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Volume 34(5); May 1991
Original Articles
Bone mineral density of normal Korean children.
Kyu Young Lee, Byoung Yul Lim, Sung Ho Cha, Byoung Soo Cho, Chang Il Ahn, Young Seol Kim
J Korean Pediatr Soc. 1991;34(5):605-613.   Published online May 31, 1991
The diagnosis of renal osteodystrophy and osteoporosis is established by clinical manifestations, biochemical laboratory tests, X-ray and bone scan but early diagnosis, determination of treatment of various metabolic bone diseases are not satisfied with any above methods. Dual energy X-ray absorptiometry (DEXA) has been shown to be a reliable, reproducible, and noninvasive way to assess bone mineral status. We evaluated the bone mineral density...
Accuracy of anorectal manometry in the diagnosis of congenital megacolon.
Jong Yul Jeon, Byeong Gie Yeo, Chong Woo Bae, Yong Mook Choi, Chang Il Ahn, Young Woon Chang
J Korean Pediatr Soc. 1991;34(5):614-620.   Published online May 31, 1991
Thirty-seven patients with clinical impression of congenital megacolon were studied with anorectal manometry for the evaluation of its diagnostic accuracy. Including 12 neonates, their age ranged form 3 days to 8 years and barium enema was performed to all of them except one. The results of rectosphincteric reflex (RSR) of anorectal manometry was compared with the final diagnosis, which was obtained by clinical course,...
A clinical study on twin.
Ho Joon Im, Sang Yoon Ahn, In Joon Seol, Soo Jee Moon, Hahng Lee
J Korean Pediatr Soc. 1991;34(5):621-628.   Published online May 31, 1991
Among the total of 17,991 newborns delivered at Hanyang University Howpital from January 1980 to December 1989, a clinical study was performed on 277 twin pregnancies. The results of the study were as follows: 1) The incidence of twins was 1:64.9. 2) The average male-female sex ratio of twins was 1:1.1, total same sex pairs rate was 79.4% (male-male & female-female) and different sex rate was 20.6%. 3) The...
Sleep patern and night waking in infants.
Keun Lee
J Korean Pediatr Soc. 1991;34(5):629-636.   Published online May 31, 1991
Night waking is very common in infancy and can be a transient phenomenon but, if it persists, it can be a symptom of more serious behavior disorders or emotional problems. To study the sleeping pattern and night waking in infants, a survey was taken on 219 parents of 3 month to 2 year old infants, at outpatient clinic of Department of Pediatrics, Ewha...
A clinical study of congenital hypertropic pyloric stenosis.
Eun Chin Mun, Hae Jin Lee, Son Sang Seo, Jung Woo Yang
J Korean Pediatr Soc. 1991;34(5):637-644.   Published online May 31, 1991
This study was a review and clinical analysis of 77 cases of congenital hypertrophic pyloric stenosis at II Sin Christian Hospital from Jan. 1980. to Mar. 1990. The result was as follows. 1) At age distribution, the most prevalent age group was between 4 weeks and 6 weeks, and ratio of male to female was about 3.8:1. 2) Among 77 cases, the first bom was most affected...
A statistical analysis of methicillin-resistant staphylococcus aureus.
Yong Woon Paik, Ji Suk Kim, Yun Joo Cheung, Suk Ja Park, Hung Kim
J Korean Pediatr Soc. 1991;34(5):645-653.   Published online May 31, 1991
A comparative study was retrospectively performed with 1220 strains of staphylococcus aureus isolated from out-patients and in-patients at Kosin Medical Center from Jan. 1986 to Aug. 1989, in oder to find annual prevalence of MRSA and susceptibilities to several antibiotics. The following results were observed; 1) overall annual prevalence of MRSA were 18.9% in 1986, 29.4% in 1987, 46% in 1989 and the yearly increasing tendency...
Clinical study on lipoid pneumonia caused by aspiration of squalene.
Dong Joo Shin, Beom Soo Park, Moon Sun Yang, Heon Seok Han, Young Yull Koh, Hyung Ro Moon, Chang Yeon Lee
J Korean Pediatr Soc. 1991;34(5):654-661.   Published online May 31, 1991
A clinical observation was made on 14 cases of lipoid pneumonia, who visited department of pediatrics, Seoul National University Children’s Hospital from August, 1988 to June, 1990. The results were as follows; The ratio of male to female was 10 : 4. Age at diagnosis was 1.1±1. 3 years, and ranged from 3 months to 4.9 years. The age at taking Squalene ranged...
The value of 2-D echocardiography in diagnosis of CHD.
Sang Kyung Yun, Young Woon Baek, Hyun Ki Jung
J Korean Pediatr Soc. 1991;34(5):662-667.   Published online May 31, 1991
Cardiac catheterization, cineangiography and surgical analysis of 220 cases of congenital heart disease diagnosed by 2-D echocardiography was made, retrospectively from mar. 1985 to sep. 1989, who were admitted to the department of pediatrics Kosin Medical College Hospital. The results were analysed as follows; 1) 22 cases of 23 were correctly diagnosed in ASD, sensitivity and specificity of subxiphoid 2-D echocardiogram were 95.7% and 99.6% respectively. 2) 109...
Effect of immune globulin on the prevention of coronary artery aneurysm in Kawasaki disease.
Mi Jin Jung, Chung Il Noh, Jung Yun Choi, Yong Soo Yun
J Korean Pediatr Soc. 1991;34(5):668-676.   Published online May 31, 1991
We compared the efficacy of each modality of treatment group in reducing the frequency of coronary artery aneurysm in children with Kawasaki syndrome. Group 1 (26 cases)-aspirin alone: Group 2 (26 cases)-intravenous gamma globulin, 400 mg per kilogram of body weight per day for five consecutive days, plus aspirin; Group 3 (21 cases)-intravenous gamma globulin, single dose of 2.0 g per kilogram of body...
The effects of adriamycin on twitch force and membrane potential in an isolated Guinea-pig papillary muscle.
Chan Uhng Joo, Pyung Han Hwang, Jung Soo Kim, Hee Cheol Yu, Soo Wan Chae
J Korean Pediatr Soc. 1991;34(5):677-681.   Published online May 31, 1991
The antiumor antibiotic adriamycin is presently considered to be a very effctive and useful chemotherapeutic agent in the treatment of many human tumors. Cardiotoxicity of adriamycin limits its clinical use. A number of hypotheses have been proposed to explain the mechanism of cardiotox- icity with adriamycin, but none has yet been demonstrated. The effects of adriamycin on twitch force and membrane potential in an...
Clinical analysis and prognostic factors in Henoch-Schonlein purpura .
Ha Young Lee, Chong Sung Chung, Kyu Chul Choeh, Byoung Soo Cho, Young Mook Choi, Chang Il Ahn
J Korean Pediatr Soc. 1991;34(5):682-690.   Published online May 31, 1991
This study was undertaken to evaluate the prognostic factors of recurrence and renal involvement in Henoch-Sch公nlein purpura. Total 110 cases of anaphylactoid purpura below 15 years of age who admitted to Pediatric Departmen of Kyung Hee University for 8 years from January 1st 1979 to December 31st 1986 were analyzed clinically and statistically. The results were obtained as follows. 1) The peak incidence of age was 4...
Three cases of nonimmune hydrops fetalis.
Young Youn Choi, Jae Sook Ma, Tai Ju Hwang, Tae Bok Song
J Korean Pediatr Soc. 1991;34(5):691-699.   Published online May 31, 1991
Nonimmune hydrops fetalis is defined as a pathologic and generalized abnormal accumulation of serous fluid in the entire body tissues and cavities unassociated with erythroblastosis. After the licensing of Rh Immune Prophylaxis (1968), the incidence of classic erythroblastosis fetalis has declined dramatically but the proportion of nonimmune types has increased relatively. With increasing use of ultrasound as a part of routine obstetric care, fetal...
Two cases of cyclopia in twin.
Joon Soo Park, Si Hwan Kho, Dong Hwan Lee, Sang Jhoo Lee, So Young Jin
J Korean Pediatr Soc. 1991;34(5):700-706.   Published online May 31, 1991
A Cyclopia in which the elements of the two eyes are completely or partially fused to form an apparently single eye in the middle of the forehead, is part of an anomaly involving not only the eyes themselves but also the anterior part of the brain and the mesodermal structures in the midline. We have experienced two cases of Cyclopia in twin. The autopsy...
Congenital bile duct cyst.
Myung Hee Yoon, Mi Sung Jeong, Hyung Ja Park, Shinna Kim, Doo Sun Lee
J Korean Pediatr Soc. 1991;34(5):707-714.   Published online May 31, 1991
A case of congenital bile duct cyst in a 15-year-old female patient was diagnosed by clinical symptoms, laboratory data, ultrasonography, endoscopic retrograde cholangiopancreatography. Excision with Roux-en-Y choledochocystojejunostomy was performed with good result. We report one case of congenital bile duct cyst type IV-A (by Todani classification) with brief review of all 277 cases reported so far in Korean literature and present comparisons with Flanigan’ s...
A case of metastatic neuroblastoma to brain.
Sang Wook Choi, Mee Jeong Lee
J Korean Pediatr Soc. 1991;34(5):715-719.   Published online May 31, 1991
Metastatic neuroblastoma to whole bones and brain generally has been considered incurable, but some reports have been published with good and partial response after initial chemotherapy followed by second-look operation. But the long term survival is dismal. Recently we experienced a case of metastatic neuroblastoma to brain without neurologic symptoms confirmed by computed tomograpy, who had multiple bony metastases including skull. The whole metastatic...
A case of acute lymphoblastic leukemia complicating neuroblastoma in remission.
Dong Woo Son, Bum Soo Park, Jun Jae Kim, Hong Hoe Koo, Hee Young Shin, Hyo Seop Ahn
J Korean Pediatr Soc. 1991;34(5):720-729.   Published online May 31, 1991
As childhood cancer survivors are now increasing in number owing to the improvements in diagnosis, staging, and treatment, concerns have been raised regarding the quality of survival of these patients. One of the limitation to quality and length of survival has been the development of second malignant neoplasm (SMN). In Korea, only one case of SMN has been reported. However, one can expect that...
Two cases of Goldenhar syndrome.
Moo Young Song, Min Sik Kim, Nam Soo Park, Un Jun Hyoung, Jin Oh Lee, Eun Ryoung Kim
J Korean Pediatr Soc. 1991;34(5):730-735.   Published online May 31, 1991
Goldenhar syndrome is a pattern of malformation with wide variability of expression characterized by epibulbar dermoids, preauricular appendages and pretragal blind-ended fistulas, and vertebral anomalies. We have experienced two cases of Goldenhar syndrome. In one case multiple hemivertebrae, anomalous ribs, hydrocephalus with abscence of the septum pellucidum and mild widening of the subarachnoid space were noted. Diagnosis was made by physical examination and radiological findings. A brief...
A case of the lupus syndrome induced by hydralazine.
Beom Soo Park, Joong Gon Kim, Yong Soo Yun
J Korean Pediatr Soc. 1991;34(5):736-739.   Published online May 31, 1991
A reversible syndrome resembling systemic lupus erythematosus is induced by hydralazine which has been used in treatment of hypertension or congestive heart failure. The incidence of the lupus syndrome induced by hydralazine was estimated at 6.8% in adults (Cameron, 1984) but there was few reports in children. A 9 year old girl had arthralgia, fever, splenomegaly, pleurisy and oral ulcer after 62 months of hydralazine...
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