• Title/Summary/Keyword: under 40 years old

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Pre-Coronavirus Disease 2019 Pediatric Acute Appendicitis: Risk Factors Model and Diagnosis Modality in a Developing Low-Income Country

  • Salim, Jonathan;Agustina, Flora;Maker, Julian Johozua Roberth
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.25 no.1
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    • pp.30-40
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    • 2022
  • Purpose: Pediatric acute appendicitis has a stable incidence rate in Western countries with an annual change of -0.36%. However, a sharp increase was observed in the Asian region. The Indonesian Health Department reveals appendicitis as the fourth most infectious disease, with more than 64,000 patients annually. Hence, there is an urgent need to identify and evaluate the risk factors and diagnostic modalities for accurate diagnosis and early treatment. This study also clarifies the usage of pediatric appendicitis score (PAS) for children <5 years of age. Methods: The current study employed a cross-sectional design with purposive sampling through demographic and PAS questionnaires with ultrasound sonography (USG) results. The analysis was performed using the chi-square and Mann-Whitney tests and logistic regression. Results: This study included 21 qualified patients with an average age of 6.76±4.679 years, weighing 21.72±10.437 kg, and who had been hospitalized for 4.24±1.513 days in Siloam Teaching Hospital. Compared to the surgical gold standard, PAS and USG have moderate sensitivity and specificity. Bodyweight and stay duration were significant for appendicitis (p<0.05); however, all were confounders in the multivariate regression analysis. Incidentally, a risk prediction model was generated with an area under the curve of 72.73%, sensitivity of 100.0%, specificity of 54.5%, and a cut-off value of 151. Conclusion: PAS outperforms USG in the sensitivity of diagnosing appendicitis, whereas USG outperforms PAS in terms of specificity. This study demonstrates the use of PAS in children under 5 years old. Meanwhile, no risk factors were significant in multivariate pediatric acute appendicitis risk factors.

Hypercalciuria and febrile convulsion in children under 5 years old

  • Gorabi, Vahid Seddighi;Nikkhoo, Bahram;Faraji, Obeidollah;Mohammadkhani, Mona;Mirzaee, Sattar;Rasouli, Mohammad Aziz;Afkhamzadeh, Abdorrahim
    • Clinical and Experimental Pediatrics
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    • v.61 no.4
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    • pp.129-131
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    • 2018
  • Purpose: The association between hypercalciuria and febrile convulsion is controversial. The present study aimed to investigate the statistical association between hypercalciuria and childhood febrile convulsions. Methods: Overall, 160 children aged 6 months to 5 years, including 80 children with febrile convulsion and 80 febrile children without convulsion (comparison group), were recruited. All laboratory tests, including 24-hour urine calcium, were undertaken in an academic clinical laboratory. Results: Forty-five children of the febrile convulsion group (60%) and 30 of the comparison group (40%) had hypercalciuria. There was a significant difference between the 2 groups (P=0.02). Conclusion: Our results indicated that there is a statistical association between convulsion and hypercalciuria in children. Since we found this association with a cross-sectional assessment, further studies, especially prospective and controlled designs, are needed.

Submucosal Schwannoma of Tongue: A Case Report and Brief Review of Literature (혀의 점막하에 발생한 신경초종 환자의 치험례)

  • Park, Sung Won;Jeon, Jae Ho;Park, Joo Yong;Choi, Sung Weon;Kim, Soo Ho
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.34 no.6
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    • pp.480-483
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    • 2012
  • Schwannoma is a benign, slow-growing, tumor of the peripheral nerves without specific symptoms, so that early diagnosis may be difficult. Though approximately 25~40% of all schwannomas occur extracranially in the head and neck region, only 1% of schwannomas are reported in the oral cavity. An 18-years-old female patient visited our clinic with a mass on the middle-right-dorsal surface of the tongue slowly growing for 1.5 years. The patient underwent the surgical removal of the neoplasia under general anesthesia. The mass was well capsulated and a cleavage plane was easily found. There was no recidivation during the course of a one-year follow-up. The treatment for schwannoma is surgical excision of the lesion and recurrence after excision of schwannoma is rare. The final diagnosis is made after a histological examination. Differential diagnoses must be made in relation to malignant tumors and in relation to numerous benign neoformations based on epithelial and connective tissues.

Reproductive Performance of Arabian and Thoroughbred Mares under Subtropical Conditions of Pakistan

  • Warriach, H.M.;Memon, M.A.;Ahmad, N.;Norman, S.T.;Ghafar, A.;Arif, M.
    • Asian-Australasian Journal of Animal Sciences
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    • v.27 no.7
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    • pp.932-936
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    • 2014
  • Breeding records of 57 Arabian and 66 Thoroughbred mares were analysed to assess their reproductive performance under the subtropical conditions of Pakistan. The Arabian mares showed significantly higher conception rates (p<0.05) in second mated oestrus and foal heat mated oestrus compared to Thoroughbred mares. However, conception rates for first lifetime mated oestrus were similar in both breeds of mares. Age at first mating ($1,301{\pm}40$ vs $1,500{\pm}32$ days) was significantly (p<0.05) less in Arabian compared to Thoroughbred mares. Both breeds of mares showed significantly (p<0.05) higher frequencies of oestrous cycles and conception rates during the winter (October to March) compared to summer (June to August) months. Age of mares affected the conception rates, as mares at ages 3 to 7 and 8 to 12 years of ages had significantly higher conception rates (p<0.05) than those ${\geq}18$ years old in both breeds. This study demonstrates that i) reproductive performance in Arabians is better than Thoroughbred mares under the subtropical conditions of Pakistan, ii) mares remain cyclic throughout the year and iii) conception rates were higher in mares bred during winter compared to summer months.

A Statistical Study on Industrial Accidents in Migrant Workers in Seoul and Kyungin Area (서울·경인지역 일부 외국인 근로자들의 산업재해에 관한 통계조사)

  • Hwang, Seong Ho;Kim, Hae Seong;Lee, Sun Hee;Paik, Nam Won
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.16 no.1
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    • pp.17-26
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    • 2006
  • In order to obtain basic reference information for the establishment of effective industrial safety programmes in migrant workers who live in Seoul and Kyungin Area, accident causes were investigated among 210 injured workers. The data were analyzed according to the USA Standards Institute and International Labour Organization method. The results obtained were as follows: 1. The major distribution of national were mostly from china(82.9%), ages are mostly between 30 and 40 years old(32%), and males are more than females, and mostly married. 2. The parts of body most frequently injured were hand and finger, foot and toe, which were 55.3% of total 210 cases. 3. According to the accident type, caught in, under or between were most frequently observed, 40.2% of the total number of injuries. 4. The most responsible source of injuries were power machine, others, moving machine and tool, building construction. 5. According to the unsafe acts, carelessness and unsafety information were most frequently observed, 66.7% of the total number of injuries. 6. There were significantly difference(p<0.05), between type of accident and source of injury, and between working period and unsafe act.

Decrease in Stress Response and Related Factors After Transition to Consecutive Day Shift from Day and Night Shift: A Motor Assembly Factory Case (주야2교대제에서 주간연속2교대제로의 전환 후 스트레스반응의 감소와 관련인자: 일개 완성차 제조사의 사례)

  • Song, Hansoo
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.26 no.4
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    • pp.426-435
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    • 2016
  • Objectives: The major objective of this study was to analyze stress response after a change to consecutive day shifts from day and night shifts in a motor assembly factory. Methods: Using a survey conducted by a labor union, we collected data on stress response index(SRI), lifestyle factors, work-family conflict and job stress before and after a shift system change. We analyzed the transition on the SRI among 222 workers. The cut-off point for the SRI was a T-score over 60. Results: The high risk stress response group was 20.3% of the population before the shift system change. After the shift system change it decreased to 11.3%. After the shift system change, social support improved, leisure time became more sufficient, work-family conflict declined, and sleep quality in the night shift week improved. In multivariable linear regression, among workers under 40 years old sleep quality on night shift, leisure time sufficiency, social support and work-family conflict contributed to the improvement of stress response. Among workers over 40, work-family conflict contributed to the improvement of stress response. Conclusions: The change to consecutive day shifts improved stress response and mediated with improved nighttime sleep, decreased work-family conflict, increased leisure time and improved work-family conflict.

The Effect of Washing Machine Type on the Behavior of Clothing Management and Consumer Satisfaction (세탁기 형태가 의류 관리 행동 및 소비자 만족도에 미치는 영향)

  • Seong, Hye-Young;Lee, Jeong-Sook
    • Fashion & Textile Research Journal
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    • v.12 no.3
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    • pp.389-397
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    • 2010
  • This study was carried out to investigate the effect of washing machine type (drum or pulsator) on the behavior of clothing management and consumer satisfaction. The data were collected via questionnaires from 408 consumers and were analyzed through factor analysis, ANOVA, Cronbach's Alpha, utilizing SPSS 10.0. The results of this study were as follows: 1) 39.2% of consumers used drum washer and the number of users has increased sharply in five years. Drum washer consumers hold larger capacity washer than pulsator washer consumers. 2) Young people(under 40) showed statistically significant differences in terms of washing concern and the kinds of detergents, while old people(40 and above) showed statistically significant differences in terms of checking the label, preparing the laundry, and hand-washing. Married women showed statistically significant differences in checking the label, preparing the laundry, and hand-washing. 3) In terms of clothing management behavior with the type of washing machine, drum washer consumers showed statistically significant the amount of detergents, while pulsator washer consumers showed statistically significant handwashing and kinds of detergents. 4) In terms of customer satisfaction with the type of washing machine, drum washer consumers showed statistically significant brand satisfaction.

Are the Clinical outcomes of Neonates and Infants Under 2 Months Old with Urinary Tract Infections Similar to those in Infants 2 to 12 Months Old?

  • Lee, Jee Hoo;Lim, Hyunwook;Kim, Kyungju;Yim, Hyung Eun;Yoo, Kee Hwan
    • Childhood Kidney Diseases
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    • v.19 no.2
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    • pp.136-142
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    • 2015
  • Purpose: Although the American Academy of Pediatrics provides clinical guidelines for urinary tract infection (UTI) infants, guidelines are not appropriate for neonates and infants less than 2 months of age due to insufficient data. The aim of this study was to evaluate the characteristics of neonates and young infants less than 2 months old (group 1) with UTI compared to older infants from 2 to 12 months old (group 2). Methods: We reviewed UTI patients aged 0 to 12 months admitted to the pediatric department in the last 5 years. Clinical characteristics such as age, sex, fever duration, recurrence, progression to acute pyelonephritis (APN), malformations like hydronephrosis and vesicoureteral reflux (VUR), and laboratory results were compared between group 1 and group 2. Results: 615 patients were included in this study. Group 1 had 94 cases and group 2 had 521 cases. Escherichia coli was the most commonly isolated pathogen in urine cultures. Fever duration was shorter in group 1 (vs.) 2 ($1.91{\pm}1.43$ days vs. $3.42{\pm}2.40$ days, P<0.05). As compared to group 2, group 1 had a higher proportion of patients with antenatal hydronephrosis and hydronephrosis found after admission (10.6% vs. 3.6% and 75.5% vs. 55.9%, P<0.05). There were differences between two groups in white blood cell (WBC) count (Group 1: $13,694{\pm}5,315/{\mu}L$, Group 2: $15,271{\pm}6,130/{\mu}L$, P<0.05) and C-reactive protein (Group 1: $32.02{\pm}35.17mg/L$, Group 2: $46.51{\pm}46.63mg/L$, P<0.05). Conclusion: Compared to older infants, UTI in neonates and young infants shows milder clinical manifestations except higher rates of hydronephrosis but outcome is alike.

A Study on the Effect of Traditional Percussion Improvisation to Hearing-Impaired College Students Who are Under Stress (전통타악기를 활용한 즉흥연주가 청각장애 대학생의 스트레스에 미치는 효과)

  • Lee, Eun Kyung
    • Journal of Music and Human Behavior
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    • v.5 no.2
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    • pp.41-66
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    • 2008
  • This study investigated the effects of traditional percussion improvisation to hearing-impaired college students who are under stress. For the research, between 21 to 22 years old four hearing-impaired college students, who could do lip reading, were chosen. In quantity program, improved version of college student stress measuring method which invented by Gyoung-gu Jun and Gyo-hyeon Kim(1991) were applied, and graphs has been used for analysis. In quality program, for reliability, the researcher and two music therapists observed and analysed it. The period of research was from Dec 26, 2007 to Feb 21, 2008. There were total twenty sessions and two sessions were assigned for each week. One was 40 minutes individual session, and the other one was 50 minutes group session. Even though auditory function is critical in music playing or listening, this study showed the positive results of the therapeutic use of music on stress management for college students with hearing impairment. Future studies are important to continue to investigate the effectiveness of music therapy for hearing impaired clients who are under stress with various age range.

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Eco Resort Wear Sizing System Targeting Jeju's Tourists II (제주 관광객을 위한 친환경 휴양복 사이즈 구축 II)

  • Kwon, Sookhee;Hong, Jiun
    • Fashion & Textile Research Journal
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    • v.14 no.5
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    • pp.853-865
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    • 2012
  • This study has analyzed body size of adult women between 20~59 years old in 2010 conducted by Size Korea and the study method is as follow. (1) Distribution ratio of bust circumference per age and distribution ratio of differences of bust drops were analyzed. (2) Analysis of one-way design of experiment was carried out for 20 items of body sizes according to differences of bust drops with regard to age groups of 20 and 40 years old in consideration of tourists who are unspecified target and for the whole ages groups. (3) Comparison analysis of 20 items of body sizes per bust circumference and according to level of differences of bust drops was carried out and (4) t-test of the two groups based on the standard of 12.5 cm of the differences of bust drops was conducted and was analyzed. Tthe differences of bust drops below 10 cm were reduced according to ages. 12.5 cm was the most in the group of ages of 20s and under 7.5 cm was reduced as ages were higher. Body items according to the differences of bust drops per ages had meaningful differences between groups except (acromion height-axilla height), height and shoulder length for the group of ages of 20s and in the whole ages groups, there was meaningful difference between groups in all items except height and shoulder length. Comparisons according to the differences of bust drops per section of 5 cm of bust circumference showed meaningful differences between groups in general in items of BMI, bust point-bust point, neck circumference, bust circumference, underbust circumference, neck point to bust point and weight. As the result of comparing the two groups of the differences of bust drops based on the standard of 12.5 cm, all had meaningful differences except stature and shoulder length.