• Title/Summary/Keyword: 정영아

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Gram-negative Septicemia after Infliximab Treatment in an Infant with Refractory Kawasaki Disease (불응성 가와사키병 환아에서 infliximab 사용 후 발생한 패혈증)

  • Lee, Jin Hwan;Yoon, Jung Min;Lim, Jae Woo;Ko, Kyong Og;Cheon, Eun Jung
    • Pediatric Infection and Vaccine
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    • v.21 no.3
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    • pp.225-230
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    • 2014
  • Kawasaki disease (KD) is an immune-mediated disease which is a leading cause of acquired cardiovascular disease in developed country. Recently, tumor necrosis factor-alpha (TNF-alpha) blocker, infliximab has been considered a promising option for patients with refractory KD. Although chronic use of a TNF-alpha blocker could increase risk of opportunistic infections, a few studies have documented that use of infliximab was safe without serious adverse effects in patients with KD. We observed serious bacterial infection after infliximab treatment in an infant with refractory KD. Our patient was a 5-month-old male infant diagnosed with KD who did not respond to repeated doses of intravenous immunoglobulin. We effectively treated him with a single infusion of infliximab (5 mg/kg), but gram-negative (Acinetobacter lwoffii) septicemia developed after infliximab infusion. Therefore, we report a case of serious septicemia after treatment with infliximab, and suggest considering the risk of severe infection when deciding whether to prescribe infliximab to an infant with refractory KD.

Midgut Volvulus of Infant Simulating Intussusception Diagnosis with Color Doppler Ultrasonography (장중첩증의 임상양상을 보였던 영아의 중장 염전증(Midgut volvulus) 1례 -복부 초음파검사를 이용한 진단-)

  • Lee, Hae-Kyoung;Kim, Je-Woo;Oh, Phil-Soo;Lee, Young-Ah;Choi, Ha-Joo;Yun, Hea-Sun;Yang, Ik;Lee, Kyung-Won;Lee, Jae-Jung
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.1 no.1
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    • pp.133-137
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    • 1998
  • Although midgut volvulus is clinically characterized by bilous vomiting and abdominal distention, plain abdominal X-ray is usually non-specific and therefore it can be misdiagnosed to other diseases. Upper gastrointestinal contrast study and computed tomography have been used as a routine diagnostic tool but it takes cost and time. Abdominal ultrasonography is a relatively good alternatives in diagnosing midgut volvulus and it relatively saves cost and time. But case presentation of midgut volvulus diagnosed with abdominal ultrasonography are rarely found in literature. We experienced a 6 month old girl who had come to our hospital with bilous vomiting and was diagnosed as midgut volvulus with ultrasonography. Thus we report this case with the presentation of typical ultrasonographic findings of midgut volvulus.

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Effects of infant children Mothers' humor and ego resilience on Maternal behavior (영아기 자녀를 둔 어머니의 유머감각과 자아탄력성이 양육행동에 미치는 영향)

  • Lee, Jin-Wha;Kang, Eun-Jin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.11
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    • pp.6576-6586
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    • 2014
  • This study examined the effects of the mothers' sense of humor, ego-resilience on the maternal behavior. 187 mothers of 24~36 month old children completed the questionnaires. To analyze the data, descriptive statistics, Pearson's co-relation and hierarchical regression analysis were used. The results were as follows. First, concerning the mothers' personal variables, the mean of the sense of humor, ego-resilience, and maternal behavior were relatively high. Second, the mothers' sense of humor and its sub-scales, except as a copying strategy, and ego-resilience had a positive co-relation with the maternal behavior and its sub-scales. Lastly, the mothers' sense of humor and its sub-scales, and ego-resilience were significant variables to influence the maternal behavior. As stated above, the ways were discussed to improve the mothers' sense of humor and ego-resilience.

Incidentally Diagnosed Duodenal Web in Infancy (영아기에 우연히 진단된 십이지장 격막)

  • Suh Young Kim;Byoung Hee Han;Ki Young Park;Jung-Man Namgoong;Da Hee Woo
    • Journal of the Korean Society of Radiology
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    • v.83 no.3
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    • pp.724-729
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    • 2022
  • A duodenal web is an incomplete diaphragm of the duodenal lumen that causes a partial or (intermittent) complete obstruction. The size of a duodenal web's aperture determines the degree of obstruction, age at presentation, and radiologic findings. We report a case of duodenal web incidentally diagnosed in a 14-month-old boy who presented to the hospital after ingesting a foreign body. We provide a comprehensive report of multiple studies through abdominal radiograph, upper gastrointestinal study, endoscopy, and surgical findings. We emphasize that the duodenum should be considered as the location of the obstruction when infants exhibit delayed discharge or dynamic positioning of a foreign body in a radiologic examination.

A Validation Study for the Infant/Toddler Environment Rating Scale(ll) (영아/걸음마기 아동 환경 평정 척도 타당화 연구 (ll))

  • 이완정
    • Journal of the Korean Home Economics Association
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    • v.36 no.6
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    • pp.95-108
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    • 1998
  • This study is the second study which was aimed to validate the Infant/ Toddler Environment Rating Scale(ITERS). The test-retest reliability included 10 infant/toddler classes among 30 national/public and private child care centers in Inchon city which had been observed in the first validation study. The Spearman's correlation coefficient for test-retest reliability was ranged from .52 to .84. In addition, two raters observed 10 family day care centers in Inchon city, where two observers independently rated each centers on the ITERS during a single visit. The Spearman's correlation coefficient for interrater reliability was ranged from.72 to .99 For the second measure of content validity, experts who were working in day care centers and who were graduate students, lecturers, or professors majoring child studies rated the appropriateness of each ITERS items for the provision of high-quality programs for infants and toddlers, using a 1(low) to 5(high) scale. The mean rating was ranged from 2.52 to 4.52. In sum, when the rating scores were analyzed by the type of child care centers, national/public child care centers have better quality than private or family child care centers.

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A Comparative Study of Mothers' and Grandmothers' Infant/ Toddler Reading Beliefs - Examined by Interdependence and Independence - (영아.걸음마기 자년 양육신념의 세대간 비교연구 -상호의존성과 독립성을 중심으로-)

  • 이완정;현온강
    • Journal of the Korean Home Economics Association
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    • v.37 no.4
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    • pp.97-110
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    • 1999
  • The purpose of this study was to examine Korean mothers' child rearing beliefs for their infant/toddlers and to compare young mothers' child rearing beliefs with grandmothers'. The subject was composed of 130 pairs of young mothers whose first child is 2 - 2 and half years old and their mothers(grandmothers) in Taegu city area. The major results of findings were as follows : 1. The Korean mothers' Infant/toddler Rearing Beliefs had four subfactors in both area of Interdependence and Independence. 2. Korean young mothers and grandmothers had higher infant/toddler rearing beliefs of interdependence than those of independence. 3. Korean grandmothers had higher infant/toddler rearing beliefs of interdependence than young mothers. 4. Korean young mothers had higher infant/toddler rearing beliefs of independence than grandmothers. 5. While Korean grandmothers had mainly infant/toddler rearing beliefs of interdependence, Korean young mothers had both infant/toddler rearing beliefs of independence and those of interdependence.

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A Case Report on Superficial Second-Degree Burn of an Infant's Forearm (영아 전완부 표재성 2도 화상 치험례)

  • Im, Jiyeong;Jang, Insoo;Kim, Miseon;Jeong, Minjeong
    • The Journal of Pediatrics of Korean Medicine
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    • v.30 no.4
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    • pp.1-7
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    • 2016
  • Objectives The purpose of this study is to report the effect of Korean medical treatment on an infant with burn injury. Methods We treated the infant suffering from burn injury by Korean medical treatment such as acupuncture, Hwangryunhaedoktang extract, Jaungo dressing from March 15th, 2016 to March 26th, 2016. This efficacy of treatment was evaluated with observation. Results After this treatment, burn wound size was reduced and skin tissue regeneration was accelerated. As time passes, pigmentation was faded. Conclusions This case report showed that the Korean medical treatment is effective in the treatment of pediatric burn. However further case studies are still required to confirm these findings.

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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Molecular Networks via Coordination Polymerization. Synthesis and Characterization of 2-D Polymeric Cobalt(II) Compounds Containing 3,3'-Dipyridyl Ether Series

  • Jeong, Ok Sang;Kim, Yun Ju;Lee, Yeong A;Lee, Jae Gyeong;Yu, Gyeong Ho
    • Bulletin of the Korean Chemical Society
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    • v.21 no.1
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    • pp.39-43
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    • 2000
  • New coordination polymers of general form, $$[CoL_2X_2]_n$$ (L = 3,3'-oxybis(pyridine) (obp), 1,4-bis(3-pyri-doxy) benzene (bpob); X = Cl, NCS), have been prepared via a slow diffusion method. The reaction of the present linkers with cobalt(II) ion affords infinite 2-dimensional sheet products. For $[Co(obp) $_2Cl_2]_n$$, the local geometry of the cobalt center is an octahedral arrangement with four nitrogen donors and two chlorine ions in trans positions. $$[Co(bpob)_2(NCS)_2]_n$$ has provided a similar structure: the local geometry of the cobalt atom is an octahedral arrangement with four pyridine units and two NCS groups in transpositions. The obp and bpob linkers connect two cobalt(II) ions defining the edges of 40- and 60-membered $[Co(II)]_4$ ring, respectively. Thermal analyses of the coordination polymers show significant thermal behavior associated with the characteristic structures.

A Path Analysis of Social support, Marital conflict, Self-efficacy, and Mothers' parenting stress in Mothers' parenting behaviors of infants (사회적지원, 부부갈등, 자기효능감, 양육스트레스와 영아기 어머니의 양육행동간 경로분석)

  • Kim, Jong-Han
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.9
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    • pp.3924-3933
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    • 2012
  • The purpose of this study is to investigate the relationships of social support, marital conflict, self-efficacy, and mothers' parenting stress, which are known as affecting mothers' parenting behaviors of infants a lot. To this study, We used of Korea Institute of Child Care and Education's "Panel Survey of Korea Child; 2009" data. The subjects of mothers of 11~18 months infants 1,467(M=739, F=728). In order to analyze collected data, Person correlation analysis, regression/path analysis were used. The results of the study were as follows: First, the correlations among social support, marital conflict, self-efficacy, and mothers' parenting stress were between -.475 and .401, which are all significant on the level of within p<.01. Of those the correlation between the variable of self-efficacy, and mothers' parenting stress was shown highest as of -.475. Second, the correlations among these variables and mothers' parenting behaviors of infants were between -.484 and .350(all, p<.01). Mothers' parenting stress shows the highest correlations of all, next social support, self-efficacy, marital conflict in order. Third, multiple-correlation of .533, which explains at 28.4 percentage of total variance of the mothers' parenting behaviors. And -.396 in the degree of mothers' parenting stress, which explains at 15.7 percentage of the total variance of the mothers' parenting behaviors, while .223 in social support(4.97%). But marital conflict has not direct effects but indirect effects.