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Volume 37(5); May 1994
Medical Lecture Course
Bronchopulmonary Dysplasia
Soo Chul Cho
J Korean Pediatr Soc. 1994;37(5):587-595.   Published online May 15, 1994
Original Articles
Evaluation of Pulmonary Venous, Mitral and Aortic Flow Pattern by Doppler Echocardiography in Neonates
Hye Soon Kim, Young Mi Hong, Gyoung Hee Kim
J Korean Pediatr Soc. 1994;37(5):596-605.   Published online May 15, 1994
Pulmonary vein velocities have recently been estimated in conjunction with mitral flow velocities to increase our understanding of ventricular filling. The advent of transesophageal echocardiography with pulsed doppler imaging capability has provided a method by which both the mitral valve and pulmonary vein velocities can be easily recorded because of the posterior approach providing unimpeded interrogation of cardiac structures. The purpose...
Normal Fetal echocardiography
Seock Joong Yoon, Sung Jin Hong, Hyung Gu Cho, Jung Wan Yoo, Dong Chul Park
J Korean Pediatr Soc. 1994;37(5):606-611.   Published online May 15, 1994
Fetal echocardiography is used by means of decleration of fetal cardiac anaxtomy, to estabilish the diagnosis of congenital heart disease in utero. We attemped fetal echocardiography to ninty three pregnant women after intra uterine period 24 weeks, and estimated cardiac circumference, cardiac axis, pulmonary atery root diameter, arortic root diameter, diameter of inferior vena cava, diameterof superior vena cava, and...
Morphological Classification of Left Superior Vena Cava and Analysis of Associated Cardiac Anomalies
Eun Joo Choi, Jong Kyun Lee, Seok Min Choi, Jun Hee Sul, Sung Kyu Lee
J Korean Pediatr Soc. 1994;37(5):612-619.   Published online May 15, 1994
The persistend left superior vena cava(LSVC) is not rare cardiovascular developmental anomaly occurring both in association with congenital heart disdease and as an isolated anomaly of no hemodynamic importance. We have studied 73 cases of the LSCV out of 1,060 cases of congenital heart disease catheterized at Yonsei Cardiovascular Center. We conducted the study with a view point of position of...
Diagnostic value and Relationship of the between Stable Microbubble rating Test and Shake Test for the Prediction of Neonatal Respiratory distress Syndrome
Seong Jin Ha, Dong Kyun Ryu, Oh Kyung Lee, Wan Seob Kim
J Korean Pediatr Soc. 1994;37(5):620-627.   Published online May 15, 1994
Respiratory distress syndrome (RDS) in the newborn infants remains a major cause of mortality and morbidity in the newborn period despite much improvements in neonatal intensive care and artificial ventilatory techniques. Gastric fluid was obtained from 151 patients within 6 hours after delivery. The sensitivity, specificity, and predictive value of the simple shake test (133 cases) and stable microbubble rating...
Clinical Study on Very Low Birth Weight Infants
Sha Young Choi, Dae Young Jang, Oh Kyung Lee, Wan Seob Kim
J Korean Pediatr Soc. 1994;37(5):628-635.   Published online May 15, 1994
Medical records of very low birth weight infants weighing less than 1500 grams at birth were reviewed and analyzed. One hundred and forty three infants who were admitted to neonatal intensive care unit of Presbyterian Medical Center, including those who were born and transferred from other hospitals, from January 1987 to December 1991 were examined and the following results were obtained; 1)...
A Clinical Study of retinopathy of Prematurity
Jong Won Lee, Jin Kyung Jung, Ji Hae Kang, Ghee Young Jung, Moo Ung Kim
J Korean Pediatr Soc. 1994;37(5):636-641.   Published online May 15, 1994
Among 666 premature infants or low birthweight infants who were admitted in NICU of st. Francisco General Hospital from January 1990 to Jun 1992, 96 infants were diagnosed as retinopathy of prematurity by indirect ophthalmoscope. The result were follows: 1) Among 666 patients, retinopathy of prematurity developed in 96 patients(14.1%) 2) The high incidence was observed in low birthweight and small gestational age. 3)...
Periventricular-Intraventricular Hemorrhage in the Full-term Infant
Hee Sup Kim, Beyong Il Kim, Jung-Hwan Choi, Chong Ku Yun, In One Kim
J Korean Pediatr Soc. 1994;37(5):642-648.   Published online May 15, 1994
Intraventricular hemorrhage (IVH) is common in the premature infants and occurs mainly in subependymal germinal matrix. In contrast, IVH in the term infants is rare and different in pathogenesis and bleeding sites from those of the premature infants. Most studies of IVH in term infants have been studied by computerized tomography and postmortem examination. Brain ultrasonography which has become a...
Clinical Approach of Ultrasonography in the Diagnosis of Intussusception in Infant and Children
Hee Tag Lim, Jin Kil Park, Hong Ju Choi, Jae Sam Kim, Hyo Kyung Shin, Chul Hoi Gu
J Korean Pediatr Soc. 1994;37(5):649-654.   Published online May 15, 1994
Thirty consecutive partient seen in a pediatric out patient and emergency department, in whom the diagnosis of intussusception was considered, had an ultrasound examination of the abdomen before the barium enema. The peak age was 5~12 month(range 4~34 month). Intussusception was detected by ultrasonography in all 25 cases proved by barium enema(sensitivity 100%). Normal findings on ultrasonography correlated with negative barium...
A Clinical Study on Childhood Leukemia
Joo Huh, Jong Bum Shin, Soon Yong Lee
J Korean Pediatr Soc. 1994;37(5):655-665.   Published online May 15, 1994
Clinical analysis of 170 patients with childhood leukemia was made, who were admitted to the department o Pediatrics, Pusan Paik Hospital, Inje University, College of Medicine during 10 years from 1981 to 1990. The results were as follows: 1) The annual number of the patients with childhood leukemia was in the range of 6~25 cases. And the annual rate of the...
The Effect of Cranial Irradiation on Growth of Children with Lymphatic Origin Tumors
Jin Seoup Jung, Yon Sook Rho, Sang Woo Kim
J Korean Pediatr Soc. 1994;37(5):666-671.   Published online May 15, 1994
A retrospective study was conducted to investigate the effects of CNS prophylaxis with 1,800cGy cranial irradiation on standing height growth of children with acute lymphoblastic leukemia(ALL). Seventeen longterm survivors (DFS over 5 years) of ALL and Non-Hodgkins Lymphoma who had been admitted at pediatric department of Inje University Seoul Paik Hospital from January 1982 to September 1988 were studied. The long term...
Normal Predicted Values of Pulmonary Function Test in children
In Ah Cha, Kwang Sin Kim, Young Wook Kim, Ki Bok Kim
J Korean Pediatr Soc. 1994;37(5):672-688.   Published online May 15, 1994
An objective evaluation of the degree of respiratory impairment in children depends on the establishment of standards of normal function. In addition to sex and growth, various factors such as race and geography have been shown to be important determinants of lung function. The purposes of this paper are to report the result of lung function tests performed on a...
The Clinical Study of 10 Cases of Tsutsugamushi Fever
Dong Gyu Lee, Sung Hak Kim, Byung Keun Han, Kyung Ho Lee, Cheol Hee Hwang, Moon Ki Cho
J Korean Pediatr Soc. 1994;37(5):689-694.   Published online May 15, 1994
In Korean, there has been an increasing concern on rickettsiosis as a possile common cause of unkonwn febrile illness since Tsutsugamushi fever among koreans was reported first in1986. We experienced 10 cases of Tsutsugamushi fever ocurring in the Mokpo area during the period of 3 months(Oct. to Dec.) in 1990, which were diagnosed clinically and serologically by...
Occult Mediastinal Ganglioneuroblastoma Presenting with Myoclonic Encephalopathy as Paraneoplastic Syndrome
Hahng Lee, Dong Ki Han, Jae Won Oh, In Joon Seol, Eun Kyung Hong, Seok Chol Jeon
J Korean Pediatr Soc. 1994;37(5):695-700.   Published online May 15, 1994
Ganglioneruroblastoma and neuroblastoma are among commonest types of childhood malignancy and a number of unique paraneoplastic syndromes have been associated with both localized and disseminated neuroblastoma. The coincidence of neuroblastoma and myoclonic encephalopathy or other paraneoplastic syndromes occurs relatively rare, and therefore, failure to recognize this association could result in delays in both diagnosis and treatment, and the result...
Case Reports
A Case of Brain Damage in Surviving Monozygotic Twin After Intrauterine Death of Co-Twin
Jae Young Choi, Kook In Park, Ran Namgung, Chul Lee, Dong Gwan Han, Tae Sub Chung
J Korean Pediatr Soc. 1994;37(5):701-706.   Published online May 15, 1994
Various anatomical defects have been described in the surviving twin who had a stillborn, macerated monozygotic co-twin Disseminated Intravascular Coargulation. The etiology is thought to be placental transfer of emboli or thromboplastic material through placental vascular anastomoses. We experienced a case of monozygotic twin with deceased co-twin at 30 weeks of gestation and confirmed to have antenatal periventricular germinal matrix and...
A Case of Cerebral Infarction and Subdural Hemorrhage after Aseptic Meningitis
Hyun Mi Kim, Si Whan Koh, Kyung Hwan Oh, Young Chang Kim, Sang Joo Lee
J Korean Pediatr Soc. 1994;37(5):707-711.   Published online May 15, 1994
After aseptic or septic meningitis, some neurologic complications such as convulsions, delirium, rigidity, cerebral infarctions and cerebral hemorrhage can be developed. The cerebral infarction after meningitis is caused by arterial or venous occlusions. Involvement of small perforating arteries leads to ganglionic infarcts while severe sapsm of major vessels may lead to massive infarctions in the distribution of middle and/or anterior...
Two Cases of Double-Chambered Right Ventricle by Abnomal Muscle Bundles
Hye Young Kang, Jung Il Noh, Jung Yun Choi, Yong Soo Yun
J Korean Pediatr Soc. 1994;37(5):712-717.   Published online May 15, 1994
The double-chambered right ventricle is congenital or acquired cardiac anomaly, which is characterized by aberrent hypertrophied muscular bands that divide the right ventriclar cavity into two different pressure chamber. This anomaly can complicate the natural history of patient with isolated ventricular septal defect. We experienced two cases of acquired DCRV, which confirmed by two separate cardiac catherterization and angiography. The purpose...
A Case of Rett Syndrome Observed with Video-EEG Monitoring
Hyun Mi Kim, Young Ah Lee, TaecSung Ko, Hyung Nam Moon, Chang Yee Hong
J Korean Pediatr Soc. 1994;37(5):718-725.   Published online May 15, 1994
Rett syndrome is progressive neurodegenerative disorder in female patients, characterized by autistic behavior, mental retardation, loss of purposeful hand skills, sterotypic hand movement, breathing dysfunction, severely impaired language, ataxia, and seizure. The diagnosis of Rett syndrome is based on its characteristic clinical manifestation and course. The electroencephalographic(EEG) findings of Rett syndrome are nonspecific, but a progressive deteriorationin the EEF, characterized...
Attention deficit disorder
J Korean Pediatr Soc. 1994;37(5):726-730.   Published online May 15, 1994
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