• 한국보육지원학회지
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• 제10권6호
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• pp.223-241
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• 2014

본 연구의 목적은 미국의 0~만 2세 영아와 만 3~4/5세 유아의 조기학습기준의 분석으로 살펴본 교육적 시사점을 통하여 한국의 자연탐구영역의 영아와 유아교육과정의 연계 방향을 모색하는 것이다. 자료수집은 미국의 각 주별 조기학습기준 중 0~만 2세와 만 3~4/5세로 연령이 분리된 12개주와 연령구분을 별도로 하지 않고 0~만 4/5세로 연령연계의 틀로 구성된 주 5개주이다. 연구문제에 따른 분석결과는 다음과 같다. 첫째, 0~만 4/5세로 연령이 연계된 5개 주의 조기학습기준의 자연탐구영역과 관련된 내용 영역은 모든 주에서 수학과 과학에 포함되고 인지발달과 추론에 일부 포함되었다. 그러나 0~만 2세와 만 3-4/5세로 연령이 분리된 12개 주의 경우는 0~만 2세는 인지발달이 포함되고 있지만 만 3~4/5세는 수학과 과학이 포함되어 있었다. 둘째, 0~만 2세의 10개 주의 조기학습기준의 자연탐구영역과 관련된 인지발달의 12개 하위 내용 중 개념발달과 기억, 문제해결, 탐색과 발견의 순으로 많이 포함되어 있었다. 셋째, 0~만 4/5세로 연령이 연계된 5개 주의 조기학습기준의 자연탐구영역과 관련된 내용 영역은 과학적 사고, 생물, 물리, 지구와 우주가 많이 포함되어 있었다. 그러나 연령이 분리된 12개주의 자연탐구영역의 관련 내용 영역은 0~만 2세는 2개주에서 생물, 물리, 지구와 우주가 모두 포함되어 있었다. 넷째, 연령이 연계된 주의 수학 영역의 내용은 수와 연산, 측정, 기하와 공간이 많이 포함되어 있었다. 연령이 분리된 주의 경우는 0~만 2세는 수와 연산, 기하와 공간이 모두 포함되어 있었고 만 3~4/5세는 수와 연산, 기하와 공간, 측정이 모두 포함되어 있었다. 본 연구를 통해 교육과정 개발 시 영아와 유아를 대상으로 발달 측면과 교과 측면의 연계성에 대한 검토가 필요함을 알 수 있었다.

• 대한후두음성언어의학회지
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• 제17권2호
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• pp.133-137
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• 2006

Objectives : The purpose of this paper is to know the efficacy of voice therapy for vocal fold nodules in children. Materials and Methods : Sixty two patients with vocal nodules(46 boys and 16 girls) were retrospectively reviewed. Age ranged from 4 to 15 years with mean age of 8 years. Questionnaire survey was carried out with voice handicap index, at pretherapy and post-therapy(3 months and 5 years after voice therapy). Results : Sixty two percent of the patients showed improvement by voice therapy. Twenty five patients continued education at home after voice therapy, but only eight childrens were included this group in pre-school aged children. Voice handicap index was improved in 3 months and 5 years after voice therapy. In contrast, pre-school children group showed slight aggravation in 5 years, especially in emotional subdomain. Conclusion : Voice therapy is effective primary treatment in children with vocal fold nodules. Different result between preschool aged children and school aged group shows needs for age specific approach of voice therapy.

• Clinical and Experimental Pediatrics
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• 제62권3호
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• pp.90-94
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• 2019

Purpose: Several published policy statements have warned against the risks associated with trampoline use and recommended safety guidelines. However, few studies have focused on trampoline-related injuries in Korea. This study aimed to assess the incidence and characteristics of pediatric trampoline-related injuries presented to Ulsan University Hospital. Methods: We retrospectively reviewed the medical records of children aged <16 years with trampoline-related injuries who visited our Emergency Department between 2008 and 2017. Results: Over the 10-year period, 178 trampoline-related injuries were reported, which represented a significant increase (P=0.016). Most (87.6%) of the injuries occurred during the last 5 study years, and a rapid increase in injuries was observed in children aged <6 years. Lower extremity injuries (62.4%) were the most common, followed by injuries of the upper extremities, head and face, and trunk, including injuries to the neck and spine. Sixty-seven children (37.6%) had fractures, and proximal tibia fractures were the most common. Fractures were significantly more common in younger children (<6 years old) than in older children (P=0.026). Conclusion: In Korea, the mechanism of trampoline injury is similar to that of injuries incurred in indoor trampoline parks but is characterized by smaller spaces and multiple users. Trampoline use and the incidence of trampoline-related injuries in children aged <6 years are increasing rapidly. Prohibiting the use of trampolines for children aged <6 years, restricting simultaneous use by multiple children, and ensuring adult supervision should be strictly emphasized. Public awareness and policy guidelines are needed to reduce the incidence of trampoline-related injuries.

• 한국지역사회생활과학회지
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• 제24권3호
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• pp.369-379
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• 2013

The purpose of this study was to investigate the prevalence rate of atopic dermatitis (AD) and indoor risk factors of AD in school-aged children living in Changwon, which is one of the largest industrial cities in Korean. Data were collected from 2,118 children in 12 elementary schools in Changwon city. A cross-sectional questionnaire based on the Korean Version of the ISAAC (International Study of Allergy and Asthma in Childhood) was employed to survey the $1^{st}$ and $4^{th}$ year elementary students from the 12 elementary schools in Changwon. The life time and last 12-month prevalence of itchy eczema were 20.6%; 70.5% in the elementary children. The life time and last 12-month prevalence of AD diagnosis were 28.8%; 12.6% in the elementary children. There was only one elementary school that was abnormal in the levels of particulate matters (PM), and $Co_2$. Multivariate logistic regression analysis revealed that risk factors for AD were BMI, the levels of PM, $Co_2$, CO, $No_2$, $O_3$, Ethylebenzene, and Xylene. This study could be used to manage possible risk factors that are related to the prevalence of AD and develop the strategies for prevention of AD.

• Asian Pacific Journal of Cancer Prevention
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• 제16권17호
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• pp.7583-7587
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• 2015

Epstein-Barr virus (EBV) is an extremely common herpesvirus that may cause asymptomatic infection or various diseases, including infectious mononucleosis, certain lymphoproliferative diseases and several types of neoplasms. Vaccine development is an important strategy to reduce the burden of EBV-associated diseases and the timing of vaccinations should be before primary infection occurs. In the past, more than 90% of Thai children were infected with EBV in early childhood. Now, due to the improved healthcare system in Thailand, we aim to determine current prevalence of EBV infection among people in different age groups. A total of 538 sera were collected from residents of Khon Kaen province in northeastern Thailand for detecting anti-EBV IgG. Sera of infants under 2-years-old were also tested for anti-EBV IgM and EBV-DNA. The prevalence of anti-EBV IgG was 47.1% (95% CI: 23.3-70.8) in infants aged 0-6 months, 34.9% (95% CI: 23.1-46.7) in those aged 6-24 months, 87.9% (95% CI: 79.5-96.3) in children aged 3-5 years and then maintained at above 95% through adulthood. These seropositivity rates among Thai children remain similar to those found in a previous study conducted 20 years ago. Thai children are still exposed to EBV from an early age. Therefore, a prophylactic vaccine should be given within the first two years of life.

• Journal of Nutrition and Health
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• 제52권2호
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• pp.194-205
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• 2019

본 연구는 취학전아동 대상 영양지수 (Nutrition Quotient for Preschoolers, NQ-P)를 이용하여 대전 지역에 거주하는 411명의 취학 전 아동을 대상으로 식행동을 평가하였다. 연구 대상자의 평균 NQ-P 점수는 $58.5{\pm}9.2$점으로, 전국 단위 조사 결과와 비교하였을 때 '중하' 등급에 해당한다. NQ-P 세 영역의 점수는 균형 영역은 $60.5{\pm}12.6$점, 절제 영역은 $50.2{\pm}15.7$점, 환경 영역은 $65.0{\pm}17.3$점으로, 각각 '중하', '중상', '중하' 등급에 해당한다. 성별에 따라 식행동을 평가하였을 때, 평균 NQ-P 점수는 남아는 $58.5{\pm}9.4$점, 여아는 $58.6{\pm}9.0$점으로 통계적으로 유의한 차이가 없었다. 성별에 따른 세 영역의 점수도 모두 차이가 없었다. 연령 그룹에 따라 식행동을 비교한 결과, 평균 NQ-P 점수는 만 3~4세 아동에서 $57.8{\pm}9.4$점, 만 5~6세 아동에서 $59.2{\pm}9.0$점으로 차이가 없었다. 균형과 절제 영역은 연령그룹에 따라 점수 차이를 보이지 않았으나, 환경 영역은 만 5~6세 아동이 만 3~4세 아동보다 높은 점수를 얻었다 (67.9 vs. 61.7점). 비만도에 따라 NQ-P 점수와 균형, 환경 영역의 점수는 차이가 없었으나, 절제 영역의 점수는 과체중/비만인 아동에서 낮게 나타났다 (46.6 vs. 51.0점). 만 3~4세 아동과 비교했을 때, 만 5~6세 아동이 채소 반찬, 가공 육류의 섭취가 많은 편이었고, 식사 중 돌아다니지 않고 식탁 (밥상)에 앉아서 먹는 경향이 높았다. 과체중/비만인 아동은 가공 음료의 섭취 빈도가 높은 결과를 보였다. 본 연구 결과를 통해 대전에 거주하는 미취학 어린이의 식행동 개선이 필요한 것으로 나타났으며, 이를 위해 효과적인 영양 교육이나 상담 등이 제공되어야 할 것으로 사료된다.

• 대한가정학회지
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• 제30권1호
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• pp.325-338
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• 1992

The study was designed to examine the nature of shyness in children focused on the relationshiop between shyness in parents and children. The subjects were 80 triads including fathers, mothers, and their children aged 58.5 months on the average. The parents completed the questionnaire which included items about shyness and sociability devised by Cheek & Buss(1981) and the mothers also answered for their children. Identified by teachers, the children were divided into 4 groups based on both their sexes and a quality of shyness(shy/unshy). No sex differences were found throughout the study, so the analysis was made only by their quality of shyness. The main results were as follows: 1) 45% of the shy children had begun to show shyness ar 3~3$\frac{1}{2}$ and 41% of them showed it the most strongly at 4~5. 2) Birth order and educational experiences(an attendance period at the institutions) were not related to shyness in children. 3) The more and the stronger they experienced stranger anxiety, the more they showed shyness; Shyness and sociability in children were negatively related(r=-.45) each other, implying that they are likely to be distinct traits. 4) Shyness in children was positively related to shyness in their parents regardless of their sexes, and negatively related to sociability in their mothers. 5) Most of the mothers had negative reactions on shyness in their children and wished them not to be shy.

• 말소리와 음성과학
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• 제10권1호
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• pp.65-74
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• 2018

The purpose of this study is to investigate age-specific features of 2;1- to 4;1-year -olds' production of monophthongs and diphthongs through both auditory perceptual analysis and acoustic analysis. Test material included {vowel+'da'} consisting of 7 monophthongs and 10 diphthongs and meaningful words beginning with vowels. The percentage of correct vowels was used for perceptual analysis and Praat(5.2.12) was used for acoustic analysis, analyzing variables related to monophthongs and diphthongs. The results of this study are as follows: First, perceptual analysis showed that children from an age group of 2;1 to 2;8 years showed significant difference in the accuracy level of both monophthongs and diphthongs as compared to those aged 2;9 to 3;4 years and those aged 3;5 to 4;1 years. Second, the results of acoustic analysis provided that formant (F1 and F2) of monophthong, in general, tended to decrease as age increased. In terms of F2 differentiation slope and regression slope, which were diphthong-related variables, the age group of 3;5 to 4;1 years showed a large general slope change.

• Journal of Nutrition and Health
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• 제51권3호
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• pp.254-263
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• 2018

본 연구는 유아의 점심 식사장소에 따라 영양소와 식품섭취량에 차이가 있는지를 조사하였다. 제5기 (2010 ~ 2012년) 국민건강영양조사 원시자료를 이용하여 개인별 24시간 회상에 의한 식품섭취조사 항목 중에서 점심 식사장소가 유아원/유치원일 경우 보육기관 점심식사군으로, 점심 식사장소가 가정과 이웃집/친척집일 경우 가정 점심식사군으로 나누어 복합표본설계 요소를 반영한 통계분석을 실시하였다. 대상자수는 1~2세에서 보육기관 점심식사군 179명, 가정 점심식사군 367명이었고, 3 ~ 5세에서 보육기관 점심식사군 549명, 가정 점심식사군 225명이었다. 연령군별 하루 총에너지섭취량, 점심과 저녁 식사로부터 에너지 섭취량은 두 집단 간 차이가 없었으나, 아침 에너지섭취비율이 보육기관 점심식사군에서 낮은 반면에 간식 에너지섭취비율은 더 높았다. 3 ~ 5세 유아에서는 나트륨, 칼륨 및 비타민 C 섭취량이 보육기관 점심식사군에서 많았으며, 리보플라빈 섭취량은 가정 점심식사군에서 유의하게 많았다. 점심으로부터 섭취한 식품군을 비교한 결과 1~2세 보육기관 점심식사군에서 채소류 섭취량이 유의하게 많은 반면에 과일류, 난류, 우유류 섭취량은 가정 점심식사군에서 많았다. 3 ~ 5세 보육기관 점심식사군의 점심으로부터 채소류, 두류, 어패류 섭취량이 유의하게 많은 반면에 우유류 섭취량은 가정 점심식사군에서 많았다. 3~5세 유아들이 보육기관 점심으로부터 채소류, 두류, 어패류를 더 많이 섭취하고 칼륨과 비타민 C를 많이 섭취하여 보육기관 점심이 영양소 균형과 식품 다양성 측면에서 가정 점심보다 나은 것으로 판단된다. 결론적으로 유아의 성장 발육을 위한 적절한 영양 공급은 물론, 올바른 식습관 형성을 위해서 보육기관 급식은 물론, 가정 식사에서도 채소류, 생선류 등 다양한 식재료를 활용하는 노력이 요구된다.

• Journal of Korean Neurosurgical Society
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• 제46권5호
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• pp.468-471
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• 2009

Objective : The adolescent presentation of tethered cord syndrome (TCS) is well-recognized, but continues to pose significant diagnostic and management controversies. The authors conducted a retrospective study of clinical outcomes after surgical intervention in 24 school-aged children, adolescents, and young adults with TCS. Methods : All 83 patients with a lipomyelomeningocele (LMMC) underwent untethering surgery for caudal cord tethering between 1987 and 2007. The clinical charts and follow-up data were reviewed. Of these patients, 24 school-aged children, adolescents, and young adults with TCS were studied with respect to the clinical, radiologic, pathologic features, and surgical outcomes. Results : Untethering procedures were performed in 24 patients (age range, 7-25 years) for TCS of various origins (lipoma, lipomyelomeningocele, and tight filum terminale). Specific circumstances involving additional tugging of the already tight conus, and direct trauma to the back precipitated the onset of symptom in 50% of the patients. Diffuse and non-dermatomal leg pain, often referred to the anorectal region, was the most common presenting symptom. Progressive sensorimotor deficits in the lower extremities, as well as bladder and bowel dysfunction, were also common findings, but progressive foot and spinal deformities were noted less frequently. The most common tethered lesions were intradural lipomas, thickened filum and fibrous band adhesions into the placode sac. The surgical outcome was gratifying in relation to pain and motor weakness, but disappointing with respect to resolution of bowel and bladder dysfunction. Of the 24 patients with TCS, pre-operative deficits improved after surgery in 14 (58.3%). remained stable in 8 (33.4%). and worsened in 2 (8.3%). Conclusion : The pathologic lesions of tethered cord syndrome in school-aged children, adolescents, and young adults, are mostly intradural lipomas and tight filum. It is suggested that the degree of cord traction results in neurologic dysfunction in late life due to abnormal tension, aggravated by trauma or repeated tugging of the conus during exercise. Early diagnosis and adequate surgical release might be the keys to the successful outcome in school-aged children, adolescents, and young adults with TCS.