• 대한두개안면성형외과학회지
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• 제20권4호
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• pp.228-232
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• 2019

Background: The epidemiology of nasal fractures varies according to factors such as the era and area of the study, as well as the age of the patient. We compared the characteristics and causes of pediatric nasal fractures. Methods: A total of 2,321 patients with nasal fractures from 2010 to 2017 were examined. The patients were divided into age groups using the Korean school system of age classification. The causes of injury were divided into five groups: violence, fall or slip down, sports, road traffic accidents, and others. Fractures were classified using the Stranc and Robertson standard: vector of force and plane of fracture. Results: Violence was the most common cause of nasal fracture in patients older than 12 years. Violence was a significantly less frequent cause among patients younger than 12 years old than among adolescent and adult patients. Nasal fractures due to violence were not observed in patients younger than 10 years. Plane 2 and lateral force fractures were the most common; however, in patients younger than 12 years, frontal force fractures were significantly more frequent than were lateral force fractures. Conclusion: As children may simply be injured due to a fall or slip down, it is important for the parents and guardians to ensure their safety. As they become older, children should abstain from violence and be monitored. It is therefore very important to ensure that the environment is free of violence in order to prevent such injuries.

• Perspectives in Nursing Science
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• 제11권2호
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• pp.144-152
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• 2014

Purpose: The purpose of the study is to offer necessary data to develop nursing interventions to reduce intravenous injection pain and uneasiness among hospitalized children. Methods: A total of 200 patients aged 1-72 months were selected. Pain during intravenous cannulation was assessed using the Procedural Behavior Checklist (PBCL) and the Faces Pain Rating Scale (FPRS). Data were analyzed by t-test and ANOVA using the SPSS/WIN 12.0. Results: Younger patients showed higher pain response than older patients (F=33.87, p<.001). Children with respiratory diseases showed higher responses in FPRS and PBCL than children without respiratory disease (F=4.17, p=.017; F=25.31, p<.001, respectively). Children of preschool age showed higher pain response during IV cannulation than the comparison group (t=2.04, p=.045). Children who had previous experiences with hospitalization and injections showed higher response to pain than those without these experiences (t=2.05, p=.045). In regards to FPRS, patients who were recannulated showed more painful restarts compared with patients injected just once (t=-3.60, p<.001). In regards to PBCL, infants and toddlers (t=-4.88, p<.001) and preschoolers (t=-3.86, p<.001) showed high pain scores during recannulation. Conclusion: A sick child's response to pain may be worse as they feel more pain over time. These characteristics should be considered for development of nursing interventions.

• 아동학회지
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• 제34권5호
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• pp.1-16
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• 2013

This study examined the effects of paternal smoking on the developmental levels of children younger than 3 years of age. For this purpose, the paper made use of data from the Panel Study on Korean Children which has been released in 3 waves - 2008, 2009, and 2010. The main findings are as follows. First, the smoking characteristics of parents (e.g., the amount of smoking in the morning, the time starting the first cigarette of the day) rather than the duration of smoking or whether the father smoked or not revealed significant relationships with developmental levels. Second, children whose fathers preferred smoking in the morning exhibited lower activity levels or more areas with developmental delays than did their counterparts. Third, children whose fathers smoked more than 11 cigarettes a day were more likely to show problematic developmental levels, especially among those whose fathers responded so only for 1 year out of 3 years. Based on these findings, this study suggests that future research may be conducted, relating to the mechanisms through which morning smoking affects children and possible interventions for such morning smokers.

• Clinical and Experimental Pediatrics
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• 제52권3호
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• pp.269-276
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• 2009

Viruses are the most common cause of lower respiratory tract infections (LRTIs) in infants and young children and are a major public health problem in this age group. Viruses were identified in 54.9-70.4% of hospitalized infants and children with LRTIs in Korea. The viral pathogens identified included respiratory syncytial virus (RSV) A and RSV B, influenza (Inf) A, Inf B, parainfluenza (PIV)1, PIV2, human bocavirus (hBoV), human rhinovirus (hRV), adenovirus (ADV), human metapneumovirus (hMPV), human coronavirus (hCoV)-OC 43, hCoV-229E, hCoV-NL63, hCoV-HKU1, and human enterovirus (hEV). Coinfections with ${\geq}$2 viruses were observed in 11.5-22.8% of children. The occurrence of LRTIs was the highest in the first year of life. The specific viruses are frequently associated with specific clinical syndromes of LRTIs. LRTIs caused by RSV were predominant among younger infants. hRV accounted for a larger proportion of LRTIs in young infants than ADV and hBoV. hMPV was frequently detected in children >24 months old. The number of hMPV infections peaked between February and May, whereas hRV was detected throughout the year. Thus far, hCoV is a less common respiratory pathogen in cases of ALRI and URI in Korean children.

• 대한간호학회지
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• 제14권1호
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• pp.69-82
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• 1984

The general fearfulness of hospitalized school-age children and the emotional anxiety of their mothers were investigated and compared to those of normal children and their mothers, in order to provide theoretical basis for establishing comprehensive nursing care of hospitalized children including their mothers. The present study was carried out from Sept. 5th to Oct. 3rd, 1983. A total of 81 hospital I zed children and their mothers were investigated and 95 normal elementary school children and their mothers as control group were surveyed The general fearfulness of children and the emotional anniety of their mothers were measured through questionaire by using Geer's FSS-Ⅱscale and Spielberger's STAI scale, respectively. The results were analyzed by computer using S.P.S.S. program and summarized as follows: 1. The emotional anxiety of the mothers of hospitalized children was greater than that of normal children's mothers. (P=0.000). 2. The general fearfulness of hospitalized children was greater than that of normal children (p=0.000) 3. The general fearfulness of hospitalized children varied with children's age and sex, mother's age and mother's experience of hospitalization. a) The general fearfulness of the hospitalized children at the age of 7∼9 was greater than that of the age 10∼12. (P=0.020) b) Girl's scored greater fearfulness than boys. (p=0.037) c) The younger mother's age resulted in the higher children fearfulness. (P= 0.0059). d) When the mothers did not have experience of hospitalization, the children's fearfulness was high. (P=0.014) 4. The anxiety-state of hospitalized children's mother was proportionally reacted to their anxiety-trait. (r=0.694, p=0.000) 5. The relationship between mother's emotional anxiety and their hospitalized children's general fearfulness failed to show statistical significance. (r= 0.1184, P＞0.05). These results indicated that the general fearfulness of hospitalized children was affected by environmental factors beside mother's emotional anxiety. An extensive study on the factors influencing the general fearfulness of hospitalized children is needed.

• Childhood Kidney Diseases
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• 제19권2호
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• pp.148-153
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• 2015

Purpose: We investigated trends in antibiotic resistance for gram-negative bacteria in infants with a urinary tract infection (UTI) over 15 years at a single institution. Methods: A retrospective chart review was conducted for children younger than 24 months who visited the emergency room and were diagnosed with a UTI between January 2000 and December 2014. We selected urine culture data that grew Escherichia coli and Klebsiella pneumoniae. Baseline clinical information and results of antimicrobial susceptibility tests were analyzed by dividing the 15-year study time frame into three periods (A: 2000-2004, B: 2005-2009, and C: 2010-2014). Results: During the study period, 478 applicable children were identified (E. coli, 89.7% and K. pneumoniae, 10.3%). Antibiotic resistance to third-generation cephalosporins was increased from period A to period C (A, 2.1%; B, 8.3%; C, 8.8%; P=0.025). Resistance to quinolones also showed a steady pattern during periods A to C, although it was not statistically significant (A, 7.9%; B, 9.7%; C, 12.4%; P=0.221). The incidence of Extended-spectrum ${\beta}$-lactamase (ESBL)-producing gram-negative bacteria increased from period A to period C (A, 1.4%; B, 7.6%; C, 8.2%; P=0.012). Conclusion: This study revealed that the common uropathogens E. coli and K. pneumoniae experienced increasing resistance rates against third-generation cephalosporins and a constant antibiotic resistance to quinolones in children younger than 24 months. We also showed a recent increased incidence of ESBL-producing gram-negative bacteria in patients with community-acquired UTIs. Therefore, it is necessary to actively surveil resistance in order to properly select empirical antibiotics.

• 한국콘텐츠학회논문지
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• 제15권9호
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• pp.72-83
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• 2015

본 연구는 동물형 스마트 토이에 대한 영유아 부모의 디자인 선호 및 토이 구매경험과 구매요인에 대해 알아보고 이것이 자녀의 성과 연령에 따라 차이가 있는지를 살펴보는 것을 목적으로 하였다. 이를 위해 서울 및 경기도 지역 6개 기관의 344명의 학부모를 대상으로 설문을 실시하였다. 설문은 조사대상자의 일반적 배경 문항, 디자인 선호(유형, 외형, 기능, 정체성, 가격), 구매경향(구매 유무, 실제 구매토이, 만족/불만족 요인), 구매요인 등의 문항으로 구성하였고, 예비설문을 통해 내용을 수정 보완하였다. 그 결과 부모가 선호하는 동물형 스마트 토이는 흰털 또는 갈색의 짧은 털을 가진 20~30cm 크기의 강아지형 토이로, 소리 기능을 가장 중요하게 여기며, 단순 장난감 외에, 애완동물, 친구, 동생 등의 역할을 기대하는 것으로 나타났다. 실제 동물형 스마트 토이로 주로 강아지 토이를 구매했으며, 높은 재미와 상호작용성, 디자인 등에는 만족한 반면, 시끄럽고, 배터리와 내구성에 불만족을 보였다. 주요 구매요인은 안전과 견고성, 가격, 배터리 수명, 장기적 놀이성, 교육성, 세탁가능성이었다. 그리고 동물형 스마트 토이의 선호나 구매경험, 구매요인에 있어서 자녀의 성차나 연령차가 크게 나타나지 않았다. 이러한 연구 결과는 영유아의 동물형 스마트 토이 개발에 있어 기능 구성 및 디자인 등 설계 및 서비스 기획에 필요한 기초자료를 제공할 수 있을 것이다.

• The Journal of Korean Physical Therapy
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• 제25권5호
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• pp.246-251
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• 2013

Purpose: The purpose of this study was to provide quantitative data regarding development of the chest wall in children with cerebral palsy (CP) according to Gross Motor Function Classification System (GMFCS) levels and age using the radiological image diameter measurement method. Methods: Subjects included 112 children with CP and 110 healthy children, All of the children underwent simple chest x-ray. The diameters of the upper chest ($D_{apex}$) and lower chest ($D_{base}$) were measured on the anteroposterior (AP) view of a chest x-ray, and the $D_{apex}$ to $D_{base}$ ratio was calculated. Chest wall ratios were compared among children with CP at GMFCS levels I ~ III, GMFCS levels IV and V, and healthy children. Results: The results showed significant differences between the upper and lower chest wall diameters of children with CP at GMFCS levels IV and V, and healthy children (F=4.54, p=0.01; F=3.20, p=0.04). Results of comparison between the chest wall ratios of children with CP and healthy children, showed that the upper chest walls of healthy children were significantly larger in children younger than 48 months (p<0.05), and both the upper and lower chest walls of healthy children were significantly larger compared to children with CP in children older than 48 months (p<0.05). Conclusion: Radiographic measurement for examination of chest wall development is relatively simple, and the results yield quantitative data on development of the chest wall for children with CP. In addition, therapeutic interventions may be considered based on the results.

• 디지털콘텐츠학회 논문지
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• 제17권6호
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• pp.531-536
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• 2016

이 연구에서는 인간과로봇상호작용(HRI)에서 유아들을 대상으로 로봇을 활용한 증강현실 극놀이 실험을 통하여 아동들이 느끼는 상호작용 분석을 제시하고자 한다. 기존의 극놀이 로봇콘텐츠를 아동들이 상호작용하기에 편하도록 QR 마커의 단점을 개선하여 개발하였다. 또한 로봇을 활용한 증강현실 극놀이에 대해서 로봇 극놀이에 대한 흥미, 로봇분장의 적절성, 로봇이 똑똑해 보이는 정도, 극놀이에 몰입감에 대한 아동의 반응을 분석하여 보았다. 나이가 어릴수록 재미가 높고, 로봇이 똑똑하다고 생각하였고 로봇 사용경험이 없는 아이들이 상대적 흥미가 높고, 로봇분장에 대해서는 로봇사용 경험 있는 아이들이 차이를 인지하는 것으로 나타났다.

• 한국생활과학회지
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• 제21권1호
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• pp.95-111
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• 2012

This study investigated the pathways of factors affecting 173 employed mothers' second childbirth plans. Participants were all employed working mothers with an infant under 10 months old. The hypothetical model used in this research proposed that workplace childcare support, social support, value of children and parenting stress of employed mothers will directly affect second childbirth plans. Additionally, workplace childcare support, social support, value of children, marital satisfaction and job satisfaction will indirectly influence second childbirth plans as a result of parenting stress. The results of this research demonstrated that value of children and parenting stress were the factors which directly affected second childbirth plans of employed mothers. In addition, workplace childcare support, social support, marital satisfaction and job satisfaction indirectly influenced second childbirth plans as a result of parenting stress. This study suggests the need for the establishment and development of workplace childcare support and the need for enhancing the value of children. This research further suggests the need for policies aimed at increasing psychological well-being and decreasing parenting stress for working mothers who are contemplating second childbirth plans.