• 한국지역사회생활과학회지
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• 제24권2호
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• pp.209-220
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• 2013

This study is based on the interviews with six mothers to analyze their verbal response types with their young children ages 3-5 attending day-care center. This study was done from 10AM. to 12PM. August 18th 2012 at the director's room at P day care center in Seoul. For this study the following four situations mothers experience in child-rearing have been selected: self-achievement, sibling quarrel, nagging and isolation. As for the interview questionnaires the four verbal response types-stimulating, problem-solving, critical and indifferent ones-have been used. According to the results of this research, mothers tend to use stimulating verbal response types like praise in the situation of self-achievement; problem-solving response types like command in the situation of sibling quarrel; problem-solving response types like warning in the situation of nagging; and lastly, stimulating verbal response types like empathy in the situation of isolation. Mothers need to form more empathy with their children in such difficult situations as sibling quarrel or nagging. For mothers' efficient verbal responses for their children, accordingly, empathy in parent education needs to be more emphasized.

• 가족자원경영과 정책
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• 제16권2호
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• pp.187-210
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• 2012

Pumasi and Cooperative Child Care Sharing have had positive results among participants and show possibilities of spreading out to the community in general. However, performance was not proved where it is clarified, and the experience of 23 local Healthy Family Support Centers have that ran the demonstration project were unable to be collected. It is the point of time when the initial backing up is important but the centers do not have the systematic support. Therefore, this research presents an effective management plan through qualitative research involving Pumasi participants and person in charge. The operation strategies by the stage of the project were as follows: First, in the beginning stage, the person in charge establishes the target and vision of the project. Second, when comprising the Pumasi team, it was necessary to consider their characteristics according to the team organization subjects. Third, it is necessary to extend the turn-off time and provide many programs so that the various populations can participate. Fourth, in the advertising step, word of mouth and individual contact needs to be utilized. Fifth, in a medium or small city or an urban-rural complex area, the person in charge should support the participants' Pumasi activities. Sixth, various programs such as a passive and active parent education program and Pumasi education program for the leader needs to be provided for the activation of Pumasi activities. Lastly, a cooperative child care sharing location needs to be constructed by the duality system of the base space and outer space. In this location, the inside play space for the children is essential.

• 한국보육지원학회지
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• 제15권6호
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• pp.189-206
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• 2019

Objective: The objective of this study was to develop and apply a Teacher Learning Community Program in order to improve the specialization of infant daycare center teachers and explore the changes in the learning attitudes of teachers. Methods: To develop the program, the requirements were analyzed by surveying 500 teachers of infant classes. The developed program was provided to 25 infant daycare center teachers for a total of 14 sessions. A total of 75 sets of collected journal writing materials were analyzed qualitatively. Results: First, the Teacher Learning Community Program for infant daycare center teachers was developed. Second, the Teacher Learning Community Program was found to bring a shift in the learning attitudes among the teachers of infant classes towards reflective and communal learning. Conclusion/Implications: The Teacher Learning Community Program brought a shift in the learning attitude towards reflective and communal learning. Thus, the Teacher Learning Community Program can be applied as a teacher education program for improvement of the specialization of infant daycare center teachers.

• 보건행정학회지
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• 제1권1호
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• pp.54-71
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• 1991

Health of a nation is quite often represented by the statistics such as infant death rate and maternal mortality rate. It is indisputable that maternal child health(MCH) is the basis of health of a nation. MCH is also one of the cardinal component of primary health care. The importance of MCH is conspicuous especially in the developing countries. In Korea, People in the rural communities still have high access barrier to basic health care needs, including MCH services. Access to quality care during pregnancy and delivery seems to be the crucial factor in preventing deaths in women and children. The beneficial effects of prenatal and postnatal care on the outcome of pregnancy for mother and child, and those of health professional-attended institutional delivery on the health of mother and child have been well documented in many studies. Recognizing these effects, the government of Korea received IBRD loan of $30 million in 1979 for th purpose of constructing 89 rural MCH centers. The construction is complete now and all 89 MCH centers are under operation ti imporve primary health care for mothers and children in Korea. However, it has been observed over time that overall performance of public MCH centers is declining. The decline has been attributed partly to low quality services by public MCH centers, poor management by health center mangers, competition with for-profit private clinics, and to the development of national health insurance. This study investigates the utilization by rural communities in Korea of MCH services provided by public sector health centers deemed to be physically and financially accessible to the community but suboptimally used. It seeks also to determine the factors that influence people's utilizations. This study sets out to discover a desirable form of MCH center from among alternative forms of centers, thereby to construct a MCH model.

• 대한간호학회지
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• 제25권3호
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• pp.472-484
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• 1995

The purpose of this study was to develop a home health care model in the public health system and to test the effectiveness of the model. Seven com-munity health practitioners in Yon- Cheon county. Kyunggi province, carried out home health care service for this research. The subjects of the home health care were a total of 111 community residents with chronic health problems and risk-prone infants and children; 29 persons with hypertension, 18 persons with diabetes, 12 persons with neurologic problems, 12 elderly, and 40 infants and children. During the period of study, from December, 1993 to March, 1995, a demonstrative home health care model was developed in the Yon-Cheon County community health centers with the cooperation of the Yon-Cheon Medical Center and Yon-Cheon Public Health Center for the first six months. A home care practice manual and recording system for home visits were also co-developed by the researchers and community health practitioners. Four workshops and monthly conferences were held for this purpose. Actual home care practice took place for two months, and on-going evaluation and replanning accompanied this process. The result of the evaluation of home care service were as follows. 1) For persons with hypertension, diabetes, neurologic problems, there was significant improvement in knowledge of disease and care, but no significant difference was seen in health behavior or symptoms after home care service. 2) No significant difference was seen in level of self esteem or depression after reminiscence therapy among 12 elderly subjects. 3) There were significant differences in satis-faction toward child rearing and parental sup-port, but no significant difference In education needs for parental role after home care service among parents of infants and children. 4) There was significant improvement in the quality of life among the subjects after the home care service. 5) Subjects responded that they were highly satisfied with the home care service given by the community health practitioners. Although, the actual implementation period was very short, and not all of the evaluation outcomes showed significant improvement, the home health care model of community health practitioners was, in general, positively evaluated. Through this re-search, the possibility of community health practitioners working as active home care personnel in the public health care system is supported. Further research with an expanded area and subjects for a longer period is recommended. Cost effectiveness research is also needed.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제18권3호
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• pp.209-215
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• 2015

Mycoplasma pneumoniae is responsible for approximately 20% to 30% of community-acquired pneumonia, and is well known for its diverse extrapulmonary manifestations. However, acute necrotizing pancreatits is an extremely rare extrapulmonary manifestation of M. pneumoniae infection. A 6-year-old girl was admitted due to abdominal pain, vomiting, fever, and confused mentality. Acute necrotizing pancreatitis was diagnosed according to symptoms, laboratory test results, and abdominal computed tomography scans. M. pneumoniae infection was diagnosed by a 4-fold increase in antibodies to M. pneumoniae between acute and convalescent sera by particle agglutination antibody assay. No other etiologic factors or pathogens were detected. Despite the occurrence of a large infected pseudocyst during the course, the patient was able to discharge without morbidity by early aggressive supportive care. This is the first case in Korea of a child with acute necrotizing pancreatitis associated with M. pneumoniae infection.

• 대한지역사회영양학회지
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• 제19권5호
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• pp.425-435
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• 2014

Objectives: The purpose of this study was to develop a Na-reduction education program and apply it for cooks who prepare meals in day-care centers. To development of the program was based on increasing the self-awareness of salinity, eating behaviors and enforcing skills of low-Na cooking. Methods: The study was carried out from April to October in 2013, fifty five cooks participated in this program. The Na reduction program composed of 4 sessions of education which included a 90-minute lecture and self-reevaluation of personal salt-sensitivity degree and three low Na recipe cooking classes. In order to measure the effectiveness of the program, the pretest and posttest of salinity of the soups provided by day care centers was conducted at registration and 5 month after the program with the same menu. Results: After the conduct of the program, salimeter using rate was increased from 8.2% to 94.6% after the program and the other measuring instruments using rate was gradually increased. We observed that the score on eating behaviors increased 1.51 points from 38.80 to 40.31 after the intervention program (p < 0.001). Further, increased knowledge and skill provided by the intervention program resulted in improved Na-reduction cooking capability. According to the results from analyzing the soup salinity, the salinity in watery soup was significant reduced from 0.556 to 0.449 0.107 and soybean-paste soup was significant reduced from 0.669 to 0.551 after the intervention program (p < 0.001). Conclusions: As the result of fact, the intervention programs that was based on self-reevaluation, to enforce practical skill and consciousness was effective to serve low sodium menu at day care centers.

• 한국보육학회지
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• 제17권4호
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• pp.1-30
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• 2017

본 연구는 국가직무능력표준(NCS: National Competency Standards)에서 제시하고 있는 직무수행능력에 대한 어린이집 운영추체별 보육교사의 중요도 인식을 알아보고자 한다. 이를 위해 부산광역시 소재 국공립어린이집, 민간어린이집, 가정어린이집, 법인어린이집 교사 각 35명을 무선표집하였다. 이들을 대상으로 국가직무능력표준의 직무능력단위 12개 영역에 근거하여 추출된 45개의 하위 능력단위요소를 토대로 작성된 하위요소 230개를 문항으로 작성한 설문을 실시하였다. 그 결과 국공립 어린이집 교사 28명, 민간어린이집 교사 30명, 가정어린이집 교사 30명, 법인어린이집 교사 29명 총 117명의 설문지가 최종 분석대상이 되었다. 설문 분석 결과는 다음과 같다. 12가지 모든 직무수행능력단위에 있어 네 집단 간 중요도 인식에는 차이가 있었다. 12가지 직무수행능력단위에 대하여 법인어린이집, 국공립어린이집, 가정어린이집, 민간어린이집 순서로 중요도를 인식하고 있었다. 그중, "어린이집 운영방침 수립", "어린이집 활경구성", "보육활동운영", "영유아놀이지도", "신체 예술활동지도", "언어, 수 과학활동지도", "건강 안전 영양지도"의 일곱 가지에 있어서는 법인어린이집 교사와 국공립어린이집 교사들의 중요도 인식은 차이가 없었으며, 국공립어린이집 교사와 가정어린이집 교사 간에도 차이가 없었다. 그러나 법인어린이집 교사들과 가정어린이집 교사 간에는 차이가 있는 것으로 나타났다. 또한 가정어린이집교사들과 민간어린이집 교사들 간에도 중요도 인식에 차이가 있는 것으로 나타났다. 나머지 다섯 가지 직무능력단위인 "보육평가", "영유아발달지원", "가정 지역사회와의 협력", "보육운영관리", "보육연구"에 있어서는 법인어린이집, 국공립어린이집, 가정어린이집 교사들의 중요도 인식에는 통계적으로 유의미한 차이가 없었으나, 민간어린이집 교사들과는 유의미한 차이가 있는 것으로 나타났다. 45가지 하위 능력단위요소에 있어서도 이러한 경향은 일관되게 나타났다.

• 대한지역사회영양학회지
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• 제15권6호
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• pp.806-819
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• 2010

We investigated the foodservice sanitation status of the childcare centers in Chungnam Asan area to provide the information for sanitation guidelines and checklist in various operation types of childcare centers. Self-completed questionnaires were collected from the directors of 95 centers: national-public 9 (9.5%), corporation 10 (10.5%), private 52 (54.7%), and home care 24 (25.3%) types. The analyzed results are shown in foundation type; the investigated items are about critical hygienic problems and safety recognition level, presence of sanitation guideline, demand of dietian's employment and the role, hygienic management and education level, and the present and future of sanitary facility and equipment. From this study we found that home care center, which had low capacity, was comparatively poor at sanitation status, the use of hygienic standard and guideline, and safety recognition level. In our opinion, the use and application of same sanitation standard to any type and size of center is not appropriate and rational. The reestablishment of the sanitation guideline and checklist considering the conditions of various operation types would be necessary. Also periodic hygienic education by hygenic professionals, continuous parents' attention and cooperation of related government organizations are needed for improvement of foodservice sanitation status of childcare centers.

• 대한간호학회지
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• 제30권5호
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• pp.1195-1206
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• 2000

The purpose of this study was to analyze womens' health problems using Green & Kreuter's 1991 PRECEDE model and to develop a model for a womens' health care center located in the community. The subjects were recruited from Wonju City. 1. The results showed that 23% of the sample population felt there was a need for a womens' health care center. The mean number of health problems was 3.1. The prevalence rate, was 44.4%, and the rate for an artificial abortion, was 36.4%. Also 30.5% did not have a health examination in the past year. Women using the hospital for medical care accounted for 45% of the sample, while 40% used the drugstore. The average score on the HPLP was 2.41, and this was influenced by self-efficacy, family support, sexual role, and health locus of control. There are a few educational programs in the city provided by the Wonju Health Center and by community health nurse practitioners. 2. The nursing center, as defined in North America, is a nurse-anchored system of primary health care delivery or neighborhood health center. Centers offer various services ranging from primary care to the more traditional such as education, health promotion, wellness screening, and coordination of services by advanced practice nurses. For examples in Sweden MCH centers provide total services for childbearing women and their families, sexual counseling and education for adolescents, and screening by midwives for cervical cancer. 3. The developed model combines purpose, target population, organization, and services, and is related to health resources. The purpose is primary health care and promotion of the quality of life. The target population can be grouped according to the life cycle, (premarriaged age group, the childbearing/child rearing age group, and middle aged and elderly women) and focuses on self-help. The organization of the center includes an advisory committee to plan and evaluate, and a health services team that will be multidisciplinary to provide health care, counseling education, and research. The model development suggested that a variety of women's health care centers are needed to insure adequate management of women's health. Follow-up research using PROCEED is needed to analyze health outcomes. Also a health nursing specialist system is required to develop health promotion, and improve the quality of life of women.