• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.25 no.3
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• pp.156-162
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• 2014

Objectives : The aim of this study was to estimate the prevalences of electroencephalographic (EEG) abnormalities and epilepsy in children and adolescents with autism spectrum disorder (ASD). In addition, we intended to identify demographic and clinical correlates of epilepsy in ASD. Methods : A total of 140 children and adolescents (age $7.3{\pm}4.8yrs$, 106 boys) with ASD underwent EEG from January 2010 to December 2013 at Asan Medical Center. Medical records were reviewed for demographic information, clinical characteristics, psychiatric diagnoses and comorbidities, EEG findings and neurological diagnoses. Results : The prevalences of EEG abnormalities and epilepsy in children and adolescents with ASD was 62.1% and 38.6%, respectively. In subjects with seizure-like movements, EEG abnormalities and epilepsy were more frequent than those without seizure-like movements (EEG abnormalities : 92.5% vs. 43.7%, p<.001 ; epilepsy : 90.6% vs. 5.7%, p<.001). ASD subjects who had epilepsy were older (p=.001), had lower full scale intelligence quotient (p<.001) and took more antipsychotics (p=.006) than those who did not. Conclusion : The prevalences of EEG abnormalities and epilepsy in our sample were similar to those from Western countries. Our results suggested a possible association of older age, lower intelligence quotient, and antipsychotics use with epilepsy in ASD. Conduct of further prospective study in a larger sample is needed.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.23 no.4
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• pp.181-187
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• 2012

Objectives:The objective of this study was to examine the perinatal and developmental risk factors of attention-deficit hyperactivity disorder (ADHD) diagnosed with a structured interview among Korean children. Methods:The current study included 924 children (6-15 years) recruited from schools in five Korean cities or a child psychiatry outpatient clinic of Seoul National University Children's Hospital. The parents of the children completed the structured diagnostic interview for attention-deficit hyperactivity disorder, as well as questionnaires on perinatal and developmental risk factors. Results:Preterm delivery, severe maternal stress during pregnancy, change in primary care taker during the first three years, postpartum depression, and delayed first sentence showed a significant association with ADHD diagnosis. Conclusion:These findings suggest that perinatal and developmental factors contribute to development of ADHD in Korean children. Conduct of future research using a prospective design is needed in order to identify the causal relationship between observed risk factors and development of ADHD.

• Sleep Medicine and Psychophysiology
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• v.26 no.2
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• pp.104-110
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• 2019

Objectives: Insomnia patients who visited the psychiatric outpatient of a university department, were divided into those patients with insomnia alone and those with depression or anxiety disorder, along with insomnia. The study analyzed their demographic characteristics and the differences in State-Trait Anxiety Inventory (STAI) results among the patient groups. Methods: Patients who visited the psychiatric department in Konkuk University hospital from 1 January 2006 to 31 December 2018. If they were diagnosed with insomnia disorder based on DSM IV-TR and had undergone STAI, their electronic records were retrospectively analyzed. Based on the records, the patients were classified into those with insomnia disorder only, those with insomnia and anxiety disorder, and those with insomnia and depressive disorder. This study analyzed the demographic characteristics and STAI results of each group, and compared the differences among those groups. Results: During the period, 99 of 329 insomnia disorder patients who had performed STAI were diagnosed with depressive concurrent disorder and 61 with concurrent anxiety disorder. There was no difference in demographic characteristics of age and sex ratio among the three patient groups, and all had greater than 70% proportions of patients aged from 50s to 70s (71.8%, 77.1%, and 73.8% respectively). The average scores of STAI-I were 51.85 ± 10.15 for the patients with anxiety disorders and 54.18 ± 10.32 for those with depressive disorders, both of which were higher than the score of the patients with insomnia alone (44.55 ± 8.89). However, the score difference was not statically significant between the anxiety and depression groups. Similarly, in the STAI-II comparison, the averages of patients with anxiety or depressive disorders along with insomnia were 49.98 ± 8.31 and 53.19 ± 10.13 respectively, which were higher than that of the insomnia only group (42.71 ± 8.84), but there was no significant difference between the anxiety and depressive disorder groups. Conclusion: Although there were no differences in demographic data between the patients with insomnia only and those with accompanying depressive or anxiety disorder, the STAI-I and II scores were lower in the insomnia only group. In the future, it is necessary to consider other demographic characteristics including comorbidities and to conduct similar analyses with a larger sample.

• Journal of Yeungnam Medical Science
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• v.10 no.1
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• pp.166-178
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• 1993

The objectives of this study were to evaluate the effect of methylphenidate on attention deficit hyperactivity disorder (ADHD) and the comorbidity of the disorder, using child attention problem checklist to 56 (male: 38, female: 18) patients from, March 992 to February 1993. The results were as follows: Among 56 subjects, ADHD alone were 20 (335.71%) subjects, and with one additional diagnosis were 31 (55.35%) subjects and with two additional diagnosis were 5 (8.93%) subjects. There was significant improvement on symptoms in the scores rated by teachers in 7th and 28th day after menthlphenidate administration compared to baseline score (P<0.05) and 28th day score showed significant improvement compared to 7th day score (P<0.05) and 28th day score showed significant improvement compared to 7th day score (P<0.05). There was significant improvement on symptoms in the scores rated by parents in 28th day after methylphenidate administration improvement compared with 7th day score. In single administration of methylphenidate in Sunday morning score compared to afternoon score (P<0.05). In the administration of significant improvement on symptoms compared with the Sunday morning rating score of parents (P<0.05) and the 28th day comparison was also showed significant improvement on symptoms in the scores rated by teachers compared with the scores rated by parents on symptoms (P<0.05). Among group comparison, all groups showed significant improvements (P<0.05) except conduct disorder & oppositional defiant group.

• Journal of Magnetics
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• v.16 no.4
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• pp.350-362
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• 2011

The principal objective of this study was to develop a scanning technique that helps patients reduce their anxiety and relax their physical tension in the MRI system. The study targeted 10 healthy persons with no medical history of anxiety disorder in the past and with no current clinically diagnosed anxiety disorder, as well as 10 patients who were currently experiencing an anxiety disorder during the MRI scanning. The focusing board assembly was self-manufactured to conduct a clinical experiment via MRI scans. As a method to confirm the efficacy of the experiment, the bio meter was used to measure brainwaves from the study targets that were divided into the normal person group (A), who felt no anxiety in the MRI system and the experimental group, (B) who did experience anxiety in the MRI system. The two groups were compared between the cases in which the focusing board assembly was used and not used after measurements were conducted using the model MRI system and the bio meter. According to the comparison and analysis results, low measurements of the ${\alpha}$ wave indicate highly effective relaxation of tension. In the normal person group, the ${\alpha}$ wave measurement showed almost no difference between cases in which the focusing board assembly was used and cases in which it was not used. In the experimental group, the $\acute{a}$ wave measurements were lower in cases in which the focusing board assembly was used than in cases in which the focusing board assembly was not used; this was indicative of a profound relaxation effect.

• The Journal of Korean Academy of Sensory Integration
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• v.20 no.3
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• pp.48-59
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• 2022

Objective : This study was intended to systematically consider the sensory integration intervention methods offered in Korea for children with autism spectrum disorder and to provide an evidence base for the application of sensory integration interventions. Methods : The subjects of this study were published studies in a national journal for the last 10 years from January 2011 to December 2020. The databases used for the search were RISS and DBpia. The search terms were 'autism', 'autism spectrum', 'sensory integration', and 'intervention'. A total of 10 studies were used in the analysis, which were analyzed at the qualitative and methodological quality of the research evidence and the results were presented according to the PICO (Patient, Intervention, Comparison, Outcome). Results : In the research analysis, the quality level of the evidence was highest at level IV, followed by level II. The methodological quality of the evidence was the most common for 'Good' research, followed 'Fair'. The study subjects were children with autism spectrum disorder and their parents, and the experimental design had the highest frequency of single-subject studies. Interventions have the highest number of studies confirming adaptive behavior and sensory modulation, and the evaluation tools used to measure interventions have the highest frequency of sensory profiles and Canadian occupational performance measures (COPM). All 10 studies used in the analysis showed positive improvements and statistically significant effects on various outcome values from sensory integration interventions. Conclusion : In the recent clinical environment, sensory integration interventions have been continuously conducted in children with autism spectrum disorder. In future research, it is necessary to conduct research on various sensory integration intervention methods and the high quality of the evidence for the application of sensory integration interventions.

• The Journal of the Korean dental association
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• v.51 no.2
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• pp.74-83
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• 2013

In the management of temporomandibular joint(TMJ) disorders, dental practioner should conduct the reversible, conservative, and inexpensive treatment modalities prior to the irreversible and invasive treatment. That is to say, behavioral, pharmacologic, and physical therapy should be conducted firstly, and then the occlusal appliance therapy could be considered. If patients do not react to these conservative treatments, we have to consider surgical treatments. If the accurate diagnosis is confirmed by intimate history taking, clinical and imaging examinations, we can rehabilitate the normal TMJ function and relieve the clinical symptoms with only conservative treatments in most TMJ disorder cases.

• 한국HCI학회:학술대회논문집
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• 2006.02a
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• pp.103-109
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• 2006

본 논문은 인지 및 행동 장애 재활 시스템을 구현하기 위하여 동영상인식 기반의CAMSHIFT 알고리즘을 적용시켰다. 주의력과 반응 시간을 측정하는 인지 장애 재활 시스템이 개발되었고 환자의 주의 집중력과 손 움직임의 조절력을 측정하고 시 지각 운동 능력을 측정하는 행동 장애 재활 시스템이 개발되었다. 실험은 중앙대학교 의료원 재활 의학과에서 실시하여 측정되었다. 본 논문에서 개발한 시스템은 훈련 과정을 객관적인 측정량과 오랫동안 연습할 수 있는 동기를 제공해 줌으로써 전통적인 치료법에 비해 흥미롭고 유용한 도구가 될 수 있음을 환자를 치료하는 치료사를 대상으로 PSS CogRehab 시스템과 비교하는 설문 조사를 통하여 증명한다.

• Journal of Korean Academy of Nursing
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• v.18 no.1
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• pp.19-25
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• 1988

To ensure the autonomy of nursing care aetivies is one of the major and most interesting issues in the field of nursing. The pertaining autonomy demands the nurse to make decisions of her or his own with out interference and free of help from other sides of health care agency. The whole process of autonomous nursing behavior should be judged and conveyed by the nurse only on the basis of the internal factors of her care to solve the problems of the client's disorder in health. Truth of nursing science and relevence of nursing conduct depend on our construction of internal basis and establishment of self-sufficient reference system. The information for efficient decision-making at the scene of nursing can only be supplied by a systematic body of nursing science consisting of true or properly corroborated propositions. The science of nursing can be autonomous when we have framework of explanation, independently of other sciences and the behavior of nursing care can factually be independent of and peculiar to that of other but similar fields only when the science of nursing is correspondently autonomous.

• International Journal of Human Ecology
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• v.14 no.2
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• pp.15-24
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• 2013

This study investigated the differences between adolescents' own perceptions of their psychopathology and perceptions by clinically depressed parents of their adolescents' psychopathology. The study also examined parental characteristics that accounted for discrepancies between parents and adolescents. The clinical sample consisted of 61 adolescents and their parents who were diagnosed with a major depressive disorder. The adolescents and parents evaluated the adolescents' psychopathology in separate interviews with the Child Behavior Checklist (CBCL) and the Youth Self-Report (YSR). Parents reported on current depressive symptoms and parenting practices using questionnaires. The results revealed that parent-adolescent discrepancies were greater in regard to affective and anxiety problems compared to oppositional defiant and conduct problems. Parental rejection was associated with differences in scores for affective problems after controlling for parents' current depressive symptoms and adolescents' age and gender. The findings highlight the importance of considering adolescents' affective and anxiety problems when treating depressed parents. Furthermore, the findings suggest that parental rejection may play a pivotal role when interpreting the discrepancy concerning adolescents' affective problems.