• Title/Summary/Keyword: 아동형

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Derivation of a benchmark dose lower bound of lead for attention deficit hyperactivity disorder using a longitudinal data set (경시적 자료의 주의력 결핍 과잉행동 장애를 종점으로 한 납의 벤치마크 용량 하한 도출)

  • Lee, Juhyung;Kim, Si Yeon;Ha, Mina;Kwon, Hojang;Kim, Byung Soo
    • The Korean Journal of Applied Statistics
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    • v.29 no.7
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    • pp.1295-1309
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    • 2016
  • This paper is to reproduce the result of Kim et al. (2014) by deriving a benchmark dose lower bound (BMDL) of lead based on the 2005 cohort data set of Children's Health and Environmental Research (CHEER) data set. The ADHD rating scales in the 2005 cohort were not consistent along the three follow-ups since two different ADHD rating scales were used in the cohort. We first unified the ADHD rating scales in the 2005 cohort by deriving a conversion formula using a penalized linear spline. We then constructed two linear mixed models for the 2005 cohort which reflected the longitudinal characteristics of the data set. The first model introduced the random intercept and the random slope terms and the second model assumed the first order autoregressive structure of the error term. Using these two models, we derived the BMDLs of lead and reconfirmed the "regression to the mean" nature of the ADHD score discovered by Kim et al. (2014). We also noticed that there was a definite difference between the sampling distributions of the two cohorts. As a result, taking this difference into account, we were able to obtain the consistent result with Kim et al. (2014).

A STUDY OF THE CORRELATION BETWEEN THE FEATURES OF MESIODENS AND COMPLICATIONS (상악정중부 과잉치의 양태와 병발증의 상관관계에 관한 연구)

  • Lee, Yoon-Seok;Kim, Jung-Wook;Lee, Sang-Hoon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.26 no.2
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    • pp.275-283
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    • 1999
  • Authors evaluated 152 patients at the department of Pediatric Dentistry in Seoul National University Hospital through clinical records and radiographs. And the following features were studied ; age, sex distribution, number of mesiodens per patients, location, status of eruption, shape and orientation of crown, and complication. From the above results, the relationship between features of mesiodens and complications were evaluated using chi-square analysis. 1. Complications due to the presence of mesiodens did not occur in 31.6%, delayed eruption of adjacent teeth was observed in 33.6%, midline diastema in 22.4%, rotation in 8.6%, displacement in 3.3%, and crowding in 0.7% of all evaluated patients. 2. As compared with the above 8.5 year group, in the under 8.5 year group, the frequency of complications was significantly higher(P<0.05). As compared with those positioned lingually, in mesiodens labially or within the arch the frequency of complications was significantly higher(P<0.01). Also, the frequency of complications was significantly higher when the mesiodens was tuberculate in form(P<0.05). 3. Of the 104 patients with complications, the frequency of delayed eruption was significant higher in the under 8.5 year group, and in above 8.5 year group, the frequency of malocclusion was significantly higher(P<0.05). When mesiodens were located in the midline region, the frequency of malocclusion was significant higher, while in case with laterally positioned mesiodens the frequency of delayed eruption was significantly higher(P<0.01).

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An Analysis of Nursing Research related to the Mother-Child Interaction in Korea (모아상호작용 관련 간호연구 분석)

  • Oh Jina;Lee Ja-Hyung
    • Child Health Nursing Research
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    • v.9 no.2
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    • pp.149-161
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    • 2003
  • 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.

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A STUDY ON THE DISTRIBUTION OF PARENTAL CONSULTATION ON THE WEBSITE OF KOREAN ACADEMY OF PEDIATRIC DENTISTRY AND THE DIRECTION OF IMPROVEMENT (대한소아치과학회 홈페이지의 진료 상담 코너 분석 및 개선 방향)

  • Woo, Jue-Hyung;Chung, Tae-Ryun;Kim, Jung-Uk;Kim, Chong-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.33 no.4
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    • pp.699-703
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    • 2006
  • The purpose of this study was to analyze the parental consultations, patients' age and consulters. Also it was to improve the tendency of consultation homepage The subjects were 2485 questions on Korean Academy of Pediatric Dentistry Homepage except deleted questions which were not related with consultations. The examined contents were categorized into patients' age, counseling contents, consulters. The results were as follows: 1. Patients mostly belonged to preschool children(64.29%). 2. In the subjects, questions were mostly about growth and development, restorative and pulp treatment. 3. In the subdivided subjects, great part of questions were about tooth eruption, restorative and pulp treatment and trauma. 4. The 93.72% of consulters were mothers. 5. We should reinforce with FAQ about growth and development, restorative and pulp treatment and trauma. Also we should improve on quality of information and childcare related contents and Homepage related pediatric dentistry.

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The Relations of Teacher-Efficacy and Perception of Principals' Leadership and Peer Collaboration across Job Stress and Satisfaction (초등교사의 지각된 교사효능감, 학교장 지도성, 동료교사 태도 인식의 잠재프로파일에 따른 직무스트레스와 교직만족도 차이)

  • Yeon, Eun Mo;Choi, Hyo-sik
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.9
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    • pp.482-491
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    • 2018
  • This study intended to identify different level of teacher-efficacy, perception of principals' leadership and peer collaboration as it pertains to a teachers' job stress and job satisfaction in Elementary school. Samples include 1,031 teachers in elementary school from Korean Children & Youth Panel Survey(KCYPS) and data were analyzed using Latent Class Analysis(LCA) to identify different patterns of teacher-efficacy and perception of principals' leadership and peer collaboration. Multivariate analysis of variance were employed to identify the influence of predictors for classification of teachers' job stress and job satisfaction among latent classes. The study found three latent classes at risk class, middle-level adaptive class, and adaptive class and results showed that each distinctive class can be identified by some of predictors. Teachers at adaptive class showed higher teacher-efficacy and positive perception of principals' leadership and peer collaboration than teachers at risk and middle-level adaptive class. Also, teachers at adaptive class showed lower job stress and higher job satisfaction than teachers at two other classes. The study suggests that help teachers based on personal profile are effective rather teacher-efficacy and perception of principals' leadership and peer collaboration.

유기농 이유식 제품 제조 기술 현황과 소비 전망

  • Sin, Hyeon-Ho
    • 한국유가공학회:학술대회논문집
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    • 2006.06a
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    • pp.29-45
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    • 2006
  • 최근에 들어 웰빙(well-being)과 함께 로하스(LOHAS: Lifestyle of Health and Sustainability)란 개념이 급속도로 확산되고 있으며, 이를 만족하는 식품으로 친환경 농산물과 유기 가공 식품이 대두되고 있다. 여러 마케팅 조사에서도 친환경 농산물과 유기 가공 식품의 소비자 선호도는 상당히 높게 나타난다. 이러한 다양한 소비자의 요구에 맞춰 우리의 2세에게 더욱 안전하고 좋은 품질의 이유식을 제공하고 나아가 한계에 이른 '지구와 환경을 해치지 않는 지속가능 한 소비'를 유도하고자 업체들은 유기농 이유식을 개발하고 있다. 유기농 소비자 10명 가운데 7명은 최근의 웰빙 붐 때문에 유기농에 관심을 가지게 됐으며, 가격이 다소 비싸더라도 가족의 건강을 위해 친환경 농산물을 구입하는 것으로 나타났으며, 국내외를 막론하고 친환경 농산물과 유피 가공 식품의 시장 동향을 살펴보면 지속적으로 증가하고 있으나, 아직까지 일반 제품에 비해 미미한 수준이며, 국내는 인증 제도가 없으나, 유기 가공 식품표시기준에 따라 표시되고 있다. 일반적으로 이유식이라 함은 식품공전에서 영 ${\cdot}$ 유아용 곡류 조제식만을 말하지만 넓게 축산물의 조제유류, 영아용 조제식, 성장기용 조제식, 기타 영 ${\cdot}$ 유아식을 포함할 수 있으며, 유기농 이유식 제조 현황을 살펴보면 동결, 분무, 드럼 등의 건조와 퍼핑이나 Extruder를 통한 알파화로 원료를 가공하여 은 살균, 멸균, 균질, 혼합, 건조, 냉각, 포장 등의 다양한 공정으로 이루어진 분무건조나 유동층이나 연속식 과립기를 사용하여 분말이나 입자형 이유식을 생산하며, 동결 건조를 하여 열수를 가해 죽 상태로 먹을 수 있도록 한 제품, 데워서 떠 먹일 수 있도록 병조림이나 레토르트 유동식 제품, 바로 마실 수 있는 쥬스류, 두유류, 과자 등으로 생산하고 있다. 주된 메이저4사는 일동후디스, 남양유업, 매일유업, 파스퇴르유업으로 다양한 제품들을 생산하고 있으며, 두유를 위주로 한 정식품, 연세우유와 종근당건강, 다양한 다국적 기업들의 제품이 수입되고 있는 실정이다. 이유식 시장도 96년 하반기부터 정체를 보이는 상태다. 2002년도 이유식 시장은 약 1,300억원 규모로 업체들의 고가 신제품과 유기농 이유식 출시로 판매 금액은 소폭 상승하였으나 판매 수량은 큰 변동이 없다. 저출산에 따른 양육비 집중과 유기농 제품에 대한 저변이 크게 확산돼 베이비 웰빙은 어느 정도 예견된 일이거니와 이미 미국 등 선진국에선 유아에 그치지 않고 아동까지 유기농과 고급 원료를 사용한 고가의 웰빙 제품이 봇물을 이루고 있는 상황이어서 유아식 시장은 어느 때보다 경쟁이 치열할 것이며, 국내 식품 업체들이 너도나도 유기농 제품과 매장사업에 뛰어들고 있다. 유기 가공 식품의 지속적인 발전을 위해서 (1) 국내산/수입산 공통으로 인증 제도가 도입되고 원료 농산물뿐만 아니라, 모든 공정이나 공장에 대한 종합적 관리와 동일한 인증 표시가 이루어져야 한다. (2) 정부 부처의 이기를 타파할 수 있는 법정부적 기구나 대책이 필요하다. (3) 유기 가공 식품을 취급하는 업계에서는 기존 3%의 비의도적 혼입치의 고려나 상한선 재설정을 요구하고 진정한 유기 가공 식품으로 공정 경쟁한다. (4) 활발한 인증심사원의 교육과 배출로 인증이나 심사기관의 민간 이양을 적극 장려하고 국가관 상호 신뢰를 구축한다. (5) 각 소비자 단체나 소비자는 환경을 살리고 생명체의 공생이라는 관점에서 최선의 길이 유기농 제품임을 인식하고 소비하여 우리의 다음 세대에게서 빌려온 소중한 환경을 물려준다.

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Integrative Review on Caring Education Papers for Parents with a Premature Infant (미숙아 부모를 위한 교육 관련 국내 연구논문의 통합적 고찰)

  • Im, Mihae;Oh, Jina
    • Child Health Nursing Research
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    • v.19 no.2
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    • pp.120-129
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    • 2013
  • Purpose: Parents with a premature infant are usually confronted with difficulties in caring for their babies and need education on appropriate care. The purpose of this paper was to describe the components of caring education for parents with a premature infant based on an integrative literature review and to present strategies for future education. Methods: Four electronic databases were searched to identify studies. Sixteen articles were selected through full text screening of related research published in domestic journals from January 1990 to October 2012. Results: Through in-depth discussion and investigation of the relevant literature, three components emerged; (a) nurses as educators and parents as learners, (b) education content including caring on admission or discharge, and effects of education, and (c) education environment including timing, place and materials. Conclusion: Future education on caring for premature infant should include the nurse as educator and have diverse content including parent's role, interaction with healthcare providers, and special care for premature infants with special problems. Moreover, highly technical teaching materials should be provided, along with continuous support of institution and government to individual caregivers. Results of this study provide comprehensive prospective and basic standards for education on premature infant care.

Stress of the Pediatric Patient′s Parent in the Emergency Department (응급의료센터에 내원한 환아부모의 스트레스)

  • Park In-Sook;Lee Nam-Hyeong
    • Child Health Nursing Research
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    • v.8 no.3
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    • pp.260-271
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    • 2002
  • This study was performed to identify the level of stress recognized by the parents as a support system for their infant patients who were hospitalized in an emergency department, thus to provide the resulting data as the basic material of care intervention for the families of infant patients. This study subjected the parents with infant patients who were hospitalized in emergency department of C University Hospital in Daejeon, and the data was collected from questionnaires for them, dating from Mar. 20, to Jun. 24, 2001 This study used the tool(30 questions) which was originally developed by Ji, Dong-ok (1992) for measuring the stress of families of infant patients in emergency room, and then was modified and complemented by this researcher suitably for infant patients. Collected data was statistically analyzed with frequency, percentage, mean, standard deviation, t-test, ANOVA, by using SPSS WIN10.0 program, and the results were as follows: 1. The stress of parents with infant patients hospitalized in emergency department averaged 3.31 on the basis of 5-point measure, which means that they felt stress beyond means. 2. The factor with high average out of stress factors the parents of infant patients recognized included the followings: 'about the pain of infant patients due to examination(3.91±1.00)'; 'about rare opportunity to be in contact with physician(3.78±1.09)'; 'delay in emergent treatment required for infant patients(3.75±1.31)'; 'delay in the general treatment of infant patients(3.72±1.32)'. Factors of the stress level includes the followings: 'care and medical treatment'(3.46±.72); 'body and diseases'(3.41±.97)'; 'lack of information and supportable resources (3.25±.77)'; and so on. 3. For the stress level according to general characteristics, there were statistically significant differences in the result of the condition of infant patients, medical treatment(P<.01), religion, the procedure of treatment(P<.05). With little preceding studies for infant patients hospitalized in emergency department, this study looked through the level of stress recognized by the parents of infant patients. Based on the comprehension on the parents with infant patients and the knowledge on stress factors recognized by the parents, it is expected that we can seek the methods of care intervention such as explanation of care and treatment procedures, unit policies, continuous interest and emotional supports as well as the provision of information to understand the responses of parents and reduce accompanied stresses.

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Speech Evaluation Variables Related to Speech Intelligibility in Children with Spastic Cerebral Palsy (경직형 뇌성마비아동의 말명료도 및 말명료도와 관련된 말 평가 변인)

  • Park, Ji-Eun;Kim, Hyang-Hee;Shin, Ji-Cheol;Choi, Hong-Shik;Sim, Hyun-Sub;Park, Eun-Sook
    • Phonetics and Speech Sciences
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    • v.2 no.4
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    • pp.193-212
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    • 2010
  • The purpose of our study was to provide effective speech evaluation items examining the variables of speech that successfully predict the speech intelligibility in CP children. The subjects were 55 children with spastic type cerebral palsy. As for the speech evaluation, we performed a speech subsystem evaluation and a speech intelligibility test. The results of the study are as follows. The evaluation task for the speech subsystems consisted of 48 task items within an observational evaluation stage and three levels of severity. The levels showed correlations with gross motor functions, fine motor functions, and age. Second, the evaluation items for the speech subsystems were rearranged into seven factors. Third, 34 out of 48 task items that positively correlated with the syllable intelligibility rating were as follows. There were four items in the observational evaluation stage. Among the nonverbal articulatory function evaluation items, there were 11 items in level one. There were 12 items in level two. In level three there were eight items. Fourth, there were 23 items among the 48 evaluation tasks that correlated with the sentence intelligibility rating. There was one item in the observational evaluation stage which was in the articulatory structure evaluation task. In level one there were six items. In level two, there were eight items. In level three, there was a total number of eight items. Fifth, there was a total number of 14 items that influenced the syllable intelligibility rating. Sixth, there was a total number of 13 items that influenced the syllable intelligibility rating. According to the results above, the variables that influenced the speech intelligibility of CP children among the articulatory function tasks were in the respiratory function task, phonatory function task, and lip and chin related tasks. We did not find any correlation for the tongue function. The results of our study could be applied to speech evaluation, setting therapy goals, and evaluating the degree of progression in children with CP. We only studied children with the spastic type of cerebral palsy, and there were a small number of severe degree CP children compared to those with a moderate degree of CP. Therefore, when evaluating children with other degrees of severity, we may have to take their characteristics more into account. Further study on speech evaluation variables in relation to the severity of the speech intelligibility and different types of cerebral palsy may be necessary.

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An Analysis of Family Structure on Children's Medical Utilization (가족구조에 따른 미성년 자녀의 의료이용 분석)

  • Kim, Jung Wook;Choi, Jae Sung
    • Korean Journal of Social Welfare
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    • v.68 no.3
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    • pp.5-27
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    • 2016
  • In this study, we examine differences in the children's medical utilization by family structure with a focus on single-mother and single-father families using data from the Korean Health Panel Survey, years 2008~2012. We also investigate whether the cause of transition into a single-parent household, whether coresidence with children's grandparents, and number of siblings are associated with children's use of ambulatory visits. The main findings of this study are as follows. First, children who grew up in single-father households had fewer ambulatory visits compared to those living with both parents after controlling for children's demographic characteristics and family backgrounds. Second, coresidence with grandparents was not associated with children's medical utilization. However, number of siblings was significantly and negatively correlated with the use of ambulatory visits. Third, children living with a divorced father had fewer medical utilization compared to those living with a widowed father, and coresidence with grandparents was positively associated with children's use of ambulatory visits. Our findings suggest that tailored policy supports would be more fruitful based on characteristics of single-parent households such as gender of parents, and the supports should also pay more attention to health care needs and medical utilization of children.

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