• Child Health Nursing Research
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• v.22 no.1
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• pp.21-28
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• 2016

Purpose: The purpose of this study was to identify effects of EMLA (Eutectic Mixture of Local Anesthetics) cream application on pain perception and pain response during insertion of implanted venous access port needle in children with cancer. Methods: From December 2010 to August 2011, at U university hospital, 20 patients scheduled for implanted venous access port needle insertion were recruited, and randomly assigned to receive either EMLA or a placebo cream 1 hour before the implanted venous access port needle insertion. While conducting needle insertion, changes in pulse and oxygen saturation on the pulse oxymeter monitor were measured and pain behavior reaction was also measured during needle insertion in the treatment room. After conducting needle insertion, self-reported pain reaction, and mothers' perception of the children's pain reaction were measured. Collected data were statistically processed using SPSS version 17.0 for Windows, and analyzed using descriptive statistics, t-test. Results: Children's self-reported degree of pain, degree of pain as perceived by mothers and pain behavior reaction decreased significantly in the EMLA application group compared with the placebo group. Conclusion: Findings indicate that application of EMLA cream is effective in relieving pain in these children during implanted venous access port needle insertion.

• Human Ecology Research
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• v.53 no.3
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• pp.265-277
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• 2015

This study examines child emotional intelligence in relation to mother's emotional expressiveness and reaction to child negative emotions. A sample of 352 children and mothers from 4 elementary schools in Seoul and Gyeonggi participated in the study. Child emotional intelligence and mother's reaction to child negative emotions were evaluated by child-report, and mother's emotional expressiveness was assessed by mother-report. Data were analyzed by descriptive statistics, two-way analysis of variances, Pearson's correlation and multiple regression analyses. The findings were as follows. First, mothers of boys showed more oversensitive-reaction to child negative emotions than mothers of girls. Mothers of 6th-graders showed more emotion-minimizin-greaction to child negative emotions than mothers of 5th-graders. Second, girls showed a higher level of overall emotional intelligence than boys. Girls showed a higher level of emotion expression and emotion regulation than boys. The 5th-graders showed higher level of emotion expression than 6th-graders; however, 6th graders showed a higher level of emotion perception than 5th-graders. Third, more emotion-coaching-reaction and less oversensitive-reaction by mothers predicted a better emotional intelligence of children. A mother's appropriate emotional socialization behaviors associated with child emotional intelligence were discussed.

• Child Studies in Asia-Pacific Contexts
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• v.3 no.2
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• pp.139-158
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• 2013

The present study investigated the direct and interactive effects of children's temperament and mothers' reactions to hypothetical vignettes of children's aggression on 3- to 6-year-old children's overt aggression (OA) and relational aggression (RA). A total of 317 mothers of 3- to 6-year-old children and 26 teachers from eight day-care centers and kindergartens were contacted. Each mother reported her child's background, assessed her child's temperament and responded to the Mothers' Reaction to Hypothetical Vignettes of Children's Aggression (MRCA) scale. Children's OA and RA were assessed by teachers. Results showed that high levels of children's surgency predicted children's OA and RA. Although mothers' reactions did not predict children's OA and RA directly, significant interactions indicated that mothers' restrictive reactions were more strongly related to children's OA for children with high levels of surgency and low levels of effortful control. In addition, mothers' responsive reactions were more strongly related to children's OA for children with low levels of surgency. This study demonstrates that relative contributions of children's temperament and mothers' reactions differ according to the form of children's aggression. It also shows that certain types and levels of mothers' reactions to children's aggressive behavior can be critical for children with certain types and levels of temperament in developing children's overt aggression. The findings of this study can be applied to building early prevention and future intervention programs for young children's aggression.

• The Journal of Korean Physical Therapy
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• v.27 no.2
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• pp.106-111
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• 2015

Purpose: Impaired reaching movement is commonly observed in children with cerebral palsy. The purpose of this study was to determine whether the inclination of seat surface can influence the reaching movement in children with spastic diplegic cerebral palsy (CP). Methods: The subjects were 31 children, 16 children with spastic bilateral CP and 15 typically developing (TD) children. The children performed static sitting and forward reaching under three conditions: a horizontal seat surface (Horizontal $0^{\circ}$), a seat surface inclined anterior 15 degrees (Ant $15^{\circ}$), and a seat surface inclined posterior 15 degrees (Post $15^{\circ}$). A 3-axis accelerometer ('ZSTAR3') was used for analysis of the reaching movement. A 3-axis accelerometer was attached on the manubrium of the sternum, lateral epicondyle of the humerus, and styloid process of the ulna. We measured the reaction time, movement time, and data amount during reaching the 8 cm target with an index finger on the three inclined seat surfaces. Results: Reaction time and movement time for CPs showed significant delay; comparing the TD's and CP's amount was significantly greater than the TD's during reaching task (p<0.05). In particular, CP's reaction time and movement time on a seat surface inclined Ant $15^{\circ}$ was significantly more delayed compared with the other seat surfaces (p<0.05). Conclusion: Our results suggest that seat-inclination intervention may provide an ergonomic approach for children with spastic cerebral palsy.

• Korean Journal of Child Studies
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• v.34 no.6
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• pp.97-122
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• 2013

The aim of this study was to develop and validate measures of a mother's reaction to children's negative emotions. After construct factors of a mother's reaction to children's negative emotions based on the theoretical basis and existing scales were explored, the first preliminary items were extracted. After the content validity was confirmed by expert opinions, the second preliminary items were composed, and the initial survey was carried out. Using exploratory factor analysis, three principal factors and 21 items were revealed to be most suitable. The factors of the scale consist of emotion-coaching-reactions, oversensitive reactions, and emotion-minimizing-reactions, respectively. In addition, the reliability analysis and validation analysis of the scale was conducted, by means of surveying 413 elementary students. The internal coherence reliability and test-retest reliability were verified as was the general internal coherence and timing stability of the scale. There were three additional verifications to validate the scale. (1)For the evidence based on internal structure, the confirmatory factor analysis and convergent-discriminant evidence; this resulted in confirming the factor structure of the scale as being reliable. (2)In order to understand the relationships to other variables, the correlation analysis came in effect to the overall scale and each of its sub-factors, showing that they are significantly correlated with the scale of the child's perception on rearing attitudes of the mother. (3)As for evidence based on the consequences of the test, the correlation analysis produced a result showed that sub-factors of the scale have as significant correlation with the child's emotional intelligence and resilience.

• Journal of Korean Academy of Nursing
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• v.3 no.3
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• pp.97-110
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• 1973

The goal of modern nursing is to provide comprehensive nursing care to patients. If comprehensive nursing care to children (within the hospital setting) is to be provided, consideration of the stage of growth and development of the child is especially important. From clinical observation, it appeared that nurses often disregarded individual requirements of children in giving nursing care. Therefore, the purpose of this study is to show that comprehensive nursing care which is based on an understanding of the growth and development of the child contributes to both the child and the mother's adaptability to the child's hospitalization. Method: Sixty children, three to three year of age, hospitalized at the Yonsei University Pediatric Ward ware studied. From April 1, 1973 to May 5, 1973, children admitted to the hospital were assigned to either an experimental or a compare groups. There were 30 children in each group. The sex and age of the children in each group was similar. In both groups were more male than female children. In the experimental group, each mother stayed with hot child continuously during his hospitalization. In the compare groups, the mother or some other member of the family stayed with the child. Each day on the child's admission the investigator visited the ward from 1-2 P.M. to 9-10 P.M., in order to provide comprehensive care for the experimental -group. The assistance given the nurses by the investigator was in the form of conferences regarding care and in giving direct care to the child and his mother. The compare group of children received nursing care as usually provided by the hospital. The instruments used to obtain the data for analysis were as follows: 1. The fear and anxiety reaction of the child was recorded by observation of the investigator for four areas: 1) separation from parent and relatives 2) reaction to Doctor and Nurse with white gowns 3) reaction to nursing care 4) reaction to injection and tests, etc. 2. Regression in area of eating, sleeping, and elimination were recorded by the investigator by questioning the mother and by observation. 3. Adaptability to the hospitalization was recorded by direct questioning of the children for areas of emotional and social adjustment. For children older than 3 years of age or children not seriously ill, using the simple I. Q. test this was possible for only 35 of the total 60 children. Result: 1. 55 percents of the total 60 children had been prepared by their parents for hospitalization. The children who had received prior preparation accepted hospitalization more readily than those who had received no preparation. (χ²=4.6 Ρ<0.05) 2. On admission 31.7 percent of the children expressed verbal fear of their discase or treatment. 25 percent felt that the disease was due to their mistake. 3. There was a significant difference in the reaction of the child to separation from the parent or relatives between the two groups. The experimental groups showed less anxiety due to separation than the compare group. (χ²=4.34 Ρ<0.05) In both groups there was less anxiety due to separation among school age (6-12 years) children than among preschool age (3-5 years) children. (χ²=9.22 Ρ<0.05) 4. More than half of the children in both groups reacted with fear and avoidance to doctor and/or nurses wearing white gowns. (χ²=0.06 Ρ<0.05) 5. The experimental group reacted more favorably to nursing in general than the compare group. (χ²=4.8 Ρ<0.05) 6. There was no difference in the fear and refused reaction to special tests and/or such as X-rays and injections, etc. between the groups. (χ²=3.77 Ρ<0.05) 7. More children in the compare group showed regressive tendencies in eating, sleeping, and elimination habits than in experimental groups. (χ²=2.3 Ρ<0.05 χ²=3.88 Ρ<0.05 χ²=4.9 Ρ<0.05) 8. There was a significant difference in the adaptability to hospitalization between the two groups. The experimental groups adapted more readily. (χ²=2.02 Ρ<0.05) 9. For children who had higher I.Q. s the adaptability to hospitalization was better regardless of the group. (χ²=5.03 Ρ<0.05) However, because of the small number of cases (60), this finding cannot be extrapolated without further verification. The date demonstrates that there was a greater adaptability to hospitalization by the child when comprehensive nursing care was given. By planning care and applying knowledge of growth and development to meet, nurses are in a position to prevent some of the psychological trauma associated with hospitalization.

• The Journal of Korean Society for School & Community Health Education
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• v.13 no.3
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• pp.13-31
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• 2012

Purpose: This study was on the structural analysis of the covariant amount in order to evaluate the suitability of the structural models which can explain and predict the mental health of children on the basis of Bronfenbrenner's ecological theory. Methods: A questionnaire was used to survey 269 children from dysfunctional families out of 5th and 6th grade students from 30 elementary schools in one city and 6 counties, which was analyzed by using PASW Statistics 18.0 and LISREL 8.7 programs. Results: The variable which had influence on the self-esteem was the social support. The variable which had influence on the positive reaction under stress was the stress. The variables which had influence on the negative reaction under stress were stress, and self esteem. The variables which had influence on the mental health were the self-esteem and the negative reaction under stress. The main variables to influence the mental health of children from dysfunctional families turned out to be the self-esteem and the negative reaction under stress to the mental health. Conclusion: Evaluating the suitability of the models, I presented the bases on the practical nursing business. They showed the right directions to the mental health care of children from dysfunctional families.

• Korean Journal of Childcare and Education
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• v.14 no.3
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• pp.59-76
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• 2018

Objective: The purpose of this study was to examine the relationships among teachers' resilience, difficulty in emotional regulation, and teaching strategies for behavior problems of children. Methods: A total of 200 day care and kindergarten teachers were surveyed. The collected data were analyzed by Pearson's correlation and multiple regression. Results: First, teachers' resilience, difficulty in emotional regulation and teaching strategies for children with behavior problems were significantly related. Teachers' resilience showed a positive correlation with teachers' positive prevention and reaction strategies but showed a negative correlation with teachers' negative reaction strategies. Among the teachers' difficulty in emotional regulation, the factor of difficulty for impulsive control and lack of attention showed negative correlations with teachers' prevention and positive reaction strategies. Second, teachers' resilience and difficulty in emotional regulation significantly explained the teaching strategies for children with behavior problems. Teachers' resilience was found to be the most important variable explaining teaching strategies for children with behavior problems. Conclusion/Implications: This study revealed that teachers' resilience and difficulties in emotional regulation were important psychological and emotional characteristics for teachers when teaching children with behavior problems.

• Korean Journal of Child Studies
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• v.36 no.2
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• pp.17-37
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• 2015

The study examined the pathways from maternal reactions to children's negative emotions to children's peer relations through children's empathy and emotional regulation. The participants in this study comprised 463 elementary school 4th-6th graders. They completed questionnaires on maternal reactions to children's negative emotions, levels of children's empathy, maladaptive emotion regulation types and skill levels of children's peer relations. Data were analyzed by means of structural equation modeling. It was found that in the case of maternal emotion coaching reactions, when done indirectly, as well as directly, had an influence on their levels of peer relations. On the other hand, in the case of over-sensitive maternal reactions, when done indirectly, but not directly, had an influence on their levels of peer relations. Therefore, these results indicate that children's empathy mediated the effects of maternal emotion coaching and over-sensitive reactions on peer relations. It also found that there are distinct pathways from maternal reaction types to children's negative emotions to peer relations through empathy and maladaptive emotion regulation types.

• Pediatric Infection and Vaccine
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• v.31 no.1
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• pp.130-135
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• 2024

The effectiveness of corticosteroids in preventing immune reconstitution inflammatory syndrome in non-human immunodeficiency viruses Pneumocystis carinii pneumonia (PCP) patients, such as severe combined immunodeficiency (SCID) patients, is controversial. We experienced a paradoxical reaction during severe PCP treatment in a SCID infant, which responded well to adjuvant corticosteroids.