• Title/Summary/Keyword: children's right

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Identification of 1p36 deletion syndrome in patients with facial dysmorphism and developmental delay

  • Seo, Go Hun;Kim, Ja Hye;Cho, Ja Hyang;Kim, Gu-Hwan;Seo, Eul-Ju;Lee, Beom Hee;Choi, Jin-Ho;Yoo, Han-Wook
    • Clinical and Experimental Pediatrics
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    • v.59 no.1
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    • pp.16-23
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    • 2016
  • Purpose: The 1p36 deletion syndrome is a microdeletion syndrome characterized by developmental delays/intellectual disability, craniofacial dysmorphism, and other congenital anomalies. To date, many cases of this syndrome have been reported worldwide. However, cases with this syndrome have not been reported in Korean populations anywhere. This study was performed to report the clinical and molecular characteristics of five Korean patients with the 1p36 deletion syndrome. Methods: The clinical characteristics of the 5 patients were reviewed. Karyotyping and multiplex ligation-dependent probe amplification (MLPA) analyses were performed for genetic diagnoses. Results: All 5 patients had typical dysmorphic features including frontal bossing, flat right parietal bone, low-set ears, straight eyebrows, down-slanting palpebral fissure, hypotelorism, flat nasal roots, midface hypoplasia, pointed chins, small lips, and variable degrees of developmental delay. Each patient had multiple and variable anomalies such as a congenital heart defect including ventricular septal defect, atrial septal defect, and patent duct arteriosus, ventriculomegaly, cryptorchism, or hearing loss. Karyotyping revealed the 1p36 deletion in only 1 patient, although it was confirmed in all 5 patients by MLPA analyses. Conclusion: All the patients had the typical features of 1p36 deletion. These hallmarks can be used to identify other patients with this condition in their early years in order to provide more appropriate care.

An Analysis of the State of Libraries in Pursuit of the Efficient Development and Management of Children's Library Programs (어린이도서관 프로그램 개발과 운용을 위한 도서관 실태조사 분석)

  • Hong, Hyun-Jin;Kang, Mi-Hee;Kang, Mi-Bong;Dae-Keun, Dae-Keun
    • Journal of the Korean Society for Library and Information Science
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    • v.43 no.2
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    • pp.53-90
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    • 2009
  • The purpose of this study was to examine 80 children's libraries in an effort to suggest some of the right directions for the development and management of children's library programs. A survey was conducted on 80 children's libraries in the nation, and the answer sheets from 55 libraries were gathered and analyzed to find out the extent of use, the major users, the book collections, budgets, the types of programs, the target audience of the programs, the terms of the programs, publicity, evaluation and factors determining the success or failure of the programs. In addition, 21 large children's libraries located in Seoul, Gyeongin, Incheon, Busan, North Chungcheong Province, South Jeolla Province and Jeju Island were visited, and the management were interviewed in order to decipher the types and management of the programs, their spatial construction, tie-ups or collaborations with relevant organizations and the utilization of volunteers. Finally, 29 foreign organizations were selected from six foreign countries including the United States, France, the United Kingdom, Singapore, Japan and China, and the cases and states of their programs' management were checked through personal interviews.

Congenital Sialoblastoma: a Case Report (출생 직후 발견된 선천성 침샘모세포종 1예)

  • Moon, Suk-Bae;Park, Kwi-Won;Jung, Sung-Eun;Lee, Seong-Cheol
    • Advances in pediatric surgery
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    • v.14 no.2
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    • pp.173-177
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    • 2008
  • Sialoblastoma is a rare tumor of salivary gland origin, developing in the fetal or neonatal period. Most tumors arise in parotid gland, and rarely in submandibular gland. Because of its rare incidence, diagnosis of the sialoblastoma in head and neck tumors of children is not easy. The case of a congenital submandibular gland sialoblastoma is presented. A neonate was transferred right after birth due to a submandibular mass. CT scan showed a lobulating mass located posterior to the left submandibular gland, suggesting neurogenic tumor or myofibroma. The tumor was excised easily after division of a duct-like structure connecting with the submandibular gland. The microscopic findings showed the basaloid cells and ductules forming cellular nests, separated by thin fibrous tissue. Immunohistochemical staining was positive for cytokeratin, vimentin and Ki-67, which was consistent with sialoblastoma.

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The Reliability of the Pediatric Functional Muscle Testing in Children with Developmental Delay

  • Seo, Hye-Jung;Kim, Joong-Hwi
    • The Journal of Korean Physical Therapy
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    • v.27 no.4
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    • pp.183-189
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    • 2015
  • Purpose: The aim of this study was to examine the test-retest and inter-rater reliability of the pediatric functional muscle testing (PFMT) when applied to children with developmental delay. Methods: Sixteen children with developmental delay (seven females, nine males) participated in this study. For the inter-rater reliability, each was scored on the PMFT by two pediatric physical therapists with more than 8 years of clinical experience on the same day. For assessment of the test-retest reliability, one therapist tested the children again within 10 days. The second measurement was performed by taking a first measurement in video. Intraclass correlation coefficient (ICC) was calculated to determine the test-retest and inter-rater reliability of the PFMT, and Chronbach's alpha was used to measure internal consistency. Results: The results of this study were as follows: 1) The test-retest ICC of the score of the infant action month and the right side of the PFMT was from 0.53 to 1.00 and from 0.63 to 0.99, respectively. 2) The inter-rater ICC of the score of the infant action month and the right side of the PFMT was from 0.66 to 1.00 and from 0.64 to 1.00, respectively. 3) Chronbach's alpha was 0.93. The internal consistency indicated excellent. Conclusion: In conclusion, this study showed that the test-retest and inter-rater reliability of the PFMT was relatively high, except for a few items. Therefore, it can be suggested that the PFMT will be a useful tool for measurement of muscle strength for children with developmental delay if it be some modifications.

Investigation of Intake Patterns and Sugar Content of Snacks Provided at some Children's Cafeterias in Gyeongbuk (경북 일부 어린이급식소에서 제공되는 간식의 섭취형태 및 당 함량 조사)

  • Sim, Hyeonmi;Lee, Mijung;Park, Se mi;Bae, Mihyeon;Lee, Jayooung;Yu, Sun il;Lee, Kyung A
    • Journal of the FoodService Safety
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    • v.2 no.1
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    • pp.51-57
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    • 2021
  • The purpose of this study was to analyze the amount of sugar from the afternoon snack menu of childcare facilities in Gyeongsangbuk-do. The amount of sugar was analyzed for afternoon snacks provided by childcare facilities between March and April 2016. The snacks provided were the same for processed and non-processed foods at 50.0% respectively. White milk accounted for the largest portion with 26.4%, followed by fruits with 19.9% and grains (sweet potatoes, rice cakes, etc.). It has been confirmed that the larger the facility, the lower the frequency of provision of non-processed foods, and the higher the provision of processed foods (p<0.05). Snacks served as non-processed foods showed the highest frequency of fruits and sweet potatoes. On the other hand, processed foods provided many sugar-rich products, such as liquid yogurt, hot cakes, and cereal, excluding white milk. The average sugar content was highest in processed milk products (13.9 g), followed by white milk (8.6 g), bread and snacks (8.0 g), other (4.6 g), and mixed grains (1.6 g). Of the total 216 snacks, banana flavored milk had the highest sugar content of 27.0 g, followed by strawberry milk (15.0 g) and castella (21.6 g). The findings are expected to be used as basic data for choosing the right snacks provided by childcare facilities and practicing reducing sugar intake.

An Incidentally Detected Ventriculoperitoneal Shunt Catheter in the Scrotum (소아 음낭 내에서 우연히 발견된 뇌실-복강 단락술 도관 1예)

  • Moon, Suk-Bae;Lee, Seong-Cheol;Jung, Sung-Eun
    • Advances in pediatric surgery
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    • v.13 no.2
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    • pp.212-216
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    • 2007
  • Migration of a peritoneal catheter of a ventriculoperitoneal shunt into the scrotum is a rare complication. We treated a case of catheter migration in the scrotum. A 12-year old boy, who had had a ventriculoperitoneal shunt at the age of 4 months due to neonatal hydrocephalus, visited the outpatient clinic because of a right inguinal hernia. On physical examination, a firm mass was found in the left scrotum. Pelvic X-ray demonstrated a coiled catheter in the left scrotum. The catheter was successfully removed by exploring the left patent processus vaginalis after high ligation of the hernia sac. This case suggests a suction action of the patent processus vaginalis and the possibility of catheter migration long after shunt catheter insertion.

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A Study on the Fitness of Children's Shoes -Centered on the Correlation of Shoes Size and Walking- (아동화의 적합성에 관한 연구 -신발크기와 보행과의 관계를 중심으로-)

  • 심부자
    • Journal of the Korean Home Economics Association
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    • v.29 no.3
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    • pp.23-34
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    • 1991
  • With 10 subjects of 6-year-old children residing in Pusan, I analyzed the relation of walking types(step angle, step width, step and stride) and wear comfort according to the style and size fo shoes in order to reveal the fitness of children's shoes centered on the relationship of shoes size and walking. Three styles of children's shoes(laced and unlaced formal shoes, magic-taped sports shoes) ranging in five different size were used. The following are conclusions. 1. As to step angle, there was no conceivable change in the left side, while the right side had a significance in accordance with the shoes size at p<0.001. As the size grew, right step angle of all shoes increased, with unlaced shoes having more influence than others. Step angle were the smallest when all the sampled shoes made the difference of 5mm between foot size and shoes size. 2. As to step width, there was no conceivable change in the style of shoes, while shoes size had a significance at p<0.001. As the size grew, step width also increased. Step width were the smallest when all the sampled shoes made the difference of 5mm between foot size and shoes size. 3. Step and stride, however, took no significance at all, since they were not influenced by the size or style of the shoes. 4. Wear comfort had a significance at the level of p<0.001. Since it was influenced by the size or style of the shoes. The best wear comfort was felt when all the sampled shoes had laces and magic tapes as well as the size with the difference of 5-10mm between foot size and shoes size.

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Perception on Children in 15th Century Korean Medicine and Its Historical Meaning (15세기 한국의학의 소아(小兒)에 대한 인식과 의학사적 의의)

  • Shin, Haegue;Ahn, Sangwoo
    • The Journal of Korean Medical History
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    • v.28 no.1
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    • pp.11-24
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    • 2015
  • Historically, children have inevitably been under different treatments depending on their circumstances. In noble families, overprotection rather damaged children; in general, children undergoing important stages of life were exploited as laborers and not cared for. In order to help these children grow whole and healthy, pediatrics has provided information on the right environment and medical treatments for children. In traditional Korean medicine, it is said, "the reason I put gynecology and pediatrics in the first chapters $\cdots$ of this book (Chapter on Pediatrics, Euibangyoochui) is to show my intention of respecting the origin", emphasizing the significance of children as the basis of a person. This is distinguished not only by philosophical implication, but also by its practical contribution to children's health. Euibangyoochui 醫方類聚 is the major book of 15th-century Korean medicine, compiled medicine until Joseon. Through Chapter on pediatrics, which collected medical theories and treatments on children, this paper studies how children had been perceived in traditional Korean medicine, and how it was followed by corresponding medical treatments.

Renal Artery Aneurysm in a 13-year-old Child (13세 남아에서 발견된 신동맥의 동맥류 증례 보고)

  • Yeh, Hye Ryun;Kim, Min Jee;Kang, Eun Gu;Han, Jee Yeon;Lee, Joo Hoon;Park, Young Seo
    • Childhood Kidney Diseases
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    • v.18 no.1
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    • pp.51-55
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    • 2014
  • Primary renal artery aneurysm has been estimated to account for an incidence of 0.015-1% with associated morbidities including renovascular hypertension and rupture. Renovascular hypertension associated renal artery aneurysms in children is not a common disease. In patients with complicated renal vascular disease, renal autotransplantation has been used as an alternative to percutaneous transluminal angioplasty, which may be hazardous in these situations. We report a case of a renal artery aneurysm in a 13-year-old Korean child presenting hypertension detected during school health examination. Preoperative workup demonstrated a $2.8{\times}2.1{\times}1.9$ cm saccular aneurysm in the right renal hilum that was not amendable to endovascular repair. A surgical strategy including extracorporeal renal artery reconstruction with autotransplantation was applied in order to restore renal artery anatomy and to treat renovascular hypertension. Immediately he complained of severe right flank pain and postoperative doppler sonography revealed lack of perfusion. On the 5th day after autotransplantation, the patient underwent a transplant nephrectomy. He was well postoperatively and was found to have a normal kidney function and stable blood pressure control without antihypertensive medication. This is the first pediatric case of renal artery aneurysm in Korea who underwent extracorporeal repair followed by autotransplantation failure. More pediatric cases with renal artery aneurysm should be reported to identify therapeutic outcome and long term prognosis.

Tetralogy of Fallot: A Surgical Perspective

  • Karl, Tom R.
    • Journal of Chest Surgery
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    • v.45 no.4
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    • pp.213-224
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    • 2012
  • Tetralogy of Fallot (TOF) is an index lesion for all paediatric and congenital heart surgeons. In designing an appropriate operation for children with TOF, the predicted postoperative physiology must be taken into account, both for the short and long term. A favourable balance between pulmonary stenosis (PS) and pulmonary insufficiency (PI) may be critical for preservation of biventricular function. A unified repair strategy to limit both residual PS and PI is presented, along with supportive experimental evidence. A strategy for dealing with coronary anomalies and some comments regarding best timing of operation are also included.