• Allergy, Asthma & Respiratory Disease
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• 제6권6호
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• pp.295-302
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• 2018

Purpose: It is thought that Mycoplasma pneumoniae infection is more prevalent and causes more severe pneumonia in school-age children and young adults than in preschool children; however, recent studies suggest that the infection may be underdiagnosed and more severe in preschool children. This study investigated the clinical characteristics of Mycoplasma pneumoniae pneumonia (MPP) and the risk factors of refractory MPP (RMPP) by age. Methods: We retrospectively reviewed the medical records of 353 children admitted due to MPP from January 2015 to December 2016. Demographics, clinical information, laboratory data and radiological findings were collected from all patients in this study. The patients were divided into 2 groups by the age of 6 years. Also, both preschool (< 6 years old) and school-age (${\geq}6$ years old) children were divided into RMPP and non-RMPP patients. Results: Total febrile days, febrile days before admission and the duration of macrolide antibiotic therapy were significantly longer in school-age children than in preschool children. School-age children had significantly greater risk of lobar consolidation (P=0.036), pleural effusion (P=0.001) and extrapulmonary complications (P=0.019). Necrotizing pneumonia and bronchiolitis obliterans tended to occur more frequently in preschool children than in school-age children. In both preschool and school-age children, lactate dehydrogenase (LDH) levels were significantly higher in RMPP patients than in non-RMPP patients. In preschool children, LDH > 722 IU/L (odds ratio [OR], 3.02; 95% confidence interval [CI], 1.44-6.50) and ferritin > 177 ng/mL (OR, 5.38; 95% CI, 1.61-19.49) were significant risk factors for RMPP, while LDH > 645 IU/L (OR, 4.12; 95% CI, 1.64-10.97) and ferritin > 166 ng/mL (OR, 5.51; 95% CI, 1.59-22.32) were so in school-age children. Conclusion: Clinical features of MPP were significantly different between preschool and school-age children. LDH and ferritin may be significant factors of RMPP in preschool and school-age children.

• 한국생활과학회:학술대회논문집
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• 한국생활과학회 2009년도 하계학술대회
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• pp.193-194
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• 2009

• 한국콘텐츠학회논문지
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• 제14권8호
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• pp.476-484
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• 2014

이 연구의 목적은 학령기 말더듬아동과 학습부진아동을 대상으로 읽기과업과 쓰기과업을 제시하여 유창성 및 오류 유형별 빈도에 차이가 있는지 알아보고자 하였다. 학령기 말더듬아동, 학습부진아동, 일반아동을 각 15명 선정하여 읽기와 쓰기 과업을 통하여 집단 간 차이를 비교하기 위하여 일요인 분산분석을 실시한 후 사후검정을 실시하였다. 읽기과업의 오류유형은 생략, 대치, 반복, 삽입, 자기수정으로 분류하였고, 쓰기과업의 오류유형은 생략, 대치, 첨가, 문법오류로 분류하였다. 읽기유창성과 쓰기유창성을 비교한 결과 집단 간 유의한 차이가 나타났다. 읽기유창성은 모든 집단 간 유의하였으며, 쓰기유창성은 학습부진아동 집단이 다른 집단과 비교하여 유의하게 낮았다. 오류유형별 특성으로 읽기오류는 생략, 대치, 반복, 자기수정에서 집단 간 유의한 차이를 보였으며, 쓰기오류는 문법오류에서만 유의한 차이가 있는 것으로 나타났다. 본 연구는 읽기와 쓰기에 기초한 학습능력의 측면에서 말더듬아동과 학습부진아동의 특성을 살펴보고 임상실제에서 장애유형에 적절한 보다 효율적인 치료프로그램을 고안하는데 기초 자료로서의 의의를 지닌다.

• 가정과삶의질연구
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• 제27권2호
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• pp.173-189
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• 2009

The purpose of this study was to find and provide the prevention method by examining the Effects of Maternal Negative Behaviors and Children's Attachment Stability on Children's Aggression. The subjects were 339 children of fifth or sixth graders in Seoul. The questionnaires were derived and modified from Young Ae Park (1995) for the maternal negative behavior, Children's attachment stability from Ok Jung (1998) and Children's aggression from In Sun Jung(2006). The date were analyzed with descriptive statistics, t-test, F-test, Pearson's correlations and hierarchical multiple regression by SPSS 14.0 program. The major findings were as follows : First, the result showed there was average level of negative relationship when mother's negative behavior was compared with children's attachment whereas it showed average level of positive relationship in aggression. And also, low level of negative relationship showed between the attachment and aggression. Second, studying the influence it gives to the children's reaction and aggression after adding the children, parent and the family's popular social variables into the maternal's negative behavior, the outcomes showed the maternal's discipline and defiance upbringing had influenced the highest and tolerance, negligence was second high. This study mainly looked at the relationship between the maternal negative behavior with the children's attachment and aggression, but not like the nations pre.studied results, changes in human relation were examined with identifying the main several factors that bring greatest influence to the children's attachment and aggression. In conclusion, the children's attachment and aggression's the cause of the children's attachment and aggression were mainly from the maternal discipline and defiance upbringing. Based on this conclusion, it is essential for the maternal to have a sound discipline with right minds for endeavor to bring up the children with bring minds with less aggression and composed attachment.

• 한국생활과학회지
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• 제2권1호
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• pp.1-15
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• 1993

The purpose of this study is to identify what relationship exists between the children's social competence and psychosocial competence of mother, mother's acceptance for her children and is to clarify how children's sex, the demographic backgrounds of the families are affecting for the children's social competence. The detailed research areas which were dealt with in this study can be described as follows :1) Are there any relationships between mother's psychosocial competence and children's social competence? 2) Are there any relationships between mother's acceptance and children's social competence? 3) Are there any differences in children's social competence according to their sex? 4) Are there any differences in children's social competence according to familie's demographic backgrounds? Third grade 314 children who attend primary-school in Chongju were randomly selected as the subjects for the study and their mothers were also involved as subjects. Among them, mother-daughter pairs are 151 and mother-son pairs are 163. The result of this study is as follows: 1. There appeared significant positive correlations between the mothers' psychosocial competence and children's social competence. 2. There appeared significant positive correlations between the maternal acceptance and children's social competance. As the result of a stepwise multiple regression analysis, maternal acceptance appeared as a variable which indicates children's social competence. 3. There appeared differences in competence between boys and girls, and girls' social competence was higher than that of boys. 4. There appeared children's social competence differences according to the socioeconomic status of a family. Among demographic backgrounds of a family, mothers' academic careers, mothers' age, fathers' jobs, income were the variables which affect children's social competence.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제22권4호
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• pp.219-227
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• 2011

Objectives : This study examined maternal object relations, child's and mother's perception on rearing attitude, and children's self-esteem in children with attention-deficit hyperactivity disorder (ADHD) and their mothers. Methods : 64 children with ADHD and their mothers were included in the study group. In the control group, there were 85 children and their mothers. Mothers completed the following tests : Bell object relation inventory (BORI), maternal behavior research instrument (MBRI), Beck Depression Inventory (BDI), and Korean ADHD Rating Scale (K-ARS). Children completed Children's Report of Parental Behavior Inventory (CRPBI) and Rosenberg self-esteem scale. Results : Mothers of ADHD children displayed more rejecting and controlling parenting style than mothers in the control group. ADHD children showed lower self-esteem and perceived their parents as not affectionate, but rejecting and controlling. Mothers with ADHD children who belonged to object relations pathological group showed more rejecting rearing attitude and their children believed that they were more controlling, compared with children and mothers in other conditions. Among factors in mother's object relations, insecure attachment and ego-centricity impacted the rearing attitude. In turn, affective rearing attitude mainly influenced children's self-esteem. Conclusion : This study suggests that the approach focused on mother's object relations may help with the treatment of children with ADHD.

• Journal of Community Nutrition
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• 제8권1호
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• pp.31-37
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• 2006

This study is to compare the prevalence of obesity between Korean-American children and Korean children, and to investigate the role of environmental factors in obesity development. Prevalence of child obesity is compared by their residence, parents' anthropometric data, education and occupation, and the length of immigration, and birth place of the children. A total of 593 children between the ages of 9 and 12 were examined. 262 Korean-American children (KcUS group) from New Jersey, USA and 331 Korean children (KcK group) from Seoul, Korea were compared. KcUS group showed a higher obesity rate (male: 12.6% and female: 8.2%), compared to KcK group (male: 8.0% and female: 5.1 %). KcK male children showed lower weight and prevalence of obesity than Korean-American male children who lived in the United States for more than three years. Korean-American female children had higher weight and obesity rate than Korean female children. Waist circumference and hip circumference were also higher in obese children in both KcK and KcUS groups. The children who live in America had an odds ratio of 1.69 to be obese compared to KcK, while those born in America and those who have lived in America for more than 3 years had odds ratios of 1.53 and 1.25 to be obese, respectively. This study found that environmental factors, immigration to America for instance, could playa bigger role in child obese development than the genetic factor.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제33권4호
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• pp.106-112
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• 2022

Objectives: We aimed to evaluate the clinical and psychological factors influencing depressive symptoms in children and adolescents with epilepsy. Methods: We administered self-reported questionnaires assessing children's depressive symptoms (Children's Depression Inventory, CDI) and anxiety (Revised Children's Manifest Anxiety Scale, RCMAS) to children and adolescents with epilepsy (n=87, age range=6-17 years). We asked their parents to complete questionnaires on epilepsy-related variables, parental stress (Questionnaire on Resources and Stress, QRS), parental anxiety (State-Trait Anxiety Inventory, STAI), family functioning (Family Adaptability and Cohesion Evaluation Scale, FACES), children's attention problems (Abbreviated Conners Parent Rating Scale Revised, CPRS), and children's behavioral problems (Korean Child Behavior Checklist, K-CBCL). Stepwise multiple regression analysis was performed to identify predictive variables affecting depressive symptoms. Results: Family adaptability (r=-0.240, p=0.026), family cohesion (r=-0.381, p<0.001), children's attention problems (r=0.290, p=0.006), children's anxiety (r=0.714, p<0.001), children's behavioral problems (r=0.371, p<0.001), parental anxiety (r=0.320, p=0.003), and parental stress (r=0.335, p=0.002) were significantly correlated with children's depressive symptoms. Children's anxiety (β=0.655, p<0.001) and parental stress (β=0.198, p=0.013) were significantly related to their depressive symptoms (adjusted R²=0.539). Conclusion: Clinicians should detect and manage children's anxiety and parental stress, which may affect depressive symptoms in children and adolescents with epilepsy.

• 대한간호학회지
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• 제43권6호
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• pp.746-759
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• 2013

Purpose: Infrared thermometers are increasingly used as a convenient, non-invasive assessment method for febrile children. However, the diagnostic accuracy of the infrared thermometer for children has been questioned, particularly in relation to sensitivity and specificity. The aim of this study was to evaluate diagnostic accuracy of infrared thermometers in febrile children. Methods: Articles published between 1966 and 2012 from periodicals indexed in the Ovid Medline, Embase, CINAHL, Cochrane, KoreaMed, NDSL, KERIS and other databases were selected, using the following keywords: 'infrared thermometer'. The QUADAS-II was applied to assess the internal validity of the diagnostic studies. Selected studies were analyzed using meta-analysis with MetaDisc 1.4. Results: Nineteen diagnostic studies with high methodological quality, involving 4,304 children, were included. The results of meta-analysis showed that the pooled sensitivity, specificity and AUC (Area Under the Curve) of infrared tympanic thermometers in children over 1 year were 0.80 (95% CI 0.78, 0.81), 0.94 (95% CI 0.93, 0.95) and 0.95 respectively. However the diagnostic accuracy of infrared tympanic thermometers in children with hyperthermia was low. Conclusion: The diagnostic accuracy of infrared tympanic thermometer was similar to axillary and rectal thermometers indicating a need for further research to substantiate these findings in children with hyperthermia.

• 대한간호학회지
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• 제35권5호
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• pp.888-895
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• 2005

Purpose: This cross-sectional study was designed to identify anger-expression types in late school-age children and investigate the relation between the identified anger-expression types and their health status. Method: One thousand twenty seven children in elementary school fifth and sixth grades were recruited from November to December, 2004. Data was analyzed using descriptive statistics, cluster analysis, 2-test, ANOV A, Duncan's multiple comparison test, and Wilcoxon rank sum test. Results: Three anger-expression types in late school-age children were found; Anger-out/in, Anger-control, and Low anger-expression types. Children frequently using the anger-out/in type among the three types and with a higher state anger reported higher psychosomatic symptoms and depression. Children from a divorced or separated family reported higher state anger. Conclusion: This study suggests that a specific anger management program needs to be developed for late school-age children with high state anger and frequently using the anger out/in expression type. For understanding the anger level and the anger expression types of Korean school-age children, further research needs to be done with large samples using a randomized sampling method.