• The Journal of Korean Physical Therapy
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• 제14권2호
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• pp.51-64
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• 2002

Spasticity is the most troublesome problems in the management in cerebral palsy. The purpose of this study was to observe the effect of the FES and FIR to spasticity.8 cerebral palsy children were selected for this study. Assessment was carried out before treatment for obtain baseline measurement of spasticity and reassessment were carried out at after 10, 20 treatment sessions and 24hours after treatment. The results of this study were as fellowing : 1. MAS scores were significantly reduced after 10th and 20th after treatment compared with pre-treatment. 2. MAS scores were significantly reduced after 20th and maintained 24hours after treatment compared with pre-treatment These results indicated that FES and Far infrared appears to reduce significantly MAS scores and maintained 24hours after treatment compared with pre-treatment.

• Journal of Chest Surgery
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• 제55권2호
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• pp.143-150
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• 2022

Background: The effectiveness of extracorporeal membrane oxygenation (ECMO) for patients with refractory cardiogenic shock or cardiac arrest is being established, and serum lactate is well known as a biomarker of end-organ perfusion. We evaluated the efficacy of pre-ECMO lactate for predicting 6-month survival in patients with acute coronary syndrome (ACS) undergoing ECMO. Methods: We reviewed the medical records of 148 patients who underwent veno-arterial (VA) ECMO for ACS between January 2015 and June 2020. These patients were divided into survivors and non-survivors based on 6-month survival. All clinical data before and during ECMO were compared between the 2 groups. Results: Patients' mean age was 66.0±10.5 years, and 116 (78.4%) were men. The total survival rate was 45.9% (n=68). Cox regression analysis showed that the pre-ECMO lactate level was an independent predictor of 6-month mortality (hazard ratio, 1.210; 95% confidence interval [CI], 1.064-1.376; p=0.004). The area under the receiver operating characteristic curve of pre-ECMO lactate was 0.64 (95% CI, 0.56-0.72; p=0.002; cut-off value=9.8 mmol/L). Kaplan-Meier survival analysis showed that the cumulative survival rate at 6 months was significantly higher among patients with a pre-ECMO lactate level of 9.8 mmol/L or less than among those with a level exceeding 9.8 mmol/L (57.3% vs. 31.8%, p=0.0008). Conclusion: A pre-ECMO lactate of 9.8 mmol/L or less may predict a favorable outcome at 6 months in ACS patients undergoing VA-ECMO. Further research aiming to improve the accuracy of predictions of reversibility in patients with high pre-ECMO lactate levels is essential.

• Journal of Dental Anesthesia and Pain Medicine
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• 제24권2호
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• pp.109-117
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• 2024

Background: Dental fear and anxiety are significant challenges in managing behavior in children. Oral administration of sucrose or sweet-tasting solutions has shown effectiveness in reducing procedural pain in infants and neonates. This study aimed to investigate whether pre-application of sucrose solution had an effect on minimizing pain perception during injection and to assess the potential impact of the child's age and sweet preference. Methods: A randomized control clinical trial was conducted on 60 children aged 3-9 years requiring buccal infiltration injections. Following parental consent, demographic data of the children were recorded. Sweet preferences was assessed using a modified forced-choice test. Children were equally and randomly allocated into study (sucrose) and control groups using a lottery method. Sucrose solution or distilled water, respectively, was applied to the lateral surface of the tongue for 2 min. Topical anesthetic was applied at the site of injection, followed by local anesthesia administration. The children rinsed their mouths thrice with water immediately after anesthetic injection. A video was recorded during injection which was then scored by three blinded examiners on the Sound Eye Motor (SEM) scale. The children also self-evaluated using Wong-Baker Faces Pain Rating Scale (WBFPS). Results: The mean SEM scores and WBFPS scores were analyzed using the Kruskall-Wallis test. The mean SEM score in the study group was 1.37 ± 0.61, compared to 3.17 ± 0.87 in the control group, showing a statistically significant difference (P < 0.001). Mean pain scores assessed by WBFPS in the study group were 0.60 ± 1.4, while in the control group, they were 6.27 ± 2.33, also showing a statistically significant difference (P < 0.001). Children with a sweet preference demonstrated a subjective reduction in pain perception. Conclusion: Application of sucrose before dental injections in children helps to minimize pain upon injection across all age groups.

• 한국학교보건학회지
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• 제29권2호
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• pp.116-122
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• 2016

Purpose: This study compared the effects of two six-week school-based intervention programs - a health promotion program using a school forest and a traditional school health promotion program (TSHPP) - on physical and mental health among elementary school students. Methods: A total of 73 students participated in the study: 21 students in the 6-week school forest program conducted in a rural area and 52 students in the 6-week TSHPP conducted in an urban area. Children's health promotion behavior, depression and hyperactivity were measured using a self-report questionnaire. To assess children's physical health, body mass index (BMI), body fat percentage, and heart rate variability (HRV) were used. Results: Overall, both intervention programs improved participants' physical and mental health. Both programs significantly decreased the body fat percentage; this effect was more prominent in the TSHPP group. Only the TSHPP significantly decreased the participants' BMI after the intervention. The school forest group showed significantly improved relaxation and diminished hyperactivity; the TSHPP group showed significantly improved health promoting behavior and social relationship after the intervention. Comparing the two groups'post-pre difference scores, the two groups significantly differed only in social relationship. Both group showed significantly improved depression after the intervention. Conclusion: These findings support the effectiveness of these 6-week school-based health promotion programs in improving physical and mental health among school-aged children.

• 국제교류와 융합교육
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• 제1권2호
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• pp.68-79
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• 2021

본 연구는 예비유아교사를 위한 독서를 활용한 인성교육 수업에 관한 사례 분석을 하고자 하였다. 이를 위해 문헌연구에 기초하여 인성교육의 준거를 설정하고, 그에 합당한 도서 목록을 선정한 후, 실행 적용을 구성하였다. 예비유아교사를 위한 독서를 활용한 인성교육 수업 목표로 유아교사로서 갖추어야 할 인성을 함양하고, 유아에게 독서를 통한 인성교육프로그램을 적용할 수 있는 능력을 기르는데 있다. 본 연구는 전공과목 '인성과 감성독서' 강좌를 수강하는 대학생을 대상으로 인성내용 개념과 이론수업을 듣고 인성덕목내용을 토대로 도서를 선정하였다. 따라서 본 연구는 예비유아교사 뿐 아니라 유아교사와 유아 모두에게 적용할 수 있는 인성교육 프로그램으로서 가정과 연계하여 실천할 수 있는 내용을 제시하는 점이 의의가 있다.

• 한국생활과학회지
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• 제12권5호
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• pp.787-795
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• 2003

This research studied several somatotypes for children's upper bodies in order to suggest the basic data of bodice patterns of children's clothing. By extracting the component factors from the children's bodices, they were classified into several somatotypes to recognize an individual body type. Three hundred and fifty eight children's wears were estimated as research objects to analyze their somatotypes for the 44 items representing upper bodies through anthropometric measurement and photometric measurement. The results are as follows : 1. Seven factors were extracted as a result of factor analysis. 2. Data were classified into three types as a result of cluster analysis : Type 1 was characterized as low fat body, small skeleton size, and forward belly ; type 2 as high fat body, normal hight, backward shoulder, and the lowered shoulders ; type 3 as medium fat body, tall height, somewhat crouching back, and the rising shoulders. 3. As a results of the discrimination analysis for the three types, the highly discriminated items were height, width of bosom, front center length. weight, width of waist or the length of waist. One could discriminate one's own body type by obtaining the classification function from these five items.

• Clinical and Experimental Pediatrics
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• 제54권7호
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• pp.298-303
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• 2011

Purpose: To evaluate the clinical characteristics of vitamin D deficiency and its association with iron deficiency anemia (IDA). Methods: A total of 171 children aged less than two years underwent 25-hydroxyvitamin $D_3$ tests between January 2007 and July 2009. The study was classified into two groups: normal and vitamin D insufficiency, by their vitamin 25-hydroxyvitamin $D_3$ levels. Results: In total, 120 children were in the normal group (mean age, body weight and heights $12.5{\pm}7.0$, $9.3{\pm}0.9$ kg and $76.8{\pm}1.1$ cm), and 51 children in the vitamin D insufficiency group ($9.9{\pm}5.4$ months, $9.0{\pm}0.9$ kg and $75.1{\pm}0.9$ cm). Vitamin D insufficiency was most commonly diagnosed in the spring (44%). The proportion of complete breast-feeding was higher in the insufficiency (92%), and 25.5% of the children in the deficient group also experienced IDA compared that 12% of normal group. Ten children in the insufficiency group experienced bony changes. Six children received calcitriol medication in the normal group, in whom the mean vitamin 25-hydroxyvitamin $D_3$ level increased from $39.6{\pm}14.6$ ng/mL (pre-medication) to $41.8{\pm}17.2$ ng/mL (post-medication), and 13 in the insufficiency group, in whom the mean vitamin 25-hydroxyvitamin $D_3$ increased from $20.7{\pm}7.0$ ng/mL to a mean post-treatment level of $43.7{\pm}23.8$ ng/mL. Conclusion: This study demonstrated that approximately 30% of children aged ${\leq}2$ years experienced vitamin D insufficiency associated with subclinical rickets. Many children also experienced concurrent IDA. Guidelines for vitamin D supplement in such children must therefore be established.

• 대한감각통합치료학회지
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• 제21권3호
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• pp.39-53
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• 2023

목적 : 본 연구는 발달장애아동에게 아이트래커를 병행한 감각통합치료가 감각처리 및 시지각에 미치는 효과를 알아보고자 하였다. 연구방법 : 본 연구의 설계는 단일대상연구의 대상자간 중다기초선 설계이며, 중재는 아이트래커를 병행한 감각통합치료를 적용하였다. 기초선 기간과 중재 기간의 매 회기 평가로 시각-운동 속도와 단속적 눈의 움직임을 평가하였으며, 사전·사후 평가로 감각프로파일, 한국판시지각발달검사, 선잇기검사를 실시하였다. 매 회기 평가와 사전·사후 평가는 시각적 분석 및 경향선 분석을 통해 중재의 효과를 연구하였다. 결과 : 회기별 평가 결과, 시각-운동속도와 단속적 눈의 움직임에서 모든 아동의 경향선 기울기가 기초선기간보다 중재기간에 급격하게 증가하였다. 사전·사후 평가결과, 감각처리에서는 움직임, 몸위치, 시각의 감각처리가 또래보다 많음에서 또래와 유사 수준으로 변화하였으며, 시지각에서는 모든 아동의 시각통합능력이 증가하였다. 또한, 아동의 시각추적 및 시각-운동 능력의 향상을 확인하기 위해 실시한 선잇기검사 결과, 모든 아동이 사전보다 사후에 수행시간이 감소하였다. 결론 : 발달장애아동의 아이트래커를 병행한 감각통합치료는 감각처리 및 시지각에 긍정적인 영향을 미쳤으며, 최근 기술의 향상과 스마트기기의 보급과 맞추어 아동의 흥미와 동기를 부여할 수 있어 임상적으로 중요한 역할을 할 것으로 사료된다.

• 대한가정학회지
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• 제42권11호
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• pp.109-122
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• 2004

This study examined the characteristics of children, parents, family, and the extra context related to the parenting stress of employed and unemployed mothers from a broader perspective. The subjects were 323 employed mothers 3nd 300 unemployed mothers of pre-school age children. Parenting stress due to the role of being a parent for both employed and unemployed mothers was correlated with the chid's activity level, husband support, quality of life, available social support, and satisfaction of early childhood program's location. Parenting stress due to child-rearing of both employed and unemployed mothers was correlated with child's birth order, activity level and rhythmicity of child, husband support, quality of life, available social support, and satisfaction of early childhood program. Number of children was the strongest predictor of parenting stress due to the role of being a parent for employed mothers and the child's activity level for unemployed mothers. Besides, the child's activity level was the strongest predictor of parenting stress due to child-rearing for both employed and unemployed mothers.

• Parasites, Hosts and Diseases
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• 제56권6호
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• pp.577-581
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• 2018

Schistosomiasis is prevalent in Nigeria, and the foremost pathogen is Schistosoma haematobium, which affects about 29 million people. Single dose of the drug praziquantel is often recommended for treatment but the efficacy has not been documented in certain regions. Therefore, this study was designed to assess the impact of single dose praziquantel treatment on S. haematobium infection among school children in an endemic community of South-Western Nigeria. Urine samples were collected from 434 school children and 10 ml was filtered through Nucleopore filter paper before examination for egg outputs by microscopy. The prevalence was 24.9% at pre-treatment. There was no statistically significant difference for the prevalence of infection between males (14.7%) and females (10.2%), although the mean egg count for the females (9.87) was significantly more (P<0.05) than the males (6.06). At 6 and 12 months post-treatment there was 74.4% and 86.4% reduction in the mean egg count, respectively. Interestingly, an increased prevalence of infection from 2.1% at 6 months to 7.7% at 12 months post-treatment was observed, nonetheless the mean egg count was reduced to 0.27 at 12th month from 1.98 at 6 months post-treatment. Resurgence in the prevalence rate between 6 and 12 months post-treatment with praziquantel is herein reported and the need for a follow-up treatment in endemic areas for adequate impact on schistosomiasis control is discussed.