• Neonatal Medicine
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• 제16권2호
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• pp.131-136
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• 2009

Preterm infants are frequently discharged from the hospital with growth retardation. Given the potentially lifelong effects of growth impairmnet during a critical time of development, considerable effort should be focused on improving growth after discharge. Growth monitoring must be based on regular measurements of weight, length, and head circumference to identify those preterm infants with poor growth that may need additional nutritional support. Although prior studies vary in design and the intervention used, the evidence supports the use of fortified formulas in formula-fed preterm infants after discharge. The situation for infants fed human milk is much less clear, it seems prudent to concentrate our efforts on the encouragement of breast-feeding in this population. Catch up growth may have many benefits, and may lead to improved development. However, its long-term metabolic consequences are currently unclear. Understanding the optimal means of providing nutrition after discharge is an ongoing process.

• 한국보육지원학회지
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• 제1권1호
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• pp.83-101
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• 2005

조산 및 발달지연 등으로 발달장애의 가능성이 높은 고위험집단으로 진단된 132명의 영아를 대상으로 인구통계학적, 산전, 출산시 변인 및 산후 발달지표 등이 Bayley영아발달검사(BSID) 수행에 미치는 영향을 살펴보았다. 인구통계학적, 출생전후의 관련정보 및 영아기의 발달특성을 알기 위해 영아발달 질문지와 병원 의무기록지를 사용하였고, Bayley영아발달검사를 개별적으로 실시하였다. 인구통계학적 변인과 BSID의 인지발달지수(MDI), 동작발달지수(PDI)간의 상관 및 평균비교분석결과 산모의 학력이 높을수록 MDI 및 PDI가 높게 나타났다. 산전(prenatal) 관련변인과 발달간의 관계분석시 산전 산모의 질환과 임신중 약물복용여부는 각각 MDI 및 PDI와 부적 상관을 보였다. 출산시(perinatal) 관련변인에서는 저체중 출산, 인큐베이터, 산소호흡기의 사용 및 조산여부가 MDI 및 PDI와 정적 상관을 보였으며 출산시 질환은 PDI에 부적 영향을 미쳤다. 산후 발달지표 중 옹알이, 첫말의 발달은 BSID의 MDI 및 PDI와 정적 상관을 보였으며, 질환은 PDI와 부적 상관을 나타났다.

• Child Health Nursing Research
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• 제23권4호
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• pp.407-415
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• 2017

Purpose: The purpose of this study was to examine how child development knowledge, child rearing knowledge, and use of healthcare services after discharge affect maternal confidence among mothers of premature infants. Methods: Participants in this study were 55 mothers who were involved in internet communities for mothers with premature infants and 30 mothers who visited hospitals for follow up care after having their babies discharged from Neonatal Intensive Care Units (NICU) in South Korea. Results: Presence of operation history, child development and rearing knowledge, and use of healthcare service explained 12.2% of maternal confidence. Presence of operation history (${\beta}=.32$, p<.05) and child development knowledge (${\beta}=.52$, p<.05) were significant predictors for maternal confidence. Conclusion: The results of this study suggest that mothers with premature infants need further education especially on motor development, developmental knowledge, and knowledge related to operations for mothers whose child had surgery in the NICU. Also information about services provided from community health services for premature infants need to be advertised and distributed.

• Journal of Korean Neurosurgical Society
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• 제66권3호
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• pp.228-238
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• 2023

Intraventricular hemorrhage (IVH) is a serious concern for preterm infants and can predispose such infants to brain injury and poor neurodevelopmental outcomes. IVH is particularly common in preterm infants. Although advances in obstetric management and neonatal care have led to a lower mortality rate for preterm infants with IVH, the IVH-related morbidity rate in this population remains high. Therefore, the present review investigated the pathophysiology of IVH and the evidence related to interventions for prevention. The analysis of the pathophysiology of IVH was conducted with a focus on the factors associated with cerebral hemodynamics, vulnerabilities in the structure of cerebral vessels, and host or genetic predisposing factors. The findings presented in the literature indicate that fluctuations in cerebral blood flow, the presence of hemodynamic significant patent ductus arteriosus, arterial carbon dioxide tension, and impaired cerebral venous drainage; a vulnerable or fragile capillary network; and a genetic variant associated with a mechanism underlying IVH development may lead to preterm infants developing IVH. Therefore, strategies focused on antenatal management, such as routine corticosteroid administration and magnesium sulfate use; perinatal management, such as maternal transfer to a specialized center; and postnatal management, including pharmacological agent administration and circulatory management involving prevention of extreme blood pressure, hemodynamic significant patent ductus arteriosus management, and optimization of cardiac function, can lower the likelihood of IVH development in preterm infants. Incorporating neuroprotective care bundles into routine care for such infants may also reduce the likelihood of IVH development. The findings regarding the pathogenesis of IVH further indicate that cerebrovascular status and systemic hemodynamic changes must be analyzed and monitored in preterm infants and that individualized management strategies must be developed with consideration of the risk factors for and physiological status of each preterm infant.

• Clinical and Experimental Pediatrics
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• 제65권1호
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• pp.1-9
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• 2022

With advancements in neonatal care and nutrition, the postnatal growth of preterm infants has improved; however, it remains an issue. Accurate assessments of growth using a standardized reference are needed to interpret the intrauterine and postnatal growth patterns of preterm infants. Growth in the earlier periods of life can contribute to later outcomes, and the refinement of postnatal growth failure is needed to optimize outcomes. Catch-up growth occurs mainly before discharge and until 24 months of age, and very low birth weight infants in Korea achieve retarded growth later in life. Knowing an infant's perinatal history, reducing morbidity rates during admission, and performing regular monitoring after discharge are required. Preterm infants with a lower birth weight or who were small for gestational age are at increased risk of poor neurodevelopmental outcomes. Furthermore, poor postnatal growth is predictive of adverse neurodevelopmental outcomes. Careful monitoring and early intervention will contribute to better development outcomes and national public health improvements.

• 한국산학기술학회논문지
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• 제20권12호
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• pp.21-26
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• 2019

본 논문에서는 IoT 기술 기반의 명찰을 활용하여 영유아 교육기관 내에서 각 영유아의 개별적인 위치와 타 유아와의 근접거리 유지정도를 파악할 수 있는 실시간 모니터링 시스템을 구축하였다. 이 시스템은 정밀위치 추적 모듈, 게이트웨이 위치정보 산출을 위한 데이터 전송시스템, 서비스 플랫폼 서버, 영유아의 발달을 고려한 데이터 분석 처리 모듈로 구성하였으며, 각 영유아가 어떤 유아와 상호작용을 많이 하는 지에 대한 정보를 추출하고자 하였다. 본 시스템을 통하여 수집한 정보는 소외나 배척을 당하는 영유아뿐만 아니라 사회성 발달 측면에서 문제가 없는 영유아, 더 나아가서 인기가 많은 영유아들에 이르기까지 모든 영유아의 또래관계를 개선할 수 있는 중요한 정보로 활용할 수 있다. 또한, 교사는 영유아간의 근접거리 정보를 토대로, 긍정적인 상호작용인지 부정적인 상호작용인지에 대해 파악하고 이를 토대로 영유아의 또래관계 개선을 위한 교육이 가능하다. 이러한 결과를 학부모와의 상담 시 활용하고 본 시스템을 통하여 수집한 정보를 DB화하여 영유아 또래관계 개선을 위한 체계 구축이 가능하다.

• 대한가정학회지
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• 제47권3호
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• pp.87-102
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• 2009

This study was conducted to determine which variables of interest could be used to predict the development of infants. The variables of interest in this study were demographic variables regarding to the infants and mothers, maternal knowledge of infant development, maternal self-efficacy, maternal parenting stress, and infant development. The participants consisted of 252 infant-mother pairs and all infants included in this study were 15 months to 36 months of age. The development of Infants was assessed by classroom teachers. Data regarding the mothers’' demographic information, maternal knowledge of infant development, maternal self-efficacy, and maternal stress were gathered by maternal self-reported questionnaires. Data were analyzed by descriptive statistics, t tests, and regression analyses. The primary results demonstrated that family income, maternal infant knowledge, and maternal parenting stress were predictive of the infant development. In addition, different patterns in the results of the stepwise multiple regression were observed among the infant’'s of different age. Implications for research and practice were discussed along with the results of study.

• Child Health Nursing Research
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• 제16권2호
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• pp.164-174
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• 2010

Purpose: The purpose of this study was to evaluate the physical growth and developmental status of infants and children of married immigrant women. Methods: The participants were 92 infants and children aged from birth to 6 yr whose mothers were married immigrant women living in one rural area. Physical growth and developmental status were evaluated by using anthropometric assessment, and Korean Denver II developmental screening test. Results: Of the participants, 10.8% were below the 3rd percentile for weight, 13.0% for length, 5.4% for head circumference, and from 69.6% to 79.3% were distributed below the 50th percentile on growth charts. Further, 18.5% were classified as having questionable development. Factors related to low physical growth in infants and children were mother's weight and mother's level in Korean language classes. Conclusion: The physical growth and developmental status of children is vulnerable and serious. The study results suggest a need for regular growth and developmental evaluations. Political support is important for these mothers. In addition, there also is a need to develop early intervention strategies to promote growth and development of the infants and children of these married immigrant women.

• 대한간호학회지
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• 제42권7호
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• pp.936-946
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• 2012

Purpose: This study was done to develop a video discharge education program focusing on mother-infant interaction to facilitate the development of maternal role confidence for mothers of premature infants. Methods: The process of the program was based on the Network-based Instructional System Design suggested by Jung (1999). For the content of the program, needs and concerns of mothers of premature infants found on web sites and existing literature were analyzed. Based on this content, the scenario and the video were developed. Nurses and mothers of premature infants participated in the process of testing the content validity, scenario development, and evaluation of final video production. The final video has two parts and lasts 21 minutes. The first part focuses on mother-premature infant interaction and the second part focuses on health management of infants. Results: Eleven mothers of premature infants participated in the evaluation of the appropriateness of the video as a teaching method and for educational content. They reported that the content on mother-infant interaction, maternal sensitivity, and maternal role confidence was especially beneficial. Conclusion: The findings indicate that video program is effective for education on maternal-premature infant interaction and the use of video in practical settings is strongly recommended.

• 한국보육지원학회지
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• 제16권3호
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• pp.1-17
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• 2020

Objective: The purpose of this study is to identify and prioritize sub-goals for infants and young children among the Korean Sustainable Development Goals (K-SDGs). Methods: The expert panel of this study consisted of 15 faculty members from the department of early childhood education or children's studies at 12 universities and was put together in order to conduct a Delphi survey. Results: As a result of the study, first, a total of 16 sub-goals were developed in order to target infants and young children. Second, the 16 sub-goals were then ranked according to their importance and urgency, and the most important goal were 'the improvement of mental health and prevention of drug abuse (K-SDG 3-2)'. And 'the elimination of violence and discrimination against girls (K-SDG 5-1, 5-2)', 'the safe and inclusive learning environment (K-SDG 4-8)' and 'end of abuse, trafficking, exploitation and all forms of violence against children (K-SDG 16-2)' were the next important and urgent goals. These priority objectives reflect the inviolable rights that infants and young children in Korea should be guaranteed by default. Conclusion/Implications: This study provided a basis for its effective implementation by identifying goals and priorities for infants and young children in comprehensive and interdependent K-SDGs.