• 부모자녀건강학회지
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• 제10권1호
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• pp.3-12
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• 2007

Purpose: The purpose of this study was to test a KPAAT(Korean Parent As a Teacher Test) and provide a basic data to develop parent education program. Methods: This is a secondary analysis study using 103 preschool mothers who were chosen from 2 kindergarten and child care center located at Kyounki-Do. Results: 1) Subjects' child-rearing attitude was above average at the point of $2.86({\pm}\;.20)$. 2) 16 sub-dimension(response to question, permissive attitude of play, control, control of play, expectation about child, understanding about learning, support of learning, encouragement of thinking, provision of imaginary play opportunities, support of play, encouragement of accomplishment motivation, propriety of child-rearing, affectional support, fixed idea, confidence about education, limitation) and 6 factors(response to question, permission of play, control & limitation, evaluation & support about child, encouragement of academic accomplishment, facilitation of the development of creativity) were above 2.50 except ($2.24{\pm}\;.29$) sub-dimension. 3) There was no significant difference statistically according to subjects' general characteristics. Conclusion: From this study, KPAAT can be utilized later childhood period. And nurses need to help mothers to have sound child rearing attitude.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제5권1호
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• pp.39-50
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• 2002

Hepatitis B viral infection which affect about 10% of Korean population manifests asymptomatic carrier, chronic hepatitis and liver cirrhosis and even associates with hepatocellular carcinoma. Clinical manifestations induced by hepatitis B virus vary depending on the degree of immune response by cytotoxic T cells against viral epitope-presenting liver cells. Since hepatitis B virus presents high rate of mutaton that might change the presented epitope and eventually alter immune response, viral mutations, especially in promoters and enhancers, have an important implication in hepatic inflammation and viral replication. To identify mutations related to the hepatic inflammation, we investigated sequence variations of hepatitis B viral promotor regions in the presence or absence of symptoms in hepatitis B carriers. For this, sera from persistently hepatitis B virus-infected mother-child pairs were collected. After PCR amplifiation of all hepatitis B viral promoters (C promoter, S1 promoter, S2/S promoter, X promoter) using serum DNA from each pair, viral promotors were sequenced by automatic sequencer and then sequence data were analyzed by ClustalW. In most cases, the dominant type of maternal virus was transmitted to the child. However, in some children, some new host specific viral variants could be observed in Cp, S1p and S2/Sp. The mutations in C promoter did not seem to be vertically transmitted but arose in new host independently after the wild type had been transmitted. Enhancer I containing X promoter revealed high host specific variations as has been reported before. Two S promoters, S1p and S2/Sp, have shown some point mutations in children, but no deletion mutations were detected as in chronic hepatitis patients in whom deletion mutations are frequently found. In conclusion, the children with the vertically transmitted hepatitis B virus mostly retain the dominant type virus that had been transmitted. However, host specific variants tended to accumulate over time, possibly as clinical symptoms develop.

• Journal of Dental Anesthesia and Pain Medicine
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• 제23권3호
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• pp.143-151
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• 2023

Background: Dental anxiety is a matter of serious concern to pediatric dentists as it may impede the efficient delivery of dental care. If not adequately resolved, a persistent negative response pattern may emerge. Thaumaturgy, commonly known as magic trick, has become popular recently. It is a tool that distracts and relaxes the child by using magic trick while the dentist performs necessary treatment. Hence, the aim of this study was to evaluate the effectiveness of Thaumaturgic aid in alleviation of anxiety in 4-6 - year-old children during administration of local anesthesia using the inferior alveolar nerve block (IANB) technique. Methods: Thirty children aged between 4-6 years with dental anxiety requiring IANB were included in this study. Patients were divided equally into two groups: Group I, thaumaturgic aid group and Group II, conventional non-pharmacological group using randomization. Anxiety was measured before and after using the intervention with Raghavendra Madhuri Sujata-Pictorial scale (RMS-PS), Venham's anxiety rating scale, and pulse rate. All the data were tabulated and compared using statistical analysis. Results: Children in thaumaturgy group (Group- I) exhibited significantly lower anxiety during IANB in comparison with children in the conventional group (Group- II) and the difference was statistically significant. Conclusion: Magic tricks are effective in reducing anxiety among young children during IANB; Moreover, it expands the arsenal of behavior guidance techniques for treatment of children with anxiety and plays an important role in shaping the behavior of a child in pediatric dentistry.

• 한국생활과학회지
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• 제23권6호
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• pp.1141-1154
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• 2014

The purpose of this study examined the moderating effect of maternal emotion-related socialization behaviors on the relations between preschooler's effortful control and prosocial behavior. In this study, subjects were 153 preschoolers and their mothers. The major results were as follows; there was a moderating effect of maternal emotion-related socialization behaviors on the relationship between preschooler's effortful control and prosocial behavior. Specifically, maternal negative emotion expression and response to the preschooler's positive emotion moderated the effect preschooler's effortful control on prosocial behavior. In conclusion, the impact of effortful control on preschooler's prosocial behavior were significant. Also, maternal emotion-related socialization behaviors(i.e., negative emotion expression and response to the child's positive emotion) affected on preschooler's prosocial behavior. The findings of the study will contribute to help maternal emotional interaction with their preschool aged children.

• 한국식생활문화학회지
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• 제33권5호
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• pp.403-410
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• 2018

This study was conducted to evaluate children's purchase behavior (frequency of snack consumption and purchase) and preference for high protein snack products developed for weight control and nutritional balance. A total of 80 elementary school students (from the 3rd to 6th graders) in the Gyeonggi-do learning center were participated and 76 were used for the analysis. The most common response for liking snacks was taste (71.4%), and the most preferred types of snacks were chips (42.1%) and puff snacks (34.2%). The highest frequency of snack ingestion was 1-3 times per week (48; 63.2%), and the main purchasers were parents (65.8%). Cheese, corn and chili flavors were more preferred than the control, while yogurt taste was slightly less preferred than the control. The results of this study showed the possibility of commercialization of new protein snacks according to children's seasoning preference and provide the insights into the snack preferences of children as main consumers.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제14권1호
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• pp.33-44
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• 2011

The influence of nutrition during early life on physical growth as well as mental development has been thoroughly discussed in the literature. The physical dimensions of the body are greatly influenced by nutrition, particularly during the period of rapid growth in early childhood. Nutritional status affects every pediatric patient's response toillness. Good nutrition is important for achieving normal growth and development. It is indicated that permanent impairment of the central nervous system may result from dietary restriction of imbalance during certain periods of life. If children under 3 years of age show a good nutritional status, it may be assumed that they are well nourished. Several common diseases of children such as iron deficiency, chronic constipation and atopic dermatitis are known food related diseases. Patients with chronic illness and those at risk of malnutrition should have detailed nutritional assessments done. Components of a complete nutritional assessment include a medical history, nutritional history including dietary intake, physical examination, anthropometrics (weight, length or stature, head circumference, midarm circumference, and triceps skinfold thickness), pubertal staging, skeletal maturity staging, and biochemical tests of nutritional status. The use of age, gender, and disease-specific growth charts is essential in assessing nutritional status and monitoring nutrition interventions. Nutrition assessment and dietary counseling is helpful for the cure of disease, and moreover, the prevention of illness.

• 한국정보통신학회논문지
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• 제25권10호
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• pp.1427-1434
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• 2021

본 연구는 사회성 상호작용 훈련자극에 반응하는 아동의 행동 및 정서적 긴장상태를 연산하는 심리반응 상태 추정 프로세스를 제안한다. 행동 중재에 필요한 훈련자극으로는 공동 주의(Joint attention) 사회성 훈련을 채택하고, 훈련프로토콜은 불연속 개별시도 훈련(DTT: Discrete trial training)기법이 적용된다. 공동 주의 훈련에서 사용자의 집중과 긴장 정도를 확인하기 위해 3가지 훈련자극용 콘텐츠를 구성한 후, 캐릭터 형태의 탁상 로봇을 이용하여 사용자에게 훈련자극을 수행하게 된다. 그런 다음, 비전 기반 헤드 포즈 인식기와 기하학 연산모델로 사용자 응시반응을 추정하고, PPG와 GSR의 생체신호를 심박변이도와 히스토그램 기법으로 신경계 반응을 분석한다. 로봇을 활용한 실험에서 공동 주의에 대한 각 콘텐츠 별 훈련에 사용자의 심리반응을 정량화 할 수 있음을 확인하였다.

• 한국보육지원학회지
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• 제10권6호
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• pp.347-368
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• 2014

본 연구는 유아교사의 사회 인구학적 요인과 내적 요인인 자아탄력성 수준에 따라 유아의 문제행동을 인식하고 지도하는데 차이가 있는지를 알아보기 위해 수행되었다. 연구 결과에 따르면, 유아교사의 문제 행동에 대한 인식 정도는 2년제 대학 졸업 이상의 교사 집단이 기타 집단보다, 유치원 교사 집단이 어린이집 교사 집단 보다, 그리고 자아탄력성 상위 집단이 하위 집단 교사보다 높게 나타났다. 한편, 유아의 문제 행동 지도 전략과 관련하여 하위 영역에서의 차이가 확인되었다. 구체적으로, 교사의 연령과 경력이 많을수록 또한 학력이 높은 경우 긍정적 예방전략 I를 많이 행하였으며 반면 부정적 반응전략은 유치원 교사가 어린이집 교사보다 더 많이 행하는 것으로 나타났다. 끝으로, 교사의 자아탄력성 수준에 따른 유아 문제 행동 지도 전략 사용은 모든 하위 영역에서 집단 간 차이를 보여준다. 설명하건대, 자아탄력성이 높은 교사 집단이 낮은 집단에 비해 유아의 문제 행동에 대해 더 많이 긍정적 예방전략과 긍정적 반응전략을 행하고 있는 반면 부정적 반응전략은 자아탄력성 하위 집단의 교사가 상위집단의 교사보다 더 많이 행하는 것으로 나타났다. 본 연구의 결과는 교사의 유아 문제 행동 지도와 관련하여 교사의 연령과 학력 그리고 자아탄력성 수준에 따른 차이를 보여줌으로 이러한 변인을 고려한 교사 재교육 프로그램과 교사 양성 프로그램 개발 및 실시의 필요성을 시사한다.

• Allergy, Asthma & Immunology Research
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• 제10권6호
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• pp.686-697
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• 2018

Purpose: Several markers for eosinophilic inflammation have been proposed to predict response to asthma treatment. However, definitive criteria for treatment decisions have not yet been established. We investigate a potentially useful relatively non-invasive biomarker, eosinophil-derived neurotoxin (EDN), to predict favorable responses to budesonide or montelukast, common treatment for children with asthma. Methods: Young children (1 to 6 years old) were enrolled in this randomized, parallel, 2-group, open-label trial. Criteria for eligibility included: 1) being symptomatic during the run-in period; and 2) having a serum EDN (sEDN) level ${\geq}53ng/mL$, with positive specific immunoglobulin E to house dust mite. Eligible patients were randomly placed into 2 groups: the BIS group received budesonide inhalation suspension (BIS) 0.5 mg once daily; the MONT group received montelukast 4 mg once daily. Ineligible patients were invited to receive montelukast 4 mg once daily (OBS group). Treatment period was 12 weeks. Results: Asthma control days increased significantly in the BIS and MONT groups (P < 0.000) over the 12-week study period. There was no significant change in sEDN in the BIS group but there was a significant decrease in the MONT group (P < 0.000). Patients in the OBS group with high EDN levels (> 53 ng/mL) showed a significant decrease due to MONT treatment (P = 0.023). Rescue medication usage significantly decreased in the BIS and MONT groups (P < 0.000). Conclusions: EDN is a useful relatively non-invasive biomarker for predicting responses to montelukast and budesonide treatment of preschool children with beta2-agonist responsive recurrent wheeze and multiple-trigger wheeze (Trial registry at UMIN Clinical Trials Registry, UMIN000008335).

• 스마트미디어저널
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• 제13권8호
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• pp.26-38
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• 2024

본 논문은 언어 발달의 핵심 시기에 있는 유아 및 초등학교, 중학교 저학년 아동들을 대상으로 문해력 향상을 목표로 하는 대화형 스마트 기기 잠금 화면 애플리케이션 '스마트 락'의 개발 과정 중 문제 생성을 위해 사용한 생성형 인공지능인 GPT와 GPT API를 활용하기 위한 프롬프트 엔지니어링에 대한 내용을 다룬다. 스마트폰을 활용한 미디어의 사용이 아동들 사이에 널리 퍼져 있는 상황에서, 스마트폰을 기반으로 하는 미디어가 문해력 저하의 주된 원인으로 제시되고 있다. 본 연구에서는 아동들에게 문해력 향상 환경을 스마트폰을 활용하는 형태로 제공하기 위하여 부모와의 대화 과정을 모사한 애플리케이션을 문해력 향상을 위한 도구로 제안한다. 아동 문해력 향상을 위한 문제 생성을 위하여 생성형 인공지능 GPT를 활용하였다. 사전 생성한 데이터를 기반으로 사용하여 부모와의 대화 속 상황을 제시하였고, 프롬프트 엔지니어링을 통해 애플리케이션에 사용되는 문제를 생성하고, 파라미터 튜닝 및 Function Calling 과정을 거쳐 응답 품질을 높였다. 본 연구는 대화형 애플리케이션의 개발과정을 통해 생성형 인공지능을 활용한 문해력 증진 교육의 가능성을 알아본다.