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Volume 41(11); Nov 1998
Clinical Lecture
Byung Churl Lee
J Korean Pediatr Soc. 1998;41(11):1471-1475.   Published online November 15, 1998
Original Articles
Bone Mineral Metabolism and Rickets Compared between Fortified Human Milk and Preterm Formula Feeding in Prematurity
Hong Sun Ju, Eun Young Jeong, Seong Sook Jeon, Son Sang Seo
J Korean Pediatr Soc. 1998;41(11):1476-1483.   Published online November 15, 1998
Purpose : To compare the effect of breast milk containing fortifier with preterm formula on bone mineral metabolism in premature infants, we evaluated the state of bone mineralization, biochemical alteration and the frequency of rickets during the first five months of life. Methods : Fourteen fortified breast milk-fed infants and eleven preterm formula-fed infants who were born at Il-Sin...
Profile of Insulin, Growth Hormone and Insulin-like Growth Factors in Human Cord Blood According to Birth Weight
Hye Young Kim, Dae Yeol Lee, Soo Chul Cho
J Korean Pediatr Soc. 1998;41(11):1484-1490.   Published online November 15, 1998
Purpose : Insulin-like growth factors(IGFs) are mitogenic peptides that are essential for fetal and maternal tissue growth during pregnancy. They circulate primarily with serum IGF-binding protein(IGFBP) which regulates the availability of IGFs to their specific target tissue. This study was performed to examine the relationships between birth weight and IGFs, insulin and growth hormone in the sera of cord blood...
Significance of Acute Phase Reactants(APR) Score for the Early Detection of Neonatal Bacterial Infection
Seong Woo Kim, Myung Ho Oh, Kee Hyuk Kim, Jay G. Sim
J Korean Pediatr Soc. 1998;41(11):1491-1497.   Published online November 15, 1998
Purpose : We performed acute phase reactants(APR) test to evaluate as an appropriate screening test for the early detection of neonatal bacterial infection. Methods : We selected 174 neonates and divided into two groups; sepsis group and well-baby group. We performed APR test. Results : There are no significant difference in total leukocyte count, immature to mature rentrophil ratio, toxic granules, and...
Immune Responses and Efficacy of Hepatitis B Vaccine in Neonates Born from Hepatitis B Carrier Mothers : Focus on HBV-DNA
Jong-Hyun Kim, Jin-Han Kang, Chang-Kyu Oh
J Korean Pediatr Soc. 1998;41(11):1498-1508.   Published online November 15, 1998
Purpose : The aim of this study was to elucidate the pathogenesis of vertical transmission of hepatitis B virus(HBV), and to study the protective efficacy of the vaccine and hepatitis B immune globulin(HBIG). Methods : Eighty-two infants born from HBV carrier mothers were studied. HBV plasma-derived vaccine and HBIG were administered to their neonates. Then, changes of viral markers, anti-preS2...
Relationship between Chest Radiography and Cell-mediated Immunity in Mycoplasma pneumoniae Pneumonia
Yong Dae Ham, Jae Il Yoo, Jin Hwa Jeong, Jeong Ho Lee, Jong Dae Cho
J Korean Pediatr Soc. 1998;41(11):1509-1516.   Published online November 15, 1998
Purpose : Mycoplasma pneumoniae pneumonias have been one of the most common causes of lower respiratory tract diseases during childhood. It is suggested that pathologic changes seen in the lung tissues were the histologic expression of the host immune response. The aim of this study was to determine the relationship between the chest radiographic pattern of Mycoplasma pneumoniae pneumonia and...
Autonomic Activity, Cardiac Chaos and Circadian Rhythm in Asymptomatic Children with Postoperative Tetralogy of Fallot
Myung-Kul Yum, Nam-Su Kim, Jae-Won Oh, Chang-Ryul Kim, Chul-Burm Lee, June Huh, Chung-Il Noh
J Korean Pediatr Soc. 1998;41(11):1517-1529.   Published online November 15, 1998
Purpose : This study aimed to characterize the autonomic and chaotic control of heart rate and circadian rhythm in asymptomatic patients with postoperative tetralogy of Fallot(pTOF). Methods : Twenty-four-hour electrocardiogram recordings were obtained in 30 asymptomatic pTOF patients and in 30 age-and sex-matched controls, aged between 6 and 11 years. The data was digitized and partitioned into sections of 30-...
Volumetric Quantitation of Pulmonary Regurgitation and Right Ventricular Function in Postoperative Tetralogy of Fallot by Echocardiography and Magnetic Resonance Imaging
Eun Young Park, Il Tae Whang, Young Mi Hong, Yong Sun Won, Yun Hyun Choi
J Korean Pediatr Soc. 1998;41(11):1530-1537.   Published online November 15, 1998
Purpose : Despite improved surgical techniques, pulmonary regurgitation is a common postoperative sequelae in patients with tetralogy of Fallot. Pulmonary regurgitation may induce deterioration of right ventricular performance, right ventricular dilatation and ventricular arrhythmia. The evaluation of the clinical significance of pulmonary regurgitation in postoperative tetralogy of Fallot has been troublesome since there was no technique that could accurately quantitate...
Relationship of Recurrent Abdominal Pain Syndrome and Gastric Emptying Time
Eui Jun Yang, Jae Hong Park, In Ju Kim
J Korean Pediatr Soc. 1998;41(11):1538-1548.   Published online November 15, 1998
Purpose : Recurrent abdominal pain syndrome(RAPS) is not uncommon in school-aged children, but the etiology and pathogenesis are not understood well. But recent studies suggest that motility disorder makes up a majority of the pathogenesis. The aim of this study was to investigate gastric emptying time(GET) which is a method to evaluate gastrointestinal motility in patients with recurrent abdominal pain...
Expression of AQP-1 and AQP-4 in Rat Stomach : An Immunohistochemical Study
Seung Il Kim
J Korean Pediatr Soc. 1998;41(11):1544-1552.   Published online November 15, 1998
Compliance with Anticonvulsant Therapy in Epileptic Children
Young Hwan Choi, Ki Sik Min, Jong Wan Kim, Ki Yang Yoo
J Korean Pediatr Soc. 1998;41(11):1553-1558.   Published online November 15, 1998
Purpose : Good compliance with an anticonvulsant medication regimen is essential for the successful management of epilepsy. However, pediatric compliance with anticonvulsant therapy did not well be studied. The aim of this study was to identify the following key in noncompliance in pediatric out patients receiving anticonvulsant therapy determining factors. Methods : Eighty-one epileptic outpatients under fifteen years of age with...
Survey on Parental Knowledge about Febrile Convulsion
Sung Koo Kim, Young Jun Kim, Phil Soo Oh, Young Ah Lee, Ha Joo Choi, Hae Sun Yoon
J Korean Pediatr Soc. 1998;41(11):1559-1564.   Published online November 15, 1998
Purpose : We surveyed parental knowlege about febrile convulsion in order to reduce unnecessary use of diagnostic method and management, and to use as an educational guideline. Methods : The survey composed of four items : etiology, diagnosis and treatment, prognosis, and method management at home. The rate of correct answers on the total questionnaire, and each questionnaires was compared to...
Surgical Treatment for Intractable Childhood Epilepsy
Yoon Jung Cho, Chun Soo Kim, Joon Sik Kim, Chin Moo Kang, Ji Eun Kim, Sang Do Yi, Eun Ik Son
J Korean Pediatr Soc. 1998;41(11):1565-1574.   Published online November 15, 1998
A Clinical Study of Histiocytosis Syndrome
Jong Jin Kim, Jae Kook Cha, Kon Hee Lee, Jong Young Park
J Korean Pediatr Soc. 1998;41(11):1575-1582.   Published online November 15, 1998
Diagnostic Sensitivity in Predicting Hyperlipidemia by Bioelectrical Impedance Analysis in Obese Children
Ji Ah Jung, Hyun Mi Kim,, Young Mi Hong, Gyoung Hee Kim
J Korean Pediatr Soc. 1998;41(11):1583-1589.   Published online November 15, 1998
Purpose : Childhood obesity is currently on the rise. The complications of childhood obesity are depression, adult obesity, hypertension, diabetes, hyperlipidemia, coronary artery disease and fatty liver. Therefore, accurate diagnosis of obesity is important. The purpose of this study was to assess diagnostic sensitivity to predict hypelipidemia by bioelectrical impedance analysis(BI) in obese children. Methods : One hundred fifteen healthy...
Case Reports
A Case of Type 1 Gaucher Disease Treated with Enzyme Replacement
Jae-Bok Kim, Han-Wook Yoo
J Korean Pediatr Soc. 1998;41(11):1590-1595.   Published online November 15, 1998
Type 1 Gaucher disease is one of the most common genetic lysosomal storage disease caused by the deficiency of glucocerobrosidase. Deficiency of this enzyme results in accumulation of glucoceramide in the macrophage and leads to hepatosplenomegaly, pancytopenia, bone damage and sometimes can be fatal. Recently, enzyme replacement has been considered as a major therapeutic strategy and about 2,000 patients have...
A Case of Achalasia Managed by Balloon Dilatation
Hwa-Yeon Lee, Jin-A Son, Jae-Wook Ko, Jae-Yun Kim, Don-Hee Ahn, Byung-Kook Gwak, Jeong-Kee Seo
J Korean Pediatr Soc. 1998;41(11):1596-1600.   Published online November 15, 1998
An 8-year-old male was admitted because of dysphagia and substernal pain suffered while eating followed by postprandial vomiting for 2 years. He was always hungry due to postprandial vomiting and willing to eat again just after vomiting. After this meals, he used to jump up and down to shake off the substernal discomfort. A narrowing of the gastroesophageal junction was...
A Case of Myositis Ossificans Progressiva
So Young Park, Su Jin Lee, Ji A Chung, Seung Joo Lee
J Korean Pediatr Soc. 1998;41(11):1601-1605.   Published online November 15, 1998
Myositis ossificans progressiva(MOP) is a rare, slow progressive autosomal dominant disorder that principally affects children under the age 10 years. It is characterized by progressive fibroblastic proliferation, and subsequent calcification and ossification of subcutaneous fat, muscles, tendons, aponeuroses and ligaments. The disorder is often associated with symmetrical malformations of the digits, especially microdactyly or adactyly of the thumbs and great...
A Case of Generalized Putular Psoriasis after Varicella Infection
Han Cheol Kim, Ran Lee, Jee Hae Kang, Gyu Young Jung, Jung Gee Lee, Mi Kyung Jee
J Korean Pediatr Soc. 1998;41(11):1606-1609.   Published online November 15, 1998
Generalized pustular psoriasis is the most servere form of psoriasis. This disorder is characterized by pustular skin lesions general symptoms such as high fever, weakness and peripheral blood leukocytosis. We have experienced a case of generalized pustular psoriasis after suffering from chickenpox which was diagnosed by clinical symptoms and pathologic features from a skin biopsy. This 4-year-old male patient was...
A Case of Distal Ulcerative Colitis Improved by Budesonide Enemas
Yong Joo Kim, Kwang Seung Shin, Nam Su Kim, Hahng Lee
J Korean Pediatr Soc. 1998;41(11):1610-1613.   Published online November 15, 1998
A ten-year-old boy presented with chronic diarrhea and rectal bleeding was studied. Colonoscopic and pathologic diagnosis was distal ulcerative colitis in the sigmoid colon and rectum. Budesonide retention enema(2mg/100ml) was performed every night for 8 weeks. His clinical symptoms, the follow-up colonoscopic and pathologic findings improved in the third week of treatment. His weight did not change and Cushing syndrome...
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