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Volume 32(12); Dec 1989
Original Articles
The Collaborative Clinical Analysis of 985 Cases of Rheumatic Fever and Rheumatic Carditis in Children for 10 Years(1978~1987) in Korea.
Sung Ho Cha, Sang Young Jeong, Du Bong Lee, Kyong Su Lee, Sang Bum Lee, Tae Chan Kwon, Young Chang Tockgo, Chang Sung Sohn, Keun Chan Sohn, Young Jin Hong, Chan Young Kim, Chang Yee Hong, Yong Soo Yun, Jung Yun Choi, Chang Hwi Kim, Chul Ho Kim, Tae Ju Hwang, Jae Suk Ma, Chan Uhul Joo, Kyoo Hwan Rhee, Hahng Lee
J Korean Pediatr Soc. 1989;32(12):1621-1631.   Published online December 31, 1989
Acute rheumatic fever and rheumatic carditis were still important disease of the acquired heart disease in children and adults, in spite of improving socioeconomic status in Korea. Recently, many outbreaks of acute rheumatic fever have been reported in the papers from developed countries. We should be aware of such outbreaks of acute rheumatic fever and should pay attention to their treatment of the patients...
Study on the Temperature Measurement in the Newborn Infants.
Eun Saing Jee, Young Pyo Chang, Jung Hwan Choi, Chong Ku Yun, Yong Ran Kim, Myoung Sook Lee
J Korean Pediatr Soc. 1989;32(12):1632-1636.   Published online December 31, 1989
We measured body temperatures and stabilization times of 100 term and 52 preterm infants at four sites. The sites were core, aural, rectal and axilla in order of degree of temperature. There was significant difference between term and preterm infants (term infant higher, p<0.001). Mean difference between axillary and rectal temperatures was 0.501C(rectal higher). Mean difference between rectal and core temperatures was 0.10lC(core higher)....
Glucose Disappearance Rates in Neonates.
Won Mo Yang, Wea Kyung Shin, Whang Min Kim, Back Keun Lim, Jong Soo Kim
J Korean Pediatr Soc. 1989;32(12):1637-1641.   Published online December 31, 1989
We measured the glucose diappearance rate(Kt) in 24 normal neonates and in 19 ill neonates by intravenous glucose tolerance test. The results were as follows: 1) The glucose disappearance rate of 2-day-old normal neonates was 1.59±0.8%/min. 2) The glucose disappearance rate of ill neonates who had negative culture studies was 2.08±l. 4%/min. 3) There was no significant difference in glucose disappearance rate between normal neonates and ill neonates who had...
Factors Associated with Pneumothorax in Hyaline Membrane Disease In fants Receiving Mechanical Ventilation.
Oh Kyung Lee, Kyung Hee Kim, Kyu Sun Choi, Wan Seoub Kim
J Korean Pediatr Soc. 1989;32(12):1642-1649.   Published online December 31, 1989
We observed 42 cases of neonates, who were diagnosed as having Hyaline membrane disease and had been received mechanical ventilation in neonatal intensive care unit of Presbyterian medical center from July 1984 to July 1988. In order to observe the factors associated with pneumothorax, we devide these cases in two groups. First group was consists of infants with pneumothorax, second group was consists of...
The Transfer of IgG-Subclasses From Mother to Fetus in the Korean Population.
Goo Sang Kim, Sang Il Lee, Ka Young Chang, Kwang Ho Lee
J Korean Pediatr Soc. 1989;32(12):1650-1660.   Published online December 31, 1989
Normal IgG is now divided into four subclasses; IgGl, IgG2, IgG3 and IgG4. Each subclass has its unique characteristics. The different subclass compositions of antibodies are raised in humans against different immunogenic materials such as vaccinations or microoraganisms. All the IgG subclasses are reported to be transferable from mother to fetus through the placenta, but there have been some controversies in case of IgG2. For...
A Clinical Study of Methicillin Resistant Staphylococcus Aureus.
Young Mok Hwang, Jae Youn Kim, Soon Wha Kim, Myoung Ik Lee, Keun Chan Sohn, Kyeung Eun Jung
J Korean Pediatr Soc. 1989;32(12):1661-1668.   Published online December 31, 1989
We studied about antimicrobial susceptibilities of MRSA and isolation rate of MRSA according to culture site among 656 Staphylococcus aureuses which were isolated from various specimens of admitted patients and out-patients in pediatric departmet of National Medical Center during the period from July, 1983 to June, 1988, and clinical observation of 32 invasive infections caused by either MSSA or MRSA was performed. The results were...
Clinical Studies on Bronchiectasis in Children.
Hye Sook Lee, Byeung Ju Jeong, Kyu Earn Kim, Ki Young Lee
J Korean Pediatr Soc. 1989;32(12):1669-1677.   Published online December 31, 1989
Clinical data and findings of 22 cases of bronchiectasis in children which were confirmed by bronchogram and treated at Yonsei University Hospital during the period of January 1980 to January 1987 were riewed. The results were briefly summarized as follows; 1) Bronchiectasis was seen most frequently within the age group of 6〜 10 year (54.5%) and 72.7% of all patients were under 10 years of age. 2) Identifiable...
The Anatomy of Pulmonary Artery Determined by Angiography in Ventricular Septal Defect and Pulmonary Atresia.
Jung Yun Choi, Young Hwue Kim, Yong Soo Yun
J Korean Pediatr Soc. 1989;32(12):1678-1685.   Published online December 31, 1989
Thirty seven cases of ventricular septal defect and pulmonary atresia in normally connected heart, diagnosed at Seoul National University Children’s Hospital from October 1987 to May 1989 were studied to determine the source of pulmonary blood flow, pulmonary artery anatomy and their sequential changes. Also was studied the relationship between major aortopulmonary collateral artery (MAPCA) and intra parenchymal pulmonary arteries and central pulmonary artery...
A Clinicostatistical Study of Congenital Digestive tract Anomalies.
Young Ok Park, Ju Hwi Kim, Young Wook Kim, Ki Bok Kim
J Korean Pediatr Soc. 1989;32(12):1686-1705.   Published online December 31, 1989
A clinicostatistical review was performed on 151 patients of congenital digestive tract anomalies in infants and children diagnosed and treated at the Department of Pediatrics and Surgery of Kwangju Christian Hospital from January, 1983 to June, 1988. The results are summarized as follows: 1) The most frequently encountered congenital anomaly of the digestive tract was congenital hypertrophic pyloric stenosis with 41 cases(25.9%), followed by obstruction of...
A Clinical Study of Infants and Children with Urinary Tract Infection.
Hyoung Doo Lee, Chan Yung Kim
J Korean Pediatr Soc. 1989;32(12):1706-1714.   Published online December 31, 1989
Clinical, bacteriologic and radiologic studies were performed in 63 infants and children with urinary tract infection who were admitted to Department of Padiatrics, Pusan National University Hospital from March 1982 to February 1988. The results were summarized as follows: 1) UTI was more prevalent in infancy and early childhood (71.4%). Sex distribution was similar in all age group, and male was more prevalent in infancy and...
Serum Ribounclease Activity in Patients with Leukemia and Chromatographic Isolation of the Enzyme.
Young Suk Koh, Keun Lee
J Korean Pediatr Soc. 1989;32(12):1715-1725.   Published online December 31, 1989
In order to find out the possibility for using serum ribonuclease (RNase) activity as diagnostic and therapeutic markers for leukemia, serum neutral, acid and alkaline RNase activities were determined in patients with acute lymphocytic leukemia (ALL) before and after anticancer therapy and in patients with acute myelogenous leukemia (AML). Also, serum RNases (neutral, acid and alkaline (RNase)and proteins were analyzed by column...
2 Cases of Intracranial Hemorrhae due to Late Hemorrhagic Disease of Infancy due to Vitamin K Deficiency.
Bong Hyune Chung, Hee Jung Seo, Young Hee You, Hyung Sook Lee
J Korean Pediatr Soc. 1989;32(12):1726-1731.   Published online December 31, 1989
A clinical study was done on 2 cases under the diagnosis of late hemorrhagic disease of infancy due to Vitamin K dependent factor deficiency. The following results were obtained. The disorder occured most frequently during early infancy (40 days of age & 2 months of age) with male predominance (2 cases all are male). G-I tract, skin, CNS were the most common site...
Citrobacter Freundii Meningitis in A Newborn.
Sang Yun Ahn, Yong Joo Kim, Seung Hee Oh, Soo Jee Moon
J Korean Pediatr Soc. 1989;32(12):1732-1735.   Published online December 31, 1989
Citrobacter freundii have been reported infrequently as a cause of meningitis. And, among bacteria that cause meningitis, Citrobacter is unique in its propensity to produced brain abscess. But the pathogenesis of Citrobacter meningitis and brain abscess in humans is unknown. The high prevalance of brain abscess in infants with Citrobacter meningitis mandates cranial computed tomography in every case. The morbidity and mortality rates associated with...
A Case of Rickettsia Typhi.
Deuk Hwan Jun, Sang Joo Han, Bae Young Kim, Won Il Park, Kyung Ja Lee
J Korean Pediatr Soc. 1989;32(12):1736-1739.   Published online December 31, 1989
We experienced one case of rickettsia typhi. This 6 years old male was admitted to Sacred Heart Hospital because of fever, Headache and myalgia for 10 days. Physical examination showed him to have injection of throat, dry lips with no skin rash. In the laboratory findings, the CSF showed cell count 22/mm3and suger and protein were with in normal limit. In peripheral blood smear, moderate left...
A Case of Measles Hepatitis.
Sang Hoo Lee, Gae Soon Yeo, Sun Bock Suh, Moo Young Oh, Soon Yong Lee
J Korean Pediatr Soc. 1989;32(12):1740-1743.   Published online December 31, 1989
In the pediatric age, hepatitis has rarely been recognized as a complication of measles infection. We have experienced a case of hepatitis in a 6-year-old boy with prominent clinical features of measles. A brief review of literatures was made.
A Case of Acute Rhenmatic Fever Associated with Acute Poststreptococcal Glomerulonepheitis.
Ho Kyung Choi, Dong Seok Choi, Jae Ho Lee, Young Hun Chung, Hyon Soon Lee
J Korean Pediatr Soc. 1989;32(12):1744-1748.   Published online December 31, 1989
A case of acute glomerulonephritis in association with acute rheumatic fever was presented. The patient rheumatic arthritis and carditis with mitral insufficiency, who had been diagnosed as acute poststreptococcal glomeruoonephritis with non-oliguric renal failure with renal biopsy and laboratory findings. The patient was treated, and symptom and sign were improved.
A Case of Congenital Anterior Urethral Valve.
Chang Ok Soh, Min Seop Song, Woo Yeong Chung, Soon Young Lee
J Korean Pediatr Soc. 1989;32(12):1749-1751.   Published online December 31, 1989
We experienced a case of congenital anterior urethral valve in a 13-month old male child. He had recurrent fever and urinary dribbling. The diagnosis was based on radiologic and cystoscopic findings, and excision of the valve with suprapubic cystostomy was performed. A review of literatures was also presented briefly.
A Case of Hydranencephaly.
Min Cheol Kim, Moon Ja Park, Kong Sik Kim, Kyeong Rae Moon, Yeong Bong Park
J Korean Pediatr Soc. 1989;32(12):1752-1756.   Published online December 31, 1989
Hydranencephaly is congenital absence of the cerebral hemispheres, which are replaced by a large, fluid-filled cavity. The brain stem and basal ganglia are well formed, and rudients of frontal & occipital cortex may be present. We experienced a cases of hydranencephaly in a 6 month-old male infant who had not haven visual following and head control. We diagnosed it through the evaluation of clinical features,...
A Case of Mixed Gonadal Dysgenesis.
Byung Ran Yun, Jae Il Sohn, Sei Won Yang, Hyung Ro Moon, Je Geun Chi
J Korean Pediatr Soc. 1989;32(12):1757-1762.   Published online December 31, 1989
Mixed gonadal dysenesis is a disorder of sexual differentiation which is characterized by streak gonad associated with contralateral tesis, persistent Mullerian duct structures and/or sex chromosomal mosaicism most commonly with 45, X/46, XY. The authors experienced a case of mixed gonadal dysgensis in a 6-year old child who was reared as female and admitted due to clitoral enlargement. The patient had asymmetrical gonads consisted with...
The Right of Ingeritance and Family Name of Embryo by Artificial Conception (44).
Gook Jin Moon
J Korean Pediatr Soc. 1989;32(12):1763-1764.   Published online December 31, 1989
Medical Common Sense
A Criteria for Calculation of Hospital Rate for the Health Insurance (44).
Chong Kil Lee
J Korean Pediatr Soc. 1989;32(12):1765-1766.   Published online December 31, 1989