• 대한감각통합치료학회지
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• 제11권1호
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• pp.1-9
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• 2013

목적 : 본 연구는 구강활동을 병행한 감각통합치료가 발달장애 아동의 호흡과 구강협응능력에 미치는 효과를 알아보고자 하였다. 연구 방법 : 연구대상은 G시에 거주하는 만 6세 7개월의 남아로, 발달장애 진단을 받았다. 연구는 2012년 11월부터 2013년 2월까지 실시하였다. 실험은 개별실험연구 중 AB디자인을 사용하였다. 실험과정은 기초선(A) 3회기, 중재(B) 16회기이었다. 기초선 기간 동안에는 감각통합치료를 실시하였고, 중재기간동안에는 감각통합치료에 구강활동을 병행하여 실시하였다. 호흡기능은 폐활량 측정계로 측정하였으며, 구강협응능력은 "파타카(pataka)"를 10회 반복할 때 소요된 시간을 초단위로 측정하였다. 결과 : 아동의 호흡과 구강협응능력은 기초선과 비교하여 중재기간 동안 유의하게 증가하였다. 결론 : 구강활동을 병행한 감각통합치료가 아동의 호흡과 구강협응능력 향상에 긍정적이었다.

• 대한한방부인과학회지
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• 제15권4호
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• pp.149-162
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• 2002

The fetus is greatly influenced by mother's health condition and her environment. So in our traditional society, the prenatal care is regarded as important for generations to birth of sound baby in mind and boy. Purpose : We aimed to reserch what kind of mother's conditions can be more influential to infant allergic disease among traditional prenatal care. Method : We investigated 91 patients who answered by a questionnaire at Dept. of Pediatrics, Oriental Hospital of Dae-jeon University. We divided patients into two groups, A(normal group;43) and B(allergic disease group;48) and analyzed those. Results : The pregnant women in the group B, generally have worse health conditions and are under the stress mentally and cannot get enough nutrition because of morning sickness and digestive trouble, but take more pungent and powdered food than the group A. Specially, the result is significant in anger and worry among other mental stresses and in digestive trouble and threatened abortion among other health conditions(according to order: p<0.001, p<0.05, p<0.01, p<0.001). We can see that pregnant woman's peaceful mentality and enough nutrition intake are most important to birth of sound baby in mind and also we can see that pregnant woman's regimen has influence on not only infant disease but also character and the infant allergic diseases are related to inheritable factor.

• 한국환경농학회지
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• 제30권4호
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• pp.382-389
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• 2011

BACKGROUND: Light-emitting diodes (LEDs) with lower electric cost and the specific wavelength have been considering as a novel light source for plant production in greenhouse conditions as well as in a closed culture system. Supplementary lighting for day-length extension was considered as light intensity, light quality, and/or photoperiod control on plant growth and development. Effects of supplementary blue or red LED radiation with lower light intensity on growth of Ageratum (Ageratum houstonianum Mill., cv. Blue Field), African marigold (Tagetes erecta L., cv. Orange Boy), and Salvia (Salvia splendens F. Sello ex Ruem & Schult., cv. Red Vista) were discussed during sunrise and sunset twilight in the experiment. METHODS AND RESULTS: Supplementary lighting by blue and red LEDs for 30 (Treatment B30; R30) or 60 (Treatment B60; R60) min. per day were established in greenhouse conditions. Photosynthetic photon flux for supplementary radiation was kept at $15{\mu}mol\;m^{-2}\;s^{-1}$ on the culture bed. Natural condition without supplementary light was considered as a control. The highest shoot and root dry weights were shown in African marigold exposed by red light for 60 min. per day. Supplementary blue and red lighting regardless of the radiation time significantly stimulated development of lateral branches in African marigold. Stem growth in Ageratum and Salvia seedlings was significantly promoted by red radiation as well as natural light. CONCLUSIONS: Extending of the radiation time at sunrise and sunset twilight using LEDs stimulated reproductive growth of flowering plant species. Different characteristics on growth under supplementary blue or red lighting conditions were also observed in the seedlings during supplementary radiation.

• Journal of Korean Medical Science
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• 제33권51호
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• pp.324.1-324.6
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• 2018

Oxysterol $7{\alpha}$-hydroxylase deficiency is a very rare liver disease categorized as inborn errors of bile acid synthesis, caused by CYP7B1 mutations. As it may cause rapid progression to end-stage liver disease even in early infancy, a high index of suspicion is required to prevent fatal outcomes. We describe the case of a 3-month-old boy with progressive cholestatic hepatitis and severe hepatic fibrosis. After excluding other etiologies for his early liver failure, we found that he had profuse urinary excretion of $3{\beta}$-monohydroxy-${\Delta}^5$-bile acid derivatives by gas chromatography/mass spectrometry analysis with dried urine spots on filter paper. He was confirmed to have a compound heterozygous mutation (p.Arg388Ter and p.Tyr469IlefsX5) of the CYP7B1 gene. After undergoing liver transplantation (LT) from his mother at 4 months of age, his deteriorated liver function completely normalized, and he had normal growth and development until the current follow-up at 33 months of age. We report the first Korean case of oxysterol $7{\alpha}$-hydroxylase deficiency in the youngest infant reported to undergo successful living donor LT to date.

• 여성건강간호학회지
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• 제8권1호
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• pp.124-137
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• 2002

The purpose of this study was to identify the need for sex education in middle school students Research subjects were 194 students who attended at I seminary in B city. The period of data collection was from July to August, 2001. Research instrument was composed of 61 structured items 17 items related to demographics and sex, 44 items related to the need of sex education. Data were collected through the self-report method by the researcher and one trained assistant. The instrument developed by the researchers was employed to measure the need of sex education and it's Cronbach's $\alpha$ = 0.9349 in this research. Data were analyzed by frequency, percentage factor analysis and t-test using SPSS WIN Program. The findings of this study are summarized as follows : 1. The highest score among characteristics of sex was 'less interest about sex(42.6%)', 39.0% of subjects got information about sex from friends or elders. 52.3% of subjects consulted friends or elders about sex problems. The number of sex education lessons was 1-2 times in school during last semester (61.0%). Education by the school nurse was 35.9% to students. 43.1% of subjects announced moderate satisfaction on sex education. 2. The mean score of the need for sex education was $2.88{\pm}0.47$ (lowest value 1, highest 4). The most wanted sex education factor was 'chastity and sexual responsibility($3.33{\pm}0.67$)' and followed by 'family and marriage ($3.26{\pm}0.62$)' and 'considerations of sex($3.07{\pm}0.69$)'. Meanwhile, the lowest wanted sex education factor is 'physiological characteristics of male ($2.47{\pm}0.72$)', followed by 'sexual behavior ($2.49{\pm}0.75$)'. The most wanted sex education item was 'the meaning of family ($3.54{\pm}0.75$)' and followed by 'the cautions to prevention from sexual abuse ($3.49{\pm}0.78$)' and sexual activity and responsibility($3.43{\pm}0.77$)'. Meanwhile, the lowest wanted sex education item is 'masturbation ($2.16{\pm}0.97$)', followed by 'circumcision($2.32{\pm}0.97$)'. 3. There is no significant difference between boys and girls in mean score about the need for sex education(t=-.715, p=.476). Sex education factor that girl-students wanted was 'physiological characteristics of female'. Sex education factor that boy-students wanted was 'family and marriage'. Sex education items that girl-students wanted were 'cautions during menstruation', the relation of ovulation and pregnancy', caution to prevention from sexual abuse' and sexual behavior and responsibility'. Sex education items that boy-students wanted were 'the meaning of family', 'the importance of marriage', 'male's sex organs', 'a wet dream', 'the method to resolve sexual curiosity', 'sexual intercourse' and 'the connection with the other sex'. In conclusion, the mean score of the need for sex education is medium. The route to attain knowledge about sex and sexual problem is through consulting friends and elders. Therefore, it is necessary to give sex education that is suitable to the subject's needs and methods. Also, it is necessary to give differently strong point about sex education between female and male students.

• 한국학교ㆍ지역보건교육학회지
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• 제5권
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• pp.43-70
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• 2004

This research was conducted to provide basic document on efficient health promotion behavior program that elementary school students can use from elementary school course to enhance health promotion behavior for healthy life by checking out the degree of the most influential factor for health promotion behavior about elementary school students who establish lifelong health habit, and by checking out the relation between the degree of self-efficacy and health promotion behavior. The number of subjects of this research was 598. They were all elementary school students from the sixth grade students of the 5 cities of the Kyeong Nam province. We conducted questionnaires and did statistical analyses by using 592 papers which were suitable for date analyses with SPSS. The conclusions were as follows; A. The degree of self-efficacy The degree of self-efficacy of elementary school students was more than average. The degree of self-efficacy on physical activity was the highest and the degree of self-efficacy on self-fulfillment was the lowest. The degree of self-efficacy of girl students was comparatively higher than that of boy students. When their parents got higher education, made a lot of money and kept harmony with their children, the degree of self-efficacy became high. Furthermore, when their parents or themselves have a lot of interest in health, they feel that they are healthy, and they feel that they are satisfied with their bodies, the degree of self-efficacy was high too. B. The degree of health promotion behavior Although the degree of health promotion behavior of elementary school students was a bit lower than the degree of self-efficacy, it was higher than average. The degree of health promotion behavior on physical activity was the highest. But the degree of health promotion behavior on health of their own was the lowest. The degree of health promotion behavior between girl students and boy students was the same. When their parents got higher education, made a lot of money and kept harmony with their children, the degree of self-efficacy became high. Furthermore, when their parents or themselves have a lot of interest In health, they feel that they are healthy, and they feel that they are satisfied with their bodies, the degree of self-efficacy was high too. C. The relation between self-efficacy and health promotion behavior When the degree of self-efficacy was high, the degree of health promotion behavior was high too. So there was high positive relationship between self-efficacy and health promotion behavior. Physical activity showed the highest relationship. The order of strong relationship run as follows. Relationship with others, self-fulfillment, management of stress. The higher self-efficacy which was a recognizable factor on health behavior, the higher the degree of health promotion behavior. It is being revealed that many modem chronic diseases are cause by accumulated careless attitude on harmful health habit and lack of self-control. The behavior of keeping healthy and enhancing health is more firm when they have high self-efficacy which is believing their own conviction. So, When we teach elementary school students health promotion education at school, we should try to enhance their own self-efficacy rather than just instill simple information about health. By doing so, we can help them change their attitude on health. Then, they could enjoy life-long healthy life.

• Childhood Kidney Diseases
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• 제16권2호
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• pp.138-141
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• 2012

리툭시맙(Rituximab)은 CD20에 대한 키메라형 IgG1 단클론 항체로 스테로이드 의존성 또는 난치성 신증후군에 대한 새로운 치료약제로 이용되고 있다. 그러나 리툭시맙의 약제 부작용에 대해서는 아직까지 더 많은 연구가 필요하다. 저자들은 스테로이드 의존성 신증후군을 앓고 있던 9세 남아에서 수차례의 리툭시맙 사용 후 기쿠치병(Kikuchi-Fujimoto disease)이 병발한 증례를 보고하는 바이다. 기쿠치병은 자연 회복의 양성 경과를 보이는 조직구 괴사성 림프절염으로 아직 원인은 알려져 있지 않다. 이 증례에서는 환자의 말초 혈액 B 면역세포 수치가 매우 감소되었을 때 발병하였으며, 이후 환자의 B 면역세포가 회복되면서 서서히 자연 소실되었다. 이 증례는 비록 병리 조직학적 진단은 뒷받침되지 못하였지만 임상적으로 진단된 기쿠치병이 리툭시맙 사용의 부작용으로 발생할 수 있다는 연관성을 시사하는 첫 번째 보고로써, 소아 신증후군에서 리툭시맙 사용의 안전성에 대한 이해의 폭을 넓히고자 하였다.

• 재활복지공학회논문지
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• 제4권1호
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• pp.81-86
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• 2010

본 논문은 뇌병변장애인의 일상생활을 위한 맞춤형 보조기구 설계 제작 적용 사례연구로 대구광역시보조기구센터 장애인 보조기구 사례관리 시범사업의 2010년 일상생활영역의 맞춤 서비스 사례 중 2명을 대상으로 2010년 10월 18일부터 11월 17일까지 1개월간 진행되었다. 대상자 A는 47세 뇌병변장애인으로 양하지의 근력과 기능이 많이 저하되어 바닥에서만 생활하며 스스로 변기에 올라 앉아 배변활동을 할 수 없었다. 이에 대상자 A에게 이동식 좌변기와 맞춤 경사로를 설계 제작하여 상지의 잔존근력으로 경사로를 올라가서 이동식 좌변기에 스스로 앉아 배변활동을 할 수 있도록 적용하였다. 대상자 B는 8세 뇌병변장애인으로 손 기능이 저하되어 스스로 식사를 할 수 없었다. 기존에 나와 있는 여러 가지 식사보조도구들을 1차 적용하였으나 대상자에게 적합하지 않아 대상자 의 관절가동범위(ROM)와 손 크기를 고려하여 맞춤으로 식사보조도구를 설계 제작하였고, 작업치료와 연계하여 지속적인 훈련을 통해 향후 스스로 식사를 할 수 있도록 적용하였다. 대상자 A와 대상자 B는 기존에 나와 있는 제품의 적용이나 개조가 접근할 수 없는 사례였음으로 대상자에게 맞춤형으로 설계 제작되어 적용되었다. 본 사례연구를 통해 맞춤형 보조도구의 설계 제작 서비스의 대한 중요성과 필요성을 인식할 수 있다.

• 대한감각통합치료학회지
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• 제14권1호
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• pp.41-49
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• 2016

목적 : 본 연구는 뇌성마비 아동에게 신경발달치료 접근법을 기초한 옷 벗기 기술 훈련에 따른 신체중심선과 보호반응에 미치는 효과를 알아보고자 하였다. 연구방법 : 연구대상은 B시에 거주하는 만 3세 5개월 남아와 만 4세 5개월 여아로 뇌성마비 진단을 받았다. 본 연구는 단일대상연구 중 AB 디자인을 사용하였고, 기초선 기간(A) 2회, 중재 기간(B) 10회로 총 12회기를 실시하였다. 중재는 신경발달치료 접근에 기초한 옷 벗기 훈련을 실시하였고, 평가로 신체중심선은 Miller Assessment for Preschoolers(MAP)의 하위 항목인 Stepping 항목을 사용하였으며, 보호반응은 Quality Upper Extremity Skill Test(QUEST) 검사의 하위 항목인 보호반응 항목을 사용하였다. 결과 : 아동의 신체중심선은 기초선 기간과 비교하여 중재기간이 2표준편차 이상으로 감소하였다. 보호반응은 오른쪽과 왼쪽 모두 중재기간 평균점수가 기초선 평균점수보다 높게 나타났다. 결론 : 뇌성마비 아동에게 신경발달치료접근법을 기초한 옷 벗기 기술 훈련이 신체중심선 향상에 효과적이었다. 앞으로 집단 연구를 통하여 그 효과를 확인하는 것이 필요할 것이다.

• 대한감각통합치료학회지
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• 제18권3호
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• pp.27-38
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• 2020

목적 : 본 연구는 실행 문제가 있는 일반초등학교에 재학 중인 아동을 대상으로 상호작용식 메트로놈(Interactive Metronome; IM) 훈련을 적용하고, IM 훈련에 따라 타이밍의 변화도를 측정하고자 하였다. 연구방법 : 연구 대상은 만 12세 2개월의 남아 1명이었다. 단일대상연구의 A-B설계를 사용하여 총 11회 기를 적용하였다. 기초선 기간 동안 아동에 대한 IM 전체형 평가, 임상관찰, 단축형 감각프로파일을 실시하였고, 중재 기간 동안 IM 훈련을 하였다. 모든 회기 동안 동일하게 IM의 단축형 평가(Short Form Assessment; SFA) 동작 과제 1, 2를 실시하였고, 변화도를 그림으로 제시하였다. 결과 : 초기평가 결과, 대상 아동은 양측통합과 순서실행장애로 의심되었다. SFA 동작 과제 1, 2에서 기초선 기간에 비해 중재선 기간 동안 타이밍에 대한 정확도가 높았다. 또한 SFA 동작 과제 1의 추세선을 살펴본 결과, 기초선 기간에 음의 기울기를 보였으나 중재기간에는 양의 기울기를 보였다. 결론 : 실행에 문제가 있는 아동의 타이밍에 IM이 긍정적인 효과가 있음을 시사하므로 임상에서 IM 훈련을 적용하는 근거가 될 것으로 보인다.