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Volume 36(4); Apr 1993
Medical Lecture Course
Surfactant Replacement Terapy in Neonatal RDS: History, Kinds, Result of Clinical Trials, and Prospect
Chong-Woo Bae
J Korean Pediatr Soc. 1993;36(4):457-468.   Published online April 15, 1993
Original Articles
A Clinical Study on Neonatal Exchange Transfusion
Eun Ju Park, Eun Wui Kim, Yang Sook Choi, Son Sang Seo
J Korean Pediatr Soc. 1993;36(4):469-477.   Published online April 15, 1993
Clinical observation was perfumed on 81 cases who were received exchange transfusion at Ilsin Christian Hospital from January, 1986 to December, 1990. The results obtained were as follows: 1) Among 6,388 cases of neonatal jaundice, the exchange transfusion was performed on 81 cases(1.27%) 2) There was no sex predominance (male 40, female 41). The birth weight of 75 cases(92.6%) ranged from 2,500 gm...
Clinical Significance of Urinary Growth Hormone Measurement in patients with Growth Hormone Deficien
Ho Seong Kim, Duk Hi Kim, Min-Seok Cheon
J Korean Pediatr Soc. 1993;36(4):478-484.   Published online April 15, 1993
Urinary growth hormone (GH) excretion was quantitated in 12-hr overniaght urine collections obtained from 13 children with complete growth hormone deficiency(CGHD), 6 children with partial growth hormone deficiency(PGHD), 5 children with short stature and normal GH provocation tests(NSC), and 5 normal control children (NC) to investigate whether the measurement of urinary GH can clearly separate the PGHD and CGHD groups...
A Clinical Study on Aseptic Meningitis Combined with Polio-Like Paralysis
Woong Young Moon, Ki Soo Kim, Young Seo Park, Hyung Nam Moon, Chang Yee Hong, Dae Chul Suh, Si Joon Yu, In Young Seong, Young Min Ahn
J Korean Pediatr Soc. 1993;36(4):485-494.   Published online April 15, 1993
We clinically reviewed four patients who were suffering from aseptic meningitis combined with polio-like paralysis and performed radiological, neurological and virological studies on them. Three patients were admitted to the department of Pediatrics. Asan Medical Center from March to August 1990, and one patient was admitted to the department of Pediatrics, Kangnam General Hospital. The results were as follows: 1) During the period...
Effect of Cyclosporin, Indomethacin and Methylprednisolone on Puromycin-Aminonucleoside Induced Nephrosis in Rats
Hong Bae Kim, Hae Lee Chung, Cheol Woo Ko, Ja Hoon Ko, Jung Sik Gwak
J Korean Pediatr Soc. 1993;36(4):495-505.   Published online April 15, 1993
This experimental study was conducted to evaluate the effect of indomethacin and methylprednisolone on PAN-induced nephrosis in rats. Sprague-Dawley rats weighing 150∼200gm were used and divided into controls, group Ⅰ(PAN intraperitoneally), group Ⅱ(PAN intraperitoneally, followed by indomethacin peritoneally for 12 days), group Ⅲ(PAN intraperitoneally, followed by methylprednisolone peritoneally for 12 days) and group Ⅳ(PAN intraperitoneally, followed by cyclosporin subcutaneously for...
Aseptic Meningitis in 1991 - isolation of causative agent -
Yoon Ah Park, Eun Young Cho, Ki Soo Kim, Young Seo Park, Hyung Nam Moon, Chang Yee Hong
J Korean Pediatr Soc. 1993;36(4):506-511.   Published online April 15, 1993
To know the causative agent of asptic meningitis, we performed blood and cerebrospinal fluid study on 24 children who had been admitted to the department of Pediatrics, Asan Medical Reference Laboratory, Japan. The most of the patients were young infants, and 15 cases of them were under 3 months of age. The male to female ratio was 1:1.4. We observed the main symptoms...
The Usefulness of Measuring Serum α-fetoprotein and Thyroxine-binding Globulin to Differentiate between Neonatal Hepatitis and Congenital Extrahepatic Biliary Atresia
Soo Kyoung Lee, Ki Sup Chung
J Korean Pediatr Soc. 1993;36(4):512-520.   Published online April 15, 1993
Together, neonatal hepatitis and biliary atresia make up approximately 70 to 80% of the causes of neonatal cholestasis. Biliary atresia must be differentiated from neonatal hepatitis as soon as possible in order to institute early surgical intervention. We performed this study to examine whether the measurement of the serum α-fetoprotein(AFP) and thyroxine-binding globulin(TBG) was useful for differentiating these two conditions....
Factors Related to the Outcome of Treatment of the Intussusception in Children
Young Joon Kim, Chan-Yung Kim
J Korean Pediatr Soc. 1993;36(4):521-527.   Published online April 15, 1993
A statistical study was undertaken in 253 cases of intussusception treated in Pediatrics and General Surgery Departments in Pusan National University Hospital from January 1985 to December 1990. To investigate guidelines for the choice of the treatment and the outcome in intussusception, 10 factors related to the outcome of the treatment were analyzed. The results of study were as follow; 1)...
Anemia due to Prolonged Breast Feeding without Weaning Diet or Supplement Food
Kyung Hee Kim, Kun Rae Lee, Hyun Lee, Yoon Suck Suh, Baek Lin Eun
J Korean Pediatr Soc. 1993;36(4):528-536.   Published online April 15, 1993
The paramount importance of breast feeding for the health of the infants has been recognized by nutritionists and physicians. Although many advantages of the breast feeding, exclusive breast feeding without weaning diet or supplement food during prolonged period in infants may produce iron deficiency anemia. This study was conducted to find out the hematologic state in exclusively prolonged breast-fed infants among...
Tuberculin Skin Test and Measles Vaccination
Mi Sung Chung, Young Mi Kim, Hyung Ja Park, Shinna Kim
J Korean Pediatr Soc. 1993;36(4):537-542.   Published online April 15, 1993
Although the incidence of tuberculosis in Korea in general has declined in recent years, it remains an important health problem, especially in children. Inspite of the recent controversy over the necessity of tuberculin skin test prior to measles vaccination, this brief report shows 13.8% of positive skin test at 9 and 15 months of age at the time of measles...
Morphlolgical Analysis of the Congenital Heart Disease Associated with Infrahepatic Interruption of IVC with Azygos Contnuation
Jun Hee Sul, Jong Kyun Lee, Sung Kyu Lee
J Korean Pediatr Soc. 1993;36(4):543-549.   Published online April 15, 1993
Infrahepatic interruption of the inferior vena cava with azygos continuation is elatively infrequent cardiovascular developmental anomaly occurring both in association with congenital heart disease and as an isolated anomaly of no hemodynamic importance. During the past 5years, we observed 38cases of infrahepatic interruption of IVC with azygos continuation out of 2,397 cases of congenital heart disease catheterized at Yonsei...
Nonsurgical Closure of Patent Ductus Arteriosus with the Rashkind PDA Occluder System
Yong Soo Yun, Jung Yun Choi, Jung Il Noh
J Korean Pediatr Soc. 1993;36(4):550-555.   Published online April 15, 1993
The first successful application of a transcatheter occlusion of patent ductus arteriosus (PDA) was performed in 1977. Since that time, with continuing improvement and modification of the equipment as well as in the implantation technique, a clinical success rate of abont 84% was accomplished. In children's hospital, Seoul National University, since March 1992, 29 children with simple PDA were treated with...
A Clinical Study of Myelodysplastic Syndrome in Children
Seong Hoon Hah, Hyo Seop Ahn
J Korean Pediatr Soc. 1993;36(4):556-567.   Published online April 15, 1993
Myelodysplastic syndrome is a heterogeneous disease complex which is basically a clonal disorder and has characteristics of cytopenia of one or more cell series in peripheral blood and of dyspoiesis of precurosirs in bone marrow. Since the nature of this disease in childhooh is very different from that in adults, retrospective clinical study was performed with 17 confirmed patients who...
Case Reports
2 Cases of Acute Disseminated Encephalomyelitis
Hyun Cheol Lee, Mee Kyung Namgoong, Hae Yong Lee, Hwang Min Kim, Jae Seung Yang, Jong Soo Kim
J Korean Pediatr Soc. 1993;36(4):568-573.   Published online April 15, 1993
Acute disseminated encephalomyelitis(ADEM) is an acute inflammatory demyelinating disease of the central nervous system. It is thought to be an autoimmune mediated disorder which occurs usually after viral or bacterial infections, or after immunization. The clinical manifestations reflect sudden onset of the diffuse involvement of the brain, spinal cord and the meninges. We experienced two cases of acute disseminated encephalomyelitis. The...
A Case of Cerebrocostomandibular Syndrome with Congenital Heart Disease
Sang Heui Song, Kook In Park, Hye Jung Joo, Ran Namgung, Chul Lee, Dong Gwan Han
J Korean Pediatr Soc. 1993;36(4):574-578.   Published online April 15, 1993
Cerebrocostomandibular Syndrome is characterized by micrognathia, cleft palate, multiple thorax deformity and frequently, mental deficiency. Respiratory compromise is a common cause of death. We experienced a case of cerebrocostomandibular syndrome with congeniyal heart disease in a 2 day old female baby with the chief complaint of cyanosis and respiratory difficulty since birth, She was delivered by cesarian section due to delayed...
A Case of Infectious Mononucleosis Associated with Facial Nerve Palsy
Ho-Suk Lee, Jin-Park , Il-Soo Kim, Sung-Ho Cha, Byoung-Soo Cho, Chang-Il Ahn
J Korean Pediatr Soc. 1993;36(4):579-582.   Published online April 15, 1993
Infectious Mononucleosis is a common sysemic illness primarily invloving children and young adults and due apparently to the Epstein-Barr virus (EBV). Although the typical case is easily recogniged, unusual manifestations or serious complications occur frequently enough to pose problems in diagnosis and management. Neurologic complications are rare(1%). These nerologic complications may actually precede the full clinical picture or presen: as the sole...
A Case of VATER Syndrome
Seong Jin Ha, Ki Hyun Chung, Oh Kyung Lee, Wan Seob Kim, Jae Seung Yang
J Korean Pediatr Soc. 1993;36(4):583-588.   Published online April 15, 1993
The VATER syndrome is a group of congenital anomalies with a nonrandom tendency for concurrence. Defects include vertebral, anorectal malformation, tracheoesophageal fisutla with esophageal atresia, radial-limb, vascular, and renal abnormalities. The critical period of organogenesis is at or before the sixth or seventh week of gestation. We experienced one case of VATER syndrome in a 1 day old male neonate having...
Recurrent Rhinocerebral Mucormycosis - A Case Report
Ho Sung Kim, Jin Young Park, Bo Young Yun, Eun Sil Dong, Hee Young Shin, Hoan Jong Lee, Hyo Seop Ahn, Je Geun Chi, Myung Whun Sung
J Korean Pediatr Soc. 1993;36(4):589-595.   Published online April 15, 1993
A case of recurrent rhinocerebral mucormycosis that has occurred during an induction chemotherapy for acute megakaryocytic leukemia in a 10 year-old boy is reported. He had suffered from high fever, proptosis, right eye ball pain and necrotic inflammation of hard palate during the chemotherapy of leukemia. CT scan of the paranasal sinus showed inflammatory change of right ethmoid and maxillary...
Clinical Lecture
Diagnosis and treatment of short stature
J Korean Pediatr Soc. 1993;36(4):596-598.   Published online April 15, 1993
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