• 제목/요약/키워드: weak children

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저소득층 아동의 주거환경 (Home and Neighborhood Environment of Children: Based on Socio-economic Status and Settlement Character)

  • 곽은순;정미라
    • 한국지역사회생활과학회지
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    • 제18권3호
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    • pp.493-505
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    • 2007
  • The purpose of this study is to examine the regional differences of 0-12 aged children's environment based on their parents' socioeconomic class and on the character of the settlement. One thousand and two hundred households were investigated and the results are as follows. It is revealed that families in low socio-economic class are more likely to be exposed to noise and home crowdedness. Families living in spontaneous settlement are deprived of natural light and the roads to their homes are steep and narrow. Low income families face a housing affordability crisis. Most of them pay housing rent on monthly basis. The basic infrastructure of low income neighborhood is lacking convenient facilities like shopping centers, public transportation systems, banks, public parks, and libraries. This lack of facilities is more severe in spontaneous settlement. Instead, bars and taverns are located in their neighborhood. Accessibility to parks and resource centers is an important factor that makes both middle and low income families consider their neighborhood to be positive and this condition is counted better in social housing area than in spontaneous settlement. On the contrary, social networks like friends and relatives are strong in spontaneous settlement and families in poverty value these relationships. Such networks are weak in social housing area and this difference is not related to their residential period. Low income families living in social housing area are more pessimistic about their future and this view might result from their counterpart middle class neighbors and the weak social networks.

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Correlation between Colon Transit Time Test Value and Initial Maintenance Dose of Laxative in Children with Chronic Functional Constipation

  • Kim, Mock Ryeon;Park, Hye Won;Son, Jae Sung;Lee, Ran;Bae, Sun Hwan
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제19권3호
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    • pp.186-192
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    • 2016
  • Purpose: To evaluate the correlation between colon transit time (CTT) test value and initial maintenance dose of polyethylene glycol (PEG) 4000 or lactulose. Methods: Of 415 children with chronic functional constipation, 190 were enrolled based on exclusion criteria using the CTT test, defecation diary, and clinical chart. The CTT test was performed with prior disimpaction. The laxative dose for maintenance was determined on the basis of the defecation diary and clinical chart. The Shapiro-Wilk test and Pearson's and Spearman's correlations were used for statistical analysis. Results: The overall group median value and interquartile range of the CTT test was 43.8 (31.8) hours. The average PEG 4000 dose for maintenance in the overall group was $0.68{\pm}0.18g/kg/d$; according to age, the dose was $0.73{\pm}0.16g/kg/d$ (<8 years), $0.53{\pm}0.12g/kg/d$ (8 to <12 years), and $0.36{\pm}0.05g/kg/d$ (12 to 15 years). The dose of lactulose was $1.99{\pm}0.43mL/kg/d$ (<8 years) or $1.26{\pm}0.25mL/kg/d$ (8 to <12 years). There was no significant correlation between CTT test value and initial dose of laxative, irrespective of the subgroup (encopresis, abnormal CTT test subtype) for either laxative. Even in the largest group (overall, n=109, younger than 8 years and on PEG 4000), the correlation was weak (Pearson's correlation coefficient [R]=0.268, p=0.005). Within the abnormal transit group, subgroup (n=73, younger than 8 years and on PEG 4000) correlation was weak (R=0.267, p=0.022). Conclusion: CTT test value cannot predict the initial maintenance dose of PEG 4000 or lactulose with linear correlation.

어린이 화상사고 유형과 어머니의 예방, 태도, 지식에 대한 실태조사 (A survey of the Types of Burns in Children and Mother's Preventive Attitudes to, and Knowledge of Burns)

  • 한정석;김동희
    • Child Health Nursing Research
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    • 제4권1호
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    • pp.97-104
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    • 1998
  • Burns in children result in the loss of precious life, or if the child survives, in much suffering from physical, emotional, social, and economic problems. These burn accidents to children happen in the bustle of family life and frequently without any warning. With this background information, this study was designed to identity types of burns in children and mothers' attitudes towards, and knowledge of burn prevention, in order, to not only, in still a safety consciousness regarding the seriousness of burn accidents and the strengthening prevention, but also as basic data towards the development of an educational program aimed at prevention. From May 1 to May 25 in 1997, data were collected from the mothers of children attending five day care centers and kindergartens located in Seoul, which had been selected for the study. The tools used for the study, which were developed by the researchers, surveyed the type of burns suffered by children, mothers' knowledge of burns and attitudes toward burn accidents. The data were analyzed through real numbers percentages and analysis was done using SPSS computer programs. The results of the study show that the most frequent type of burn accidents were those caused by hot water(55.4%) and these were frequently related to everyday habits that easily lead to danger. Further, the first aid treatment following a burn was weak. The majority of the mothers had not instructed their children on who to contact in the case of a fire, first aid for burns, or how to take escape in the case of a fire. This left the children in a defenseless position in case of a fire. The mothers showed a lack knowledge, on what to do when a blaze is discovered, how to put out a fire, first aid for burns, escaping from a fire and appropriate water temperature, in that 50% of the time they answered incorrectly. From this study a prevention program, HIPP (Home Injury Prevention Program) could be developed that includes fire prevention habits and first aid for burns. This program can be used with kindergarten and elementary school children for group education on fire prevention and can be used as a foundation for construction of a system of facilities and equipment to prevent fires and also prevent injury from fires.

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소아과(小兒科) 외래(外來) 환자(患者)의 주소증(主訴症) 및 허약아(虛弱兒)에 관(關)한 연구(硏究) (An Observation of the Chief Complint and a Weak Child of Prediatric outpatinets)

  • 신지나;신원규
    • 대한한방소아과학회지
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    • 제14권2호
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    • pp.149-168
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    • 2000
  • The Purpose of this study was to investigate the new effective oriential medicine tretments in pediatric disease and its clinical applicability The study was composed of 1245 new patients who had been treated at the all unit in the Dong-Seo oriential Medicine Hospitial for 1 year, from 1 April 1999 to 31 March 2000, and aged between 0 and 18 years. The chief complaint was mainly categorized by oral examination on patients and their care-givers. Result 1. The numbers of children who involved in this study is total 1245: Male children are 668 and female children are 577 children. The sex rate between male and female is 1.15 to 1. 2. Most of the above patients came to the hospital at first time from diseases such as musculoskelectal disease, weakness, asthma, cough, anorexia, common cold, rhiorrhea, sweating, dyspepsia, dematitis, night terror, obesity, stomach, short stature, Besides, they also came to the hospital at first time from various diseases such as epistasxis, pyrexia. Bell's palsy, nocturia, contipation, cerebral palsy, disorder, CVA. diarrhea. stress disease, Allergic disease, Tic disorder. Visual disorder, Kawasaki disease, Pierre Robin's syndrom, hematuria, edema and so on. 3. Looking at the frequent diseases, Respiratory dis. children including asthma, cough, rhiorrhea, sweating, common cold, pyrexia covers 36%, in 399 numbers. digestive dis. children including anorexia, dyspepsia, stomach, diarrhea, constipation, indigestion covers 19%, in 211 numbers. cadiovasculary disease children including arrthymia, terror in frequency, night crying, sediation, Tic disorder covers 8%, in 85 numbers. Hepatobiliary disease children including short stature, dizziness, visual difficulty, sprain, disorder of nail covers 21%, in 238 numbers. renal disease. children including nocturia, hematuria, hemation, disorder of hair, menorrhea, cerebral palsy, edema in 44 numbers. Fatigue children covers 13%. in 143 numbers. 4. In case of respatory disease children. total number is 399 children. dematitis children are 108 numbers and asthma children are 96 numbers. These show that children seem to the best have dematitis and asththma. The age from 0 to 6 is 290 numbers, covering 73 percentage. The others are covering 27 percentage. These data demonstrate that the age from 0 to 6 age could easily get these kinds - of diseases. The 29 percent of children had these kinds of diseases in spring. The 28 percent of children had these kinds of diseases in autumn. These show that children seem to frequently have these kinds of diseases in both spring and autumn season.(inter-season) 5. In case of digestive disease, anorexia covers 39%, in 83 numbers, dyspepsia covers 28%, in 59 numbers, anorexia and dyspepsia were the lagest group in digestive disease and the age from 0 to 6 covers 59%, in 125 numbers and the other age covers 39%. According to these data, infant seems to be vulnerable to these kinds of diseases. The 24 percent of children had these kinds of diseases in spring and summer. The 33 percent of children had these kinds of diseases in winter, which means that children mostly had winter. but decreased significant in autumn. 6. In case of cadiovasculary diseases, it can be divided into two categories: night covers 73% and nervous characteristics covers 27%. The age from 0 to 6 occupies 75%, and the other age occupies 25%. These data also show that infants can easily infected with these kinds of diseases. Analyzing by the season, summer could be the most frequent season that children have these kinds of diseases. but decreased in autumn. 7. In case of hepatobiliary children, sprains covers 166 numbers, fatigue covers 32 numbers, epistasxia covers 24 members, the reasion which sprain occupyied most of % were sprain covered ages. The age from 0 to 14 covers 59% and from 15 to 18 covers 41%. In the conclusion the adolescent seems to be vulnerable to sprains. In spring 29%, insummer 31%, in autumn 23%, and in winter 28% of children got these kinds of diseases, which show that children seems to have this kinds of disease in summer season. and decreased in autumn. 8. In case of renal disease. nocturia and hematuria covers 52%(occupied overhalf). The age from 0 to 6 covers 52%(occupied overhalf). Analyzing by season, in spring increased in summer(59%), decreased in autumn(45%) Conclusion 1. The chief complant in pediatric diseases that needed an oriental medical tretment was mainly the disease that tends to take iong time and the weakness. and appeared frequency in respiratory disease : 2. The oriential medical tretment was still preferred as a way to improve the weakness by patients, rather than a way to overcome their disease. In paticular, the study shows that the oriental medical tretment should be emphasized in terms of preventing the disease 3, The new disease, which were developed with the change of human life and envir oment(just like seual disorder, short stature, obesity, dynamic disorder, examinee disease), should be in vestigated as a new field of oriental medical tretment.

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키오스크를 이용한 장애인 및 약자를 위한 음성인식 주문시스템 (Ordering system for the disabled and the weak using a KIOSK with speech recognition technology)

  • 이효재;홍창호;조성호;윤채원;김동완;최승화
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2021년도 춘계학술대회
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    • pp.544-546
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    • 2021
  • 최근 COVID-19로 인하여 무인점포가 늘어나고 있는 추세이다. 무인 점포에는 주로 키오스크를 이용해서 결제를 하고 있는데, 일부 신체 장애를 가진 사람들이나 휠체어를 이용하는 장애인들은 그 사용이 쉽지 않다. 또한 어린아이들이나 노인들도 나이가 많아질수록 키오스크와 같은 새로운 기술을 사용하는 것에 어려움을 보이고 있다. 본 연구에서는 이러한 문제점을 보완하기 위해 사용자가 키오스크와 상호작용을 할 때 시각적인 요소 뿐만 아니라 음성인식 기능을 추가하여 음성으로 주문명령을 수행할 수 있는 시스템을 설계하였다.

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'디지털 키즈'를 위한 기존 OPAC의 한계와 과제 (Limits and Problems of the Current OPACs for Digital Kids)

  • 노지현
    • 한국도서관정보학회지
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    • 제45권4호
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    • pp.337-364
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    • 2014
  • 이 연구는 국내 도서관계에서 현재 사용하고 있는 OPAC이 어린이의 보편적 특성은 물론이고 디지털 키즈(digital kids)의 정보행태를 제대로 반영하지 못하고 있다는 문제의식에서 출발하였다. 이러한 문제의식을 유지하면서 이 연구에서는 철저히 어린이의 관점에서 현행 OPAC의 한계점을 도출하고 개선방안을 제시하고자 하였다. 특히 디지털 키즈가 도서관에서 자료를 탐색하는 과정과 OPAC을 검색하는 과정에서 드러내 보이는 행태적 특징을 세밀하게 관찰하면서, 현행 OPAC의 한계점을 찾아내고 새로운 OPAC의 개발을 제안하였다. 논의에 필요한 데이터는 초등학교 4-6학년 545명을 대상으로 한 설문조사, 설문조사 참여자들 중에서 선정한 8명과의 심층면담, 그리고 6개 도서관에서 진행했던 어린이들의 탐색과정에 대한 참여관찰 등을 통해 수집하였다.

일개 도농복합시 유자녀 모성의 추가출산 의지 관련요인 (The Related Factors of Willingness to Have an Additional Childbirth of Mother with Children in an Urban-Rural Area)

  • 이무식;나백주;김건엽;홍지영;김철웅;김은영;김대경
    • 농촌의학ㆍ지역보건
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    • 제32권3호
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    • pp.117-124
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    • 2007
  • Objectives: This study was conducted to investigate how willingness to have an additional childbirth was related to mother's general characteristics and various reasons for avoiding an additional childbirth. Methods: By using organized questionnaire, we had face-to-face interviews with 722 mothers who had 12 to 36 months child in a urban-rural area of Chungcheongnam-do from 14 February to 19 February in 2005. Questionnaires included general characteristics composed of age, monthly income, number of children, major carers and mother's job status, and 6 reasons for avoiding an additional childbirth. We performed chi-square test and multiple logistic regression analysis. Results: Of 722 mothers, 66.5% had no willingness to have an additional childbirth. In the multiple logistic regression analysis, old age of mother(95% CI of OR: 1.084-1.190), two or more children(95% CI of OR: 6.97-15.602) and weak norm about need for a child(95% CI of OR: 1.633-29.352) were independent related factors with willingness to have an additional childbirth. Conclusions: In our study, 2/3 women who already had children were appeared to have no willingness to have additional childbirth. Policies about family planning and controlling birth rate should be focused on eliminating barrier to additional childbirths.

고압 송전선로 주변에 위치한 초등학교 학생들의 극저주파 자기장 노출량 예측 모델에 관한 연구 (Study about Prediction Model to Extremely Low Frequency Magnetic Fields for the Selected Primary Schoolchildren Nearby High Voltage Power Line)

  • 김윤신;현연주;최성호;노영만;홍승철
    • 한국환경보건학회지
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    • 제32권5호
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    • pp.506-514
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    • 2006
  • The objectives of this study were to evaluate personal exposure estimated using a time activity pattern and microenvironmental model. The study was carried out for 44 children attending a primary school nearby the lines (school A) and 125 children attending a school away from 154 kV power lines (school B). For children attending school A, the estimated personal level was a little weak correlated with the measured level($Pearson\;r\;=0.34{\sim}0.35$). For children attending school B, the correlation was very low ($Pearson\;r\;=\;0.09{\sim}0.16$) using the TW A Model II, otherwise, TWA Model II-I which considered the average residential MF level according to the distance from the power line and home explained $39{\sim}53%$ of the correlation in MF personal exposures. The estimated personal exposure level was very well represented by the measured exposure level using TWA Model II-2 which consisted on spot and 24 h stationary measurements at subject's home ($Pearson\;r\;=\;0.65{\sim}0.85$). In conclusion, personal magnetic field expsoure estimated using a TWA Model II-2 should be provided for a reasonable estimate of measured exposure in schoolchildren living near the power line.

Large Variation in Clinical Practice amongst Pediatricians in Treating Children with Recurrent Abdominal Pain

  • van Kalleveen, Michael W.;Noordhuis, Elise J.;Lasham, Carole;Plotz, Frans B.
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제22권3호
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    • pp.225-232
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    • 2019
  • Purpose: To evaluate intra- and inter-observer variability and guideline adherence amongst pediatricians in treating children aged between 4 and 18 years referred with recurrent abdominal pain (RAP) without red flags. Methods: The first part of the study is a retrospective single-center cohort study. The diagnostic work-ups of eight pediatricians were compared to the national guidelines. Intra- and inter-observer variability were examined by Cramer's V test. Intra-observer variability was defined as the amount of variation within a pediatrician and inter-observer variability as the amount of variation between pediatricians in the application of diagnostic work-up in children with RAP. Prospectively, the same pediatricians were requested to provide a report on their management strategy with a fictitious case to prove similarities in retrospective diagnostic work-up. Results: A total of 10 patients per pediatrician were analyzed. Retrospectively, a (very) weak association between pediatricians' diagnostic work-ups was found (0.22), which implies high inter-observer variability. The association between intra-observer diagnostic was moderate (range, 0.35-0.46). The Cramer's V of 0.60 in diagnostic work-up between pediatricians in the fictitious case implied the presence of a moderately strong association and lower inter-observer variability than in the retrospective study. Adherence to the guideline was 66.8%. Conclusion: We found a high intra- and inter-observer variability and moderate guideline adherence in daily clinical practice amongst pediatricians in treating children with RAP in a teaching hospital.

한국 소아 청소년 남아에서 복부 지방 분포 측정의 임상적 의의 (Clinical Significance of Abdominal Fat Distribution in Korean Male Children and Adolescents)

  • 이연주;김경모;오석희;박혜순;명준표
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제13권2호
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    • pp.172-179
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    • 2010
  • 목 적: 성인에서 내장 지방은 대사 이상의 위험 요소와 밀접한 상관이 있다고 알려져 있으나 소아 청소년 연령에서의 연구는 미흡하다. 소아 청소년에서의 복부지방의 분포와 대사 이상의 위험 요소간에 상관성을 연구하고자 하였다. 방 법: 78명의 남아와 23명의 여아를 포함한 101명의 소아 청소년(평균 연령 10.8${\pm}$2.4세)을 대상으로 연구를 시행하였다. 신체 계측과 대사 증후군의 위험 요소에 대한 분석을 개별 환자에서 시행하였고, 복부 전산화 단층 촬영을 통해 내장 지방과 피하 지방의 양을 측정하였다. 연령을 보정한 편 상관 분석을 통해 내장 지방, 피하 지방의 양, 신체 계측 지표와 대사 이상의 위험요소 간의 상관관계를 분석하였다. 결 과: 남아와 여아 모두에서 피하 지방이 나이가 들어감에 따라서 내장 지방보다 급격히 증가하는 것을 확인할 수 있었다. 남아에서 내장 지방과 피하 지방은 신체 계측 지표와는 유의한 상관성을 보였고, 내장 지방은 낮은 수치의 HDL-C과 피하 지방은 높은 이완기 혈압과 유의한 연관성을 보였으나. 남아에서 내장 지방과 피하 지방, 신체 계측 지표는 모두 대사 이상의 위험요소의 수와 밀접한 관계가 있는 것으로 나타났다. 결 론: 남아에서 내장 지방은 낮은 수치의 HDL-C과, 피하 지방은 높은 이완기 혈압과 유의한 상관성을 나타내었으나 성인에서의 기존 연구에 비해 본 연구는 다른 대사 이상의 위험 요소들에 대한 상관성이 떨어지는 것으로 나타났다.