• 제목/요약/키워드: Pediatric

검색결과 10,027건 처리시간 0.031초

아동간호의 질에 대한 개념분석 (Quality of Pediatric Nursing Care: Concept Analysis)

  • 최미영;방경숙
    • 대한간호학회지
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    • 제40권6호
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    • pp.757-764
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    • 2010
  • Purpose: This paper is a report of a concept analysis of 'quality of pediatric nursing care', Methods: Rodgers's evolutionary method of concept analysis was used. Data were collected from published literature related to quality of pediatric nursing care. Results: Quality of pediatric nursing care was identified with three dimensions and seven attributes: 1) nurse's character: technical competence, interpersonal competence, 2) nurse's activities: developmentally appropriate care, attentiveness, entertainment, 3) nurse-parent interaction: nurse-parent partnership, emotional support. Antecedents of quality of pediatric nursing care were 'child and parent's expectation about pediatric nursing care', 'previous caring experience of pediatric nurses'. Consequences of quality of pediatric nursing care were 'meet child and parent's needs' and 'better health outcomes.' Conclusion: 'Quality of pediatric nursing care' is a core concept in pediatric nursing practice. Appropriate instruments to operationalize the concept need to be developed.

지난 10년간 소아외과 질환의 임상적 고찰 (A Clinical Review of Ten Years' Pediatric Surgical Experience)

  • 최수진나;정상영;김신곤
    • Advances in pediatric surgery
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    • 제4권2호
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    • pp.110-116
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    • 1998
  • This is a clinical review of 2,191 pediatric surgical patients under the age of 15 years, operated upon at the Division of Pediatric Surgery, Department of Surgery, Chonnam University Hospital from January 1988 to December 1997. The total number of operations in the pediatric age for all specialties were 13,144(13.2 %). The total operations including those performed on adults were 99,555. The most common age group operated upon was under 5 year of age(44.4 %). The number of operations in Division of General Pediatric Surgery were 2,191(16.7 %) out of total 13,144 operations in all pediatric specialties. The patients under 1 year of age in general pediatric surgery was 42.9 %(941/2,191). The most common diseases in neonates were anorectal malformation(20.6 %) and hypertrophic pyloric stenosis(20.3 %). Infants older than neonates most commonly were operated upon for inguinal hernia(32.4 %) and intussusception(19.6 %). The total mortality rate in the neonatal intensive care unit was 31.3 %. Gastroschisis had the highest mortality.

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소아외과의 지수 질환 - 대한소아외과학회 정회원을 대상으로 한 2000년도 전국 조사 - (Index Cases in Pediatric Surgery - a National Survey by the Korean Association of Pediatric Surgeons, 2000 -)

  • 이명덕;김상윤;김우기;김인구;김성철;김신곤;김재억;김재천;김현학;박귀원;박우현;서정민;송영택;오수명;유수영;이두선;이석구;이성철;정상영;정성은;정을삼;정풍만;조마해
    • Advances in pediatric surgery
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    • 제7권2호
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    • pp.147-156
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    • 2001
  • 대한소아외과학회의 연례 행사인 2000년도 주제토의를 소아외과의 지수 질환으로 정하여 1999년 말 현재 3년 이상의 진료 실적을 가진 대한소아외과학회 정회원 36명을 대상으로 미리 작성된 조사서에 의하여 2차례의 수술 증례 수 등록을 시행하였다. 대상 환자는 1997년부터 1999년 말까지 3년간 수술이 시행된 환자로 하였으며, 1차 조사에서 30명이 응답하였고, 미비점 보완을 위한 2차 조사에는 26명이 응답하여 이 성적을 요약하였다. 본 성적을 바탕으로 향 후 대한소아외과학회의 지수 질환 대상 목록표를 작성 제시하였으며, 이를 코드화 하고자 제안하였다.

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소아 뇌혈관질환 (Pediatric cerebrovascular disease)

  • 피지훈;왕규창;조병규;김승기
    • Clinical and Experimental Pediatrics
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    • 제51권12호
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    • pp.1282-1289
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    • 2008
  • Recently, accumulated clinical experience and advanced neuroradiological techniques have led to a better understanding of pediatric cerebrovascular disease (CVD), which was once considered rare. Approximately 10% of pediatric neurosurgical patients have CVD; therefore, it is no longer uncommon to pediatricians and pediatric neurosurgeons. Furthermore, children with CVD tend to recover better than adults after stroke because the immature brain is more plastic than the mature one. Therefore, active treatment often proves more rewarding in pediatric medicine than in adult medicine.

소아 간이식 (Pediatric Liver Transplantation)

  • 이상훈;이석구
    • Advances in pediatric surgery
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    • 제19권1호
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    • pp.14-21
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    • 2013
  • Pediatric liver transplantation has evolved into a definite and effective therapeutic modality for various liver diseases in the pediatric patient. During the last 25 years, liver transplant outcomes in Korea have reached international standards and Korea has become the leader in living-donor liver transplantation. This review will present the cumulative outcomes of pediatric liver transplantation performed in Korea and will focus on other issues of interest involving pediatric liver transplant recipients, especially in the field of immunosuppression and post-transplant lymphoproliferative disease.

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

  • 채종균;송지수;신터전;현홍근;김정욱;장기택;이상훈;김영재
    • 대한소아치과학회지
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    • 제47권1호
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    • pp.44-52
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    • 2020
  • 1956년 한국에 처음 소아치과학교실이 창설되었고, 1992년 한국 최초의 소아전문 치과의원이 등장하였다. 치의학의 발전과 소아치과에 대한 대중의 인식 변화로 인해 소아전문 치과의원은 점점 더 증가하고 있다. 이 연구의 목적은 지역 분포를 포함한 여러 측면에서 한국의 소아전문 치과의원의 현황을 조사하는 것이다. 한국에 17,917개의 치과의원 중 소아전문 치과의원은 343개이고, 1.91%를 차지하였다. 343명의 소아전문 치과의원 개원의 중 248명이 소아치과 전문의였다. 소아치과 전문의 248명 중 25명이 전문의를 표방하여 개원하고 있었다. 16개의 시도 중 경기도에 소아전문 치과의원이 가장 많았고, 33.5%를 차지하였다. 서울과 부산이 그 뒤를 이었다. 서울의 25개 구 중에서는 강남구에 소아전문 치과의원이 가장 많았고, 유소년 10만명당 소아전문 치과의원 수도 강남구에서 제일 높았다. 소아전문 치과의원의 90.9%는 평일 야간진료를 하지 않았고, 26.5%는 토요일에 15시 이후에 문을 닫았다.

Trend Analysis of Pediatric Dentistry Patients at Seoul National University Dental Hospital: a Study on the Impact of the COVID-19 Outbreak

  • Hee-Sun Choi;Hyuntae Kim;Ji-Soo Song;Teo Jeon Shin;Hong-Keun Hyun;Jung-Wook Kim;Ki-Taeg Jang;Young-Jae Kim
    • 대한소아치과학회지
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    • 제50권4호
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    • pp.452-468
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    • 2023
  • This study aims to investigate changes in dental service use among pediatric patients during the COVID-19 pandemic. The analysis was performed by collecting information about the number of visits, age, gender, diagnoses, and treatments for patients at the Pediatric Dentistry Department of Seoul National University Dental Hospital from January 2017 to December 2022. Compared with the period from 2017 to 2019, the total number of visits decreased during the COVID-19 pandemic, with a substantial decline in 2020. Patients in all age groups, except those aged 10 - 14, experienced decreased visits, and there was no significant gender difference. Z29.8 (need for other specified prophylactic measures) declined in all age groups, especially among those aged 0 - 4, except for those 20 years and older. K02.1 (caries of dentine) was sought by the age groups in the following order: 10 - 14, 15 - 19, 5 - 9, and 0 - 4 years, with the most significant decrease in the 0 - 4 years age group compared to others. K07.4 (malocclusion, unspecified) decreased in younger groups aged 9 and below but increased in older groups aged 10 and above. During the period from 2020 to 2022, preventive, restorative, pulp, and trauma treatments decreased, but surgical and orthodontic treatments increased compared with the previous three years. The use of sedation decreased and general anesthesia increased during COVID-19 compared to pre-pandemic. This study describes the impact of the COVID-19 pandemic on pediatric dentistry, making it a valuable reference for future pandemics.

소아의 치과치료를 위한 진정법 (Sedation of the Pediatric Dental Patient)

  • 김지연
    • 대한치과마취과학회지
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    • 제14권4호
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    • pp.197-204
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    • 2014
  • Children's fear and anxiety may interfere with dental treatment. If a child is very young, pharmacologic management may need to be provided during a dental procedure. Although sedation is an everyday practice in pediatric dentistry, it is not easy to achieve successful outcomes with sedation. Moreover, sedation of children can be associated with respiratory risks. Providers of pediatric sedation should be very cautious about adhering to the principles. This article reviews nicely the guidelines and references for pediatric sedation and supports a safe sedation with favorable treatment results.

담관낭종 -대한소아외과학회회원 대상 전국조사- (Choledochal Cyst in Korea - A Survey by the Korean Association of Pediatric Surgeons -)

  • 최금자;김대연;김상윤;김성철;김신곤;김우기;김인구;김재억;김재천;김해영;김홍주;박귀원;박우현;박진영;백홍규;서정민;송영택;오수명;유수영;이두선;이명덕;이석구;이성철;박영식;이태훈;정상영
    • Advances in pediatric surgery
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    • 제9권1호
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    • pp.45-51
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    • 2003
  • 본 조사 결과는 32개 병원의 39명의 회원에 의해 수술받은 환자 348명의 기록과 회원 37명의 설문 응답자를 분석한 것으로 많은 수의 기록지가 내용이 불충분하거나 일치되지 않은 기술로 인해 자료로서의 한계가 있었다. 특히 췌담관합류 이상에 대한 기록 중 약 절반이 미상으로 기록된 것에서 알 수 있드시 자료가 매우 미흡하였고, 담관낭종의 유형을 정하는 것 예후 인자 및 산 전 진단된 담관낭종의 수술 적기등에 대하여도 회원마다 견해 차이가 있으나 심도있는 토론이 이루어지지 않았다. 따라서 이 결과를 외국의 통계 분석과 비교하는 것 보다는 회원들의 향 후 진료와 연구에 참고가 될 수 있다는 것에 의미를 두고자 하며, 회원들이 동일한 등록지를 작성하는 전향적 연구로 우리나라 담관낭종에 대한 분류, 췌담관 합류이상, 예후 인자들에 대한 재 논의의 출발점이 되기를 기대한다.

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