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Original Article
Usefulness of the transcutaneous bilirubinometer during phototherapy in neonatal jaundice
Yung Kwun Lee, Kyung Ah Kim, Sun Young Ko, Yeon Kyung Lee, Son Moon Shin
Clin Exp Pediatr. 2006;49(12):1296-1300.   Published online December 15, 2006
Purpose : We studied the usefulness of transcutaneous bilirubinometers in follow-up of bilirubin levels during phototherapy in neonatal jaundice patients. Methods : Transcutaneous bilirubin (TcB) was measured twice per day on 90 neonatal jaundice patients without risk factors of jaundice by transcutaneous bilirubinometer JM-103(Minolta/Hill-Rom Air-shields, Japan). TcB was measured simultaneously on the patched-forehead (TcB-PF), patched- chest(TcB-PC), unpatched-forehead (TcB-UF) and unpatched-chest (TcB-UC)...
Comparison of Phototherapy Guidelines for Neonatal Jaundice in Healthy Term Newborns
Hyo-Jung Kim, Chang-Ryul Kim, Jae-Won Oh, Myung-Kul Yum, Soo-Jee Moon
Clin Exp Pediatr. 1999;41(5):606-613.   Published online May 15, 1999
Purpose : We hypothesized that phototherapy, if the total serum bilirubin(TSB) is ≥14mg/dl, would decrease not only in frequency and duration, but complications due to phototherapy, such as weight loss, rash, temperature instability, feeding intolerance, and diarrhea, would decrease when compared to phototherapy TSB ≥10mg/dl after 48 hours of life in healthy term newborns without hemolysis. Methods : Forty healthy newborns...
Effect of Oral Administration of Cholestylamine with Phototherapy in the Treatment of Neonatal Hyperbilirubinemia
Myung Ho O, Jay Gun Sim, Kee Hyuck Kim
Clin Exp Pediatr. 1998;41(6):741-746.   Published online June 15, 1998
Purpose : Cholestylamine has been shown to release chloride ion and absorbs bile acid in the intestine, forming a nonabsorbable complex preventing enterohepatic circulation. The purpose of this study is to clarify the value of cholestylamine and the adequate dosage, in combination with phototherapy, as well as to confirm whether it shorten the duration of hospitalization. Methods : Total 80 full-term neonates with a...
Influence of Phototherapy on Incidence of Patent Ductus Arteriosus in Very Low Birth W eight Infants
Hee Seok Kim, Ee Kyung Kim, Yun Kyoung Lee, Hee Eun Lee, Chan Hwu Park, Kyung Ran Park, Jun Dong Park, Beyong Il Kim, Woong Heum Kim, Jung-Hwan Choi, Yong Su Yun, Chong Ku Yun, Jeong Mi Lee
Clin Exp Pediatr. 1997;40(10):1410-1418.   Published online October 15, 1997
Purpose : Patent ductus arteriosus(PDA) is a common disease in very low birth weight infants(VLBWI). Hemodynamically significant PDA increases the morbidity and mortality of premature infants. Based on experimental model, light inhibits the constriction of immature piglet' s ductal rings. No specific mechanism adequately explains the effect of light on the relaxation of PDA. Several hypotheses, including activation of photosensitive metabolites, alterations in receptors, or...
Oral Agar and Conventional Phototherapy Combination in the Treament of Neonatal Hyperbilirubinemia
Seong Wha Kim, Ji Hyang Doh, Jin Woo Choi, Min Hyang Kim, Ji Won Lee, Sung Taek Kim
Clin Exp Pediatr. 1997;40(7):931-938.   Published online July 15, 1997
Purpose : Neonatal jaundice is one of the most common problems in our country leading to hospitalization. Agar is low cost, low risk, and easily fed orally; it can bind bilirubin in the intestine, decreasing its enterohepatic circulation, thereby decreasing serum bilirubin levels. At present, however, the effectiveness of agar in the prevention and treament of neonatal jaundice is quite conflicting and controversy. Recently we...
Comparison of The Efficacy of the Fiberoptic Phototherapy and Conventional Phototherapy for Neonatal Hyperbilirubinemia
Hye Jung Min, Gwi Sook Kim, Soo Kyung Lee, Il Kyung Kim, Ho Sung, Chang Hee Choi
Clin Exp Pediatr. 1996;39(8):1076-1083.   Published online August 15, 1996
Purpose : We performed this study in order to compare the feasibility and efficacy of the fiberoptic phototherapy with conventional phototherapy and double phototherapy with single phototherapy for the treatment of neonatal hyperbilirubinemia while watching for any possible side effects of the system. Methods : During the period of February 1994 till June 1995, randomized controlled study was performed. 130 healthy term infants with non-hemolytic...
Riboflavin Status of Normal Newborn Infants and the Changes of Riboflavin During Phototherapy in Hyperbilirubinemic Newborn Newborn Infants
Eun Ae Park, Gyoung Hee Kim
Clin Exp Pediatr. 1995;38(9):1185-1192.   Published online September 15, 1995
Purpose : Riboflavin is the most important water soluble vitamin in infant nutrition. Riboflavin is converts to flavin mononucleotide (FMN), Flavin adenine dinucleotide(FAD) and then, participiates in the metabolism of energy, protein cellular oxidation-reduction reactions as a cofactor of reactions. Also riboflavin, a light sensitive vitamin, has a maximum absorption spectrum at a wave length similar to that at which...
The Effect of Phototherapy on Serum bilirubin Binding Capacity and Affinity in the Neonate.
In Suck Ryu, Chul Lee, Ran Namkung, Dong Gwan Han
Clin Exp Pediatr. 1990;33(10):1319-1325.   Published online October 31, 1990
Since the effect of phototherapy in the treatment of neonatal hyperbilirubinemia has been reported 30 years ago, phototherapy has been used widely for neonatal hyperbilirubinemia, but the exact mechanism and the effect of light on the human body have not been fully determined. Free bilirubin level in the serum is an important indicator for kemicterus, a complication of neonatal hyperbilirubinemia. Free bilirubin level was...
Effects of Phototherapy on Peripheral Blood Findings in Full Term Newborns.
Moon Ja Kim, Keun Lee
Clin Exp Pediatr. 1986;29(7):710-714.   Published online July 31, 1986
The effects of phototherapy used in treatment of neonatal hyperbilirubinemia on peripheral blood findings were studied in full term newborns. There was no significant difference between daily mean hematocrits and WBC counts of phototherapy group and control group. The mean platelet count was not decreased during phototherapy in treated group, but significantly increased after phototherapy was stopped. 、
The Influence of Phototherapy on the Concentration of Serum Calcium.
Hyun Sook Lee, Hung Bae Park
Clin Exp Pediatr. 1984;27(9):865-871.   Published online September 30, 1984
Since the report of Dr. Cremer in the 1950s the effectiveness of phototherapy in the treatment of neonatal hyperbilirubinemia has been demonstrated in many clinical trials and now become widely accepted as a routine therapeutic measure in most pediatric clinics. Considering the relatively high incidence of prematurity and neonatal jaundice especially in Asian countries, it is of great concern to...
The Effect of Phototherapy in Distance between Light Source and Hyperbilirubinemic Baby.
Jae Gye Ryoo, Hong In Eum, Kyung Tae Kim, Kew Taek Kim
Clin Exp Pediatr. 1983;26(12):1173-1178.   Published online December 31, 1983
Warshaw reported radiat flux is closely related to distance between light source and patient for phototherapy. We tried to compare 30 cm distance (group A) frome light source to patient with 80 cm (group B) for effect of phototherapy. 1) Radiant flux were 4.68±0.3㎼/cm2/nm in group A phototherapy unit ard 1.49±0. 02㎼/cm2/nm in group B...
The Effect of Blue Light and White Light, Continous and Intermittent Phototherapy in the Treatment of Jaundice for the Low Birth Weight Infants.
Ki Tae Kim, Heon Kyung Lee, Woo Yeong Chung, Soon Youg Lee, Yeon Soon Kim
Clin Exp Pediatr. 1983;26(4):299-303.   Published online April 30, 1983
The effect of phototherapy was studied between blue and white lights, and continuous and intermittent regimens in the treatment of jaundice for the low birth weights at Busan Children’s Hospital from October, 1981 to March, 1982. The results were as following: 1) The duration of phototherapy necessary to reduce serum bilirubin level below 8 mg/dl were 58.9 hours with blue light, and 102.3 hours with white...
Effect of Phototherapy on Platelet Count in premature Infant.
Heung Kyu Kim, Young Kyoung Park
Clin Exp Pediatr. 1983;26(1):34-40.   Published online January 31, 1983
The effect of phototherapy on platelet counts performed on thirty premature infants weighing less than 2,300 grams and thirty fullterm infants with hyperbilirubmemia. Platelet counts were also performed on twenty nine healthy premature infants weighing less than 2,300 grams and thirty full-term infants as oontrol group. The following results were observed: 1) There was no significant difference in platelet counts during phototherapy on premature...
Phototherapy for Neonatal Hyperbilirubinemia.
Il Suck Chang, Chong Ku Yun
Clin Exp Pediatr. 1983;26(1):8-13.   Published online January 31, 1983
Daylight phototherapy group (27 newborn infant) were compared with blue light photother- apy group (43 newborn infant) in serum total bilirubin decrements with phototherapy.; study A. For the purpose of dose-response relationship, 4 group (total 60 newborn infant) were compared the effectiveness of phototherapy based on radiant reflux (study B); Group 1, 5.46±0.65 ㎼/cm2.nm(mean±SD) Group 2,4.48±0.70 ㎼/cm2. nm (mean±SD)...
Study of Bilirubin Concentration on The Neonatal Jaundice.
Seung Kwon Kim, Woo Sik Chung, Byung Do Nam, Kew Taek Kim
Clin Exp Pediatr. 1982;25(11):1089-1096.   Published online November 30, 1982
W« studied the guidelines on the serum bilirubin concentration of 15 mg% for the management of neonatal jaundice and compared the group of serum bilirubin concentration below 15 mg% ■and the group of serum bilirubin concentration above 15 mg%. 83 cased of icteric infants without any risk factors for kernicterus, ahove 12 m.g% in serum bilirubin concentration, were born at the St. Benedict hospital...
Effect of Phototherapy on the Riboflavin Status in Neonatal Hyperbilirubinemia.
Young Oak Bang
Clin Exp Pediatr. 1982;25(5):436-444.   Published online May 31, 1982
Riboflavin in unstable in light and has a maximum absorption at 450nm. A study was designed to determine whether riboflavin deficiency developed in neonate who received phototherapy with eight day light bulbs for hyperbilirubinemia and to get normal value of activity coefficient of erythrocyte glutathione reductase in neonate. Twenty-seven infants who received phototherapy were investigated. Thirth-eight normal infants without phototherapy...