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Search Results: 1 - 10 of 120541 matches for " Huei-Shyong Wang "
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Tourette Syndrome: Not Just a Tic Disorder
Huei-Shyong Wang
Chang Gung Medical Journal , 2005,
Abstract: Although tics are considered the hallmark of Tourette syndrome, arguably tics may notbe the only or primary presenting symptom. For many children diagnosed with Tourette syndromeirritability, frustration intolerance, hyperactivity, inattention, ritual behavior or otherdifficulties may have been present a number of years before the appearance of tics. Childrenwith Tourette syndrome are often highly co-morbid with attention deficit-hyperactivity disorder,obsessive compulsive symptoms, and other related behavioral problems that should bedetected and treated effectively. Therefore tics should not be the sole indicator or receiveover emphasis in the detection and treatment of Tourette syndrome.
Vitamin B6 Related Epilepsy during Childhood
Huei-Shyong Wang,Meng-Fai Kuo
Chang Gung Medical Journal , 2007,
Abstract: In some patients without vitamin B6 deficiency, epilepsy can not be controlled withoutan extra supplement of vitamin B6. The therapeutic role of pyridoxal phosphate (PLP), theactive form of vitamin B6, may not be replaced with other forms of vitamin B6 sometimes.Until now, four inborn errors of metabolism are known to affect vitamin B6 concentrationsin the brain. Three of them are hyperprolinemia type 2, antiquitin deficiency, and pyridoxinephosphate oxidase deficiency. The fourth disorder occurs in neonates with hypophosphatasiaand congenital rickets. All patients with these conditions present with early-onset epilepsythat is resistant to conventional antiepileptic medications. Patients with three of the conditionsrespond to any form of vitamin B6. Only those with pyridoxine phosphate oxidase deficiencyrespond to PLP instead of pyridoxine. Interestingly, the authors have successfullytreated many patients without the above four disorders using vitamin B6, and have found thatthe treatment was more effective with PLP than with pyridoxine, though the mechanism isnot known. Since PLP is as inexpensive as pyridoxine, we suggest replacing PLP for pyridoxinewhen treating children with epilepsy.
Clinical Experience of Childhood Hypertensive Encephalopathy over an Eight Year Period
Mei-Hua Hu,Huei-Shyong Wang,Kuang-Lin Lin,Jing-Long Huang
Chang Gung Medical Journal , 2008,
Abstract: Background: Hypertensive encephalopathy is an uncommon neurological syndrome inchildren, usually with reversible clinical and neuroimaging findings. Little isknown about the precipitating factors, clinical presentations, neuroimagingfindings and outcomes of childhood hypertensive encephalopathy in Taiwan.Methods: To characterize this syndrome, we retrospectively analyzed 12 children withhypertensive encephalopathy in a tertiary institution from 1998 through2005. We investigated the precipitating factors, clinical findings, courses,neuroimaging characteristics and outcomes.Results: Twelve patients (10 boys and 2 girls) with hypertensive encephalopathy wereidentified. Post-streptococcal glomerulonephritis was the most common precipitatingunderlying disease. Common clinical presentations included mentalchange (100%), seizure (91.6%), headache (66.6%), nausea or vomiting(75%), and blurred vision (41.6%). Brain imaging studies showed vasogenicedema over the bilateral parietal, occipital and parasagittal regions, or thecerebellum. All patients had a reversible clinical course.Conclusion: Hypertensive encephalopathy is predominant in males, and mental change isthe most common clinical presentation. Renal origin is a common precipitatingfactor. A characteristic lesion of hypertensive encephalopathy is occipitoparietalregion edema. The overall clinical outcome is good after prompttreatment.
Possible Role of Repetitive Practice of Activities Requiring Reflexive Responses in the Treatment of Tourette’s Disorder
Huei-Shyong Wang,Meng-Fai Kuo,Jeremy S. Stern
Chang Gung Medical Journal , 2011,
Abstract: We report 2 boys, 11 and 7 years old, whose Tourette’s disorder improved significantlyafter a period of repeated, sustained practice of activities requiring reflexive responses Oneboy engaged in physical exercise including hand-eye co-ordination (table tennis for 6 hoursevery weekday) and the other learned foreign languages (5 languages within 3 years). Ticsmay be thought of as a kind of overflow of energy, and excessive energy consumption withphysical or mental exercise may improve the motor disorder and associated comorbidities.However, the exercise may require a quick, reflexive response to visual or verbal stimuli.
Diagnostic Approach to Recurrent Bacterial Meningitis in Children
Huei-Shyong Wang,Meng-Fai Kuo,Song-Chei Huang
Chang Gung Medical Journal , 2005,
Abstract: Recurrence of bacterial meningitis in children is not onlypotentially life-threatening, but also involves or induces psychologicaltrauma to the patients through repeated hospitalizationand multiple invasive investigations if the underlyingcause remains undetected. Bacteria migration, along congenitalor acquired pathways from the skull or spinal dural defects,gains entrance into the central nervous system (CNS) andshould be taken into consideration when children face recurrentbacterial meningitis, however, symptoms and signs ofcerebrospinal fluid (CSF) rhinorrhea or otorrhea are rare insuch patients. Without evidence of CSF leakage, a cranialsymptom/sign or coccygeal cutaneous stigmata may suggestthe approximate lesion site, diagnosis and detection remainsdifficult. To detect an occult dural lesion along the craniospinalaxis, such as basal encephalocele, dermal sinus tract, orneurenteric cyst, a detailed clinical evaluation and the use of the modern diagnostic imagingmethods is necessary. Because of the possibility of concomitant occurrence of more than onemalformation, both the frontal and the lateral skull base should be carefully evaluated.Precise localization of the dural lesion is a prerequisite for successful surgical repair. Inaddition, the bacteria specificity could leave significant clues: Pneumoccocus or Hemophilussuggests cranial dural defects, E. coli or other gram negative bacilli suggests spinal duraldefects, and meningococci suggest immunologic deficiency. Asplenia or immunodeficiencysuch as complement or immunoglobulin deficiency rarely causes recurrent meningitis withouta history of frequent infection of non-CNS areas. Salmonella meningitis or brain abscessshould not be treated incompletely or inadequately and could lead to recrudescence, relapseor recurrence of bacterial meningitis. Antibiotic (penicillin or trimethoprim-sulfamethoxazole)induced meningitis may repetitively occur on occasion.
Low-Dose Topiramate Is Effective in the Treatment of Infantile Spasms
Meng-Ying Hsieh,Kuang-Lin Lin,Huei-Shyong Wang,Min-Liang Chou
Chang Gung Medical Journal , 2006,
Abstract: Background: Management of infantile spasms is difficult because current treatment regimens,including many anticonvulsants and hormones, are often ineffective.We conducted this study to determine the effective dose of topiramate (TPM)in Taiwanese children with infantile spasms.Methods: Fourteen patients with infantile spasms were given TPM at an initial dose of12.5 mg/d, and the dose was raised by 12.5 mg every 2~3 days. If the seizurefrequency did not decrease during the initial 2 weeks, the dose was raisedmore rapidly. Titration continued for ≤ 12 weeks. Subjects were monitoredby weekly visits to undergo titration.Results: The etiology of the infantile spasms included a cryptogenic group (n = 3) anda symptomatic group (n = 11). Overall, spasms in 5 patients (38%) werecompletely controlled. A ≥ 50% reduction in spasms was observed in 11(85%) of 13 subjects during stabilization, while one patient quit the treatment.The mean dose of TPM during stabilization was 7.35 4.9 mg/kg/d.Among these, 6 patients achieved seizure control and 3 were free of seizuresat TPM doses of lower than 6 mg/kg/d.Conclusions: Seizure control was achieved with lower doses of TPM therapy than suggestedin previous studies.
Pollakiuria in Children with Tic Disorders
Huei-Shyong Wang,Hsieh-Lin Chang,Siao-Wen Chang
Chang Gung Medical Journal , 2005,
Abstract: Background: To describe the rarely reported characteristics of pollakiuria in children withtic disorders (TD).Methods: During a period of one year, all patients visiting our Tourette Syndrome (TS)Clinic with TD were studied for presentation of pollakiuria.Results: We found that nine (1.9%) out of 467 children with TD had pollakiuria: 407boys and 60 girls, with a mean age of 8.7 years. Of these nine children, therewere eight boys and one girl, and their mean age was 7.4 years. Five hadtransient TD, one had chronic motor TD and the remaining three had TS.Their pollakiuria recovered within two to six months, except for two malepatients aged six and 19 years, whose pollakiuria persisted for more than ayear. Factors precipitating anxiety were identified in only three children.Obsessive compulsive behaviors could be traced in eight patients.Conclusions: Pollakiuria occurring in children with TD is not frequently encountered. Itusually has a benign course, as it does in those without tics. However, sometimesthe pollakiuria waxed and waned over years, as do tics. Pollakiuriacould be a manifestation of tics or a compulsion, instead of just an anxietydisorder.
The Impact of Foreign Programs on Taiwanese Youth and the Significant Role of Media Education
Huei Lan Wang
Asian Culture and History , 2009, DOI: 10.5539/ach.v1n2p161
Abstract: As cable television channel bloomed and grew in Taiwan, more and more teenagers watched a wide variety of foreign TV programmers through hundreds of channels. The impact of this media trend among Taiwanese youth stresses the importance of research to assess whether local college students learn from foreign television programming. In this research, which supports the theoretical discussion in this paper, the nature of these learnings was analyzed as well. In general, this study aims to explore the relevant literature and examine whether college students engage in critical thinking when viewing foreign television programs. This research used a popular Korean series shown in Taiwan to examine various perspectives and views related to the issue. Based from the gathered findings, college students appear to pay more critical attention to the program script, character, rhythm, plot and cultural differences. In relation to aesthetic, ideology and cultural identity issues, less response on the educational impact of the program was obtained from the participants. This confirms the claim that Taiwanese youth view television as an entertainment medium rather than an educational one. For this reason, the role of media education, specifically the integration of visual literacy and critical thinking, is highly significant to generate less passive television viewers.
Archetypal Anxieties in Stanley Kubrick’s The Shining
Ya-huei Wang
K@ta : a Biannual Publication on the Study of Language and Literature , 2011,
Abstract: The study intends to study the archetypal anxieties in Stanley Kubrick’s (1980) The Shining, which can be interpreted as Danny’s journey for the completion of his individualization process. In his individualization process, Danny has to go through the anxieties often seen in fairytales, such as separation anxieties, authoritarian anxieties, Oedipal rivalry anxieties, and sexual anxieties, in order to acquire his autonomy. The Overlook Hotel becomes symbolic of collective human evil, being charged with evil spirits. Only those who refused to identify themselves as victims would escape from the evil history of the hotel and would not be transformed into a homicidal maniac, pouring their anger to their families.
Should All Students with Special Educational Needs (SEN) Be Included in Mainstream Education Provision? - A Critical Analysis
Huei Lan Wang
International Education Studies , 2009, DOI: 10.5539/ies.v2n4p154
Abstract: Traditionally, children requiring special educational needs (SEN) are segregated into separate learning environments. While this education practice has been established for years, other educators and analysts have been questioning its efficacy. Most of them suggest that students with SEN should be included into mainstream schools to maximize their learning experiences. Several other benefits as well as issues have been raised in relation to this educational issue. In this paper, the factors related to the education and inclusion of students with SEN, including the curriculum, attitude of the educators, professional development, equality issues as well as learning experiences, will be discussed. The significance and relevant effects of these factors will be the basis of the conclusion of this paper on whether inclusion should be adapted.
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