• Clinical and Experimental Pediatrics
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• 제62권4호
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• pp.113-118
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• 2019

Inappropriate antibiotic use is the most important factor causing increased bacterial resistance to antibiotics, thus affecting patient outcomes. Multidrug-resistant bacteria have become a serious public health threat, causing significant morbidity and mortality worldwide. In Korea, the burden of antibiotic-resistant bacteria has become an important public health issue. There is increasing evidence of overuse and misuse of antibiotics in Korea, as observed in cohorts with large sample sizes. Antibiotic use among children should receive particular attention because of the frequency of community-associated infections among this population and the elevated risk of transmission. Recent studies from Korea have demonstrated that the use of broad-spectrum antibiotics, either for inpatient or outpatient treatment, has increased among many age groups, especially children. In this review, we aim to describe the patterns of antibiotic prescription and evaluate recent trends in antibiotic use among children. Coordinated efforts toward communication and education in order to address misunderstandings regarding antibiotic use, involving interprofessional antimicrobial stewardship programs, are required in the near future.

• 부모자녀건강학회지
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• 제7권1호
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• pp.50-60
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• 2004

The purpose of this study is to determine paternal rearing behavior according to rearing characteristics and demographic characteristics. This study is designed as descriptive survey. This study's subjects are 200 people who live in Daegu, Gyeongbuk, Seoul and Gyeonggido and they have preschool children of 3-6years old. They live with their children together and they are bringing up their children with a spouse, and they agreed with this study. It was measured by the instrument that 3 nursing scholars modified for content validity based on 18 items which developed parental behavior questionnaire of Bigner(l977). The data were analyzed by the SPSS/PC program with descriptive statistics, t-test and ANOVA test. It was used Scheffe' test as post-hoc measurement. As a result of analysis is the following. 1. The results that are measured paternal rearing behavior by mean and standard deviation are that 'activity of play interaction' score was the highest($280{\pm}.59$), and then 'activity of daily living'($2.41{\pm}.58$), and then 'activity of discipline'($2.40{\pm}.93$). The lowest area was 'activity of outhouse'($225{\pm}.85$). As examined paternal rearing behaviors by item, 'express physical affection to children' was the highest and the next items is 'consult with wife about children's rearing problem.'. Item that was shown the lowest score was 'wash children's dress'. 2. Compared paternal rearing behaviors level by demographic characteristics, that showed Significant differences among the fathers job type(F=3.492, p=.005), family monthly income (p=2.011, p=.047), children's number(F=4.641, p=.011). 3. Compared paternal rearing behaviors level by rearing characteristics, that showed significant difference in the satisfaction of marred life (F=3.932, p=.021). In spite of Paternal rearing behavior can influence on children's health and health activity, that is apt to exclude in various family health educational program development and application in nursing field. Therefore, nursing researches about paternal rearing behavior will have to be needed to study in the future.

• Child Health Nursing Research
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• 제18권2호
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• pp.76-84
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• 2012

Purpose: This study was done to develop a cell phone addiction scale for Korean children. Methods: The process included construction of a conceptual framework, generation of initial items, verification of content validity, selection of secondary items, preliminary study, and extraction of final items. The participants were 268 children from grades 4 to 6 in two urban elementary schools. Construct validity, internal consistence reliability, and split-half reliability were used to analyze the data. Results: Nine items were categorized into 2 factors explaining 61.29% of total variance. The factors were labeled as obsessive compulsion (6 items) and dependency (3 items). Cronbach's alpha coefficient for the 9 items was .87, and Spearman-Brown coefficient was .83. Scale scores identified children as high risk users, at risk users, or average users by standard scores. Conclusion: The above findings indicate that the cell phone addiction scale for children has good validity and reliability when used with Korean children.

• 한국치위생학회지
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• 제13권6호
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• pp.1031-1039
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• 2013

Objectives : The purpose of this study is to improve the oral health knowledge in children education institute teacher. Methods : Data were selected by convenience sampling method. A self-administered questionnaire was filled out by the children education institute teachers. Frequency analysis and $x^2$ test were used to analyze the actual condition of oral health education and utilizing media contents. Pearson's Results : 1. The teachers received the oral health education (94.3%) twice to five times. 2. There was a difference between position and career of teacher in implementing oral health education. 3. Most of the oral health education were done by the dentists. Tooth brushing method was the most common education contents. Skill demonstration was the most common teaching method. 4. There was a positive correlation between experience and implementation of oral health education. 5. Use of education media accounted for 74.1% in oral health education. The number of media was more than two to five. 6. Self-devised media contents were the most commonly used in oral health education. Visual materials, dentiform and tooth brush were the most common contents in oral health education. Conclusions : It is necessary to develop the systematic and repetitive oral health education curriculum for the children education institute teachers. The dissemination of media for oral care is needed for oral health care knowledge acquisition.

• 한국환경보건학회:학술대회논문집
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• 한국환경보건학회 2004년도 International Conference Global Environmental Problems and their Health Consequences
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• pp.213-216
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• 2004

This work was based on the hypotheses that fingernail clippings can be used as a biomarker for the subchronic exposure to fluoride. This study was conducted to prove the hypotheses and fingernail clippings were collected form 120 preschool children aged $3{\sim}6$ residing in Jumunjin(community water fluoridation area) and Kangnung(non-fluoridation area). The acid-diffusible fluoride in the fingernail clipping was isolated by the acid-diffusion technique and measured with a fluoride electrode. The mean fingernail fluoride as the children's living area were 4.49ug/g(SD 2.43) to Jumunjin and 2.68ug/g(SD 1.13) to Kangnung. As would be expected, the fluoride concentration in fingernail clippings were significantly different between the two geographical groups(p<0.001) determined by t-test.

• Child Health Nursing Research
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• 제17권2호
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• pp.100-110
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• 2011

Purpose: The purpose of this study was to analyze papers published in the Journal of Korean Academy of Child Health Nursing (JKACHN) to identify the current state of child health nursing research and recommend directions for future research. Methods: Using analysis criteria developed by the researchers, 233 papers published in JKACHN between 2005 and 2009 were reviewed. Results: Both quantity and quality of these papers showed significant improvement compared to before 2005. The number of published papers, the proportion of intervention studies, and studies that involved children directly as participants had increased. However, published papers still leave much to be desired. Quantitative studies were dominant (91.4%) and many of these studies were survey designs (65.7%). Children, especially young children were still less likely to be direct participants. All experimental studies were quasi or pre-experimental studies. There were few qualitative research studies. Conclusion: Findings of this study indicate that strengthening peer review according to review guidelines will improve the quality of published papers and promote JKACHN as an international journal. Instead of proxy accounts from parents or nurses, research involving direct accounts by children is needed. Child-friendly data collection methods need to be developed and used by child health nurse researchers.

• 농촌의학ㆍ지역보건
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• 제10권1호
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• pp.5-15
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• 1985

It has been a long tradition in the field of nutrition that the degree of malnutrition in a community used to be estimated by the degree of the adequacy of nutrients consumption in the households. The adequacy of nutrient consumption in the households then used to be applied to estimate the degree of malnutrition of the children. Such a practice is theoretically acceptable in the community where the food sharing within the household is individual serving style such as in European countries. However, the community where the dietary habit in the household is communal such as in Korea, the estimation of single serving portion from household consumption is quite uncertain. Because of such an uncertainty this study is intended to test the validity of the household food consumption level as an indication of nutritional status of the children in the rural farm households in Korea. The date from the household consumption survey in 1982 by the Korean Rural Nutrition Institute has been used for the analysis of food consumption levels of the households. The survey on the nutritional status of children of 127 preschool children from 78 farm households, has been conducted during May 1983. The nutritional status of the children has been directly measured by weight, height, skinfold thickness, haemoglobin, haematocrit and morbidity of influenza and diarrhoea. The analysis has been conducted to distinguish the differences in prevalence of malnutrition of children from the estimated of household consumption and that of from the direct measurement of nutritional status of children. The results show that the degree of malnutrition of the estimated by the household consumption level has not related with the prevalence of malnutrition by the direct measures of nutritional status of the children. Therefore, the validity of household consumption level as an indication of nutrional status in a same household is quite uncertain for the population studied.

• Integrative Medicine Research
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• 제7권4호
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• pp.333-340
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• 2018

Background: Traditional Korean medicine (TKM) is widely used to treat children with cerebral palsy (CP) in Korea; however, studies investigating factors that influence the use of TKM are scarce. Thus, we investigated the clinical factors that might influence the use of TKM. Methods: A population-based, cross-sectional, multicenter survey was performed from August 2014 to May 2016. The history of TKM use, type and severity of CP, current treatment characteristics, presence of accompanying disabilities or other health problems not directly related to CP, and monthly cost for the treatment of CP were surveyed. Results: In total, 182 children were recruited, and 78 children (42.9%) had used TKM. Among these 78 children, 50 (64.1% of the TKM-use group) had used both acupuncture and herbal medication, 15 (19.2%) had used acupuncture only, and 13 (16.7%) had used herbal medication only. Children with non-typical CP, accompanying disabilities and general health problems tended to use TKM. The monthly cost of treatment for CP was significantly higher in the TKM-use group than that in the no-TKM-use group, suggesting that economically disadvantaged children may have difficulty in accessing TKM. Dietary supplements, conventional pharmacological treatments, and rehabilitation therapies did not affect TKM use. Conclusion: Children with non-typical symptoms or those with poor overall health status are likely to use TKM. Additionally, TKM use leads to increased treatment costs. Studies investigating the motivation for starting or ceasing TKM therapy, socioeconomic factors and the attitude of parents towards complementary and alternative medicine should be performed.

• Child Health Nursing Research
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• 제12권1호
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• pp.65-74
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• 2006

Purpose: The purpose of this study was to investigate differences in Korean child-rearing practices between the generations of young mothers and grandmothers. Method: The participants were 98 mothers who were 20 to 39 years old and had raised one-year-old child and 103 grandmothers who were over 60 years old and had raised their children in a small city. Data were collected through self-report questionnaire based on the Korean traditional child-rearing practice from Yoo(1986). The data were analyzed using the SPSS Win 10.0 program. Results: Of 37 items in the categories of feeding and weaning, health management and taboo matters, play, and baby celebrations, the grandmothers practiced 13 items (35%) more frequently than the young mothers. However, no generation differences were found in 21 items (57%), and 3 items were practiced more frequently by the young mothers. For the young mothers, there were 15 items (41%) which were practiced over 70%, 7 items (19%) which were practiced less than 30%. Conclusion: It seems that some Korean traditional child-rearing practices were transferred to modern child-rearing practices. Therefore pediatric nurses need to pay attention to traditional child-rearing practices for the best health, growth and development of children.

• 한국콘텐츠학회논문지
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• 제9권5호
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• pp.182-188
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• 2009

본 연구는 국제 기능 장애 건강분류의 구성요소에 기반을 둔 자기관리 훈련이 경직성 뇌성마비 아동의 기능적 독립성에 미치는 영향을 알아보고자 하였다. 연구대상은 K광역시 소재 병원 두 곳의 재활의학과에 내원하는 35개월 이상 72개월 미만인 경직성 뇌성마비 아동(남아=25, 여아=18) 중 GMFCS(Gross Motor Function Classification System) level III-IV인 아동 43명으로 구성하였다. 연구기 간은 2008년 8월 1일부터 2008년 9월 31일까지였고, 자기관리 훈련은 2인의 작업치료사에 의해 회당 30분씩 주 4회 제공되었다. 자기관리 훈련은 먹기, 꾸미기, 목욕하기, 화장실 사용하기의 4개 영역으로 구성하였다. 훈련 후 경직성 뇌성마비 아동의 기능적 독립성 변화는 Wee-FIM(Functional Independence Measure for Children)을 이용하여 측정하였다. 연구결과 자기관리 훈련 후 뇌성마비 아동의 기능적 독립성은 유의한 향상을 보였다. 위의 결과에 근거하여 자기관리 훈련을 경직성 뇌성마비 아동의 기능적 독립성 향상을 위해 효과적인 방법으로서 충분히 활용 할 수 있을 것으로 기대한다.