• Clinical and Experimental Pediatrics
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• 제52권5호
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• pp.529-537
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• 2009

Drug-resistant tuberculosis in children has important implications for both the patients and tuberculosis control programs. In Korea, among all new patients, the isoniazid resistance rate was 9.9% and multidrug-resistant tuberculosis rate was 2.7% in 2004 (in patients aged 10-19 yr, the multidrug-resistant tuberculosis rate reached 2.1%). Tuberculosis in pediatric patients is difficult to diagnose because many children have nonspecific clinical signs and the detection rates of acid-fast bacilli smears and cultures are low. Therefore, every effort should be made to identify adult sources and obtain information on drug susceptibility because symptomatic adult patients have a higher chance of culture positivity and drug-susceptibility patterns are the same in most adult-child pair patients. Korean children are at significant risk of drug-resistant tuberculosis. As the isoniazid resistance rate is greater than 4% among the new cases in Korea, a four-drug regimen should be considered for initial treatment of children with active tuberculosis, unless drug-susceptibility test results are available. Treatment of drug-resistant tuberculosis in children is challenging and there are only few available data. Tuberculosis control programs should be continuous with specific focus on pediatric populations because they can serve as reservoirs for future active cases. Further studies are needed regarding treatment of drug-resistant tuberculosis in children.

• 대한감각통합치료학회지
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• 제3권1호
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• pp.49-56
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• 2005

Objective : The purpose of this study was to indicate the foundational data to standardize MVPT-R for Koreans. Method : This study was conducted on 221 children ranging in all preschool age from 4 to 6 years residing in Busan and Kyungsangnam-do. It was performed from January 12, 2004 to April 30, 2004. Result : First, similar to American children, as Korean children grow older, the mean raw score of MVPT-R increased. Second, Korean children's mean raw score was higher than that of American children; 3.51 in 4 age, 1.52 in 4.6 age, 2.93 in 5 age, 1.72 in 5.6 age, 1.84 in 6 age and 0.48 in 6.6 age. Third, the mean of PQ(106.57) in Korean children was higher than that of PQ in American children. Fourth, The raw score in Korean children was higher than the raw score in American children in most of the subjects(excluding visual closure subjects). Conclusion : The visual perception skill of Korean children is higher than that of American children. If we apply MVPT-R developed in U.S to Korean children, it will be difficult for Korean children to achieve the adequate results. Therefore, we must use the standardized MVPT-R for Korean that can minimize the differences between American and Korean children's visual perception skills.

• Archives of Plastic Surgery
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• 제43권6호
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• pp.582-585
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• 2016

It is uncommon for a palatal fistula to be detected in individuals who have not undergone surgery, and only sporadic cases have been reported. It is even more difficult to find cases of acquired palatal fistula in patients with submucous or incomplete cleft palate. Herein, we present 2 rare cases of this phenomenon. Case 1 was a patient with submucous cleft palate who acquired a palatal fistula after suffering from oral candidiasis at the age of 5 months. Case 2 was a patient with incomplete cleft palate who spontaneously, without trauma or infection, presented with a palatal fistula at the age of 9 months.

• 아동학회지
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• 제28권4호
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• pp.73-95
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• 2007

Causal relationships of kindergarteners' phonological awareness and processing to their ability to read words was investigated with the participation of 289 4- to 6-year-old children attending three kindergartens in Busan. Results showed gradual growth in reading ability with age. Children performed best in reading words and poorest in reading low frequency letters. They showed continuous development in skills of syllable deletion, phoneme substitution, phoneme insertion, phonological memory and naming. Discontinuous development was found in counting syllables. Longer syllables were difficult to count, and middle syllables of 3 syllable words were hard to delete. Children had poor perception of final consonants of Consonant-Vowel-Consonant syllables. Children's phonological awareness and processing were latent variables strongly related to ability to read words written in Hangul.

• 수면정신생리
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• 제12권2호
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• pp.98-104
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• 2005

Approximately 1% to 3% of all children have obstructive sleep apnea syndrome (OSAS). OSAS in children can lead to a variety of symptoms and sequalae; impairment of development and quality of life, behavioral and personality disturbance, learning problem, cor pulmonale and hypertension. Diagnosis and treatment of OASA for children are different from those for adults in many respects. Adenotonsillar hypertrophy is major cause of childhood OSAS. Overnight polysomnography in a sleep laboratory is the gold standard for diagnosing childhood OSAS. However, because full polysomnography in children may be difficult to obtain, expensive, and inconvenient, other methods to diagnose OSAS have been investigated. Adenotonsillectomy is the most common surgical treatment of childhood OSAS. But if residual symptoms remained after adenotonsillectomy, it should be considered to additional treatment such as weight control, sleep positional change, and continuous positive airway pressure (CPAP).

• 아동학회지
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• 제23권6호
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• pp.33-47
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• 2002

This study examined the effects of conditions of generation(0, 1, or 2 cognitive operations) and task difficulty in children's recall. Subjects were 40 children in each age group, 8-year-olds and 10-year-olds. Each subject was shown 12 simple or difficult multiplication problems in one of the conditions of generation. After a buffer task, subjects were required to recall correct answers to the problems in random order. The data were analyzed by ANOVA and simple main effect analyses. Results showed that generation effect(GE) occurred among children younger than 12, and GE improved with age. Learning from cognitive operations was more effective than learning through simple repetition. Easier tasks led to greater GE, a phenomenon explained by procedures used in this study.

• 아동학회지
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• 제27권6호
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• pp.235-248
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• 2006

Using qualitative methods of interviewing, documentation, and participant observation, this study explored kindergarten children's understanding on their transition into elementary school. Phenomenologically, results showed that children understood that the transition into elementary school means thrownness (Geworfenheit) and projection (Entwurf). When children answered the question about why they want to go to elementary school, their responses demonstrated an understanding of the inevitability (thrownness) of transition. That is, they understood that entering elementary school was an unavoidable step for growing up. They expected(projected) that they would enjoy new activities and opportunities in elementary school. While they felt anxious about stem teachers and difficult studies, they looked forward to intellectual development, various indoor activities, outdoor exercises, and multi-layered encounters.

• 음성과학
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• 제14권2호
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• pp.65-71
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• 2007

The severe-profound hearing impaired children have various disorders in everday communication due to the lack of hearing feedback. Especially, their speech produced unstable voice, omission and distortion of articulation, pitch break, cul-de-sac voice, and so on so that they were difficult to accurately deliver an intended message. This study attempts to analyze the acoustic characteristics of 4 vowel sounds produced by 35 severe-profound hearing impaired children using CSL(Computerized Speech Lab, Model 4300b). The formant data were obtained from the spectrogram and analyzed data by 12 formant filter and auto-correlation among the formants. Results showed that the hearing impaired children's formant values came out very high. They produced the vowels at the mode of hypertension with unstable voice. In order to improve their speech, they would need some adequate auditory feedback.

• 가정과삶의질연구
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• 제22권5호
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• pp.149-159
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• 2004

An Ethnographic Decision Model (EDM) to explore socioeconomic, cultural, and psychological factors related to the attitudes toward childless family was developed in this study. From college students' protocol writings, this research found that the participants in general had conservative views about childless families. They tended to simplify childless families as either infertile couples or DINK (Double Income No Kids) couples. The participants explained why they decided to have or not to have children in the future. They seemed to believe in a traditional family structure and idealize parental roles, while recognizing the high economic and psychological cost of rearing children. They claimed that Korean society set high standards for parents, which were too difficult to reach. The participants, having been educated to believe in self-actualization through their successful careers, struggled to choose between a family with children and one without children. This study was conducted with a holistic view, and highlighted the importance of interactions between traditional ideology about the family and socioeconomic contexts when interpreting college students' perspectives on childless family.

• Korean Journal of Anesthesiology
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• 제71권6호
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• pp.430-439
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• 2018

In infants and small children, ultrasound (US) guidance provides ample anatomical information to perform neuraxial blocks. We can measure the distance from the skin to the epidural space in the US image and can refer to it during needle insertion. We may also visualize the needle or a catheter during real-time US-guided epidural catheterization. In cases where direct needle or catheter visualization is difficult, US allows predicting successful puncture and catheterization using surrogate markers, such as dura mater displacement, epidural space widening due to drug injection, or mass movement of the drug within the caudal space. Although many experienced anesthesiologists still prefer to use conventional techniques, prospective randomized controlled trials using US guidance are providing increasing evidence of its advantages. The use of US-guided regional block will gradually become widespread in infants and children.