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Volume 44(4); Apr 2001
Clinical Lecture
Usefulness of EEG in Children
Baik-Lin Eun
J Korean Pediatr Soc. 2001;44(4):367-374.   Published online April 15, 2001
Original Articles
MMR Immunization Rate and Related Factors - Findings from Repeated Surveys(1996, 1999) on Elementary School Students in Kyonggi Province, Korea -
Moran Ki, Moynghee Kim, Young-Jeon Shin, Boyoul Choi
J Korean Pediatr Soc. 2001;44(4):375-388.   Published online April 15, 2001
Purpose : This study was carried out to obtain the immunization rate of MMR, and to know the related factors. Methods : Subjects of the study were 3,364 students of 8 elementary schools of Kyonggi province. Surveys accompanied with questionnaires were conducted in 1996 and 1999, respectively. Results : The salient features of the findings were as follows : The immunization rate...
A Survey on the Factors of Breast Feeding Failure Related to the Role of Medical Personnels
Min Jung Cho, Cheong Mi Cheon, Jeong Kyung Seo, Son Moon Shin
J Korean Pediatr Soc. 2001;44(4):389-396.   Published online April 15, 2001
Purpose : The reasons for breast feeding failure within the first month of birth were related to inappropriate handling of problems in breast feeding. We investigated common reasons for the failure during the neonatal period and assessed medical personnels` attempts to solve them. Methods : We conducted a survey with a prepared questionnaire on one-hundred-twenty mothers who failed in breast feeding...
The Effect of rhG-CSF and rhGM-CSF on Expression of Fcγ Receptors and β2 Integrin and Respiratory Burst Function in Human Granulocytes
Kyung Hyo Kim, Kyung Ha Ryu, Moon Kook Park
J Korean Pediatr Soc. 2001;44(4):397-404.   Published online April 15, 2001
Purpose : Receptors for the Fc of IgG(FcγR) and a β2 integrin molecule, CD11c/CD18 are important in clearance of microbes by granulocytes. We performed an in vitro study on the effect of recombinant human granulocyte colony-stimulating factor(rhG-CSF), or granulocyte-macrophage colony-stimulating factor(rhGM-CSF) on the expression of FcγR II, FcγR III, CD11c and CD18 and respiratory burst function of granulocytes. Methods : Peripheral...
Antibody Levels and Opsonophagocytic Function to S. pneumoniae 19F Capsular Polysaccharide
Kyung Hyo Kim, Ju Young Seoh, Moon Kook Park
J Korean Pediatr Soc. 2001;44(4):405-412.   Published online April 15, 2001
Purpose : The increasing prominence of pneumococcal infections and of antimicrobial resistance has emphasized the need for a effective vaccine to reduce the risk of pneumococcal disease in childhood. To study the antibody response of pneumococcal vaccine, we compared the concentration and opsonophagocytic capacity of antibodies to the capsular polysaccharide of S. pneumoniae serotype 19F in sera from healthy adults...
The Weaning Method of Inhaled Nitric Oxide
Hyun Woo Lee, Jae Woong Lee, Sung Yeul Hyun, Ha Chang Lee, Chul Hyun Park, Kook Yang Park, Hyeon Su Yoo, Kyung Cheon Lee, Young Jin Jang
J Korean Pediatr Soc. 2001;44(4):413-417.   Published online April 15, 2001
Purpose : Inhaled nitric oxide(iNO) is an excellent method for the postoperative pulmonary hypertension in congenital heart disease. But more detailed care is needed because of the development of rebound pulmonary hypertension after NO withdrawal. We performed this study in order to discontinue the iNO successfully by way of presenting the adequate weaning and supplying methods. Methods : Between January, 1998...
Ventricular Inhomogeneity and Beat-to-beat QT Interval Variability after Surgical Repair of Tetralogy of Fallot
Su-Hyun Kim, Myung-Kul Yum, Nam-Su Kim, Chang-Ryul Kim, Chul-Burm Lee, Chung-Ill Noh, Hee-Soo Kim
J Korean Pediatr Soc. 2001;44(4):418-425.   Published online April 15, 2001
Purpose : The object of this study is to determine whether QT interval variability in patients with postoperative tetralogy of Fallot increases. Methods : We enrolled 41 patients who had total correction of tetralogy of Fallot, and 31 healthy controls. They were 6-12 years old. Patients were divided into 2 groups : arrhythmia-positive patients(n=10) who had ventricular premature contractions more than...
Significance between Ultrasonographic and Operative Findings in Hypertrophic Pyloric Stenosis
Jun Ho Kim, Woo Taek Kim, Byeong Ook Jung
J Korean Pediatr Soc. 2001;44(4):426-432.   Published online April 15, 2001
Purpose : The diagnosis of hypertrophic pyloric stenosis(HPS) can be made by clinical manifestations and upper gastrointestinal(UGI) series in most cases. Recently, the ultrasonogram(US) is a more accurate and reliable method for the diagnosis of HPS in early stage. Methods : We retrospectively studied 27 HPS patients confirmed surgically from January 1999 to March 2000. We reviewed clinical histories and physical and laboratory findings....
Experssion of the NR2A and 2B Subunits of N-Methyl-D-aspartate Receptors in Hypoxic Neonatal Rat Hippocampus
Jong Su Lee, Dong Seok Lee, Jung hyun Park, Il Soo Moon, Bok Hyun Ko, Yong Wook Jung
J Korean Pediatr Soc. 2001;44(4):433-442.   Published online April 15, 2001
Purpose : The developing brain has been reported to be extremely susceptible to toxicity of ischemia and/or hypoxia during a restriced developmental period. Hippocampal neuronal cell death is a typical type of perinatal hypoxic brain lesion and often coexists with other forms of cerebral hypoxic injuries. In the present study, we examined whether transcriptional changes of NR2A and NR2B subunits...
Clinical Characteristics of Williams Syndrome
Choong Ho Shin, Ho Sung Kim, Sei Won Yang, Jung Yun Choi
J Korean Pediatr Soc. 2001;44(4):443-449.   Published online April 15, 2001
Purpose : Williams syndrome(WS) is an autosomal dominant disorder resulting from a submicroscopic deletion of contiguous genes on the long arm of chromosome 7. We evaluated the physical, neurodevelopmental, and behavioral characteristics of children and adults with WS confirmed by fluorescence in situ hybridization. Methods : The clinically suspicious twelve cases with cardiac anomaly were confirmed as WS with fluorescence in...
Clinical Evaluation of Hypoglycemic Symptoms Reported by Children with Insulin-dependent Diabetes Mellitus and by Their Parents
Byeong Eul Lee, Hwa Young Park, Cheong Mi Cheon, Eun Kyeong Kwon, Seung Mee Song, Jung Sim Kim, Dong Kyu Jin
J Korean Pediatr Soc. 2001;44(4):450-455.   Published online April 15, 2001
Purpose : The following study has been carried out to find the symptoms of hypoglycemia and the symptoms of transient focal neurologic deficit, which were complained by insulin dependent diabetes mellitus patients and their parents. Methods : The subjects of this study were 16 insulin dependent diabetic patients who were admitted to the pediatric department of Samsung Medical Center. From the...
Case Reports
A Case of Polyarteritis Nodosa in Childhood
Jung Ho Seo, Dong Soo Kim, Myung Joon Kim
J Korean Pediatr Soc. 2001;44(4):456-459.   Published online April 15, 2001
Polyarteritis nodosa(PAN) is a multisystemic disease primarily involving the small and medium- sized vessels. Prognosis depends on the presence and severity of visceral involvement. Gastrointestinal involvement in PAN may result in vague abdominal pain, nausea and melena. Angiography can be used to establish a diagnosis of PAN. We report a case of polyarteritis nodosa presenting with recurrent abdominal pain, melena...
A Case of Congenital Chylothorax in a Premature Infant
Su Kyeong Oh, Young Hye Jeong, Youn Jee Choi, Soon Ok Byun, Ji Sub Oh
J Korean Pediatr Soc. 2001;44(4):460-463.   Published online April 15, 2001
We experienced a case of isolated fetal pleural effusion diagnosed by antenatal ultrasonogram in the 33th week of gestational age. Chest PA at birth showed massive pleural effusion in both lungs. The serous pleural fluid changed to a milky nature after feeding so we diagnosed it as congenital chylothorax. The infant was managed by chest tube drainage, NPO & TPN...
A Case of Acute Renal Failure Associated with Tsutsugamushi Disease
Jin Hee Hong, Jin Hee Oho, Jong Hyun Kim, Dae Kyun Kho
J Korean Pediatr Soc. 2001;44(4):464-468.   Published online April 15, 2001
Tsutsugamushi disease is acute febrile illness, transmitted by Rickettsia tsutsugamushi. R. tsutusgamushi invade and proliferate in the endothelial cells of small blood vessels. Destruction of endothelial cells occurs from the proliferation of the organism and eventual disruption, and thus vascular rich organs must be carefully examined such as the kidney, lung, heart, liver. Recently we experienced a case of acute...
A Case of Maple Syrup Urine Disease Associated with Acrodermatitis Enteropathica-like Syndrome Due to Iisoleucine Deficinecy During Diet Therapy
Ki Hyang Moon, Oh Sook Gwon, Jung Im Lee, Seong Woo Rho, Seong Sook Jeon, Son Sang Seo
J Korean Pediatr Soc. 2001;44(4):469-474.   Published online April 15, 2001
Maple syrup urine disease(MSUD) is an autosomal recessive disorder involving the metabolism of the branched-chain amino acids(BCAA) such as leucine, isoleucine and valine. The disorder is due to a defect in branched-chain α-ketoacid dehydrogenase(BCKAD) and the classic form causes rapid progressive and overwhelming illness beginning in the first weeks of life, present with poor feeding, lethargy, change in muscle tone,...
A Case of de novo Interstitial Deletion of 17 Chromosome
Kyung Hee Yoon, Hee Cheol Lee, Ai Rhan Kim, Ki Soo Kim, Soo Young Pi, Eul Ju Seo, Han Wook Yoo
J Korean Pediatr Soc. 2001;44(4):475-479.   Published online April 15, 2001
This is the first reported case of a unique interstitial deletion involving the long arm of chromosome 17 in a Korean male infant born to parents with normal karyotype. The patient presented with multiple congenital malformations suggestive of chromosomal anomaly including round face, upslanted palpebral fissure, hypertelorism, posteriorly rotated low set ear, micrognathia, microcephaly, finger- like thumb, bilateral hearing loss,...