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만성 기침을 앓는 소아 환자의 한의의료 이용실태: 후향적 차트 리뷰
서혜선,김혜연,김정록,김상민,이선행,이진용 대한한방소아과학회 2022 대한한방소아과학회지 Vol.36 No.4
Objectives This study aimed to determine appropriate treatment and information regarding the current use of Korean medicine treatment via an analysis of the medical records of chronic cough patients. Methods Patients aged 0-18 years who visited Korean pediatrics of Kyung Hee University Korean Medicine Hospital for chronic cough from March 1, 2020 to July 31, 2022, were analyzed to investigate the sociodemographic characteristics, clinical characteristics, and prescribed treatment. Results Thirty-nine patients were selected, comprising 25 boys (64.1%) and 14 girls (35.9%), with an average age of 5.71 ± 2.99 years. In the medical record, past medical history, comorbidities, family history, other symptoms currently ill, skin characteristics, pattern identifications, and cough characteristics were analyzed. Regarding Korean medicine treatment, the characteristics of the participants' visit, classification of prescriptions, herbal medicine and herbs frequently used were analyzed. Conclusions This study analyzed the medical records of children and adolescents with chronic coughs to elucidate the use of Korean medicine treatment. Our results may aid the standardization and well-designed clinical or retrospective studies on Korean medicine treatment for pediatric chronic cough.
코로나19 유행에 따른 한방소아청소년과 외래 환자의 진단명 변화
서혜선,박소현,박슬기,이선행,이진용,Seo, Hae Sun,Park, So Hyun,Park, Sul Gi,Lee, Sun Haeng,Lee, Jin Yong 대한한방소아과학회 2021 대한한방소아과학회지 Vol.35 No.4
Objectives This study aims to provide directions for future Korean pediatric medicine treatment and researches by analyzing the characteristics of diseases of Korean pediatric outpatients before and after the COVID-19 epidemic. Methods We analyzed the medical records of 10,868 new patients aged 0-18 who visited the Korean pediatrics at Kyung Hee university hospital from January 1, 2019 to June 30, 2021. All patients were divided into 2 groups; patients who visited from January 1, 2019 to December 31, 2019, before the coronavirus epidemic, and patients who visited from January 1, 2020 to June 30, 2021, after the coronavirus epidemic. Within the two groups, the diagnosis distribution was performed for the entire population, by gender and by age group. Diagnoses were classified as allergy, growth, gastrointestinal, respiratory, general body supplementation, neuropsychiatric, skin, urogenital, musculoskeletal, and other systems. Results According to the comparative analysis results of before and after the COVID epidemic, there was a decreasing trend of diagnoses in relates to allergy, respiratory, urogenital, musculoskeletal system. On the other side, there was an increasing trend in gastrointestinal, general body supplementation, growth, neuropsychiatric, skin and other system. Changes in diagnosis based on gender and age group will be described below. Conclusions This study analyzed the characteristics of diseases of Korean pediatric outpatients before and after the COVID-19 epidemic, and suggested the direction of future Korean medicine treatment and researches for pediatrics. Also, this study aimed to propose proper treatments for children by showing the role of Korean pediatric medicine related to growth and development of children during the epidemic. However, this study has limitations such as failure to track the long-term impact of COVID-19. Thus, long term follow-up studies are needed to show the effect of COVID-19 on Korean pediatric medicine.
Assessment of Right Ventricular Function in Pulmonary Hypertension with Multimodality Imaging
서혜선,이헌 한국심초음파학회 2018 Journal of Cardiovascular Imaging (J Cardiovasc Im Vol.26 No.4
Pulmonary hypertension (PH) is defined as resting mean pulmonary artery pressure ≥ 25 mmHg and is caused by multiple etiologies including heart, lung or other systemic diseases. Evaluation of right ventricular (RV) function in PH is very important to plan treatment and determine prognosis. However, quantification of volume and function of the RV remains difficult due to complicated RV geometry. A number of imaging tools has been utilized to diagnose PH and assess RV function. Each imaging technique including conventional echocardiography, three-dimensional echocardiography, strain echocardiography, computed tomography and cardiac magnetic resonance imaging has-advantages and limitations and can provide unique information. In this article, we provide a comprehensive review of the utility, advantages and shortcomings of the multimodality imaging used to evaluate patients with PH.
An Unusual Type of Hypertrophic Cardiomyopathy
서혜선,김은정,유희용,김철,이찬현,김보연,정철호,서존,조윤행,이내희,김동훈 대한심장학회 2009 Korean Circulation Journal Vol.39 No.5
An unusual type of hypertrophic cardiomyopathy was diagnosed in a 17-year-old girl who presented with dyspnea on exertion. The hypertrophied myocardium was localized to the anterior portion of the left ventricle from the base to the apex without left ventricular outflow tract obstruction. On cardiac magnetic resonance imaging (MRI), patchy and linear delayed hyperenhancement was shown in the anterior and inferior mid-wall, which is not concordant with the coronary artery territory. An unusual type of hypertrophic cardiomyopathy was diagnosed in a 17-year-old girl who presented with dyspnea on exertion. The hypertrophied myocardium was localized to the anterior portion of the left ventricle from the base to the apex without left ventricular outflow tract obstruction. On cardiac magnetic resonance imaging (MRI), patchy and linear delayed hyperenhancement was shown in the anterior and inferior mid-wall, which is not concordant with the coronary artery territory.