1B+3954 및 1L-1A+4845 유전자의 대립유전자 2 보유 유전자 다변성이 관련된다고 보고되었다. 그러나 이러한 1L-1 복합유전자 다변성과 만성 치주염 및 급진성 치주염과의 관련성에 대해서는 상반되게 보고되고 있는데 이는 인종적 배경과 질환특성의 차이에 기인한 것으로 보인다. 이 연구는 한국인에서 경도, 중등도와 중증의 만성 치주염 그리고 급진성 치주염 환자를 대상으로 하여 1L-1A+4845, 1L-1B+3954, 1L1B-511, 1L-1 RN intron 2 (VNTR) 유전자 다변성의 분포를 평가하고, 치주질환의 심도와 유형에 관련되는지 알아보고자 시행되었다. 전남대학교 병원 치주과에서 검진과 치료를 받은 100명의 치주질환자를 대상으로 하였고 질환군은 치주낭 깊이, 부착 소실, 골 소실을 기준으로 하여 경도, 중등도, 중증의 만성 치주염, 급진성 치주염군으로 분류하였다. 대조군으로는 전남대학교 병원 소아치과에 내원한 전신적으로 건강한 92명의 아동을 포함하였다. 각 대상 환자에서 채취된 협점막상피에서 genomic DNA를 얻어 1L-1A+4845, 1L-1B+3954, 1L-1B-511 genotype은 중합효소 연쇄반응을 시행한 후 제한 효소분해과정을 거쳐 전기영동 후 분리한 결과를 해석하였으며 1L-1 RN(VNTR) 유전형은 중합효소연쇄반응 후 분리한 결과를 해석하여 다음의 결과를 얻었다. 대립유전자 2 보유자 비율은 치주질환자에서 1L-1A+4845, 1L-1B+3954, 1L-1B-511, 1L-1 RN이 각각 61%, 13%, 76.6%, 34%였으며 대조군에서는 76.9%, 7.7%, 62.2%, 19.1%였다. 1L-1B+3954과 1L-1A+4845 대립유전자 2 보유자인 양성유전자형 비율은 경도, 중등도, 중증의 만성치주염, 급진성 치주염환자에서 각각 10%, 7.9%, 22.2%, 12% 였으며 치주질환자의 13%, 대조군의 7.7%에서 양성 복합유전자형(positive genotype)을 보였다. IL-1B-511 유전자 다변성은 치주질환자에서 대조군에 비하여 높았으며 급진성 치주염환자에서 대립유전자 2 보유자율이 유의하게 높았다(p<0.01). IL-1 RN intron 2 유전자 다변성은 중등도 및 중증 만성 치주염환자에서 대립유전자 2 보유자율이 유의하게 증가하였다. 이러한 결과는 IL-1 gene cluster의 유전형이 한국인에서도 치주염의 유형과 질환 심도에 관련될 수 있음을 시사하였다.