• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제19권1호
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• pp.44-53
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• 2016

Purpose: Parenteral nutrition (PN) not only provides nutritional support but also plays a crucial role in the treatment of children with intestinal failure. The aim of this study was to evaluate the clinical significance and clinical outcomes of long-term PN. Methods: Retrospective cohort study was conducted using the medical records of patients treated at Seoul National University Children's Hospital. This study included 19 patients who received PN for over six months. Most patients received home PN. Results: The indications for PN included short bowel syndrome, chronic intestinal pseudo-obstruction, and intractable diarrhea of infancy. The median age of PN initiation was 1.3 years, and the median treatment duration was 2.9 years. Two patients were weaned from PN; 14 continued to receive PN with enteral feedings; and 3 patients died. The overall survival rates at 2 and 5 years were 93.3% and 84.0%, respectively. The incidence of catheter-related bloodstream infections was 2.7/1,000 catheter-days and was associated with younger age at PN initiation and lower initial height Z-score. Six patients developed catheter-related central vein thrombosis, with an incidence of 0.25/1,000 catheter-days. Eleven patients experienced PN-associated liver disease (PNALD), and one patient underwent multi-visceral transplant. The patients with PNALD exhibited lower final heights and body weight Z-scores. All patients experienced micronutrient deficiencies transiently while receiving PN. Conclusion: PN is an important and safe treatment for pediatric intestinal failure. PNALD was linked to final anthropometric poor outcomes. Micronutrient deficiencies were common. Anthropometric measurements and micronutrient levels must be monitored for successful PN completion.

• Clinical and Experimental Pediatrics
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• 제65권4호
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• pp.194-200
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• 2022

Background: Injury is the leading cause of death or disability in children and adolescents. Rates of deaths from injuries have recently declined, but studies of the occurrence of nonfatal injuries are lacking. Purpose: This study aimed to investigate nonfatal injuries in children and adolescents younger than 20 years based on data from the Korean National Health and Nutrition Survey, 2007-2018. Methods: A questionnaire survey was conducted to determine whether children and adolescents had experienced an injury requiring a hospital visit in the previous year. We investigated each injury's risk factors and characteristics. Results: Of a total of 21,598 children and adolescents, 1,748 (weighted percentage, 8.1%) experienced one or more injuries in the previous year. There was no yearly difference in the proportion of injuries experienced. Among the male subjects, 10.0% had an injury experience; among the female participants, 6.1% had an injury experience (P<0.001). The highest rate was 9.0% in children aged 1-4 years. In multivariate logistic regression analysis, male sex; having an urban residence; having restricted activity due to visual, hearing, or developmental impairment; and attention deficit/hyperactivity disorder were significant risk factors for injury experience. The characteristics of up to 3 injuries per patient were investigated, and 1,951 injuries were analyzed. Falls and slips accounted for 34.9%, collisions for 34.1%, and motor vehicle accidents for 11.3% of the total injuries. Ninety-six percent of injuries were unintentional, 20% caused school absences, and 10% required hospitalization. Conclusion: Among Korean children and adolescents, 8.1% experienced injuries at least once a year with no significant differences in incidence over the past 12 years. Greater attention and effort to prevent injuries are needed.

• 산업융합연구
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• 제21권11호
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• pp.67-74
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• 2023

본 연구는 노인과 아동청소년을 위한 건강 및 복지시설의 바이오필릭 디자인 특성을 비교 분석하기 위해 시행된 문 헌연구이다. 한국교육학술정보원 데이터베이스에서 노인과 어린이, 청소년 건강 및 복지시설의 바이오필릭 디자인 관련 문헌을 선정하여 바이오필릭 디자인 요소별 빈도를 분석한 후 비교하였다. 노인시설 관련 문헌 네 개와 어린이 및 청소년 시설 관련 문헌 네 개를 분석한 결과, 노인시설의 '자연의 직접 체험'에 해당하는 바이오필릭 패턴이 아동청소년 시설보다 더 많았고, '공간과 장소 체험' 패턴은 아동청소년 시설이 더 많았다. '자연의 간접체험' 패턴은 노인시설과 아동청소년 시설이 유사하였다. 건강 및 복지시설을 이용하는 취약아동의 스트레스 감소를 위해 '자연의 직접체험' 패턴을 더 많이 활용할 것과 노인의 스트레스 감소 및 인지강화를 위하여 '공간과 장소 체험' 패턴을 더 많이 활용할 것을 제안한다.

• 아동학회지
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• 제27권2호
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• pp.15-37
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• 2006

In this investigation of child's psychological wellbeing and parental satisfaction with dual income family(DIF), subjects were 297 3rd and 5th grade elementary school students and their mothers. Results showed that boys and younger children were more satisfied with mother's working than girls and older children. Mothers' DIF satisfaction was dependent on gross family income, parents' occupations, working conditions of each parent, commuter marriage status, and length of time in DIF. Child's psychological wellbeing related positively to mother's parental satisfaction, and to mother's satisfaction with parental roles, parent-child relationships, spouse support and child support. Only sub factors of dilemmas in parental role related negatively to DIF status. Child's satisfaction with mother's roles, father's roles, and mother working influenced mother's parental role satisfaction.

• 음성과학
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• 제12권2호
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• pp.109-120
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• 2005

The purpose of this study was to examine the awareness level of the prolonged sound rules in elementary school students. The participants in this study were 148 elementary school students in grades 1 through 6. Their awareness level of the prolonged sound rules was evaluated on reading tasks composed of 40 words and sentences. An one-way ANOVA followed by Scheffe hoc tests showed the showed the statistically significant difference between the groups for the awareness level of prolonged sound rules. The younger the children, the larger differences in the awareness of prolonged sound rules. The awareness might affect their cognitive development and a systematic instruction may be helpful especially in lower graders. In conclusion, the findings of this study showed significant differences in the awareness level of the prolonged sound rules at both words and sentences level. It was also found that as the age of children increases, the awareness level of the prolonged sound rules tends to increase which appeared to be completed by the 3rd grade.

• 대한가정학회지
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• 제23권4호
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• pp.143-152
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• 1985

This study intends to investigate preschool-sibling's spontaneous imitation during their free-plays through the observation of 41 pairs of siblings aged from 1 to seven years. RESULTS : 1. Sibling's imitation showed in all subjects and had various distribution according to sibling's personalities. 2. Because of sibling's several facts. Their imitation showed differently. 1) Imitation appeared to decline to decline as children grew older. Imitation showed most frequently at the age of 2 years, and decreased after that. 2) Due to the effect of birth-order, the younger one showed his imitation approximately 4.3 times more than the elder one. 3) The effect of sex-composition seemed to coincide with the sex-typing hypothesis rather than the like-sex hypothesis. 4) Boy's imitation showed more frequently than girl's, but the difference was not so significant to be noticed. 3. In siblings, physical imitation was more frequent than verbal imitation, but it was reversed in peer's imitation. 4. The play-situation in which sibling's imitation showed mostly differed from that of Peer's imitation. That is, sibling's imitation appeared in solitary play but peers imitation did appear in associate play.

• 가정과삶의질연구
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• 제19권2호
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• pp.153-165
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• 2001

The purpose of this study is to examine the factors classifying family leisure activities and the variables that influence them. A total of 309 questionnaires was analyzed from married men and women who had school-age children. The results of analysis are as follows: The factors of family leisure activities were classified into four categories. Women participated in \"society-oriented\" activities much more than men did. People of high income level participated in \"society-oriented\" activities more, and people of high school career participated in \"education & experience-oriented\" activities, and \"family-oriented\" activities more. People with younger children participated in \"education & experience-oriented\" activities much more. People who were experiencing family leisure barriers to a high degree participated less in all of family leisure activities. People that had a plan for family leisure participated in all of family leisure activities much more.

• 대한가정학회지
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• 제30권4호
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• pp.183-202
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• 1992

This study was undertaken to evaluate the living condition and the reality of visiting part-time workers through the survey. On the matter of living condition, the most difficult problem is financial problem followed by residential problem. On the matter of female's household labor, there was a considerable difference according to the houseband's age and academic background, and family monthly income. On the question of family relationship, it was found that there was rare communication between children and father because father was rigid to talk with. In the case of mother and children, they could not find time to talk with each other. In the group of the old aged, they work to make their living. On the other hand, in the group of younger generations and the higher educated, they replied that they should work whatever the work is. It was found that they were subjected to their work because of their financial situation and that they were under the double yoke of family and work because there were no legal protection and organizational devices.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제19권3호
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• pp.186-192
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• 2016

Purpose: To evaluate the correlation between colon transit time (CTT) test value and initial maintenance dose of polyethylene glycol (PEG) 4000 or lactulose. Methods: Of 415 children with chronic functional constipation, 190 were enrolled based on exclusion criteria using the CTT test, defecation diary, and clinical chart. The CTT test was performed with prior disimpaction. The laxative dose for maintenance was determined on the basis of the defecation diary and clinical chart. The Shapiro-Wilk test and Pearson's and Spearman's correlations were used for statistical analysis. Results: The overall group median value and interquartile range of the CTT test was 43.8 (31.8) hours. The average PEG 4000 dose for maintenance in the overall group was $0.68{\pm}0.18g/kg/d$; according to age, the dose was $0.73{\pm}0.16g/kg/d$ (<8 years), $0.53{\pm}0.12g/kg/d$ (8 to <12 years), and $0.36{\pm}0.05g/kg/d$ (12 to 15 years). The dose of lactulose was $1.99{\pm}0.43mL/kg/d$ (<8 years) or $1.26{\pm}0.25mL/kg/d$ (8 to <12 years). There was no significant correlation between CTT test value and initial dose of laxative, irrespective of the subgroup (encopresis, abnormal CTT test subtype) for either laxative. Even in the largest group (overall, n=109, younger than 8 years and on PEG 4000), the correlation was weak (Pearson's correlation coefficient [R]=0.268, p=0.005). Within the abnormal transit group, subgroup (n=73, younger than 8 years and on PEG 4000) correlation was weak (R=0.267, p=0.022). Conclusion: CTT test value cannot predict the initial maintenance dose of PEG 4000 or lactulose with linear correlation.

• 동아시아식생활학회지
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• 제14권4호
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• pp.319-337
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• 2004

The purpose of this study was to investigate the dietary life about Kimchi of the housewives. Self-administrated questionnaires were completed by 322 housewives in Wonju area. The results were as follows: In the point of housewives' domestic duties, over 50% of housewives took care of their domestic duties alone, and the rate who learned how to manage domestic duties from their mothers before marriage decreased as the age got younger. 77.6% of housewives responded that both man and woman could manage a dietary life at home in the future, and the rate of such response was higher as their educational careers were higher and they were younger. In the point of housewives' basic situation about Kimchi, the rate of housewives who knew how to prepare kimchi was high as they were older, and the holding rate of a refrigerator for Kimchi was high as much as 72.4%. In the point of preparation for Kimchi, the rate who made Kimchi by themselves was high, but the rate of preparing Kimchi by their parents for them was higher in the twenties. Frequency of making Kimchi, an amount or a kind of Kimchi were notably different according to housewives' age, a type of their family, the number of their family, and their having a job or not. Housewives' opinion of a market kimchi was that it was expensive, and not sanitary, and rate of purchasing Kimchi was also low. In the point of the prepartion method of Kimchi for the winter, the rate who gained Kimchi from their parents was higher as they lived in an apartment, and had a nuclear family, and had the lesser family members. In an amount of Kimchi prepared for the winter, 11∼22 heads were 23.9% and 21∼30 heads were 21.9%. In the point of the method preparing Kimchi in the future, 53.8% of housewives responded that they would make by themselves, and 28.0% answered they would prepare or purchase. 77.4% of housewives answered that they would teach how to make Kimchi to their children. In conclusion, in housewives of Wonju area, wanted to make Kimchi by themselves and wanted their children to learn how to make Kimchi.