• Journal of Families and Better Life
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• v.13 no.2
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• pp.86-93
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• 1995

본 연구는 애착관계를 중심으로 모-자녀간 상호작용의 특성 및 외조모 모, 손녀 3세 대간의 애착관계의 전이와 그것이 반영이 사회적 능력에 미치는 영향을 전생애적 관점에서 파악하고자 하였다 연구대상은 만 14-20개월의 영아와 그 어머니 45쌍 국민학교 1,2,3학년 아동과 그들의 어머니 226쌍 그리고 중.고등학교에 재학중인 여학생과 어머니 외할머니로 구성된 모녀간 3세대 140쌍이었다. 본 연구의 결과 애착관계는 전생애에 걸쳐 비교적 높았 고 상호작용적으로 나타났다 그러나 애착의 특징은 발달단계별로 달라 영아의 어머니에 대 한 애착관계는 어머니의 적절한 양육행동이 아동기는 신뢰감을 주는 양육행동이 청년기에는 애착감정이 그리고 중년기 이후에는 자율성만이 애착관계와 관련이 있었다 3세대간의 애착 관계의 전이는 중년기 이후에만 나타났고 애착과 사회적 능력과의 관계는 아동기, 청년기, 중년기, 노년기까지 관계가 있는 것으로 나타나 애착관계가 전생애적으로 사회적 능력에 중 요함을 보여준다. 이상을 통해 볼 때 본 연구는 전체적으로 전생애적 관점에서의 애착이론 을 지지하였다.

• Korean Journal of Childcare and Education
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• v.6 no.1
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• pp.47-65
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• 2010

The current study aims to examine differences of mother's child-rearing attitude by background variables of infant's and mothers, the influence of mother's child-rearing attitude, temperament and goodness of fit of infant's on adjustment to childcare center, and relative influence among elements. Subjects for the study were 165 infant's of two year old attending 8 childcare centers in Seoul, Gyeonggi-do and Jeju-do, and their mothers and homeroom teachers at childcare centers. As a result of the study, it was found that there was no difference in background variables such as sex and order among siblings of infant's, childcare experience and average hours at childcare centers a day, and mother's age and job, while there were differences in mother's child-rearing attitude by mother's education, household's monthly income and mother's working hours per week. Also it was observed that mother's restrictive attitude, positive attitude and infant's regular temperament influenced their adjustment to childcare centers, and relatively influential elements on general adjustment to childcare centers were mother's restrictive attitude and positive attitude. That IS, it was found that as mother's restrictive attitude and positive attitude were high, infant's general adjustment to childcare centers became high. These study results show that if infant's learn basic rules and habits from parents at home by having positive relationship with mothers, getting appropriate educative instruction, having proper autonomy and obtaining positive assessment from their mothers, rather than strict restriction or bluff, can adapt themselves to childcare centers with no difficulty.

• Pediatric Infection and Vaccine
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• v.5 no.1
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• pp.69-78
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• 1998

Purpose : The risk of severe tuberculous disease such as meningitis or miliary tuberculosis increases as younger is the child at the time of infection. Therefore, the early diagnosis and prompt treatment is mandatory for infants with tuberculosis. This study was undertaken to describe the epidemiology, clinical and radiographic manifestations, and response to therapy in infants with tuberculous disease. Methods : Medical records of 29 infants with tuberculosis diagnosed at the Seoul National University Children's Hospital from July, 1985, to April, 1997, were reviewed, retrospectively. A case of tuberculosis was confirmed if M. tuberculosis was isolated from any body site or if there was histologic proof of tuberculosis. Otherwise, the diagnoses were individualized considering history of contact with contagious adult case, clinical manifestations, chest X-ray findings, result of a Mantoux test reaction with 5 tuberculin unit of PPD, and the response to therapy. Results : The mean age at diagnosis was $7.00{\pm}2.65$ months (range, 3 to 12 months). Twelve cases had isolated pulmonary diseases, and the rest had pulmonary disease and meningitis, 5 cases; pulmonary disease and cervical lymphadenitis, 3; isolated meningitis, 3; and miliary tuberculosis, 6. Source case was identified in 19 cases, 7 of which were detected with retrograde manner. Twenty seven of 29 were symptomatic at their initial visit. The presenting symptoms were mainly respiratory or neurologic, and respiratory difficulty was accompanied in 7 cases. Physical examination revealed wheezing in 7 cases and decreased breath sounds in 9. Hepatomegaly or hepatosplenomegaly were frequent. Chest radiographs showed lung parenchymal disease with hilar lymphadenopathy in 18 cases, and focal or generalized emphysematous change in 7 cases. Conclusion : Most of the infants with tuberculosis are symptomatic at diagnosis, and many of infants with intrathoracic tuberculosis presented with symptoms of bronchial obstruction. When tuberculosis is suspected in an infant, the adult source case should be vigorously investigated to aid in diagnosis and for the prevention of further transmission of tuberculous disease. Almost half of infant tuberculosis are preventable if prophylaxis were given when adult cases were diagnosed.

• Proceedings of the Korean Society of Food and Cookery Science Conference
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• 2003.10a
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• pp.1-4
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• 2003

일반적으로 영유아기 라고 하면 출생 후 학령기 이전까지의 시기를 말하나 여기서는 출생 후 약 2년까지의 시기에 대하여 집중적으로 거론하고자 한다. 이 시기의 아기들, 특히 만 1세 이전의 영아들은 신체적, 정서적으로 일생을 통해 가장 변화의 폭이 큰 성장 곡선을 그리면서 성장한다. 이러한 급격한 성장은 단지 키나 체중 등에만 국한되는 것이 아니라 신체내 모든 조직의 구성이나 기능 둥에도 해당되며, 소화 생리를 포함한 생리적, 면역학적 기능과 기계적 운동 기능 등이 다양하게 포함된다. (중략)

• Korean Parent-Child Health Journal
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• v.1
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• pp.17-19
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• 1998

NNNS는 정상, 고위험신생아의 포괄적 검사를 위하여 고안된 것으로서 (1) 중추신경계의 통합성을 반영하는 항목들 뿐만아니라 능동 및 수동 근육탄력성과 원초적 반사작용들을 사정하는 고전적 신경학적 항목; (2) 의식상태, 감각 및 상호작용 반응들을 포함하는 행동종목들; (3) 스트레스/위축항목들의 세 부분으로 구성된다. 이와같이 NNNS는 발달과 행동의 성숙, 중추신경계의 통합성 그리고 영아의 스트레스반응들을 사정한다.

• Journal of The Korean Society of Inherited Metabolic disease
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• v.15 no.3
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• pp.155-159
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• 2015

Citrin deficiency (OMIN #605814) is an autosomal recessive disorder caused by the SLC25A13 gene mutation with abnormal biochemical findings, including increased serum ammonia, citrulline, arginine, galactose, serum threonine-to-serine ratio, serum pancreatic secretory trypsin inhibitor, and alpha-fetoprotein. Citrin deficiency can manifest in three ways: in newborns as neonatal intrahepatic cholestasis caused by citrin deficiency (NICCD), in older children as failure to thrive and dyslipidemia caused by citrin deficiency (FTTDCD), and in adults as citrullinemia type 2 (CTLN2) with recurrent hyperammonemia and neuropsychiatric symptoms. We report a 35-day-old asymptomatic patient with citrin deficiency who had abnormal biochemical findings.

• Childhood Kidney Diseases
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• v.11 no.2
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• pp.229-238
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• 2007

Purpose : Since the first febrile UTI(urinary tract infection) in infants is commonly associated with vesicoureteral reflux(VUR), imaging studies such as renal ultrasonography, dimercaptosuccinic acid(DMSA) scan, and voiding cystourethrography(VCUG) are recommended. How-ever, because of the invasiveness of VCUG, it is difficult to perform in all young infants with febrile UTI. The purpose of this study is to compare the clinical and laboratory characteristics, radiologic findings between the young infant group(1 to 6month, n=121) and the old infant group(7 to 24months, n=91), and to determine the clinical and radiologic risk factors that predict the presence of VUR before the VCUG in patients with their first febrile UTI under 2 years of age. Methods : We reviewed the medical records of 211 first febrile UTI patients under 2 years of age retrospectively, and compared clinical, laboratory, and radiologic findings between the two age groups. Results : The young infant group had a male preponderance and a higher incidence of Escherichia coli in their urine culture. The incidence of acute renal parenchymal defects on DMSA scans were significantly increased in the young infant group. The incidence of VUR was 29% in patients who had a VCUG, but there were no differences in the incidence of VUR between the two age groups. Abnormal findings on DMSA scan significantly correlated with higher incidence of VUR in the young infant group. Incidence of abnormal findings DMSA scan significantly increased with high grade VUR(garde III-V ). Conclusion : In treating first febrile UTI patients under 2 years, physicians have to consider such characteristics as age less than 6 months, male preponderance, E.coli in the urine culture, and increased incidence of abnormal findings on DMSA scans which correlated well with the presence of VUR. The results of the DMSA scan might help us to predict the presence of VUR before the VCUG in first febrile UTI and help us to reduce performing invasive radio-logic studies especially in the young infant group. (J Korean Soc Pediatr Nephrol 2007;11:229-238)

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.12
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• pp.485-493
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• 2017

Rearing knowledge is a significant factor of relevance for rearing practice, and assessment of rearing knowledge and practice is important for infant parents. The author adopted the Child Rearing Knowledge Scale (CRKS) and Child Rearing Practice Scale (CRPS) that were developed and validated by Saramma & Thomas. According to the international linguistic validation process, pilot testing was done based on 20 infant's mothers in one Oketani massage center and one public health center. Descriptive statistic methods and Wilcoxon Rank Sum Test were employed to evaluate the level and compare the mean score according to general characteristics of subjects of the tools. Reliability and validity were tested by Cronbach's alpha and Spearman Correlations. The mean age of the subjects was 33.94 (${\pm}2.99$) years and the mean age of babies was 3.35 (${\pm}0.58$) months. The understanding level of the Korean version of the CRKS and CRPS was 1.80 (${\pm}0.65$) and 1.33 (${\pm}0.54$), respectively. In addition, the CRKS and CRPS were relatively easy to use. The mean score of the CRKS was 22.50 (${\pm}4.89$), which was a moderate score, while the mean score of the CRPS was 30.75 (${\pm}2.04$), which was high. The Cronbach's alpha values of the CRPS were as follows: feeding, 0.71; growth and development, 0.64; cleaning and protection 0.68; infant stimulation, 0.77. There was a significant correlation between infant stimulation of the CRPS and growth and development of the CRKS (r=0.530, p=0.016). The CRKS score of medical staff was significantly higher than that of non-medical staff (p=0.04). The CRKS and CRPS are expected to be used in clinical or community care practice as easy-to-use tools that are easy to respond to.

• Journal of Families and Better Life
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• v.21 no.3
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• pp.29-38
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• 2003

A three-year longitudinal design was employed to ascertain whether different types of behavioral inhibition(i.e. traditional, peer-social) were stable from toddler to preschool age(2-4 year), and whether inhibited temperament and/or parenting style would independently and interactively predict children's subsequent social and behavioral outcomes. At time 1, 113 toddlers (55 males, 58 females) and their mothers were observed in the traditional inhibition paradigm. At time 2, 36 4-year-old children were observed with unfamiliar peers in the nontraditional inhibition paradigm. Maternal ratings of psychological functioning of children and maternal behaviors were also obtained for both time 1 and 2. Results showed that behavioral inhibition was not stable from toddler to preschool age. Maternal authoritative behaviors at age 2 were negatively associated with preschooler's social reticence. Toddler's behavioral inhibition was negatively associated with maternal authoritative behaviors at age 4. In a cross-lag correlation analysis, maternal authoritative behaviors appeared to affect child's behavioral inhibition more strongly than the other way around.

• Clinical and Experimental Pediatrics
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• v.45 no.8
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• pp.980-986
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• 2002

Purpose : Although the number of patients with measles have dramatically decreased since the introduction of measles vaccines in 1965, measles outbreaks have occurred periodically every 4-6 years during the 1990s(1989-1990 and 1993-1994). During 2000-2001, measles prevailed all over the country again. A characteristic of current epidemics is that the majority of affected population was infants and school-aged children. This study was designed to analyze the epidemic and clinical features of measles prevalence during 2000-2001 and to find ways to overcome vaccination failure. Methods : We reviewed the records of 59 patients with mealses admitted in the Pediatric Department of Pusan National University Hospital from January 2000 to October 2001 for patient's age, month of admission, history of vaccination, clinical features and complications. Antibody titers of measles-specific IgM and IgG were measured by enzyme immunoassay. Results : The epidemic show two peaks in the age distribution. Forty three patients(72.9%) were under 2-years of age and 14 patients(23.7%) were over 5-years of age. Outbreaks had high incidence in July to August, 2000 and March to April, 2001, then faded away after July, 2001. Vaccinated group comprised 30.5% and unvaccinated group comprised 69.5% and their mean age was $9.25{\pm}4.27$ years old and $0.95{\pm}0.30$ years old respectively. Positive rate of IgM was 86.7% in vaccinated group and 90.3% in unvaccinated group. This means there was primary vaccine failure; 13 cases of 15 vaccinated patients were positive in IgM antibody. During the prevalence, two patients died with mealses complication. One of them was immunocompromised. Conclusion : To prevent another prevalence of measles in the future, we must enhance revaccination at ages 4-6 and check vaccination status when children enter elementary school. These will produce over 95% of herd immunity, with catch-up MMR vaccination which has been completed already.