• Advances in pediatric surgery
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• 제9권2호
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• pp.77-80
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• 2003

Continuous Ambulatory Peritoneal Dialysis (CAPD) has now become an established form of renal replacement therapy in children. Despite of technical improvements, there are various complications in CAPD. We reviewed medical records of children who received CAPD at Seoul National University Children's Hospital in the period between May 1991 and June 2002. Ninety-three procedures of CAPD catheter insertion in 70 patients were included in this study. Complication rate was 64.5%, and CAPD catheter related peritonitis was most common. In conclusion, CAPD catheter related peritonitis develops in considerable number of pediatric patients. Although the peritonitis could be treated with empirical antibiotics therapy, further investigation to prevent complication is required.

• Childhood Kidney Diseases
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• 제22권1호
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• pp.28-31
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• 2018

Ureteropelvic junction obstruction is one of the common causes of hydronephrosis in infancy and childhood. Most cases of ureteropelvic junction obstruction are diagnosed prenatally and are usually asymptomatic. Although less common, older children can experience ureteropelvic junction obstruction that presents with symptoms including flank or abdominal pain. Here, we present the case of a nine-year-old healthy girl who had repeated flank pain and abdominal symptoms, with mild left hydronephrosis, for several months. Computed tomography that was performed during the period of acute flank pain revealed aggravated hydronephrosis on her left kidney, which was secondary to an ureteropelvic junction obstruction. She underwent laparoscopic pyeloplasty, and a crossing vessel that passed the ureteropelvic junction was identified. In addition, we reviewed the current literature of this rare entity.

• 아동학회지
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• 제31권6호
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• pp.167-183
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• 2010

This study examined the relationship between maternal attitudes toward children's expressiveness, children's emotional intelligence and problem behaviors. The question as to whether emotional intelligence mediated the relationship between maternal attitudes and problem behaviors was also explored. A sample of 307 preschool children were used as subjects. Mothers rated their levels of acceptance toward their children's emotions, while teachers reported on the children's emotional abilities and behavioral problems. The data were analyzed by means of regression analyses. Our results indicated that mothers' controlling attitudes were associated with low levels of worry-anxiety. Additionally, it was found that children with high emotional intelligence showed low levels of worry-anxiety, hostility-aggression, and hyperactivity-inattention. While multiple factors of emotional intelligence had differential impacts, the self-control factor was the most powerful predictor for all the problem behaviors. It was further found that a mother's receptive attitude was related to higher levels of self-awareness in children. Instead of the significant mediating effect of emotional intelligence, it was revealed that emotional intelligence had greater effects upon problem behaviors than maternal attitudes toward children's expressiveness.

• Journal of Sport and Applied Science
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• 제3권1호
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• pp.19-25
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• 2019

Purpose: Children's swimming pools are picking up faster than the other types of swimming pool. Yet, safety law-related studies are still lack. This study is to review legal status of children's swimming pool in Korea and to discuss the related legal issues for safety management of children's swimming pool. Research design, data, and methodology: The study reviewed law and clauses for sport facility management and related legal clauses with chilren's swimming pool management, and sport facility-related articles. Results: Safety management of children's swimming pool should currently follow law for sport and physical education facility management because of no its own legal norm for children's swimming pool. Given this, specific law and clauses for children's pool management need to be legislated to prevent risks for children and to satisfy specific safety factors considering careless behavior of children. Conclusions: Regarding this, the study points out five suggestions. First, law should be established to make notification of safety rules mandatory and this notification should be placed in the pool. This notification would be better effective if it is visualized. Second, according to law, safety 7 rules of children' s swimming pool need to be legistrated and educated for pool managers to obey them. Pool managers could also add their own rules to the 7 rules. Finally, preparation of emergency kits and safety devices need to be mandatory in the pool. Further implications were discussed.

• Advances in pediatric surgery
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• 제1권1호
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• pp.33-39
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• 1995

The incidence of Meckel's diverticulum(MD) in general population has been assessed as 2 percent. The major complications of MD are bleeding, perforation, and intestinal obstruction. In spite that the complication rate of Meckel's diverticulum is relatively high(about 4.2% during a lifetime), the preoperative diagnostic rate of complicated MD is very low. Authors investigated the clinical characteristics of complicated MD to improve the diagnostic rate. 16 patients with complicated Meckel's diverticulum who were operated upon at the Department of Pediatric Surgery, Seoul National University Children's Hospital from June 1985 to December 1993 were reviewed. Among the 16 patients with complicated MD, 12 patients(75%) were under 2 year-old and male were predominant(88%). The most common complication was bleeding patients with bleeding MD (8 cases) were diagnosed preoperatively as MD. 8 patients with other complications(perforation : 4 cases, obstruction : 4 cases) could not be suspected as complicated MD except one patient who had previous history of melena. These patients were diagnosed after exploratory laparotomy under the various impression other than MD. Among 12 patients with ulcer related complications such as bleeding and perforation, heterotopic gastric mucosa was found in 11 patients. In conclusion, in any children with unexplained acute abdomen, especially under 2 years old, complicated MD must be included in differential diagnosis. In children with obscure lower gastrointestinal bleeding, $^{99m}Tc$-pertechnetate scintigraphy is a useful diagnostic tool to rule out bleeding MD.

• 한국산학기술학회논문지
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• 제17권8호
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• pp.397-406
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• 2016

본 연구는 어머니의 양육효능감과 유아의 자아탄력성이 유아의 교육기관적응에 미치는 영향을 알아보기 위한 서술적 조사연구이다. 연구 대상은 A시 소재 7개 어린이집에 재원중인 만 3,4,5세 유아 162명의 어머니와 담임교사이며, 자료수집기간은 2016년 6월 1일부터 6월 30일까지였다. 연구도구는 어머니의 양육효능감, 유아의 자아탄력성, 유아의 교육기관적응에 대한 총 73개 문항이었으며, 수집된 자료는 SPSS(window용) 22.0 통계프로그램을 사용하여 빈도분석, 기술통계, Pearson's correlation coefficient 분석을 실시하였다. 연구결과는 다음과 같다. 첫째, 어머니의 양육효능감은 유아의 교육기관적응과 약한 정적(+) 상관관계를 보였다. 둘째, 유아의 자아탄력성과 교육기관적응은 전체 및 모든 하부요인에서 유의한 정적(+) 상관관계를 나타냈다. 셋째, 어머니의 양육효능감은 유아의 자아탄력성, 유아의 교육기관적응과 약한 정적(+) 상관관계를 보였으며, 유아의 자아탄력성은 유아의 교육기관적응과 강한 정적(+) 상관관계가 있는 것으로 나타났다. 이에 본 연구는 어머니의 양육효능감과 유아의 자아탄력성 및 유아의 유아교육기관 적응력이 서로 정적(+) 상관관계가 나타났는데, 특히 유아의 자아탄력성이 유아의 유아교육기관적응과 강한 예측 변인으로 나타나 유아의 유아교육기관적응력 증진에 유아의 자아탄력성이 영향을 끼친다 할 수 있다.

• 농업과학연구
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• 제39권2호
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• pp.189-194
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• 2012

It is well-known fact that woodworking activity could contribute in enhancing creativity, scientific problem-solving ability, spatial perception ability and prosocial behavior of children. However, there is little chance that children experience woodworking at home or in kindergarten. This study was conducted to know how much children and adults have done woodworking in there daily life and how they perceived children's woodworking activity. Woodworking activities for children (N=207, 5 and 6 year old kids) with adults (N=271, only fathers) were carried out in 10 kindergartens of Cheongju. Actually, the survey result shows that very few children and adults experienced woodworking in their daily life. 62.8% of children and 34.3% of adults surveyed responded that they had never done woodworking. However, the greater part of children and adults evaluated the woodworking activity positively. Over 95% of children surveyed responded that their woodworking activity was fun and they want to play woodworking again. Over 73% of adults surveyed responded that children's woodworking activity was safe, and over 99% of adults surveyed responded that they can recommend children's woodworking activity to others. In conclusion, the development of safe tools and programs for children's woodworking activity helps its spread and activation.

• 대한가정학회지
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• 제48권10호
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• pp.77-88
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• 2010

This study examined the effect of parents' neglect behavior and children's irrational beliefs on children's anger expression style. The participants were 379 5th and 6th grade elementary school children. The major findings were as follows. Children tended to perceive higher levels of their parents' cognitive and emotional neglect than physical and home environmental neglect. Boys perceived higher levels of their parents' physical, supervisory and home environmental neglect than girls, and girls showed higher level of excessively self-expecting belief than boys. There were statistically significant correlations between the parents' neglect behavior, their child's irrational beliefs and anger expression style. A regression analysis showed that parents' physical and cognitive neglect were predictors of children's anger control. Children's excessive apprehension and avoidance beliefs were the best predictors of children's anger-in, while children's deterministic belief was the best predictor of children's anger-out. Parents' physical neglect behavior appeared to be powerful predictor.

• Journal of Chest Surgery
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• 제51권1호
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• pp.81-84
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• 2018

• Kidney Research and Clinical Practice
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• 제36권3호
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• pp.257-263
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• 2017

Background Rituximab (RTX) can be used as a rescue therapy for steroid-dependent nephrotic syndrome (SDNS). However, the efficacy and safety of long-term, repeated use of RTX are not established. This study was conducted to assess the efficacy and safety of long-term, repeated RTX treatment in children. Methods Eighteen consecutive child patients with SDNS who were treated with three or more cycles of RTX for one year or longer were recruited, and their medical records were retrospectively reviewed. Results The patients were followed for $4.7{\pm}1.9years$ and received $5.2{\pm}2.3cycles$ of RTX over $2.8{\pm}1.1years$. Approximately 70% of the additional RTX cycles were administered due to recovery of B-cells without relapse. The relapse rate decreased from $3.4{\pm}2.0per$ year initially to $0.4{\pm}0.8per$ year at the third year after RTX treatment. Approximately 10% of the RTX infusions were accompanied by mild infusion reactions. Eight patients showed sustained remission without any oral medication after the last cycle of RTX, while 10 patients had one or more episodes of relapse after the last cycle of RTX. The relapse rate in the latter group decreased from $2.8{\pm}1.5per$ year before RTX treatment to $1.3{\pm}0.8per$ year after cessation of RTX treatment. No significant differences in clinical parameters were found between the two groups. Conclusion This retrospective study showed that pre-emptive and long-term, repeated RTX treatment is relatively effective and safe in children with SDNS. However, well-designed prospective studies are needed to confirm these findings.