• 한국보육지원학회지
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• 제13권2호
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• pp.97-114
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• 2017

Objective: This study examined the association between mother-child communication and preschool children's peer competence mediated by ego resiliency Methods: The data from 318 preschool age children and their mothers in Seoul and Gyung-Gi province were used for this study. Mothers reported mother-child communication using three subscales from the revised parent-child communication inventory(Barnes & Oslom, 1982). This study used four subscales from the Korea Personality Inventory for Children (KPI-C)in order to calculate children's ego resiliency and used six subscales from the Child Behavior Scales(Ladd & Profile, 1996). The data were analyzed using Multiple Regression in SPSS 19.0. Results: Positive mother-child communication predicted a higher level of children's ego resiliency and peer competence. Ego resiliency fully mediated the association between mother-child communication and prosocial competence, rejection against peers and insecurity. And positive mother-child communication predicted lower levels of children's aggression, dissociality and irritability. Its association was also mediated by ego resiliency. Conclusion/Implications: These findings indicated that a mother's positive communication with their child would enhance children's ego resiliency and peer competence in preschool children. Thus, the efforts to facilitate parents' positive communication skills in parent education can be promising for preschool children's positive development.

• 한국보건간호학회지
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• 제36권3호
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• pp.309-322
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• 2022

Purpose: The purpose of this study was to identify factors associated with sugar-sweetened beverage consumption of Korean preschool children. Methods: Subjects for the study were recruited using the convenience sampling method. A total of 162 mothers with preschool children aged 3 to 5 years participated in the study using a self-reported questionnaire and provided data regarding the frequency and quantum of the children's sugar-sweetened beverage consumption days in a week and the factors associated with such consumption. Hierarchical multiple regression analysis was conducted to analyze the factors associated with the sugar-sweetened beverage consumption of preschool children. Results: Among the children-specific factors, age (β=.13, p=.015) was positively associated, while fruits/vegetable consumption (β=-.22, p<.001) was negatively associated with sugar-sweetened beverage consumption of the preschool children. Among the mother-specific factors, fruits/vegetable consumption of mothers was negatively associated (β=-.16, p=.006), while the sugar-sweetened beverage consumption of the mothers was positively associated with the sugar-sweetened beverage consumption of the preschool children (β=.27, p<.001). In addition, the maternal restrictive feeding style was negatively associated with sugar-sweetened beverage consumption of preschool children (β=-.23, p<.001). Conclusion: Based on these results, interventions targeted at children, parents, and the family environment should be developed to reduce the consumption of sugar-sweetened beverages in early childhood.

• 한국산학기술학회논문지
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• 제16권12호
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• pp.8596-8607
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• 2015

본 연구는 다문화아동과 일반아동의 학업자아와 사회자아의 영향요인을 비교하는 서술적 조사 연구이다. 본 연구대상자는 초등학생 4-6학년 다문화아동 285명과 일반아동 223명으로 자료수집 기간은 2014년 2월 20일부터 5월 20일까지 3개월 동안 실시하였다. 수집된 자료는 SPSS 23.0을 이용하여 기술통계, t-test, Pearson correlation coefficients, enter multiple regression으로 분석하였다. 연구결과 다문화아동은 일반아동에 비해 학업자아, 사회자아, 부모애착, 사회적지지, 학교생활적응의 평균값이 유의하게 낮았고, 정신건강 수준도 낮았다. 다문화아동의 학업자아에 영향을 미치는 요인들은 학습활동(${\beta}$=.298), 사회적 부적응(${\beta}$=-.218), 의사소통(${\beta}$=-.196), 신뢰감(${\beta}$=.167) 순으로 학업자아를 42.2% 설명하는 것으로 나타났다. 사회자아에 영향을 미치는 요인으로는 친구지지(${\beta}$=.285), 교우관계(${\beta}$=.187), 사회적 부적응(${\beta}$=-.172), 우울요인(${\beta}$=-.139) 순으로 사회자아를 46.3% 설명하였다. 본 연구에서 밝혀진 학업자아와 사회자아의 영향요인들은 향후 학령기 아동의 자아개념 증진프로그램에 활용될 수 있을 것이다.

• Archives of Plastic Surgery
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• 제38권1호
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• pp.96-101
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• 2011

Purpose: In treatment of facial bone fracture, occurred in children, we generally use wires, miniplate, absorbable plate or their combination. These foreign bodies can be palpable, and sometimes may cause infections, and need reoperation for removing. When bone fragments are multiple, small or thin, they are hard to handle and make accurate reduction of all fragments. In these cases, a biodegradable tissue adhesive, Histoacryl$^{(R)}$ (n-butyl-2-cyanoacrylate), can be used as fixation technique for small, multiple, and thin fracture fragments. Methods: 3 years old and 6 years old children, who has comminuted fracture on frontal sinus, we used Histoacryl$^{(R)}$ for fixation of multiple bone fragments. After approaching by coronal incision, we pulled out all bone fragments and reconstructed bone fragments by Histoacryl$^{(R)}$ and fixed those on frontal sinus by absorbable plates. Results: Photographs and 3-dimensional CT obtained preoperatively and postoperatively. And we compared them each other in terms of accuracy of reconstructed bony contour. We could reconstruct almost all bone fragments easily along 3-dimensional structure and get excellent aesthetic results. There was no complication such as infection. Conclusion: In treatment of comminuted facial bone fracture, occurred in children, Histoacryl$^{(R)}$ is an excellent method for accurate reconstruction in small and thin bone fragments which cannot be fixed by wire, miniplate or absorbable plate without complication.

• Clinical and Experimental Pediatrics
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• 제54권6호
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• pp.234-240
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• 2011

Acute disseminated encephalomyelitis (ADEM) is a demyelinating disease of the central nervous system (CNS) that typically presents as a monophasic disorder associated with multifocal neurologic symptoms and encephalopathy. ADEM is considered an autoimmune disorder that is triggered by an environmental stimulus in genetically susceptible individuals. The diagnosis of ADEM is based on clinical and radiological features. Most children with ADEM initially present with fever, meningeal signs, and acute encephalopathy. The level of consciousness ranges from lethargy to frank coma. Deep and subcortical white-matter lesions and gray-matter lesions such as thalami and basal ganglia on magnetic resonance imaging (MRI) are associated with ADEM. In a child who presents with signs of encephalitis, bacterial and viral meningitis or encephalitis must be ruled out. Sequential MRI is required to confirm the diagnosis of ADEM, as relapses with the appearance of new lesions on MRI may suggest either multiphasic ADEM or multiple sclerosis (MS). Pediatric MS, defined as onset of MS before the age of 16, is being increasingly recognized. MS is characterized by recurrent episodes of demyelination in the CNS separated in space and time. The McDonald criteria for diagnosis of MS include evidence from MRI and allow the clinician to make a diagnosis of clinically definite MS on the basis of the interval preceding the development of new white matter lesions, even in the absence of new clinical findings. The most important alternative diagnosis to MS is ADEM. At the initial presentation, the 2 disorders cannot be distinguished with certainty. Therefore, prolonged follow-up is needed to establish a diagnosis.

• 한국생활과학회지
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• 제8권2호
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• pp.227-243
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• 1999

The purpose of this study was to analyze a causal relations of children's learned helplessness, stress, perception of self-competence and mother's childrearing attitudes. The subjects were 370 of 4th and 6th grade in elementary school and the second grade in junior high school in Busan and their's mothers. The instruments used for this study were learned helplessness scale, stress scale, self-perception profile for children, and childrearing attitude scale. The data was analyzed with pearson's correlation, multiple regression and path analysis. The major findings of this study were as follows : 1. Children's global self-worth, social self, age and mother's controlling childrearing attitudes predicted children's stress. 21% of the variance of children's stress was explained by these variables. 2. Children's stress, global self-worth, academic and social self predicted children's learned helplessness. 54% of the variance of children's learned helplessness was explained by these variables. 3. 1) Global self-worth was the first contribution and had a indirect effect through stress as well as a direct effect on children's learned helplessness. 2) Children's stress and academic self had direct effect on children's learned helplessness. 3) Children's social self had a indirect effect through stress as well as a direct effect on children's learned helplessness. 4) Mother's affectionate childrearing attitudes had indirect effect through academic, and social self and global self-worth on children's learned helplessness. Mother's controlling childrearing attitudes had indirect effect through stress on children's learned helplessness. Children's age had a indirect effect through global self-worth and stress and children's sex had a indirect effect through social self on children's learned helplessness.

• 한국학교보건학회지
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• 제23권1호
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• pp.1-10
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• 2010

Purpose: The purpose of this study was to investigate factors influencing health promoting behavior of the late school age children and to analyze the difference of health promoting behavior according to personal factors of children. Methods: The subjects consisted of 169 school-aged children in the 6th grade in Gyeonggi-do. Data were collected from Dec. 1 to Dec. 10, 2008. The data were analyzed by using frequency, percentage, mean, standard deviation, t-test, ANOVA, Pearson's correlation coefficients and Stepwise multiple regression with the SPSS/WIN 12.0 program. Results: 1) Health promoting behavior was proved to be relatively high. The average item score for the health promoting behavior was $3.85{\pm}.41$. The highest degree of health promoting behavior was stress management (4.13). whereas the one with the lowest degree was exercise (3.40). 2) In the relationship between personal factors and health promoting behavior, there were statistically significant differences in gender, perceived health status, family mood, father's drinking habits, school performance, school satisfaction. 3) Health promoting behavior was showed significant positive correlations with perceived self-efficacy (r=.55), social support (r=.65), prior related behaviors (r=.44), perceived benefits of action (r=.42), and significant negative correlations with perceived barriers of action (r=-.37). 4) Stepwise multiple regression analysis was revealed that the most powerful predictor of health promoting behavior was social support ($\beta$=0.36) Conclusion: The combination of social support, perceived self-efficacy, perceived benefits of action, gender, and family mood accounted for 57.8% of the variance in the health promoting behavior of the late school age children.

• Nutrition Research and Practice
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• 제9권4호
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• pp.393-399
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• 2015

BACKGROUND/OBJECTIVES: Thin children may have insufficient intake of energy and nutrients, resulting in reduced immune function and growth. This study aimed to identify the effects of multiple herb formula SEC-22 supplementation on growth, dietary changes, and picky eating behaviors in thin children. SUBJECTS/METHODS: A double-blind, randomized clinical trial was conducted on 79 children aged 2-5 years with poor appetites, BMI percentile < 25, and without any illness. Subjects were given either SEC-22 (n = 35) or placebo (n = 44) for 2 months and followed for an additional 2 months. Three-day dietary records, questionnaires on picky eating behaviors, and anthropometric measures were collected. RESULTS: Energy, carbohydrate intake, and feeding difficulty improved in both groups during the intervention period. However, changes were maintained only in the SEC-22 group after 2 months of follow-up post-supplementation. 'Frequency of trying to feed' was improved in the SEC-22 group compared to the placebo group after the first month of follow-up (P < 0.05). Intakes of potassium and thiamine were improved in the SEC-22 group compared to the placebo group after the first month of intervention (P < 0.05). 'Frequency of food reward', eating amount, and intakes of carbohydrate, potassium, and vitamin C showed significant improvement compared to the placebo group after the second month of follow-up (P < 0.05). CONCLUSIONS: These results suggest that SEC-22 supplementation can improve parental feeding difficulty resulting from insufficient eating amount or picky eating as well as increase nutrient intake in thin children. Although these improvements were observable at least 2 months after supplementation, effects beyond this time frame need to be confirmed.

• Clinical and Experimental Pediatrics
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• 제59권2호
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• pp.59-64
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• 2016

Purpose: Infantile Marfan syndrome (MFS) is a rare congenital inheritable connective tissue disorder with poor prognosis. This study aimed to evaluate the cardiovascular manifestations and overall prognosis of infantile MFS diagnosed in a tertiary referral center in Korea. Methods: Eight patients diagnosed with infantile MFS between 2004 and 2014 were retrospectively evaluated. Results: Their median age at the time of diagnosis was 2.5 months (range, 0-20 months). The median follow-up period was 25.5 months (range, 0-94 months). The median length at birth was 50.0 cm (range, 48-53 cm); however, height became more prominent over time, and the patients were taller than the 97th percentile at the time of the study. None of the patients had any relevant family history. Four of the 5 patients who underwent DNA sequencing had a fibrillin 1 gene mutation. All the patients with echocardiographic data of the aortic root had a z score of >2. All had mitral and tricuspid valve prolapse, and various degrees of mitral and tricuspid regurgitation. Five patients underwent open-heart surgery, including mitral valve replacement, of whom two required multiple operations. The median age at mitral valve replacement was 28.5 months (range, 5-69 months). Seven patients showed congestive heart failure before surgery or during follow-up, and required multiple anti-heart failure medications. Four patients died of heart failure at a median age of 12 months. Conclusion: The prognosis of infantile MFS is poor; thus, early diagnosis and timely cautious treatment are essential to prevent further morbidity and mortality.

• Clinical and Experimental Pediatrics
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• 제59권6호
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• pp.280-284
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• 2016

Cerebral cavernous malformation (CCM) is a vascular malformation characterized by abnormally enlarged capillary cavities without any intervening neural tissue. We report 2 cases of familial CCMs diagnosed with the CCM1 mutation by using a genetic assay. A 5-year-old boy presented with headache, vomiting, and seizure-like movements. Brain magnetic resonance imaging (MRI) revealed multiple CCM lesions in the cerebral hemispheres. Subsequent mutation analysis of his father and other family members revealed c.940_943 del (p.Val314 Asn315delinsThrfsX3) mutations of the CCM1 gene. A 10-month-old boy who presented with seizure-like movements was reported to have had no perinatal event. His aunt was diagnosed with cerebral angioma. Brain and spine MRI revealed multiple angiomas in the cerebral hemisphere and thoracic spinal cord. Mutation analysis of his father was normal, although that of the patient and his mother revealed c.535C>T (p.Arg179X) mutations of the CCM1 gene. Based on these studies, we suggest that when a child with a familial history of CCMs exhibits neurological symptoms, the physician should suspect familial CCMs and consider brain imaging or a genetic assay.