• 제목/요약/키워드: short stature

검색결과 199건 처리시간 0.027초

Anesthetic management of a patient with chromosome 6p duplication: a case report

  • Morinaga, Saori;Tsukamoto, Masanori;Yokoyama, Takeshi
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제17권2호
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    • pp.139-141
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    • 2017
  • Chromosome 6p duplication is very rare and clinically characterized by short stature, mental retardation, and congenital heart diseases. Patients with mental retardation may present with poor oral health conditions. Dental treatment may need to be performed under general anesthesia in such patients. Our case report deals with induction of general anesthesia to a patient with chromosome 6p duplication, for dental treatment. The selection of a nasotracheal tube of an appropriate size, because of the patient's short stature, was especially important for airway management. In the present case, the patient with chromosome 6p duplication was intubated with a nasotracheal tube, which was not age-matched but adapted to the height and physique of the patient.

성장장애(成長障碍)에 관(關)한 임상적(臨床的) 연구(硏究)(I) (The Clinical Study of Delayed Growth(I))

  • 김장현
    • 대한한방소아과학회지
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    • 제12권1호
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    • pp.95-110
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    • 1998
  • I intended to be helpful to understand significant cause for treated patients comed to Dept of Pediatrics growth clinic in short stature of delayed growth and effect of oriental medical therapy. I studied at first 54 patients(36 men and 18 women) comed to Dept. of Pediatrics growth clinic of Dongguk Pundang Oriental Hospital and investigated characteristics, remidial value and side effect which 20 patients(1l men and 9 women) treated oriental medical therapy in short stature of delayed growth between June 1997 and October 1998. First study resulted the average was 8.37 year(chronological age), 6.96 year(bone age), 15.43 (height percentile by age), 164.2 cm(mid parental height) and the ratio of using the prescription was Bojunggunatang-derivative at first. second study resulted the distribusions of remedial values were improved(55.0%) and no improved(45.0%) patients. remedial values was affected by appetite.

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학령훈기 남아의 상반신 체형유형분석 - 만 l1~12세 남아를 대상으로 - (Somatotype Classification in the Upper Half of Body of Elementary School Boys at the Ages 11 to 12)

  • 여혜린
    • 복식
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    • 제53권3호
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    • pp.63-72
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    • 2003
  • The purposes of this study were to classify the upper half of body somatotype and analyze the characteristics of each somatotype. The subjects of survey were 272 elementary school boys of 11 to 12 years old living in Pusan and Kyungsangnam-do. Datas were collected through 36 anthropometric measurements and 7 photographic measurements. They were analyzed by factor analysis, cluster analysis and analysis of variance. The results of the study were as follows : 1. According to the factor analysis. seven factors were extracted from measurements of the upper half of body and those factors comprised 79.62% of total variance. Specially factor 1 was characterized sectional size and factor 2 was characterized longitudinal size comprised 58.83% of total variance. 2. According to the cluster analysis, the upper half of body somatotype was classified four types : Boys in type 1 had quite high stature and big frame, broadest and most sloping shoulders, flattest chest and belly, quite protruded shoulder blades boys in type 2 had quite short stature and small frame, quite broad and most rising shoulder, most protruded belly, quite protruded shoulder blades boys in type 3 had shortest stature, smallest frame, narrowest and quite rising shoulders, most protruded chest, flattest shoulder blade and quite flat belly : boys in type 4 had highest stature, biggest frame, most protruded shoulder blades and quite protruded chest and belly.

몽골 성인 여성의 체형특성에 관한 연구 (A Study on Body type Characteristics of Mongolian Women)

  • 임순;김상희
    • 한국의상디자인학회지
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    • 제9권3호
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    • pp.75-85
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    • 2007
  • This study analyzes characterization and classification of body types of Mongolian women. 100 adult subjects within the 20 to 49 age group were studied. The physical measurements of the research subjects come up to a total of 50 items. Data was statistically analyzed with SPSS program using basic statistics, t-test, one-way ANOV A, Duncan-test, factor analysis and cluster analysis. The conclusions are as follows. In the result of factors analysis in physical measurements of Mongolian women, 7 factors such as on the obesity of body, the vertical size of body, hip length, the bust from back length, the bust from front length, the ankle size and the shoulder size were extracted. The accumulated contributory rate of these was 70.7%. The cluster analysis for the comparison of the body types, by categorizing the body types produced three types. Mongolian women were grouped as those with the short stature and light weight, the medium stature and heavy weight, the tall stature and medium weight. The comparison of 50 items in physical measurements between Korean women and Mongolian women resulted in the differences in 39 items. While the height items including stature between them showed negligible differences, most of the length items relating to breadth, circumference, depth and obesity showed differences, which were big.

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백수오-한속단 추출 복합물의 어린이 키 성장에 관한 임상 연구 (Clinical Study on Child's Height Growth of Mixtures of Cynanchum wilfordii and Phlomis umbrosa Extract)

  • 하기찬;백향임;김혜미;김영미;정다영;홍성제;홍상근;최창민
    • 한방재활의학과학회지
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    • 제29권1호
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    • pp.75-83
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    • 2019
  • Objectives Previous animal studies have shown that mixtures of Cynanchum wilfordii and Phlomis umbrosa extract (IPLUS-CWPU) increases femur length and insulin like growth factor-1 (IGF-1) secretion. IPLUS-CWPU may thus be a promising ingredient in functional foods aimed at growing child's height. The purpose of the study is to investigate the effect of IPLUS-CWPU on height growth in children with short stature. Methods For this purpose, we recruited 90 children aged 4 to 12 years who had heights ranging from the 5th to 25th percentiles of Korean children's growth curve and randomized to either the IPLUS-CWPU or the placebo group. Results The IPLUS-CWPU group showed a significant increase in the change of the height growth compared to the placebo group after 20 weeks of administration (p=0.02). The height growth velosity also showed a statistically significant difference in the test group compared to the placebo group at 10 weeks (p=0.04). The IGF-1 levels showed a tendency to increase in the IPLUS-CWPU group (p=0.08). Moreover, the IPLUS-CWPU significantly increased IGF-1/IGFBP-3 ratio (p=0.02). However, there were no significant differences in blood biochemical parameters including growth hormone, bone age, thyroid stimulating hormone, and osteocalcin levels. Conclusions In conclusion, the data of this trial indicate that IPLUS-CWPU is effective and safe, generally well-tolerated without severe adverse events, in the treatment of children with short stature over a 20 weeks period.

소아기에 있어 키성장과 비만도, 골성숙도와의 상관성 연구 (A Study on Correlation between Height Growth, Obesity and Bone maturity in Childhood)

  • 최상락;김윤영;장은진;구진숙
    • 대한한의학회지
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    • 제40권1호
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    • pp.24-33
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    • 2019
  • Objectives: The purpose of this study is to analyze the causes of short stature through a clinical review of factors related to childhood height growth. So we can find the way to meet the needs of the heightism which is widely spread among modern people. Methods: Among 160 patients who came to Andong B oriental clinic for the purpose of growth therapy, 112 children whose height was smaller than other normal children were analyzed. When the children first came to the clinic, we checked their height and weight. The parents' height was recorded through a questionnaire. The relationship between obesity index and height growth was examined through growth plate test and Inbody test. We want to identify the genetic factors related to parental factors based on the data of the parent height. Results: For short stature children, weight was often normal or low. When we examined the relationship between parental genetic factors and child growth, we found that they were more influenced by father's height rather than mother's. We investigated the correlation between skeletal maturity and the five viscera. There was no apparent correlation between skeletal maturity and the five viscera but we found that there was some degree of relevance. Conclusions: For short stature children, the weight was often normal or low and parental genetic factors were more influenced by father than by mother. In the case of bone maturity it did not show a direct correlation between the five viscera.

특발성 저신장의 경제성 평가 연구 경향 분석: 체계적 문헌고찰 (A Systematic Review of Economic Analysis on Idiopathic Short Stature)

  • 이보람;권찬영;장수빈
    • 대한한방소아과학회지
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    • 제35권2호
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    • pp.1-10
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    • 2021
  • Objectives We aimed to examine health-related economic analysis of available interventions on idiopathic short stature (ISS). Methods Eight studies were reviewed from English, Korean, and Chinese databases which were published up to December 24, 2020. Effectiveness, utility, and cost data were extracted from the studies and descriptive analysis of the individual studies was conducted Results Five studies were chosen. In the two economic evaluation studies, the incremental cost-effectiveness ratio (ICER) of growth hormone (GH) treatment was presented by performing cost-effectiveness analysis based on the deterministic decision tree approach for the GH and untreated group. Final adult height and direct medical costs were analyzed as effectiveness and cost outcomes. In 1 review article, an ICER of GH was presented based on systematic review on the effects of the GH treatment. In the two clinical trials, the effectiveness and cost of the 12 months Oriental medicine combination treatment were presented in comparison with the GH treatment alone. There were no literatures that provided utility data of available intervention on ISS. Conclusions The results of this study will be used as basic data for the economic analysis of Oriental medicine treatment on ISS in the future.

특발성 저신장의 변증 유형 및 변증별 증상 분석 -중의학 논문을 중심으로- (Analysis of Pattern Identification and Related Symptoms on Idiopathic Short Stature -Focusing on Traditional Chinese Medicine Literature-)

  • 이보람;권찬영;장수빈
    • 대한한방소아과학회지
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    • 제35권1호
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    • pp.1-17
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    • 2021
  • Objectives We aimed to analyze traditional Chinese medicine (TCM) literatures in regards to the pattern identification and related symptoms of idiopathic short stature (ISS). Methods We searched relevant literatures published up to September 29, 2020 through three Chinese electronic databases. We performed frequency analysis of the selected studies by extracting information on pattern identification, clinical symptoms, and TCM treatments presenting pattern identification of ISS. Results Sixteen studies were included. Spleen deficiency, kidney deficiency, dual deficiency of spleen-kidney, and liver-kidney yin deficiency were frequently reported. Clinical symptoms of the spleen deficiency include sallow complexion, body constituent weakness, anorexia, lack of qi and no desire to speak, and loose stools. Herbal medicines (HMs) such as Sijunzi-tang were frequently reported. Clinical symptoms of the kidney deficiency include cold limb and fear of cold, soreness and weakness of waist and knees, and clear and long urine. HMs such as Bishendihuang-wan were frequently reported. Clinical symptoms of the dual deficiency of spleen-kidney include body constituent weakness, spirit lassitude and lack of strength, anorexia, soreness and weakness of waist and knees, and cold limb and fear of cold. HMs such as Sijunzi-tang plus Bishendihuang-wan were frequently reported. Clinical symptoms of the liver-kidney yin deficiency include tidal fever and night sweating, heat in the palms and soles, dizziness, and dry throat. HMs such as Liuweidihuang-wan were frequently reported. Conclusions This was the first study to analyze the frequency of pattern identification and related symptoms on ISS. In the future, a standardized Korean medicine pattern identification system should be established.

성장판 자극기기가 인체의 키 변화에 미치는 영향 (Effects of Growth Plate Stimulation Machine on Height Change in Human Body)

  • 조춘남;명재신
    • 한국전기전자재료학회논문지
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    • 제34권5호
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    • pp.357-363
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    • 2021
  • Recently, as interest in appearance has increased, various studies on treatment method for short stature are being conducted. In this study, the effect of growth plate stimulation on the height growth of children and adolescents was studied. As a result of pre- and post-analysis of the experimental group, it was confirmed that the difference in average height according to growth plate stimulation was relatively large. In addition, in the results of analyzing the effects of demographic factors on the height growth of the experimental group and the control group, weight showed the greatest influence on height growth among the demographic factors affecting the height growth of the experimental group. The effect on the height growth of the control group was found to have an effect in the order of age, weight, and father's height. The difference in height changed post-mortem between the experimental group and the control group was 1.10 cm for 3 months, and the difference was the result of growth plate stimulation. It was confirmed that growth plate stimulation had a significant effect on the height change of children and adolescents, except for weight, which is a common factor of height change in the experimental and control groups. Therefore, it is expected that it can be used as a treatment method for short stature.

저신장 소아에서 성장호르몬 치료가 두개안면골 성장에 미치는 영향 (The effect of growth hormone treatment on craniofacial growth in short stature children)

  • 정성호;김진욱;박용훈;황충주;이희경
    • 대한치과교정학회지
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    • 제40권4호
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    • pp.227-238
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    • 2010
  • 저신장이란 같은 연령 및 성별 소아들의 표준 신장 평균치에서 -2.0 SD 이하인 경우를 말한다. 본 연구의 목적은 저신장 소아의 두개안면골격의 특성을 분석하고, 성장호르몬 치료가 신장을 성장시킴과 동시에 두개안면골격에 어떤 영향을 주는지 알아보고자 함이다. 영남대학교 의과대학 부속병원 소아청소년과에서 저신장으로 진단받은 소아를 대상으로 성장 호르몬 치료 전 그리고 치료 후 1년, 2년 후 총 3회 측모 두부 방사선 규격 사진의 촬영을 시행하였다. 대조군은 경북대학교 치의학전문대학원 교정과에 소장된 한국인 평균 신장의 2 표준오차 내의 아동들을 대상으로 측모 두부 방사선 규격사진을 2년마다 10년간 촬영한 자료를 이용하여 저신장 소아의 연령과 성별을 기준으로 짝진 표집(paired sampling)을 하였다. 성장 호르몬 치료 전 저신장 소아는 작고 후퇴된 하악골과 편평한 두개저를 가지는 것으로 나타났다. 성장 호르몬 치료 후 anterior, posterior cranial base length, upper posterior facial height, lower anterior facial height, posterior total facial height, mandibular ramus length, mandibular corpus length와 overall mandibular length 성장량이 정상군에서의 2년 성장량과 비교했을 때 유의하게 큰 것으로 나타났으며 각도 계측에서는 saddle angle, mandibular plane angle과 ANB변화량이 정상군에서의 2년 성장량과 비교했을 때 큰 변화를 보이며 정상군의 평균치를 따라잡는 경향을 보였다. 성장 호르몬 치료는 불균형적인 성장의 징후 없이 정상화를 향한 성장(따라잡기 성장)을 나타내었으며 이는 특히 하악과두의 성장과 후안면고경의 성장을 촉진시켜 저신장 소아의 convex한 profile을 완화하는 것으로 판단된다.