• Journal of Families and Better Life
• /
• v.28 no.2
• /
• pp.123-130
• /
• 2010

This longitudinal study investigated the mediating effects of self-control and self-esteem on the associations between parenting behaviors and middle school students' externalizing problems in single parent families. Participants were 174(2003-2004 panel 1 data of Korea Youth Panel Survey). The results of structural equation modeling indicated that self-control and self esteem did not mediate the associations between time 1 parenting behaviors and time 2 middle school students' externalizing problems, after accounting for the effects of time 1 middle school students' externalizing problems.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• v.24 no.1
• /
• pp.7-18
• /
• 2021

Purpose: The long-term efficacy and safety of infliximab (IFX) in children with ulcerative colitis (UC) have not been well-evaluated. Here, we reviewed the long-term durability and safety of IFX in our single center pediatric cohort with UC. Methods: This retrospective study included 20 children with UC who were administered IFX. Results: For induction, 5 mg/kg IFX was administered at weeks 0, 2, and 6, followed by every 8 weeks for maintenance. The dose and interval of IFX were adjusted depending on clinical decisions. Corticosteroid (CS)-free remission without dose escalation (DE) occurred in 30% and 25% of patients at weeks 30 and 54, respectively. Patients who achieved CS-free remission without DE at week 30 sustained long-term IFX treatment without colectomy. However, one-third of the patients discontinued IFX treatment because of a primary nonresponse, and one-third experienced secondary loss of response (sLOR). IFX durability was higher in patients administered IFX plus azathioprine for >6 months. Four of five patients with very early onset UC had a primary nonresponse. Infusion reactions (IRs) occurred in 10 patients, resulting in discontinuation of IFX in four of these patients. No severe opportunistic infections occurred, except in one patient who developed acute focal bacterial nephritis. Three patients developed psoriasis-like lesions. Conclusion: IFX is relatively safe and effective for children with UC. Clinical remission at week 30 was associated with long-term durability of colectomy-free IFX treatment. However, approximately two-thirds of the patients were unable to continue IFX therapy because of primary nonresponse, sLOR, IRs, and other side effects.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• v.24 no.4
• /
• pp.357-365
• /
• 2021

Purpose: A change in diagnosis from ulcerative colitis (UC) to Crohn's disease (CD) has been reported in pediatric inflammatory bowel disease; however, only a few clinical characteristics and predictors of this diagnostic change have been reported. We aimed to describe the clinical characteristics of patients with UC who underwent a change in diagnosis to CD and identify variables associated with the change. Methods: The medical records of pediatric patients with UC who were followed up at the National Center for Child Health and Development between 2006 and 2019 were retrospectively reviewed. Clinical data on disease phenotype, laboratory parameters, endoscopic findings, and treatment of patients whose diagnosis changed to CD (cCD) were compared to those of patients whose diagnosis remained UC (rUC). Results: Among the 111 patients initially diagnosed with UC, 11 (9.9%) patients were subsequently diagnosed with CD during follow-up. There was no significant difference between the cCD and rUC groups in terms of sex, age at initial diagnosis, and the extent and severity of disease at initial diagnosis. Albumin and hemoglobin levels were significantly lower in the cCD group than in the rUC group. The proportion of patients who required biologics was significantly higher in the cCD group than in the rUC group (p<0.05). Conclusion: Approximately 10% children initially diagnosed with UC were subsequently diagnosed with CD. Hypoalbuminemia and anemia at initial diagnosis and use of biologics could be predictors of this diagnostic change.

• Journal of Family Resource Management and Policy Review
• /
• v.26 no.2
• /
• pp.53-70
• /
• 2022

This study aimed to develop a scale to measure the family strength of single-parent families. We analyzed the everyday life and demands of single-parent families using the theory of family strength to draw 78 items that encompass family basis, relationships, roles, social networks and family culture. Using a sample of 286 single-parent families through an online survey platform, we examined the factor structure of the items and selected 48 items based on the results of the factor analysis. Reliability, criterion and construct validity were also examined. The final scale comprised of five domains ; basis, parents' role, work-life balance, social network, lifestyle and household management. This scale can be used as an assessment measure of the family strength of single-parent families for consulting, case management and suggesting various programs in the field. This merit will help enhance the quality of programing for single-parent families at the Healthy Family Support Center and the development of family strength scales for various types of families.

• Journal of Family Resource Management and Policy Review
• /
• v.26 no.4
• /
• pp.25-38
• /
• 2022

This study aims to analyze everyday caring activities of young working single-person households. To collect the data, we interviewed 10 working single-person households. The topics are composed of 3 parts: 1) the everyday life of single-person households; 2) caring activities and household labor; 3) the experience of caring activities. The results are as follows : In comparison with families living together, single-person households carry out everyday caring activities alone, so they found a new meaning in caring activities and household labor. In particular, they were fully aware of the importance of everyday caring activities even though they sometimes felt the caring activities were uncomfortable. On the other hand, they improved their technique and ability for caring activities, and they felt satisfied with the caring activities. We found the meaning of everyday caring activities to be an essential condition for the independence of single-person households.

• Korean Journal of Human Ecology
• /
• v.10 no.1
• /
• pp.19-25
• /
• 2007

The study is attempted to help double-income families use resources efficiently and rationally by analyzing The Time Use each of working women and housewives having preschool children based on the data of The Time Use survey carried out in 2004 and promote understandings on their quality of life, lifestyle and family welfare. To this end, the study analyzes the actual The Time Use of double-income families haying preschool children. The findings of the study are as follows: First, according to the comparison of The Time Use between double-income families and single-income families in 1999 and 2004, there is no significant difference in husbands' participation time in family management or family care between 1999 and 2004. Second, according to the comparison of The Time Use between double-income families and single-income families depending on the presence or non-presence of preschool children, families haying preschool children spent much more hours in family care than families without preschool children. Third, according to the comparison of the weekend schedule between double-income families and single-income families, it is found that working women work much more than housewives not only on weekdays but also on weekends and in particular, it is found that working women having preschool children work 2 hours longer than housewives.

• Journal of Korean Physical Therapy Science
• /
• v.15 no.2
• /
• pp.79-86
• /
• 2008

Background: The purpose of this study was to present a practical method of medical treatment to improve the balance and motor ability of the mentally retarded child with a single mentally retarded child-subject. Methods: The subject of the study was a 39-month-old mentally retarded female. This study included a 2-week basic period and a 13-week treatment period. The treatment method was based on the Bobath Approach. Gross motor function measurement (GMFM) was used to examine changes in motor ability, and the Pediatric Balance Scale (PBS) was used to measure changes in balance ability. The curative program was composed of normalization of muscle tone, strengthening of leg endurance and muscular strength, the improvement of trunk alignment, and the increase of balance. Visual rate of change was used to examine the results. Results: As a result of this study, balance ability increased on the Pediatric Balance Scale (PBS) by 24 points, and motor function increased in terms of Gross Motor Function Measurement (GMFM) by 6.9% (18 points). Standing increased by 41% (16 points), and walking, running, and jumping increased by 31.9% (23 points) compared to thebasic period. Therefore, the Bobath Approach appears to be an appropriate method to improve balance and motor ability in mentally retarded children. Conclusion: It is surmised that aggressive intervention by physical therapists and occupational therapists, and a follow-up study, are required for the growth of motor ability in mentally retarded children.

• The Journal of Korean Academic Society of Nursing Education
• /
• v.19 no.4
• /
• pp.508-517
• /
• 2013

Purpose: The purpose of this study was to evaluate the effectiveness of infant CPR (Cardiopulmonary Resuscitation) immediate remediation[LAB2]. Methods: This is a quasi-experimental study with a non-equivalent comparison group pre-post test design. Participants were 73 child care teachers in J district in Seoul. The experimental group (35) received immediate remediation with video learning [LAB3]for infant CPR education and the control group (38) received video learning only. We investigated confidence of infant CPR and tested single-rescuer infant CPR performance depending on a checklist (8 items). Data were collected before and right after to evaluate the confidence of infant CPR and before, right after and 2 weeks after the education to evaluate the skill performance and final acceptance. Results: There was a significant increase in confidence of infant CPR in the experimental group and control group. There was a statistically significant difference in the degree of skill performance between groups according to the amount time (F=10.58, p<.001). The degree of skill performance was tested two weeks after the education and immediate remediation was 5.35 times more effective compared to the video image demonstration (B=1.677, p<.001). Conclusion: The findings provide the necessity of immediate remediation education of infant CPR to increase confidence and skill performance ability.

• Parasites, Hosts and Diseases
• /
• v.52 no.6
• /
• pp.677-680
• /
• 2014

Infection cases of diphyllobothriid tapeworms are not much in the below teen-age group. We report a case of Diphyllobothrium nihonkaiense infection in a 13-year-old boy. He presented with severe fatigue, occasional abdominal pain at night time. He also had several episodes of tapeworm segment discharge in his stools. By his past history, he had frequently eaten raw fish including salmon and trout with his families. Numerous eggs of diphyllobothriid tapeworm were detected in the fecal examination. We introduced amidotrizoic acid as a cathartic agent through nasogastroduodenal tube and let nearly whole length (4.75 m) of D. nihonkaiense be excreted through his anus. After a single dose of praziquantel, the child's stool showed no further eggs, and his symptoms disappeared. The evacuated worm was identified as D. nihonkaiense by mitochondrial cox1 gene analysis. Here we report a successful extracorporeal worm extraction from an infection case of D. nihonkaiense by the injection of amidotrizoic acid.

• Journal of Families and Better Life
• /
• v.30 no.3
• /
• pp.59-67
• /
• 2012

This study investigate the influence of resilience on organizational commitment using social support as a mediating variable for kindergarten and childcare teathers. The subjects were 630 kindergarten and childcare teathers. The collected data were analyzed by Pearson's correlation as well as single and multiple regressions that used SPSS Win 19.0. The results were as follows: (1) The resilience was significantly associated with organizational commitment of kindergarten and childcare teachers. (2) The resilience was significantly associated with social support of kindergarten and childcare teachers. (3) The resilience was not significantly associated with organizational commitment of kindergarten and childcare teachers, controlled by social support. The results showed the social support was more important variable affecting organizational commitment of kindergarten and childcare teachers than the resilience. As a result, teachers have to be strengthened for support of social emotion that helps to control of their emotional condition and social evaluation that estimates their role positive under administration system.