• 한국사회복지학
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• 제62권2호
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• pp.57-85
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• 2010

본 연구는 미국 위스컨신 주에서 수행된 아동양육비 이행 시범사업 서베이 자료를 이용하여, 자녀를 양육하지 않는 아버지와 자녀를 양육하는 빈곤층 어머니의 가족구조 특성이 아버지가 제공하는 비공식 양육비 수준과 관련이 있는지를 분석하였다. 분석결과, 비공식 양육비 수준은 해당 자녀 부모의 현재 결혼상태, 자녀의 출생 당시 결혼상태와 관련이 있었다. 아버지의 자녀를 낳은 배우자 수는 비공식 양육비 수준과 관계가 없었다. 여러 배우자 사이에 자녀를 가진 경우, 아버지는 첫 번째 배우자 사이에 출생한 자녀에게 더 많은 비공식 양육비를 제공하였다. 아버지 자녀의 구성과 관련하여, 해당자녀의 형제/자매의 존재, 해당자녀의 이복형제 등 또 다른 자녀의 존재도 비공식 양육비 수준과 관련을 맺었다. 또한 공식적 아동양육비와 비공식적 아동양육비는 보완적인 관계를 맺고 있음을 밝혔다.

• 디지털융복합연구
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• 제18권4호
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• pp.201-209
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• 2020

본 연구는 아동의 그림을 통하여 정서 상태를 분석하고 그 결과에 따라 심층 검사 대상자를 선별하여 전문 기관에 연계하도록 하는 시스템에 대한 사례 연구이다. 공간적·시간적 제약을 극복하기 위해 아동 그림 분석의 신청부터 최종 결과의 피드백까지 단계적으로 처리할 수 있도록 하기 위한 웹 기반 시스템을 개발하여 적용하였고, 결과에 따라 전문기관의 도움을 받기 위해 연결된다. 온라인 플랫폼은 스마트폰을 이용하여 1차 스크니링 목적으로 관찰을 실시하고, 이후 결과를 토대로 오프라인의 2차케어 연계 프로세스를 진행하도록 설계되었다. 부모의 양육스트레스를 함께 분석하여 검사의 정확도를 높이고 문제의 원인을 찾는데 도움이 되도록 하였다. 보육기관에 다니는 만 3세에서 만 5세 사이의 아동 2,532명과 그 부모를 대상으로 하였다. 프로그램 적용 결과 아동 중 564명과 부모 중 223명이 2차 기관 케어 지원대상으로 분석되었고, 학부모 311명에 대한 교육 및 상담을 실시하였다.

• Perspectives in Nursing Science
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• 제15권2호
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• pp.49-69
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• 2018

Purpose: The purpose of this study was to derive contextual indicators of medical provider quality and assess their relative importance along with the individual utilization of antenatal care (ANC) and institutional births with a skilled birth attendant (SBA) in India using a multilevel framework. Methods: The 2015~2016 Demographic and Health Survey (DHS) from India was used to assess the outcomes of neonatal, infant, and under-five child mortality. The final analytic sample included 182,980 children across 28,283 communities, 640 districts, and 36 states and union territories. The contextual indicators of medical provider quality for districts and states were derived from the individual-level number of ANC visits (<4 or ${\geq}4$) and institutional delivery with SBA. A series of random effects logistic regression models were estimated with a stepwise addition of predictor variables. Results: About half of the mothers (47.3%) had attended ${\geq}4$ ANC visits and 75.8% delivered in institutional settings with SBAs. Based on ANC visits, 276~281 districts (43.1~43.9%) and 13~16 states (36.5~44.4%) were classified as "low" quality areas, whereas 268~285 districts (41.9~44.5%) and 8~9 states (22.2~25.0%) were classified as "low" quality areas based on institutional delivery with SBAs. Conditional on a comprehensive set of covariates, the individual use of both ANC and SBA were significantly associated with all mortality outcomes (OR: 1.17, 95% CI: 1.08, 1.26, and OR: 1.10, 95% CI: 1.02, 1.19, respectively, for under-five child mortality) and remained robust even after adjusting for contextual indicators of medical provider quality. Districts and states with low quality were associated with 57~61% and 27~43% higher odds of under-five child mortality, respectively. Conclusion: When simultaneously considered, district- and state-level provider quality mattered more than individual access to care for all mortality outcomes in India. Further investigations are needed to assess the importance of improving the quality of health service delivery at higher levels to prevent unnecessary child deaths in developing countries.

• 한국보육학회지
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• 제19권2호
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• pp.71-84
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• 2019

본 연구는 보육교사의 행복감과 셀프리더십이 유아권리존중에 미치는 영향을 살펴보는데 목적을 두었다. 이를 위해 G시에 소재한 어린이집에서 근무하고있는 보육교사 350명을 대상으로 질문지를 사용하였으며 최종 291부를 일원배치분산분석, 위계적 회귀분석을 통해 분석하였다. 연구결과, 첫째, 행복감 하위요인인 외적행복과 자기조절행복은 보육교사학력에 따라 차이가 있었으며, 셀프리더십 하위요인인 행위전략과 인지전략은 학력과 경력에 따라 차이가 있었다. 유아권리존중 하위요인인 생존권, 보호권, 발달권, 참여권은 보육교사 학력과 경력에 따라 차이가 있었으며, 발달권은 어린이집 유형에 따라서도 차이가 있었다. 둘째, 보육교사의 행복감, 셀프리더십, 유아권리존중 간에도 유의미한 정적상관이 있는 것으로 나타났다. 셋째, 보육교사의 행복감과 셀프리더십이 유아권리존중에 유의미한 영향을 미치는 것으로 나타났다. 본 연구는 동시대가 요구하는 유아권리존중 인식이 높은 보육교사 양성을 위한 노력의 일환으로 보육교사의 행복감과 셀프리더십을 증진시키는 제도 및 교육 방안 마련을 위한 노력이 필요함을 확인하는데 그 의의를 둔다.

• 대한한방소아과학회지
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• 제35권2호
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• pp.11-20
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• 2021

Objectives The purpose of the study is to evaluate the safety of the Allium Fistulosum extract in children and its effectiveness in height growth. Methods This study is randomized, double-blind, placebo-controlled trial. The participants are children between the 3rd and 25th percentiles in height, and between the ages of 5 and 12 years. They are randomly assigned to treatment group or control group. The treatment group will take 5 g (1 g as Allium Fistulosum extract) for 24 weeks, 1 time a day. The control group will take the 5 g (0 g as Allium Fistulosum extract) of placebo for 24 weeks, 1 time a day. The primary outcome is change in height, and the secondary outcomes are growth rate, height standard deviations, Insulin-like growth factor-1 (IGF-1), Insulin-like growth factor binding protein-3 (IGFBP-3), IGF1-1/IGFBP-3 ratio, growth hormone, bone age, osteocalcin, and Z-score for growth. Results This protocol has been approved by the institutional review board (IRB) of Daejeon Korean Medicine Hospital of Daejeon University (IRB No. DJDSKH-20-BM-15), and registered in the Clinical Research Information Service (CRIS) (Registry No. KCT0005981). Conclusions This study will provide clinical information about the effectiveness and safety of Allium Fistulosum extract in children for their growth.

• 대한한방소아과학회지
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• 제37권1호
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• pp.45-57
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• 2023

Objectives This study aimed to provide a basis for the research on the trend and safety of Korean herbal medicines among children and adolescents. Methods Patients aged <19 years who received outpatient treatment at the Korean pediatrics department of Kyung Hee University Hospital from January 1, 2017 to October 31, 2022 were included. The current state of annual visits and herbal medicine prescriptions was analyzed. A retrospective chart review was conducted by examining the medical records of subjects who received herbal medicines, including deer antler. Adverse drug reactions in patients who received herbal medicine were also investigated. Results A total of 57,457 people visited the Korean pediatrics department, and 51,768 people (90.1%) were prescribed herbal medicine. Among these, 21,826 patients (42.2%) were prescribed with deer antler. A total of 117 adverse drug reactions were reported among the patients who received herbal medicines. Conclusions This study aimed to determine the trends and safety of herbal medicine treatment, particularly deer antlers, in children and adolescents. Well-designed, long-term, multi-institutional follow-up studies are required to expand the field of Korean pediatrics.

• 대한가정학회지
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• 제42권9호
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• pp.37-51
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• 2004

The purpose of this study was to examine the effects of household characteristics on savings account, savings insurance, and private financial clubs. Data for this study were collected from the 2001 Household Income and Expenditure Survey consisting of a sample of 1,801 salary and wage earners' households. Tobit analysis was peformed to investigate savings accounts, savings insurance and private financial clubs. The results showed that 76% of households held savings accounts, 77% savings insurance, and 12% non-institutional assets in private financial clubs. Sender, age, education, job, spouse employment, family type, location, home ownership, number of children, and family income were significant determinants of investment in savings accounts, savings insurance, and private financial clubs. Family income was the most powerful variable.

• 로봇학회논문지
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• 제10권2호
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• pp.79-89
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• 2015

The purpose of this study was to examine the concept of r-learning based on existing studies of r-learning. It also aimed to analyze r-learning environments in an effort to determine prerequisites for the successful entrenchment of r-learning in material(technology and infrastructure), human(young children and teacher) and institutional(law and policy) aspects. This study intended to suggest some of the right directions for the revitalization of r-learning. In conclusion, the position of r-learning and its interrelationship with related systems in the ecosystem of early childhood education should accurately be grasped to accelerate the integration of r-learning into kindergarten education to maximize the effects of the convergence of the two. Intensive efforts should be made from diverse angles to expedite the spread and enrichment of r-learning.

• Clinical and Experimental Pediatrics
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• 제63권4호
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• pp.141-145
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• 2020

Background: For children and adolescents with cancer, going back to school is a key milestone in returning to "normal life." Purpose: To identify the support vital for a successful transition, we evaluated the parents' needs and the challenges they face when their children return to school. Methods: This multi-institutional study was conducted by the Korean Society of Pediatric Hematology and Oncology. The written survey comprised 24 questions and was completed by 210 parents without an interviewer. Results: Most parents (165 of 206) reported that their children experienced difficulties with physical status (n=60), peer relationships (n=30), academic performance (n=27), emotional/behavioral issues (n=11), and relationships with teachers (n=4) on reentering school. Parents wanted to be kept informed about and remain involved in their children's school lives and reported good parent-teacher communication (88 of 209, 42.1%). Parents reported that 83.1% and 44.9% of teachers and peers, respectively, displayed an adequate understanding of their children's condition. Most parents (197 of 208) answered that a special program is necessary to facilitate return to school after cancer therapy that offers emotional support (n=85), facilitates social adaptation (n=61), and provides tutoring to accelerate catch up (n=56), and continued health care by hospital outreach and school personnel (n=50). Conclusion: In addition to scholastic aptitude-oriented programs, emotional and psychosocial support is necessary for a successful return to school. Pediatric oncologists should actively improve oncology practices to better integrate individualized school plans and educate peers and teachers to improve health literacy to aid them in understanding the needs of children with cancer.

• 한국안광학회지
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• 제18권4호
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• pp.373-383
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• 2013

목적: 본 연구는 저소득층 분류에 따른 학동기 아동의 굴절력을 분석하였다. 방법: 영천지역 17개 초등학교 저소득층 112명과 보건복지부 산하 질병관리본부에서 시행한 2010 국민건강영양조사 자료의 -6.00 D 이하의 중등도 근시자 중 저소득층 아동을 대상으로 굴절력을 비교 분석하였으며, 설문을 통해 저소득층 단계에 따른 시력 분석과 만족도를 알아보았다. 결과: 전국 소득 최하위군 아동의 우안 등가구면 굴절력은 -1.99 D, 좌안 등가구면 굴절력은 -1.81 D, 전국 소득 최상위군 아동의 우안 등가구면 굴절력은 -1.26 D, 좌안 등가구면 굴절력은 -1.21 D, 영천지역 저소득층 가정의 아동 우안 등가구면 굴절력은 -1.85 D, 좌안 등가구면 굴절력은 -1.81 D로 조사되었다. 고아의 우안 등가구면 굴절력은 -2.75 D, 좌안 등가구면 굴절력은 -2.42 D, 한부모가정 아동의 우안 등가구면 굴절력은 -2.10 D, 좌안 등가구면 굴절력은 -1.96 D, 두 부모가 모두 있는 가정의 아동 우안 등가구면 굴절력은 -1.75 D, 좌안 등가구면 굴절력은 -1.73 D로 조사되었다. 결론: 학동기 아동의 시력에 대한 관심 부족은 근시유발의 한 요인으로 이어질 수 있으며, 이 시기의 부모와 선생님의 역할은 매우 크다. 그러나 저소득층은 부모의 역할이 제한적이므로 시력관리의 사각지대에 위치한 저소득층 아동의 시력 저하를 방지하기 위한 제도적 장치와 사회적 관심이 더욱 필요할 것으로 판단된다.