• 한국산학기술학회논문지
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• 제21권10호
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• pp.84-93
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• 2020

본 연구의 목적은 어머니가 지각한 가족기능(유연성, 응집성)이 자녀가 성장하는 과정에서 어떤 양상으로 변화하는지 확인하고, 변화 양상에 기초한 잠재계층에 따라 자녀의 자아존중감, 내재화 및 외현화 문제행동에 차이가 있는지 살펴보는 것이다. 잠재계층 확인을 위해 3개 시점의 자료(2013년, 2014년, 2016년), 자아존중감과 문제행동 차이 검증을 위해 5개년도 자료(2013년-2017년)를 사용하였으며, 분석 대상은 1,348명이다. 분석 결과, 첫째, 잠재계층성장분석을 적용했을 때 유연성은 저수준 증가형 집단, 중수준 증가형 집단, 중상수준 증가형 집단, 상수준 무변화형 집단, 응집성은 저수준 증가형 집단, 중수준 증가형 집단, 감소형 집단, 상수준 증가형 집단, 최상수준 무변화형 집단이 확인되었다. 둘째, 초등학령기에 해당하는 2015년(초1), 2016년(초2), 2017년(초3) 모두 유연성, 응집성의 잠재계층에 따라 자아존중감 수준에 차이가 확인되었으며, 대체로 유연성은 상수준 무변화형 집단, 응집성은 최상수준 무변화형 집단 자녀의 자아존중감이 높은 것으로 확인되었다. 셋째, 유아기에 해당하는 2013년, 2014년, 초등학령기에 해당하는 2015년(초1), 2017년(초3) 모두 유연성, 응집성의 잠재계층에 따라 내재화, 외현화 문제행동 수준에 차이가 확인되었으며, 유연성은 저수준 증가형 집단, 중수준 증가형 집단, 응집성은 저수준 증가형 집단, 중수준 증가형 집단, 감소형 집단의 내재화, 외현화 문제행동 수준이 높은 것으로 확인되었다. 본 연구는 잘 기능하는 가족 시스템이 자녀의 심리사회적 적응 과정에 중요한 역할을 하는 것을 시사한다.

• Nutrition Research and Practice
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• 제2권2호
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• pp.114-120
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• 2008

A diet habit, which is developed in childhood, lasts for a life time. In this sense, nutrition education and early exposure to healthy menus in childhood is important. Children these days have easy access to the internet. Thus, a web-based nutrition education program for children is an effective tool for nutrition education of children. This site provides the material of the nutrition education for children with characters which are personified nutrients. The 151 menus are stored in the site together with video script of the cooking process. The menus are classified by the criteria based on age, menu type and the ethnic origin of the menu. The site provides a search function. There are three kinds of search conditions which are key words, menu type and "between" expression of nutrients such as calorie and other nutrients. The site is developed with the operating system Windows 2003 Server, the web server ZEUS 5, development language JSP, and database management system Oracle 10 g.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제26권1호
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• pp.12-21
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• 2015

In an effort to expand working opportunities for women and encourage childbirth, the government of Korea introduced the free infant care policy in 2013. This policy, however, was controversial with regard to issues, such as budget shortages and dissatisfaction based on socioeconomic status. In addition, the lack of evidence-based data regarding adequate age criteria for the entry of children into childcare facilities was noted as a challenge. As child development professionals who are concerned with mental health issues, we investigated the influence and challenges of the free infant care policy with regard to infant mental health. In this review, we examined the policies enacted by developed countries, such as the United Kingdom (UK), and compared them with those in Korea. The childcare systems in Korea and the UK differ historically and socially, but show some similarities, such as maternal responsibility for parenting and household issues. Like Korea, the need for UK childcare facilities increased in the 1990's in response to market recovery and associated increase in female employment. Among the new policies in the UK, the Sure Start program has begun to provide integrated services for infants, particularly to those 0-4 years of age, who are vulnerable to social exclusion. Similar to the Dream Start program in Korea, it has been successful in providing family-related services, resulting in improvements in problematic behaviors of children, enhanced parenting skills, and decreased rates of severely injured children.

• 대한소아치과학회지
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• 제38권2호
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• pp.119-128
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• 2011

초기 혼합치열기 어린이의 전치부 반대교합 평가과정에서는 부정교합의 골격적 특성이 강할수록 상악 치아의 맹출 및 형성이 현격히 지연되는 것이 흔히 감지되었다. 만일 두개안면부의 전후방적 골격적 특성이 치아의 성숙도와 연관성을 가진다면, 치아의 발육과 맹출에 대한 평가가 반대교합의 조기 감별진단의 한 도구로써 가치가 있을 것으로 판단되었다. 본 연구는 초기 혼합치열기의 상악 열성장형 반대교합 아동에 있어서 상악의 치아 석회화도와 맹출률, 그리고 측두방사선규격사진 분석을 통한 수종의 계측치 간 연관성을 규명할 목적으로 시도되었다. 부산대학교치과병원 소아치과에 교정적 목적으로 내원한 Hellman 치령IIA IIC 아동 중, 전치부 반대교합을 보이는 III급 부정교합 증례로부터 상악 열성장군과 상악 정상군 각 50례를 무작위 추출하여 연구 대상으로 하였다. 이들의 측두방사선 규격사진과 파노라마방사선사진을 이용하여 각 군의 골격적 양상, 상하악 치아의 석회화도와 맹출률을 구하고 그 차이와 상관성을 분석하여 다음과 같은 결과를 얻었다. 1. 양 군의 상악 치아 성숙도 비교에 있어서 상악 열성장군의 제 1대구치만 석회화도와 맹출률 이 낮게 나타났다(p<0.05). 2. 역령은 상악 치아의 석회화도와 맹출률과 높은 상관관계를 보였다(p<0.05). 3. 상하악의 전후방적 악골 관계중 Wits는 상악 제 1대구치의 석회화도와 맹출률 모두를, SNA는 맹출률을 예측할 수 있는 유용한 지표로 나타났다(p<0.05).

• 대한장애인치과학회지
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• 제6권2호
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• pp.112-115
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• 2010

화학치료와 방사선 치료는 보존적이고 효과적인 항암치료 방법이다. 그러나 악골 및 치아의 성장이 완료되지 않은 성장기 아동의 경우에는 발육 장애를 유발할 수 있다. 환자 의 삶의 질 개선을 위해 이러한 부작용을 예방할 수 있는 방법이 모색되어야 할 것이다.

• 가정과삶의질연구
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• 제34권4호
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• pp.89-109
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• 2016

The purposes of this study were to analyze and understand the life of mothers rearing children with Down syndrome and to present basic data for overcoming the difficulties of those families. For these purposes, this study made use of the phenomenological analysis and approach with a qualitative research method. The subjects of this study are 4 mothers rearing children with Down syndrome who are beyond school age. The results were as follows. First, the reason why mothers with Down syndrome children went through psychological shock and horror was the social stigma due to the unusual appearance of children with Down syndrome. Second, the isolation with in the public education system was disclosed as a factor causing much sorrow and pain. Through this, we can recognize the importance of ensuring the equal right to receive education of children with Down syndrome. Third, the period which the mother experienced most shock and confusion was right after finding out about the disability that her child has. So, we can identify the importance of early intervention providing psychotherapy and rearing service to the parents. Fourth, the crucial factor that relieved pain and pressure from mothers was social support including family. Therefore, the social support system for mothers with Down syndrome children has to be developed and strengthened. Fifth, the crucial factor that made mother grow up during rearing experience was the reestablishment of cognition about the desired role of mothers. Through this, we can identify the importance of the mental transition process to independent thinking.

• Asian Pacific Journal of Cancer Prevention
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• 제16권4호
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• pp.1479-1485
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• 2015

Background: Even after completion of conventional treatment, breast cancer survivors continue to exhibit a variety of psychological and physical symptoms, affecting their quality of life. The study aimed to investigate the relationship between socio-demography, medical characteristics and health-related quality of life (HR-QOL) of a sample of breast cancer survivors in Malaysia. Materials and Methods: This pilot cross-sectional survey was conducted among breast cancer survivors (n=40) who were members of Breast Cancer Support Group Centre Johor Bahru. A validated self-administered questionnaire was used to identify the relationships between socio-demography, medical characteristics and HR-QOL of the participants. Results: Living with family and completion of treatment were significant predictive factors of self-rated QOL, while living with family and ever giving birth significantly predicted satisfaction with health and physical health. Psychological health had moderate correlations with number of children and early cancer stage. Survivors' higher personal income (>MYR4,500) was the only significant predictor of social relationship, while age, income more than MYR4,500 and giving birth significantly predicted environment domain score. Conclusions: The findings suggested the survivors coped better in all four HR-QOL domains if they were married, lived with family, had children and were employed.

• 한국산학기술학회논문지
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• 제18권10호
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• pp.490-498
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• 2017

본 연구는 유치원을 이용하는 부모들을 대상으로 방과후과정과 특성화활동 이용 현황을 살펴보고, 그 결과를 토대로 효과적인 정책 개선 방안을 제안하는 데 그 목적이 있다. 693명의 부모를 대상으로 면담원이 부모와 대면 면담조사를 실시하였고, 수집된 자료는 백분율, 평균과 표준편차 등을 이용하여 결과를 산출하였다. 먼저 방과후과정 이용현황을 조사한 결과를 보면, 첫째, 방과후과정 이용에 따른 추가 부담 지출 비율이 전체 조사 대상의 약 38.2%이며, 추가 비용의 평균액은 약 62,850원이었다. 비용부담과 만족도를 5점 만점 기준으로 볼 때, 보통수준으로 나타났다. 둘째, 방과후과정 참여 이유로는 부모의 맞벌이, 자녀가 친구들과 시간을 함께 보내게 하고 싶어서 등과 같은 순으로 나타났다. 다음으로 방과후특성화활동 이용 현황을 살펴본 결과는 다음과 같다. 첫째, 방과후특성화활동 이용 유아 비율은 조사 대상의 약 68.2%이며, 그 중에서 비용 지출 유아는 약 79.0%, 평균 이용 개수는 약 2.69개이며, 평균 비용은 83,540원으로 조사되었다. 둘째, 선호하는 교육프로그램은 영어가 압도적인 비율로 높게 나타났으며, 자녀들이 활동을 좋아해서 참여한다고 응답한 비율이 가장 높았다. 셋째, 방과후특성화활동 개선요구 사항으로는 교육내용의 내실화가 1순위로 제시되었다. 마지막으로 방과후특성화활동으로 인해 부모의 사교육비 지출이 감소되었다는 응답비율이 높게 나타났다. 이와 같은 조사 결과를 토대로 방과후과정 및 특성화활동 성격에 맞는 적합한 교육프로그램 개발 및 실행 등의 개선 방안을 논의하였다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제32권3호
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• pp.118-125
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• 2021

Objectives: Childhood adversity is a risk factor for anxiety symptoms, but it affects anxiety symptoms in attention-deficit/hyperactivity disorder (ADHD). The current study aimed to examine the association between childhood adversity and anxiety symptoms in participants with and without ADHD. Methods: Data were obtained from a school-based epidemiological study of 1017 randomly selected children and adolescents. The ADHD and non-ADHD groups were divided using the Diagnostic Interview Schedule for Children Predictive Scale (DPS). The DPS was also used to assess comorbidities such as anxiety and mood disorders. The childhood adversities were assessed using the Early Trauma Inventory Self Report-Short Form, and the anxiety symptoms were assessed using the Screen for Child Anxiety Related Disorders. Linear and logistic regression models were used to investigate the association between childhood adversity and anxiety in the ADHD and non-ADHD groups with adjustments for age and sex. Results: This study found that the ADHD group did not show any significant association between anxiety symptoms and childhood adversities, whereas the non-ADHD group always showed a significant association. In a subgroup analysis of the non-ADHD group, the normal group without any psychiatric disorders assessed with DPS demonstrated a statistically significant association between childhood adversities and anxiety symptoms. These results were consistent with the association between childhood adversities and anxiety disorders assessed using DPS, as shown by logistic regression. Conclusion: The association between anxiety symptoms and childhood adversities statistically disappears in ADHD; ADHD may mask or block the association. Further longitudinal research is necessary to investigate this relationship.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제33권1호
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• pp.16-23
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• 2022

Objectives: Early detection of developmental issues in infants and necessary intervention are important. To identify the comorbid conditions, a comprehensive evaluation is required. The study's objectives were to 1) generate scale items by identifying and eliciting concepts relevant to young children (12-71 months) with developmental delays, 2) develop a comprehensive screening tool for developmental delay and comorbid conditions, and 3) assess the tool's validity and cut-off. Methods: Multidisciplinary experts devised the "Infant Comprehensive Evaluation for Neurodevelopmental Delay (ICEND)," an assessment method that comes in two versions depending on the age of the child: 12-36 months and 37-71 months, through monthly seminars and focused group interviews. The ICEND is composed of three parts: risk factors, resilience factors, and clinical scales. In parts 1 and 2, there were 41 caretakers responded to the questionnaires. Part 3 involved clinicians evaluating ten subscales using 98 and 114 questionnaires for younger and older versions, respectively. The Child Behavior Checklist, Strengths and Difficulties Questionnaire, Infant-Toddler Social Emotional Assessment, and Korean Developmental Screening Test for Infants and Children were employed to analyze concurrent validity with the ICEND. The analyses were performed on both typical and high-risk infants to identify concurrent validity, reliability, and cut-off scores. Results: A total of 296 people participated in the study, with 57 of them being high-risk (19.2%). The Cronbach's alpha was positive (0.533-0.928). In the majority of domains, the ICEND demonstrated a fair discriminatory ability, with a sensitivity of 0.5-0.7 and specificity 0.7-0.9. Conclusion: The ICEND is reliable and valid, indicating its potential as an auxiliary tool for assessing neurodevelopmental delay and comorbid conditions in children aged 12-36 months and 37-71 months.