• Title/Summary/Keyword: Children and adolescents

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Eucalyptus globulus extracts inhibit Propionibacterium acnes-induced inflammation signaling (유칼립투스 추출물의 Propionibacterium acnes에 의해 유도되는 염증반응 억제 효과)

  • Lee, Sol Ji;Lee, Eun Hye;Shin, Jin Hak;Kim, Seon Sook;Kim, Nam Kyoung;Choi, Eunmi;Seo, Su Ryeon
    • Korean Journal of Microbiology
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    • v.52 no.4
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    • pp.421-427
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    • 2016
  • Acne is known as the most common skin disease. It commonly occurs during adolescents, but it is also present in children and adults because of air pollution, drug abuse and so on. In addition to the hormonal, genetic and environmental factors, Propionibacterium acnes (P. acnes) have also critical roles in outbreak of acne by inducing inflammatory mediators. Increase of sebum production provides an ideal environment for P. acnes that induce inflammation on the skin by activation of monocytic cells and stimulation of inflammatory cytokines. In this study, natural extracts were investigated for anti-inflammatory effects against inflammatory acne by P. acnes infection in terms of reducing cytokine production. Eucalyptus globulus extracts effectively suppressed mRNA synthesis of inflammatory mediators such as $TNF-{\alpha}$, $IL-1{\beta}$, IL-2, and NLRP3 in P. acnes-activated macrophages. Moreover, Eucalyptus globulus extracts inhibit activation of transcription factors, $NF-{\kappa}B$ and NFAT, which are known as key regulators of inflammatory cytokine production. This study suggests the potential of using Eucalyptus globulus extracts as alternative agents for the treatment of acne.

Retrospective Analysis of Incisor Root Resorption Associated with Impacted Maxillary Canines (매복된 상악 견치에 의한 전치의 치근 흡수에 대한 후향적 연구)

  • Jung, Seo-Hyun;Song, Ji-Soo;Shin, Teo Jeon;Hyun, Hong-Keun;Kim, Young-Jae;Kim, Jung-Wook;Lee, Sang-Hoon;Jang, Ki-Taeg
    • Journal of the korean academy of Pediatric Dentistry
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    • v.45 no.2
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    • pp.203-214
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    • 2018
  • Root resorption of the permanent maxillary incisors can occur due to ectopic eruption of the permanent canines. Severe root resorption threatens the long-term survival of the affected incisors. The aim of the present study was to identify risk factors for root resorption of the maxillary incisors associated with impacted maxillary canines. In the present study, we retrospectively analyzed the Cone-Beam Computed Tomography (CBCT) scans of 65 children and adolescents with ectopically erupting maxillary canines (total of 88 impacted canines). Root resorption of central incisors was significantly associated with the mesiodistal position and root development of the adjacent canine. Root resorption of lateral incisors was significantly associated with sex, age, and the buccolingual and vertical position of the adjacent canine. However, enlargement of the dental follicle was not significantly associated with root resorption of adjacent incisors. Although incisor resorption is difficult to diagnose and predict, our findings suggest that changes in the dental follicles of the erupting maxillary canines do not cause resorption of the adjacent permanent incisors. CBCT should be utilized to ensure early diagnosis of impacted canines and precise evaluation of incisor root resorption.

A study on the therapeutic effects of Topiramate according to the types of migraine (편두통의 형태에 따른 Topiramate의 치료효과 - 무 전조 편두통, 전조 편두통, 그리고 개연적 편두통에 대한 topiramate의 치료 효과 및 치료이후의 임상경과 -)

  • Lee, Jun-Hwa;Cho, Kyung-Lae
    • Clinical and Experimental Pediatrics
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    • v.53 no.4
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    • pp.554-559
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    • 2010
  • Purpose : The purpose of this study was to evaluate whether the therapeutic effects of topiramate differ according to the types of migraine. Methods : We recruited 38 children and adolescents with migraine who had been treated with topiramate. The effect of topiramate was evaluated on the basis of the change in the frequency of migraine attacks after treatment. Results : Among patients having migraine with aura, 85.7% showed complete recovery, 1 (7.1%) showed partial recovery, and 1 did not show any recovery. Among patients having migraine without aura, 47.1% showed complete recovery, 29.4 % showed partial recovery, and 23.5% showed no recovery. Among patients suspected with migraine, 1 (20%) showed complete recovery, 1 (20%) showed partial recovery, and 3 (60%) showed no recovery. Conclusion : Our results indicated that topiramate exhibited excellent therapeutic effects for migraine accompanied with aura, and it was effective in migraine without aura. However, the effect of topiramate in patients suspected with migraine was uncertain.

A Study on the Usefulness of Copper Filter in Single X-ray Whole Spine Lateral using 3D Printer (단일조사 whole spine Lateral 검사에서 3D 프린터로 제작한 구리 필터 유용성 연구)

  • Kwon, Kyung-Tae;Yoon, Dayeon;Shin, Rae-Un;Han, Bong-Ju;Yoon, Myeong-Seong
    • Journal of the Korean Society of Radiology
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    • v.14 no.7
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    • pp.899-906
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    • 2020
  • The WSS lateral examination is important for diagnosing spinal disorders. Recently, long-length detectors for large-area diagnose have been popularized to effectively reduce the exposure dose and examination time. It can be applied very efficiently to examinations of patients with high risk of falls, children, and adolescents. However, since the image is acquired through a single irradiation, the volume of cervical vertebra is relatively smaller than the lumbar due to the geometrical anatomy of the spine. Therefore, this study intends to fabricate an additional filter using 3D printing technology and copper filament to obtain uniform image quality in the WSS lateral examination and to analyze the results. 3D printing technology is able to easily print a desired shape, so it is widely used in the entire industrial field, and recently, a copper filament has been developed to confirm the possibility as an additional filter. In the WSS lateral examination, CNR and SNR were excellently measured when the additional filter was applied, confirming the possibility of using the additional filter.

Prognosis of Replanted Permanent Incisors after Avulsion Injury: A Retrospective Study (완전탈구 후 재식한 영구 절치의 예후에 대한 후향적 연구)

  • Lee, Hyungsub;Kim, Youngjin;Kim, Hyunjung;Kim, Sohyun;Nam, Soonhyeun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.43 no.3
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    • pp.254-263
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    • 2016
  • Many studies on the prognosis of avulsed teeth were published but follow-up studies on Korean children and adolescents are insufficient. The aim of this study was to identify clinical factors determining the healing and prognosis of permanent incisors that were replanted after avulsion injury. This study included 184 permanent teeth in 142 patients aged 6-14 years. The clinical and radiographic data of the patients were analyzed from electronic medical records. Immature teeth had a higher probability of pulp revascularization than mature teeth. When extra-alveolar time was longer than 60 minutes, the incidence of inflammatory root resorption (IRR) was higher in immature teeth than mature teeth. However, the incidence of replacement root resorption (RR) was higher in mature teeth than immature teeth under the same condition. The incidence of IRR was increased when pulp was extirpated more than 20 days after replantation. IRR had a more significant influence on the decrease of survival expectation than RR. There was no significant correlation between the root development stage and survival expectation. However, when RR occurred, immature teeth survived shorter than mature teeth. Long term follow-up results from this study are expected to be used as fundamental data for the treatment guidelines and evaluation of the prognosis of replanted teeth.

The Relative Influence of Juvenile Delinquency Theories Using Korean Children and Youth Panel Data (청소년 비행이론의 상대적인 영향력 검증: 아동·청소년 패널자료를 중심으로)

  • Hwang, Sung-Hyun
    • Korean Security Journal
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    • no.44
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    • pp.225-250
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    • 2015
  • The purpose of this study is to explore the relative influences of juvenile delinquency using variables from Hirschi's social bonding theory, Agnew's general strain theory, Gottfredson and Hirschi's self-control theory, and Akers' social learning theory. The data derived from a sample of 2,018 high school students taken from National Youth Policy Institute in 2013. Multiple OLS regression analysis indicated that social learning theory has the greatest impact on dependent variables than other theories. The results of regression analyses also explore the notion that without the social bond, general strain, and self-control variables, there is very little loss of explained variance when these variables are removed from the full equation. However, when the social learning factors are eliminated from the full equation, the change in $R^2$ is dramatic. This result supported the idea that social learning variables had the strongest effect on the juvenile delinquency of Korean adolescents. The most important implication of this study is that it is the first study to test four major theoretical models for juvenile delinquency in Korea. It also makes a number of important contributions toward the further utilization of social learning in investigating juvenile delinquency for Korean high school students.

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The Latent Class Analysis for adolescent's dependence on smartphone : Mediation Effects of self-determination in the Influence of neglect to adolescent's dependence on smartphone (청소년의 스마트폰의존 변화유형분석과 방임이 자기결정성을 매개로 스마트폰의존에 미치는 영향)

  • Lee, Keung-Eun;Yeum, Dong-Moon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.4
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    • pp.383-394
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    • 2018
  • This study analyzed the latent profile for identifying the difference in the dependence on smartphone use among middle school students in the 1st grade using the Korean Children and Youth Panel Survey (KCYPS). From the result of this study, first the latent class was separated according to the type of dependence on smartphone use. Class 1 included the students (from fifth grade in elementary school) whose level of reliance on smartphone use was low. Class 2 was selected as the group whose level of reliance on smartphone was high. Secondly, in comparing class 2 to class 1, it was found that the students who have a high probability of being in class 1 were those whose fathers are high achievers, have high early self-esteem and less age attachment. Thirdly, the students in class 1 had a higher sense of neglect than those in class 2. Furthermore, the self-determination of the students in class 2 mediated the effect of neglect on the adolescents' dependence on smartphone use both directly and indirectly.

DELAYED REPLANTATION OF COMPLETELY AVULSED TOOTH (완전탈구된 치아의 지연 재식)

  • Han, Yu-Ri;Choi, Hyung-Jun;Lee, Jae-Ho;Choi, Byung-Jai
    • Journal of the korean academy of Pediatric Dentistry
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    • v.29 no.4
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    • pp.555-560
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    • 2002
  • Replantation may be a treatment choice for a completely avulsed tooth caused by a traumatic injury. The outcome of replantation depends on the following factors ; minimal damage to pulp and periodontal membrane, the length of time the avulsed tooth was out of the mouth, how the tooth was stored, the level of root formation, etc. The time from the act of avulsion of the tooth to the actual replantation is especially important. Generally, when replanted within 30 minutes, more than 90% of the cases succeed, but when the time is between 30 to 90minutes, 43%, and greater than 90 minutes, 7%. This is a case of a replanted tooth with relatively good prognosis by ankylosis though there was a great time lapse since the tooth was avulsed. Though such treatment lead to loss of the tooth, in cases of children or adolescents, this treatment is meaningful, because it may earn time until any definitive therapy, functionally stimulate the alveolar bone to retain its height for a better prognosis for future treatment, and act as space maintainer.

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THE CHARACTERISTICS OF CHILD AND ADOLESCENT INPATIENTS WITH SEVERE OBSESSIVE-COMPULSIVE DISORDER (심각한 소아 ${\cdot}$ 청소년 강박장애로 입원한 환아들의 특징)

  • Hwang, Jun-Won;You, So-Young;Chang, Jun-Hwan;Shin, Min-Sup;Cho, Soo-Churl;Hong, Kang-E;Kim, Boong-Nyun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.15 no.2
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    • pp.143-151
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    • 2004
  • Objectives : Child and adolescent onset obsessive compulsive disorder(C-OCD) is known to be associated with poor drug response, high comorbid rate and strong genetic tendencies. Till now studies for C-OCD have been very rare in Korea. We conducted this study to investigate the informations about clinical features, familial psychiatric loading, treatment profiles and course of server C-OCD from the retrospective analysis of inpatient data of Seoul National University Children's Hospital. Method : Retrospective chart review and data analysis was performed. Twenty(male 16 : female 4) patients with final C-OCD diagnosis by DSM-IV at discharge from 1994 to 2002 were found and their medical chart, psychological data, family interview data and nursing reports were collected and analyzed. Results : 1) The sex ratio of C-OCD was male dominant(4:1). 2) Phenomenological, most common obsession was pathologic doubt, contamination fear, followed by aggressive obsession, need for symmetry, sexual obsession, most common compulsion was checking and washing, followed by breathing, movement, symmetry, repetitive asking, hoarding, mental compulsion. 3) Most common comorbid diagnosis was depression. Other axis-I diagnosis associated OCD were anxiety disorder, tic disorder, conduct and oppositional defiant disorder and psychosis. 4) Regarding psychiatric familial loadings, 17 patients(85%) had relatives with psychiatric disorders, OC-spectrum disorders(OCD or OCPD) were found in 9 patients(45%). 5) The majority of patients(75%) have received SSRI and antipsychotics treatment. The response rate above 'moderate improved" by CGI was 75%. 6) During follow-up period in outpatient clinic, five patients(25%) showed continuous complete remission, 10 patients (50%) did residual symptoms with chronic course. Conclusion : This seems to be the first systemic investigation of severe pediatric OCD patients in Korea. The children & adolescents with severe OCD in inpatient-setting showed the high comorbid rate, familial psychiatric loading, and combined pharmacotherapy with antipsychotics, As for symptoms, high rate of aggressive-sexual obsession and atypical compulsions like breathing and moving was reported in this study. Severe pediatric OCD patients, however, responded well to the combined SSRI and antipsychotics regimen.

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Assessment of the Position of the Mandibular Foramen and Mandibular Lingula in Children and Adolescents using CBCT (소아 청소년에서 하악공 및 하악소설의 위치에 대한 CBCT 분석)

  • Lee, Jihye;Choi, Namki;Kim, Byunggee;Kim, Seonmi
    • Journal of the korean academy of Pediatric Dentistry
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    • v.48 no.1
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    • pp.64-76
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    • 2021
  • The purpose of this study is to evaluate the position of the mandibular foramen and location and morphological characteristics of the mandibular lingula using Cone-Beam Computed Tomography (CBCT). Mandibular CBCT images of children aged 6 - 16 years were collected. A total of 180 patients were divided into 3 groups, 6 - 7, 10 - 11 and 15 - 16 years, with 30 male and female patients per group. Either side of the ramus was analyzed. The shortest distances from the anterior, posterior, superior and inferior border of the ramus to the mandibular lingula were measured. The shortest distance between the mandibular lingula and the mandibular foramen was also measured. The vertical distance from the mandibular lingula and the mandibular foramen to the occlusal plane was measured. The shapes of the mandibular lingula was classified into 4 types according to the criteria. The distances of the mandibular lingula from the anteroposterior and vertical reference points of the ramus increased in all directions with age. The distance between the mandibular lingula and the mandibular foramen also increased with age. The location of the mandibular lingula and the mandibular foramen in relation to the occlusal plane moved upwards with age. The most common shape of the mandibular lingula was triangular, followed by nodular, truncated and assimilated, and there was no difference in the shape according to age. It is recommended that the horizontal insertion point of the anesthesia from the anterior border of the ramus increased to 17 mm, 18 mm, and 19 mm according to the age groups. It is also suggested that the vertical insertion point increased by 2 - 3 mm, 5 - 6 mm and 9 - 10 mm above the occlusal plane according to the age groups.