• 부모자녀건강학회지
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• 제5권1호
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• pp.38-49
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• 2002

The purpose of this study was to investigate the needs of a mother when getting the information from the child care web sites. The subjects of this study were collected through on-line and off-line and constituted of 157 mothers who had neonates and infancy. All the mothers could use the internet. On-line subjects were 135 mothers who were the members of "Child Rearing" circle of internet portal site, Daum (www.daum.net) and off-line subjects were 22 mothers who visited the pediatric outpatient department. The instrument had 15 items about needs for information of the child care web sites. 12 items were multiple choice-questions and 3 items were open questions. In data analysis, SPSSWIN 10.0 program was utilized for descriptive statistics. The results were as follows. 1. The most useful web content that mothers represented was food and nutrition(24.4%) and the other rated as following order; growth and development(21.1%), supports among parents(16.8%). 2. The most great web problem that mothers represented was depth of content(43 people) and the other rated as following order; objectivity, specialty and reliability of content(29 people), no problems (23 people), too much advertisements(17 people), obligation on member(4 people). 3. Mothers represented the highest information needs about play and education(65 people) and the other rated as following order; nutrition(44 people), managements of common health problems(39 people), experiences of other parents(10 people), child caring methods (38 people), exchanges of things(7 people). 4. Mothers represented the highest consultation needs about common health problem (62 people) and the other rated as following order; growth and activity(60 people), play and education(30 people), nutrition(22 people), child caring methods(9 people).

• 지역사회간호학회지
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• 제27권1호
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• pp.81-94
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• 2016

Purpose: The objective of this study was to investigate the relations among psycho-social factors regarding child neglect and abuse using the data from the 2013 Korea National Survey on Children and Youth. Methods: Data from a sample of 1,062 primary caregivers with young children were analyzed with the SPSS and AMOS programs to examine the interrelationships among depression, parenting stress, marital satisfaction, parent-child attachment, and child neglect or maltreatment. Results: Depression, stress, and attachment had a direct influence on child neglect and abuse. Satisfaction with marital relationship, parenting stress, and attachment were found to play mediating roles in accounting for child neglect and abuse, explaining 12% of the variance. The results of multi group path analysis showed that some coefficients were different according to the age group of the children. For caregivers with infants, parenting stress did not predict either attachment or child maltreatment, whereas for caregivers with toddlers, depression did not have a significant effect on attachment. Conclusion: In order to prevent child maltreatment, efforts should be made to develop community-based psycho-social support interventions focused on marital relationship as well as parent-child dyads and to provide practical child care support.

• Child Health Nursing Research
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• 제17권1호
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• pp.22-30
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• 2011

Purpose: The purpose of this study was to examine the effects of the perception of marital conflict and child rearing attitudes on abuse experience and emotional maladjustment behavior in children. Methods: Data were collected from May 25 to June 5, 2009. A questionnaire survey was used with 320 elementary school students. Data were analyzed using Pearson correlation coefficients and multiple regression analysis. Results: For effects of perception of marital conflict and child rearing attitude on abuse experience among these children, authoritarian controlling disposition, affectionate disposition and marital conflict had a significant impact on their overall abuse experience. These variables were predictors of child abuse and accounted for 30.6% of the variance. For effects of perception of marital conflict, child rearing attitude and abuse experience on emotional maladjustment behavior among children, there was a significant influence for marital conflict, neglect, emotional abuse and authoritarian controlling disposition. These variables were predictors of emotional maladjustment behavior and accounted for 21.5% of the variance. Conclusion: The results indicate that marital conflict and child rearing attitude are two major variables affecting children’s abuse experience and emotional maladjustment behavior.

• 부모자녀건강학회지
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• 제10권1호
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• pp.77-90
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• 2007

Purpose: Motor vehicle crashes are the leading cause of death among children younger than 14 years old. The purposes of this study were to 1) provide a basic overview of child safety seats, 2) review car seat safety usage and misuse, 3) suggest interventions to motivate the usage of child safety seats. Method: The design was a descriptive study with literature review. Previous studies were searched of PUBMED, ProQuest and KERIS. Result: Child safety seats and automobile safety belts protect children in a crash if they are used correctly, but if a child does not fit in the restraint correctly, it can lead to injury. A child safety seat should be used until the child correctly fits into an adult seat belt. Conclusion: To improve child passenger's safety, educational, legislational and environmental enforcements are needed: educational interventions to promote use of child safety seats, strengtened legislation to mandate use of child safety seats, establishment of public acquirements.

• 대한안전경영과학회지
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• 제23권1호
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• pp.1-8
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• 2021

The purpose of this study is to investigated occupational accidents of child care worker. We surveyed 392 childcare worker to investigate their experience of occupational accidents. Fifteen percent of the respondents from occupational accdients survey for child care workers reported that they had experienced more than one occupational accident, but mostly did not claim Occupational Safety and Health Insurance. We suggested policy tasks to improve system for protecting child care workers.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제22권4호
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• pp.341-349
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• 2019

Background: A self-assessment questionnaire, the GERD-Questionnaire (GERD-Q) was used to determine the prevalence of GERD in adolescents, describe the related factors, and determine the impact on quality of life (QoL). Methods: The incidence of GERD was evaluated using the GERD-Q in adolescents aged 12-18 years. The Pediatric Gastroesophageal Reflux Disease Symptom Questionnaire and Quality of Life Questionnaire (PGSQ-A) for adolescents were additionally administered. Some factors considered related to GERD were also evaluated. Results: The 520 adolescents were included. The prevalence of suspected GERD, according to a GERD-Q cutoff score of ${\geq}7$ was 32.9%, and those drinking soda were 1.7 times more likely to have GERD (95% confidence interval, 1.3-2.2; p<0.001). However, soda consumption was not a risk factor for development of GERD symptoms. Applying a cutoff score of ${\geq}8$, only 10.9% of the participants had a positive GERD score, but the association with soda consumption persisted. The median PGSQ-A score in subjects suspected of GERD was 8 (range 0-37) on weekends and 1 (range 0-17) during weekdays (p<0.001) compared to those not suspected of GERD, with a median of 2 (range 0-27) during weekends and 0 (range 0-10) during weekdays. Heartburn, regurgitation, and extraesophageal symptoms correlated significantly with QoL (p<0.001). Conclusion: The prevalence of suspected GERD in adolescents was 32.9% or 10.9%, depending on the cutoff score used. There was a statistically significant difference in PGSQ-A scores between the subjects suspected or not of GERD, indicating an impaired QoL.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제25권3호
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• pp.194-210
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• 2022

Human milk contains a number of nutritional and bioactive molecules including microorganisms that constitute the so-called "Human Milk Microbiota (HMM)". Recent studies have shown that not only bacterial but also viral, fungal, and archaeal components are present in the HMM. Previous research has established, a "core" microbiome, consisting of Firmicutes (i.e., Streptococcus, Staphylococcus), Proteobacteria (i.e., Serratia, Pseudomonas, Ralstonia, Sphingomonas, Bradyrhizobium), and Actinobacteria (i.e., Propionibacterium, Corynebacterium). This review aims to summarize the main characteristics of HMM and the role it plays in shaping a child's health. We reviewed the most recent literature on the topic (2019-2021), using the PubMed database. The main sources of HMM origin were identified as the retrograde flow and the entero-mammary pathway. Several factors can influence its composition, such as maternal body mass index and diet, use of antibiotics, time and type of delivery, and mode of breastfeeding. The COVID-19 pandemic, by altering the mother-infant dyad and modifying many of our previous habits, has emerged as a new risk factor for the modification of HMM. HMM is an important contributor to gastrointestinal colonization in children and therefore, it is fundamental to avoid any form of perturbation in the HMM that can alter the microbial equilibrium, especially in the first 100 days of life. Microbial dysbiosis can be a trigger point for the development of necrotizing enterocolitis, especially in preterm infants, and for onset of chronic diseases, such as asthma and obesity, later in life.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제24권1호
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• pp.7-18
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• 2021

Purpose: The long-term efficacy and safety of infliximab (IFX) in children with ulcerative colitis (UC) have not been well-evaluated. Here, we reviewed the long-term durability and safety of IFX in our single center pediatric cohort with UC. Methods: This retrospective study included 20 children with UC who were administered IFX. Results: For induction, 5 mg/kg IFX was administered at weeks 0, 2, and 6, followed by every 8 weeks for maintenance. The dose and interval of IFX were adjusted depending on clinical decisions. Corticosteroid (CS)-free remission without dose escalation (DE) occurred in 30% and 25% of patients at weeks 30 and 54, respectively. Patients who achieved CS-free remission without DE at week 30 sustained long-term IFX treatment without colectomy. However, one-third of the patients discontinued IFX treatment because of a primary nonresponse, and one-third experienced secondary loss of response (sLOR). IFX durability was higher in patients administered IFX plus azathioprine for >6 months. Four of five patients with very early onset UC had a primary nonresponse. Infusion reactions (IRs) occurred in 10 patients, resulting in discontinuation of IFX in four of these patients. No severe opportunistic infections occurred, except in one patient who developed acute focal bacterial nephritis. Three patients developed psoriasis-like lesions. Conclusion: IFX is relatively safe and effective for children with UC. Clinical remission at week 30 was associated with long-term durability of colectomy-free IFX treatment. However, approximately two-thirds of the patients were unable to continue IFX therapy because of primary nonresponse, sLOR, IRs, and other side effects.

• 치위생과학회지
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• 제11권3호
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• pp.163-171
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• 2011

지역아동센터 교사가 아동에게 일상적 구강보건교육을 실천할 수 있는 프로그램을 제공할 목적으로 일부 지역아동센터를 대상으로 전문가와 지역아동센터 교사가 협력하여 운영한 4주간의 구강건강증진 프로그램의 효과를 측정한 결과는 다음과 같다. 1. 구강건강증진 프로그램 운영 전 후의 구강보건지식을 평가한 결과 교육 전 3.43점에서 교육 후 4.40점으로 상승하였고, 이는 통계적으로 유의한 차이가 있었다(p<0.001). 2. 구강보건인식의 점수를 분석한 결과는 구강건강증진 프로그램 운영 전에 16.3점에서 운영 후 18.7점으로 지역아동센터를 이용하는 아동의 구강보건인식이 긍정적인 방향으로 증가하였다(p<0.05). 3. 지역아동센터를 이용하는 아동의 구강건강증진 프로그램 전후 구강건강행동의 변화에서 간식자체를 먹지 않거나 2~3일에 1회 섭취한다는 빈도와 어제 칫솔질 여부는 소폭 증가하였다. 4. 반복적인 구강보건교육을 통해 아동들의 구강 내 치면세균막관리 점수는 개선되었다(p<0.05). 이상의 결과로 지역아동센터 아동의 구강건강을 증진시키기 위해 교사들의 지속적인 감독과 교육이 진행될 수 있도록 구강건강 프로그램의 내용 개발과 프로그램의 확대가 이루어져야 할 것으로 사료된다.

• 한국보육지원학회지
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• 제10권2호
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• pp.43-71
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• 2014

본 연구는 어린이집 건강과 영양, 안전관련 제도적 법규나 평가인증의 기준과 내용에 대해 알아보고 관련 연구동향을 살펴봄으로써 앞으로의 연구과제나 발전방향을 모색하는 것을 목적으로 하였다. 이를 위하여 영유아보육법, 영유아보육법 시행규칙 및 어린이집 평가인증지표의 건강과 영양 그리고 안전관련 영역에 대해 살펴보았다. 또한 1991년 이후에 연구된 학위논문 및 학술지연구논문을 중심으로 건강과 영양, 안전관리에 대한 현황을 고찰하여 발전과제를 도출하였다. 그 결과 첫째, 건강과 영양 그리고 안전관리와 관련하여 세부적인 지침이 마련되어 있었으나, 이러한 규정이 실제로 잘 지켜질 수 있도록 관련 법규를 강화한다거나 법규에 상응하는 대책을 마련할 필요가 있다. 둘째, 건강과 영양 그리고 안전관련 평가인증지표 고찰을 통해 살펴본 바에 따르면 실제 구체적인 지침과 기준이 마련되고 있으나 의무화가 아니므로 건강과 영양, 안전에 대해 그 질을 보장받지 못하고 있는 실정이다. 그러므로 평가인증지표의 내용보완뿐만 아니라 제도적인 방법과 절차에 대하여 제고하여 효율적인 방안을 마련해야 할 것이다. 셋째, 건강, 영양, 안전관련 연구물중 안전에 대한 연구가 가장 많이 이루어졌으며 건강과 영양에 대한 연구는 부족한 실정이다. 따라서 건강과 영양에 대한 다양한 연구가 지속적으로 시도되어져야 할 것이다.