• Advances in pediatric surgery
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• v.13 no.2
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• pp.155-161
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• 2007

Pancreatic tumors in children are very rare but have a better prognosis compared with that in adult. Pediatric pancreatic tumors are more often benign and easier to resect. To evaluate the characteristics and prognosis, the records of 13 patients who underwent pancreatic resection, from June 1997 to May 2005, at Samsung Medical Center were reviewed. The mean follow up period was 48 months. The male to female ratio was 1: 1.6. Mean age was 10.3 years. Signs and symptoms included abdominal pain (7), abdominal palpable mass (5), jaundice (1), hypoglycemic (1), and non-specific GI symptoms (4). The commonly used diagnostic tools were CT and abdominal sonography. In addition, MRI, ERCP, EEG, and hormone test were also done when indicated. Surgical procedures included distal pancreatectomy (5), pylorus preserving pancreaticoduodenectomy (4), tumor excision (3), and subtotal pancreatectomy (1). Locations of lesions in pancreas were head (4), tail (5), and body and tail (4). Postoperative complications developed in 3 cases; postoperative ileus (1), wound problem (1), and pancreatitis (1). The pathologic diagnosis included solid-pseudopapillary tumor (6), congenital simple cyst (1), pancreatic duplication cyst (1), serous oligocystic adenoma (1), mucinous cystadenocarcinoma (1), rhabdomyosarcoma (1), insulinoma (1), and pancreatoblastoma (1). Three cases received adjuvant chemotherapy and radiotherapy. Overall survival rate was 81 %. One patient with a mucinous cystadenocarcinoma died. In this study, pancreatic tumors in children were resectable in all patients and had good survival. Surgery of pancreatic tumors should be regarded as the gold standard of treatment and a good prognosis can be anticipated in most cases of benign and malignant tumors.

• Korean Journal of Rural Living Science
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• v.5 no.2
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• pp.185-197
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• 1994

This study is to investigate the factors which affect self- esteem of the aged parents. In this study questionaires were used to measure solidarity between aged parents and adults children, self- esteem of aged parents. Subjects were 234 male and 235 female parents who were aged over 60. The data were analyzed by using frequency, percentage, mean, standard deviation, ANOVA, and stepwise regression analysis. The results are as follows : 1) The solidarity between the aged parents and their adult children is average 65.5(Conversion value by 100 : 51.9) and shows the average level. The relations between solidarity and background variables are variables affected by education, pocket money, health, social activity and religion. 2) The degree of self- esteem in the aged parents is presented to average 26.1(Conversion value by 100 : 56.5) and shows the average level and it according to the background variables has a significant difference depending on education, pocket money, family living together, health, social activity, religion and the number of children. 3) To investigate the degree of self- esteem according to the degree of solidarity, the sub-areas of solidarity are subdivided into five groups. higher solodarity the group has, higher self- esteem it has. 4) The degree of effects of the variables which affect self- esteem in the aged parents is in such order as affectional solidarity($\beta$＝0.32), helping($\beta$＝0.14), education($\beta$＝0.10), solidarity by contact($\beta$＝0.09) and solidarity by argument($\beta$＝0.09) and $R^2$ of such variables are 30%.

• The Journal of Korean Society for School & Community Health Education
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• v.18 no.2
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• pp.27-42
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• 2017

Objectives: The purpose of this study was to investigate the characteristics of smoking prevention programs and their effectiveness for Korean school-aged children and adolescents by using systematic review and meta-analysis. Methods: Electronic searches were performed in RISS, NAL, DBPia, KISS using keywords according to inclusion criteria. 21 studies published from 2003 to the first half of 2017 that dealt with effects of smoking prevention programs for school-aged children and adolescents were selected for systematic review. Results: All 21 studies were quasi-experimental research designs. More than half of the programs(66.7%) were conducted for male and female. Most of the programs were conducted more than once a week(71.4%). 14 studies(66.7%) did not report using a theoretical model. Five dependent variables(knowledge of smoking, attitude toward smoking, non-smoking intention, self-assertiveness, and self-efficacy) were selected to measure the effectiveness of the smoking prevention programs. Knowledge of smoking was the most effective at hedge's g=0.673. Self-efficacy and self-assertiveness variables were statistically significant at hedge's g=0.461 and hedge's g=0.279, respectively. Effect sizes of attitude toward smoking and non-smoking intention were not statistically significant compared to the control group. As a result of the moderator effect analysis on the knowledge of smoking variable, the statistically significant variables were 'gender of participants'(p<0.01) and 'duration of the program'(p<0.001). Conclusions: The results of this study using systematic review and meta-analysis will be evidence-based data for researchers conducting smoking prevention programs in school-aged children and adolescents.

• Journal of Haehwa Medicine
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• v.16 no.2
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• pp.217-223
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• 2007

Over the period between October 2005 and February 2007, herbal medicine was administered to the patients coming to Dr. Cha Oriental Medical Clinic. As regards the prescription administered to children patients for treating their growth deficiency, Eukmigihwang-tang related to the kidney, the congenital factor, Bojungikgi-tang related to the spleen, the acquired factor. So I administered Eukmigihwang-tang plus Bojungikgi-tang(a union of both herb-remedy: Eukmigihwang-tang and Bojungikgi-tang) The results were obtained as follows. 1. The youngest is six years old, the oldest is thirteen years old. 2. A ratio of male and female children was same. 3. It was shown to be a greater increase than the average value of growth surveyed by the National Statistical Office. 4. It is considered that EukmigihwangtangHapBojungikgitang is effective on child growth.

• Journal of The Korean Society of Agricultural Engineers
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• v.63 no.2
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• pp.33-40
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• 2021

The purpose of this study is to analysis the influence of personal backgrounds on the preference of fishing village experience recreation villages. As the analysis method, binary logistic regression analysis was used. Dependent variables are experience recreation villages (rural and fishing). The independent variables consist of 9 groups of people: gender, age, family type, marital status, presence of children, principal companion, fishing village image, visit experience villages, recognition of fishing village experience recreation village. As a result of the analysis, it was found that the tourist's gender, age, family type, marital status, presence of children, principal companion, fishing village image, visit experience villages, recognition of fishing village experience recreation village influence the preference of fishing village experience recreation village. By characteristics of each group, it was found that male prefer fishing village experience recreation villages 1.597 times as much as female, and those with a positive image about fishing villages prefer fishing village experience recreation villages as much as 2.644 times than those with negative images. In addition, it was found that those who visited the fishing village experience and recreation village prefer the fishing village experience village about six times more than those who have never visited.

• The korean journal of orthodontics
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• v.19 no.1 s.27
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• pp.7-20
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• 1989

A serial cephalometric study was undertaken to define the growth of the soft tissue facial profile in Korean children. The sample was composed of 25 males and 15 females for whom yearly cephalometric records were taken from the ages of 6 to 13 years. From the tracings, points on skeletal and soft tissue profiles were located and recorded on magnetic tape utilizing a Calcomp Talos RP660 X-Y digitizer. Linear and angular measurements of soft tissues were made directly from tape in a Cyber 174-16 computer after cephalometric enlargement had been corrected. A statistical evaluation was made of the data and the average profile diagrams in male and female were described by a Calcomp 960 pen plotter. On the basis of the findings of this study, the following trends were established. 1. The most prominent growth in soft tissue facial profile thickness was the nose and the least was the forehead. 2. The general growth direction of the soft facial tissue to the cranium described the downward and forward. 3. The degree of soft tissue facial convexity was decidely more than that exhibited earlier in life even though the soft tissue chin had protruded to the cranium. 4. The measurements indicated a general tendency for males to have larger nose and more convex and long soft tissue facial profile than did females. 5. Males showed significantly more growth than females in base of the upper lip and height of the upper anterior facial profile. 6. There was a difference between males and females in the rates of soft tissue facial profile growth. 7. Korean children showed less convex in the soft tissue profile convexity than did American children.

• Childhood Kidney Diseases
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• v.10 no.2
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• pp.174-181
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• 2006

Purpose : To analyse the results of the renal biopsies and the clinical diagnoses of patients who had undergone percutaneous kidney biopsies in the department of pediatrics at Kyunghee University Hospital for 22 years from 1984 to 2005. Methods : We retrospectively reviewed the medical records of 1559 patients and analyzed the chief complaints that led to a renal biopsy, age, sex, histopathologic findings and diagnosis. Routine kidney biopsies were performed by automated gun biopsy guided by real time ultrasonography. The diagnoses were made based on the specimen's light microscopy, immunofluorescence microscopy and electron microscopy findings and clinical symptoms and signs. Results : The mean age of the patients was 10 years with the male to female ratio being 1.3:1. The chief complaints that led to a renal biopsy included hematuria only(753 cases, 48.3%), proteinuria only(125 cases, 8.0%) and hematuria combined with proteinuria(537 cases, 34.4%). The most frequent histopathological finding was primary glomerular disease(75.4%) which included IgA nephropathy(30.1%) and mesangial proliferative glomerulonephritis(27.6 %). Systemic disease comprised 11.4% which included Henoch-$Sch\ddot{o}nlein$ nephritis(10.5%) and lupus nephritis(0.8%). Alport syndrome was found in 1.1% of cases which was attributed to hereditary causes. 628 children(40.3%) visited the clinic due to abnormal school urine screening abnormalities and among these, 237 children had mesangial proliferative glomerulonephritis and 234 children who had IgA nephropathy were managed thereafter. Conclusion : IgA nephropathy and mesangial proliferative glomerulonephritis were the two major forms of primary glomerulonephritis found in Korean children who had kidney biopsies from 1984 to 2005.

• Journal of the Korean Society of School Health
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• v.1 no.1
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• pp.103-113
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• 1988

The analysis of the visual impairment and refractive errors among 4,004 school children in Seoul in 1986 with ancilliary questionnaire on various socio-environmental and visual factors was conducted. The number of the student with subnormal vision (0.7 or less) was 1,552 (38,8 %), and the rate of subnormal vision was increased with the higher grading of the school classes. Rate of myopes among the 1,552 students vision 0.7 or less consists of 52 % in primary school, 83.5 % in middle school, and 94 % in high school, and they were increased with the higher grading of the school class. The acutest increase of rates were observed at the stages of 2nd year class of male, and 1st year class of female at the middle school. Among the glasses-wearer of myopic students of vision 0.5 or less, the rate of adequately corrected cases was 42.5 %, whereas the overcorrected in 6.8 %, and undercorrected in 49.3 %. The main reasons of glasses negligence among the non-possessor of glasses with the vision of 0.5 or less were indicated in prominence of numbers of' "no complaints without glasses" (42 %). "unawareness of visual disturbance" (20%), "annoyance with wearing glasses" (13.4%), and "no permission from parents" (11.5 %) rather than the "economical reasons". The amblyopic components were estimated 126 cases (3.2%) in combination of refractive errors. According to the analysis of ancilliary questionnaire, the-conclusion with the statistical significance was that the myopization of the children's eyes appeared susceptible with a number of socio-environmental factors including the eating habits, length of T.V. watching period and distance, reading distance and type of illumination during near work, and school achievement. The possibility of prevention in some extents of progress of the myopia following the improvement of the relevant environmental factors in younger stage of children would be considered as deducible one.

• Journal of Genetic Medicine
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• v.13 no.1
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• pp.31-35
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• 2016

Antley-Bixler syndrome (ABS) is a rare form of syndromic craniosynostosis with additional systemic synostosis, including radiohumeral or radioulnar synostosis. Another characteristic feature of ABS is mid-facial hypoplasia that leads to airway narrowing after birth. ABS is associated with mutations in the FGFR2 and POR genes. Patients with POR mutations present with either skeletal manifestations or congenital adrenal hyperplasia with ambiguous genitalia. We report here two cases of ABS caused by mutations in FGFR2 and POR. Although the patients had craniosynostosis and radiohumeral synostosis in common and cranioplasty was performed in both cases, the male with POR mutations showed an elevated level of $17{\alpha}$-hydroxyprogesterone during newborn screening and was diagnosed with congenital adrenal hyperplasia by adrenocorticotropic hormone stimulation. This patient has been treated with hydrocortisone and fludrocortisone. He had no ambiguous genitalia but had bilateral cryptorchidism. On the other hand, the female with the FGFR2 mutation showed severe clinical manifestations: upper airway narrowing leading to tracheostomy, kyphosis of the cervical spine, and coccyx deformity. ABS shows locus heterogeneity, and mutations in two different genes can cause similar craniofacial and skeletal phenotypes. Because the long-term outcomes and inheritance patterns of the disease differ markedly, depending on the causative mutation, early molecular genetic testing is helpful.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.19 no.3
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• pp.156-161
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• 2008

Objectives: The purpose of this study was to investigate the prevalence of sleep problems in Korean elementary school children and the differences in sleep problems elated to their school grade and gender. Methods : One public elementary school in Dae-gu, Korea as randomly selected. And, parents who agreed to participate this study were asked to complete a modified version of Tucson Children's Assessment of Sleep Apnea screening questionnaire (TuCASA). Results: The most common sleep problem was 'falling asleep in vehicle (44.2%)' and the prevalence rate of this problem differed by school grade. The prevalence rate of falling asleep while watching TV before 8 P.M. (8.0%), daytime fatigue (21.9%) and nocturnal enuresis during the past 6 months (5.3%) were significantly differed by school grade. The prevalence rate of falling asleep while doing home work, falling sleep during a lesson, snoring and bruxism were 12.6%, 1.0%, 26.7% and 13.2% respectively. Although these rates did not show any differences between grades, snoring as more in boys and daytime fatigue was more in girls. Conclusion: This study demonstrates that many elementary school children may have various sleep problems. Lower grade elementary schoolers had sleep problems which related to euro-developmental factors, whereas higher grade elementary schoolers had sleep problems related to sleep deprivation and stress. Finally, more female schooler showed signs of fatigue or sleepiness than male schoolers.