• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제24권1호
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• pp.100-108
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• 2021

Purpose: Percutaneous endoscopic gastrostomy (PEG) tube placements are commonly performed pediatric endoscopic procedures. Because of underlying disease, these patients are at increased risk for airway-related complications. This study compares patient characteristics and complications following initial PEG insertion with general endotracheal anesthesia (GETA) vs. anesthesia-directed deep sedation with a natural airway (ADDS). Methods: All patients 6 months to 18 years undergoing initial PEG insertion within the endoscopy suite were considered for inclusion in this retrospective cohort study. Selection of GETA vs. ADDS was made by the anesthesia attending after discussion with the gastroenterologist. Results: This study included 168 patients (GETA n=38, ADDS n=130). Cohorts had similar characteristics with respect to sex, race, and weight. Compared to ADDS, GETA patients were younger (1.5 years vs. 2.9 years, p=0.04), had higher rates of severe American Society of Anesthesiologists (ASA) disease severity scores (ASA 4-5) (21% vs. 3%, p<0.001), and higher rates of cardiac comorbidities (39.5% vs. 18.5%, p=0.02). Significant associations were not observed between GETA/ADDS status and airway support, 30-day readmission, fever, or pain medication in unadjusted or adjusted models. GETA patients had significantly increased length of stay (eβ=1.55, 95% confidence interval [CI]=1.11-2.18) after adjusting for ASA class, room time, anesthesia time, fever, and cardiac diagnosis. GETA patients also had increased room time (eβ=1.20, 95% CI=1.08-1.33) and anesthesia time (eβ=1.50, 95% CI=1.30-1.74) in adjusted models. Conclusion: Study results indicate that younger and higher risk patients are more likely to undergo GETA. Children selected for GETA experienced longer room times, anesthesia times, and hospital length of stay.

• Journal of Chest Surgery
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• 제56권6호
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• pp.394-402
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• 2023

Background: The optimal choice of valve substitute for aortic valve replacement (AVR) in pediatric patients remains a matter of debate. This study investigated the outcomes following AVR using mechanical prostheses in children. Methods: Forty-four patients younger than 15 years who underwent mechanical AVR from March 1990 through March 2023 were included. The outcomes of interest were death or transplantation, hemorrhagic or thromboembolic events, and reoperation after mechanical AVR. Adverse events included any death, transplant, aortic valve reoperation, and major thromboembolic or hemorrhagic event. Results: The median age and weight at AVR were 139 months and 32 kg, respectively. The median follow-up duration was 56 months. The most commonly used valve size was 21 mm (14 [31.8%]). There were 2 in-hospital deaths, 1 in-hospital transplant, and 1 late death. The overall survival rates at 1 and 10 years post-AVR were 92.9% and 90.0%, respectively. Aortic valve reoperation was required in 4 patients at a median of 70 months post-AVR. No major hemorrhagic or thromboembolic events occurred. The 5- and 10-year adverse event-free survival rates were 81.8% and 72.2%, respectively. In univariable analysis, younger age, longer cardiopulmonary bypass time, and smaller valve size were associated with adverse events. The cut-off values for age and prosthetic valve size to minimize the risk of adverse events were 71 months and 20 mm, respectively. Conclusion: Mechanical AVR could be performed safely in children. Younger age, longer cardiopulmonary bypass time and smaller valve size were associated with adverse events. Thromboembolic or hemorrhagic complications might rarely occur.

• 한국식품영양학회지
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• 제14권6호
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• pp.532-542
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• 2001

The purpose of this study is to investigate children's satisfaction with baps, soups, pot stews, one course dishes, and kimchies provided by elementary school lunch program in Seoul area. Two hundred and thirty two children enrolled in 3 different elementary schools participated In this study through a questionnaire developed by the researchers. Conclusions drawn from the results of this study are 1) children seemed to be generally satisfied with foods provided by school lunch program : 2) it is necessary for children to control amount of food and salt and/or hot peppers depending upon their own preference; and 3) appropriate temperature of each food should be maintained by using thermos pots, and the shape of dining board needs to be improved for younger children's convenience.

• 아동학회지
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• 제29권3호
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• pp.339-356
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• 2008

Participants in this study on preschool children's ability to delay gratification were 132 4- to 5 year-old children and their mothers from 6 daycare centers. Mothers completed questionnaires reporting their parenting style, their child's ability to delay gratification, and child's temperament. Children participated in the real and hypothetical settings of the delay of gratification experiment. Data was analyzed by t-test, F-test, correlation and discrimination analysis. Results were that (1) 43% of preschoolers passed the delay of gratification experiment. (2) Older children were more able to delay gratification than younger children. (3) Children's rewards choices in the real setting correlated with their rewards choices in the hypothetical situation of delay of gratification. (4) Children's ability to delay gratification was influenced by their motor intelligence.

• 아동학회지
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• 제17권2호
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• pp.47-59
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• 1996

This study analyzed the relationship between mother-child communication and the self-concept of young children. The subjects were 93 three-, four-, and five-year-old kindergarten children and their mothers in the city of Chunju. The self-concept test, mother-child communication inventory for children and the mother-child communication questionnaire for mothers were used. The data were analyzed by T-test, General Linear Models analysis, Duncan's Multiple Range test, Paired T-test, and Pearson's correlation coefficient. The major findings were that (1) the children perceived mother-child communication more intensively than mothers, (2) the more positive communication the children perceived they had with their mothers, the higher their self-concept, (3) the self-concept of 5-year-olds was more highly correlated with perception about mother-child communication than the self-concept of the younger children, and (4) boys' self-concept was more highly correlated with perceived mother-child communication than girls'.

• Pediatric Infection and Vaccine
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• 제29권2호
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• pp.61-69
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• 2022

Coronavirus disease 2019 (COVID-19) has been a global pandemic for over 2 years. During the Omicron (B.1.1.529) variant-predominant period in South Korea, confirmed cases among children and adolescents surged. This review found that, although younger children may be less susceptible to COVID-19 than adolescents, more research is needed on the role of children and adolescents in the disease's spread. Detailed epidemiological information about the transmissibility of the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) strain in children and adolescents is currently scarce, and more research is needed on the role of children and adolescents in disease's spread. There may be a difference in the proportion of cases with severe disease requiring hospitalization depending on the dominant mutant strain; however, COVID-19 generally presents with a mild-to-moderate course in children aged 5-11 years old.

• 아동학회지
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• 제31권5호
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• pp.79-99
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• 2010

This study inquired into the life and experiences of two elder sisters who have different individual and familial risk factors and their younger brothers from the mixed-age preschool class through ethnographic research method using participant observation. The results showed that an elder sister from low-income multi-children family played her role very actively through caring for, learning and playing with younger brother during almost of the play situations. On the other hand, the other elder sister who has experience of depression, showed strong possessiveness and neglect of younger brother. As for psychological aspects of sibling relationship, the elder sisters were suffering psychological stresses resulted from excessive role expectation in family or from self-recognition on elder sister role, respectively.

• Journal of Preventive Medicine and Public Health
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• 제7권1호
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• pp.191-196
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• 1974

Recently, during several years the number of ideal children have not changed at all. Because the most of Korean people considered that son is necessary absolutely for dependence in old age inheritance of family line and holding ritural and so on. Threfore, without revolution of value system for children we could no more expect to reduce fertility rate. The survey is intended to compare the characteristics between those women who want two or less number of ideal children and all married women(regardless the number of ideal children). The results showed as follows: The women who want small size of family were younger and little better educated than those of all married women. The age at marriage of women who want small size of family was older than that of all married women. The conducted rate of induced abortion and acceptance rate of contraception among those women who want small size of family were higher than those of all married women. The rate of those who want less than 2 children socalled ideal No. among all married women was 3.9 percent.

• 아동학회지
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• 제22권3호
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• pp.241-256
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• 2001

This study investigated types of language during dyadic collaboration on 2 spatial perspective problems. Subjects were 3 groups of children consisting of 14 dyads each of boys and of girls paired by age and sex, totaling 168 6-, 8-, and 10-year-old children. The entire procedure was videotaped. Data were processed by t-test and one-way ANOVA. Older children used less ego-centric and more socialized speech than younger children. No age differences were found for degree of exploration without collaboration, quarreling, or nonabstract collaborative explanation. The 10-year-olds used more abstract collaborative explanation, primitive argument, and genuine argument than the 6-year-olds.

• 아동학회지
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• 제26권3호
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• pp.141-161
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• 2005

The 612 4th- and 6th-grade subjects completed a self-administered questionnaire. Data were analyzed by t-test one- and two-way ANOVA, Pearson's r, and multiple regression analysis. Perceived mother's emotional abuse and neglect predicted child's depressive tendencies(DT). Abusive mothers were hostile and showed lack of concern for children's safety. Male children reported more neglect by mothers than female children. Younger mothers were more abusive. Higher maternal education was negatively related to neglect and positively related to lower DT. Mother's having a job was positively related to neglect. Mother's emotional abuse and neglect was the greatest predictor of child's self-regulation; children who experienced more emotional abuse had lower self-regulation capacity and higher DT. Self-regulation of male children was positively while that of female children was negatively correlated with age.