• Child Health Nursing Research
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• 제10권1호
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• pp.5-13
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• 2004

Purpose: The aim of this study was to analyze the correlation of gestational age and birth weight with weight gain of very low birth weight infants(VLBWI) during their hospital stay. Method: This is a 5 year retrospective study of which data were collected through review of medical records. Subjects were 124 VLBW infants with a birth weight more than 1000g and less than 1500g who received neonatal intensive care at the university hospital between January 1, 1997 to December 31, 2001. Result: After calculating the z scores of birth weights and discharge weights, z scores of discharge weight and birth weight were compared with the median weight of a fetus of comparable gestational age based on an intrauterine growth reference. There was a significant difference between z scores of birth weight and discharge weight(t=11.60, df=122, p=0.000). Regardless of intensive care during the prolonged hospital stay, VLBW infants showed slow growth rate compared with the median weight of a fetus of comparable gestational age. Conclusion: VLBW infants developed a poor velocity of weight gain during the prolonged hospital stay after birth. The development worsened during the period of physiological weight loss and regain, and they did not reach to comparable growth rate of normal fetus even at the time of discharge. This poor growth velocity of VLBW infants influence negatively for their future growth. Therefore nureses who work at the neonatal intensive care unit must develop an effective nursing intervention protocol to promote the velocity of weight gain and to conduct the parental educational sessions to emphasize the importance of weight gain for VLBW infants at home.

• 한국보육학회지
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• 제17권1호
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• pp.1-28
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• 2017

본 연구는 보육교사들이 반응성 상호작용 전략을 적용을 한 후 영아의 중심축 행동의 발달이 어떠한지 살펴본 사례연구이다. 연구 참여자는 H재단에서 수탁 운영하는 직장어린이집 5곳의 만1세 영아 5명과 그들의 담임교사 5명이다. 이 연구에서는 교사-영아 상호작용을 녹화한 동영상, 일화기록, 교사의 반성적 저널, 교사와의 심층면담 자료를 통해 연구대상 영아의 중심축 행동 변화를 분석하였다. 연구결과를 살펴보면 보육교사의 반응성 상호작용 전략 적용은 영아의 중심축 행동(주의집중, 문제해결, 흥미, 협력, 주도성, 공동주의, 애정)을 긍정적으로 변화시켰다. 이러한 연구결과는 영아를 담당하고 있는 보육교사들이 영아의 중심축 행동 발달을 돕기 위해 반응성 상호작용의 중요성을 인식하고 실천해야 함을 시사한다.

• Physical Therapy Rehabilitation Science
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• 제9권3호
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• pp.191-196
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• 2020

Objective: Congenital muscular torticollis (CMT) is a disease with abnormal head and neck posture in infants. It affects the child's movement and development and can lead to complications. Therefore, this study aims to find out what factors influence the rehabilitation treatment duration of infants with CMT. Design: Cross-sectional study. Methods: The subjects were 63 infants under 90 days of age who were diagnosed with CMT. Age, thickness of the sternocleidomastoid muscle (SCM) on the affected and non-affected side, head tilt angle, and head rotation angle of the affected head in infants were collected. The ratio of muscle thickness was calculated from the thickness of the affected SCM and the thickness of the non-affected SCM (A/N ratio). All subjects underwent conservative physical therapy twice a week for 30 minutes, and the end of the treatment was when the angle of head tilt was normal or less than 5 degrees, and the treatment duration was calculated. Results: Age, thickness of affected SCM, and head tilt were significantly correlated with treatment duration (p<0.05). The thickness of the non-affected SCM, A/N ratio, and head rotation angle did not show any correlation with treatment duration. The factors affecting the treatment duration were head tilt and age, showing 21% explanatory power of adjusted R². Conclusions: The main factors affecting the treatment duration of infants with CMT are head tilt and age. Therefore, more attention should be directed to the infant's head tilt and age for effective physical therapy of infants with CMT.

• Journal of Nutrition and Health
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• 제24권5호
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• pp.469-476
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• 1991

속초시에 거주하는 6개월에서 20개월 사이의 영유아 170명(남아 98명, 72명)을 대상으로 1991년 3월 25일에서 4월 5일 사이에 영유아들의 어머니들에게 설문지로 이유실태를 조사한 결과는 다음과 같다. 어머니의 학력수준은 79.4%가 고졸 이상이며 주부가 69.4% 직장근무 17.1%, 부업 및 시간제 근무가 13.5% 이었다. 영유아의 이유이전의 수유방법은 모유영양이 40.0%, 인공영양이 44.1% 및 혼합영양이 15.9%이었다. 모유의 수유기간은 최고 18개월까지로 나타났으며 인공영양아를 제외한 대상자중에서 평균 수유기간은 6.3개월 이었다. 이유의 시작시기는 대상자 전체가 2개월에서부터 12개월로 평균 5.6개월이었으며, 이유의 완료시기는 전체가 6개월에서부터 12개월로 평균 11.4개월 이었다. 제일 먼저 먹인 이유식은 과일 쥬스류가 전체의 78.2%이었다. 식품의 종류별로 이유식의 사용빈도에서 대상자의 75.9%가 곡류를 자주 사용한다고 하여서 당질위주의 이유식이 이루어 졌으며, 육어류와 채소의 사용빈도는 낮았다. 시판이유보충식의 사용여부는 주 3회이상 사용하는 경우가 44.7% 이었으며 대개가 분말 및 액상형태인 제품이었다.

• 한국콘텐츠학회논문지
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• 제18권10호
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• pp.203-216
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• 2018

본 연구의 목적은 어린이집의 자유놀이에서 나타나는 영아와 교사가 각각 상호작용을 시작하려는 의도를 검토하여 발달을 도모하는 상호작용이 무엇인지를 탐구하려고 한다. 연구방법은 질적 연구방법으로 연구대상은 영아 9명과 영아반 교사 3명이다. 자료 수집은 영아의 오전일과에서 교사-영아 상호작용에 초점을 두고 캠코더로 녹화한 후 전사하였다. 3개월 동안 총 24회 관찰과 교사와 심층면담 그리고 연구대상 어린이집의 생활안내 책자, 일간/월간/연간계획안, 관찰기록, 행동발달 관찰기록서 등을 수집하여 분석하였다. 연구결과, 연구문제 1인 자유놀이에 나타난 영아의 상호작용 의도는 첫째, 어떻게 놀이해야 하는지를 알기위해 둘째, 일상 관련한 그림책의 내용을 보기위해 셋째, 정서적 요구의 충족을 위한 것으로 나타났다. 연구문제 2인 자유놀이에 나타난 교사가 먼저 상호작용을 시작하는 의도는 첫째, 사물탐색과 놀이시도를 돕기 위해 둘째, 교사중심에서 영아주도의 놀이전이를 위하여 셋째, 울음으로 의사를 표현하는 영아를 달래기 위한 것으로 나타났다. 상호작용의 질을 높이고 영아의 발달을 도모할 수 있는 영아 중심적 관점에서의 영아-교사의 상호작용에 대한 장기적 심층적 연구가 요망된다.

• 아동학회지
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• 제35권2호
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• pp.43-61
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• 2014

The main purpose of this study was to investigate the paths from the cumulative risk factors to infant's development at 24 months of age via the mediation of maternal parenting behaviors. The data consisted of 3 year's worth of data harvested from 1802 families participating in the Panel Study on Korean Children (PSKC). The results revealed that cumulative family risk factors tended to stay in the family in relatively stable ways. Early risk factors significantly predicted later risk factors. Cumulative risk factors were negatively associated with the parenting styles of mothers, which in turn, significantly predicted the development of the infants concerned. Statistical tests supported the notion that mothers' parenting behavior is the mediator of the relation between family risk factors and infant's developmental outcomes.

• Journal of Korean Neurosurgical Society
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• 제51권1호
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• pp.31-36
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• 2012

Objective : The purpose of this study was to elucidate the anatomical development of physiologic suture closure processes in infants using three dimensional reconstructed computed tomography (CT). Methods : A consecutive series of 243 infants under 12 months of age who underwent three dimensional CT were included in this study. Four major cranial sutures (sagittal, coronal, lambdoidal and metopic suture) were classified into four suture closure grades (grade 0=no closure along the whole length, grade 1=partial or intermittent closure, grade 2=complete closure with visible suture line, grade 3=complete fusion (ossification) without visible suture line), and measured for its closure degree (suture closure rates; defined as percentage of the length of closed suture line divided by the total length of suture line). Results : Suture closure grade under 12 months of age comprised of grade 0 (n=195, 80.2%), grade 1 (n=24, 9.9%) and grade 2 (n=24, 9.9%) in sagittal sutures, whereas in metopic sutures they were grade 0 (n=61, 25.1%), grade 1 (n=167, 68.7%), grade 2 (n=6, 24%) and grade 3 (n=9, 3.7%). Mean suture closure rates under 12 months of age was 58.8% in metopic sutures, followed by coronal (right : 43.8%, left : 41.1%), lambdoidal (right : 27.2%, left : 25.6%) and sagittal sutures (15.6%), respectively. Conclusion : These quantitative descriptions of cranial suture closure may help understand the process involved in the cranial development of Korean infants.

• Human Ecology Research
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• 제59권1호
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• pp.1-11
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• 2021

This study investigated the impact of solution-focused thinking on marital satisfaction via mediating roles of father involvement in childcare and marital conflict. A questionnaire survey was conducted among mothers with infants, living in Busan, Daegu and Yangsan, South Korea. Data from 264 mothers were analyzed using several multiple regression analyses and bootstrapping method with SPSS 25.0 and PROCESS macro (model 6) to test the serial double mediation model. The results of this study are as follows. First, mothers' solution-focused thinking had a significant direct and indirect positive influence on marital satisfaction through both father involvement in childcare and marital conflict. Second, the sequential mediating effects of father involvement in childcare and marital conflict were statistically significant in the relationship between solution-focused thinking and marital satisfaction. The model accounted for 60% of the variance in mothers' marital satisfaction. The results highlight the importance of solution-focused thinking that can enhance the marital satisfaction of mothers with infants and act as a resource for increasing father involvement in childcare and decreasing marital conflict. Based on the results, it is necessary to include solution-focused thinking, father involvement in childcare, and marital conflict as key elements in the intervention to improve marital satisfaction of mothers with infants.

• 부모자녀건강학회지
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• 제16권1호
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• pp.17-26
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• 2013

Purpose: This study was to examine the mother's knowledge of premature development and rearing and their education needs in order to provide information to develop an education program for premature mothers. Methods: The study participants was 73 mothers of premature infants. Knowledge on premature infant's development and rearing was measured by measurement tools developed by previous research. The education needs about development and rearing were measured by self-report questionnaire. The data were analyzed using descriptive statistics, t-Test, ANOVA using SPSS 20.0. Results: The score of knowledge on development was 59.3 out of 100. The category of knowledge on language development was rated the highest, and motor development category was the lowest. The score of knowledge on rearing was 77.8 out of 100. The knowledge on bathing category was rated the highest and defecation category was the lowest. The growth education needs for premature infant development was the highest education needs of premature infant development. The method for developmental improvement was the highest education needs of premature infant rearing. Conclusion: The results showed that premature infant mothers have less knowledge on premature development than premature rearing, also mothers were interested in development and there were many needs on premature infant's development.

• Neonatal Medicine
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• 제15권2호
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• pp.160-165
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• 2008

목 적: 두혈종과 두개내 혈종의 연관성을 조사하여 두혈종이 있는 신생아에 대한 뇌영상의 필요성에 대하여 알아보고자 하였다. 방 법 : 2002년 1월부터 2006년 6월까지 경북대학교 병원 신생아집중치료실에 입원한 신생아 중 두혈종이 있어 두부 전산화단층촬영술이나 자기공명영상을 시행하였던 18명을 대상으로 후향적 의무기록 분석을 시행하였다. 결 과 : 뇌영상 검사상 18명 중 6명(33.3%)에서 두개내 혈종이 관찰되었고 이 중 4례는 경막외 혈종, 2례는 경막하 혈종이었다. 두개내 혈종이 있었던 6례 중 2례는 신경학적 증상과 함몰 골절이 없었다. 두개내 혈종이 있던 신생아와 혈종이 없던 신생아 사이에 재태주령, 출생시 체중, 두위 및 두혈종의 크기 및 분만력에 유의한 차이가 없었다. 또한 신경학적 증상과 숫구멍 융기 소견의 발현 빈도에도 차이를 보이지 않았으며 황달, 빈혈의 빈도 역시 차이를 보이지 않았다. 결 론 : 두혈종이 있는 신생아에서는 두개내 혈종, 특히 경막외 혈종이 문헌에 보고된 발생 빈도보다 많이 발견되었다. 또한 신경학적 증상이나 함몰 골절이 없는 경우에도, 다른 원인이 없는 황달, 빈혈 등의 소견이 두혈종과 동반된 경우 두혈종에 합병된 두개내 혈종에 대한 임상의 관심이 요구되며 적절한 뇌영상 검사를 고려할 필요가 있을 것으로 생각된다.