• Clinical and Experimental Pediatrics
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• 제52권9호
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• pp.984-990
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• 2009

목 적 : 부당경량아는 소아기 저신장의 주요한 이유 중의 하나이다. 유전적 요소는 부당경량아의 성장에 중요한 영향을 끼친다고 알려져 있다. 일반 소아와 유전적 요소사이의 관계에 대한 몇몇 보고가 있다. 하지만 부당경량아와 유전적 요소사이의 관계에 대한 보고는 많지 않다. 그래서 본 논문에서는 부당경량아의 성장과 부모중간키의 측정에 의한 유전적 요소 사이의 관계에 대해 연구하였다. 그리고 IGF-I, IGFBP-3 그리고 유전적 요소가 반영된 출생 후 성장과의 관계에 대해 연구하였다. 방 법 : 1989년부터 2002년까지 한림의대 강동성심병원에서 태어난 신생아로 출생체중이 10백분위수 미만인 부당 경량아 300명 중 추적 관찰이 가능했던 49명을 대상으로 하였다. 대상아의 부모중간키를 최종 평균값으로 하는 새로운 개인별 교정성장곡선을 구해 해당 연령의 표준편차를 적용하여 cHtSDS를 계산하였다. cHtSDS${\geq}0$ (n=35)인 1군, cHtSDS<0 (n=14)인 2군으로 나누고 두 군 간에 IGF-I과 IGFBP-3를 비교하였다. 결 과 : 1군과 2군의 HtSDS와 cHtSDS는 $0.28{\pm}1.05$, $-0.95{\pm}0.85$ (P=0.000), $0.78{\pm}0.93$, $-0.46{\pm}0.67$ (P=0.000)이었다. 또한 IGF-I SDS는 각각 $2.82{\pm}3.69$, $0.23{\pm}2.42$로 1군이 2군에 비하여 유의하게 더 높았다(P=0.012). 전체 cHtSDS ($0.42{\pm}1.03$)는 HtSDS ($-0.22{\pm}1.10$)보다 더 높았고(P=0.000), cHtSDS는 IGF-I SDS와 유의한 양의 상관관계를 가졌다(P=0.016). 결 론 : 본 연구 결과로 볼 때 cHtSDS는 HtSDS와 유의하게 차이가 났다. 현재의 일률적인 표준성장곡선에 의한 성장평가는 유전적 요소를 제대로 반영하지 못할 수 있다. 진정한 성장상태의 평가는 부모중간키 같은 유전적 요소를 반영한 개인별 교정성장곡선의 사용에 의해 가능할 것이다. 비록 cHtSDS를 계산하는 방법론상의 문제가 아직 있지만, cHtSDS는 부당경량아의 성장평가에 유용한 방법이 될 수 있다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제23권3호
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• pp.103-108
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• 2012

Objectives : The aim of this study is to investigate the effectiveness of treatment with osmotic-release oral system methylphenidate (OROS-MPH) on quality of life (QOL) in children with attention-deficit hyperactivity disorder (ADHD). Another aim is to assess the relationship between change in QOL and other factors including children's symptoms and academic performance or parents' depression and parenting stress. Methods : A total of 111 medication-naive children with ADHD in a multicenter, open-label, 12-week trial of OROS-MPH completed an evaluation using diverse rating scales at two time points; at baseline and after 12 weeks of treatment. Scales for investigation of children included the Parent Report Form-Children's Health and Illness Profile-Children's Edition (PRF-CHIP-CE) on QOL, the ADHD Rating Scale-IV on symptoms, and the Academic Performance Rating Scale (APRS). The Beck Depression Inventory and Parenting Stress Index were used for assessment of their parents. Results : Total scores for mean PRF-CHIP-CE increased from $207.9{\pm}26.7$ at baseline to $226.3{\pm}25.9$ after 12 weeks of treatment (p<.001). The change of APRS showed the strongest correlation with the increment of PRF-CHIP-CE scores (Pearson coefficient=0.561, p<.001), even after controlling for other factors (partial correlation coefficient=0.420, p<.001). Conclusion : Treatment with MPH-OROS results in improvement of QOL in children with ADHD in Korea. The advance in academic performance plays a key role in this change of QOL.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제13권1호
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• pp.129-138
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• 2002

목 적：소아청소년 정신과 질환의 가장 대표적이라 할 수 있는 주의력결핍-과잉행동장애(ADHD)의 최적치료모델 개발을 위한 연구의 일환으로, 우선 실제 ADHD로 의심되는 환자가 병원을 방문했을 때 임상의들이 현재 (1) 어떠한 진단 평가적 도구를 사용하여 진단적 접근을 하며, (2) 어떠한 치료적 접근을 시행하고 있는지, (3) 현재 시행하고 있지는 않지만, 어떤 모델을 추구하는지에 대해 구조화된 설문도구를 이용하여 파악하고자 하였다. 방 법：대학병원 및 종합병원 소아정신과 담당 전문가 32명을 대상으로 구조화된 설문조사를 하였고, 여기에 포함되는 조사내용으로는 진단검사도구, 약물치료, 비약물치료 현황파악이었다. 이 자료를 Texas Algorithm Project(TAP)와 비교 검토하였다. 결 과：(1) 모든 ADHD 환아에게 실시해야 할 기본적인 검사는 지능검사, 문장완성검사, 지속적 집중력검사, 코너씨 설문지였고, (2) 전반적 ADHD 투여 약물은 TAP 지침과 차이가 없었고, 다만 약효가 인정된 aderall, bupropion, guanfacin의 국내이용이 요구된다고 하였으며, (3) 틱 장애가 동반된 경우는 임상의들이 정신자극제 사용을 자제하는 경향을 보여 TAP 지침과 분명한 차이를 보였고, (4) 파탄적 행동장애가 동반된경우 임상의들은 다른 약물로 교체하기보다는 MPH 투여에 다른 약물을 추가하는 경향을 보였으며, (5) 과반수 이상의 임상의가 꼭 실시하여야 한다고 보고한 치료로는, 개별적 부모상담, 부모교실, 개인별 행동인지 치료였다. 결 론：본 연구 결과를 통해 알 수 있었던 여러 제한점들을 보완하고 또한 본 연구에서 제기된 논쟁점을 위주로 하여서, 한국적 실정에 맞는 ADHD 최적치료모델 개발을 위한 연구와 더불어 전문가들의 합의가 이루어져야 하겠다.

• Advances in Traditional Medicine
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• 제8권3호
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• pp.243-251
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• 2008

The effect of alcoholic extracts of Costus specious (Family: Zingiberaceae) was evaluated in experimental models of pain and inflammation. Oral administration of 100, 200 and 300 mg/kg of C. specious extracts were used for the above study. Crude extracts of C. specious (300 mg/kg dose) showed maximum time needed for the response against thermal stimuli ($7.242\;{\pm}\;0.532\;s$) which is comparable to diclofenac sodium ($8.471\;{\pm}\;0.25\;s$) in the hot plate test. The MPH (Maximum Possible Analgesia) has been found to be 14.285 for 300 mg/kg dose of the crude extract while the MPH for diclofenac was 15.857 after 60 min of administration in the hot tail-flick method. The crude extract at 300 and 200 mg/kg doses showed significant reduction in acetic acid induced writhings in mice with a maximum effect of 59.661% reduction at 300 mg/kg dose which is comparable to standard diclofenac sodium (73.4%). Alcoholic extract of C. specious showed significant inhibition in serotonin and egg albumin induced hind paw oedema in rats at 100, 200 and 300 mg/kg of the crude extracts respectively (Serotonin induced edema 44.22; 53.75; 58.51%; egg albumin induced edema - 41.317; 53.892; 59.880% inhibition after 4 h respectively). The antiinflammatory effects showed by the extract were comparable to that of standard indomethacin 5 mg/kg (Serotonin induced edema 77.56%; egg albumin induced edema 77.844% inhibition after 4 h). These results suggest that the extract possesses both the anti-inflammatory and analgesic activity on mice and rat model.

• 대한한방소아과학회지
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• 제23권2호
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• pp.145-157
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• 2009

Objectives : The purpose of this study was to examine relationships between bone age and body composition to make efficient clinical reviews on children's growth. Methods : 157 of children in age of 3 years to 16 years old were participated in this study(88 of boys and 69 of girls). They visited the department of pediatrics, OO university oriental hospital and were measured their body composition and bone age. Results : 1. An age and bone age, height, weight, and body mass index were positively correlated, and also a bone age and height, weight, and body mass index were positively correlated. 2. The level of soft lean mass, body fat mass, and MPH were increased in boys in higher height percentile. Children's predicted adult height was higher in children in higher height percentile. 3. The level of body fat mass was increased as weight percentile increased. Bone age, MPH was increased as weight percentile increased, especially in case of boys. In girl's case, the level of soft lean mass, their predicted adult height, the difference between children's bone age and their actual age was increased as weight percentile increased. Conclusions : Measuring bone age and body composition is the effective way to estimate children's growth and development in future.

• Journal of Microbiology and Biotechnology
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• 제27권9호
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• pp.1711-1715
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• 2017

In this study, we characterized the $bla_{NDM-5}$-bearing plasmid in a Klebsiella pneumoniae isolate that had lost the plasmid during serial passage. We determined the complete sequences of the plasmid pCC1410-2, which was extracted from a K. pneumoniae ST709 isolate collected at a Korean hospital from which two NDM-5-producing K. pneumoniae isolates were subsequently isolated. As a result, the pCC1410-2 plasmid had a backbone structure that was similar to those of two plasmids previously reported from the same hospital, but lacked some antibiotic resistance genes ($bla_{TEM-1}$, rmtB, mphR(A), mrx(A), and mph(A)). A 9-bp repeating unit encoding three amino acids (Gln-Gln-Pro) was inserted in TraD in pCC1410-2. Thus, the pCC1410-2 plasmid might be transferred from the previously identified carbapenem-resistant K. pneumoniae, but some delections and inversions might have occurred during the process. We compared the transfer frequency and stability of the plasmids. The relative frequency of conjugative transfer and stability in the host were significantly lower in pCC1410-2 than in previously reported $bla_{NDM-5}$-bearing plasmids in Korea. A low transfer frequency and instability in the host may cause underestimation of carbapenemase-producing Enterobacteriaceae in the clinical setting and in surveillance studies.

• 대한한방소아과학회지
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• 제23권2호
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• pp.131-144
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• 2009

Objectives : The purpose of this study is to have better data and to make efficient clinical reviews on pre-school children's growth based on two measurements; Body composition for measuring body volume and bone age for potential growth. Methods : The study was conducted with 221 children(118 of boys and 103 of girls) from three kindergartens. Body compositions(soft lean mass, body fat mass, percent body fat) were measured by bioelectrical impedance analysis, bone age was measured by bone density through ultrasonic image of calcaneus. Results and Conclusions : 1. The higher level on weight or BMI, the more averages of soft lean mass, body fat mass, percent body fat. 2. The average bone ages and bone age-chronological age were lower in under 50 percentile's group, but it was higher in upper 50 percentile's group. Also, children with high BMI had older in bone ages and bone age-chronological age. 3. The higher in height percentile based on the bone age; there were more soft lean mass. 4. The averages of bone age and bone age-chronological age were significantly decreased, the more percentiles of height according to bone age were big, they were higher than total average in under 50 percentile's group of height, lower than total average in over 50 percentile's group of height in both boys and girls. 5. The average of MPH were significantly decreased in top percentiles of children's height distribution. Also, in the upper percentiles of height distribution based on bone age were big in only boys. 6. The body compositions(soft lean mass, body fat mass, percent body fat) were related to body volume growth, which can he measured by weight or BMI. The bone age, bone age-chronological age, and MPH were related in terms of hight. The body volume growth was a little hit related with potential growth.

• 대한한방소아과학회지
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• 제22권2호
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• pp.125-139
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• 2008

Objectives : The study was designed to find out the relationships between rhinitis, quality of sleep, growth among children with chronic rhinitis. Methods : This research was performed in 50 children from November 2007 to May 2008. We measured height, weight, body mass index of those children and asked to answer to the questionnaires that consist of nasal symptoms, period of time with rhinitis, sleep symptoms, parent's height, present illness, and medical history. We also analyzed correlations with this factors obtained from questionnaires. Results : 1. In 50 subjects, there were significant correlations between nasal obstruction, the quality of sleep, and the between quality of sleep and growth. But, there were not significant correlations between nasal symptoms and growth. 2. In 24 preschool children, frequency of waking up during sleeping and the number of snorers were higher and quality of sleeping was worse than those in the children who were attending school. And there were significant correlations between quality of sleep and nasal obstruction. An average of RH-MPH(Recent Height-Mid-Parental Height) is $-7.74{\pm}36.51(%)$ which means they aren't as tall as MPH(Mid-Parental Height). 3. In 26 school children, there were significant correlations between symptoms and period of rhinitis, quality of sleep and growth. Conclusions : Children with chronic rhinitis have low quality of sleep and low growth. But more studies are needed.

• 대한한방소아과학회지
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• 제28권2호
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• pp.1-22
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• 2014

Objectives The purpose of this study is to investigate the relationship between weak children and growth indices. Methods One hundred twenty-six of the first and the second grade elementary school students who didn't have to develop yet their secondary sexual characteristics answered the questionnaire. Their bone age and body composition were measured. Results 1. According to the Weak Children questionnaire analysis, respiratory problem was one of the biggest problems in the weak children group (35.7%), followed by digestive problems (23.0%), psycho-neurological problems (22.2%), neuromotor problems (9.5%), and urogenital problems (8.7%). 2. From the comparison between growth indices of weak children and that of normal children are as follows: 1) The group of children who had problem in their digestive system had lower growth indices than the normal average children group. The growth indices includes mean height, weight, total body water, protein mass, mineral mass, body fat, skeletal muscle mass, body fat percentage, body mass index (BMI), and basal metabolic rate (BMR). 2) The children who had urogenital weakness had lower mean height, RH (Recent Height), RH - MPH {Recent Height(%) - Mid-Parental Height(%)}, RUS (Radius, Ulna and Short bone) score, weight, protein mass, body fat, BMI, and visceral fat than the normal children group. 3. The results of the multiple comparisons of growth indices and weak children groups are as follows: 1) Digestive weak children were the lowest in total body water, protein mass, mineral mass, skeletal muscle mass, and basal metabolic rate. 2) Urogenital weak children were the lowest in height, RH, RH - MPH, RUS score, and weight. Conclusion These results showed that children's growth is strongly correlated to their own growth problems, especially to those children who have digestive and urogenital problems. Therefore, this may be an effective way for children growth treatment in Korean medicine to treat weak symptoms.

• 자원환경지질
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• 제40권4호
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• pp.403-418
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• 2007

본 연구의 목적은 대전 산업단지 폐수종말처리장 내 국가지하수관측망(대전, 문평)의 6가 크롬 오염지하수의 오염 현황을 파악하고 그 확산 여부를 평가하는 것이다. 대전(문평) 관측소에서 나타나는 6가 크롬($Cr^{+6}$) 수질장해의 원인을 규명하고 6가 크롬의 오염 범위를 파악하기 위해 금번 연구에서는 보조 관측정을 설치 활용하였다. 수질분석 결과, 6가 크롬이 $3.2{\sim}4.5mg/L$ 정도 검출됨으로써 6가 크롬에 의한 관측소 충적공의 수질오염은 지속되고 있음이 파악되었다. 그러나 관측소의 암반관정 및 0.05mg/L 수질기준 이하의 농도를 보이는 MPH-1과 3번 관측공을 제외한 주변 관측공에서는 검출되지 않았다. 따라서 6가 크롬 및 총 크롬 함량의 오염 범위는 관측소 충적층 관정 인근에 한정되어 나타나고 있는 것으로 파악되었다. 또한 신규 5개 보조 관측정에서 채취한 77개의 시추 코어 및 슬라임 시료 모두에서 수용성/교환성 6가 크롬이 검출 한계(0.01mg/L) 이하로 나타나, 오염이 관측된 관측소 관정 주변의 토양 및 풍화토에서는 직접적으로 6가 크롬의 오염원이 확인되지 않았다. 지하수 수질분석 및 코어시료 분석 결과, 그 오염원의 중심 및 오염 확산 범위는 관측소 주위 반경 100m 이내로 매우 한정되는 것으로 판단되며 그 확산의 범위가 매우 좁을 것으로 예상된다. 시추조사 결과, 폐수종말처리장 부지조성 당시의 불량 매립층이 확인되었으며, 이러한 불량 매립산업폐기물이 관측소 인근의 6가 크롬 수질장해 원인으로 추론된다. 지표매질의 6가 크롬 자연저감능 평가를 위해 초기 농도 5mg/L Cr(VI)을 이용한 6가 크롬 유효 환원능을 분석하였다. 그 결과, 암회색 점토층에서 각각 58%, 66%, 64% 정도의 높은 6가 크롬 저감율을 보였으며, 이는 유기물 함량과 상호 관련이 있을 것으로 판단되었다. 비포화대/충적층 매질에 대한 6가 크롬 함량 및 자연저감 능력의 정량적 평가 결과, 매질에 의한 6가 크롬의 자연 저감능이 확인되었으며 관정 주변으로의 오염 확산은 충분히 제어되고 있는 것으로 판단된다. 그러나 시추 관측정 및 기설 관정의 수가 부족했기 때문에 매우 제한적인 선택적 유동(preferential flow) 경로에 의한 확산 가능성을 완전히 배제할 수 없다. 정기적인 양수작업을 통하여 지하수에 부화된 6가 크롬의 농도를 지속적으로 제거하고 관측소 주변에 설치된 보조 관측정들을 지속적으로 활용하여 6가 크롬의 농도 변화 추이 및 시간의 흐름에 따른 오염 확산 여부를 지속적으로 관측하고 감시하는 방안이 필요할 것으로 판단된다.