• Pediatric Infection and Vaccine
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• 제5권1호
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• pp.147-151
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• 1998

On the treatment of Kawasaki disease, approximately 10% of children treated with IVIG have persistent or recrudescent fever despite IVIG treatment. We had experienced two children with Kawasaki disease who did not respond after multiple dosages of IVIG. They were treated within the first 10 days of onset of fever and were given oral aspirin (100mg/kg/day) and IVIG(2gm/kg) in a single infusion for 8 to 10 hours. The first child had not resolution of symptoms after three intravenous doses of IVIG(total 4gm/kg). And then treated with high dose methylprednisolone(30mg/kg) for 2 to 3 hours intravenously without symptoms improvement. On fifth hospital days, he was retreated with IVIG (2gm/kg) again with ultimate resolution of symptoms. The second child had resolution of symptoms after three intravenous doses of IVIG(total 4gm/kg). No adverse events were associated with the administration of IVIG or steroid. We reported two cases of IVIG non-responded Kawasaki disease with a brief review of the related literatures.

• The Journal of Korean Physical Therapy
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• 제12권1호
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• pp.119-127
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• 2000

In this case report we demonstrated the improvemen of gait pattern and the facilitation of postwalk locomotion on the child who has severe mental retardation with Incomplete gait pattern. Treatments included to stimulate vestibular using balance board and vestibular stimulator, to train weight hearing and shifting, to facilitate visual perception motor coordination, and to train walk ann postwalk locomotion in environment similar to actual daily life. It was performed 130 sessions for 10 months. With this treatment, she could accomplished dynamic stability so that she didn't fall at walk after $1\~2$ months of treatment, and could have done climbing up and down without hand support after 10 months. In gross motor function measure(GMFM), total motor function was improved to $89.98\%$ from $73.53\%$.

• Journal of Chest Surgery
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• 제44권1호
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• pp.61-63
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• 2011

Implantable cardioverter defibrillator (ICD) can be a crucial therapeutic modality for pediatric patients with congenital heart disease, Brugada syndrome, long QT syndrome and cardiomyopathy. Because transvenous implantation of ICD is mostly unfeasible for pediatric patients due to anatomical and technical limitations, epicardial patch type or subcutaneous type ICD have been used. Implantation of these alternative ICDs, however, was reported to be frequently associated with significant complications. We report a case of successful intrapericardial implantation of a single coil-type ICD through the transverse sinus in a 27 month-old child weighing lesser than 10 kg, and it was inferred from this experience that this alternative technique may decrease complications and morbidities after ICD implantation in children.

• Child Health Nursing Research
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• 제25권2호
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• pp.223-233
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• 2019

Purpose: The purpose of this study was to investigate the effect of the moderate drinking program based on social cognitive theory on changes in the drinking habits of college students with drinking problems. Methods: This study included a total of 68 college students with drinking problems. These participants participated in 10 sessions of a moderate drinking program in which social cognitive theory was applied. Changes in the cognition and behaviors of the participants were then investigated. Results: The moderate drinking program based on social cognitive theory for college students with drinking problems was effective in increasing the subjects' drinking-related knowledge (U=191.50, p<.001), enhancing their drinking refusal self-efficacy(t=8.02, p<.001), and changing their drinking-related attitudes (U=108.50, p<.001), drinking outcome expectancy (t=8.68, p<.001), amount of drinking in a single session ($x^2=25.72$, p<.001), number of drinking sessions per month ($x^2=10.05$, p=.006), and problem drinking behaviors (t=5.77, p<.001). Conclusion: These results can be used to inform a regular on-campus intervention programs for moderate drinking, and to implement education about moderate drinking, thereby increasing the success rate of drinking reduction.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제34권2호
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• pp.76-92
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• 2023

Objectives: This study aimed to analyze research trends in autism spectrum disorder (ASD) and savant syndrome and their cognitive characteristics through a systematic literature review. The objectives of this study were to establish an overview of research trends in ASD and savant syndrome, analyze the overall characteristics of individuals with ASD and savant syndrome, and examine their cognitive characteristics. Methods: For the systematic literature review, three criteria were used to select review articles: 1) literature from peer-reviewed journals, published in the past 15 years, from 2008 to 2022; 2) subjects with ASD and savant syndrome; 3) study objectives focused on the basic phenomenon and cognitive characteristics of ASD and savant syndrome. Finally, based on the selection criteria, a total of 40 articles were included. Results: Five themes and nine subthemes were derived from the analysis of 40 studies. The five main themes were as follows: 1) What is savant syndrome? 2) Demographic characteristics of savant syndrome; 3) Spectra of savant syndrome; 4) Savant syndrome and ASD; and 5) Cognitive characteristics of ASD with savant syndrome. The subthemes of the cognitive characteristics were weak central coherence, detail-focused cognitive processing, enhanced perceptual functioning, and hyper-systemizing. Conclusion: Several studies have been conducted to understand ASD and savant syndrome; however, no single theory can specify the cognitive characteristics of people with ASD and savant syndrome. Therefore, further systematic and multi-layered research on ASD and savant syndrome are required for more comprehensive results.

• Child Health Nursing Research
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• 제29권3호
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• pp.207-217
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• 2023

Purpose: This study aimed to examine pediatric hospital nurses' perceptions and performance of family-centered care. Methods: A descriptive study design was used. This study surveyed 162 nurses who worked at a single tertiary children's hospital in South Korea. The modified Family-Centered Care Scale was used to assess nurses' perceptions and performance of family-centered care. Barriers to the implementation of family-centered care were described in an open-ended format. Results: Pediatric hospital nurses had a higher score for perceptions (mean score=4.07) than for performance (mean score=3.77). The collaboration subscale had the lowest scores for both perceptions and performance. The perceptions of family-centered care differed significantly according to the nurses' clinical career in the pediatric unit and familiarity with family-centered care, while performance differed according to clinical career only. Perceptions and performance were positively correlated (r=.594, p<.001). Barriers to implementation included a shortage of nursing personnel, a lack of time, and the absence of a family-centered care system. Conclusion: To improve the performance of family-centered care, nurses' perceptions of family-centered care should be improved by offering education programs and active support, including sufficient staffing, and establishing systems within hospitals.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제11권2호
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• pp.179-185
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• 2000

인간은 여러 가지의 관점에서 정의될 수 있다. 첫째는 생물학적인 측면이며, 두 번째는 심리적인 측면이며, 세 번째는 사회적인 측면이다. 생물학적인 측면과 심리적인 측면은 인간내적(intrapersonal)인 면을 다루고, 사회적인 측면은 대인관계(interpersonal)적인 면을 다루고 있다. 대인관계는 기본적으로 힘과 통제의 관계로 정의할 수 있으며 의사-환자관계도 역시 힘과 통제의 관계로 정의할 수 있다. 특히 정신과 영역에 있어서는 의사-환자관계가 강조가 되고 있다. 의사-환자간의 관계에 있어서 환자의 정신상태를 정확하게 파악하는 과정은 무엇보다도 더 중요하다고 할 것이다. 이에 환자의 심리상태를 객관적이고도 정확하게 이해하기 위하여는 의사자신의 정신세계에 대한 정확한 인식과 통찰이 중요하다. 이에 본 연구에서는 성찰의 중요성에 대하여 논하고 성찰의 한 방법을 제시함을 기본 목적으로 삼는다.

• 한국식품영양과학회지
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• 제23권4호
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• pp.587-593
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• 1994

A nutrition survey of 152 children , in the kindergarten attached to a proivate elimentary school of Pusan, was undertaken between Dec. 1 and Dec.14, 1993, to investigate dietary intake and nutrition status. The results are summarized as follows. 1) Compared with the Korean child development standard, their development conditions showed 113.1% , 102.2% , 103.3%, 101.75 in weight, height, head and chest, respectively. 2) By the standard of WLI(Weight Length Index) , proper to the children between age 4 and 6 , there proved to be 25% overweight and 4% obesity, 25% overweight and 19% obesity , 28 overweight and 26% obesity in 4-year-old, 5 year-old, and 6 -year-old children, respectively. 3) The children between age 4 and 6 averaged 37.6% in hematocrit and 12.4-12.8 5 in hemoglobin. these values were higher than those of the Korea child development standard. but the numbers of erythocyte, leucocyte and platelets were normal . Only a single child was considered suffering from aenmia . The 8% of them were over 200mg/이 in cholesterol, dangerously approaching the atherosclerosis. The 31% averaged 120mg/이 in triglyceride . And the 6% proved 100mg/이 in blood glucose when hung교. So it came out that not a few children had some factors dangers to diabetes, atherosclerosis and heart diseases : complications arising from obesity. 4) The intake of nutrients , except the 4-year-old children , ranged 108.4% to 2665 from the recommended value. The rates of carbohydrate, fat and protein to be much correlation among total intake of nutrients, development , results of blood test and WLI. The degree of obesity was proportionate to the intake of nutrients.

• 가정과삶의질연구
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• 제24권5호
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• pp.223-237
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• 2006

This study explores how well parents and their children recognize the social attitudes of one another. Mothers, fathers and youths were asked to state their own opinion on various social issues then predict their children's, fathers' and mothers' responses(attributed attitudes). Empirical evaluation of the possible socialization consequences of actual versus attributed attitudes leads to a series of hypotheses. The data were collected from single students at a university in Seoul and their parents. Included in the seven social attitude were sexuality, educational, economic, political, ecological, religious and family issues. Analysis of the responses 98-110 triads, each consisting a mother, a father and a young adult child showed that both mothers and fathers were limited in their ability to gauge the attitudes of their children. Guided by attribution theory, this study tested several hypothesized relationships between the actual response of mother, the actual response of the father, the perceived response of the mother, the perceived response of the father and the actual response of the child. The theoretical model was tested with AMOS 5.0, utilizing path analysis, which is a form of structural equation modeling with manifest variables. Overall model fit was assessed by examining GFI, NFI, TLI, CFI and RMR. Results of the data analysis can be summarized as follows. First, the children perceived their mothers and fathers to be highly similar in their opinions and the actual responses of the mothers and the fathers were considerably correlated. Second, the fathers' responses whether attributed or actual were more predictive than the mothers' responses to their children's opinions. The alternative model suggests considerable support for the attribution theory. Indeed, within a family, the actual opinions of parents appear to have little direct bearing on the child's orientations, except when the actual orientations are perceived and reinterpreted by the children. It is not what parents think, but what their children think they think that predicts their offsprings' attitudes.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제18권2호
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• pp.115-120
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• 2015

Purpose: Cholecystectomy is rarely performed in the child and adolescent. However, it is associated with several conditions. This study was conducted to describe the characteristics of pediatric patient who underwent cholecystectomy unrelated to hematologic disorders, and then to suggest its clinical significance in management by comparing a simple and complicated gallbladder disease. Methods: We reviewed cases of cholecystectomy in pediatric patients (under 18 years old) at a single institution between January 2003 and October 2014. There were 143 cases during the study period and 24 were selected as the subject group. Results: There were 7 male (29.2%) and 17 female (70.8%) patients. The mean age was 13.1 years old, and 66.6% of patients were older than 12 years. Mean body weight was 52.7 kg, and body mass index was $21.7kg/m^2$, with 41.7% of patients being overweight or obese. We could identify a female predominance and high proportion of overweight or obesity in a complicated disease. There were also significantly increased levels of aspartate transaminase (AST), alanine transaminase (ALT), alkaline phosphatase (ALP) and bilirubin in this group. Most patients (87.5%) underwent laparoscopic cholecystectomy. Conclusion: Cholecystectomy for diseases unrelated to hematologic disorders is rarely performed in the child and adolescent. In general, female patients who are overweight or obese, and those older than 12 years old, require laparoscopic cholecystectomy owing to multiple gallstones. This condition has a tendency to show a complicated gallbladder disease and significantly increased levels of AST, ALT, ALP, and bilirubin.