• 대한작업치료학회지
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• 제26권4호
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• pp.27-41
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• 2018

목적 : 본 연구는 신경발달 장애 아동들에게 작업기반(occupation-based) 중재를 그룹 프로그램으로 적용하여 작업 수행의 질, 수행도 및 만족도, 프로그램에 대한 만족도의 효과를 알아보고자 하였다. 연구방법 : 신경발달 장애 아동 10명을 대상으로, ADOC-S(Aid for Decision making in Occupation Choice-School) 및 COPM(Canadian Occupational Performance Measure)을 사용하여, 모든 클라이언트에게 의미 있고 공통된 작업 목표를 수립 하였다. '지하철 이용' 작업수행 분석한 후에 PQRS(Performance Quality Rating Scale)를 사용하여 작업수행의 질 변화를 조사하였다. 작업기반 중재는 가장 자연스럽고 실제생활과 비슷한 상황에서 의미 있는 작업을 직접 수행하며 진행되었다. 실험은 사전 평가 1회기, 중재기는 주 1회, 회기당 100분, 8주간, 총 8회기 진행되었고 사후 평가 1회기 실시되었다. 결과 : 작업수행의 질인 PQRS에서는 중재 전에 비해 중재 후 38.10의 증가를 보였다. 유지, 보상 및 적응접근을 적용하여 초기 회기(1~4회기)에 큰 증가율이 나타났다. COPM의 수행도는 중재 전에 비해 5.80, 만족도는 7.00의 증가가 나타났다. 또한 보호자 인터뷰를 통한 프로그램 만족도에서 높은 점수가 나타났다. 결론 : 작업기반 중재는 신경발달장애 아동의 작업수행을 향상시킬 수 있는 중재방법이며, 수행도 및 만족도, 프로그램 만족도에 긍정적인 결과를 도출할 수 있었다.

• 한국콘텐츠학회논문지
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• 제21권6호
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• pp.327-335
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• 2021

본 연구는 치료도우미견을 활용한 동물매개치료가 아동의 자아존중감과 또래 관계에 어떠한 영향을 미치는지 살펴보고자 하였다. 연구대상은 I 시에 위치한 초등학교 저학년 아동 중 학교 사회복지사와 담임선생님의 추천을 받은 아동 20명이며, 실험집단 10명과 통제집단 10명을 선정하였다. 프로그램은 2019년 10월 1부터 12월 17일까지 동물매개치료 프로그램을 주 1회, 50분, 총 12회기를 실시하였다. 효과 검증을 위해 SPSS 20.0을 활용하여 실험집단과 통제집단에게 사전과 사후에 자아존중감, 또래관계 평정척도 측정을 실시하고 분석 하였다. 그 결과 첫째, 실험집단의 자아존중감 전체(Z=-2.75, p<.05), 가정에서의 자아존중감(Z=-2.02, p<.05), 학업적 자아존중감(Z=-2.06, p<.05)에서는 통계적으로 유의한 차이가 나타났다. 둘째, 실험집단의 또래관계 전체(Z=-3.83, p<.05), 하위 영역별로 주도성(Z=-2.68, p<.05), 협동공감(Z=-2.81, p<.05)에 유의미한 차이가 나타났다. 따라서 본 연구는 치료도우미견을 활용한 동물매개치료가 아동의 자아존중감과 또래관계에 긍정적인 영향을 준 것으로 확인이 되었다.

• 한국치위생학회지
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• 제10권2호
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• pp.345-359
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• 2010

Objectives : The purpose of this study was to correlation between the index of dental caries in primary teeth and the habits of diet and snack which are expected to influence on the index. The subjects of this study were 165 parents of the children who visited a pediatric dental hospital located in Gyeong-gi do from Jun. 15th to Sep. 26th, 2009, and the self-report questionnaire survey was performed. Methods : A questionnaire used in a previous study was revised and completed for this study and it consisted of 15 items on general characteristic, nine items on dietary habit, and five items on snack intake habit. The collected data was analyzed using SPSS program and findings are as follows Results : 1. The index of dental caries in primary teeth by ages was that children of four years old has 4~5 with 27.5%, children of five years old has 2~3 and 4~5 with 33.3% and children of six years old has 1 and 8~9 with 25.6%, showing a statistically significant(${\chi}^2$=37.72, p<.01). 2. The frequency of brushing teeth was found to have statistically significant negative correlation with the number of primary teeth with dental caries (${\chi}^2$=61.20, p<.001). 3. The frequency of taking snack was found to have statistically significant positive correlation with the number of primary teeth with dental caries (${\chi}^2$=51.42, p<.001). 4. The desirability of dietary habit was found to have statistically significant negative correlation with the number of primary teeth with dental caries (${\chi}^2$=36.51, p<.001). 5. The frequency of taking biscuit was found to have statistically significant positive correlation with the number of primary teeth with dental caries (${\chi}^2$=67.74, p<.001). 6. The frequency of taking bread was found to have statistically significant positive correlation with the number of primary teeth with dental caries (${\chi}^2$=29.63, p<.01). 7. The frequency of taking caramel and candy was found to have statistically significant positive correlation with the number of primary teeth with dental caries (${\chi}^2$=38.85, p<.001). 8. The frequency of taking soft drinks was found to have statistically significant positive correlation with the number of primary teeth with dental caries (${\chi}^2$=52.92, p<.001). 9. The frequency of taking ice-creams was found to have statistically significant positive correlation with the number of primary teeth with dental caries (${\chi}^2$=75.07, p<.001). Conclusions : Those findings show that the children with undesirable dietary habit and higher frequency of taking snack have higher index of dental caries in primary teeth, therefore, it is considered that the regular brushing teeth and establishment of desirable dietary habit are very important for keeping health oral cavity. It is recommended that the continuous concern and repeated learning are needed in house and group of rearing infants so that the children take foods of fruits which have function of self-purification than the food of carbohydrates which has high adhesion and level of sweetness.

• Clinical and Experimental Pediatrics
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• 제53권8호
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• pp.779-785
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• 2010

In pre-surgical evaluation of pediatric epilepsy, the combined use of multiple imaging modalities for precise localization of the epileptogenic focus is a worthwhile endeavor. Advanced neuroimaging by high field Magnetic resonance imaging (MRI), diffusion tensor images, and MR spectroscopy have the potential to identify subtle lesions. $^{18}F$-FDG positron emission tomography and single photon emission tomography provide visualization of metabolic alterations of the brain in the ictal and interictal states. These techniques may have localizing value for patients which exhibit normal MRI scans. Functional MRI is helpful for non-invasively identifying areas of eloquent cortex. These advances are improving our ability to noninvasively detect epileptogenic foci which have gone undetected in the past and whose accurate localization is crucial for a favorable outcome following surgical resection.

• International Journal of Contents
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• 제4권2호
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• pp.1-6
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• 2008

Pre schools with state of the art facilities that would provide not just academic excellence but also ensure the safety and provide efficient healthcare to their pupils relative to Atopic Dermatitis with Asthma is the main objective of this research One of the most promising applications of sensor networks is for human healthcare monitoring. Due to recent technological advances in sensor, low power microelectronics and miniaturization, and wireless networking enable the design and proliferation of this wireless sensor networks capable of autonomously monitoring and controlling environments. Thus, this research presents the utilization of such microelectronic sensor and plots the hardware and software architecture of a wireless sensor network system with real-time pupil monitoring that integrates vital sign sensors, location sensor and allergen sensor. This proposed architecture for wearable sensors can be used as active tags which can track pupil's location within the school's premises, identify possible atopic dermatitis with asthma allergens, it would monitor and generate a health status report of the pupil.

• 대한소아치과학회지
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• 제3권1호
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• pp.41-47
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• 1976

The clinical effect of pre-operative medication with hydroxyzine hydrochloride in allaying fear and apprehension without psychic trauma, controlling the behavior of 62 pedodontic patients aged $2\frac{1}{2}$ to 12 has been studied. The following results were obtained upon this study. 1. Hydroxyzine hydrochloride group gave statistically high significant results at 0.005 level when compared to placebo and control group. 2. Placebo was superior to control group for control of cooperation, crying and apprehension: the difference, however, was not significant statistically. 3. As the number of appointments in hydroxyzine hydrochloride group increased behavior control of patients were easier. 4. The amount of 30mg hydroxyzine hydrochloride was appeared to be not effective for very young problem child. ($2\frac{1}{2}$Yrs) 5. Hydroxyzine hydrochloride was a safe drug with no apparent side effect drowsiness.

• Journal of Korean Neurosurgical Society
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• 제49권3호
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• pp.194-199
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• 2011

There is still debate over which method of the surgery is the most appropriate for the treatment of scaphocephalic infants. In addition, change in psychomotor development following these procedures is a very complex issue that has not yet been resolved. In this paper, the authors describe a surgical technique for immediate spontaneous shape correction of infantile scaphocephaly. There were significant differences between pre- and postoperative cephalic index. We also describe an improvement in the developmental quotient following surgery. Therefore, this expantile zigzag craniectomy should be recommended to correct for isolated sagittal craniosynostosis in infants.

• 대한장애인치과학회지
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• 제3권2호
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• pp.80-86
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• 2007

A critical pathway (CP) defines the optimal care process, sequencing and timing of intervention by multi-disciplinary health care teams for a particular diagnosis and procedure. It plays an important role as a cost-effective health care delivery system and a tool for quality control of medical and dental services by means of standardizing medical practices. The aim of this study is to investigate the satisfaction of patients and medical/dental staff after implementation of a critical pathway for dental treatment of disabled children under general anesthesia and its cost effectiveness. Ten patients who underwent dental treatment under general anesthesia were included in the CP group between August and December 2006. The pre-CP group included 20 patients who underwent the same procedure from February 2003. The satisfaction of parent of child patient and medical staff members were compared between two groups. The parents' satisfaction was significantly improved after the implementation of CP and medical/dental staff members were highly satisfied with the usefulness of the critical pathway. In conclusion, the critical pathway for the dental treatment of disabled treatment under general anesthesia can highly improve the satisfaction of parents and medical/ dental staff members.

• 대한감각통합치료학회지
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• 제13권1호
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• pp.1-12
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• 2015

목적 : 본 연구의 목적은 학령전기 아동의 감각처리 능력을 측정하기 위해 사용되고 있는 평가도구의 종류를 알아보고 심리측정학적 특성을 평가하는 것이다. 연구방법 : 감각처리 평가도구는 PubMed, Cochrane, CINAHL, PsycINFO와 같은 전자 데이터베이스를 사용하여 논문을 검색한 뒤, 초록과 원문 검토를 통해 포함기준에 적합한 평가도구를 최종적으로 선택하였다. 결과 : 총 38개의 논문이 최종적으로 분석되었으며, 8개의 평가도구가 확인되었다. 가장 많은 신뢰도와 타당도가 검증된 도구는 Sensory Processing Measure-Preschool(SPM-P)이었으며 신뢰도와 타당도 검증이 부족한 도구로 는 Sensory Experiences Questionnaire(SEQ), Sense & Self-Regulation Checklist(SSRC), 그리고 Sensory Processing Scale Assessment(SPSA)가 있었다. 결론 : 본 연구결과는 임상가와 연구자들이 학령전기 아동에게 적합한 감각처리 평가도구를 선정할 때 근거자료가 될 것이다.

• 한국콘텐츠학회논문지
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• 제14권1호
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• pp.280-293
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• 2014

본 연구는 강점관점을 토대로 학령 전 발달장애아를 둔 어머니의 적응유연성이 양육스트레스에 미치는 영향을 분석하고자 하였다. 연구대상은 서울시 소재 어린이집 및 복지관에 다니는 학령 전 발달장애 자녀를 둔 어머니이며, 수집된 자료 중 170부가 최종 분석되었다. SPSS 18.0을 이용하여 분석한 결과, 첫째, 발달장애아 어머니의 적응유연성은 보통 수준 이상이었으며, 하위차원별 점수는 사회적 자원이 가장 높고, 다음으로 성격구조화, 사회적 성취, 개인의 강점, 미래에 대한 인식, 가족응집력의 순이었다. 둘째, 조사대상자의 양육스트레스는 5점 만점에 2.71점으로 보통 이하였으며, 하위차원별로는 부모의 고통이 가장 높게 나타났다. 셋째, 발달장애아 어머니의 적응유연성과 양육스트레스는 부적 상관관계를 보였으며, 회귀분석 결과 장애자녀 적응행동과 적응유연성 중 미래인식, 개인의 강점, 사회적 자원의 세 가지 하위 차원이 양육스트레스에 유의미한 영향을 주는 요인이었다. 넷째, 장애자녀 및 어머니의 일반적 특성보다는 어머니의 적응유연성 관련 변인들이 양육스트레스를 설명하는 데 있어 더 중요한 예측변수로 나타났다.