• 대한치과의사협회지
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• 제22권5호통권180호
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• pp.383-385
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• 1984

생활양식의 변화에 따라 유치 및 유영구치에 대한 traumatic injury가 크게 증가하고 있으며 이는 어린이나 보호자에게 심리적으로 커다란 영향을 미칠 수 있는 것이다. 어린이의 신체중 구강주위에 가장 많은 injury를 받는 것으로 나타나고 있고 하악전치 보다는 상악전치가, 여자 보다는 남자가 더욱 많은 injury를 받는 것으로 알려져 있으며 유전치에 대한 injury가 가장 많은 시기는 걷는 것, 달리는 것을 처음 재우게 되는 1½~2½세 사이이다. 물론 같은 어린이가 수회의 injury를 받을 수 있으며 특히 조심성이 없거나 가정이 파괴된 상태의 어린이에 있어 사고 위험이 높은 것으로 나타나고 있다. 일단 injury가 발생하면 가능한 한 빨리 치료가 이루어져야 하는데 유치는 계승치 맹출에 의하여 정상적인 치근 흡수현상을 나타내고 발육중인 유영구치는 치근이 미완성된 상태이므로 성숙된 영구치와는 처치방법이 다르며 때 고려해야 할 사항으로, ① management of child, ② degree of root resorption (degree of permanent tooth development), ③ space problems, ④ degree of parental concern, ⑤habits, ⑥ speech, ⑦ esthetics등이 있다.

• Clinical and Experimental Pediatrics
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• 제52권11호
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• pp.1194-1199
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• 2009

Child abuse is defined by a recent act or failure to act that results in death, serious physical or emotional harm, sexual abuse or exploitation, or imminent risk of serious harm; involved a child; and is carried out by a parent or caregiver. This report provides guidance in the clinical approach to the evaluation of suspected physical abuse in children, and role of pediatrician. The medical assessment is outlined with obtaining a medical history, physical examination, and diagnostic testing. A minor form of child abuse which only involves skin injury is most frequently seen by a pediatrician. This kind of child abuse can be followed by more severe forms of child abuse, which have high mortality rates and cause serious physical and mental sequelae to the survivor. Therefore, a pediatrician's role in an early detection and prevention of child abuse is very important.

• 한국자동차공학회논문집
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• 제17권1호
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• pp.176-181
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• 2009

The passenger airbag(PAB) designed for standard sized adults may induce unexpected results to children in out-of-position(OOP) postures. In this work, using MADYMO software, simulations of the OOP injury of children have been performed with respect to PAB design parameters and child dummy positions. The attention is focused on some details with respect to the injury of 3 and 6 year old children in two OOP postures. Among the various design parameters of the passenger airbag systems, four parameters are selected for the sensitivity analysis of the injury with the Taguchi method: bag folding pattern, vent hole size, position of the cover tear seam and the type of door tear seam. An optimal combination of the parameters is suggested.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제34권3호
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• pp.159-168
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• 2023

Objectives: Non-suicidal self-injury (NSSI) has been theoretically, clinically, and empirically associated with emotional dysregulation. NSSI is a means of regulating emotional states, particularly negative emotions. However, empirical studies on this topic are scarce and the literature lacks qualitative research on individuals' perceptions and comprehension of the function of self-injury. Thus, this qualitative study aimed to provide novel insights into the relationship between NSSI and emotional dysregulation in young adults. Methods: Twelve participants (mean age=22.7 years, 9 females and 3 males) from different support groups and a healthcare center participated in semi-structured interviews on NSSI-related emotional processes. Three aspects were investigated: reasons for NSSI, function of NSSI, and emotions. Each interview was voice recorded and typically lasted between 20 and 40 minutes. All responses were analyzed using thematic analysis. Results: Four major themes were identified. The results showed that NSSI had both intrapersonal and interpersonal functions, within which emotional regulation played a significant role. NSSI was also used to regulate positive emotions. The results also showed a sequence of emotions among the participants, going from feeling overwhelmed to feeling relatively calm but guilty. Conclusion: NSSI has several functions for the same individual. Thus, it would be interesting to provide integrative therapy, such as emotion-focused therapy, which focus on improving intrapersonal and interpersonal emotion regulation skills and strategies.

• 부모자녀건강학회지
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• 제8권1호
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• pp.23-36
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• 2005

Purpose: The purpose of this study was to determine the effect of an education program promoting attitude, knowledge, and practice of safety for teachers in child care centers. Method: This education was provided at one public health center in Kyunggi Province. One group pretest-post test design was used, and knowledge on safety and emergency care, practice of safety, health belief and self confidence on safety practice were assessed from 74 teachers. Theoretical framework for this program was Pender's health promotion model. Result: After two hours group education session on safety management, knowledge on safety and emergency care was significantly increased and perception on the main cause of injuries was significantly changed. Practice on safety was significantly related to the knowledge, health belief and confidence on safety, and social support. Conclusion: The education program for teachers in child care centers regarding the child safety and emergency care was effective in promoting knowledge and perception on the main cause of injuries of infants.

• 한국응급구조학회지
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• 제6권1호
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• pp.87-102
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• 2002

Injury has now replaced disease as the biggest single cause of death in children after their first birthday. Each day child dies from preventable, unintentional injury and the medical cost of these injury is increasing remarkably. It is necessary to develope injury prevention models to explain, predict, manage, evaluate and analyze the information about accident. The purpose of this paper is, firstly, to investigate parent's actions regarding safety measures at home and secondly, to identify the influencing factors of parents' safety behaviors. The selection of such factors is guided by the theoretical framework of the Pender's Health Promotion Model. Method ; The questionnaire was developed on the basis of other investigations, through pilot testing, peer review, and review by field health workers. The questionnaire was completed by 231 mothers of young children. Data was collected between April and May 2002. Variable Use of three different domains of safety behavior, safety habits, supervision and perception of safety devices, were listed. Mothers were self reported on internal locus of control, mother & child relationships, and marital intimacy. Also the elements of the Health Promotion Model: perceived benefit, barrier, threat, and self-efficacy, were surveyed. Results & discussion The results indicate that most parents take considerable action to reduce household hazards. The constructs derived from the Model were statistically significant differences for a small part of the variables on parental behavior to reduce hazards in the home, such as age, education, economic status, self-efficacy, perceived benefit, internal locus of control. Future studies ought to include social influences, such as expectations, perceived norms, knowledge, and child-related variables, relevant to parental safety measures in their home.

• 의료법학
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• 제10권1호
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• pp.117-168
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• 2009

Generally, criminal law protect the human life after he/she has born. Before the birth, the life of fetus are protected by prohibition of abortion, not of murder. Also, the fetus is not considered as an object of infliction of injury. A popular opinion and case law say that the fetus becomes a person at the point of an outset labor pains. Recently, some theories allege that traditional opinions is not sufficient in the case of induced delivery, so it should be decided by norm, not by a simple fact, whether a unborn child is a fetus or a person, and that the fetus should be considered as an object of infliction of injury. These theories can be meaningful because these could protect human life more comprehensively. In the other side, however, these could harm the legal stability and bring the excessive punishment. Abortion of negligence is not punishable in criminal law, and there is little possibility of the fetus injury without the injury of the pregnant woman. And the Contergan Case, if it happened again, must be dealt with as crime about environment or public health more severely. These new approaches are in conflict with the principle of "nulla poena sine lege" and other fundamental rules of the criminal law, and should lead to the excessive punishment and criminal provisions. Accordingly, the decision of Supreme Court of Korea about the beginning point of human being should be maintained.

• 한국보건간호학회지
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• 제27권2호
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• pp.254-266
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• 2013

Purpose: This study examined the characteristics of in-home injuries of children in low-income families and sought to identify the factors affecting parental in-home injury prevention practices. Methods: A cross-sectional descriptive survey design was applied, using questionnaires on in-home injury characteristics in children, parental in-home injury prevention practices, parental perceptions and knowledge on childhood injuries, and the Parental Stress Index. We queried 169 parents of children less than 5years of age who were enrolled in Nutrition Plus Projects at community health centers. Results: Overall, 92.7% of children had experienced in-home injuries, with sliding crashes and bumping injuries as the most frequent type of injury. The recovery rate with a scar after injury was 26.3%. Parental practices for in-home injury prevention were higher according parental age, educational status, and previous learning experiences regarding in-home safety and injury prevention. The two most significant factors affecting parental in-home injury prevention practices were age and parental perception of childhood injuries as being controllable and preventable. Conclusions: Considering the high risk of in-home childhood injuries in low-income families, safety education and the promotion of injury prevention practices for parents are recommended. The strategy to enhance the parental perception on preventing childhood injuries needs to be addressed.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제33권4호
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• pp.99-105
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• 2022

Objectives: Suicide is the leading cause of death among adolescents in South Korea, and depression and personality profiles have been identified as significant risk factors for self-injurious behavior. This study examined the influence of depressive mood and temperament/character on self-injury in adolescents. Methods: A total of 116 adolescents (aged 12-18 years) with a primary diagnosis of major depressive disorder (MDD) and their parents were enrolled in this study. The participants were divided into three groups based on adolescent's self-injury frequency, and their Children's Depression Inventory (CDI), Youth Self-Report (YSR), and Temperament and Character Inventory (TCI) scores were compared. Finally, mediation analysis was conducted to investigate the relationship between suicidal ideation and self-injury. Results: Of study participants, 75.9% answered that they had suicidal ideation, and 55.2% answered that they had engaged in self-injurious behavior in the last six months. There were significant differences in CDI and suicidal ideation among the groups. After adjusting for age and sex, mediation analysis indicated that depressive mood mediated the relationship between suicidal ideation and self-injury. Conclusion: This study emphasizes the importance of evaluating and managing depressive mood severity in adolescents with MDD as these factors partially mediate the transition from suicidal ideation to self-injury.

• 부모자녀건강학회지
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• 제10권1호
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• pp.77-90
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• 2007

Purpose: Motor vehicle crashes are the leading cause of death among children younger than 14 years old. The purposes of this study were to 1) provide a basic overview of child safety seats, 2) review car seat safety usage and misuse, 3) suggest interventions to motivate the usage of child safety seats. Method: The design was a descriptive study with literature review. Previous studies were searched of PUBMED, ProQuest and KERIS. Result: Child safety seats and automobile safety belts protect children in a crash if they are used correctly, but if a child does not fit in the restraint correctly, it can lead to injury. A child safety seat should be used until the child correctly fits into an adult seat belt. Conclusion: To improve child passenger's safety, educational, legislational and environmental enforcements are needed: educational interventions to promote use of child safety seats, strengtened legislation to mandate use of child safety seats, establishment of public acquirements.