• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제11권sup1호
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• pp.55-71
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• 2008

Gastroesophageal reflux (GER) defined as passage of gastric contents into the esophagus without symptoms is a common physiologic gastrointestinal problem in infants, children and even in adults. But gastroesophageal reflux disease (GERD) defined as symptoms or complications of GER is a disease entity to find out the reason and treat. After the era of 1970 we have been studying about GERD with the development of diagnostic and therapeutic methods. I already introduced the nature and the fundamental knowledge of GERD in the opening symposium of KSPGHAN in 1998. Now, I will introduce the guidelines for evaluation and treatment of GERD which was recommended by the North American Society for Pediatric Gastroenterology and Nutrition and American Pediatric Association which was published in 2001. And I will introduce progressing subjects and the forecoming issues to be solved in near future. Those are as followings. Does GERD cause otolaryngologic symptoms such as chronic sinusitis and chronic otitis? Is GERD inherited? Can we find out the child who will become GERD in adult life and the way to reduce the incidence of Barrett's esophagus and esophageal cancer? Is long term PPI therapy safe in children?

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제49권4호
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• pp.184-191
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• 2023

Germectomy is a surgical method most typically performed in young adults. The indications for treatment are controversial. The purpose of this review was to determine the correct indications for germectomy and to discuss the advantages and disadvantages of the procedure. We reviewed the surgical techniques (anesthetic methods, patient preparation, and flap designs) and complications. Germectomy for orthodontic purposes is a common indication for surgical removal of tooth germ among young patients. Several studies have supported removal at an earlier age to produce fewer surgical complications. Several surgical techniques have been described in the literature.

• Clinical and Experimental Pediatrics
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• 제54권10호
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• pp.395-400
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• 2011

During the adolescent period, they experience rapid physical, emotional, cognitive developments while they establish their lifestyle and habitual routines that strongly influence adult health and life. Recent rapid economic growth in Korea, and the earlier onset of physical, sexual, and psychological maturation of adolescents, has resulted in changes in the health status of adolescents from many years ago. Risk-taking behaviors such as drinking alcohol, smoking, and sexual experiences are critical issues that affect the health of, adolescents. Therefore, it is important for pediatricians to note the that risk-taking behaviors of adolescents in Korea that are caused by individual psychosocial factors. This review article illustrates the current health status of Korean adolescents and provides an overview of risk-taking behaviors, to inform pediatricians about some of the key issues.

• Journal of Chest Surgery
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• 제12권3호
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• pp.197-206
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• 1979

The most common abnormal relationship between the great arteries and ventricle is transposition of great arteries, among which complete D-transposition is a common and lethal malformation. Without appropriate treatment, the infant born with transposition of the great arteries rarely survives the first year of life. In contrast to the grim hopelessness of only a few years ago, modern aggressive palliative and corrective surgical interventions can provide such infants with considerable hope for adolescent and adult life. Up until this time, intraatrial baffle technique for re-direction of venous return, which was proposed by Mustard originally, has been successfully applied to infants and children in many foreign clinics with decreasing trend of the operative risk. In this report, we present one case of a 4 year-old girl having complete D-transposition of the great arteries with atrial septal defect, and reviewed the relevant literatures.

• Pediatric Infection and Vaccine
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• 제16권2호
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• pp.107-114
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• 2009

Tuberculosis is a disease with high morbidity and mortality in children worldwide. Despite significant improvements in diagnostic methods, scientific researches and clinical trials for new regimens of treatment or prevention in adult tuberculosis, childhood tuberculosis has been relatively neglected. Children are at high risk of severe disease, and reactivation of latent infection in adulthood perpetuates the epidemic. Therefore, a policy of tuberculosis control in childhood should be emphasized to improve control in the total population. To understand the new view of childhood tuberculosis, this article describes changes in the disease's national epidemiology, new diagnostic tools and treatment strategies, and multi-drug resistance.

• 한국농촌생활과학회지
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• 제9권2호
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• pp.1-18
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• 1998

This study was to indicate the direction of the family life education program through understanding people's concerns in the family life education areas and their needs for the program conditions. The results of this study were, 1) Their priorities about educational subjects were human development and parent ing for the adolescent group and the adult group and the family relationships and parenting for the elderly group. 2) They wanted the program provided by Professional educators in social education institutes or a local autonomous entity. 3) They needed the program such as 1 week period, 1-2 hours per subject, places within 30min from home.

• 아동학회지
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• 제29권5호
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• pp.165-180
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• 2008

The purpose of this study was to determine characteristics of research trends in human development. For this purpose, 134 attachment articles were selected from 7 reliable Korean academic journals. The articles were analyzed by research type, subjects, data collection methods and attachment assessment methods. Results showed that (1) most of articles were published in the field of child study, (2) the greatest quantity of research type was quantitative study, (3) young children were the most frequently sampled population, and (4) the main content for child research was the role of attachment in social development and social/emotional problem behaviors. The main content for adolescent research was social development and the main theme of adult research was adjustment.

• 가정과삶의질연구
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• 제13권3호
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• pp.36-46
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• 1995

본 연구는 청소년기 부모-자녀관계 및 노부모-성인자녀간 결속도가 노인의 생활 만 족도에 미치는 영향을 분석하고 각 변인들간의 인관관계를 알아보고자 하는데 그 목적이 있 다 본 연구의 결과는 다음과 같다 1)노부모-성인자녀간 결속도는 비교적 높은 편이었으며 청소년기 부모-자녀관계가 애정적.권위적.자율적이고 갈등의 정도가 낮았을수록 높았다. 2) 노인의생활만족도는 청소년기 부모-자녀관계가 애정적.자율적이었으며 갈등의정도가 낮 았을수록 높게 나타났고 권위적 관계였을수록 과거 생활만족도는 높았고 미래 생활만족도는 낮았다 또한 노인의 생활만족도는 현재 성인자녀가 접촉적.정서적 .일치적.기능적.규범 적 결속이 높을수록 높았으며 구조적 결속에 따라서는 차이가 없었다 3) 노인의 생활만족도 에 가장 큰 영향을 미치는 변인은 청소년기 부모-자녀관계중 갈등적 관계였다.

• 한국치위생학회지
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• 제20권4호
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• pp.435-445
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• 2020

Objectives: This study investigated the relationship between obesity and dental caries of Korean adolescents. Methods: Data from the Korea National Health and Nutrition Examination Survey (KNHNES VI) (2013 to 2015) were used and targeted adolescents aged 13 to 18 years. For statistical analysis, the SPSS 18.0 program was used, and the significance level was set at 0.05. Results: For the general and health-related characteristics, female students (p=0.001) showed higher decayed, missing, and filled teeth (DMFT) index than male students. Furthermore, DMFT showed higher tendency, as age was higher (p<0.001). Smoking (p=0.011) and drinking experience (p=0.027) revealed higher DMFT. The dental caries experience was significantly different among students who were female (p=0.033), older (p=0.001), and overweight or underweight (p=0.022). In the BMI for the general and health-related characteristics, male students had higher obesity rate than female students (p=0.003), and obese subjects had higher dental checkup in the last year (p=0.013). In multiple linear regression analysis of obesity and DMFT, the unadjusted model showed that the obesity group's DMFT was about 0.8 higher than that of the normal group (p=0.024). However, statistical significance was not shown in the adjusted models. In the logistic regression analysis of obesity and dental caries experience, the unadjusted model 1 (1.93 times), the adjusted model 2 (1.79 times), and model 3 (1.76 times) showed significantly higher dental caries experience. Conclusions: Both obesity and dental caries are related to diet habits and lifestyles and have a negative impact on adult health. Therefore, it is necessary to create a healthy social environment around the adolescent, and proper intervention through education is required to form healthy habits.

• Journal of Hospice and Palliative Care
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• 제23권4호
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• pp.212-227
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• 2020

Purpose: This study presents the process of designing workbooks for advance care planning appropriate for the Korean cultural setting and describes actual case studies. Methods: This study focused on single inductive case studies of the utilization of an advance care planning workbook and recruited individual participants. Results: The workbook for adolescents contained six sessions and the workbook for children contained seven sessions. The workbook sessions led to four major discoveries: 1) considering the Korean cultural context, discussions on life and death must be held indirectly; 2) the role of the counselor as a supporter is crucial for the workbook to be effective; 3) the workbook must be accessible regardless of the seriousness of the illness; and 4) patients must be able to make their own choice between the workbook versions for children and adolescents. Six facilitating factors improved engagement: 1) the role of the counselor as a supporter; 2) building trust with the patient; 3) affirming freedom of expression on topics the patient wished to avoid talking about; 4) having discussions on what private information to keep secret and to whom the information can be disclosed; 5) discovering and regularly discussing relevant topics; and 6) regular communication and information-sharing with the patient's medical service providers. Conclusion: It is necessary to build on actual case studies regarding workbooks for children and adolescents in order to expand the usage of these workbooks to all relevant medical institutions in Korea.