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Volume 40(10); Oct 1997
Medical Lecture Course
Amino Acid Transport System
Jeongwan Seo
J Korean Pediatr Soc. 1997;40(10):1331-1335.   Published online October 15, 1997
A Survey on the Factors Related to the Failure of Breast-feeding
Seung Joo Lee, Jeong Wan Seo, Jae Ock Park, Jae Hoon Shin, Hae Ran Lee, Ji Tae Chung, Hae II Chung
J Korean Pediatr Soc. 1997;40(10):1336-1346.   Published online October 15, 1997
Objective : The breast-feeding rate has decreased in Korea despite of the active encouraging effort of breast-feeding for the last 10 years. So we investigated the factors that are related to breast-feeding failure. Method : 1807 specific questionares of mothers who visited the six university hospitals in Seoul from October 1993 to December 1995 were analysed by ANOVA and multiple logistic regression using SAS program. Results...
Original Articles
Analysis of Urinary Mass Screening for Elemantary, Junior and High School Children Over a 8-year Period in Seoul
Chong Guk Lee, Dong Whan Lee, Sae Won Yang, Sung Ho Cha, Chang Ho Hong, Yong Mook Choi, Hyun Soon Lee, Sung Jae Seo
J Korean Pediatr Soc. 1997;40(10):1347-1359.   Published online October 15, 1997
Purpose : The urinary mass screening program for the detection of proteinuria had been performed for a school age population in the city of Seoul since 1981. However, systematic evaluation for this program had never been done. We, therefore, designed a systematic evaluation in corporation with the Seoul School Health Center for students with proteinuria identified in the mass screening to determine the prevalence...
Rapid Socio-environmental Changes and Adolescent Problems in Korea
Duk-Jin Yun
J Korean Pediatr Soc. 1997;40(10):1360-1375.   Published online October 15, 1997
Purpose : There were rapid socio-environmental changes in Korea caused by industrializations in last thirty years. Those changes are : first, abrupt changes from the environments with closed Confucian ideas to the liberal democratic society, second, agricultural society changed to industrialized society and families with two or three generations are broken down into nuclear families at each generation, third, the annual personal income was...
A Study of the School-based Adolescent Violence
Young Kwan Park, Dae Hun Pee, Young Kyoo Shin, Sang Hee Park, Young Chang Tockgo
J Korean Pediatr Soc. 1997;40(10):1376-1385.   Published online October 15, 1997
Purpose : School-based violence among adolescents is a serious public health problem. Recently, it seems to spread and intensify. We were trying to investigate the information about adolescent' s experience, witness and perception in violence, thus to offer the data for appropriate violence prevention methods on our circumstance. Methods : During July, 1996, 3,794 middle or high school students in the metropolitan area of Korea...
Complications, Apolipoproteins and Lipoprotein(a) in Severely Obese Children in Incheon, 1996
Yon Ho Choe, Yong Hoon Jun, Soon Ki Kim, Seung Kyu Han, Byong Kwan Son, Jong Weon Choi, Soo Hwan Pai
J Korean Pediatr Soc. 1997;40(10):1386-1393.   Published online October 15, 1997
Purpose : This study was designed to evaluate the incidence of complication in severely obese children and to determine whether the difference of Lp(a) between severely obese children and normal control group exists. Methods : Body weight, height and obesity index were measured in 5885(M:F= 3089:2796) elementary school children. Eight eight(M:F=63:25) were selected as severely obese children. Of the 88 children, 74 agreed to venous...
Hemodynamic Effect of Nitric Oxide Inhalation in the Acute Hypoxic Pulmonary Hypertension Induced Newborn Piglet
Yun Cil Chang, Won Soon Park, Jung-Hwan Choi, Chong Ku Yun
J Korean Pediatr Soc. 1997;40(10):1394-1409.   Published online October 15, 1997
Purposes : Nitric oxide(NO) is classified as toxic gas in native states, but in most biologic systems NO acts as a messenger molecule. NO is known as endothelium derived relaxing factor that modulates tone of vascular smooth muscle. Inhaled NO has been reported to act as a selective pulmonary vasodilator and we expect that NO inhalation can be used as a successful treatment modality...
Influence of Phototherapy on Incidence of Patent Ductus Arteriosus in Very Low Birth W eight Infants
Hee Seok Kim, Ee Kyung Kim, Yun Kyoung Lee, Hee Eun Lee, Chan Hwu Park, Kyung Ran Park, Jun Dong Park, Beyong Il Kim, Woong Heum Kim, Jung-Hwan Choi, Yong Su Yun, Chong Ku Yun, Jeong Mi Lee
J Korean Pediatr Soc. 1997;40(10):1410-1418.   Published online October 15, 1997
Purpose : Patent ductus arteriosus(PDA) is a common disease in very low birth weight infants(VLBWI). Hemodynamically significant PDA increases the morbidity and mortality of premature infants. Based on experimental model, light inhibits the constriction of immature piglet' s ductal rings. No specific mechanism adequately explains the effect of light on the relaxation of PDA. Several hypotheses, including activation of photosensitive metabolites, alterations in receptors, or...
Influence of Feeding and State of Alertness on the Incidence of Gastroesophageal Reflux in Children
Kyung Mo Kim, Jung Yeon Shim, Soo Jong Hong
J Korean Pediatr Soc. 1997;40(10):1419-1426.   Published online October 15, 1997
Purpose : The aim of this study is to evaluate the influence of the feeding (fastingpostprandial) and the state of alertness(awake-asleep) on the amount of gastroesophageal reflux by using 24hour esophageal pH metry. Methods : From July 1994 to June 1995, 32 cases of 24 hour esophageal pH metry had been done at the Asan Medical Center. Twenty three children with normal pH monitoring and...
Constipation in Children-Colonic Transit Time and the Barr-Score
Nam-Seon Beck, I Sok Kang, Dong Kyu Jin, Munhyang Lee, Sang Il Lee, Heung Jae Lee, Bokyung Kim, Tae Sung Park
J Korean Pediatr Soc. 1997;40(10):1427-1434.   Published online October 15, 1997
Purpose : We have assessed the clinical usefulness of solid maker transit technique and Barr-score in 31 patients with idiopathic constipation (male:female; 17:14, mean age; 6.7 years, range 1.4-12 years). Methods : All patients underwent full history taking and physical examination including rectal examination. On first visit to gastroenterology clinic a plain abdominal film was taken for Barr-score which evaluated by two observers without the...
A Study on the Serum Level of Phenytoin after Intravenous Administration of Loading Dose
In Joon Seol, Young Iee Yu
J Korean Pediatr Soc. 1997;40(10):1435-1442.   Published online October 15, 1997
Purpose : Phenytoin is effectively and widely used drug for the treatment of status epilepticus and patient with ongoing seizure by intravenous infusion. It is generally recommended to maintain serum concentration above 10μg/ml for the sustained effective anticonvulsant effect. This study was designed to know the optimal time to begin oral maintenance therapy after initial intravenous infusion. Methods : Total 17 patients with status epilepticus...
The Characteristics of Febrile Neutropenia Induced by Chemotherapy
Hyung Joo Sohn, Kee Hwan Yoo, Guang Chul Lee, Sun Gyum Kim
J Korean Pediatr Soc. 1997;40(10):1443-1452.   Published online October 15, 1997
Purpose : The development of fever in neutropenic cancer patients is frequently a sign of infection. Infection remains the major cause of death in the patient with cancer, primarily as a consequence of the profound alterations of normal host defences which result from the malignancy, its treatment or both. Fever in the patient with neutropenia is generally recognized as an indication of the need...
Treatment of Intravenous Immune-Globulin Resistant Kawasaki Disease with Corticosteroids
Dae-Eui Hong, Kyung-Yil Lee, Ji-Whan Han, Sung-Soo Hwang, Kyong-Su Lee
J Korean Pediatr Soc. 1997;40(10):1453-1457.   Published online October 15, 1997
Purpose : To evaluate the efficacy of steroid therapy on prevention of development and progression of coronary artery aneurysm in intravenous immune globulin(IVIG)-resistant Kawasaki disease, we treated three children with high dose of intravenous methylprednisolone followed by low dose oral prednisolone. Methods : We selected three children with Kawasaki disease who did not repond or who initially responded but soon developed recrudescent fever after retreatment...
Case Reports
A Case of Intestinal Amebiasis with Protein Losing Enteropathy
Chan Young Pak, Hee Taeg Kim, Soo Young Choi, Yun Jong Kang, Yeon Chung Chung, Jin Keun Ghang, Jeong Kee Seo
J Korean Pediatr Soc. 1997;40(10):1458-1464.   Published online October 15, 1997
Amebiasis is an infectious disease caused by Entameba histolytica. Amebiasis remains an extremely important consideration in the differential diagnosis of diarrhea, especially when there is associated bleeding. It is imperative that appropriate studies to establish or exclude the diagnosis of amebiasis be carried out in all patients who present with a clinical and sigmoidoscopic picture of colitis, and that patients treated with metronidazole for amebiasis...
A Case of Spontaneouse Hemothorax Associated with a Posterior Mediastinal Endodermal Sinus Tumor in a Female Patient
Eui Seok Park, Il Tae Hwang, Ghee Young Jung, Du Bong Lee, Young Sook Han, Hyo Seon Choi, Mi Kyeong Ji
J Korean Pediatr Soc. 1997;40(10):1465-1469.   Published online October 15, 1997
Primary endodermal sinus tumor(yolk sac tumor) of the mediastinum is rare. Most patients are young and male, and the great majority of tumors are found in the anterior mediastinum, and spontaneous hemothorax is a rare presentation of intrathoracic tumors. We report a case of spontaneous hemothorax associated with a posterior mediastinal endoderml sinus tumor occuring in a female patient. Brief review and related literatures...
A Case of Reversible Biliary Pseudolithiasis After Ceftriaxone Therapy
Hye Kyung Lee, Young Chang Kim, Young Tong Kim
J Korean Pediatr Soc. 1997;40(10):1470-1473.   Published online October 15, 1997
Ceftriaxone, a potent third-generation semisynthetic cephalosporine, is widely used for treatment various bacterial infections in children. There have been some reports that transient appearance of gallbladder sludge was often demonstrated by abdominal sonography in patients treated with ceftriaxone. Reversible biliary pseudolithiasis was used to describe this phenomenon. We present a case of biliary pseudolithiasis which appeared to be related to intravenous ceftriaxone therapy in children who...
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