• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• v.23 no.1
• /
• pp.15-25
• /
• 2020

Prevalence of pediatric obesity has increased worldwide in the last 20 years. Obese children suffer not only physical complications but also mental health problems such as depression, attention deficit hyperactivity disorder (ADHD), and eating disorders, as well as psychosocial impairments, such as school adjustment problems, bullying, and low self-esteem. Recently, there have been some studies on the association of mental health problems and pediatric obesity. In the treatment of pediatric obesity, many previous studies suggest multidisciplinary treatment. However, cognitive behavioral therapy (CBT) has attracted attention because obese children are accompanied by body image distortion, emotion dysregulation, and difficulties in stimulus control. This review is a narrative summary of the recent studies on mental health problems and CBT in pediatric obesity. The relationship between depression/anxiety and pediatric obesity is still inconsistent but recent studies have revealed a bidirectional relation between depression and obesity. Additionally, some studies suggest that obese children may have eating disorder symptoms, like loss of control eating, and require therapeutic intervention for pediatric obesity treatment. Furthermore, impulsivity and inattention of ADHD symptom is thought to increase the risk of obesity. It has also been suggested that CBT can be very effective for mental health problems such as depression, impulsivity, and body image distortion, that may coexist with pediatric obesity, and use of multimedia and application can be useful in CBT.

• Korean Parent-Child Health Journal
• /
• v.15 no.1
• /
• pp.1-13
• /
• 2012

Purpose: The purpose of this thesis is to investigate the experience of children with a schizophrenic parent. Methods: The research methods included biographical in-depth interviews, structured questionnaires, and child's drawings. Data were collected from September until November, 2005 at one university hospital, and interviews were recorded on audio tapes and thereby transcribed. The subjects were three adolescent children (10~15 years old) of a parent with schizophrenia. Results: This study has five themes: It is often the case that the children with a schizophrenic parent are uninformed about their parent's illness, have difficulties dealing with symptoms are confused about their parent's image and display contradictory feelings of fear and sympathy toward their father; The children tend to harbor expectations on mother's role in the family affairs, and simultaneously show pity for her; Family relations without solidarity caused by the absence of their father make the children feel severance, separation, and isolation in and out of the family; The children feel the burden to assume additional household responsibilities; The children are reluctant to mention their father's disease. Conclusion: the study subjects have met negativeness in both developmental characteristics and needs, which supports the need for intervention programs that meet their actual experience.

• Journal of the Korean Society of Child Welfare
• /
• no.26
• /
• pp.7-30
• /
• 2008

The survival rate of children with cancer has increased significantly from less than 30% in 1960s to 75% during the recent years with the development of modern medical technologies. As a result, the cancer of children today is no longer classified as incurable diseases. Rather, it is recognized as a chronic illness. However, children with cancer are still suffering from physical and psychosocial ailments caused by long-term hospitalization. In particular, teenagers are more likely to be affected by these problems because of interests on one's appearance and peer relationships This study investigated the relationship of the level of body distortion and disease adjustment of children with cancer, and how demographic factors, disease factors, and the level of body distortion affect disease adjustment. Data were collected between October 22, 2007 and November 16, 2007 and the total respondents consisted of 82 children, ages 10 to 18. SPSS 12.0 with descriptive statistics, t-test, correlation and multiple regression were used for data analysis. The results showed that the factors which influence the disease adjustment of children with cancer were age, school enrollment, and the level of body distortion. The result of this study has major implications for the government to provide support for children with cancer to stay in school. Additionally, programs that assist children to build positive body images need to be developed in accordance with their ages and psychosocial characteristics.

• Investigative Magnetic Resonance Imaging
• /
• v.23 no.3
• /
• pp.251-258
• /
• 2019

Purpose: To assess the feasibility of the use of spin-echo echo-planar imaging (SE-EPI) magnetic resonance elastography (MRE) in livers of children and young adults. Materials and Methods: Patients (${\leq}20$ years old) who underwent 3T SE-EPI MRE were included retrospectively. Subjects were divided into three groups according to the purpose of the liver MRI: suspicion of fatty liver or focal fat deposition in the liver (FAT group), liver fibrosis after receiving a Kasai operation from biliary atresia (BA group), and hepatic iron deposition after receiving chemotherapy or transfusions (IRON group). Technical failure of MRE was defined when a stiffness map showed no pixel value with a confidence index higher than 95%, and the patients were divided as success and failure groups accordingly. Clinical findings including age, gender, weight, height, and body mass index and magnetic resonance imaging results including proton density fat fraction (PDFF), $T2^*$, and MRE values were assessed. Factors affecting failure of MRE were evaluated and the image quality in wave propagation image and stiffness map was evaluated using the appropriate scores. Results: Among total 240 patients (median 15 years, 211 patients in the FAT, 21 patients in the BA, and 8 patients in the IRON groups), technical failure was noted in six patients in the IRON group (6/8 patients, 75%), while there were no failures noted in the FAT and BA groups. These six patients had $T2^*$ values ranging from 0.9 to 3.8 ms. The image quality scores were not significantly different between the FAT and BA groups (P > 0.999), while the scores were significantly lower in the IRON group (P < 0.001). Conclusion: The 3T SE-EPI MRE in children and young adults had a high technical success rate. The technical failure was occurred in children with decreased $T2^*$ value (${\leq}3.8ms$) from iron deposition.

• Korean Institute of Interior Design Journal
• /
• v.20 no.6
• /
• pp.321-330
• /
• 2011

The purpose of this study is to propose how the interior of the child psychiatric therapy Environment should be designed according to different problems that children have. For the purpose, this research has been conducted with a literature review and an empirical survey. The subjects of the survey were 100 children, 58 male and 42 female, who were using child psychiatric therapy centers located in Busan. Findings are as follows: (1) Children with behavior problem($C_b$) showed a significantly higher satistaction with the entrance and the information in a given child psychiatric therapy space than children with emotional problem ($C_e$) did. (2) Spatial attitude of $C_e$ and $C_b$ were significantly differed. (3) Colors that were being preferred by $C_e$ were cold colors, for example, blue and indigo. While, $C_b$ were preferring warm colors such as red and yellow. (4) There was difference in the image of a entrance and classrooms at the child psychiatric therapy center that children had in mind, the two groups of children were quite differently feeling about the size and noise of the therapy space.

• Proceedings of the Korean Institute of Interior Design Conference
• /
• 2004.11a
• /
• pp.66-71
• /
• 2004

The purpose of this study is to identify the problems that a current day care center has by analyzing the space arrangement, and to come up with the suggestion that would improve the arrangement along with the interior design of the day care center by studying the usage of materials, colors, lightings and furniture. The result of this study to follow problems were identified. 1. Classrooms also served as sleeping areas, therefore those two areas needed to be separated. 2. The kitchen was too small for the number of children. So they need separated kitchen and dining room. 3. The day care center remodeled from the ordinary house was wrose than other facilities in material, color pattern and design for child-care. 4. A lot of fluorescent light and bulb were used without enough windows to let natural sunlight in. 5. The restroom was so small that it caused uncomfortability to children. Based on the problems above, we could reach to a following conclusion. Use of primary colors could brighten the image of a room, and feature or creative arrangement of furniture may make it intriguing. With the increase in the expectation and attention to the young kids, the facilities should change according to them and be designed for the children. It is needed to study about whether the space and the elements of the emotional image were applied properly.

• Journal of Korean Neurosurgical Society
• /
• v.46 no.3
• /
• pp.257-260
• /
• 2009

Intraventricular hemorrhage long after successful encephaloduroarterio synangiosis (EDAS) is very rare. The effect of revascularization surgery for preventing hemorrhagic event of moyamoya disease remains controversial. We report a 17-year-old female with intracerebral hemorrhage and intraventricular hemorrahge 10 years after successful EDAS. Even though cerebral vessels angiography showed good collateral circulations without specific weak points, a cerebral hemorrhage could occur in patient with ischemic type of moyamoya disease long after successful indirect bypass operations. Good collateralization of cerebral angiography or magnetic resonance perfusion image after indirect bypass surgery would ensure against ischemic symptoms, not a hemorrhage. And, thus a life-time follow-up strategy might be necessary even if a good collateral circulation has been established.

• Journal of IKEEE
• /
• v.25 no.3
• /
• pp.430-436
• /
• 2021

The non-contact body temperature measurement system is one of the key factors, which is manage febrile diseases in mass facilities using optical and thermal imaging cameras. Conventional systems can only be used for simple body temperature measurement in the face area, because it is used only a deep learning-based face detection algorithm. So, there is a limit to detecting abnormal symptoms of the infants and young children, who have difficulty expressing their opinions. This paper proposes an improved facial expression recognition algorithm for detecting abnormal symptoms in infants and young children. The proposed method uses an object detection model to detect infants and young children in an image, then It acquires the coordinates of the eyes, nose, and mouth, which are key elements of facial expression recognition. Finally, facial expression recognition is performed by applying a selective sharpening filter based on the obtained coordinates. According to the experimental results, the proposed algorithm improved by 2.52%, 1.12%, and 2.29%, respectively, for the three expressions of neutral, happy, and sad in the UTK dataset.

• The Journal of the Korea Contents Association
• /
• v.22 no.9
• /
• pp.76-84
• /
• 2022

In this paper, in order to compose the visual perception cognitive function training content that can be linked with the IPUZZLE image block, an interactive content device that utilizes photos and videos of smartphones. Four areas of visual memory, visual continuity, spatial relationship, and visual discrimination were derived and the content operation, application method, and scenario were written. It was intended to continuously give and induce children's desire to participate in training by designing the content image and developing the existing learning terrain visual and perceptual cognitive function training materials in the form of mobile mini-games. Experiential activities were conducted for general children and their guardians using the developed contents, and the results were found to be significant in terms of concentration, effect, and effect compared to basic puzzle toys. It is expected that this thesis will be a meaningful data for the study of cognitive function improvement activities based on digital toys and contents.

• Research in Community and Public Health Nursing
• /
• v.23 no.4
• /
• pp.405-414
• /
• 2012

Purpose: The purpose of this study was to examine the sexual maturation, body image, and self-esteem of Korean elementary school girls with symptoms of precocious puberty compared to those with no symptoms of precocious puberty. Methods: The subjects were 309 girls of lower grades in elementary school. Tanner's Sexual Maturation Rating (SMR), Self Image Scale, and Self-esteem Scale were utilized to determine the presence of symptoms of precocious puberty, body image, and self esteem. Collected data were analyzed by Chi-square test, independent t-test, and one-way ANOVA using the SPSS/WIN 17.0 program. Results: The percentage of the girls with breast development was 14.9%. Breast development usually began in the third grade (56.5%). Of the subjects, 0.3% were experiencing menstruation. Breast development was related to grade, age, height, weight, and a cause of worry. There was a significant difference of body image between girls with breast development in the first grade and in the second grade. Conclusion: An effective intervention that can improve the self-image of children with symptoms of precocious puberty should be developed to prevent and treat physical and mental problems related to sexual maturation.