• Transactions of the Korean Society of Automotive Engineers
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• v.11 no.4
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• pp.79-85
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• 2003

The child restraint system is blown to be excellent to reduce child occupant injury in frontal collisions. The effects of the child restraint system are experimently investigated according to FMVSS 213. A sled simulator is utilized with varying restraint types such as 2point, 3point seat belts, forward-facing types and booster types of child restraint systems. The head and chest injuries for various cases are evaluated based on industrial standards. Also, the maximum displacements of the head and the knees are measured by film analysis. Using the results of the test, the effects of the child restraint system is discussed and reduction of child occupant injury is pursued.

• Journal of Trauma and Injury
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• v.29 no.2
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• pp.47-50
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• 2016

Transcatheter arterial embolization (TAE) for blunt hepatic injury in children is not common and is especially rare after damage control surgery (DCS). We report a successful TAE after DCS on a child for massive bleeding from the left hepatic artery due to a motor vehicle accident. The car (a sport utility vehicle) ran over the chest and abdomen of a 4-year-old boy. On arrival, initial vital signs were as follows: blood pressure, 70/40 mmHg; heart rate, 149/min; temperature, $36.7^{\circ}C$; respiratory rate, 38/min. After resuscitation, computed tomography was done, and a suspicious contrast leakage from a branch of the left hepatic artery and a spleen injury (grade V) were found. TAE was performed successfully after DCS for a liver injury.

• Child Health Nursing Research
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• v.17 no.4
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• pp.281-287
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• 2011

Purpose: The study was done to explore growth variation in head circumference (HC) in extremely premature infants (EPI) with brain injury. Methods: A retrospective cohort study was conducted with 79 cohort samples from the archives of the catch-up growth project. Mean age of the infants was 29.2 weeks of gestation and mean HC, 27.1 cm at birth. Their HC measurements were retrieved from the archives up to 6 month of corrected age (CA) and analyzed against history of brain injury during hospitalization. Results: Overall growth retardation in HC was observed in the cohort sample compared to longer gestation premature infants. EPI with brain injury showed decreased HC compared to infants without brain injury, and resulting growth variation across 6 month of CA. Highest retardation in HC growth was observed in male infants with brain injury. Conclusion: Extreme preterm birth itself may function as a major obstacle against HC growth toward term age in EPI. Sustainability of brain injury could be observed with higher HC growth retardation after term. Evolutionary favor to female infants may exist in HC growth of EPI. Intensive education on HC monitoring is highly suggested for parents of EPI, particularly with children with brain injury.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.34 no.3
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• pp.151-151
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• 2023

• Child Health Nursing Research
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• v.14 no.2
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• pp.129-137
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• 2008

Purpose: To examine the effects on skin injury, pain, and anxiety when nurses and children simultaneous wash their hands before IV injections. Method: A nonequivalent control group, non-synchronized design study was used with 61 children. For a month and a half, children in the experimental group(30) following hand-washing guidelines, washed their hands with nurses before IV insertion. Anxiety and pain were observed and recorded during IV insertion using the Anxiety Reaction Scale and FACES pain scale. After 48-72 hours on IV therapy with an arm-board, skin condition was checked by a research assistant according to guidelines for assessing skin injury developed by the researcher. t-test, ${\chi}^2$-test, Pearson correlation, and Kendall's tau b were used to analyze data with the SPSS program. Results: Children who washed their hands with the nurse before IV insertion showed less pain (p =.021) and skin injury (p <.001) compared to the control group. Conclusion: This finding suggests that simultaneous hand washing by nurse and child before IV injection has a strong effect on skin injury caused by arm-boards used to maintain IV therapy as well as on pain during IV insertion. This program demonstrates an effective intervention to prevent skin injuries in children on IV therapy.

• Child Health Nursing Research
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• v.18 no.2
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• pp.68-75
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• 2012

Purpose: The purpose of this study was to measure (the degree of) injury risk perception in preschool children. Methods: The data were collected from child day care centers and kindergartens located in Seoul, and Gyeonggi and Kwangwon Province. A questionnaire consisted of 28 pictures was administered to 186 preschool children. Results: The mean score for the injury risk perception was 21.83 (${\pm}3.89$), and 77.98 converted into a 100-point scale. According to sub-categories, 'burn prevention' ($.96{\pm}.13$) was the highest, 'interpersonal safety' ($.44{\pm}.31$) was the lowest. There were significant differences in injury risk perception according to gender (t=-2.358, $p$=.019), age (t=-2.101, p=.037), experience of safety education (t=-3.719, $p$ <.001), area of residence (t=-3.445, $p$=.001), injury experience (t=3.212, $p$=.002), and mother's occupation (t=-4.858, $p$ <.001). The highest item in the percentage of correct answer item was 'making jump on the desk', the lowest item in the percentage of correct answer item was 'not wearing safety equipment when rollerblading'. Conclusion: Based on this study, studies should be continued to standardize the instrument. In addition, it is recommended that an injury prevention education program should be developed based on the results of this study to stimulate demand and interest.

• International Journal of Automotive Technology
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• v.8 no.2
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• pp.185-191
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• 2007

The new FMVSS 208, 213, 225 regulations include automatic suppression of airbags to prevent low-risk airbag deployment and the use of child seats with a rigid-bar anchor system. The regulations mean that children must sit in the rear seat, but do not include other specific safety measures for their protection. In the rear, restraint equipment consists of three-point shoulder/lap belts for the outside seats and a static two-point lap belt in the middle, with no additional devices such as pretensioners or load limiters; this is far from optimal for children. This study investigated injury rates using a 3-year-old-child dummy. ECE R44 sled tests used a booster, a speed of 48 km/h, and a 26- to 32-g rectangular deceleration pulse. While seated on a booster, the dummies were restrained by an adult shoulder/lap three-point belt. HIC_15 msec, Chest G and Nij were somewhat lower with an emergency locking retractor (ELR)+pretensioner+load limiter than with only an ELR or with ELR+pretensioner. However, the current seat-belt system results in injury rates that exceed the limit for OOP performance under the new FMVSS 208 regulations.

• Child Health Nursing Research
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• v.8 no.4
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• pp.365-380
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• 2002

This study was to develop and evaluate injury prevention education proposal which will helpful and can be utilized directly on the first line spot for elementary school children. Education proposal development and evaluation process was 1) Construction of 10-times education proposal contents proper to schooler 2) Testify validity through 3 pediatric nursing professor and 4 elementary school nurse 3) Pretest was done from March, 2002 to July on 3-6th grade 313 elementary school students 4) Through correction and revision after pretest evaluation meeting, final injury prevention education proposal was developed 5) After 10-times injury education, evaluation was carried out about the degree of help in education contents and general constitution of injury education to total subjects of educated children. Injury prevention education proposal consists of 10 times and each subjects are followings. 1st is 「introduction of injury prevention education and the importance of injury prevention」 2nd is「safety in and around home」, 3rd is 「injury prevention in school」, 4th is 「prevention of violence」, 5th is 「motor vehicle safety」, 6th is 「water safety」, 7th is 「prevention of fire and burns」, 8th is 「toy and product safety」, 9th is 「sports and recretional activities safety」and the final 10th is 「injury prevention caused by animals」. In the evaluation, the degree of help in education contents showed it helped to children averaged 1.66 and general constitution showed averaged 2.17 that children satisfied about developed injury prevention proposal. This study expected to provide systematic and concrete guidance in injury prevention education for elementary school children.

• Archives of Reconstructive Microsurgery
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• v.16 no.2
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• pp.113-118
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• 2007

Purpose: The purpose of this work was to describe the results of treatment for motor vehiclerelated crushing injuries among children and adolescents under sixteen years in Korea. Materials and Methods: A retrospective analysis was conducted of data from children who were under sixteen year and injured foot by motor vehicles. Cases were documented 1) age at the time of injury, 2) injured site, 3) the area of accident, 4) the kind of vehicle, 5) associated injuries, 6) methods of treatment for soft tissue reconstruction and 7) complications. The relationships between the area of accident and associated injuries, and the kind of vehicle and associated injuries were analyzed using Chi-square test and Fisher exact test. Results: There were 97 children who were 15 year and younger. The mean age was 7.4 years, and 65% were boys. The left foot was more dominant side of injury (57%). Seasonal variation was seen with the number of injuries peaking during the summer (43%, p<0.05). Among the vehicles, 78.3% were the large vehicles (bus, truck or van). The where of accident was more frequent at an alley or less than two lanes of traffic. But, the relationships between the place of accident and associated injury or the kind of vehicles and associated injury were not statistically significant. The associated injury were fracture or dislocation (23 cases, 35.9%), injury of tendon (21 cases, 32.8%). There were amputation or disarticulation of foot in 8 cases (8.2%) and post-traumatic deformities such as flatfoot, hindfoot varus or valus deformities by tendon injury in 7 cases (7.2%). Conclusion: More than 50% of crushing or degloving injuries of child's foot by traffic accidents happened in boys between 5 to 9 years old. The associated injury was unrelated with size of vehicles or accident place at the time of accident. But, even though foot injury happened in an alley or one lane by small vehicles, child who hurt feet by car need thorough investigation about associated injury. If a surgeon keep in mind and treat child to associated injury necessarily, can minimize complication. Microsurgical reconstruction for soft tissue defect was prior to other methods.

• Journal of Korean Public Health Nursing
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• v.26 no.2
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• pp.258-267
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• 2012

Purpose: The purpose of this study was to examine the validity and reliability of injury risk perception in preschool children. Method: Employing a methodological research design, data were collected using questionnaires from a sample of 178 child day care center preschooler selected by convenient sampling located at Kwangwon-Do. Descriptive statistics, content analysis, and Pearson correlation coefficient were used in performance of data analysis. Results: Through conduct of validity testing, 27 items were finally selected. The internal consistency was acceptable with a Cronbach's alpha of .66 and a Guttman Split-half coefficient of .70. Conclusion: The injury risk perception scale showed adequate validity and reliability in preschool children. It can be used for assessment of injury risk and for development of injury prevention programs for preschool children.