• Title/Summary/Keyword: 저신장장애인

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A Qualitative Study on Parents'Experiences with Their Children Handicapped with Restricted Growth (저신장장애 자녀를 둔 부모의 양육경험에 관한 질적 연구 : '자라날 수 없는' 아이에서 '자라날 수 있는' 아이로 키우기)

  • Chong, Hye-suk;Lee, Kyoung-ran
    • Korean Journal of Social Welfare Studies
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    • v.45 no.2
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    • pp.173-202
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    • 2014
  • This qualitative study is designed to explore parents' experiences with their children handicapped with restricted growth. The parents' unique reality and its essential meanings are elicited through in-depth interviews enabling to reflect the insider's perspective. "From the child unable to grow to the child able to grow" is identified as the main theme penetrating through the participants'parenting experiences unique to their reality. Embracing the shock and the disappointment related to their children 'unable to grow', they thrive to make their children able to grow. However, they eventually accept their children's handicap, in spite of never doing it easily, by getting confronted with the limits of making their children grow in stature, and the social stigma and the difficulty their children experience. Therefore, they get to take alternative perspectives not focusing on their children's stature unable to grow but on psycho-social growth able to grow. Social welfare plans to support the handicapped with restricted growth and their parents are suggested.

X-LINKED DOMINANT HYPOPHOSPHATAEMIC RICKETS: 13 YEARS FOLLOW-UP STUDY (X 염색체 우성 저인산혈증성 구루병: 13년간의 치험례)

  • Ha, Na;Kim, Youngjin;Kim, Hyunjung;Nam, Soonhyeun
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.13 no.1
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    • pp.14-18
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    • 2017
  • X-linked dominant hypophosphataemic rickets(XLHR) is a hereditary disease generally transmitted as an X-linked dominant trait. Oral manifestations include poorly mineralized dentin, enlarged pulp chambers and root canals, early tooth loss. Also, spontaneous dental abscesses could occur in the absence of a history of trauma or caries. This report describes the clinical finding and dental treatment of a child, who came to the hospital for treatment caries but was refered to pediatrics because the child showed clinically short of status, bow-leg and radiographically enlarged pulp chamber and canal, there as diagnosed as XLHR. After the diagnosis, 13 years follow-up and treatment were performed.

Genetic Counseling in Korean Health Care System (한국 의료제도와 유전상담 서비스의 구축)

  • Kim, Hyon-J.
    • Journal of Genetic Medicine
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    • v.8 no.2
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    • pp.89-99
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    • 2011
  • Over the years Korean health care system has improved in delivery of quality care to the general population for many areas of the health problems. The system is now being recognized in the world as the most cost effective one. It is covered by the uniform national health insurance policy for which most people in Korea are mandatory policy holders. Genetic counseling service, however, which is well recognized as an integral part of clinical genetics service deals with diagnosis and management of genetic condition as well as genetic information presentation and family support, is yet to be delivered in comprehensive way for the patients and families in need. Two major obstacles in providing genetic counseling service in korean health care system are identified; One is the lack of recognition for the need for genetic counseling service as necessary service by the national health insurance. Genetic counseling consumes a significant time in delivery and the current very low-fee schedule for physician service makes it very difficult to provide meaningful service. Second is the critical shortage of qualified professionals in the field of medical genetics and genetic counseling who can provide the service of genetic counseling in clinical setting. However, recognition and understanding of the fact that the scope and role of genetic counseling is expanding in post genomic era of personalized medicine for delivery of quality health care, will lead to the efforts to overcome obstacles in providing genetic counseling service in korean health care system. Only concerted efforts from health care policy makers of government on clinical genetics service and genetic counseling for establishing adequate reimbursement coverage and professional communities for developing educational program and certification process for professional genetic counselors, are necessary for the delivery of much needed clinical genetic counseling service in Korea.