• Clinical and Experimental Pediatrics
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• v.58 no.10
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• pp.392-397
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• 2015

Purpose: Alagille syndrome is a complex hereditary disorder that is associated with cardiac, hepatic, skeletal, ocular, and facial abnormalities. Mutations in the Notch signaling pathway, such as in JAG1 and NOTCH2, play a key role in embryonic development. A cardiac or hepatic presentation is a critical factor for determining the prognosis. Methods: We conducted a retrospective study of 41 patients with Alagille syndrome or a JAG1 mutation between 1983 and 2013. Results: The first presentations were jaundice, murmur, cyanosis, and small bowel obstruction at a median age of 1.0 months (range, 0-24 months). The JAG1 mutation was found in 27 of the 28 genetically-tested patients. Cardiovascular anomalies were identified in 36 patients, chronic cholestasis was identified in 34, and liver transplantation was performed in 9. There was no significant correlation between the severity of the liver and cardiac diseases. The most common cardiovascular anomaly was peripheral pulmonary stenosis (83.3%), with 13 patients having significant hemodynamic derangement and 12 undergoing surgical repair. A total bilirubin level of >15 mg/dL with a complex surgical procedure increased the surgical mortality (P=0.022). Eight patients died after a median period of 2.67 years (range, 0.33-15 years). The groups with fetal presentation and with combined severe liver and heart disease had the poorest survival (P<0.001). Conclusion: The group with combined severe liver and heart disease had the poorest survival, and a multidisciplinary approach is necessary to improve the outcome.

• The Journal of Pediatrics of Korean Medicine
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• v.25 no.1
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• pp.119-127
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• 2011

Objectives: The purpose of this study is to evaluate the parents' awareness on the oriental medical treatment and their expectation on children's growth. Methods: The survey was conducted on 78 Health Kids Fair visitors, and 87 children's height and weight were measured in this study. Results: 1. Compare to other treatment, 62.82% of the parents responded that herbal medicine is relatively effective in treating weakness, followed by 'Allergic disease'(46.15%) 'Growth disturbance'(26.92%) 'Obesity'(26.92%) 'Respiratory disease'(26.92%) 'Digestive disease'(19.23%) 'Precocious puberty'(8.97%) 'Neurologic & psychologic disease'(6.41%) 'Urogenital disease'(3.85%). 2. Parents recognize that 'Oriental medicine have an effect on children's height mostly'(25.64%) 'Oriental medicine have an effect on children's height partially'(64.10%) 'Oriental medicine have no effect on children's height'(10.26%) 25.64% of the parents responded that herbal medicine would be helpful in increasing height, 64.10% of the parents said they would be helpful to the certain extent, and 10.26% said they would not play any roles. 3. Expected average weight, height, and BMI score for the boys were 71.8kg, 179.6cm and 22.10. For the girls, however, they were 53.4kg, 168.7, and 18.74. 4. Survey on parents' awareness on benefits of different treatments for challenged growth, Herbal medicine'(48.72%) 'Acupuncture'(7.69%), 'Moxibustion'(3.85%), 'Electronic acupuncture and Aqua acupuncture'(1.28%), 'Massage on acupuncture point'(19.23%), 'Consultation of eating habits'(61.54%), 'Consultation of exercise'(47.44%) were measured. Conclusions: Considering the collected results, we realized that the parents' expected height on their children was, in fact, higher than the standard height. In addition, for treatments for their children's growth improvement, parents expected that 'Herbal madicine' 'Massage on acupuncture point' 'Consultation of eating habits' 'Consultation of exercise would be beneficial.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.10 no.1
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• pp.21-33
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• 1999

The clinical assessment for preschool children who are known to have problems in selfreporting tends to be dependent on outsiders' reporting. Thus, the direct assessment of children's inner experience, thoughts and feelings is difficult. MacArthur Story-Stem Battery(MSSB) developed to learn more about preschool children's mental representation in play is used in this study to help assess clinical preschool children through developmental study of normal children's mental representation. Fifty five children(32boys and 23girls) who performed MSSB, IQ Test, Peabody Picture Vocabulary Test-Revised(PPVT) were videotaped and were analyzed. The results of this study were as follows：1) Children frequently displayed negative mental representation such as atypical negative response, reparation/guilt, punishment, personal injury and so on during emotionally laden play situation. 2) Mental representation of parent appeared positive, disciplinary, and negative in respective. 3) As a result of factor analysis of MSSB content themes, aggressive, prosocial, and oppositional content theme composites were generated. Aggressive content included atypical negative response, aggression, personal injury, and exclusion. Prosocial content included affection, affiliation, and reparation/guilt. Oppositional content included punishment and non-compliance. 4) Mental representation of parent and content themes showed significant correlation. Positive, negative, and disciplinary representation were significantly correlated for prosocial(r=0.40), aggressive (r=0.52), and oppositional(r=0.75) content theme respectively. 5) Among the correlations between parental mental representations and emotional responses, positive parental representation and anxiety showed significant negative correlation(r=-0.43). 6) Among the correlations between content themes and emotional responses, there were significant positive correlations between aggressive(r=0.28) and oppositional content themes(r=0.29) and distress, and were significant negative correlations between prosocial content theme and concern(r=-0.29) and anxiety(r=-0.43). According to the above results, preschool children frequently displayed negative mental representation in emotionally conflictual play situation. Children with more prosocial themes in their stories exhibit more positive parental mental representation. Also, children with more aggressive themes tend to display more negative parental representation and negative emotional responses.

• Journal of the Korean Home Economics Association
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• v.37 no.3
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• pp.175-191
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• 1999

The purpose of this study was to investigate the eating behavior and life habits of kindergarten children 5 to 7 years old in Chuncheon area. This study was conducted in December, 1996. Anthropometric indices(height, weight, skinfold thickness, mid-arm circumference) were measured and body mass index(BMI), Rohrer index, arm fat area were calculated to estimate children’s body fatness. Also the eating behavior and life habits were determined tv using questionnaire method. The results were as follows: Body fat rate of the children was almost normal according to Rohrer index and BMI. There was significant difference in birth weight between male and female. The problems of the eating behavior were frequent skipping breakfast and eating-out. The rate of the children who took snacks 2 times a day was 46.9％. Most children tended to take sweet snacks such as ice-cream, chocolates, cookies, and they tended to prefer meats and fishes to vegetables. The rate of breast feeding was 28.3％ and the rate of weaning foods prepared at home was 61.1%. Many children preferred indoor activities such as watching TV, toy furniture play, building block to outdoor activities such as roller-skating, cycling, jogging in their spare time. The rate of the children who took exercise regularly was 15％. Children tended to eat kimbap, fried chicken, ramyeon more frequently in various instant foods. The intake rates of fruit juice and barly tea were relatively high and children's favorite fruits were watermelon and mandarin orange. From this results, skipping breakfast, frequent eating-out and the monotony of food preference appears to cause imbalance in nutrient intakes of the children and to have bad influence on children’s health. Accodgingiy, the comprehensive nutrition education and proper modification program should be needed for the children and their parents to correct the eating behavior and life habits. The reasonable exercise programs are needed to motivate outdoor activities of the children, and the importance of breast feeding and weaning foods should be emphasized to lactating women and pregnant women.

• Human Ecology Research
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• v.54 no.1
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• pp.83-95
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• 2016

This study explored the processes of parental divorce and adaptation in single-parent families as well as examined how the experience of living in family welfare facilities influences the adaptation process of such families. The research question to achieve the study objective was, "What is the adaption process for a singlefather family, and what influence does living in a single-father family welfare facility have on that process?" Data collection was conducted between June 2013 and April 2014 that included an in-depth interview process and continuous participatory observations on 14 children residing in the facility. The study results were as follows. The theme in a two-parent family period was 'changes in reduction of family: serious conflicts between parents.' Children directly witnessed intense conflicts between parents and experienced anxiety from situations that involved verbal and physical violence during the two-parent family period. The experience of children prior to entering the facility was represented by "loss and confusion experienced." The theme for children of singlefather family in entering a facility was "selecting a realistic alternative." Children's daily activities consisted of being with friends of a similar age, which allowed them to play and support each other in building social skills. The facility departure theme for the children was "hope for a new life."

• International Journal of Contents
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• v.5 no.4
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• pp.13-18
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• 2009

The existence of Korean schools is one of the salient characteristics of Overseas Koreans. How do such schools for Korean immigrants' children try to construct Korean ethnic identity? Also, how is immigrant children's ethnic identity developed and reinforced by the education at those schools? This paper explores these questions based on an ethnographic research at a Korean school in Paris from September 2005 to December 2007. The cultural education for immigrant children at the Korean school has a tendency to emphasize the most exotic traits of Korean culture. And this emphasis on the unfamiliar elements of Korean culture doesn't seem to help to form the ethnic identity of Korean immigrants' children. Instead, the students appear to get the sense of being a member of Koreans more from the education outside of classroom such as scholastic events than in a classroom of a Korean school. That's because scholastic events allow them to play out some of the Korean culture in more inter-ethnic settings. Therefore, it can be concluded that ethnicity of immigrant children is rather developed in inter-ethnic social contexts than born with or taught in class.

• Journal of The Korean Society of Integrative Medicine
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• v.3 no.1
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• pp.1-10
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• 2015

Purpose: This study investigated the relationships of handwriting legibility and perceptual-motor skills, and handwriting speed and perceptual-motor skills. And identified the predictors that most affect the handwriting of preschool children. Methods: Twenty-three typically developing preschool aged children (mean age: 68.61 months, SD=2.04) were selected through the Korean-Denver Developmental Screening Test-2(K-DDST-2). The children were tested with regard to handwriting legibility, visual perception, visual-motor integration and fine-motor coordination. Results: First, a significant relationship was not found among handwriting legibility, visual perception, visual-motor integration and fine-motor coordination. Second, a significant relationship was found among handwriting speed, visual perception and fine-motor coordination. Third, stepwise multiple regression analyses showed that general visual perception were significant predictors for handwriting speed. Conclusion: Occupational therapists should evaluate children's visual perception levels utilizing a standardized test, and focus on general visual perception in order to improve handwriting skill(speed). Also, occupational therapists are expected to play an important role in the management and treatment of children's handwriting skills.

• Korean Journal of Child Studies
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• v.33 no.1
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• pp.165-181
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• 2012

The purpose of this study was to verify the effects of the Orff Approach to music education programs on singing ability, the ability to play musical instruments, physical expression ability, musical improvisation ability as well as overall musical expressiveness in 5 year old children. The test subjects for this study consisted of fifty-eight children. They were arbitrarily assigned to the experimental group of 31 children and the control group of 27 children. The experimental group was engaged using the Orff music education program for a total of 16 sessions, while the control group conducted music activities according to the annual music education plan of M kindergarten. The main results of this study were as follows : The Orff Approach to music education program was effective in improving abilities in the sub-factors of the four kinds of musical expression ability (singing, playing musical instruments, physical expression and musical improvisation) as well as overall musical expressive abilities. These results indicate that the Orff Approach to music education programs can create positive effects in the developing musical expressiveness of young children.

• Journal of the Korean Home Economics Association
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• v.31 no.3
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• pp.143-155
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• 1993

In recent years, behavioral disorders of young people and juvenile delinquency tend to increase remarkably in number, and closed up highly as a social and educational problems in Korea. It goes without saying that parents generally play important roles in children's development of personality, and the home is mostly responsible for juvenile delinquency. Therefore, first this paper describes a relation between broken family and juvenile delinquents. Burt, Shideler, Neumayer, and Glueck maintain that broken family is a cause of delinquency, on the other hand, Healy and Sutherland assume a critical attitude toward their contentions. Second, Breckinridge, Merril, and Glueck maintain that poor family is as cause of delinquency, while Sullenger, Neumayer, and Dirksen make a considerable point which poverty has no direct connection with delinquency. Third, abnormal family relationships namely, discord family, abnormal parent-child relationship, and immoral family exert a bad influence upon formation of personality, esepecialy during the period of preschool childhood. These results give some empirical support to the theory that children's conduct disorders and juvenile delinquency are caused by defective family relationships. It is necessary that a community has a supporting structure of children's wholesome development and the prevention of juvenile delinquency.

• Journal of The Korean Digital Architecture Interior Association
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• v.9 no.2
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• pp.5-16
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• 2009

The importance of playground, which is a central place in the outdoor space scheme for apartment and in children's outdoor activity, is increasing. The stature and availability in playground may be varied according to connection between playground and outdoor space and to characteristics of outdoor space. The purpose of this study is to arrange basic data in guidelines of a planning for supporting children's development and for activating its use in the apartment housing. This study conducted the field survey and questionnaire research after selecting 4-case apartment complexes based on the relevant preceding research. The survey results are as follows. Children were recognizing and preferring the playground as the central space in outdoor play activity. Mothers were preferring outdoor space adjacent to playground. There were the most responses with saying that a mother takes to play with a child. Children responded that the use of playground and the rides are the outdoor activity that they do the most. And, it was surveyed that there is difference in dweller's using playground by apartment complex according to characteristics of a planning for outdoor space. Given being connected with square with segregation of pedestrian and vehicle and with the resting space, the availability in playground was the highest. The availability in playground, which has high connection with diversely outdoor space elements while having good accessibility to the apartment building, was surveyed to be high. Playground had high preference in case of being connected with waterfront and resting space, rather than green zone. Diverse environmental artifacts and decorative fence may become a visually stimulus source that can activate the use of playground.