• Child Health Nursing Research
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• 제4권1호
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• pp.60-75
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• 1998

The parents have much expectation upon the pregnancy and child birth, and in most cases, they expect the healthy parturient child. However, we can be placed on the high-risk conditions which have the physical, social and immature infant, due to the unexpected results, among the new-born. Accordingly, these high-risk newborn and premature infants will be mostly in NICU, which the concentrated medical treatment can be given, upon their conditions. After their birth and during these periods, they will be divided from the parents, and the nurse will accomplish the bringing-up activities which they can take care of the infant, expected by the parents after their birth. The hospitalization of high-risk newborn including these premature infants is the shocking experience to the parents of family, and thus they can feel the fear and uneasiness, and these reactions of parents are troubled in the behavior at the usual days, and cause the disorder and spiritless status, and these results break the supporting ability of parents, and cause the obstruction. Also, the unavoidable division between the parents and the children as like hospitalization of children can make the parents to feel the alienation emotionally, and this causes the results which the pride on the bringing-up ability of baby gets to be lost. These problems can cause the difficulties on the bonding or the parenting in the further days, and can be related to the neglect and abuse of children. Also, it is gradually increased to study and report which the emotional division by the physical division between the mother and the baby obstructs the normal affection course between the parent and the infant. The stress caused by the birth and the hospitalization of high-risk newborn, as like this, is important in the points which it can uncertainly affect the potential energy for the relationship of parent-child who are finally healthy. Accordingly, the significance and purpose of this study are to understand the contents and degree of stress which the parents of high-risk newborn including the immature child can be experienced from the hospitalization of ICU for their new borns, and thus to offer the basic program to the nursing intervention program for these. The subject of this study is the mother of newborn in NICU of 10 General Hospitals located at the 3one of Pusan, Korea from September 1997 to October 1997, and thus makes the subject of 95 person of parents who agreed to take part in the study and it is descriptive study related to the stress of mother having the newborn in NICU. The method is based on the preceding study related to the stress of mother having the experience of child hospitalization and chronic disease child, and then acquires the advice of specialists group as like 5 nursing professors, and then is amended and supplemented. Total number of questions is 43 items and consists of 5 factors as like medical treatment &nursing procedures, disease status & prognosis, role of parents, communication & inter-personal relationships, hospital environment, and is 5 point Likert Scale. The reliability of this study method is very highly shown to be Cronbach α=0.95. The collected data is analysed as Average, Frequency, Standard Deviation, T-test, ANOVA, Pearson Correlation Coefficient, Duncan multifulrange test by use of SPSS /PC (V7.5). The results of this study is summarized as under. 1. Every characteristics of subject is which the party of mother is 28.70age(±7.48) in the average ages, 51% in the high-school graduate, 38.5% in the christianity, total monthly income is 212.55 thousand won(±1.971), 74.5% in the housewife, 72.9% in the parents and children together living and the number of children to be 1.48person(± 0.6) in average, the recognition on the prognosis of baby is 74.0% in 'Don't know', the relationship with the husband after the hospitalization of babyis 37.3% in 'More Intimate', the relationship with the family of husband to be 48% in 'No-change', and the degree which is consulted with the husband about the baby is 55% in 'very frequently' and the visiting number per week is 4.59(±1.63) in average and the accompanying person in the time of visiting is which the number of husband is 56.3% and thus is the highest. The characteristics of baby is which the age is 21.88days(±16.47) after the birth in average, the sex to be 50 person in the female 52.1% and the order of birth to be 54.2% in the first chid, and the weight in the birth to be 2770gm(±610) and the height in the birth to be 46.26cm(±7.62) in aver age. The medical diagnosis is 37.5% in the premature infant, the career of hospitalization is 96.9% in 'None', and the operation plan is 90.6% in 'None' and the execution of operation is 88% in 'None' and the nursing of incubator is 55.2% in 'Yes', and the method of feeding is 50.5% in 'Oral' and the contents of feeding is 46.9% in the 'Milk'. 2. The total stress degree of subject is almost highly shown to be as 3.36(±0.86). If it is compared upon each cause, 'stress on disease status & prognosis' is highest 3.79(±1.28), and it is in the order of 'stress on medical treatment & nursing procedures' 3.70(±0.93), 'stress on hospital environment' 3.14(±0.86), 'stress on role of parents' 3.18(±0.92) and 'stress on communication & inter personal relationship' 2.62(± 0.77) 3. As the results of checking the notworthiness of stress degree upon each variable of subject, the variable showing the noted difference was the birth weight(γ=-0.16, P=0.04), birth height(γ=-0.23, P=0.03), nursing in the incubator(F=8.93, P=0.04), feed method(F=2.94, P=0.04). That is to say, it is shown which the smaller the birth weight is, the higher the stress degree of mother is noteworthily. Also, the smaller the birth height baby is, the higher the stress of mother is. In the incubator, it os shown which the mother whose baby is nursing in the incubator is higher in the stress degree than other mothers. Upon the feeding method of baby, that is to say, TPNis the highest, and it is shown in the order of NPO, Tube feeding, and P.O. feeding. When we review the above-mentioned results, as the status is serious, it is thought which we include the supporting nursing for coping with the stress of parents in the setting-up od nursing plan for the baby in the NICU.

• 부모자녀건강학회지
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• 제5권2호
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• pp.206-223
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• 2002

The purpose of this study was to discuss the nature of pregnancy experience among unwed Korean mothers and to figure out what it meant for them, by asking some of them to reflect on themselves in a written form from interpretative and phenomenological perspective, based on van Manen's research method of the same approach. The subjects in this study were seven unmarried mothers in Korea. The data were collected from July through December 2000 through in- depth interview and observation. The statements of the participants were taped, recorded, analyzed and select essential themes. To have a phenomenological understanding of the pregnancy unmarried mothers, literary works, including essays and novels, were reviewed. The findings of this study were as below: The selected substantial themes about the pregnancy and birth experiences of the single mothers included 'hatred for boy friend,' 'hatred for the fetus,' and 'hatred for myself.' The unmarried mothers met their boy friends through the introduction of friends. At first, they were good friends, but they soon went on a date and had sexual relation with no common knowledge about sex. Most of them were aware of their pregnancy after they felt fetal movement, but they put off taking the test because they didn't want to accept the fact and feared it. Such an attitude was rare among married pregnant women, and being pregnant with no prior preparation or sexual knowledge is not common in Western countries. They felt guilty and informed their boy friends of the fact, but the boy friends didn't admit their responsibility and rejected the babies. This made the poor girls hate them, and it turned into severe abhorrence. They thought their lives were ruined by the babies, and wished they would disappear. They reproached the babies, hitting their own bellies or making a kick. They considered themselves to be abandoned and didn't want to live any more. Giving themselves up to despair, some attempted to commit a suicide. They hoped to die, thinking their death would solve the problem. When they lost a chance of abortion and were about to have the babies adopted, they felt sorry for them. The unwanted pregnancy gave them a pain, but they keenly felt they were loved by their mothers, and learned the value of family. It's attempted in this study to clearly show how much unmarried Korean mothers suffered from pregnancy, and this effort paved the way for seeing unwed mothers in a new light and having a better understanding of them, instead of sticking to general perception.

• Asian Pacific Journal of Cancer Prevention
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• 제13권12호
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• pp.6491-6496
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• 2012

Background: The influence of parental socio-economic status on childhood cancer treatment outcome in low-income countries has not been sufficiently investigated. Our study examined this influence and explored parental experiences during cancer treatment of their children in an Indonesian academic hospital. Materials and Methods: Medical charts of 145 children diagnosed with cancer between 1999 and 2009 were reviewed retrospectively. From October 2011 until January 2012, 40 caretakers were interviewed using semi-structured questionnaires. Results: Of all patients, 48% abandoned treatment, 34% experienced death, 9% had progressive/relapsed disease, and 9% overall event-free survival. Prosperous patients had better treatment outcome than poor patients (P<0.0001). Odds-ratio for treatment abandonment was 3.3 (95%CI: 1.4-8.1, p=0.006) for poor versus prosperous patients. Parents often believed that their child's health was beyond doctor control and determined by luck, fate or God (55%). Causes of cancer were thought to be destiny (35%) or God's punishment (23%). Alternative treatment could (18%) or might (50%) cure cancer. Most parents (95%) would like more information about cancer and treatment. More contact with doctors was desired (98%). Income decreased during treatment (55%). Parents lost employment (48% fathers, 10% mothers), most of whom stated this loss was caused by their child's cancer (84% fathers, 100% mothers). Loss of income led to financial difficulties (63%) and debts (55%). Conclusions: Treatment abandonment was most important reason for treatment failure. Treatment outcome was determined by parental socio-economic status. Childhood cancer survival could improve if financial constraints and provision of information and guidance are better addressed.

• International Journal of Costume and Fashion
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• 제11권2호
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• pp.13-24
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• 2011

This study explores the opportunities for new market of traditional Korean costumes, Hanbok, following not only the consumer's needs and wants, but marketing trends of fashion industry. This paper is the exploratory consumer research of fusion Hanbok, it aims at examining how consumers wear fusion Hanbok. Study participants were limited to mothers who wore Korean-fusion Hanbok to their baby's first birthday party once or more. A total of 221 respondents completed online questionnaires. The results of this study are as follows. First, regarding the reasons of wearing fusion Hanbok is a beautiful and traditional dress although traditional Hanbok is uncomfortable and inconvenient. Second, the most satisfactory aspect of fusion Hanbok was found to be its design. Satisfaction with the color, size and length was also high. Third, most female consumers in their 20s and 30s have stronger preferences for and intentions of purchasing fusion Hanbok. Some people criticize that as fusion Hanbok is westernized in its designs and materials, it has lost the classical beauty and impression of traditional Hanbok. However, if no one routinely wears Hanbok, Hanbok will never be popularized or globalized. This study suggest that traditional Hanbok should be improved by developing effective merchandising strategies based on consumer needs for traditional Hanbok such as various product assortment and promotion strategies using traditional Korean beauty. So, traditional Hanbok could be retained and succeeded in the future by improving consumers' dissatisfactions of traditional Hanbok and creating the new market of traditional Hanbok in which fusion Hanbok are produced focused on consumers' needs and market environments.

• 한국정보전자통신기술학회논문지
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• 제11권1호
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• pp.89-94
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• 2018

본 논문에서는 IoT (Internet of Things) 서비스 구현을 위한 스마트센서의 설계 방안을 연구하였다. 지속적인 데이터 수집을 위한 센서의 전원 공급부는 에너지 하베스팅 (Energy Harvesting) 기술을 적용하였으며, 주변 환경으로부터 영향을 줄일 수 있는 압전소자 (piezoelectric transducer)를 선택하여 전원 공급부를 설계하였다. 데이터 전송을 위한 무선통신 인터페이스는 BLE (Bluetooth Low Energy) 기술을 적용하여 설계하였다. BLE는 저전력 단거리 무선 통신에 적합하며, 주요 응용분야인 BLE 비콘 (beacon)은 O2O (Online to Offline) 서비스, 실내 측위 기반의 내비게이터, 도난/미아 방지 서비스에서 모바일 게임 등으로 활용 범위가 확대되고 있다. BLE 무선통신의 짧은 전송 거리를 보완하기 위해 무선 커버리지를 확대할 수 있는 방안을 연구하였으며, 네트워크 구축이 용이하고 무선 커버리지 확대할 수 있는 CATV 망을 활용한 BLE 센서 네트워크 구축 방안을 제안하였다.

• 한국가정과교육학회지
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• 제23권2호
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• pp.89-107
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• 2011

본 연구에서는 기혼자 22명을 대상으로 심층면접을 통하여 기혼자의 '결혼'에 대한 인식을 살펴보았다. 심층 면접 자료를 분석한 결과는 다음과 같다. 1. 기혼자들은 결혼을 통해 얻는 것이 있으면 잃는 것이 있다는 양면을 잘 인식하고 있었다. 즉 결혼을 하면서 잃어버린 자신의 세계에 대한 동경이 있고, 자유로웠던 싱글 시기를 그리워하고 아쉬워하지만, 반면에 결혼을 통해 안정감과 소속감을 얻게 되었고 외롭지 않다고 한다. 2. 기혼자들은 결혼은 경험하지 않으면 모르는 세계라고 인식한다. 싱글은 인생의 간만 보는 것이라면 결혼은 인생의 맛을 보는 것이라고 인식한다. 기혼자들이 결혼의 삶에서 찾아나가는 '맛'은 '가족과 자식의 힘', '인생 고비 뒤의 나를 찾아가는 길', '함께 하는 삶의 즐거움과 편안함', '넓어지는 삶의 폭, 높아지는 삶의 질'이다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제18권3호
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• pp.180-186
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• 2015

Purpose: Bile duct dilatation is a relatively common sonographic finding; nevertheless, its clinical significance in children is controversial because little research has been done in the area. Therefore, we investigated the natural course and clinical significance of biliary duct dilatation in children. Methods: We performed a retrospective study of 181 children (range, 1-day-old to 17-year-old) in whom dilatation of the intrahepatic duct and/or common hepatic duct and/or common bile duct was detected by abdominal ultrasonography at the Severance Children's Hospital between November 2005 and March 2014. We reviewed and analyzed laboratory test results, clinical manifestations, and clinical course in these patients. Results: Pediatric patients (n=181) were enrolled in the study and divided into two groups. The first group included 59 subjects, without definitive cause of bile duct dilatation, who did not require treatment; the second group included 122 subjects, with definitive cause of bile duct dilatation or underlying biliary disease, who did require treatment. In the first group, 24 patients (40.7%) showed spontaneous resolution of bile duct dilatation, 20 patients (33.9%) showed no change, and 15 patients (25.4%) were lost to follow-up. In the second group, 31 patients were diagnosed with choledochal cysts, and 91 patients presented with biliary tract dilatations due to secondary causes, such as gallbladder or liver disease, post-operative complications, or malignancy. Conclusion: Biliary dilatation in pediatric patients without symptoms, and without laboratory and other sonographic abnormalities, showed a benign clinical course. No pathologic conditions were noted on follow-up ultrasonography.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제22권1호
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• pp.57-62
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• 2019

Purpose: This study was performed to assess the clinical usefulness of transabdominal ultrasonography (TUS) in detecting peptic ulcer disease (PUD) in children. Methods: Twenty-four patients (19 boys, 5 girls; mean age, $10.6{\pm}4.5years$ [range, 3.0-17.9 years]) who were admitted to the hospital for acute abdomen or gastrointestinal bleeding and diagnosed with PUD by endoscopy and who underwent TUS were included. Clinical data were retrospectively collected by reviewing patient medical records. Gastric ulcer (GU) was suspected when the gastric wall exceeded 8 mm in thickness and had lost its five-layer structure on TUS. Duodenal ulcer (DU) was suspected if the duodenal wall thickness exceeded 5 mm. Results: Sensitivity of TUS in diagnosing PUD was 66.7% for GU and 38.9% for DU. Mean age and body weight of the 11 patients suspected with PUD on TUS were $10.9{\pm}4.4years$ and $38.1{\pm}17.2kg$, respectively. For 13 patients without suspected PUD, they were $12.1{\pm}4.1years$ and $39.6{\pm}17.0kg$, respectively. There was a significant difference in height, weight, and body mass index between patients who were suspected to have PUD and those who were not suspected on TUS (p=0.014, 0.008, and 0.005, respectively). A significant difference in the sensitivity of TUS in diagnosing PUD was found between patients under 30 kg and those over 30 kg (88.9% and 20.0%, respectively; p=0.003). Conclusion: TUS investigation of the stomach and duodenum is an efficient method for PUD detection in children with low body weight. TUS can be used in preliminary diagnostic work-up before further invasive tests.

• 문화기술의 융합
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• 제8권5호
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• pp.341-349
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• 2022

본 연구에서는 아동기 트라우마를 겪은 성인여성 생존자의 트라우마 영향으로 인한 정서경험에 대하여 심층적으로 탐구하고자 하였다. 이를 위해 아동기에 트라우마를 겪은 기혼 성인여성을 대상으로 심층면접을 진행하였다. 수집된 자료는 Colaizzi의 현상학적 연구방법을 통해 분석을 실시하였다. 연구결과, '자신을 지킬 수 없는 아이', '트라우마된 아동기 외상', '불안정애착과 착한아이 증후군', '대인관계의 어려움', '자녀양육의 어려움', '신체화증상', '잃어 버린 나를 찾아서' 의 7개의 범주가 도출되었다. 아울러 본 연구에서는 양육자로부터 직접 학대를 경험한 외상과 동생의 사고를 목격 경험한 가족인 형제의 외상이 트라우마로 진행하는 두 사례를 비교와 대조를 통해 가족내에서 자녀들이 겪어야만 했던 심리 내적인 경험과 부모와 아동기에 형성된 불안정 애착으로 인한 관계외상과 이를 치유해 가는 성장 경험을 이해하려는 것이 목적이다. 아동기 트라우마를 겪은 성인여성들의 삶의 전반에 반영된 부정적 부적응적 정서경험에 대한 연구결과를 통해 건강한 자아 회복과 정서적으로 잘 적응하며 살아갈 수 있는 토대를 마련하였다고 볼 수 있다.

• 헤리티지:역사와 과학
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• 제53권4호
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• pp.118-135
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• 2020

우리나라 사대부 민가 정원 중 그 형태는 물론 정원의 구조와 기능 등이 온전히 남아 있는 경우는 흔치 않다. 경기도 가평군 상면에 위치한 이천보 고가(경기도문화재자료 제55호)는 명문가로서의 내력이나 장소성 그리고 잔존하는 건물과 자연문화재 등의 측면에서 매우 가치 있는 정원 유산으로 판단되지만, 현재는 사랑채를 제외하고는 그 진가를 찾을 수 없다. 본 연구는 이천보 고가를 비롯하여 경기 북부와 가평군 관내 민가 정원의 배치 양식 등을 문헌 연구, 현장 연구, 1954년 항공사진 비교 검토 그리고 관련자 인터뷰 등을 통해 조사 분석함으로써 이천보 고가의 가치를 조명하고, 이천보 고가의 정원 원형을 추론하는 등 산림채와 정원 복원 가능성을 타진하였다. 본 연구에서는 정원의 장소성이 그나마 잘 보존된 반계천 일대의 반계동문(磻溪洞門) 암각서와 반석암의 존재를 통해 외원의 영역과 경관상을 살피고 이천보 고가의 입지 및 풍수 형국 그리고 조망축을 해석하였다. 이와 함께 사랑채에 걸린 상고당(尙古堂), 반계정사(磻溪精舍) 그리고 옥경산방(玉聲山房) 3개의 편액을 통해 사랑채의 경관성과 용도 및 상징성을 추론하였다. 더불어 내원에 현존하거나 존재했던 수목에 대해서는 실측 조사를 병행한 결과, 연하리향나무(경기도기념물 제61호)는 안내판이나 문화재 정보 등의 실제 규격보다도 과소평가되고 있는 것으로 확인되었을 뿐 아니라 행랑채 전면에 잔존하는 향나무 또한 제원 조사 후 재평가가 이루어져야 할 것이다. 그리고 내원에 남아 있는 사랑채와 이전된 행랑채의 배치와 형태 그리고 사랑채 누마루와 지붕 측면부 합각 형태의 비대칭성 등을 통해 소실된 안채의 모습을 유추하였다. 또한 소실된 안채 및 사당 등의 복원을 통해 정원의 완전성을 추구할 목적으로 원래 모습을 추정한 결과, 안채는 사랑채 우측(북쪽)에 '구(口)자' 또는 '튼구(口)자'형태로 배치되었을 것으로 추정되었다. 이와 같은 결과를 종합하여 이천보 고가에 대한 복원 대안을 제시하였다.