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Volume 37(12); Dec 1994
Original Articles
A Survey on the Present Status of Weaning
Seung Joo Lee, Jae Ok Park, Chang Sung Sohn, Hae Ran Lee, Jae Hoon Shin, Hae Il Chung, Seung Il Kim
J Korean Pediatr Soc. 1994;37(12):1643-1656.   Published online December 15, 1994
Purpose : To add proper solid food during the ideal weaning period is very important to supply adequate nutrition for the rapid growt and to achieve proper feeding habits in later infancy. We tried to survey the problems in weaning in Korea. Methods : The Present status of infant weaning was sutneyed 6 university hospital in Seoul and 4 rural goverment...
A Survey on the Present Status of Infant Feeding
Seung Joo Lee, Jae Ok Park, Chang Sung Sohn, Hae Ran Lee, Jae Hoon Shin, Hae Il Chung, Seung Il Kim
J Korean Pediatr Soc. 1994;37(12):1657-1668.   Published online December 15, 1994
Acinetobacter Infection in Neonatal Intensive Care Units(NICU)
Won-Gyu Bum, In-Suk Kim, Young-Hee Kim, Young-Youn Choi, Jae-Sook Ma, Tai-Ju Hwang
J Korean Pediatr Soc. 1994;37(12):1669-1675.   Published online December 15, 1994
Purpose : Acinetobacter becomes one of the important organisms in hospital infection especially intensive care units. Recently we experienced four times of outbreaks of Acinetobacter infection in Neonatal Intensive Care Units(NICU), Chonnam University Hospital. Clinical and epidemiologic study was performed to emphasize the importance of hospital infection. Methods : During the period from November 1992 to July 1993, twenty-one patiencts of...
Clinical Observation of Neonatal Sepsis according to Onset of Disease
Young Chul Han, Soon Kyung Baik, Chang Sung Lim, Dong Jin Lee
J Korean Pediatr Soc. 1994;37(12):1676-1686.   Published online December 15, 1994
The Variations of CSF Glucose-To-Blood Glucose Ratio according to the Time of Blood Sampling in Asepetic Meningitis
Dong Gui Jang, Yong Seok Choi, Mee Kyoung Lee, Chang Hee Kim, Dong Jin Lee
J Korean Pediatr Soc. 1994;37(12):1687-1692.   Published online December 15, 1994
The Measurement of CSF glucose and CSF glucose-to-blood glucose ratio is a very useful laboratory test for the differential diagnosis of meningitis. We have observed the change of blood glucose & CSF glucose-to-blood glucose ratio according to the time of blood sampling in 84 patients with aseptic meningitis who had been admitted to the department of peditrics, Dong Kang hospital...
Comparative Study on the Allergy Skin Test and RAST in Allergic Patients
Il Tae Whang, Young Mi Hong, Gyoung Hee Kim
J Korean Pediatr Soc. 1994;37(12):1693-1700.   Published online December 15, 1994
The allegic skin test and RAST are used commonly to demonstrate the presence of skin sensitizing IgE antibody in the diagnosis of allergic disease. To evaluate the agreement rate and correlation between results of skin test and RAST (radioallergosorbent test) in allergic subject, 83 allergic childgood with positive skin test (bronchial asthma: 26, allergic rhinitis: 27, atopic dermatitis and urticaria: 6...
House Dust Mites Sensitivity in Korean Atopic children; Correlation between Skin Reaction and Relative Concentration of Specific IgE by ELISA
Ji Hong Kim, Soo Young Lee, Byeung Ju Jeung, Kye Earn Kim, Dong Soo Kim, Ki Young Lee
J Korean Pediatr Soc. 1994;37(12):1701-1708.   Published online December 15, 1994
House dust mites, Dermatophagoides farinae and Dermatophagoides pteronyssius, have been identified as the main sources of house dust allergen and are considersed the most important causative allergen in the etiology of allergic respiaratory disease and allergic rhinitis. To evaluate the incidence of positive skin reactivity to house dust mites and relationship between total serum IgE levels and specific IgE antibody to...
Body Composition of Children and Adolescents with Insulin-dependetn Diabetes Mellitus
Hye Young Kang, Mi Jung Park, Duk Hi Kim, You Kyung Park, Jong Ho Lee, Ho Seong Kim
J Korean Pediatr Soc. 1994;37(12):1709-1716.   Published online December 15, 1994
Bodycomposition measurement is useful in the diagnosis of pathoogy, assessment of disease process and response to treatment in many endoclonologic and metabolic diseases. The Techniques used currently are mostly indirect, often expensive, difficult and time-consuming. A new method for estimation of body composition, infrared interactance, is rapid, safe, noninvasive, and may be useful in research ad clinical studies. Body composition was...
Comparison of Therapeutic Result of Oral Corticosteroid Versus Intravenous Gammaglobulin in Childhood Acute ITP
Jong-Hwan Kim, Hae-Won Kim, Hong-Ja Kang, Woo-Sik Chung, Kil Seo Kim
J Korean Pediatr Soc. 1994;37(12):1717-1724.   Published online December 15, 1994
A clinical study was conducted to compare effectiveness of IV Globulin with that of steriod in childhood acute ITP. We carried out an experiment to 36 patients of acute ITP who recovered over 50,000/mm3 of platelet count and not to recur in 6 months. Study group consist of 10 children who were treated with steriod only (Group A), 13 children who were...
Causes of Anemia Less Than 7 Days of Age
Man Seong Ko, Jina Sohn, Jae Wook Ko, Soon Wha Kim, Don Hee Ahn
J Korean Pediatr Soc. 1994;37(12):1725-1731.   Published online December 15, 1994
Purpose : Within a few days from birth, newborn infants are under conitions of normal physiologic changes. During this period, the certain newborn infants are confronted with a severe life-threatenling hematologic problems such as anemia. Therefore, prompt diagnosis of anemia and accurate identification of underlying causes would rather be essential to provide appropriate menagement. Methods : Eighty three newborn infants who...
The Effect of Milk on the Bioavailability of 6-mercaptopurine
Sun Kyu Park, Ran Ju Kim, Pyoung Ha Hwang, Soo Chul Cho, Jung Soo Kim
J Korean Pediatr Soc. 1994;37(12):1732-1737.   Published online December 15, 1994
The purine antimetabolite 6-Mercaptopurine (6-MP) has been in clinical use for over 30 years and is still a widely used agent in the treatment of childhood acute lymphoglastic leukemia. The bioavailibility, clinical effecacy and toxicity of 6-MP administered orally for maintenance therapy of children with acute lymphoblastic leukemia are highly variable in many studies, as well as at different times...
A Study on Prognostic Factors in Children with Encephalopathy
Jin Nyoung Park, In Joon Seol
J Korean Pediatr Soc. 1994;37(12):1738-1745.   Published online December 15, 1994
To elucidate the clinical characteristics-especially its clinical pattern and outcome of chidren with encephalopathy, we carried out a retrospective review on medical records of 45 patients who were intially diagnosed as encephalopathy except mumps meningitis, Reye's syndome and neonatal hypoxic ischemic encephalopathy at the Department of pediatrics, Hanyang University children's hospital from January 1986 to February 1994. The results were summerized...
Case Reports
A Case of Late Infantile Batten's Disease
Kyung-Tae Whang, Jong-Wan Kim, Young-Hoon Kim, Seung-Yun Chung, In-Goo Lee, Je-Geun Chi
J Korean Pediatr Soc. 1994;37(12):1745-1751.   Published online December 15, 1994
We experienced a case of late infantile Batten's disease in a 4-year-7-month-old boy who was admitted to child neurology service of Kangnam St. Mary's hospital for evaluation of progressive psychomotor deterioration. He was in quit normal state of development until 3 years of age when his mother first became concerned because he showed such emotional change as crying and fear. Since...
A Case of Type V Hyperlipoproteinemia
Yo Ahn Rho, Jong Kwang Lee, Kee Hwan Yoo, Joo Won Lee, Soon Kyum Kim
J Korean Pediatr Soc. 1994;37(12):1752-1756.   Published online December 15, 1994
The hyperlipoproteinemias are the disturbance of lipid transport resulted from accelerated synthesis or retarded degradation of lipoproteins that transport cholesterol and trigycerides through plasma. These diseases are classified as type I, type IIa, type IIb, type III, type IV, type V, and hyper-α-triglyceride levels due to increases in both VLDL and chylomicrons and lipoprotein electrophoresis shows increases pre-β, β, and...
A Case of Sjören-Larsson Syndrome
Kil Joon Lee, Jong Bock Kim, Dong Hwan Lee, Sang Man Shin, Sang Jhoo Lee
J Korean Pediatr Soc. 1994;37(12):1757-1761.   Published online December 15, 1994
Sjören-Larsson Syndrome is a rare disorder chracterized by congenital icthyosis, spastic diplegia or tetraplegia and mental retardation. The inheritance is autosomal recessive, due to deficiency of alcohol dehydrogenase activity of fatty acid matabolism. We have experienced a case of Sjören-Larsson Syndrome in a 16 month-old male children who have dried thick skin, developmental delay, and spastic diplegia. He was much improved clinically...
A Case of Stillbirth Due to Fetomaternal Transfusion
Jin Min Choi, Myoung Bae Jeon, Byung Joo Park, Jung Hye Choi, Seoung Yul Lee, Dong Won Choi
J Korean Pediatr Soc. 1994;37(12):1762-1766.   Published online December 15, 1994
Transfer of large quantities of fetal blood across the placental barrier to the maternal circulation is a rare occurrence which results in severe anemia in the newborn infants. This phenomenon is believed to occur most often during labor and delivery and apparently, is more frequent when abnormal obstetric conditions are present. However, fetal erythrocytes have been identified in the naternal...
A Case of Remission of Systemic Juvenile Rheumatoid Arthritis (Still's Disease) Treated with High-dose Intravenous Gammaglobulin
Yon Sook Rho, Yun Woo Lee, Sang woo Kim
J Korean Pediatr Soc. 1994;37(12):1767-1772.   Published online December 15, 1994
High dose intravenous gammaglobuline (IVIG) therapy is effective in some of the autoimmune diseases. Although the exact mechamism of action of IVIG is uncertain, the action as a neutralizing antibody against unknown etiologic agents, the action of blocking of Fc receptors of effector cells, or the action as a antiidiotypic antibody are suggested. We report a case of 12 year old...
A Case of Torsion of Wandering Spleen
Soon Kyung Baik, Seung Kyu Park, Seung Ok Park, Soon Jeong Lee, Dong Jin Lee
J Korean Pediatr Soc. 1994;37(12):1773-1777.   Published online December 15, 1994
The wandering spleen is a rare condition, in which the spleen is located in other than the left upper quadrant of the abdomen. The clinical manifestation is variable from asymptomatic to abdominal catastrophy due to torsion of the splenic pedicle. We experienced a case of torsion of wandering spleen in 8-year-old girl who admitted with fever, vomiting, adbominal pain, palpable left...
A Case of Xanthogranulonatous Pyelinephritis with Idiopathic Hypercalciruia in a Child
Young Jun Kim, Hyun Joo Kwak, Keun Haeng Cho, Kee Hwan Yoo, Young Sook Hong, Soon Kyum Kim
J Korean Pediatr Soc. 1994;37(12):1778-1783.   Published online December 15, 1994
Xanthogranulomatous pyelonephritis in childhood is a rare chronic pyelonephritis often assodiated with calculi of urinary tract obstruction, with a clinical presentation of renal mass. A 3-year old boy was admitted to Korea University Hospital complaining of intermittent fever and palpable mass at right upper quadrant of the abdomen. The CBC revealed increased ESR and the finding of iron deficientcy anemia....
A Case of Dandy-Walker Syndrome with Chromosomal Abnormality
Hyui Sung Chang, Seok Kyu Lee, Gi Chung Lee, Woo Ki Lee, Kwang Woo Kim
J Korean Pediatr Soc. 1994;37(12):1784-1788.   Published online December 15, 1994
The Dandy-Walker syndrome is a developmental disorders of the brain characterized by cystic defromity of the 4th ventricle and agensis of the cerebellar vermis. Other systemic anomalies and chromosomal abnormalities are associated with this syndrome. We are experienced a case in a 9 months old male infant who presented initially with frequent vomiting, low birth weight, On the physical examination, a...
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