Sleepiness is associated with many different conditions and, as a neglected topic, it can be the cause of serious psychological and social disadvantages. In the aspect of learning, additional problems may arise from poor progress in school caused by the effect of sleepiness on concentration, memory, and other cognitive functions. Narcolepsy is by no means the most common cause of excessive sleepiness. Nonetheless, it is not a rarity, especially in young people. The non-specific nature of early features of narcolepsy, combined with very limited awareness that the condition can start in various ways, leads to many misinterpretations. Misinterpretation of narcolepsy symptoms is not confined to the medical profession. Teachers may well be critical of a student with narcolepsy because of their perception of narcolepsy symptoms as laziness, poor motivation, or difficult behavior and dull learning ability. Inappropriate reactions by parents, teachers, and peers, based on misinterpretation of narcolepsy symptoms or the patient's reactions to them, make a difficult situation worse. Especially in Korea, where schooling is focused on college entrance examinations, the problem is very serious and intensified by inappropriate or delayed diagnosis and treatment. Therefore, psychiatrists should be aware that narcolepsy in young adolescents is not rare and that they need to be familiar with its clinical features in both its classic and less obvious forms. Narcolepsy should be suspected if a adolescent's excessive sleepiness can not be explained in other ways. Therefore, we report on two patients who portray the tendency of dull learning ability and are mistaken as idle students. We diagnosed narcolepsy through polysomnography and multiple sleep latency testing. We treated the students with methylphenidate and pemolin. The students showed improvement in learning ability and were able to adapt better to school.
The purpose of this study was to examine the differences of the perceptions and conditions of happiness between children and adolescents, and also of the perceptions of happiness according to their needs level of the conditions of happiness. There was a total of 649 participants, of which 405 were children and 244 were adolescents, all of whom were attending elementary school, middle school, or high school. The children and adolescents completed a questionnaire on the perceptions of happiness and the conditions of happiness which consisted of 57 (for children) or 58 (for adolescents) items. The results were as follows: First, children and adolescents both felt happy regarding the variables of 'flow', 'health and appearance', 'leisure' and 'interpersonal relations'. However, it was found that children felt happier than adolescents. Second, children and adolescents perceived achievement-related variables as important conditions of happiness. Additionally, variables of 'relations with parents and relatives' and 'positive emotions' were the conditions that children needed. However, adolescents rated the needs of the conditions of happiness higher than children. Lastly, children and adolescent groups who perceived the necessity of the conditions of happiness at a high level were found to be happier than those who perceived the necessity of the conditions of happiness at a low level. The findings have implications of providing educational, psychological and environmental support to improve the happiness of children and adolescents.
The health of feet is connected with individual's health and affects a man's activity. Shoes need to be designed to protect feet and to absorb the impact of land. In order to choose suitable shoes for feet, the foot size and shape must be considered, so it is essential to grasp the exact size and shape of the foot. This study aims to present fundamental data on shoes' easy order prototype development for choosing shoes of good wearing comfort, by classifying feet size and shape junior high school boys in the early adolescent period. The subject were 234 Korean junior high school boys age from 14 to 16 years old. The subjects were directly measured anthropometrically and indirectly analyzed photographically. 6 factors were extracted through factor analysis and those factors comprised 79.42% of total variance. The factors characterizing foot girth and width, foot length, foot height, foot shape around the fifth toes, angle of foot breadth and foot shape around the first toes. 3 clusters as their foot shape were categorized using 6 factor scores by cluster analysis. Type 1 was characterized by long large foot with deformed first toe. Type 2 had smaller in foot girth, width and length than other types and with deformed fifth toe. Type 3 had average size and high foot shape. Shoes prototype which is to be developed later on will be able to generate 2D flattening in the foot sole form. Therefore, it would be a great support in producing and choosing appropriate shoes if forms are classified by subdividing foot form classification and extract a factor which shows only the foot sole shape.
The health of feet is connected with individual's health and affects a man's activity. Shoes need to be designed to protect feet and to absorb the impact of land. In order to choose suitable shoes for feet, the foot size and shape must be considered, so it is essential to grasp the exact size and shape of the foot. This study aims to present fundamental data on shoes' easy order prototype development for choosing shoes of good wearing comfort, by classifying feet size and shape junior high school boys in the early adolescent period. The subject were 217 Korean junior high school girls in age from 14 to 16 years old. The subjects were directly measured anthropometrically and indirectly analyzed photographically. 7 factors were extracted through factor analysis and those factors comprised 78.59% of total variance. The factors were characterized foot length, foot girth and width, foot shape around the fifth toes, foot shape around the first toes, angle of foot breadth, foot height, and foot length of upper foot. 3 clusters as their foot shape were categorized using 7 factor scores by cluster analysis. Type 1 had smaller in foot girth, width and length than other types and with deformed fifth toe. Type 2 had average size and high foot shape. Type 3 was characterized by long large foot with deformed first toe. The results would be a great support in producing and choosing appropriate shoes if forms are classified by subdividing foot form classification and extract a factor which shows only the foot sole shape.
The purposes of this study was to investigate high school girl students’concerns about the family life education in Home Economics and their needs for learning in home economics classes in order to develop an advisable co-education curriculum. The questionnaires were completed by 196 first grade students in Seoul in 1993 and 765 first grade students in Tokyo and Kanagawa Prefectures in 1991. The contents of the questionnaire were as follows:1) students’interests in the areas of Home Economics education, 2) students'concerns in their daily life 3) students’interests in a new curriculum for family life education:16 contents from human birth to death. 4) students’experience with their family, and 5) students’educational needs in Home Economics’teaching method. The result of our research showed that:1) Most of senior high school students in Korea and Japan had strong interests in their life and life span. 2) Although there are some differences in the degree of concerns between Korea and Japan, senior high school students in Korea and Japan had strong concerns with their “characteristics and personality”, their “future job”, their “looks and figure”and their “hobby and amusement”, these had not been the contents of home economics in Korea and Japan, but had been in U.S. 3) Very few senior high school students in Japan and especially in Korea had contacts with their grandparents. 4) Senior high school students in Korea and Japan showed strong interests in their near future stage, but they showed less interest in the stage of early childhood. 5) Senior high school students in Korea and Japan showed their diverse needs for learning in home economics classes. The results indicated that co-education curriculum for family life education should meet adolescent needs and concerns, and our new curriculum, “from one’s birth to death/one’s life span”, would be more advisable.
BACKGROUNDS/OBJECTIVES: The effects of malnutrition on growth of toddlers and preschoolers by socioeconomic status are not well known. This study aimed to examine the effects of dietary intake on growth outcomes in toddlers and preschoolers by household income level. SUBJECTS/METHODS: The study population was a total of 1,687 children aged 1 to 5 years that participated in the KNHANES from 2009 to 2011. Growth of children was assessed by height for age (HFA) and weight for height (WFH). Children were classified into three groups according to children's HFA and WFH compared to the $10^{th}$ and $90^{th}$ percentiles of the 2007 Korean Children and Adolescent Growth Standard. Average monthly household income was divided into quartile groups. Dietary intake data were obtained by using the one day 24-hr recall method. Risks of inadequate intake of nutrients and unfavorable growth were estimated by using a multiple logistic regression model adjusted for sex, age, region, and energy intake. RESULTS: The low HFA group (<$10^{th}$ percentile) had significantly lower intakes of energy, carbohydrate, and thiamin as compared with the high group (${\geq}90^{th}$ percentile). For WFH status, vitamin C intake was lower in the low group than in the high group. Household income level was related to WFH status but not HFA. Children from lower income households were more likely to have high WFH than those from higher income households (P for trend = 0.038). Household income status was also significantly related with risk of inadequate intake of micronutrients such as thiamin (P for trend = 0.032) and vitamin C (P for trend = 0.002), showing higher odds of inadequate intakes in children from lower income households. CONCLUSIONS: Children from lower income households were prone to be overweight and to have inadequate intakes of micronutrients such as thiamin and vitamin C. To reduce nutritional and health disparities, collective action in the public sector is required from early life.
Kim, Jinsup;Yang, Aram;Cho, Sung Yoon;Jin, Dong-Kyu
Journal of mucopolysaccharidosis and rare diseases
/
제2권2호
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pp.41-42
/
2016
Today's mobile phones and tablet PCs offer a considerably wider range of functionalities than before. Mobile applications (apps) are increasingly used for managing various daily health tasks. Currently, more than 165,000 health-related apps are offered on all the stores of different platforms. Pf Jin and the Association for Research on MPS and Rare Diseases (AMARD) have helped Prader-Willi syndrome (PWS) families through medical information and family support since 2015. AMARD developed the first mobile application for Korean patients with PWS, which was released to a limited number of patients under the age of 3 and only provided to Android users. The first version of the PWS application focused on growth hormone therapy and the assessment of growth and development by parents in infant and early-childhood PWS patients. The 2016 version of the PWS application has been improved in many different ways. We have expanded the subjects of the application to late childhood and adolescent groups, changed the user interface accordingly, and made the application available for iOS users. We will show the specialized growth curves of older children with PWS. Therefore, patients with PWS over the age of 3 and their parents can assess the patients' growth. Additionally, we have upgraded the growth hormone therapy menu by improving the input system for the growth hormone therapy injection schedule and the daily growth profile (height and weight). We expect that the new version of the PWS application will help many PWS families cope with growth hormone therapy and evaluate the effects of growth hormones in better ways. Additionally, we are making a constant effort to provide more useful information about patients with PWS in many aspects.
Purpose: With the development of media, the ways adolescents can obtain information related to sexual health have diversified. Prior quantitative research on adolescents' sexual health information seeking behaviors (HISB) has limitations in grasping the details, and sexual issues of adolescents have tended to be underreported in quantitative studies. It is necessary to explore sexual HISB through an integrative review of qualitative research. The aim of the study was to analyze the literature on sexual HISB among adolescents, focusing on qualitative research. Methods: An integrative review was undertaken to explore the studies conducted between 2009 and 2018 that addressed sexual HISB such as source preferences, perceived trustworthiness, and tendency according to age and gender among adolescents. Results: Seven studies met the selection criteria and were analyzed according different sexual HISB. It was identified that adolescents preferred trustworthy sources and had a pattern of reviewing and comparing the content among diverse sources to confirm the quality of the information. Female adolescents valued privacy and confidentiality, while male adolescents would like to earn information along with their peers and perceived it as an opportunity to exchange their experiences and thoughts. Late adolescents preferred to seek sexual health information from peers and on the internet such as websites and social platforms compared to early adolescents. Conclusion: This study is significant in that it provides evidence that can be applied when developing programs for promoting sexual health in adolescents. It is suggested that programs should focus on building trustworthiness and consider differences in age and gender to improve the use of sexual health information among adolescents.
Objectives The purpose of this study is to analyze the characteristic of pediatric patients who visited oriental medical hospital for growth treatment. Methods The study was conducted with 130 pediatric patients who visited ${\bigcirc}{\bigcirc}$ Korean medicine hospital from January 2016 to August 2017. The patient's data was classified by sex, age, pattern identification and diseases. The classified data was analyzed to find the correlations and characteristics among variables. Results There were 50.8% of boys and 49.2% of girls. 6.2% of the total patients were in 'early childhood', 50.8% were in 'late childhood' and 43.1% were in 'puberty' stage. In terms of pattern identification, 44.6% of the total patients were 'Spleen-lung Qi Deficiency', 53.8% were 'Lung-kidney Yin Deficiency' and 1.5% were 'Weakness of Heart and gallbladder'. 44.3% of the patients had various diseases including rhinitis (77.6% of 120.7%). Height percentile of the children with using the Growth chart of 2017 was lower than using the Growth chart of 2007. Predicted height based on the child's bone-age were higher than the predicted height based on the parental height, although both of the precited factors were correlated to the current child's height. Conclusions This study showed the characteristic of the pediatric patients who visited oriental medical hospital for growth treatment. It helps to determine prognosis and treatment, and to explain treatment measures.
본 연구의 목적은 가정환경의 자극 특성과 연령에 따른 웩슬러 아동용지능검사의 소검사별 수행을 알아보는데 있었다. 이를 위하여 만 6-16세 아동 청소년 128명을 대상으로 훈련받은 검사자가 K-WISC-IV를 실시하였으며 아동의 어머니에게 가정의 물리적, 정서적 특성에 대한 HOME를 실시하였다. 연령에 따라 만 6-10세와 11-16세 집단별로 분석한 결과 두 연령집단 모두 전체 지능 및 언어이해 지표와 가정환경자극 간 유의미한 정적 상관이 발견되었다. 6-10세 집단의 경우 가정환경자극의 하위영역 중 언어적 자극 및 학습자료가 언어이해, 작업기억, 지각추론, 전체 지능과 유의미한 관련성이 있었으며, 11-16세 집단의 경우, 자기조력 장려 및 학습자료가 전체지능, 언어이해, 작업기억 지표와 유의미한 정적 상관이 있었다. 본 연구의 주요 결과가 논의되었으며, 향후 지능검사의 개정을 반영한 새로운 소검사의 수행과 가정환경자극 간 관련성이 연구되어야 할 필요성이 제시되었다.
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