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Volume 35(4); Apr 1992
A Case Ileal Duplication with Intussusception
Gyoung Wha Choi, Gyoung Sun Kang, Byung Uk Park, Wha Mo Lee, Young Seak Jeen, Tae Won Lee
Accepted January 1, 1970  
The term "duplication" should be used when describing those spherical or tubular structures found along the alimentary tract whose walls contain well-devoloped muscular layers and whose lining is a mucosa similar to that of some part nf the alimentary tract. Symptoms produced by these lesions usually vary according to their location, their size, and the type of fluid secreted by their...
Medical Lecture Course
Kindling as an Animal Model of Temporal Lobe Epilesy and Synaptic Reorgranization
Han Ku Moon
J Korean Pediatr Soc. 1992;35(4):437-445.   Published online April 15, 1992
소아 연령에서의 폐구균 예방 접종
J Korean Pediatr Soc. 1992;35(4):446-450.   Published online April 15, 1992
Original Articles
Clinical Study of Mycoplasmal Pneumonia Syndrome in Children
Hyeon-Hi Kim, Hung-Ki Min, Seung-Hoon Han, Jin-Han Kang, Joon-Sung Lee, Sung-Hoon Cho
J Korean Pediatr Soc. 1992;35(4):451-458.   Published online April 15, 1992
Between September 1, 1989 and August 31, 1990, we studied 142 cases of mycoplasmal p neumonia syndrome in children who were admitted to the pediatric department of Catholic University Medical College. The results were as follows; 1) The highest incidence was in the age of 6 years in 27 cases and the male to female ratio...
A Clinical Study on Infantile Spasms with ACTH Therapy
Se Hee Hwang, Yong Seung Hwang
J Korean Pediatr Soc. 1992;35(4):459-469.   Published online April 15, 1992
Infantile spasms is a disease, causes or treatments of which are not clearly delineated. Pri-mary objectives of treatment are complete control of seizure attack and prevention of further brain damage. Forty-one patients were managed with ACTH, who were diagnosed as infantile spasms and admitted to the Department of Pediatrics, Seoul National University Hospital from July 1985 till June 1990. The results...
Brain CT Findings According to Seizure Type in Children with Seizure Disorder
Sung-Yoon Cho, Byoung-Kee Yeo, Sa-Jun Chung, Chang-Il Ahn
J Korean Pediatr Soc. 1992;35(4):470-475.   Published online April 15, 1992
Detection of the organic lesion in convulsive disorder is very important for the therapeutic p-lan and the prognostic aspects. The results of brain CT in 204 children with seizure were evalu-ated in relation to the age of onset, according to seizure type, and final diagnosis of abnormal fi ndings by CT scan. The following results were obtained. 1) Out of 204 cases,...
Clinical Study of Gastrointestinal Perforation in the Newborn
K.N. Kim, Y.T. Jang, O.K. Lee, W.S. Kim
J Korean Pediatr Soc. 1992;35(4):476-483.   Published online April 15, 1992
A clinical study was made on 17 neonates with gastrointestinal perforation admitted to the department of pediatrics Presbyterian Medical Center from January 1980 to January 1991. The following results were obtained. 1) Males were predominantly developed and the time of perforations occurs mainly in the 1 st week of life(70.6%). 2) The 17.5 percent of total cases were prematurity of low birth infant. 3)...
Clinical Observation of Meconium Aspiration Syndrome: Prognostic Implication of Early Meconium Suctioning
Dae Hyun Kim, Dong Hoon Ko, Young Jong Woo, Young Youn Choi, Tae Ju Hwang
J Korean Pediatr Soc. 1992;35(4):484-491.   Published online April 15, 1992
The authors observed the clinical findings of 36 patients with meconium aspiration syndrome(MAS) to evaluate the effect of early appropriated meconium suctioning on the morbidity and mortality of the syndrome. Patients in the study group, 20 babies born in Chonnam university Hospital, received appropriate meconium suction through endotracheal tube during and rig-ht after the delivery, while the patients in the...
A Study of Calcium and Inorganic Phosphorus Levels in Maternal and Cord Blood
Woo Ha You, Seung Wan Lee, Jong Lin Rhi, Hyun Joo Jeong, Yong Joon Shin, Chung Hak Park
J Korean Pediatr Soc. 1992;35(4):492-498.   Published online April 15, 1992
A study of serum calcium, phosphorus levels in mother and umbilical cord was carried on 39 mother/baby pairs who were admitted to DAE HAN Hospital from Nov.1989 through Feb.1990. The results abstained were as follows: 1) The mean serum calcium levels of maternal and cord blood were 8.92¡¾10.59mg% and 9. 88¡¾10.74mg% repectively. The mean serum calcium of cord blood was statiscally higher than...
Polymicrobial Bacteremia in Children
Hyun Seung Park, Myung Ik Lee, Soon Wha Kim, Don Hee Ahn
J Korean Pediatr Soc. 1992;35(4):499-507.   Published online April 15, 1992
A clinical observation was made on 212 cases of bacteremia in children, who were hospitalized at department of pediatrics, National Medical Center from Jan. 1981 to Dec.1988 The results were as follows; 1) Blood culture proven bacteremia were 212 cases in children. Among them polymicrobial bacteremia were 22 cases(10.4%) and monomicrobial bacteremia were 190 cases(89.6%). The same species of bacteria was cultured...
A Study of Serologically Confirmed Measles
Sang Mook Choi, Chang Soo Oh, Sang Chul Park, Chang Hwi Kim, Sang Jhoo Lee
J Korean Pediatr Soc. 1992;35(4):508-514.   Published online April 15, 1992
Forty one cases of serologically confirmed measles(positive measles specific IgM antibody) were evaluated among 55 cases of clinically diagnosed measles admitted to Soon Chun Hyang University Hospital from May to August 1990. The results were as follows: 1) Sex ratio was 1.6 : 1 with male predominance in 41 cases, 13 cases(31.7%) were vaccinated and 28 cases(68.3%) were unvaccinated. Primary vaccine failure...
The Interleukin-6 Level in Kawasak Disease
Moon Kyu Kim, Dong Soo Kim
J Korean Pediatr Soc. 1992;35(4):515-526.   Published online April 15, 1992
Kawasaki disease is an acute multisystemic disease affecting infants and children with prominent vasculitic features. Although there has been considerable progress in understanding the pathogenesis of this disease, the inciting cause remains unclear. It has been noticed that there were many immunologic abnormalities during the acute stage of Kawasaki disease. In the pres-ent study, we studied serum interleukin-6(IL-6), C-reactive protein(CRP),...
Hepatic Rickets in Infancy with Neonatal Hepatitis
Mi Koo Kang, Eun Young Cho, Soo Jong Hong, Ki Soo Kim, Young Seo Park, Hyung Nam Moon, Chang Yee Hong
J Korean Pediatr Soc. 1992;35(4):527-533.   Published online April 15, 1992
We had treated a hepatic rickets in 6 infants with neonatal hepatitis from June 1989 to August 1990 at Asan Medical Center. The results were as follows 1) Age of 6 patients were below 4 months and 4 patients were male, 2 patients were female. 2) The clinical findings were hepatosplenomegaly(5 cases), jaundice(4 cases), craniotabes (4 cases), failure to thrive(2 cases), hypocalcemiac seizure(2...
The Incidence of Hypothyroidism in Children with Down Syndrome
Seong Hyeon Jeon, Chun Ho Cho, Kyoung Sim Kim, Ki Bok Kim
J Korean Pediatr Soc. 1992;35(4):534-538.   Published online April 15, 1992
A review of Thyroid function tests was performed on 32 children with Down syndrome confirmed by cytogenetic examination at the Dept. of Pediatrics, Kwangju Christian Hospital from Jan.1989 to Feb.1990. 1) Twenty among 32 children with Down syndrome were male, with the sex ratio being 1.7 : 1. Their ages ranged from 3 days to 5 years, with the mean age...
Case Reports
A Case of Congenital Dyserythropoietic Anemia
Il Tae Whang, Young Sook Ko, Kyeung Hee Kim, Gyeung In Lee, Han Ik Cho
J Korean Pediatr Soc. 1992;35(4):539-544.   Published online April 15, 1992
Congenital dyserythropoietic anemia(CDA) is a rare disease characterized by ineffective erythropoiesis, specific cytopathology of the nucleated red cells in the bone marrow and secondary hemochromatosis. CDA is classified into 4 types on the basis of results of electron microscopic and serologic studies. We experienced a case of congenital dyserythropoietic anemia in a 5/12 year-old boy. Diagnosis was established by macrocytosis, anisopoikilocytosis in PB...
An Autopsy Case of Infant of Diabetic Mother with d-Transposition of Great Arteries and Hypertrophic Cardiomyopathy
Kye Hwan Seol, Eui Kyeung Jung, Chang Sung Son, Joo Won Lee, Soon Kyum Kim
J Korean Pediatr Soc. 1992;35(4):545-550.   Published online April 15, 1992
Generally, infants of diabetic mother(IDM) have various diseases and complications affecting multisystems resulting in high perinatal morbidity and mortality. It is well known that IDM have especially higher incidence of congenital anomalies including congenital heart disease(CH D). dTransposition of great arteries(d-TGA), ventricular septal defect and hypertrophic cardiomyopathy(HCM) form most of CHD occurring in IDM. Of these, HCM appears as a...
A Case of Transient Erythroblastopenia of Childhood
Gi Hong Seo, Ae Young Kim, Kyeong Sook Cho, Jong Dae Cho
J Korean Pediatr Soc. 1992;35(4):551-555.   Published online April 15, 1992
We have experienced a case of transient erythroblastopenia of childhood in a 7 years old male patient who was diagnosed by bone marrow aspiration. His hematologic improvement occurred spontaneously. A brief review of related literature was done.
A Case of Chronic Recurrent Obstructive Bronchitis Associated with Gastro-Esophageal Reflux
Myung Hee Min, Sang Soo Roh, Sang Il Lee, Sang Woo Kim
J Korean Pediatr Soc. 1992;35(4):556-562.   Published online April 15, 1992
It has been well established that the gastroesophageal reflux and chronic respiratory problem were closely related. Several reports in pediatric literature have implicated the aspiration of gasrtric contents as a trigger factor of cough, wheezing, and recurrent pulmonary disease. Several possible mechanisms have been proposed whereby acidic gastric content can trigger bronchospasm and, in turn, bronchospams can trigger gastroesopohageal reflux. Several tests,...
Two Cases of Congenital Hepatic Fibrosis
Cue Jung Hwang, Young Hun Kim, Dae Kyun Koh, Byung Churl Lee
J Korean Pediatr Soc. 1992;35(4):569-574.   Published online April 15, 1992
The congenital hepatic fibrosis is a rare condition defined pathologically by the presence within the line of bands of fibrous tissue which after contain linear or circular spaces lined by bile duct cells, It is commonly associated with intrahepatic portal hypertension but hepatocellular function is almost always preserved. The prinicipal clinical features of this disease are abdominal distension, firm hepatomegaly,...
A Case of WDHA(Watery Diarrhea Hypokalemia Achiorhydria) Syndrome
Nam Seon Beck, Jun Jai Kim, Beom Soo Park, Jeong Kee Seo, Hyo Seop Ahn, Hyung Ro Moon, Je Geun Chi
J Korean Pediatr Soc. 1992;35(4):575-580.   Published online April 15, 1992
VIP secreting tumors are rare in children but they produce a dramatic clinical picture, the most prominent feature of which is profuse, watery diarrhea and hypokalemia. A 5-year-old girl was brought to Seoul National University Children's Hospital for evaluation of profuse watery diarrhea. She presented with watery diarrhea, hypokalemia, and stunted growth, and had experienced these problems for four years...
Position statement of prevention of infection in admitted patients: Korean Pediatrics Society Recommendation
J Korean Pediatr Soc. 1992;35(4):581-582.   Published online April 15, 1992
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