• 대한한방소아과학회지
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• 제28권2호
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• pp.1-22
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• 2014

Objectives The purpose of this study is to investigate the relationship between weak children and growth indices. Methods One hundred twenty-six of the first and the second grade elementary school students who didn't have to develop yet their secondary sexual characteristics answered the questionnaire. Their bone age and body composition were measured. Results 1. According to the Weak Children questionnaire analysis, respiratory problem was one of the biggest problems in the weak children group (35.7%), followed by digestive problems (23.0%), psycho-neurological problems (22.2%), neuromotor problems (9.5%), and urogenital problems (8.7%). 2. From the comparison between growth indices of weak children and that of normal children are as follows: 1) The group of children who had problem in their digestive system had lower growth indices than the normal average children group. The growth indices includes mean height, weight, total body water, protein mass, mineral mass, body fat, skeletal muscle mass, body fat percentage, body mass index (BMI), and basal metabolic rate (BMR). 2) The children who had urogenital weakness had lower mean height, RH (Recent Height), RH - MPH {Recent Height(%) - Mid-Parental Height(%)}, RUS (Radius, Ulna and Short bone) score, weight, protein mass, body fat, BMI, and visceral fat than the normal children group. 3. The results of the multiple comparisons of growth indices and weak children groups are as follows: 1) Digestive weak children were the lowest in total body water, protein mass, mineral mass, skeletal muscle mass, and basal metabolic rate. 2) Urogenital weak children were the lowest in height, RH, RH - MPH, RUS score, and weight. Conclusion These results showed that children's growth is strongly correlated to their own growth problems, especially to those children who have digestive and urogenital problems. Therefore, this may be an effective way for children growth treatment in Korean medicine to treat weak symptoms.

• 대한한방소아과학회지
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• 제26권3호
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• pp.46-54
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• 2012

Objectives The purpose of this study is to find out the relationship between parents' heights and predicted height of the children who had been treated in the growth clinic of oriental medical hospital. Methods The study was conducted with 253 children who visited Oriental Medical Hospital from July 2010 to June 2012. They were analyzed by reviewing the children's chart and correlation analysis to find out the relationship between the two heights. Results In distribution of the sex and the age, sex were similar, but boys who came to the clinic were averagely younger than the girls. In predicting adult height by TW3 method and mean parent's height, correlation in the girls was higher than the boys, especially the girls after their first menstruation. Parents' heights were related to both the boys and the girls, but mother's height was more closely related. Predicted heights of the boys before secondary sex characteristics were correlated with the child's height, but rather correlated with parent's both heights after secondary sexual character and found to be more relevant to father's height. The girls' predicted heights before their menstruation were not correlated with father's height, but with mother's. Their heights after their first periods were correlated with parents' both heights, but more correlated with father's height. Conclusions This study helps set proper periods and goals of growth treatment based on the correlation between parents' height and predicted adult height according to TW3 method.

• 대한한방소아과학회지
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• 제22권2호
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• pp.155-170
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• 2008

Objectives : The purpose of this study was to have better data and to make efficient clinical reviews about children's growth based on two methods; X-ray of hand, and ultrasound of calcaneus. Methods : The study was composed of 100 patients(50 of boys and 50 of girls) who visited in department of pediatrics, O O university oriental hospital considering growth and their development. Bone age was measured by the TW3 method's RUS score in simple X-ray image of hand and bone density through ultrasonic image of calcaneus. To predict children's estimated height, their parent's height, bone age, and present height's percentile was measured. Results and Conclusions : 1. The bone age results from X-ray image of hand and ultrasonic image of calcaneus were correlated. Younger children have older bone age from hand's X-ray than the one from calcaneus's ultrasound. Older children have older bone age from calcaneus's ultrasound than one from hand's X-ray. 2. Predicted adult height by bone age(BH) of hand's X-ray and BH of calcaneus's ultrasound were correlated, but predicted adult height by inheritance(IH) was not correlated with others. 3. Bone age and predicted adult height were correlated with age, height, weight, BMI, and especially with age and height. 4. Measuring bone age by X-ray image of hand and ultrasonic image of calcaneus was simple and effective way of estimating children's growth and development.

• Clinical and Experimental Pediatrics
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• 제52권3호
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• pp.351-355
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• 2009

목 적 : 정상 소아, 성조숙증, 체질성 성장 지연 소아를 대상으로 GP방법과 TW3방법에 의한 골연령을 비교하고 이를 이용하여 BP방법과 RUS 점수를 이용한 TW3방법의 예측 성인키를 구하여 상황에 따라 두 방법으로 구한 예측 성인키가 차이가 있는지를 알아보고자 하였다. 방 법 : 만성질환이나 약 복용력이 없고 병적인 저신장을 제외한 정상소아와 체질성 성장지연 남아, 그리고 성조숙증으로 진단된 여아를 대상으로 하였고 이들은 정상 소아는 85명, 체질성 성장 지연 남아 30명, 성조숙증으로 진단된 여아 30명이었으며 왼쪽 손과 손목 사진을 찍어 GP와 TW3방법으로 골연령을 측정하여 비교하고 이를 이용하여 BP법과 TW3 (RUS score)법을 이용하여 예측 성인키를 구하고 두 값의 차이를 비교하였다. 결 과 : GP방법과 TW3방법으로 구한 골연령의 경우 정상소아에서 남녀 모두 두 값에 유의한 차이를 보였고, 성 조숙증 여아의 경우 두 값의 차이는 없었으나 체질성 성장지연 남아에서는 두 값이 유의한 차이를 보였다. BP법과 TW3방법으로 구한 예측 성인키의 경우 정상소아에서 남아는 통계적으로 유의한 차이가 없었으나, 여아는 TW3법에 의한 예측키가 GP방법에 의한 예측키보다 큰 것으로 나타났다($156.4{\pm}4.7$ cm vs $158.9{\pm}3.8$ cm, P<0.01). 성조숙증 여아의 경우 BP법과 TW3법을 이용한 예측 성인키는 TW3법에 의한 예측키가 BP법을 이용한 예측키보다 크게 나타났다($156.3{\pm}4.0$ cm vs $159.3{\pm}4.2$ cm, P<0.01). 체질성 성장지연 남아에서 BP법과 TW3를 이용한 예측키는 BP법에 의한 것이 더 크게 나타났다($173.3{\pm}4.4$ cm vs $169.7{\pm}3.2$ cm, P<0.01). 결 론 : 정상 여아, 성조숙증 여아, 체질성 성장 지연 남아에서 BP법과 TW3법으로 구한 예측 성인키는 의미있는 차이를 보였다. 특히 성조숙증, 체질성 성장 지연 같은 특수 상황의 경우 BP법으로 구한 예측 성인키가 예후 판정에 더욱 유용할 것으로 생각되나 실제 성인키와의 비교 연구가 필요하다.