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Volume 34(10); Oct 1991
Original Articles
Effect of dietary fats on immune response in rats.
Soon Hwan Oh, Dong Soo Kim, Hae Won Nam
J Korean Pediatr Soc. 1991;34(10):1334-1345.   Published online October 31, 1991
To investigate the effect of dietary fats on the humoral and cellular immune response, different compositions in the quality and quantity of dietary fats were fed to male rats. The results are as follows; 1) The mean body weights of the rats which were fed the various dietary fats were not significant during the experimental period. The weights of the organs measured were the spleen,...
Clinical analysis on newborn infants treated with mechanical ventilation.
Yeon Sim Kim, Dae Ho Choi, Cheol Woo Park, Yeon Kyun Oh
J Korean Pediatr Soc. 1991;34(10):1346-1355.   Published online October 31, 1991
Clinical analysis of 48 neonates who treated with Mechanical ventilation in NICU at Won-Kwang University Hospital from February 1987 to July 1990 was performed. The results were as follows; 1) According to diagnostic categories, hyaline membrane disease was the most common in 26 cases (54.2%), and then postasphyxia syndrome 10cases (20.8%), apnea of prematurity 3cases (6.2%), sepsis 3 cases (6.2%),in their order. 2) 29 cases (60.4%) were bom...
An epidemiologic study of measles among hospitalized pediatric patients.
Sung Lae Park, Jae Won Oh, Sung Hee Oh, Hahng Lee
J Korean Pediatr Soc. 1991;34(10):1356-1364.   Published online October 31, 1991
A clinical study was performed on 197 cases of measles that were admitted to the department pediatrics of Hanyang University Hospital during the period of 5 years from Aug. 1985 to Jul. 1990. The patients with measles were classified as preventable or nonpreventable. We obtained the following results: 1) The incidence of measles was greater during the last study year than the previous years. 2) The age...
Congenital cytomegalovirus infection: incidence and clinical outcome.
Young Mo Sohn, Kook In Park, Chul Lee, Dong Kwan Han, Won Young Lee
J Korean Pediatr Soc. 1991;34(10):1365-1372.   Published online October 31, 1991
In order to assess the rate of congenital cytomegalovirus (CMV) infection in newborns, CMV IgG antibody was studies at about 37.5 weeks gestation in 309 mothers and a positive rate of 96.4% was obtained. Virus culture for CMV from urine of 514 neonates less than 1 week after birth resulted in CMV growth in 6 neonates showing a 1.2% congenital infection rate. In...
The clinical review of congenital magacolon.
Myung Goo Min, Ki Sup Chung
J Korean Pediatr Soc. 1991;34(10):1373-1380.   Published online October 31, 1991
This clinical study presents an anlaysis of 102 patients who underwent definitive surgery for Hirschsprung’s disease from January 1979 to April 1990 at Department of Pediatrics, Yonsei Univer- sity College of Medicine. The results were summarized briefly as follows: 1) The sex ratio was 2.6:1, of male preponderence. 2) The first symptom appeared within 1 month after birth in majority of cases, in 82 cases (80.4%) and diagnosis...
Indomethacin therapy in premature infants with patent ductus arteriosus.
Dug Ha Kim, Jung Hwan Choi, Chong Ku Yun
J Korean Pediatr Soc. 1991;34(10):1381-1390.   Published online October 31, 1991
Patent ductus arteriosus (PDA) is a common disease that occurred in 20 〜 40 percent of premature infants. The incidence of PDA is inversely related to the gestational age and birth weight. Hemodynamically significant PDA increases the morbidity and mortality of premature infants. So, the management of PDA is one of the major problems in neonatal intensive care unit. Based on experimental animal studies,...
Brain CT and clinical finding in tuberlous meningitis.
Moon Chan Kim, Chan Yung Kim
J Korean Pediatr Soc. 1991;34(10):1391-1399.   Published online October 31, 1991
In this study, we evaluated clinical symptoms, neurologic findings, CSF examinations and prognosis of patients who were diagnosed to have tuberculous meningitis at Pusan National University Hospital and Gospel Hospital from march, 1983 to december, 1989. 1) Mean age was 3 years and 8 months and the percentage of patients under 6 years old was 71.9%. The male to female ration was 2.2:1. 2) Fever and vomiting...
Clinical studies of aseptic meningitis.
Kang Woo Park, Dae Young Choi, Sung Won Kim
J Korean Pediatr Soc. 1991;34(10):1400-1408.   Published online October 31, 1991
Fifty-six cases of aseptic meningitis were clinically observed from Jan., 1990 to Aug., 1990. Etiologic classification showed that 53cases (94.6%) were of unknown etiology because virus was not identified and 3 cases (5.4%) were mumps meningitis. The most frequent age group was early childhood (55.4%) and more frequent in male. The symptoms were fever, vomiting and headache in order of frequency. The finding of spinal...
The value of computerized axial tomography of the brain in children with central nervous system disorders.
Young Gyun Lee, Dae Sung Hwang, Kwang Soo Oh, Hyang Seuk Yoon, Jong Duck Kim
J Korean Pediatr Soc. 1991;34(10):1409-1416.   Published online October 31, 1991
The introduction of computerized tomography (CT), a diagnostic method, has revolutionized the evaluation of neurologic disorders in children. And it provides a noninvasive, safe, and rapid diagnosis of intracranial pathology. CT scanning was performed on 126 children with neurologic symptoms who had admitted to department of pediatrics, Wonkwang University Hospital, from January 1986 to June 1990. Our study was designed to evaluate the usefulness of...
A case of babesiosis in an eight year old Korean boy.
Jae Geon Sim, Hyun Seung Park, Don Hee Ahn, Weon Gyu Kho, Jong Yil Chai
J Korean Pediatr Soc. 1991;34(10):1417-1421.   Published online October 31, 1991
Authors experienced a case of babesiosis in an eight year old boy just returned from Advijan, Ivory coast, Africa, where he had been for three years. Parasites were identified from blood smears. He was treated with clindamycin and quinine for ten days with good recovery. Brief review followed.
A case of pulmonary vascular air embolism in the newborn.
Won Soon Park, Beom Soo Park, Hye Kyung Han, Jung Hwan Choi, Chong Ku Yun, Kyoung Mo Yeon, Je Geun Chi
J Korean Pediatr Soc. 1991;34(10):1422-1427.   Published online October 31, 1991
Pulmonary vascular air embolism is a rare, and almost invariably fatal complication of positive pressure ventilation of newborn infants. There have only been 53 cases described in the world literature to date. We have experienced a case of pulmonary vascular air embolism in a premature newborn as a complication of mechanical ventilation during the course of respiratory distress syndrome. The pathophysiology and clinical characteristics of...
A case of hemiazygos continuation of a left inferior vena cava.
Soo Young Cho, Joseph Choi, Chan Uhng Joo, Jung Soo Kim
J Korean Pediatr Soc. 1991;34(10):1428-1432.   Published online October 31, 1991
Anomalies of the inferior vena cava (IVC) are often discovered incidentally during imaging studies performed for other reasons, since patients with these abnormalities are usually asymptomatic. Infrahepatic interruption of the IVC with azygos or hemiazygos continuation is an unusual anomaly of the IVC. We report a case of single left-sided IVC with hemiazygos continuation in associated with patent ductus arteriosus and left superior vena cava....
A case of agenesis of corpus callosum.
Su Min Kim, Chang Hee Bae, In Hee Park, Chin Sam Ro, Yun Jung Kim, Hyo Jin Lee
J Korean Pediatr Soc. 1991;34(10):1433-1438.   Published online October 31, 1991
Agenesis of the corpus callosum is a form of dorsal midline dysgenesis Malformation of the corpus callosum may vary from partial absence of the corpus callosum and surrounding structure. We experienced a case of corpus callosum agenesis in a one day old neonate who showed facial anom- alies. Brain CT demonstrated a typical picture of corpus callosum agenesis and then we confirmed by autopsy. A brief...
A case of posterior urethral valve of the newborn.
Eun Ae Park, Gyoung Hee Kim
J Korean Pediatr Soc. 1991;34(10):1439-1445.   Published online October 31, 1991
Posterior urethral valve is the most common obstructive abnormality in male children affecting both kidneys and likely arise from maldevelopment of the mesonephric duct. We have experienced a case of posterior urethral valve with urinary ascites in 10/365 year old male neonate. Abdominal distension, oligouria, and azotemia were improved by urinary catheterization. Pelvo-ureterostomy operation was done, and this case had excellent results with much...
A case of incontinentia pigmenti.
Kwang Ik Song, Hyo Jeong Kim, Jin Bok Hwang, Chang Ho Han, Hye Li Chung, Young Dae Kwon
J Korean Pediatr Soc. 1991;34(10):1446-1451.   Published online October 31, 1991
A case of incontinentia pigmenti, Bloch-Sulzberger type, without any developmental defect has been presented with the review of related literatures. The patient was a 4 day-old female infant with irregular, grouped vesicobullous lesions on the whole body, especially on the trunk and extremities since birth. No familial traits was noted. Diagnosis was made by the charateristic clinical, labaratory and histopathologic findings.
A case of lipodystrophia centrifugalis abdominalis infantilis.
Kyu Young Lee, Sung Ho Cha, Byoung Soo Cho, Chang Il Ahn, Woo Young Sim, Choong Rim Haw, Moon Ho Yang
J Korean Pediatr Soc. 1991;34(10):1452-1457.   Published online October 31, 1991
We report a case of lipodystrophia centrifugalis abdominalis infantilis in 24 month male. At age 18 months, his mother noticed a fairly well-defined depression of skin in the both inguinal and axillary area, which gradually spread centrifugally to the lower portion of abdomen and total inguinal and axillary region. The laboratory findings were unremarkable. Biopsy showed absense of subcutaneous fat in the affected area.