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The Effects of Sensory Integrative Intervention on the Self-regulation Capacities of Children With Cerebral Palsy: Single-Subject Research Design (감각통합치료가 뇌성마비 아동의 자기조절 행동에 미치는 효과)

  • Ju, Jin-Ok;Lee, Hye-Rim;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.9 no.2
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    • pp.15-28
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    • 2011
  • Objective : The purpose of the study was to investigate effects of sensory integration therapy on self-regulation capacities of children with cerebral palsy. Methods : Subjects of this study were four years old girl and six years old boy, living in P city. Both were diagnosed as diplegia. Research design used in this study is ABA' design for a single-subject research. The experimental period was 12 weeks with 22 sessions of treatment. It was divided into three phase: 6 sessions for baseline phase (A), 14 sessions for treatment phase (B), 2 sessions for baseline phase (A'). There was no treatment on the baseline phases, and sensory integration therapy focused vestibular and proprioceptive stimuli was conducted on the treatment phase. At each session, subjects' behaviors has been recorded with a Digital Camera for 10 minutes and then the occurrence frequency of problematic behavior was identified based on the operational definition of it. Results : In comparison with the baseline phase (A), the occurrence frequency was reduced during the treatment phase for three types of problematic behavior associated with the self-regulatory capacities. The tendency of reducement was maintained during baseline phase (A'). Conclusion : Based on the result, it was implied that sensory integration therapy has a positive effect on the self-regulation capacities in children with cerebral palsy.

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Deep Sedation for Palate Alginate Impression Procedure in a Post-Fontan Procedure Patient with Mental Retardation (Fontan 수술을 받은 정신지체 소아에서 인상채득을 위해 시행한 깊은 진정)

  • Lee, Jung-Man;Seo, Kwang-Suk;Kim, Hyun-Jeong;Shin, Soon-Young;Shin, Teo-Jeon
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.12 no.1
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    • pp.45-50
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    • 2012
  • The Fontan operation is a heart operation used to treat complex congenital heart defects like tricuspid atresia, hypoplastic left heart syndrome, pulmonary atresia and single ventricle. A single ventricle is dedicated to pumping oxygenated blood to the systemic circulation and the entire systemic venous return reaches the pulmonary arterial system without the direct influence of a pumping chamber. In the patient with Fontan operation, it is important to achieve adequate pulmonary blood flow and cardiac output in anesthetic management. In this case, a 10-year-old boy (19.6 kg, 114 cm) with cleft palate, cerebral palsy and severe mental retardation, who underwent a Fontan operation when he was 4 years old, was presented for deep sedation. Because he was suffering from eating disorder with cleft palate, the orthodontist and the plastic surgeon planned to insert intraoral orthodontic device before cleft palate repair. But it was impossible to open his mouth for alginate impression procedure. After careful pre-anesthesia evaluation we planned to administer deep sedation with propofol infusion. After Intravenous catheter insertion, we started propofol intravenous infusion with the formula of a loading dose of 1.0 mg/kg followed by an infusion rate of 6.0 mg/kg/hr with syringe pump. His blood pressure was remained around 80/40 mmHg after loss of consciousness, but he could not maintain his airway patent. So we lowered the infusion rate to 3.0 mg/kg/hr, immediately. The oxygen saturation was maintained above 95% with nasal oxygen supply, and blood pressure was maintained around 100-80/60-40 mmHg. After the sedation of 110 minutes with propofol (the infusion rate to 3.0-5.0 mg/kg/hr), he fully regained consciousness, and was discharged without complication after 1 hour observation. In case of post-Fontan patient, intravenous deep sedation with propofol was safe and effective method of behavioral management during dental treatment.

Alopecia : An unexpected effect of orthodontic treatment (교정치료시 병발된 탈모증)

  • Davidovitch, Ze'ev;Lee, Young-Jun;Chung, Kyu-Rhim;Park, Young-Guk;Matkovic, Velimir
    • The korean journal of orthodontics
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    • v.29 no.6 s.77
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    • pp.663-672
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    • 1999
  • A case is described, where an adolescent boy developed alopecia areata and alopecia totalis during the course of routine orthodontic treatment for the resolution of a dentoalveolar Class II division 1 malocclusion. The orthodontic treatment lasted 22 months, with a successful outcome. However, within eight months of the onset of treatment the patient lost all his hair Exhaustive medical tests and differential diagnosis determined that the etiolgy of the patient's alopecia was psychological stress evoked by the orthodontic treatment. Numerous reports suggest that psychological stress can cause alopecia by affecting the immune system. Therefore, it appears reasonable to assume that in the case of this patient, alopecia had resulted from stress effects on the immune system, leading to autoimmune disease-like conditions in tissues surrounding the scalp hair follicles. The alopecia condition was successfully reversed by daily oral and topical applications of vitamin D. It is concluded that the immune system plays a pivotal role in tissue remodeling around the teeth and elsewhere in the body, and that any conditions capable of affecting this system may cause unfavorable outcomes, such as alopecia.

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A Study on the Color Image of Baby's Wear Brands (유아복 브랜드 색채 이미지 연구)

  • Choi, Hae-Joo;Kim, Bock-Hee
    • Journal of the Korean Society of Clothing and Textiles
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    • v.32 no.12
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    • pp.1950-1962
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    • 2008
  • Today the importance of color image is increasing for the brands as well as the products. This study was performed to classily the color image of baby's wear brands and to suggest how the color is effectively planned for the image. In order to classify the color image of 7 baby's wear brands, color palettes of 7 brands were also made by 6 subgroups, each season(summer, fall) by gender(boy, girl, new-born) and based on manufactured garments which were collected by on-line shops. Questionaries were organized with 40 pieces of the color palettes prints for 6 subgroups by 7 brands and 20 baby's wear image adjectives. The total 320 copies were used in the survey to students majored in fashion design. Questionaries were analyzed by factor analysis from SPSS 12.0 package program. There are 4 main factors for the color images of baby's wear brands, 'liveliness', 'loveliness', 'chic', 'neatness'. Not hue, but tone is more important to express the characteristics of color images of baby's wear brands. Also white and black are importantly used for baby's wear. The consistency of the brand color image across gender and season is very important to identify and strengthen the color image of brand.

A study on the relationship of dating to oral health state among people in their 20s (20대 연령층의 이성교제 여부에 따른 구강위생상태에 관한 조사 연구)

  • Lee, Kyung-Hee;Gwon, Hyun-Jung;Youn, Hye-Jeong
    • Journal of Korean society of Dental Hygiene
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    • v.7 no.2
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    • pp.177-187
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    • 2007
  • The purpose of this study was to examine whether dating affected young people's concern for their looks and their oral health state, and to motivate students to promote their oral health, as national oral health depended on students who would grow into eligible members of society in the near future. Relevant literature and data were reviewed, and a survey was conducted on residents in and around Seoul, who were in their 20s, for approximately three months from June through August 2006 to find out about their oral health status. The findings of the study were as follows: 1. Whether they were seeing someone or not was investigated, and it's found that 37.5 percent had a girl friend or boy friend, and that 6.7 percent hadn't. 2. Concerning the state of dating, 40.3 percent, the largest percentage, had been dating for less than a year, and the largest number of them that accounted for 23.6 percent had been dating one person till then, 4.0 percent were considering getting married with those whom they were seeing. The most dominant type of love was eros(romantic or ardent love; 41.7%), followed by stroge(friendly love; 33.3%), and agape(altruistic, devoted love; 12.5%). 3. As for the impact of dating on oral health status, those who were seeing someone were similar to those who weren't in toothbrushing frequency, toothbrushing time and simplified oral hygiene index. There was no significant gap between the two. 4. Concerning the influence of dating on dental-treatment experience, no statistically significant intergroup differences were found in experiences of taking dental-caries treatment, bad-breath treatment and teeth-whitening treatment. There was a statistically significant intergroup gap only in scaling experience(pE0.05). 5. Regarding the impact of dating on oral health care, 59.7 percent of those who were dating thought that it affected oral health care, and the same rate of the others who weren't stood at 38.3 percent. There was a statistically significant gap between the two(pE0.01). 6. As to the influence of general characteristics on oral hygiene index, their age and gender made no statistically significant differences to that. By occupation, however, many of the company employees were in good oral health, and many of them were in bad oral health, too. The office workers were statistically significantly different from the others in that regard(pE0.01).

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A Case of Subacute Necrotizing Lymphadenitis Presenting as Fever of Unknown Origin (불명열로 오인된 아급성 괴사성 림프선염 1례)

  • Yang, In Suk;Park, Kyung Ho;Kang, Jin Han;Kim, So Young;Lee, Won Bae;Kim, Hyun Hee
    • Pediatric Infection and Vaccine
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    • v.8 no.2
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    • pp.253-259
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    • 2001
  • Kikuchi's disease(histiocytic necrotizing lymphadenitis) is characterized by lymphadenopathy in young patients below 30 years old, and persistent fever, lymphopenia and splenomegaly are concomitantly developed in many cases. So, it has been confused with lymphoma, SLE, and tuberculosis, and has easily led to inappropriate diagnostic procedures and administration of drugs. Many reports have indicated that Kikuchi's disease should be added to the list of causes of FUO in the setting of lymphadenopathy, and recommended early lymph node biopsy to distinguish from lymphoma, SLE, and tuberculosis to avoid unnecessary treatments. We experienced a case of subacute necrotizing lymphadenitis in a 14-year-old boy who presented with persistent high fever, productive coughing and cervical lymphadenopathy for about 1 month. Initially, diagnostic workup was done to look for the causes of FUO in vain. Finally, we confirmed diagnosis by histopathological findings of lymph node biopsy and detected latent gene of EBV in the biopsied specimen using in situ hybridization.

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Kawasaki Disease with Influenza A Virus and Mycoplasma pneumoniae Infections: A Case Report and Review of Literature (인플루엔자 A 및 폐렴미코플라스마 감염과 병발한 가와사끼병 1례)

  • Moon, Hyeok Soo;Huh, Jae Seong;Kim, Mi Kyung;Lambert, Mulakwa Morisho
    • Pediatric Infection and Vaccine
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    • v.23 no.2
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    • pp.149-154
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    • 2016
  • Although an association of Kawasaki disease (KD) with infectious agents has been suggested, none have been proven to cause KD. In this case study, we present a case of KD with concurrent onset of influenza and Mycoplasma pneumoniae (MP) infections. A 27-month-old boy presented with prolonged fever, cough, and rhinorrhea. During the initial testing, influenza A infection was identified, and he was treated with oseltamivir. Despite the antiviral therapy, the fever persisted, and he had cervical lymph node enlargement, bilateral conjunctival injection, fissured red lips, strawberry tongue, and erythematous skin lesions on the Bacillus Calmette-$Gu{\acute{e}}rin$ vaccination site. Thus, the patient was diagnosed with KD and was treated with intravenous immunoglobulin (IVIG). The result of the initial antimycoplasma immunoglobulin M (IgM) antibody testing and was positive, and an increased IgM titer from baseline was found in a repeat test. We reviewed the hypotheses on pathogens known to be associated with KD and the etiology of KD. Based on our findings, we suspect that symptoms of KD and coronary artery lesions can occur from various infections besides those caused by Mycoplasma species and influenza viruses.

A Survey on Safety Behaviors among Korean Elementary School Children at a Local City (일 지역 초등학생의 안전행위 조사)

  • Ko, Meoung-Hee;Kim, Kyung-Sook;Lee, Kyoung-Sook;Kang, Hae-Young
    • Journal of the Korean Society of School Health
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    • v.16 no.2
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    • pp.25-34
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    • 2003
  • Instroduction: The purpose of this study was to investigate safety education-related backgrounds and safety behaviors of elementary school children at a local area in Jeonbuk province. Methods: Study subjects were 308 5th and 6th graders from 6 schools located in J City and the data were collected from June 16-27, 2003. Research instrument to test safety behaviors was 4-points summated scale (Cronbach${\alpha}$= .94) composed of 54-items with three sub-categories school life safety (${\alpha}$= .88), traffic safety (${\alpha}$= .86), and daily life safety (${\alpha}$= .84), The data was analyzed by percentage, x2-test, t-test, ANOVA and Duncan test using SPSS/PC 10.0. Results: 1. Safety Education-related Characteristics: Safety education was mostly conducted during extracurricular hour as picnic (37%) and regular class (37.2%); and the instructors of safety education were school nurse (33.2%), classroom teacher (30.9%), and parents (23.4%) in order. About two third (71.0%) of the subjects have had many kinds of school event program such as essay writing, poster drawing, oratorical contest in the course of safety education According to gender, girl students was more favorable about school events as a effective safety education measure (x2=9.188, p= .010); and according to school location, nural school taught more at moming & closing session (x2=7.383, p= .025), by school nurse or classroom teacher (x2=36.574, p= .001), and had more frequent (x2=63.337, p= .001) safety education class. 2. Practice of safety behaviors: Mean scores of safety behaviors was $106.9{\pm}24.92$ out of 162 points. According gender, the scores of girl students (t=-3.296, p= .001) were significant higher than boy students. But there was not any significant difference according to school area According to safety education-related characteristics, the scores of safety behaviors was significantly higher in the group who thought that school event program was more effective on safety education (F=4.024, p= .019), and who were more interested in current safety education class (F= 10.203, p= .001) Conclusions: From the above findings, the authors concluded that school-based safety education was mainly conducted at extra-curricular and regular class, and by school nurse or classroom teacher in elementary school. Even though the mean scores of safety behaviors of elementary school children was in medium level, those. were significant higher in girl students and in rural school children. And extra-curricular activities and school event programs were suggested as more effective strategies for school-based safety education Based on the above findings, safety education class can be recommended in regular curricular basis; and various extracurricular activities and school event programs need to be developed for more effective school-based safety education. In addition, further study on gender-specific factors on safety behaviors and nationwide survey on school-based safety education should be needed.

Effect of forming groups according to the brain hemisphere preference on the cooperative problem solving learning achievement in the middle school technology (중학교 기술 교과의 협동적 문제해결학습에서 좌우뇌 선호도에 따른 소집단 구성이 학업성취도에 미치는 영향)

  • Park, Heon-Mi
    • 대한공업교육학회지
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    • v.34 no.2
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    • pp.205-229
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    • 2009
  • The purpose of this study is to verify the effect of forming groups according to the brain hemisphere preference on the cooperative problem solving learning achievement in the middle school technology. The subjects of this study were 95 second grade boy students of a middle school in Daejeon and the measurement instrument of the left and right hemisphere preference is the Brain preference Indicator(BPI) which had been developed by Torrance et al(1977) and was adjusted by Ko, Younghee(1991). The academic achievement was analyzed on cognitive, psychomotor and affective domains. Derived results from this research are stated below: First, making groups according that the brain preference is more similar was more effective than making groups according to the high familiarity and the similarity of performance in the academic achievement of psychomotor and affective domains. Second, making groups according that the brain preference is more similar was more effective than making groups according that the brain preference is more diffrent for the academic achievement of affective domains on the cooperative problem solving learning in technology. Third, the academic achievement score of the right hemisphere preference group is higher than the score of the population in three domains. Also, the academic achievement score of the right hemisphere preference group is higher than the score of the left hemisphere preference group.

A Study on Intake/excretion of Sodium and Calcium in Korean Children (일부 한국인 아동의 나트륨과 칼슘 섭취 및 배설에 관한 연구)

  • 이경화
    • Journal of Nutrition and Health
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    • v.28 no.8
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    • pp.749-758
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    • 1995
  • In this study, the food intake, feces and urine of 16 primary school age boys and girls were collected and intake and excretion of sodium and calcium were measured. The boys and girls were 8-12 years old and measurement continued for four weeks during which they maintained their normal living pattern and body weight. Each boy's and girl's daily intake and excretion of sodium and calcium were measured and apparent digestibility and balance were also studied. The results were as follows. 1) Mean daily intake of sodium was 8.52$\pm$0.38g for the boys and 7.31$\pm$0.44g for the girls. The mean value in males was significantly higher than that in females(p<0.05). Mean daily in take of calcium was 411.0$\pm$16.0mg for the boys and 356.5$\pm$15.4mg for the girls. The mean value in males was significantly higher than that in females(p<0.01). 2) Mean daily fecal loss and apparent digestibility of sodium was 0.32$\pm$0.04g and 96% for the boys and 0.52$\pm$0.07g and 93% for the girls. The fecal loss mean value in males was significantly lower than that in females(p<0.05). Mean daily fecal loss and apparent digestibility of calcium was 299.8$\pm$8.3mg and 29% for the boys and 194.1$\pm$14.3mg and 46% for the girls. The fecal loss mean value in males was significantly higer than that in females(p<0.01). 3) Mean daily urinary loss of sodium was 6.55$\pm$0.50g and showed the positive balance of 1.65g for the boys and 5.67$\pm$0.20g and showed the positive balance of 1.12g for the girls. The urinary loss mean values of the two groups were not significantly different. Mean daily urinary loss of calcium was 42.8$\pm$5.1mg and showed the positive balance of 79.4mg for the boys and 25.0$\pm$1.64mg and showed the positive balance of 137.4mg for the girls. The urinary loss mean value in males was significantly higer than that in females(p<0.01).

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