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Volume 40(9); Sep 1997
Medical Lecture Course
Surgical Treatment in Childhood Intractable Epilepsy
Joon Sik Kim
J Korean Pediatr Soc. 1997;40(9):1187-1192.   Published online September 15, 1997
Clinical Lecture
Empirical Antimicrobial Therapy in Infants and Children
Jung-Soo Kim
J Korean Pediatr Soc. 1997;40(9):1193-1201.   Published online September 15, 1997
Original Articles
Impact of Perinatal Risk Factors on Mental or Psychomotor Developmental Outcome of Very Low Birth W eight Infants
Eun Kyung Jin, Jong Uk Kim, Do Whan Kil, Oh Kyung Lee
J Korean Pediatr Soc. 1997;40(9):1202-1209.   Published online September 15, 1997
Purpose : To determine which perinatal risk factors influence neurodevelopmental outcome, we try to investigate which perinatal risk factors are correlated with Baley mental or psychomotor developmental index using BSID-Ⅱ test(Baley Scales of Infant Development, Ⅱ) in long term follow up of very low birth weight who received neonatal intensive care. Methods : This study was performed on 56 very low birth weight infants with...
Cerebral palsy, Periventricular echodensity, Cyst, Intraventricular hemorrhage
Kyeung Ho Park, Sang Hee Kim, Hyung Won Lee, Kil Hyun Kim, Hak Soo Lee, Ji Hye Kim, Young Seok Lee
J Korean Pediatr Soc. 1997;40(9):1210-1218.   Published online September 15, 1997
Purpose : Although neonatal intensive care and development of obstetrics play a role in improving survival rate in prematurity, cerebral palsy(CP) is still one of the neurologic sequelae. We tried to find what kinds of risk factors in the patients with abnormal neurosonographic findings who developed CP later. This study was performed to predict early enough who will develop CP later and to treat...
Visual Evoked Potentials in Healthy Preterm Infants
Young Kook Kim, Young Hwan Kim, Young Sook Hong
J Korean Pediatr Soc. 1997;40(9):1219-1226.   Published online September 15, 1997
Purpose : The visual evoked potentials(VEPs) offer a window both on visual system function and on cerebral or neurologic function. The study was performed to evaluate the maturation of VEP in preterm infants and to present a guide to detect high risk neonates who can develop neurodevelopmental abnormalities. Methods : The VEPs were recorded in response to binocular stimulus with light-emitting diode goggles. VEP recordings...
Erythropoietin Levels in Premature Infants Following Prolonged Treatment with Theophylline
Kug Hwan Kim, Eun Seok Yang, Sang Kee Park
J Korean Pediatr Soc. 1997;40(9):1227-1231.   Published online September 15, 1997
Purpose : Theophylline, an adenosine antagonist commonly used in premature infants to treat apnea, has been shown to decrease erythropoietin levels in adults. We studied the effect of theophylline on serum erythropoietin levels in premature infants with apnea. Methods : Subject were 12 premature infants with apnea who were admitted to the NICU, Chosun University Hospital. The first dose of theophylline was 5mg/kg, given...
Rapid Identification of Mycoplasma Pneumoniae, Mycobacterium Tuberculosis and Staphylococcus Aureus in Pleural Fluid by PCR
Chang Wan Kim, Byung Moon Ahn, Eun Ryoung Kim, Il Su Kim, Yung Seuk Pak, Sang Chul Sung
J Korean Pediatr Soc. 1997;40(9):1232-1241.   Published online September 15, 1997
Purpose : Pleural effusions may develop during the course of bacterial pneumonia. The aim of this study was to evaluate the significance of the polymerase chain reaction(PCR) method for detection of M ycoplasma pneumoniae, M ycobaterium tuberculosis and Staphylococcus aureus from pleural fluid. Methods : Total 12 samples were obtained from pleural fluid; 2 samples from children with Mycoplasma pneumonia, 5 samples from adults with...
A Study on Spirometry Pattern of Normal Children
Hyoung-Shin Lee, Young-Hun Chung
J Korean Pediatr Soc. 1997;40(9):1242-1249.   Published online September 15, 1997
Purpose : Pulmonary function test is one of the most important tools in the management of patients with respiratory tract diseases and allergic diseases. In recent years pulmonary function tests have had a wide application in clinical pulmonary diseases. But, there were a few trials of pulmonary function test in normal children. So We performed spirometry-based pulmonary function tests of normal children. Methods : We...
Interim Results of Single Stage Operation for Coarctation of Aorta with Large Ventricular Septal Defect in Infancy
Ho Sung Kim, Chung Il Noh, Yong Soo Yun, Jung Yun Choi, Jeong Ryul Lee, Yong Jin Kim, Joon Ryang Roh
J Korean Pediatr Soc. 1997;40(9):1250-1257.   Published online September 15, 1997
Purpose : There are controversies in the operative methods of aorta with ventricular septal defect in infancy. Recent results of single stage operation for coarctation of aorta with intracardiac defects were regarded as comparable to staged operation. We evaluated our interim results after single stage operation for coarctation of aorta with large ventricular septal defect in infancy. Methods : Twenty six infants who had received...
Early Results of Radiofrequency Catheter Ablation of Supraventricular Tachycardia in Children
Jae Kon Ko, Young Hwee Kim, Young Hwee Kim, Chang Yee Hong, Jae Joong Kim, You Ho Kim
J Korean Pediatr Soc. 1997;40(9):1258-1264.   Published online September 15, 1997
Purpose : Although the data of radiofrequency catheter ablation(RFCA) of supraventricular tachycardia in adults has been accumulated in several centers in Korea, few data are available on its efficacy and safety in pediatric ages. We reviewed the data in young patients who underwent this procedure in a pediatric cardiology center, to evaluate the indications, early results, complications, and short-term follow-up data. Methods : We retrospectively...
Immunohistochemical Study of Bcl-2 Oncoprotein Expression in Childhood Non-Hodgkin's Lymphoma
Sung Mee Kim, Jin Hwa Jung, Jeong Ho Lee, Jong Dae Jo, Young Tak Lim, Do Youn Park, Sun Kyeung Lee
J Korean Pediatr Soc. 1997;40(9):1265-1274.   Published online September 15, 1997
Purpose : The aim of the present study was to assess the clinicopatholgical significance of Bcl-2 oncoprotein expression in childhood non-Hodgkin' s lymphoma(NHL). Methods : We have assessed 16 cases of childhood NHL during last 6 years from 1990 to 1995. Bcl-2 oncoprotein expression has been semiquantitatively analyzed in paraffin sections from 16 cases of childhood NHL with 39 control cases of adult NHL. The...
Indomethacin-induced Changesin Renal Blood Flow and Prostaglandin E Excretion in the Cat
Yoon Suck DSuh, Dae Hun Pee, Jae Young Kim, Yu In Park, Kee Hwan Yoo, Joo Won Lee
J Korean Pediatr Soc. 1997;40(9):1275-1284.   Published online September 15, 1997
Prediction of Steroid Responsiveness in the Primary Nephrotic Syndrome Using Urinary β2-Microglobulin Level and N-Acetyl-β-D-Glucosaminidase Activity
Kwang In Lee, In Seok Lim, Eung Sang Choi
J Korean Pediatr Soc. 1997;40(9):1285-1292.   Published online September 15, 1997
Purpose : Considering that renal biopsy is not routinely indicated in nephrotic syndrome in children and the risk of the procedure, we studied that it is possible to predict steroid responsiveness in nephrotic syndrome and the difference in responsivenss is related with the histopathologic type using urinary β2-microglobulin and N-Acetyl-β-D-Glucosaminidase activity as a safe and noninvasive method. Methods : We measured serum creatinine, albumin, cholesterol...
Case Reports
A Case of Kawasaki Disease of Five Recurrences During 4 Years
Jeong Woo Ryu, Dong Soo Kim, Jong Kyun Lee, Jun Hee Sul, Sung Kyu Lee
J Korean Pediatr Soc. 1997;40(9):1293-1296.   Published online September 15, 1997
Kawasaki disease is an acute illness of early childhood, especially less than 5 years of age, characterized by prolonged fever(> 5 days), changes of lips and oral cavity, changes of peripheral extremities, polymorphous skin rash, bilateral conjunctival congestion and acute nonpurulent cervical lymphadenopathy. Usually, the recurrence of Kawasaki disease is not frequent. It is thought that the factors in recurrence of Kawasaki disease was...
A Case of Maple Syrup Urine Disease
Dong Hyun Cho, Hyun Mi Lee, Soon Young Kim, Chang Soo Ra
J Korean Pediatr Soc. 1997;40(9):1297-1302.   Published online September 15, 1997
A Case of Pena-Shokeir Phenotype in Trisomy 18 Syndrome
Ki Hun Song, Jee Yeon Song, In Kyung Sung, Kyong Su Lee
J Korean Pediatr Soc. 1997;40(9):1303-1308.   Published online September 15, 1997
Pena-Shokeir syndrome is a rare, often lethal disease, characterized by intrauterine growth retardation, craniofacial anomalies, limb ankylosis, polyhydramnios and pulmonary hypoplasia. This autosomal recessive disease should be differentiated from trisomy 18, which the second most common multiple congenital malformation syndrome. It is therefore clear that the two syndromes have certain features in common, the most consistent being craniofacial and limb abnormalities and intrathoracic pathology. Therefore,...
A Case of Intestinal Abnormal Rotation by Mesenteric Lymphangioma
Eui Seok Park, Il Tae Hwang, Ghee Young Jung, Du Bong Lee, Hyo Seon Choi, Mi Kyung Jee
J Korean Pediatr Soc. 1997;40(9):1309-1313.   Published online September 15, 1997
Mesenteric lymphangioma was first recognized when an autopsy case was recorded in 1507 by Benevieni. It has been known clinically rare disease and probably a congenital developmental abnormality due to failure of drainage of peripheral primary lymphatic spaces. We experienced a case of abnormal rotation in intestine by mesenteric lymphangioma in a 8 years old male who showed vomiting and abdominal...
A Case of Hematemesis Due to Errosive Gastritis and Reflux Esophagitis in a 1 Day of Life
Hwan-Ill Kim, Shin-Kyu Yi, Yee-Tak Oh, Hong-Ja Kang, Kil-Seo Kim
J Korean Pediatr Soc. 1997;40(9):1314-1318.   Published online September 15, 1997
Hematemesis is not infrequent occurences in the neonatal period. Physician' s first task is to determine whether this blood is maternal in origin or whether the infant is bleeding internally. Fetal blood indicates one of a variety of lesions and its source may be difficult to determine. The causes are esophagitis, peptic ulcer of the stomach or duodernum, hemorrhagic disease and pulmonary hemorrhage etc. We...
A Case of Double Duodenal Web Associated with Peptic Ulcer
Sun Young Park, Jin Hwa Jung, Jeong Ho Lee, Jong Dae Jo
J Korean Pediatr Soc. 1997;40(9):1319-1324.   Published online September 15, 1997
Duodenal web is a very rare congenital anomaly which usually causes clinical features of intestinal obstruction from early infancy. It shows characteristic findings in the radiologic contrast study or endoscopy. But in the cases with large openings, preoperative diagnosis of web is difficult and often is overlooked until adolescence or adulthood because of delayed onset of symptoms. Duodenal web is usually single near the...
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