• Clinical and Experimental Pediatrics
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• 제59권6호
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• pp.256-261
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• 2016

Purpose: Latent tuberculosis infection (LTBI) in young children may progress to severe active tuberculosis (TB) disease and serve as a reservoir for future transmission of TB disease. There are limited data on interferon-${\gamma}$ release assay (IGRA) performance in young children, which our research aims to address by investigating the usefulness of IGRA for the diagnosis of LTBI. Methods: We performed a tuberculin skin test (TST) and IGRA on children who were younger than 18 years and were admitted to Chung-Ang University Hospital during May 2011-June 2015. Blood samples for IGRA were collected, processed, and interpreted according to manufacturer protocol. Results: Among 149 children, 31 (20.8%) and 10 (6.7%) were diagnosed with LTBI and active pulmonary TB, respectively. In subjects lacking contact history with active TB patients, TST and IGRA results were positive in 41.4% (29 of 70) and 12.9% (9 of 70) subjects, respectively. The agreement (kappa) of TST and IGRA was 0.123. The control group, consisting of non-TB-infected subjects, showed no correlation between age and changes in interferon-${\gamma}$ concentration after nil antigen, TB-specific antigen, or mitogen stimulation in IGRAs (P=0.384, P=0.176, and P=0.077, respectively). In serial IGRAs, interferon-${\gamma}$ response to TB antigen increased in IGRA-positive LTBI subjects, but did not change considerably in initially IGRA-negative LTBI or control subjects. Conclusion: The lack of decrease in interferon-${\gamma}$ response in young children indicates that IGRA could be considered for this age group. Serial IGRA tests might accurately diagnose LTBI in children lacking contact history with active TB patients.

• 한국보육지원학회지
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• 제11권4호
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• pp.1-17
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• 2015

본 연구는 유아의 또래 상호작용과 자기조절, 리더십 간의 관계를 밝히고, 또래와의 상호작용이 유아의 리더십에 미치는 영향에서 자기조절의 매개효과를 알아보는 데 목적이 있다. 연구 대상은 서울, 경인 지역의 유아교육기관에 재원 중인 만 4-5세 유아 211명이었고 유치원과 어린이집 근무한 교사 대상으로 질문지를 조사 실시하여 수집된 자료 분석 하였다. 분석은 SPSS 21 프로그램을 이용하여 평균, 표준편차, 왜도, 첨도, 상관분석을 실시하였고 Amos 21 프로그램을 이용하여 구조방정식모형을 검증하여 다음 결과를 얻었다. 첫째, 유아의 긍정적 또래상호작용, 자기조절, 리더십 간에는 유의한 정적 상관관계가 나타났다. 둘째, 또래상호작용은 유아 리더십에 유의한 영향을 미치지 않았고, 자기조절은 유아 리더십에 긍정적인 효과가 있었다. 또래상호작용은 유아 자기조절에 긍정적인 영향을 미치며 또래상호작용이 유아 리더십에 미치는 영향 관계에서 자기조절은 유의한 매개효과 역할을 하는 것으로 나타났다. 이러한 결과는 유아의 리더십 교육에 있어 주목해야 할 요소로서 유아의 또래 상호작용과 자기조절의 중요성을 시사한다.

• 한국간호교육학회지
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• 제28권1호
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• pp.91-100
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• 2022

Purpose: This study aimed to identify the longitudinal effects of children's temperament on maternal depression. Methods: Data from a longitudinal cohort of the Panel Study of Korean Children (PSKC) from 2010 to 2012 were analyzed using hierarchical linear modeling. The survey included 1,721 mother-child dyads. The mothers reported on their children's temperament and on maternal depression. The children's temperament was measured by the Emotionality, Activity and Sociability-Temperament Survey for Children-Parental Ratings, while maternal depression was measured by the Kessler 6 Psychological Distress Scale. Results: The results showed that both children's temperament and maternal depression were relatively stable when the children were between the ages of 2 to 4. The mean maternal depression scores were 11.83 in 2010, 11.88 in 2011, and 11.75 in 2012. There were significant negative correlations between the maternal depression scores and children's ages, and sociability and activity subdomain scores ranged from r=-.05 to -.11 (p<.05). There was a significant positive correlation between children's emotionality subdomain scores and maternal depression scores (r=.35, p<.001). Children's temperament rament (emotionality: β=0.26, activity: β=-0.07, and sociability: β=-0.03) were significant factors in maternal depression. Conclusion: These findings indicate the need for the early assessment of and intervention for children's temperament and maternal depression. The results of this study will provide basic data for the development of nursing education programs related to early assessment and intervention to improve the health and quality of life of young children and mothers.

• Clinical and Experimental Pediatrics
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• 제59권12호
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• pp.471-476
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• 2016

Purpose: Chest radiography is often performed on patients hospitalized with typical clinical manifestations of bronchiolitis. We aimed to determine the proportion of subjects with pathologic chest radiographic findings and the clinical predictors associated with pathologic chest radiographic findings in young children admitted with the typical presentation of bronchiolitis. Methods: We obtained the following data at admission: sex, age, neonatal history, past history of hospitalization for respiratory illnesses, heart rate, respiratory rate, the presence of fever, total duration of fever, oxygen saturation, laboratory parameters (i.e., complete blood cell count, high-sensitivity C-reactive protein [hs-CRP], etc.), and chest radiography. Results: The study comprised 279 young children. Of these, 26 had a chest radiograph revealing opacity (n=24) or atelectasis (n=2). Multivariate logistic regression analysis showed that after adjustment for confounding factors, the clinical predictors associated with pathologic chest radiographic findings in young children admitted with bronchiolitis were elevated hs-CRP level (>0.3 mg/dL) and past history of hospitalization for respiratory illnesses (all P<0.05). Conclusion: The current study suggests that chest radiographs in young children with typical clinical manifestations of bronchiolitis have limited value. Nonetheless, young children with clinical factors such as high hs-CRP levels at admission or past history of hospitalization for respiratory illnesses may be more likely to have pathologic chest radiographic findings.

• 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.

• 한국식품영양학회지
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• 제19권2호
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• pp.153-160
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• 2006

This study investigated the food habits of the elementary school children according to obesity index. The subjects included 1,307 elementary school children classified into four groups according to their individual obesity indices: underweight, normal weight, overweight, and obesity. The distribution of subjects by BMI was 51.5% underweight, 32.9% normal weight, 7.3% overweight, and 8.3% obese. Of these children, 62.6% ate breakfast everyday, and common weight control methods were exercise and diet. Lack of appetite was the most common reason for skipping breakfast(75.3%). Most students(74.7%) had Korean traditional cooked rice and side dishes for breakfast, and 69.6% of students responded that their meal speed was $10{\sim}30$ minutes. In conclusion, the food habits influencing obesity were eating speed, snack intake after dinner, and the number of snacks, while the size of meals did not influence obesity.

• 한국보육지원학회지
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• 제12권1호
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• pp.37-55
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• 2016

본 연구에서는 유아의 놀이성, 정서통제, 정서불안정이 또래놀이행동에 미치는 상대적 영향을 비교하기 위해 어린이집에 다니는 만 4세 및 5세 유아 209명을 대상으로 연구를 실시하였다. 본 연구에서는 유아의 놀이성을 측정하기 위해 '놀이성척도'를, 정서통제, 정서불안정을 측정하기 위해 '정서규제체크리스트'를, 또래놀이행동을 측정하기 위해 '또래놀이행동척도'를 사용하였다. 수집된 자료는 t-검증, 피어슨의 적률상관계수, 단계적 회귀분석을 통해 분석되었다. 본 연구의 결과는 다음과 같다. 첫째, 연령에 따라 유아의 또래놀이행동, 놀이성, 정서통제, 정서불안정에 차이가 있는 것으로 나타났다. 둘째, 유아의 놀이상호작용은 정서통제와 놀이성에 의해 영향을 받는 것으로 나타난 반면, 유아의 놀이방해와 놀이단절은 정서불안정과 놀이성에 의해 영향을 받는 것으로 나타났다. 이와 같은 연구결과에 기초하여 유아의 또래놀이행동에 영향을 미치는 정서 관련 변인의 중요성에 대해 논의한 후 향후 과제와 제언을 제시하였다.

• 한국보육지원학회지
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• 제13권5호
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• pp.43-64
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• 2017

Objective: The purpose of this study was to develop and validate the Behavior Rating Scale for Preschool Children based on the Yonsei Open Education Curriculum. Methods: The subjects of the study were 145 children aged three to six attending a preschool affiliated with a university and their teachers. Teachers observed their children for at least two weeks and completed the Behavior Rating Scale for Preschool Children. The scale consisted of five areas and 44 items which was a five level rubric. Results: Results showed that age differences were significant and development trends were revealed in almost all items. Second, the mean between the upper and lower groups showed a significant difference. Third, the internal consistency reliability was .97 for all items and for the five areas ranged from .86 to .93. The inter-observers reliability was .84. Forth, the concurrent validity and content validity of the scale were relatively high. Conclusion/Implications: The Behavior Rating Scale for Preschool Children can be used as a valid and reliable instrument to assess preschool children's development.

• 대한영양사협회학술지
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• 제14권4호
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• pp.325-336
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• 2008

The principal objective of this study was to determine how weaning by mothers of preschool children between the ages of five and seven years influences the children's eating habits and food preferences. The results of this study will help to educate mothers about good weaning practices and facilitate the development of weaning programs by providing basic data on the subject. The results demonstrated significantly positive correlations between children's scores on eating habits and the level of vigorous weaning practices, the consistency of their practice, and the child's reaction to the foods provided (p<0.001). A positive correlation was noted between the frequency of providing solid food and the preference toward the food, with the exception of boiled rice and brightly colored vegetables. Thus, the results of this survey showed that the frequency and variety of solid foods that mothers try to actively provide their young children affect their food preferences and eating habits in general. These conclusions suggest that mothers should be educated about the significance of proper weaning so that their children can develop appropriate eating habits, and that there should be nutritional education for mothers, regarding the best weaning practices.

• 여성건강간호학회지
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• 제29권4호
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• pp.337-347
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• 2023

Purpose: Despite the health impacts of endocrine-disrupting chemicals (EDCs) beginning in the early stages of life, there is little research on the perception of EDCs among Korean mothers, who are primarily responsible for protecting children. This study aimed to explore how mothers with young children perceived EDCs for their concerns, the issues they faced, and the way they dealt with them. Methods: An exploratory qualitative design was utilized. Twelve mothers who were recruited from snowball sampling participated in voluntary interviews. Individual in-depth interviews lasting approximately 47 to 60 minutes were recorded and transcribed verbatim. The data were analyzed using qualitative content analysis as suggested by Graneheim and Lundman. Results: Four categories, 10 subcategories, and 25 condensed meaning units were identified by interpreting mothers' underlying meanings. The four categories were 'Knowledgeable yet contrasting ideas regarding EDCs,' 'Negative health impact, but more so for children,' 'Inaction or trying to minimize exposure,' and 'Need for early, reliable resources and social change.' Mothers were knowledgeable about EDCs and actively needed further education and support. While they tended to focus more on the health impact of EDCs on their children and were optimistic about their health risks, paying less attention to their preventive behaviors. Conclusion: Healthcare professionals must consider mothers' perceptions of EDCs in future education and interventions regarding EDCs impact on women's life stages such as puberty, pregnancy, and childrearing. Also preventive strategies that can be applied to their daily lives are needed.