• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제19권3호
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• pp.193-198
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• 2016

Purpose: Spontaneous colon perforations are usually encountered as necrotizing enterocolitis in the neonatal period, but occur rarely in infants and children without pathological conditions. This study was conducted to describe its clinical implication beyond the neonatal period. Methods: Cases of spontaneous colon perforation confirmed after the operation were reviewed retrospectively and the clinicopathological characteristics were analyzed. Clinical data were compared according to the presence of pneumoperitoneum as initial findings. Results: Eleven patients were included in the study period and showed a history of hospitalization before transfer due to management for fever, respiratory or gastrointestinal problems. Six patients showed a sudden onset of abdominal distention and only seven patients showed a pneumoperitoneum as initial radiologic findings, however there were no significant clinicopathological differences. Perforation was found evenly in all segments of the colon, most commonly at the sigmoid colon in four cases. There were no specific pathologic or serologic causes of perforation. Conclusion: When previously healthy infants and children manifest a sustained fever with a sudden onset of abdominal distention during management for fever associated with respiratory or gastrointestinal problems, there is a great likelihood of colon perforation with no pathological condition. Prompt surgical management as timely decision-making is necessary in order to achieve a good progress.

• The Journal of Korean Physical Therapy
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• 제13권2호
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• pp.459-465
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• 2001

As the developing of the perinatal medicine, the survival rate of preterm infants are increasing. Viceversa the children with cercbral palsy is increasing also compare to the developing of the perinatal medicine The purpose of this study was to identify the relationship between the preterm infants and the children with cerebral palsy and their domestic circumstance in 1980 and 1990. And would like to introduce the way how to handle the children with cerebral palsy

• 정보관리학회지
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• 제33권3호
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• pp.85-106
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• 2016

본 연구는 영유아 도서의 자료조직 실태를 파악하기 위하여 J시에 소재한 8개 시립도서관 영유아실을 대상으로 자료조직 현황과 문제점을 분석하고 이를 토대로 개선방안을 제시하였다. 조사방법은 분석대상 도서관의 어린이실 담당 사서 8명, 영유아실을 방문한 부모 25명을 대상으로 인터뷰를 실시하였다. 조사 결과, 모든 도서관에서 KDC를 적용하여 분류하고 있었으나 배가는 분류체계와는 달리 출판사명의 자모순 배가를 실시하고 있었다. 이러한 출판사별 배가 방식은 사서 측면에서는 정리의 편리성이 높은 것으로 평가되었으나 이용자들은 분류체계와 배가의 이원화로 인해 자료 검색의 어려움을 겪고 있는 것으로 조사되었다. 또한, 온라인검색목록시스템의 검색 결과에 도서 위치에 대한 정확하고 충분한 정보가 제공되지 않는 경우가 많았다. 이러한 결과를 바탕으로 본 연구는 (1) KDC를 유지하되 배가 방식을 청구기호 순으로 전환하는 방안과 (2) 새로운 영유아용 분류표를 개발하는 두 가지 개선방안을 제안하였다.

• Journal of Korean Medical Science
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• 제33권48호
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• pp.309.1-309.13
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• 2018

Background: The aim of this study was to observe long-term outcomes of very low birth weight infants (VLBWIs) born between 2013 and 2014 in Korea, especially focusing on neurodevelopmental outcomes. Methods: The data were collected from Korean Neonatal Network (KNN) registry from 43 and 54 participating units in 2013 and 2014, respectively. A standardized electronic case report form containing 30 items related to long-term follow up was used after data validation. Results: Of 2,660 VLBWI, the mean gestational age and birth weight were $29^{1/7}{\pm}2^{6/7}$ weeks and $1,093{\pm}268g$ in 2013 and $29^{2/7}{\pm}2^{6/7}$ weeks and $1,125{\pm}261g$ in 2014, respectively. The post-discharge mortality rate was 1.2%-1.5%. Weight < 50th percentile was 46.5% in 2013 and 66.1% in 2014. The overall prevalence of cerebral palsy among the follow up infants was 6.2% in 2013 and 6.6% in 2014. The Bayley Scales of Infant Developmental Outcomes version II showed 14%-25% of infants had developmental delay and 3%-8% of infants in Bayley version III. For the Korean developmental screening test for infants and children, the area "Further evaluation needed" was 5%-12%. Blindness in both eyes was reported to be 0.2%-0.3%. For hearing impairment, 0.8%-1.9% showed bilateral hearing loss. Almost 50% were readmitted to hospital with respiratory illness as a leading cause. Conclusion: The overall prevalence of long-term outcomes was not largely different among the VLBWI born between 2013 and 2014. This study is the first large national data study of long-term outcomes.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제24권4호
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• pp.392-402
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• 2021

Purpose: The present study assessed the role of an amino acid-based formula (AAF) in the growth of infants with cow's milk protein allergy (CMPA). Methods: Non-breastfed, term infants aged 0-6 months with symptoms suggestive of CMPA were recruited from 10 pediatric centers in China. After enrollment, infants were started on AAF for two weeks, followed by an open food challenge (OFC) with cow's milk-based formula (CMF). Infants with confirmed CMPA remained on AAF until 9 months of age, in conjunction with a cow's milk protein-free complementary diet. Body weight, length, and head circumference were measured at enrollment and 9 months of age. Measurements were converted to weight-for-age, length-for-age, and head circumference-for-age Z scores (WAZ, LAZ, HCAZ), based on the World Health Organization growth reference. Results: Of 254 infants (median age 16.1 weeks, 50.9% male), 218 (85.8%) were diagnosed with non-IgE-mediated CMPA, 33 (13.0%) tolerated CMF, and 3 (1.2%) did not complete the OFC. The mean WAZ decreased from 0.119 to -0.029 between birth and enrollment (p=0.067), with significant catch-up growth to 0.178 at 9 months of age (p=0.012) while being fed the AAF. There were no significant changes in LAZ (0.400 vs. 0.552; p=0.214) or HCAZ (-0.356 vs. -0.284; p=0.705) from the time of enrollment to age 9 months, suggesting normal linear and head growth velocity. Conclusion: The amino acid-based study formula, in conjunction with a cow's milk proteinfree complementary diet, supported normal growth till 9 months of age in a cohort of Chinese infants with challenge-confirmed non-IgE-mediated CMPA.

• 아동학회지
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• 제30권4호
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• pp.47-56
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• 2009

This longitudinal study examined picture book reading practices with very young children and its influence on early intellectual development. The home picture book reading activities of 322 infants and their mothers were assessed by questionnaire every 6 months from 18 months till 42 months of age. Infants' IQ was measured with Korean-Wechsler Preschool and Primary Scale of Intelligence(Park et al., 1996) at 42 months. Results showed that monthly book expense (r=.28, p<.01) and infants' asking for reading (r=.14, p<.05) at 18 months were positively correlated with IQ at 42 months. Reading time between 24 and 42 months correlated positively with IQ(r=.17~.34, p<.01). These results reveal the importance of early book environment and actual reading time in the intellectual development of very young children.

• 아동학회지
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• 제27권3호
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• pp.301-317
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• 2006

This study investigated parenting stress and requests for parent education by fathers with infants and preschool children. Subjects were 220 fathers. Data were analyzed by factor analysis and ANOVA. Results showed that middle class fathers whose wife had a job outside the home experienced more stress. Sex of child was a significant variable. : fathers with daughters expressed more requests for a father education program for a father education program, from highest to lowest, were for methods of childcare, the development of a child, guidance for discipline in daily life, relationship with their partner, and the fathers' role.

• 가족자원경영과 정책
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• 제20권3호
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• pp.45-65
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• 2016

The purpose of this study is to investigate the participation in social activities by full-time housewives with infants and preschool children. The data in this study comes from a 1 percent free sample of the 2010 Population and Housing Census collected by Statistics Korea. The statistical methods for this study were percentage, chi-square test, and logistic regression analysis. The findings are as follows. First, there are differences in participation in social activities according to number of infants, number of preschool children, and number of elementary schoolchildren. Second, there was the difference in participation in social activities between full-time housewives and full-time wives' husbands. Third, factors like full-time housewives' age, educational level, number of preschool children and elementary schoolchildren, number of rooms, and occupancy status affected participation in social activities by full-time housewives. These results show that full-time housewives were under pressure in relation to participation in social activities because of their caregiving labor but participated in religious and educational activities actively.

• 한국조경학회지
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• 제14권2호
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• pp.43-68
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• 1986

It is necessary that children's actual activities in the playgrounds should be analyzed for the study on the children's playgrounds. The purpose of this study is to establish the design principles for the improvement of the children\`s playgrounds in apartment complex by means of the various methods ; behavior mapping, questionaires and photo simulations. For the purpose of data collection, children are divided into three groups-infants(0 to 4 years), young children(pre ; 5 to 8 years, post ; 9 to 11 years), teenagers(7.2 to 14 years). The study results are as follows; 1) Analysis of behavior mapping : (a) Approximately 70 percent of the children observed stayed in the playground less than 20 minutes. (b) Playing time for each play apparatus was less than 5 minutes. (c) As a result of the observation, the duration time in the attic was 1 hour or more (d) The swing was the most frequently used apparatus as children's first and last choice. (e) Most of the users were young children(46.5%). 2) Analysis of questionaires : (a) Children considered that the existing playgrounds were lack of shadows and the play apparatuses are not interesting. (b) They felt danger and crowding at the multi-used wooden apparatus. 3) Suggestions for the playground design : It is necessary that the playgrounds are divided into the infants, the young children's and the teenagers'playground. (a) The infants'playground needs about 50 square meters and needs to be located in the apartment court. (b) The young children's playground needs about 330 to 660 square meters and needs to be located adjacent to the pedestrian road. (c) The teenagers'playground needs about 660 to 1000 square meters, which is needed for various ball games.

• Child Health Nursing Research
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• 제15권1호
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• pp.34-41
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• 2009

Purpose: In this study, a Checklist for Infant and Child Developmental Screening (CICDS) was designed for use by primary pediatric health care providers to identify infants and children with developmental delays. Method: Each Item of the CICDS was constructed referring to existing tools. In 5 public health centers of B city, 500 infants and children were selected at the age of 2, 4, 6, 12, & 18 months and assessed between October and December 2006, CICDS and the Korea Denver II were compared to assesses the validity of the CICDS. Results: The CICDS consisted of 30 items in 4 areas; Personal-social, Fine motor-adaptive, Language, Gross motor. The results of the CICDS correlated significantly with the result of Korea Denver II at each month of age. (r=0.19; p<.01). Of the 500 infants and children, 148 were "suspect" for development delays (sensitivity of 96%, specificity 73%). On the CICDS, 74.6% of children received same result as Denver II. In discriminant analysis, 89.9% of children were identified correctly by CICDS (p<.01). Conclusion: CICDS could be a screening procedures to quickly and reliably identify infants with developmental delays. It also provides a mean of recording measurements of development characteristics.