• 대한간호학회지
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• 제16권3호
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• pp.67-77
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• 1986

The research was carried out in order to assess, at an early stage, the potential barrier in mother-child relationship in the childs' development by using the screening tool. Consequently, after modifying the Neonatal Perception Inventory developed by Broussard and testing its reliability. It has been applied to 152 mothers at the hospital of three universities in Seoul from August 1 to September 30, 1986. The data was analyzed by S.P.S.S. pro-gram and the results were as follows: 1) Mothers perceived the newborn as an individual, and evaluated their baby higher than other babies. 2) Mothers indicated difficulties in their role performance in the fellowing order-bathing, safety, detecting pain or suffering, and feeding. 3) Mothers' perception of a newborn was positive for 75% of the mothers. 4) The factor analysis of the modified tool using principal components analysis and Varimax rotation resulted in the two factors: Factor 1, Baby as an individual: Factor Ⅱ, Performances are required to meet the new-born's needs. 5) The difference in mothers' individual characteristics such as the number of childbirth, the desire to get pregnant or not, the type of deli-very, and the sex of the newborn did not influence on a mothers' perception of her newborn. As seen above, most of the mothers perceived their newborns as able individuals and expressed difficulties involved in taking care of the newborn. Also most of the mothers perceived their babies positively. My point here is, we ought to observe those mothers who perceive their babies negatively, and then compare them with those mothers who perceive their babies extremely positive or extremely negative. In the future, for more comprehensive assessment tool for maternal perception of the newborn, a repetitive verification and modification of this tool is demanded. At the same time, father's perception of the newborn should be included.

• Clinical and Experimental Pediatrics
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• 제62권5호
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• pp.149-154
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• 2019

The World Health Organization recommends that infants should be exclusively breastfed for the first 6 months of life to provide optimal nutrition in this critical period of life. After this, infants should receive nutritionally adequate and safe complementary foods while breastfeeding continues for up to 2 years of age or beyond. For nonbreastfed infants, infant formula is an available option to provide the nutrition needed. Infant formula is usually prepared from industrially modified cow's milk and processed to adjust for the nutritional needs of infants. However, cow's milk is one of the most common causes of food allergy, affecting 2%-5% of all formula-fed infants during their first year of life. One strategy to prevent cow's milk allergy in nonbreastfed infants is the use of partially hydrolyzed formula (pHF) in high-risk infants, which are infants born in families with atopic disease. However, based on an epidemiological study, approximately half of the infants who develop allergy are not part of the at-risk group. This is because the non-at-risk group is significantly larger than the at-risk group and the non-at-risk infants have approximately 15% risk of developing allergies. This study aimed to evaluate the effects of partially hydrolyzed whey formula (pHF-W) in nonbreastfed infants and determine whether pHF-W can prevent atopic disease in high-risk infants and can be used as routine starter formula regardless of the allergy risk status.

• 한국동물번식학회:학술대회논문집
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• 한국동물번식학회 2001년도 춘계학술발표대회
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• pp.31-31
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• 2001

This study was to establish in uitro culture system of mouse preantral follicles and to obtain higher in vitro development rates and production of live young. Preantral follicles were obtained from 12-day-old FI mouse (C57BL $\times$ CBA) by enzymatical methods. Oocyte-granulosa cell complexes (OGCs) of preantral follicles were loaded on Transwell-COL insert and cultured in $\alpha$MEM supplemented with 5% FBS, 100 mIU/$m\ell$ FSH and 100 mIU/$m\ell$ hMG for IVG. IVM was performed in $\alpha$MEM supplemented 1.5 IU/$m\ell$ hCG for 18 hrs and IVF was carried out in Ml6 medium. Embryos were cultured in modified Ml6 medium supplemented 10% FBS for 4 days. The effect of the OGCs size on the nuclear/cytoplasmic maturation was significantly higher in 120-150 ${\mu}{\textrm}{m}$ (MII: 33.0%, $\geq$2-cell: 36.7%, $\geq$morula: 20.9%) than in 70-110 ${\mu}{\textrm}{m}$ (MII: 12.2%, $\geq$2-cell: 10.2%, $\geq$morula: 4.8%) (p<0.001). In period of the IVG days, the rate of $\geq$2-cell was significantly higher in 10 days(38.2%) than in 12 days (20.0%) (p<0.01). In period of IVF time, 9 hrs ($\geq$2-cell: 31.5%, $\geq$ morula: 14.3%) indicated significantly higher cytoplasmic maturation rate than 4 hrs ($\geq$2-cell: 17.5%, This study was to establish in vitro culture system of mouse preantral follicles and to obtain higher in vitro development rates and production of live young. Preantral follicles were obtained from 12-day-old FI mouse (C57BL $\times$ CBA) by enzymatical methods. Oocyte-granulosa cell complexes (OGCs) of preantral follicles were loaded on Transwell-COL insert and cultured in $\alpha$MEM supplemented with 5% FBS, 100 mIU/$m\ell$ FSH and 100 mIU/$m\ell$ hMG for IVG. IVM was performed in $\alpha$MEM supplemented 1.5 IU/$m\ell$ hCG for 18 hrs and IVF was carried out in Ml6 medium. Embryos were cultured in modified Ml6 medium supplemented 10% FBS for 4 days. The effect of the OGCs size on the nuclear/cytoplasmic maturation was significantly higher in 120-150 ${\mu}{\textrm}{m}$ (MII: 33.0%, $\geq$2-cell: 36.7%, $\geq$morula: 20.9%) than in 70-110 ${\mu}{\textrm}{m}$ (MII: 12.2%, $\geq$2-cell: 10.2%, $\geq$morula: 4.8%) (p<0.001). In period of the IVG days, the rate of $\geq$2-cell was significantly higher in 10 days(38.2%) than in 12 days (20.0%) (p<0.01). In period of IVF time, 9 hrs ($\geq$2-cell: 31.5%, $\geq$ morula: 14.3%) indicated significantly higher cytoplasmic maturation rate than 4 hrs ($\geq$2-cell: 17.5%, $\geq$morula: 4.8%) and 7 hrs ($\geq$2-cell: 20.4%, $\geq$morula: 6.1%) (p<0.01). However, there was no difference in cytoplasmic maturation between co-cultured preantral follicle ( $\geq$morula: 17.4%) and preantral follicle cultured in Ml6 ( $\geq$morula: 17.4%). 22 morula and blastocysts produced in above optimal condition were transferred to uterus of 2 pseudopregnant recipients, 1 recipient was pregnant and then born 1 live young. This result demonstrates that in vitro culture system of preantral follicles can be used efficiently as another method to supply mouse oocyte.morula: 4.8%) and 7 hrs (2-cell: 20.4%, $\geq$morula: 6.1%) (p<0.01). However, there was no difference in cytoplasmic maturation between co-cultured preantral follicle ( $\geq$morula: 17.4%) and preantral follicle cultured in Ml6 ( $\geq$morula: 17.4%). 22 morula and blastocysts produced in above optimal condition were transferred to uterus of 2 pseudopregnant recipients, 1 recipient was pregnant and then born 1 live young. This result demonstrates that in vitro culture system of preantral follicles can be used efficiently as another method to supply mouse oocyte.

• 여성건강간호학회지
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• 제2권2호
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• pp.230-252
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• 1996

Over one million cases of the induced abortion have been conducted annually in Korea. Among those cases, most of all were illegally done, but this has not been addressed in the literature. While Korean Nurse Association Code of Ethics presents the respect for life as one of the basic ideology, it was not dealt enough in nursing education. The purposes of the study were to activate the debate on the issues related to an induced abortion ; to introduce the related ethical theories ; and to seek the solution of the ethical problems, which will eventually result in establishing the morality of nursing practice. The ethical theories of an induced abortion have traditionally addressed two extreme perspectives ; the conservatives who emphasize the sanctity of human life and the right of life that will never ethically allow the killing fetus ; and the liberalists who insist the right to choice for women to control their body. Since these extreme theories has not been helpful to solve the ethical problems, the recent trend is leading to the modified theories both from conservative and liberal perspectives. The examples of the theories are the potentiality of fetus(Singer, 1993), the obligation of women to serve their body to fetus(Held, 1987), the Replacement theory (Callahan, 1987), and the Principle of Caring (Gilligan, 1982). The study conducted the indepth interviews with 17 women who experienced the induced abortion and the 6 cases were selected to be analyzed. The cases were analyzed and interpreted by using an integrated case method which was combined of the New Casuisty(Jonsen & Toulmin, 1988 ; Jonsen, 1991) and the Specified Principlism (Richardson, 1990 ; Degrazia, 1992). The result of analysis revealed three types of ethical problems ; (1) the responsibility of taking care of the baby to be born (2) the fear for the condition of the fetus, and (3) the choice of induced abortion as the method of birth control. The findings also revealed the related ethical principles for various situations ; the principle of caring was used for choosing an induced abortion by the subjects ; the principles of the potentiality of fetus and the obligation of women to serve their body were for the consideration for the life of fetus ; and the principle of replacement was utilized for the right to choice for women. The ethical principles related to an induced abortion introduced in the study provided the way to solve the moral problems by applying to the clinical situations for nurses. The study also revealed the possibility of modifying the current ethical theories from the method of applying the principles to the various situation in the study. The modified theories would be more useful to guide the clinical practice with similar ethical problems.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제28권4호
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• pp.295-309
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• 2006

The present study was aimed to evaluate the incidence, etiological factors, and management of cleft lip and palate. Two hundred and twenty patients with cleft lip and/or cleft palate who were treated at Department of Oral and Maxillofacial Surgery, Chonnam National University Hospital, during the period between January 1994 and December 2003 were reviewed. The ratios of cleft lip : cleft lip with cleft palate : and cleft palate were 0.4:1.1:1. Males were more common than females in cleft lip (1.3:1) and cleft lip and palate (2.5:1), while females were more common than males in cleft palate (1:1.3). In the cleft side, left clefts were more prevalent than right clefts (cleft lip 1.3:1, cleft lip and palate 1.6:1). Unilateral clefts were more common than bilateral clefts in cleft lip (79:21). Cleft lip and cleft palate were more common in those with blood type A (34.5%) than those with other types. There was no significant relationship between birth season and frequency of clefts. The clefts were common in the first-born (48.8%), and in mothers aged between 25 and 29 (51.7%). Medication (24.7%) and stress (16.7%) during the first trimester were noted. Positive familial history was noted in 13 cases (5.9%). Thirty-two cases (15%) were associated with other congenital anomalies, in which tonguetie (40.6%) and congenital heart disease (21.9%) were most common. Among 100 patients with cleft palate, 77 patients had middle ear disease (77%), which occurred predominently in the incomplete cleft palate. Seventy-six among the 77 patients received myringotomy and ventilation tube insertion, and the remaining one received antibiotic medication only. Cleft lips were treated primarily at 3 to 6 months, and cleft palates were at 1 to 2 years. Treatment regimens included modified Millard method mainly in the cleft lip, and Wardill V-Y, Dorrance method, and Furlow method in the cleft palate. The percentage of palatal lengthening as type of cleft palate was greater in the incomplete cleft palate group (11.2%) than in the complete cleft palate group (9.6%). The percentage of palatal lengthening as operating method was no difference between the Furlow method (10.9%) and the push back method (10.7%). As postoperative complications, hypertrophic scar was most frequent in the cleft lip, and oronasal fistula in the cleft palate. In summary, it was shown that medication and stress during the first trimester of pregnancy were frequently associated with cleft lip and cleft palate, adequate timing and selection of method of operation are important factors to obtain morphologically and functionally good results. Furthermore prevention and treatment of middle ear disease are important in cleft palate patients because of its high co-occurrence.

• 대한간호
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• 제30권5호
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• pp.61-74
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• 1991

The purpose of this study was to determine the values of freshman nursing students and to determine changes each year over the four years of the study and to provide base data for curriculum and student guidance. The sample consisted of the freshman students who entered college of nursing from 1988 through 1991. The total sample was 358 students and data were collected during March of each of the four years. The data were analyzed using t-test, ANOVA and Pearson Correlation to examine the relationship between the subcategories of values and Duncan multiple range test to examine the relationship between the scores for each year and the demographic data. The instrument used in this study was the Survey of Personal Values and Interpersonal Values modified by UngYun Hwang and KyungHae Lee in accordance with L.V. Gordon's instrument. This tool provides scores on practical mindedness, achievement, variety, decisiveness, orderliness, goal orientation, support, conformity, recognition, independence, benevolence and leadership. The results of the study were as follows: 1. The nursing freshman students surveyed had the highest score for goal orientation (21.44) and the lowest for variety (17.13) on the SPY (Survey of Personal Values) and the highest score for benevolence (21.19) and lowest for leadership (17.00) on the SIV (Survey of Interpersonal Values]. In accordance with the standarized scores for Gordon's Spy for other' woman college students, the students in the study were between the 78% ile - 97 % ile and were in the 72 % ile 97%ile for the SlV. 2. When t-test scores were compared, no significant variation was found between the years for each of the values (P< .05). 3. A significant variation was found on variety, between 1989 and 1991 (P< .05), and between 1988 and 1991. The highest score was in 1991 in both comparisons. Supporting was also higher for 1991 than for 1988 (P< .05). 4. Religion and occupation of father did not show any significant differences (P< .05). There was no significant difference in values according to the student's religion or the occupation of their father. Students born in the metropolitan area had a higher score on variety than those from the rural area and vice versa on regulartiy (P< .05). The results of this study show that there is a higher score on values for'! University freshman than shown for freshmen in other universities reported from other research, To keep or promote values, it is very important that there be a systematic strategy of education and special educational programs.

• 대한소아치과학회지
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• 제32권4호
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• pp.709-716
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• 2005

구순구개열 환자에서는 이른 시기에 시행된 수술로 인한 구순이나 구개부의 반흔 형성으로 섭식장애나 발음장애를 동반한 상악의 열성장이 나타나게 된다. 때로는 집중적인 교정치료 후에도 심한 상악골 저형성증을 보이며 이러한 경우성장이 완료 된 후에 골이식을 동반한 악교정 수술로 상악골을 전방이동시켜 안모의 개선을 도모하기도 한다. 그러나 이러한 상악골의 전방이동은 연조직의 과도한 신장으로 인한 술후회귀현상, 추가적인 골이식이 필요하다는 한계를 가지고 있다. 골신장술은 이러한 한계점을 극복하는 최신 치료방법으로 구순구개열 환자, 두개골 융합증을 나타내는 환자 등에서 상악골을 포함한 두개 안면골의 개선에 많이 이용되고 있다. 특히 구외장치를 이용하는 골신장술은 골신장기간 중에 견인 방향의 조절이 보다 쉬우며, 충분한 양의 골신장이 가능하여 보다 좋은 결과를 얻을 수 있다. 본 증례는 상악 열성장을 보이는 구순구개열 6세 7개월의 여자 환아로, 변형된 구내 르포씨 1형 골절단술(modified Le Fort I osteotomy) 후 두개골을 고정원으로 이용하는 견고 구외 골신장술을 통해 상악골을 전진시켜 양호한 결과를 얻었기에 이를 보고하는 바이다.

• 한국엔터테인먼트산업학회논문지
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• 제15권1호
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• pp.143-152
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• 2021

이 연구는 서해 끝 절해고도 무인도인 격렬비열도의 문화자원을 탐구해 섬의 이미지·스토리텔링 구축의 토대를 제공하는 것이 목적이다. 격렬비열도는 2020년 영토수호 여론에 힘입어 정부의 공적 관리 절차가 시작되었다. 이 섬은 화산활동으로 7천만 년 전에 생겨나 1백만 년 전으로 추정되는 제주도의 탄생사보다 깊다. 따라서 연구자는 이 섬의 문화자원을 규명해 섬의 정체성 구축의 핵심 콘셉트로 삼기 위해 민속지학 연구방법을 적용해 2018년 2월부터 2020년 12월까지 3년간 격렬비열도가 속한 태안지역 주민등 관계자 면접, 섬 탐방 등을 실시하였다. Valentin(2001)과 남치호(2007)의 자원분류 모델을 적용해 섬의 문화자원을 분석한 결과, 섬에서 발견된 '유형문화자원'은 주로 한중 문물 교류의 길목이자 생명을 수호하는 영지(靈地)를 상징하는 것으로 나타났으며, 추출된 섬의 '유형문화 자원'은 생명 수호, 안전, 용맹, 로맨스 이미지에 집중되었다. 이 결과를 토대로 격렬비열도를 문화적 장소성이 뚜렷한 섬으로 이미지텔링 및 스토리텔링 하여 새 단장할 경우 정체성 구축의 핵심 콘셉트는 '사랑의 추억을 재생하게 하는 환황해(環黃海) 중심의 문화생태섬'으로 제안할 수 있다.

• Clinical and Experimental Pediatrics
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• 제52권4호
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• pp.429-434
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• 2009

목 적 : 중증의 양수 흡인은 출생 직후 신생아에서 호흡부전을 일으키는 원인이 된다. 저자들은 인공환기요법이 필요했던 중증 AFAS를 가진 환아를 대상으로 이 질환의 임상양상과 SRT 효과를 알아보고자 본 연구를 시행하였다. 방 법 : 최근 7년간(2000-2006) 계명대학교 동산의료원 신생아 중환자실에 입원한 후 중증의 AFAP으로 인공환기요법을 받았던 28명의 환아를 대상으로 의무기록과 방사선 영상소견을 후향적으로 조사하였다. 양수가 태변에 오염된 경우에는 대상에서 제외하였다. 결 과 : 대상 환아는 대부분 만삭아(82.1%)였고 제왕절개술로 분만된 경우(85.7%)가 많았으며, 1분과 5분 Apgar 점수는 각각 $6.5{\pm}1.2$점, $7.5{\pm}1.3$점으로 비교적 양호하였다. 이들에서 출생 초기 성대 이하의 기도에서 흡인한 양수 양은 $16.0{\pm}10.1$ mL였다. 모든 예에서 SRT (modified bovine-derived surfactant; 120 mg/kg/dose)가 시행되었으며 1회 투여가 대부분(75%)이었다. SRT 전과 비교에서 인공환기요법에 따른 OI ($8.0{\pm}9.6$ vs. $18.9{\pm}7.3$)는 SRT 12시간 후에 감소하였고(P<0.001), 대부분의 예에서 SRT 후 12시간 경 흉부 방사선 영상의 통기소견이 시행 전에 비해서 호전되었다. 심폐계 합병증을 동반한 예(46.4%)가 많았지만 전체적으로 높은 생존율(96.4%)을 보였다. 결 론 : AFAP는 준 만삭아와 만삭아에서 심한 호흡곤란의 중요한 원인이 될 수 있으며, 인공 환기요법이 필요한 중증의 AFAP에 대한 SRT는 좋은 임상경과와 치료성적의 향상에 도움이 될 것으로 사료되나 추가 연구가 필요하다.

• 벤처혁신연구
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• 제4권3호
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• pp.125-139
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• 2021

4차산업혁명이 진전되면서 새로운 기술이나 서비스들이 탄생, 성장, 성숙해 가고 있다. 이제는 모바일 시대를 넘어 새로운 패러다임으로 metaverse에 대한 논의가 진행이다. 이에 본 연구에서는 메타버스 시대를 대비하여 새로운 기술을 소비자들이 사용하고자 할 때 어떠한 요인들이 중요하게 영향을 미치는지에 대해 분석하고자 했다. 특히 소비자들이 해당 기술을 사용하는 맥락이 B2C인지 B2B인지에 따라 어떻게 달라지는지에 초점을 두고 연구를 진행하였다. 이를 위해 연구 대상을 메타버스 시대와 연계해서 B2C 맥락에서는 증강 현실(AR)을 선정하였고, B2B 맥락에서는 스마트 팩토리를 선정하였다. 분석을 위한 연구 모형은 수정 확장된 통합기술 수용이론(Meta-UTAUT)을 기반으로 연구 대상 기술의 특성을 반영하여 공통의 영향 변인을 도출하여 설정하였다. 실증 분석을 위해 설문조사를 진행하였으며 AR 사용자 150명, 스마트 팩토리 사용자 150명을 분석의 대상으로 삼았다. 실증연구 결과는 다음과 같다. 성과기대와 사용 의도, 기술 준비도와 사용 의도 간의 관계는 AR과 스마트 팩토리 모두 유의한 정(+)의 영향을 미치는 것으로 나타났다. 반면, 노력 기대, 사회적 영향, 신뢰성은 AR에 있어서만 사용 의도에 정(+)의 영향을 미치는 것으로 나타났다. 스마트 팩토리에서만 사용 지원이 사용 의도에 정(+)의 유의한 영향을 미쳤다. 인지된 위험 역시 스마트 팩토리에서만 사용 의도에 부(-)의 유의한 영향을 미친 것으로 나타났다. 이러한 연구 결과는 학술적으로는 새로운 기술의 사용도 소비자들이 사용하는 맥락에 따라 영향 요인이 달라진다는 것을 실증적으로 검정 했다는데 의의가 있다고 할 수 있다. 또한 제공하는 기술이나 서비스가 어떠한 맥락에서 이루어지고 있는지를 판단해서 무엇에 우선적으로 집중해야 할 지를 제시한 점에서 실무적인 의의가 있다고 할 수 있다.