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Volume 34(3); Mar 1991
Original Articles
Serum ionized Ca measured with new ion-selected electrode and Q-oTc interval in newborn infants.
Beom Joo Kim, Chang Hee Han, Heng Mi Kim, Doo Hong Ahn
J Korean Pediatr Soc. 1991;34(3):303-310.   Published online March 31, 1991
The reliability of electrocardiographic detection of serum ionized Ca level was studied in 13 preterm and 32 full term infants. The concentration of ionized Ca was measured with a new ion-selected electrode, NOVA SP4 (NOVA Biomedical, Waltham, MA USA). The Q-oTc interval correlated with total Ca (r=o.553, p<0.01) and ionized Ca (r= -0.435, p< 0.01) but the Q-Tc interval did not correlate with total and...
Percutaneous transluminal balloon valvuloplasty for congenital pulmonary valvular stenosis.
Sung Min Choi, Sang Bum Lee, Doo Hong Ahn, Yong Joo Kim
J Korean Pediatr Soc. 1991;34(3):311-316.   Published online March 31, 1991
Congenital pulmonary valvular stenosis was relieved by percutaneous balloon valvuloplasty during cardiac catheterization on 8 children aged 14 months to 8 years. Before dilatation, the transpulmonary systolic pressure gradients ranged from 33 mmHg to 79 mmHg (Mean:52.00 ± 18.16 mmHg). There were significant reduction in the transpulmonic systolic pressure gradients immediate after balloon dilatation (Mean:17.38±11.16mmHg). In follow up 4 patients, this decreased pressure gradients have...
Changes of immune indices in children with recurrent gross hematuria (IgA nephropathy and non-IgA nephropathy) and Henoch-Schonlein purpura nephritis.
Seong Mi Kim, Myung Chul Hyun, Cheol Woo Ko, Ja Hoon Koo, Doo Hong Ahn, Jung Sik Kwack
J Korean Pediatr Soc. 1991;34(3):317-322.   Published online March 31, 1991
A Prospective study was conducted to see the changes of immune system in recurrent gross hematuria (IgA nephropathy and non-IgA nephropathy) and HSP nephritis in children. Study patients consisted of 60 children with recurrent gross hematuria and Henoch-schdnlein purpura nephritis (8 IgA nephropathy, 24 non-IgA nephropathy and 28 HSP nephritis). The cellular immune indices (total T, T4, T8 cells and T4/T8 ratio) and humoral...
Altered secretion of arginine vasopressin in children with CNS diseases.
Kun Whe Kim, Eun Sook Kim, Cheol Woo Ko, Ja Hoon Koo, Doo Hong Ahn, Won Jung Lee
J Korean Pediatr Soc. 1991;34(3):323-333.   Published online March 31, 1991
A prospective study was conducted to see the pattern and mechanism of arginine vasopressin (AVP) secretion in children with CNS diseases. Study population consisted of 21 cases with aseptic meningi- tis (meningitis group) and another 21 cases with viral encephalitis or encephalopathy (encephalitis group), who had been admitted to our Pediatric Department during 10 months’ period from April 1985 to January 1986. Seventeen healthy...
Clinical effects of yeast derived recombinant methionyl growth hormone in growth hormone deficiency.
Byung Churl Lee
J Korean Pediatr Soc. 1991;34(3):334-339.   Published online March 31, 1991
Since the success of human growth hormone (hGH) synthesis by recombinant DNA technology, these GH products are used in the treatment of growth hormone deficiency. Recently, methionyl-GH has been produced in the yeast, Saccharomyces cerevisiae 2150 by the use of a recombinant method. In this paper, the clinical efficacy and. immunogenicity of this GH was studied during therapy of 1 year in 20 children...
The normal values of platelet count, mean platelet volume and platelet distribution width in the normal newborn, small for gestational age and premature neonates.
Eun Kyung Oh, Hae Yong Lee, Hwang Min Kim, Jae Seung Yang, Baek Keun Lim, Jong Soo Kim
J Korean Pediatr Soc. 1991;34(3):340-347.   Published online March 31, 1991
The importance of establishing authentic normal platelet count, mean platelet volume and platelet distribution width in the newborn has been emphasized, but they have not been firmly established. We have presented values for platelet count, mean platelet volume and platelet distribution width in the venous blood of term, small for gestational age and premature neonates at postnatal day 1 and 7. The results were...
Effect of fluid restriction on postnatal weight and outcome in very low birth weight infants.
Chul Lee, Hyeon Soo Lee, Ran Namgung, Dong Gwan Han
J Korean Pediatr Soc. 1991;34(3):348-354.   Published online March 31, 1991
We studied 45 very low birth weight infants for change in birth weight, urine output, serum Na level, ventilatory support and outcome between two groups after fluid restriction therapy. Group 1 (n=17) were infants whose weight loss were more than 5% of birth weight. Group 2 (n=17) were infants whose weight loss were more than 5% of birth weight. 1) Group 1 had more fluid...
Prevalence of hepatitis B surface antigen in pediatric in patients.
Kyung Hee Kim, Myung Ik Lee, Young Jin Hong, Keun Chan Sohn
J Korean Pediatr Soc. 1991;34(3):355-362.   Published online March 31, 1991
Thirty three from 689 children (4.79%) who were screened among hospitalized patients from July, 1986 to June, 1988, were positive for hepatitis B surface antigen in their serum sample tested by radioimmunoassay. The positive rate of hepatitis B surface antigen was 3.04% when the hepatitis patients were excluded. The incidence of hepatitis B surface antigen was higher (5.18%) in male than in famale (4.17%)...
A clinical study of continuous ambulatory peritoneal dialysis in childhood.
Tae Sun Ha, Hye Won Park, Ja Wook Koo, In Seok Lim, Hae Il Cheong, Yong Choi, Kwang Wook Ko
J Korean Pediatr Soc. 1991;34(3):363-370.   Published online March 31, 1991
A retrospective analysis of clinical with findings in 24 children continuous ambulatory peritoneal dialysis (CAPD) who were admitted to the Department of Pediatrics, Seoul National University Children’s Hospital from March, 1987 till August, 1990 was performed and the results were as follows; 1) The male to female ratio was 16:8, and the age distribution at the beginning of CAPD was from 59 days to 16.5...
Clinical study of Kasabach-Merritt syndrome.
Eun Jung Bae, Young Ah Lee, Hee Young Shin, Hyo Seop Ahn
J Korean Pediatr Soc. 1991;34(3):371-379.   Published online March 31, 1991
A retrospective analysis of clinical findings in 20 patients with Kasabach-Merritt syndrome who visited Department of Pediatrics, Seoul National University Hospital from January, 1979 to June, 1990 was performed. The average age of occurrence was 6.4 month and male to female ratio was 1: 1.2. The mean size of hemangioma was 11.0x8.5 cm and the locations were cutanous in 18 (extrem- ities 5, trunk...
Clinical review of abdominal masses in infants and children.
Dong A Lee, Woo Ryoung Lee, Jae Ock Park, Chang Hwi Kim, Sang Jhoo Lee
J Korean Pediatr Soc. 1991;34(3):380-387.   Published online March 31, 1991
We reviewed 34 patients with palpable abdominal mass among 5,920 infants and children who admitted to the department of pediatrics of Soon Chun Hyang University from Jun. 1, 1986 to Aug. 31，1989. The results were as follows: 1) The incidence was 0.57% and the male: female ratio was 1:1.3. The mass was noted before 1 year of age in 23.5% of cases and under 5 years...
Detection of antigen of RSV and clinical considerations on epinephrine response in wheezy infancy.
Gui Ran Kim, Seoung Tae Kim, Hyang Suk Hyun, Sang Geel Lee, Im Ju Kang, Sei Yun Jung
J Korean Pediatr Soc. 1991;34(3):388-397.   Published online March 31, 1991
Clinical studies were made on 126 cases of wheezing infants, who had been admitted to the department of pediatrics, Fatima Hospital, from June 1988 to May 1989. The nasal discharge of patients were examined for detection of antigen of RSV by ELISA method and then we compared RSV antigen positive group with RSV antigen negative group on aspects of epinephrine response and atopic characteristics. The...
A case of Hunter syndrome.
Suk Hyun Ha, Young Sun Ko, Mi Soo Ahn, Ji Sub Oh
J Korean Pediatr Soc. 1991;34(3):398-403.   Published online March 31, 1991
Authors experienced a case of Hunter syndrome in 4 old male patient, whose diagnosis was established by typical findings in physical examination, family history, screening test using methylene blue for mucopolysaccaharides, and radiologic studies. We report this case with a brief review of literatures.
A case of neonatal cold injury.
Bub Seong Kim, Sang Soo Rho, Young Il Park, Sang Woo Kim
J Korean Pediatr Soc. 1991;34(3):404-407.   Published online March 31, 1991
We experienced a case of neonatal cold injury, who initially showed CNS depression, respiratory depression, hyperglycemia and acidosis, followed by hypoglycemia, seizure and respiratory distress during the recovery phase treated with rewarming. A brief review of literature was made.
A case of citrobacter freundii osteomyelitis.
Hyung Goo Cho, Dong Sig Kim, Hwang Min Kim, Jae Seung Yang, Baek Keun Lim, Jong Soo Kim
J Korean Pediatr Soc. 1991;34(3):408-412.   Published online March 31, 1991
Citrobacter although once regarded as nonpathogenic, has been responsible for many well- documented pathologic conditions, especially in compromised hosts. These include urinary tract, pulmonary and bone infections, gastroenteritis, gangrenous ulcer with septicemia, meningitis, and brain abscess. Citrobacter organisms have a mosaic of 0, K and H antigens that are found in the Enterobacter- iaceae. Cross reactions with antisera of other members of the Enterobacteriaceae suggest...
A case of xanthogranulomatous pyelonephritis.
Jin Oh Kim, Soo Young Cho, Joo Hyung Kim, Dae Yeol Lee, Jung Soo Kim
J Korean Pediatr Soc. 1991;34(3):413-418.   Published online March 31, 1991
Xanthogranulomatous pyelonephritis is an atypical form of severe chronic renal parenchymal infection, which can be mistaken for tumor or other inflammatory renal disease due to similar clinical manifestations. This disease was classified into three stages based on the extent of involvement of renal and adjacent tissue by the xanthogranulomatous process. In stage I (nephric), the characteristic xantho- granulomatous inflammatory process is confined to the kidney. The...
Three cases of type I von Willebrand disease in a family.
Jie Sun Yoon, Hey Sun Lee, Young Min Ahn, Myoung Sook Koo, Sun Yang Park
J Korean Pediatr Soc. 1991;34(3):419-425.   Published online March 31, 1991
von Willebrand disease is a bleeding disorder characterized by a complex hemostatic defect. These abnormalities arise from quantitative and/or qualitative abnormalities of von Willebrand factor which circulates in plasma complexed with the factor VID procoagulant protein. We have experienced three cases of type I von Willebrand disease in two children and their mother. They had prolonged bleeding time and partial thromboplastin time, mildly decreased...
Two cases of ectopic sublingual thyroid with hypothyroidism to be appeared in fetal life.
Dong Sik Kim, Mee Kyung Namgoong, Hae Yong Lee, Hwang Min Kim, Baek Keun Lim
J Korean Pediatr Soc. 1991;34(3):426-434.   Published online March 31, 1991
Infants & children with hypothyrodism usually manifest variable skeletal abnormality. These features are the delay in longitudinal bone growth, the delay in epiphyseal maturation (=delay in bone age), the disturbances in bone mineralization and charateristic multiple stippled epiphysis (cretenoid epiphyseal dysgenesis). But many pediatrician have only concerned about the delay in epiphyseal maturation. Epiphyseal dysgenesis can be used a marker to find out the begining...
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