• Child Health Nursing Research
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• 제8권3호
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• pp.302-312
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• 2002

This descriptive exploratory study was conducted to analyze the results of developmental screening test using DDST and the follow-up diagnostic evaluation in one public health center, and to evaluate the feasibility of developmental screening in nursing. Samples were 373 children under 6 years who visited the public health center. Mothers' satisfaction on the developmental clinic was also determined. Summaries of the results were as follows:v 1. 0.5% of children in height and 1.9% of children in weight were included in below 3 percentile of Korean children's growth chart, but none of them showed developmental delay. 2. The results of DDST showed 92.1% of subjects were classified as normal, 3.7% as abnormal, and 4.2% as questionable among 354 children. 3. Most of children who showed the abnormal development at the first DDST were confirmed having the developmental delay at the follow-up diagnostic evaluation. On the other hand, most of children who showed the questionable development at the first DDST revealed having the normal development in follow-up screening test. 4. The result of the DDST was influenced by the birth order of the subject and delivery type. 5.The mean satisfaction score by mothers on developmental clinic was 4.35 in 5 Likert scale. In conclusion, we could certain the feasibility and usefulness of developmental screening in community and child care nursing. To fulfil the increasing needs of mothers with infants on the child development, nurses have to provide anticipatory guidance and parent education in addition to the developmental screening test. We hope to expand the developmental screening in nursing field not only of clinical setting but also of community.

• 한국콘텐츠학회논문지
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• 제10권11호
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• pp.275-284
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• 2010

본 연구는 3-5세 아동을 대상으로 발달선별검사인 K-DDSTII, K-ASQ을 실시하여 발달지연 결과를 가진 하부검사와 가정환경 간의 관련성을 알아보았다. 연구결과, K-DDST에서는 가족환경 중 아버지의 나이와 개인사회성, 어머니의 나이와 교육력이 대동작과 통계적으로 차이가 있었다. 또한 K-ASQ에서는 의사소통과 성별, 출생순서와 부모의 교육력에서 통계적으로 유의한 차이가 있었으며, 문제해결과 출생순서, 그리고 하부검사 중 하나이상의 발달지연이 있는 경우는 성별과 출생순서와 유의미한 통계적 차이가 있었다. 본 연구결과 발달선별 검사 시에 가족환경에 관한 조사가 병행된다면 아동 발달에 대한 선별검사의 효율성을 높이는 방안의 하나일 수 있음을 제시 할 수 있을 것이다.

• 대한감각통합치료학회지
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• 제1권1호
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• pp.25-37
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• 2003

Objective : To explore the effectiveness of sensory integration program of home-based outcomes in child with sensory modulation disorder. Methods : This study used the simple case study. The subjects were three children diagnosed as developmentally delayed who 14 month and 26 month males and a 15 month female. After initial evaluation, parents were educated on sensory diet and Wilbarger protocol method for 30 minutes twice for home-based treatment and asked to make out daily treatment planning. To measure improvement of children, we used for the Denver Developmental Screening Test II(DDST II), Wee Functional Independence Measure(WeeFIM), hand function, functional ability, oral motor function, Sensory Profile(Dunn, 1999). Results : After the home-based program, the scored of the Denver Developmental Screening Test II(DDST II), Wee Functional Independence Measure(WeeFIM), hand function, functional ability, oral motor function, Sensory Profile(Dunn, 1999) were higher rather than initial evaluation after the home-based program. Conclusion : The home-based program is effective for children with sensory modulation disorder but parents had to be educated by therapist specific evaluation and treatment in sensory integration.

• 부모자녀건강학회지
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• 제5권2호
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• pp.177-190
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• 2002

This study were conducted to assess the physical growth and developmental status of infants in orphanage in order to provide an empirical data. The subjects for this study were 104 infants and toddlers who were reared in an orphanage in D Metropolitan city. The instrument used for this study were anthropometric assessment and DDST for normative data of development. Data has been collected from September 1st, 1998 to August 31st, 2000 and were analyzed using SPSS/PC(Version 10.0) with frequency, mean, standard deviation, ANOVA and Chi-square test. The results of this study were as follows; 1. 30.8% of infants in orphanage had abnormal weight, 26.9% had abnormal length, and 22.1% had abnormal head circumference and most of them were distributed below 50 percentile of growth chart. 2. 53.8% of infants in orphanage had normal, 27.9% had qustionable, and 18.3% had abnormal developmental screening test results, especially, 31.5% of infants in orphanage ages 3 to 5 years had abnormal developmental screening test results, according to the Denver Developmental Screening Test(DDST). There was a significant developmental delay noted in the language and fine motor-adaptive sector. 3. It is anticipated that developmental delays would increase in severity by older the mean age of orphanage infants and longer the time being raised in orphanage. It would be concluded that the physical growth and developmental status of orphaned infants were very vulnerable and serious and it is suggested that there needed an effective intervention strategies to promote growth and development of infants in orphanage.

• 대한의생명과학회지
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• 제17권2호
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• pp.135-140
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• 2011

We compared three EDTA-based phenotypic screening methods for detecting IMP-1 and VIM-2 type metallo-${\beta}$- lactamase (MBL)-producing isolates of Acinetobacter and Pseudomonas spp., EDTA-double disk synergy test (EDTADDST), Etest MBL, and imipenem (IPM)-EDTA disk test. A total of 183 isolates (65 Acinetobacter spp. and 118 Pseudomonas spp. showing IPM resistance), confirmed to MBL genes by PCR, were used. The criteria for MBL production were (i) presence of a synergistic zone between IPM and EDTA disks in EDTA-DDST, (ii) reduction of IPM minimal inhibitory concentration by ${\geq}$ 3 twofold dilutions in the presence of EDTA in the Etest MBL, and (iii) ${\geq}$ 7 mm increase in the inhibition zone around the IPM plus EDTA disks compared with a sole IPM disk in the IPM-EDTA disk test. In this study using 87 MBL-producing and 96 MBL-nonproducing isolates, the sensitivities/specificities of EDTA-DDST, Etest MBL and IPM-EDTA disk tests were 94.3/78.1%, 89.7/91.7%, and 97.7/95.8%, respectively. When the threshold for the increase of the inhibition zone around the IPM plus EDTA disk over a sole IPM disk was altered to ${\geq}$ 5 mm and ${\geq}$ 8 mm for Acinetobacter spp. and Pseudomonas spp., respectively, the sensitivity and specificity of the test were 98.9% and 96.9%, respectively. Of the three EDTA-based phenotypic tests, the IMP-EDTA disk test was superior for detection of MBL-producing isolates.

• 미생물학회지
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• 제39권4호
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• pp.293-295
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• 2003

Total 70 isolates of Escherichia coli obtained from pigs were studied. Forty four isolates had $\textregistered$-hemolytic activity which was heat labile. Minimum inhibitory concentration test indicated that 40 isolates (57.1%), 15 isolates (21.4%), 23 isolates (32.9%), and 5 isolates (7.1%) were resistant to ampicillin, cephalothin, gentamicin, and norfloxacin, respectively. None of them were extended spectrum $\textregistered$-lactamases (ESBLs) producer when the double disk synergy test (DDST) was performed.

• 대한통합의학회지
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• 제3권1호
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• pp.1-10
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• 2015

Purpose: This study investigated the relationships of handwriting legibility and perceptual-motor skills, and handwriting speed and perceptual-motor skills. And identified the predictors that most affect the handwriting of preschool children. Methods: Twenty-three typically developing preschool aged children (mean age: 68.61 months, SD=2.04) were selected through the Korean-Denver Developmental Screening Test-2(K-DDST-2). The children were tested with regard to handwriting legibility, visual perception, visual-motor integration and fine-motor coordination. Results: First, a significant relationship was not found among handwriting legibility, visual perception, visual-motor integration and fine-motor coordination. Second, a significant relationship was found among handwriting speed, visual perception and fine-motor coordination. Third, stepwise multiple regression analyses showed that general visual perception were significant predictors for handwriting speed. Conclusion: Occupational therapists should evaluate children's visual perception levels utilizing a standardized test, and focus on general visual perception in order to improve handwriting skill(speed). Also, occupational therapists are expected to play an important role in the management and treatment of children's handwriting skills.

• Child Health Nursing Research
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• 제7권4호
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• pp.511-518
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• 2001

This study is to identify the characteristics of the growth and deveolpment, and to assess Obesity Index, BMI and Kaup Index of infants paticipated in a healthy breast-feeding contest. The subjects of this study were 94 breast- feeding infants, ages from 6 to 8 months. Their weight and height were measured and compared with Korean Standards. Their developmental state was tested by DDST(Denver Develop- mental Screening Test) standardized in Korea. The data were analyzed by using the SPSS-WIN 10.0. The result is as follows : 1. The weight of infants was more than Korean Standards, but the height was less. 2. There were statistically significant differences in Obesity Index, BMI and Kaup Index. Obese infants estimated by Obesity Index were about 10％, but by BMI and Kaup Index were 35.1％ and 27.7％. 3. Spearman's rhos of Obesity Index and Kaup Index, Obesity Index and BMI, and Kaup Index and BMI were individually 0.526, 0.528 and 0.753. In conclusion, BMI should be added to the criteria for assessing healthy breast-feeding infants.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제6권1호
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• pp.109-115
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• 1995

2세 10개월된 중증 정신지체아동의 이미증 치료에서 지시따르기 훈련을 통한 장난감 놀이지도(DRO)와 이미증 제재수단으로 얼굴가리개(Facial Screening)가 사용되었다. 이 아동의 이미증은 주로 손가락 빨기, 장난감 입에 넣고 빨기, 주위의 물건에 닥치는 대로 입을 대고 빠는 형태이다 빠는 행위의 발생은 장난감 놀이지도 전에는 15분 당 평균 18.6회였으나, 놀이지도 기간에는 평균 5.4회, 얼굴가리개를 통해 빠는 행위를 제재한 치료기간에는 평균 2.3회로 감소되어, 얼굴가리개의 사용이 이 아동의 이미증 치료에 큰 효과를 보였다. 이 아동은 이미증 이외에 구토행위를 보였는데, 본 연구에서는 구토행위를 치료하지 않았으나, 놀이지도 및 이미증 치료기간 동안 구토행위가 저절로 감소된 현상을 보인 것은 기존 연구에서 밝혀진 바와 같이 한 행동의 치료가 다른 문제행동의 감소에 영향을 줄 수 있음을 증명하고 있다.

• 대한감각통합치료학회지
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• 제9권2호
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• pp.1-13
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• 2011

목적 : 본 연구는 한 아동을 대상으로 이루어진 작업치료중재서비스 안에서 이루어진 OTIPM의 적용 사례를 소개하고, 그 OTIPM에 기반한 임상적 추론과정과 재평가의 유익함과 시사점을 고찰하는 데 그 의의가 있다. 연구방법 : 대상 아동에 대한 작업치료중재서비스 안에서 OTIPM이 적용된 구체적 실행과정을 네 개의 주요부분으로 구분하여 기술하였다. 1) 클라이언트 중심의 수행문맥 확립; 2) 기초선 확립 및 원인해석(초기평가); 3) 중재 계획 및 실행; 4) 중재효과 확인(재평가). 수행 문맥은 보호자와의 면담을 통해 확립하였으며 초기평가 및 재평가에서 사용된 평가도구는 임상관찰 및 일본감각력평가(JSI-R), 덴버발달검사(DDST-2), 사회성숙도, 녹스학령전기놀이 척도(KPPS-R), 과제수행평가이다. 과제수행평가에서는 작업치료 실행 체계(Occupational Therapy Process Framework)에 의거한 수행기술 즉, 운동, 처리, 및 사회적 상호작용기술들을 평가하였으며, 표준화 된 수행기술검사인 운동처리기술검사(Assessment of Motor and Process Skill)와 사회기술평가(Evaluation of Social Participation)의 평가 체계를 사용하였다. 작업치료중재는 회복적모델의 감각통합치료활동과, 교육적모델의 보호자교육과, 습득적모델의 작업수행기술훈련이 계획되었으며, 일주일에 2회씩 총 4개월간 진행되었다. 결과 : 재평가 결과 사회연령과 사회성지수가 대상 아동의 연령에 맞게 향상되고, 전반적인 발달수준이 약 2년가량 향상되며, 전체적인 놀이수준 또한 13개월 향상되었다. 작업에 기반을 두어 설정되었던 중재 목표가 성취되었다. 아동의 보호자는 아동의 작업수행과 작업치료서비스에 대한 만족을 서술적으로 보고하였다. 결론 : 본 사례에서 작업치료사는 OTIPM에 기반하여 포괄적인 수행문맥을 확립하고 클라이언트 중심의 작업에 기반한 중재를 제공할 수 있었다. 임상적 추론을 통해 수행의 어려움의 원인을 보다 명확히 파악하여 수행의 하위요소뿐만 아니라 수행 전반의 향상을 이끌어내는 치료를 제공할 수 있었다. 뿐만 아니라 OTIPM에서 정의한 '클라이언트 무리'의 개념을 적용하여 클라이언트의 만족도를 이끌어내는 중재도 계획할 수 있었다. 본 연구를 통해, OTIPM이 클라이언트 중심의 작업수행의 성취도와 만족도 모두를 고려한 중재과정을 지향함으로써 '구체적인 작업참여의 포괄적인 향상'을 이끌어내는 데 유익한 작업치료중재과정모델임을 확인 할 수 있다.