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Volume 36(5); May 1993
Medical Lecture Course
Recent Advances in Molecular Genetics of Pediatric Leukemias
Jong Jin Seo
J Korean Pediatr Soc. 1993;36(5):605-614.   Published online May 15, 1993
Original Articles
The Statistical Observations for Pediatric Inpatients (1971-1990)
Hwa Ja Kim, Yong Min Jung, Sang Kyu Park, Ho Jin Park, Mi Ja Shin, Suk Chul Kang
J Korean Pediatr Soc. 1993;36(5):615-625.   Published online May 15, 1993
We observed the patients admitted to the department of pediatrics Seoul Red Cross Hospital during the past twenty years from Jan. 1971 to Dec. 1990 The results were as follows: 1) The total number of pediatric inpatients during 20 years was 15,800, of which 9,683 were male, 6,117 were female and male to female ratio was 1.58:1 2) On age distribution, neonates and...
Detection of Cytomegalovirus DNA in Urine Culture Using Polymerase Chain Reaction
Young Mo Sohn, Won Young Lee
J Korean Pediatr Soc. 1993;36(5):626-633.   Published online May 15, 1993
Polymerase chain reaction(PCR) amplication was used to detect cytomegalovirus (CMV) in tissue culture from the ruine of newborns and patients who was suspected CMV infection. Synthetic oligonucleotide primer pairs were used to amplify DNA from the magor immediate-early and the phosphoprotein 150 genes of CMV AD 169. Amplified products were detected by gel electrophoresis and by dot-blot hybridization with oligonucleotide...
Clincal Observation on Guillain-Barré Syndrome in Children
In Cheol Park, In Seung Park, Jeh Hoon Shin, In Joon Seol, Ha Baik Lee
J Korean Pediatr Soc. 1993;36(5):634-642.   Published online May 15, 1993
Clinical observation was performed on 23 children with Guillain-Barré syndrome which were hospitalized at the Pediatric ward of Han Yang University Hospital, from July 1975 through May 1991. The results were as follows: 1)The ratio of male patient to female was 2.8:1 and 47.8% of total GBS patients were between the ages 1to 5 years. 2)The highest seasonal incidence of GBS was seen...
Comparative Evaluation of Biochemical and Microscopic Urinalysis in Pediatric
Hwa Jeong Lee, Soo Young Lim, Seung hee Mok, Heui Jeong Kwon, In Sil Lee
J Korean Pediatr Soc. 1993;36(5):643-649.   Published online May 15, 1993
The authors determined the value of performing urine microscopy on biochemically negative urine sepcimens in a pediatric population. The 746 urine specimens of patients who were either visited or admitted to the Department of Pediatrics, National Police Hospital, from March 1991 to July 1992 were reviewed on the basis of comparative evaluation of biochemical and microscopic urine analysis. Eight reactions...
Gastrofiberscopic Findings in Children Complaining of Upper Gatrointestinal Symptoms
Jeong Wan Seo
J Korean Pediatr Soc. 1993;36(5):649-655.   Published online May 15, 1993
A gastrofiberscopic evaluation was performed on 65 children complaining of upper gastrointestinal symptoms who visited the pediatric department of Hanil hospital from March 1991 to September 1992. Gastrofiberscopy was done without local anesthesia of pharynx and heavy sedation. To identify H. pylori infection, biopsy specimen was taken from the gastric antrum since Feb. 1992. The specimens were examined using the rapid...
The Change of Anti-HBs Titer after Hepatitis B Vaccination in Newborn According to Dosage and Time
Joon Young Lee, Yong Sik MIn, Chang hwi Kim, Sang Jhoo Lee
J Korean Pediatr Soc. 1993;36(5):656-663.   Published online May 15, 1993
We studied anti-HBs titer, positive and effective rate in relation to dosages(5, 10) and time interval after third vaccination in 23 infants born to HBsAg negative mother. The babies were divided into two groups. In one group(n=12), 5 of Hepavax was administered intramusculary at 1 month, 2 months and 6 months age, in other group (n=11), 10 of Hepavax at...
A Study of Serum and Spinal Fluid Enzyme Such as CPK and LDH as Predictors of Neurologic Disability Following Perinatal Asphyxia
Min Hye Kim, Hye Jin Lee, Gyoung Hee Kim
J Korean Pediatr Soc. 1993;36(5):664-670.   Published online May 15, 1993
Perinatal asphyxia is an insult to fetus or newborn due to lack of oxygen or perfusion to various organsm especially to brain, resulting in the important complication known as hypoxic inchemic encephalopathy. A clinical study was conducted on 30 newborns with perinatal asphyxia, who were admitted to Pediatric department of Ewha Women's University Hospital during 19 months period from Sep. 1990...
Clinical Observation of Neonatal Sepsis
Jin A Son, Soon Wha Kim, Don Hee Ahn, Keun Chan Sohn
J Korean Pediatr Soc. 1993;36(5):671-679.   Published online May 15, 1993
Ninety two cases of culture proved neonatal sepsis who had been admitted to pediatric department, National medical Center, during 7 years from Jan, 1984 to Dec, 1990 were reviewed clinically and the following results were obtained. 1) The frepuency of neonatal sepsis was 3.1% and male to female sex ratio was 1.9:1, Sepsis was more prevalent in prenature infants (9.9%) than...
A Clinical Study of Testicular Relapse in Childhood Acute Lymphocytic Leukemia
Hye Ok Roh, Chuhl Joo Lyu, Seung Hwan Oh, Chang Hyun Yang, Kir Young Kim, Byung Soo Kim
J Korean Pediatr Soc. 1993;36(5):680-686.   Published online May 15, 1993
From January 1984 to June 1991, we studied testicular relapsed patients among 105 cases of acute lymphocytic leukemia in children who were admitted to the Department of Pediatrics and Yonse Cancer Center, Yonsei University Severance Hospital. The results were as follows: 1) 15 out of 105(14.4%) cases of acute lymphocytic leukemia were diagnosed as testicular relapse. According to the prevalence by the...
A Prospective Study of Totally Implanted Venous Access System in 19 Children with Cancer
Kyung Duk Park, Eun Sil Dong, Seong Hoon Ha, Hong Hoe Koo, Hee Young Shin, Hyo Seop Ahn, Seong Eun Jun, Gui Won Park
J Korean Pediatr Soc. 1993;36(5):687-692.   Published online May 15, 1993
A totally implanted venous access system was inserted in 19 children with cancer. The devices were utilized for the administration of antineoplastic drug, parenteral fluids, antibiotics, and blood products. Total duration of implantation was 4,046 days for 23 implanted system (range 7-445 days). Complications included cather infection (0.247/100 catheter day), occlusion (0.692/100 catheter days), and dislodgement of needle (0.643/100 catheter...
Periventricular Leukomalacia -Ultrasonographic Findings, Risk Factors and Neurological Outcome-
Kyeong Hee Cho, Myoung Jae Chey, Sejung Sohn, Kil Hyun Kim, Hak Soo Lee, Young Seok Lee, Dae Joong Kim
J Korean Pediatr Soc. 1993;36(5):693-704.   Published online May 15, 1993
The thirty eight newborn infants with periventricular leukomalacia who were admitted to the neonatal intensive care unit of Gil General Hospital from March 1, 1988 to June 30, 1991, were investigated for ultrasonographic findings, risk factors and neurological outcome. The results were as follows: 1) There were 38 cases of PVL including 21 echogenic flarings and 17 cystic PVL뭩. 2) Mean birth weight...
Blood Pressure Measurement of School-Aged Children in Goesan
Seong Hoon Hah
J Korean Pediatr Soc. 1993;36(5):705-713.   Published online May 15, 1993
Since clinical significance of blood pressure level in childhood has been known, a several studies for the purpose of establishing normal blood pressure referce values in Korean school-aged children were performed. The author of this article measured normal blood pressure values for children in an elementary school, and two middle schools of Korean rural area using mercury sphygmomanometer. The results...
Growth Outcome in Congenital Hypothyroidism
Mi Jung Park, Ho Seong Kim, Duk Hi Kim
J Korean Pediatr Soc. 1993;36(5):713-720.   Published online May 15, 1993
Congenital hypothyroidism is one of the most common endocrine disease in childhood and it causes not only mental retardation but also growth retardation. There were many papers about evaluation of developmental outcome in congenital hypothyroidism, The aim of this study was to evaluate growth outcome in congenital hypothyroidism. We evaluated 65 patients with congenital hypothyroidism diagnosed at yonsei University College...
Bilateral Torsion of the Testes in a Newborn Infant
Eun Sook Kim, Hang Mi Kim, Song Kwang Jung
J Korean Pediatr Soc. 1993;36(5):721-724.   Published online May 15, 1993
We report one case of bilateral testicular torsion. A 4000 gm male infant, born by cesarean section due to induction failure at 42 weeks gestation, was hospitalized at 9 days of age secondary to bilateral testicular mass. Physical examination revealed an healthy baby with enlarged, firm, nontender mass on both sides of the scrotum. Transillumination of the mass shwed no transmission...
Case Reports
Three Cases of Purpura Fulminans
Sun Hee Suh, Hwang Min Kim, Jae Seung Yang, Baek Keun Lim
J Korean Pediatr Soc. 1993;36(5):725-732.   Published online May 15, 1993
Purpura fulminans is one of rare consumptive coagulopathy in children. The most common prediasposing conditions of purpura fulminans are infectious disease like streptococcal infection and chickenpox. This disease is characterized by ecchymotic lesions that are usually distributed symmetrically on the lower extremities and buttocks. These ecchymotic lesions undergo necrosis, unless there is effective treatment. We experienced 3 cases of purpura fulminans...
A Case of Congenital Tricuspid Stenosis
Chan Uhng Joo, Soo Young Cho, Soo Chul Cho
J Korean Pediatr Soc. 1993;36(5):733-736.   Published online May 15, 1993
Congenital tricuspid stenosis is ancommon congenital heart anomaly. Tricuspid stenosis is usually associated with other anomalies, most commonly severe pulmonary stenosis or atresia with secondary hypoplasia of the right ventricle. Clinically it may be difficult to distinguish from tricuspid atresia. A case of congenital tricuspid stenosis in a 32 day-old-girl is presented. The patient had cyanosis and dyspnea. Echocardiographic study revealed...
A Case of Fanconi Syndrome
Young Woon Lee, In Seok Lim, Chul Ha Kim
J Korean Pediatr Soc. 1993;36(5):737-442.   Published online May 15, 1993
Fanconi syndrome is a complex of renal tubular dysfunction defined by glycosuria without diabetes, generalized aminoaciduria, phosphaturia, bicarbonaturia, uric aciduria, and renal tubular acidosis. It is often associated with hypokalemia, hypophosphatemia, rickets and osteomalacia. We have experienced one case of Fanconi syndrome with chronic tubulointerstitial nephritis. The patient was a 4 year and boy and his chief complaints were polyruia, polydipsia,...
A Case of Rett Syndrome
Kim Hye Soon, Lee Keun
J Korean Pediatr Soc. 1993;36(5):743-747.   Published online May 15, 1993
Rett syndrome is a newly characterized developmental disorder that affect girls exclusively. These gils are born clinically normal, but their psychomotor development stagnates and deteriorates between the age of 6 months and 2 years. The full syndrome compriseslaquired microcephaly, severe dementia, autism, loss of purposeul use of the hands, characteristic hand-wringing sterotypes, jerky ataxia of the trunk epilepsy with various types...
Clinical Lecture
Sinusitis
Seung Hee Oh
J Korean Pediatr Soc. 1993;36(5):748-751.   Published online May 15, 1993