• Journal of Korean Neurosurgical Society
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• v.47 no.4
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• pp.247-251
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• 2010

Objective : Selective neurotomy is generally a safe, effective, and long-lasting treatment for patients with spastic equinovarus foot deformity. We retrospectively analyzed the results of microsurgical selective tibial neurotomy (STN) for spastic feet in adults and children. Methods : A neurosurgeon selected 32 patients with 45 spastic feet (adults : 13, children : 32) to undergo microsurgical STN between October 1998 and September 2007. A physician of rehabilitation assessed spasticity pre- and postoperatively, that was based on the Ashworth scale, ankle clonus, and the amplitude of ankle dorsiflexion. The mean postoperative follow-up period was 36.7 months in adults and 42.5 months in children. Results : Spastic components of the feet were corrected immediately after surgery in both the adult and child groups. The mean Ashworth's grade changed from $3.6{\pm}0.40$ to $1.6{\pm}0.70$ in adults and from $3.7{\pm}0.69$ to $1.4{\pm}0.49$ in children. Mean ankle clonus decreased markedly, from $1.6{\pm}0.79$ to $0.3{\pm}0.42$ in adults and from $1.7{\pm}0.65$ to $0.3{\pm}0.56$ in children. The mean amplitude of ankle dorsiflexion was improved, but eight (adults: 4, children: 4) contracted feet needed complementary orthopedic correction for acceptable results. Conclusion : STN can be effective in the long-term for improving lower limb function and reduction of equinovarus deformity. Our results demonstrate that STN might be an effective procedure for treating localized harmful spastic feet in adults and children.

• Clinical and Experimental Pediatrics
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• v.52 no.1
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• pp.1-5
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• 2009

Children are not small adults and there is a need to carry out specific trials that cannot be performed in adults. In general, children (minors) are unable to consent but their assent should be obtained using age appropriate information. Institutional Review Board (IRB) need paediatric expertise to balance the benefits and risks of research in children. The lack of consent has implications on the design, analysis and the choice of comparators used in the trials, which should only be performed by trained investigators with paediatric experience. Pain, fear, distress and parental separation should be prevented and minimised when unavoidable. The children requires even more careful review. Children represent a vulnerable population with developmental, physiological and psychological differences from adults, which make age- and development- related research important for their benefit. Finally, criteria for the protection of children in clinical trials therefore need to be laid down. Specific protection should be defined for research performed in children, at all stages and ages.

• Phonetics and Speech Sciences
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• v.2 no.4
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• pp.29-37
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• 2010

Previous studies have investigated a between-category relationship of multiple acoustic cues for a laryngeal contrast by examining the distributions of VOT, f0 and H1-H2. The current study examined within-category correlations between cues comprising stops by Korean- and English-speaking adults and children to understand how children master the internal structure of stop phonation types in two languages. Word-initial stops were collected from about 70 children and 15 adults speaking English and Korean, and were analyzed in terms of VOT, f0 and H1-H2 to compute correlation coefficients. Findings in adults' productions included a gender-differentiated cue-correlation pattern associated with H1-H2 in Korean tense stops and a trading relationship between f0 and VOT in Korean lax and aspirated stops and English voiced and voiceless stops. Children did not necessarily have adult-like cue-correlation patterns even in early-acquired categories, suggesting that the mastery of intra-category structure of phonation type might occur later than inter-category structure.

• Pediatric Infection and Vaccine
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• v.21 no.2
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• pp.104-113
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• 2014

Purpose: We compared the clinical manifestations of patients with tsutsugamushi disease between children and adults. Methods: From January 2003 to December 2012, 768 patients diagnosed with tsutsugamushi disease were retrospectively reviewed, and the clinical characteristics, laboratory findings, and complications were compared between children and adults. Results: No patterns of annual increases in the number of patients were noted in both children and adults. The higher incidences occurred in October and November respectively. By gender, male outnumbered female in children, but the opposite trend was seen in adults. By residential area, the urban distribution of children was higher than that of adults. Rashes (P =0.001) and eschar (P =0.004) were more common in children, while myalgia was more common in adults. Children had a high prevalence of anemia (P =0.041), and low incidence rates of thrombocytopenia, abnormal liver and renal function. Children yielded better results in the duration of their hospital stay and the incidence of complications (P <0.001). A comparison of the therapeutic effects of doxycycline and macrolide antibiotics, which was performed only on the children, did not reveal any significant differences. Conclusion: Compared to adults, children had higher incidence rates of male patients and more often suffered from rashes and eschar. Children yielded better results in the laboratory findings and duration of the hospital stay and complications. Therefore, when children are suspected to have tsutsugamushi disease, especially during its peak occurrence period, detailed physical examination and serological test should be performed to ensure a prompt diagnosis, and the use of macrolide antibiotics, which have fewer side effects, is expected to yield the same therapeutic effects.

• Korean Institute of Interior Design Journal
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• v.25 no.2
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• pp.50-58
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• 2016

The design of children's hospitals is highly dependent on color schemes. As a space shared together by both adults and children, the design of children's hospitals require color coordination that takes account of the users' characteristics. Visual perception tracking experiment was conducted on the 2 chosen experimental images with a target group made up of adults and children, the following results were found. First, visual attention characteristics of spatial elements' colors were found. The contrast of colors were discovered to effect attention, especially the information desk region showed highest attention. Pillars are subjected to a higher attention relative to other spatial elements, it is suggested when using accent colors to use it only when it is absolutely necessary in partial areas. In contrast, floor patterns were found to be subjected to very low attention relative to other elements. Second, effects of color contrast on visual attention were uncovered. Although color contrast effects attention for both adults and children, children were found to be more effected by color contrast than adults. Especially, children's tendency to rely on color contrast for visual recognition was higher than adults. Since when using only one type on a wide surface children show higher attention on the < vivid > colors than adults, when planning a color coordination for children using < pale > colors instead of < vivid > ones in background for a large surface is seen as a more desired method to increase attention by putting emphasis on the [sharply contrasting] colors.

• Clinical and Experimental Pediatrics
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• v.56 no.7
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• pp.275-281
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• 2013

Temporal lobe epilepsy (TLE) is the most common type of medically intractable epilepsy in adults and children, and mesial temporal sclerosis is the most common underlying cause of TLE. Unlike in the case of adults, TLE in infants and young children often has etiologies other than mesial temporal sclerosis, such as tumors, cortical dysplasia, trauma, and vascular malformations. Differences in seizure semiology have also been reported. Motor manifestations are prominent in infants and young children, but they become less obvious with increasing age. Further, automatisms tend to become increasingly complex with age. However, in childhood and especially in adolescence, the clinical manifestations are similar to those of the adult population. Selective amygdalohippocampectomy can lead to excellent postoperative seizure outcome in adults, but favorable results have been seen in children as well. Anterior temporal lobectomy may prove to be a more successful surgery than amygdalohippocampectomy in children with intractable TLE. The presence of a focal brain lesion on magnetic resonance imaging is one of the most reliable independent predictors of a good postoperative seizure outcome. Seizure-free status is the most important predictor of improved psychosocial outcome with advanced quality of life and a lower proportion of disability among adults and children. Since the brain is more plastic during infancy and early childhood, recovery is promoted. In contrast, long epilepsy duration is an important risk factor for surgically refractory seizures. Therefore, patients with medically intractable TLE should undergo surgery as early as possible.

• Imaging Science in Dentistry
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• v.49 no.2
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• pp.153-158
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• 2019

Purpose: The purpose of this study was to investigate variations in velar shape according to age, sex, and race using magnetic resonance imaging (MRI). Materials and Methods: The study sample consisted of 170 participants (85 children, 85 adults) between 4 and 34 years of age. Velar morphology was visually classified using midsagittal MRI scans for each participant by 2 independent raters. Inter- and intra-rater reliability was assessed. Statistical analyses were performed to identify correlations of velar shape with sex, age, and race. Results: The most frequent velar shape was "butt" for both adults(41%) and children (58%) in this study. The least common shapes for adults were "leaf" and "S." The children did not exhibit any "leaf" or "straight" velar shapes. A statistically significant difference was noted for age with respect to velar shape (P=0.014). Sex and race were found to have no significant impact on velar shape in this study. Conclusion: When using MRI to evaluate velar morphology, the "butt" shape was most common in both children and adults. Velar shape varied significantly with age, while race and sex did not have a significant impact.

• Korean Journal of Culture and Social Issue
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• v.8 no.2
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• pp.51-76
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• 2002

Using open-ended questionnaires, two studies were conducted to explore social representations held by Korean undergraduates on children, adults and adolescents. Study 1 compared between children and adults with responses reported by 97 undergraduates(men: 28, women: 69). According to the results, characteristics of children distinctive from adults were basically personality-related and in particular, typical children were marked by high extroversion, low agreeableness, conscientiousness and culture. Further, happiness for both children and adults was determined mainly by interpersonal relationships, physical health and socio-economical status. However, good(or desirable) children characteristic of high agreeableness and conscientiousness were more similar to adults worthy of the name than to children worthy of the name. Using 57 undergraduates(men: 16, women: 41), Study 2 explored social representations of adolescents. The results indicated that overall adolescence were on the bridging state between childhood and adulthood. Happiness for adolescents, like both children and adults, was determined mainly by interpersonal relationships and socio-economical status. Finally, agreeableness, conscientiousness, self-, task- and relationship-related characteristics were involved in judging good(or desirable) adolescents. These findings were discussed in terms of features of Korean culture and human development.

• The Journal of Korean Physical Therapy
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• v.11 no.1
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• pp.45-53
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• 1999

The purpose of this study Was to describe balance performance of 10 normal children and 10 adults using tilt board under three tasks 1) eyes open with gazing stationary target, 2)eyes dosed, and 3) eyes open with gazing dynamic target. The results were as follows. 1. As increasing the number of trials, balance performance was inclosed, specially, in children group. 2. In children group, there was significant difference between right side and left side in task 2 and task 3.3. In both group. there was significant difference between task2 and task3. 4. There was no difference between adults group and children group.

• Journal of Environmental Health Sciences
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• v.44 no.1
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• pp.90-97
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• 2018

Objectives: Thirdhand smoke (THS) refers to residual tobacco smoke pollutants that remain after cigarette smoking. The purpose of this study was to determine predictors of the belief among adults in Korea that THS is harmful to children. Methods: A population-based sample of 3,000 adults (${\geq}19$ years) among a web-based panel in Korea was obtained in November 2016. The respondents filled out questionnaires, including THS beliefs, smoking status, presence of voluntary smoke-free rules at home, and support for the implementation of smoke-free regulations at home. THS beliefs were assessed with a statement that staying in a room today where people smoked yesterday can harm the health of children. Results: Overall, 92.2 % of adults believed that THS exposure could harm the health of children. Respondents who were nonsmokers, believed that SHS exposure were associated with pneumonia of children, lived in home with complete smoke-free rule at home, and supported the implementation of smoke-free regulation at home were more likely to believe that THS could harm for health of children. Conclusions: The majority of Korean adults believed that THS exposure could harm the health of children. Predictors identified in the study can be useful to address the risk of THS beliefs and promote implementation of tobacco control policies.