Purpose : We studied the changes in antibiotic sensitivity to the causative organisms of urinary tract infection(UTI), in order to provide useful information on the choice of adequate drugs in the treatment of UTI. Methods : We retrospectively analyzed the major causative organisms and their antibiotic sensitivities in 69 patients diagnosed with UTI in the Department of Pediatrics, Samsung Cheil Hospital... |
Purpose : This study was performed to characterize the etiology and clinical features of acute viral lower-respiratory tract infections(LRI). Methods : Etiologic agents and clinical features of acute viral LRI were studied from October. 2003 through March. 2004 in hospitalized children with LRI(253 cases) at Samsung Cheil Hospital. The viruses were identified by indirect immunofluorescent method. Medical records of patients with... |
Purpose : This study was done to evaluate the parents' or guardians' compliance of obtaining individual informed consent before vaccination and the possible problems of using informed consent. Methods : One hundred and twelve children were randomly selected among 2,820 children who visited Samsung Cheil Hospital during July 2002. A questionnaire about using informed consent of vaccination was given to all... |
Purpose : To find the anthropometric characteristics of newborn in women with gestational diabetes mellitus(GDM), and the relationship between the birth weight and anthropometric measurements of newborn, maternal body habitus and glycemic control in GDM group. Methods : Maternal weight, height, and obstetric history of 82 women with GDM and 93 women with normal glucose tolerance were recorded at the... |
Purpose : Atopic dermatitis is characterized by reduced IFN-γ production and increased IL-4 production. As a result, IgE production increases in atopic dermatitis. In the previous studies, it was reported that recombinant IFN-γ therapy is effective in treatment of severe atopic dermatitis. In this study, changes of plasma IFN-γ, IL-4, IL-5 and IL-10 concentration by IFN-γ therapy were studied in... |
Purpose : This study was performed to examine the impact of gestational diabetes mellitus (GDM) on perinatal outcomes, especially macrosomia and metabolic complications in Korean women. Methods : We studied perinatal outcomes of 65 women with GDM who delivered a singleton infant and were not complicated by medical disease that might effect the fetal growth, 65 women with normal glucose tolerance were selected to match subject... |
Among 223 cases who were admitted to the Department of Pediatrics, Hanyang University Hospital from January 1980 to December 1987 under the diagnosis of Urinary Tract Infection(UTI), 132 cases of E. coli UTI were compared with 91 cases of non-E. coli UTI by age, sex distribution, clinical manifestation, laboratory results and clinical course. The results obtained were as follows: 1. There were no significant differences of... |
The Korean pediatric association is conducting the analysis of disease patterns of children by the body organ system. For the purpose of assessing the disease patterns in patients of the pediatric age in Korea, we performed a statistical analysis of diseases of patients admitted to the department of pediatrics in 36 hospitals having pediatric residency programs in 1987. The results obtained were as follows, 1) Total... |
It has been reported that many patients with minimal change nephrotic syndrome(MCNS) have high serum IgE level, but its significance has not been disclosed yet. In this study, serum levels of IgE were evaluated in different stages of the disease with or without treatment in 26 MCNS(proven by renal biopsy) patients admitted to the Department of Pediatrics Hanyang University Hospital from January, 1980 to... |
Life-threatening bacterial infections such as meningitis, septicemia, and pneumonia in the neonates are more common than at any other time in life and signs of these infections are often subtle and non-specific. Because of these factors, the patient who has persistent fever will almost always be started on parenteral antibiotics immediately following evaluation. On the other hand there is also evidence that the hospital... |
We studied prospectively whether events that result in meconium staining may be associated with additional abnormalities that are not clinically apparent associated by measurements of urinary concentrations of β₂-microglobulin indicating renal proximal tubular functions. Among 61 fullterm, healthy neonates delivered at Hanyang University Hospital during the period of September 1986 through April 1987, urinary concentration of β₂-microglobulin and creatinine were measured during the immediate perinatal... |
Clinical and laboratory analysis of 78 cases of acute bacterial meningitis diagnosed by cere- brospinal (CSF) culture under 15 years old was made, retrospectively from Jan. 1973 to Dec. 1986, who were admitted to the Department of Pediatrics Hanyang University Hospital. The results analysed were as follows: 1) CSF lymphocytosis (more than 50% lymphocytes or mononuclear cells)occurred in 18 of 78 cases (23%) of bacterial meningitis. 2) There... |
Statistical analysis of pediatric diseases in patients admitted to the department of pediatrics in 34 hospitals having pediatric residency program for 2 years from Jan. 1985 to Dec. 1986 was underwent for the purpose of assessing the disease pattern in the pediatric aged people in Korea. The results obtained were as follows 1) Total number of inpatients was 112,309, of which 69,266 were male and... |
There is suggestive evidence that natural history of urinary tract infection (UTI) in male children differs from that of the disease in female children. We have studied sex and age differences of etiologic organism in 257 patients with UTI who were admitted to the Department of Pediatrics Hanyang University Hospital from January 1978 toDecember 1985. All patient had the positive urine culture and a... |
Urinary tract infection (UTI) in children is relatively common infectious disease and it may be the forerunner of severe renal diseases in adulthood. The site of infection is an important factor in the evaluation of the clinical course, treatment and prognosis of patients with UTI, because patients with bacteriuria of renal origin (pyelonephritis) are probably at risk of developing the renal parenchymal reduction seen... |
Paraquat is a widely used herbicide and in human its poisoning induces acute renal failure, hepatic dysfunction, progressive respiratory failure, and oral cavity ulcer etc. with high mortality rate of 30-70%. The authors analyzed twenty-one cases of paraquat poisoning who were admitted at Hanyang University Hospital from May, 1972 to December, 1986 and the results were as followings. 1) Among 21 cases, 11 cases were... |
Episodic flank or abdominal pain with or without nausea and vomiting is most common manifesta- tion of intermittent hydronephrosis. Between episodes of pain, the patient may be asymptomaitc and intravenous urogram usually will be normal. This condition is diagnosed by intravenous urogram or ultrasonogram taken either during episodes of pain or after hydronephrosis precipitated by use of duretics or ingestion of alcoholic beverage, particulary... |
Since the advent of various antibiotics and wide application of various preventive measure, the childhood mortality due to infectious disease has been declined conspiciously. However, childhood accident has been increasing in recent years and now a days it ranks the leading cause of childhood mortality and morbidity. Because most of the accident are unpredictable and occur suddenly, those result they occupy... |
During a period of 116/12 years, from July, 1974 to December, 1984, 44 cases under 15 years of age with brain tumors were observed at department of pediatrics and neurosurgery at Hanyang University Hospital. The results were as follows: 1)The peak incidence of age was observed in the children from 5 to 10 years (38.6%). The sex ratio of male to... |
The results of clinical observation and hematologic findings on 120 cases with bronchial asthma who were admitted to the department of pediatrics, Hanyang University Hospital from Mar. 1984 to Feb. 1985 were as followings: 1)As to the age distribution, 80% of total cases were under 7-year-old and the sex ratio was 2.6 . 1 with male predominance. 2)As to the... |
The authors studied 26 cases with idiopathic thrombocytopenic purpura who were admitted to Department of Pediatrics Hanyang University Hospital. The results were as follows: 1)The peak incidence of age was 5 to 7 years old. Male to female ratio was 2.7 : 1 which showed: slight male preponderance. 2)lThe most prevalent seasons were spring and summer. In both seasons, the... |
The authers experienced a case of hydronephrosis due to periappendiceal abscess confirmed by eyploratory laparatomy. Follow up IVP oi POD 杯29 showed normal pelvocalyceal pattern. A brief review of the literatures pertinent of this subject was done. |
Achondroplasia, the commonest type of dwarfism, is an autosomal-dominant skeletal dysplasia in which the primary defect is endochondral bone formation. Characteristic clinical findings are large head size, rhizomelic shortening of the limbs, frontal bossing & flat nasal bridge with X-ray findings of brachycephaly, thickness of long bone, squared iliac bone and decreased interpediculate distance of spine at distal lumbar level compared with proximal. Authors experienced a... |
During the period from Jan. 1982 to July 1983, we experienced 54 cases of neonatal enteritis caused by Campylobacter fetus subspecies jejuni at the newborn nursery, Hanyang University Hospital. All Cases were under 3 weeks of age and no significant difference was seen in sex ratio. Notable clinical symptoms and signs in order of frequency were diarrhea, fever, jaundice, diminished... |
A calyceal diverticulum, relatively rare lesion, is a cystic urine-containing cavity within the renal parenchyma, which is lined by transitional epithelium and communicates with the pelvis or a calyx through a narrow channel. Usually, they are asymptomatic and frequently discovered incidentally during radiological studies for other conditions. Three cases of calyceal diverticulum were presented, which were detected incidentally during intravenous pyelography... |
When the adrenogenital syndrome is associated with congenital adrenal hyperplasia, it is caused by an inborn defect in the biosynthesis of adrenal corticoids. Especially, infant with congenital adrenal hyperplasia caused by a 21-hydroxylation. defect in steroidogenesis often present with salt-losing crisis, hyponatremia and dehydration. Vomiting is prominent and disturbances in cardiac rate and rhythm may occur. Without treatment, collapse and death... |
Vesicoureteral reflux is the problem frequently found among the patients with, urinary tract infection and is the most common cause of the chronic pyelonephritis in children, and renal scarring and renal growth retardation due to reflux and infection is the most important cause of hypertension and renal failure. The authors studied clinically 13 cases with urinary tract infection associated with... |
Urinary tract infection (UTI) represents the most common genitourinary disease in children and are the second most common infection in children. Besides, they are potentially dangerous not only because may present as life-threatening episodes with serious prognosis, but also because may be the forerunners of severe renal disease of adulthood. So the importance at early diagnosis and investigation of apparently... |
h7Routine urine examination in neonatal period is one of the most basic laboratory examination for early diagnosis of various diseases such, as urinary tract infection, congenital anomalies, and renovascular disorders etc. There are many methods to collect urine, but each of these methods has a problem, that is, catheterization causes urethral injury and ascending infection; suprapublic puncture is the most... |