Radiofrequency ablation (RFA) is a new, minimally invasive modality that serves as an alternative to surgery in patients with thyroid tumors. The Task Force Committee of the Korean Society of Thyroid Radiology developed recommendations for the optimal use of RFA for thyroid tumors in 2012 and revised them in 2017. Herein, we review and summarize the 2017 thyroid RFA guideline and compare it with the 2012 thyroid RFA guideline.
Advisory Committees ; Catheter Ablation ; Humans ; Thyroid Gland ; Thyroid Neoplasms ; Thyroid Nodule ; Ultrasonography

Background: The COVID-19 pandemic has significantly increased the demand for telemedicine and remote healthcare solutions,highlighting the need for a platform that supports personalized oral health management. In particular, a systematic information technology (IT)-based solution that enables children and adults to effectively perform oral care at home has become essential.To address this need, a smart dental care device and service platform integrating augmented reality (AR) and artificial intelligence (AI) technologies was developed. Methods: The platform was designed based on an analysis of the oral health management needs of children and adults, leveragingexisting smart dental care devices and pre-collected datasets. AR and AI technologies were utilized to provide personalized content and enable real-time monitoring and counseling in remote settings. This study focused on consolidating existing data and technological approaches to establish a foundation for platform development. Results: The platform development process identified key elements of oral health management and incorporated them into thedesign, demonstrating the feasibility of personalized oral health services. Additionally, data analysis highlighted differing oral health needs between children and adults, enabling the design of tailored content and services for effective management. Conclusion This study highlights the importance of IT-based solutions in oral health management and presents the developmentprocess of a personalized platform as a foundational reference. The platform lays the groundwork for future advancements in oral health technology and supports its potential for adaptation and application in various settings.

Background: The COVID-19 pandemic has significantly increased the demand for telemedicine and remote healthcare solutions,highlighting the need for a platform that supports personalized oral health management. In particular, a systematic information technology (IT)-based solution that enables children and adults to effectively perform oral care at home has become essential.To address this need, a smart dental care device and service platform integrating augmented reality (AR) and artificial intelligence (AI) technologies was developed. Methods: The platform was designed based on an analysis of the oral health management needs of children and adults, leveragingexisting smart dental care devices and pre-collected datasets. AR and AI technologies were utilized to provide personalized content and enable real-time monitoring and counseling in remote settings. This study focused on consolidating existing data and technological approaches to establish a foundation for platform development. Results: The platform development process identified key elements of oral health management and incorporated them into thedesign, demonstrating the feasibility of personalized oral health services. Additionally, data analysis highlighted differing oral health needs between children and adults, enabling the design of tailored content and services for effective management. Conclusion This study highlights the importance of IT-based solutions in oral health management and presents the developmentprocess of a personalized platform as a foundational reference. The platform lays the groundwork for future advancements in oral health technology and supports its potential for adaptation and application in various settings.

Background: The COVID-19 pandemic has significantly increased the demand for telemedicine and remote healthcare solutions,highlighting the need for a platform that supports personalized oral health management. In particular, a systematic information technology (IT)-based solution that enables children and adults to effectively perform oral care at home has become essential.To address this need, a smart dental care device and service platform integrating augmented reality (AR) and artificial intelligence (AI) technologies was developed. Methods: The platform was designed based on an analysis of the oral health management needs of children and adults, leveragingexisting smart dental care devices and pre-collected datasets. AR and AI technologies were utilized to provide personalized content and enable real-time monitoring and counseling in remote settings. This study focused on consolidating existing data and technological approaches to establish a foundation for platform development. Results: The platform development process identified key elements of oral health management and incorporated them into thedesign, demonstrating the feasibility of personalized oral health services. Additionally, data analysis highlighted differing oral health needs between children and adults, enabling the design of tailored content and services for effective management. Conclusion This study highlights the importance of IT-based solutions in oral health management and presents the developmentprocess of a personalized platform as a foundational reference. The platform lays the groundwork for future advancements in oral health technology and supports its potential for adaptation and application in various settings.

Objectives: This study aimed to establish a linkage model involving regional responsible medical institutions after analyzing the existing conditions and deriving problems through qualitative analysis within the community care system. Methods: A total of 14 participants of this study were selected through the snowball sampling method, including 7 community care service providers and 7 service users. As for the research data, primary data were collected through interviews, and as a result of analyzing according to Aday&Anderson’ model, a total of 5 catergories, 8 topics, and 22 sub theme were derived. Results: The problem derived from the interview is that division services are provided for each institution due to the absence of a key central institution of community care system, and users’ commercial institutions is unclear. The second is the inconsistency between the needs and supply for community care, resulting in a possibility of delay in returning to the community after discharge. Based on these problems, it is necessary to unify it as an community care window of the Dong-community center. In addition, there is a need for public health centers to play an active role, and to establish a public-private joint system with the Health and Living Support Center to establish a model that can play a certain role. Conclusions Therefore, based on the results of this study, it can be used as basic data when constructing community care model and applying it as an expanded model in the future.

PURPOSE: Benign acute childhood myositis (BACM) is a rare condition, characterized by severe lower extremity pain and acute-onset reluctance to walk in children. This study evaluated the clinical course of and laboratory findings related to BACM. METHODS: Patients with gait disturbance who had visited the Department of Pediatrics, Chungnam National University Hospital between March 2010 and May 2010 and who had been diagnosed with BACM were enrolled. The patients' medical records were examined retrospectively, and the clinical and laboratory data were recorded. RESULTS: Seven patients (six boys and one girl) were enrolled. Their median age was 7.3 years old. Four patients had leucopenia and five had mild thrombocytopenia and six had elevation of serum aspartate aminotransferase or alanine aminotransferase levels, or both. The median serum creatine phosphokinase level was 1,864 IU/L, (range 368-7,166 IU/L). All patients had elevated lactate dehydrogenase and no patients studied had any evidence of bacterial infections. Influenza B virus was detected in two patients. and all patients spontaneously recovered after one week. CONCLUSION: Self-limited BACM should be considered if acute gait disturbances with calf pain and elevated serum creatine phosphokinase levels are observed in otherwise healthy children with no neurological abnormalities.
Alanine Transaminase ; Aspartate Aminotransferases ; Bacterial Infections ; Child ; Creatine Kinase ; Gait ; Humans ; Influenza B virus ; L-Lactate Dehydrogenase ; Lower Extremity ; Medical Records ; Myositis ; Pediatrics ; Retrospective Studies ; Thrombocytopenia

No abstract available.

OBJECTIVES: The deficit of recognition memory has been found as one of the common neurocognitive impairments in patients with schizophrenia. In addition, they were reported to fail to enhance the memory about emotional stimuli. Previous studies have shown that bilateral eye movements enhance the memory retrieval. Therefore, this study was conducted in order to investigate the memory enhancement of bilaterally alternating eye movements in schizophrenic patients. METHODS: Twenty one patients with schizophrenia participated in this study. The participants learned faces (angry or neutral faces), and then performed a recognition memory task in relation to the faces after bilateral eye movements and central fixation. Recognition accuracy, response bias, and mean response time to hits were compared and analysed. Two-way repeated measure analysis of variance was performed for statistical analysis. RESULTS: There was a significant effect of bilateral eye movements condition in mean response time(F=5.812, p<0.05) and response bias(F=10.366, p<0.01). Statistically significant interaction effects were not observed between eye movement condition and face emotion type. CONCLUSIONS: Irrespective of the emotional difference of facial stimuli, recognition memory processing was more enhanced after bilateral eye movements in patients with schizophrenia. Further study will be needed to investigate the underlying neural mechanism of bilateral eye movements-induced memory enhancement in patients with schizophrenia.
Bias (Epidemiology) ; Eye Movements* ; Humans ; Memory ; Reaction Time ; Schizophrenia*

PURPOSE: Recent studies have demonstrated that probiotics are effective in the management of allergic diseases, but there have been few reports about their preventive effects in asthma. We examined the effects of Lactobacillus acidophilus (LA) and its mechanism in the primary prevention of asthma. METHODS: Before allergen sensitization, newborn Balb/c mice orally received 1x10(9) colony forming unit (CFU) LA per day every 2 days for consecutive 4 weeks starting from birth. After ovalbumin sensitization and challenge from day 36, airway hyperresponsiveness (AHR) to methacholine, influx of inflammatory cells to the lung, serum total IgE levels, cytokine levels in the supernatant of splenocytes culture, and expression of FoxP3 mRNA in the peribronchial lymph nodes were assessed. RESULTS: The AHR showed a tendency to decrease in LA group, however, there was no statistical significance. The eosinophil counts in bronchoalveolar lavage fluid and serum total IgE were significantly reduced in LA group compared with asthma control group. LA effectively induced IFN-gamma secretion and inhibited IL-4, IL-5 and TGF-beta1 secretion compared with asthma control group. The expression of FoxP3 mRNA in peribronchial lymph nodes did not show any difference between LA and asthma control group. CONCLUSION: Oral LA administration in murine model of asthma attenuated AHR and significantly suppressed eosinophilic inflammation in the airway. These effects of LA were mediated by suppressing Th2 immune response and enhancing Th1 immune response. The results may suggest the possible role of LA in the primary prevention of asthma.
Animals ; Asthma ; Bronchoalveolar Lavage Fluid ; Eosinophils ; Humans ; Immunoglobulin E ; Infant, Newborn ; Inflammation ; Interleukin-4 ; Interleukin-5 ; Lactobacillus ; Lactobacillus acidophilus ; Lung ; Lymph Nodes ; Methacholine Chloride ; Mice ; Ovalbumin ; Parturition ; Primary Prevention ; Probiotics ; RNA, Messenger ; Stem Cells ; Transforming Growth Factor beta1

PURPOSE: Chest pain is common in children and adolescents and is a reason for referral to pediatric cardiologists. Although most cases of chest pain in these age groups are benign and do not require treatment, timely diagnosis is important not to miss life-threatening diseases requiring prompt treatment. We investigated certain clinical characteristics that may be useful in the diagnosis of such critical diseases. METHODS: Patient medical records between July 2006 and September 2013 were retrospectively examined. We included 517 patients who presented with chest pain to the Department of Pediatrics at Kyung Hee University Hospital in Gangdong. RESULTS: Most cases of chest pain were idiopathic in origin (73.6%), followed by cases with respiratory (9.3%), musculoskeletal (8.8%), cardiac (3.8%), gastrointestinal (2.9%), and psychiatric (1.4%) causes. In 6 patients (1.2%) with air-leak syndrome including pneumothorax or pneumomediastinum, the pain was abrupt, continuous, and lasted for a short period of 1-2 days after onset in the older adolescents. Of the patients with cardiac pain, 13 had cardiac arrhythmias (65.0%), 6 had congenital heart diseases (30%), and 1 had coronary aneurysms caused by Kawasaki disease (5.0%). One patient with atrial flutter had only symptoms of syncope and chest pain. CONCLUSION: The abrupt, continuous chest pain of a short duration in the older children was characteristic of air-leak syndrome. In patients with pneumomediastinum, radiological diagnosis was difficult without careful examination. Combined syncope should not be neglected and further cardiac workup is essential in such patients.
Adolescent* ; Arrhythmias, Cardiac ; Atrial Flutter ; Chest Pain* ; Child* ; Coronary Aneurysm ; Diagnosis ; Heart Diseases ; Humans ; Mediastinal Emphysema ; Medical Records ; Mucocutaneous Lymph Node Syndrome ; Musculoskeletal Diseases ; Pediatrics ; Pneumothorax ; Referral and Consultation ; Retrospective Studies ; Syncope ; Thorax*