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Volume 33(11); Nov 1990
Original Articles
Bacillary Dysentery.
Doo Hong Ahn
J Korean Pediatr Soc. 1990;33(11):1467-1478.   Published online November 30, 1990
Statistical Survey on Pediatric patients admitted to Kwangju Christian Hospital during 5 years.
Song Nyeon Choi, Young Hee Chung, Young Wook Kim, Ki Bok Kim
J Korean Pediatr Soc. 1990;33(11):1479-1488.   Published online November 30, 1990
We made a statistical survey on the patients admitted to the Department of Pediatrics of Kwangju Christian Hospital during the past 5 years from Jan. 1984 to Dec. 1988 The results were as follows: 1) The pediatric inpatients during the period totaled 16,119, of which 10,020 were male, with the sex ratio being 1.6:1. 2) Pediatric patients amounted to 17.8% of all admission cases of Kwangju Christian...
Clinical Obervation in 40 Cases with Neonatal Sepsis.
Jung Hee Lee, Jae Jin Park, In Kyung Sung, Byung Churl Lee
J Korean Pediatr Soc. 1990;33(11):1489-1494.   Published online November 30, 1990
Sepsis is still one of major causes of mortality and morbidity in neonatal period and early diagnosis and appropriate treatment for neonatal sepsis is difficult due to its vague clinical manifestation and rapid progress. An analysis of 40 cases of neonatal sepsis confirmed by clinical manifestation and blood cultures from Jan. 1986 to Dec. 1989 at nursery of St. Mary’s Hospital of Catholic University...
A Clinical Study on Neonatal Polycythemia.
Gyu Ja Jeong, Hye Jin Lee, Yaung Sook Choi, Son Sang Seo
J Korean Pediatr Soc. 1990;33(11):1495-1502.   Published online November 30, 1990
We observed 34 cases of newborn, who were diagnosed as having polycythemia, out of 3,312 newborns who were admitted to our nursery between January 1, 1989 and December 31, 1987. The following results were obtained; 1) The incidence of neonatal polycythemia was 1% and male to female ratio was 1.8:1. The birth weight of 2000 g to 2500 g was the most common (35.3%). 2) Gestational age...
Clinical Study of Umbilical Vessel Catheterization in Newborn Infants.
Dae Shik Kim, Kook In Park, Ran Namgung, Chul Lee, Dong Gwan Han
J Korean Pediatr Soc. 1990;33(11):1503-1509.   Published online November 30, 1990
Umbilical vessel catheterization has become a common procedure in critically ill newborn infants. We studied the usefulness and complications of indwelling umbilical vessel catheters in 164 patients who were admitted to the neonatal intensive care unit of the Department of Pediatrics, Yonsei University Hospital from January 1985 to December 1988. The results were as follows: 1) Their birth weights ranged from 650 to 3,800 gm, and...
Measles in Previously Vaccinated Children during Measles Epidemics.
Hwan Gyu Park, Jeong Wan Yoo, Soh Yeon Kim, Young Mo Shon, Sung Kyu Lee, Kyung Soon Song
J Korean Pediatr Soc. 1990;33(11):1510-1515.   Published online November 30, 1990
A clinical study was made on 98 cases of measles patients admitted to YoungDong Severance Hospital during the period of 7 months from June to December 1989. The patients with measles were evaluated for presence of measles specific IgM antibody in serum, clinical symptom and vaccination history. We obtained the following results: 1) Out of 98 patients, 62 patients (63.3%) were vaccinated children and 36 patients...
Prolonged Fever in Korean Children: Review of 120 Cases.
Ho Seong Kim, Dong Goo Lee, Dong Soo Kim
J Korean Pediatr Soc. 1990;33(11):1516-1525.   Published online November 30, 1990
The authors reviewed the 120 patients with prolonged fever whose temperature was over 38.5°C and of undetermined etiology, who were admitted in Y야isei Medical Center from March 1982 to March 1989. The results were as follows; 1) The children admitted with prolonged fever were 0.3% of total in-patients at the same time. 2) 20 cases were less than 1 year of age on admission and 39...
Clinical Study of Chest Pain in Children.
Jeong Ho Kim, Han Ku Moon, Jin Gon Jun
J Korean Pediatr Soc. 1990;33(11):1526-1532.   Published online November 30, 1990
Clinical study was performed prospectively on 63 cases of chest pain who had been visited to Department of Pediatrics, College of Medicine, Yeungnam University during the period of three years from March, 1987 to February, 1990. The results were as follows: 1) Chest pain was most common in the age group of 10 to 12 years old as whole and the ratio of male to female...
Echocardiographic Evaluation of Sequential Change of Cardiac Function in Normal Neonates.
Ji In Park, Chul Ha Kim, Byoung Hoon Yoo
J Korean Pediatr Soc. 1990;33(11):1533-1539.   Published online November 30, 1990
Echocardigraphy was done on the first and the second day of life in 23 normal full term newborns to evaluate the sequential change of cardiac function of the normal neonates. The results were as follows. 1) On the first day of life, all of the measurements of diastolic filling except peak A velocity were significantly different when the right and left ventricle were compared. For...
Cardiac Tumor in Children.
Eun Jung Bae, Young Hwue Kim, Jung Yun Choi, Yong Seung Hwang, Hyo Seop Ahn, Yong Soo Yun
J Korean Pediatr Soc. 1990;33(11):1540-1547.   Published online November 30, 1990
Primary cardiac tumor is very rare and has been a medical curiosity but is potentially curable by current management with improvements of the imaging apparatus and the surgical technique. Metastatic cardiac tumor is also very rare and is more difficult to diagnose than primary ones because of lack of specific symptoms. Twelve cases of cardiac tumor, collected from 1978 to 1989 at the Department...
A Study of Ultrasonographic findings in Children with Gastrointestinal Symptoms.
Dong Lag Choi, Kwang Sup Kim, Jong Wang Kim, Duk Kyu Kim, Kwang Nam Kim, Ki Yang Ryoo, Hyo Keun Lim
J Korean Pediatr Soc. 1990;33(11):1548-1556.   Published online November 30, 1990
We analyzed retrospectively the sonographic findings in 162 children who accompanied with gastrointes- tinal symptoms and performed the comparative analysis of the clinico-pathologic findings to sonographic findings from Jan. 1988 to July 1989. The most frequent symptom was abdominal pain (79.6%). The clinical impression prior to ultrasonography were acute appendicitis (34%), mesenteric lymphadenitis (10.4%), hyper- trophic pyloric stenosis (5%) in order. Positive cases in...
Incidence of Exercise-Induced Asthma in One Elementary School Children.
Eung Won Park, Dong Uk Kim, Won Ho Choi, Kwang Woo Kim
J Korean Pediatr Soc. 1990;33(11):1557-1561.   Published online November 30, 1990
This study was conducted to find out the incidence of exercise-induced asthma in pediatric population at Pohang in Korea. We selected an elementary school near pohang. The total number of the elementary school children except who was ill at that time, was 631. They all took pulmonary function test with Wright’s Peak Flow Meter before and after exercise. The study was done from 21st...
A Case of Conjoined Twins.
Hyun Joo Choi, Eun Sil Kim, In Sang Jeon, Myung Chul Cho, Kwang Jeon Kim, Nae In Lim
J Korean Pediatr Soc. 1990;33(11):1562-1566.   Published online November 30, 1990
Conjoined twins is known to be very rare and to have various anatomical unions. We have experienced a case of conjoined twins which was delivered by elective Caesarian section. A case of thoracoventropagus conjoined twins is presented with brief review of literature.
A Case of Crohn's Disease.
Suk Min Choi, Myeong Ku Cho, Sang Man Shin, Sang Jhoo Lee
J Korean Pediatr Soc. 1990;33(11):1567-1573.   Published online November 30, 1990
Crohn’s disease is a chronic inflammatory disease, which may affect any area of the gastrontestinal tract from mouth to anus. The etiology is not clearly defined and rather uncertain. The incidence of the disease is geogra- phically unequal in world wide distribution. Male and female are equally involved. We experienced a case of CrohnDisease in 13 year old male child who complained abdominal pain, anorexia...
A Case of Cloacal Exstrophy.
Kyung Hwan Oh, Joon Soo Park, Hak Joo Cha, Sang Jhoo Lee
J Korean Pediatr Soc. 1990;33(11):1574-1578.   Published online November 30, 1990
Cloacal exstrophy is a rare congenital anomaly. This anomaly results from failure of cloacal cpntatinn with the persistence of ? into which ilpiiir* and a rndirnAntary hind gut open. We have experienced in a 1-day old male neonate a typical case of cloacal exstrophy associated with omphalocele, genital anomaly, imperforated anus, meningocele, spina bifida, widely separated symphysis and equinovarus. A brief review of related literatures was made.
A Case of Interrupted Aortic Arch.
Yeong Sook Kang, Sun Hee Jung, Tae Chan Kwon, Chin Moo Kang, Seok Kil Zeon, Kwang Sook Lee, Yeong Sun Yoo
J Korean Pediatr Soc. 1990;33(11):1579-1585.   Published online November 30, 1990
Interrupted aortic arch is a congenital anomaly in which discontinuity is present between ascending and descending aorta, and is associated frequently with ventricular septal defect and patent ductus arteriosus. Authors experienced a case of interrupted aortic arch in a 4 year old boy associated with a ventriculalr septal defect and patent ductus arteriosus. Diagnostic confirmation was made by 2-D echocardiography, cardiac cathetrization and angiogra- phy. Direct closure...
A Case of MELAS Syndrome.
Ki Joong Kim, Yong Seung Hwang, Young In Choi, Sung Hye Park, Je Geun Chi
J Korean Pediatr Soc. 1990;33(11):1586-1592.   Published online November 30, 1990
MELAS (mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like episode) syndrome is a rare but clinicopathologically distinctive mitochondrial disorder. We experienced a case of MELAS syndrnmp in A 11 year-old girl who showed repeated attacks of stroke-like episodes, vomitng, cortical blindness, hearing deficit and alternating hemiplegia. Serum lactic acid level was elevated (6.4 mmol/Z). The diagnosis was confirmed by muscle biopsy which revealed dispersed ragged-red fibers.
A Case of Thanatophoric Dysplasia.
Eun Sil Kim, Hyun Joo Choi, Mi Ran Park, Jae Yun Kim, In Sang Jeon, Kwang Jeon Kim, Bum Woo Yum
J Korean Pediatr Soc. 1990;33(11):1593-1597.   Published online November 30, 1990
Thanatophoric dysplasia is a short limb dwarf condition in which respiratory distress is responsible for death in the first hours or days after birth. We experienced a case of thanatophoric dysplasia who presented striking disproportion of trunk and extremities. The head was relatively large, the trunk was narrow and normal length, and the extremities were markedly shortened. The radiologic feature of this dysplasia was characteristic....
A Case of Diabetic Ketoacidosis Associated with Acute Lymphocytic Leukemia during Remission Induction Chemotherapy.
Gyu Jin Oh, Hwa Jeong Lee, Heui Jeong Kwon, In Sil Lee
J Korean Pediatr Soc. 1990;33(11):1598-1603.   Published online November 30, 1990
L-asparaginase is known as an effective anticancer drug in the induction chemotherapy of acute lymphocytic leukemia. The side effects or toxicities of L-asparaginase are hypersensitivity reaction, hepatotoxicity, pancreatitis, transient diabetes mellitus, CNS toxicity, disorders of coagulation system and mild cytotoxicity. We report a female patient with acute lymphocytic leukemia develop- ing diabetic ketoacidosis during induction chemotherapy with L-asparaginase, parednisolone, vincris- tine and intrathecal methotrexate, who...
The Right of Ingeritance and Family Name of Embryo by Artificial Conception (55).
Gook Jin Moon
J Korean Pediatr Soc. 1990;33(11):1604-1605.   Published online November 30, 1990
Medical Common Sense
A Criteria for Calculation of Hospital Rate for the Health Insurance (55).
Chong Kil Lee
J Korean Pediatr Soc. 1990;33(11):1606-1606.   Published online November 30, 1990
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