• 제목/요약/키워드: Under-5 children

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한의원에 내원한 틱장애 환자 292례 증례분석 (Clinical Analysis of 292 Cases of Tic Disorder in Oriental Medicine Clinic)

  • 천영호;김원일;김보경
    • 동의신경정신과학회지
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    • 제20권1호
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    • pp.119-146
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    • 2009
  • Objectives : In this study, patients with tic disorders who visited an Oriental medicine clinic were examined for their demographic characteristics, characteristics of symptoms, relation to Attention-deficit Hyperactivity Disorder(ADHD) and peculiarity according to various variables such as motor and vocal tics. Methods : After surveying 292 patients who visited an Oriental medicine clinic with tic symptoms as main complaints for 17 months, SAS 9.1, a statistical program was used for statistical analysis. Results : 1. The BMI of male tic patients was significantly higher than female ones and it was similar to or higher than the normal group. 2. Patients who are eldest children were 1.7 times higher than those who are not eldest ones. 3. The most usual case of motor tics was the eye blink and the most one of vocal tics was a dry cough. 4. There was no significant difference between male and female patients for all symptoms of motor and vocal tics, but male patients had significantly more obsessions related to tics than female ones. 5. There was no significant difference in the age of initial occurrence of Transient tic disorder(TTD), Chronic tic disoder(CTD) and Tourette's disorder(TD). 6. For the general disorder of a tic and Conners' ADHD rating scale, there was no significance in TTD, CTD and TD. 7. 66% out of the total subjects of 197 cases were found to score more than 65 points in more than 1 items among 8 items such as the time, hearing, wrong alarm, mean response time and standard deviation in the response time, etc. of the ADHD diagnosis system(ADS). 8. The eye blink among motor tics was shown mainly by patients under 10 years old and the frown, movement of the head, shrug and movement of the arms were shown mainly by 11-19 years old patients. Conclusions : For the number, frequency, seriousness and inconvenience in life of tics, TD showed a significantly higher result than TTD and CTD.

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ICECI (International Classification of External Causes of Injuries)를 이용한 중증 소아외상의 분류 (ICECI Based External Causes Analysis of Severe Pediatric Injury)

  • 안기옥;김재은;장혜영;정구영
    • Journal of Trauma and Injury
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    • 제19권1호
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    • pp.1-7
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    • 2006
  • Purpose: Injury is a leading cause of morbidity and mortality for children. As an injury prevention measure, the differences in external causes of severe pediatric injuries based on ICECI were analyzed according to age groups. Methods: A retrospective study was performed for pediatric patients under 15 years of age, who had been admitted to the emergency department with severe injuries from January 1998 to December 2004. The external causes of injury were investigated according to the ICECI: intent, mechanisms, places of occurrence, objects/substances producing injury, and related activities. The patients were divided into four groups based on age: infant (<0 year), toddler (1~4 years), preschool age (5~8 years), and school age (9~15 years). Results: The injury mechanisms, the places of occurrence and the related objects/substances vary with the age groups. The most common subtype of traffic accidents was pedestrian injury in pre-school age group. Falls most frequently occurred in the toddler group. But falls from a height of less than l meter height (6 patients) occurred only in the infant group. The most common place of occurrence in the infant group was the home, and that of other groups was the road. The related objects/substances for falls, for example, household furnitures and playground equipment depended on the age group. Conclusion: The age-group specific characteristics of severe pediatric injury were analyzed successfully through the ICECI. Therefore, when establishing a plan for the prevention of pediatric injury, consideration must be given to the differences in the external causes of injuries according to age group.

학령기 여아 연령별, 체형별 치수분포특성 (A Study on the Distribution of the Elementary Girls' Size Dimensions according to Ages and Body Shapes)

  • 강여선
    • 한국의류학회지
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    • 제33권2호
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    • pp.230-243
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    • 2009
  • The purpose of this study was to analyse the body sizes of $7{\sim}12$ years elementary school girls and also to categorize KS size dimensions by the detailed information of ages and body shapes. For the study, the data of SizeKorea(2004) was analysed. Height, bust, waist, hip, the ratio of waist to height and hip to height were significant between age groups, but the ratio of bust to height was not. Therefore, the increase of bust size was resulted in growth of bust circumference, instead of bust volume. In the same height group, over 11 year girls had smaller waist, while over 12 year girls had bigger hip. For Grouping girls by ages and body shapes, the ages were divided into 2 groups, under 10 years old and 11 to 12 years old. The body shapes classified into 3 groups 'Stout-shape', 'Middle-shape', and 'slim-shape', by the ratios of bust to height and hip to height. 'Stout-shape' was significantly big at the almost sizes, but 'Middle-shape' was significantly big at only circumferences, not lengths. In addition, drop(the difference between bust and hip) and lower-drop(the difference between waist and hip) were in inverse proportion to the ratios of bust to height and hip to height. It meant the increases of bust-ratio and hip-ratio of 'Stout-shape' were resulted in overweight, rather than female matureness. The distribution of sizes over 0.5% were grouped for grading system and the subtotal percentiles of each group were calculated for industrial data. The groups which covered more than 10% of consumers were 2 to 6 and the 1 or 2 groups for 'Stout-shape' were also observed, so that children's ready-to wear companies could use them efficiently for their own consumer target.

소아 환자에서의 외상성 간 손상 (Traumatic Liver Injury in Pediatric Patients)

  • 구병한;박준범;배금석;강성준
    • Journal of Trauma and Injury
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    • 제22권2호
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    • pp.242-247
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    • 2009
  • Purpose: Trauma is an important cause of death in children. In particular, the liver is the second most commonly organ injured by blunt abdominal trauma. Treatment of patients with liver injury is has changed, and non-operative treatment is the major treatment method at present. In this study, we reviewed traumatic liver injury in pediatric patients. Methods: Seventy-seven patients younger than 16 years of age with traumatic liver injury were assessed for 10 years from July 1999 to June 2009 at Wonju Christian hospital. Records of the patients were reviewed retrospectively. Demographic and clinical data were analyzed. Results: The median age was 6 years, and the male-to-female ratio was 1.2 : 1. The most common injury grade was grade I. The majority of injuries were caused by was traffic accidents, and the second most common cause of injuries was falls. Twenty-four patients had liver injuries alone, and the most common accopaning injury was a lung injury. The average hospital stay was 20.7 days, and the average ICU stay was 4.8 days. Four patients died (5.2%). There were 6 patients with under 10 points on the Glasgow coma scale (GCS). Among these patients, three died. All mortality cases had over 16 points on the Injury Severity Score (ISS). Two patients were treated surgically, one of whom died. Of the 75 patients with non-operative management, three died due to associated injuries. Conclusion: Most pediatric patients with liver injury have good results with non-operative management. Associated injuries and hemodynamic instability are predictive of patient outcome, and those with isolated liver injuries can be successfully managed non-operatively.

턱에 발생한 석회화건막섬유종 : 증례보고 (Calcifying Aponeurotic Fibroma Occurring on the Chin: A Case Report)

  • 정연주;최영웅;신은아
    • Archives of Plastic Surgery
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    • 제35권1호
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    • pp.104-106
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    • 2008
  • Purpose: Fewer than 100 cases of calcifying aponeurotic fibroma have been reported in the literature since this entity was initially described by Keasbey in 1953 who called it calcifying juvenile aponeurotic fibroma. The tumor is a slowly growing, painless mass. In most cases the mass is poorly circumscribed and causes neither discomfort nor limitation of movement. Most lesions occur in children, with a peak incidence ages of 8-14 years. There is no evidence of any increased familial prevalence. Predilection sites are palm, finger, toe, but it also occurs in the wrist, forearm, elbow, upper arm, neck, abdominal wall, lumbar paravertebral area, leg and ankle. We herein describe a rare case of calcifying aponeurotic fibroma occurring on the chin with review of the literature. Methods: A 14-year-old male had painless, slowly growing mass(${\phi}2.5cm$) on a chin for a year. The tumor was excised elliptically under local anesthesia and the excisional site was repaired directly. Due pathological examination was processed. Results: Histological examination revealed an illdefined fibrous growth that extends with multiple processes into the surrounding tissue with centrally located foci of calcification. The tumor is composed of short spindled plump fibroblasts with round or ovoid nuclei separated by collagenous stroma, showing vaguely palisading pattern. Diagnosis of calcifying aponeurotic fibroma was conferred. Postoperatively, the patient did well, and the lesion had not recurred. Conclusion: Fewer than 100 cases of calcifying aponeurotic fibroma have been reported in the literature. The most common occurring sites are palm, finger & toe, but it has been reported in the wrist, forearm, elbow, upper arm, neck, abdominal wall, lumbar paravertebral area, leg and ankle. Two cases of calcifying aponeurotic fibroma occurring on the neck have been reported in the literature. To the authors knowledge, our case of calcifying aponeurotic fibroma occurring on the chin is the first to be reported.

Microbial Contamination by Bacillus cereus, Clostridium perfringens, and Enterobacter sakazakii in Sunsik

  • Lee, Eun-Jin;Kim, Sung-Gi;Yoo, Sang-Ryeol;Oh, Sang-Suk;Hwan, In-Gyun;Kwon, Gi-Sung;Park, Jong-Hyun
    • Food Science and Biotechnology
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    • 제16권6호
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    • pp.948-953
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    • 2007
  • The powdered cereal sunsik is a partially thermal-processed product that required safety evaluations for food-borne pathogens. Thirty-six sunsik products from Korean markets were collected and analyzed for contamination by total viable cell counts, coliforms, Escherichia coli, and the spore-forming Clostridium perfringens and Bacillus cereus. Enterobacter sakazakii, as a newly emerging pathogen, was also analyzed. Approximately 28% of sunsik were contaminated at 5 log CFU/g for total viable counts. Coliforms and E. coli were detected in 33 and 4% of the samples, respectively. The spore-forming B. cereus was found in 42% of the samples at a maximal level of 3 log CFU/g on average. About 6% the samples were contaminated with Cl. perfringens at an average level of 15 CFU/g. Forty-five % of sunsik contained E. sakazakii, at levels from 0.007 to over 1.1 cell/g by MPN method. In addition, one sunsik product for infants and children showed over 3 log CFU/g for both B. cereus and E. sakazaki. Therefore, concern should be placed on controlling for microbial hazards such as B. cereus and E. sakazakii in sunsik, particularly for the products fed to infants under 6 months of age.

충남지역 일부 초등학생과 중학생 중 아침결식군과 아침식사군의 식행동과 열량 및 영양소 섭취 상태 평가 (Evaluation of Energy and Nutrient Intake as well as Dietary Behaviors in Elementary School and Middle School Students Residing in Chungnam according to Breakfast Eating Status)

  • 강명화;최미경;김미현
    • 대한영양사협회학술지
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    • 제17권1호
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    • pp.18-31
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    • 2011
  • The purpose of this study was to evaluate the dietary behaviors as well as energy and nutrient intake in elementary and middle school students according to breakfast eating status. The survey was conducted using questionnaires and dietary records among 191 elementary school students and 280 middle school students residing in Chungnam. The subjects were divided into two groups according to frequency of eating breakfast: breakfast skipping (frequency of eating breakfast under 4 times/week) and breakfast eating (frequency of eating breakfast over 5 times/week). The rate of breakfast skipping was 27.2% for the elementary school students and 31.1% for the middle school students. The breakfast skipping group had a significantly lower frequency of having dinner, a lower proportion of eating at regular meal times, and a significantly higher frequency of leaving food after meals than the breakfast eating group for both elementary and middle school students. In the case of the elementary students, there was a significant difference in carbohydrate intake between the two groups. In the case of the middle school students, the intakes of energy, protein, carbohydrate, dietary fiber, vitamin A, vitamin B2, niacin, vitamin B6, folate, vitamin C, Ca, and Fe in the breakfast skipping group were significantly lower than those in the breakfast eating group. These results show that nutrient deficiencies among breakfast skipping individuals cannot be compensated for at the other meals during the day in middle school-aged adolescents whose nutrient requirements are high for growth. Therefore, in support of proper dietary management, it is necessary to promote and support breakfast eating in adolescents.

수용자 가족의 경험에 관한 현상학적 연구 - 비난과 생존 사이에서 - (A Phenomenological Research on Experiences of Prisoners' Families - Driven into Blame and Survival Situation -)

  • 최경옥;이경림
    • 한국사회복지학
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    • 제69권2호
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    • pp.89-115
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    • 2017
  • 본 연구는 자신의 잘못이 아닌 가족의 범죄와 수감으로 인해 고통을 받고 살아가는 수용자 가족을 이해하고 사회적 관심을 이끌어 내어 수용자 가족에 대한 지원의 근거자료를 삼기위한 목적으로 수행하였다. 이 연구에는 남편, 자녀, 형제 등의 수용된 가족을 둔 7명의 성인이 참여했다. 연구방법으로 수용자 가족들의 경험의 본질을 살펴보고자 현상학적 질적 연구방법인 Giorigi의 분석틀을 원용하여 해석하였다. 분석결과, 수용자 가족들의 경험은 '굴레를 쓰고 살아가다', '숨겨야 하는 고통', '양가감정', '죄는 미워하되 사람은 미워하지 마라', '다시 일어서다'라는 5개의 구성요소로 도출 되었고 본질적 주제는 "멍에를 짊어지고 삶과 맞서다" 라고 해석되었다. 이 연구결과를 통해 수용자 가족의 심리, 정서, 사회적 회복을 돕고 수용자 자녀를 지원하기 위한 사회복지 실천 개입이 필요함을 제언하였다.

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가시광선과 아르곤 레이저에 의해 중합된 글라스 아이오노머와 레진 수복물 주변 법랑질의 항우식 효과에 관한 비교 연구 (A COMPARATIVE STUDY ON THE ANTICARIOGENECITY OF ENAMEL SURFACE ADJACENT TO GLASS IONOMER AND RESIN RESTORATION POLYMERIZED BY VISIBLE LIGHT AND ARGON LASER)

  • 유병규;김종수;김용기
    • 대한소아치과학회지
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    • 제25권1호
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    • pp.62-75
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    • 1998
  • The main purpose of this study was to compare the anticariogenecity of glass ionomer restorative material polymerized by argon laser versus visible light, The results from the present study can be summarized as follows; 1. Under the polarized light microscope, the specimens of laser-cured group showed the shallower lesion body than that of visible-light cured group, both in the stage of lesion initiation and progression. 2. Glass ionomer material cured by visible light showed shallower body of lesion than that of composite resin cured by argon laser at the stage of lesion progression(p<0.05). It was suggested fluoride released from the glass ionomer might have the additive anticariogenic effect. 3. Statistical difference between groups on depth of lesion body was evident after lesion progression (p<0.05). It was suggested that anticariogenic effect by argon laser was more effective at the stage of lesion progression than the lesion initiation. 4. The increment of lesion body during progression was highest in group IV (p<0.05). 5. Based upon the above-mentioned results of this study, it can be concluded that the advantage of anticariogenic effect and short curing time of argon laser in glass ionomer polymerization should be considered in children and adolescents whose caries activity is relatively higher.

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노인세대의 편의식 이용현황과 요구도 조사 (Survey on Present Use and Future Demand for the Convenience Food in the Elderly Group)

  • 박지영;김지나;홍완수;신원선
    • 대한지역사회영양학회지
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    • 제17권1호
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    • pp.81-90
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    • 2012
  • This study is to research the use and the demand of the elderly generation that pursue economic ability and active lifestyle. The composition of the meals were "homemade meals" 65.3%, "homemade & convenience meals" 26.7% overall. For the "never miss a meal" category, 70-74 years old was 48.3%, over 80 years old was 60.0%. The elderly under 70 years old showed a high frequency in the use of alternative meals (p < 0.05) and the elderly with higher education used the alternative meals more frequently (p < 0.01). The rice-cakes, bread, tuna cans, Korean side-dishes, beverages, meat, cup-noodles and seafood as alternative meals are in the order of most frequency. Also, 96.0%, 59.0% and 46.5% of the elderly had experience in using "Ready to eat (RTE)", "Ready to heat (RTH)" and "Ready to cook (RTC)". The oldest group surveyed, the elderly at the age of 80 years old and above showed lower preference for "completely cooked state" but showed highest results in the "half-cooked state". This shows the difference between people's perception and the behavior that showed high frequency of 96.0% in the experience with "RTE". This can be inferred that the elderly needs the development of convenience food that is moderately packaged according to the newer lifestyle where the elderly live independent from their children. Moreover, there is a higher demand in the healthy convenience food, which means that there is a need for development in the quality of the convenience food that will allow more faith in convenience food by the elderly.