• Clinical and Experimental Pediatrics
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• 제64권1호
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• pp.31-36
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• 2021

Background: The diagnosis of esophageal varices (EV) is based on the findings of esophagogastroduodenoscopy (EGD), biopsy, and serum markers. Thus, noninvasive cost-effective tests through which high-risk EV children can be diagnosed are needed. Purpose: This cross-sectional study aimed to identify the noninvasive markers for EV in children with liver cirrhosis. Methods: A total of 98 children with liver cirrhosis were evaluated in this study. The spleen size, platelet count, serum albumin, liver function test results, and risk scores were evaluated prior to endoscopy. The endoscopic investigations aimed to identify the presence of EV and red signs, and determine varices sizes. Results: Endoscopy revealed varices in 43 subjects (43.9%). The spleen size, platelet count, international normalized ratio, aspartate aminotransferase to platelet ratio index (APRI), platelet count to spleen size ratio, and risk score differed significantly between patients with and without EV on univariate analysis; however, the logistic regression analysis showed no differences, indicating that none of these parameters were independently associated with the presence of EV. Conclusion: Platelet count, risk score, platelet count to spleen size, and APRI can be useful tools for the identification of high-risk patients with EV and might reduce the need for invasive methods like EGD.

• Clinical and Experimental Pediatrics
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• 제50권4호
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• pp.323-327
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• 2007

Although most clinicians now agree that sinusitis can afflict children of all ages, appropriate diagnosis remain controversial. Sinusitis is one of the most challenging diagnoses for a clinician, because there is a lack of validated diagnostic criteria for acute rhinosinusitis. Symptoms generally include nasal congestion, purulent nasal discharge, and cough .The physical examination is often unsuccessful in confirming the diagnosis. If purulent discharge is seen oozing from the middle meatus, the diagnosis of acute rhinosinusitis is almost certain. Purulent drainage may also be seen in the posterior pharynx and accompanied by halitosis. Absence of light by transillumination may indicate acute rhinosinusitis. Imaging studies are not necessary to confirm the diagnosis of sinusitis in children younger than 6 years and should be used sparingly in children older than 6 years. Sinus radiographs still have several advantages over CT scanning including the relatively low cost and the ability to obtain films without the use of sedation in younger children. Positive findings of sinusitis on plain film include air-fluid levels, complete opacification, or mucosal thickening greater then 4 mm. The CT scan however, is significantly more sensitive then plain films in detecting these abnormalities. Although recovery of bacteria from a sinus aspiration is considered reference standard for diagnosis in pediatric rhinosinusitis, its routine used by pediatricians is not practical and therefore is not recommended.

• 한국전문물리치료학회지
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• 제5권2호
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• pp.65-80
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• 1998

Parents of handicapped children are experiencing difficulties in their children's care, social isolation, change of life style and lirnited leisure time. Because the parents should take care of the children's daily life, they have lots of psychological and physical stress. Chronic stress of parents puts stress to the other family members and affects the development of children with handicap. The purpose of this study were to identify the level of stress in each of parents of children with motor problem, the characteristics of the children and general information related with the children, and to analyse the stress by reasons. Specially organized questionnaire were used for an investigation method. "Test of stress in mother who has children with chronic illness" by Kim Hee-soon were modified and used. The questionnaire answered by 43 mothers and 35 fathers were analyzed. Data analysis includes frequency analysis, Pearson correlation coefficients, paired-samples t-test and MANOV A by SPSSWIN. The results were as follows: 1) Degree of handicap was most moderate (46.5%), level of motor development was most pull to walk (34.9%), and combined handicap was 69.8%. 2) Sexual distribution represented that 51.2% male and 48.8% female. The cost of physical therapy was 69.8% in no more than 100,000 won. 3) The mean of age, for the mother was 32.8 years and 35.3 years. Level of motor development that mother and father expect was 88.4%, 83% walk alone. 4) Both mother and father experienced stress in other of Part II (changes in father was the illness status of the child and difficulty in taking care of child), Part III (prognosis of the child's condition), Part I (social-personal relationships and the responsibility of the care givers). In the total score of stress, mother's stress is indicated higher level than father's stress. 5) There was no correlationship between characteristics and stress of mother and father. 6) There was no statistically significant difference between characteristics and related general information of children with handicap and stress of mother and father. As a results, the mother of children with handicap are experiencing more stress than the father. Both of parents have the most difficulties in the changes in the illness status of the child and difficulty in taking care of child. This study can be used as resources of education, therapy and counselling for children with handicap and their parents. This study, also, can be used to encourage the quality of Iife for the children with handicapped and their family.

• 영재교육연구
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• 제25권4호
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• pp.469-491
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• 2015

본 연구는 영재아동들의 집행기능 중 억제처리과정을 폭넓게 살펴보기 위하여 진행되었으며, 억제처리과정을 인지적 차원과 정서적 차원으로 구분하여 처리 양상을 비교 분석하였다. 실험은 국내의 ${\times}{\times}$ 대학부설 영재교육원에 재학 중인 영재아동들 총 100명(성별에 따라 남62 및 여38, 학년에 따라 초등46, 중등54)을 대상으로 진행되었다. 실험 1에서는 인지적 요소가 포함된 억제처리 기능을 알아보기 위하여 단어-색상 스트룹 과제(word-color Stroop task)를 사용하였고, 실험 2에서는 정서적 요소가 포함된 억제처리 기능을 알아보기 위하여 정서 스트룹 과제(emotional Stroop task)를 사용하였다. 실험 결과, 영재아동들은 억제처리 과정에서 인지적 자동반응을 억제하기 위한 인지적 비용이 발생하였으며, 이는 성별에 따른 차이는 없었으나 연령이 증가할수록 인지적 비용이 유의미하게 감소하는 것으로 나타났다. 반면에 정서적 요소가 포함되는 억제처리 과정에서는 간섭 비용이나 정서로 인한 인지편향이 유의하게 발생하지 않았으며, 성별이나 연령에 따른 차이도 나타나지 않았다. 이러한 연구결과는 영재아동들의 인지적 억제처리와 정서적 억제처리가 동일한 기제가 아닌 구분되는 처리 양상임을 시사한다.

• 대한가정학회지
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• 제28권2호
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• pp.73-89
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• 1990

The aim of the present study is to estimates the economic value of household work done by fulltime home makers, using alternative methods of valuation household work in Pusan Korea. Eight findings, five different methods -Self Estimation by Home Makers, Reservation Wage, Opportunity Cost, Individual function Cost, Replacement Cost(Visiting Housekeeper, Housekeeper, General Managemet, Housekeeper & General Management)- are tried for the estimation of economic value of household work. The results of this study can be outlined as follows : 1) The economic value of household work varies substantially by the methods of estimating. The averages are : 2) The economic value of household work varies with the level of education, ages, the number of children, the stage of FLC in all method of estimation, and the level of income in self estimation by home makers, Reservation wage. Specially, FLC revealed good explanation variable in method of estimation as input household work time. 3) The gap between two-day survey and three-day survey in household work time questionaire didn't so much.

• 대한가정학회지
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• 제29권2호
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• pp.121-134
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• 1991

The farm housewive's labor has not been properly evaluated, although it has traditionally shared and devoted a substantial portion of the farm household economy. The objective of this study is to estimate the money value of rural women's labor. The data were got from the result of time analysis of farm housewives in 1988. Among the four estimation methods used in this study, the mixed approach of houskeeper replacement cost with individual function cost showed the greatest value in the decision criteria of different farming region, farming size, housewive's age, family size and children number. The opportunity cost approach showed the lowest value, however, is considered as the most appropriate estimation approach in rural situation in this study. It is expected that the appropriate estimation approach should be estimate the money value of rural housewive's labor and their economic position.

• 동아시아식생활학회지
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• 제24권5호
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• pp.680-690
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• 2014

This study investigated the performance of hygiene management according to the capacity and food cost of foodservice in kindergartens as a measure of kindergartens foodservice hygiene management. Dietitians from the education office visited 50 kindergartens under the control of Dongbu District Office of Education during January, 2011. Kindergartens were 11 public and 39 private institutions. Over half of kindergartens (n=27) provided foodservice to 50~99 children. About 21 kindergartens had a foodservice cost per student per day of 2,000 won. Regarding personal hygiene, 'whether to wear an accessory or have a manicure' showed the best performance. 'Whether to have their health examined once every 6 months or keep their health records in 2 years' was rarely performed. For food materials, 'whether to buy food appropriate for the quality control standard of food materials' showed the highest performance. The highest performances for storage management of food materials and handling of food was 'whether to store goods within butlery at intervals more than 30 cm from the ground' and 'whether to heat and cook food more than $74^{\circ}C$', respectively. The highest performance for distribution of food and management of facilities was 'the hygienic management of cooking tools and facilities' and 'the proper installation of air-conditioning, heating and ventilation facilities', respectively. The results of this study show that capacity and food cost had the strongest effects on performance of personal hygiene. Especially, smaller facility size could increase performance of foodservice management.

• 한국유기농업학회지
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• 제13권2호
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• pp.145-159
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• 2005

The objectives of this study were to analysis satisfaction and additional cost scale about environmental-friendly agri-product school meal program. To analysis satisfaction about environmental-friendly agri-product (EFAP), parent' survey were conducted residing in Cheonan city. The sample size of the survey is 304 respectively. As a result, parents of students recognized that EFAP is good for their children as well as they really want to change food material from general agri-product to EFAP. Therefore, environmental-friendly agri-policy to be more focused on consumption behavior and food security needs. In order to perfectly change food material to EFAP, about l trillion won will be additionally needed. It means that the market demand of EFAP will be dramatically increased. On the other hand, safe school meal program is one of the most important in a child's life, vital for proper growth and development.

• 대한장애인치과학회지
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• 제3권2호
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• pp.80-86
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• 2007

A critical pathway (CP) defines the optimal care process, sequencing and timing of intervention by multi-disciplinary health care teams for a particular diagnosis and procedure. It plays an important role as a cost-effective health care delivery system and a tool for quality control of medical and dental services by means of standardizing medical practices. The aim of this study is to investigate the satisfaction of patients and medical/dental staff after implementation of a critical pathway for dental treatment of disabled children under general anesthesia and its cost effectiveness. Ten patients who underwent dental treatment under general anesthesia were included in the CP group between August and December 2006. The pre-CP group included 20 patients who underwent the same procedure from February 2003. The satisfaction of parent of child patient and medical staff members were compared between two groups. The parents' satisfaction was significantly improved after the implementation of CP and medical/dental staff members were highly satisfied with the usefulness of the critical pathway. In conclusion, the critical pathway for the dental treatment of disabled treatment under general anesthesia can highly improve the satisfaction of parents and medical/ dental staff members.

• Clinical and Experimental Pediatrics
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• 제65권3호
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• pp.136-141
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• 2022

Background: High-flow nasal cannula (HFNC) is a noninvasive respiratory support that provides the optimum flow of an air-oxygen mixture. Several studies demonstrated its usefulness and good safety profile for treating pediatric respiratory distress patients. However, the cost of the commercial HFNC is high; therefore, the modified high-flow nasal cannula was developed. Purpose: This study aimed to compare the effectiveness, safety, and nurses' satisfaction of the modified system versus the standard commercial HFNC. Methods: This prospective comparative study was performed in a tertiary care hospital. We recruited children aged 1 month to 5 years who developed acute respiratory distress and were admitted to the pediatric intensive care unit. Patients were assigned to 2 groups (modified vs. commercial). The effectiveness and safety assessments included vital signs, respiratory scores, intubation rate, adverse events, and nurses' satisfaction. Results: A total of 74 patients were treated with HFNC. Thirtynine patients were assigned to the modified group, while the remaining 35 patients were in the commercial group. Intubation rate and adverse events did not differ significantly between the 2 groups. However, the commercial group had higher nurses' satisfaction scores than the modified group. Conclusion: Our findings suggest that our low-cost modified HFNC could be a useful respiratory support option for younger children with acute respiratory distress, especially in hospital settings with financial constraints.