• Clinical and Experimental Pediatrics
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• 제52권8호
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• pp.843-850
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• 2009

A recent High Court's decision regarding the withdrawal of life supporting medical treatment (artificial ventilator) from an elderly female patient in the terminal stage has opened up a new era of the "euthanasia dispute" in Korea. With this decision, the legitimate withdrawal of life supporting treatment became possible under certain conditions and the Korean Medical Association is working toward the establishment of practical guidelines for the terminal-stage patients. However, there are still very few debates on the cases of pediatric patients in the terminal stage or suffering from fatal diseases. For pediatric patients, the core principle of autonomy and following procedure of "advance directives" are hardly kept due to the immaturity of the patients themselves. Decisions for their lives usually are in the hands of the parents, which may often bring out tragic disputes around "child abuse", especially in Korea where parents have exclusive control of the destiny of their children. Some developed countries such as the U.S.A., the U.K. and Canada have already established guidelines or a legal framework for ensuring the rights of the healthcare system regarding children suffering from severe illness, permitting the withdrawal of Life supporting medical treatment (LSMT) in very specific conditions when the quality of life of the children is severely threatened. For the protection of the welfare and interest of the children, we should discuss this issue and develop guidelines for the daily practice of pediatricians.

• 한국의류학회지
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• 제41권3호
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• pp.548-555
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• 2017

This study focuses on how clothing can increase in the age of the shared economy and as an alternative to the capitalist economy of the 21st century. This study investigates how infants and children use clothes as they undergo many changes based on physical growth, identifies use and disposal methods for surplus clothing from the perspective of a shared economy and explores plans to foster an environment for the healthy use of clothes. The objectives of this study are as follows. First, identify the need for new clothes based on physical changes in the human body; second, propose an alternative to permanent disposal by making used clothes appropriate for temporary disposal (renting and leasing). In sharing services, the condition and quality of the product were found to be the most important factors. The condition and quality of the product (70.0%) were the most important factors in sharing services. The sharing services for clothes and goods of infants and children could become popular quickly if there was a reliability guarantee offered by such sharing services. In addition, providing trial services and aggressive publicity for sharing services is urgent for the expansion of opportunities for general consumers.

• 대한간호학회지
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• 제42권7호
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• pp.1039-1049
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• 2012

Purpose: From the holistic environmental perspective, individual and environmental influences on low-income children's questionable development were identified and examined as to differences in the influences according to the child's developmental stage of infancy (age 0-35 months) or early childhood (age 36-71 months). Methods: This study was a cross-sectional comparative design using negative binominal regression analysis to identify predictors of questionable development separately for each developmental stage. The sample was comprised of 952 children (357 in infancy and 495 in early childhood) from low-income families in South Korea. Predictors included individual factors: child's age and gender; proximal environmental influences: family factors (family health conditions, primary caregiver, child-caregiver relationship, depression in primary caregiver) and institution factors (daycare enrollment, days per week in daycare); and distal environmental influences: income/resources factors (family income, personal resources and social resources); and community factors (perceived child-rearing environment). The outcome variable was questionable development. Results: Significant contributors to questionable development in the infancy group were age, family health conditions, and personal resources; in the early childhood group, significant contributors were gender, family health conditions, grandparent as a primary caregiver, child-caregiver relationships, daycare enrollment, and personal resources. Conclusion: Factors influencing children's questionable development may vary by developmental stage. It is important to consider differences in individual and environmental influences when developing targeted interventions to ensure that children attain their optimal developmental goals at each developmental stage. Understanding this may lead nursing professionals to design more effective preventive interventions for low-income children.

• 한국노년학
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• 제29권2호
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• pp.563-578
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• 2009

서구복지국가의 공적연금제도는 현재 근로세대와 퇴직세대간의 자원이전을 통해 유지되어 왔다. 하지만 고령화가 진행됨에 따라 공적연금의 재정 부담이 가중되었고 노인복지지출에 대한 축소가 논쟁의 핵심으로 등장하였다. 이러한 논쟁은 미국에서 가장 활발하게 논의되었으며 '세대간 형평성' 이라는 담론으로 구성되어져 왔다. 본 연구에서는 문헌연구를 통해 세대간 형평성 논쟁이 제기된 배경을 분석하고, 이러한 논쟁이 미국에서 가장 활발하게 진행되었던 역사적·제도적 맥락을 규명하고자 하였다. 세대간 형평성의 문제를 제기하는 입장에서는 노인들을 위한 사회적 자원의 편중으로 인해 미국의 아동빈곤율은 과거에 비해 증가된 반면 노인지출은 지속적으로 증가하여 노인빈곤율은 상대적으로 감소하였다는 주장을 하고 있다. 이러한 주장에 대해 실증적 근거가 약하며 그러한 주장은 노인집단을 공격하기 위한 정치적 수사라는 반론도 제기되어 왔다. 다른 서구복지국가보다도 미국에서 세대간 형평성 담론이 활발하게 정치적 논쟁으로 전개되었던 원인은 바로 미국의 다원주의적 정치문화와 선별적 복지프로그램의 특성 때문이라고 할 수 있다. 이 연구를 통해 세대간 형평성 논의의 정치경제학적 의미는 바로 그 사회의 정치문화와 복지제도의 특성과 관련되어 있음을 확인할 수 있었으며 보편적 복지제도가 정착되지 못한 우리 사회에서도 향후 이러한 논쟁이 정치적 이슈로 등장할 수 있는 가능성이 높다는 점에서 함의를 가지고 있다.

• 한국아동복지학
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• 제56호
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• pp.69-99
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• 2016

본 연구는 시설보호아동이 시설보호 양육과정에서 경험하는 소년법상 통고제도를 아동의 복지라는 관점에서 고찰한 것이다. 소년법상 통고제도는 10세부터 19세 미만 연령대의 소년 중 비행을 했거나 장래 비행을 할 우려가 높은 소년을 보호자, 학교장, 사회복지시설장, 보호관찰소장 등이 경찰이나 검찰과 같은 수사기관을 거치지 않고 직접 사건을 법원에 접수시키는 절차이다. 본 연구에서 시설보호아동이 경험하는 통고 현황 분석을 위해 사용한 자료는 시설장 등의 통고로 법원 소년부의 심리 개시 이후 보호관찰 보호처분 결정을 받은 사례, 법원 처분 결정서 등이다. 분석 결과, 아동복지 시설장에 의한 시설보호아동 통고 사례는 실제 있었으며, 주요 통고 사유로는 절도, 가출, 폭력, 음주?흡연 등의 비행 혹은 지위 비행이나 '다른 시설 아동들에게 좋지 않은 영향을 미침', '반성의 기미가 보이지 않음', '죄의식이 없음', '시설 양육의 어려움' 등이 많았다. 이렇게 통고된 아동에 대한 보호처분에서는 병합처분이, 병합 처분 가운데는 5호(장기보호관찰)와 6호(아동복지시설 및 소년보호시설 위탁)가 가장 많았다. 이러한 분석을 바탕으로 시설보호아동에 대한 통고의 문제를 1) 우범 시설보호아동의 문제를 소년법원의 심리(재판)에 의지하여 해결하고자 한다는 점, 2) 보호처분 결과로 보호조치 변경, 표류가 발생할 가능성이 있다는 점, 3) 시설장이 통고권자일 수 없다는 점 등으로 나눠 정리하였다.

• 한국수학교육학회지시리즈C:초등수학교육
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• 제2권1호
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• pp.15-26
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• 1998

Teachers beliefs for the mathematics can have a powerful impact on how children go about learning mathematics, and theirs mathematical beliefs and abilities. In this study, \circled1 to divided teacher's mathematical beliefs into three - absolutism, progressive absolutism, constructivism - and to search into a theoretical characteristic, \circled2 to analyze and criticize the problems of the behaviorism and to investigate a point of basic view of the constructivism on mathematics education, \circled3 to suggest teacher's a role in mathematics learning be based on the constructivism perspective .

• 보건교육건강증진학회지
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• 제18권3호
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• pp.59-75
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• 2001

It is necessary to examine from primary school children's viewpoint to perception of safety as to how they cope with a condition threatening safety at the realistic world with risky environment and whether knowledge obtained through education is transmitted to action in a correct way. For this, this study explored and analyzed children's perspective to safety felt in life, their achievement of education to safety as trainees, and their perception extent to safety. As a result of it, following conclusion could be obtained. First, as for safety on their way to school and home, the lower grade they were, the more they felt safe, but the higher they were, the more they felt uneasy, which was examined that they generally had uncomfortable mind. Second, as for whether safety education was performed or not, it was indicated that safety education was generally executed, but lower graders responded that safety education was executed, but high graders responded that it was not executed. Third, as for observance of traffic rules, it was examined lower graders kept them well, but higher graders did not do so. Fourth, as for safety of play, it was indicated lower graders wore protective equipment by parents' concern, but higher graders did not wear them since they were full of confidence counting on their capability. Fifth, as for life safety, it was indicated the area most preferentially educated from parents' viewpoint was traffic safety, and the next ones were gas and fire safety. Sixth, as for fire safety, it was indicated they did not play with fire, but higher graders compared to lower ones, played with fire as the means of curiosity and play. Thus, curricula for children's safety education executed from adults' viewpoint should be established, and assessment of children's safety education should get out of the limitation of execution of safety education to habituated action by the transmission of children's knowledge. Also it is urgent to develop programs with which to perform children;'s education at the level of children, establish and operate safety education facilities for practice education that teachers and children can receive safety education through experience by building up children's safety education related entities. And it is thought that safety should not left to only children, but their safety would be kept by developing and training safety education programs to all organizations and individuals related to safety.

• 한국콘텐츠학회논문지
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• 제17권11호
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• pp.491-500
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• 2017

최근 중국에서는 어린이 전문병원을 통해 어린이에 특화된 진료서비스를 진행하고 있으나, 어린이병원의 치유환경을 개선하기 위한 디자인적 고려는 매우 미흡한 상황이다. 특히, 어린이병원의 진료대기공간은 병원에 대한 인상을 형성할 뿐 아니라, 환아(患兒)의 심리를 안정시킬 수 있는 가장 중요한 치유공간이므로 진료대기공간의 환경디자인은 매우 중요하다. 따라서 본 연구의 목적은 중국 대도시에서 현재 운영되고 있는 어린이병원의 진료대기공간을 치유효과를 높이는 환경디자인으로 개선할 수 있도록, 북경 소재 어린이 병원들에 대한 현장조사와 치유환경디자인 평가를 진행하였으며, 이를 바탕으로 진료대기공간 환경디자인에 대한 개선방향을 도출하고자 하였다. 선행연구들을 바탕으로 병원의 치유환경 요인으로 물리적 환경, 심리적 환경, 행위적 환경 측면에서 8가지 세부요인들을 정의하였고, 북경에 위치한 어린이병원 6 곳을 방문하여 관찰 평가를 진행하였다. 평가결과, 중국 어린이병원의 경우 쾌적성, 개방감이 상대적으로 우수하였다. 반면, 물리적 환경 측면에서, 안전성, 접근성, 자연 친화성이 낮았다. 심리적 환경 측면에서, 프라이버시, 사인시스템의 심미성이 낮았다. 행위적 환경 측면에서는 활동성을 촉진할 수 있는 환경이 제공되지 않았다. 결론에서는 이러한 평가결과를 바탕으로 현재 북경에서 운영되고 있는 어린이병원의 진료대기공간의 환경디자인 개선방향을 제안하였다.

• 보건행정학회지
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• 제32권3호
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• pp.272-281
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• 2022

With the outbreak of coronavirus disease 2019 (COVID-19) pandemic, health policymakers are adopting new policies regarding the issue of immunization disparities, especially for children in low-income communities of color who lack awareness and thereby access to vaccines. The purpose of this paper is to propose an evaluation framework using program theory-based evaluation approach and logic model to analyze and evaluate the immunization disparities in children aged 19-35 months. Data is collected from New York City department of Health and the U.S. Census Bureau for Northern Manhattan Start Right Coalition program which consists of 19,800 children, and the community-provider partnership includes 26 practices and 20 groups. Program theory is used to evaluate this community-based initiative with the logic model which is a visual depiction that illustrations the program theory to all stakeholders. The logic model highlights the resources, activities, outputs, outcomes, and impacts of the program to guide to planners and evaluators and to call attention to the inadequacies or flaws in the operational, implementation and service delivery process of the program in offering a new perspective on the program. This framework adds to the literature on evaluations of immunization disparities in determining whether evaluators can definitively attribute positive immunization outcomes in the community to the program and conclude whether it has potential in expanding or duplicating it to other similar settings, especially in other rural areas of the United States, and abroad, where routine immunization equity gaps are wide due to income, racial and ethnic diversity, and language barrier.

• 한국주거학회논문집
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• 제26권4호
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• pp.95-104
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• 2015

Public rental housing in Korea has been initially provided for residential stability of low-income household focusing on solving quantitative insufficiency since 1980s. In the process of early stage of designing and planning public rental housing, qualitative aspects of considering children were not primary concern. This study aims to analyze the priority of environmental improvement of outdoor spaces for children's safety in public rental housing. First, literature review was performed in the reference of local residential safety guidelines, Universal Design, and CPTED guidelines. In each guidelines, common safety planning factors for children were extracted within different types of outdoor spaces. Second, based on literature analysis, residents evaluated importance and satisfaction level by different safety types, outdoor space type, and environmental planning factors. In results, residents evaluated high importance and showed low satisfaction for crime and traffic safety. Through IPA, facilities and parking space was evaluated where improvement is needed for the first priority, and planning factors were mostly concerned with surveillance and safety management system. Result shows general concern of public rental housing residents, about weak facility management and security system, and about socially isolated environment which heightened the fear of crime safety. Overall, poor maintenance of the complex environment and decrepit facilities are constantly raising risk of safety accidents especially for children. Considering residents' concern, environmental improvement should be considered in perspective of not only physical repair, but also facility management and security system.