• Title/Summary/Keyword: Pediatric(小兒科)

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The myocarditis and cardiomyopathy in children (소아 심근염과 심근증)

  • Kil, Hong Ryang
    • Clinical and Experimental Pediatrics
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    • v.50 no.11
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    • pp.1049-1054
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    • 2007
  • Myocarditis represent an important condition encountered by general pediatricians & general practitioners. Its presentation is varied, and therefore a high index of suspicion must be maintained when the possibility of myocarditis is raised. A progression from viral myocarditis to dilated cardiomyopathy has long been hypothesized. Treatment is initially aimed at achieving hemodynamic stability and is largely supportive. There is currently little evidence to support the immunomodulatory or specific antiviral therapies. Pediatric cardiomyopathies are a heterogeneous group of disorders with diverse genetic, infectious, mitochodrial and metabolic etiologies. The timing and severity of presentation vary according to cardiomyopathy type as well as genetic and ethnic factors. The behavior of specific cardiomyopathies can be predicted by morphological and functional attributes, as well as underlying patient characteristics.

Hypertension in children and adolescents (소아 청소년기에서 고혈압)

  • Jung, Jo Won
    • Clinical and Experimental Pediatrics
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    • v.52 no.7
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    • pp.745-751
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    • 2009
  • Hypertension is a major risk factor for myocardial infarction, stroke, and cardiovascular mortality in adults; its treatment reduces the risk of cardiovascular events. In recent times, attention is being paid to monitoring of blood pressure from childhood to adulthood. Childhood hypertension is associated with hypertension in later life, and early intervention is important. In the Korean socioeconomic background, a rapid increase is observed in the number of obesity cases and the rate of increase in the incidence of obesity is more in childhood. The strong association of high blood pressure with obesity and the marked increase in the incidence of childhood obesity indicate that both hypertension and prehypertension are becoming significant health issues. In this comprehensive review, we acquaint the clinician with the available literature on childhood hypertension to provide recommendations for the diagnosis, evaluation, and treatment of hypertension based on the available evidence and consensus in Korean clinical conditions.

The Effects of Postpartum Depression on the Development of Children (산후 우울증이 소아 발달에 미치는 영향)

  • Oh, Esook
    • Clinical and Experimental Pediatrics
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    • v.48 no.5
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    • pp.469-475
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    • 2005
  • Mother-infant interaction is a crucial component of an infant's cognitive, emotional and behavioral development. Most people are preoccupied with fetal education, the physical conditions of the postpartum mother and baby, and emphasizing an early start in the child's education. However, the effects of a mother's postnatal emotional state on the development of the infant are often overlooked. Postpartum depression is a significant health problem affecting 10-20 percent of new mothers. Recent research findings indicate that the suffering caused by postpartum depression is not limited to these mothers alone; their babies and close family members are vulnerable to short-term and long-term effects as well. This review summarizes the findings of recent research works, in the light of publications within the last seven years.

Guidelines for childhood urinary tract infection (소아 요로감염의 임상 지침)

  • Lee, Seung Joo
    • Clinical and Experimental Pediatrics
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    • v.52 no.9
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    • pp.976-983
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    • 2009
  • Urinary tract infection (UTI), the most common bacterial disease in childhood, is frequently associated with urinary tract anomalies (15-50%) and can induce renal scarring, which is a cause of hypertension and chronic kidney disease. Despite the high risk of renal scarring in infancy, the diagnosis may be delayed due to its nonspecific presenting symptoms; moreover, over-diagnosis is frequent due to the contamination of urine samples. The delay in diagnosis and treatment may induce sepsis or renal scar, while over-diagnosis is responsible for unnecessary antibiotic treatment and costly urinary imaging studies. UTI guidelines have been ever-changing for the past three decades, but some controversial issues remain. This article is a revision of the previous KSPN (Korean Society of Pediatric Nephrology) guideline and addresses the recent controversies concerning childhood UTI.

Headaches in children and adolescents : diagnosis and treatment (소아 및 청소년에서 두통의 원인과 치료)

  • Eun, So Hee;Eun, Baik-Lin
    • Clinical and Experimental Pediatrics
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    • v.49 no.4
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    • pp.354-363
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    • 2006
  • Headaches are common in children and become more common and increase in frequency during adolescence. There are various causes of headaches. The majority of cases are considered as primary and include migraine and tension headaches. The rational evaluation of headache begins with careful history. Migraine is genetically determined recurrent pain syndrome accompanied by neurological and gastrointestinal features, involving interaction of external triggers and internal pathophysiology and the causes of considerable disability to suffers. Establishing the correct diagnosis is essential for successful treatment. Treatment of pediatric migraine includes an individually tailored regimen of both nonpharmacologic and pharmacologic measures.

Epidemiology of anaphylaxis in Korean children (소아청소년에서 아나필락시스의 역학)

  • Lim, Dae Hyun
    • Clinical and Experimental Pediatrics
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    • v.51 no.4
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    • pp.351-354
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    • 2008
  • Anaphylaxis is an acute systemic reaction caused by IgE-mediated immunological release of mediators from mast cells and basophils to allergenic triggers, such as food, insect venoms, and medications. An alternative definition was recently proposed as follows: anaphylaxis is a "condition caused by an IgE mediated reaction" that is "often life threatening and almost always unanticipated." The reaction can be severe enough to lead to the rapid onset of symptoms, including dizziness, upper airway occlusion, bronchial constriction, hypotension, urticaria, cardiovascular arrhythmias and possible cardiac arrest. The incidence or prevalence of anaphylaxis in Korean pediatrics has not known. Thus, Epidemiology of Anaphylaxis in Pediatrics based on the data from Korean Health Insurance Review and Assessment Service (KHIRA) from 2001 to 2007 and questionnaire to the member of Korean Academy of Pediatric Allergy and Respiratory Disease (KAPARD) who are working at the training hospitals was studied. The incidence of anaphylaxis under age 19 is 0.7-1.0 per 100,000 year-person. The causes of anaphylaxis based on data from KHIRA were unknown (61.7%), food (24.9%), medications (12.4%), and serum (1.0%).

A Case Report of Epileptic Children Quitted Taking Anticonvulsant (항경련제 복용을 중단한 특발성 간질 환아 치험 1례)

  • Han, Jae-Kyung;Kim, Yun-Hee;Kim, Yun-Hee
    • The Journal of Pediatrics of Korean Medicine
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    • v.18 no.2
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    • pp.263-271
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    • 2004
  • Objective : Epilepsy is a brain condition which causes a person to suddenly lose consciousness and sometimes to have fits. The etiologic factors of epilepsy are various, but most of cases are idiopathic. The purpose of this study is to report a pediatric patient with idiopathic epilepsy. Method : We treated him with herb medicine, acupucture and anticonvulsant. Then, we stopped administering anticonvulsant, and observed the progress of his condition. Result : We had good effect with oriental medical treatment on an epileptic who quitted taking anticonvulsant. Conclusion : We report the good results of oriental medicine on a pediatric patient with idiopathic epilepsy. And the further study is needed with more cases, longer duration and other tools.

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A Case Report on Superficial Second-Degree Burn of an Infant's Forearm (영아 전완부 표재성 2도 화상 치험례)

  • Im, Jiyeong;Jang, Insoo;Kim, Miseon;Jeong, Minjeong
    • The Journal of Pediatrics of Korean Medicine
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    • v.30 no.4
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    • pp.1-7
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    • 2016
  • Objectives The purpose of this study is to report the effect of Korean medical treatment on an infant with burn injury. Methods We treated the infant suffering from burn injury by Korean medical treatment such as acupuncture, Hwangryunhaedoktang extract, Jaungo dressing from March 15th, 2016 to March 26th, 2016. This efficacy of treatment was evaluated with observation. Results After this treatment, burn wound size was reduced and skin tissue regeneration was accelerated. As time passes, pigmentation was faded. Conclusions This case report showed that the Korean medical treatment is effective in the treatment of pediatric burn. However further case studies are still required to confirm these findings.

Two Cases of Patients with Developmental Disorder Treated by Herbal Medicine Alone (발달장애 아동의 한약치료에 관한 치험 2례 - GMFM과 PEDI 중심으로)

  • Yu, Sun-Ae
    • The Journal of Pediatrics of Korean Medicine
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    • v.25 no.2
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    • pp.39-54
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    • 2011
  • Objectives: The purpose of this study is to report clinical effect of herbal medicine on developmental disorder Methods: The patients were treated with herbal medicine and evaluated by gross motor function measure(GMFM), and pediatric evaluation of disability inventory(PEDI). Results: The patient's gross motor function measure, and pediatric evaluation of disability inventory were significantly improved after six months to nine months of herbal medicine treatment. Conclusions: This study shows that herbal medicine is effective on developmental disorder induced. However, further clinical studies are needed.

A Case Report of Neonatal Seborrheic Dermatitis Treated by Topical Application of Korean Medicine (한방 외용제로 치료한 신생아 지루 피부염 증례보고 1례)

  • Choi, Sun Hee;Park, Eun Jung
    • The Journal of Pediatrics of Korean Medicine
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    • v.34 no.3
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    • pp.76-80
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    • 2020
  • Objectives The purpose of this study is to report the effectiveness of topical application of Korean medicine on treating neonatal seborrheic dermatitis. Methods We treated a 22-days-old patient who was diagnosed with neonatal seborrheic dermatitis by topical application of Korean medicine. Results After 2 weeks of the treating by topical application of Korean medicine, patient's seborrheic dermatitis on the face was disappeared. Conclusions Topical application of Korean medicine can be effective in treating neonatal seborrheic dermatitis.