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Volume 43(1); Jan 2000
Medical Lecture Course
Neonatal Viability, Morbidity, Mortality and Outcome of Very Low Birth Weight Infant
Chong-Woo Bae
J Korean Pediatr Soc. 2000;43(1):1-12.   Published online January 15, 2000
Original Articles
Comparison of Preventive Effect of RDS and Neonatal Morbidity between Antenatal Dexamethasone versus Ambroxol Administration
Eun Jeong, Kim, Seong Sook Jeon, Son Sang Seo
J Korean Pediatr Soc. 2000;43(1):13-22.   Published online January 15, 2000
Purpose : Antenatal dexamethasone administration is associated with a significant lowering respiratory distress syndrome(RDS) incidence, but can increase neonatal infection. Ambroxol has been accepted as an alternative treatment to dexamethasone and is of at least equal efficacy but without adverse reaction. The aim of this study was to evaluate the effectiveness of ambroxol versus dexamethasone in RDS incidence and neonatal...
The Prognosis and Factors of Neonatal Thyroid Dysfunction
Yun Yee Kim, Kyoung Sim Kim, Yong Wook Kim, Ki Bok Kim
J Korean Pediatr Soc. 2000;43(1):23-33.   Published online January 15, 2000
Purpose : The function of the neonatal thyroid is affected transiently or consistently by various maternal thyroid diseases, neonatal diseases, drugs, and more as well as thyroid dysgenesis. In this study, we analyzed several factors of neonatal thyroid dysfunction through neonatal screening test and investigated the prognosis. Methods : From January 1992 to July 1997, we reviewed 66 newborn patients, who showed abnormal thyroid function...
The Effect of Erythromycin on Gastric Antrum and Low Esophageal Sphincter in the Newborn Rabbit
Sung Dong Choi, Chung Sik Chun
J Korean Pediatr Soc. 2000;43(1):34-42.   Published online January 15, 2000
Purpose : We studied smooth muscle strips from rabbit gastric antrum and low esophageal sphincter(LES) to explore the difference between newborn and adult rabbit on erythromycin(EM)- induced contractions. Another aim of this study was to determine the mechanism of LES contractile activities induced by erythromycin(EM). Methods : Muscle strips prepared from newborn and adult rabbits were stimulated with agonists such as KCl, motilin and EM,...
Clinical and Molecular-epidemiologic Analysis of A Nosocomial Outbreak of Acinetobacter baumannii in a Neonatal Intensive Care Unit
Hye Kyung Lee, Han Jin Kim, Young Chang Kim, Sung Ran Cho, Hwi Jun Kim, Wee Gyo Lee
J Korean Pediatr Soc. 2000;43(1):43-48.   Published online January 15, 2000
Purpose : Acinetobacter species are aerobic gram-negative rods that can be widely found in nature and are a part of the normal flora of humans. The most clinical isolates of A. baumannii reflect infection rather than colonization. Recent reports suggest that the organisms cause serious and often fetal nosocomial infection such as ventilator-associated pneumonia. Methods : From March to September 1998, we experienced thirty...
The Annual and Seasonal Changes in the Prevalence of Rotaviral Infection from; 1993 to 1998
Young Joo Son, Hong Sun Park, Soon Lee Jung, Mira Park, Kyuchul Choeh
J Korean Pediatr Soc. 2000;43(1):49-54.   Published online January 15, 2000
Purpose : Rotavirus infection is a leading cause of severe gastroenteritis among infants and young children worldwide. In temperate regions, institutional outbreaks of the disease occur mainly in cold dry weather, whereas in tropical settings its seasonal course is less well defined. We studied the annual changes in the seasonal prevalence of rotavirus infection for 5 years. Methods : The study was conducted on...
Diagnostic Value of Urine Latex Test In Bacterial Meningitis
Seung Min Lee, Eun Ae Park, Seung Joo Lee
J Korean Pediatr Soc. 2000;43(1):55-59.   Published online January 15, 2000
Purpose : Bacterial meningitis in childhood carries significant mortality and morbidity, so accurate and rapid diagnosis is important. Cerebrospinal fluid(CSF) latex agglutination test has been used for rapid diagnosis of bacterial meningitis. However, urine may be the best specimen for a latex test, because bacterial antigens are concentrated in the urine. The study tried to determine the diagnostic value of urine latex test in...
A Catalogue of Gene Expression Difference in Biliary Cirrhosis due to Biliary Atresia Using Differential Expressed Sequence Tags(EST) Screening
Byung-Ho Choe, Hyun-Mi Lee, Moon-Kyu Kim, Jung-Chul Kim
J Korean Pediatr Soc. 2000;43(1):60-69.   Published online January 15, 2000
Purpose : Extrahepatic biliary atresia is the most common indication for liver transplantation in children, but the etiology of this disorders remains unknown. It would be very signficant to identify genes that are specifically expressed in pathologic liver tissue of biliary atresia and analyze the pattern of expression in those genes. Methods : We made dot blot panels consisting of 1,730 different EST(expressed sequence...
A Clinical Study of Atypical Kawasaki Disease - A Rate of Coronary Artery Involvement -
Jin-Sook Kim, Young-Yoo Kim, Jong-Wan Kim, Won-Bae Lee, Jin-Han Kang, Kyung-Tai Whang
J Korean Pediatr Soc. 2000;43(1):70-77.   Published online January 15, 2000
Purpose : Without a specific diagnostic method, the clinical diagnostic criteria for atypical Kawasaki disease is known as the presence of coronary artery changes in a patient who did not meet the already estabilished clinical criteria. With this criteria, we are put into dilemma because atypical Kawasaki disease should exhibit coronary artery disease. So, we demonstrated the rate of coronary artery involvement in atypical...
Predicting of Aneurysm with Learning Vector Quantization in Patients with Kawasaki Disease
Jae Hyun Kwon, Myung Kul Yum, Nam Su Kim
J Korean Pediatr Soc. 2000;43(1):78-84.   Published online January 15, 2000
Purpose : We applied Learning Vector Quantization(LVQ) in the analysis of data from Kawasaki disease patients with coronary artery aneurysm in an attempt to achieve accurate predictions of outcome for individual patients. Methods : One hundred and seventy-five patients with Kawasaki disease were recruited. First, data of 75 patients(of which 60 patients had no aneurysm and 15 patients had aneurysm) were trained using the network....
Apoptosis, P53, bax and Bcl-2 Protein Expressions in Neonatal rat Hippocampus by Kainic Acid-induced Seizure
Shin Weon Yun, Soo Ahn Chae, Eung sang Choi, Byoung Hoon Yoo
J Korean Pediatr Soc. 2000;43(1):85-96.   Published online January 15, 2000
Purpose : Apoptosis is a process of active cell death which has been suggested to be part of hippocampal cell loss caused by kainic acid(KA). Immature rats showed higher susceptibility and mortality to KA but did not develop recurrent seizure, long term behavioral or neuropathologic changes. We investigated whether this was due to age-dependent resistance, and elucidated the molecular mechanics which mediate P53-induced apoptosis,...
The Apoptosis and Expression of Bcl-2, Bcl-xS, Bax Proteins in Fetal Brain after Treating Pregnant Mice with Endotoxin
Sung Min Cho, Seung Sook Kim, Young Seung Hwang
J Korean Pediatr Soc. 2000;43(1):97-104.   Published online January 15, 2000
Purpose : Apoptosis is active cell death which plays an important role in developing normal tissues. Various conditions such as genetic defects, drugs, ischemia or infections are known to induce apoptosis. We studied the effect of maternal infection on fetal brain development during pregnancy. Methods : We treated 46 C3H pregnant mice with lipopolysaccharide(LPS) or phosphat-buffered saline and observed the changes in apoptosis and...
Case Reports
6 Cases of Transient Hyperphosphatasemia of Infancy and Early Childhood
Jong Gon Oh, Dong Hyeon Choi, Kyung Eun Oh, Moon Ki Cho, Chul Sohn
J Korean Pediatr Soc. 2000;43(1):105-110.   Published online January 15, 2000
Sometimes physicians and clinical pathologists find very high levels of alkaline phosphatase(ALP) activity in their patients. This condition is associated with transient, marked increase in serum ALP in healthy infants and children. It has also been described in adults. Clinical and biochemical features of transient hyperphosphatasemia in infancy and early childhood are reviewed in six patients that we have studied. The diagnosis is suggested...
A Case of Retroperitoneal Cystic Lymphangioma
Chang Ho Lee, Jeong Hwa Choi, Eun Ju Han, Jin Gook Kim, Bung Do Nam, Jae Won Back, Mun Kyu Park
J Korean Pediatr Soc. 2000;43(1):111-116.   Published online January 15, 2000
Cystic lymphangiomas are comparatively rare, benign tumors of lymphatic system and their histogenesis are uncertain. About 75% of theses lesions are in the neck, 20% are in the axillary region, and 5% are in the mediastinum, retroperitoneal region or groin. But retroperitoneal cysticlymphangiomas are very rare. Retroperitoneal cystic lymphangiomas are usually found incidentally during diagnostic procedures performed for unrelated clinical...
A Case of Common Variable Immunodeficiency with Autoimmune Hemolytic Anemia
Kyung-Yil Lee, Yon-Joo Lee, Sang-Won Cha, Dong Joon Lee, Ji-Whan Han, Kyung-Tae Whang, Joong-Gon Kim
J Korean Pediatr Soc. 2000;43(1):117-122.   Published online January 15, 2000
Common variable immunodeficiency(CVID) is a heterogeneous collection of disorders with hypogammaglobulinemia with recurrent bacterial infections and high incidence of autoimmune disorders as its hallmark. We report a 7-year-old girl suffering from CVID with Coombs' test positive hemolytic anemia. She had been relatively well until 23-months old when she was admitted to Taejon St. Mary' s Hospital with pneumonia 5 years ago. Afterwards, she had...
A Case of Ornithine Transcarbamylase(OTC) Deficiency
Soonhak Kwon, Yejhin Lee, Byung-Ho Choe, Sangkwon Lee
J Korean Pediatr Soc. 2000;43(1):123-127.   Published online January 15, 2000
OTC deficiency is an X-linked disorder in which the synthesis of urea is impaired. OTC catalyzes the synthesis of citrulline from carbamyl phosphate and ornithine. Complete or partial deficiencies of this enzyme may lead to Reye syndrome like picture such as encephalopathy, hepatic dysfunction, hyperammonemia, etc. We recently had a case that was presented as recurrent Reye syndrome, and was...
A Case of Greig Cephalopolysyndactyly Syndrome
Seon Hee Shin, Je Woo Kim, Young Ah Lee, Hae Sun Yoon, Hyun Chan Cho
J Korean Pediatr Soc. 2000;43(1):128-132.   Published online January 15, 2000
Greig cephalopolysyndactyly syndrome(GCPS) is a disorder characterized by postaxial polydactyly of the hand, broad or occasionally bifid thumbs, preaxial polydactyly of the feet, broad halluces, syndactyly of the fingers or toes, macrocephaly, frontal bossing, hypertelorism and a broad nasal bridge. Intelligence is usually normal, although borderline IQ has been reported. Advanced bone age, mild hydrocephalus, craniosynostosis and agenesis of the corpus callosum are occasionally associated...
Flexible Bronchoscopic Finding of Congenital Lobar Emphysema
Young Mee Seo, Jung Yeon Shim, Bong Seong Kim, So Duk Lim, Soo-Jong Hong
J Korean Pediatr Soc. 2000;43(1):133-137.   Published online January 15, 2000
Congenital lobar emphysema is a rare disease and a cause of respiratory distress in early infancy. The most common location of pulmonary involvement is the left upper lobe. We diagnosed a case of congenital lobar emphysema in a 5-month-old female infant, who had a complex heart disease using flexible bronchoscopy. In spite of palliative heart surgery, respiratory difficulty and cyanosis did not improve and...