• The KIPS Transactions:PartB
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• v.13B no.2 s.105
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• pp.97-104
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• 2006

There is no method to control for the child efficiently when disease happens who cannot be able to express his symptoms. Therefore, doctor's diagnosis depends on inquiring from child's patients, that leads to wrong diagnosis result. For this, in this paper, we would like to develop child ocular inspection, auscultation diagnosis instruments, using Oriental medicine principle that living body signal of five organs and six hallow organs which reflects patients face and voice We would like to get more accurate diagnosis result for child's symptoms from doctor's intuition on the basis of diagnostic sight visualization, objectification, quantization itself. This paper develops color revision, YCbCr application, and face color selection and five sensory organs and nose or apex extraction method etc, in child ocular inspection by first work achievement sequence among the whole development systems. Also, in occasion of child auscultation, crying characteristics of colics through pitch, intensity and formant analysis is numerized and objectifies doctor's intuition through this. Finally, experiments are performed to verify the effectiveness of the proposed methods.

• 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.

• 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.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.10 no.10
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• pp.2708-2714
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• 2009

Due to poor linguistic communication skills of sucklings and infants, crying mostly is only means of communication to express their body conditions and desires. We, therefore, developed an infant auscultation system which detects which part of the body has a pathological problem, by analysing infant's crying sound patterns. Specifically, in this paper, we accomplished an auscultation system for congenital heart diseases detection by performing pitch, intensity and spectrum analysis of the crying sounds between the normal infants group and the congenital heart diseases group. With this system, we can diagnose congenital heart diseases of infants with poor communication capacity, and, in the near future, can build a home care diagnosis system based on crying sound analysis technologies through additional experiments on medical data.

• Clinical and Experimental Pediatrics
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• v.51 no.7
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• pp.736-741
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• 2008

Purpose : The incidence of thromboembolic episodes in children with nephrotic syndrome (NS) is low; however, these episodes are often severe. Moreover, both pulmonary thromboembolism (PTE) and renal vein thrombosis (RVT) rarely show clinical symptoms. This study was performed to determine the benefits of routine screening in the detection of thrombosis in childhood NS. Methods : Among 62 children with nephrotic syndrome, a total of 54 children (43 males, 11 females) were included in this study. When the patients experienced their first NS episode, we performed renal Doppler ultrasonography in order to detect RVT. To rule out the possibility of PTE, a lung perfusion scan was performed. Computed tomographic (CT) pulmonary angiography was recommended to patients who showed possible signs of PTE. All patients were evaluated for clinical signs of thrombosis, biochemical indicators of renal disease, as well as clotting and thrombotic parameters. Results : RVT or related clinical symptoms were not observed in any children. Based on the findings of the lung perfusion scans, 15 patients (27.8%) were observed with as a high probability of PTE. We were able to perform a CT pulmonary angiography only on 12 patients, and 5 patients were diagnosed with PTE (prevalence 8.1%). The serum fibrinogen level in the group with PTE was significantly higher ($776.7{\pm}382.4mg/dL$, P<0.05) than that in the group without PTE, and other parameters were not significantly different between each group. Conclusion : Further studies are required for clarifying the role of renal Doppler ultrasonography for the detection of RVT in NS. Children with NS who developed non-specific respiratory symptoms should be evaluated for the diagnosis of PTE. In the management of NS, a lung perfusion scan should be performed at the time of the initial episode of NS regardless of the pulmonary symptoms, since patients having PTE are either often asymptomatic, or present with nonspecific symptoms.

• The Transactions of The Korean Institute of Electrical Engineers
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• v.66 no.4
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• pp.715-720
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• 2017

This study tries to analyze morphology and formant frequencies of linear prediction spectra of stethoscope sounds for heart diseased children. For this object, heart diseased stethoscope sounds were collected in the pediatrics of an university hospital. The collected signals were preprocessed and analyzed by the Burg algorithm, a kind of linear prediction analysis. The linear prediction spectra and the formant frequencies of the spectra for the stethoscope sounds for the normal and the diseased children are estimated and compared. The spectra showed outstanding differences in morphology and formant frequencies between the normal and the diseased children. Normal children showed relatively low frequency of F1(the first formant) and small negative slope from F1. VSD children revealed stiff slope change around F1 to F3. Spectra of ASD children is similar with the normal case, but have negative values of F3. F1-F2 difference of the functional murmur children were relatively large.

• Clinical and Experimental Pediatrics
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• v.49 no.4
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• pp.394-400
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• 2006

Purpose : This study was design and performed for evaluations of resent clinical pattern of bronchiolitis caused by RSV infection with children under 2 year of age for 5 years, who were admitted to pediatric ward. Methods : The inclusion criteria of the patients were children under 24 month-of-age, clinical manifestations of lower respiratory tract infection, and RSV antigen that was detected by a direct immunofluorescence test from the nasal secretions. The additional laboratory and simple chest X-ray findings were reviewed from the medical records of children who were admitted Wonkwang university hospital from Jan. 1999 to Dec. 2003. Results : In the 5 year study duration, 127 patients were enrolled and outbreak of RSV bronchiolitis took place in 2001. The 80 cases(63 percent) of RSV infection were concentrated in later autumn and winter. Number of the cases show coughing were 120(94.5 percent), but rale was audible in 78 cases(61.4 percent). Dyspnea, wheezing, and intercostal retraction were noticed in 27(21.3 percent), 21(16.5 percent), and 4(3 percent) cases respectively. The most common chest X-ray finding was hyperinflation of the lung that was noticed in 110 cases(86.6 percent). Care with mechanical ventilator for more than 2 days required in 5 cases. Conclusion : Lower respiratory tract infection by RSV was common in late autumn and winter season but year-round infection was noticed. The severity of RSV respiratory tract infectiontakes in some degree a grave course. So we suggest that population-based surveillance of acute respiratory infection due to RSV is necessary for assessment of prevalence and epidemiology of this disease.

• Journal of Yeungnam Medical Science
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• v.17 no.1
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• pp.49-54
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• 2000

Background: Echocardiography is rapidly establishing itself as the primary diagnostic technique for investigation of children with heart diseases, and referrals are increasing to the pediatric cardiology clinic for investigation. However, because there is a lack of analyzed data on the patients referred to the pediatric cardiology clinics, we have proceeded to compare and analyze their characteristics to provide basic data base. Methods: From Oct. 1, 1998 to Jul. 10, 1999, total 443 cases referred to the pediatric cardiology clinic of Yeungnam University Hospital were studied retrospectively by medical records, chest X-ray, EKG and echocardiography, etc. Results: The results were as follows. 1. The proportion of male was 61.0%(261 cases) and that of female was 39.0%(67 cases). The ratio of male to female was 1.6:1. The proportion infants less than 1 year-old was 62.6% (26R cases) of all patients. 2. Cardiac murmur was present in 248 cases(57.9%), which was the most common case of referral ed to the pediatric cardiology clinic. The impression at referral was more congenital heart disease(70.6%) than acquired heart disease(17.8%) and arrhythmia01.6%). 3. The final diagnosis was as follows : congenital heart disease was present in 212 cases(49.5%), acquired heart disease, 59 cases(13.9%); arrhythmia. 13 cases(3.0%); normal heart. 144 cases(33.6%). Conclusion: Among the patients referred to pediatric cardiology clinic, 33.6%(144 cases) had normal hearts and why these patients were referred may be possibly due to more dependence on echocardiography than on auscultation instruction. Therefore, clinical and auscultatory skill should be emphasized to minimize dependence on expensive echocardiography for evaluation of pediatric heart disease.

• Clinical and Experimental Pediatrics
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• v.45 no.10
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• pp.1227-1233
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• 2002

Purpose : Several studies have shown that increases of eosinophil markers are common findings of asthma and Mycoplasma pneumoniae infection, and eosinophil markers reflect the clinical stage of asthma. The purpose of this study was to investigate the change of eosinophil markers according to the clinical stage of Mycoplasma pneumonia. Methods : The patient group consisted of 33 outpatient children with Mycoplasma pneumonia. Peripheral blood total eosinophil count(TEC) and serum eosinophilic cationic protein(ECP) level were measured at both acute and recovery stages and were compared between both stages. The patient group was subdivided into the wheezing(n=16) and the nonwheezing group(n=17), and the TECs and the ECPs of one group were compared with those of the other group. The correlation between Mycoplasma antibody titer and the eosinophil markers of acute stage were analyzed. Results : In the whole patient group, the TECs and the ECPs of the acute stage were significantly higher than those of the recovery stage(P=0.018, P=0.005), but there were no differences in the TEC and the ECP between the wheezing and the nonwheezing group. In the wheezing group, there were no significant differences in the TEC and the ECP between acute and recovery stages. There were no correlations between acute stage Mycoplasma antibody titer and the eosinophil markers. Conclusion : Eosinophil markers reflect the clinical stage of Mycoplasma pneumonia and eosinophilic inflammations may continue even after the acute stage in wheezing patients with Mycoplasma pneumonia.

• Clinical and Experimental Pediatrics
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• v.49 no.7
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• pp.757-762
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• 2006

Purpose : Pneumonia is one of the most common infections in children who visit emergency departments(ED), but standard clinical guidelines for children with pneumonia in Korea have not been studied. This study was performed to collect and evaluate a data-base of children with pneumonia for establishing clinical guidelines in ED. Methods : This study reviewed 304 children who were diagnosed and treated for pneumonia in the ED at one tertiary hospital between January 2003 and December 2003 retrospectively by reviewing the charts and analyzing the clinical characteristics, laboratory findings, and radiologic findings between an admission group and a discharge group. Results : The 2 year-5 year age group was the top of age distribution and the peak incidence of monthly distribution was December. Two hundred forty seven(81.3 percent) children were hospitalized(admission group), and the mean length of hospitalization was $7.24{\pm}3.24$ days. The most common indications of admission were fever, tachypnea and an age of less than three months. There was statistical differences in the outpatient department follow-up between the two groups(85.8 percent in admission group vs 35.1 percent in discharge group). Conclusion : More prospective studies are needed to establish clinical standard guidelines for children with pneumonia. This will be helpful in ED management and will aid the prevention of pneumonia.