• Title/Summary/Keyword: growth of children

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Diagnosis and Management of Chronic Kidney Disease-Mineral Bone Disease in Children

  • Suh, Jin-Soon
    • Childhood Kidney Diseases
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    • v.24 no.1
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    • pp.14-18
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    • 2020
  • Chronic kidney disease-mineral bone disorder (CKD-MBD) is a systemic disorder of mineral and bone metabolism caused by CKD. Patients with early-stage CKD who present with disordered regulation of bone and mineral metabolism may be asymptomatic. However, if untreated, the condition can be a significant barrier in achieving optimal bone strength, linear growth, and cardiovascular health in pediatric patients with CKD. Thus, the current study evaluated the definition, pathogenesis, diagnosis, and management of pediatric CKD-MBD.

The Treatment of Pediatric Inflammatory Bowel Disease (소아청소년 염증성 장질환의 치료)

  • Kim, Kyung Mo
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.11 no.sup2
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    • pp.72-79
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    • 2008
  • The incidence of inflammatory bowel disease is increasing rapidly in Korea and one quarter of the new patients present in childhood. Crohn's disease and ulcerative colitis are incurable conditions associated with significant morbidity, therefore the focus of treatment in children should be to reduce or eliminate symptoms, optimize nutritional status and growth, prevent complications. This review will deal with the evidence supporting the treatments currently used in children with inflammatory bowel disease.

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Evaluation of Effect of Renal Transplantation on Growth in Children with Chronic Renal Failure (소아 신장이식 후 성장에 대한 평가)

  • Lee, Ji-Woong;Kim, Jung-Soo;Kim, Yang-Wook;Kim, Young-Hoon;Yoon, Young-Chul;Chung, Woo-Yeong
    • Childhood Kidney Diseases
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    • v.10 no.2
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    • pp.219-227
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    • 2006
  • Purpose : We aim to identify the clinical and demographic characteristics in children who underwent renal transplantation(RTx) and to evaluate the influence on growth of RTx in children. Methods : We reviewed 17 medical records of chronic renal failure patients who underwent RTx from April 1992 and June 2004 at Busan Paik Hospital. Age and sex distribution, cause of disease, donor analysis, patient and graft survival rate, and the status of growth after RTx were analysed by retrospective study. Results : Eighteen RTx were performed in 17 patients(8 boys, 9 girls). The mean age at the time of RTx was $15.8{\pm}3.5$ years and the mean duration of dialysis therapy before RTx was $22.4{\pm}18.0$ months. The 1 year and 5 year patient survival rate were each 100%, and the 1 year and 5 year graft survival rate were 88%, 36% respectively. The most common cause of graft failure was chronic rejection. The mean final height of male patients was $162.8{\pm}10.0$ cm(143.0-172.5 cm) and of female patients was $154.5{\pm}12.1$ cm(135.8-160.0 cm). The mean height standard deviation score(Ht SDS) increased after RTx from -1.95 to -1.53 but the increment rate was not statistically significant. Similar changes were noted in individual patient analysis. Also there was no significant difference between the living-related donors and cadaveric donors. Conclusion : Our data shows that even successful RTx rarely results in full growth rehabilitation. To overcome retarded growth in children with chronic renal failure, appropriate combined management of metabolic and nutritional problems, correction of anemia, proper use of recombinant growth hormone therapy, early renal transplantation and shortening of the duration of dialysis would be necessary.

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A Study of Bone Mineral Density in Children (소아의 골밀도에 관한 연구)

  • Chang, Gyu-Tae;Kim, Jang-Hyun;Seo, Young-Min
    • The Journal of Pediatrics of Korean Medicine
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    • v.19 no.1
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    • pp.53-66
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    • 2005
  • Objectives : Osteoporosis is generally occurred in old age, especially postmenopausal women therefore, it is relatively overlook osteoporosis in children, but the authors have paid attention to bone density in children because maximizing peak bone mass of childhood is advocated as a way to prevent osteoporosis and environmental factor of childhood play role in the regulation of bone density. the present study was performed to measure bone density of children and to assess the influence of age, sex, body size, exercise, weak symptoms on bone density during the period of bone growth. Methods : We have measured bone density of calcaneus bone in 283 children (male 144 female 139, ranged from3 to 18) who visited in growth clinic of Pediatrics, Dongguk University Bundang Oriental Hospital, using quantitative ultra sound densitometry and they were divided into 3 groups by age(3-10, 11-15, 15-18 years). Pearson's correlation was used to assessed the influence of age, body size and Student's t-test was used to detect differences in sex, exercise, weak symptoms between the groups on bone density Results : The bone density correlated with age, height, weight, body mass index in this study. Bone density were significantly higher in males than in female. Digestive weak children's bone density were lower than normal children. Conclusion : Weight-bearing exercise and food rich in nutrition are necessary to increase maximizing peak bone mass in children.

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The Analysis of the Type and Characteristics of Playable Furniture for Preschool Children (미취학 아동의 놀이가구 유형 및 특성 분석)

  • Kim, Ja Kyung
    • Korean Institute of Interior Design Journal
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    • v.21 no.5
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    • pp.189-199
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    • 2012
  • The interest and expenditure for children is increasing than in the past because the number of nuclear family is growing, the children's space is configured independently in most homes from infancy, therefore, the market of children's furniture is expanding in spite of the reduction in the population of children. There are not many products considering age, gender, and play behavior in children's furniture market in Korea. The bed, desk, chair, and closet for children under 2 years hold a large majority of children's furniture, there are not a lot of preschool children's furniture for the children aged 4 to 7. As the children aged 4 to 7 experience physical, emotional, and cognitive growth at the same time, the space configuration and furniture choice for these children is educationally very important. Therefore, in this study, we present the importance and necessity of playable furniture to promote the physical, social, emotional, linguistic, and cognitive development of the children aged 4 to 7 among preschool children. We found the concept and basic condition of playable furniture to collect the base data for developing playable furniture and provided the basic data for the development of an ideal playable furniture by comparing and analyzing the cases of 157 items of 14 domestic playable furniture companies and 365 items of 30 overseas in aspect of play functions, forms, materials and colors.

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A study on factors influencing the change of children's psycho-social development raised by disabled parents: focused on the influence of parent's social engagement and future forecast (장애부모에게서 자란 아동의 심리사회성 변화요인 - 부모의 사회참여활동 및 미래전망을 중심으로 -)

  • Kim, Sa Hyun;Kim, So Jin
    • Korean Journal of Family Social Work
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    • no.53
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    • pp.199-234
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    • 2016
  • This study deals with the psycho-social development of children raised by disabled parents. In particular, we are willing to examine the influence of parental factors such as social engagement and future forecast on the change of children's psycho-social development. Using the three waves of Korean Welfare Panel Study data, these predictors were examined through the Latent Growth Curve Modeling. The result shows that parent's disability has a negative influence on their children's psycho-social development. However, similar to the findings of the previous studies, the degree of this influence tends to be decreased as children grow up. Lastly, two parental factors have a direct influence on the psychological development of children. Furthermore, parent's social engagement has an indirect influence on the change of sociality of children through the psychological change of them. This result means that we should encourage disabled parents to participate actively in social activities and think positively about their future.

Food Neophobia and Nutritional Outcomes in Primary School-Children

  • MS Zalilah;GL. Khor;K. Mirnalini;S. Sarina
    • Journal of Community Nutrition
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    • v.7 no.3
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    • pp.121-129
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    • 2005
  • Food neophobia, unwillingness to try novel foods, is a personality trait that can influence children's food preferences and consequently their food acceptance and consumption. The purpose of this study was to determine whether children with food neophobia have poor dietary and growth outcomes compared to non-neophobic children. Subjects were 332 primary school children from 6 randomly selected schools in the district of Hulu Selangor, Selangor. Parents and children were interviewed to obtain demographic, socio-economic, food neophobia and dietary intake information. The children were also measured for weights and heights. One-way ANOVA and Chi-square procedures were utilized for statistical data analysis. Children with food neophobia had higher intakes of energy and most nutrients than average and neophilic children. However, only the mean intakes of protein (p < 0.05) , fat (p < 0.05), vitamin A (p < 0.01) and iron (p < 0.01) were significantly higher in neophobic than average or neophilic children. Compared to neophilic and average groups, a higher percentage of neophobic children met 2/3 of the RNIs for energy $(85.2\%)$, protein $(98.4\%)$ and vitamin A $(72.1\%)$. Mean percentage of carbohydrate energy was lowest$(54.8\pm6.6\%)$ while fat energy $(31.8\pm6.2\%)$ was highest among neophobic children. Neophobic group had the lowest percentage of children $(49.2\%)$ with carbohydrate energy > $55\%$ but highest percentage $(50.8\%)$ with fat energy > $30\%$. For the three study groups, the mean number of servings for all food groups, except grain and cereal, did not meet the Food Pyramid recommendations. Neophobic children consumed significantly more numbers of servings from the meat group than average and neophilic groups (p < 0.01). All study groups had relatively low mean dietary diversity scores but neophobic children had the lowest score $(0.67\pm0.73)$ compared to the average $(0.97\pm0.72)$ and neophilic $(1.98\pm0.81)$ groups. Significant difference in mean dietary diversity scores were only observed between neophobic and neophilic children (p<0.05). Higher percentages of neo-phobic children had low weight-for-height and were at-risk of overweight(p < 0.05). Nutrition practitioners need to understand children's food preferences in their efforts to promote healthful diets for children. To improve children's eating behaviors, parents may need the guidance and support from nutritionists and dietitians that are specific to their needs and their child's situation.

A classificatory study about the tendency of the patient who visited oriental medical hospital for growth treatment (한방병원에 내원하는 성장 환자의 유형 분류)

  • Han, Kyoung-Hoon;Park, Eun-Jung;Lee, Hai-Ja
    • The Journal of Pediatrics of Korean Medicine
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    • v.20 no.3
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    • pp.161-169
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    • 2006
  • Objectives : Patients who visit oriental medical hospital for growth treatment are increasing. So we aimed to classify the tendency of the patients. Methods : We studied 231 patients who visited Oriental medical hospital for growth treatment from January 2004 to August 2005. We classified sex ratio, height percentile, symptom form of the Oriental medicine, age ratio and developed complication of patients. We used X-ray, endoscope for nasal cavity, blood sample, the Standard Growth Table made by the Korean Association of Pediatrics, 1998. Results : The results which were classified as follows; boys were 50.2 percentile, girls were 49.8 percentile. The classification according to age stage resulted as follows; infant stage 1.3 percentile, preschool age 13.4%, school age 28.6%, rapid growth stage 22.9 percentile, puberty 33.8 percentile. The classification according to height percentile resulted as follows; 3 percentile or under 12.1%, 25 percentile or under 48.9%, 50 percentile or under 25.6%, 75 percentile or under 10.8%, 75 percentile excess 2.6%. The classification according to disease resulted as follows; paranasal sinusitis 12.1 percentile, allergic rhinitis 10 percentile, atopic dermatitis 5.6 percentile, nocturia 3 percentile, convulsion or tic disorder 2.2 percentile, precocious puberty 1.3 percentile, Tuner syndrome 0.9 percentile, developmental disability 0.4 percentile. Conclusions : Sex ratio of children patients who visited Orienatal medical hospital were nearly the same. 13.4% of hospital visit children patients were taller than average. Most of the male children patients were school ages while the female were in puberty. 35.5% of them have developed complication as follows; paranasal sinusitis, allergic rhinitis, atopic dermatitis, nocturia, convulsion or tic disorder, precocious puberty, Tuner syndrome and developmental disability.

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The Effects of the Self-Growth Group Counseling Program on Self -Concept and Interpersonal Relationships of Depressed Children (자기성장집단 상담이 우울성향 아동의 자아개념과 대인관계에 미치는 효과)

  • Oh, Myung-Hui
    • 한국초등상담교육학회:학술대회논문집
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    • 2004.01a
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    • pp.119-135
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    • 2004
  • The purpose of this study was to examine the effects of the self-growth group counseling program on the self-concept and the interpersonal relationships of depressed children in elementary school. A total 20 children who were screened by CDI criteria participated in this study, these students were randomly assigned to the experimental group(N=10) and the control group(N=10). The self-growth group counseling programs were implemented for ten week period. The research hypothesis were as follows: 1-1 : The scores on the self-concept measure of the experimental group received the self-growth group counseling program will be higher than the control group. 1-2 : The post-test scores on the self-concept measure of the experimental group received the self-growth group counseling program will be higher than the pre-test scores. 2-1 : The scores on the interpersonal relationships measure of experimental group received the self-growth group counseling program will be higher than the control group. 2-2 : The post-test scores on the interpersonal relationships measure of the experimental group received the self-growth group counseling program will be higher than pre-test scores. 3-1 : The scores on CDI of the experimental group received the self-growth group counseling program will be lower than the control group. 3-2 : The post-test scores on CDI of the experimental group received self-growth group counseling program will be lower than pre-test scores. The results of the study were as follows: First, the scores of the self-concept and the interpersonal relationships measures of the experimental group students appeared to be higher than the control group. However among the self-concept measure, the score of the emotional self showed no statistically significant differences between the groups. Second, within the experimental group, the scores of the self-concept and the interpersonal relationships measures of the post-test appeared to be higher than the pre-test. Third, the scores on CDI measures also showed significant mean differences between the experimental group and the control group, and between the pre- and post-tests. These findings suggested that the self-growth group counseling program interventions were functioned as for improving the self-concept and the interpersonal relationships, and for decreasing the depressed level of children. The implications and limitations of the study were discussed, and the suggestions for further researches were made.

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Neurodevelopmental Problems in Non-Syndromic Craniosynostosis

  • Shim, Kyu-Won;Park, Eun-Kyung;Kim, Ju-Seong;Kim, Yong-Oock;Kim, Dong-Seok
    • Journal of Korean Neurosurgical Society
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    • v.59 no.3
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    • pp.242-246
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    • 2016
  • Craniosynostosis is the premature fusion of calvarial sutures, resulting in deformed craniofacial appearance. Hence, for a long time, it has been considered an aesthetic disorder. Fused sutures restrict growth adjacent to the suture, but compensatory skull growth occurs to accommodate the growing brain. The primary goal for the management of this craniofacial deformity has been to release the constricted skull and reform the distorted shape of the skull vault. However, the intellectual and behavioral prognosis of affected children has also been taken into consideration since the beginning of the modern era of surgical management of craniosynostosis. A growing body of literature indicates that extensive surgery, such as the whole-vault cranioplasty approach, would result in better outcomes. In addition, the age at treatment is becoming a major concern for optimal outcome in terms of cosmetic results as well as neurodevelopment. This review will discuss major concerns regarding neurodevelopmental issues and related factors.