• Clinical and Experimental Pediatrics
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• 제61권4호
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• pp.129-131
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• 2018

Purpose: The association between hypercalciuria and febrile convulsion is controversial. The present study aimed to investigate the statistical association between hypercalciuria and childhood febrile convulsions. Methods: Overall, 160 children aged 6 months to 5 years, including 80 children with febrile convulsion and 80 febrile children without convulsion (comparison group), were recruited. All laboratory tests, including 24-hour urine calcium, were undertaken in an academic clinical laboratory. Results: Forty-five children of the febrile convulsion group (60%) and 30 of the comparison group (40%) had hypercalciuria. There was a significant difference between the 2 groups (P=0.02). Conclusion: Our results indicated that there is a statistical association between convulsion and hypercalciuria in children. Since we found this association with a cross-sectional assessment, further studies, especially prospective and controlled designs, are needed.

• 대한한방소아과학회지
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• 제18권2호
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• pp.209-223
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• 2004

Objective : This study was performed to investigate the knowledge, concerns, attitudes of mothers about febrile convulsion in order to suggest education programs. Methods : The subjects of questionnaire investigation were 142 mothers visited pediatrics in Gyeongju dongguk oriental hospital between 3 september and 16 December 2004 with child under 5 years of age. Results : The rate of incorrect answer was 46.0%, experienced mothers had significant high scores than non-experienced mothers in knowledge. Mothers believed reccurent febrile convulsion will cause brain damage(88.7%), considered every febrile convulsion child will have another FC(68.3%). Mothers anticipated inserting object into the child's mouth(72.5%), rushing the child to the hospital(67.6%) during convulsion. Mothers concerned about the risk of subsequent epilepsy(70%) and experienced mothers measured the child's body temperature more frequently than before(66.7%). Conclusions : Answered mothers had inadequate knowledge, high concerns, and didn't know proper management. This suggests that enough information is needed to mothers and proper education programs should be developed in febrile convulsion.

• Clinical and Experimental Pediatrics
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• 제53권3호
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• pp.392-396
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• 2010

목 적 : 철 결핍 빈혈과 열성경련은 6개월-2세 사이에 호발하며 철 결핍 빈혈은 영아에서 다양한 신경학적 장애를 일으키고 열성경련은 간질과 관련이 될 수 있다. 그러나 이들의 연관관계에 대해서는 상반된 보고가 있어 그 관련성을 규명하고자 본 연구를 시행하였다. 방 법 : 2007년 1월 1일부터 2009년 7월 31까지 원광대학교병원 소아청소년과에 입원치료 받은 9개월에서 2세사이의 발달 지연이나 신경학적 결함 및 중추신경계 감염이 없는 열성 경련 환아 100명과 열성 경련이나 이전의 경련 병력이 없이 발열 증세를 보인 100명을 대조군으로 선정하여 의무 기록지를 이용하여 후향적으로 조사하였다. 결 과 : 열성경련 군과 대조군, 단순 열성경련 군과 복합 열성 경련 군 사이의 평균 연령, 성별, 원인질환별 차이는 없었다. 복합 열성경련 군에서 단순 열성경련 군에 비해 총 경련 횟수, 내원시 경련 시간과 횟수가 의의 있게 높았으며, 경련 시 최고 체온과 전체 열 발생 기간은 높았으나 통계적 차이는 없었다. 철 결핍 빈혈은 열성경련 군에서 39%로 대조군의 28%에 비해 많았으나 의미 있는 차이는 없었다. 평균 적혈구 용적, 평균 적혈구 혈색소는 열성경련 군에서 높았으나 차이는 없었고, 열성경련 군에서 평균 적혈구 혈색소 농도는 의미 있게 높고 적혈구 분포 폭은 낮았다. 단순 열성경련 군과 복합 열성경련 군 사이에는 혈액학적 소견의 차이는 없었다. 단변량 분석에서 P 값 0.010 미만인 몇가지 인자들의 다변량 로지스틱 회귀분석을 시행한 결과 열성경련 군에서 빈혈의 빈도가 의미 있게 높았다. 결 론 : 열성경련과 철 결핍 빈혈이 상호 관련성이 비록 단변량 분석 시에는 의미가 없었으나 다변량 분석에서 밀접한 관련성을 보여 주어 열성경련의 재발이나 악화를 막기 위해 적극적인 빈혈에 대한 평가와 치료가 필요할 것으로 사료된다.

• Clinical and Experimental Pediatrics
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• 제50권8호
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• pp.757-760
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• 2007

목 적 : 열성 경련은 간질과는 구별되는 양성 질환이지만 복합 열성 경련에서는 간질의 발생이 더 많은 것으로 알려져 있다. 복합 열성 경련의 정의에 해당하는 환자에서 간질 이행의 발생률이 증가하는지 알아보기 위하여 본 연구를 시행하였다. 방 법 : 열성 경련으로 건양대학교 병원 소아과를 방문하였던 환자들을 대상으로 후향적 연구를 시행하였으며 환자의 정보는 의무 기록 분석과 부모와의 면담을 통하여 조사하였다. 결 과 : 2000년 3월부터 2003년 12월까지 열성 경련으로 본원을 내원한 환아는 314명이었으며, 이 중 복합 열성 경련으로 진단받은 환아는 63명(20.0%)으로 12개월 이상 추적 관찰은 44명(44/63, 70.0%)에서 가능했다. 평균 $34.2{\pm}11.6$개월의 추적 관찰 기간동안 10명에서 간질이 발생하였고, 부분 발작(57.1%)을 한 경우가 2회 이상(26.7%) 또는 15분 이상의 경련(24.1%)과 비교하였을때 더 높은 간질 발생률을 보였다. 결 론 : 복합 열성 경련이 있는 환자에서 첫 열성 경련의 양상이 부분 발작의 형태로 나타난 경우에 이후 간질 발생 빈도가 높음을 알 수 있었다.

• 대한한방소아과학회지
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• 제20권1호
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• pp.195-206
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• 2006

Objective : The purpose of this study is to investigate the current trends of children patients with convulsion. Children convulsion patients who visited the Pediatric Department of the Oriental Medicine hospital were investigated and analyzed. Method : 90 children complaining convulsion who visited the Department of Pediatrics of Kyung Hee University Oriental Medicine Hospital, between March, 2005 and October 2005 were statistically analyzed. Results : The percentage of boys outnumbered the girls. The percentage of children under the age of 5 18 66.7%. The percentage of children with family history is 43%. The majority of children had visited the hospital twice (n=21). As for intercurrent diseases, there were URI, C.P., ADHD, CHD, sequela of encephalitis and etc. As for the result of EEG examinations, 25 children were normal and 18 were abnormal. As for the appearance of seizures, Tonic-Clonic seizure was the most common seizure among the children (n=13). As for the type of convulsion, simple febrile convulsion was the most common (n=35). As for the curative effect. the percentage of children who showed improvement to treatment was 41.2%. Jangdambosintang, sunbangpaedoktang, gamichodeungeunm, gamichungeumchowitang and etc were the most frequently prescribed medicines.

• 대한한의학회지
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• 제19권2호
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• pp.177-193
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• 1998

It was the study on moxibustion-theraphy of Febrile-Disease to use clinical basic material date by the classic Literature, As a result The results were summerised as follows: 1. Principle of moxibustion-theraphy on fever of excess type is 'conducting heat with heat, (heat) had heat go out'. 2. Principle of moxibustion-theraphy on fever of defficiency type is 'Yin grows while yang is generating'. 3. The study on moxibustion-theraphy of Febrile - Disease is enable to use general term for manic-depressive psychosis, heat syndrome of febrile disease, heat (syndrome) of zang and fu(five solid organs and six hollow organs), jaundice, diabetes, hectic fever(due to yin-deficiency) etc. of medcine-disease. 4. The study on moxibustion-theraphy of Febrile-Disease is enable to using carbuncle, cellulitis, phlegmon, urticaria, disease due to noxious agents produced by various parasites, bite by dog, bite by snake etc. of surgical-disease. 5. The study on moxibustion-theraphy of Febrile-Disease is enable to using seven orfices of conjunctival congestion, blepharitis etc, of E.E.N.T-disease. 6. The study on moxibustion-theraphy of Febrile-Disease is enable to using epilepsy, infantile convulsion etc. of infantile-disease.

• 대한한방소아과학회지
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• 제21권3호
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• pp.189-203
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• 2007

Objectives The prognosis, recurrence rate and treatment of febrile seizure were studied through the research of recent western medicine and Chinese oriental medicine paper. Methods Recent western medicine paper of internal and external and chinese oriental medicine paper from 1999 to 2007 were investigated. Results and Conclusions The prognosis of febrile seizure was good in most cases, but children with febrile seizure who developed epilepsy range between 2 and 10%. The risk factors developed epilepsy including complex febrile seizure, focal and prolonged seizure, pre-existing neurodevelopmental abnormalities and recurrent febrile seizure. Recurrence rate of febrile seizure ranges between 30 and 50% was high. The risk factors can be predicted by their age at first febrile seizure happened, family medical history of febrile seizure and epilepsy, complex febrile seizure, and neurodevelopmental abnormalities. However, the most important factor of those is the age when they have first febrile seizure. Diazepam or Lorazepam was administrated for a child with prolonged seizure but only Diazepam was used for reducing recurrence of febrile seizurein febrile illness. However, there were some side effects such as lethargy, ataxia, and irritability. The study of chinese oriental medicine demonstrates that the acupuncture and venesection were used for seizure attack and reduced of recurrences and second attack. To reduce recurrence of febrile seizure, herbal medicine was also used for febrile illness or after seizure attack within a certain period of time, so reduce the recurrence, frequency of seizure and febrile illness. The most of herbs in prescription were used for removing heat and toxic meterials(淸熱解毒), extinguishing wind and to stopping the convulsion(熄風止痙)

• Clinical and Experimental Pediatrics
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• 제59권3호
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• pp.153-154
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• 2016

• 동의신경정신과학회지
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• 제10권2호
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• pp.1-27
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• 1999

For experimental studies on the anticonvulsion effect and it was measured in mice that toxigenic effect, influence on the central nervous system, anticonvulsion effect, mechanism of anticonvulsion effect by change of GABA level and glutamic acid in brain, effect of the creation and degradation system of brain oxygen free radicals in convulsion. The results were obtained as follows: 1. Samulanshintang was perfect medicine without toxigenic effect. 2. Pretreatment of Samulanshintang did not influence on the central nervous system. 3. Pretreatment of Samulanshintang did not influence on maximal electric seizure(MES), strychnine, bicuculine and picrotoxin, but pentylenetrazol(PTZ)-induced convulsion significantly decreased. 4. Effect of Samulanshintang except for Jinsa on the PTZ-Induced convulsion decreased. 5. Effect of Samulanshintang fragrance(SMATF) and Samulanshintang distiled water(SMATW) on the PTZ-induced convulsion did not influence. 6. Decrease of brain GABA level in PTZ-induced convulsion was increased by pretreatment of Samulanshintang. 7. Decrease of brain glutathione content in PTZ-induced convulsion was increased by pretreatment of Samu- lanshintang. 8. GABA-T activity increased by PTZ-induced was controlled by the pretreatment of Samulanshintang. 9. Increase of brain lipid peroxide content in PTZ-induced convulsion was decreased by pretreatment of Samulanshintang. 10. Significant increase of brain xanthine oxidase and aldehyde oxidase activities in PTZ-induced was controlled by pretreatment of Samulanshintang. 11. Decrease of brain superoxide dismutase(SOD), catalase and glutathione peroxidase activities in PTZ-induced was decreased by pretreatment of Samulanshintang. From the above results, Samulanshintang was perfect medicine without toxigenic effect and was recognized anticonvulsion effect by decreasing brain glutamic acid level and increasing brain GABA level. Samulanshintang have an effect on creation and degradation system of brain oxygen free radicals in convulsion, thus it was considered that Samulanshintang could be applied in convulsive disorder as epilepsy, febrile seizure and spasm etc.

• 동의생리병리학회지
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• 제18권6호
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• pp.1569-1574
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• 2004

A general review is made on Insamyangwi-tang(인삼양위탕). Following conclusions are drawn from the clinical cases of Insamyangwi-tang in Hyungsang medicine. Insamyangwi-tang is composed of four different prescriptions of Huisaeng-san, Sakoonja-tang, Eajin-tang and Pyungwi-san. Huisaeng-tang is usually prescribed for the intestinal convulsion. Sakoonja-tang for the deficiency of Ki. Eajintang for retention of phlegm, Insamyangwi-tang is effective in strengthening the spleen, drying the dampness, warming the middle-warmer to stop vomiting, regulating the flow of Ki, and eliminating phlegm. Insamyangwi-tang is applicable to malaria caused by cold, intestinal convulsion, abdominal mass, edema, tympanites, Yin syndrome of exogenous febrile disease, distension, lack of appetite, stomachache, and diarrhea. Persons with the following characteristic in Hyungsang are more susceptible to Insamyangwi-tang ; Jung type, Hyul type, fish type, Taium meridian type, white fat damp constitution, person with big mouth, and woman rather than man.