• Advances in pediatric surgery
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• 제19권2호
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• pp.73-80
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• 2013

Ketamine is a safe and effective drug for pediatric anesthesia, sedation and analgesia. We hoped to identify that surgeons could operate a pediatric hernia with the ketamine anesthesia without general anesthesia. The study was a consecutive case series of 2230 inguinal hernia patients aged 1 months to 17 years in a Joo's day-surgical clinic during 11-year period. The patients had pediatric inguinal hernia surgery without general anesthesia under the day-surgery system. We retrospectively analyzed the medical record of patients who were registered with the Diagnosis Related Group (DRG) system. All patients received ketamine (5mg/kg) and atropine (0.01mg/kg) intramuscularly before surgery. After anesthesia, we injected 1~2% lidocaine (Less than 5ml) subcutaneously at the site of incision and started operation. The surgical method was the high ligation method of the hernia sac.) In total 2230 patients, male were 1756 and female were 474. 2076 patients were a unilateral inguinal hernia at the time of surgery and 154 were bilateral hernia patients. Less than three months, depending on the age of the patients was 391, and less than 12 months the patient was 592 people (26.5%). After surgery, there were no accidents or long term complications associated with ketamine anesthesia. We think the surgeon can safely do the pediatric inguinal hernia surgery using ketamine and lidocaine without anesthesiologist through 11 years of our surgical experiences.

• 한국산학기술학회논문지
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• 제15권3호
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• pp.1465-1470
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• 2014

본 연구는 유아의 사회적 유능감을 위하여 유아의 리더십이 사회적 유능감에 미치는 영향을 조사하였다. 서울, 인천, 경기 지역의 만5세 남녀유아 330명을 설문조사하여 자료처리를 t-검증, f-검증을 적용하여 person상관분석을 실시하였다. 연구결과는 첫째, 유아의 성별에 따라 의미 있는 차이를 보였고 남아보다 여아가 리더십, 사회적 유능감 점수가 더 높은 것으로 나타났다. 둘째, 유아리더십과 사회적 유능감 간의 상관관계를 분석한 결과는 통계적으로 유의미한 차이를 보이는 것으로 나타났다. 셋째, 리더십 수준이 높은 집단일수록 사회적 유능감이 높은 것으로 나타났다. 결론적으로 본 연구에서는 유아의 리더십이 유아의 사회적 유능감에 미치는 영향이 크다는 것이 입증 되었다. 따라서 본 연구에서 나타나는 결과는 유아의 리더십을 향상시키는 유아 리더십 교육프로그램을 통하여 유아의 사회적 유능감을 증진 시킬 수 있다는 교육적 시사점을 가질 수 있다.

• Journal of Trauma and Injury
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• 제22권2호
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• pp.242-247
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• 2009

Purpose: Trauma is an important cause of death in children. In particular, the liver is the second most commonly organ injured by blunt abdominal trauma. Treatment of patients with liver injury is has changed, and non-operative treatment is the major treatment method at present. In this study, we reviewed traumatic liver injury in pediatric patients. Methods: Seventy-seven patients younger than 16 years of age with traumatic liver injury were assessed for 10 years from July 1999 to June 2009 at Wonju Christian hospital. Records of the patients were reviewed retrospectively. Demographic and clinical data were analyzed. Results: The median age was 6 years, and the male-to-female ratio was 1.2 : 1. The most common injury grade was grade I. The majority of injuries were caused by was traffic accidents, and the second most common cause of injuries was falls. Twenty-four patients had liver injuries alone, and the most common accopaning injury was a lung injury. The average hospital stay was 20.7 days, and the average ICU stay was 4.8 days. Four patients died (5.2%). There were 6 patients with under 10 points on the Glasgow coma scale (GCS). Among these patients, three died. All mortality cases had over 16 points on the Injury Severity Score (ISS). Two patients were treated surgically, one of whom died. Of the 75 patients with non-operative management, three died due to associated injuries. Conclusion: Most pediatric patients with liver injury have good results with non-operative management. Associated injuries and hemodynamic instability are predictive of patient outcome, and those with isolated liver injuries can be successfully managed non-operatively.

• 한국의류산업학회지
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• 제19권1호
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• pp.11-18
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• 2017

The purpose of this study is to investigate the trends of Hanbok pattern research published in journals and theses. We collected 70 articles related to the Hanbok pattern. The articles were divided into 7 chronicles based on publishing year, and analyzed by journal, publishing year, research theme, wearing subject and research pattern. Researches can be categorized into journals, university research paper, and master's theses. After 1981, studies on the pattern of Hanbok have been continuing. Most researches were focused on traditional Hanbok, especially about Jeogori. Research on modernized Hanbok started from Vchronicle(2001~2005), but it has not progressed anymore. According to the analysis on wearing subject, the number of research for female Hanbok was almost three times that of the male. Most researches were performed on adult Hanbok, and subjects were expanded to children, adolescents and middle-aged. The body shape of the wearer did not mentioned on many articles. Pattern researches started from excavated costume, but most researches were about commercial patterns. These researches on the pattern on Hanbok have shown an increasing tendency as the years passed, but researches on modernized Hanbok, including Hanbok pattern development for modern life style should be conducted more actively. In an aging society, as the number of middle-aged consumers increases, pattern research on middle-aged or older people and their various body shapes should be necessary.

• 한국학교보건학회지
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• 제22권2호
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• pp.157-167
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• 2009

Purpose : The purpose of this study is to explore the students injuries by analyzing the data which has been inputted by the emergency center of the cooperated hospitals and the 119 rescue party through the injury surveillance system in Cheonan city. Method : Students were divided into the elementary, middle, high school students with the 776 cases of children and teenagers(7-19years old) of injury surveillance system in Cheonan area from january to june in 2009. Frequency analysis and $x^2$-test was done to recognize the features of students injuries among the groups. The program to be used for the statistical analysis is SPSS 17.0. Result : Out of the injury incidence rate, the elementary school students(52.1%) are first, the high school students (24.9%) are second, the middle school students appear to be 23.1%. Male is about two times higher than female by 66.6% in the injury incidence. In terms of the injury mechanism, the injury(22.2%) by hit is the first, the traffic accident(21.5%) is the second, the slippery(16.8%) is followed. The injuries were occurred most largely at 16:00-20:00(33.4%), and the 33.6% of injury by daily leisure activity occurs at 16:00-20:00 chiefly. Conclusion : Analysis using the data of the injury surveillance system has some advantages compared to the previous research such as reliability and specification. To prevent the students injuries, not the individual problem but the social dimension should be acknowledged so that we can secure and promote the safety from the risk. Therefore, we must organize the role assignment and the cooperative network in the school, home and community.

• Archives of Plastic Surgery
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• 제37권6호
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• pp.763-768
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• 2010

Purpose: Reconstruction of soft tissue defect using tissue expander can provide better flap which is more similar to surrounding tissue in color, skin texture and hair compared to other methods. Many pediatric patients need reconstruction of soft tissue defect because of giant congenital nevi, congenital or acquired malformations and burn scars. Reconstruction using tissue expander is adequate to minimize dysmorphism in these patients. We intended to assess outcomes of using tissue expander in pediatric patients by retrospective study. Methods: Total cases were 168 of pediatric patients who received soft tissue reconstruction using tissue expander by the same surgeon from February, 1982 to May, 2009. All patients who received soft tissue reconstruction were under 10 years old. Mean age was 4.3 years old, the youngest 13 months, the oldest 8 years. Eightynine cases were male and 79 cases were female. Most common cause was giant hairy nevi (67 cases, 39.9%), secondary cause was burn scar/scar contracture (61 cases, 36.3%). Trunk (38 cases, 22.6%) was most common anatomical location. Results: Soft tissue defects were successfully covered using tissue expander in 149 cases (88.7%) without major complications. There was infection on 8 cases (4.7%) and we treated by adequate antibiotics in these cases. There were tissue expander folding or valve displacement on 5 cases (3%). Conclusion: Usage of tissue expander is useful on pediatric patients because tissue expansion is rapid on children and there are less secondary contractures on operation site than full thickness skin graft. Because of psychological stress due to tissue expander, operation should be performed before school age.

• Childhood Kidney Diseases
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• 제24권2호
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• pp.91-97
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• 2020

Purpose: Alport syndrome (AS) is one of the most common inherited renal diseases caused due to mutations of genes encoding specific proteins of the type IV collagen family, and its major clinical manifestations include progressive renal failure, sensorineural deafness, and ocular abnormalities. We investigated the clinical characteristics and long-term prognosis of AS in Korean pediatric and adult populations. Methods: We conducted a retrospective review of medical records of 33 children and adults who had been diagnosed or treated with AS from 1985 to 2019. Results: The mean age of the 33 patients diagnosed with AS was 16.2±13.6 years, and the male-to-female ratio was 2:1. At the first visit, recurrent gross hematuria was the most common initial symptom. In 10 of 33 patients (30.3%), sensorineural hearing loss (SNHL) was diagnosed, but none had ophthalmic problems. Moreover, 11 of 33 patients (33.3%) had advanced to end-stage renal disease (ESRD), and a significant difference was observed in the age of the patients who progressed to ESRD based on the presence or absence of SNHL (P=0.035). Conclusion: SNHL in AS can be an important prognostic factor for long-term deterioration of renal function. Further investigation is required to confirm the clinical course and the genetic characteristics of AS in Korea through prospective national cohort studies.

• Journal of Nutrition and Health
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• 제3권2호
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• pp.95-99
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• 1970

Korea is one of the typical rice eating countries where availability of animal protein is limited even for the growing generation. Nutritive food products for infants and children are not available commercially in large scale at the present time, although a limited amount of expensive milk products are produced. The present study deals with a pioneering attempt on a new food mixture to meet this demand. Several food mixtures, possibly produced in the country, consisting of rice, soybean, FPC, vitamin, minerals and other food additives are developed in this work Sixty female and male rats aged $30{\sim}40$ days were divided into five groups, twelve rats each. The rats had been maintained with the six different diets, as follow. Formulation of proposed infant food mixturesComposition F-R-1 F-S-2 F-F-3 F-P-4 S Rice 100% 40% 37% 46% 70% Sugar - 12 13 10 70 Casein - - - - 20 Bean - 40 37 24 - Yeast - 3 2 3 - Mineral Vitamain - 2 4 2 4.3 F.P.C - 3 4 7 - Fat - - 4 8 4 Cod liver Oil - - - - 3 The findings of this study presented in FER, PER, final organ weights, body weights growth, percentage of nitrogen retention in the body. F-P-4 group tended to remain the heaviest and F-R-1 the lightest in the body weight among three groups throughout the experimental period. In terms of FER (Feed Efficiency Ratio) and PER (Prortein E. R.) value, F-P-4 group kept the highest record throughout. F-P-4 group showed the highest value of nitrogen retention in the body. In comparision between F-P-4 groups and casein 20% group (standard) in all respects of this experiment, F-P-4 group which is the most superior among experimental group, revealed statisfically no significant inferior than that of standard group. This fact could be interpreted that most limiting a. a., methionine in the soy protein produced little inferiority of the experimental groups in the study.

• Clinical and Experimental Pediatrics
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• 제48권7호
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• pp.696-700
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• 2005

목 적 : 소아 체지방 평가에 있어 여러 가지 방법 중 BIA를 이용한 체성분 분석은 비침습적이고, 경제적이며, 방사선 노출의 위험이 없이 검사가 용이해 반복 시행할 수 있다는 장점이 있는 반면 검사 결과의 정확성에 대해 확인해 볼 필요가 있다. 이에 BIA 및 이중 DEXA에 의한 측정치들을 비교하여 BIA의 타당성을 알아보고자 하였다. 방 법 : 2003년 7월에서 10월까지 4개월 동안 부산대학교병원 소아과 방문하였던 소아 100명(남아 58명, 여아 42명)을 연구대상으로 하여 연구 대상자들에 대하여 각각 신장, 체중, 피부두께를 측정하였으며, BIA 및 DEXA법을 이용하여 체성분(체지방량, 제지방량, 제지방률, 체수분량)을 분석하였다. 결 과 : BIA와 DEXA법을 통한 검사상 FBM, LBM, %BF의 상관관계는 남녀 모두에서 통계학적으로 의미있는 양의 상관관계를 보였으며, 통계학적으로 의미가 있었다(P<0.001). 특히 FBM에서 남녀 모두 상관 계수가 높았다. 결 론 : 소아 비만의 평가에 있어 BIA를 통한 체성분 분석은 장치가 간단하고 특별한 기술을 필요로 하지 않으며, 비침습적이면서 경제적일 뿐 아니라 측정치가 객관적이고 정확한 것으로 분석되었다.

• Journal of Chest Surgery
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• 제30권12호
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• pp.1167-1174
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• 1997

저자들은 1991년부터 1996년까지 5년간 지연 흉골 폐쇄를 시행한 20명의 환자를 분석하고 추적 조사 하였다. 남녀비는 11:9였고 평균연령은 6.4개월(범위 7일-5년)이었다. 적응증으로는 개심술후 심근부종에 기인한장치한 불안정한 혈역학적 상태로 인한 것이 15례로 가장 많았고, 심폐기 이탈 불가로 심실 보조 장치를 경우에서가 3례, 폐동맥 밴딩술 후 저산소증으로 인한 것이 2례 등이었다. 흉골 봉합은 술후 평균 102시간(범위 4-213시간)에 이루어졌으며 시행 후 중심 정맥압의 유의한 상승이 관찰되었다. 종격 동염, 환부 감염 등은 없었으며 2례에서 패혈증이 관찰되었다. 5명이 사망하였고 생존환자 15명중 2명 이 술후 추적관찰 기간 중 사망하였다. 누적 생존률은 1년과 2년에서 각각 65.0%였다. 지연 흉골 봉합 은 혈역학적으로 불안정한 심장을 감압하는 좋은 방법이며 성공적인 결과를 얻기 위해서는 적응증에 대한 신중한 고려가 선행되어야 한다고 생각된다.