CARE 지침에 따른 대한한방소아과학회지의 증례보고에 대한 질평가

이혜림,김지환,이명수,이주아,Lee, Hye Lim,Kim, Ji Hwan,Lee, Myeong Soo,Lee, Ju Ah 대한한방소아과학회 2018 대한한방소아과학회지 Vol.32 No.3

Objectives The purpose of this study is to assess the quality of case reports from the Journal of Pediatrics of Korean Medicine. Methods Case reports were selected from the Journal of Pediatrics of Korean Medicine from January 2015 to April 2018, by utilizing Oriental Medicine Advanced Searching Integrated System (OASIS). The quality of the reports were reviewed based on the Consensus-based Clinical Case Reporting Guideline Development (CARE) guideline. Results Total of 13 case reports were finally selected for the assessment. 73.08% of the case reports included necessary information based on the CARE guideline but the rest of the reports did not. More than 50% of the reports were missing data regarding 'Timeline', 'Diagnostic challenges', 'Intervention adherence and tolerability', 'Adverse and unanticipated events', or 'Patient perspective or experience'. Also, the reports did not include 'Key word', 'Introduction in abstract', 'Case presentation in abstract', or 'The rationale for conclusions' information. Conclusions Case reports from the Journal of Pediatrics of Korean Medicine have important role in pediatrics. Efforts are needed to improve the quality of the case reports as well as to develop reporting guidelines for the Journal of Pediatrics of Korean Medicine.

골성숙도와 심박 변이도의 상관성에 대한 연구

이혜림,한재경,김윤희,Lee, Hye-Lim,Han, Jae-Kyung,Kim, Yun-Hee 대한한방소아과학회 2012 대한한방소아과학회지 Vol.26 No.3

Objectives The purpose of this study is to examine the relationship between skeletal maturity and heart rate variability (HRV) based on the bone age and HRV parameters. Methods 103 children from 6 years to 17 years of age, who do not have any disease-related symptom, and visited ${\bigcirc}{\bigcirc}$ oriental medicine hospital, are measured based on their bone age and short-term spectral analysis of HRV. Results 1. Skeletal maturity was significantly correlated with HRV indices: mean HRT and SDNN. As the skeletal maturity increases, the mean HRT was decreased and the SDNN was increased. 2. When classifying according to the skeletal maturity score, the mean HRT was higher in the 'below -0.4' group compare to '-0.3~0.7' group and '0.8~1.9' group. SDNN was higher in the '0.8~1.9' group compare to '-0.3~0.7' group, 'below -0.4' group 3. When classifying according to the sex, age and secondary sexual characteristics, as the skeletal maturity was increased, the mean HRT was significantly decreased and the SDNN was significantly increased only in the boys who did not develop secondary sexual characteristics. Conclusions Skeletal maturity could be statistically significant with HRV indices, especially to the boys and the children than the girls and the teenagers.

소아용 입욕제품의 분석 및 고찰

이혜림,한재경,김윤희,Lee, Hye-Lim,Han, Jae-Kyung,Kim, Yun-Hee 대한한방소아과학회 2011 대한한방소아과학회지 Vol.25 No.2

Objectives: The purpose of this study is to analyze the baby bath preparation and provide necessary information on the upcoming herbal bath preparation for atopic dermatitis. Methods: We selected 113 baby bath preparation by searching typing in "baby bath preparation" in 6 major web-search-engines, and 17 web shopping malls in Korea. 11 items were evaluated under three criteria : type of product, function and ingredient of goods. Results: Result showed that the most common type of bath preparation were liquid type. 96% of the products contained medical agents. Ingredients of the medical agents were herbal medicine, aroma oil, spring and sea ingredients, vitamin and extract. 33% of the products were bath preparation for the atopic dermatitis and 74% of the products were only for the baby. Conclusions: It is necessary to make a government level guideline for natural materials used in bath preparation, and to develop new products contained herbal medicine abide by oriental medical theory.

특발성 성조숙증으로 진단받은 환아 2례에 대한 증례보고

이혜림,유화승,박승찬,Lee, Hye Lim,Yoo, Hwa Seung,Park, Seung Chan 대한한방소아과학회 2017 대한한방소아과학회지 Vol.31 No.1

Objectives The purpose of this study is to report the case of precocious puberty in two children treated by taking herbal medicine. Methods Two patients diagnosed with precocious puberty were prescribed Jogyeongseongjang-tang and were observed the effect of treatment on height, body weight, body composition, sex hormone test. Results During the treatment period, rapid progression of puberty was inhibited, and slow changes in sex hormones and steady growth were achieved. Conclusions This study showed the long-term effects of herbal medicine in treating precocious puberty, but further studies should be conducted for scientific validation.

대전지역 다문화가정 자녀의 성장에 대한 보고

이혜림,Lee, Hye Lim 대한한방소아과학회 2014 대한한방소아과학회지 Vol.28 No.4

Objectives The purpose of this study is to evaluate the current growth via Growth indices, Obesity indices, Metabolic risk factors of Multicultural Families' Children in Dae-jeon area. Methods 5 to 12 year old children from 56 multicultural families were enrolled in this study, and were examined their bone age and body composition, and have received blood tests. Results 1. In Growth indices, average height percentile was $53.64{\pm}25.59%$. The AHP and MPH respectively, were converted into 20 years old adult height percentile, AHP of a girls was 40 percentile and MPH was 19 percentile, AHP of boys was 57 percentile and MPH was 21 percentile. 2. In Obesity indices, average of BMI pecentile was $44.16{\pm}29.52$; low-weight group (6 boys, 4 girls), normal-weight group (20 boys, 18 girls), over-weight group (8 girls). Average PWH was $100.51{\pm}15.66%$; low-weight group (9 boys, 5 girls), normal-weight group (14 boys, 15 girls), over-weight group (3 boys, 5 girls), obesity group (5 girls). 3. The results of the relationship between Growth indices and Obesity indices, 1) As RH percentile in boys was increased, skeletal maturity, AHP and AHP-MPH were also increased. Similarly, as RH percentile in girls was increased, skeletal maturity, AHP and AHP-MPH were also increased. 2) As skeletal maturity in boys was increased, BMI percentile was also increased. As skeletal maturity in girls was increased, AHP-MPH was decreased but had no significant differences. Conclusions Current growth of children in multicultural families was above the average when compared to that of average children in the same age. It was predicted that the boys' height were still above the average adult height, but the girls' height were below the average. Also this study showed that girls were more prone to be overweight than boys, thus requiring more intensive management and training in regards to eating habits and exercise.

전문 정보원 소개 - JISTaP(Journal of Information Science Theory and Practice)

이혜림,Lee, Hye-Rim 한국전문도서관협의회 2015 KSLA bulletin Vol.7 No.-

무선 메쉬 네트워크에서 TCP 성능 향상 기법

이혜림,문일영,Lee, Hye-Rim,Moon, Il-Young 한국정보통신학회 2010 한국정보통신학회논문지 Vol.14 No.5

무선 메쉬 네트워크는 무선 인프라 환경에서 고정이나 이동 중에 모든 노드가 통신을 할 수 있는 다중 경로를 가지는 새로운 네트워크이다. 하지만 무선 메쉬 네트워크는 유선망과 달리 무선 매체를 사용하기 때문에 경로손실, 간섭, 핸드오프 등으로 높은 패킷 손실률을 보이고 TCP(Transport Control Protocol) 알고리즘은 무선 메쉬 네트워크의 패킷손실 원인을 네트워크 내의 혼잡으로 인식하기 때문에 TCP 혼잡제어 알고리즘(Congestion Control Algorithm)을 실행하게 된다. 따라서 본 논문에서는 무선 메쉬 네트워크 환경에 적응력을 가지도록 기존의 TCP 혼잡제어 알고리즘의 혼잡 윈도우 값을 노드의 이동에 따라 유연하게 조절하는 새로운 TCP 혼잡제어 알고리즘을 제안한다. Wireless mesh network is similar to ad-hoc network, so when transferred to the data packet in the wireless environment, interfered factor arise. When TCP(Transport Control Protocol) was created, however as it was design based on wired link, wireless link made more transmission error than wired link. It is existent problem that TCP unfairness and congestion collapse over wireless mesh network. But packet losses due to transmission errors are more frequent. The cause of transmission error in wireless ad-hoc network may be inexactly regarded as indications of network congestion. And then, Congestion Control Algorithm was running by this situation causes the TCP performance degradation. In this paper, proposed TCP can adaptively regulate the congestion window through moving node in the Wireless Mesh Network. And it enhanced the performance.

허약아와 성장지표의 상관성에 대한 연구

이혜림,한재경,김윤희,Lee, Hye Lim,Han, Jae Kyung,Kim, Yun Hee 대한한방소아과학회 2014 대한한방소아과학회지 Vol.28 No.2

Objectives The purpose of this study is to investigate the relationship between weak children and growth indices. Methods One hundred twenty-six of the first and the second grade elementary school students who didn't have to develop yet their secondary sexual characteristics answered the questionnaire. Their bone age and body composition were measured. Results 1. According to the Weak Children questionnaire analysis, respiratory problem was one of the biggest problems in the weak children group (35.7%), followed by digestive problems (23.0%), psycho-neurological problems (22.2%), neuromotor problems (9.5%), and urogenital problems (8.7%). 2. From the comparison between growth indices of weak children and that of normal children are as follows: 1) The group of children who had problem in their digestive system had lower growth indices than the normal average children group. The growth indices includes mean height, weight, total body water, protein mass, mineral mass, body fat, skeletal muscle mass, body fat percentage, body mass index (BMI), and basal metabolic rate (BMR). 2) The children who had urogenital weakness had lower mean height, RH (Recent Height), RH - MPH {Recent Height(%) - Mid-Parental Height(%)}, RUS (Radius, Ulna and Short bone) score, weight, protein mass, body fat, BMI, and visceral fat than the normal children group. 3. The results of the multiple comparisons of growth indices and weak children groups are as follows: 1) Digestive weak children were the lowest in total body water, protein mass, mineral mass, skeletal muscle mass, and basal metabolic rate. 2) Urogenital weak children were the lowest in height, RH, RH - MPH, RUS score, and weight. Conclusion These results showed that children's growth is strongly correlated to their own growth problems, especially to those children who have digestive and urogenital problems. Therefore, this may be an effective way for children growth treatment in Korean medicine to treat weak symptoms.

청소년의 신체활동이 성장에 미치는 영향

이혜림,Lee, Hye Lim 대한한방소아과학회 2015 대한한방소아과학회지 Vol.29 No.2

Objectives The purpose of this study is to investigate the relationship between physical activity and growth indices. Methods 5963 of 12 years old adolescents were participated in the 10th Korea Youth Risk Behavior Web-Based Survey (KYRBWS-V) project in 2014. These data was analyzed to show the relationship between physical activity and height, BMI. Results According to the Physical Activity guidelines, the mean height was higher in the each male and female group with 'moderate physical activity for at least 60 min ${\geq}7$ days/week', 'vigorous physical activity ${\geq}3$ days/week', and 'muscle-strengthening activity ${\geq}3$ days/week' compare to the group who did not. The mean BMI was lower in the male group of 'sitting for watching TV or computer, etc on a weekday < 3 hr/day' compare to group who did not. Conclusions These results showed that physical activity in adolescence is correlated to growth. Therefore, this research can be one of the reference data to show the proper physical activity is important in the growth.

심박변이도 분석을 통한 심계 허약아의 자율신경계 특성

이혜림,한재경,김윤희,Lee, Hye Lim,Han, Jae Kyung,Kim, Yun Hee 대한한방소아과학회 2013 대한한방소아과학회지 Vol.27 No.3

Objectives The purpose of this study is to evaluate the characteristics of autonomic nervous system in heart-weakened children via analyzing heart rate variability (HRV) compare to healthy children. Methods Among the children who have visited the department of pediatrics at OO oriental medicine hospital, the subjects were composed of 62 elementary school students without cardiac disorder, who have yet develop secondary sexual characteristics. Results 1. Mean HRT and SDNN of the heart-weakened group of children were lower than the healthy group, but with no statistical significance. 2. Heart-weakened children had higher LF norm and LF/HF ratio, but lower HF norm than healthy children. The rest of the Frequency Domain Index have no significant differences. 3. Heart-weak score showed a positive correlation with Mean HRT and LF/HF ratio. Conclusions Heart-weakened children had an imbalance in autonomic nervous system due to increase of sympathetic nerve activity and decrease of parasympathetic nerve activity.