• Title/Summary/Keyword: familial

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Microvascular Decompression for Familial Hemifacial Spasm : Single Institute Experience

  • Park, Jae-Han;Jo, Kyung-Il;Lee, Hyun-Seok;Lee, Jung-A;Park, Kwan
    • Journal of Korean Neurosurgical Society
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    • v.53 no.1
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    • pp.1-5
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    • 2013
  • Objective : The purpose of this study was to evaluate the characteristics and surgical outcomes of familial hemifacial spasm (HFS) and to discuss the role of genetic susceptibility. Methods : Between 2001 and 2011, 20 familial HFS patients with ten different pedigrees visited our hospital. The data from comprehensive evaluation of these patients, including clinical, radiological and electrophysiological data and surgical outcomes were reviewed to characterize familial HFS and to compare the characteristics between familial HFS and sporadic HFS. Results : According to the family tree, the inheritance pattern was difficult to define clearly using these data. Radiologic findings suggested that the vertebral artery (VA) was a more frequent offender in familial HFS than in sporadic cases (35.0% vs. 10.0%, p<0.001). Chi-square test showed that there were no correlation between VA tortuosity and underlying morbidity such as diabetes or hypertension (p=0.391). Eighteen out of 19 patients who underwent microvascular decompression showed no residual spasm. Other features of familial HFS overlap with sporadic cases. These findings suggest that certain genetic susceptibilities rather than hypertension or diabetes may influence vascular tortuosity and HFS development. Conclusion : In this study, familial HFS seems not so different from sporadic cases. Authors thought familial HFS could have heterogeneous etiology. Further study of familial HFS including clinical, anatomic, genetic, and molecular information may help identify a gene or trait that can provide insight into the mechanisms of sporadic and familial HFS.

Association of HLA-DR and -DQ Genes with Familial Moyamoya Disease in Koreans

  • Hong, Seok-Ho;Wang, Kyu-Chang;Kim, Seung-Ki;Cho, Byung-Kyu;Park, Myoung-Hee
    • Journal of Korean Neurosurgical Society
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    • v.46 no.6
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    • pp.558-563
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    • 2009
  • Objective : Moyamoya disease (MMD) is an uncommon cerebrovascular disorder, characterized by progressive occlusion at the terminal portion of the internal carotid artery. Incidence of the disease is high in East Asia and familial MMD accounts for about 15% of the disease. Although the pathogenesis is unknown, association of HLA class I or II alleles with MMD has been reported with conflicting results. We investigated whether there is a difference in HLA class II association between familial and non-familial forms of the disease. Methods : A total of 70 Korean children with MMD, including 16 familial cases (10 probands), and 207 healthy controls were studied. Among familial cases, only 10 probands were used for the HLA frequency analysis. High resolution HLA-DRB1 and DQB1 genotyping was performed using polymerase chain reaction (PCR)-sequence specific oligonucleotide hybridization and PCR-single strand conformation polymorphism methods. Results : The phenotype frequencies of HLA-DRB1*1302 (70.0%) and DQB1*0609 (40.0%) were significantly increased in familial MMD compared to both controls [vs. 15.5%, corrected p ($p_c$) = 0.008, odds ratio (OR) = 12.76; vs. 4.3%, $p_c\;=\;0.02$, OR = 14.67] and non-familial MMD patients (vs. 14.8%, $p_c\;=\;0.02$, OR = 13.42; vs. 1.9%, $p_c\;=\;0.02$, OR = 35.33). The frequencies of DRB1 and DQB1 alleles in non-familial MMD patients were not significantly different from those in controls. Conclusion : Our findings suggest that the genetic polymorphism of HLA class II genes or other closely linked disease relevant gene(s) could be a genetic predisposing factor for familial MMD.

The Long-Term Effects of Familial Difficulties Experienced in Childhood: Predictors of Internalizing Behavior Problems during the Early Adolescent Period and Late Life Periods

  • Sohn Byoungduk
    • International Journal of Human Ecology
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    • v.6 no.1
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    • pp.103-115
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    • 2005
  • This study utilized data (a sample of 18,553 people born in 1958 in England, Scotland, and Wales) from the National Child Development Study of 1968 and 1991 to explore the influence of familial difficulties on the internalizing behavioral patterns during the early adolescent period and late life outcomes periods. In this paper, internalizing behavioral problems include 'depression', 'anxiety', 'hostility to adults', 'hostility to children', and 'withdrawal'. Late outcomes were analyzed in two different variables and one marital management domain: 'unemployment', 'seen doctors about emotional problems', 'divorce or separation; never lived as a couple; arguments end in violent behavior' The results indicate that young adolescents who had experienced familial difficulties also have internalizing behavioral problems giving them emotional and behavioral instability. The findings also show that familial difficulties during childhood positively contribute to late life outcomes such as unemployment, emotional problems, and marital management. This study suggests that in order to effectively respond to the needs of children and adolescents who have experienced various familial difficulties, counselors and educators must guide parents.

ANALYSIS OF FAMILIAL TENDENCY IN SKELETAL CLASS III MALOCCLUSION (골격성 하악전돌증 환자의 유전적 경향에 대한 분석)

  • Lee, Chang-Hwan;Lee, Sang-Han;Kim, Hyun-Soo;Kwon, Tae-Geon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.32 no.6
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    • pp.506-513
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    • 2006
  • The purpose of this study was to examine the familial tendency of the patients with mandibular prognathism in three generations and to define the relationship between the familial tendency and the skeletal class III morphology. The probands of this study were 103 orthognathic surgery patients with skeletal Class III malocclusions who had undergone (48 men, 55 women) mandibular set-back surgery. A questionnaire was given to patients who sought surgical treatment for excessive mandibular length, and all answers were confirmed in interviews. Lateral cephalograms were analyzed in cranial base parameters, mandibular positional parameters and mandibular skeletal parameters. In the examined families, 58.3% had at least one member other than the proband who had mandibular prognathism. The affected ratio of total relatives was 4.5%, and the value was higher in first-degree (13.4%) than second-degree (5.9%) and third-degree relatives (1.7%). The affected ratio was 51.9% in the offsprings who had at least one affected father or mother. The comparison of the groups according to the familial tendency showed no significant craniofacial skeletal measurments. In conclusion, skeletal class III malocclusion showed high familial tendency, suggesting a significant genetic influence in the etiology. However, the patient's familial tendency did not show the special craniofacial patterns compare to the subjects without familial tendency.

Children′s Peer Experiences, Familial Support, and Psychosocial Adjustment (또래관계 경험 및 가족지지에 따른 아동의 심리사회적 적용)

  • Chyung YUH-JOO
    • Journal of the Korean Home Economics Association
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    • v.42 no.11
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    • pp.1-15
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    • 2004
  • This study examined the interaction between children's peer experiences and familial support in relation to their psychosocial adjustment(self-esteem and lonelitness). Peer experiences were examined in terms of children's perceptions of peer acceptance and the reciprocity of best friendship. The subjects were 2754th or 5th graders residing in Seoul. It was found that the interaction between children's perceptions of peer acceptance and familial support, and that between the reciprocity of bort friendship and familial support were both significant predictors of children's loneliness whereas only the former was a significant predictor of children's self-esteem. The study results suggest that children's experiences from one type of interpersonal relationship should be examined in conjunction with their experiences in other types of relationships in order to better understand the psychosocial domains of child development.

A Case Study of Familial Scoliosis (가족성 척추측만증(Familial Scoliosis)의 증례보고)

  • Park, Kyung-Moo;Soh, Mun-Gie;Song, Yun-Kyung;Lim, Hyung-Ho
    • Journal of Korean Medicine Rehabilitation
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    • v.18 no.3
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    • pp.187-199
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    • 2008
  • Objectives : The purpose of this study is to report the concept of familial scoliosis through eight cases. Methods : The family tree was constructed with eight cases which was diagnosed idiopathic scoliosis by physical examination and radiological study. Results : According to the family tree of this sibs, idiopathic scoliosis apparently behaves as an autosomal dominant inheritance. As to parents and grandparents, although they are not confirmed the appearance of idiopathic scoliosis, we know that they transmit trait to their descendants as a genotype. Conclusions : This study is shown that idiopathic scoliosis has a familial condition and provided useful information that can be used early diagnosis and treatment with screen tests based on the family tree.

The Effects of Social Family Resources on the Well being of Single-Parent Households in Korea (한부모가족 사회적 자원의 삶의 질에 대한 효과 분석)

  • Seo, Jiwon
    • Journal of Family Resource Management and Policy Review
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    • v.17 no.1
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    • pp.103-124
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    • 2013
  • To improve family well-being of single-parents, the utilization of familial social resources-including formal supports, informal supports, and social capital-has become one of the most important family resource management issues. The purpose of this study was to compare the levels of familial social resources of single-parent households with those of two-parent households and to investigate the differences according to three factors, specifically poverty, family types by gender and age of parent, and householders' employment. In addition, the determinants of single-parent households' wellbeing were analyzed from two perspectives: economic wellbeing and psychological life satisfaction. Data from the 5th wave of the Korean Welfare Panel Study (KOWEPS) were used. The major findings were as follows. First, single-parent households utilized their familial social resources more actively than their counterparts, especially in terms of the formal support of child care. Second, single parent households utilized their familial social resources differently in relation to poverty, family types, and parents' employment. Third, the determinants of economic wellbeing and psychological life satisfaction were different according types of familial social resources. Based on these empirical results, policy implications for the future economic wellbeing of baby boomers were provided.

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Estimating the Genetic Epidemiology Parameters of Selected Cancers in Korea Population - The Korean Twin Study -

  • Sung, Jooh-On
    • Genomics & Informatics
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    • v.3 no.4
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    • pp.159-165
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    • 2005
  • The Korean Twin Register (n=154,783 pairs) was reported in 2002 as the first nationwide twin study in Korea and the largest study in Asia. The Twin Register has the information of disease outcomes since 1990, and basic clinical and questionnaire data from biennial health examination provided by Korea National Health Service. The author attempted to calculate some of the genetic parameters of cancers in this population. Common cancers in Korea known to have familial aggregation (colon and breast) and cancers of which familial aggregation is unclear (stomach cancer) were examined for their familial recurrence risks. There were 699 stomach cancers, 438 breast and 491 colorectal cancers cases in the twin register between 1991 and 2003. Like-sex twins showed recurrence risks (${\lambda}_{LS}$) of 5.1 (95% CI 3.7-6.9) for stomach cancers, 15.5 (95% CI1 0.9-20.2) for female breast cancers, and 28.1 (95% CI 23.5-34.4) for colon cancers. Colorectal cancers of female like-sex twins show significantly higher familial recurrence risk 40.7 (95% CI 34.6-47.4), suggesting higher genetic contribution in women than in men. The results show increased familial risks compared with previous studies from the same register and are largely compatible with other studies. The data of the Twin Register could be used for estimating population level genetic parameters, as well as base of the various studies.

Familial Sick Sinus Syndrome (가족성 동기능 장애 증후군 1례)

  • Nam, In-Hye;Cheon, Sung-Hee;Kil, Hong-Ryang
    • Clinical and Experimental Pediatrics
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    • v.46 no.2
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    • pp.195-197
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    • 2003
  • Sick sinus syndrome(SSS) constitutes a spectrum of cardiac arrhythmia, including sinus bradycardia, sinus pause-arrest, sinoatrial block, slow escape rhythm, bradyarrhythmia and tachyarrhythmia. SSS is relatively uncommon in children but its exact incidence is unknown because diagnostic criteria are not uniform and most children with SSS, in general are asymptomatic. SSS may be primary(organic sinus node disease) or secondary(cardiac surgery comprises much of SSS in children and adolescents), but it can hardly be caused by familial relations as well. We reports an occurrence of familial sick sinus syndrome. Mother was diagnosed as SSS, which was presented by symptoms of dizziness and treated by permanent pacemaker(DDD). Also, two daughters revealed SSS with non-compacted cardiomyopathy on neonatal screening and fetal echocardiography respectively. We concluded that familial SSS may occur, so familial screening should be suggested.

A Case of Familial IgA Nephropathy (가족성 IgA 신병증 1례)

  • Kim, Yu-Jin;Kim, Wun-Kon;Yoon, Shin-Ae;Lee, Jin-Seok;Ha, Tae-Sun
    • Childhood Kidney Diseases
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    • v.15 no.1
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    • pp.81-85
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    • 2011
  • IgA nephropathy is the most common form of primary glomerulonephritis and chronic glomerular disease worldwide including Korea. Familial gathering of IgA nephropathy suggests that genetic factors contribute to the development of this disease. Although there have been many reports on familial IgA nephropathy with genetic analysis and their pedigrees, there has been few reports in Korea. We reported a partial familial IgA nephropathy pedigree with a brief review of the literatures.