• 문화기술의 융합
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• 제8권6호
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• pp.41-48
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• 2022

본 연구는 어린이집 만 5세 유아의 자유놀이시간 로봇 놀이 경험의 의미를 교사의 구조적 집단활동에서 나타나는 만 5세 유아 경험과 비교하는데 목적이 있다. 이를 위해 만 5세 유아 총 32명(실험집단 15명, 비교집단 17명)을 대상으로 10주 동안 주 3회 1시간씩 진행하였다. 실험집단의 교실에 놀잇감으로 로봇을 지원하였으며, 유아들은 자유놀이시간에 자유롭게 로봇 탐색과 놀이를 경험하였으며, 비교집단의 유아들은 교사가 로봇의 기능을 알려주고 로봇에 탑재되어 있는 2019 개정 누리과정과 연계된 월별 주제에 기반한 구조적 집단활동을 하였다. 사전검사와 사후검사의 차이를 분석한 결과, 자유놀이에서 로봇 활용이 유아의 창의성에서 독창성, 유창성에서 유의미한 효과가 나타났고, 놀이성에서 즐거움의 표현에서 유의미한 효과가 나타났다. 이러한 결과는 유아 주도적인 자유놀이를 지향하고 있는 유아교육에서 놀이자료로서 로봇이 의미가 있으며 향후 이러한 자유로운 상황에서의 유아들의 로봇 경험을 연구할 가치가 있다는 것을 시사한다.

• Pediatric Infection and Vaccine
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• 제4권2호
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• pp.232-239
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• 1997

목 적 : 최근 20년간 경제적인 발전으로 생활 환경과 위생 상태가 향상되면서 소아에서 A형 간염 바이러스 감염이 급격히 감소하였다. 이러한 항체 보유율의 감소 추세는 청장년층의 현증 A형 간염의 위험성을 시사하며, 성인에서 고위험군의 예방접종과 함께 소아 예방접종의 필요성이 대두되었다. 본 연구는 소아 및 청소년을 대상으로 A형 간염 항체 보유율과 자연 감염률을 조사하여 이 연령층에서 A형 간염 바이러스 감염 실태 및 예방에 대한 기초 자료를 얻고자 시행하였다. 방 법 : 경기도에 거주하는 20세 미만의 소아 및 청소년 334명을 대상으로 A형 간염 항체를 검사하여 연령별 항체 보유율을 조사하였으며, 경기도 소재 4개군(양평, 김포, 파주, 화성)과 4 개시(구리, 수원, 부천, 의정부) 초등학교 학생 584명을 대상으로 1993 년에 수집한 혈청과 1996년에 수집한 동일인의 혈청을 가지고 A형 간염 항체의 자연 양전률을 조사하였다. 결 과 : 1) 경기도에 거주하는 20세 미만 334명의 검사 대상자 중 A형 간염 항체 양성은 5.4%였다. 연령별 항체 보유율은 1 세 미만이 27.3%(3/11), 1~4세가 0.0%(0/81), 5~9세가 0.0%(0/57), 10~14세가 2.9%(3/105), 15~19세가 15.0%(12/80)로 조사되었다. 2) 경기도 소재 8개 초등학생 584명을 대상으로 A형 간염 항체의 추적 검사를 시행하였다. 1993년에 1명(0.2%)이 양성이었고 1996년에는 다른 3명(0.5%)이 양성으로 나타나, A형 간염 자연 항체 양전률은 0.5%(3/583)였다. 자연 항체 소실률은 0.2%(1/584)로 조사되었다. 3) 본 연구의 A형 간염 항체 보유율을 1979년과 1989년 조사와 비교하였다. 20세 미만에서 A형 간염 항체 보유율은 1979년에 63.8%, 1989년에 47.3%였으나 1996년에는 5.4%로 감소하였다. 결 론 : 소아에서 A형 간염 항체의 자연 획득이 거의 일어나지 않는 상황에서는 성인의 현성 감염이 증가할 가능성이 있다. 따라서 우선적으로 A 형 간염의 위험성이 높은 지역으로의 여행이나 기타 고위험군을 대상으로 예방접종을 시행할 필요성이 있으며 성인에서의 HAV 감염 기회를 줄이기 위한 방법으로 소아에서의 선별 예방접종도 고려해야 할 것으로 생각된다.

• 한국생활과학회지
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• 제23권6호
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• pp.1035-1048
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• 2014

The purpose of this research is to verify the effect of a 3-year-old's green growth education knowledge of environmental conservation and eco-friendly attitude. This study conducted a survey of 2 classes of 3-years-old children (totaling 45 children) located in Gyeonggi Province Shiheung. The experimental group consisted of 23 children while the comparison group was comprised of 22 children. Experimental treatment period was 5 primarily by the classroom teacher in the experimental group and 12 sessions going green growth program was compared to a group, the basic curriculum was operate as usual. The results of this research are summarized as follows. First, the result of the experimental group, which participated in green growth and did not participate in the control group, show that the early childhood of the experimental group has been improved about knowledge of environmental conservation and showed a statistically significant difference. Second, the result of the experimental group which participated in green growth show that the attitude of the experimental group improved an infant's environment-friendly conscience.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제22권5호
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• pp.441-446
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• 2019

Purpose: Safety pin ingestion is common in some regions of the world and may lead to severe morbidity and mortality. The aim of this study was to present some practical suggestions for ingested safety pins using an accompanying algorithm, presented for the first time in the literature to the best of our knowledge. Methods: Twenty children with ingested safety pins during a 4-year period were retrospectively included in the study. Results: Median age of patients was 9.5 months (interquartile range, 6.3-14 months), and 70% were girls. On endoscopic examination, safety pins were observed in the stomach (25%), duodenal bulb (20%), upper esophagus (15%), middle esophagus (10%), and second part of the duodenum (10%) but were not observed in 20% of the cases. Safety pins were removed using endoscopy in 15 cases (75%). In four cases (20%), no safety pin was observed on endoscopic examination. In one case (5%) involving a 6-month-old infant, the safety pin could not be removed although it was observed using endoscopy. No surgical intervention was needed for any patient. No complications such as perforation or deaths developed, except for erosions, due to the foreign body removal procedure. Conclusion: Safety pins are easily removed endoscopically. The best option is to remove the safety pin using endoscopy while it is still in the esophagus and stomach. For this reason, endoscopic procedures should be performed as soon as possible in children who have ingested safety pins.

• Child Health Nursing Research
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• 제14권1호
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• pp.71-78
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• 2008

Despite the 12-year KNA breastfeeding campaign, the declining trend in the national breastfeeding rate has not been significantly reversed. Purpose: This investigation focused on mothers' decision to breastfeed and the physical growth profiles of breastfed infants. Methods: Participants were 146 mothers and their 5-7 months old infants participating the "Year 2005 Healthy Breastfed Baby Contest." Data were collected through interviews with mothers on their breastfeeding practice and assessment of infant growth profiles by the investigators. Results: Concerning breastfeeding practice, 76% of mothers decided to breastfeed even before their pregnancy and 92% intended to breastfeed a year or as long as baby wants and 52% planned to breastfeed solely by self-motivation from reading. The growth profiles of breastfed infants showed that for WAZ (weight-for-age Z-scores), LAZ (length-for-age Z-scores) and HCAZ (head circumference-for-age Z-scores) the breastfed infants were above the WHO percentiles for their age. Conclusion: Considering that the mothers planned to breastfeed even before pregnancy and that the physical growth of the breastfed infants was above WHO standards, the authors recommend that in future campaigns the focus should be on families who plan to have a baby.

• 대한지역사회영양학회지
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• 제24권2호
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• pp.97-105
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• 2019

Objectives: This study examined whether the infant feeding type and duration are related to the introduction of complementary feeding, and whether the appropriate introduction of complementary feeding in infancy is related to tooth decay in toddlers. Methods: The subjects were 1,521 toddlers among 2~3 year old children in the Korea National Health and Nutrition Examination Survey from 2008 to 2015. The toddlers were divided into the appropriate group (4~6 months) and delayed group (>6 months) according to the timing of complementary feeding introduction. Results: The delayed group were 26.5% of subjects and the formula feeding period in the appropriate group and delayed group was 8.4 and 10.3 months, respectively (P=0.002). On the other hand, there was no difference in the breastfeeding period between the appropriate group and delayed group (P=0.6955). Early childhood caries was more common in the delayed group (P=0.0065). The delayed introduction of complementary feeding was associated with a risk of early childhood caries according to the logistic models (OR 1.81, 95% CI 1.27-2.57). Conclusions: The introduction of complementary feeding is associated with early childhood caries. Therefore, the importance of the proper introduction of complementary feeding in infancy should be emphasized, and public relations and education for maternal care and breastfeeding should be provided through health care institutions.

• Journal of Chest Surgery
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• 제11권1호
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• pp.102-107
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• 1978

This is a report of a chylous cyst in the mediastinum found in a 61 year old Korean female patient who suffered from mild swallowing difficulty and right chest discomfort. These symptoms had developed 5 years previously when chest P-A view showed thumb-tip sized mass shadow in right mediastinum, just right to ascending aorta. Esophagogram revealed an indentation of midesophagus. Follow up checks showed growing mass shadow which suggested aneurysm of ascending aorta. On admission chest X-ray revealed a well circumscribed infant head sized mass density along the right heart border and middle mediastinal border, and extended near to the middle clavicular line in right chest cavity. Aortogram revealed no relationship between the mass and aorta. Right thoracotomy was performed under impression of mediastinal tumor. There was a large cyst containing 700 cc of milky fluid. There was no connection to the thoracic duct nor adjacent organs. The fluid was analyzed chemically and identified the fluid as chyle. The origin of the isolated chylous cyst was uncertain postoperative course was uneventful.

• 대한한방부인과학회지
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• 제25권2호
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• pp.200-206
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• 2012

Objectives: The purpose of this study is to report the effect of combination of herbal medicine and conventional treatment on preterm labor patient at high risk for preterm delivery. Methods: The patient in this case was 33-year-old female with gravid 3, para 2, abortus 1. She experienced 1 preterm birth 5 years ago. She visited our clinic with lower abdominal pain at 14th gestational week. We treated her by herbal medicine. She also take vaginal progesterone from 19th gestational week to 34th gestational week. Results: She maintained her pregnancy until giving a birth by cesarean section at 38th gestational week. No adverse effects were not observed among mother or infant. Conclusions: Combination of herbal medicine and conventional treatment is effective on preterm labor patient at high risk for preterm delivery.

• Journal of Nutrition and Health
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• 제7권3호
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• pp.15-26
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• 1974

Through the questionaire inquiry from April 1st to 10th, 1974 with 393 students in Woonho, Saekwang junior and senior highschool and Daisung, Ilshin girls' junior and senior highschool in Chungju, Choong Cheong Buk Do, I surveyed the general circumstances of students and their unbalanced diet on total 199 foods and causes of the unbalanced diet and regard the 21 boys and 29 girls who don't like to eat more than 30 foods from the given 47 protein-foods which are needed by students who are now in the stage of growth. This study is concerned with their circumstances and the causes of their ill habit of eating. 1) As to their distribution of age, 14 and 18 year old boys were six (28.5%), 11 and 13 year old girls were eleven (38.1%). In the survey on their height, 6 boys (28.5) were from 146 cm to 150 cm and 11 girls (38.1%) were from 146 cm to 150 cm. On the weight, 7 boys were from 36 kg to 40 kg(33.7%), 10 girls were from 36 kg to 40 kg (34.0%). We can see that ill habiters of eating were more weaker than other students from this data. 2) In the survey of educational level of their housewive it was found that number of graduates of the primary school is thirty (60.0%). So we can derive the fact that they don't make any variety in their daily table for their family. 3) As to their living standard, 19 boys (90.4%) and 27 girls (93.3%) belong to the middle class, low and high class were a little. This indicates the general living standard if Korea, because in common sence we regard the riches are the more ill habiters of eating. 4) 8 boys (36.8%) and 8 girls (26.8%) were the first children in their homes. This indicates the fact that housewive happen to make the first child as the ill habiter of eating because their lack of experience to give various food for their children. As to the survey on their infant nutriments, 41 students (80.2%) were fed by mother's milk. 5) Upon the causes of the unbalanced diet on a certain food, 34 boys (82.7%) and 45 girls (64.6%) were because of appearing to that food, 10 boys (40.8%) and 18 girls (61.5%) were because of the characteristic fragrance, 11 boys (52.4%) and 17 girls (58.1%) were because they have never eated that food till now, 34 boys (19.3%) and 5 girls (17.0%) were because of the bad appearance of the food. So housewive should study various ways of cooking daily meals at home and try to give their children who are in the stage of growth to be able to eat wider kinds of foods for the improvement of health.

• Journal of Chest Surgery
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• 제21권4호
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• pp.672-680
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• 1988

Munro is generally considered the first person to have demonstrated, in 1888, in an infant cadaver, the feasibility of dissection and ligation of a persistently patent ductus arteriosus. In august, 1938, Robert Gross reported first successful division and suture of the patent ductus of 7 year old girl. Interruption of a ductus is one of the most satisfactory and curative operations in the field of surgery for congenital heart disease. Seventy-eight consecutive cases of closure of patent ductus arteriosus were operated from June 1980 to June 1988 in the department of thoracic and cardiovascular surgery in Maryknoll Hospital. Retrospective clinical analysis of the patients were 1. There were 24 males, 54 females. 2. The age range of the patients were from 7 months to 32 years with the mean age 9.8 years. 3. Chief complaints of the patients were frequent URI[70.5%], dyspnea on exertion[36.9%], palpitation[10.3%], but 15 patients[19.2%] had no subjective symptoms. 4. Continuous machinery murmur could be heard at the 2nd or 3rd intercostal space on the left sternal border in 66 patients[84.6%]. The other 12 patients made systolic murmur. 5. Radiographic findings of the Chest P-A were cardiac enlargement in 55 patients[70%], enlargement of pulmonary conus and/or increasing density of pulmonary vascularity in 68 patients[87%]. 6. Electrocardiographic findings of the patients were within normal limit in 23 patients[36%], LVH in 38 patients[48.7%], RVH in 7 patients[9%], biventricular hypertrophy in 5 patients[6%]. 7. Cardiac catheterization performed in 62 patients. Mean Qp/Qs=2.5, mean pulmonary arterial pressure=45 mmHg. 8. 73 patients were operated through left posterolateral thoracotomy: Closure of the ductus by ligation in 64 cases, division with suture in 6 cases, and division with aortopatch in 3 cases. Ligation through median sternotomy under cardiopulmonary bypass were 5 cases. 9. There was no death associated with operation, but one case was experienced with intraoperative tearing of ductus resulting in massive bleeding. The other complications were transient hoarseness in 2 patients, chylothorax in 2 patients.