• 제목/요약/키워드: pediatric illness

검색결과 192건 처리시간 0.021초

환아의 질병특성에 따른 불안에 대한 탐색적 연구 (An Exploratory Study on Children's Anxiety Related to Disease Characteristics)

  • 박승현
    • Child Health Nursing Research
    • /
    • 제2권2호
    • /
    • pp.19-27
    • /
    • 1996
  • The purpose of this study is to explore the level of children's anxiety related to disease characteristics The subjects of this study were 72 childrens (6year-10 year) who were admitted to the pediatric wards at University Hospital and 24 healthy children, and 24 mothers of children with fatal & chronic illness. The data were collected with sarason's Anxiety scale for children & spielberger's State Trait Anxiety Inventory for mothers and analyzed of One way Anova, Duncun Test, Pearson correlation, and T-test. The results of this study were as follows : 1) There was significant difference in children's anxiety related to disease characteristics(P<0.01) Fatally ill children showed highest level of anxiety and chronically, acutely ill children in order. And there was no significant difference in anxiety between acutely ill children and healthy children. There was significant difference in anxiety between groups of ill and healthy children(P<0.01) .The anxiety of ill children was higher than that of healthy children. 2) There was no significant correlation between children's anxiety and their age. 3) There was no significant difference in children's anxiety related to frequency of hospital admission. 4) There was significant correlation between children's anxiety and duration of illness(P<0.01). The longer the duration of illness is, the higher children's anxiety is. 5) There was significant difference in mothers' anxiety between groups of fatally ill and chronically ill children(P<0.05). The anxiety of mothers of fatally ill children was higher than that of mothers of chronically ill children. 6) There was no significant correlation between children's anxiety of fatal and chronic illness and their mothers' anxiety.

  • PDF

소아 급성 간부전의 임상적 의의 (Acute liver failure in children)

  • 김경모
    • Clinical and Experimental Pediatrics
    • /
    • 제50권9호
    • /
    • pp.841-847
    • /
    • 2007
  • Acute liver failure (ALF) is a very rare but devastating illness in children. Specific treatment to recovery is often not available, and the underlying cause of the liver failure is often unknown and diverse especially in children. Liver transplantation has increased the chance of survival; however it needs an optimal timing to reach the best result which is not familiar to pediatrician. This article discusses the current knowledge of the epidemiology, backgrounds and factors to be considered before establishing the treatment of ALF in children.

Epidemiology and clinical features of coronavirus disease 2019 in children

  • Choi, Soo-Han;Kim, Han Wool;Kang, Ji-Man;Kim, Dong Hyun;Cho, Eun Young
    • Clinical and Experimental Pediatrics
    • /
    • 제63권4호
    • /
    • pp.125-132
    • /
    • 2020
  • Coronavirus disease-2019 (COVID-19), which started in Wuhan, China, in December 2019 and declared a worldwide pandemic on March 11, 2020, is a novel infectious disease that causes respiratory illness and death. Pediatric COVID-19 accounts for a small percentage of patients and is often milder than that in adults; however, it can progress to severe disease in some cases. Even neonates can suffer from COVID-19, and children may spread the disease in the community. This review summarizes what is currently known about COVID-19 in children and adolescents.

Diagnosis of incomplete Kawasaki disease

  • Yu, Jeong-Jin
    • Clinical and Experimental Pediatrics
    • /
    • 제55권3호
    • /
    • pp.83-87
    • /
    • 2012
  • Several authors suggested that the clinical characteristics of incomplete presentation of Kawasaki disease are similar to those of complete presentation and that the 2 forms of presentation are not separate entities. Based on this suggestion, a diagnosis of incomplete Kawasaki disease in analogy to the findings of complete presentation is reasonable. Currently, the diagnosis of incomplete Kawasaki disease might be made in cases with fewer classical diagnostic criteria and with several compatible clinical, laboratory or echocardiographic findings on the exclusion of other febrile illness. Definition of incomplete presentation in which coronary artery abnormalities are included as a necessary condition, is restrictive and specific. The validity of the diagnostic criteria of incomplete presentation by the American Heart Association should be thoroughly tested in the immediate future.

로타바이러스 백신 (Rotavirus Vaccines)

  • 고홍
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • 제12권sup1호
    • /
    • pp.72-76
    • /
    • 2009
  • Rotavirus infection is the leading cause of severe diarrhea disease in infants and young children worldwide. Rotavirus infects every child at least once by her/his $5^{th}$ birthday. It has been known that single episode of rotavirus infection can protect or alleviate subsequent illness caused by both homotypic and heterotypic rotaviruses. There are two currently licensed rotavirus vaccines. One is human-bovine rotavirus reassortant pentavalent vaccine ($RotaTeq^{TM}$), which contains five reassortant rotavirus (expressing protein G1, G2, G3, G4 and P[8]) and was licensed in Korea for use among infants in 2007. Another is live-attenuated human rotavirus vaccine ($Rotarix^{TM}$) derived from 89-12 strain which represents the most common of the human rotavirus VP7(G1) and VP4(P[8]) antigens. $Rotarix^{TM}$ was licensed in Korea in 2008. Both live oral rotavirus vaccines are efficacious in preventing severe rotavirus gastroenteritis.

미숙아에서 무호흡이 동반된 Respiratory Syncytial Virus에 의한 폐렴 1례 (A Case of Respiratory Syncytial Virus(RSV) Infection in the Prematurity with Respiratory Failure and accompanied by Apnea)

  • 마상혁;이규만
    • Pediatric Infection and Vaccine
    • /
    • 제6권1호
    • /
    • pp.131-135
    • /
    • 1999
  • 신생아 시기에 호흡기 바이러스 감염은 증상이 다양하게 나타나 진단하기가 힘든 면이 있으나 본 증례와 같이 뚜렷한 호흡기 증상이 있는 경우 적극적인 진단과 치료가 필요하다고 사료되며 고위험군 환자에게 RSV 유행 시기에 앞서 예방이 중요하다고 생각한다.

  • PDF

Kawasaki disease in infants

  • Yeom, Jung Sook;Woo, Hyang Ok;Park, Ji Sook;Park, Eun Sil;Seo, Ji-Hyun;Youn, Hee-Shang
    • Clinical and Experimental Pediatrics
    • /
    • 제56권9호
    • /
    • pp.377-382
    • /
    • 2013
  • Kawasaki disease (KD) is an acute febrile illness that is the predominant cause of pediatric acquired heart disease in infants and young children. Because the diagnosis of KD depends on clinical manifestations, incomplete cases are difficult to diagnose, especially in infants younger than 1 year. Incomplete clinical manifestations in infants are related with the development of KD-associated coronary artery abnormalities. Because the diagnosis of infantile KD is difficult and complications are numerous, early suspicion and evaluation are necessary.

Contralateral Superior Cerebellar Artery Syndrome : A Consequence of Brain Herniation

  • Mohseni, Meysam;Habibi, Zohreh;Nejat, Farideh
    • Journal of Korean Neurosurgical Society
    • /
    • 제60권3호
    • /
    • pp.362-366
    • /
    • 2017
  • Vascular compromise is a well-known consequence of brain herniation syndromes. Transtentorial brain herniation most often involves posterior cerebral arteries. However, isolated involvement of contralateral superior cerebellar artery (SCA) during unilateral impending brain herniation is reported only once and we present another case of this exceedingly rare entity. A 24-year-old man was referred to us with impending herniation due to a multiloculated hydrocephalus, and during the course of illness, he developed an isolated SCA ischemia in the opposite side of the most dilated entrapped horn. In the current article we discuss the probable pathophysiologic mechanisms of this phenomenon, as well as recommending more inclusive brain studies in cases suspected of Kernohan-Woltman notch phenomenon in unilateral brain herniation. The rationale for this commentary is that contralateral SCA transient ischemia or infarct might be the underdiagnosed underlying pathomechanism of ipsilateral hemiparesis occurring in many cases of this somehow vague phenomenon.

가와사끼병에서 혈청 지질 대사의 변화 및 관상동맥류에 관한 연구 (A study of serum lipid level and relation between the serum lipid level and coronary aneurysm after kawasaki disease)

  • 정철영;김창근
    • Pediatric Infection and Vaccine
    • /
    • 제2권2호
    • /
    • pp.186-192
    • /
    • 1995
  • We measured plasma concentrations of high density lipoprotein, total cholesterol and triglycerides in 31 patients with history of kawasaki disease during acute stage and convalescence stage. High density lipoprotein cholesterol and total cholesterol concentrations were significantly lower(P<0.001) in samples taken within 11 days of the onset of illness($28.7{\pm}12.4mg/dl$ and $145.20{\pm}29.60mg/dl$) than in the second samples taken 1-2months after onset of disease($51.5{\pm}15.2mg/dl$ and $175.4{\pm}29.0mg/dl$). Change of triglycerides was not significant. There was no correlation between the serum cholesterol cencentration and coronary aneurysm and continued long term surveillance of much population is necessary to monitor lipid level and their relation to development of premature coronary atherosclerosis.

  • PDF

섭취한 이물질에 의해 발생한 회장방광루 (Ileovesical Fistula Caused by Ingested Foreign Material)

  • 손석우;조영아;박동수
    • Advances in pediatric surgery
    • /
    • 제16권2호
    • /
    • pp.190-195
    • /
    • 2010
  • Ileovesical fistula is a rare condition in children. A case of 13 year-old female with ileovesical fistula caused by an ingested foreign material is presented. She had dysuria and lower abdominal pain for one month. There was no history of medico-surgical illness such as Crohn's disease or diverticulitis. Preoperative imaging study showed a movable calcified object in the pelvic cavity and air bubbles in the bladder. At laparotomy a bezoar-like mass was found at the antimesenteric border of the terminal ileum adherent to the dome of bladder. Segmental resection of the ileum and partial cystectomy were performed.

  • PDF