• Title/Summary/Keyword: 소아

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Regional Distribution and Practice Pattern of Pediatric Dental Clinics in Korea (한국에서 소아전문 치과의원의 지역분포 및 진료패턴)

  • Chae, Jong Kyun;Song, Ji-Soo;Shin, Teo Jeon;Hyun, Hong-Keun;Kim, Jung-Wook;Jang, Ki-Taeg;Lee, Sang-Hoon;Kim, Young-Jae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.47 no.1
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    • pp.44-52
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    • 2020
  • The number of pediatric dental clinics has been increasing due to the development of dentistry and changes in public awareness of professional dental care for children. The purpose of this study was to investigate the present status of pediatric dental clinics in Korea in several respects, including regional distribution. There were 343 pediatric dental clinics (1.91%) among 17,917 dental clinics in Korea. 248 out of 343 private practitioners were board certified pediatric dentists. Of 248 board certified pediatric dentists, 25 displayed the specialty in their clinics' name. Gyeonggi occupied largest share of the total pediatric dental clinics in Korea, followed by Seoul and Busan. Gangnam-gu occupied largest share of the total pediatric dental clinics in Seoul. Out of all pediatric dental clinics in Korea, 78.7% was run by only one dentist. 90.9% of pediatric dental clinics didn't do night clinic on weekdays and 26.5% was open until after 15:00 on Saturday.

NEW DRUG THERAPY IN CHILD AND ADOLESCENT PSYCHIATRY ATYPICAL ANTIPSYCHOTICS (소아청소년 정신과 영역에서의 새로운 약물치료 ; 비정형 항정신병약물)

  • Bahn, Geon-Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.14 no.1
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    • pp.26-35
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    • 2003
  • Conventional antipsychotics are commonly used to treat children and adolescents suffered from schizophrenia to other neuropsychiatric conditions. Regrettably, studies for typical antipsychotics report high rates of sedation, orthostatic hypotension, and extrapyramidal side effects. Over the past few years, atypical antipsychotics have been prescribed for use in adults with psychotic symptoms. Child psychiatrists have begun using these drugs to children and adolescents hoping safe and better alternatives to the conventional antipsychotics. However, there is not enough short-term and almost no long-term data about atypical antipsychotics for pediatric patients. Therefore, the purpose of this article is to review what is known about the use of the atypical antipsychotics in young patients. To do so, an appropriate approach to the use of these drugs in child and adolescent patients my be offered.

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A Study on Interrelationship of Baby Cold Diseases Using Baby Face Image and Crying Analysis (소아 얼굴 영상 및 울음소리 분석을 통한 소아 감기 질환과의 상관성 연구)

  • Kim, Bong-Hyun;Lee, Se-Hwan;Ka, Min-Kyoung;Park, Sun-Ae;Cho, Dong-Uk;Oh, Won-Geun
    • Proceedings of the Korea Information Processing Society Conference
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    • 2007.11a
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    • pp.59-62
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    • 2007
  • 태어나면서부터 건강에 대한 욕구는 현대 사회에서 많은 부분을 차지하게 된다. 물론 어려서부터의 건강관리가 건강 수명 연장은 물론 가장 기본적인 행복한 삶의 추구까지도 보장되고 있는 실정이다. 이를 위해 본 논문에서는 한의학에서 환자의 질병을 진단하기 위해 사용되고 있는 망진(望診)과 청진(聽診)의 이론적 근거를 바탕으로 소아 감기 질환에 대한 진단 시스템을 개발하고자 한다. 특히 소아감기는 일반적으로 제일 발병률이 높은 질환으로 얼굴 부위에 열을 동반한다는 것과 울음소리가 인체의 모든 조음기관과 연관되어 있다는 한의학적 이론을 기반으로 소아의 생체신호를 분석하여 소아 감기와의 상관성을 분석하고자 한다. 이를 위해 소아 감기 환자에 대한 1차 실험으로 얼굴 영상에서의 열 관련 여부에 대한 색상 분석을 행하였으며 2차 실험으로는 조음기관에 대한 성분음을 추출하는 스펙트럼 분석을 수행하였다. 이를 통해 정상 소아와 감기 질환을 앓고 있는 소아 환자간의 차이점을 추출하고자 한다.

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A Study on the Current State of Pediatric Dentists and the Adequacy of Supply and Demand Based on Covered Services (소아치과 전문의 인력 현황 및 공급 적정성에 관한 연구 - 급여 진료 항목을 기준으로)

  • Yeo Won Lim;Yong Kwon Chae;Ko Eun Lee;Ok Hyung Nam;Hyoseol Lee;Sung Chul Choi;Mi Sun Kim
    • Journal of the korean academy of Pediatric Dentistry
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    • v.50 no.3
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    • pp.360-372
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    • 2023
  • The aim of this study was to identify the current state of pediatric dentists, evaluate the adequacy of pediatric dentist supply and demand, and find out the perception of all pediatric dentists on the current state of pediatric dentists and policy establishment. An Online survey was conducted among pediatric dentists. The questionnaire was subdivided into 'general characteristics', 'number of dental treatments and working days per year', 'proportion of covered services', 'perceptions of supply and demand of pediatric dentists'. Through the Korean Academy of Pediatric Dentistry, the Health Insurance Review and Assessment Services, the National Health Insurance Service (NHIS), and the Korean Statistical Information Service, the current state of pediatric dentists, the number of claims for covered services, and the decrease in births per year were investigated. Dental clinics claiming to be pediatric dentistry reached half of all medical institutions, but only 3.78% of pediatric dentists actually worked. 61.36% of all pediatric dentists were concentrated in the metropolitan area, showing a national imbalance. Although the population of children and adolescents have continuously decreased over the past 20 years, the number of NHIS-covered services has shown a continuous increase. Over the past 10 years, the optimal supply of pediatric dentists has been maintained at around 4,000. According to the analysis, 92.15% of pediatric dentists thought that it was necessary to prepare policies and support measures at the government level. This study is expected to be used as basic data for establishing a demand estimation method for pediatric dentistry specialists in the future.

Inpatient Dental Consultations to Pediatric Dentistry in the Yonsei University Severance Hospital (연세대학교 세브란스 병원 내 입원한 환자의 소아치과 의뢰 현황)

  • Joo, Kihoon;Lee, Jaeho;Song, Jeseon;Lee, Hyoseol
    • Journal of the korean academy of Pediatric Dentistry
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    • v.41 no.2
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    • pp.145-151
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    • 2014
  • The goal of this study was to describe dental consultation of pediatric inpatients to the department of pediatric dentistry at Yonsei University Severance Hospital. 391 dental consultations at Yonsei University Severance Hospital referred to pediatric dentistry in the year 2012 were included in this study. Consultations were categorized according to patients' gender, age, chief complaint, referred department and diagnosis. 288 patients (166 males and 122 females) with an average age of 5.9 were referred to the Department of Pediatric Dentistry. 129 cases (33.1%) from Department of Rehabilitation Medicine, 80 cases (20.5%) from Pediatric Hematology- Oncology, 51 cases (13.0%) from Pediatric Cardiology, and 44 cases (11.3%) from Pediatric Neurology. Chief complaints were ranked from oral examination (39.7%), dental caries (14.0%), pre-operative evaluation (12.8%) and others (33.5%); including oral pain, trauma, tooth mobility, orthodontic treatment, self-injury, fabrication of obturator and etc. Dental consultations should be encouraged as dental care and treatment could affect the control of systemic diseases of admitted patients. Pediatric inpatients have been referred to pediatric dentistry for not only comprehensive oral exam but also various chief complaints. The most frequent dental diagnosis made and treatment performed were dental caries and non-invasive/preventive care respectively.

Effects of Anticonvulsant Monotherapy on Bone Mineral Density in Children (단일 요법 항경련제가 소아 골밀도에 미치는 영향)

  • Shin, Chanok;Lee, Na Yeong;Han, Ji Yoon;Yoo, Il Han;Eom, Tae Hoon;Bin, Joong Hyun;Kim, Young Hoon;Chung, Seung Yun;Lee, In Goo
    • Journal of the Korean Child Neurology Society
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    • v.26 no.4
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    • pp.269-271
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    • 2018
  • Purpose: The use of anticonvulsants can cause side effects such as reduction of bone mineral density, requiring attention in growing children. The aim of our study is to investigate the effects of different anticonvulsants on bone mineral density in epileptic patients treated with monotherapy. Methods: We retrospectively reviewed medical records of 60 subjects who visited the Pediatric Epilepsy Clinic of Bucheon St. Mary's Hospital from January 2013 to December 2017. Bone mineral density was measured with dual photon absorptiometry every 6 months. Results: The number of patients treated with oxcarbazepine, valproate and levetiracetam was 31, 16 and 13, respectively. Reduction of bone mineral density was seen in 8 out of 31 patients (25.8%, P=0.10) treated with oxcarbazepine, 9 out of 16 patients treated with valproate (56.3%, P=0.04) and 4 out of 13 patients treated with levetiracetam (30.8%, P=0.50). Conclusion: There was a significant reduction of bone mineral density in patients treated with valproate compared to the other anticonvulsants in our study. We believe attention to bone mineral density is required in children treated with anticonvulsants.

A 20-year Retrospective Study of Pediatric Oral Lesion Biopsy (소아 청소년 환자에서 시행된 구강 병소 생검 : 20년 간의 후향적 연구)

  • Park, Sang Hyun;Kim, Hyuntae;Song, Ji-Soo;Hyun, Hong-Keun;Kim, Young-Jae;Kim, Jung-Wook;Jang, Ki-Taeg;Shin, Teo Jeon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.48 no.4
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    • pp.425-436
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    • 2021
  • The aim of this study was to provide pathological information of pediatric oral lesions by retrospectively analyzing oral biopsy results from pediatric patients at the Seoul National University Dental Hospital. Biopsy results of all oral lesions from pediatric patients, aged 0 - 16 years, were collected from the files of the Department of Oral Pathology, Seoul National University Dental Hospital from January 2000 to April 2020. The patients were divided into 3 age groups: 0 - 5, 6 - 11 and 12 - 16 years. All oral lesions were classified into three main categories: inflammatory and reactive, tumor or tumor-like and cystic lesions. Among the total of 2928 biopsy specimens, tumor or tumor-like lesions(35.66%) were the most common, followed by inflammatory and reactive lesions(34.29%) and cystic lesions(30.05%). Regardless of the categories used in this study, odontoma was the most frequently found lesion, mucocele and dentigerous cyst being the next common. This study was the first retrospective review of pediatric oral pathology in Korea, and the results from this study may assist in providing informative insight into the pediatric oral pathology for pediatric dentists.

Crying and Face Color Analysis for Baby Heart Diseases Diagnosis (소아 심장 질환 진단을 위한 울음소리 및 얼굴 색상 분석)

  • Cho, Dong-Uk;Lee, Se-Hwan;Kim, Bong-Hyun
    • The KIPS Transactions:PartB
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    • v.14B no.7
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    • pp.503-512
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    • 2007
  • An infant of a baby child who haven't communication skills through a language expresses their intention or baby condition as generally crying. Among these things, it is important to show a baby condition because their disease miss diagnosis time or remain to decide an exact diagnosis result too hard. For this, in this paper, we are going to develop system which decides where to be not good body point by analysing their face color and crying sound. Specifically, in this paper, we are going to act for baby heart diseases by doing feature extraction for their face region color and crying sound. To embody, we are going to present diagnosis method and compare analyze their crying sound a stand child, a different diseases child and a baby heart diseases child through each analyzed element. And also, we are going to extract matters to be attended to baby heart diseases through experiment and prepare objective index and an accuracy of baby heart diseases diagnosis result.

Severe Anemia Caused by Parvovirus B19 Infection in Two Pediatric Kidney Transplantation Recipients (소아 신장이식 환자에서 발생한 파르보바이러스 B19에 의한 심한 빈혈에 대한 증례 보고 및 문헌 고찰)

  • Kim, Kyung-Ran;Park, Hwanhee;Kim, Doo Ri;Cho, Heeyeon;Lee, Sanghoon;Lee, Suk-Koo;Kim, Yae-Jean
    • Pediatric Infection and Vaccine
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    • v.28 no.3
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    • pp.181-188
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    • 2021
  • Anemia commonly occurs in kidney transplantation (KT) recipients. Many factors such as viral infection, bleeding, erythropoietin deficiency, and immunosuppressants are the causes of chronic anemia in KT recipients. We report 2 cases who developed severe anemia caused by parvovirus B19 infection and were successfully treated with intravenous immunoglobulin in pediatric KT recipients.