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Volume 37(9); Sep 1991
Echocardiographic Evaluation of the Natural Processes in Uncomplicated Ventricular Septal Defect
Hyang Suk Yoon, Du Young Choi
Accepted January 1, 1970  
We studied, with echocardiography as a main tool, the natural processes of 211 patients with uncomplicated ventricular septal defect(VSD)(incidence, 5.33 per 1,000 live births); 146(69.2%) had a perimembranous VSD and 32 (15.2%) had a subarterial, 25(11.8%) had a muscular type of VSD. Cumulative rate of spontaneous closure was 26.1%. In the closure processes, about three-fourth of perimembranous VSd showed a...
A Clinical Study on a Behavior Screening Scale
Keun Lee
Accepted January 1, 1970  
A scale to screen children's behavior was developed to be used by pediatrician before examining the children brought to them for possible behavioral or developmental problems. The scale consisted of 2 parts. In the first part, there were 15 subjective questions about children's behavior and development which parents can answer in short sentences and in the second part, there were...
Original Articles
Physical Growth According to Sexual Maturation of Korean Adolescents
Hwan Gyu Park, Chang Ho Hong, Duk Hi Kim
J Korean Pediatr Soc. 1994;37(9):1187-1195.   Published online September 15, 1991
Adolescence is the period in which physical, mental and social maturation occurs and it is an important transit stage, changing from childhood to adulthood. This is a period in which important changes occur physically such as rapid growth in height and weight gain but significant differences in growth may occur for the same age. Therfore, the degree of sexual maturation...
Longitudinal Change of Cerebral Blood Flow Velocity in Neonates with Perinatal Asphyxia and Hypoxic-Ischemic Encephalopathy with Doppler Technique
Kook In Park, Dong Kwan Han, Joon Soo Lee, Ran Namgung, Chul Lee
J Korean Pediatr Soc. 1994;37(9):1196-1204.   Published online September 15, 1994
Fifty-three full-term, preterm, term-SGA newborn infants with perinatal asphyxia and 16 full-term infants with hypoxic-ischemic encephalopathy were studied with color Doppler songraphy to assess the postnatal change of the cerebral blood flow velocity(CBFV) longitudinally. A control group of 81 healthy infants also had CBFV recordings during the 1st week of life. Pourcelot Resistance index(PI) and area under the velocity curve(AUVC)...
The Accuracy of Pulse Oximeter in Pedicting the Arterial Oxygen Saturation
Jeong Hye Lee, Mi Sook Kim, Seong Sook Jeon, Son Sang Suh
J Korean Pediatr Soc. 1994;37(9):1205-1212.   Published online September 15, 1994
We studied 21 neonates who required mechanical venilation during study period in NICU OF Il Sin Christian Hospital with diagosis of prematurity, IRDS, pneumothorax and diaphragmatic hernia to evaluate the accuracy of pulse oximeter in predicting the arterial oxygen saturation, hypoxia and hyperoxemia. We also studied wheter the changes of birth weight, hematocrit, blood pressure and body temperature affect the accuracy...
Pulmonary Venous Flow Pattern by Doppler Echocardiography before and after Closure of Ductus Arteriousus in Newborns
Young Mi Hong
J Korean Pediatr Soc. 1994;37(9):1213-1219.   Published online September 15, 1994
Color Doppler echocardiography was performed to evaluate pulmonary venous flow pattern at 1st~2nd day of birth in 84 fullterm newborns (36: patent ductus arteriosus, 48: closed ductus arteriosus). Aortic and pulmonic diameter, velocity and integral were estimated. The purpose of this study ascertained that patent ductus arteriosus changed the pulmonary vein velocity and flow integral. The results were...
Detection of Enterovirus in Patients with Aseptic Meningitis by Reverse Transcription and Polymerase Chain Reaction
Souck Joong Yoon, Sung Jin Hong, Young Hyuk Lee, Min Hee Kim, Kyo Sun Kim, Kyu Hyun Park, Jae Myun Lee, Won Young Lee
J Korean Pediatr Soc. 1994;37(9):1226-1234.   Published online September 15, 1994
The aim of this study was to determine the applicability of reverse transcription and polymerase chain reaction(RT/PCR) for routine diagnostic use and for the detection of enteroviral mentigitis, Primers were selected in the highly conserved part of the 5'-non-coding region of the enteroviral genome. Enteroviral RNA was detected by the RT/PCR in routinely collected cerebrospinal fluids(CSF) of patients with aseptic...
A Clinical Study of Childhood Systemic Lupus Erythematosus
Young-Jun Kim, Young Don Kim, Jae Hong Park, Su Young Kim, Hee-Ju Park
J Korean Pediatr Soc. 1994;37(9):1235-1244.   Published online September 15, 1994
To Evaluate the clinical characteristics of childhood-onset systemic lupus erythemoatosus (SLE) and analyse the factors related to outcome of renal function in lupus nephritis, we reviewed medical records of 18 cases of SLE diagnosed at the Department of Pediatrics, Pusan Nationsl University Hospital from January 1981 to December 1990. The results were as was 1:2.6 1)Male...
The Roles of IgG and Albumin as a Predictor of Frequent Relapse
Jae-Ho Lee, Jong-Gyun Kim
J Korean Pediatr Soc. 1994;37(9):1245-1250.   Published online September 15, 1994
The etiology of nephrotic syndrome is unknown. The characterization were proteinuria, hypoalbuminemia, generalized edema and hyperlipidemia. To assess the recurrence factors in the nephrotic syncrome, we measured serum immunoglobulin(IgG, IgA, IgM), albumin, complement, cholesterol and the 24-hour total urine protein at the initial relapse of nephrotic syndrome. Each data of frequent and infrequent relapsed nephrotic syndrome were compared. In total...
A Clinical Study of Benign Epilepsy of Childhood with Centrotemporal Spikes
Byung Il Lee, Sang Ju Han, Hong Jin Lee, Won Il Park, Kyung Ja Lee
J Korean Pediatr Soc. 1994;37(9):1251-1256.   Published online September 15, 1994
Benign epilepsy of childhood with centrotemporal spikes(BECCT) is an electroclinical syndrome characterized by noctural seizure that remit spontaneouly before adulthood, and belong to idiopathic age and location related epilepsies. We reviewed the medical records to analyse the seizure pattern, and also inspect the EEG recording to identify topography of the epileptiform discharge of 24 patient who met the following criteria: 1)presence...
The Role of Urinary Sodium at Transient Renal Acidification Defect during Acute Infantile Actue Gastroenteritis
J Korean Pediatr Soc. 1994;37(9):1257-1263.   Published online September 15, 1994
The pupose of this study is to verify the role of urinary sodium in transient renal acidification defect which frequently combine acute infantile gastroenteritis. We studied on twenty-five infants, 2 month to 36 month of age, during the 4 month period, from August, 1991 to December, 1991. The patients had acidosis for a mean of 3 days and sixty urine...
Study on Child Mortality among Korean Children
Beom Soo Park, Moo Song Lee, Seung Pil Jeong, Yoon Ok Ahn
J Korean Pediatr Soc. 1994;37(9):1264-1272.   Published online September 15, 1994
To estimate the child and infant mortality rates among Korean children, a mortality survey was carried out in the province of Kyongsangnam¡¤buk-do. The study popolation are the beneficiaries of Korea Medical Insurance Coorporation(KMIC), Kyongsangnam¡¤buk-do area, among which the 3,867 and 1767 deaths occurred from Januray, 1989 to December, 1990 in Kyongsangnam-do area and from January, 1991 to December, 1991 in...
Case Reports
Familial Hemophagocytic Lymphohistiocytosis
Dong Un Kim, Dae Kyun Koh, Yeon Dong Lee, Jae Kyun Hur, Kyoo Hong Cho, Suk Jin Kang
J Korean Pediatr Soc. 1994;37(9):1279-1285.   Published online September 15, 1994
Familial hemophagocytic lymphohistiocytosis (FHL) is a rare disease characterized by fever, hepatosplenomegaly, cytopenia and non-malignant lymphohistiocytic infiltration with hemophagocytosis in reticuloendothelial organs. We experienced three cases of FHL in identical male twins and their younger brother who presented with fever and severe hepatosplenomegaly. Cytompenia, elevated serum transaminase and low serum albumin levels, hypertriglyceridemia were common laboratory findings of them. One of...
Isolated Angiitis of the Central Nervous System
Seon Jin Ji, Jin Young Choi, Won Kyu Choi, Jae Seung Yang, Jong Soo Kim, Myung Soon Kim
J Korean Pediatr Soc. 1994;37(9):1286-1291.   Published online September 15, 1994
Isolated angiitis of the central nervous system is a rare clinicopathologic entity characterized by vasculitis restricted to the vessels of the central nervous system without other apparent systemic vasculitis. It manifests headache, higher cortical dysfunction, focal neurologic dysfunction and cranial nerve palsies. We experienced a case of isolated angiitis of the central nervous system in 6 year-old girl who was admitted...
A Case of Miescher Syndrome with Insulin-Resistant Diabetes Mellitus
Byung Min Choi, Jong Kwang Lee, Kee Hwan Yoo, Joo Won Lee, Soon Kyum Kim
J Korean Pediatr Soc. 1994;37(9):1292-1295.   Published online September 15, 1994
Miescher syndrome comprises congenital acanthosis nigricans, hypertrichosis, failure to thrive and short stature, dysmorphism especially of the jaws and oral cavity. Insulin-resistant diabetes mellitus, and a characteristic general appearance. This report concerns a rare case of 12-year-old girl having insulin resistant diabetic mellitus with Miescher syndrome. The relevant literature was reviewed.
A Case of Congenital T Cell Lymphoblastic Lymphoma
Eun Sun Yoo, Young Mi Hong, Kyung Hee Kim, Hae Soo Gyu, Eun Chul Chung
J Korean Pediatr Soc. 1994;37(9):1296-1304.   Published online September 15, 1994
T cell lymphoblastic lymphoma is characterized by immature lymphoid cells that are indistinguishable from the lymphoblasts and prolymphocytes of acute lymphoblastic leukemia. Several characteristic clinical features of lymphoblastic lymphoma, with include a high male-to-female ratio, a relatively high incidence in older children and young adults, the frequent presence of mediastinal involvement at the time of diagnosis. Also, this disease is...
A Case of Severe Pituitary Dwarfism due to Agenesis of Anterior Pituitary Gland with Pituitary Stalk Transection
Myoung Ju Yoo, Dong Ki Han, Jeh Hoon Shin, In Jun Seul, Seung Ro Lee
J Korean Pediatr Soc. 1994;37(9):1305-1311.   Published online September 15, 1994
We experienced one case of severe pituitary dwarfism in a 10 years old female girl. Magnetic resonance image(MRI) revealed transection of the pituitary stalk with the formation of high intensity ectopic posterior lobe located at the median eminence and agenesis of an anterior lobe of pituitary gland. The serum Growth Hormone(GH) response to clonidine and L-dopa revealed severe GH deficiency. The patient...
A Case of Rhizomelic Chondrodysplasia Punctata
Yeon Dong Lee, Moon Young Song, Hyun Hi Kim, Seunghoon Han, Wonbae Lee
J Korean Pediatr Soc. 1994;37(9):1312-1316.   Published online September 15, 1994
Chondrodysplasia punctata is a rare congenital disorder of bone, occuring in infants, which is characterized by raiographic manifestation of premature deposition of punctate calcific densitiy in epiphyseal areas, preformed in carilage. We experienced a case of rhizomelic type-chondrodysplsia punctata in a two day old female who showed short stature, symmetric shortening of proximal limbs, cataract, icthyositic skin lesion and characteristic coronal...
A Case of Cerebral Infarcion due to Thrombosis Associated with Focal Segmental Glomerulosclerosis and Steroid Resistant Nephrotic Syndrome
Dae Woo Kim, Heon Lang Park, Sang Man Shin, Eun Mi Kim
J Korean Pediatr Soc. 1994;37(9):1317-1324.   Published online September 15, 1994
Focal segmental glomerulosclerosis is the renal histopathologic lesion observed in 10% of children with idopathic nephrotic syndrome. Complications include infection, thrombosis, hypocalcemia and adverse effect of steroid use. The incidnce of thrombosis reported ranges from 10~40%. The pathogenesis are changes in coagulation system, decrease of Antithrombin III, increase platelet aggregability and steroid or diuretics use. These changes take place passively...
A Case of 4p+ Syndrome
Souck Joong Yoon, Sung Jin Hong, Hyung Gu Jo, Dong Chul Park
J Korean Pediatr Soc. 1994;37(9):1325-1329.   Published online September 15, 1994
We experinced a case of 4p+ syndrome in male infant. He had multiple anomalies such as flat occiput, hypertelorism, low set malformed ear, lower anterior hair line, depressed nose, broad nasal bridge, bilateral complete cleft lip and palate, short neck, unusual position of fingers, ventricular septal defect and umblical hernia. He menifested growth and developmental retardation. Karyotype with banding revealed an...
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