• Title/Summary/Keyword: 섭식문제

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Effects of Active Oral Play and Ayres Sensory Integration (ASI®) for Child With Oral Defensiveness: Single Subject Research (구강방어아동을 위한 능동적 구강놀이와 ASI적용효과 : 단일사례연구)

  • Sung, Ga-young;Choi, Jeong-Sil;Jung, Hyerim
    • The Journal of Korean Academy of Sensory Integration
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    • v.17 no.3
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    • pp.1-13
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    • 2019
  • Objective : The purpose of the present study is to investigate the effects of Ayres Sensory Integration (ASI®) with play-centered oral defensiveness reduction activities on the oral sensitivity of a child with oral defensiveness. Methods : The subject was a three-and-a-half year-old boy with a developmental delay. The study was performed from August to September, 2018. The research design used in this study is the design for single-subject research. The experimental period was divided into three phases: three sessions for the initial baseline phase (A), 15 sessions for the treatment phase (B), and three sessions for the final baseline phase (A'). Ayres Sensory Integration (ASI®) with active oral play was conducted in the treatment phase. The Measuring Oral Sensitivity in Practice was used to test changes in the oral sensitivity level. The Korean Children's Eating Behavior Inventory and Food Checklist were used to assess the difference in functions related to oral sensitivity before and after the intervention. Results : In comparison with the baseline phase, the Measuring Oral Sensitivity in Practice and Korean Children's Eating Behavior Inventory were improved during the treatment phase, but the Food Intake checklist score was not changed after the treatment phase. Conclusion : The use of Ayres Sensory Integration (ASI®) with active oral play produced positive results and reduced the child's oral sensitivity and eating problems.

A Case of Pierre - Robin Syndrome (Pierre-Robin Syndrome 1례)

  • 천만희;박옥희;이승우;조중환
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1983.05a
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    • pp.18.1-18
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    • 1983
  • In 1923 Pierre-Robin first described the triad of micrognathia, glossptosis and high-arched or cleft palate. Respiratory distress is not an uncommon occurrence and requires prompt and appropriate treatment. The syndrome occurs once in approximately 50,000 births. Although the etiology of the syndrome is obscure, it is known that the syndrome probably results from a primary deficiency early in fetal life of mandibular development. The symptoms of airway obstruction develop as the base of the tongue falls posteriorly and approximates the posterior pharyngeal wall because of micrognathia, and is aggravated when the infant is in the supine position. The problems of mild airway obstruction can be solved by keeping the infant in the prone position. In case there are feeding difficulties, prompt glossopexy should be preformed as airway is aggravated, but tracheostomy is best avoided. There is some forms of glossopexy including Douglas operation, the insertion of Kirschner wire and Duhamel suture. We identified micrognathia, glossoptosis and high-arched palate in a 2-month-old infant who was brought to our hospital with complaints of dyspnea and feeding difficulties, and we reports this case, since we think this infant whom we observe after tracheostomy because we found Duhamel suture could not relieve the symptoms of airway obstruction as Pierre-Robin syndrome.

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An Analysis on the Difference of Influential Factors between Metabolic Syndrome Group and Attention Group (대사증후군과 주의군 간의 영향요인 차이 분석)

  • Lee, Hyun-Ju
    • The Journal of Korean Society for School & Community Health Education
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    • v.23 no.2
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    • pp.25-38
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    • 2022
  • 목적: 본 연구의 목적은 대사증후군 주의군 대비 대사증후군의 위험요소를 식별하여 예방을 위한 중재방안을 마련하기 위한 것이다. 방법: 한국의료패널 2015년도 데이터를 활용하여 당뇨만 앓고 있는 사람을 주의군으로 당뇨, 고혈압, 이상지질혈증을 모두 앓고 있는 사람을 대사증후군으로 구분하여 추출한 다음 가중치를 부여하여 총 1,559,884명을 대상으로 하였다. 주의군 대비 개인적 특성, 건강생활습관 특성, 삶의 질 특성, 의료이용 특성에 대한 대사증후군의 영향요인을 분석하였다. 결과: 개인적 특성에서는 40대미만 연령대에 비해 연령에 비례하여 대사증후군 위험이 증가하다 70대에 40대미만과 유사한 수준으로 떨어졌다. 남성보다는 여성, 고졸이하보다는 대졸이상, 중소지역에 비해 서울시 거주자, 장애가 없는 군보다는 있는 군, 의료급여가입자보다는 건강보험 가입자, 경제활동을 안하는 군보다는 경제활동 군의 대사증후군 위험이 높았다. 건강생활 습관 특성에서는 비흡연자보다는 흡연자, 술을 안마시는 군보다는 주 2-3회 이상 음주자, 운동을 하는 군보다 안하는 군, BMI가 정상인 군보다는 30 이상인 군에서 대사증후군 위험이 높았다. 삶의 질 특성에서는 일상 활동에 지장이 없는 군보다 있는 군, 통증이나 불편이 없는 군보다 있는 군, 주관적 건강상태가 보통이상보다는 나쁜 군, 섭식문제가 없는 군보다 있었던 군에서 대사증후군 위험이 높았다. 의료이용 특성에서는 미충족 의료이용 경험이 없는 군보다 있었던 군, 약제비가 부담이 안되는 군보다 부담이 되는 군에서 대사증후군 위험이 높았다. 결론: 당뇨를 앓고 있는 그룹 중 본 연구를 통해 확인된 대사증후군 위험 요소가 많은 이들에 대해 우선적으로 대사증후군 예방 보건교육을 집중하는 방안을 제언한다.

Depression and Suicide in Korean Adolescents (한국 청소년의 우울과 자살)

  • Kyo-Heon, Kim
    • Korean Journal of Culture and Social Issue
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    • v.10 no.spc
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    • pp.55-68
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    • 2004
  • Recently, rates of depression and suicide of adolescents in industrialized countries, including Korea, were rapidly increasing. Adolescent depression was often associated with anxiety disorder, eating disorder, attention deficits hyperactivity/disruptive behavior disorder. and suicidal attempts. Epidemiological data about depression and suicide of adolescents are reviewed. Psychological theories of depression and suicide are integrated in terms of a control theory interpretation. Issues about 'relationships between depression and anxiety' 'relationships between depression and suicide' 'the reason why rates of depression and suicide are rapidly increasing at adolescence' 'the reason why the different prevalence of depression between female and male is conspicuous at adolescence' and 'Korean culture associated with depression and suicide of adolescents' are discussed in terms of the revised control theory interpretation.

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A case of Hallermann-Streiff syndrome with aphakia (무수정체안을 동반한 Hallermann-Streiff 증후군 1예)

  • Lee, Myung Chul;Choi, Im Jeong;Jung, Jin Wha
    • Clinical and Experimental Pediatrics
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    • v.51 no.6
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    • pp.646-649
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    • 2008
  • Hallermann-Streiff syndrome is a rare disease. Approximately 150 cases have been reported, including 6 cases in Korea. The authors experienced a case of Hallermann-Streiff syndrome in a 6-year-old female with aphakia. The syndrome is characterized by a bird-like face, dental abnormalities, hypotrichosis, atrophy of the skin, bilateral microphthalmia, and proportionate dwarfism. A brief review of the literature was conducted.

A CASE OF PRADER-WILLI SYNDROME TREATED WITH FLUOXETINE (Prader-Willi 증후군의 Fluoxetine 치험 1례)

  • Shin, Dong-Won;Song, Dong-Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.8 no.1
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    • pp.133-138
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    • 1997
  • Prader Willi Syndrome(PWS) was first recognized and reported by Prader-Willi. The etiology of the syndrome is not fully understood, but 50-70% of the patients show small deletion in chromosome 15. Manifested symtoms vary according to developmental age. In early life, hypotonia, areflexia, feeding difficulties, hypothermia, microgenitalia, hypoplastic scrotum, cryptochordism were observed. But in several years, hypotonia disappears, and polyphagia, decreased satiety, psychomotor retardation, obesity, hypogonadism and short stature become main problems. Behavioural problems including temper and aggressive outbursts, stealing food, hoarding food, and self excoriating skin picking, trichotillomania are more prominent during adolescence and young adulthood. Also, irritable, depressed mood are described. Lots of psychological and behavioural problems explain the reason why psychiatrists have managed and reported this syndrome. However, there has been no official report of PWS in our country. So authors report the clinical characteristics and issues in management of a patient with PWS.

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Current Status of Pest Management and Biodiversity in Organic Pear Orchards in Korea (배 유기재배 과수원의 병해충 관리 실태 및 생물 다양성)

  • Song, Jang-Hoon;Lim, Kyeong-Ho;Cho, Young-Sik;Lee, Han-Chan
    • Korean Journal of Organic Agriculture
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    • v.21 no.4
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    • pp.617-627
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    • 2013
  • This study was conducted to survey the current pest occurrence and grower's pest management practices, and to investigate biodiversity including birds, snakes, rodents, and amphibians in organic pear orchards. From the questionnaires and field survey of 22 organic orchards in 2010, the materials such as lime sulphur, plant extracts and their mixtures with microorganisms, and oils were preferred over insecticides. Scab, mealybugs, woollybugs and barkminers were the major pests for organic pear growers. Environment-friendly fungicides and insecticides were applied 9 to 10 and 5 to 6 times respectively. Incidence and severity of scab on Niitaka pear fruits in organic orchards was higher than in conventional ones. Whereas for mealybugs there was no significant difference between organic and conventional orchards. Pear fruits in organic orchards were significantly smaller than those of non-organic orchards. For the biodiversity of amphibians, snakes, pheasants, and rodents, there was no significant difference between organic and conventional orchards, but Rufous turtle doves were monitored more in organic areas than in conventional ones.

MULTIDISCIPLINARY CARE OF FREEMAN SHELDON SYNDROME (Freeman-Sheldon Syndrome의 치료에 대한 고찰)

  • Kim, Ji-Hun;Lee, Jeong-Sub;Chang, Cherry
    • Journal of the korean academy of Pediatric Dentistry
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    • v.37 no.4
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    • pp.545-550
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    • 2010
  • Freeman-Sheldon Syndrome (FSS, also known as "Whistling Face Syndrome") is a rare genetic condition which characteristically includes a small "whistling" mouth, a flat mask-like face, club feet, joint contractures usually involving the fingers and hands, and under-development of the cartilage of the nose. Intelligence is usually normal. Most of the features of this syndrome are due to muscle weakness. The patient, 11 years old boy was consulted from pediatrics to pediatric dentistry due to dental management. After clinical & radiographic examinations, severe multiple problems were found. Dental problems were microsomia(whistling mouth) & micrognathia, perioral muscle contracture, restricted mouth opening, poor oral hygiene & care, generalized dental caries, high palatal vault, severe malocclusion & crowding. And Orthopedic problems, ophthalmic & respiratory, anesthetic problems were found. Then He also had psychiatric problem, hospital(dental) phobia due to previous medical history(frequent hospitalization). And he had genital problem, cryptochidism, too. Due to these intricate problems, he suffered with feeding, swallowing difficulties and showed growth retardation. For enhancing patient's oral health, pediatric dentist, orthodontist, oral surgeon, pediatrician, psychiatrist, orthopedist, they all agree with early, cautious intervention and treatment. So, he has been treated by multidisciplinary care, now he is recovering general health maintenance.

DENTAL CARIES TREATMENT OF A PATIENT WITH BECKWITH-WIEDEMANN SYNDROME : A CASE REPORT (Beckwith-Wiedemann syndrome 환아의 치아우식 치료 : 증례보고)

  • Heo, Seon-Jae;Shin, Teo Jeon;Hyun, Hong-Keun;Kim, Jung-Wook;Jang, Ki-Taeg;Lee, Sang-Hoon;Kim, Chong-Chul;Kim, Young-Jae
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.12 no.2
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    • pp.92-95
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    • 2016
  • Beckwith-Wiedemann syndrome comprises multiple congenital anomalies with a risk of development of childhood tumors. Macroglossia is the predominent finding in Beckwith-Wiedemann syndrome and other findings include postnatal somatic gigantism, abdominal wall defects, nevus flammeus of the face, congenital heart defects, and cleft palate. The aim of this case presentation is to describe the dental treatment of a child with Beckwith-Wiedemann syndrome. A 3-year-old boy with Beckwith-Wiedemann syndrome visited to the Seoul National University Dental Hospital for dental evaluation and treatment. Due to the multiple caries and poor cooperation, we planned to perform the dental procedure under general anesthesia. The dental procedure was successfully performed and there was no airway complications after extubation. This case suggests that general anesthesia may be useful for the patient with uncooperative Beckwith-Wiedemann syndrome, since macroglossia and laryngomalacia may exacerbates airway compromise during dental sedation.

Infestation Status of the Darkling Beetle (Alphitobius diaperinus) in Broiler Chicken Houses of Korea (육계농장에서 외미거저리(Alphitobius diaperinus) 발생양상 보고)

  • Nguyen, Namhai;Yang, Byung-Kun;Lee, Jae-Seon;Yoon, Jong-Ung;Hong, Ki-Jeong
    • Korean journal of applied entomology
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    • v.58 no.3
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    • pp.189-196
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    • 2019
  • While the darkling beetle, Alphitobius diaperinus (Panzer) (Coleoptera: Tenebrionidae) is considered a pest of stored products, it does not pose a significant economic threat to this industry. The grains these beetles feeding on are often already damaged. However, the beetle is now being treated as the foremost premise pest in the poultry industry in many countries of the world. Recently, the darkling beetle has also infested in broiler chicken houses of Korea. The problems caused by this pest destroy the insulate facilities of poultry houses, reduce chick's overall performance, transmit pathogenic organisms, and have been leading to substantial economic losses for poultry producers. Therefore, we conducted surveys on the status of infestation and damage of this pest in broiler chicken houses. Because there is no simple one step process that will completely eliminate darkling beetle populations from broiler facilities, we would like to outline further studies on the proper control measures.