• 대한치과교정학회지
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• 제49권6호
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• pp.413-426
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• 2019

This study was performed to describe the longitudinal management of recurrent temporomandibular joint (TMJ) ankylosis from infancy to adulthood in perspective of surgical and orthodontic treatment. A 2-year-old girl was referred with chief complaints of restricted mouth opening and micrognathia due to bilateral TMJ ankylosis. For stage I treatment during early childhood (6 years old), high condylectomy and interpositional arthroplasty were performed. However, TMJ ankylosis recurred and symptoms of obstructive sleep apnea (OSA) developed. For stage II treatment during early adolescence (12 years old), gap arthroplasty, coronoidectomy, bilateral mandibular distraction osteogenesis, and orthodontic treatment with extraction of the four first premolars were performed. However, TMJ ankylosis recurred. Because the OSA symptoms reappeared, she began to use a continuous positive airway pressure device. For stage III treatment after completion of growth (20 years old), low condylectomy, coronoidectomy, reconstruction of the bilateral TMJs with artificial prostheses along with counterclockwise rotational advancement of the mandible, genioglossus advancement, and orthodontic treatment were performed. After stage III treatment, the amount of mouth opening exhibited a significant increase. Mandibular advancement and ramus lengthening resulted in significant improvement in the facial profile, Class I relationships, and normal overbite/overjet. The OSA symptoms were also relieved. These outcomes were stable at the one-year follow-up visit. Since the treatment modalities for TMJ ankylosis differ according to the duration of ankylosis, patient age, and degree of deformity, the treatment flowchart suggested in this report could be used as an effective guideline for determining the appropriate timing and methods for the treatment of TMJ ankylosis.

• Child Health Nursing Research
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• 제6권2호
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• pp.167-185
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• 2000

The goal of this research was to provide the basic data of sexual education for late schooler by finding out what they want to know about sex, or to see, if any, its relevancy between female and male students and between each grade. The sample for this research was a total of 453 students in 4th, 5th and 6th grade from 12 different classes at two elementary schools which were located in C city and in B province. The children were requested to write down three points on what they want to know or to learn most about sex, and their answers were put through two analytical stages in order to classify and to examine. The followings are the conclusions from the data. 1. The female cluster took 44.2% out of the whole sample, and there were 151 students per each grade. The specific girl ratios for each grade were 42.4%, 50.3% and 39.7% respectively. 2. It was noted that a total of 1,195 questions were gathered from the students writings, 45% of the questions was raised by the female students. The 4th grade students raised 432questions (43.8% by the girl) while the 5th. and the 6th grade students raised 387 (53.2% by the girl) and 376 questions (42.3% by the girl) respectively. The average number of questions per students was 2.6 while the female students raised 2.8 questions which was more than the average 2.5 questions by male students. It was the 4th grade female student cluster, which raised the most question (3.0) while the 6th grade male students raised the least question (2.4) in average. 3. The questions raised by the children could be divided into seven categories of the knowledge need on sex. They were Reproduction (310 questions, 25.9%), Sexual Culture (230, 19.2%), Concept of sex (125, 18.0%), Changes of Puberty (172, 14.4%), Sexual Health (119, 10.0%), Anatomy and Physiology of Reproductive System (78, 6.5%) and Sexual Tendency and behavior (71, 5.9%). 4. 'Reproduction' was the most frequently raised questions not only by both sex groups but also by the 5th grade students. Both sexes in the 4th grade showed the highest interest in Sexual Culture while it was Changes in Puberty for the both sexes in the 6th grade. The knowledge need on sex of the children indicated what they understand sexuality. They apprehended sex as sex, gender and sexuality in an inclusive way. They showed a major interest in the biological sex and the sexual activities. It seems that the children managed to understand clearly the meaning of gender, furthermore, they even pointed out that the streotyped sex role, patrimonial system and the sexual discrimination were unreasonable. The students possessed not only the least but also the most negative understanding in regard of sexuality. Two suggestions were made from the above conclusions for the practical sex education as well as its research. 1. For the practice: The sex education for the elementary upper grade school student should be relevant with their cognitive characteristics, also it should be more specific on the reproductive organs of both sexes, the actual scenes of the pregnancy and child delivery procedures. The gender concept should be added to the biological sex education, which will lead them to understand the unreasonableness of today's male-superior phenomenon and correct them. It is also necessary to develop educational programs for this age group so as to help them to understand sex in the sense of sexuality as well. 2. For the research: It is not easy to draw out a through conclusion since this study was carried out as one-time data collection. Yet it is undeniably helpful for the sex education if we can understand what the children want to know about sex, how much they know about it by conducting deep-interview researches through a small number of sample.

• 대한장애인치과학회지
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• 제15권1호
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• pp.70-73
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• 2019

선천성 뇌하수체저하증(Congenital panhypopituitarism)은 갖는 환자는 스트레스에 대한 대처 능력이 떨어지기 때문에 치과치료 전 발생할 수 있는 부신 급성발증(adrenal crisis)에 대해서 미리 대비하는 것이 중요하다 스트레스를 유발하는 치과치료 시행 시 호르몬 대체 요법의 시행을 고려해야 한다. 치과치료 전 환아의 연령과 전신상태를 고려하여 적절한 치료 방법을 선택해야 할 것이며 비정상적인 악안면 성장 패턴을 보일 가능성이 있으므로 성장관찰을 동반한 정기 검진이 요구된다.

• 한국식품조리과학회지
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• 제7권1호
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• pp.67-80
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• 1991

남녀 고등학생들의 식습관을 조사하여 식습관이 좋은 군의 학생과 좋지 못한 군의 학생들의 건강상태와 어떠한 관계가 있는가를 조사한 결과는 다음과 같다. 1. 조사대상자의 연령은 16~17세가 79%로 가장 많았고, 평균체중은 $55.3\pm9.1$kg, 평균신장은 $165.6\pm7.6$cm였다. 2. 조사대상자의 부모의 학력은 고졸이 많았고 어머니의 학력이 아버지의 학력보다 낮았으며 강남의 부모학력이 강북의 부모학력보다 높았고, 인문계학생 부모의 학력이 높았다. 3. 강북과 강남의 식품섭취빈도는 녹황색 채소(P<.0.1), 과일(p<.05), 쌀, 밀가루, 감자(p<.05)에서 유의적인 차가 있어 강북이 강남보다 적게 섭취하였다. 4. 하루 중 가장 규칙적인 식사는 점심이었고 불규칙적인 식사는 아침식사였다. 5. 일반환경과 건강상태에서 강북과 강남은 우울증 (p<.0.5)에서 유의적인 차가 있어서 강북학생들의 우울증이 높았고 인문계와 실업계 간에는 신체화 중상(p<.0.5)이 유의적인 차가 있어서 인문계 학생의 신체화 증상이 높았다. 6. 식사의 규칙성에 따른 건강상태는 유의적인 차가 있어 규칙적인 식사를 하는 학생이 불규칙적인 식사를 하는 학생보다 건강상태가 좋았고 하루의 식사가 규칙적인 학생이 성적도 좋았다. 7. 식습관과 각 건강상태와는 많은 상관관계가 있었다. 특히 신체적 건강에서 근육골격계 는 과일(P<.001), 해조류(p<0.5) 튀김, 전, 볶음(p<.0.5), 짠맛(P<.0.5), 신맛(p<.0.01)과 상관관계가 있고 정신적 건강에서 강박증은 우유(p<.0.5), 쌀.밀가루.감자(p<.0.5), 짠맛(p<.0.5), 단맛(p<.0.5), 식사를 먹지 않거나 적게 먹는 경우(p<,0.5), 과식인 경우(P< .0.1)에 상관관계가 있어 식습관 요인과 관계가 가장 깊었다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제16권2호
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• pp.231-238
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• 2005

연구목적 : 우리나라 청소년들에서 성주체성 혼란과 동성애 성향의 빈도를 우선 파악하고자 하였으며, 성주체성의 혼란이나 동성애 성향을 보이는 청소년들이 성개방성과 자아 존중감에서 그렇지 않은 청소년들과 차이를 보이는지에 대해 알아보고자 하였다. 방법 : 서울지역 1,748명의 중, 고등학생(남자 중학생 359명, 여자 중학생 452명, 남자 고등학생 483명, 여자 고등학생 454명)을 대상으로, 성주체성, 동성애 성향, 성개방성, 자아 존중감에 대하여 자기 보고식 평가척도를 사용하여 측정하였다. 결과 : 1) 남중생의 $15\%$, 남고생의 $16.7\%$, 여중생의 $39.4\%$, 여고생의 $40.5\%$에서 성주체성 문제의 가능성을 보였다. 경미한 성주체성 문제는 여학생에서 많았으나 성주체성장애가 우려되는 심각한 성주체성 혼란은 남자, 특히 남고생에서 많았다. 2) 성주체성 문제 유무에 따른 성개방성은 여중생에서 만이 성주체성 문제군에서 성개방성이 높았고(p=0.044), 자아존중감은 성주체성 문제군에서 낮았는데, 특히 남중생(p=0.033), 여고생(p=0.020)에서는 통계적으로 유의하게 낮았다. 3) 남중생의 $17.2\%$, 남고생의 $5.4\%$, 여중생의 $17.7\%$, 여고생의 $12\%$에서 동성애적 성향이 있었다. 심각한 동성애 성향은 여중생 $3.3\%$, 남중생 $3.1\%$, 여고생 $2.1\%$, 남고생 $1.7\%$순이었다. 4) 동성애 성향 유무에 따른 성개방성 차이는 없었고, 자아존중감은 여고생의 경우만 동성애 성향이 있는 군에서 통계적으로 유의하게(p=0.039) 낮았다. 5) 성주체성 문제가 있는 경우에 통계적으로 유의하게(p=0.001) 동성애 성향이 많았다. 6) 성주체성은 연령간 차이가 없었으나 동성애 성향은 특히 남학생에서 연령이 증가하면서 감소하였다. 결론 : 성주체성의 문제나 동성애 성향을 보이는 청소년에서 자아존중감이 낮았다. 따라서 보다 체계적인 방법으로 이들을 선별하여 적절한 정신과적 조치를 취하는 방안이 요구된다.

• 대한한의학회지
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• 제30권5호
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• pp.88-101
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• 2009

Objectives: Since Korean traditional medicine has an integrative perspective by its nature, the patients' psychological and physical problems in a Korean traditional clinic may be resolved through a more integrative approach. The purpose of this study was to describe the latent characteristics of psychological health of child outpatients and their parents visiting Korean traditional clinic with physical complaints and was to propose an alternative curriculum to meet their needs based on their psychological and physical aspects. Methods: Subjects studied consisted of 100 outpatients (59 boys, 41 girls, mean age 55 months, age range 18 to 83 months) and their parents. Behavior characteristics for children were measured by Korean version of Child Behavior Checklist for Ages 1.5-5 (CBCL1.5-5) while parenting stress, depression, and anxiety for parent were measured by Korean-Parenting Stress Index-Short Form (K-PSI-SF), Center for Epidemiologic Studies Depression Scale (CES-D) and State-Trait Anxiety Inventory (STAI), respectively. The data of subjects were compared to those of standardized groups and then were compared according to child's gender within sample. Results: Child participants were reported to have significantly higher scores of all CBCL 1.5-5 subscales than the standardized group. When compared, no differences of K-PSI-SF, CES-D, and STAI was found between parents of participants and the standardized groups. However, parents of child participants with at-risk psychological problems showed significantly higher scores of all parenting stress subscales than those of all child participants. In addition, the mothers of boy participants demonstrated significantly higher anxiety, depression and parenting stress than those of girl participants irrespective of psychological severity. Conclusions: We discussed the implication of these results in clinical situation and make recommendations for curriculum of psychiatry and pediatrics with the aim of improving proper diagnosis, consulting and treatment.

• 정보교육학회논문지
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• 제6권3호
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• pp.328-337
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• 2002

멀티미디어 교육용 컨텐츠의 디자인적 측면에서 아동과 교사간에는 지식과 감성이 서로 다르기 때문에 교사의 설계모델이 아동의 인지모델과 다를 수 있고 이는 곧 교육용 컨텐츠의 효과에 영향을 미친다. 한글 타이포그래피가 위주인 교육용 컨텐츠의 학습효과는 글꼴, 줄 간격, 글꼴크기, 사용자 나이뿐만 아니라, 웹기반 컨텐츠의 경우에는 모니터라는 출력장치 등 여러 요인에 의해 영향을 받을 수 있다. 따라서 본 연구에서는 교육용 컨텐츠의 중요한 부분이라 할 수 있는 타이포그래피의 정보 전달속도에 대한 가해성을 중심으로, 효과적인 아동용 WBI를 위한 타이포그래피에 대하여 독서속도 측정법을 이용하여 실험연구를 실시하였다. 아동용 WBI 타이포그래피의 가해성에 유의한 영향을 미치는 요인으로는 글꼴, 나이(학년), 성별이었는데, 산세리프체 종류와 고학년, 여자아동이 높은 가해성을 갖는 것으로 나타났다. 보다 아동에게 효과적인 WBI를 위하여, 산세리프체 중 "굴림체"외에도 아동에게 좋은 가해성과 심미적으로도 선호되는 탈네모틀 글꼴 "엽서체"를 고려한 타이포그래피를 CSS로 제시함으로써 초등현장에서 활용할 수 있도록 하였다.

• Childhood Kidney Diseases
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• 제6권2호
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• pp.243-250
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• 2002

저자들은 소아기 류마티스 관절염으로 진단되어 간헐적으로 NSAID를 투여 받아 오던 중학교 신체검사에서 우연히 발견된 단백뇨와 혈뇨를 주소로 내원하였던 12세 여아에서 신생검상 신장의 아밀로이드의 침착을 확인하여 이차성 유전분증으로 진단된 증례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

• 대한지역사회영양학회지
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• 제3권1호
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• pp.12-20
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• 1998

In this study, the food intake, feces and urine of 14 primary school age boys and girls were collected and intake and excretion of iron and zinc were measured. The boys and girls were 8-12 years old and measurement continued for four weeks during which they maintained their normal living pattern. Each boy's and girl's daily intake and excretion of iron and zinc were measured and apparent digestibility and balance were also calculated. The results are as follows. Mean daily intake of iron was $14.9\pm{0.6mg}$ for the boys and $12.4\pm{0.5mg}$ for the girls. Mean daily intake of zinc was $11.8\pm{1.2mg}$ for the boys and $11.5\pm{0.4mg}$ for the girls. Mean daily fecal loss and apparent digestibility of iron was $6.1\pm{0.3mg}$ and $58.8\pm{2.0%}$ for the boys and $6.8\pm{0.1mg}$ and $44.1\pm{2.0%}$ for the girls. Mean daily fecal loss and apparent digestibility of zinc was $9.3\pm{0.2mg}$ and $14.4\pm{5.1%}$ for the boys and $9.7\pm{0.4mg}$ and $14.3\pm{4.3%}$ for the girls. Mean daily urinary loss of iron was $1.1\pm{0.1mg}$ and showed the positive balance of $7.86\pm{0.6mg}$ for the boys and $0.5\pm{0.1mg}$ and showed the positive balance of $5.14\pm{0.4mg}$ for the girls. Mean daily urinary loss of zinc was $0.5\pm{0.1mg}$ and showed the positive balance of $1.03\pm{0.6mg}$ for the girls.

• Clinical and Experimental Pediatrics
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• 제58권9호
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• pp.354-357
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• 2015

Parry-Romberg syndrome (PRS) is a rare, acquired disorder characterized by progressive unilateral facial atrophy of the skin, soft tissue, muscles, and underlying bony structures that may be preceded by cutaneous induration. It is sometimes accompanied by ipsilateral brain lesions and neurological symptoms. Here we present the case of a 10-year-old girl with right-sided PRS and recurrent monoplegic ataxia of the left leg. At 4 years of age, she presented with localized scleroderma over the right parietal region of her scalp; her face gradually became asymmetric as her right cheek atrophied. Brain magnetic resonance imaging revealed hemiatrophy of the face and skull base, and T2-weighted images showed increased signal in the right hemipons and hemicerebellar peduncle. Magnetic resonance angiography findings were unremarkable. She was treated with oral prednisolone, and her recurrent gait ataxia diminished within 2 months of the follow-up period. To the best of our knowledge, this is only the second case of PRS presenting with an abnormal involvement of the ipsilateral hemipons.