• Title/Summary/Keyword: children′s room

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A Case of Pyogenic Liver Abscess Due to Prevotella intermedia in an Immunocompetent Child (건강한 소아에서 발생한 Prevotella intermedia에 의한 간농양 1예)

  • Hyung-Suk Kim;Byung Wook Eun
    • Pediatric Infection and Vaccine
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    • v.30 no.3
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    • pp.165-172
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    • 2023
  • Pyogenic liver abscess is a rare condition in healthy children in developed countries, but it can have severe consequences if diagnosis and treatment are delayed. Staphylococcus aureus is the most commonly identified cause of pyogenic liver abscess worldwide, while Klebsiella pneumoniae is the predominant causative agent in Korea. However, cases of pyogenic liver abscess caused by anaerobic bacteria have also been rarely reported. A 14-year-old boy presented to the emergency room with fever and pain in the upper right abdomen. He exhibited tenderness in the right upper quadrant, elevated white blood cell count, anemia, and elevated liver enzyme levels. Abdominal computed tomography with contrast revealed pyogenic liver abscess. The patient underwent percutaneous catheter drainage for two weeks and received a 4-week course of antibiotic therapy. Prevotella intermedia, an anaerobic bacterium commonly found in the oral flora, was isolated from the drained pus. However, no evidence was found suggesting that the infection originated from a dental source. This case highlights the importance of considering the possibility of pyogenic liver abscess even in otherwise healthy children.

Nutrition Survey of Young Children of A Day Care Center in the Low Income Area of Seoul City (일부(一部) 도시저소득층(都市低所得層) 유아원원아(幼兒園園兒)의 영양실태조사(營養實態調査))

  • Woo, Mee-Kyung;Lee, Eun-Wha;Lee, Bo-Kyung;Lee, Jung-Soo;Lee, Jung-Wha;Lee, Jong-Hyun;Mo, Su-Mi
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.14 no.3
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    • pp.235-243
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    • 1985
  • A survey of 113 children, aged 4 to 6 years, of the San Cheon a day care center, located in the upland, over populated, poor area of Seoul City, was conducted from July 28 to September 6, 1982, to investigate the dietary and nutritional status, and prevalence of parasitic inpection. House size was 10.1 Pyung; number of households per house, 3.1; number of family member per household, 4.8; and number of family members living together per room, 3.7; on the average. Only 49% of households possess own houses and the others live in the rented houses. About 40% of mothers were engaged income-producing activities within or outside of the home. Mean values of height, weight, arm circumference, girth of chest, and girth of head ranged from 98.4 to 102.2% of KIST mean. However, 13% of the subjects were assessed as undernutrition for 'weight for height'. Mean value of hemoglobin was $12.9{\pm}2.9\;g/dl$ and mean hematocrit value was $35.2{\pm}5.5%$; 17.9% of the subjects were proven to be anemic according to the criteria of the WHO. The positive prevalence of parasitic inpection was 3.3%, significantly lower than that observed in any other area, probably because of community parasitic control project. Intakes of energy and nutrients except thiamin and ascorbic acid were far below RDAs. Carbohydrates for energy provided 71. 2 to 73.8% of total energy intake; protein accounted 11.3 to 12.2%; fat provided 14.5 to 16.6%. Energy intake was divided among breakfast, lunch, evening meal and snack, on the average, in a percentage of 22.0; 23.4; 24.4; 30.2. There was significant correlation between pattern of food consumption and nutrient intakes. The nutrient intakes and quality of foods were highly correlated to the maternal factors, especially mother's educational level. The study suggested that development of nutrition guides for mother and children would be needed to improve nutritional status of those young children.

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Clinical Features and the Associated Factors of Staphylococcal Scalded Skin Syndrome during the Recent 10 Years (최근 10년간 포도알균 열상 피부 증후군의 발생 양상과 관련인자 분석)

  • Park, Chan Hee;Na, Se Rin;Cho, Hyung Min;Yoo, Eun Jung;Jung, Kwon;Kim, Eun Young;Kim, Yong Wook;Kim, Kyoung Sim
    • Pediatric Infection and Vaccine
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    • v.15 no.2
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    • pp.152-161
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    • 2008
  • Purpose : Staphylococcal scalded skin syndrome (4S) is uncommon, but reports of 4S are on the increase during the recent years. The purpose of this study is to determine the clinical features and associated factors of 4S during the recent 10 years. Methods : We retrospectively reviewed the medical records and microbiologic results of 63 patients (27 neonates and 36 children) from January 1998 to December 2007. Results : Since 2003, the incidence of 4S has increased. The mean age of the patients was 16.3 months and the gender ratio was 1:1. The clinical types of 4S were 38 cases of the abortive type (60%), 19 cases of the intermediate type (30%) and 6 cases of the generalized type (10%). The culture results were 36 cases of Methicillin resistant S. aureus (MRSA), 4 cases of Methicillin sensitive S. aureus and 17 cases of no growth. The patients were treated with semi-synthetic penicillin. For the 9 patients who had MRSA isolated and who didn't improve with penicillin, they were treated with vancomycin instead of penicillin. All the patients had no complications. 4S abruptly increased in 2005, and especially in neonates, due to an MRSA outbreak at a local nursery room. The associated factors of 4S in neonates were hospitalization (27 cases), including nursery infection in 2005 (18 cases) and dermatitis (1 case). There was an unknown origin for some children, and the suggested factors for their infection were community acquired infection (24 cases), atopic dermatitis (9 cases) and hospitalization (3 cases). Conclusion : 4S has recently been increasing. The major associated factors of 4S are a history of hospitalization, an outbreak in a nursery room, atopic dermatitis and community acquired infection.

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Development of A-ABR system for identifying difficulty in hearing (난청 감별을 위한 자동청성뇌간반응검사(A-ABR) 측정기 개발)

  • No, Hyung-Wook;Kim, Soo-Chan;Cha, Eun-Jong;Kim, Deok-Won
    • Proceedings of the KIEE Conference
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    • 2008.04a
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    • pp.141-142
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    • 2008
  • Hearing loss is the most common birth defect among infants. Yet most hearing-impaired children are not identified until 1 to 3 years of age - which is well beyond the critical period(6 month) for healthy speech and language development. However, if a hearing-impairment is identified and treated in its early stages, child's speech and language skills will be comparable to his or her normal- hearing peers. For these reasons, hearing screening at birth and routinely throughout childhood is extremely important. Auditory brain-stem response(ABR) is nowadays one of the most reliable diagnostic tools in the early detection of hard of hearing. In this study, we developed the system that detects auditory evoked potential using micro-processor. Furthermore, it is required to develop a portable system to measure in not only soundproof room but also nursery for infants.

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The Long-Term Effect of Pleasantly Designed Interior on Pro-spatial Behavior in Institutional Residence Dining Room-Times Series Analysis of Long Term Field Experiment Data- (시설주거 식당공간의 쾌적성 변화가 아동의 친공간적 행동에 미치는 장기적 영향-장기 현장실험연구 자료의 시계열 분석-)

  • 이연숙;이선미;안지영
    • Korean Institute of Interior Design Journal
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    • no.3
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    • pp.91-99
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    • 1994
  • The purpose of this study was to determine the long term effect of a pleasantly designed interior on pro-saptial behavior. For pleasantly designed interior, the existing interior was remodeled through the change of finishing materials for major architectural elements such as wall, floor and ceiling, and changes of furniture and it's arrangement . Pro-spatial behavior was operationalized as seat arranging behavior and measured through the arranged condition and observable arranging behavior. Time-series design, one of quasi-experimental design was used. The data in this study were extracted from an existing field experimental research. Five hundred survey video tapes record during 2 years period were used. In conclusion, the pleasantly designed environment has a long term effect on the pro-spatial behavior change . While self-centered pro-spatial was improved continuously and even reinforced , altruistic pro-spatial behavior was improved but diminished as time passed. There were no differences in the effect between male and female children. The result of the research provide scientific background of an answer to why Interior Design.

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The Current Evaluation State of Post-Anesthetic Recovery after General Anesthesia (전신마취 후 회복 평가도구 활용 실태)

  • Lee, Hwa In
    • Korean Journal of Adult Nursing
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    • v.18 no.5
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    • pp.691-698
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    • 2006
  • Purpose: This research was conducted to evaluate, analyze, and determine the limitation of the anesthesia that is used in there covery room in order to provide the foundation for developing the effectiveness of it. Method: There covery records of this study were collected from 41 hospitals in Seoul, Kyung Kii-Do, and Inchon province. The post anesthetic recovery records consisted of the evaluation of type, evaluative items, frequency, time, score and $SaO_2$. These records were collected from September to December of 2005. Results: The most commonly used post anesthetic evaluation tool was Alderete Score, which was used in 73% of hospitals. The second was Aldrete Score with $SaO_2$(17%). Also, 5% of the hospitals used the modified AS form. There were 2.5% of the hospitals applying the adult and child in the evaluation separately. Also, the last 2.5% of the hospitals did not use AS but measured BP, pulse, respiration, temperature, and $SaO_2$ with observing nausea, vomiting, urinary retention, backache, laryngitis, shock, and neurologic assessment. Conclusion: It is necessary to develop a post-anesthetic recovery evaluation tool including the application of $SaO_2$, so that the early-diagnosis of hypoxia can be possible. In addition, it is necessary to develop a post- anesthetic recovery evaluating method that can distinguish a difference between adults and children.

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Resident's opinions about reconstructing the old-aged and deteriorated in Ulsan city (노후 아파트 재건축에 관한 거주자의 의식 조사연구 - 울산시를 중심으로 -)

  • 박현옥
    • Journal of the Korean housing association
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    • v.7 no.2
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    • pp.131-137
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    • 1996
  • This study was aimed at providing valuable information that can help the government and the housing development staff deal with the problem with ‘Redevelopment Apartment Rehabilitation’ in Ulsan city.For the purpose of this study, questionaire are constructed with contents about socio-demography factors, housing factors. attitute forward reconstruction, and housing needs of respondents. questionaire were collected from 232 housewives living in old-aged and deteriorated apartment houses in Ulsan. Apartment houses of respondents are 5 floor. more than 100unit houses. and above 10 years old the living size of apartmet is less than 25 pyoung(82.5m2) per unit house and average living size is 16~20 Pyoung(52.8m2~66.Om2)/unit house. Average family size is 4-5 persons. and average income is about 1,200,000 Won(about $ 1,500) Per month. The major findings are as follows :First, they want the reconstruction of old-aged and deteriorated apartment house very positively.Second. they want high rise building, more lager parking lot. market. sports facility. and play yard for children. Third they want that size of unit house is 26~30 pyoung85.8m2~99.0m2). the number of room is 3~4, the number of bathroom is 1-2. and type of access is stair style.

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Elements and Actual Condition of Apartment Unit Remodeling - By In-depth Interviews on Residents and Specialists of Interior Design Companies - (아파트 단위주거의 리모델링 요소와 현황 - 인테리어디자인업체 실무자와 거주자 심층면접을 통하여 -)

  • Choi, Yoon-Jung;Shim, Hyun-Suk;Jeong, Youn-Hong
    • Journal of the Korean housing association
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    • v.18 no.6
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    • pp.57-67
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    • 2007
  • The purpose of this study was to grasp major elements and actual condition of apartment unit remodeling by in-depth interviews on residents and specialists. The interviews had been conducted to interior designers who have a wide experience of apartment remodeling and residents who live in recently remodeled apartment unit. In-depth interview is a kind of qualitative method in which attention to reply of responses with open-access between interviewer and respondents. According to the results, remodeling elements were generally changing of lighting fixtures and finishing materials in the all spaces, integration of balcony into children's room, installation of furniture in kitchen and entrance, changing storage furnitures and equipments in bathroom. Artificial lighting method were selected generally whole lighting. Finishing materials were used ordinary (non environmentally-friendly) wallpaper and adhesion and tempered floor. There were unsatisfied factors after remodeling, these were dissatisfaction of design, construction defects, and stink of reflecting 'sick house'. Also they responded that they should be considering to use environmentally-friendly material at next remodeling.

A Clinical Study of Accidental Pediatric Patients (사고 환아에 대한 임상적 고찰)

  • Kim Shin Jeong;Lee Jung Eun
    • Child Health Nursing Research
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    • v.3 no.2
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    • pp.131-141
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    • 1997
  • The purpose of this study was to propose for protection of childhood injury or accident and to provide safety measures. Data was collected from 2,052 who visited emergency room of E University Hospital during 1 year period from January to December, 1996. The results were as follows : 1. The most common type of accident was fall down (53.4%). 2. Male patients outnumbered female by the ratio of 1.68 : 1. 3. The highest incidence rate of accidents were observed in children between 1-3 years age group(34.9%). 4. Accidents were seasonally more frequent in spring(28.2%). 5. Accidents mainly took place at home (63%). 6. The time of accidental occurrence appeared to be predominantly high during a day 8 : 00 PM to 0 : 00 AM (35.l%). 7. The most frequent involved part of body was head and face (74%). 8. Most patients discharged from the hospital in good condition(85.4%). Through clinical analysis, in the relation to accident, there were statistically significant difference in sex, age, season, injury place(all p=0.000).

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A Study on Childhood Injury (학령전개 아동의 사고실태)

  • Kim Hee Soon;Kang Kyu Sook;Lee Ean Sook
    • Child Health Nursing Research
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    • v.5 no.3
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    • pp.349-357
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    • 1999
  • Injuries are important causes of death and disability. The Purpose of this study was to determine how often preschoolers have injuries and what factors affect the injury occurrences. The sample consisted of 360 Preschoolers who were registered at eight nurseries located in Sedaemoongu. Seoul. The data were analyzed using the SAS PC statistical package. The results of the study are as follows: During last 12 months 73.1% of 360 preschoolers had accidental injuries In an analysis of the location where the injury took place, showed that the most places were in the nursery(17.3%) and around home(14.4%), and the most place inside home were in the bedroom(13.9%) and living room(13.9%). There were the diverse and injurious risks inside the home as well as around home. The most frequent type of injury was abrasion(27.5%) and most children injured their legs(28.3%). They were treated most frequently at home(52.8%) and usually emergency treatment was performed by family members with disinfection being the main type of first aid To identify factors related to injury occurrence, multiple logistic regression was performed and the main factors were the age of child, active tendency, and mother's education level.

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