• Clinical and Experimental Pediatrics
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• 제50권6호
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• pp.519-523
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• 2007

Aplastic anemia is a rare disease, which is characterized by pancytopenia and hypocellular bone marrow without infiltration of abnormal cells or fibrosis. The incidence in Asia is higher than in the West and new cases are diagnosed at a rate of 5.1 per million pediatric populations per year in Korea. The pathophysiology is understood roughly by defective hematopoiesis, impaired bone marrow micro-environment and immune mechanism. Treatments are performed on basis of pathogenesis and selected depending on the severity. Immunosuppressive therapy with antilymphocyte or antithymocyte globulin and cyclosporine is effective in the majority of patients but has some problems including relapse or clonal evolution. Recently, there have been clinical trials of immunosuppression with hematopoietic growth factors or other drugs. Allogeneic hematopoietic stem cell transplantation (HSCT) is curative in children with severe aplastic anemia. The overall survival in HSCT from HLA-identical sibling is higher than alternative donor, including HLA matched unrelated donor or cord blood. We have to consider quality of life after HSCT because of high survival rate. However, chronic graft versus host disease and graft failure are important factors that affect the quality of life and overall survival. We need further investigation to make new regimens aimed at overcoming these risk factors and perform clinical trials.

• 정보교육학회논문지
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• 제4권2호
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• pp.212-222
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• 2001

본 논문에서는 교육용 웹 기반 멀티미디어 코스웨어를 구축할 때 고려해야 하는 네비게이션 화면의 설계 방법에 관하여 연구하였다. 코스웨어를 구성하는 정보구조와 각 구조에 적합한 구체적 탐색 기법에 관해 분석하였으며, 이를 바탕으로 효율적인 초등학생용 웹 기반 멀티미디어 코스웨어를 위한 네비게이션 화면의 설계 방법으로 메뉴-연속 조합형 방법을 제안하였다. 그리고, 제안된 화면 설계방법에 따른 구체적인 코스웨어를 구현하여 현장에 적용 분석하였다.

• 한국생활과학회지
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• 제23권6호
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• pp.1155-1170
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• 2014

This study was performed to understand the structure of family experiences of adolescent behavior problems by analyzing and integrating family experiences in the family relationships. This study intends to discover in-depth family experience by analyzing the individual meaning of family experiences from client's wording. This study was performed in phenomenological method through analyzing the actual counselling cases. The results indicated that 9 units of meaning were derived on family relationships. In the family relationship domain, desire to die or kill others, guilt and resentment, not receiving the respect, mother's ignorance and verbal abuse to father were derived as primary components. Parents-children relationships-Not understanding about his father's drunkenness and disgust, getting exhausted, untrusted parents, unidirectional attitude without communication. Sibling Relationships-younger brother or sister to work off frustration.

• 한국컴퓨터정보학회논문지
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• 제6권4호
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• pp.85-93
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• 2001

정보화 사회로의 진행이 가속화됨에 따라 정보 양이 급격히 증가하면서 XML을 이용하여 정보를 효율적으로 저장하고 검색하기 위한 많은 연구들이 진행되고 있다. 그러나 기존의 방법은 특정 엘리먼트의 부모, 자식, 형제에 대한 다양한 구조 검색을 효율적으로 지원하지 못한다. 따라서 이 논문에서는 XML 문서의 효율적인 관리와 구조검색을 위해OETID를 이용한 구조 정보 표현과 색인 기법을 제안한다. 또한 XML 문서의 구조 정보를 저장하기 위한 저장 기법과 검색 결과에 대한 문서통합 과정을 제안한다. 제안한 방법을 이용하여 XML 문서의 구조 정보를 효율적으로 표현할 수 있을 뿐 아니라 간단한 연산으로 특정 엘리먼트에 직접적인 접근과, 다양한 질의 처리가 가능하다. 따라서 보다 효율적이고 빠른 검색을 지원할 수 있다.

• 한국산학기술학회논문지
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• 제13권4호
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• pp.1706-1713
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• 2012

본 논문은 암 환아와 가족의 아동호스피스 요구도를 파악하기위해 실시되었다. 자료 수집은 2011년 1월 31일부터 3월 31일까지 대구 소재 3차 의료기관 4개병원의 외래통원 치료중인 암 환아 가족을 대상으로 연구 참여에 동의한 83명에게 설문조사하여 SPSS WIN 19.0 프로그램으로 t-test와 ANOVA로 분석하였다. 아동호스피스 요구도는 평균 3.34점으로 높게 나타났다. 요인별로는 "아동의 정서적 간호"가 가장 높았으며, "2차적인 생리적 문제의 조절", "가족의 어려움을 수용", "말기주요 신체적 증상", "죽음 준비"를 위한 "영적 돌봄"의 순이었고, 가족의 아동호스피스 요구는 종교, 형제, 친척 중 암환자의 유무에서 유의한 차이가 있었다. 암 환아 가족의 호스피스 요구도는 높았으며 요인별로는 "정서적 간호" 요구가 가장 높았고 문항별로는 "아동이 불안해 할 때 정서적인 지지"가 가장 높음을 알 수 있었다. 이를 토대로 아동호스피스 간호에서 정서적 지지에 대한 부분에 더 많은 비중을 두어야하며 필요할 때 지원할 수 있는 전문적인 자질을 갖춘 다학제 아동호스피스팀, 아동호스피스의 체계적인 아동호스피스 돌봄이 이루어져야한다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제43권4호
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• pp.247-255
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• 2017

Objectives: The aim of this study was to compare the quality of life (QoL) of parents/caregivers of children with cleft lip and/or palate before and after surgical repair of an orofacial cleft. Materials and Methods: Families of subjects who required either primary or secondary orofacial cleft repair who satisfied the inclusion criteria were recruited. A preoperative and postoperative health-related QoL questionnaire, the 'Impact on Family Scale' (IOFS), was applied in order to detect the subjectively perceived QoL in the affected family before and after surgical intervention. The mean pre- and postoperative total scores were compared using paired t-test. Pre- and postoperative mean scores were also compared across the 5 domains of the IOFS. Results: The proportion of families whose QoL was affected before surgery was 95.7%. The domains with the greatest impact preoperatively were the financial domain and social domains. Families having children with bilateral cleft lip showed QoL effects mostly in the social domain and 'impact on sibling' domain. Postoperatively, the mean total QoL score was significantly lower than the mean preoperative QoL score, indicating significant improvement in QoL (P<0.001). The mean postoperative QoL score was also significantly lower than the mean preoperative QoL score in all domains. Only 3.2% of the families reported affectation of their QoL after surgery. The domains of mastery (61.3%) with a mean of $7.4{\pm}1.8$ and finance (45.1%) with a mean score of $7.2{\pm}1.6$ were those showing the greatest postoperative impact. The proportion of families whose QoL was affected by orofacial cleft was markedly different after treatment (95.7% preoperative and 3.2% postoperative). Conclusion: Caring for children with orofacial clefts significantly reduces the QoL of parents/caregivers in all domains. However, surgical intervention significantly improves the QoL of the parents/caregivers of these children.

• 한국응급구조학회지
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• 제12권1호
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• pp.53-67
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• 2008

Purpose : This study is descriptive correlation research to provide basic materials for developing program which can give practical assistance in preventing and managing obesity through more comprehensive approaches of influential factors on obesity found in existing literatures. Methods : Data were collected from the 4th, 5th and 6th graders at 2 elementary schools in Gwangju Metropolitan City and 4 elementary schools in Jeollanamdo province using questionnaire and students' physical examination results from June 15 to July 27, 2006 and data obtained from 1,866 students were used for analysis. Data collected were analyzed with technical statistics and correlation analysis using SPSS/PC(version 12.0). Results : 1. Obesity level of elementary school students was examined as follows; 33.2% had low weight, 44.3% normal, 10.8% overweight and 11.7% obese. 14.8% of boys and 8.6% of girls, 13.5% of the 4th graders, 12.1% of the 5th graders and 9.2% of the 6th graders, and 13.7% of urban students and 9.6% of rural students were obese. 2. According to general characteristics and obesity of the subjects, there were significant differences by sex(${\chi}^2=29.55$, p= .000), grade(${\chi}^2=12.84$, p= .046), region(${\chi}^2=41.96$, p= .000) and pocket money(${\chi}^2=33.43$, p= .001). 3. As genetic factors, all variables including sibling's obesity r= .128(p= .000), mother's obesity r= .098(p= .000) and father's obesity r= .081(p= .001) had influence on children's obesity. 4. Concerning environmental factors, there was positive correlation between eating habits r=- .052(p= .02) and school record r=- .048(p= .04) and there was negative correlation between internet using time r= .050(p= .03) and conflict with parents r= .048(p= .04). 5. Self-respect as psychological factor had negative correlation as r=- .048(p= .04). Conclusion : Consequently, the influential factors on obesity of elementary school students were as follows. Obesity was higher in boys than in girls, in urban areas than in rural areas, in lower grade than in higher grade, in children with obese siblings, obese father and mother, irregular and wrong eating habits, frequent internet uses, parents in conflict and lower school record and self-respect. Therefore, since it was found that these variables were more exact causes to increase children's obesity, development of various obesity mediation programs considering these variables at home, school and society is urgently required.

• Child Health Nursing Research
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• 제23권3호
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• pp.394-404
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• 2017

Purpose: The purpose of this study was to review interventions available to nurses caring for siblings of children with cancer. Methods: Searches of CINAHL, MEDLINE, PubMed, EMBASE, and RISS identified ten intervention studies published from January, 2000 to November, 2016. Results: Ten studies on interventions for siblings of pediatric cancer patients were identified as follows: 4 included camps, 4 included support groups, and 2 provided individual interventions. Theoretical frameworks were mainly cognitive behavioral theory and most studies were led by psychologists and multidisciplinary teams. The purpose of the interventions was primarily enhancing psychosocial adjustment. Siblings' fear of disease, self-esteem, and social support were improved significantly after the interventions. Findings were inconsistent with regard to depression, anxiety, behavioral problems, post-traumatic stress, health-related quality of life, and siblings' perceptions of the illness. Conclusion: Study findings showed the potential for enhancing emotional and behavioral outcomes in siblings of children with cancer. However, the number of studies was very small, and several methodological limitations were identified. In the future, more randomized controlled trials with larger samples are needed to extend the evidence base. Moreover, future research should identify sibling's characteristics and circumstances most likely to bring benefits to the siblings.

• 가정과삶의질연구
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• 제23권3호
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• pp.25-33
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• 2005

This study examines socio-demographic characteristics of married couples and their desire for a second child. Questionnaires were completed by 355 married men and women who have only one child currently. The participants were classified into four groups by their desire, or a lack thereof, for a second child. Group I consisted of married people who wanted to have another child, and whose spouse wanted the same. Members of Group II were in a marriage where only the wife wanted to have another child. Members of Group III were in a marriage where only the husband wanted a second child. Group IV consisted of participants who did not want another child, and whose spouse agreed with thor The research questions were (1) how different those four groups are in terms of socio-demographic characteristics, (2) what are the reasons to stop having children and to have another child, and (3) what are the perceptions of the current low fertility rate in Korea, and the policies designed to increase birth rata The results indicate that wife' age, husband's educational level, expectant level of household economy, age at marriage, marriage duration and the time length between marriage and birth of the first child were significantly different among the four groups. The reasons to stop having children were expected constraint of privacy and time, physical and psychological burden and economic pressure. The most pronounced reason for wanting another child was the desire to give their first child a sibling. Group III had more serious disagreement about having another child than did Group II. There were significant differences among the four groups in the perceptions of possible consequences of the low birth rate. These perceptions included: undermined competitiveness of the nation and weakened family ties.

• 한국콘텐츠학회논문지
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• 제22권1호
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• pp.337-347
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• 2022

본 연구는 국내에서 출간된 상상친구가 등장하는 30권의 그림책에서 상상친구가 있는 인물의 특성이 어떻게 나타나는지 알아보기 위해 상상친구를 가진 인물의 성별, 형제 관계, 인물의 성격을 분석하였다. 연구결과 첫째, 전체 30권의 책 중 상상친구를 가진 인물은 총 35명이었으며 이중 여성이 24명, 남성이 11명으로 상상친구를 가진 인물의 성별은 남자에 비해 여자가 두 배 이상 많은 것으로 나타났다. 둘째, 상상친구를 가진 등장인물의 형제관계는 외동인 경우가 가장 많았고 형제가 있는 경우, 남매, 자매 순으로 나타났으며 형제가 나타난 경우는 없었다. 서열을 보면 맏이, 동생, 나타나지 않음 순으로 나타났다. 셋째, 상상친구를 가진 인물의 성격특성을 살펴본 결과 상상친구를 가진 인물의 외향과 내향이 두드러진 차이를 보이고 있지 않았다. 이러한 결과는 그림책이 상상친구를 가진 아동의 현실을 잘 반영하고 있었으며 상상친구를 가진 아동의 다양한 상황을 균형감있게 나타내 주고 있어 현실에서 상상친구를 가진 아동들을 이해하는 기초자료로서 의미가 있다.