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Volume 44(12); Dec 2001
Clinical Lecture
Prenatal Ultrasonography
Jee-Yeon Min
J Korean Pediatr Soc. 2001;44(12):1359-1363.   Published online December 15, 2001
Original Articles
Predisposing Factors of Risk Taking Behaviors in Korean Adolescents
Jae Hee Soh, Yeon Kyeong Jung, Gi Young Jang, Young Kyoo Shin, Kee Hyoung Lee, Baik Lin Eun, Sang Hee Park
J Korean Pediatr Soc. 2001;44(12):1364-1373.   Published online December 15, 2001
Purpose : Risk-taking behaviors are defined as patterns of behavior initiated during adolescence which are responsible for the majority of negative health outcomes occurring during the rest of the life. The study was to explore the relationship between the risk-taking behaviors and their predisposing factors among adolescents. Methods : The study used a survey design with an anonymous self-report questionnaire administered to 1,076 students from...
Development of a Screening Kit for Early Diagnosis and Prevention of Wilson`s Disease
Sihoun Hahn, Soo-Young Lee, Young-Ju Jang, Soon-Nam Kim, Ha-Cheol Shin, Sun-Young Park, Joo-Hyoung Kang, Eun-Sun You
J Korean Pediatr Soc. 2001;44(12):1374-1380.   Published online December 15, 2001
Purpose : Wilson`s disease is an autosomal recessive disorder characterized by copper accumulation in the liver, brain, and other organs due to defected copper metabolism. The incidence of Wilson`s disease is approximately one in 30,000 population in the world, more common than phenylketonuria in Korea. The early diagnosis or presymptomatic diagnosis of Wilson`s disease is critical in order for them...
The Effect of Soothing Classic Music on the Behavior and Initial Weight Loss of Newborn Infants
Min Jung Cho, Son Moon Shin
J Korean Pediatr Soc. 2001;44(12):1381-1386.   Published online December 15, 2001
Purpose : As there are some reports that music affects some physiological parameters and behavior of preterm infants, we have attempted to evaluate the effect of soothing classic music on the behavior and initial weight loss of full term infants. Methods : A clinical study was conducted on newborn infants born at Youngnam University Hospital from July to August, 1999. Forty normal full term...
Methemoglobinemia Associated with Diarrheal Disease before 2 Months of Ag
Ji Ah Jung, Jung Won Lee, Jeong Wan Seo
J Korean Pediatr Soc. 2001;44(12):1387-1394.   Published online December 15, 2001
Purpose : Methemoglobinemia has been observed during a diarrheal illness among those who were not exposed to oxidizing agents in neonates and young infants. We performed the study to determine predisposing factors in this entity. Methods : The medical records of 24 patients were reviewed, who were admitted for diarrhea with methemoglobinemia to Ewha Womans University MokDong Hospital, from February 1994 to November 2000. The...
The Study of the Changes of Myocardial Histology and Left Ventricular Function according to the Total Doses of Doxorubicin in Rabbits
Jeong Hwa Choi, Hee Ju Park, Young Tak Lim, Bong Seon Kim, Eun Young Huh
J Korean Pediatr Soc. 2001;44(12):1395-1403.   Published online December 15, 2001
Purpose : We'd like to evaluate the relationship between the degree of cardiac damage and that of cardiac function according to the total injected dose of doxorubicin. Methods : 12 rabbits(body weight : 2.0-3.2 kg) were used and 30 mg/m2/week of doxorubicin hydrochloride was injected intravenously. The cardiac function was checked under anesthesia, after which the thorax was opened and cardiac samples were evaluated...
Results of Balloon Angioplasty in Patients with Coarctation of the Aorta
Hyun Kyung Roh, Bong Hee Seo, Jae Young Choi, Jin Sung Ko, Jong Kyun Lee, Jun Hee Sul, Sung Kyu Lee
J Korean Pediatr Soc. 2001;44(12):1404-1412.   Published online December 15, 2001
Purpose : This study was undertaken to analyze and compare the effects of percutaneous balloon angioplasty(BAP) on postoperative re-coarctation and native coarctation of the aorta(CoA) and to thereby contribute to the development of treatment methods for CoA. Methods : The subjects in this study were 21 children who had undergone BAP from Jan. 1996 to Dec. 2000 in the Division of Yonsei Pediatric Cardiology....
Quantification of Age-related Reference Values for Urinary Organic Acids in the Healthy Korean Population
Yong Jae Choi, In Cheol Kim, You Kyoung Choi, Hong Jin Lee, Bong Sung Kim, Won Il Park, Kyoung Ja Lee, T. Giudic, M. Blaskovics
J Korean Pediatr Soc. 2001;44(12):1413-1423.   Published online December 15, 2001
Purpose : For the accurate diagnosis of organic acidopathies, quantification of urinary organic acid should be done and we should know the normal ranges of each organic acid excreted in the urine. The amount of organic acids excreted in the urine shows wide variability according to ethnic group, diet and age. We have quantified 82 organic acids to make a Korean reference value. Methods...
Clinical Features of Acute Scrotum in Children
Ja Yun Yun, Mi Ran Kim, Kon Hee Lee, Kwang Nam Kim
J Korean Pediatr Soc. 2001;44(12):1424-1431.   Published online December 15, 2001
Purpose : The acute scrotum is a clinical syndrome that is defined as an acute, painful swelling of the scrotum or its contents. The symptoms and signs of acute scrotum are similar and its pathognomonic features are rarely detected. This study was performed to find a proper way to diagnose and treat acute scrotum promptly and correctly. Methods : From January 1990 through December...
The Immunohistochemical Expression of Neuronal Nitric Oxide Synthase in Rat Hippocampus after Pentylenetetrazole-Induced Seizures
Doo-Kwun Kim, Tae-Jung Jang
J Korean Pediatr Soc. 2001;44(12):1432-1440.   Published online December 15, 2001
Purpose : In order to determine the effect of neuronal nitric oxide synthase(nNOS) in seizure-related neuronal vulnerability of the hippocampus, the expression patterns of nNOS were examined in pentylenetetrazole(PTZ)-induced seizure groups and in PTZ seizure groups which were pretreated with nNOS inhibitors. Methods : Male Sprague-Dawley rats weighing 200-300 g were used in PTZ(40 mg/kg)-induced seizure experiments. A specific inhibitor, 50 mg/kg 7-nitroindazole(7-NI), and a...
The Usefulness of the Head-up Tilt Test for Diagnosis of Syncope in Pediatric Patients
Hye Jin Yun, Sun Hee Rim, So Young Yun, Jae Kon Ko, Young Hwue Kim, In Sook Park
J Korean Pediatr Soc. 2001;44(12):1441-1447.   Published online December 15, 2001
Purpose : The purpose of this study is to examine the usefulness of the head-up tilt test for diagnosis of unexplained syncope in children. Methods : Head-up tilt test results and clinical features of 41 children with unexplained syncope, presyncope, dizziness and seizure were studied from January, 1997 through January, 2001 at Asan Medical Center. Medical records of children were reviewed retrospectively. The children...
Clinical Analysis of Atypical Kawasaki Disease : Comparison of Kawasaki Disease Between Typical and Atypical Types
Eun Ju Jeong, Jae Hong Park, Hee Ju Park
J Korean Pediatr Soc. 2001;44(12):1448-1453.   Published online December 15, 2001
Purpose : Kawasaki disease(KD) is known as one of the most important causes of acquired heart disease in children. But the incidence of acquired heart disease can be reduced by early diagnosis and treatment with large amounts of intravenous γ-globulin(IVGG). For early diagnosis and treatment of atypical KD, we analyzed and compared the clinical features, laboratory findings and coronary lesions in patients with typical...
Case Reports
A Case of Neonatal Alloimmune Thrombocytopenia Related to HLA Antibody
Mi Seon Lee, Hyeon-Soo Lee, Hyun Ok Kim
J Korean Pediatr Soc. 2001;44(12):1454-1458.   Published online December 15, 2001
Neonatal alloimmune thrombocytopenia(NAIT) is a very rare disease caused by maternal alloantibodies` response to neonatal platelet antigens. Because the most common cause of NAIT is incompatibility for platelet-specific antigens, NAIT cases due to anti-HLA antibodies are very exceptional. The patient was a second born female. She had no petechia or purpura at birth. But her platelet count was 55,000/mm3 and...
A Case of Primitive Neuroectodermal Tumor of the Adrenal Gland
Sun Pil Jung, Chong Gwon Oh, In Seok Lim, Dong Keun Lee, Byoung Hoon Yoo
J Korean Pediatr Soc. 2001;44(12):1459-1462.   Published online December 15, 2001
Primitive neuroectodermal tumors(PNETs) are a group of small round cell tumors that may arise in the central or peripheral nervous system. In the extracranial location, these neoplasms may occur anywhere and at any age group, but most likely in the bone and soft tissue of children and young adults. The incidence of adrenal gland involvement is very rare. This tumor...
A Case Of Common Variable Immunodeficiency with Fatal Measles
Su Jin Cho, So Hyun Kim, Soo Jung Lee, Kyung Ha Yoo, Kyung Hyo Kim
J Korean Pediatr Soc. 2001;44(12):1463-1468.   Published online December 15, 2001
Common variable immunodeficiency(CVID) is a heterogeneous immunodeficiency syndrome characterized by hypogammaglobulinemia, recurrent bacterial infections, and a variety of immunological abnormalities. We report a 10-year-old boy diagnosed with CVID and a fatal case of measles. He was admitted for fever, cough, conjunctival injection with purulent discharge and maculopapular rash with some scattered pinpoint sized petechial lesions on the whole body for...
Two Cases of Infantile Hemangioendothelioma of the Liver in Neonates
Soo Jin Han, Soo Shin Cho, Gwang Hoon Lee, Ho Joon Im, Seong Ho Kim, Gil Hyun Kim, Hak Soo Lee
J Korean Pediatr Soc. 2001;44(12):1469-1474.   Published online December 15, 2001
Infantile hemangioendothelioma(IHE) of the liver is a rare benign vascular tumor that presents most commonly in infants before the age of 6 months. IHE presents as abdominal mass, cutaneous hemangiomas, unexplained jaundice, bleeding disorders, or congestive heart failure. Death often results from congestive heart failure despite appropriate treatment with digoxin and diuretics. IHE also is associated with Kasabach-Merritt syndrome, anemia,...
A Case of Central Nervous System Atypical Teratoid/Rhabdoid Tumor of The 4th Ventricle : A Highly Malignant Tumor in Infancy and Childhood Frequently Mistaken for Medulloblastoma
So Hee Eun, Sung Hee Jang, Myoung Hee Han, Myoung Ja Chung, Pyoung Han Hwang
J Korean Pediatr Soc. 2001;44(12):1475-1479.   Published online December 15, 2001
Central nervous system atypical teratoid/rhabdoid tumor(CNS rhabdoid tumor) is a rare malignancy of uncertain origin. It typically occurs in infants and young children and comprises only a small fraction of pediatrics CNS malignancies. The tumor contains a large spindled cell component as classical rhabdoid morphology and focal areas resembling primitive neuroectodermal tumor. The tumor is defined histopathologically by the presence...
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