• Journal of Chest Surgery
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• 제31권2호
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• pp.198-202
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• 1998

악성 간엽종은 유아와 태생기에서 매우 드문 종양이다. 악성간엽종은 성인에서 극히 드물고 섬유조직이외의 둘 또는 그 이상의 간엽성분으로 구성된 종양으로 결체조직의 어떤 형태로도 분화할 가능성이 있는 태생기 간엽에서 기원한다고 생각된다. 환자는 61세 남자로 2개월 전 가래를 동반한 기침을 주소로 검사를 받던 중 우폐상부에 매우 큰 종괴를 보이는 암종으로 입원하였다. 환자는 우폐상부 미세침윤조직검사상 편평상피세포암 의심하에 우전폐절제술을 받았다. 수술장 소견상 종괴는 흉벽과 심하게 유착되었으며 우폐하부까지 침습된 소견을 보이는 악성간엽종으로 진단되었다. 환자는 수술후 5,000rad의 방사선 조사를 받고 수술후 6개월째인 현재까지 재발징후없이 경과 관찰중이다.

• 한국HCI학회:학술대회논문집
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• 한국HCI학회 2006년도 학술대회 2부
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• pp.246-251
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• 2006

참여적 디자인은 사용자의 경험을 디자인 하기 위한 방법으로, 사용자 자신이 디자인의 주체가 되어 자신의 아이디어를 적극적으로 제안하고 반영하는 방법을 말한다. 우리는 만 3~5 세의 미취학 아동을 참여 디자인의 사용자 대상으로 하였으나, 이 연령대의 어린이는 자신의 의사를 제대로 표현할 수 있는 능력이 부족하여 자신의 느낌과 생각을 정확히 전달하기 어려우므로 전통적인 참여적 디자인 방법을 그대로 사용하는 것은 어렵다. 본 논문에서는 사례를 통하여 실제 어린이 사용자를 대상으로 한 참여적 디자인 방법을 소개한다. 실제 유치원과의 긴밀한 연계를 통해 진행하였으며 현직 유치원 교사가 전체 디자인 프로세스에 참여하였다. 디자인 아이디어를 도출하고 검증하는 단계와 프로토타입의 파일럿 테스트 단계에서 어린이들이 직접 참여하였으며, 그들의 반응과 의견이 디자인에 적극적으로 반영되었다. 본 연구는, 어린이 제품의 디자인을 위해 실제 어린이 교육 기관과 연계한 새로운 형태의 참여적 디자인 방법의 개발과 적용에 대한 사례를 보여준다.

• Child Health Nursing Research
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• 제13권2호
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• pp.222-229
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• 2007

Purpose: This study was done to evaluate the validity of the Korean - Child Development Review in screening children with developmental risks. Method: The participants in the study were 172 children aged 6-75 months old and their parents. Data were collected by questionnaire or interview. Korean Denver II and Bayley test were administered with K-CDR for validation of children who were referred for developmental assessment at D University Hospital or public health center. The data were analyzed using correlation, $X^2$ test, and cross tab analysis. Results: There was a significant relationship between the K-CDR and Korean Denver II. The correlation coefficients were .42 to .61 by developmental sector. The sensitivity and specificity of K- CDR were .84 and .66 respectively when "abnormal" with MDI of Bayley test defined as lower than 85 the score which was used as a diagnosis of developmental delay. The responses to 6 questions for parents showed significant differences according to 3 groups by developmental state. Parents of children in the developmental disability group more frequently checked problems from the 26 problem checklist about their children's development and behavior. Conclusion: The results show that K-CDR is valid and has good sensitivity and moderate specificity in screening developmental delay.

• Human Ecology Research
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• 제53권1호
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• pp.67-80
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• 2015

This study aimed to develop a convergent arts and science program for 5yearold children and to evaluate this effectiveness of the program. To meet the purpose of this study, 34 children (aged, 5 year) were divided into two groups, namely the experimental group and the control group. To the experimental group, the creative arts and science convergence program of interest in this study was delivered over a period of 8 weeks. The children of the control group were delivered the Nuri Curriculum (standardized educational curriculum targeted for 3- to 5year olds) during the same experimental period. The levels of the children's creativity were assessed using the Torrance Test of Creative Thinking-Figural and those of their scientific inquiry ability were tested by using the Scientific Inquiry Ability Assessment Scale. The analysis of covariance calculated using by IBM SPSS ver. 21.0 revealed that the experimental group scored higher in creativity and scientific inquiry than did the control group. The results indicated that the proposed convergent arts and science program was effective in promoting creativity and scientific inquiry ability of young children. In this paper, along with the main results of this study, the implications for research and practice are discussed.

• 아동학회지
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• 제31권4호
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• pp.139-157
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• 2010

This study investigated the cognitive process of 5-year-old children, with a particular focus on gender, monthly age, and their tendencies towards hyperactivity through the performance of the Cognitive Assessment System (CAS; Das & Naglieri, 1997). The children with tendencies towards hyperactivity were identified based on Conners Teachers' Rating Scale (CTRS). The subjects were 75 five-year-old children in Seoul and surrounding metropolitan areas. Data were analyzed by means of descriptive statistics, an independent sample t-test, Pearson's correlation coefficient, one-way ANOVA, and by K-mean cluster analysis. Our results were as follows : (1) The CAS and CTRS' sub-factors were correlated negatively, except the positive correlation between planning factor and hyperactivity factor. (2) Girls exhibited significantly higher CAS scores in planning & sequential processing than boys. (3) The upper monthly age group (68-71 months) showed significantly higher score in terms of planning than the lower monthly age group (60-63 months). (4) The CAS scores of the children with tendencies towards hyperactivity was lower than that of normal children. (5) The CAS profile of 5-year-old children was divided into 4 groups with distinctive characteristics by means of K-mean cluster analysis.

• 아동학회지
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• 제35권2호
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• pp.137-156
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• 2014

The purpose of this study was to better understand the tendencies and general distributive features of mathematical educational activities which are presented in the Nuri Curriculum Teaching Guidebooks. This was done by analysis of 628 mathematical activities suggested in those guidebooks, the total number of which was thirty-two. The results of this study can be summarized as follows: First, the number of activities for mathematical education was 204 for the age of three, 223 for the age of four, and 201 for the age of five. Second, these mathematical educational activities are aimed mainly for developing positive attitudes toward mathematics rather than the delivery of mathematical knowledge and skills. Third, the number of activities for developing mathematical inquiry skills was greater than that of activities for developing of inquiry attitudes. Furthermore, the characteristic of understanding the basic concepts of space and figures can be found most frequently in five kinds of activities for mathematical inquiry. Last, the activities for mathematical education are more frequently found in free choice activities rather than group activities. The results of this study also suggest that checking the current status of mathematical education for young children and the Nuri Curriculum Teaching Guidebooks can be utilized for creating teachers' manuals.

• 아동학회지
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• 제36권4호
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• pp.229-242
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• 2015

The purpose of this study was to investigate young children's nonsymbolic arithmetic ability according to task difficulty. The participants in this study comprised 43 2-year-old children and 48 4-year-old children recruited from 5 childcare centers located in Seoul, Korea. All tasks were composed of comparison, addition, subtraction, multiplication and division tasks. In addition, each arithmetic task varied with the ratio of the two quantities; low level(1:2), middle level(2:3), high level(4:5). The results revealed that 2 & 4-year-old children could perform a large numerical range of nonsymbolic arithmetic tasks without influences from previously learned mathematics. This finding suggests that children have a degree of numerical capacity prior to symbolic mathematics instruction. Furthermore, children's performance on nonsymbolic arithmetic tasks indicated the ratio signature of large approximate numerical representation. This result implies that large approximate numerical representation can be used in arithmetical manipulations.

• 한국보육지원학회지
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• 제15권3호
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• pp.157-174
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• 2019

Objective: The purpose of this study was two-fold: first to explore the effects of mother-child attachment and effortful control at age 1 on preschoolers' school readiness at age 6, and second, to determine the mediating effect of a child's effortful control on the relationship between mother-child attachment at age 1 in relation to school readiness at age 6. Methods: Participants in this study were 205 five-year-old toddlers(106 boys, 99 girls) recruited for the Korea Child Panel Study. Mother-child attachment was assessed using the Attachment Q-sort(Waters, 1989). Preschooler's effortful control was measured by the Early Childhood Behavior Questionnaire: ECBQ(Putnam, Gartstein & Rothbart, 2006). Preschooler's school readness was measured by the School Readiness Scale Murphey & Burns, 2002). Data were analyzed using descriptive statistics, correlations, and the structural equation modeling analysis. Results: First, mother-child attachment at age 1 effected school readiness at age 6. Effortful control at age 1 effected school readiness at age 6. Second, effortful control at age 1 mediated the effect of mother-child attachment at age 1 in relation to school readiness at age 6. Conclusion/Implications: Mother-child attachment at age 1 affects school readiness at age 6, and toddlers' effortful control at age 1 mediates the relationship between mother-child attachment in relation to school readiness at age 6.

• 한국보육지원학회지
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• 제17권4호
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• pp.29-47
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• 2021

Objective: The purpose of this study was to understand the teacher's role as play supporter in a carry out play generated curriculum and develop and implement an action plan in order to indoor free play. Methods: Participants were 14 kindergartners (9 boys, 5 girls) and one teacher. Processes of planning-implementation and observation- reflection were repeated in a cyclical procedure and the 3rd action plan was conducted based on strategies to support children's play. Results: Children experienced the following: Continuing and immersive play, play filled with experiments and challenges, play to make together, attitude to enjoy novelty and respect differences, and play of trial and error. And the researcher changed the following: Be sensitive to the child's words and actions, finding the 'real interest' of children in 'waiting', acquiring the perception that 'children are the masters of play', seeing the value of learning in children's expressive play, and gain confidence in play support. Conclusion/Implications: This study suggested the need for teacher to have patience and demonstrate reflective thinking in order to support children's play.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제3권1호
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• pp.68-74
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• 2000

목 적: 연구자들은 삼성의료원 소아과에 상기 증상으로 내원한 환아의 임상상을 알아보고자 본 연구를 시행하였다. 방 법: 1997년 3월부터 1999년 7월까지 failure to thrive를 주소로 삼성의료원 소아과 영양크리닉을 방문한 16세 이하의 영아 및 소아 환자 74명을 대상으로 후향적인 방법으로 병록지 고찰을 통하여 임상 상을 알아보았다. 외래를 내원하였을 때 환아의 출생체중, 체질성 성장지연의 가족력을 포함하는 병력청취와 신체검사를 시행하였고, failure to thrive가 병력 및 신체검사로 설명이 되지 않는 경우는 흉부 방사선촬영, 간 기능 검사, 전해질 검사, 신장기능 검사, 혈액 검사, 요침사를 포함하는 소변검사를 시행하였고 필요한 경우 뇌파검사, Brain MRI, 골 연령 등을 측정하였다. 또한 영양사의 도움을 얻어 현재 섭취하고 있는 음식의 열량을 분석하였다. 결 과: 1) 74명의 환아의 병록지 고찰이 가능하였고 이중 남아가 43명이었으며 나이는 1개월에서 13년 1개월(평균: $3.3{\pm}3.7$세)이었다. 2) 전체적으로 원인을 추정할 수 있었던 총 69례 중 생리적 failure to thrive는 33례로 전체 47.8%, 병적인 failure to thrive는 36례로 52.2%를 차지하였고, 생리적 failure to thrive에서는 가족성 저신장증, IUGR, 체질성 성장지연, Idiosyncrasy, 미숙아 순이였고 병적 원인의 경우 나이와 관계없이 중추 신경계질환, 위장관 질환, 알레르기 질환 순이었다. 3) 3세 미만의 군에서는 원인을 추정할 수 있었던 총 41례 중 19례(46.3%)가 생리적 원인이었고 IUGR과 가족성 저신장증이 가장 많았다. 4) 3세 이상의 군에서는 원인을 추정할 수 있었던 28례의 환아 중 14례(50%)에서 생리적 원인으로 가족성 저신장증, 체질성 성장지연, IUGR 순이었다5). 평균 섭취열량은 하루 권장량의 76.2%였다. 체질성 성장지연과 IUGR, Idiosyncrasy, 병적 failure to thrive는 평균 섭취열량이 적은 경향을 보였고, 미숙아는 비교적 정상적인 소견을 보였으며 가족성 저신장증의 경우 열량 공급이 고루 분포되는 경향을 보였다. 5) 신체형은 생리적 failure to thrive의 원인 중 미숙아, IUGR과 병적인 failure to thrive에서는 신장과 체중 모두 감소되어 있는 형이 가장 많았고, 체질성 성장지연과 가족성 저신장증에서는 신장은 정상이나 체중은 감소되어 있는 형이 많았다. 결 론: Failure to thrive는 3세 미만에서는 IUGR 및 가족성 저신장증 등이 failure to thrive의 가장 흔한 원인이고 3세 이상에서는 가족성 저신장증과 체질성 성장지연 등 유전환경이 가장 흔한 원인이다. 병적인 failure to thrive의 원인은 나이와 관계없이 중추 신경계질환, 위장관 질환이 가장 흔한 원인이다. 영 유아를 포함하는 소아에서의 failure to thrive의 원인은 대개 치료가 필요하지 않는 생리적인 원인이 많고 완전한 병력청취 및 신체 검사만으로도 진단이 가능하므로 조기 진단 후 적절한 영양평가는 중요하리라 생각된다.