• Title/Summary/Keyword: 신경발달

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Application of Occupation-Based Practice for Neurodevelopmental Children's Subway Use (신경발달 장애 아동의 지하철 이용하기 작업에 대한 작업기반 중재의 적용)

  • Ra, Dae-Yeop;Kong, Myung-Ja;Chang, Ki-Yeon
    • Korean Journal of Occupational Therapy
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    • v.26 no.4
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    • pp.27-41
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    • 2018
  • Objective : This study implemented occupation-based practice as a group program for children with neurodevelopmental disabilities, and investigated the quality of occupational performance, performance and satisfaction, and efficacy levels of the program. Methods : ADOC-S(Aid for Decision making in Occupation Choice-School) and COPM(Canadian Occupational Performance Measure) were used to establish common meaningful occupational goals for 10 children with neurodevelopmental disabilities. After occupational analysis of the 'subway use', the Performance Quality Rating Scale(PQRS) were used to evaluate the quality of occupational performance. Occupation-based interventions were implemented by participants individually performing meaningful occupations in the most natural and real-life environments as possible. The trial consisted of 1 session of pre-intervention assessments, 8 sessions of intervention, where a single session of 100 minutes is provided once a week. Post-intervention evaluation was conducted over one session. Results : The quality of occupational performance by PQRS was 38.10 higher than before intervention. The occupation-based intervention as a group program used the maintain and modify(compensation, adaptation) approaches and acquisition model. In the early stages of intervention (1 to 4 sessions), the occupational performance was greatly improved. The performance level of COPM increased by 5.80 and the satisfaction level was increased by 7.00. In addition, high scores were found in program satisfaction through parental interview. Conclusion : The results of implementing occupation-based interventions to children with neurodevelopmental disabilities showed increase in quality of occupational performance, performance, and satisfaction along with positive effects of satisfaction levels for the program.

Effects of Mercuric chloride on the differentiation of cerebrum of Chick Embryo (계배 대뇌의 분화에 미치는 수은의 영향)

  • 김생곤;조광필김정상
    • The Korean Journal of Zoology
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    • v.37 no.3
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    • pp.428-438
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    • 1994
  • HgC12의 투여량에 따른 8일 계배의 대뇌 신경세포 분화에 미치는 영향을 규명하기 위하여 신경세포의 미세구조 변화를 전자현미경을 이용하여 관찰하였으며, 또한 탈수소효소의 활성도 및 ATP의 변화 상을 분석한 결과는 다음과 같다. 대뇌 신경세포의 미세구조의 변화는 0.1mg과 0.5mg 투여 군에서는 핵막이 약간 불규칙하게 관찰되지만 조면소포체와 Golgi복합체가 발달되고 rnltochondria가 다수 관찰되었다 그러나 1.Omg 투여군에서는 조면소포체와 Golgi복합체의 발달이 미약하였으며. 2.Omg 투여군에서는 핵막이 파괴되고 2중막이 분리되었으며, Golgi복합체의 발달이 매우 미약하였다. 탈수소효소 촬성도는 수은의 투여량이 증가할수록 감소하는 현상을 보였는데 LDH의 활성도는 1.Omg투여군이 약간 감소하였고, 2 Omg 투여 군에서는 69n로 크게 감소 현상을 보였다. MDH활성도는 2.Omg투여 군에서 82%로 활성이 감소하는 것으로 나타났다 한편 SDH활성도는 1.Omg투여 군에서 80%. 2.Omg투여군에서는 65%로 활성이 크게 감소하였다. ATP의 변화는 1.Omg투여군 이하에서는 정상군과 유의한 변화는 없으나 2.Omg투여군에서는 크게 증가하는 것으로 나타났다.

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Clinical Significance of Auditory Brainstem Response(ABR) in Speech/Language Disorders (언어발달장애에 있어서 청성뇌간반응의 임상적 의의)

  • Oh, Ki Won;Park, Woo Saeng;Kwon, Soon Hak;Kim, Jin Kyung;Lee, Jun Hwa
    • Clinical and Experimental Pediatrics
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    • v.45 no.10
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    • pp.1199-1203
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    • 2002
  • Purpose : The study aimed to evaluate the efficacy of auditory brainstem response(ABR) as a screening tool in children with speech and language disorders. Methods : Between January 1, 1999 and December 31, 2001, 139 patients with chief complaints of speech and language delay were recruited from the pediatric neurology clinic, Kyungpook National University Hospital, Daegu, Korea. They had ABR on entry and the clinical data were then analyzed. Results : Fifteen out of 139 cases(10.8%) showed abnormal findings; seven had pervasive developmental disorders, four had developmental language disorders, and four were noted to have other conditions. Among them, seven cases were noted to have conductive hearing loss and eight had sensoryneuronal hearing loss. We also evaluated the normal values in children at the ages of 18 months to seven years. The mean latency of wave I and V were $1.40{\pm}0.13$ and $5.57{\pm}0.26$ respectively. Interpeak latency of I-V was $4.18{\pm}0.24$. Conclusion : Based on these findings, ABR has proved to be a highly sensitive and specific index of hearing impairment. It should be used as a screening tool in children with speech and language disorders.

CHILDHOOD ONSET SCHIZOPHRENIA IN DEVELOPMENTAL ASPECT (소아 정신분열병의 발달학적 측면)

  • Lee, Young-Sik
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.16 no.2
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    • pp.173-182
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    • 2005
  • This review is a clinical and research update of recent literature related to childhood onset schizophrenia (with an onset of psychosis by age 12). Childhood onset schizophrenia(COS) is a rare disorder, but that may represent a more homogeneous patient population in which to search for risk or etiologic factors of schizophrenia. These overview data show that COS shares the same clinical and neurobiological features as later onset forms of the disorder. Compared with later onset schizophrenia, however, this subgroup of patients appear to have more severe premorbid neurodevelopmental abnormalities, more cytogenic abnormalies, poor outcome, and potentially greater family histories of schizophrenia and associated spectrum disorders. Future studies of this subgroup may provide important clues as to the genetic basis for schizophrenia and how gene products influence certain feature of the disease, such as age of onset and mode of inheritance.

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Clinical Application of Neurodevelopmental Assessment for Infants and Toddlers (영유아 신경발달평가의 임상 적용)

  • Im, Sang Hee;Han, Eun Young;Song, Jungeun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.23 no.4
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    • pp.175-180
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    • 2012
  • Early detection and intervention is critical in improving prognosis of developmental disorders. Developmental delay can have many different causes and the clinical features of developmental delay are diverse according to its etiologic causes and severity. The vast and rapid growth of the child's neurobehavioral repertoire from birth through adolescence requires the physician's abundant experience, knowledge, and understanding of development. Here, we summarize instruments for use in neurodevelopmental assessment of infants and toddlers, focusing on motor development, which is the most frequent complaint listed in the developmental clinic.

Expression of Nerve Growth Factor during Urinary Bladder Development (방광 발달과정에서 Nerve Growth Factor의 발현)

  • Lee, Kyoung Eun;Hong, Chang Hee;Kang, Hee Jung;Kim, Dug Ha
    • Clinical and Experimental Pediatrics
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    • v.48 no.4
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    • pp.411-415
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    • 2005
  • Purpose : This study was performed to determine the developmental expression pattern of nerve growth factor(NGF) in the urine of healthy children. It was hypothesized that NGF may contribute to the development of the spinobulbospinal micturition reflex that represents the adult micturition pattern. Methods : Voided urine was collected in 60 healthy children during the first 5 years of life(0-1 month, n=10; 1 month-1 year, n=10; 2 years, n=10; 3 years, n=10; 4 years, n=10). The urinary NGF was analyzed by using an enzyme linked immunosorbent assay. Results were normalized based on creatinine or total protein in urine. Results : NGF was significantly greater among neonates compared to other age groups(P<0.05). NGF levels declined during 1 month to 1 year and increased by age 2 years. NGF levels at age 3 years were less than in neonates examined. When comparing the NGF levels according to continence in children over 1 year old, NGF levels were significantly lower in children with continence than in children with incontinence(P<0.05). Conclusion : These data suggest that NGF is involved in the achievement of continence and in mechanisms of bladder nerve growth and in the reorganization of bladder reflex pathway.

The Significance of Maturation Score of Brain Magnetic Resonance Imaging in Extremely Low Birth Weight Infant (초극소 저체중 출생아의 뇌 MRI 상 Maturation Score의 의의)

  • Song, In-Gu;Kim, Su-Yeong;Kim, Cur-Rie;Kim, Yoon-Joo;Shin, Seung-Han;Lee, Seung-Hyun;Lee, Jae-Myoung;Lee, Ju-Young;Kim, Ji-Young;Sohn, Jin-A;Lee, Jin-A;Choi, Chang-Won;Kim, Ee-Kyung;Cheon, Jung-Eun;Kim, Woo-Sun;Kim, Han-Suk;Kim, Byeong-II;Kim, In-One;Choi, Jung-Hwan
    • Neonatal Medicine
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    • v.18 no.2
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    • pp.310-319
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    • 2011
  • Purpose: The aim of this study was to investigate the effect of perinatal risk factors on brain maturation and the relationship of brain maturation and neurodevelopmental outcomes with brain maturation scoring system in brain MRI. Methods: ELBWI infants born at the Seoul National University Children's Hospital from January 2006 to December 2010 were included. A retrospective analysis was performed with their medical record and brain MR images acquired at near full term. We read brain MRI and measured maturity with total maturation score (TMS). TMS is a previously developed anatomic scoring system to assess brain maturity. The total maturation score was used to evaluate the four parameters of maturity: (1) myelination, (2) cortical infolding, (3) involution of glial cell migration bands, and (4) presence of germinal matrix tissue. Results: Images from 124 infants were evaluated. Their mean gestational age at birth was 27.1${\pm}$2.1 weeks, and mean birth weight was 781.5${\pm}$143.9 g. The mean TMS was 10.8${\pm}$2.0. TMS was significantly related to the postmenstrual age (PMA) of the infant, increasing with advancing postmenstrual age (P<0.001). TMS showed no significance with neurodevelopmental delay, and with brain injury, respectively. Conclusion: TMS was developed for evaluating brain maturation in conventional brain MRI. The results of this study suggest that TMS was not useful for predicting neurodevelopmental delay, but further studies are needed to make standard score for each PMA and to re-evaluate the relationship between brain maturation and neurodevelopmental delay.

Histological study of neurosecretory cells in the brain and the thoracic ganglion with gonadal development of Palaemon serrifer (줄새우아재비, Palaemon serrifer의 생식소발달에 따른 뇌와 흉부신경절 신경분비세포의 조직학적 연구)

  • KIM Myung-Hee;LEE Taek-Yuil
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.24 no.5
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    • pp.327-339
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    • 1991
  • The present paper is a histological study of neurosecretory cells in the brain and the thoracic ganglion with the gonadal development in Palaemon serrifer. The reproductive cycle includes the successive stages of the growing period (February-March), the mature period(April-May), the ripe and spent periods(June-August) and the degenerative and resting periods(September-January). The neurosecretory cells are grouped into four types based on Matsumoto(1958) : A-,A'-, B- and E-cells. A- and A'-cells are $80-90{\mu}m,\;B-cell\;is\;30-40{\mu}m$ and E-cell is $10-15{\mu}m$. A- and B-cells are the positive to CHP and AF, while B-cell is the positive only to AF. The secretory grannules of a A-cell are transported to the axon, and at the same time they are discharged through the peripheral membrane. Of the four neurosecretory cells, A- and I-cells show the difference of secretory activity according to the gonad developmental process. In the female, A-cells show secretory activity for the ripe and spent periods, while I-cells show for the mature, ripe and spent periods. In the male, A-cells show secretory activity for the mature, ripe and spent periods, while I-cells show for the growing, mature, ripe and spent periods.

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A Plateau and Spurt Pattern of Neurological Maturation, Scientific Reasoning Development and Conceptual Change in Korean Secondary School Students (중등학교 학생들의 신경기능 성숙, 과학적 사고 발달 그리고 개념 변화에서 밝혀진 비선형적 발달의 정체와 급등 현상)

  • Kwon, Yong-Ju;Lawson, Anton E.
    • Journal of The Korean Association For Science Education
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    • v.18 no.4
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    • pp.589-600
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    • 1998
  • The present study tested the hypothesis that adolescent's prefrontal lobe growth plateau and spurt exists and that this plateau and spurt influence students' ability to reason scientifically and to learn theoretical science concepts. In theory, maturation of the prefrontal lobes during early adolescence allows for improvements in students' abilities to inhibit task-irrelevant information and coordinate task-relevant information, which along with both physical and social experience, influences scientific reasoning ability and the ability to reject scientific misconceptions and accept scientific conceptions. Two hundred six students ages 13 to 16 years enrolled in four Korean secondary schools were administered tests of prefrontal lobe functions, scientific reasoning, and theoretical concepts derived from kinetic-molecular theory. A series of 14 lessons designed to teach the concepts were then taught. The concepts test was then re-administered following instruction. As predicted among the 14-year-olds, performance on the measures of prefrontal lobe functions, scientific reasoning, and conceptual change remained similar or regressed. Performance then improved considerably among the 15 and 16-year-olds. Because so few of the present students were able to undergo this apparently necessary conceptual change, the value of introducing theoretical concepts to early adolescent is questioned.

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