• Clinical and Experimental Pediatrics
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• 제57권11호
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• pp.472-478
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• 2014

Kawasaki disease (KD), an acute vasculitis that primarily affects young children, is the most common acquired paediatric cardiovascular disease in developed countries. While sequelae of arterial inflammation in the acute phase of KD are well documented, its late effects on vascular health are increasingly unveiled. Late vascular dysfunction is characterized by structural alterations and functional impairment in term of arterial stiffening and endothelial dysfunction and shown to involve both coronary and systemic arteries. Further evidence suggests that continuous low grade inflammation and ongoing active remodeling of coronary arterial lesions occur late after acute illness and may play a role in structural and functional alterations of the arteries. Potential importance of genetic modulation on vascular health late after KD is implicated by associations between mannose binding lectin and inflammatory gene polymorphisms with severity of peripheral arterial stiffening and carotid intima-media thickening. The changes in cholesterol and lipoproteins levels late after KD further appear similar to those proposed to be atherogenic. While data on adverse vascular health are less controversial in patients with persistent or regressed coronary arterial aneurysms, data appear conflicting in individuals with no coronary arterial involvements or only transient coronary ectasia. Notwithstanding, concerns have been raised with regard to predisposition of KD in childhood to accelerated atherosclerosis in adulthood. Until further evidence-based data are available, however, it remains important to assess and monitor cardiovascular risk factors and to promote cardiovascular health in children with a history of KD in the long term.

• 아동학회지
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• 제37권4호
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• pp.129-143
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• 2016

Objective: This study aimed to examine the mediating effects of internalized shame and rejection sensitivity in the relationship between covert narcissism and displaced aggression in late childhood. Methods: The participants included 1,060 children (grades 5 and 6; 547 boys and 513 girls) from four elementary schools located in Seoul, Gyeonggi-do, and Chungcheong-do. Results: The primary results of this study were as follows. First, child covert narcissism had a direct effect on displaced aggression; children who perceived higher levels of covert narcissism exhibited more displaced aggression. Second, child covert narcissism had an indirect effect on their displaced aggression through internalized shame and rejection sensitivity. Children who perceived higher levels of covert narcissism reported more internalized shame and rejection sensitivity, which led to more displaced aggression. Conclusion: The findings of this research indicate that individual and interpersonal psychological factors need to be considered to explain displaced child aggression. Further, it is important that we help children to gain positive relationships with family and peers. It will help them break away their negative self or others representation, especially their internalized shame and rejection sensitivity.

• 아동학회지
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• 제36권2호
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• pp.55-74
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• 2015

This study examined the various pathways from peer relationships to subjective well-being through self-esteem in late childhood. A total of 354 fifth and sixth grade students in elementary school (189 boys and 165 girls) participated in the study. Peer relationships were assessed using the peer rating scale, and self-esteem and subjective well-being were measured using the self-rating scales. The data were analyzed by means of Structural Equation Modeling (SEM). Children's peer relationships affected their subjective well-being directly, as well as indirectly through their self-esteem. Positive relations with peers enabled children to improve their subjective well-being. In addition, those children who possessed good relationships with peers were more likely to perceive themselves as worthy, which led to higher overall levels of happiness and satisfaction in their lives. The study emphasizes the crucial influence of self-esteem on school-aged children's subjective well-being.

• 아동학회지
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• 제15권1호
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• pp.127-144
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• 1994

The purpose of this study was to identify intrapsychic processes of self socialization in sex role development during late childhood and adolescence. For this purpose I investigated the sex-role stereotypes, sex-role ideology, sex-role identity, and self-esteem of 6th, 8th, and 10th graders and examined the causal relationships among these sex-role variables. Data were gathered through questionnaires administered twice with an interval of three months. The methods of analysis were one-way ANOVA, $x^2$, and multiple regression. The results showed, (1) Adolescents' sex-role stereotypes had significant relationships with sex typing. Subjects with low scores on sex-role stereotypes were more likely to show opposite sex typing. (2) Sex-role ideologies had significant relationships with sex typing. As Subjects agreed more with egalitarianism, they were more likely to exhibit opposite sex typing. (3) Adolescents' sex typing had significant relationships with their self-esteem. The androgynous group exhibited the highest scores on self-esteem. (4) Path analysis from the multiple regression analysis indicated different processes between sexes in sex-role development. In the boys' sex-role development, it was found that only masculinity contributed to self -esteem. Girls' masculinity also contributed most to self -esteem, but other sex -role variables such as femininity and sex-role stereotypes made some contributions to girls' self-esteem.

• Childhood Kidney Diseases
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• 제24권2호
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• pp.98-106
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• 2020

Purpose: The aim of this study is to evaluate the clinical utility of late 6-month dimercapto-succinic acid (DMSA) renal scan in predicting vesicoureteral reflux (VUR) and long-lasting renal scars in children with first acute pyelonephritis (APN). Methods: A retrospective case study of children admitted with APN from January 2010 to July 2017 was performed. The study included patients with voiding cystourethrography (VCUG) and acute and late 6-month DMSA scan. We analyzed the clinical, laboratory and imaging findings of patients with and without late cortical defects at 6 months and those with or without VUR. Results: Among 145 children with APN, 50 (34.5%) had cortical defects on the late DMSA renal scan and 60 (41.4%) showed VUR. Thirteen of 38 (34.2%) children undergoing 18-month DMSA renal scan showed a long-lasting renal scars. Compared with children without late cortical defects, patients with late 6-month cortical defects had a higher incidence of VUR and long-lasting renal scars, and relapse of UTI (all P<0.05). In a multivariable analysis, both high-grade VUR and relapse of UTI were independently correlated with the presence of late 6-month cortical defects (P<0.05). Late cortical defects and relapse of UTI were also associated with the presence of VUR (P<0.05). Only the late 6-mo cortical defects was an independent predictor of long-lasting renal scars in children with APN (P<0.05). Conclusion: An abnormal late 6-month DMSA renal scan may be useful in identifying VUR and long-lasting renal scars in children diagnosed with APN.

• 한국융합학회논문지
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• 제9권12호
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• pp.467-474
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• 2018

본 연구는 소아암 생존자가 인지한 어려움을 분석하기 위한 포커스그룹 면담을 적용한 질적내용분석 연구이다. 연구대상자는 S시 S종합병원에서 암 치료 종료 후 추후관리중인 소아암 생존자 22명을 대상으로 수행하였다. 22명의 연구 대상자를 3그룹으로 나누어 각 그룹 당 80-100분의 면담을 진행하였다. 연구결과 소아암 생존자가 인지한 어려움에 대해 '신체적 한계', '끝나지 않은 소아암이라는 그림자', '관계형성의 어려움' '자원 요인으로 인한 어려움'인 4개의 주제와 '체력의 약화', '암치료의 후유증', '재발에 대한 두려움', '부정적인 사회적 인식', '이성친구와 관계형성의 어려움', '동료와 관계 형성의 어려움', '가족들과 관계 형성의 어려움'의 7개의 하부주제가 도출되었다. 본 연구결과가 추후, 소아암 생존자들에게 가장 적합하고 효율적인 건강관리프로그램 개발을 위한 기초 자료로 활용되기를 희망한다.

• 한국생활과학회지
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• 제18권3호
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• pp.689-703
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• 2009

The purpose of this study is to investigate the relationships among 'leisure constraints', 'leisure sufficiency' and 'life satisfaction' perceived by late middle-aged adults. The subjects of this research were 275 adults from 50 to 64. The results are as follows: 1) Among 5 categories of 'leisure constraints', the subjects perceive' financial constraints' as the most important, and in order of importance, 'social constraints', 'physical constraints', and 'familial constraints' followed. 2) Among five 'leisure activities', a factor perceived most sufficiently by middle-aged adults is 'simple relaxation' and followed by 'social activities', 'activities with family'. 'learning activities', and 'play-recreation activities'. 3) The factors influencing life satisfaction perceived by late-middle aged adults are 'religion', 'financial constraints', 'education', 'familial constraints', 'physical constraints', 'learning activities', and 'play-recreation activities'. These 7 factors explain 38.9% of total variation. Also, the 'leisure constraints' has a greater impact on their 'life satisfaction' than on their 'leisure sufficiency'.

• Asian Pacific Journal of Cancer Prevention
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• 제15권22호
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• pp.9707-9711
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• 2014

Background: Acute lymphoblastic leukemia (ALL) is a complex disease caused by interactions between hazardous exogenous or/and endogenous agents and many mild effect inherited susceptibility mutations. Some of them are known, but their functional roles still requireinvestigation. Age is a recognized risk factor; children with disease onset after the age of ten have worse prognosis, presumably also triggered by inherited factors. Materials and Methods: The MDR1 gene polymorphisms rs1045642, rs2032582 and MTHFR gene polymorphisms rs1801131 and rs1801133 were genotyped in 68 ALL patients in remission and 102 age and gender matched controls; parental DNA samples were also available for 42 probands. Results: No case control association was found between analyzed polymorphisms and a risk of childhood ALL development. Linkage disequilibrium was not observed in a family-based association study either. Only marginal association was observed between genetic marker rs2032582A and later disease onset (p=0.04). Conclusions: Our data suggest that late age of ALL onset could be triggered by mild effect common alleles.

• 아동학회지
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• 제33권6호
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• pp.207-225
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• 2012

This study examined the meanings of reflective utterances fathers regarding their paternal role and the relationship of this to the process of a reflective parent education program for fathers whose children had been referred to psychotherapy. The subjects were 2 fathers aged in their late-thirties of 2 children with emotional behavioral problems. The father education program consisted of contents based on object relation theory. The reflective dialogues between fathers and the parent educator in the process of the program were analyzed. The meanings of the reflective utterances made by the fathers were indicated to be the understanding of the relationship between child's problematic behaviors and family dynamics, a reflection on their oppressive child rearing behaviors, the awareness of the necessity for emotional exchange with family members, the importance of cooperation between both the mother and father when it comes to child rearing, and the values at the heart of being together with children. The implications of the results were also discussed.

• Journal of Chest Surgery
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• 제19권3호
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• pp.385-390
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• 1986

Empyema is a severe infection encountered in the pediatrics. With advance of the antibiotics and chemotherapeutics, there was a marked decrease in number of empyema. Empyema complicated by staphylococcal pneumonia in infant and children has been distressing problem, and the management of this complication has been discussed repeatedly in the past. In Korea, tuberculous empyema is also troublesome. If empyema is localized within thick capsule, tube thoracostomy and closed drainage alone is unacceptable, and early open thoracotomy to eliminate the empyema has proved good result. A clinical analysis of 39 patients with thoracic empyema was done. They were managed surgical intervention at Dept. of Thoracic & Cardiovascular Surgery at Kyung-Hee University Hospital from Jan. 1974 to December, 1984. 1. Age and sex distribution, infancy 9, early childhood 11. late childhood 9, puberty 10. The male to female ratio was 21:18. 2. The highest seasonal incidence was winter [21 cases]. 3. Cardinal symptoms were cough [76%], fever and chill [66%], and dyspnea [40%]. 4. The location of the empyema was right in 27 cases [69%] and 12 cases in left side. 5. The most frequent lesion to predisposing factor was pneumonia [67%]. 6. The commonest organism was Staphylococcus aureus in 15 [38%] cases, and Mycobacterium tuberculosis in 10 cases [26%]. 7. The surgical treatment was performed in all patients. The surgical procedure was closed tube thoracostomy in 25 cases [64%], decortication in 7 cases [18%], pulmonary resection in 4 cases [10%], and decortication with curettage in 2 cases. 8. One patient died from sepsis complicated by lymphoma and in one patient bronchopleural fistula was developed postoperatively.