• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제16권4호
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• pp.261-268
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• 2013

Purpose: To investigate the clinical characteristics and outcomes among infants and toddlers with failure to thrive (FTT). Methods: This retrospective study was done with 123 patients who had visited Pusan National University Children's Hospital during their first two years of life and had received an FTT diagnosis. We compared the clinical characteristics of the patients based on the causes of their FTT and their ages at the time of first hospital visit. We investigated triggering factors, feeding practices, and outcomes in 25 patients with nonorganic FTT (NOFTT). Results: Eighty cases (65.0%) were NOFTT. The gestational ages, birth weights, and weights at the first visits were significantly lower in patients with organic FTT (OFTT) (p<0.05). Infants who had first visited the clinic at age <6 months had the least z-score. The percentage of patients with severe weight decline was higher in OFTT than in NOFTT (60.0% vs. 17.3%). The z-scores at the follow-up visits were improved after treatment in both of the groups. Preceding infection was the most common triggering factor of NOFTT and persecutory feeding as abnormal behavior of caregiver was observed in 22 cases (88.0%). After treatment with feeding method modification, all patients with NOFTT showed normal growth. Conclusion: Weight decline is more severe in OFTT patients and in younger patients at the first visit. Infants with FTT can attain normal weight gain growth by treating organic diseases and supplying proper nutrition in OFTT, and by correcting abnormal dietary behavior of caregiver in NOFTT.

• Journal of Microbiology and Biotechnology
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• 제30권7호
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• pp.1067-1071
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• 2020

To understand the formation of initial gut microbiota, three initial fecal samples were collected from two groups of two breast milk-fed (BM1) and seven formula milk-fed (FM1) infants, and the compositional changes in gut microbiota were determined using metagenomics. Compositional change analysis during week one showed that Bifidobacterium increased from the first to the third fecal samples in the BM1 group (1.3% to 35.1%), while Klebsiella and Serratia were detected in the third fecal sample of the FM1 group (4.4% and 34.2%, respectively), suggesting the beneficial effect of breast milk intake. To further understand the compositional changes during progression from infancy to childhood (i.e., from three weeks to five years of age), additional fecal samples were collected from four groups of two breast milk-fed infants (BM2), one formula milk-fed toddler (FM2), three weaning food-fed toddlers (WF), and three solid food-fed children (SF). Subsequent compositional change analysis and principal coordinates analysis (PCoA) revealed that the composition of the gut microbiota changed from an infant-like composition to an adult-like one in conjunction with dietary changes. Interestingly, overall gut microbiota composition analyses during the period of progression from infancy to childhood suggested increasing complexity of gut microbiota as well as emergence of a new species of bacteria capable of digesting complex carbohydrates in WF and SF groups, substantiating that diet type is a key factor in determining the composition of gut microbiota. Consequently, this study may be useful as a guide to understanding the development of initial gut microbiota based on diet.

• 대한가정학회지
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• 제36권6호
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• pp.95-108
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• 1998

This study is the second study which was aimed to validate the Infant/ Toddler Environment Rating Scale(ITERS). The test-retest reliability included 10 infant/toddler classes among 30 national/public and private child care centers in Inchon city which had been observed in the first validation study. The Spearman's correlation coefficient for test-retest reliability was ranged from .52 to .84. In addition, two raters observed 10 family day care centers in Inchon city, where two observers independently rated each centers on the ITERS during a single visit. The Spearman's correlation coefficient for interrater reliability was ranged from.72 to .99 For the second measure of content validity, experts who were working in day care centers and who were graduate students, lecturers, or professors majoring child studies rated the appropriateness of each ITERS items for the provision of high-quality programs for infants and toddlers, using a 1(low) to 5(high) scale. The mean rating was ranged from 2.52 to 4.52. In sum, when the rating scores were analyzed by the type of child care centers, national/public child care centers have better quality than private or family child care centers.

• 부모자녀건강학회지
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• 제13권2호
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• pp.86-94
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• 2010

Purpose: This study was conducted in order to identify the parenting stress of nurses with infants, toddlers, or preschoolers. Methods: The subjects are the 117 nurses working in hospitals in Gangneung City. The instruments are the questionnaires about general characteristics (14 items), parenting stress (32 items). Results: The parenting stress of nurses scored 2.46. The total parenting stress according to the demographic characteristics, there were no significant differences, but according to the position, baby-sitter, parenting support did show the significant differences. Conclusion: Nurse's parenting stress is slightly high. But it is very important to develop the nursing intervention to relieve the parenting stress by considering the characteristics that showed the significant differences in the parenting stress.

• 아동학회지
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• 제30권4호
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• pp.191-204
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• 2009

The purpose of the current study was to validate the ECBQ (Early Childhood Behavior Questionnaire) scale. Data were collected from the 39 teachers of 338 18- to 36-month-old toddlers (181 boys and 157 girls) in Korea. The ECBQ scale was composed of 201 items (7-point Likert scale) with three dimensions. Reliability of this study was confirmed by Cronbach ${\alpha}$'s for ECBQ subscales ranging from .76 to .81. The results of the Exploratory Factor Analysis identified three dimensions of ECBQ : activity-non activity, extraversion-attention, negative affectivity-transformation. Results of the Confirmatory Factor Analysis supported the hierarchic model. There was a significant relationship between temperament and adjustment of infants. It was concluded that the ECBQ scale in general is acceptable for use in Korea.

• 한국주거학회:학술대회논문집
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• 한국주거학회 2004년도 추계학술대회 논문집
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• pp.105-109
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• 2004

The purpose of this study is to find out branded apartment images families with different children ages favored. On-line survey was conducted in the Seoul Metropolitan Areas, and the 181 responses were used for the data analysis. Four children age cohorts were applied to describe favorable branded apartment images - families with infants or toddlers, elementary school children, adolescents and college students. The finding indicated that the respondents preferred branding apartments mainly because it was likely to reflect quality. Also it was found that the most favorable branded apartment image was safety, and the investment-related image was favored by families with young children while the image of comfort by those with adolescents. Families with kids preferred the image of environmental friendliness, those with did a health-related image, and the other two groups did the safety image.

• 한국보육지원학회지
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• 제10권3호
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• pp.159-177
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• 2014

본 연구는 보육시설을 이용하는 영유아 어머니들의 양육죄책감에 영향을 미치는 변인을 분석하였다. 양육과정에서 경험하는 보편적 양육죄책감이 아닌 보육시설에 자녀를 맡기는 상황에서 경험하는 타인양육에 대한 죄책감에 연구의 초점을 두었다. 이를 위해 광주 전남지역에 거주하는 어머니 350명을 대상으로 사회인구학적 변인에 따라 양육죄책감에 차이가 있는지 분석하였다. 또한 양육죄책감에 대한 어머니의 양육효능감, 교사의 지지, 어머니의 적극적 상호작용, 보육시설 만족도의 상대적인 영향력을 분석하였다. 본 연구의 결과로 첫째, 영아 어머니가 유아 어머니에 비해, 그리고 첫째아의 어머니가 둘째이후 자녀의 어머니에 비해 높은 양육죄책감을 보고하였다. 둘째, 양육죄책감 영향요인 중, 교사의 정서적 지지가 양육죄책감을 가장 잘 설명하는 변인으로 나타났다. 또한 양육효능감과 어머니의 적극적 상호작용, 그리고 보육만족도가 유의한 설명력을 보였다. 이는 자녀를 보육시설에 맡기는 상황에서 경험하게 되는 어머니들의 양육죄책감을 줄일 수 있는 방법으로, 교사와 어머니 간의 적극적 상호협력을 통한 양육공조의 중요성을 시사한다.

• 한국보육지원학회지
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• 제9권2호
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• pp.285-309
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• 2013

본 연구는 영아교사의 용기에 대해 고찰함으로써 기존에 간과되어 왔던 교사의 용기를 파악하고자 하였으며 영아교사의 역할 수행과정에 있어 용기라는 덕목에 대한 인식을 증진시키는데 목적이 있다. 연구참여자는 어린이집에 근무하는 영아교사 4인이며 2012년 6월부터 2012년 8월까지 12주 동안 3~5회에 걸쳐 연구자와 연구참여자들이 심층면담을 실시함으로써 자료를 수집하였다. 연구결과에 따르면 영아교사의 용기는 신체적 손상과 죽음의 공포에도 용기 있는 행동을 하는 '몸을 불사르는 영아교사의 용기', 부모와 원장의 요구에도 불구하고 원칙을 고수하며 자기반성을 통하여 양심과 원칙을 재구성하는 '양심과 원칙에 따르는 영아교사의 용기', 영아를 기르고 돌보는 과정에서 회복탄력성을 발휘하는'기르고 돌보는 영아교사의 용기'로 범주화되었다. 이는 영아교사가 영아를 돌보는 과정에서 요구되는 용기의 특성을 규명하고 용기라는 덕목에 대한 의미부여 및 증진 방안마련의 필요성을 시사한다.

• 정신신체의학
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• 제24권2호
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• pp.165-173
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• 2016

연구목적 자폐스펙트럼장애에 대한 인식이 높아지면서 진단을 위해 병원에 방문하는 영유아가 늘고 있고 조기 진단을 통한 조기 개입의 중요성이 부각되고 있다. 그러나, 자폐스펙트럼장애 환자가 처음 병원을 방문하게 되는 주 문제가 대부분 발달 지연이기 때문에 지적 장애와의 진단적 구별이 어렵다. 본 연구는 1) 자폐스펙트럼장애와 지적 장애 아동의 인구학적, 임상적 특성 및 산과적 합병증을 비교하고, 2) 초진 시 지적 장애로 진단을 받은 아동 중 재 방문 시 진단이 바뀐 아동과 진단이 유지된 아동의 특징을 비교하고자 한다. 방 법 2001년 5월부터 2014년 12월까지 국민건강보험 일산병원 발달지연클리닉에 내원한 아동 중 자폐스펙트럼 장애나 지적 장애로 진단된 816명의 아동을 대상으로 하였다. 부모 면담을 통해 인구학적, 산과적 합병증에 대해 조사하였다. 인지 평가를 위해 한국 베일리 영유아 발달검사와 한국 웩슬러 유아 지능검사를 시행했고 언어평가를 위해 영유아 언어 발달검사와 취학전 아동 수용언어 표현언어 발달척도I를 시행하였다. 1차 방문에서 자폐스펙트럼장애와 지적 장애로 진단된 아동의 특성을 비교하였고, 1차 방문 시 지적 장애로 진단된 아동 중 2차 방문 시 진단이 자폐스펙트럼장애로 바뀐 아동과 지적 장애로 유지된 아동의 특성을 분석 하였다. 결 과 1차 방문 시 자폐스펙트럼장애와 지적 장애로 진단 받은 아동을 비교한 결과 자폐스펙트럼장애에서 남아의 비율이 높고 산과적 합병증은 적었다. 또한, 자폐스펙트럼장애 아동이 지적 장애 아동에 비해 언어 평가상 전체 수행이 저조 하였고 특히 수용언어발달지수가 더욱 저조하였다. 1차 방문 시 지적 장애로 진단 받은 아동 중 2차 방문 시 진단이 자폐스펙트럼 장애로 바뀐 아동은 모두 남아였고, 지적 장애로 진단이 유지된 아동에 비해 발달 지연의 가족력(family history)이 많았다. 언어 평가 결과에서는 자폐스펙트럼 장애로 진단이 바뀐 아동에서 1차 내원 때 시행한 언어평가에서 수용언어지수가 더 낮은 점수를 보였다. 결 론 이러한 결과를 통해 성별, 언어평가 결과, 산과적 합병증 여부가 자폐스펙트럼장애의 조기 진단에 도움을 줄 수 있음을 알 수 있다.

• 대한간호학회지
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• 제47권5호
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• pp.577-588
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• 2017

Purpose: This study was intended to integrate the evidence of home care service intervention for mothers and children in vulnerable groups through an integrative literature review. Methods: We searched the MEDLINE (PubMED), EMBASE, Cochrane Central Register of Controlled Trials, CINAHL, DBpia databases. The quality of the articles was assessed by one doctoral researcher and verified by one professor of community health nursing who had participated in the systematic review of literature. A framework was developed to identify the intervention patterns in the selected papers and categorize various elements. The extracted intervention elements were grouped into potential themes, which were verified by assessors on whether they clearly reflected the interventions in the papers. Results: Among 878 searched papers, we selected 16 papers after excluding literature that does not satisfy the selection criteria and quality evaluation. The intervention elements of 16 selected papers were categorized into six themes. The extracted intervention elements were divided into the themes of Patient-specific/Situation-specific care planning and intervention, Emphasis on self care competency, Intense home visit by developmental milestone, Reinforcing and modeling mother-child attachment, Communication and interaction across the intervention, Linkage with community resource and multidisciplinary approach. Conclusion: As a result of the analysis of proper interventions of home care services for mothers and children in vulnerable groups, it was found that it is necessary to consider indispensable intervention elements that can standardize the quality of home care services, and conduct studies on developing intervention programs based on the elements.