• Child Health Nursing Research
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• v.14 no.3
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• pp.285-294
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• 2008

Purpose: This study was done to estimate the prevalence of atopic dermatitis (AD) and its risk factors for AD in children living in the community. Method: Random samples of 10,236 were selected from 43 kindergarten (1,418) and 57 elementary (8,718) students in K city. Data from 1,079 (kindergarten children) and 7,271 (elementary) students were used in the final analysis. The Korean-translated modified version of the International Study of Asthma and Allergies in Childhood (ISSAC) questionnaire was used in this cross-sectional survey. Parents answered the survey questionnaire. Results: The lifetime and last 12-month prevalence of AD were 40.15%; 30.86% in kindergarten children and 33.56%; 25.37% in elementary children. The lifetime and last 12-month prevalence of AD diagnosis were 40.8%; 18.68% in kindergarten children and 34.36%; 12.63% in elementary children. The lifetime prevalence of AD treatment was 25.93% in kindergarten children and 22.07% in elementary children. Multivariate logistic regression analysis revealed that risk factors for AD were age, allergic disease, age of house, carpets, pets. Conclusion: The study suggests that prevalence of AD has increased among children in the community. These data can be used to manage possible risk factors that are predictors of childhood AD.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.18 no.4
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• pp.246-252
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• 2015

Purpose: To assess gastric pH and its relationship with urease-test positivity and histological findings in children with Helicobacter pylori infection. Methods: Fasting gastric juices and endoscopic antral biopsy specimens were collected from 562 children and subjected to the urease test and histopathological examination. The subjects were divided into 3 age groups: 0-4, 5-9, and 10-15 years. The histopathological grade was assessed using the Updated Sydney System, while the gastric juice pH was determined using a pH meter. Results: The median gastric juice pH did not differ significantly among the age groups (p=0.655). The proportion of individuals with gastric pH >4.0 was 1.3% in the 0-4 years group, 6.1% in the 5-9 years group, and 8.2% in 10-15 years (p=0.101). The proportions of moderate and severe chronic gastritis, active gastritis, and H. pylori infiltration increased with age (p<0.005). Urease-test positivity was higher in children with hypochlorhydria (77.8%) than in those with normal gastric pH (31.7%) (p<0.001). Chronic and active gastritis were more severe in the former than the latter (p<0.001), but the degree of H. pylori infiltration did not differ (20.9% vs. 38.9%; p=0.186). Conclusion: Gastric pH while fasting is normal in most children regardless of age. Urease-test positivity may be related to hypochlorhydria in children, and hypochlorhydria is in turn related to H. pylori infection.

• Journal of Korean Academy of Nursing
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• v.42 no.5
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• pp.659-670
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• 2012

Purpose: The purpose of this study was to verify effects of the Active Parenting Today (APT) program based on King's Goal Attainment Theory on parenting stress, parenting behavior, and parenting satisfaction in mothers of school-age children. Methods: This was a quasi-experimental study with a non-equivalent control group pre-post test design. Participants were 39 mothers of school-age children (19 in the experiment group and 20 in the control group) who were registered at two community children centers in G city. The experimental group received the APT program (2 hours/session/week) and telephone counseling (2 times/week) for 8 weeks. Data were analyzed using ${\chi}^2$-test, t-test, Fisher exact probability test, and ANCOVA with the SPSS/Win15.0 program. Results: Parenting stress was significantly lower in the experimental group than in the control group. Positive parenting behavior and parenting satisfaction were significantly higher in the experimental group than in the control group. However, negative parenting behavior was not significantly different between the two groups. Conclusion: The results of this study indicate that the APT program based on King's Goal Attainment Theory is useful in reducing parenting stress, creating positive parenting behavior change, and promoting parenting satisfaction in mothers of school-age children.

• Child Health Nursing Research
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• v.16 no.1
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• pp.41-48
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• 2010

Purpose: The purpose of this study was to examine the relationship of body image, self-esteem, and behavior problems comparing children of short stature and children of normal height, and to enhance growth development through early detection of social or emotional problems in children of short stature. Methods: The data were collected from June 2 to September 25, 2008. The participants were 38 children who were diagnosed with short stature and their mothers and 38 children of age appropriate stature and their mothers selected from 311 elementary students in D city. The participants were matched by using propensity analysis for controlling confounding variables. Sapiro-Wilk test, t-test, Wilcoxon test, and Pearson correlation coefficients with SPSS/WIN 14.0 program were used to analyze the data. Results: There were significant differences in body image and behavior problems between children of short stature and children of age appropriate stature. There was no significant difference in self-esteem between the two groups. Positive correlation was found between body image and self-esteem. In children of age appropriate stature, a negative correlation was found between body image and behavior problems. Conclusion: A specialized program which focuses on behavior problems, body image, and self-esteem should be developed to help children of short stature in school-based settings.

• The Journal of Pediatrics of Korean Medicine
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• v.23 no.2
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• pp.131-144
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• 2009

Objectives : The purpose of this study is to have better data and to make efficient clinical reviews on pre-school children's growth based on two measurements; Body composition for measuring body volume and bone age for potential growth. Methods : The study was conducted with 221 children(118 of boys and 103 of girls) from three kindergartens. Body compositions(soft lean mass, body fat mass, percent body fat) were measured by bioelectrical impedance analysis, bone age was measured by bone density through ultrasonic image of calcaneus. Results and Conclusions : 1. The higher level on weight or BMI, the more averages of soft lean mass, body fat mass, percent body fat. 2. The average bone ages and bone age-chronological age were lower in under 50 percentile's group, but it was higher in upper 50 percentile's group. Also, children with high BMI had older in bone ages and bone age-chronological age. 3. The higher in height percentile based on the bone age; there were more soft lean mass. 4. The averages of bone age and bone age-chronological age were significantly decreased, the more percentiles of height according to bone age were big, they were higher than total average in under 50 percentile's group of height, lower than total average in over 50 percentile's group of height in both boys and girls. 5. The average of MPH were significantly decreased in top percentiles of children's height distribution. Also, in the upper percentiles of height distribution based on bone age were big in only boys. 6. The body compositions(soft lean mass, body fat mass, percent body fat) were related to body volume growth, which can he measured by weight or BMI. The bone age, bone age-chronological age, and MPH were related in terms of hight. The body volume growth was a little hit related with potential growth.

• Advances in pediatric surgery
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• v.17 no.2
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• pp.145-153
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• 2011

Acute appendicitis is one of the most common diseases of young people that requires emergency operation. This is especially true for those age 10 years old and older. However, the numbers of cases of appendicitis are increasing in both the young and the elderly. The main purpose of this study is to understand the clinical features of acute appendicitis in children and elderly patients. We retrospectively compared clinical characteristics in 4 groups of patients who underwent appendectomy in our hospital. There were 16 patients in the pre-school age group, 9 were males and 7 females. The total number of patients in the juvenile group were 287, 156 were males and 131 females. The total numbers of patients in the adult group were 794, 436 were males and 358 females. The numbers of elderly patients were 189, 91 were males and 98 females. Complicated appendicitis was found in 15 patients (93.7 %) in the pre-school age group, 79 patients (27.5 %) in the juvenile group, 332 patients (41.8 %) in the adult group, and 96 patients (50.7 %) in the elderly group. Four patients (40 %) had generalized panperitonitis in the pre-school group. The occurrence of perforated appendicitis was the highest in the pre-school age group and the lowest in the juvenile group. Since generalized panperitonitis has a higher incidence in the pre-school age group, prudent and careful diagnosis and treatment are required for the pre-school age group.

• Advances in pediatric surgery
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• v.16 no.2
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• pp.170-176
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• 2010

The clinical characteristics of fistula-in-ano in infants are different from those of older children, and its treatment remains controversial. We suggest that fistula-in-ano in infants has a congenital etiology. To verify this hypothesis and to settle the controversies regarding fistula-in ano in infants, a retrospective analysis of 29 patients less than 2 years of age with anal fistulae treated between 1994 and 2009 at Samsung Changwon Hospital were reviewed retrospectively. Twenty two patients were male and mean age at diagnosis was $7.2{\pm}5.2$ months. Eleven out of 22 cases had previous surgical drainage for perianal abscess. 18 patients had fistulotomy (81.8 %) and four had fistulectomy (18.2 %). Cryptotomies with fistulectomy were performed in 10 patients (45.5 %) who had involved crypt. There was one recurrence. These results suggest that fistula-in-ano in young children less than two years of age is different from those in older children or adults. Fistulotomy is suggested to be the recommended treatment of choice. A future study involving non-operative management would be required to explore all treatment options.

• Korean Journal of Child Studies
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• v.37 no.6
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• pp.169-184
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• 2016

Objective: The purpose of this study was to examine the effects of parental forgiveness and parent-child communication on school-age children's forgiveness in late childhood. Methods: A total of 231 fifth and sixth graders (122 boys and 109 girls) living in Daegu participated in the study. They responded to questionnaires regarding parental forgiveness, parent-child communication and children's forgiveness. The data were analyzed by t-tests, Pearson's correlations, and SEM using SPSS 18.0 and LISREL 9.1. Results: First, paternal forgiveness had a direct effect on children's forgiveness. Second, parental forgiveness had an indirect effect on children's forgiveness through parent-child communication. Finally, multigroup analyses revealed that paternal forgiveness had a direct effect and an indirect effect through father-child communication on boys' forgiveness, whereas maternal forgiveness had an indirect effect on girls' forgiveness through mother-child communication. Conclusion: These findings suggest that the gender of parents and children needs to be considered to explain school-age children's forgiveness. In addition, these findings have implications for future research and practice by highlighting the importance of parental forgiveness and parent-child communication in forgiveness education programs for children and parent education programs.

• Journal of Korean Academy of Nursing
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• v.39 no.3
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• pp.401-408
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• 2009

Purpose: The purpose of this study was to identify the relationship of peer relationships, self-reported attachment security, perceived parental rearing attitudes, and loneliness in upper elementary school-age children. Methods: The data were collected from 207 students in grades 5 or 6, and descriptive statistics, t-test, Pearson correlation coefficients and Stepwise multiple regression were used with the SPSS/PC 12.0 program to analyze the data. Results: There was a significant difference in loneliness between the upper 25% and lower 25% groups of peer relationships, perceived parental rearing attitudes, and self-reported attachment security. Stepwise multiple regression analysis showed affection-hostility in parental rearing attitudes, validation and conflict in peer relationships, and attachment security explained 39.6% of the total variance in loneliness. Conclusion: These results may contribute to a better understanding of loneliness in upper elementary school-age children. The results of the present study indicate a need to develop nursing interventions to prevent and manage children‘s loneliness.

• Korean Journal of Child Studies
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• v.35 no.6
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• pp.111-133
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• 2014

This study was conducted in order to develop a parenting behavior scale for parents of school-age children and to analyze the scale in terms of both reliability and validity. Data were collected from a sample of mothers of $1^{st}$ to 3rd grade students in four elementary schools located in Seoul. 778 mothers were administered a parenting behavior scale with 123 items, and 779 mothers were asked to verify the validity of the developed scale in which 45 items remained after a series of analyses. Data were analyzed by means of exploratory factor analysis, confirmatory factor analysis, and correlation analysis. The results of factor analysis identified five factors, Warmth, Reasoning, Intrusiveness, Coercion, and Neglect. The Cronbach's ${\alpha}$ of each factor demonstrated results of .82~.86, suggesting that the scale had adequate internal consistency. Concurrent validity was established by using correlations between mothers' parenting behaviors and children's social competence. Moreover, cross-validation was also verified for the five factors. Considering the reliability and validity of this scale, it can clearly serve as a useful tool for assessing parenting behavior which is closely related to child development.