• Clinical and Experimental Pediatrics
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• v.56 no.7
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• pp.275-281
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• 2013

Temporal lobe epilepsy (TLE) is the most common type of medically intractable epilepsy in adults and children, and mesial temporal sclerosis is the most common underlying cause of TLE. Unlike in the case of adults, TLE in infants and young children often has etiologies other than mesial temporal sclerosis, such as tumors, cortical dysplasia, trauma, and vascular malformations. Differences in seizure semiology have also been reported. Motor manifestations are prominent in infants and young children, but they become less obvious with increasing age. Further, automatisms tend to become increasingly complex with age. However, in childhood and especially in adolescence, the clinical manifestations are similar to those of the adult population. Selective amygdalohippocampectomy can lead to excellent postoperative seizure outcome in adults, but favorable results have been seen in children as well. Anterior temporal lobectomy may prove to be a more successful surgery than amygdalohippocampectomy in children with intractable TLE. The presence of a focal brain lesion on magnetic resonance imaging is one of the most reliable independent predictors of a good postoperative seizure outcome. Seizure-free status is the most important predictor of improved psychosocial outcome with advanced quality of life and a lower proportion of disability among adults and children. Since the brain is more plastic during infancy and early childhood, recovery is promoted. In contrast, long epilepsy duration is an important risk factor for surgically refractory seizures. Therefore, patients with medically intractable TLE should undergo surgery as early as possible.

• Medical Lasers
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• v.8 no.1
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• pp.1-6
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• 2019

Background and Objectives A facial laceration is a commonly occurring trauma of children. In addition, appropriate treatment and scar management are very important because the psychosocial impact of facial scars is much greater in children than in adults. Materials and Methods In the authors' hospital, primary closure was conducted targeting a total of 8,924 patients from January 2015 to December 2017. Of these, scar management was conducted on 808 people using a CO₂ fractional laser and Q-Switch Nd:YAG laser. To prove the effectiveness of the laser treatment on the linear scar, the patients were divided retrospectively into children and adults and sub-divided into those who received the treatment and those who did not. The subjective satisfaction of patients was evaluated using the Numeric Rating System (NRS). The objective scar scoring was evaluated using the image panel assessment based on the Vancouver Scar Scale (VSS), and the scoring was made by averaging the evaluations of three plastic surgeons. Results Evaluated NRS showed 8.50 ± 1.83 for adults without a laser, 8.51 ± 1.47 for adults with a laser, 7.93 ± 2.10 for children without a laser, and 8.9 ± 1.24 for children with a laser. The image panel assessment revealed 7.06 ± 1.31 for adults without a laser, 6.40 ± 2.37 for adults with a laser, 6.86 ± 1.45 for children without a laser, and 5.93 ± 1.21 for children with a laser. Conclusion When the linear scar is managed using a CO₂ Fractional laser, it can be managed in children better than adults, which is believed to be useful because it leads to better satisfaction and prognosis.

• Journal of Korean Academy of Nursing
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• v.48 no.6
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• pp.743-753
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• 2018

Purpose: This study aimed to explore the effects of a community-based first and third Intergenerational Exchange Program (IGEP) on older adults' health-related quality of life (HRQoL), loneliness, depression, and walking speed, and on 4~5-year-old preschool children's learning-related social skills. Methods: This study employed a non-equivalent control group pre-post-test design. The experimental group included 42 older adults and 42 children who participated in the IGEP for 8 weeks, and the control group included 39 older adults. The experimental group participated in the IGEP once a week for 8 weeks. It comprised a traditional play program based on the intergroup contact theory. Results: Compared to the control group, there was a significant increase in scores on the HRQoL-Visual analogue scale (VAS) and a decrease in loneliness and depression in older adults in the experimental group (p<.05). Children who participated in the IGEP showed an improvement in their learning-related social skills (p<.001). Conclusion: These results confirm that the IGEP is an effective intervention to improve HRQoL-VAS, loneliness, and depression among older adults and learning-related social skills among preschool children in the community.

• Journal of the Korean BIBLIA Society for library and Information Science
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• v.17 no.2
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• pp.261-274
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• 2006

The purpose of this study is to provide libraries with several suggestions which might be helpful for designing their services to support researches related with children and young adults. In this paper as a case study, six libraries from Korea, German, Japan, the United States are selected and analyzed by their roles, services, collections and programs by utilizing their web sites.

• Journal of the Korean Home Economics Association
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• v.50 no.1
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• pp.41-50
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• 2012

The purpose of this study was to examine the response pattern of children of early childhood (ages 4 to 5) to strangers' luring behaviors that suggest imminent crime. Data were collected from registrants offered by four kindergartens and daycare centers. Individual interviews were performed (N = 100) by using a questionnaire. Results were as follows: First, children of early childhood responded unfavorably to strange adults' kindness and request for aids. However, it was found that they did not make the right decision in relation to strange adults' luring behaviors that lead to crime when family related clues were manipulated. Second, children of early childhood responded favorably to strange adults' luring behaviors that are suggestive of criminal intent when candy, ice cream, and toys were offered. Especially, youngsters were more prone to be deceived by these indices than the older children. Third, older children responded unfavorably to strange adults' luring behaviors that suggest a criminal intent In addition, youngsters did not respond cleverly to strange adults' luring behaviors that suggest a criminal intent while showing a reluctant response.

• Journal of the Korean Society for information Management
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• v.28 no.4
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• pp.99-118
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• 2011

This study evaluated the core project operations of the National Library for Children & Young Adults to provide suggestions for its key functions and project operations plan. For this purpose, we conducted a survey for children's librarians and a focus group interview with the directors of children's libraries. The result showed that the overall functions were considered important and the contributions of the core project operations were rated positively. Among the core projects, 'Reading Promotion Program for Children' appeared to contribute most, while the most needed areas were contents development and continuous support for the reading promotion program for young adults. In addition, the need for diverse contents development, instructors and education tools were suggested for continuing education program, along with strengthening policy development and research functions.

• Journal of the Korean Home Economics Association
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• v.48 no.6
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• pp.43-56
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• 2010

This study explored time-use patterns of young children and compared the patterns according to mother's employment status. Using 6718 time diaries of 3359 children under age 5, as reported by their mothers, this study examined (1) the proportion of children who spent time on certain activities and the amount of time they spent on each activity for a weekday and a weekend day and (2) the proportion and the amount of time that children spent with certain adults. Compared to children with unemployed mothers, children with employed mothers spent more time during weekdays in child care centers and less time sleeping. These children also spent more time on education during weekends. The proportionate and actual times children spent with various adults also differed by the mother's employment status. Those with employed mothers spent less time with their mothers and more time with other relatives or teachers on weekdays. These results indicate that maternal employment corresponds with differing timeuse patterns from children's early life stages.

• Journal of the Korean BIBLIA Society for library and Information Science
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• v.19 no.2
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• pp.63-84
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• 2008

This study aims to set a cooperative network system for children's service in public libraries in Korea centering on the National Library for Children and Young Adults. The purpose of the study is to foster effective online and offline cooperation among public libraries through the National Library for Children and Young Adults and improve children's library service. Based on the survey results and face-to-face interviews the study suggests various ways to strengthen cooperative network system and public library council for children's service. First is to empower the council and to that end, to expand the cooperative network as well as to clearly set its role. Secondly it advises to capitalize from council's homepage service and adapt social-networking tools.

• Journal of Families and Better Life
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• v.30 no.4
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• pp.37-47
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• 2012

The purpose of this study was to grasp the factors having influence upon the social adjustment of children in multi-cultural families and to examine the degree of influence of these influential factors. For these aims, it targeted 186 children of multi-cultural families, that access social welfare institutions or multi-cultural institutions in the Daegu and Gyeongbuk areas. The findings are as follows. First, the factors having influence upon the social adjustment of children in multi-cultural families were indicated to be self-esteem, parental marital relations, bullying, and the support of adults other than their parents. In other words, these children's higher level of social adjustment was correlated with higher self-esteem, better parental marital relations, fewer bullying experiences from their peer group, and more support from adults other than their parents'. Secondly, support from adults other than parents was indicated to be the most influential among the variables affecting the social adjustment of children in multi-cultural families. The factor having the second highest level of influence was indicated to be self-esteem, followed by parental marital relations, and then bullying.

• Journal of Korean Neurosurgical Society
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• v.46 no.5
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• pp.468-471
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• 2009

Objective : The adolescent presentation of tethered cord syndrome (TCS) is well-recognized, but continues to pose significant diagnostic and management controversies. The authors conducted a retrospective study of clinical outcomes after surgical intervention in 24 school-aged children, adolescents, and young adults with TCS. Methods : All 83 patients with a lipomyelomeningocele (LMMC) underwent untethering surgery for caudal cord tethering between 1987 and 2007. The clinical charts and follow-up data were reviewed. Of these patients, 24 school-aged children, adolescents, and young adults with TCS were studied with respect to the clinical, radiologic, pathologic features, and surgical outcomes. Results : Untethering procedures were performed in 24 patients (age range, 7-25 years) for TCS of various origins (lipoma, lipomyelomeningocele, and tight filum terminale). Specific circumstances involving additional tugging of the already tight conus, and direct trauma to the back precipitated the onset of symptom in 50% of the patients. Diffuse and non-dermatomal leg pain, often referred to the anorectal region, was the most common presenting symptom. Progressive sensorimotor deficits in the lower extremities, as well as bladder and bowel dysfunction, were also common findings, but progressive foot and spinal deformities were noted less frequently. The most common tethered lesions were intradural lipomas, thickened filum and fibrous band adhesions into the placode sac. The surgical outcome was gratifying in relation to pain and motor weakness, but disappointing with respect to resolution of bowel and bladder dysfunction. Of the 24 patients with TCS, pre-operative deficits improved after surgery in 14 (58.3%). remained stable in 8 (33.4%). and worsened in 2 (8.3%). Conclusion : The pathologic lesions of tethered cord syndrome in school-aged children, adolescents, and young adults, are mostly intradural lipomas and tight filum. It is suggested that the degree of cord traction results in neurologic dysfunction in late life due to abnormal tension, aggravated by trauma or repeated tugging of the conus during exercise. Early diagnosis and adequate surgical release might be the keys to the successful outcome in school-aged children, adolescents, and young adults with TCS.