• Childhood Kidney Diseases
• /
• 제21권2호
• /
• pp.89-93
• /
• 2017

Purpose: Virus-associated rhabdomyolysis is very rare. We report 15 patients with rhabdomyolysis caused by various viruses. Methods: Fifteen patients who were diagnosed with rhabdomyolysis and a viral infection were included in this study. Clinical, laboratory, and radiologic findings were evaluated through retrospective chart reviews. Results: Chief complaints were severe bilateral lower leg pain and leg weakness. The median age was 5.7 years. The male:female ratio was 2:5. The viral infections were caused by influenza virus B, parainfluenza virus, and rhinovirus. One patient with influenza virus B had coinfection with coronavirus. Median initial laboratory values and ranges were as follows: serum creatinine, 0.4 (0.1-0.5) mg/dL; serum aspartate transaminase, 124 (48-1,098) IU/L; serum alanine transaminase, 30 (16- 1,455) IU/L; serum creatine kinase, 2,965 (672-16,594) IU; serum lactate dehydrogenase, 400 (269-7,394) IU/L; serum myoglobin, 644 (314-3,867) ng/mL; urine myoglobin, 3 (3-10,431) ng/mL. All patients recovered without complications. Conclusion: This is the first report of the simultaneous occurrence of rhabdomyolysis caused by various viruses. This is also the first report of rhinovirus-associated rhabdomyolysis.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• 제24권3호
• /
• pp.256-264
• /
• 2021

Purpose: Data on the relationship between gastroesophageal reflux (GER) and brief resolved unexplained events (BRUE) in infants is scarce. The aim of this study was to identify the characteristics of combined multichannel intraluminal impedance-pH (MII-pH) monitoring in infants who have experienced BRUE. Methods: We conducted a prospective study of infants who were hospitalized on account of BRUE and required 24-hour MII-pH monitoring. Results: Twenty-one infants (mean age, 4.7 months; range, 0.9-8.9 months; male/female, 11/10) participated in this study. BRUE symptoms associated with GER were found in 10 infants (47.6%). Based on the RI on pH-metry alone, only 7 (33.3%) infants were diagnosed with GERD. More than 100 GER episodes detected by MII were found in 10 (47.6%) infants. Nineteen percent of infants were diagnosed with GERD based on both pH and MII. Conclusion: Both acid and non-acid reflux seem to play a significant role in the pathogenesis of GER-related BRUE in infants.

• 자동차안전학회지
• /
• 제6권2호
• /
• pp.49-54
• /
• 2014

Development in vehicle industry could increase interest in children's safety recently. However the research of children safety is not being conducted as many as that of adult's. Especially the basic study for the vehicle crash on-board children was not much. This study focused on the effect of seatbelt anchorage points to evaluate children's safety in frontal crash. The current regulation of the seatbelt anchorage points is suitable for ranged from female 5% to male 95%. The assessment of children's safety at buckle up of no used CRS(child restraint system) was performed using frontal sled tests. The frontal crash pulse in sled tests was designed to the average of about 30 KNCAP frontal crash pulses. To reduce number of experiments, DOE is used. The Q6 child dummy and standard seat in UN R 129 were used. According to the analysis of test results, children's safety has been influenced by the points of seatbelt anchorage.

• Journal of Preventive Medicine and Public Health
• /
• 제32권1호
• /
• pp.1-8
• /
• 1999

저자들은 울산 공단지역 인근 초등학교 학생들의 요중 비소, 카드뮴, 아연 등 3 개 중금속 농도를 측정하여 초등학생들 의 건강관리를 위한 기초자료를 얻고 또 한 우리나라 소아들의 요중 중금속 농도에 대한 참고치를 알아보기 위해 공단지역 초등학교 학생 348명(남자 182명, 여자 166명) 교외지역 초등학교 학생 100명(남자 50망 여자 50명)을 대상으로 본 연구를 시도하였다. 그 결과는 다음과같다. 1. 조사대상 초등학생들의 요중 비소, 카드뮴, 아연의 기하평균 농도는 각각 3.69, 0.99, $282.49{\mu}g/l$ 이었다. 2. 조사대상 초등학생들의 요중 크레아티닌량으로 보정한 요중 비소, 카드뮴, 아연의 기하평균 농도는 각각 3.92, 1.05, $299.92{\mu}g/g$ creatinine이었다. 3. 공단지역의 초등학생들의 요중 비소 및 카드뮴 농도는 교외지역 초등학교 학생들보다 통계적으로 유의하게 높았다 (p<0.0l). 이상의 결과로 볼 때 공단지역 초등학생은 교외지역 초등학생에 비해 비소, 카 드뮴 등 중금속 폭로량이 많은 것으로 사료되며 향후 공단지역 공장들에 대한 유해인자의 방출 억제 및 개선대책과 함께 공단지역 초등학교 주변의 중금속 등 환경 유해요인의 주기적 측정 등이 필요한 것으로 사료된다.

• 대한한방소아과학회지
• /
• 제28권4호
• /
• pp.118-124
• /
• 2014

Objectives The purpose of this study is to report 20 cases of tic disorder children who were treated by Kuibiondam-tang Gami. Methods We treated the tic disorder children with herbal medicine, Kuibiondam-tang Gami. Then we evaluated tic disorder by Yale Global Tic Severity Scale (YGTSS) and observed the progress of tic disorder. Results 20 children (male 17, female 3 / transient tic disorder 6, chronic motor or vocal tic disorder 13, Tourette's disorder 1) were studied, the average age of children was $8.45{\pm}2.08$ years, the average duration of illness was $16.55{\pm}13.63$ month and the mean of treatment was $13.20{\pm}9.29$ week. After the treatment, mean of YGTSS was reduced $36.35{\pm}9.84$ to $9.35{\pm}1.03$ and total effective rate was 95%. Conclusions Kuibiondam-tang Gami is effective for reducing tic symptom and improving general conditions in children.

• 대한한방소아과학회지
• /
• 제24권3호
• /
• pp.33-42
• /
• 2010

Objectives: The purpose of this study is to investigate the frequency of side effects, and the range of the side effects from Korean herb medicine on children. Methods: The study has been carried out from 212 children who took Korean herb medicine in Department of Pediatrics, $\bigcirc\;\bigcirc$ Oriental Medical Hospital from September 2009 to February 2010. The study was completed through patients chart review and telephone survey. Results: 1. There were 6 side effect cases on male, and 3 side effect cases on female out of 212 children. The incidence of side effect was 4.2%. 2. The most common side effect was abdominal pain. The most common related organ was digestive organ. 3. The side effect occurred within one to three days after taking Korean herb medicine, and the symptoms were mostly disappeared after taking the Korean herb medicine into divided dose or less dose. Conclusions: The symptom of side effects on children was not as severe as other adverse drug reactions often seen in Western medication. The most common symptom was abdominal pain. Further studies are needed.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제4권1호
• /
• pp.46-53
• /
• 1993

본 연구는 $1990 1 1{\sim}1992 12 31$ 기간 중 서울대학 어린이 병원 소아정신과와 중앙 대학부속 용산병원 소아청소년 크리닉을 방문한 자폐아동 중에서 1986년 및 1988년에 출생한 환자를 대상으로 하여 출생계절 및 출생순위, 자폐아 출산 당시의 산모 연령에 어떤 특이점이 있는지를 알아보기 위해 일반 인구집단의 출생자료와 비교하여 다음과 같은 결론을 얻었다. 1) 자폐아군은 총 357명이었으며 이중 남아가 319명 (89.4%), 여아가 38명(10.4%)으로 남녀 성비는 8.4:1이었다.2) 자폐아군의 월별분포나 계절별분포에 있어 대조군과 차이가 없었다. 3) Slater 및 Greenwood-Yule 방법에 의한 자폐아군의 출생순위를 대조군과 비교 분석한 결과 통계적으로 유의한 차이는 없었다.4) 자폐아군은 일반 대조군에 비해 출생 당시의 산모의 연령이 통계적으로 의미있게 높았다(p<01) 5) 출산의 위험도가 높은 임신은 일반 대조군에 비해 자폐아군에서 통계적으로 의미있게 많았다(p<01)

• 대한소아치과학회지
• /
• 제21권2호
• /
• pp.463-468
• /
• 1994

The purpose of this study was evaluation of the oral health of cerebral palsied children by considering the DMFT index. The 31 cerebral palsied children(Male 20, Female 11) participated in the study, and mean age was 11.3 years. All patient were examined for determination of decayed tooth, missing tooth, filled tooth. For children with only deciduous dentition, the dmf system was used; for children with only permanent dentition, the DMF system was used; for children with mixed dentition, a combination of two systems(dmf and DMF) was used. The results were as follows: 1. In the deciduous dentition, dmft index was 11.60.(dt rate ; 83.62%, mt rate ; 12.07%, ft rate ; 4.31 %) 2. In the mixed dentition, DMFT index was 12.25 and dmft index was 10.75.(DT rate ; 90.00 %, MT rate ; 0 %, FT rate ; 10.00 %, dt rate ; 60.53 %, mt rate ; 28.95 %, ft rate ; 10.52 % ) 3. In the permanent dentition, DMFT index was 8.16.(DT rate ; 87.77 %, MT rate ; 11.51 %, FT rate ; 0.72 %)

• 가족자원경영과 정책
• /
• 제18권2호
• /
• pp.143-162
• /
• 2014

The purpose of this study is to analyze the influences on resource transfers between middle-aged parents and their married children. This study used 2009 data from the National Research Foundation of Korea regarding inter-generational resource transfers and preparation for later life (kfr-2009-c00010). A sample of 1208 households of middle-aged parents with married children was used. The study found that parents provided financial resource transfers to their married children in the following circumstances: where parents received financial resource transfers from their married children, where the household income of parents was high, where the children were younger, and where the children were male. Parents provided instrumental resource transfers to their married children in the following circumstances: where parents received instrumental resource transfers from their married children, where the gender of children was female, where the children were employed, where married children had their own children who were either younger than a preschooler, and where household incomes of married children were high. Parents received financial resource transfers from their married children in these circumstances: where their emotional ties with their children was high, where the household income of the parents was low, where the household income of the married children was high, and where married children had preschoolers. The circumstances in which parents received instrumental resource transfers from their married children were where parents provided instrumental resource transfers and the household incomes of married children were high.

• 대한임상검사과학회지
• /
• 제38권2호
• /
• pp.125-134
• /
• 2006

This study was carried out to confirm the arguments that the role of the parents in sampling blood specimens from their children should be increased to reduce the anxiety and fear of children. The support and confidence of the parents, the reaction of the children and the subsequent action by phlebotomists should help to make an efficient sampling process for children. We randomly selected 50 children and their parents and had them fill out questionnaires before and after phlebotomy. The results were: 1. Detailed explanation by parents made children more active in sampling; 2. Higher confidence levels made parents more active in supporting children and relieving them from pain; 3. Confidence levels were higher in male children than in female children; 4. The confidence levels of parents were higher in parents of children with experience of multiple samplings and the highest level of confidence was observed in parents of children aged 61 to 120 months; 5. Only children showed the highest reaction level and very negative reactions; 6. The reaction of the phlebotomist was positive with children in good moods and negative with ones in bad moods. These results could serve as a basic tool in coping with children in phlebotomy.