• Clinical and Experimental Pediatrics
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• v.59 no.6
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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.

• Korean Journal of Childcare and Education
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• v.11 no.4
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• pp.1-17
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• 2015

The purpose of this study is to investigate the relationship between peer interaction, self-regulation and leadership of young children, and examine the mediating effect of self-regulation ability in the effect of peer interaction on the leadership of young children. The subjects of the study were 211 children aged 4 to 5 who attended in child education institutes in the Seoul-Incheon area. A survey was conducted on teachers who worked in kindergartens and day care centers with questionnaires, and the collected data were analyzed. For data analysis, SPSS WIN 21 program was used to calculate mean, standard deviation, skewness, and kurtosis, and correlation analysis was conducted. Also, the structural equation model was validated using Amos 21, and the following results were obtained. First, the positive peer interaction, self-regulation and leadership of children were positively associated. Second, the peer interaction did not have a significant effect on the leadership of young children, and the self-regulation of young children had a positive effect on the leadership of young children. It was found that peer interaction had a positive effect on the self-regulation of young children, and in the relationship of effects on the leadership of young children, the self-regulation was found to play a role of significant mediating effect. Such results are remarkable elements in leadership education for young children, implying the importance of peer interaction and self-regulation of young children.

• The Journal of Korean Academic Society of Nursing Education
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• v.28 no.1
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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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• v.59 no.12
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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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• v.22 no.1
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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.

• The Korean Journal of Food And Nutrition
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• v.19 no.2
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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.

• Korean Journal of Childcare and Education
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• v.12 no.1
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• pp.37-55
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• 2016

The purpose of this study was to analyze the effects of young children's playfulness, emotional control, and emotional instability on their peer play behavior, focusing on age differences. A total of 209 4- and 5-year-old children attending a child care center in South Korea participated in this study. The instruments used in this study were the Playfulness Scale, Emotion Regulation Checklist, and Penn Interactive Peer Play Scale. The collected data were analyzed using a Student's t-test, Pearson's partial correlation, and stepwise regressions with the SPSS software ver. 16.0. The main results of this study are as follows: First, there was a significant age difference in young children's emotional control, emotional instability, playfulness and peer play behavior. Second, the factors of emotional control and playfulness significantly predicted young children's play interaction irrespective of age. Third, the factors of emotional instability and playfulness significantly predicted young children's play disruption and play disconnection. Further, implications for the use of early intervention targeting specific emotional control and emotional instability problems have been discussed.

• Korean Journal of Childcare and Education
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• v.13 no.5
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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.

• Journal of the Korean Dietetic Association
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• v.14 no.4
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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.

• Women's Health Nursing
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• v.29 no.4
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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.