• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제22권4호
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• pp.358-368
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• 2019

Purpose: Pediatric Crohn's disease (CD) is directly related to growth and has a high probability of requiring surgical intervention(s); therefore, more active treatment for CD is required for children. This study investigated the impact of biologics on growth and disease course associated with surgery. Methods: This was a retrospective cohort study involving patients diagnosed with CD at the Seoul National University Children's Hospital (Seoul, Korea) between January 2006 and October 2017. The aim was to determine the characteristics of pediatric patients with CD and whether biologics affected growth and the surgical disease course. Results: Among patients who underwent surgery for CD, the mean number of operations per patient was 1.89. The mean time from initial diagnosis to surgery was 19.3 months. The most common procedure was fistulectomy (34%), followed by incision and drainage (25%). In all patients, the use of biologics increased the height (p=0.002) and body mass index (BMI) (p=0.005). Among patients who underwent surgery, height (p=0.004) and BMI (p=0.048) were increased in the group using biologics. Patients who used biologics exhibited a low operation rate only within 2 years after diagnosis, with no differences thereafter (p=0.027). Conclusion: Although biologics could not mitigate the operation rate in pediatric patients who underwent surgery for CD, biological therapy delayed disease progression within 2 years of disease onset. Additionally, biologics conferred growth and BMI benefits in this window period. Therefore, it may be helpful to use biologics for optimal growth in pediatric patients with a high probability of undergoing future surgery.

• 디자인학연구
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• 제14권2호
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• pp.67-76
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• 2001

어린이그림책은 글과 그림이 서로 긴밀하게 조화된 형태로서 어린이가 최초로 접하는 문학이다. 어린이그림책은 어린이의 주변환경에서 어떤 일이 일어나고 있으며, 또한 어떤 일이 벌어질 수 있는지를 보여주고, 그림을 통한 풍부한 이야기 전달로 창의력과 사고력, 정서, 지적능력 등에 많은 영향을 끼친다. 어린이그림책에 표현된 색채는 형태와 질감 등 다른 조형요소 못지 않게 중요하며, 어린이의 감정에 호소한다는 점에서 색채감정을 기초로 한 어린이그림책의 색채표현은 대단히 중요하다. 어린이그림책 일러스트레이션의 사용된 색채는 주제와 배경의 구분뿐만 아니라 그림책 속에 묘사된 등장인물의 움직임과 감정을 분명하게 전달하고, 줄거리의 전반적인 흐름과 분위기를 설득력 있게 표현하여 어린이들에게 기쁨, 슬픔, 즐거움, 놀라움, 두려움 등 다양한 감정을 전달한다. 본 연구에서는 어린이그림책 일러스트레이션에 표현된 색채의 상징성과 이미지를 연구, 분석하기 위해 어린이들이 느끼는 색채개념 및 감정과 이미지 연상 등을 토대로 국·내외 출판되고 있는 어린이그림책을 선정하고, 선정된 어린이그림책에서 표현된 다양한 색채대비효과, 색채흐름, 색조변화, 그리고 각 장면의 분위기와 줄거리의 흐름에 따른 색채사용을 분석하고, 어린이그림책을 제작하는 일러스트레이터의 개성과 예술성으로 수준 높은 어린이그림책을 제작할 수 있는 색채사용의 방법을 제시하였다.

• 한국보육지원학회지
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• 제17권3호
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• pp.65-87
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• 2021

Objective: This study aimed to examine the effects of maternal monitoring, shared activities with children, maternal education-oriented behavior, and allowing children to own smart-phones on smart media usage patterns based on smart-phone usage time and purposes among elementary school children. Methods: The participants were 1,315 second-grade elementary school children from the 9th wave of PSKC. Latent profile analysis and the three-step estimation approach were used to examine the determinants of the latent profile and the effects of maternal parenting on the profile. Results: Four latent profiles were identified: 'High-level usage & Entertaining oriented,' 'Moderate-level usage & Social/entertaining oriented,' 'Moderate-level usage & Learning oriented,' and 'Low-level usage.' Additionally, results showed that each profile can be predicted by maternal monitoring, education-oriented behavior, and permitting children to own smart-phones. Conclusion/Implications: Our outcomes suggested that it would be necessary to understand the smart media usage patterns of elementary school children, considering both the amount of time spent with smart media and purposes of uses. Further, it is helpful for mothers to monitor children's daily activities, support their educational activities, and take the role of gatekeeper for smart media as a way of appropriate guidance for their children's use of smart media.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제12권sup1호
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• pp.53-61
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• 2009

The mainstay in the management of mild to moderately dehydrated children is fast rehydration by using hypotonic ORS (oral rehydration solution) and complete resumption of normal diet, including lactose-containing formula after 4 hours rehydration. Since the majority of young children with uncomplicated acute diarrhea will tolerate large amounts of undiluted non-human milk, withholding food and milk from children during diarrhea is not recommended anymore, regarding time to resolution and diarrhea control. In addition, routine dilution of milk and routine use of lactose-free formula are not necessary after fast ORS therapy. Breastfed infants and children fed with solid foods may safely continue receiving their usual diets during diarrhea instead of gradual reintroduction of feeding. However, young infants or children with severe diarrhea or malnutrition should be carefully treated under supervision if fed with lactose containing, non-human milk exclusively.

• 아동학회지
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• 제30권6호
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• pp.111-124
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• 2009

The importance of information media in personal lives has increased rapidly, indicating the average ages of users are becoming younger. School-age children, despite the inconsequential differences, are reported to have used the internet for their free time, information search, communications, and education. Recent researches are focused on various variables affecting internet-addictions since these problems have become a major issue in education due to prolonged use of the internet or mobile. The regulations as a preventative measure and the setting of standard are also considered as major issues of research. In terms of policy, there should be revisions on laws and regulations about the internet and mobile in order to protect school-age children from vicious environments. For the education's part, there should be appropriate amount of education, for children and their parents, on how to use computers and the internet properly and how to prevent internet-addiction.

• 한국학교보건학회지
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• 제23권2호
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• pp.115-124
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• 2010

Purpose: The purpose of this study was to investigate the effect of high school students' internet addiction on their health status. Methods: The subjects of the present study were 237 high school students in KyongBuk province. Self-reporting questionnaire survey was conducted during the period from September to October 2009. Collected data were analyzed using SPSS PC+14.0 through descriptive statistics, t-test, ANOVA, Scheffe's test and stepwise multiple regression analysis. Results: With regard to internet addiction, 33.9% is at the early stage of internet addiction and 2.1% is severely addicted to internet. Health status was poorer in female, students with low economic status, less attention to children's health by parents, neglecting their children's internet use, single-parent, and severely addicted to internet. Factors significantly influencing on the health status included gender, internet addiction, parent's attitude about internet using time, interest in their children's health, economic status and internet using time ($R^2$=25.8%). Conclusion: The education program for preventing internet addiction considering these affecting factors is necessary.

• 가족자원경영과 정책
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• 제17권2호
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• pp.93-119
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• 2013

The actual time fathers spend in childcare has not increased much in spite of recent attention paid to nurturing their children and changes in the fathers' role. In this study, parenting time is measured by time spent in childcare, shared housework, and shared leisure. In this way, this study seeks to analyze trends in fathers' time spent with children and the factors that influence fathers' participation in parenting. The data source for this study was the 2009 Korean Time Use Survey. The main results of this research are as follows: First, when measuring childcare time as a primary activity, fathers' time spent in parenting averaged 17 minutes on weekdays and 32 minutes on Sundays. This extended to 44 minutes on weekdays and 166 minutes on Sundays when including the secondary childcare time and the shared time with their children while doing housework or leisure. Second, fathers' probability of participating in childcare was higher for fathers who had shorter working hours, younger children, higher spouse average monthly income, and a college or higher education level. The variable that influenced fathers' participation in shared housework on weekdays was working hours. On Sundays, the variables were working hours, age of the youngest child, and the type of occupation. Fathers' participation in shared leisure was influenced by father's working hours, number of children, age of the youngest child, and type of occupation on weekdays. On Sundays, it was influenced by working hours and the age of the youngest child.

• 한국치위생학회지
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• 제10권3호
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• pp.541-553
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• 2010

Objectives : The purpose of this study was to examine the use of dentifrice for children, the state of dentifrice for children on the market and the relationship between the bore of dentifrice and the amount of dentifrice used in an effort to provide parents, main consumers of dentifrice for children, with the right information on dentifrice. Methods : Data on the use of children's dentifrice were gathered by investigating parents in Seoul and Gyeonggi Province in July and August, 2009. The selected parents had children aged one to five in Western age. Results : 1. As to the purchase of dentifrice for children, the largest group (75.9%) were aware of the name of the toothbrush used by their children, and the greatest group (97.3%) bought the toothbrush on behalf of them. Advertising was the most dominant source of information on the choice of dentifrice (51.8%), and non-professionals were the most common providers of information on that (55.9%). 2. The amount of dentifrice used at a time was a mean of $0.467{\pm}0.270g$. There was a wide disparity in that aspect from a low of 0.100 to 1.900g. As to the influence of the size of the bore of dentifrice, the greatest amount of dentifrice was used ($0.670{\pm}0.306g$) when the bore of dentifrice was 9 mm in size, and the bore size 9 mm was significantly different from the size 3 mm and 6 mm in that aspect (p<0.001). 3. There was one kind of imported dentifrice for children on the market. Concerning the fluoride ingredient of dentifrice, the biggest number of dentifrice contained MFP only. As to the size of the bore of dentifrice, there was a difference of 3 to 9 mm. Most of dentifrice for children included the pictures of particular characters. Conclusions : The above-mentioned findings illustrated that there is a serious concern for the intake of fluoride among infants and preschoolers, it's needed to pay careful attention to the use of dentifrice. Dentifrice for children should be manufactured in consideration of the relationship between the size of the bore and the amount of dentifrice used.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제20권3호
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• pp.146-151
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• 2009

Objectives : We conducted this study to investigate the relationship between sleep duration and body mass index (BMI), in Korean children. Methods : We performed a cross-sectional analysis of data collected on 3,639 boys and girls (aged 7-12) in Daegu, Korea. The data included each child's age, sex, weight, height, extracurricular activities, bedtime, wake-up time, sleep latency, total sleep duration, parents' occupations, and parents' educational levels. The relationship between sleep duration and each variable was examined via analysis of variance (ANOVA). Results : The analysis showed an association between short sleep duration and high BMI. Boys showed a graded inverse relationship between sleep duration and BMI. However, there was no significant corresponding result for girls. In the total sample, hours of computer use, time when the computer was turned off, time when the television was turned off, mother's bedtime, and hours of extracurricular activity were associated with longer sleep duration. No association was found between sleep duration and hours of watching television, child's wake-up time, or educational level of the parents. Conclusion : The results of this study show an inverse relationship between a child's sleep duration and BMI；thus, children with shorter sleep duration tend to have higher BMIs.

• Human Ecology Research
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• 제58권4호
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• pp.585-599
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• 2020

This study investigated children's interests in learning English, affected by educational activities in and out of institutes, and mothers' perceptions regarding early childhood English education. We recruited, 253 mothers of 3- to 5-year-old children in either general kindergartens or English immersion institutes. They answered questions on socioeconomic status, perceived interest in English by their children, their perceptions regarding early childhood English education, and English education outside institutes. In addition, 42 English teachers provided information within institutes such as class time per week, teacher-pupil rate, and language use policy during class. The collected data were analyzed through SPSS 22 for frequency analysis, descriptive statistics, independent t-test, and hierarchical multiple regression analysis. The major findings are as follows. First, the two groups were in distinct learning environment. Second, mothers' perceptions and outside-institute activities were significantly different between the two groups. Third, the English interests of children at both institutes were influenced by mothers' worries and at-home English interactions. Fourth, education within institutes did not affect both group's English interests. Fifth, private education and socioeconomic status did not affect both group's English interests. Lastly, only the children's interests in English immersion institutes were affected by gender and mother's perceived necessities. Focusing children's interests, this study helps in understanding young children's affective aspects regarding learning English. The findings are expected to be a guideline for each home and institute to increase children's interest in learning English.