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Volume 37(2); Feb 1994
Auditory Brain Stem Responses and Neurological Disorders in Children
Chang Il Ahn, Sa Jun Chung
J Korean Pediatr Soc. 1994;37(2):149-156.   Published online February 15, 1994
Original Articles
Improvement of Thoracic Pressure-Volume, Complincace and Histological Characteristics in Premature Newborn Rabbit after Treatment of Bovine Purified Natural Surfactant-Phospholipid
Chong-Woo Bae, Chang Il Ahn, Haruo Maeta, Tetsuro Fujiwara
J Korean Pediatr Soc. 1994;37(2):157-166.   Published online February 15, 1994
We had previously reported the purification of bovine lung natural surfactant-phospholoipd (PNS-L) and the assessment of it's surface physical properties in vitro. To observe the clinical effectiveness of PNS-L in vivo, the degree of improvement of thoracic pressure-volume, compliance and histological changes following PNS-L instillation in premature rabbits with respiratory distress syndrome (RDS) were investigated. Rabbits, delivered prematurely by cesarean section...
The Clinical Observation in Kawasaki Disease
Min-Young Park, Gye-Sik Shim, Sung-Ho Cha, Chang-Il Ahn
J Korean Pediatr Soc. 1994;37(2):167-174.   Published online February 15, 1994
One-hundred ninty five cases with Kawasaki disease who diagnosed and treated at the Department of Pediatrics, Kyung Hee University Hospital from January 1985 to June 1993, were investigated for their clinical manifestations and laboratory findings, and cardiac complications. The results are as follows: 1) Most patients (92.8%) were under 5 years of the age. 2) Boys were more prevalent than girls, as a...
Renal size as a Prognostic Factor in Childhood Acute Lymphocytic Leukemia
Soo Kyung Yun, Chang Hyun Yang, Chuhl Joo Lyu, Seung Hwan Oh, Kir Young Kim, Myung Joon Kim
J Korean Pediatr Soc. 1994;37(2):174-179.   Published online February 15, 1994
The Kidney size is of special interest during the diagnostic work up of acute lymphocytic leukemia. But is still uncertain whether a finding of kidney enlargement at presentation has long-term prognostic value. We therefore reviewed the kidney size in children with acute lymphocytic leukemia by abdominal ultrasonograms at the time of diagnosis (n=54) and examined if there was any statistical...
Exchange Transfusion Using Percutaneous Femoral Vein Catheterization in Neonates: Comparison with Umbilical Vein Catheterization
Song-Ja Kim, Hyang-Ok Woo, Seung-Hwan Kim, Mi-Ryeong Kim, Sun-Kyeong Sin, Hee-Shang Youn
J Korean Pediatr Soc. 1994;37(2):180-184.   Published online February 15, 1994
Traditionally umbilical vein has been used for exchange transfusion in neonates. This method is relatively safe and effective but with a few complications. So via percutaneous femoral vein catheters we tried exchange transfusion in 30 patients with neonatal hyperbilirubinemia admitted to GNUH from September 1990 to August 1992. Femoral vein catheterization succeeded in 2~3 trials. In all cases high bilirubin level...
Pharmacokinetics of Gentamicin and Amikacin in Korean Children with Normal Renal Function
Jin Young Park, Ktung Bae Kwon, Mee Ran Kim, Hoan Jong Lee, Jin Q Kim, Wan Gyoon Shim, Kyoung Ho Park, Hae Lim Chung
J Korean Pediatr Soc. 1994;37(2):185-192.   Published online February 15, 1994
We analysed retrospectively pharmacokinetic parameters of gentamicin and amikacin in 44 and 58 Korean pediatric patients, respectively, with normal renal function. Pharmacokinetic parameters were calculated from two concentrations in serum by method of Sawchuck. There was wide individual variation in peak serum concentrations of gentamicin and amikacin. Administration of the usually recommended doses yielded subtherapeutic concentration in 47% and 82%,...
The Sexual Maturity Rating of Adolescent Boys and Girls in Korea
Chang-Ho Hong, Hae-Ok Rho, Sang-Hi Song
J Korean Pediatr Soc. 1994;37(2):193-198.   Published online February 15, 1994
There are ethnic differences in the timing of sexual maturaion. However, averages of sexual maturity rating (SMR) for Korean adolescents were not available until recently. The purpose of this study was to determine averages for the SMR of adolescent girls and boys in Korea. The study population included 3,249 boys and 3,337 girls. The sample comprised 2,406 from the Seoul area,...
Clinical Studies of Salmonelosis in Childhood
Hong Shin Jeon, Young Jin Hong, Myung Ik Lee, Keun Chan Sohn
J Korean Pediatr Soc. 1994;37(2):199-204.   Published online February 15, 1994
During The last 11 years from Jan. 1980 to Dec. 1990, 72 cases of salmonellosis has been admitted to the Department of Pediatrics of National Medical Center and evaluated clinical difference between typhoid fever and salmonella gastroenteritis. The result were as follows: 1) The annual incidence of salmonella gastroenteritis in salmonellosis was increased in the latter half of the eighties. 2) Both...
Role of Adenovirus in Diarrheal Children
Gyung Ok Yu, Young Bae Moon, Dong Rak Choi, Duk Ha Kim, Hae Ran Lee, Chong Young Park, Hee Jung Kang, Kyu Man Lee
J Korean Pediatr Soc. 1994;37(2):205-211.   Published online February 15, 1994
In order to investigate the role of adenovirus in diarrheal children, we evaluated 907 children with diarrhea and 193 children without diarrhea for a 22-month. Stools were tested for group A rotavirus antigen and for adenovirus types 40/41 (Ad 40/41) by using ELISA, cell technique and indirect immunofluorescent method. Adenovirus was detected in 10.1% of the diarrheal children and 3.1%...
Chronic Diarrhea In Infancy
Hee Soo Kim, Ki Sup Chung
J Korean Pediatr Soc. 1994;37(2):212-220.   Published online February 15, 1994
Diarrhea is an extremely common cause of morbidity in infancy. Occasionally it becomes protracted, leading to a vicious cycle of malabsorption, malnutrition and failure to thrive. Thirty nine infants of chronic diarrhea who had been admitted to the Department of pediatrics, Yonsei University College of Medicine for 3 years between September, 1989 and December 1992, were clinically studied and analogized,...
The Significance of Bacteriologic Examination in the Childhood Tuberculosis
Kyung Bae Kwon, Jin Young Park, Bo Young Yoon, Mee Ran Kim, Hoan Jong Lee, Eui Jong Kim, Sang Jae Kim
J Korean Pediatr Soc. 1994;37(2):221-230.   Published online February 15, 1994
We reviewed retrospectively the medical records of 229 cases of tuberculosis, who had been diagnosed clinically and admitted to the department of pediatrics, Seoul National University Children's Hospital, during the period of 6 years from October, 1985, to October, 1991. Patients with tuberculosis occupied 1.2%. of the hospitalized patients. Forty-three percent of the patients were under 3 years of age. Principal...
Transmission of Hepatitis B Virus from Asymptomatic Carrier Mothers to Their Offspring Using the Polymerase Chain Reaction Technique
Jin Sook Kim, Young Ran Yoon, Mi Kyung Kim, Hye Kyung Han, Mi Ryung Um, Kyung Hoon Choi, Mi Na Lee, In Keol Moon, In Kweon Han
J Korean Pediatr Soc. 1994;37(2):231-239.   Published online February 15, 1994
Total 8,341 pregnant women who visited Obstetric clinic Cheil General Hospital from January 1991 to July 1992 were screened for HBsAg. Sixty five women with positive HbsAg who delivered healthy babies during that period and their infants are included in the study. HBsAg, Anti-HBs, Anti-HBc, HBeAg and Anti-HBe were tested by radioimmunoassay and hepatitis B virus DNA were studied by polymerase...
Normal Predicted values of Pulmonary function Test in Korean Primary School-Aged Children
Dae Hyun Lim, Jeong Hee Kim, Jun Hee Park, Jong Woon Choi, Soon Ki Kim, Byong Kwan Son
J Korean Pediatr Soc. 1994;37(2):240-249.   Published online February 15, 1994
Pulmonary function test is one of the most important tools in the management of patients with respiratory tract diseases and allergic diseases. As with the difficulties in performing the test, it has been seldom used in pediatric field. But with the advent of simple, computerized tools, pediatric pulmonologist and allergist try to manage the patients using PFE. Still the normal...
Acute Tubular Necrosis Associated with typhoid Fever
Pill-Jin Shin, Ho-Sung Lee, Byoung-Soo Cho, Chang-Il Ahn, Mun-Ho Yang
J Korean Pediatr Soc. 1994;37(2):250-256.   Published online February 15, 1994
Acute tubular necrosis has been rarely reported as a complication of typhoid fever in the literature. We experienced four cases of acute tubular necrosis associated with typhoid fever in children. Patients showed significant titer of widal reaction associated with acute renal failure and one of them rised in 2 months after onset of clinical symptoms. Renal biopsy findings were compatible with acute...
Case Reports
Pulmonary Artery Sling with Situs Solitus Dextroposition of Heart and Left Superior Vena Cava
Sung-Ho Cha, Sung- Yong Jung, Pill-Jin Shin, Byong-Soo Cho, Chang-Il Ahn, Sun-Wha Lee
J Korean Pediatr Soc. 1994;37(2):257-261.   Published online February 15, 1994
Pulmonary artery sling is a rare congenital cardiovascular anomaly which presents clinical obstructive symptoms and signs of trachea, right main bronchus and esophagus due to left pulmonary artery abnormaly arises from proximal part of right pulmonary artery. Aberrant left pulmonary artery courses to the right above right main bronchus and then turns to the left, and courses to between the...
Two Male Siblings with Pseudohypoaldosteronism Type I
Ran Lee, Sang Yong Kim, Sung Dong Choi, Seung Yun Chung, Jin Han Kang, Byung Churl Lee
J Korean Pediatr Soc. 1994;37(2):262-268.   Published online February 15, 1994
Pseudohypoaldosteronism (PHA) is rare herediary salt wasting syndrome due to peripheral resistance to aldostrone. PHA type I, subdivided into isolated renal insensitivity to aldosterone of autosomal dominant inheritance and multiple target organ defect of autosomal recessive inheritance, and PHA type II show similar clinical manifestations except hypertension which is limited to type II. PHA type I is charaterized by hyponatremia, hyperkalemia,...
Candida Esophagitis in Infancy-A Report of 3 Cases
Ho Sung Kim, Youn Woo Kim, Jae Geon Sim, Beom Soo Park, Hoan Jong Lee, Joong Gon Kim, Jeong Kee Seo, Je Geun Chi
J Korean Pediatr Soc. 1994;37(2):269-275.   Published online February 15, 1994
We experienced 3 cases of Candida esophagitis in infancy which were diagnosed by esophageal endoscopy, First case, 10 month-old boy with combined immune deficiency had suffered from oral thrush and poor feeding for more than 4 months. Esophageal endoscopy revealed multiple whitish creamy patches on the friable erythematous and necrotic mucosa of the esophagus, He was firstly treated with amphotericin-B...
A Case of congenital Diverticulum of Ventricle Associated with Pulmonary Atresia
Kun Taek Kim, Jo Won Jung, Jong Kyun Lee, Jun Hee Sul, Sung Kyu Lee
J Korean Pediatr Soc. 1994;37(2):276-281.   Published online February 15, 1994
The congenital diverticulum of ventricle is a rare cardiac malformation arising from the left or right ventricle, the former being more common. Ventricular diverticulum is usually associated with other anomalies including intracardiac, midline thoracic, diaphragmatic and abdominal wall defect. The authors experienced a case of congenital diverticulum of left ventricle in nine month-old female infant. Left Blolock-Taussig shunt operation was done...
A case of Central Diabetes Insipidus Associated with Brachycephaly
Woo Sik Kang, Mee Kyung Namgoong, Jae Seung Yang, Baek Keun Lim, Jong Soo Kim
J Korean Pediatr Soc. 1994;37(2):282-287.   Published online February 15, 1994
Brachyecphaly is a kind of craniosynostosis. Because of premature closure of the coronal suture, the skull is shorter in the anteroposterior diameter but is widened with a high vault and the occiput and borehead are flattened. Diabetes insipidus had been reported in oxycephaly. We have experienced a case of central diabetes insipidus associated with brachcephaly. A brief review of related literatures...
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