• Title/Summary/Keyword: Attention-Deficit

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Fathers in Children's Poems (동시를 통해 아동이 묘사한 아버지의 모습)

  • Chung, Soon Hwa;Kim, Shi Hae
    • Korean Journal of Child Studies
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    • v.17 no.2
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    • pp.79-105
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    • 1996
  • The purpose of this study was to understand children's viewpoints on their fathers from a phenomenological perspective. Sixty nine elementary school children (2nd and 5th grade) were asked to write poems about their fathers. Through the poems, they described their feelings towards their fathers in their own words. Results indicated that the most prominent and popular description for the father was in terms of the provider of the family. Because of the excessive emphasis on the provider role, fathers are very busy and tired, and can not Participate actively in their children's daily life. As a result, many fathers are in an on-looker position in their homes, and their children are spoiled. On the other hand, children described their fathers as warm, kind- hearted, respectable and great images that gave everything to their children. They liked and sincerely appreciated these aspects of their fathers. Because of the gap between the ideal image of the father and the actual provider image of the father, children experience conflict and a psychological deficit of a father. We believe that this problem will be improved through the fathers' own awareness of their role which pays more attention to our children's wellbeing and a reform of the existing social system.

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Transcranial Magnetic Stimulation in Gilles de la Tourette Syndrome (뚜렛 증후군에서의 경두개 자기자극술)

  • Lee, Moon-Soo
    • Korean Journal of Psychosomatic Medicine
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    • v.18 no.1
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    • pp.3-10
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    • 2010
  • Gilles de la Tourette syndrome is a chronic motor and vocal tic disorder of childhood onset. Abnornmalities in basal ganglia-thalamo-cortical circuits may play an important role in the pathophysiology underlying the involuntary tics. It is often complicated by comorbid attention-deficit/hyperactivity disorder or obsessive-compulsive disorder. Transcranial magnetic stimulation(TMS) is a neurophysiologic technique with research ap-plication. As there is good evidence that this technique can modify cortical activity, repetitive TMS is also used for treatment to change the cortical excitability and therefore affect underlying interconnected cortical-sub-cortical loop. We reviewed the neurophysiologic parameters and the clinical applicability of TMS and rTMS.

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A Study on the Government Regulation with Systems Thinking - Focus on tile Medical Fee Regulation - (시스템사고로 본 정부의 규제정책 - 의료수가 규제를 중심으로 -)

  • Kim, Do-Hoon;Hong, Young-Kyo
    • Korean System Dynamics Review
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    • v.6 no.2
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    • pp.53-71
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    • 2005
  • In the short view, the medical fee regulation has contributed for patients by reducing their hospital expenses and helping them to visit hospital more easily. But, some medical parts have gone into red ink because the medical fee has been different with each item. So, that medical parts have been experienced the medical specialist shortage. And some hospitals have been interested in high-priced medical services to cover their deficit. Moreover, most medical doctors don't need to use low-priced medicine undergo these circumstance, domestic small and medium pharmaceutical company has been going into bankruptcy and the dependence on foreign drug company has been rising. If these abnormal medical service keep to patience, people will get more burden of medical fee cause 9 casual loop work very complicated. In other words, present medical fee regulation were made by some politicians who had plain thinking. Those who govern the people, therefore, stand for not present medical service user but the welfare and health promotion of people and give attention to desirable medical fee with systems thinking.

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Increased store-operated Ca2+ entry mediated by GNB5 and STIM1

  • Kang, Namju;Kang, Jung Yun;Park, Soonhong;Shin, Dong Min
    • The Korean Journal of Physiology and Pharmacology
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    • v.22 no.3
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    • pp.343-348
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    • 2018
  • Recent human genetic studies have shown that $G{\beta}5$ is related to various clinical symptoms, such as sinus bradycardia, cognitive disability, and attention deficit hyperactivity disorder. Although the calcium signaling cascade is closely associated with a heterotrimeric G-protein, the function of $G{\beta}5$ in calcium signaling and its relevance to clinical symptoms remain unknown. In this study, we investigated the in vitro changes of store-operated calcium entry (SOCE) with exogenous expression of $G{\beta}5$. The cells expressing $G{\beta}5$ had enhanced SOCE after depletion of calcium ion inside the endoplasmic reticulum. $G{\beta}5$ also augmented Stim1- and Orai1-dependent SOCE. An ORAI1 loss-of-function mutant did not show inhibition of $G{\beta}5$-induced SOCE, and a STIM1-ERM truncation mutant showed no enhancement of SOCE. These results suggested a novel role of GNB5 and Stim1, and provided insight into the regulatory mechanism of SOCE.

A Clinical Study on 3 Cases of ADHD Children Treated with Neurofeedback (뉴로피드백을 이용한 주의력결핍 과잉행동장애의 치료 3례)

  • Hwang, Young-Jun;Kim, Ki-Bong;Min, Sang-Yeon;Kim, Jang-Hyun
    • The Journal of Pediatrics of Korean Medicine
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    • v.21 no.3
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    • pp.85-95
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    • 2007
  • Objectives Attention Deficit Hyperactivity Disorder(ADHD) is a type of psychiatric disorder characterized with the primary symptoms of inattention and/or impulsivity and hyperactivity. The purpose of this study is to examine ADHD children who were treated with neurofeedback therapy. Methods We analyzed clinical report of 3 ADHD children who treated with neurofeedback therapy from January 2006 to June 2006. Results 1. All 3 children were diagnosed with predominantly inattention type of ADHD. 2. After treatment, cognitive strength, response, concentration, workload, left / right brain activity score were all different from each children. 3. After treatment, left and right brain activities were balanced. 4. After treatment, learning ability level was increased. 5. After treatment, the childrenwere in a better state referred to conner's scale and H.S.Q. score. Conclusions Further studies will be needed to get more clinical cases about the benefits of neurofeedback therapy with herbal medicine and acupuncture treatment.

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Neuropsychological Assessment of Adult Patients with Shunted Hydrocephalus

  • Bakar, Emel Erdogan;Bakar, Bulent
    • Journal of Korean Neurosurgical Society
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    • v.47 no.3
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    • pp.191-198
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    • 2010
  • Objective : This study is planned to determine the neurocognitive difficulties of hydrocephalic adults. Methods : The research group contained healthy adults (control group, n : 15), and hydrocephalic adults (n : 15). Hydrocephalic group consisted of patients with idiopathic aquaduct stenosis and post-meningitis hydrocephalus. All patients were followed with shunted hydrocephalus and not gone to shunt revision during last two years. They were chosen from either asymptomatic or had only minor symptoms without motor and sensorineural deficit. A neuropsychological test battery (Raven Standart Progressive Matrices, Bender-Gestalt Test, Cancellation Test, Clock Drawing Test, Facial Recognition Test, Line Orientation Test, Serial Digit Learning Test, Stroop Color Word Interference Test-TBAG Form, Verbal Fluency Test, Verbal Fluency Test, Visual-Aural Digit Span Test-B) was applied to all groups. Results : Neuropsychological assessment of hydrocephalic patients demonstrated that they had poor performance on visual, semantic and working memory, visuoconstructive and frontal functions, reading, attention, motor coordination and executive function of parietal lobe which related with complex and perseverative behaviour. Eventually, these patients had significant impairment on the neurocognitive functions of their frontal, parietal and temporal lobes. On the other hand, the statistical analyses performed on demographic data showed that the aetiology of the hydrocephalus, age, sex and localization of the shunt (frontal or posterior parietal) did not affect the test results. Conclusion : This prospective study showed that adult patients with hydrocephalus have serious neuropsychological problems which might be directly caused by the hydrocephalus; and these problems may cause serious adaptive difficulties in their social, cultural, behavioral and academic life.

First Korean Case of 16p11.2 Duplication Syndrome Diagnosed by Chromosomal Microarray Analysis

  • Shim, Ye Jee;Park, So Yun;Jung, Nani;Kang, Seok Jin;Kim, Heung Sik;Ha, Jung-Sook
    • Journal of Interdisciplinary Genomics
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    • v.1 no.1
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    • pp.10-13
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    • 2019
  • A 10-year and 5 month-old girl with developmental delay, intellectual disability, attention deficit hyperactivity disorder, poor weight gain, and microcephaly was transferred to our pediatric clinic for genetic evaluation. Her height was within the 5-10th percentile, and her weight was under the 3rd percentile. On the social maturity scale, her developmental status was scored as 3 years 9 months for social age, and the social quotient was 35.98. A chromosomal microarray analysis was performed and the microduplication at chromosome 16p was observed: arr[GRCh37] 16p11.2 (29580020_30190029)${\times}3$. Currently, the patient is diagnosed with Grade 2 intellectual disability and is attending a computerized cognitive rehabilitation class twice weekly. In addition, nutritional support and growth follow up are also ensured in the Pediatric Gastrointestinal and Endocrinology clinic.

Potential health effects of emerging environmental contaminants perfluoroalkyl compounds

  • Lee, Youn Ju
    • Journal of Yeungnam Medical Science
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    • v.35 no.2
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    • pp.156-164
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    • 2018
  • Environmental contaminants are one of the important causal factors for development of various human diseases. In particular, the perinatal period is highly vulnerable to environmental toxicants and resultant dysregulation of fetal development can cause detrimental health outcomes potentially affecting life-long health. Perfluoroalkyl compounds (PFCs), emerging environmental pollutants, are man-made organic molecules, which are widely used in diverse industries and consumer products. PFCs are non-degradable and bioaccumulate in the environment. Importantly, PFCs can be found in cord blood and breast milk as well as in the general population. Due to their physicochemical properties and potential toxicity, many studies have evaluated the health effects of PFCs. This review summarizes the epidemiological and experimental studies addressing the association of PFCs with neurotoxicity and immunotoxicity. While the relationships between PFC levels and changes in neural and immune health are not yet conclusive, accumulative studies provide evidence for positive associations between PFC levels and the incidence of attention deficit hyperactivity disorder and reduced immune response to vaccination both in children and adults. In conclusion, PFCs have the potential to affect human health linked with neurological disorders and immunosuppressive responses. However, our understanding of the molecular mechanism of the effects of PFCs on human health is still in its infancy. Therefore, along with efforts to develop methods to reduce exposure to PFCs, studies on the mode of action of these chemicals are required in the near future.

What Event-Related Potential Tells Us about Brain Function: Child-Adolescent Psychiatric Perspectives

  • Kim, Ji Sun;Lee, Yeon Jung;Shim, Se-Hoon
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.32 no.3
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    • pp.93-98
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    • 2021
  • Electroencephalography (EEG) measures neural activation due to various cognitive processes. EEG and event-related potentials (ERPs) are widely used in studies investigating psychopathology and neural substrates of psychiatric diseases in children and adolescents. The present study aimed to review recent ERP studies in child and adolescent psychiatry. ERPs are non-invasive methods for studying synaptic functions in the brain. ERP might be a candidate biomarker in child-adolescent psychiatry, considering its ability to reflect cognitive and behavioral functions in humans. For the EEG study of psychiatric diseases in children and adolescents, several ERP components have been used, such as mismatch negativity, P300, error-related negativity (ERN), and reward positivity (RewP). Regarding executive functions and inhibition in patients with attention-deficit/hyperactivity disorder (ADHD), P300 latency, and ERN were significantly different in patients with ADHD compared to those in the healthy population. ERN showed meaningful changes in patients with anxiety disorders, such as generalized anxiety disorder, separation anxiety disorder, and obsessive-compulsive disorder. Patients with depression showed significantly attenuated RewP compared to the healthy population, which was related to the symptoms of anhedonia.

Effects of Group Comprehensive Behavioral Intervention for Tics in Children With Tourette's Disorder and Chronic Tic Disorder

  • Kang, Na Ri;Kim, Hui-Jeong;Moon, Duk Soo;Kwack, Young Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.33 no.4
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    • pp.91-98
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    • 2022
  • Objectives: Comprehensive behavioral intervention for tics (CBIT) is effective in children with chronic tic disorders. This study aimed to assess the effect of group-based CBIT (group-CBIT) on tic severity and comorbid symptoms. We compared the efficacy of group CBIT with that of a control. Methods: Thirty children with chronic tic disorder or Tourette's disorder were enrolled in this study. Eighteen were assigned to the group-CBIT for eight sessions, and 12 were assigned to the control group. Tics and comorbid symptoms were assessed pre- and post-intervention using the Yale Global Tic Severity Scale (YGTSS), Premonitory Urge for Tics Scale, attention-deficit hyperactivity disorder Rating Scale-IV, Children's Yale-Brown Obsessive-Compulsive Scale, and the Korean-Children Behavioral Checklist. We compared the pre- and post-intervention results of each group and determined the difference in the pre- and post-intervention results between intervention and the control group. Results: The YGTSS motor and vocal tic interference, global impairment, and global severity scores decreased in the intervention group only. Group CBIT was superior in reducing the motor tic interference, impairment score, and global severity score to the control group. Conclusion: The group-CBIT showed an improvement in tic symptoms, especially in reducing the level of interference and impairment of tics.