• 대한간호학회지
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• 제13권3호
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• pp.34-50
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• 1983

The Denver Developmental Screening Test was devised to provide a simple method of evaluating the developmental status of infants and preschool children. To assess the development of Korean children, 667 children (390 boys and 277 girls) between the ages of 2 weeks and 6 years who live in Kwangju city and rural areas in Chonnam were examined according to the DDST. The ages at which 25%, 50%, 75%, and 90% of the children performed each item were calculated for the entire sample. The results of these were compared with the norms of Denver children and other related previous studies in Korea. The development of the boys was also compared with that of the girls, and further the test results of city children and country children were also compared. Girls performed the DDST items in personal-social, fine motor-adaptive and gross motor sectors slightly earlier than boys. In general, however, there were no significant differences in the developmental rate between boys and girls. In all four sectors of the DDST, urban children performed the items significantly earlier than rural children. In comparing Korean children and Denver children, Korean children tended to perform gross motor and personal-social items at a slightly earlier age than Denver children. In the language sector, Denver children tended to perform a little earlier than Korean children. But on the whole there were no significant differences in developmental status between Korean and Denver children. It should be noted that a few items, such as“Uses plurals”, needed to be changed due to the structure of Korean language.

• Nutrition Research and Practice
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• 제3권3호
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• pp.171-179
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• 2009

Onto the world-fastest ageing of society, the world-lowest fertility rate prompted a development of various policies and programs for a betterment of the population in Korea. Since the vulnerability of young children of low socio-economic class to malnutrition was clearly shown at the in-depth analysis of the 2001 Korea National Health and Nutrition Examination Survey data, an effort to devise supplemental nutrition care program for pregnant/breastfeeding women, infants and preschool children was initiated. The program was designed to offer nutrition education tailored to fit the needs of the participants and special supplementary foods, using USDA WIC program as a benchmark. Based on the dietary intake of those age groups, target nutrients were selected and their major food sources were searched through nutrient content of foods and dietary pattern analysis. As a result, we developed 6 kinds of food packages using combinations of 11 different food items. The amount of each item in a food package was determined to supplement the intake deficit in target nutrients. Nutrition education in $NutriPlus^+$ aims to improve the nutrition knowledge, attitude, and dietary behaviors of the participants, and is provided through group lessons, individual counseling sessions and home visits. Breastfeeding is promoted with top priority in education for the health of both mother and baby. The eligibility guidelines were set for residency, household income, age, pregnancy/breastfeeding and nutritional risk such as anemia, stunting, underweight, and/or inadequate nutrient intake. Income eligibility was defined as household income less than 200 percent of the Korean poverty guidelines. A pilot study to examine the feasibility of program implementation was run in 3 public health centers in 2005 and expanded to 15 and 20 in the following 2 years. The result of 3-year pilot study will be reported separately along with the ultimate nationwide implementation of the $NutriPlus^+$ in 2008.

• 한국간호교육학회지
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• 제9권2호
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• pp.234-243
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• 2003

The researcher has studied the types of accidents and injuries that most often occur to infants, toddlers and preschool children. Using this knowledge, a first aid program was developed for mothers. This researcher used a Quasi experimental study which consisted of a nonequivalent control group pretest - posttest design for injury first-aid knowle. The experimental group consisted of 32 mothers, and the control group consisted of 29. The education program consisted of the types of injury, the structure and function of skin, the methods of obsevation, first-aid awareness, and the standard of professional support in case of contusion, abrasion, laceration, fracture and burn. The education program was developed and based on 'the systemetic design of instruction' by Dick & Carey(1996) and utilized multimedia text book, pictures, examples, practice and discussions to increase understanding and effectiveness of learning. The data for this study was collected from September to early November, 2001. There were two fomative evauations, pretest and posttest with an intervention of education program. The analysis of the collected data was analyzed by descriptive analysis, ANOVA, t-test and paired t-test using the SPSS 10.0 program. The results as follows; 1. The experimental group, who was given an education program before the test, got higher marks on the injury first-aid knowledge than the control group. There was a significant difference in knowledge between experimental group and control group(t=6.578, p=.000). 2. The experimental group got higher marks on the action evaluation than the control group. There were significant differences in the certainity of action (t=8.546, p=.000) and the accuracy of action (t=7.654, p=.000) between experimental group and control group. This study examined how a first aid education program increased effectiveness in the knowledge and action of injury first-aid.

• Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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• 제61권12호
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• pp.644-649
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• 2018

Background and Objectives The objective of this study was to examine the effect of early cochlear implantation (CI) performed in infants less than 12 months of age. Subjects and Method Twenty-five children who received their first CI before 12 months of age were included in this study (infant group). The speech perception and language outcomes of these children were compared with those of 14 children who received their first CI between 13 and 24 months of age (older group). All children received sequential bilateral CI with the inter-stage interval of less than 2 years. Speech perception was measured using Categories of Auditory Performance, monosyllabic word test and sentence test, and language ability was measured using Sequenced Language Scale for Infants, Preschool Receptive-Expressive Language Scale, or Receptive & Expressive Vocavulary Test, depending on the age at the time of testing. Results There were no significant differences in speech perception abilities between the infant group and the older group. The mean expressive language score of infant group was higher than that of the older group, but the difference was not statistically significant. However, the receptive language score of infant group was significantly higher than that of the older group. Conclusion Children who received CI before 12 months of age achieved better receptive language ability than those who received it after 12 months of age. Thus CI should be performed as early as before 12 months of age to achieve better language ability.

• Child Health Nursing Research
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• 제20권1호
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• pp.39-48
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• 2014

목적 영유아를 돌보는 어머니의 양육행위를 파악하여 양육행위 형태를 확인하고자 한다. 방법 본 연구는 60개월 이하의 영유아를 양육하는 어머니의 양육행위와 관련된 구체적인 경험이나 인식을 질적, 양적으로 파악하고자 내용분석을 실시한 연구이다. 결과 양육행위에 대한 내용을 긍정적 강화와 부정적 강화로 양육행위를 분류하여 내용 분석한 결과 총 55개의 의미 있는 진술문과 14개의 범주로 도출되었다. 첫째, 긍정적 강화영역으로는 "잦은 피부 접촉", "즐겁게 해줌", "자녀와의 많은 시간 가짐", "자녀의 자존감 향상", "자녀의 요구에 대한 민감", "올바른 훈육", "독립적 양육", "자녀의 의견 경청", "자녀의 감정 이해 및 존중" 9개의 범주로 나타났다. 둘째, 부정적 강화영역으로 범주화된 내용으로는 "과잉보호", "비 일관적인 태도", "방임", "부정적 훈육 행위", "권위적 순종 강조" 5개의 범주로 나타났다. 결론 어머니의 양육행위에 대한 내용을 확인하고 변화를 위해서는 교육을 좀 더 구체적이며 체계적으로 운영하며 개개인의 양육행위에 대한 방법을 고려하여 적합한 교육 프로그램의 개발을 통해 추후 효과를 높일 수 있을 것이라고 생각된다.

• Perspectives in Nursing Science
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• 제11권2호
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• pp.144-152
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• 2014

Purpose: The purpose of the study is to offer necessary data to develop nursing interventions to reduce intravenous injection pain and uneasiness among hospitalized children. Methods: A total of 200 patients aged 1-72 months were selected. Pain during intravenous cannulation was assessed using the Procedural Behavior Checklist (PBCL) and the Faces Pain Rating Scale (FPRS). Data were analyzed by t-test and ANOVA using the SPSS/WIN 12.0. Results: Younger patients showed higher pain response than older patients (F=33.87, p<.001). Children with respiratory diseases showed higher responses in FPRS and PBCL than children without respiratory disease (F=4.17, p=.017; F=25.31, p<.001, respectively). Children of preschool age showed higher pain response during IV cannulation than the comparison group (t=2.04, p=.045). Children who had previous experiences with hospitalization and injections showed higher response to pain than those without these experiences (t=2.05, p=.045). In regards to FPRS, patients who were recannulated showed more painful restarts compared with patients injected just once (t=-3.60, p<.001). In regards to PBCL, infants and toddlers (t=-4.88, p<.001) and preschoolers (t=-3.86, p<.001) showed high pain scores during recannulation. Conclusion: A sick child's response to pain may be worse as they feel more pain over time. These characteristics should be considered for development of nursing interventions.

• 한국보육지원학회지
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• 제9권3호
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• pp.273-289
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• 2013

본 연구는 학부모들의 보육기관 특별활동 프로그램 구성 요구 분석을 위한 기초 연구로서 영유아 자녀를 가진 학부모들이 가장 많이 이용하는 사교육의 형태인 문화센터 프로그램의 전국적인 개설 현황 실태와 주된 교육내용을 살펴보았다. 실태 조사는 전국에 점포를 가진 대형할인점, 백화점의 문화센터 8개소 총 300개 문화센터의 영유아 대상 프로그램을 대상으로 이루어졌다. 프로그램 내용분석은 가장 많은 프로그램을 가진 문화센터 3곳의 400개 영유아 프로그램의 강의계획안을 대상으로 이루어졌다. 프로그램 분석기준은 영아는 제3차 어린이집 표준보육과정, 유아는 누리교육과정의 영역과 내용범주를 기준으로 하였다. 실태 분석 결과, 영아용 프로그램은 총 12,286개로 나타났으며 종합, 신체운동, 예술경험의 음악 이 순서대로 나타났다. 유아용 프로그램은 15,310개였으며 신체운동 건강, 예술경험의 미술, 자연탐구의 수, 조작 순서로 많이 나타났다. 프로그램 내용을 내용범주를 기준으로 구체적으로 분석한 결과 영아는 신체운동 영역의 '신체활동 참여하기', 유아용 프로그램은 예술경험 영역의 '예술적 표현하기' 가 많은 것으로 나타났다. 이러한 결과는 보육기관의 특별활동 프로그램 구성에 영아의 경우, 신체 활동 참여를, 유아의 경우 예술적 표현이 많이 나타나는 프로그램을 학부모들이 요구한다는 사실을 알 수 있다.

• 치위생과학회지
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• 제22권1호
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• pp.44-50
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• 2022

Background: This study compares and analyzes the degree of oral health information literacy by 25% for upper and lower grades to assess how differences in mothers' oral health information literacy affect infants' oral health behavior. Methods: The study surveyed 201 mothers with infants and children using a 36 question survey tool. Cross-analysis was conducted to determine the difference in oral health information literacy between the upper and the lower 25%. Results: Comparing 25% of the upper and lower grades of verbal oral health information literacy scores, the word with the most significant difference in the correct answer was resin. An item asking about the time to eat after fluoride varnish application showed the most significant difference in the correct answer on the functional oral health information literacy scale. Mothers' oral and functional oral health information literacy scores showed that verbal literacy was statistically significant for brushing guidance after children's meals, brushing guidance before children's bedtime, food intake restrictions before bedtime, and restrictions on consumption of cavity-inducing foods (p<0.05). Functional literacy was statistically significant in the post-brushing test of children and the correct brushing method map items (p<0.05). Conclusion: As a result of comparing and analyzing the upper and lower 25% of the mother's oral health information literacy, it was found that the mother's oral health information literacy affected the infant's oral health behavior. Therefore, systematic education is needed to raise literacy by grasping the level of oral health information literacy of mothers, and oral health education by level according to oral health information literacy should be developed.

• Advances in pediatric surgery
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• 제9권1호
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• pp.35-40
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• 2003

Inguinal hernia is the most frequent problem requiring surgery in children. Moreover, subsequent contralateral occurrence after repair of the symptomatic unilateral inguinal hernia(UIH) is not rare, This study is to evaluate the diagnostic value of inguinal ultrasonography (IUS) for potential bilateral inguinal hernia (BIH). A prospective study was performed for preschool children less than 6 years of age who were diagnosed as UIH from July 1999 to December 2000. We selected 58 cases with potential BIH, based on the past history, such as prematurity, ventriculo peritoneal shunt, family history of BIH. hernia on the left side (LIH), age below 2, female, and contralateral positive silk glove sign on the physical examination, Screening with IUS and bilateral surgical exploration were applied on these cases. Forty-seven cases were males (81.0%) and 11 cases were females (19.0%). Thirty four were infants. Symptomatic right inguinal hernia (RIH) were 28 (48.3%), and LIH were 30 cases (51.7%). Six cases had no evidence of contralateral patent process vaginalis (PPV) by IUS but showed contralateral PPV by operation. Two cases were suspicious to contralateral PPV under IUS, but operative findings were negative. Fifty cases showed contralateral PPV by IUS as well as operation. The detection rate of contralateral PPV under IUS was 86.2%. The preoperative IUS may reduce contralateral exploration.

• 한국환경보건학회지
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• 제35권2호
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• pp.78-85
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• 2009

In this study, the hazard rate of the indoor environment of Children's Educational Facilities in Seoul was conducted, in order to determine how the indoor environments of these facilities, where infants and children spend the most time of their away from home day, can effect their health. The way of measurement and analysis were done according to the Indoor Air Quality Standard Method, and the Risk Assessment was accomplished with several significant ways - Hazard Identification, Exposure Assessment, Dose-response Assessment, Risk Characterization, which are deighed by National Research Council (NRC). On each exposure factors, documentary and questionary research such as Epidemiological study and Toxicological study were conducted. The result of the CTE (Central tendency exposure) of Formaldehyde and Benzene by Monte-Carlo simulation was $6.79{\times}10^{-6}$, $2.50{\times}10^{-7}$ which in the case of Formaldehyde exceeded the permitted standard ($10^{-6}$) of the US EPA. The RME(Reasonable maximum exposure) was $7.31{\times}10^{-5}$, $2.65{\times}10^{-6}$ which did not exceed $10^{-4}$, the maximum permitted standards in the US EPA.