• Clinical and Experimental Pediatrics
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• v.51 no.7
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• pp.690-695
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• 2008

The age-specific anti-hepatitis A virus (HAV) seroprevalence rates in South Korea have changed markedly since the last 2030 years with an improvement in the socio-economic, housing, and environmental-sanitation conditions. These changes are characterized by very low anti-HAV seropositive rates among individuals less than 30 years of age; however, nowadays, most adolescents and young adults at an increased risk of developing symptomatic HAV infections. The Korea Center for Disease Control Sentinel Surveillance System has recently revealed an increase in the incidence of hepatitis A infection since 2001 and has revealed a potential endemic nature of the hepatitis A infection. Hepatitis A vaccines that were introduced in 1997 in Korea have made the current anti-HAV IgG positive rates in children (less than 10 years of age) approximately 50% of the rates observed in Seoul in 2006. However, in the same year, a few children were diagnosed as having anti-HAV IgG antibodies in Busan. This suggests the presence of some difference in the vaccination policy among doctors practicing in Seoul and Busan. Thus, the current recommendation of vaccinating 12-year-old child with HAV vaccination should be emphasized and a new strategy should be developed for the vaccination program to cater to the adolescents and young adults who are not immune, as well as for persons who are at a high risk for hepatitis A viral infection such as military personnel and hospital and day care center employees. Further, urgent hepatitis A vaccinations are also needed in patients with chronic liver diseases.

• Clinical and Experimental Pediatrics
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• v.56 no.1
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• pp.37-41
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• 2013

Idiopathic acute eosinophilic pneumonia (IAEP), characterized by acute febrile respiratory failure associated with diffuse radiographic infiltrates and pulmonary eosinophilia, is rarely reported in children. Diagnosis is based on an association of characteristic features including acute respiratory failure with fever, bilateral infiltrates on the chest X-ray, severe hypoxemia and bronchoalveolar lavage fluid >25% eosinophils or a predominant eosinophilic infiltrate in lung biopsies in the absence of any identifiable etiology. We present a 14-month-old girl who was admitted to our pediatric intensive care unit because of acute respiratory distress. She had a fever, dry cough, and progressive dyspnea for 1 day. Chest X-ray showed multifocal consolidations, increased interstitial markings, parenchymal emphysema and pneumothorax. IAEP was confirmed by marked pulmonary infiltrates of eosinophils in the lung biopsy specimen. Most known causes of acute eosinophilic pneumonia, such as exposure to causative drugs, toxins, second-hand smoking and infections were excluded. Her symptoms were resolved quickly after corticosteroid therapy.

• Childhood Kidney Diseases
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• v.19 no.1
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• pp.48-52
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• 2015

Streptococcus pneumoniae associated hemolytic uremic syndrome (SpHUS) is one of the causes of atypical hemolytic uremic syndrome, and increasingly reported. They are more severe and leave more long-term sequelae than more prevalent, typical hemolytic uremic syndrome. But it is not so easy to diagnose SpHUS for several reasons (below), and there was no diagnostic criteria of consensus. A 18 month-old-girl with sudden onset of oliguria and generalized edema was admitted through the emergency room. She had pneumonia with pleural effusion and laboratory findings of HUS, DIC, and positive direct Coombs' test. As DIC or SpHUS was suspected, we started to treat her with broad spectrum antibiotics, transfusion of washed RBC and replacement of antithrombin III. On the $3^{rd}$ day, due to severe hyperkalemia and metabolic acidosis, continuous renal replacement therapy (CRRT) was started. She showed gradual improvement in 4 days on CRRT and discharged in 16 days of hospital care. At the follow up to one year, she has maintained normal renal function without proteinuria and hypertension. We report this case with review of articles including recently suggested diagnostic criteria of SpHUS.

• Clinical and Experimental Pediatrics
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• v.48 no.5
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• pp.461-468
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• 2005

The major function of immune system is to protect infections. The immune systems are composed of innate and adaptive immunity. In adaptive immunity, the cellular and humoral components interact each other. Neonates and infants are infected frequently, because immune systems are naive and easy to expose to infectious agents. The complete history and physical examination is essential to evaluate the child with recurrent infections. The environmental risk factors of recurrent infections are day care center, cigarette smoke, and air pollution. The underlying diseases such as immunodeficiency, autoimmune diseases, allergy, and disorders of anatomy or physiology increase the susceptibility to infections. In immunodeficiency, infections are characterized by severe, chronic, recurrent, and unusual microbial agents infection. The defects of antibody production are susceptible to sinopulmonary bacterial infections. T cells defects are vulerable to numerous organisms such as virus, fungi, bacteria and etc. The screening tests for immune functions are the quantitative and qualitative measurements of each immune components. A complete blood count with white blood cell, differential, and platelet provide quantitative informations of immune components. Total complement and immunoglobulin levels represent the humoral component. Antibody levels of previously injected vaccines also provide informations of the antigen specific antibody immune responses. T cell and subsets count is quantitative measurement of cell mediated immunity. Delayed hypersensitivity skin test is a crude measurement of T cell function. The long term outcome of children with recurrent infections is completely dependent on the underlying diseases, the initial time of diagnosis and therapy, continued management, and genetic counscelling.

• Clinical and Experimental Pediatrics
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• v.54 no.4
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• pp.176-178
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• 2011

Hemolytic-uremic syndrome (HUS) is the most common cause of acute renal failure in young children. It is classically characterized by the triad of microangiopathic hemolytic anemia, thrombocytopenia, and uremia. Further, not only is intussusception one of the differential diagnoses of HUS but it may also become a complication during disease progression. We report a case of HUS. preceded by intussusception in a previously healthy 17-month-old boy. The patient presented at the emergency department with bloody stools that developed the day after reduction of intussusception. HUS was diagnosed 4 days after the reduction of intussusception. The patient was provided only supportive care and his laboratory test findings were normal at discharge.

• Korean Journal of Human Ecology
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• v.16 no.6
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• pp.1097-1105
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• 2007

This study aims to 1) examine the difference of parent's participation intention for early childhood secondhand smoke prevention depending on sex, education level, income level, and smoking or nonsmoking of parent, parent's knowledge and attitude of early childhood secondhand smoke 2) estimate the influence of independent factors on parent's participation intention for early childhood secondhand smoke prevention centering around factors stated previously, and 3) suggest effective strategies to ultimately encourage parent's behavior for early childhood secondhand smoke prevention. A total of 279 parents with four- and five-year-old day care children participated in this study. The following are the main results of this study. First, the higher the level of income parent had, the higher the level of participation intention for early childhood secondhand smoke prevention parent had. Second, nonsmoking parent exhibited higher level of participation intention than smoking parent. Finally, parent's knowledge and attitude of early childhood secondhand smoke had influence on parent's participation intention for early childhood secondhand smoke prevention, but parent's attitude had a high degree of influence on parent's participation intention.

• Journal of Families and Better Life
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• v.30 no.2
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• pp.1-10
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• 2012

This study focused on the relationships among emotionality, eating behavior problems, and behavior problems in a sample of 185 four- to five-year-old children attending kindergarten or a day care center in Seoul. The values were all measured by their teachers. The collected data were analyzed using simple regression and hierarchical multiple regression. The main results of this study were as follows. First, children's positive and negative emotionality each exerted negative and positive effects on their internalizing behavior problems. Second, children's positive emotionality had a negative influence on their eating behavior problems. On the other hand, children's negative emotionality had a positive influence on eating behavior problems. Finally, effect of children's positive emotionality on their eating behavior problems was partially mediated by internalizing behavior problems. On the other hand, the effect of children's negative emotionality on their eating behavior problems was totally mediated by their internalizing behavior problems.

• Korean Journal of Occupational Health Nursing
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• v.17 no.2
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• pp.155-165
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• 2008

Purpose: The purpose of this study was to investigate the condition, recognition of breast feeding of 273 nurses. Method: Data was collected using a structured questionnaire form April to June 2007. The subjects were 273 nurses in Kyunggido. The data analysis was done with descriptive statistics, $x^2$-test procedures using SPSS/WIN 12.0 PC. Result: There are 23.9% of child day care center, 5.2% of rest room for women, 16.8% of breast feeding room in workplace. Rate of breast-feeding practice was 78.4% of nurses. The reasons why they could not perform the breast-feeding include mother's job(45.4%), lacking breast milk(25.8%). The characteristics of nurses found to be related breast-feeding include age, number of employers. Conclusion: The results showed that the rest supports of the work environment was insufficient to perform breast-feeding in the workplace. These results suggest that nursing intervention for employed mother's breast-feeding practice behavior promotion should focus on characteristics influencing factors on workplace. Also, efficient breast-feeding education program for employed mothers should be developed by continuous qualitative researches based on breast-feeding experiences of employed mothers.

• Human Ecology Research
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• v.55 no.4
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• pp.433-440
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• 2017

The purpose of the research was to examine the moderating effects of children's prosocial behavior on a potential relationship of attention-deficit/hyperactivity disorder and peer rejection as well as friendship. Participants consisted of 252, 3 year old including 136 boys and 116 girls. They were recruited from day care centers and preschools in Gyeonggi province and Incheon city. Prosocial behavior and attention-deficit/hyperactivity disorder syndrome were assessed based on teacher ratings. A peer nomination inventory was used to assess peer rejection and friendship. Children were asked to nominate three peers that they liked and considered friends as well as three peers that they did not like and did not consider friends. Findings suggested that prosocial behavior moderated the relation between attention-deficit/hyperactivity disorder and peer rejection as well as friendship. ADHD was related to peer rejection and fewer friends for children with lower levels of prosocial behavior. However, the association of attention-deficit/hyperactivity disorder and peer rejection was not significant for children who had higher levels of prosocial behavior. Moreover, attention-deficit/hyperactivity disorder did not influence to friendship for children who had the higher levels of prosocial behavior. The results indicate that increasing prosocial behavior may improve peer relationship functioning of children with attention-deficit/hyperactivity disorder.

• Korean Journal of Childcare and Education
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• v.18 no.5
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• pp.79-99
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• 2022

Objective: This study was conducted to examine the significant factors affecting media device addiction using the data mining technique for large-scale data from the Panel Study on Korean Children Survey (PSKC). The PSKC data of this study were gathered from the elementary school students in their 10th survey (1,286 3rd grade students). Methods: The SPSS 21.0 program was used for data mining decision tree analysis, and the results are as follows. Results: First, the most important predictor of media device addiction was planning-organization which was among the sub-factors of executive function. Second, as a result of the decision tree analysis, the children with the highest probability of addiction to media devices were ones that had difficulties in planning and organizing, had mothers with a permissive parenting attitude felt difficulties in controlling behavior, and were alone at home for more than two hours a day without any adult supervision. Conclusion/Implications: The results of this study can help guide the direction of future research related to children's addiction to media devices by exploring and analyzing factors that significantly affect children's addiction to media devices.