• 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.

• 영어영문학
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• 제57권5호
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• pp.813-838
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• 2011

Toni Morrison's ninth novel A Mercy delves into the colonial American history of the seventeenth century when Europeans began to migrate to the New World and when the first slaves were brought to Virginia. Morrison presents a diverse group of people such as white Europeans, an American Indian, a free black man, indentured servants, and slaves from Africa in order to explore the subjects of ownership, freedom and racism. She emphasizes the fact that most of the Europeans who came to America in the early seventeenth century were the people who were thrown out from the society such as felons, prostitutes, servants and children. By portraying how these castaways tried to settle in a new environment surrounded by unknown dangers and challenges, Morrison demystifies and reconstructs the myth of the birth of America as a nation state. In continuation of Morrison's writings about love and the betrayal of love, her novel A Mercy explores the subjects of trauma, memory and subjectivity by choosing the topic of motherly love and its betrayal which she dealt with poignantly in Beloved. The female protagonist, Florens, is given away by her mother in partial payment of debt incurred by the owner of Florens's mother. The traumatic memory of Florens's separation from her mother shapes Florence's character. She has to revisit the site of the original traumatic experiences of being given up by her mother in order to reconstruct her fragmented memory and past. The recurring dream of the traumatic incident that takes hold of Florens can be explained by the trauma theory of Freud, Cathy Caruth, Suzette Henke, and Judith Herman. The paper explores the self journey of Florens in which she faces the traumatic past and comprehends its meaning which enables her to construct her subjectivity by understanding the true meaning of being free and of owning oneself. In particular, it demonstrates how the process of writing a confession, a story about one's history, enables one to reclaim the traumatic experience and to locate it in the narrative memory.

• 한국보육지원학회지
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• 제10권5호
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• pp.273-298
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• 2014

본 연구는 영유아기 자녀를 둔 어머니들의 전통육아에 대한 이미지 유형과 그 특성을 Q-방법으로 분석하였다. 이를 위해 전통육아를 경험한 어머니들을 중심으로 심층면담을 실시하고 어머니들에게 전통육아에 대한 브레인스토밍을 실시하여 Q-모집단을 마련하였다. 그 중 40개의 진술문을 추출하여 Q-표본을 만들고, 40명의 어머니들에게 진술문의 동의수준을 9단계로 분류하도록 하여, 그 결과를 QUANL 프로그램으로 분석하였다. 연구결과 영유아기 자녀를 둔 어머니들의 전통육아에 대한 인식 유형은 네 가지로 구분되었으며, 각 유형 '조화로움을 통한 관계 지향적 육아', '한국 고유의 전승가치를 담은 원형적 육아', '생명을 존중하는 실천 중심적 육아', '현대적 변형이 필요한 애착육아'로 명명되었다. 이 연구는 어머니들이 가지는 전통육아에 대한 이미지를 살펴봄으로써 전통육아의 전승과 효과적 실천을 위한 실제적 시사점을 도출하는 계기가 되었다.

• 한국생활과학회지
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• 제19권1호
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• pp.39-49
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• 2010

This study introduces the construct of meta-parenting or a superordinate category of effortful cognition, including anticipation, assessment, reflection and problems. Also, it aims to analyse meta-parenting in terms of demographic variables and investigate how it relates to other cognitions on parenting and parenting behaviors. One hundred seventy three mothers of preschool children were surveyed on Hawk's (2007) Meta-Parenting, Sameroff and Feil's (1985) Concepts of Development, Stipek, Danniels, Galluzzo, & Milburn's (1992) Activities Sub-scales. They also commented on their views of appropriate methods of child-rearing and the starting age of extra-curricula activity and the number of extra-curricula activities. The main results were as follows: Mothers showed the highest score on assessment followed by anticipation, reflection and problems while these four components of meta-parenting were highly correlated to each other. Among demographic variables, only the mothers' age and education were linked to some component of meta-parenting. Meta-parenting was correlated with complexity of thinking but not with views on appropriate methods of child-rearing. Also, meta-parenting was associated with formal and informal activities at home and the beginning time of providing the extra-curricula activity with the total number of extra-curricula activities provided at present.

• 아동학회지
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• 제26권3호
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• pp.1-13
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• 2005

Subjects were 78 12- to 35- month old infants, their mothers, and their teachers. Instruments included the Revised Toddler Temperament Questionnaire(Y. H. Choi 1990) and the Assessment Profile for Early Childhood Programs(M. K. Hong 1997; S. K. Kim 1999). There was no significant difference in perceptions of infant temperament between mothers and teachers. Infant-mother interaction differed by infant temperament in that mothers had high scores with easy infants but low scores with difficult children. On the other hand teachers maintained high interactions with difficult infants in the case of infant's rhythmicity. Infant-teacher interaction correlated with such teacher variables as teacher-infant ratio, teachers' academic backgrounds and working hours.

• 대한가정학회지
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• 제17권4호
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• pp.117-127
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• 1979

This study attempts to shed additional light on the national diffusion process and interaction of welfare services for children and mothers. The central hypothesis examined is the following : In general, the implant of social welfare system is first considered on the characteristics of their own socio-economics , and diffusion prodess of welfare services tends to occur faster in countries with open sicieties than in countries where entry barriers are high and society ranking rigid. The scope of the study is limited in several ways. Attention is concentrated on the agency of woman in the belief that an in-depth case study of one field can yield more insight than a less detailed investigation embracing a number of social welfare systems. The angency of woman is selected for several reasons. a) It is important the agency of woman alone produce more effective than services affecting both the child welfare and women's libertion bradually. Moreover, these services will form the heart of mother's welfare. b) The services of women's agency is gradually wide spread, since a role of government is still negligible before a full realization of economic income. c) The services of women agency is a prime example of a social welfare. d) statistical data and other information are more readily available. One of major findings of our study is the existence of the barriers inhibiting child welfare form " motherhood cult". Despite all the distinct advantages for mother and child , social attitudes appear to be some resistant on child welfare system among men and women even the agenices of women. What is surprised is the extent of the awareness that strategies of women's agency to liberate woman and to increate activities of women involve the strategies to liberate child. The conviction that solving application problems for child welfare in line with the activities of agency by women offer greater freedom and more advantage to mother are not apparent on the data collected from 18 of multi-functional agencies in our country. there are little sign that such agencies cooperate toward attainment of common goals. The intensive early focus of the movement on consciousness raising is a necessary beginning and such efforts by women's organizations would help both in the continuous evolution of women and child. Some of the agencies offer a variety of services to women and children, others are specialized in that they offer fewer services or even only one. Social welfare agenices giving service to children and their families are identified by various names usually women service and child welfare from govern , mental agency and voluntary public agency to foreign aided. What is totally missing , however, is an integrated synthesis of child welfare program Through women's agency. Social changes to occur, but delineation of appropriate and comprehensive social policy is also necessary at this point at this point since efforts, social changes and polices must be well coordianted and focused, as well as mutually supprotive and reinforcing.

• Journal of Nutrition and Health
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• 제48권4호
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• pp.344-351
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• 2015

본 연구는 초경시기의 결정요인을 규명하기 위하여 대구 3개 지역 초등학교 5, 6학년 여학생 190명을 대상으로 개별 짝짓기 환자-대조군 연구를 실시하였고, 본 연구 결과를 요약하면 다음과 같다. 첫째, 비초경군에 비하여 초경군의 평균 수면시간이 더 적었다. 둘째, 어머니의 초경 나이가 빠를 수록 같은 또래에 비해 더 이른 초경 경험을 할 확률이 높았다. 셋째, 초경시기와 관련된 요인 중 비만이 가장 강한 연관성을 보였다. 전 세계적으로 초경 나이가 낮아지는 경향을 보이고 있으며, 우리나라 여성의 초경 나이도 현저하게 낮아지는 상황에서 본 연구의 결과는 중요한 기초자료로 활용될 것이다.

• 대한가정학회지
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• 제17권1호
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• pp.45-55
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• 1979

The purpose of this study is to investigate to what extent and how the infant's Object Attachment occurs. For this purpose, 28 mothers with their infants showing or having shown this phenomenon were interviewed. They were selected by the whole scale smpling method from 310 household -wives living at a delux Apt. in Seoul. The results are summarized as follows : 1. About 27% of the infants aged between 6 months and 6 years turned out to show this phenomenon. 2. Qulits, bed clothes, pillows and blankets, which infants have been closely contacted since their babyhood, were the major source of attachment objects. In general, these objects were proved to have soft, wasm, smooth, and glassy tactile sensation. 3.This phenomenon, in average, appeared since 13 months after birth, About 50% of the whole began to show this phenomenon between 9 and 14 month after birth. 4. Half of the infants didn't show a change of attachment strength, but as for the other half, the attachment strength increased after one year of age, and decreased after three years of age, as the social period commenced. 5. Infants needed attachment objects especially when they were driven by sleep, sense of emptiness, and monotonous or boring feeling. 6. There were little difference between Object Attachment behavior and motherinfant attachment behavior except "babbling", "using her as a base for exploration". Those behaviors did not appear in Object Attachment. 7. mothers said that their children's attachment objects played the role of substitute mother, pacificater, warmer, friend , etc. And they attributed this phenomenon's appearance to lack their physical contact with, ocnstant and warm care toward, their children or bottle feeding.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제21권2호
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• pp.86-92
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• 2018

Purpose: Celiac disease is a common non-communicable disease with varied presentations. Purpose of this study was to find the duodeno-endoscopic features in celiac disease and to compare duodeno-endoscopic and histological findings between typical and atypical celiac disease in children. Methods: Hospital based observational study was conducted at Sir Padampat Mother and Child Health Institute, Jaipur from June 2015 to May 2016. Patients were selected and divided in two groups- typical and atypical celiac disease based upon the presenting symptoms. Upper gastrointestinal endoscopy and duodenal biopsy was performed for serology positive patients. Results were analysed using appropriate statistical test of significance. Results: Out of 101 enrolled patients, 47.5% were male. Age ranged from 1 to 18 years. Study showed that 54.5% were typical and 45.5% were atypical. Patients presenting with atypical symptoms were predominantly of older age group. On endoscopy, scalloping, mosaic pattern, reduced fold height and absent fold height; and in histology, advanced Marsh stage were significantly higher in the typical group. Conclusion: Awareness of atypical presentations as well as duodeno-endoscopic features may have considerable practical importance for the diagnosis of celiac disease in children. Scalloping, mosaic pattern, reduced fold height and nodularity are main endoscopic markers of celiac disease in children. Endoscopic markers of duodenal mucosa may be important in early diagnosis of celiac disease, in children subjected to endoscopy for atypical presentations or indication other than suspected celiac disease.

• 부모자녀건강학회지
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• 제13권2호
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• pp.63-77
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• 2010

Purpose: The purpose of this study was to develop child's health assessment tools and tailored home visiting nursing service model in a community. Methods: Based on the literature review and several types of workshops participated with the child health nursing professors and visiting nurses in public health centers from May to December 2009, the standards of child health assessment tools, service model and education materials for visiting nurses were developed. Results: Some record forms were newly developed, including neonatal assessment, breast feeding, mother-infant interaction, oral care, vaccination and safety, and appropriate developmental screening tests in the community were selected. For systematic health care management in the community, problem list, problem criteria, health care plan, outcome criteria were also developed. Conclusion: On the demand of growing need for health promotion and early intervention for children and their association with parenting and socioeconomic status, assessment and control measures are indispensable to the promotion of child health for vulnerable population. Children's health and developmental problems, and safe circumstances can be assessed using this assessment tools, and can be used for tailored home visiting nursing care for children.