• Clinical and Experimental Pediatrics
• /
• v.45 no.6
• /
• pp.700-711
• /
• 2002

Purpose : Early identification and treatment of developmental disabilities is of considerable importance in the health care of children. Screening of development is aimed at identifying infants who may need more comprehensive evaluations. Methods : A new test, the Ewha Infant Development Screening Test(EDST) has been created to screen the development of infants, 0-4 years of age. EDST was constructed so that results can be calculated into developmental ages and developmental quotients. The test consists of three sectors, e.g. language, social-adaptive and motor, and of 158 test items. A total of 104 infants, aged from one month to four years, including healthy infants as well as 10 with chief complaints of developmental delay, who visited the pediatric clinic of Ewha Womans University Dongdaemun Hospital, from June, 25 to November 30, 2001, were given the Bayley Scale of Infant Development as a base test and EDST. Results : The result showed the appropriate cut-off of EDST was 90 with better sensitivity and specificity, compared to cut-offs of 85 or 80. Conclusion : Further study with a large number of infants in the future is needed to make EDST more reliable and accurate.

• Journal of the Korean Child Neurology Society
• /
• v.25 no.3
• /
• pp.200-203
• /
• 2017

Spinocerebellar ataxias (SCAs) are autosomal dominant neurodegenerative disorders which disrupt the afferent and efferent pathways of the cerebellum that cause cerebellar ataxia. Spectrin beta non-erythrocytic 2 (SPTBN2) gene encodes the ${\beta}-III$ spectrin protein with high expression in Purkinje cells that is involved in excitatory glutamate signaling through stabilization of the glutamate transporter, and its mutation is known to cause spinocerebellar ataxia type 5. Three years and 5 months old boy with delayed development showed leukodystrophy and cerebellar atrophy in brain magnetic resonance imaging (MRI). Diagnostic exome sequencing revealed that the patient has heterozygous mutation in SPTBN2 (p.Glu1251Gln) which is a causative genetic mutation for spinocerebellar ataxia type 5. With the patient's clinical findings, it seems reasonable to conclude that p.Glu1251Gln mutation of SPTBN2 gene caused spinocerebellar ataxia type 5 in this patient.

• Journal of Korean Academy of Nursing
• /
• v.27 no.2
• /
• pp.389-400
• /
• 1997

This study examined the effects of group social support on the reduction of burden and increase in well-being of mothers of developmentally delayed children. The research used a one group pre-pose experimental design. The independent variable in the experiment was group social support. Two series of 4-weekly meetings for group social support were conducted by the researcher with the intention of developing a self-help group. The dependent variables were burden and well-being. Well-being was operationalized as physical symptoms and quality of life. Thirty mothers of developmentally delayed infants from the rehabilitation center of a medical center participated in the study. Data were collected by interviews and a self-administered questionnaire. The mean age of the subjects was 29.9 years. Changes of the dependent variables between pre and post tests were compared using the t-test. Even though there was a slight improvement in the scores for the dependent variables, they were not statistically significant. The items, "I resent my baby". "I feel angry about my interactions with my baby", "I feel guilty in my relationship with my baby" showed a significant decrease in burden score and were statistically significant. Symptoms of loneliness, constipation, anxiety, restlessness were less and feeling of happiness was greater after participation in the group social support, than on the pretest. The mothers showed emotional instability and frustrations during the group sessions but their reactions in general were positive. Emotional support, stress management and information provided were identified as the most valuable content of the sessions. However, participation was not active due to the mother's denial, delayed acceptance and /or avoidance of their infants' problems. It can be seen that group social support for the mothers with developmentally delayed children should be provided after infancy when the mothers have time to accept their children's conditions and are ready to receive support. The use of comprehensive instruments which measure burden in both families and mothers needs to be developed for future research.

• Clinical and Experimental Pediatrics
• /
• v.46 no.2
• /
• pp.122-127
• /
• 2003

Purpose : Baby-walkers are used by many parents because of the convenience they provide in keeping children occupied, quiet, happy, and in stimulating ambulation. But, these devices have more risks than benefits. Therefore, we performed a study to evaluate the effects of baby-walkers on motor development of human infants according to the hours used in a day, total duration(months), and types of injuries associated with the walkers, and to establish effective methods. Methods : 1,045 questionnaires were filled out by parents who had a baby whose aged between 8 months and 15 months that visited local pediatric clinics and medical centers in Chonju and Iksan from May 1, 2002 to July 31, 2002. They were analyzed in a control group that didn't use babywalkers, a low-user group that used baby-walkers less than 2 hours a day and a high-user group that used them more than 2 hours a day. Results : The mean age of the 1,045 babies whose parents responded to the question investigation was $12.6{\pm}2.4$ months. The number of babies who used the baby-walkers were 811(77.6%). Crawling and walking alone were delayed in the high-user group. The parents who knew the side effects of the baby-walkers totalled 392(48.3%). Conclusion : The findings of this study revealed that many parents didn't know the effects of baby-walkers on motor development in their infants and the risks associated with baby-walkers. Therefore, we should educate parents on the risks of baby-walkers and recommend reducing the use of baby-walkers.

• Clinical and Experimental Pediatrics
• /
• v.50 no.9
• /
• pp.868-874
• /
• 2007

Purpose : We performed this study to investigate the perinatal and developmental features of the patients with congenital myotonic dystrophy (CDM) confirmed by the molecular genetic method and the clinical characteristics of their mother, and to identify the relation between the number of CTG repeats and the clinical severity.Methods : A retrospective review of the medical records and the results of the dystrophia myotonica protein kinase (DMPK) gene test was done for the patients who were confirmed as CDM through gene analysis from January 2001 to September 2006. Results : All of the eight patients (male 2, female 6) showed moderate to severe degree of perinatal distress and feeding difficulty associated with profound hypotonia. Three patients had the history of polyhydramnios and two patients had equinovarus deformity. The developmental milestones were delayed in all patients, which improved gradually with age. All of their mothers demonstrated myotonic symptoms and typical myopathic face. The number of CTG repeats in DMPK gene analysis ranged 1,000-2,083, and there was no significant correlation between the number of CTG repeats and the time of walking alone. Conclusion : All patients with CDM presented with severe hypotonia in perinatal period, and developmental delay thereafter, which were improved with age. All of their mothers manifested myotonic symptoms with typical myopathic face, and the identification of such features greatly contributed to the diagnosis of the patients. The number of CTG repeats had no significant influence on the motor development.

• Journal of Educational Research in Mathematics
• /
• v.23 no.2
• /
• pp.237-252
• /
• 2013

The philosophy of science of Bachelard is introduced mainly with epistemological obstacles in the discussions within mathematics education. In his philosophy, epistemological obstacles are connected with the dialectical developments of science. Science progresses through generalization of concepts and theories by negating things which were recognized as obvious. These processes start with ruptures against the existing knowledge. Epistemological obstacles are failure in keeping distance with the existing knowledge when reorganization is needed. This concept means that there are the inherent difficulties in the processes of concept formation. Finally I compare the view of Bachelard on the developments of science and the 'interiorization-condensation-objectification' scheme of reflexive abstraction in mathematics education and discuss the inherent difficulties in the learning mathematics.

• KSCE Journal of Civil and Environmental Engineering Research
• /
• v.33 no.4
• /
• pp.1377-1387
• /
• 2013

Most embankment of the reservoirs (99.1 %) have been constructed in the earth filled type in Korea because the construction of this type is less expensive and simpler than others such as concrete one. However, it has to be reinforced the slope to prevent the breach due to overtopping or piping under unexpected flood conditions. This study has been analyzed the retardation effect using three types (L, T, $L^*$ shape) of stiffener in order to reinforce embankment when they are collapsed by overtopping flow. Experimental results showed that L-type stiffener is the most effective in delaying the breaching of embankment and reducing the soil erosion when compared with others. The reinforced embankment breaching showed that time delay was occurred about 1.73 to 2.29 times and the peak flowrate was reduced compared to non-stiffener embankments due to energy dissipation by collision and less soil erosion. The embankment breaching mostly leads to major damages because of the lack of repair time. Thus, since these stiffeners can resist the rapid breach, it would be possible to earn the time to emergency repair and lifesaving, as well as reduction of damages of embankment in downward region with decreasing peak flowrate. Results from this study would be used for the basis when establishing the emergency action plan for the reservoirs on the verge of hazard.

• Journal of the Korean Society of Mineral and Energy Resources Engineers
• /
• v.55 no.6
• /
• pp.596-603
• /
• 2018

The traffic congestion is frequently occurring due to increasing demand for vehicles and development of subcenter in roads of domestic-downtown. The design of a Great depth underground double-deck tunnel planned for construction as a solution however it's mainly for a compact-car. Its low height and small section cause causalities when fire occurs. From this study, the delay system for fire smoke diffusion is developed to minimize the occurrence of casualties when fire occurs in the Great depth underground double-deck tunnel and the CFD(Computational Fluid Dynamics) is used to find the optimal installation interval and the blockage ratio to maximize the system effects. The study analyzed the shorter the installation interval of the system, the higher the smoke delay effect but the efficiency-change tends to be slight above a certain distance and the larger the blockage ratio, the higher the effect but the efficiency-difference is slight according to installation interval.

• Proceedings of the Korea Contents Association Conference
• /
• 2010.05a
• /
• pp.5-9
• /
• 2010

최근 IT산업의 발달과 더불어 내장형 시스템에서의 실시간성은 더욱 중요시되고 있다. 내장형 시스템에서 사용되는 많은 운영체제 중 윈도우즈는 실시간성 지원의 부재로 로봇 플랫폼이나 점검장비와 같은 실시간성이 필수적으로 요구되는 시스템에는 적합하지 않다. 이러한 결점을 보완하기 위해 개발된 실시간 이식커널(Real-Time implanted Kernel)은 윈도우즈에 실시간성을 보장해주지만 ISR(Interrupt Service Routine) 처리시간이 길어질 수 있는 문제가 있다. 본 논문에서는 ISR의 작업을 윈도우즈가 제공하는 지연처리호출(Deferred Procedure Call)에서 처리함으로써 인터럽트 지연시간을 줄이는 실시간 이식커널(RTiK)을 설계 및 구현하였다.

• Proceedings of the Korean Information Science Society Conference
• /
• 2004.10c
• /
• pp.679-681
• /
• 2004

무선 통신 기술의 발달로 무선 인터넷에 대한 관심과 그에 따른 이동성 지원에 대한 관심이 증가하고 있다. 또한 이동성 지원을 위한 Mobile IPv6의 Handover 시에 상대노드(CN)와의 바인딩 갱신(Binding Update) 지연시간이 문제가 되고 있다. 문제 해결을 위해서 2계층과 3계층을 연동하는 Fast Handover를 이용하여, MN에서 CN으로의 바인딩 갱신 지연시간을 단축시키고자 2계층 Handover 메시지인 IEEE 802.11의 Reassociation Request 프레임을 이용한다. MN이 Binding 갱신 메시지를 보내기 전에 CN과의 보안을 위해서 Return Routability 절차을 수행하는데 이 절차 중의 메시지인 HoTI, CoTI 메시지를 2계층 Handover 중에 미리 보냄으로써 CN과의 바인딩 갱신 지연시간을 단축시키는 방안을 제안한다.