• 한국보육학회지
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• 제19권1호
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• pp.159-174
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• 2019

본 연구는 중증장애아동의 주 양육자인 어머니가 낮병원과 보육서비스 기관 이용을 통해 자녀와 본인의 삶에 어떤 변화를 경험했는지, 어려움이 있었다면 무엇인지 알아보고, 중증장애아동의 의료적 욕구와 발달과업에 대한 욕구를 모두 충족시킬 수 있는 정책적 실천적 개선점을 논의하고자 하였다. 연구대상은 1년 이상 낮병원 이용 경험이 있고, 어린이집 또는 유치원을 이용한 장애아동 어머니 9명을 눈덩이 표집방법으로 모집하여 포커스그룹 면담 또는 개별면담을 실시하였다. 분석결과 중증장애아동 어머니는 자녀가 성장함에 따라 낮병원외의 기관을 알게 되고 이용하게 되면서 차츰 삶의 균형을 찾아가기 시작했다. 처음으로 자녀와 떨어져 지내며 걱정을 보이기도 했지만, 차츰 긍정적으로 생각하며 자녀와 떨어져 있는 시간에 적응하고 있었다. 연구 참여자들은 중증장애아동인 자녀도 낮병원 외에 어린이집이나 유치원을 이용하게 되면서 표정이 밝아지거나, 웃는 모습을 보이는 등 다양한 경험을 긍정적으로 하고 있다고 느꼈다. 이를 통해 연구 참여자들은 주변사람과의 쉼을 느끼고 재충전 되는 경험을 했다. 본 연구 결과를 통해 수요자 관점에서의 보육, 복지, 의료에 대한 종합적 정책적 제언을 논의하였다.

• 한국콘텐츠학회논문지
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• 제22권3호
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• pp.273-284
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• 2022

유튜브 사용량은 계속해서 증가하고 있으며, 유튜브를 가장 많은 시간 사용하는 연령대는 10대로 조사되고 있다. 어린이·청소년이 유해한 콘텐츠에 노출되는 것을 막는 것은 현실적으로 불가능하므로, 유튜브 콘텐츠를 건강하게 선택하고 활용하는 역량을 키워내는 것이 근본적인 해결책이 될 수 있다. 이에 본 연구에서는 디지털 네이티브 세대를 위한 유튜브 리터러시란 무엇인지 규명하고, 공통적으로 고려해야 할 기준을 마련하고자 하였다. 본 연구는 유튜브 리터러시 역량의 정의를 구체화하고, 어린이·청소년의 유튜브 플랫폼 활용 안내·지도 시 활용할 수 있는 체크리스트를 개발하는 것을 목적으로 한다. 이를 위하여 선행 연구와 해외사례 분석을 바탕으로 개념적 정의 및 체크리스트를 개발하였으며, 전문가 및 교육자 검토를 통하여 타당성을 확보하였다. 최종적으로 개발한 체크리스트는 미디어 접근, 비판적 이해, 미디어 참여, 윤리적 활용 4개 범주의 10개 역량, 23문항을 포함한다.

• 한국주거학회논문집
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• 제24권2호
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• pp.69-76
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• 2013

With people leaving the countryside to the cities as a result of industrialization and urbanization and drastic reduction of school children due to low birthrate, nationwide, total 3,438 schools have been shut down following the closed schools policy. Consequently, local governments have been active in selling, utilizing, and leasing the closed schools but there are still 466 closed schools that need to be addressed quickly. In addition to this phenomenon, aging population has become an important issue, and demand for elderly welfare facilities population is also increasing as a result. However, the supply of welfare services remains inadequate. This study was conducted in an attempt to solve both local and social problems at the same time, caused by the closing of schools and an aging population, through the use of closed schools as elderly welfare facilities, and suggests plans for per-unit space according to its type, and prototype, through research analysis of practical use, based on case studies. With the conclusions of both advantages and disadvantages, drawn from its type, we are hoping to be able to use this study by adapting its type, or mixing, according to one's needs.

• 한국식생활문화학회지
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• 제18권2호
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• pp.139-150
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• 2003

The objective of this study consists in promoting seafood consumption by increasing its intake opportunities for children through analysis of seafood using frequency in the elementary school lunch program. For that purpose, randomly sampled out from elementary schools through the county were 155 dietitians and 5th grade 3581 children, on whom a mail survey was conducted to analyse their seafood using frequency, and preference, and lunch menu by seasons. Results of this study are as follows : The seafood using frequency of the respondents represented the highest value in one or two times a week, while obstacles in seafood use presented high values in the safety of food by 71.6% and children preference by 68.4%. The seafood intake frequency of the respondents showed the highest value in three or four times a week by 34.5% and the places of seafood intake indicated the highest response in the home by 43.5% and then school lunch and dining out. The dietitians responded that children for the most part had not a preference for seafood, whereas the children pointed out average by 46.2%. As for reasons for avoidance of seafood, the dietitians expressed the highest response in it depends cooking methods by 45.8%, while the children because of its peculiar taste and smell by 42.1%. Their required improvement showed the highest response in the taste improvement by 51.8%. The children most preference for seafood that dietitians thought included fried Alaska pollack and shrimp cutlet, while dislikes braised mackerels and seasoned cold jelly fish. Cooking methods frequently used were represented in order of soup, hot soup, and stew, and the children's preferred cooking method was from fried food. Above results suggested that the intention to increase seafood using frequency is needed to at the time of planning the menus so that more seafood-providing opportunities can be given. The development of cooking methods is urgently needed that can change the taste or the smell of seafood, and concurrently with this conveniences be taken into account in eating such as elimination of bones, etc. as early as the states of purchase or checking of seafood. The reflection of the preferred cooking methods is thought to contribute to the enhancement of satisfaction with the seafood as well as to the reduction of food remnants. The recommendation of intake of low preference but nutritionally good seafood is required to be expanded in nutrition education.

• Clinical and Experimental Pediatrics
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• 제51권4호
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• pp.343-350
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• 2008

Asthma and allergic diseases are one of the most common disorders in children. Due to its increased prevalence, as well as the increased morbidity and mortality from these diseases, asthma and allergic diseases have come to be recognized as a major worldwide public health issue. In addition, socioeconomic burden of asthma and allergic diseases has increased in Korea also. The International Study of Asthma and Allergies in Childhood (ISAAC) investigated the worldwide prevalence of asthma and other allergic diseases using simple standardized methods because of the comparison of asthma and allergic diseases between the countries. In Korea, several epidemiologic studies have been conducted to determine the prevalence of asthma in children. Although these studies showed increased prevalence of asthma among Korean children (from 3.4% in 1964 to 10.1% in 1989), these findings were based on data from small numbers of subjects. The first Nationwide Study of Asthma and Allergies in Korean Children, which utilized the Korean version of ISAAC written and video questionnaire, was conducted in 1995 and the second Nationwide Study of Asthma and Allergies in Korean Children was conducted in 2000, directed by the Korean Academy of Pediatric Allergy and Respiratory Diseases. We report here the prevalence of asthma and other allergic diseases in Korean children and adolescents, and show the changes that occurred over this 5 year period. We also describe the risk factors for development of these diseases in Korean children. We developed Korean versions of the ISAAC written (WQ) and video (AVQ) questionnaires for allergic diseases. In 1995, the enrolled population consisted of 25,117 children selected from 34 elementary school and 14,946 children selected from 34 middle school across the nation, the response rate was 94.8%. In 2000, 27,831 children selected from 34 elementary school and 15,214 children selected from 34 middle school, and the response rate was 96.4%. From these studies, we can confirm that increase of the prevalences of asthma, allergic rhinitis, and atopic dermatitis in Korea, except the prevalence of food allergy. Especially, the video questionnaire showed increases in the lifetime and 12 month prevalence rates of wheeze at rest, exercise-induced wheeze, nocturnal wheeze, nocturnal cough, and severe wheeze over this period of time in middle school children. In addition, the increase of prevalences of symptoms, diagnosis and treatment of atopic dermatitis was noted significantly. Risk factor analysis showed that body mass index (BMI), passive smoking and living with a dog or cat were associated with higher risk of wheeze. Also the occurrence of fever during infancy and the frequent use of antibiotics were associated with the risk of wheeze. In conclusion, during the 5 year period from 1995 to 2000, the prevalences of asthma, allergic rhinitis, and atopic dermatitis has increased in Korean children. BMI, passive smoking, living with a dog or cat, the fever episodes in infancy, and the frequent use of antibiotics in infancy are important risk factors to development of asthma and atopic dermatitis. In the near future, the birth cohort study will be needed to investigate the causes of this increase and the natural course of allergic diseases, then we develop the methods to control asthma and allergic diseases.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제28권4호
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• pp.213-219
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• 2017

Objectives: Early intensive interventions are very important for children with autism spectrum disorder. We examined the actual conditions of hospital-based early intensive interventions for autism spectrum disorder in Seoul, in order to help develop and implement an evidence-based early intensive intervention model for use in Korea. Methods: Nine hospital-based institutes running an early intensive intervention program for children with autism spectrum disorder responded to a questionnaire in September 2014. They provided a brief introduction to their program, explained its theoretical bases, and reported the number of children, their age, intervention time, duration and so on. Results: In the majority of the institutions, the intervention was provided for over 20 hours every week, and the theoretical bases included various applied behavioral analysis (ABA) methods and other therapies (language and occupational therapy). The therapist-child ratio ranged from 1:1 to 5:3. Various types of therapists were involved, including behavioral analysts, special education teachers and (or) language pathologists. There was only one clinic where the behavioral analyst was the main therapist. Usually, the intervention was terminated just before the child entered elementary school. The main merit of the hospital-based intervention in our survey was the effectiveness of the multi-disciplinary intervention plan and its other merits were the accuracy of the diagnosis, its ability to be combined with medicine, and so on. Conclusion: The current hospital-based early intensive intervention programs provide interventions for over 20 hours per week and employ multidisciplinary approaches. However, there are very few institutes for children with autism and very few intervention specialists and specialist education courses in the country. We need more educational programs for intervention therapists and have to try to develop policies which encourage the implementation of an evidence-based early intensive intervention program nationwide.

• Clinical and Experimental Pediatrics
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• 제61권8호
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• pp.253-257
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• 2018

Purpose: Child safety seats (CSS) are critical for the protection of children, in case of motor vehicle accidents. Although the national legislation mandates that all newborns must be placed in an appropriately installed CSS during transportation, people often do not perceive the importance of CSS and do not use it as recommended. The purpose of this survey was to understand the use of CSS for the safe transport of newborns from hospital to home. Methods: We interviewed parents of newborn infants, using a structured questionnaire, at the time of their discharge from Cheil General Hospital & Women's Health Care Center, between May 2014 and July 2014. Results: A total of 403 participants were interviewed. The rate of CSS use was only 14.9%. Overall, 76.4% of the families interviewed were not aware about the recommendations on CSS use for newborns when travelling in a car. The provision of education on using CSS significantly influenced their rate of use. Parents who were educated about mounting the CSS in a car used it more as compared with others (25.7% vs. 12.2%) (P=0.002). Furthermore, if parents had heard about the importance or necessity of CSS, they used it more than others did (19.5% vs. 10.6%, P=0.032). Conclusion: Despite the legal regulation, most parents transport their newborn infants without a CSS while traveling from hospital to their home. The rate of CSS use was influenced by parental education and their knowledge about its necessity. Education programs for parents must be reinforced to increase the CSS use.

• Childhood Kidney Diseases
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• 제10권2호
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• pp.219-227
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• 2006

Purpose : We aim to identify the clinical and demographic characteristics in children who underwent renal transplantation(RTx) and to evaluate the influence on growth of RTx in children. Methods : We reviewed 17 medical records of chronic renal failure patients who underwent RTx from April 1992 and June 2004 at Busan Paik Hospital. Age and sex distribution, cause of disease, donor analysis, patient and graft survival rate, and the status of growth after RTx were analysed by retrospective study. Results : Eighteen RTx were performed in 17 patients(8 boys, 9 girls). The mean age at the time of RTx was $15.8{\pm}3.5$ years and the mean duration of dialysis therapy before RTx was $22.4{\pm}18.0$ months. The 1 year and 5 year patient survival rate were each 100%, and the 1 year and 5 year graft survival rate were 88%, 36% respectively. The most common cause of graft failure was chronic rejection. The mean final height of male patients was $162.8{\pm}10.0$ cm(143.0-172.5 cm) and of female patients was $154.5{\pm}12.1$ cm(135.8-160.0 cm). The mean height standard deviation score(Ht SDS) increased after RTx from -1.95 to -1.53 but the increment rate was not statistically significant. Similar changes were noted in individual patient analysis. Also there was no significant difference between the living-related donors and cadaveric donors. Conclusion : Our data shows that even successful RTx rarely results in full growth rehabilitation. To overcome retarded growth in children with chronic renal failure, appropriate combined management of metabolic and nutritional problems, correction of anemia, proper use of recombinant growth hormone therapy, early renal transplantation and shortening of the duration of dialysis would be necessary.

• 대한소아치과학회지
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• 제51권3호
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• pp.245-264
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• 2024

This research aimed to evaluate the outcomes of autotransplantation in both children and adolescents, with a focus on root growth, and determine the clinical and radiographic factors associated with the success rate. In this study, 73 teeth, autogenously transplanted in 63 patients, were examined over an observation period of 3.2 years on average. The mean age at the time of autotransplantation was 11.9 years. Based on the radiographic criteria, the success rate was 73.97% and the survival rate was 100%. Based on the radiographic criteria, the success rate was 73.97%, and the survival rate was 100%. A significant increase in root length was observed in the transplanted teeth with an open apex. An association was found between the success rate and use of bone graft and surgeon experience. In conclusion, greater clinical experience in autotransplantation (> 36 cases) and prohibiting the use of bone grafts may improve the prognosis of the transplanted teeth in children and adolescents.

• Archives of Plastic Surgery
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• 제36권1호
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• pp.122-125
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• 2009

Purpose: Stitching out in facial simple laceration on children, we use No.11 blade. But the procedure is technically demanded to take care of the uncooperative pediatric patient. When we suture a laceration on the pediatric patient, we apply this method using ribbon shaped knot. On stitching out, We pull one the edge of a stitching fiber easily without injury about normal tissue. Methods: We studied 54 pediatric patients who have facial lacerations for children under six years old, from May, 2006 to December, 2007 in Plastic Surgery department, emergency room. Among them 35 were male, 19 were female and age average was 3.9. Results: For following up dressing, ribbon shaped knot did not get loose. After stitching out in facial laceration on children, Major complication of infection, hematoma, dehiscence was not found. Conclusion: The advantage of this operation method using ribbon shaped knot when we Stitch out the fiber on the incorporative pediatric patients, is easy to perform and to reduce the stitching time, without sedation.