• 가정과삶의질연구
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• 제29권1호
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• pp.21-40
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• 2011

This research is intended to find out the causes of the career interruption of highly-educated housewives, their experiences of caring for their children after career interruption, their psychological conflicts and coping strategies, and their attitudes toward reemployment. The participants were university-graduated housewives in their thirties who have pre-school children older than 2 years. The participants in this research consisted of twenty-nine participants. The essence of this study is the belief system that career and maternal roles are not compatible. Specifically, the participants possessed a certain motherhood ideology, so they gave up working in order to care for their children, deferring their careers for a while. The participants had ambivalent feelings about working mothers, and described their children by highlighting their negative aspects. Additionally, the participants experienced persistent conflicts about developing their careers and caring for their children during their period of career interruption. The participants seemed to possess a vague sense of hope about their careers, and their attitudes toward their careers were ambiguous in the past, present, and even in the future.

• 대한지역사회영양학회지
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• 제20권4호
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• pp.251-258
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• 2015

Objectives: The purpose of this study was to investigate how to manage food allergy of pre-school children, focusing on the current status of the food allergy in childcare facilities in Hanam which have less than 100 children. Methods: Targeting 159 preschool childcare facilities, survey was carried out for a month in March, 2015. Recovery rate was 66.7%. 106 surveys out of 159 were available for analysis using SPSS statistical program version 19.0. Results: Among 106 facilities, 58 (54.7%) reported that none of their children had a food allergy and 48 (45.3%) reported one more children had a food allergy. Total number of children having a food allergy was 71. Among them, the occurrences of food allergy in males were significantly more than that of the females (p<0.001). Further, children under 2 years of age had significantly more food allergy than the other ages (p < 0.001). The allergic inducing foods were nuts (23.3%), egg (17.8%), milk and dairy products (16.4%), fish and shellfish (13.7%), instant foods (12.3%), fruits (8.2%), soybean (4.1%), meat (2.7%), and cereals (1.4%) in order, and 6 children out of 71 were allergic to more than 2 food items. The clinical symptoms of the food allergy were a skin reaction (87.9%) and an oropharyngeal & respiratory reaction (12.1%). Majority of childcare facilities (80.3%) didn't serve alternative foods for children with food allergy. Necessity for food allergy education was significantly higher in facilities with food allergy issues than without such issues. Conclusions: The Center for Children's Foodservice Management need to educate workers of childcare facilities and parents about managing food allergy and enforce a plan to provide alternative menu to children with food allergies.

• 한국학교보건학회지
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• 제37권1호
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• pp.12-21
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• 2024

Purpose: This study aimed to provide basic data for future infectious disease prevention educational programs targeting preschoolers by verifying the effects of the 2023 Home-visiting Infectious Disease Prevention Class Project for Preschoolers. Methods: The study is a descriptive survey that analyzed educational satisfaction of kindergarten teachers and the activity reports of visiting teachers. The effectiveness of the education on the children's side was evaluated with a quasi-experimental approach using pre- and post-test design. Data collection was conducted from September 6 to November 10, 2023. The data from 96 kindergarten teachers, 100 activity reports written by visiting teachers, 56 children in the experimental group, and 50 children in the control group were analyzed. Results: As a result of analyzing the satisfaction survey results of the kindergarten teachers and the activity reports submitted by the visiting teachers, all questions received a very positive evaluation with 4 or more out of 5 points. In addition, the children in the experimental group showed statistically significant positive changes both in hand-washing accuracy and their awareness of immunity. Conclusion: The Home-visiting Infectious Disease Prevention Class Project for Preschoolers is of great educational significance and is expected to be a useful educational intervention that can improve infection prevention behaviors and show practical preventive effects in preschoolers so that they can be prepared for various infectious diseases in the future.

• 한국학교ㆍ지역보건교육학회지
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• 제1권1호
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• pp.1-9
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• 2000

The purpose of this study were to assess the effect on health promotion behavior of health instruction in elementary school and to provide a basis of school health education. Subjects of this study were random sampled 80 students for control group in elementary 6th grade students. the treatment group systematically studied five sphere instruction: individual hygiene, disease prevention, first-aid & safety, oral health, health & nutrition in two hours a week, from April 20, till July 10. Each group was pre-tested and post-tested by health behavior promotion questionnaire. The conclusions as follows; 1. Compare analysis of control group and treatment group in the pre-test according to health condition of children were no significant difference physical health condition, health anxiety, disease-absent(P>.05). 2. Health promotion behaviors in the post-test according to concern quotient significantly correlated with individual hygiene(r=.249, P<.05), disease prevention(r=.477, P<.01), oral health(r=.228, P<.05), health & nutrition(r=.323, P<.01) in the treatment group, on the contrary the disease prevention, first-aid & safety, oral health, health & nutrition(P>.05). 3. The difference of health promotion behavior within & between group were as follow; 1) The difference of individual health hygiene with in the treatment group was significant in pre-post test, the comparison of the two groups was significant difference in post-test(treatment group: $3.965{\pm}.568$, control group: $3.645{\pm}.573$). 2) The difference of disease prevention with in the treatment group was significant in pre-post test, the comparison of the two groups was significant difference in post-test(t group : $3.475{\pm}.619$, c group: $3.964{\pm}.600$). 3) The difference of first-aid & safety with in the treatment group was significant in pre-post test, the comparison of the two groups was significant difference in post-test(t group : $3.700{\pm}.466$, c group: $4.140{\pm}.545$). 4) The difference of oral health with in the treatment group was significant in pre-post test, the comparison of the two groups was significant difference in post-test(t group: $3.163{\pm}.665$, c group: $3.753{\pm}.544$). 5) The difference of health & nutrition with in the treatment group was significant in pre-post test, the comparison of the two groups was significant difference in post-test(t group : $3.255{\pm}.515$, c group: $3.698{\pm}.558$).

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제34권1호
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• pp.37-44
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• 2023

Objectives: Tic disorders are highly heritable; however, growing evidence suggests that environmental factors play a significant role in their pathogenesis. Studies on these factors have been inconsistent, with conflicting results. Therefore, this study aimed to examine the associations of pre- and perinatal exposure to Tourette syndrome (TS) or chronic tic disorders (CTD) in Korean school-aged children. Methods: This case-control study used data from a large prospective cohort study. The primary outcome was TS/CTD diagnosis according to the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) criteria and Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version-Korean Version. Demographic, pre-, and perinatal information was obtained from the maternal questionnaires. Data between the TS/CTD and control groups were compared using the chi-squared or Student's t-test, as appropriate. Two-step logistic regression analyses were used to test the association between TS/CTD and pre- and perinatal risk factors. Results: We included of 223 children (78 with TS/CTD and 145 controls). Significant differences in the demographic data between the two groups were observed. The male sex ratio, mean parental age, parental final education level, and family history of tics were included as confounders. In the final adjusted multivariable model, TS/CTD was significantly associated with antiemetic exposure during pregnancy (odds ratio [OR]=16.61, 95% confidence interval [CI] 1.49-185.22, p=0.02) and medically assisted reproduction (OR=7.89, 95% CI 2.28-27.28, p=0.01). Conclusion: Antiemetic exposure and medically assisted reproduction are significantly associated with the risk of TS/CTD. These results should be replicated in future prospective and gene-by-environment studies.

• 대한지역사회영양학회지
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• 제7권1호
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• pp.58-66
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• 2002

The purpose of the study was to develop and evaluate the reliability of a semi-quantitative food frequency questionnaire (SFFQ) intended to measure mainly nutrient intake (energy, protein, fat, calcium and iron) related to growth in pre-schoolers in Korea. Based on foods with up to 90 cumulative percent contribution of the 5 nutrients, we developed a SFFQ for 86 foods. In order to evaluate the reliability of both nutrient and food intakes, caregivers of a sample of 101 children aged 4 to 6 years completed the SFFQ repeatedly at 3 month intervals. There were small differences in the nutrient intakes assessed by the SFFQ ranging from 0.55% to 9.91%. There were no significant differences in nutrient values calculated from the repeat questionnaires, except in the case of niacin and vitamin C. The Pearson correlation coefficients of most of the nutrients ranged form 0.54 to 0.75 (mean = 0.66). When energy intake was adjusted, there was approximately a 0.2 decrease in the correlation coefficient of most nutrients, due to the high correlation of energy intake with other nutrients (r=0.7-0.9). The amount of food intake differed by 0.1 to 66.4% (mean = 17.5%), depending on the food item. Out of 86 foods, 74 foods (86%) showed less than a 30% difference in intake and 30 foods (35%) showed less than a 10% difference. Only 6 (7%) out of the 86 foods presented statistically significant differences in intake. The Spearman correlation coefficients of most food intakes assessed repeatedly by the SFFQ ranged from 0.4 to 0.7. Reproducibility of the nutrient and food intakes found in this study was better or similar to those found in cases of Korean adults. Therefore, the SFFQ developed in the present study can be a useful tool to assess the dietary intake of pre-schoolers in Korea.

• 가정과삶의질연구
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• 제16권1호
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• pp.63-80
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• 1998

The purpose of this study is to analyze the effects of unstructured and spontaeous role-playing in pro-social behavior of a child. The experimental group in this study is 7 children who go to after-school class in J. social welfare facility and the controlled group is 7 children in composition class., While the experimental group did role-playing with each other the control group did not have any treatment, In order to find out effects of an experiment pre-test first post-test and second post-test were done. The results can be concluded as following. First in pre-test the degree of behavior resulted the same in experimental group and in controlled group. However in the first post-test the pro-social behavior of the experimental group with role-playing showed an improve than that of the controlled group. Therefore it can be emphasized once more that the role-playing improves pro-social behavior of a child. Second in the second post-test done 2 moth after the role-playing it was found that the pro-social behavior of experimental group keep the improved points as in the first post-test Therefore it can be concluded that the effect of role-playing on pro-social behavior of a child is continuous.

• Journal of mucopolysaccharidosis and rare diseases
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• 제2권2호
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• pp.35-37
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• 2016

Prader-Willi syndrome (PWS) often develops type 2 diabetes mellitus (T2DM) related to severe obesity. The prevalence of T2DM in adults with PWS (7-20%) exceeds greatly the prevalence in the general population (5-7%). It is uncommon for pre-pubertal children with PWS to develop overt diabetes or glucose intolerance. GH therapy and genotype did not influence the development of altered glucose metabolism. It has been assumed that T2DM in PWS develops as a consequence of morbid obesity and concomitant insulin resistance. However recent studies suggest the relationship between morbid obesity and T2DM development is more complex and appears to differ in PWS subjects compared to non-PWS subjects. PWS patients had relatively lower fasting insulin levels and increased adiponectin levels compared with BMI-matched obese control despite of similar levels of leptin. So PWS children may be protected to some extent form of obesity-associated insulin resistance. Although there's no data, it seems logical to approach diabetes management including weight loss and increased exercise, using similar pharmacological agents as with non-PWS obesity-related diabetes such as metformin or thiazolidinedione, with the introduction of insulin as required. On the other hand, several recent T2DM in PWS case reports suggest favorable outcomes using Glucagon-like peptide 1 (GLP-1) analog with regard to ghrelin reduction, control of glucose and appetite, weight loss and pre-prandial insulin secretion. The role of GLP-1 agonist therapy is promising, but has not yet been fully elucidated.

• 지역사회간호학회지
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• 제18권4호
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• pp.535-542
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• 2007

Purpose: The purpose of this study was to identify the effects of an overweight control exercise program on body composition and blood lipids. Method: This comparative study was conducted at an elementary school in Seoul, Korea. Pre and post body weight, BMI, PBF, and obesity degree as body composition and TC, HDL-C, LDL-C, and TG as blood lipids were tested. The aerobic exercise lasted 12 weeks from April to July, 2006. A total of 168 overweight 3rd grade to 5th grade school children attended and were divided into a walking exercise group (n=68) and a rope jumping exercise group (n=38). Data were analysed using SAS 8.12. Result: At the end of the program, the participation rate was higher in the rope jumping exercise group than in the walking exercise group. Body weight, BMI, PBF, obesity degree, TC, and LDL-C were lower than those before the program, and HDL-C was higher than before the program. Conclusion: The school-based overweight control exercise program was effective. Because of the participation rate was higher in the rope jumping exercise group than in the walking exercise group, rope jumping exercise is recommended for low grade children.

• Journal of Nutrition and Health
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• 제43권6호
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• pp.597-606
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• 2010

본 연구에서는 채소와 과일 섭취 증진을 위한 영양교육이 행동변화단계의 진전에 따라 사회심리적요인에 변화를 초래하는지 파악하고자 초등학생을 대상으로 영양교육을 실시한 후 행동전단계를 두 단계로 나누어 이 두 단계 아동들의 채소와 과일 섭취의 장점과 단점에 대한 인지, 인지적 행위적 변화과정, 자아효능감의 수준 변화를 조사하였다. 충남 연기군의 한 초등학교 5학년 아동 71명에 대한 설문 조사에 의해 행동전단계 (고려전, 고려, 준비)로 분류된 47명을 대상으로 2007년 11월 19일부터 12월 24일까지 6주 동안 채소와 과일섭취 영양교육을 실시하고 교육전과 후에 사회심리적요인의 수준을 설문지법에 의해 조사하였다. 1) 영양교육 후 채소섭취의 장점에 대한 인지도 점수는 고려전단계나 고려 및 준비단계에 속한 대상자 모두에서 증가하였고, 단점에 대한 인지도 점수는 두 단계 모두에서 감소하였다. 그러나 과일섭취에 있어서는 장점에 대한 인지도 점수에서는 고려전단계와 고려 및 준비단계 모두에서 교육 후 변화가 없었으나, 단점에 대한 인지도 점수는 고려전 단계에 속한 대상자에서만 유의적인 감소가 나타났다 (p < 0.01). 채소섭취에 대한 장점과 단점에 대한 인지 개선 영양교육은 두 단계 모두에서 효과적이었다. 2) 영양교육 후 채소섭취의 인지적 변화과정에서는 고려전단계의 대상자에서 의식향상 (p < 0.001)점수가 증가되었고, 고려 및 준비단계에 속한 대상자에서는 걱정해소 (p < 0.01), 자기재진단 (p < 0.05), 환경재평가 (p < 0.01), 사회규범변화(p < 0.05) 등 여러 변수의 점수가 증가하였다. 과일섭취의 인지적 변화과정에서는 고려전단계에 있는 대상자에서 환경재평가 (p < 0.01)점수의 증가를 나타내었고, 고려 및 준비단계에서는 변화를 보인 변수가 없었다. 채소와 과일섭취의 행위적 변화과정에서는 모두 변화가 없었다. 3) 영양교육 후 채소섭취에 관한 자아효능감은 고려전단계에 있는 대상자에서 '채소를 보이는 곳에 둔다' (p < 0.01)와 '혼자 채소를 먹을 때 권장섭취 횟수만큼 먹을 수 있다' (p < 0.01). '채소 먹을 시간을 낼 수 있다' (p < 0.05)에서 증가를 나타내었다. 고려 및 준비단계에서는 고려전단계에서 나타난 '혼자 채소를 먹을 때 권장섭취 횟수만큼 먹을 수 있다' (p < 0.01)와 '채소 먹을 시간을 낼 수 있다' (p < 0.01)의 항목을 포함하여 '다양한 종류의 채소를 살 수 있다' (p < 0.01)에서 교육 후에 자아효능감이 높아졌다. 즉 채소섭취의 행동변화단계가 높아질수록 자아효능감의 수준이 성숙됨을 보였다. 과일섭취에 대해서는 영양교육 후 고려전단계에 속한 대상자에서 '과일을 보이는 곳에 둔다'의 자아효능감의 점수가 증가되었다 (p < 0.05). 이상의 연구결과에서 영양교육 후 행동전단계에 있는 아동들의 행동변화단계의 진전이 일어났고, 고려전단계와 고려 및 준비단계에서 모두 사회심리적요인의 수준이 높아졌으나 두 단계 간에는 교육효과의 유의적인 차이가 없었다. 과일에 비해 채소섭취와 관련된 사회심리적요인에서 교육 효과가 더 크게 나타났으며, 사회심리적요인들 중에서 판단 균형의 단점에 대한 인지도, 인지적 변화과정, 자아효능감이 영양교육의 평가지표로 사용될 수 있는 가능성을 보였다.