• Title/Summary/Keyword: Childhood.adolescence

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Two Cases of Patients with Migraine Recovered by Trigger Point Treatment (편두통(偏頭痛)에 아시혈요법(阿是穴療法)을 응용(應用)한 치험(治驗) 2례(例))

  • Han, Sung-Su;An, Chun-Jae;Seo, Jong-Eun;Lee, Geun-Dong
    • The Journal of Internal Korean Medicine
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    • v.22 no.3
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    • pp.443-452
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    • 2001
  • A migraine is a recurrent, throbbing headache generally felt on one side of the head. Migraines usually begin in early childhood, adolescence, or young adult life. Its accurate pathogenesis is still unknown but migraines are caused by a rapid widening and narrowing of blood vessel walls in the brain and head. The classic migraine and the common migraine are the two main types. The onset of classical migraine may be signalled by visual disturbances in what is called the 'aura' stage. Visual aura is most common among the auras of classical migraine. Common migraine (or migraine without aura) and classical migraine may be accompanied by various combinations of symptoms such as nausea, vomiting, and sensitivity to light and sound. Recently we have exprienced 2 cases of migraine patients and whose conditions were improved through trigger point needling and Oriental medical treatment.

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Ehlers-Danlos syndrome VIII with novel C1R variant accompanying white matter changes

  • Seo, Go Hun;Kim, Yoon-Myung;Ghang, Byeongzu;Kim, Gu-Hwan;Lee, Beom Hee
    • Journal of Genetic Medicine
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    • v.16 no.1
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    • pp.43-47
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    • 2019
  • Ehlers-Danlos syndrome (EDS) VIII is an autosomal dominant inherited connective tissue disorder characterized by intractable periodontal inflammation, absence of gingiva, pretibial plaques, skin hyperextensibility, joint hypermobility, and tissue fragility with onset in the childhood or adolescence. In a recent report, heterozygous variants of the C1R or C1S related to the classical complement pathway were identified in families with history of EDS VIII. The current report describes a Korean 34-year-old female carrying a novel missense variant of C1R c.925T>G (p.Cys309Gly) and exhibiting early severe periodontitis, skin fragility, and joint hypermobility. The patient also had frontal, parietal, and temporal white matter brain lesions without definite vascular abnormalities on brain magnetic resonance imaging, which have not been surveyed meticulously in EDS VIII. Considering the genetic alteration of classic complement pathways in this condition, it is necessary to carefully observe multisystemic inflammation processes such as changes in brain white matter.

Long-chain Fatty Acid Oxidation Disorders and Therapeutic Approach (장쇄 지방산 산화 장애와 치료적 접근법)

  • Lee, Jung Hyun
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.22 no.1
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    • pp.1-8
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    • 2022
  • Long-chain fatty acid oxidation disorders (LC-FAOD) are an autosomal recessive inherited rare disease group that result in an acute metabolic crisis and chronic energy deficiency owing to the deficiency in an enzyme that converts long-chain fatty acids into energy. LC-FAOD includes carnitine palmitoyltransferase type 1 (CPT1), carnitine-acylcarnitine translocase (CACT), carnitine palmitoyltransferase type 2 (CPT2), very long-chain acyl-CoA dehydrogenase (VLCAD), long-chain 3-hydroxyacyl-CoA dehydrogenase (LCHAD), and trifunctional protein (TFP) deficiencies. Common symptoms of LC-FAOD are hypoketotic hypoglycemia, cardiomyopathy, and myopathy. Depending on symptom onset, the disease can be divided as neonatal period, late infancy and early childhood, adolescence, or adult onset, but symptoms can appear at any time. The neonatal screening test (NBS) can be used to identify the characteristic plasma acylcarnitine profiles for each disease and confirmed by deficient enzyme analysis or molecular testing. Before introduction of NBS, the mortality rate of LC-FAOD was very high. With NBS implementation as routine neonatal care, the mortality rate was dramatically decreased, but severe symptoms such as rhabdomyolysis recur frequently and affect the quality of life. Triheptanoin (Dojolvi®), the first drug for pediatric and adult patients with molecularly confirmed LC-FAOD, has recently been approved by the US Food and Drug Administration in 2020. In this review, the diagnosis of LC-FAOD and treatment including triheptanoin are summarized.

Analyzing the Effect of Insole Materials on Vibration and Noise Reduction between Floors (층간소음 방지를 위한 인솔 재질별 진동 및 소음 평가)

  • Seungnam Min;Heeran Lee
    • Journal of the Korean Society of Clothing and Textiles
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    • v.47 no.1
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    • pp.110-122
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    • 2023
  • The COVID-19 pandemic increased people's time at home and caused an 80% increase in noise disputes between floors. The purpose of this study is to propose suitable materials for making indoor shoes (insoles) to minimize noise between floors. Subjects without back pain and leg-related disease (e.g. arthritis, etc.) from three different age groups (childhood, adolescence, and adulthood) were recruited for the study. Five polymer insole materials were considered: Chloroprene Rubber (CR foam), Ethylene Propylene Diene Monomer (EPDM foam), Natural Latex foam, Ethylene Vinyl Acetate (EVA foam), and Polyurethane (PU foam). From these materials, 20 combinations were prepared and randomly tested for noise and vibration. The results revealed a significant difference in noise and vibration levels based on the type of material used and the age of the subject. Nevertheless, all materials under consideration successfully reduced noise and vibration; in particular, type A-C greatly decreased. The CR foam material was especially effective at noise and vibration reduction (p<.01). This study suggests that adding insoles into socks that children wear at home could reduce noise vibration and disputes between floors.

A New Reference Range of Serum Anion Gap (혈청 Anion gap의 새로운 범위에 관한 연구)

  • Shin Young-Ju;Cheon Hae-Won;Choi Byung-Min;Yoo Kee-Hwan;Hong Young-Sook;Lee Joo-Won;Kim Soon-Kyum
    • Childhood Kidney Diseases
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    • v.2 no.1
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    • pp.9-13
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    • 1998
  • Purpose: The old reference range of serum anion gap(AG) may be excessive compared with value measured by new electrolyte analyzers. Therefore, we studied to establish a new reference range of AG using an autoanalyzer. Methods: With the use of analyzer(Hitachi 747 by enzymatic methods), serum Na and Cl were measured, and with the use of analyzer(CX-3 by differental rage pH), serum $TCO_2$ was measured. We measured AG(=Na-($Cl+HCO_3$)) in 395 stable patients with normal serum albumin and creatinine levels of the pediatric in-patients and out-patients for preoperative examination from march 1997 to July 1997. Results: The normal serum$ AG(mean{\pm}SD)$ were neonate, $11.2{\pm}3.2$ mEq/L; infancy, $11.8{\pm}2.7$ mEq/L; early childhood, $12{\pm}2.7$ mEq/L; late childhood, $11.7{\pm}3.2$ mEq/L; adolescence, $9.6{\pm}2.7$ mEq/L; adult, $9.0{\pm}2.7$ mEq/L. Normal serum AG in more than 10 years of age was significantly lower than the previous normal value and also the difference of AG between more than 10 years and less than 10 years was statistically significant(P<0.05). Conclusions: We suggest to measure serum AG according to each type of analyzers.

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Comparisons of Effects of Biman-tang according to Administration Period in Childhood Obesity (비만환아에서 복약기간에 따른 비만탕의 치료효과 비교연구)

  • Lim, Youngkwern;Min, Seorim;Kim, Heeman;Hur, Kwang-Wook;Lee, Hoon;Lee, Jinsoo;Kim, Hocheol;Park, Jae-Woo;Park, Hi-Joon
    • The Journal of Pediatrics of Korean Medicine
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    • v.27 no.4
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    • pp.57-67
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    • 2013
  • Objectives The purpose of this study is to investigate the safety and effect of Biman-tang (BMT) on two different administration periods in the treatment of childhood overweight and obesity. Methods In retrospective study, 39 overweight and obese ($85^{th}$ percentile ${\leq}$ Body Mass Index (BMI)) children were treated with BMT from January 2006 to April 2013 at Korean Medical Clinic in Suwon, Korea. The primary outcomes were the changes in BMI and Obesity Index (OI) from baseline to the treatment groups. Secondary outcomes included the changes in height, weight and safety of the medicine. Comparisons of BMI, OI, height and weight between the short-period (SP) treatment group and the long-period (LP) treatment group were done by using ANCOVA. Results The change of the mean of BMI ($-0.5{\pm}0.6kg/m^2$ vs $-1.4{\pm}0.8kg/m^2$, respectively; p=0.003) and OI ($-3.6{\pm}3.9%$ vs $-9.7{\pm}4.7%$, respectively; p<0.001) showed significant reduction both in SP (n=16) and LP treatment group (n=23). The mean height showed no significant difference in both groups. The mean weight of LP treatment group showed significant reduction compared to SP treatment group ($-0.2{\pm}1.3kg$ vs $-1.6{\pm}1.6kg$, respectively; p=0.006). Most of the children were compliant to the medication and no serious adverse events were found in two groups. Conclusions These findings emphasize that BMT is effective in the treatment of childhood obesity and it requires at least 45 days of treatment for the best result.

Long-term Effects of Change in Family Structure On Achievement During Transition to Adulthood : Focusing on the effect of parental divorce/death on health condition, depression and educational attainment (가족구조의 변화가 성인이행기 발달에 미치는 영향 : 주관적 건강상태, 우울, 교육성취를 중심으로)

  • Kim, Yeonwoo
    • Korean Journal of Social Welfare Studies
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    • v.41 no.4
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    • pp.225-246
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    • 2010
  • The family environment children are exposed to growing up greatly influences their future potential and achievements. Previous findings show that changes in family structure during childhood, particularly those resulting from divorce or death, cause lasting negative consequence that affect the child physically, psychologically, economically, and socially. Unfortunately, single-parent households are becoming increasingly common in Korea, nearly doubling to more than a million cases in the last two decades. Existing domestic and international studies of this area tend to focus on the short-term effects of growing up in a single-parent household. In addition, these studies group their samples in ways that result in findings that may be too broad or are not necessarily an accurate representation of the subjects. This study attempts to address some of these shortcomings by focusing on the long-term effects of how changes in family structure early in children's lives affect achievement during their transition to adulthood. In addition, it takes into account the development cycle the child is in at the time of family restructuring, and what kind of long-term effects result from that. In this analysis, we find that there are several cases of statistically significantly differences in domain achievement depending on the developmental stage the child was in when the parental divorce or death occurred. The findings indicate that changes in family structure during the infant/toddler period influence health condition and depression, while changes in family structure during middle-childhood and adolescence do not. Meanwhile, changes in family structure during any point in the developmental stages have negative effects on educational attainment, with the severity of these negative effects depending on when the family changes occur. The negative effect on educational attainment is most prominent when a change in family structure occurs during the infant/toddler period, followed by adolescence, then middle-childhood.

Common Disease Codes in Pediatric Inpatients (1997-2008) (소아청소년과 입원환자의 흔한 질병 코드들(1997-2008): 감염질환 중심의 단일기관 연구)

  • Park, Ji-Eun;Lee, Soo-Young;Kang, Jin Han
    • Pediatric Infection and Vaccine
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    • v.18 no.1
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    • pp.54-60
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    • 2011
  • Purpose : In this study, we listed common diseases in pediatric inpatients and evaluated the distribution of diseases by period and age group, in order to estimate the epidemiologic trend. Methods : Patients who were admitted to the Department of Pediatrics between 1997 and 2008 were included. Demographic characteristics, date of admission, and International Classification of Diseases (ICD) code of patients were indentified. Study period was divided into two; early (1997-2002) and late (2003-2008), and age of patients were grouped into four; infancy, early childhood, late childhood, and adolescence. Results : A total of 33,513 patients were admitted for 12 years. In the list of ICD code, Pneumonia (J12-J18; 21.2%) was the most prevalent, followed by gastroenteritis (A00-A09; 17.8%), bronchiolitis (J21; 11.9%), and so on. Common diseases ranked from 1 to 10 comprised the majority (79.1%) of all the inpatients. There was increase in the number of inpatients with respiratory infectious disease (bronchiolitis, otitis media, and sinusitis), enlarged lymph node, or impetigo/cellulitis, but decrease in the number of inpatients with aseptic meningitis, intussusceptions, measles, or nephritic/nephrotic syndrome. The distribution of diseases also showed age group-specific difference. Conclusion : The distribution of diseases by period and age group was different. The epidemiologic trend should be considered in developing the management of strategy for the Department of Pediatrics.

A Study on the Relationships between Convergence Art Education and Therapy Children with disabilities -Focusing on the ADHD children education- (융합 예술 교육과 장애 아동 치료효과간의 관련성에 관한 연구 -ADHD 아동 교육 사례를 중심으로-)

  • Kim, Eun-Kyung;Lee, Sun-Kyu
    • Journal of Digital Convergence
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    • v.14 no.1
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    • pp.465-477
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    • 2016
  • ADHD (Attention Deficit Hyperactivity Disorder) appears most in childhood and shows attention deficit, hyperactivity and impulsive activity. If these symptoms are left untreated, they consistently remain as difficulties throughout the childhood and in some cases they will last until adolescence and adulthood. Various researches on music therapy as well as psychological therapy and Korean classical music appreciation have currently been conducted. However, a variety of programs have introduced in the name of treatment but the improvement results through the application of programs and teaching methods, in reality, have hardly been a specific case. Thus, music educators as well as this researcher should make the efforts to form holistic characters and have interest in countless children with ADHD. Accordingly, this researcher, who has taught piano lessons, has performed a wide variety of convergence art teaching methods by applying methods of Dalcroze, Kodaly, and Orff to children with ADHD, misanthropy or lack of affection. As a result, symptoms have lessened and been treated for ADHD children with attention deficit. On the basis of this experience, there have appeared more educational effects by applying these to other children. This researcher is certain that this study will a foundation of music therapy education for children with each kind of syndrome.

The Effects of the Self-identity and Parent's Child Rearing Attitudes on Emotional Intelligence Among Early Adult (자아정체감과 부모의 양육태도가 초기 성인의 정서지능에 미치는 영향)

  • Kim, Hyun Ji;Shin, Sung Hee
    • Journal of East-West Nursing Research
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    • v.23 no.1
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    • pp.26-32
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    • 2017
  • Purpose: The study aimed to establish a theoretical basis for nursing intervention to improve the quality of life during early adult by identifying emotional intelligence, his or her parents' child rearing attitudes and self-identity and analyzing how the parents' child rearing attitudes and self-identity influence on emotional intelligence during that period. Method: Data were collected from August 20 2011 to September 30, 2011. Two hundred men and women who lived in the areas of Seoul and Gyeong-gi Province were recruited. A total of 189 questionnaires were used for final analysis. Collected data were analyzed through SPSS/WIN18.0. Result: The participants' emotional intelligence and self-identity proved to have positive relationship. The participants' emotional intelligence also had the positive relationship with their mothers' and fathers' child rearing attitudes. The research shows that the mother's child rearing attitude(${\beta}=.40$, p<.001), the father's child rearing(${\beta}=.10$, p<.001) and self-identity(${\beta}=.23$, p<.001) can determine emotional intelligence to a degree of 43.4% and the mother's attitude was the most influential. Conclusion: It is necessary that emotional intelligence should be enhanced referring to the two variables in nursing intervention. Furthermore, parents whose children are in childhood or adolescence need to be educated about the importance of the parents' child rearing attitudes.