• 감성과학
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• 제12권4호
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• pp.381-392
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• 2009

본 연구는 아동을 대상으로 기쁨, 슬픔, 분노, 스트레스와 무료함의 다섯 가지 정서를 유발시키는 정서프로토콜을 개발하고 이를 표준화하고자 실시되었다. 심상을 유발하는 이야기 음악 색깔 인형을 이용하여 각각의 정서를 유발시키는 상황을 구성하였다. 또한 정서 평가를 위하여 아동용 정서평가척도를 개발하였다. 아동은 다섯 가지의 정서 상황을 경험한 후, 자신의 정서 상태를 평가하였다. 정서 프로토콜에 대한 평가는 아동의 자기보고와 전문가의 행동 관찰 분석으로 이루어졌다. 연구 결과, 개발된 정서 프로토콜은 각각의 정서를 효과적으로 유발시킨 것으로 나타났다. 연령별 별 비교에서는, 남아보다는 여아가 무료함을 더 강하게 느꼈으며, 학령 이후의 아동은 학령이전의 아동보다 슬픔에 더 민감한 것으로 나타났다.

• Advances in pediatric surgery
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• 제16권2호
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• pp.177-189
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• 2010

Traumatic injury is one of the leading causes of morbidity and mortality in children. This is a clinical review of pediatric blunt abdominal trauma. A retrospective analysis of the 112 children with blunt abdominal trauma aged 15 years or less treated at the Department of Pediatric Surgery, Chonbuk National University Hospital was performed. The analysis included age, sex, injury mechanism, number and site of the injured organ, management and outcomes. The average age of occurrence was 7.6 years, and the peak age was between 6 and 8 years. There was a male preponderance with a male to female ratio of 2.3:1. The most common cause of blunt abdominal trauma was traffic accidents (61.6 %), principally involving pedestrians (79.7 %). The accident prone times were between 8:00 AM and 8:00 PM, the weekends (40.2 %), and the winter respectively. Thirthy-five patients (31.2 %) had multiple intra-abdominal organ injuries and the most common injured organ was the liver. Seventy-four cases (66.1 %) were managed non-operatively and eleven cases (9.8 %) expired. Of the patients who were treated surgically or were to be operated on one patient died before surgery, the remainder died during or after surgery. Risk factors such as number of injured organ, systolic and diastolic blood pressure, and trauma scores by Glasgow coma scale (GCS), Pediatric trauma score (PTS), revised trauma score (RTS), injury severe score (ISS), TRISS were significantly correlated with mortality rate.

• 한국도서관정보학회지
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• 제47권2호
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• pp.305-328
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• 2016

이 연구의 목적은 어린이도서관의 경제적 가치와 영향요인을 확인하는 것이다. 이를 위해 6개 어린이도서관의 이용자 중 부모를 대상으로 총 614부의 자료를 수집하였다. 개인당 월 이용료를 지불수단으로 채택하여 조건부가치측정법으로 분석한 결과는 다음과 같다. 첫째, 지불의사금액(WTP)은 1인당 월 평균 9,243원으로 추정되었다. 둘째, 지불의사금액에 영향을 미치는 요인은 이용빈도, 만족도, 자녀수, 성별, 나이, 소득 등으로 나타났다. 셋째, 요인별 영향력은 성별을 제외한 나머지 요인 모두 단위가 하나씩 증가할수록 이용빈도(1.140), 만족도(1.335), 자녀수(1.417), 나이(1.124), 소득(2.426) 등으로 지불의사확률이 높았다. 반면에 성별에서는 여성이 남성에 비해 0.364만큼 지불의사확률이 낮았다. 이 연구의 시사점은 현재까지 잘 알려지지 않았던 어린이도서관의 경제적 가치에 대해 실제 이용자를 직접 면담하여 구체적인 금액으로 제시한 점이라고 할 수 있다.

• Clinical and Experimental Pediatrics
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• 제57권11호
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• pp.484-488
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• 2014

Purpose: Chronic upper airway obstruction causes hypoxemic pulmonary vasoconstriction, which may lead to right ventricle (RV) dysfunction. Adenotonsillar hypertrophy (ATH) is the most common cause of upper airway obstruction in children. Therefore, we aimed to evaluate RV function in children with ATH. Methods: Twenty-one children (male/female, 15/6; mean age, $92.3{\pm}39.0$ months; age range, 4-15 years) with ATH and 21 healthy age- and gender-matched controls were included in this study. Tricuspid annular plane systolic excursion and RV myocardial performance index were measured by transthoracic echocardiography. Further, the plasma level of N-terminal of probrain natriuretic peptide (NT-proBNP), an indicator of RV function, was determined. Results: The snoring-tiredness during daytime-observed apnea-high blood pressure (STOP) questionnaire was completed by the patients' parents, and loud snoring was noted in the ATH group. The plasma NT-proBNP level was significantly higher in the ATH group than that in the controls ($66.44{\pm}37.63pg/mL$ vs. $27.85{\pm}8.89pg/mL$, P=0.001). The echocardiographic parameters were not significantly different between the groups. Conclusion: We were unable to confirm the significance of echocardiographic evidence of RV dysfunction in the management of children with ATH. However, the plasma NT-proBNP level was significantly higher in the ATH group than that in the control, suggesting that chronic airway obstruction in children may carry a risk for cardiac dysfunction. Therefore, more patients should be examined using transthoracic echocardiography. In addition, pediatricians and otolaryngologists should consider cardiologic aspects during the management of children with severe ATH.

• 대한한방소아과학회지
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• 제16권2호
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• pp.101-110
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• 2002

The common cold is the most common pediatric infectious disease and occupies a great number of outpatients in oriental pediatrics. Because children's common cold has characteristic symptoms, we studied 276 children suffering from common cold Oriental Medicine Hospital in Kyungsan University and analyzed sex, age, chief complaints, characteristic symptoms.(period : summer 2001. 6.1.-2001.8.31, winter 2001.12.1-2002. 2. 28) The results were as follows : 1. Male to female ratios were 17: 1 in summer, 1.2: 1 in winter, 1.4: 1 in total 2. Age distribution of children from 0 to 1 was 20.29%, from 1 to 3 was 39.49%, from 3 to 6 was 32.97%, from 6 to 10 was 7.27%, over 10 was 0%, from 0 to 6 was 92.75%. 3. Frequency of chief complaints In summer : cough was 22.28%, nasal discharge was 18.39%, fever was 16.58%, secretion and sputum were 14.50%, sweating was 6.99%, nausea or vomitting were 4.92% etc. In winter : cough was 24.20%, nasal discharge was 18.03%, secretion and sputum were 16.43%, occlusion of nares was 11.64%, fever was 9.58%, nausea or vomitting were 3.88% etc. Frequency of chief complaints has seasonal difference. 4. Children's common cold has characteristic symptoms and seasonal difference. 5. Children's common cold has characteristic clinical subtype.

• Childhood Kidney Diseases
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• 제24권1호
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• pp.47-52
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• 2020

Pneumocystis pneumonia (PCP) is a rare disease in healthy people but a potentially fatal opportunistic infection by Pneumocystis jirovecii in immunocompromised patients with organ transplantation. We present three cases of PCP after kidney transplantation in pediatric patients. First case was a 4-year-old boy diagnosed with Denys-Drash syndrome and received living-donor kidney transplantation from his mother at age of 1. Second case was a 19-year-old male, with polycystic kidney disease, who received kidney transplantation from his mother at the age of 18. Third case was a 19-year-old female with chronic kidney disease of unknown etiology, who received kidney transplantation from her father at age of 15. These three patients who were on immunosuppressive therapy and completed of routine PCP prophylaxis for 6 months had presented with cough and dyspnea more than 1 year after transplantation. Chest x-ray all showed diffuse haziness of both lung fields, and bronchoalveolar lavage from bronchoscopy revealed Pneumocystisjirovecii infection. All patients showed clinical resolution with intravenous trimethoprim-sulfamethoxazole (TMP-SMX) therapy for at least 3 weeks and had continued secondary prophylaxis for another 6-12 months. This report suggests that clinicians should have suspicion for the possibilities of opportunistic infection such as PCP after kidney transplantation in children.

• Clinical and Experimental Pediatrics
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• 제51권1호
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• pp.33-41
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• 2008

목 적 : 소아 청소년 건강관리에서 혈압 측정의 중요성이 점차 강조되고 있는 시점에서 한국의 소아 청소년들을 위한 정상 혈압 참고 치를 만들고자 하였다. 방 법 : 2005년에 새로운 신체성장 표준치를 만들기 위해 시행한 전국 소아 청소년들의 신체계측사업에 혈압 계측사업을 포함시켜 7-20세에 해당하는 소아 청소년 57,433명(남: 29,443명, 여: 27,990명)에서 신장, 체중 및 혈압 계측치를 얻었다. 혈압은 자동 진동혈압계인 Dinamap Procare 200(GE Inc., Milwaukee, Wi, USA)를 이용하여 측정하였고 앉은 자세에서 안정한 후 우측 팔에서 5분 간격으로 2번 측정하였다. 두 측정치의 평균치를 수축기 혈압과 이완기 혈압으로 기록하여 원 자료로 하였다. 체중이 +3SD 이상인 과체중아들 2,373명의 혈압은 제외하고 분석 하였다. 혈압 백분위수 표는 성별, 연령별, 신장 백분위수별로 만들어 졌으며 통계기법은 2004 Task Force in NHLBI (USA)이 사용한 통계기법을 원용한 고정 변형 LMS 방법을 사용하였다. 결 과 : 성별, 연령별(7-18세), 신장 백분위수별(5th, 10th, 25th, 50th, 75th, 90th, 95th) 혈압 참고치가 완성되었으며 신장 백분위수에 대한 자료는 질병관리본부 홈페이지인 http://www.cdc.go.kr/webcdc/에서 확인 할 수 있다. 고혈압의 기준치는 성별, 연령별, 신장대비에서 95 백분위수 이상으로 하고, 전고혈압 기준치는 90-95 백분위수 또는 수축기 및 이완기 혈압 130/80 mmHg 이상으로 정하였다. 결 론 : 이번에 마련된 우리나라 소아 청소년 정상 혈압 참고치는 처음이기 때문에 사용기준 및 고혈압의 기준은 앞으로 지속적인 논의와 연구가 필요할 것으로 생각된다. 또한 본 혈압 표는 자동 진동혈압계로 마련된 것이기 때문에 수동 수은 혈압계를 이용한 혈압 치를 평가하는 기준표로 사용하는 것은 주의해야 할 것이다.

• 한국보육지원학회지
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• 제3권2호
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• pp.22-47
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• 2007

본 연구에서는 미래의 부모로서의 역할을 수행하게 될 미혼 성인들을 대상으로 자녀양육신념의 양상과 자녀에 대한 가치, 부모 부양의무감을 살펴보았다. 남녀 대학생 748명(남학생 323명, 여학생 425명)을 대상으로 조윤주(2002)가 사용한 부모 부양의무감, 세계 8개국에서 동시에 사용된 자녀에 대한 가치(Value of Children) 설문지(1975, 2001)를 실시하였고, 자녀양육신념에 대한 응답자의 가치를 기술하게 하였다. 본 연구결과는 다음과 같다. 미혼 성인의 자녀양육신념 양상을 조사한 결과, 성, 연령, 출생순위, 조부모 동거여부 등에 상관없이 관계지향적 자녀양육신념(46.0%)보다 개인지향적 자녀양육신념(54.0%)을 지닌 미혼 성인의 비율이 보다 많은 것으로 나타났다. 사회 인구학적 특성에 따른 자녀에 대한 가치인식의 차이를 살펴본 결과는 정서적 가치를 가장 중시하는 것으로 나타났고, 그 다음으로 도구적 가치를, 자녀양육부담감을 가장 덜 중시하는 것으로 나타남으로써 미혼 성인들은 자녀를 갖는 가치에 대해 경제적인 가치나 양육부담감을 느끼기보다는 애정적, 정서적 가치를 보다 소중히 여기는 것으로 나타났다. 또한 여자보다는 남자가, 부모와 함께 살거나 부모와의 접촉빈도가 2개월에 1회 이상 많을수록 그렇지 않은 경우보다 부모 부양의무감을 더 많이 가지고 있는 것으로 나타났고, 관계지향적 자녀양육신념을 지니고 있을수록 정서적 가치를 소중히 여기고, 부모 부양의무감도 더 많이 느끼고 있는 것으로 조사되었다. 본 연구결과는 미래 부모세대들의 부모자녀관계에 대한 인식을 살펴보는 데 도움을 주고, 미혼 성인 대상의 예비 부모교육 자료를 개발하는 데 기초자료로 활용될 수 있을 것이다.

• Advances in pediatric surgery
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• 제15권1호
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• pp.44-51
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• 2009

This study is a retrospective analysis of 1244 cases of the inguinal hernia in children under the age of fifteen years who were operated at the department of pediatric surgery, Inje University Busan Paik Hospital from March, 1997 to February, 2007. The ratio of male to female was 3.6:1. The type of hernia was indirect in all of the cases. The hernia was on the right side in 656 cases (53.9 %), left side in 467 cases (37.5 %), and bilateral in 121 cases (9.7 %). The hernia presented most frequently in infants under age 12 months; 364 cases (29.2 %). Fifty-nine cases (21.7 %) were in female and 305 cases (31.3 %) in male. There were 428 cases (33.6 %) in 1-3 years age group, 295 cases (23.7 %) in 4-6 years, 112 cases (9.0 %) in 7-9 years, 39 cases (3.1 %) in 10-12 years and 16 (1.2 %) in 13-15 years. The content of hernia sac was small bowel (59 %), omentum (31 %) in males and the ovary and tube (54 %) and small bowel (26 %) in female. The incidence of combined operation at the time was 3.2 %, and consisting of orchiopexy (67.5 %), frenulotomy (12.5 %), appendectomy (10 %), circumcision (5 %), and fistulotomy (5%). The incidence of combined disease was 2.8 % and consisting of undescended testis, Hirschsprung's disease, idiopathic hypertrophic pyloric stenosis, imperforate anus, and congenital heart disease. After unilateral inguinal hernia repairs, contralateral hernias developed in 34 patients. The laterality of the primary site of hernias were left in 19 cases (55.8 %), and right 15 cases (44.1 %). The 936 cases (75.2 %) were operated under general anesthesia; Mask bagging 663 cases (53.2 %), endotrachea intubation 257 cases (20.6 %), and laryngeal mask 16 cases (1.2 %). The remainder 308 cases (24.7 %) were operated under regional caudal anesthesia.

• 대한치과교정학회지
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• 제24권2호
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• pp.349-366
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• 1994

The method of treatment in skeletal Class III malocclusion must be chosen according to an etiology and timing of the treatment. Maxillry protraction has been used as an effective treatment method in growing children with maxillary deficiency. The efficacy of maxillary protraction has been viewed as a result of downward-backward displacement of mandible and compensatory dental displacement during the treatment rather than forward -downward growth of maxilla itself. In this study, 104 subjects treated with maxllary protraction, and 19 males and 21 females with known annual growth amount have been chosen longitudinally as treated group and normal group, respectively. And changes in position of maxilla, mandible and dentition have been comparatively analyzed on the lateral cephalometric radiographs by age. The results were as follows : 1. Treated group showed more forward movement of maxilla compare to the normal group and the mandible displaced backward compare to the normal group. 2. Downward movement of maxilla in treated group was similar to that of normal group with statistical signigicance in female 12 year old group and downward movement of mandible in treated group was similar to that of normal group. 3. In treated group, maxillary central incisor moved more forward than the normal group with statistical significance in male 8, 10 year-old groups and female 8, 9, 10 year-old groups. In treated group, downward movement of maxillary central incisor was similar to that of the normal group with statistical significance in male and female 7,8 year-old groups. Considering the above results and the duration of the treatment, the forward movement of maxilla due to maxillary protraction was effective compared to normal growth amount of the normal group.