• 제목/요약/키워드: Children's service

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충청북도지역 보육시설의 학부모대상 급식서비스 현황과 품질 만족도 (Quality Evaluation of Foodservice within Child Care Centers in Chungbuk Province)

  • 최은숙;이영은
    • 한국식생활문화학회지
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    • 제24권3호
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    • pp.267-278
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    • 2009
  • The purpose of this study was to examine parents' perceptions towards, and the importance and performance levels of, foodservices in child-care centers and to suggest ways to increase foodservice quality and promote efficient operations in the future. A questionnaire survey was provided to 540 parents and the return rates 82%. The survey period was from June 20 to July 27,2007. The collected data were statistically analyzed with the SAS package program using descriptive statistical analysis, t-tests, ANOVA, Duncan's multiple comparisons, factor analysis, and multiple regression analysis. The results were as follows: The parents perceived that foodservice operations promoted their children's health and helped them form desirable dietary habits. The parents also had a high level of perception toward the need for foodservice, earning greater than 4.5 points out of 5 points. Their perceptions of foodservice quality were examined by four dimensions of importance and performance levels. While the parents gave 4 points or greater of 5 points to most quality attributes of importance level, they gave 4 points of less out of 5 points to most quality attributes of performance level. As for the importance and performance levels of the quality dimensions of meal service, the parents regarded sanitation as the most important dimension. IPA showed that 'organic food materials' was included as a 'focus here' area. The overall satisfaction level for foodservice was 3.59 out of 5 points. A higher level of satisfaction was shown when a dietitian was present as well as in public childcare centers. According to multiple regression analysis, 53.51% of the variance in the respondents' overall satisfaction scores was explained by factors such as food, sanitation, environment, and foodservice effects.

독서 능력과 읽기 능력의 연구 동향 비교 분석 (Comparative Analysis of Research Trends in Reading Ability-related Fields)

  • 이세나
    • 한국도서관정보학회지
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    • 제54권3호
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    • pp.223-248
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    • 2023
  • 이 연구는 독서 능력과 읽기 능력의 연구 동향을 비교 분석하기 위해 진행되었다. 이를 위해 '독서 능력'과 '읽기 능력'으로 검색된 논문을 개별적으로 수집한 후, 저자 키워드를 대상으로 키워드 네트워크 분석을 진행하였다. 분석 결과 대학에서 진행되는 독서/읽기 교육과 관련된 연구들은 독서 능력과 읽기 능력이라는 용어를 혼용하여 사용하고 있으며, 독서 능력 관련 연구에서는 대학 교육 내용을 제외하면 학교도서관에서 진행되는 사서교사의 정보활용능력, 자기주도학습, 정보서비스 관련 교육이 주요 연구 영역이고, 읽기 능력 관련 연구에서는 아동의 초기 문해 관련 연구, 이와 연결된 부진, 장애 관련 연구들이 주로 진행됨을 확인하였다. 또한 독서/읽기 능력의 평가와 관련된 연구는 독서 능력과 읽기 능력 영역에서 모두 진행되고 있지만 활성화되지 않았고, 청소년 독자에 대한 연구는 독서 능력과 읽기 능력 모두에서 활발하지 않음을 확인하였다.

뇌병변 및 지체 장애아의 보조공학기기 사용 만족도와 심리사회적 영향의 관련성 (Association between Satisfaction with Assistive Technology Devices and Psychosocial Impact among Some Mentally or Physically Disabled Children)

  • 장경례;류소연;박종;한미아
    • 농촌의학ㆍ지역보건
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    • 제42권3호
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    • pp.132-144
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    • 2017
  • 본 연구는 장애인 보조기기 렌탈서비스를 이용하는 뇌병변 및 지체 장애아의 보조공학기기 사용 만족도와 심리사회적 영향과의 관련성을 알아보고자 수행하였다. 연구의 대상은 광주광역시와 전라남도 지역에서 2011년부터 2015년 5월까지 장애인 보조기기 렌탈서비스를 이용하고 있는 뇌병변 및 지체 장애아 120명을 대상으로 자기기입식 설문조사를 통해 이용 장애아의 일반적 특성, 보조공학기기 사용실태와 만족도, 심리사회적인 영향 정도를 조사하였다. 분석방법으로 빈도와 백분율, 평균과 표준편차를 이용하여 결과를 제시하였으며, 대상자의 특성에 따른 보조공학기기 사용 만족도와 심리사회적인 영향 비교는 t-검정과 분산분석을 이용하여 알아보았고, 보조공학기기 사용 만족도와 심리사회적인 영향과의 관련성은 피어슨 상관관계 분석을 실시하여 파악하였다. 연구결과 보조 공학기기 전체 만족도 점수는 $4.08{\pm}0.66$점이었고, 하위영역인 보조기기 만족도 점수는 $4.01{\pm}0.70$점, 서비스 만족도 점수는 $4.14{\pm}0.90$이었다. 장애아의 심리사회적인 영향은 하위영역인 자기욕구 실현능력 $0.99{\pm}0.78$점, 적응력 $1.04{\pm}0.86$점, 자존감 $0.99{\pm}0.74$점이었고, 전체 점수 평균은 $1.00{\pm}0.75$점이었다. 보조공학기기 사용 만족도는 장애아의 건강상태, 주양육자의 학력과 보조공학기기 사용시간에 따라 통계적으로 유의한 차이가 있었으며, 장애아의 심리사회적 영향은 보조공학기기 사용시간에 따라 유의한 차이가 있었다. 보조공학기기 사용 만족도와 심리사회적인 영향은 통계적으로 유의한 양의 상관관계가 있었다(단순상관; r=.503, p<.001 vs. 편상관; r=.440, p<0.001). 결론적으로 본 연구에서는 뇌병변 및 지체 장애인에게 보조공학기기 사용 만족도와 심리사회적인 영향과는 상관성이 있음을 알 수 있었다. 향후 국내 보조공학기기의 효과적인 보급과 활성화를 위해 더 광범위한 장애유형과 서비스 영역을 대상으로 한 연구가 지속적으로 이루어져야 할 것으로 생각된다.

에디파의 탐구와 두 개의 미국 (Oedipa's Quest and Two Americas)

  • 손동철
    • 영미문화
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    • 제9권1호
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    • pp.273-295
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    • 2009
  • As Oedipa Mass, the heroine of Thomas Pynchon's The Crying of Lot 49, is apparently associated with Oedipus, the hero in Sophocles' tragedy, this paper aims to show some of their similarities in quest theme and plot development as well as in the use of dramatic irony. Oedipus the King opens with a priest's pleas to relieve the Theban people from a plague and the king's promise to rid its cause by avenging the murder of the former king, as told by the oracle. Lot 49 begins as a Los Angeles law firm informs Oedipa that she is named as the executrix in her former lover Inverarity's will to sort out the mogul's estate. Ironically, however, Oedipus' investigation reveals himself to be the very cause of the national disaster, the murderer for whom he searched. Likewise, Oedipa starts her inquiry dedicating herself to make sense out of what Inverarity had left behind, only to find that the legacy was America. Sophocles and Pynchon both employ dramatic irony to provide a controlling principle for plot development in their works. In Oedipus the King, Sophocles creates mounting tension as well as distance between the reader's knowledge and the protagonist's ignorance, compressing the play's action into the moment that Oedipus discovers his real identity. For dramatic irony, however, Pynchon tends to work through authorial comments and utilize allegorical meanings of the characters' names, directing his novel at illuminating Oedipa's discovery of Inverarity's legacy as well as the meaning of Tristero, an underground postal service system. Unlike Oedipus the King that proceeds on a single line of action, Lot 49 develops in esoteric, multi-layered allusions and intricately-interrelated double strains involving Oedipa's roles as executrix and quester. At the end of Sophocles' tragedy, Oedipus stabs his eyes and decides to live in exile, realizing that, blinded, he begot his children through his mother; Oedipa comes to a painful realization that she allowed her former lover to create death-orienting America without her diversity and moral system in old times. As Oedipa now discovers herself through her search for Tristero, her tragic spirit lies in her determination to confront her binary choices between two Americas: transcendence or entropy, the Tristero possibility or Inverarity's America. Ultimately, Oedipa tries to find who will be the bidder for the Tristero forged stamps designated as lot 49, awaiting the auctioneer's cry and the "crying" of a new-born America.

일부 보육교사의 영양지식과 식생활태도 및 영양교육 요구 조사 (A Study on Nutrition Knowledge, Dietary Attitudes and Nutrition Education Needs among Child-Care Teachers)

  • 최경숙
    • 대한지역사회영양학회지
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    • 제15권1호
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    • pp.137-148
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    • 2010
  • This study was conducted on 175 child-care teachers, who participated in in-service education, to research the methods to improve child-care teacher's nutrition management capability for infants and children. Investigated results of child-care teachers' nutrition knowledge, dietary attitude status, and needs on nutrition education in child-care centers are as follows: The score of child-care teachers' nutrition knowledge was 10.83 points out of 15, which is about 72%. Total score increased as teachers' age but not significantly different from their career duration, since teachers who have a child-care career less than 5 years acquired 10.91 points, which is higher than 10.64 points of teachers having more than 5 years of child-care career. Teachers' average recognition to the nutrition knowledge was 90.6%, increased significantly by the older they are, and decreased according to the accumulation of their career. The average accuracy of the nutrition knowledge was 79.7%, increased in proportion to the teachers' age. The marks of child-care teachers' dietary attitude were 41.3 points (possible score range 5-50) and 83%, older teachers tended to have more desirable dietary attitude. As indicated by the increment of child-care career, the score of emotional attitude tended to be increased but which of cognitive and behavioral attitude showed a declining tendency. Nutrition information which child-care teachers were mainly interested in were correct selection of food (58.1%), obesity and weight management (52.7%), and nutrient content of food (44.9%). Nutrition education contents which child-care teachers needed were 'nutritious food and menu for child' (72.2%), 'health management of child' (69.2%) and meal management of child (40.2%). Nutrition education methods, which child-care teachers considered as of desirable ones, were cooking class of small scale (31.8%), visiting class at child-care center (26.5%). In consequence, the nutrition knowledge and dietary attitude of child-care teachers were not good and showed different issues by age and career duration. Therefore, it is requisite to intensify nutrition management courses in child-care teachers' qualification and in-service education courses which has actual necessity and suitability based on teachers' age, career, and the type of child-care center, and to disseminate these through public health centers and child-care & education information centers to pursue the efficient balance of nutrition education programs.

일부 종합 병원 로비의 공기 중 엔도톡신 농도에 미치는 환경 요인 평가 (An Assessment of Environmental Characteristics Associated with the Level of Endotoxin Concentration in Hospital Lobbies)

  • 이경민;염정관;이원재;류승훈;박동진;박동욱
    • 한국산업보건학회지
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    • 제24권3호
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    • pp.310-320
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    • 2014
  • Backgrounds: Endotoxin, which found in the outer membrane of the gram-negative bacteria cell wall, makes up almost all of the lipopolysaccharide(LPS). When people are exposed to endotoxin,it can result in diverse health effects such as an airway irritation and inflammation, fever, malaise, bronchitis, allergic asthma, toxic pneumonitis, hypersensitivity lung disease. Cases among the elderly, children or pregnant can occur more frequently than a healthy adult if they are repeatedly exposed to the existing endotoxin. Therefore, we investigated and assessed the environmental characteristics associated with the airborne endotoxin concentration level in six hospital lobbies. Method: Endotoxin from indoor air in six hospital lobbies was measured by an area sampling method and analyzed according to American Society for Testing and Materials International(ASTM international) E2144-01. Total suspended particulate(TSP), carbon dioxide($CO_2$), temperature and humidity were also measured by using direct reading measurements or airborne sampling equipment at the same time. Environmental characteristics were appropriately divided into two or three groups for a statistics analysis. One-way analysis variable(one-way ANOVA) was used to examine a difference of the endotoxin concentration, depending on the environmental characteristics. In addition, only variables with p-value(p<0.25) were eventually designed to the best model by using multiple regression analysis. Results: The correlation analysis result indicated that TSP(p=0.003) and $CO_2$(p<0.0001) levels were significantly associated with endotoxin concentration levels. In contrast, temperature(p<0.068) and humidity(p<0.365) were not associated with endotoxin concentration. Levels of endotoxin concentration were statistically different among the environmental characteristics of Service time(p=0.01), Establishment of hospital(p<0.001), Scale of hospital(p=0.01), Day average people using hospital(p=0.03), Cleaning time of lobby(p=0.05), Season(p<0.001), and Cleaning of ventilation system(p<0.001) according to ANOVA. Finally, the best model(Adjusted R-square=72%) that we designed through a multiple regression test included environmental characteristics related to Service time, Area of lobby, Season, Cleaning of ventilation system, and Temperature. Conclusions: According to this study, our result showed a normal level of endotoxin concentration in the hospital lobbies and found environmental management methods to reduce the level of endotoxin concentration to a minimum. Consequently, this study recognized to be requirement for the management of ventilation systems and an indoor temperature in order to reduce the level of endotoxin concentration in the hospital lobbies.

보건지소(保健支所) 진료활동(診療活動)에 관(關)한 연구(硏究) (Study of Medical Carein Health Subcenter)

  • 김문식;김한중;김영기;김일순
    • Journal of Preventive Medicine and Public Health
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    • 제9권1호
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    • pp.109-116
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    • 1976
  • Reorganization of myun health care service is one of the main issues in health care delivery in rural Korea. The fundamenta, concept of the role and function of the myun health subcenter is that it is the basic unit of rural health care service and is to provide comprehensive health care service through the integration of curative and preventive services. The aim of this study is to analyze the patterns of curative activities in the myun health subcenter in terms of the most prevalent types of diseases, necessary diagnostic methods and required equipment, types of treatment, necessary drugs and materials, and finally the cost of curative services. The population on which this study was done was the 1596 patients who visited the two myun health subcenters (Sunwon Myun and Naega Myun) in Kang Wha County, the area of the Yonsei University Community Health Teaching Project, during period from May 1, 1975 to June 10, 1976. For the patient's record in the clinic, problem oriented medical records were used. Decisions regarding the disease classification, the diagnostic methods used and selection of the most appropriate and adequate medical treatment were made by a group of three experienced physicians after reviewing the medical records which had been written by public physicians who were treating patients in the study area. The records were reviewed by resident staff members of the Department of Preventive Medicine, of Yonsei University College of Medicine. A brief summary of results of the study is as follow: 1. 29.9% of the patients who visited the clinics were ages between 0-4. No sex difference was observed among patients less than 20 years of age. However, among patients over 20 years old, females predominated. Thus it is evident that the majority of patients were either children or mothers and grandmothers. 2. The distance from the individual villages to the myun health subcenter was one of important factors in determining the ratio of clinic visits. However, other factors such as the activities of the health workers also affected the rates substantially. 3. The most common 25 diseases comprised 90.2% of all the diseases recorded. Acute respiratory infection (25.5%), Skin (12.7%) , diarrheal diseases (6.8%), neuralgia and back pain (4.9%) and. all other injuries (3.9%) were the five most common diseases. 4. Of all the diseases diagnosed and treated, 9.2% required simple laboratory tests for diagnosis, 6.5% required X-ray examination, and altogether 13.6% required either laboratory test or X-ray examination. 5. Treatment and management of 42.0% of the cases could be accomplished with simple, inexpensive drugs, 12.8% required the use of more expensive drugs (mostly antibiotics) and injections were required in 19.7% of the cases. Minor surgery and referral were necessary in 5% of the cases. 6. The cost for diagnosis and treatment was estimated with a standard which was set by general concensus. The average cost of diagnosis was 144 per case and the cost of treatment was 726 per case, The Total average cost per visit was 870.

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부모의 경제수준에 따른 자녀의 식습관과 식품기호도에 관한 연구 (I) -서울.경기 (인천)지역을 중심으로- (A Study on the Children's Eating Habits and Food Preference according to Their Parents' Economic Status (I) - Seoul & Gyeonggi (Incheon) Area -)

  • 정혜정;엄윤호;김정윤
    • Journal of Nutrition and Health
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    • 제41권1호
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    • pp.77-88
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    • 2008
  • 본 연구는 유아기, 학동기, 청소년기 자녀를 대상으로 부모의 경제수준에 따라 식습관과 식품기호도를 조사 비교함으로써 부모의 경제수준에 따른 자녀의 식생활 경향을 알아보고, 자녀의 균형적인 영양 공급을 위한 조리법 개발을 위한 기초 자료로 삼고자하며, 그 결과를 요약하면 다음과 같다. 1) 조사대상자 중 학동기 두 집단 모두 과체중 대상이며, 유아기와 청소년기 두 집단은 정상 수준이었다. 2) 아버지와 어머니의 학력은 대졸이 가장 많았으며, 모든 집단 간 유의한 차이가 있었다. 모든 연령 집단에서 아버지의 직업은 사무직이 가장 높게 나타났으며, 유아기의 경우 400만원 미만 (전문직)을 제외한 어머니 직업은 주부가 가장 높게 조사되었다. 3) 학동기는 400만원 미만 (끼니거름)을 제외한 조사대상자의 식사습관 차이는 없었으며, 선호하는 음식류에서 모든 연령층이 육류를 좋아하였으며, 야채를 가장 싫어하는 것으로 조사되었다. 모든 연령 집단에서 외식횟수는 $1{\sim}2$회가 가장 많았고, 다음은 $3{\sim}4$회로 나타났다. 4) 간식 선호도에서는 빙과류와 과일 및 주스, 과자류를 연령에 상관없이 전반적으로 좋아하며, 학동기 400만원 이상은 우유 (딸기맛, 초코맛), 햄버거, 피자에 대하여 높은 선호도를 나타냈다. 5) 외식 시 가장 좋아하는 음식류는 유아기의 경우 중국식 (자장면, 탕수육), 학동기 400만원 미만 집단은 한식류(갈비, 불고기), 400만원 이상 집단은 패밀리레스토랑 (스테이크, 립), 청소년은 모두 한식류 (갈비, 불고기)를 가장 선호하였다. 6) 조리법은 유아기의 경우 구이류 (생선, 김), 학동기는 구이류 (육류), 청소년 400만원 미만은 찌개류 (김치, 된장), 400만원 이상은 구이류 (육류)를 가장 선호하였고, 학동기 집단에서 400만원 이상이 튀김류와 찜류 (갈비, 생선)을 400만원 미만 보다 더 좋아하는 것으로 나타났다. 결론적으로 부모의 경제수준에 따른 식품기호도는 선호도의 미소한 차이만 있을 뿐 큰 차이가 나타나지 않았다. 간식류 중 선호도가 놓은 과일을 간식으로 자주 섭취하는 것은 바람직하며, 빙과류와 과자류의 섭취 횟수를 줄이기 위해 부모는 관심을 가지고 같이 참여하여야 한다. 또한 좋아하는 음식류에서 육류에 편중되는 것은 아동의 비만과 어린이 성인병을 유발시킬 수 있으므로, 싫어하는 음식에서 가장 높은 선호도를 보이는 야채류와 서류 (감자, 고구마 등)의 섭취를 증가시킬 수 있는 조리법의 개발이 필요하다. 외식 시 선호하는 음식을 선택 할 때에는 패스트푸드보다는 한식이나 건강을 위한 음식을 선택하도록 부모의 교육과 지도가 필요하며, 야채와 해조 어패류를 혼합한 음식을 개발하여 제공하는 것도 좋을 것으로 사료된다. 또한 부모의 사회 경제수준을 중심으로 자녀의 식습관과 식품 기호도에 대한 연구는 미흡한 실정이므로 부모의 사회경제수준을 보다 구체적으로 조사한다면, 부모의 경제수준에 맞는 자녀를 위한 식습관과 영양교육을 할 수 있을 것으로 사료된다. 본 연구는 도시지역을 중심으로 조사한 결과를 바탕으로 이루어졌기에 비 도시지역의 자녀의 식습관과 식품기호도를 반영하지 못하고 있다. 그러므로 앞으로는 도시지역과 비도시지역을 비교하는 조사 연구가 필요하며, 이러한 조사결과를 바탕으로 자녀의 식습관에 대한 교육을 위한 교재, 교구의 개발과 영양, 식습관 교육프로그램의 개발을 통해 가정과 학교에서 부모와 교사가 자녀의 식생활 지도 관리를 돕고 가정과 교육기관이 연계한 교육 프로그램이 활성화 될 수 있도록 지속적인 관심을 기울여 나가야 할 것이며, 이에 따른 후속 연구들이 계속적으로 이루어져야 할 것이다.

재일한국인(在日韓國人)에 對(대)한 사회의학적조사(社會醫學的調査) (Socio-medical Surveys on the Korean Residents in Japan)

  • 김병우
    • Journal of Preventive Medicine and Public Health
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    • 제6권1호
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    • pp.101-117
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    • 1973
  • Socio-medical survey was carried out on six hundred and thirty Korean households in the cities of Tokyo, Osaka, Kyoto, and Nagoya in Japan from Nov. 1972 to Dec. 1972, and following results were obtained. 1. Age distribution of households showed the highest occurence in the group of 40 to 49 years of age in the both sexes. Families with five members showed highest occurence, and the average number of familial members was 5.7 persons per one household. 2. More than half of the householders were some independent enterprisers rather than to be the employees and most of the household had one familial member engaged in more or less liberal profession. 3. 19.4% of households moved into these cities from 1941 to 1945. 4. 40.5% of all the households had their own houses. The possession rate of one's own house was higher in the households which had long period of residence in Japan. 5. 83.5% of all households had various medical insurances. And the 6.2% of the household which had no insurance stated that the reason for not being affiliated was 'because to be the foreigner'. Household of shorter dwelling period had less tendency to be affiliated to the various insurances. 6. In 41.3% of all the households, average medical expenditure amounted to 1000-5000 Yen per month. And only 25.6% of household stated that they do not worry about the medical expenditure for the futures. 7. 66.3% of households were consulting to medical doctors for their sickness, such as toothache, severe coughing, profuse sputum, children's fever and stomach pain etc. 8. 59.4% of households were using the facilities of health center services. The health center service was used mainly for individual health service rather than the environmental aspect. And 19.8% of households were not aware of health center activities. 9. It was found that 23.5% of households received the screening test of the tuberculosis and adult diseases. Especially, the rate of screening test of the adult diseases showed as following ; stomach cancer, 8.9% ; hypertension, 7.9% ; diabetes mellitus, 2.1% ; and uterus cancer, 1.6%. 10. Birth control was carried out in 17.3% of households but not in 52.5%. The chief reason of birth control was 'because of poor maternal health' (40.0%) or 'should not be done' (5.4%). 11. Most of them are obtaining the knowledges and informations on family plannings. public nuisance problems and nutritions etc. by means of the mass communications, while those no preventing diseases and the environmental hygiene through the administrative organizations.

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Occurrence and characterization of oseltamivir-resistant influenza virus in children between 2007-2008 and 2008-2009 seasons

  • Kim, Seoung Geun;Hwang, Yoon Ha;Shin, Yung Hae;Kim, Sung Won;Jung, Woo Sik;Kim, Sung Mi;Oh, Jae Min;Lee, Na Young;Kim, Mun Ju;Cho, Kyung Soon;Park, Yeon Gyeong;Min, Sang Kee;Lee, Chang Kyu;Kim, Jun Sub;Kang, Chun;Lee, Joo Yeon;Huh, Man Kyu;Kim, Chang Hoon
    • Clinical and Experimental Pediatrics
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    • 제56권4호
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    • pp.165-175
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    • 2013
  • Purpose: There was a global increase in the prevalence of oseltamivir-resistant influenza viruses during the 2007-2008 influenza season. This study was conducted to investigate the occurrence and characteristics of oseltamivir-resistant influenza viruses during the 2007-2008 and 2008-2009 influenza seasons among patients who were treated with oseltamivir (group A) and those that did not receive oseltamivir (group B). Methods: A prospective study was conducted on 321 pediatric patients who were hospitalized because of influenza during the 2007-2008 and 2008-2009 influenza seasons. Drug resistance tests were conducted on influenza viruses isolated from 91 patients. Results: There was no significant difference between the clinical characteristics of groups A and B during both seasons. Influenza A/H1N1, isolated from both groups A and B during the 2007-2008 and 2008-2009 periods, was not resistant to zanamivir. However, phenotypic analysis of the virus revealed a high oseltamivir $IC_{50}$ range and that H275Y substitution of the neuraminidase (NA) gene and partial variation of the hemagglutinin (HA) gene did not affect its antigenicity to the HA vaccine even though group A had a shorter hospitalization duration and fewer lower respiratory tract complications than group B. In addition, there was no significant difference in the clinical manifestations between oseltamivir-susceptible and oseltamivir-resistant strains of influenza A/H1N1. Conclusion: Establishment of guidelines to efficiently treat influenza with oseltamivir, a commonly used drug for treating influenza in Korean pediatric patients, and a treatment strategy with a new therapeutic agent is required.