• 한국보건간호학회지
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• 제12권1호
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• pp.55-74
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• 1998

In the past most major accidents resulted in death, but today there is a dramatic increase in the number of people who survive such accidents but who are left with permanent injury. Particularly, children who are inquisitive about their surroundings but immature in their ability to assess danger, are more vulnerable to accidents and their causes as well as to determine attitudes towards prevention. The main objective of the study was to assess the effectiveness of using an accident prevention manual for accident for accident prevention education. The study was a quasi-experimental study using a questionnaire format. The subjects of the study were 393 mothers of children attending six day care centers in Seoul. Data collection was done between May 1 and June 15, 1997. The tools used for the study were a questionnaire developed the researchers and a manual for accident prevention. The collected data were analyzed using SPSS. The results of the study are as follows: 1. Types of accidents included stabbing, bums, falls from heights, choking, falls on slippery surfaces, traffic accidents, drowning, poisoning, and electrical shock in that order of frequency. 2. The main causes of accidents in children were from cosmetics and household medications. 3. The most frequent locations of accidents in the home were the bathroom, kitchen, and stairways in that order. 4. For $90.4\%$ of children safety seats were not used when the ridding in a car. 5. In examining the parents' accident prevention practices, it was found that many parents used only . one electrical outlet for many appliances, tending to overload the electricity lines and that they were not practically concerned bout the flammability of children's pajamas, indicating a less than positive attitude towards fire prevention. 6. The parents had not provided their children with any instruction on accident prevention or on what to do after an accident had occurred. 7. After the use of pamphlet in an accident prevention education program, it was found that there was a statistically significant difference in the degree to which children carried out safety measures (t=14.96, p=.000) and in their safety habits (t=-1.67, p<.1) indicating an effectiveness in this method of education. The results of this study showed that there are many things in a child's environment that can cause accidents and that the possibility of an accident occurring is high. So nurses looking after children should be aware of the need for safety education to prevent accidents in the home and plan to provide appropriate educational material to help parents with this education.

• 한국생활과학회지
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• 제6권1호
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• pp.111-127
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• 1997

This study was to examine home economics (HE) teachers' and the 1st-grade students' needs perception toward the purposes of HE education in middle school which has been practced since 1995 for both male and female students. This study, attempted (1) to analyze needs priority among the educational purposes of HE subject in relation to three systems of actions; (2) to compare differences between HE teachers' and students' perception concerning the degree of importance and achievement of the educational purposes of HE subject: and (3) to examine what they conceive as the problems In the current HE education. The survey was conducted with the samples of 600 1st-grade middle school students and 101 middle school HE teachers during the period of February-March 1996. The questionnaire used in this study was a modified version which had already been developed along with the 6th HE curriculum. For data analyses, SAS program was utilized to get Means and to perform both discrepancy test and t-test. The findings of this study were summarized as follows: first, with respect to each group's perception of the importance of the purposes related to three systems of action, HE teachers emphasized the importance of the purposes related to emancipatory action, while students placed more emphasis on the purposes related to technical action. Second, in terms of the degree of achievement, students had more positive perception on the degree of achievement of the purposes related to technical action than HE teachers did. Both groups marked low level of recognition on the degree of achievement of the purposes related to emancipatory action. Third, with respect to needs priority, HE teachers placed the first priority on emancipatory action, the second on technical action, and the last on communicative action: in the case of students, the first priority was on technical action, the second on communicative action, and the last on emancipatory action. In addition, the analysis of the opinions on the 6th curriculum revealed that most respondents found it necessary to secure adequate amount of classes for HE education. Also they shared the recongnition that HE curriculum should be renovated into the one which would fully appreciate the purposes of HE education from the perspective of the practical concerns of action which are distinct from the functional and technical concerns of passive learning. The findings of this study can serve as basic data for establishing the new purposes of HE education which put more emphasis on the purposes related to emancipatory action: as well as for developing an enhanced curriculum and reinforcing the identity of HE education.

• 한국산학기술학회논문지
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• 제16권1호
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• pp.282-290
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• 2015

본 연구는 직장보육시설의 위탁운영형태별 이용 만족도를 도출하는데 목적을 두고 국 공 사립 이용학부모 400명을 대상으로 설문조사를 하였는데 전체 연구결과를 종합해보면 다음과 같다. 첫째, 직장보육요인으로서 위탁 직영 모두 보육 환경, 보육 프로그램, 유아교사의 질인 것으로 나타났으며 이들 보육 운영 요인이 잘 되어 있을수록 시설, 프로그램, 운영, 보육 지도에 대한 만족도가 높아지고 이들 관계의 충족에 따라 직장 보육시설의 이용에 대한 기대감을 높일 수 있는 것으로 나타났다. 둘째, 직장보육시설 운영에 따른 차이비교에서도 규모에 있어 50~74명 규모가 가장 선호되고 직장 내 직접 운영보다 전문보육기관에 위탁이 선호되고 소재지 또한 직장 내 소재를 선호하는 것으로 나타났다. 이같은 결과는 최근의 영유아부모들의 맞벌이 추세의 증가에 따라 일반 유치원이나 어린이집보다 직장보육시설에 대한 높은 선호도를 알 수 있으며 이는 대규모 시설보다 50명 내외 중소규모가 선호되고 전문위탁운영기관에 의한 위탁을 통해 보육프로그램, 시설, 양질의 교사 확보 등이 선행될수록 만족도 또한 높아질 수 있음을 시사해주었다.

• Clinical and Experimental Pediatrics
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• 제51권6호
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• pp.640-645
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• 2008

목 적 : 알레르기 질환이 알레르기 행진의 임상 양상을 보이며 이를 이해하는 것이 예방에 중요 한 것은 널리 알려진 사실이다. 그러나 국내에서 알레르기 진행에 대한보고는 미미 한 실정이다. 방 법 : 2006년 5월 1일부터 30일 까지 서울에 위치한 4개 대학병원의 소아 알레르기 클리닉을 방문한 6세 미만 환아의 보호자들을 대상으로 설문 조사를 시행하였다. 결 과 : 총 229명의 환아 중 여자는 122명 남자는 107명이였다. 2세 이하에서는 아토피피부염(79%)이 가장 흔했고 뒤이어 천식(13%)과 알레르기비염(13%)의 순이었다. 2-4세에서는 알레르기비염(38%), 천식(37%), 아토피피부염(19%)의 순이었다. 4-6세에서는 천식(72%)이 가장 흔했으며 알레르기비염(64%)과 아토피피부염(21%)의 순이었다. 73%에서 가족력이 있었고 이중 아버지 알레르기 병력이 가장 흔했다. 알레르기비염을 가진 환아의 50%에서 천식, 30%에서 아토피피부염을 경험하였고 천식을 가진 환아의 57%가 과거에 아토피피부염을 가지는 알레르기 행진을 볼 수 있었다. 알레르기 질환의 심각도 조사에서 부모들은 영아기에는 천식을, 유아기에는 아토피피부염을 가장 심각한 알레르기 질환으로 생각하였다. 결 론 : 국내에서 6세 미만의 소아에서 알레르기 행진이 진행한다는 것을 알 수 있었다.

• Clinical and Experimental Pediatrics
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• 제61권10호
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• pp.327-331
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• 2018

Purpose: The incidence of inflammatory bowel disease (IBD) is rapidly increasing, and several reports have described the renal complications of IBD. We sought to evaluate the clinical manifestations of renal complications in children with IBD in order to enable early detection and prompt treatment of the complications. Methods: We retrospectively reviewed the medical records of 456 children and adolescents aged <20 years who had been diagnosed with IBD since 2000. We analyzed patient age, sex, medication use, IBD disease activity, and clinical manifestations of renal symptoms. Results: Our study comprising 456 children with IBD included 299 boys (65.6%) and 157 girls (34.4%). The study included 346 children with Crohn disease and 110 children with ulcerative colitis. The incidence of kidney-related symptoms was 14.7%, which was significantly higher than that in normal children. We observed 26 children (38.8%) with isolated hematuria, 30 children (44.8%) with isolated proteinuria, and 11 children (16.4%) with hematuria and concomitant proteinuria. A renal biopsy was performed in 7 children. Histopathological examination revealed immunoglobulin A nephropathy in 5 children (71.4%). All children presented with mild disease and well-controlled disease activity of IBD. Conclusion: Children with IBD are more likely to show kidney-related symptoms than healthy children and adolescents are. Therefore, regular screening of urine and evaluation of renal function in such children are necessary for early detection of renal complications.

• 복식
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• 제28권
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• pp.65-84
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• 1996

The purpose of this study is to analyze the relation between the beauty of human body and the fashion illustration in each period And I attained my object through the investigation of features and changes of illustration which is given a vivid description of the features and development of ideal humam body beauty. By various methods I studied this subject. Frist I refered to sundry records Secondly I investiated the fashion illustrations which are included in Vogue. On the basis of this data I grasped the ideal types of human body beauty which is founded during the social change in each 10 years. And I analyzed the relation be-tween the ideal type and fashion illustration which show the change of fashion. The summary of result is as follows. 1. In the early part of the 20th century the beauty of human body is represented with the figure of large-sized beauty which emphasize shoulder and bust. And fashion ikllustration show 9 life-size broad shoulder full bust lim waist and hourglass silhouette. 2, In the 1910s the swell of strength vanishes gradually and shoulder and sleeve are straight type. And fashion illustration show 7 life-size high waist line. And that is tublar sil-houette of high waist and streamline shape in which bust and hip are not emphasized. 3. In the 1920s the ideal type of human body beauty is straight type which shows flat bust and unexaggerate hip. And fashion illus-tration is about 8 life-size tublar silhouette of low waist and lunger and slimmer and young style in which bust and hip are not emph-asized. 4. In the 1930s the ideal is womamly slim and long style. Fashion illustration is about 8 life-size and slim & long silhouette in which waist line is emphasized and bust and hip line come out. 5. In the 1940s the ideal type is womamly style which has narrow shoulder rich bast and slim waist. And fashion illustration is about 7 life-size and hourglass silhouette which has unartificial shoulder slim waist and empha-sized bust. 6. In the 1950s the ideal type is that of ro-bust health which emphasize build and muscu-lar system. And fashion illustration is 8.5 life-size and show full bust and made waist slimmer. That is sheath silhouette. 7. In the child who has full face with large eyeball slender and long leg: narrow and immatured body comparatively big head. And fashion illus-tration is 7 life-size and show slim and long neck flat bust long and slim limbs and big head. That is H type silhouette. 8. In the 1970s the ideal type is high stat-ure flat breast small hip and wide shoulders. And fashion illustration is wide shoulders and slim waist as 11 life-size and straight sil-houete. 9. In the 1980s the ideal type is extremely emphasized breadth of shoulder because healthy body and muscle are recognized as the symbol of ideal attractiveness. And fashion il-lustration is about 8.5 life-size and show mus-cular slim type that is slim silhouette. 10 At the present time the ideal type is slim and tall type which is empasized healthy beauty. And fashion illustration is 12 life-size which has healthy body and skin So that is slim and long type.

• Pediatric Infection and Vaccine
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• 제20권2호
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• pp.89-97
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• 2013

목 적 : 국내 B형 인플루엔자의 임상 양상 및 A형 인플루엔자와 비교를 위해 후향적 연구를 시행하였다. 방 법 : 2011-2012 인플루엔자절기에 multiplex PCR로 인플루엔자가 진단된 소아청소년 입원 환자들의 의무 기록 분석으로 B형 인플루엔자의 임상 양상과 함께 같은 기간 A형 인플루엔자와의 차이점을 조사하였다. 결 과 : 연구 기간 동안 진단 된 145명 인플루엔자 환자 중, A형 인플루엔자 66명, B형 인플루엔자 78명이 있었고, 1명은 A, B형 인플루엔자가 동시에 진단되었다. 이들은 기침(88.2%), 콧물(77.1%), 가래(60.4%) 등 호흡기 증상을 호소하며, 하기도 감염(49.3%) 및 상기도 감염(31.9%)으로 진단된 경우가 많았다. B형과 A형 인플루엔자 환자의 주요 증상 및 검사실 소견은 차이가 없었고, A형에 비해 B형 인플루엔자 환자의 입원 전 발열기간이 길었다(3.0일 vs. 2.5일, P=0.043). 결 론 : 임상 양상만으로 B형과 A형 인플루엔자 감별은 제한성이 있고, B형 인플루엔자 환자의 입원 전 발열 기간 3일을 고려한다면 진단 후 치료보다 감염 전 예방이 중요하다.

• Journal of Trauma and Injury
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• 제18권1호
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• pp.70-79
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• 2005

Background: Abdominal compartment syndrome has multiple etiologies that are not only related to trauma but also any problem condition in the absence of abdominal injury. To determine whether prevention of the abdominal compartment syndrome after celiotomy for trauma victims justifies the use of temporary abdominal coverage with monofilament knitted polypropylene mesh (Malex mesh) in severely injured patients. Method: Medical records at the Ajou University Medical Center were reviewed for a 32-month period from May 1st, 2002 to December 31st, 2004. Twenty-nine consecutive patients requiring celiotomy who were survived until at the end of celiotomy received temporary abdominal coverage and staged abdominal repairs with Malex mesh. One of them was dissecting aortic aneurysm patient and the others were all trauma victims. Malex mesh prosthesis coverage was used in cases of abdominal compartment syndrome due to excessive fascial tension, severe bowel edema and retroperitoneal hemorrhage or edema followed by staged abdominal repairs. Result: Eighteen of twenty-nine patients were survived. Demographic characteristics, injury severity number of abdominal-pelvic bone injuries, mortality rate, complications, number of operations for permanent closure, required time for permanent closure showed no difference between man and women or child and adult. Except one dissecting aortic aneurysm patient, trauma cases showed $3.24{\pm}0.98$ injury sites. All cases that received temporary abdominal coverage and staged abdominal repairs did not show abdominal compartment syndrome. $10.08{\pm}5.85$ days and $2.27{\pm}0.82$ times of operation required making permanent abdominal closure after temporary abdominal coverage followed by staged abdominal repairs. Most of surviving patients have shown antibiotic-resistant organism and fungus infection. Patients who received permanent closure recovered from infectious problem completely. Conclusion: The use of Malex mesh for temporary abdominal coverage in severely injured patients undergoing celiotomy was effective treatment method.

• Journal of Chest Surgery
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• 제42권2호
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• pp.244-247
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• 2009

좌심방 부속지류는 매우 드문 질환으로 염증반응이나 퇴행성 변화로 발생할 수 있지만, 동반된 다른 기형이 없을 경우 선천성으로 생각할 수 있다. 선천성 좌심방 부속지류는 대부분 증상이 없어 우연히 발견되지만, 심방 세동, 상심실성 빈맥, 전신 색전증상, 심정지 등 합병증이 발생할 수 있어 진단되면 증상이 없어도 수술을 권장하고 있다. 개흉술을 통해 접근이 가능하지만, 기저부가 넓은 경우나 좌심방 부속지내에 혈전이 있는 경우에는 체외순환이 필요해 정중흉골 절개술이 필요할 수 있다. 저자들은 부분 심낭 결손증으로 오인되었던 선천성 좌심방 부속지류를 좌측 개흉술을 통해 체외순환 없이 성공적으로 수술하였기에 증례 보고를 하는 바이다.

• 정신신체의학
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• 제17권2호
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• pp.75-81
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• 2009

연구목적 : 소아정신과의사의 진료가 개설되지 않은 일반정신과 외래 및 소아과 외래에서 아동의 정신과적 장애를 선별 진단하는 목적으로 한국어판 강점 난점설문지(Korean version of Strengths and Difficulties Questionnaire : SDQ-Kr)가 활용될 수 있는지 알아보기 위하여 아동 정신병리의 표준진단도구인 아동행동조사표 (Korean version of Childhood Behavior Checklist : K-CBCL)와 비교 분석하였다. 방법 : 부모용 SDQ-Kr과 K-CBCL을 정신과 외래아동 313명, 정신과로 진료의뢰된 소아과 자문아동 91명, 소아과 외래아동(대조군) 93명의 부모에게 시행하였다. 이들은 모두 4~11세였고, 정신과아동은 ADHD, 정서장애, 또는 품행장애 중 하나로 진단되었다. SDQ-Kr과 K-CBCL의 대응되는 소척도 평균점수에서 세 집단간 차이가 있는지 성별을 나누어 비교하였다. 또한 두 설문지의 대응하는 소척도 점수들간 상관계수를 산출함으로써 SDQ-Kr의 구인타당도를 조사하였다. 정신과아동과 소아과아동에 대한 두 설문지의 집단 판별력을 비교하기 위해 AUC를 산출하고, 또한 정신과아동에 대한 두 설문지의 진단예측도를 비교하였다. 결과 : SDQ-Kr과 K-CBCL의 소척도 모두에서 정신과아동이 가장 높은 점수를 보였고 소아과 자문아동, 소아과 대조아동 순서로 나타났다. 두 설문지의 대응되는 소척도들은 유의하게 상관되었으며, 모두 정신과아동과 소아과아동의 집단 판별력이 우수한 것으로 나타났으나 SDQ-Kr이 더 나은 결과를 보였다. 정신과아동의 진단 예측도에서도 SDQ-Kr이 높은 예측력을 나타냈다. 결론 : 이 연구 결과는 SDQ-Kr이 소아과 외래에서 정신과적 진료가 필요한 아동을 선별하고, 일반정신과에서 소아정신과적 진단을 내리는데 일차적인 진단도구로 활용될 수 있음을 시사한다.