• Clinical and Experimental Pediatrics
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• v.53 no.4
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• pp.477-480
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• 2010

Advances in research and medical and supportive care have contributed to a growing population of adults formerly treated for childhood cancer. History of cancer and its therapy can have significant life-long health implications. Late effects of cancer therapy can be insidious on onset, occur outside the pediatric age, and contribute to premature morbidity and mortality. In this review, I have focused on the key long-term effects of pediatric cancer therapy, particularly on the metabolic syndrome, including cardiopulmonary complications, infertility, and secondary neoplasm.

• Clinical and Experimental Pediatrics
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• v.64 no.12
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• pp.608-618
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• 2021

Hypoxic-ischemic encephalopathy (HIE) is the most common cause of neonatal encephalopathy with a global incidence of approximately 1 to 8 per 1,000 live births. Neonatal encephalopathy can cause neurodevelopmental and cognitive impairments in survivors of hypoxic-ischemic insults with and without functional motor deficits. Normal neurodevelopmental outcomes in early childhood do not preclude cognitive and behavioral difficulties in late childhood and adolescence because cognitive functions are not yet fully developed at this early age. Therapeutic hypothermia has been shown to significantly reduced death and severe disabilities in term newborns with HIE. However, children treated with hypothermia therapy remain at risk for cognitive impairments and follow-up is necessary throughout late childhood and adolescence. Novel adjunctive neuroprotective therapies combined with therapeutic hypothermia may enhance the survival and neurodevelopmental outcomes of infants with HIE. The extent and severity of brain injury on magnetic resonance imaging might predict neurodevelopmental outcomes and lead to targeted interven tions in children with a history of neonatal encephalopathy. We provide a summary of the long-term cognitive outcomes in late childhood and adolescence in children with a history of HIE and the association between pattern of brain injury and neurodevelopmental outcomes.

• Journal of Korean Academy of Nursing
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• v.44 no.1
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• pp.55-63
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• 2014

Purpose: This study was conducted to examine the late effects, social adjustment, and quality of life in adolescents who had been completely treated for childhood leukemia and their parents. Methods: Participants consisted of 41 pairs of adolescent survivors (13-18 years) and their parents. Parents checked for their child's physical late effects. The Korean Version of Post-Traumatic Symptoms for psychological late effects, social functioning questionnaire for social adjustment and the PedsQL 4.0 Generic Core Scales for quality of life were completed by adolescents and parents. Data were analyzed using SPSS. Results: Twenty out of 41 adolescents had one or more physical late effects. Adolescents showed more serious psychological late effect than parents. Five children and seven parents had above cut-off scores and they were considered the high risk group for posttraumatic symptoms. Parent-reported scores were significantly higher than child-reported scores in terms of social adjustment and emotional functioning of quality of life. Low school functioning in adolescents was associated with physical late effects. Conclusion: The results indicate that long-term and systematic management for childhood leukemia survivors affect positive social adjustment and can further improve quality of life.

• Journal of Preventive Medicine and Public Health
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• v.33 no.4
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• pp.521-529
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• 2000

Objectives : To assess height, weight and body mass index from childhood to adolescence according to the age at menarche and hence to study the influence of childhood growth on the menarche age. Methods : $\lceil$The Kangwha Study$\rfloor$was a community-based prospective cohort study which included the entire population of 219 female first graders in Kangwha county in 1986. Among the 219 girls, 119 girls who had received complete follow up checks during the study period$(1986\sim1997)$, were included in this study, except one for whom menarche age information was unavailable. The remaining 118 girls were divided into three groups according to the timing of menarche : early(<25 percentile), intermediate and late($\geq75$ percentile) maturers. Results : The average age at menarche was 12.7 years . early 11.3 years, intermediate 12.6 years and late 13.7 years. The early maturers were taller and heavier between $6\sim8$ years. But, the mean weight and body mass index at the menarche age did not differ statistically among the three groups. The weight and body mass index of the early maturers were consistently higher than those of the late maturers over the entire period of the study. Conclusions : Critical body weight and body mass index must be attained for menstruation to be attained and the age at menarche is largely determined by the childhood growth. In addition, it seems that childhood growth and age at menarche are associated with adolescent weight and body mass index.

• International Journal of Human Ecology
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• v.6 no.1
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• pp.103-115
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• 2005

This study utilized data (a sample of 18,553 people born in 1958 in England, Scotland, and Wales) from the National Child Development Study of 1968 and 1991 to explore the influence of familial difficulties on the internalizing behavioral patterns during the early adolescent period and late life outcomes periods. In this paper, internalizing behavioral problems include 'depression', 'anxiety', 'hostility to adults', 'hostility to children', and 'withdrawal'. Late outcomes were analyzed in two different variables and one marital management domain: 'unemployment', 'seen doctors about emotional problems', 'divorce or separation; never lived as a couple; arguments end in violent behavior' The results indicate that young adolescents who had experienced familial difficulties also have internalizing behavioral problems giving them emotional and behavioral instability. The findings also show that familial difficulties during childhood positively contribute to late life outcomes such as unemployment, emotional problems, and marital management. This study suggests that in order to effectively respond to the needs of children and adolescents who have experienced various familial difficulties, counselors and educators must guide parents.

• Korean Journal of Child Studies
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• v.38 no.1
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• pp.233-249
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• 2017

Objective: This study examined the effects of maternal grandmothers' positive parenting behavior and mothers' self-differentiation and positive parenting behavior on self-concept in late childhood. Methods: A total of 341 $5^{th}$- and $6^{th}$- grade elementary school children and their mothers participated in the study. Children were surveyed regarding perceptions of their mothers' positive parenting behavior and their own self-concept. Mothers responded to questionnaires regarding both positive parenting behavior of their mothers and their own self-differentiation. The data were analyzed using SEM. Results: Maternal grandmothers' positive parenting behavior had an indirect effect through mothers' self-differentiation and positive parenting behavior on children's self-concept. Mothers who perceived positive parenting behavior in their mothers in their childhood showed positive parenting behavior (as perceived by their children), and those children reported a higher level of self-concept. Mothers who perceived their mother's parenting behavior in their childhood more positively reported a higher level of self-differentiation, and those mothers showed more positive parenting behavior (as perceived by their children), which led to more positive self-concept in children. Conclusion: The findings specify the pathways from maternal grandmothers' positive parenting behavior to children's self-concept through mothers' self-differentiation and positive parenting behavior in an aspect of the intergenerational transmission of parenting. The findings also emphasize the importance of mothers' positive parenting behavior for positive self-concept in late childhood.

• Korean Journal of Child Studies
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• v.28 no.5
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• pp.19-36
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• 2007

This study explored proverb comprehension and use in elementary school children by familarity and concreteness of proverbs and children's age, sex, experience of living with grandparents. The 529 fourth and sixth grade participants completed a questionnaire probing knowledge of 16 proverbs; 4 each in four categories(familiar-concrete, familiar-abstract, unfamiliar-concrete, and unfamiliar-abstract). Results showed highest comprehension scores for familiar-concrete proverbs. Sixth graders obtained higher comprehension score than fourth graders in all four proverb categories. There was no difference between grades in frequency of proverb usage. An interaction effect between grade and sex showed that female sixth graders had the highest comprehension score. These results suggest a possibility of relationship between figurative language and cognitive development related to abstract thinking in late school-age children.

• Clinical and Experimental Pediatrics
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• v.53 no.4
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• pp.471-476
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• 2010

The majority of childhood cancer survivors and their families will be psychologically healthy, but may desire and benefit from preventive care. A significant portion of the survivor population will be psychosocially distressed in various aspects by their harsh experience of long cancer treatment, and may warrant professional intervention and treatment. Pediatricians should be aware of the late psychological effects that can occur a year or 2 after treatment, possibly in many aspects of a survivor's life. Not only the cancer diagnosis, but also treatments such as chemotherapy, irradiation, and surgical intervention may exert different long-term effects on the psychosocial outcomes of survivors. Pediatricians need to be more concerned with maintaining and improving the psychological health of this growing number of childhood cancer survivors through long-term follow-up clinics, community support, or self-help groups. Research on all of the psychosocial aspects of childhood cancer survivors is important to recognize the reality and problems they face in Korea.

• Korean Journal of Child Studies
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• v.21 no.2
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• pp.67-81
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• 2000

This study explores the concept of children as perceived in the late Chosun period by analyzing there sets of paintings on the panel screen, the Baekdongjado (the paintings of one hundred children at play). Although these paintings originated in China, there were many differences between Chinese and Korean paintings. Results of the analysis show that children were recognized as important members of the family by the late Chosun period, that parents hoped for many children, possibly sons, to fulfill each family, and that childhood meant the period of the youngster.

• Journal of Families and Better Life
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• v.23 no.6 s.78
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• pp.167-178
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• 2005

The purpose of this study was to investigate various assects of late parenthood among Korean parents, including motivation, emotional response, advantages and disadvantages of late parenthood, intimacy, and effects on child. Subjects were IS mothers who gave birth after 35 years old for both mother and father. The study was conducted by means of a questionnaire and an in-depth interview. The most significant reason for late parenthood was found to be a son preference. brothers of the only could expressed very special emotional responses toward the child, compared to those who gave a birth to the second or the third child after 35. Respondents identified advantages and disadvantages of late parenthood in terms of child rare attitudes, maturity, financial conditions, and physical strength. However, most of the respondents would not recommend late parenthood to others. Directions for future research were given in terms of subjects of study, such as parents from rural area, working class, and wide range of ages.