• 제목/요약/키워드: 5-Year-Old Infant

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표준보육과정에 기초한 영아관찰척도 개발을 위한 기초 연구 (A Preliminary Study into the Infant Observation Scale Based on the National Curriculum for Childcare Centers)

  • 강현미;황해익
    • 아동학회지
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    • 제32권5호
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    • pp.167-183
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    • 2011
  • The purpose of this study is to develop a valid and reliable infant observation scale based on the national curriculum for childcare centers. The study was carried out using the final draft of the Infant Observation Scale for 1 year old infants. The scale consists of 42 items in 6 areas. Whereas the final draft of the Infant Observation Scale for 2 year old infants consists of 52 items in 6 areas. The subjects of this observation scale were 120 infants from the city of Busan. The results of the Infant Observation Scale for the 1 year old infant analysis for the purpose of test adequacy indecates that the internal consistency reliability is from .88 to .97. The results of the Infant Observation Scale for 2 year old infant analysis for test adequacy shows that the internal consistency reliability is from .76 to .97.

만 1세 영아를 위한 보육의 구조와 과정 분석 (Analysis of Structure and Process of Childcare for One Year Olds)

  • 민해정;나종혜
    • 한국생활과학회지
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    • 제19권1호
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    • pp.63-74
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    • 2010
  • The purpose of the study was to examine the actual conditions of caregiver-infant ratios, group-room activity areas, evaluations of infant programs and caregiver-infant interactions based on structural and process indicators which are major factors of infant care. The subjects were 20 caregivers and 91 infants from 14 infant classes of 13 day care centers in Daejeon. An actual survey was conducted on caregiver-infant ratios and group-room activity areas, and teaching-learning plans for infants and daily schedules were gathered for the evaluation of infant programs. The caregiver-infant interactions were observed every one minute for a total of 20 minutes using Lee Wan Jeong's "Evaluation Measure of Caregiver-infant Interactions"(1999). The results of this study were as follows: First, caregiver-infant ratios ranged from 2.5 to 7 infants per caregiver, resulting in the difference of the number of infants. Second, the 14 classes for one-year-old infants were arranged in three different ways; 5 classrooms with distinctive activity areas, 2 without any divided areas and 7 containing a mix of partial activity areas. Third, in teaching-learning plans for infants, there were a large number of topics related to seasonal features and experiences while the fewest were about basic life habits. Fourth, in the caregiver-infant interactions, caregivers used more positive interactions and linguistic modeling than sensitive responses to infants and social interactions.

모유수유 영아모가 인지한 영아기질과 모아애착 정도 (A Study on Infant Temperament and Mother-Infant Attachment of Breast-Feeding Mothers)

  • 장군자;정귀애
    • 여성건강간호학회지
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    • 제15권3호
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    • pp.224-230
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    • 2009
  • Purpose: This study was conducted to investigate infant temperament and mother-infant attachment of breast-feeding mothers with a $5{\sim}7$ month old infant. Methods: This study was descriptive research. The subjects were 258 infants and their mothers participating in 'Year 2007 Healthy Breastfed Baby Contest' on September 5, 2007 and visiting a community health service center from September 1 to December 30 in 2007, The data was gathered by structured questionnaires about the 'maternal attachment inventory (MAI)' and 'what my baby is like (WBL)'. Results: The mean score of WBL was 6.75 and that of MAI was 3.88. In addition, there was a significant positive correlation between the score of infant temperament and mother-infant attachment (r = .33, p < .01). Conclusion: Breast-feeding mothers perceived infant's temperament as more positive, therefore, breast-feeding should be encouraged.

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2세 영아의 정서조절 측면에서 나타나는 교사의 의미 (The Meaning of Teachers as they Manifest themselves in the Emotional Regulation of 2 Year Old Infants)

  • 김보영;김용미
    • 아동학회지
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    • 제34권5호
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    • pp.17-41
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    • 2013
  • The purpose of this research was to investigate meaning of teachers as they manifest themselves in the emotional regulation of 2year old infants in a daycare center. In addition, the research attempts to provide basic research data that can be used as a guideline for teacher's awareness, roles, attitudes, and classroom management for infant's emotional education in the future. To achieve this goal, participatory observation was conducted in a child care center class for infants under 2 years old from January 17 to January 29, 2012. The teacher is defined as follow : Teachers are authority figures whose image is that of absolute authority, and coupled with their dual role of passive caretakers. Additionally, they function as guides who guided infants through the process of emotional socialization, and played the central role of emotional contagion from whose expression speech and atmosphere the said infants receive much influence. Such results seemed to indicate that teachers today do not fully comprehend the importance of their roles in influencing the emotion regulation of infants.

전염성 연속종 환아 1례 보고 (A Case Report of Molluscum Contagiosum in an Infant)

  • 김장현;황영준
    • 대한한방소아과학회지
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    • 제20권2호
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    • pp.93-100
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    • 2006
  • Objectives : The purpose of this study is to report Molluscum Contagiosum in an infant. Methods : We reported 5-year-old male patient who suffered from Molluscum Contagiosum. We treated him with Gami-Okbyungpung-tang. Results : After this treatment, the symptoms(papule on both thigh and gluteal sulcus region, itching) were improved. Conclusion : We had goal effects in oriental medical treatment on Molluscum Contagiosum. The further study is needed.

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Is Axillary Dissection Necessary for Breast Cancer in Old Women? A Meta-analysis of Randomized Clinical Trials

  • Zhang, Pei-Zhen;Chong, Le;Zhao, Ye;Gu, Jing;Tian, Jin-Hui;Yang, Ke-Hu
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권2호
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    • pp.947-950
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    • 2013
  • Background: We performed this meta-analysis to assess the effectiveness and safety of axillary dissection in old women. Methods: The Cochrane Library, PubMed, EMBASE and Chinese Biomedical Literature Database were searched and all randomized controlled trials of axillary dissection in old women (at least 60 years old) were considered. Meta-analyses were completed using RevMan5.1. Results: Three eligible randomized controlled trials (RCTs) including 5,337 patients were considered. There was weak evidence in favour of axillary dissection (AD) in old women. The meta-analysis showed that the overall survival (OS) after 1, 3, 5 and 7 years and the disease free survival (DFS) after 1, 3 and 5 year were not statistically significantly different between AD and no AD groups. However, there was a difference in the 7 year DFS. Conclusions: Axillary dissection did not provide survival benefit to the old women with breast cancer analysed. Therefore, axillary dissection is not well-indicated in old women with breast cancer.

2006년 인천의 한 유치원에서 발생한 홍역 유행 역학조사 (Epidemiological Investigation of a Measles Outbreak in a Preschool in Incheon, Korea, 2006)

  • 소재성;고운영;이동한;박광숙;이종구
    • Journal of Preventive Medicine and Public Health
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    • 제41권3호
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    • pp.153-158
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    • 2008
  • Objectives : This study describes a plan that was designed to prevent a measles outbreak that showed a changed outbreak pattern. This study is based on the epidemiological investigation of a measles outbreak in a preschool in Incheon, Korea, 2006. Methods : The subjects were 152 students at a preschool where a measles outbreak occurred. A questionnaire survey was conducted and serological testing for measles-specific IgM was preformed. Results : Of the fifteen confirmed, identified cases, eleven patients had been vaccinated with one dose, one patient had received two doses and three patients were unvaccinated. The three unvaccinated cases consisted of one 5-year-old child, one 3-year-old child and one 16-month-old infant. For the cases with one dose of the vaccination, there were 11 cases, which consisted of six 5-year-old children, two 4-year-old children, two 3-year-old children and one 2-year-old child. The case with two doses of the vaccination was one 4-year-old child. The attack rate of measles was 100% in the 0-dose group, 11.2% in the 1-dose group and 2.0% in the 2-dose group. The vaccine's efficacy was 88.8% in the 1-dose group and 98.0% in the 2-dose group. The vaccine effectiveness for the 2-dose group was higher than that of the 1-dose group. Conclusions : High coverage with a 2-dose vaccination should be maintained, and the vaccination should be given at the suitable time to prevent a measles outbreak with a changed outbreak pattern.

농촌영유아의 영양상태(營養狀態)에 관(關)한 조사연구(調査硏究) (A Study on Nutritional Status of Young Children in Rural Korea)

  • 김경식;김방지;남상옥;최정신
    • Journal of Preventive Medicine and Public Health
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    • 제7권1호
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    • pp.1-28
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    • 1974
  • The writers have conducted the investigation to assess the nutritional status of young rural Korean children aged from 0 to 4 years old in August 1971. The survey areas were Kaejong-myon. Daeya-myon, Okku-gun, Jeonra-bukdo, Korea. These survey areas were typical agricultural plain areas. The total numbers of children examined were 2,706 comprising 1,394 male and 1,312 female. The weight, height, and chest circumference of children were measured and means and standard deviations. were calculated for each measurement. In addition, the nutritional status of each child was classified by the four levels of malnutrition and the Gomez classification, The examination of red blood cell count, haematocrit value, and intestinal parasite infection were carried out at the same time. In general, recent work tend to suggest that environmental influences, especially nutrition, are of great importance than genetic background or other biological factors for physical growth and development. Certainly the physical dimensions of the body are much influenced by nutrition, particularly in the rapidly growing period of early childhood. Selected body measurements can therefore give valuable information concerning protein-calory malnutrition. Growth can also be affected by bacterial, viral, and parasitic infection. For the field workers in a developing country, therefore, nutritional anthropometry appears to be of greatest value in the assessment of growth failure and undernutrition, principally from lack of protein and calories. In order to compare and evaluate the data obtained, the optimal data of growth from the off-spring of the true well-fed, medically and socially protected are needed. So-called 'Standards' that have been compiled for preschool children in Korea, however, are based on measurement of children from middle or lower socio-economic groups, who are, in fact, usually undernourished from six months of age onwards and continuously exposed to a succession of infective and parasitic diseases. So that, the Harvard Standards which is one of the international reference standards was used as the reference standards in this study. Findings of the survey were as follows: A. Anthropometric data: 1) Comparing the mean values for body weight obtained with the Korean standard weight of the same age, the rural Korean children were slightly haevier than the Korean standard values in both sexes. Comparing with the Japanese children values, the rural Korean children were slightly haevier in male and in the infant period of female but lighter in female of the period of 1 to 4 years old than Japanese children. 2) Comparing the mean values for height obtained with the Korean standard height of the same age, the rural Korean children were taller than the Korean standard values except the second half of infatn period in both sexes. Comparing with the Japanese children, the rural Korean children were slightly smaller than Japanese children except the first half of infant peroid in both sexes. 3) Mear values of chest circumference of rural Korean children obtained were less than the Korean standard values of the same ages in both sexes. B. Prevalence of Protein-Calory Malnutrition: Children examined were devided into two groups, i. e., infant(up to the first birthday) and toddler (1 to 4 fears old). 1) Percentages of four levels of malnutrition: a) When the nutrtional status of each child was classified (1) by body weight value, the percentages for male and female of children attained standard growth were 52.8%(infant 83.3%, toddler 44.4%) and 39.7% (infant 74.5%. toddler 30.5%), the first level of malnutrition were 31.9%(infant 13.7%, toddler 36.9%) and 31.7%(infant 15.3%, toddler 36,0%), the second level of malnutrition were 12.3%(infant 1.7%, toddler 15.3%) and 23.3% (infant 7.7%, fodder 27.5%), the third level of malnutrition were 2.7%(infant 0.7%, toddler 3.2%) and 4.6%(infant 1.8%, toddler 5.3%) the fourth level of malnutrition were 0.3% (infant 0.7%, toddler 0.2%) and 0.7% (0.7% for infant and toddler) respectively. (2) by height value, the percentages for male and female of children attained standard growth were 80.3% (infant 97.3%, toddler 75.6%) and 75.1% (infant 96.4%, toddler 69.5), the first level of malnutrition were 17.9% (infant 2.0%, toddler 22.3%) and 23.6% (infants 3.6%, toddler 28.8%), the second level of malnutrition were 1.2% (infant 0.3%, toddler 1.5%) and 1.1% (infant 0%, toddler 1.4%), the third level of malnutrition were 0.4%(infant 0.3%, toddler 0.5%) and 0.2%(infant 0%, toddler 0.3%), the fourth level of malnutrition were 0.1%(infant 0%, toddler 0.1%) and 0% respectively. (3) by body weight in relation to height, the percentages for male and female of children attained standard growth were 87.9% (infant 77.6%, toddler 87.9%) and 78.2% (infant 77.4%, toddler 78.2%), the first level of malnutrition were 12.2% (infant 18.4%, toddler 10.6%) and 18.2% (infant 17.9%, toddler 18.3%), the second level of malnutrition were 1.9%(infant 3.3%, toddler 1.5%) and 3.0%(infant 3.3%, toddler 2.9%), the third level of malnutrition were 0.1%(infant 0%. toddler 0.1%) and 0.5% (infant 0%, toddler 0.6%), the fourth level of malnutrition were 0.1%(infant 0.7%, toddler 0%) and 0.3% (infant 1.5%, toddler 0%) respectively. b) When the nutritional status of each child according to the mother's age at perturition, i. e., young aged mother (up to 30 years old), middle aged mother (31 to 40 years old) and old aged mother (41 years or above) was classified (1) by body weight, among infants and toddlers, at each year of age, with increasing the mother's age, there was an increase in percentage of subjects underweight. This tendency of increasing percentage of underweight was more significant in the infant period than the toddler period. (2) by height value, no significant differences between each mother's age group were found. c) When the nutritional status of each child according to the birth rank, i. e., lower birth rank (first to third) and higher birth rank (fourth or above) was classified (1) by weight value, children of higher birth rank were slightly more often underweight than those of lower birth rank, but not significant. (2) by height value, no differences were found between children of lower and higher birth rank. 2) Gomez Classification: When the nutritional status of each child was classified a) by body weight value, the percentages for male and female of children. attained standard growth were 53.1% (infant 82.6%, toddler 44.9%) and 39.2% (infant 73.4%, toddler 30.1%), the first degree of malnutrition were 39.4% (infant 14.7%, toddler 46.2%) and 47.1% (infant 21.9%, toddler 53.8%), the second degree of malnutrition were 7.3%(infant 2.3%, toddler 8.6%) and 12.9% (infant 4.0%, toddler 15.2%). and the third degree of malnutrition were 0.2%. (infant 0.3%, toddler 0.2%) and 0.8% (infant 0.7%, toddler 0.9%) respectively. b) by height value, the percentages for male and female of children attained standard growth were 80.8% (infant 97.0%, toddler 76.3%) and 73.8%(infant 95.6%, toddler 68.0%), the first degree of malnutrition were 18.5% (infant 2.7%, toddler 22.9%) and 24.6% (infant 4.4%, toddler 30.0%), the second degree of malnutrition were 0.6%(infant 0.3%, toddler 0.7%) and 0.5% (infant 0.1%, toddler 0.7%), and the third degree of malnutrition were 0.1%(infant 0%, toddler 0.1%) and 1.1% (infant 0%, toddler 1.3%) respectively. C. Results of clinical laboratory examination: 1) Red blood cells: The ranges of mean red blood cell counts for male and female were $3,538,000/mm^3\;to\;4,403,000/mm^3\;and\;3,576,000/mm^3\;to\;4,483,000/mm^3$ respectively. The lowest red cell counts were seen at the age of 0-3 months for male and 1-2 months for female. 2) Haematocrit value : The ranges of haematocrit value of male and female were 35.1% to 38.8% and 34.7% to 38.8% respectively. The lowest haematocrit values were seen at the age of 2-3 months for male and 1-2, months for female. 3) The prevalence rates of intestinal parasites for male and female children with Ascaris lumbricoides were 34.1% (infant 18.8%, toddler 38.1%) and 36.0%(infant 18.4%, toddler 40.7%), with Trichocephalus trichiuris were 6.8% (infant 2.9%, toddler 7.9%) and 9.0% (infant 3.0%, toddler 10.6%), with Hookworm were 0.3% (infant 0.5%, toddler 0.2%) and 0.3% (infant 0.5%, toddler 0.3%), with Clonorchis sinensis were 0.4%(infant 0%, toddler 0.5%) and 0.1%(infant 0%, toddler 0.1%) respectively.

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신생아에서 발생한 충수돌기 천공 (Appendiceal Perforation in the Neonate)

  • 박동원;장수일
    • Advances in pediatric surgery
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    • 제3권2호
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    • pp.168-171
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    • 1997
  • Appendiceal perforation is uncommon in the neonate. Diess reported the first case in 1908. Approximately 111 additional cases have been reported since that time. However, with exclusion of neonatal appendicitis associated with inguinal or umbilical hernias, necrotizing enterocolitis, meconium plug, and Hirschsprung's disease, there are only 36 cases of primary neonatal appendicitis. We treated a 12 days old boy with perforation of the appendix. The infant was 3000 g at birth and had a normal spontaneous vaginal delivary at 35 weeks of gestation. The mother was 31-year-old and had premature rupture of membrane. After normal feeding for the first 5 days of life, the infant had emesis of undigested milk, decreased activity and jaundice. The baby was admitted to the Pediatrics. Progressive abdominal distension, fever, decreased activity, and vomitting developed over the next six days. Erect abdominal radiography showed pneumoperitoneum. At exploratory laparotomy, a $0.8{\times}0.6$ cm sized perforation was noted at antime-senteric border of midportion of the appendix. Trasmural inflammation and the presence of ganglion cells were noticed on histology.

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0-3세 영유아의 정신건강 및 발달장애 조기진단을 위한 척도제작 연구 (Development of a Scale for Identification of Mental Health and Developmental Disorders in Newborn- to Three-Year-Old Children)

  • 장미경
    • 아동학회지
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    • 제26권1호
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    • pp.47-59
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    • 2005
  • The Early Life Problems Scale consisting of 5-point rating for each item was prepared from the results of a questionnaire of 163 items with two sub scales constructed on the basis of Diagnostic Classification: 0-3. Respondents were 361 parents with newborn to 3-year-old children (197 boys and 164 girls). Hypothetical constructs of mental and developmental problems were identified by exploratory factor analysis. The resulting 22 factors explained 58.5% and 72.9% of the common variance for scales I and II, respectively. The rotation procedure yielded 134 items of which 118 had factor loadings of more than .30. Face validity was obtained on the basis of 18 items. The coefficients of correlation between and within factors suggest that there are interrelationships. The reliability of total scales by Cronbach's Alpha was relatively high.

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