• 대한소아치과학회지
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• 제5권1호
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• pp.47-63
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• 1978

The author studied on the Simplified Oral Hygiene Index in the handicapped children, who are housed by several rehabilitation institution age from 3 to 17 year in Seoul area and 439 normal children as a control group. The obtained results are as follows: 1) In the Oral Hygiene Index(OHI), The handicapped children showed remarkable increment compared to normal children(The Index score was 2.00 in cerebral palsy children, 1.94 in poliomyelitis, 1.79 in other's diseased children, in 1.01 in normal children) and the score was increased as age increment. 2) In the OHI of the handicapped children, male was higher than female. 3) Dental calculus deposition in the handicapped children was severe in the lower anterior teeth and least in the upper anterior teeth. 4) Dental calculus Index of the handicapped children was comparatively higher in the region which had higher food debris index. 5) As the conculusion of this study, we found that continuous and active dental enlightenment and treatment for oral health in the handicapped children are necessary.

• Clinical and Experimental Pediatrics
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• 제56권11호
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• pp.459-464
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• 2013

Improving mental health and reducing the burden of mental illness are complementary strategies which, along with the treatment and rehabilitation of people with mental disorders, significantly improve population health and well-being. A Institute of Medicine report describes a range of interventions for mental disorders that included treatment and maintenance, reserving the term "prevention" for efforts that occur before onset of a diagnosable disorder. Mental health problems affect 10-20% of children and adolescents worldwide. Despite their relevance as a leading cause of health-related disability and their long lasting consequences, the mental health needs of children and adolescents are neglected. Early intervention can help reduce the significant impacts that children and adolescents with serious mental health problems may experience. Screening is the first step in early intervention, recognizing emotional and behavioral problems and providing help at an early stage. It is essential to implement early intervention in a sensitive and ethical manner to avoid any of the negative outcomes.

• 대한소아치과학회지
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• 제42권3호
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• pp.270-274
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• 2015

성인에서의 임플란트 식립에 관해서는 치료 계획, 술식, 예후 등의 다양한 주제가 연구되어 왔으나 성장기 소아 청소년 환자에서의 임플란트 식립에 대해서는 연구가 제한적이다. 본 종설의 목적은 성장기 환자에서의 임플란트 식립에 대해 논하고 악골 및 치조골의 성장이 임플란트 장기적 예후에 갖는 영향을 살펴보고자 한다. 전반적인 골격성장의 유형에 대해 간략히 살펴보고 실제 임상적 치료법 선택에 대해 고찰하고자 한다.

• Archives of Plastic Surgery
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• 제46권2호
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• pp.171-175
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• 2019

Forearm fractures are common injuries in childhood. Median nerve entrapment is a rare complication of forearm fractures, but several cases have been reported in the literature. This case report discusses the diagnosis and management of median nerve entrapment in a 13-year-old male who presented acutely with a both-bone forearm fracture and numbness in the median nerve distribution. Following the delayed diagnosis, surgical exploration revealed complete nerve entrapment and a nerve graft was performed.

• Journal of Dental Anesthesia and Pain Medicine
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• 제23권1호
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• pp.53-53
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• 2023

• Journal of Yeungnam Medical Science
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• 제40권2호
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• pp.123-135
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• 2023

Advances in perinatal and pediatric intensive care and recent advances in mechanical ventilation during the last two decades have resulted in an exponential increase in the number of children undergoing home mechanical ventilation (HMV) treatment. Although its efficacy in chronic respiratory failure is well established, HMV in children is more complex than that in adults, and there are more considerations. This review outlines clinical considerations for HMV in children. The goal of HMV in children is not only to correct alveolar hypoventilation but also to maximize development as much as possible. The modes of ventilation and ventilator settings, including ventilation masks, tubing, circuits, humidification, and ventilator parameters, should be tailored to the patient's individual characteristics. To ensure effective HMV, education for the parent and caregiver is important. HMV continues to change the scope of treatment for chronic respiratory failure in children in that it decreases respiratory morbidity and prolongs life spans. Further studies on this topic with larger scale and systemic approach are required to ensure the better outcomes in this population.

• 대한소아치과학회지
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• 제26권4호
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• pp.636-643
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• 1999

유전적인 외배엽 이형성증에 의해 무치증 혹은 부분적 무치증을 가진 환아들은 치조골 발육의 부족으로 나타난 감소된 수직고경으로 인해 어린 나이에서 노인과 같은 안모를 가지게 된다. 이에 어린이들은 또래의 어린이들과 잘 어울릴 수 없게 되고 소외감과 정서적 위축감을 느끼게 된다. 수직고경을 고려한 보철적 치료를 통해 적절한 기능과 심미적인 개선을 이룰 수 있도록 도와주는 것이 치과의사의 중요한 역할이라 하겠다. 이에 저자는 경희대학교 치과대학 부속치과병원 소아치과에 내원한 부분적 무치증을 동반한 외배엽 이형성증을 가진 환아에서 치과치료를 통한 심미적, 기능적 결함을 개전하면서 다음과 같은 결론을 얻었기에 보고하는 바이다. 1. 맹출 영구치 위에 클래스프를 위치시켜 의치유지력에 도움을 주었으며 상하악 피개의치의 장착으로 교합고경을 회복하여 저작, 발음, 심미적인 개선이 이루어졌다. 2. 피개의치의 이용으로 교합평면의 설정과 의치의 유지와 안정을 도모하였고, 맹출한 치아를 보존하고 남아있는 치조골의 폭과 높이를 유지할 수 있었다. 3. 치료를 통해 환아는 외모에 자신감을 가지고 치과환경에 익숙해져 긍정적인 태도를 가지게 되었다. 4. 주기적인 내원을 통한 영구치 상태와 성장, 발육동안의 의치의 관찰로 의치의 이장, 재제작이 요구된다.

• Clinical and Experimental Pediatrics
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• 제58권11호
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• pp.454-458
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• 2015

Compartment syndrome is a rare but devastating condition that can result in permanent neuromuscular or soft tissue injuries. Extravasation injuries, among the iatrogenic causes of compartment syndrome, occur under a wide variety of circumstances in the inpatient setting. Total parenteral nutrition via a peripheral route is an effective alternative for the management of critically ill children who do not obtain adequate nutrition via the oral route. However, there is an inherent risk of extravasation, which can cause compartment syndrome, especially when detected at a later stage. Herein, we report a rare case of compartment syndrome and skin necrosis due to extravasation, requiring emergency fasciotomy and skin graft in a 7-month-old boy who was treated with peripheral parenteral nutrition via a pressurized infusion pump. Although we cannot estimate the exact time at which extravasation occurred, the extent and degree of the wound suggest that the ischemic insult was prolonged, lasting for several hours. Pediatric clinicians and medical teams should carefully examine the site of insertion of the intravenous catheter, especially in patients receiving parenteral nutrition via a peripheral intravenous catheter with a pressurized infusion pump.

• Journal of Audiology & Otology
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• 제25권2호
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• pp.65-71
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• 2021

Background and Objectives: In masking level difference (MLD), the masked detection threshold for a signal is determined as a function of the relative interaural differences between the signal and the masker. Study 1 analyzed the results of school-aged children with good school performance in the MLD test, and study 2 compared their results with those of a group of children with poor academic performance. Subjects and Methods: Study 1 was conducted with 47 school-aged children with good academic performance (GI) and study 2 was carried out with 32 school-aged children with poor academic performance (GII). The inclusion criteria adopted for both studies were hearing thresholds within normal limits in basic audiological evaluation. Study 1 also considered normal performance in the central auditory processing test battery and absence of auditory complaints and/or of attention, language or speech issues. The MLD test was administered with a pure pulsatile tone of 500 Hz, in a binaural mode and intensity of 50 dBSL, using a CD player and audiometer. Results: In study 1, no significant correlation was observed, considering the influence of the variables age and sex in relation to the results obtained in homophase (SoNo), antiphase (SπNo) and MLD threshold conditions. The final mean MLD threshold was 13.66 dB. In study 2, the variables did not influence the test performance either. There was a significant difference between test results in SπNo conditions of the two groups, while no differences were found both in SoNo conditions and the final result of MLD. Conclusions: In study 1, the cut-off criterion of school-aged children in the MLD test was 9.3 dB. The variables (sex and age) did not interfere with the MLD results. In study 2, school performance did not differ in the MLD results. GII group showed inferior results than GI group, only in SπNo condition.

• 대한청각학회지
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• 제25권2호
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• pp.65-71
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• 2021

Background and Objectives: In masking level difference (MLD), the masked detection threshold for a signal is determined as a function of the relative interaural differences between the signal and the masker. Study 1 analyzed the results of school-aged children with good school performance in the MLD test, and study 2 compared their results with those of a group of children with poor academic performance. Subjects and Methods: Study 1 was conducted with 47 school-aged children with good academic performance (GI) and study 2 was carried out with 32 school-aged children with poor academic performance (GII). The inclusion criteria adopted for both studies were hearing thresholds within normal limits in basic audiological evaluation. Study 1 also considered normal performance in the central auditory processing test battery and absence of auditory complaints and/or of attention, language or speech issues. The MLD test was administered with a pure pulsatile tone of 500 Hz, in a binaural mode and intensity of 50 dBSL, using a CD player and audiometer. Results: In study 1, no significant correlation was observed, considering the influence of the variables age and sex in relation to the results obtained in homophase (SoNo), antiphase (SπNo) and MLD threshold conditions. The final mean MLD threshold was 13.66 dB. In study 2, the variables did not influence the test performance either. There was a significant difference between test results in SπNo conditions of the two groups, while no differences were found both in SoNo conditions and the final result of MLD. Conclusions: In study 1, the cut-off criterion of school-aged children in the MLD test was 9.3 dB. The variables (sex and age) did not interfere with the MLD results. In study 2, school performance did not differ in the MLD results. GII group showed inferior results than GI group, only in SπNo condition.