• Title/Summary/Keyword: Adolescent period

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Analysis of clinical characteristics and causes of chest pain in children and adolescents

  • Chun, Ji Hye;Kim, Tae Hyeong;Han, Mi Young;Kim, Na Yeon;Yoon, Kyung Lim
    • Clinical and Experimental Pediatrics
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    • v.58 no.11
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    • pp.440-445
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    • 2015
  • Purpose: Chest pain is common in children and adolescents and is a reason for referral to pediatric cardiologists. Although most cases of chest pain in these age groups are benign and do not require treatment, timely diagnosis is important not to miss life-threatening diseases requiring prompt treatment. We investigated certain clinical characteristics that may be useful in the diagnosis of such critical diseases. Methods: Patient medical records between July 2006 and September 2013 were retrospectively examined. We included 517 patients who presented with chest pain to the Department of Pediatrics at Kyung Hee University Hospital in Gangdong. Results: Most cases of chest pain were idiopathic in origin (73.6%), followed by cases with respiratory (9.3%), musculoskeletal (8.8%), cardiac (3.8%), gastrointestinal (2.9%), and psychiatric (1.4%) causes. In 6 patients (1.2%) with air-leak syndrome including pneumothorax or pneumomediastinum, the pain was abrupt, continuous, and lasted for a short period of 1-2 days after onset in the older adolescents. Of the patients with cardiac pain, 13 had cardiac arrhythmias (65.0%), 6 had congenital heart diseases (30%), and 1 had coronary aneurysms caused by Kawasaki disease (5.0%). One patient with atrial flutter had only symptoms of syncope and chest pain. Conclusion: The abrupt, continuous chest pain of a short duration in the older children was characteristic of air-leak syndrome. In patients with pneumomediastinum, radiological diagnosis was difficult without careful examination. Combined syncope should not be neglected and further cardiac workup is essential in such patients.

Clinical Manifestations of Eosinophilic Esophagitis in Children and Adolescents: A Single-Center, Matched Case-Control Study

  • Roh, Ji Hyeon;Ryoo, Eell;Tchah, Hann
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.23 no.4
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    • pp.319-328
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    • 2020
  • Purpose: To examine the prevalence and clinical manifestations of eosinophilic esophagitis (EoE) in Korea children. Methods: The study was designed as a 1:2 matching case-control study. Using information from the endoscopic database of a tertiary center, we retrospectively reviewed the medical records of patients aged 18 years or younger who underwent upper gastrointestinal endoscopy between January 2014 and December 2017. A total of 21 patients were diagnosed with EoE based on current diagnostic criteria. In addition, 42 controls with normal esophageal biopsy findings matched to each EoE case by sex, age (±1 months), and season were randomly selected during the study period. Results: The mean age of EoE diagnosis was 12.1±4.0 years and the male-to-female ratio was 2:1. The proportion of allergic diseases in patients with EoE (28.6%) was higher than that in the controls (6.8%) (p=0.04). Most EoE patients tested for allergy were positive for at least one antigen, which was significantly different to the controls (88.2% vs. 47.4%, p=0.01). Characteristic endoscopic findings of EoE were noted in 19 patients (90.5%), but 2 patients (9.5%) showed normal esophageal mucosa. The clinical symptoms of EoE were improved by a proton-pump inhibitor in 10 patients (50.0%), and by an H2 blocker in 9 patients (45.0%). Only one patient (5.0%) required inhaled steroids. Conclusion: While EoE is rare in the Korean pediatric population, the results of this study will improve our understanding of the clinical manifestations of the disease.

Effects of Smoking Cessation Programs in Public Health Centers on High School Smokers' Smoking Behavior and Attitude (보건소 금연교육 프로그램이 흡연 고등학생의 흡연행동과 태도에 미치는 영향)

  • Cha, Jae-Sool;Park, Chun-Man;Lee, Jong-Ryol
    • The Journal of Korean Society for School & Community Health Education
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    • v.11 no.2
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    • pp.43-55
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    • 2010
  • Objectives: Subjects of this study were technical high school students. It researched students' smoking status, smoking attitude, smoking perception and willingness to quit smoking, providing them with a five-day-smoking cessation program. Methods: Data collection proceeded from April to August 2008. The subjects were the whole number, 38 students, of 1EA technical high school located. The subjects who attended the smoking cessation program were the first and second grade students of the high school whom classroom teachers recommended. As to the subject, I comparatively analyzed differences between the before and after instruction, between after instruction and after consecutive consulting, and between before instruction and after consecutive consulting. The five-day-smoking cessation program took 2 successive hours a day for five days. Results: Average age for them to start smoking was 13.6 and to form smoking habits was 15.5. Average smoking period was 31.6 months and average smoking quantity was 11.2 cigarettes. As a result of the five-days smoking cessation program, 10.5% of the participants quit smoking and smoking quantity also significantly reduced. After instruction, willingness to quit smoking was generally higher than before. Smoking attitude, especially toward adolescent smoking, changed to be more negative than before. Perception of smoking also changed to be positive. Conclusions: The results from the comparative analysis of before and after instruction revealed a decrease on smoking quantity of the participants who attended the smoking cessation program. It also showed a significant change on smoking attitude, willingness to quit smoking and smoking perception.

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A Study on Establishment of the Standard Size for High School Girls -The Girls of Seventeen Years Old in Seoul- (여고생의 의복치수 설정을 위한 연구 -주로 서울시내 17세 여고생을 중심으로-)

  • Son Won Kyo
    • Journal of the Korean Society of Clothing and Textiles
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    • v.1 no.1
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    • pp.1-5
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    • 1977
  • 'Adolescence' is a critical period in the process of growing and aging but important in that an adolescent becomes aware of and begins to look about him or her self. Especially with girls in their late teens (15$\~$18), they pay more attention to their looks and clothes than the boys do, which affects to some extent the formation of their personality and their behavior. From this point .of view. it is significant to establish the standard size of high-school girls' clothes. This study aims to measure high-school girls in size and to establish the standard size of their clothes; furthermore. to enable them to lead a satisfactory living with more appropriate size of clothes. The results, analyzed by two different representing items which resulted in little difference, are as belows: 1) Stature had a significant correlation with posterior waist height; bust girth had the most significant correlation with weight. and also some considerable correlation with other representing items; 2) The F-test result showed significant difference on $1\%$ level over all the items between the measured (Y) and the estimated (Y); the correlation among the representing items was considerable also; 3) When the measurement increases in stature by 4cm, bust girth by 4cm. and posterior shoulder width by 2cm respectively, the increase or decrease in other items are as shown on Table 4. Since this study was carried out in girls' high-schools in Seoul, it is expected to extend its further study throughout the nation. thus contributing to comprehending the whole truth of people's body-size and promoting the fabrication and modelling of the original clothes for the nation by the strict standard size up to making ready-made clothes with no difficulty in setting the standard and model size.

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Influencing Factors on Externalized and Internalized Problem Behaviors among Adolescents: Focused on First Grade High School Students (청소년의 외재화 및 내재화 문제행동에 영향을 미치는 요인: 고등학교 1학년 학생을 중심으로)

  • Yun, Mi-kyung;Park, Eunyoung;Son, Jung-A;Hyun, Myung Sun
    • The Journal of Korean Academic Society of Nursing Education
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    • v.22 no.2
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    • pp.152-162
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    • 2016
  • Purpose: The purpose of this study was to investigate the influencing factors on externalized and internalized problem behaviors among high school students. Methods: The subjects for this study were 707 students in two high schools in K province. The data were collected during the period from October to November, 2014 by use of questionnaires. The instruments used were the Korean Youth Self-report, Daily Hassles Questionnaire, State-Trait Anger Expression Inventory, and Ego Resiliency Scale. The data were analyzed using SPSS. Results: Significant predictors to explain externalized problem behaviors comprised anger-out, anger-in, anger-control, relation with parents, daily stress, and religion. It was found that these factors explained 46% of externalized problem behavior. Ego resiliency, anger-in, daily stress, gender, relation with parent, and anger-out were significant predictors to explain internalized problem behaviors. It was found that these factors explained 45% of internalized problem behaviors. Conclusion: This study suggests that the influencing factors on problem behaviors differ from externalized and internalized problem behaviors. So these findings will provide the basic data to develop a program that is differentiated by problem behavior type.

Le Fort I maxillary osteotomy for cleft lip and palate patients (구순구개열 환자를 위한 상악 악교정 수술)

  • Shin, Young-Min;KWON, Tae-Geon
    • The Journal of the Korean dental association
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    • v.53 no.7
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    • pp.468-475
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    • 2015
  • In cleft lip and palate (CLP) patients, there are various degree of residual maxillofacial deformities in adolescent period. Usually, orthoganthic surgery for the cleft patients needs Le Fort I osteotomy and/or mandibular set-back surgery. Previous report from other institute had been shown that there is significant relapse after maxillary movement after Le Fort I osteotomy when the surgical advancement of the maxilla was over than 5 or 7mm in average. Recent comphrehensive report showed that most of the relapse was happened within 1 year and the total horizontal relapse of the maxilla was as high as 30% in average. Therefore, overcorrection is needed in maxillary surgery for cleft patients. Another concerns for cleft orthognathic surgery is the anatomical variation in pterygomaxillary region in cleft patients compared to control patients. Patients with CLP had larger and thicker pterygomaxillary dimensions, and the results imply that careful attention to pterygomaxillary anatomy is needed in patients with CLP undergoing Le Fort I surgery. This article reviews the pre and postoperative considering factors for orthognathic surgery for CLP patients.

Nutrients Intake and Health Status by Fruits and Vegetables Intake in Adolescents Based on the 2013~2015 Korean National Health and Nutrition Examination Survey (2013~2015년(6기) 국민건강영양조사 자료를 이용한 청소년의 과일·채소 섭취에 따른 영양소 섭취와 건강상태의 비교)

  • Ha, Sin-Hye;Her, Eun-Sil;Lee, Kyung-Hea
    • Journal of the Korean Dietetic Association
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    • v.23 no.3
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    • pp.316-327
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    • 2017
  • This study was conducted to compare the nutrient intake, physical characteristics, and health status according to daily fruits and vegetables intake of adolescents using the Korean national health and nutrition examination survey for the sixth period (2013~2015). Subjects were 1,096 adolescents aged 13~18 years. The average daily intake of fruits and vegetables was $518.49{\pm}4.94g$. The two groups (insufficient, sufficient) were divided by fruits and vegetables intake (<500 g/day, ${\geq}500g/day$) and the ratio of the insufficient group was 75.9% while that of the adequate group was 24.1%. The mean of intake of energy, calcium, phosphorus, sodium, potassium, iron, thiamin, niacin, vitamin C and dietary fiber differed significantly between the insufficient and sufficient groups (P<0.01, P<0.001). However, there was no significant difference in physical characteristics between groups. The self-perceived health status was better in the sufficient group (P<0.05), while the insufficient group was aware of more stress in their daily life (P<0.05). The serum triglyceride was significantly higher in the sufficient group (P<0.05), while the total cholesterol was lower (P<0.05). As the characteristics of fruits and vegetables are different, it will be necessary to determine standards for consumption of each type. It is also necessary to consider whether a fruits and vegetables intake of 500 g would be a reasonable standard for adolescents. Nevertheless, the results of this study indicate efforts to increase fruits and vegetables intake by young people are necessary.

Early potential effects of resveratrol supplementation on skeletal muscle adaptation involved in exercise-induced weight loss in obese mice

  • Sun, Jingyu;Zhang, Chen;Kim, MinJeong;Su, Yajuan;Qin, Lili;Dong, Jingmei;Zhou, Yunhe;Ding, Shuzhe
    • BMB Reports
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    • v.51 no.4
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    • pp.200-205
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    • 2018
  • Exercise and resveratrol supplementation exhibit anti-obesity functions in the long term but have not been fully investigated yet in terms of their early potential effectiveness. Mice fed with high-fat diet were categorized into control (Cont), exercise (Ex), resveratrol supplementation (Res), and exercise combined with resveratrol supplementation (Ex + Res) groups. In the four-week period of weight loss, exercise combined with resveratrol supplementation exerted no additional effects on body weight loss but significantly improved whole-body glucose and lipid homeostasis. The combined treatment significantly decreased intrahepatic lipid content but did not affect intramyocellular lipid content. Moreover, the treatment significantly increased the contents of mtDNA and cytochrome c, the expression levels of peroxisome proliferator-activated receptor gamma coactivator-1 alpha and its downstream transcription factors, and the activities of ATPase and citrate synthase. However, exercise, resveratrol, and their combination did not promote myofiber specification toward slow-twitch type. The effects of exercise combined with resveratrol supplementation on weight loss could be partly due to enhanced mitochondrial biogenesis and not to fiber-type shift in skeletal muscle tissues.

The Classification of Foot Types of Junior High School Boys for the Development of Shoes' Easy-Order Prototype (신발류 이지오더 Prototype 개발을 위한 청소년의 발의 형태 분류)

  • Lim, Ji-Young;Choi, Sung-Won
    • Fashion & Textile Research Journal
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    • v.7 no.5
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    • pp.535-541
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    • 2005
  • The health of feet is connected with individual's health and affects a man's activity. Shoes need to be designed to protect feet and to absorb the impact of land. In order to choose suitable shoes for feet, the foot size and shape must be considered, so it is essential to grasp the exact size and shape of the foot. This study aims to present fundamental data on shoes' easy order prototype development for choosing shoes of good wearing comfort, by classifying feet size and shape junior high school boys in the early adolescent period. The subject were 234 Korean junior high school boys age from 14 to 16 years old. The subjects were directly measured anthropometrically and indirectly analyzed photographically. 6 factors were extracted through factor analysis and those factors comprised 79.42% of total variance. The factors characterizing foot girth and width, foot length, foot height, foot shape around the fifth toes, angle of foot breadth and foot shape around the first toes. 3 clusters as their foot shape were categorized using 6 factor scores by cluster analysis. Type 1 was characterized by long large foot with deformed first toe. Type 2 had smaller in foot girth, width and length than other types and with deformed fifth toe. Type 3 had average size and high foot shape. Shoes prototype which is to be developed later on will be able to generate 2D flattening in the foot sole form. Therefore, it would be a great support in producing and choosing appropriate shoes if forms are classified by subdividing foot form classification and extract a factor which shows only the foot sole shape.

Analysis of Foot Characteristics According to the Classification of Foot Types of Junior High School Girls (여자 중학생의 발의 형태분류에 따른 유형별 특성 분석)

  • Lim, Ji-Young
    • Fashion & Textile Research Journal
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    • v.9 no.3
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    • pp.319-326
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    • 2007
  • The health of feet is connected with individual's health and affects a man's activity. Shoes need to be designed to protect feet and to absorb the impact of land. In order to choose suitable shoes for feet, the foot size and shape must be considered, so it is essential to grasp the exact size and shape of the foot. This study aims to present fundamental data on shoes' easy order prototype development for choosing shoes of good wearing comfort, by classifying feet size and shape junior high school boys in the early adolescent period. The subject were 217 Korean junior high school girls in age from 14 to 16 years old. The subjects were directly measured anthropometrically and indirectly analyzed photographically. 7 factors were extracted through factor analysis and those factors comprised 78.59% of total variance. The factors were characterized foot length, foot girth and width, foot shape around the fifth toes, foot shape around the first toes, angle of foot breadth, foot height, and foot length of upper foot. 3 clusters as their foot shape were categorized using 7 factor scores by cluster analysis. Type 1 had smaller in foot girth, width and length than other types and with deformed fifth toe. Type 2 had average size and high foot shape. Type 3 was characterized by long large foot with deformed first toe. The results would be a great support in producing and choosing appropriate shoes if forms are classified by subdividing foot form classification and extract a factor which shows only the foot sole shape.