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Volume 43(9); Sep 2000
Clinical Lecture
Atopic Dermatitis
Hae-Ran Lee
J Korean Pediatr Soc. 2000;43(9):1161-1167.   Published online September 15, 2000
Original Articles
Postnatal Changes in Left Ventricular Performance in Early Neonatal Life
Sung Wook Yang, Chan Wook Woo, Jee Youn Lim, Jung Hwa Lee, Joo Won Lee, Chang Sung Son, Young Chang Tockgo, Young Yoo
J Korean Pediatr Soc. 2000;43(9):1168-1173.   Published online September 15, 2000
Purpose : This study was undertaken to investigate changes in cardiac performance in early neonatal life by observing the changes of left ventricular(LV) function and volume according to the size of ductus arteriosus. Methods : The study group consisted of 21 full-term Cesarean section neonates who were admitted to the nursery of Korea University Hospital. We serially investigated the...
Risk Factors for Neonatal Sepsis in Premature Infants Admitted to Neonatal Intensive Care Unit
Chang-Ryul Kim, Jae-Won Oh, Myung-Kul Yum, Soo-Jee Moon
J Korean Pediatr Soc. 2000;43(9):1174-1179.   Published online September 15, 2000
Purpose : The purpose of this study is to find out the risk factors of sepsis except the prematurity itself. Methods : Seventy-seven premature infants less than 37 weeks of gestation, who were admitted to the neonatal intensive care unit of Hanyang University Kuri Hospital between July 1995 and December 1996, were enrolled in this study. All 77 premature infants, 14...
Detection of Herpes Viral DNA in Peripheral Blood of Kawasaki Disease Patient by Nested Polymerase Chain Reaction
Hae-Soon Kim
J Korean Pediatr Soc. 2000;43(9):1180-1186.   Published online September 15, 2000
Purpose : Epidemiologic evidence suggests an infectious cause for Kawasaki disease(KD), but the etiology of KD remains unknown. The aim of this study was to determine whether viral infections are related in the pathogenesis of KD by detecting viral genomes using nested polymerase chain reaction. Methods : Peripheral blood was obtained from 18 acute KD patients before administration of intravenous gamma...
Morphometric Analysis of the Infundibulum in Tetralogy of Fallot
Su Hee Kwak, Myung Chul Hyun, Sang Bum Lee
J Korean Pediatr Soc. 2000;43(9):1187-1191.   Published online September 15, 2000
Purpose : The morphogenic mechanism of tetralogy of Fallot is known to be an antero-superior deviation and hypertrophy of the subpulmonary infundibulum. We performed this study to measure the subpulmonary infundibulum in patients with tetralogy of Fallot and compare those with normal control. Methods : Echocardiographic data and medical reports of 12 patients, with classical tetralogy of Fallot who were diagnosed...
Assessment of Ventricular Function Using Myocardial Performance Index in Patients with Atrial Septal Defect
Ji-Yon Lee, Jo-Won Jung
J Korean Pediatr Soc. 2000;43(9):1192-1299.   Published online September 15, 2000
Purpose : This study was designed to define normal values for a nongeometric MPI in children and evaluate the utility of mycoMPI in congenital heart disease with distorted ventricular geometry. Methods : The study population consisted of 44 normal patients and 28 patients with atrial septal defect(ASD) with dilated right ventricle and paradoxical septal motion. Right ventricular(RV) and left...
Transcatheter Closure of the Patent Ductus Arteriosus
Young A Lee, Myung Chul Hyun, Sang Bum Lee
J Korean Pediatr Soc. 2000;43(9):1200-1206.   Published online September 15, 2000
Purpose : Transcatheter closure of the patent ductus arteriosus(PDA) is a well-established, effective therapeutic modality, and many kinds of devices have been used to perform this closure. The aim of this study is to compare the effects of different kinds of devices. Methods : We reviewed retrospectively the charts of 43 patients who were admitted to Kyungpook University Hospital between June...
Significance of Postoperative Peritoneal Drainage and Peritoneal Dialys is in Infants with Congenital Heart Disease Who Underwent Open Heart Surgery
Ji-Hwan Choi, Jae-Hwa Oh, Hyang-Suk Yoon, Jong-Bum Choi, Soon-Ho Choi
J Korean Pediatr Soc. 2000;43(9):1207-1212.   Published online September 15, 2000
Purpose : We reviewed 5 years worth of experience with peritoneal drainage and dialiysis in infants who underwent open heart surgery. The aim of this study was to investigate the effect of peritoneal drainage and peritoneal dialysis on fluid on balance and several paramenters od intensive care. Methods : Six(10%) of 60 consecutive infants who underwent open heart surgery required peritoneal...
Effect of Hypoxia on Antegrade and Retrograde Atrioventricular Conduction in Isolated Perfused Rabbit Heart
Heon-Seok Han, Young Jun Song, Miran Kang
J Korean Pediatr Soc. 2000;43(9):1213-1223.   Published online September 15, 2000
Purpose : Cyanotic congenital heart diseases patients are in a state of hypoxia since birth. In general, hypoxia delays atrioventricular conduction. The atrioventricular node in such a hypoxic condition would have a different function, and some possibility for arrhythmia. The authors studied atrioventricular nodal function during hypoxia to elucidate the relationship between hypoxia and arrhythmia, including atrioventricular node in terms...
Clinical Evaluation of Cyclic Vomiting Syndrome
Jung Mee Cheon, Mee Ryung Um, Mun Hyang Lee, Nam Seon Beck
J Korean Pediatr Soc. 2000;43(9):1223-1231.   Published online September 15, 2000
Purpose : To obtain basic data on cyclic vomiting syndrome(CVS) and clinical findings of CVS. Methods : Fifteen patients diagnosed as CVS from April 1995 to July 1999 were enrolled in this study. Results : Among 15 children with CVS(11 boys, 4 girls), 4 patients were put in the migraine group and 11 patients in non-migraine group. The onset age...
Hepatitis B Virus Pre-S Gene Mutations in Children with Chronic Hepatitis B Infection
Jae Young Kim, Woo Yeong Chung, Chul Ho Kim
J Korean Pediatr Soc. 2000;43(9):1232-1240.   Published online September 15, 2000
Purpose : The envelope of HBV consists of three polypeptides which are encoded in pre-S/S open reading frame. Three translation initiation sites are present within this pre-S/S open reading frame, i.e. pre-S1, pre-S2, and S, allowing the expression of large, middle and small HBs proteins. The pre-S1 is thought to carry the receptor binding site for viral entry into hepatocyte...
A Study of Endoscopic Variceal Ligation of under 6-Year-Old Aged Children with Esophagcal Varices
Jeong Hee Moon, Mi Hyon Tae, Nam Seon Beck
J Korean Pediatr Soc. 2000;43(9):1241-1247.   Published online September 15, 2000
Purpose : Endoscopic variceal sclerotherapy(EVS) has been considered the mainstay therapy for bleeding esophageal varices in adults. Howevere, recent data have shown that endoscopic variceal ligation is just as efficacious and has fewer complications than EVS. Although there are many reports concerning EVL in adults, only a few studies have been done of children. Methods : We performed EVL in 9...
A Clinical Study of Acute Symptomatic Seizures in Children
Kyeong Eun Lee, Won Seop Kim
J Korean Pediatr Soc. 2000;43(9):1254-1262.   Published online September 15, 2000
Purpose : To determine the incidence, etiology, sex, age, seizure type and prognosis of acute symptomatic seizures in children and evaluate the hypothesis that acute symptomatic status epilepticus( SE) is associated with an increased risk of subsequent unprovoked seizure compared with the risk of acute symptomatic seizure without SE. Methods : Five hundred and sixty-eight convulsive children visited the Pediatric Department of Chungbuk National University...
Health Assessment of Handicapped Children in an Asylum
Eun Ju Lee, Eun Sil Lee, Han Ku Moon, Yong Hoon Park, Son Moon Shin
J Korean Pediatr Soc. 2000;43(9):1263-1268.   Published online September 15, 2000
Purpose : To evaluate the health status of institutionalized handicapped children, a general health assessment was done in an asylum in Taegu in May 1998. Methods : Body measurements, including height, weight, head circumference, skin fold thickness and mid-arm circumference, were done with physical examination on 53 children. Blood tests and chest radiography were done, and fat impedance was measured....
Case Reports
A Case of Fryns Syndrome
Jun Ho Kim, Jin Hwa Jeong, Sung Min Cho
J Korean Pediatr Soc. 2000;43(9):1269-1273.   Published online September 15, 2000
Fryns syndrome is a lethal syndrome of multiple congenital anomalies first described by Fryns et al in 1979. A recently developed major diagnostic criteria includes abnormal face, small thorax with widely spaced hypoplastic nipples, distal limb and nail hypoplasia, lung hypoplasia with diaphragmatic hernia, central nervous system anomalies and congenital heart disease. The pathogenesis of Fryns syndrome is not clear....
A Case of Mosaic Tetraploidy
Ji-hwan Choi, Ju-a Lee, So-ra Lee, Yeon-kyun Oh, Hee-sub Rhee, Jeong-joong Kim, See-sung Choi
J Korean Pediatr Soc. 2000;43(9):1274-1278.   Published online September 15, 2000
Tetraploidy of human chromosome(92, XXYY) has been described very rarely. Liveborn infant with tetraploidy was reported in only 17 cases(complete 7 cases, mosaicism 10 cases) in the world, and no cases have been reported in Korea. The diploid-tetraploid mosaicism could arise during the early mitosis of the zygote : In one blastomeric cell, the chromosomes replicate but the cytoplasm does...
A Case of Constrictive Pericarditis with Purulent Effusion in an Infant
Kyoung Hee Kim, Yoon Ki Kang, Min Ho Kim, Chan Uhng Joo
J Korean Pediatr Soc. 2000;43(9):1279-1284.   Published online September 15, 2000
Constrictive pericarditis is a rare disease of infancy and childhood, and is almost always caused by a tuberculosis or other infection. It is usually fatal, if untreated in acute phase. Early diagnosis of this condition is now facilitated by echocardiography and computerized tomography. Favorable outcome seems to depend on early diagnosis assured by echocardiography, early surgical treatment such as pericardiocentesis...
A Recurred Case of Subacute Necrotizing Lymphadenitis(Kikuchi`s Disease) During Childhood
Jin Sun Park, Chang Hee Oh, Je Woo Kim, Phil Soo Oh, Young Ah Lee, He Sun Yun, Jung Weon Shim
J Korean Pediatr Soc. 2000;43(9):1285-1289.   Published online September 15, 2000
Subacute necrotizing lymphadenitis, or Kikuchi`s disease, primarily affects the cervical lymph nodes of young adults and has a self-limited clinical course. Differential diagnoses are malignant lymphoma and systemic lupus erythematosus. Recurrence rate is low as 3.3%, and there have been a few reports describing the recurrence of the disease. The symptoms in almost all recurrent cases were similar to those...
A Case of Transcatheter Occlusion of Aortopulmonary Window(APW) after APW Banding
Young Seok Lee, In Seung Park, Jae Young Lee, Soo Jin Kim, Mi Young Han, Do Jun Cho, Eun Jung Bae, Seong Ho Kim
J Korean Pediatr Soc. 2000;43(9):1290-1293.   Published online September 15, 2000
Aortopulmonary window is an uncommon cardiac anomaly accounting for approximately 0.2-0.6% of all congenital cardiac anomalies in which there is a connection between the ascending aorta and pulmonary trunk. Since the first report of successful surgical repair, many investigators have advocated surgical closure of all types of aortopulmonary windows using different technique. The majority of aortopulmonary windows require surgical therapy...
A Case of Sporadic Caffey`s Disease(Infantile Cortical Hyperostosis) Without Mandibular Involvement
Byoung Lae Oh, Seung Woo Paik, Wan Seob Kim
J Korean Pediatr Soc. 2000;43(9):1294-1299.   Published online September 15, 2000
Caffey`s disease(infantile cortical hyperostosis) is an uncommon benign and self limited disorder of unknown etiology, affecting the skeleton and its contiguous fasciae and muscles. Its occurrence in isolated cases or in multiple members in families suggests the existence of two different forms, namely a sporadic form and a familial form. The tibia is the predominant bone known to be affected...
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