• 제목/요약/키워드: child indicators

검색결과 89건 처리시간 0.025초

2세 미만 소아의 경도 두부 외상 후 두개골 골절 및 두개내 병변의 위험 인자 (The Clinical Usefulness of Halo Sign on CT Image of Trauma Patients)

  • 정종일;김아진;신동운;노준영;김경환;김홍용;박준석
    • Journal of Trauma and Injury
    • /
    • 제20권2호
    • /
    • pp.83-89
    • /
    • 2007
  • Purpose: This research was performed to determine which clinical signs and symptoms of brain injury are sensitive indicators of skull fracture (SF) and intracranial injury (ICI) in head injured children. Methods: We conducted a prospective study of minor head trauma in children younger than 2 years of age for a 1-year period. Skull radiographs, brain computed tomography (CT), and data forms, including mechanism of injury, symptoms, physical findings, and hospital course, were completed for each child. Results: Of 137 study subjects, 17 (12.4%) had SF/ICI. Falls were the most common mechanism of injury, and heights of fall above 1 meter were associated with incidence of SF/ICI (p<0.05). Scalp abnormalities were not associated with incidence of SF/ICI. As for clinical symptoms, lethargy and a grouping of features (irritability & vomiting) were associated with incidence of SF/ICI (p<0.05). The incidence of seizure, loss of consciousness, vomiting, irritability, and scalp abnormality did not differ significantly between those with normal radiologic findings and those with SF/ICI. Among asymptomatic patients, 11 (14.5%) patients had SF/ICI, and among patients with normal scalp findings, 9 (12.7%) patients had SF/ICI. Conclusion: Clinical signs and symptoms, except for lethargy and a grouping of features (irritability & vomiting), were not sensitive predictors of SF/ICI. Nevertheless, SF/ICI occurred among normal children. In such a case, a liberal policy of CT scanning is warranted.

도서관용품 권장기준과 관리지침 개발에 관한 연구 (A Study on Developing the Recommended Standards and Management Guidelines of Library Goods)

  • 노영희;안인자;박미영
    • 정보관리연구
    • /
    • 제42권3호
    • /
    • pp.117-145
    • /
    • 2011
  • 본 연구에서는 도서관 현장의 용품 구매 및 관리업무의 효율화, 물품관리예산의 절감, 친환경적이고 디지털 친화적인 도서관용품의 발전 도모, 도서관용품 규격에 대한 표준적인 지침을 마련하기 위하여 도서관용품 권장기준과 관리지침을 개발하고자 하였다. 연구결과, 도서관용품을 6개 영역 117개의 용품으로 구분하여 각 용품에 대한 권장기준과 관리지침을 개발하였으며, 각 기준과 지침을 제공할 규격표 항목을 결정하여 통일된 표를 작성하였다. 규격표 항목은 각 용품명, 용품분류코드, 나라장터 물품 분류번호, 각 용품에 관한 '정의', '사용범위 및 용도', '용품규격', '종류와 치수', '구조', '비치장소', '관리요령', '비고'의 총 11개 항목이다. 본 연구가 도서관관련 법령, 도서관기준, 도서관편람에 반영되어 국가적인 차원에서의 도서관용품 표준화가 이루어질 수 있기를 바란다.

성격유형별 소집단 협동학습이 유아의 과학활동에 미치는 효과 (The Effects of Small Group's Cooperative Learning According to Personality Types on Young Children's Science Activities)

  • 강상;신지혜
    • 한국보육지원학회지
    • /
    • 제9권1호
    • /
    • pp.201-220
    • /
    • 2013
  • 본 연구는 협력적인 탐구과정이 요구되는 과학활동에 초점을 맞추어, 성격 유형별 소집단과학협동학습이 유아의 과학적 능력에 어떠한 영향을 미치는지 알아보고자 하였다. 이를 위해 전라북도 J시에 소재한 S유치원과 J유치원 만 5세를 대상으로 K-ABC 인지능력 검사와 MMTIC 성격유형 검사를 통해 각 기관별로 15명씩 총 30명을 EI지표에 따라 E(외향성)집단과 I(내향성) 집단의 성격유형 동질집단과 EI 혼합집단인 이질집단으로 구성하였다. 자료 분석은 과학적 태도는 공변량분석(ANCOVA), 과학적 지식 발달은 빈도 분석을 하였다. 연구결과 첫째, 소집단 협동학습에서 성격 유형별 동질집단과 이질집단 간 과학적 지식발달에 차이가 나타났다. 둘째, 소집단 협동학습에서 성격 유형별 동질집단과 이질집단 간과학적 태도에도 차이가 나타났다. Scheffe 사후검증을 실시한 결과 E동질집단과 I동질집단 간에 유의한 차이가 있었으나 I동질집단과 이질집단, E동질집단과 이질집단 간에는 차이가 없었고, I동질집단이 과학적 태도 향상에 가장 효과적인 집단구성이었다.

머신러닝 분석을 활용한 초등학교 1학년 ADHD 위험군 아동 종단 예측모형 개발 (Development of a Machine-Learning Predictive Model for First-Grade Children at Risk for ADHD)

  • 이동미;장혜인;김호정;배진;박주희
    • 한국보육지원학회지
    • /
    • 제17권5호
    • /
    • pp.83-103
    • /
    • 2021
  • Objective: This study aimed to develop a longitudinal predictive model that identifies first-grade children who are at risk for ADHD and to investigate the factors that predict the probability of belonging to the at-risk group for ADHD by using machine learning. Methods: The data of 1,445 first-grade children from the 1st, 3rd, 6th, 7th, and 8th waves of the Korean Children's Panel were analyzed. The output factors were the at-risk and non-risk group for ADHD divided by the CBCL DSM-ADHD scale. Prenatal as well as developmental factors during infancy and early childhood were used as input factors. Results: The model that best classifies the at-risk and the non-risk group for ADHD was the LASSO model. The input factors which increased the probability of being in the at-risk group for ADHD were temperament of negative emotionality, communication abilities, gross motor skills, social competences, and academic readiness. Conclusion/Implications: The outcomes indicate that children who showed specific risk indicators during infancy and early childhood are likely to be classified as being at risk for ADHD when entering elementary schools. The results may enable parents and clinicians to identify children with ADHD early by observing early signs and thus provide interventions as early as possible.

성조숙증 소아 대상 중재 임상시험의 등록 현황 보고 -Clinicaltrial.gov, WHO ICTPR, CRIS를 중심으로- (The Current State of Registration of Interventional Clinical Trials for Children and Adolescents with Precocious Puberty)

  • 심수보;서현식;이현희;이혜림
    • 대한한방소아과학회지
    • /
    • 제36권3호
    • /
    • pp.1-18
    • /
    • 2022
  • Objectives The purpose of this study was to investigate the current status of interventional clinical trial registration for children with precocious puberty and to secure basic data for the design of clinical trials for traditional Korean medicine treatment of precocious puberty. Methods The following resources were used to search for data: Clinicaltrial.gov, World Health Organization International Clinical Trials Registry Platform (WHO ICTRP), and Clinical Research Information Service (CRIS), using the search terms, 'Precocious puberty', 'child'. All clinical trials which were registered as of June 2022 were used. Results For the intervention and clinical trial design, gonadotropin releasing hormone (GnRH) analog was reported in 41.7% of trials, and single group assignment was performed in 66.7% of the studies. Prior consent had not been reported in 50% of the studies. Tanner stage and GnRH stimulation tests were reported by multiple trials as inclusion criteria, and prior treatment experiences for trial drugs were reported as exclusion criteria. The peak serum concentration of luteinizing hormone following GnRH stimulation test was used as a primary outcome in 45.8% of clinical trials, and other growth-related indicators such as growth rate, height, and predicted adult height were also reported. Conclusions In consideration of the design, eligibility criteria, and outcome measurement of the existing clinical trials identified in this study, it should be referred to in the design of clinical trials for traditional Korean medicine treatment of precocious puberty.

아동·청소년 대상 정보통신기술(ICT) 기반 국내 건강관련 중재연구의 주제범위 문헌고찰 (A Scoping Review of Information and Communication Technology (ICT)-Based Health-Related Intervention Studies for Children & Adolescents in South Korea)

  • 박지영;배진경;원서현
    • 한국보건간호학회지
    • /
    • 제37권1호
    • /
    • pp.5-24
    • /
    • 2023
  • Purpose: The objective of this review was to identify the research trends in Information and Communication Technology (ICT)-based health-related intervention studies for children and adolescents published in South Korea over the past 10 years. Methods: A scoping review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta Analyses (PRISMA) and the system classification framework for digital health intervention 1.0 of the World Health Organization (WHO) was applied to analyze how technology was being used to support the needs of the health system. Results: A total of 18 studies were included in the final analysis. The participants were mainly children with a variety of diseases. No studies had used innovative technology platforms such as artificial intelligence (AI), the Internet of Things (IoT), and robotics. In addition, the scope of application of the WHO classification criteria was quite limited. Finally, no intervention study considered technical operational indicators, such as the number of website visits and streaming as outcome measurements. Conclusions: Researchers should introduce advanced technology-based strategies to provide customized and professional healthcare services to children and adolescents in South Korea and continue efforts to integrate innovative ICT for various research purposes, subjects, and environments.

노인 투석환자의 영양상태 평가 (Assessment of Nutritional Status in Elderly Dialysis Patients)

  • 노유자;하혜정;고혜영;박옥순
    • 대한간호학회지
    • /
    • 제26권2호
    • /
    • pp.304-319
    • /
    • 1996
  • It is important to evaluate nutritional status of elderly patients receiving dialysis, since wasting and malnutrition are their common problems. This study aims at assessing their nutritional status by the type and duration of dialysis. The nutritional status such as somatic fat and protein storage was evaluated with anthropometric measure including weight/height ratio, triceps skinfold thickness and midarm muscle circumference. It was also measured with albumin, transferrin, C3 and IGF-1 and calorie and protein intakes. The general clinical condition of patients was evaluated with the severity of uremia and metabolic acidosis. which were measured through the levels of serum urea, creatinine and bicarbonateion. The data were analyzed by using t-test, ANOVA, Wilcoxon-rank sums test, Scheffe test, Kruskal-Wallis test and Pearson correlation coefficients. The results are following : 1. There was no significant difference in the calorie and protein intakes by the type and duration of dialysis received. 2. As for the anthropometric measures, no significant difference was found by the type of dialysis in body mass index triceps skinfold thickness and midarm muscle circumference. Yet these anthropometric measures differed significantly by the duration of dialysis in those elderly patients receiving hemodialysis(HD group), but this finding was not found in those receiving continuous ambulatory peritoneal dialysis(CAPD). 3. Regarding the indicators of uremia and metabolic acidosis, blood urea nitrogen(BUN) and creatinine were lower in the CAPD group than in the HD group, whereas bicarbonate ion was higher in the CAPD group than in the HD group, with no statistical significance. In the HD group, creatinine increased significantly with the increase of the duration of dialysis. 4. Serum trasferrin and C3 were significantly higher in the CAPD group than in the HD group. However. each of biochemical indices did not show statistical significance by the duration of dialysis in both HD and CAPD groups. 5. Anthropometric measures were significantly associated with dietary intake. Significant correlations were observed between biocarbonate ion, BUN and creatinine. In addition, the correlations between serum protein and albumin and between transferrin and C3 were statistically significant. Yet, IGF-1 revealed no significant correlation with other nutritional indices. The above findings indicate that there were no difference in nutritional status measured with protein and calorie intakes between the type and duration of dialysis, but CAPD seems to benefit correcting uremia and metabolic acidosis than HD. Studies of dietary management for dialysis patients need to be pursued in order to improved the quality of aged patients receiving dialysis.

  • PDF

일부(一部) 고소득(高所得) 아파트 단지내(團地內) 유치원(幼稚園) 어린이의 성장발육(成長發育) 및 영양(營養)에 관(關)한 연구(硏究) (The Dietary Status of Kindergarten Child from a High Socioeconomic Apartment Compound in Seoul)

  • 현화진;모수미
    • Journal of Nutrition and Health
    • /
    • 제13권1호
    • /
    • pp.27-36
    • /
    • 1980
  • A dietary survey of 100 children, aged 5 to 6, of Y.C. Kindergarten located in Yowido apartment compound of Seoul, was conducted July 18 to August 21, 1979. The results are summarized as follows: General family environment: Ninety four percent of the subjects were from families having two to three children, without grandparents in the home. One hundred percent of fathers were educated at or above the college level, while 83.9% of mothers had completed college. Mothers' ages ranged from 30 to 40 years, with 58% in the $31{\sim}35$ age bracket. Nearly 60% of the fathers were office and government employees, 10% were professors and teachers, 30% were engaged in businesses and other work, while 91.3% of mothers were unemployed. Anthropometric measurements: Mean values of standing height, body weight, girth of head and girth of chest, ranged from the 75th to the 90th percentile of Korean standards. None of the subjects had anthropometric indicators below the 5th percentile, representing the malnutrition borderline, of the Korean standards; while 12%, 24%, 17% and 14% of subjects supposed the 97th percentile in standing height, body weight, girth of head, and girth of chest, respectively. Furthermore, 58% of subjects exceeded Jelliffe's standard in arm circumferences; 60%, in triceps skinfold thickness; and 14.5% of subjects exceeded 120% of the latter standard. From this data, a certain number of these children were judged to he rather overweight. Dietary intake: Mean intake per day of energy and of nutrients, excluding iron, reached or exceeded Korean recommended dietary allowances. The energy input ratio of carbohydrate: protein: fat was 61.4 : 13.2 : 25.4, showing lower dependance on carbohydrates and higher dependance on fat for energy needs, compared with the average for Korean children of the same age group. Mean FAO-protein score of each subject's diet was shown to be as high as 90.6. Energy intake was divided among breakfast, lunch, and evening meal, on the average, in a ratio of 19.6 : 24.1 : 23.0. Approximately 33.3% of the daily caloric intake came from the snacks. Nutrition Knowledge of mothers: Nutrition knowledge of mothers was highly scored. Mothers' self-evaluations of their knowledge of nutrition was highly correlated with attitudes toward nutrition behavior.

  • PDF

부모의 사회경제적 지위가 출산결과 및 영아사망에 미치는 영향: 2000년대 초반과 후반을 중심으로 (The Effect of Parental Socioeconomic Position on the Association between Birth Outcomes and Infant Mortality in Korea: Focusing on Early and Late 2000's)

  • 김상미;김동식
    • 한국인구학
    • /
    • 제35권1호
    • /
    • pp.131-149
    • /
    • 2012
  • 본 연구는 2000년 초반과 후반 우리나라의 출산결과와 영아사망에 대한 부모의 사회경제적 지위의 영향력 변화를 파악하고자 하였다. 이를 위해 통계청의 2001-2003년(T1), 2006-2008년(T2) 출생통계와 사망원인통계가 연계된 자료를 활용하였다. 출산결과는 정상아, 부당경량아, 부당중량아, 자궁내발육부전으로 분류하였으며, 영아사망은 생후 1년 이내 사망으로 정의하였다. 자료의 제약으로 인해 부모의 사회경제적 지위는 학력과 직종으로 국한하였다. 분석결과, 불량한 출산결과인 부당경량아와 자궁내발육부전 출생아의 영아사망 위험은 T1 보다 T2에 상대적으로 증가하였다. 이는 미숙아(재태연령 37주 미만), 저체중아(출생 시 체중 2,500g 미만) 중에서도 더 빨리, 더 작게 태어나는 출생아가 최근 증가함으로써 인구의 질이 더욱 악화되었음을 의미한다. 게다가 T1 대비 T2의 영아사망에 대한 모 연령이 지닌 영향력은 사라진 대신 부모의 사회경제적 지위가 지닌 영향력은 증가하여, 궁극적으로 사회계층 간 영아사망 불평등이 심화되고 있음을 의미한다. 부모의 사회경제적 지위에 따른 출산결과와 영아사망의 격차가 향후 어떻게 전개될지에 대한 지속적인 연구가 필요하다.

  • PDF

소아 체성분의 새로운 표현법: 체지방량지수(fat mass index)와 제지방량지수(fat-free mass index) (The novel expression method of pediatric body composition : fat mass index and fat-free mass index)

  • 조영규;강재헌;송혜령;김경아;송지현;정명호
    • Clinical and Experimental Pediatrics
    • /
    • 제50권7호
    • /
    • pp.629-635
    • /
    • 2007
  • 목 적 : 본 연구는 소아에서 새로운 체성분 표시법인 체지방량지수(fat mass index, FMI)와 제지방량지수(fat-free mass index, FFMI)의 유용성을 평가하기 위해 수행되었다. 방 법 : 2006년 과천시 초등학교 2학년 학생 466명(남아 : 248명, 여아 : 218명)을 대상으로 체성분 분석을 비롯한 신체계측과 혈액검사를 시행하였다. 신체계측 변수들 간의 상관계수와 비만지표들과 대사성 위험인자들의 상관계수를 구하였고, 체지방량지수에 의해 비만으로 진단된 소아와 정상 체지방량지수인 소아의 대사성 위험인자를 비교하였다. 본 연구 대상자의 체지방량지수 및 제지방량지수 백분위수 분포와 Nakao 등이 제시한 일본 소아의 체지방량지수와 제지방량지수 백분위수 분포를 비교하였다. 결 과 : 본 연구대상자들은 후쿠오카 지역의 소아에 비해 체지방량지수는 작고 제지방량지수는 컸다. 체지방량지수는 기존의 비만지표 및 여러 대사성 위험인자와 상관관계가 있었으며, 체지방량지수가 증가함에 따라 대사 질환의 위험도가 증가되었다. 결 론 : 과천지역의 초등학교 2학년 소아에서 새로운 체성분 표현방법인 체지방량지수와 제지방량지수는 체격과 성장이 다른 소아의 체성분의 차이를 비교하는데 유용하였으며, 체지방량지수의 증가는 대사질환 위험의 증가와 관련이 있었다. 체지방량지수와 제지방량지수를 임상에서 널리 사용되기 위해서는 국내 소아의 성별 연령별 체지방량지수와 제지방량지수 정상 표준치에 대한 연구가 필요하다.