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Ultrasound-Guided Percutaneous Renal Biopsy in 420 Children
Byoung-Soo Cho, Wan-Young Shin, Young-Tae Ko, Moon-Ho Yang
Clin Exp Pediatr. 1995;38(3):347-352.   Published online March 15, 1995
Purpose : Ulrasound-quided percutaneous renal biopsy in useful in diagnosis of renal diseases and assessment of progression. We performaed 420 cases of percutaneous renal biopsy in children since 1980. We analysis the method, results and complications. Methods : We used modified Vim-Silverman needle or Biopty?gun (pat 4699154, BARD) with Toshiba, 4 MHz GCE-406, aspiration transducer. Sedation was done by demerol(1mg/kg IM)...
Peptic Ulcer Disease in Infants and Children
In Sheol Park, Nam Su Kim, Poong Man Jung
Clin Exp Pediatr. 1995;38(3):339-346.   Published online March 15, 1995
Purpose : This study was performed to be helpful in early diagnosis and treatment of the children with peptic ulcer disease. Methods : The authors observed 36 children with peptic ulcer disease who had been admitted to Hanyang University Hospital during the 11 year 4 mont period from January 1981 to April 1992 retrospectively. The diagnosis was established in 33.3% by...
Doppler Analysis of Renal Blood Flow in Normal Children
Hyun Joo Kwak, Jae Yong Kim, Kee Hwan Yoo, Young Sook Hong, Joo Won Lee
Clin Exp Pediatr. 1995;38(3):328-338.   Published online March 15, 1995
Purpose : Recent development in ultrasonic Doppler instrumentation have allowed the direct noninvasive assessment of human renal artery blood flow. The authors conducted this study to assess noninvasive characterization of normal renal artery blood flow variables hopping to establish standards in normal children. Methods : A total 97 normal Subjects(below the age 3 years) were examinated using by 2-D and...
A Study on Clinical Characteristics of Maxillary Sinusitis in Korean Children
Dong Nam Kim, Sung Hee Oh, Hahng Lee
Clin Exp Pediatr. 1995;38(3):319-327.   Published online March 15, 1995
Purpose : Paranasal sinusitis, easily overlooked owing to it's benign symptomatology, should be considered when the upper respiratory tract infction persists longer than seven days. Without early recognition and appropriate management, the disease will take a chronic course and the incidence of complications will be increased. The significance of paranasal sinusitis among Korean children has not appropriately been appreciated; therefore,...
Varicella-zoster Antibody Titer in Neonates according to Gestational Age
Ji Young Rhou, Eun Yae Park, Kyung Hee Kim
Clin Exp Pediatr. 1995;38(3):311-318.   Published online March 15, 1995
Purpose : Acquisition of varicella by the neonate as a result of congenital varicella-zoster infection or exposure during delivery is well known. And it generaly believed that infants under 6 months of age may acquire varicella more frequently than other viral infections such as measles. However, little if known about immune mechanism of varicella-zoster infection. Transfer maternal antibodies to this...
The Values of Tetanus Toxoid Specific IgG Immunoglobulins in Children
Young Kwan Kim, Young Mo Son
Clin Exp Pediatr. 1995;38(3):306-310.   Published online March 15, 1995
Purpose : Tetanus toxoid specific IgG titers were measured in 76 cases on children ranging from neonates to 18 yr old adolescents according to the frequency of DPT vaccination. Methods : The Enzyquick tetanus Kit was used to measure tetanus toxoid specific IgG titers by the ELISA method. Results : 1) In infants less than 2 months-olg, the mean tetanus toxoid specific...
A Study on Nutritional Status of Iron and Lipids in Infants
Kwang-Hea Choi, Son Moon Shin, Kee-Hwa Oh, Jung Sook Seo, Kwang-Soo Kim, Yung-Sun Choi
Clin Exp Pediatr. 1995;38(3):297-305.   Published online March 15, 1995
Purpose : This study was conducted to get baseline data to establish a guideline for the infant nutrition by observing the feeding practice and nutritional intake during infancy and evaluationg the nutritional status of iron and lipids at 12-month-old infants. Methods : This survery was cnducted from July to November, 1992. Subjects were healthy infants who were brought to Yeungnam University...
Assessment of Infantile Mental and Motor Development Influenced by Breast Milk and Formula Feeding
Chul Lee, Min Soo Park, Young Mi Chung, Hye Jung Joo, Kwang-Moon Kim, Dong Gwan Han
Clin Exp Pediatr. 1995;38(3):289-296.   Published online March 15, 1995
Purpose : This study was undertaken to compare the mental and motor development, unsing Bayley Developmental Scale, during infancy(6-8 months of age) according to the choice of feeding, either breast milk of formula, as well as to evaluate its influence on physical growth. Methods : The study population was 43 normal infants between 6 and 8 months of age, of birth...
Relationship of Echocardiographic, Shunt Flow, and Angiographic Size to the Operation Diameter of the Atrial Septal Defect
Dae Kwon Hong, Hae Yong Lee, Baek Keun Lim
Clin Exp Pediatr. 1995;38(2):232-239.   Published online February 15, 1995
This report is based on analysis of admissions to the department of pediatric at the Wonju Christian Hospital during the 3 3/4-year period from January 1989 to September 1993 with an Isolated ostium secundum ASD. Several methods of assessment of ASD size, namely, echographic, pulmonary-to-systemic flow ratio(Qp:Qs), and angiographic measures, were undertaken in a group of 37 patients, who were being...
Relationship between Bronchial Hyperresponsiveness by Methacholine Provocation and the Severity of Asthma Symptoms, Pulmonary Function and Atopy
Sang Hyug Ma, Jung Mi Lee, Byung Hag Lim, Im Ju Kang
Clin Exp Pediatr. 1995;38(2):223-231.   Published online February 15, 1995
Purpose : Bronchial asthma is a disorder that is characteized by symptoms of reversible airway obstruction and increased responsiveness of the bronchus and to quantify the degree of br onchial hyperresponsivenes can be very helpful in determing the severity of disease and the prognosis. But the Methacholine provocation test is not always easy to be performed in all patients. Thus...
Clinical and Histologic Study of Progressive Muscular Dystrophy Which was Considered as Chronic Hepatitis
Jae Kwang Kim, Ki Sup Chung, Tae Seung Kim
Clin Exp Pediatr. 1995;38(2):216-222.   Published online February 15, 1995
Purpose : The authors have experienced thirty three children of progressive muscular dystrophy. 10 children of these(30.3%) were considered as chronic hepatitis because of persistent, u nexplained elevated serum aminotransferase values. We performed this study in order to evaluate the characteristics of age distribution, clinical and histologic features in children considered as chronic hepatitis. Methods : This study was performed on...
Acute Hemorrhagic Cystitis(AHC) in Children -Etiology and Clinical Characteristics-
Jin Won Pyo, Eun Hwa Choi, Jin Young Park, Hoan Jong Lee, Hae Il Cheong, Il Soo Ha, Yong Choi, Kwang Myung Kim, Hwang Choi, Je Geun Chi
Clin Exp Pediatr. 1995;38(2):207-215.   Published online February 15, 1995
Purpose : AHC characterized by sudden onset of gross hematuria, dysuria and frequency oc curs in children and young adults as a self-limited disease that should be differentiated from se rious renal disorders. We have performed this study to establish the cause and characterize the clinical features of this illness in Korean children. Methods : 19 cases collected prospectively for 30...
Results of Chemotherapy of Hepatoblastoma and Hepatocellular Carcinoma in Children
Kyung Duk Park, Gi Woong Seong, Jae Kyung Lee, Hong Hoe Koo, Hee Young Shin, Hyo Seop Ahn
Clin Exp Pediatr. 1995;38(2):195-206.   Published online February 15, 1995
Purpose : Surgical excision has been the primary treatment for hepatoblastoma and hepatocellular carcinoma. However, at presentation, only one third of such tumors are surgically resectable. Without operation, the disease is fatal. Therefore, neoadjuvant chemotherapy has been introduced for conversion of the unresectable tumors into the resectable ones. We studied th e effects of chemotherapy for hepatic malignancy in children. Methods...
Yersinia pseudotuberculosis Infection Confirmed by Stool Culture in Children
Seung Nam Park, Kyeong Mi Jung, Ja Wook Koo, Churl Young Chung, Chong Rae Cho
Clin Exp Pediatr. 1995;38(2):189-194.   Published online February 15, 1995
Purpose : The clinical significance of Y. pseudotuberculosis infection has recently recognizd in various part of the world, because it can cause a wide range of clinical problems such as mesenteric lymphadenitis, septicemia, reactive arthritis, terminal ileitis, erythema nodosum, and a cute renal failure. We have experienced 19 children with Y. pseudotuberculosis infection confirmed by stool culture. Our aim in...
Epidemiologic Study during 1993 Measles Outbreaks in Seongnam Area
Soon Ki Kim, In Kyoo Yi, Seung Kyoo Han, Jun Hee Park, Yun Jeong Chang, Jong Woon Choi, Jeung Gyu Kim, Byong Kwan Son
Clin Exp Pediatr. 1995;38(2):180-188.   Published online February 15, 1995
Purpose : Although remarkable progress has been made in efforts to control measles since measles vaccines became available for use, the long-term success of their vaccination programmes has been questioned, with the worldwide resurgence of the disease. This resurgence has increased attention on the inadequacy of current immunization programmes. In 1993 there have been measles outbreaks in Seong-nam city located...
Clinical Studies of Metabolic Bone Disease of Prematurity
Seung-Yeon Suh, Eun-Kyung Lee, Ran Namgung, Hae-Jung Joo, Min-Soo Park, Kook-In Park, Chul Lee, Dong-Gwan Han, Meung-Jun Kim, Jin-Suk Suh
Clin Exp Pediatr. 1995;38(2):159-169.   Published online February 15, 1995
Purpose : Preterm formula used in Korea, theoretically does not supply the recommended mineral intake for optimal bone metabolism in very low birth weight infants(Formula 500-700 mg Ca/L, 300~370mg P/L, and 440IU of vitamin D/L). The purpose of this study is to identify th e possible etiologic factors and clinical course of rickets in these infants. Methods : We recently identified...
Sequential Changes of Chest Radiographic Finding after Exogenous Surfactant Replacement Therapy in Neonates with RDS
Hyeok Choi, Chong-Woo Bae, Sa-Jun Chung, Yong-Mook Choi
Clin Exp Pediatr. 1995;38(2):151-158.   Published online February 15, 1995
Purpose : The chest radiograph is useful and reliable in assessing the severity and progres-sion of neonatal respiratory distress syndrome. To evaluate the effect of exogenous surfactant r eplacement therapy, we performed sequential observation of chest radiogratphic findings in ne-onates with respiratory distress syndrome. Methods : Two groups of infant with RDS in mechanical ventilation therapy were studied. S-urfactant(S-Tx) group(n=36) was...
Clinical Differences by Karyotype in Patients with Turner Syndrome
Mi Jung Park, Jin Sung Lee, Kir Young Kim, Duk Hi Kim, Ho Seoung Kim
Clin Exp Pediatr. 1995;38(2):143-150.   Published online February 15, 1995
Purpose : The aim of this study was to evaluate clinical differences by karyotype in Turner Syndrome. Methods : We evaluated 66 patients with Turner syndrome diagnosed at Yonsei University College of medicine from Mar.1985 to Feb.1993. We divided subproups as pure 45,X groups, mosaisism groups and structural aberration groups. Clinical features, serum estrogen, LH, FSH, concentrations, gonadotropin release after GnRH...
Cystic Kidney Disease According to Potter's Classification
Kee Hyuck Kim, Sung Chul Shin, Soon Il Lee, Je Geun Chi
Clin Exp Pediatr. 1995;38(1):91-98.   Published online January 15, 1995
The cystic disease of the kidney include a heterogeneous group of developmental, hereditary, and acquired disorders. Based on extensive microdissection studies, Potter concluded all renal cystic diseases could be categorized into four types. We have experienced 5 cases of cystic kidney disease which were confirmed by aoutopsy and classified as Type I, Type II, Type III, Boderline between types II and...
Observation of Social Background and Disease Patterns of Children in an Institute for Adoption (the 3rd report)
Jae Bong Kwon, Cheol Soon Park, Jae Wook Ko, Myung Ik Lee, Don Hee Ahn
Clin Exp Pediatr. 1995;38(1):81-90.   Published online January 15, 1995
Purpose : A Study was undertaken to assess the family background of abandonment and clinical and social aspects in an institute for foreign adoption. The results were compared to the previous two reports from the institute. Method : A sample of 1,728 children from 1987 to 1992 formed the subjects of the study by the medical records in the institution. Results :...
Clinical Study of Foreign Body Aspiration in Infants and Children
Dong Kyun Ryu, Su Jin Park, Kang Seo Park, Wan Seob Kim
Clin Exp Pediatr. 1995;38(1):66-74.   Published online January 15, 1995
A clinical study was done on 42 cases of inpatients, who had been admitted for foreign body aspiration form January 1979 to June 1992. We obtained the following results by analysing the records of their treatment during that time. 1) 31(73.8%) of these cases were below the age of 3 years. 25(59.4%) were below the age of 2. The ratio of male...
Comparison of Graded and Bolus Infusion Methods in Baroreflex Measurements in Rabbits
Chan Uhng Joo
Clin Exp Pediatr. 1995;38(1):61-65.   Published online January 15, 1995
Graded infusion and bolus injection methods of vasoactive drugs have both been used to measure baroreflex sensitivity. To determine whether the two methods produce the same values of baroreceptor sensitivity, phenylephrine and nitroglycerin was administered intravenously by both graded infusion and bolus injection methods to 11 rabbits. To evaluate the baroreflex control of heart rate(HR), a logistic sigmoid function model...
A Study of Relation between Serum Aminotransferase Elevation and Clinical Symptoms from Human Rotavirus Gastroenteritis
Gee Sun Hong, Hwa Young Jeon, Won Kyu Choi, Mee Kyung Namgoong, Jong Soo Kim
Clin Exp Pediatr. 1995;38(1):54-60.   Published online January 15, 1995
This study was taken to measure the serum aminotransferase level and it's correlation with clinical symptoms from Human Rotavirus gastroenteritis. This report is based on analysis of 434 patients who were admitted to the Pediatric department at Wonju Christian Hospital because of watery diarrhea and vomiting during 2-year period from July, 1991 to June 1993. The stool specimen on admission...
Recurrent Abdominal Pain in Children: Endoscopic Findings and Helicobacter pylori Infection
Cheol Ho Chang, Churl Young Chung
Clin Exp Pediatr. 1995;38(1):47-53.   Published online January 15, 1995
Purpose : Recurrent abdominal pain (RAP) in children is similar to nonulcer dyspepsia of adult. Recently, microscopic inflammation and Helicobacter pylori (H. pylori) infection have been suggested as possible causes of nonulcer dyspepsia in adults. The aim was to know the clinical significance of encoscopic findings and H. pylori infection in children with RAP. Methods : 128 children with RAP underwent...
Uncooked Cornstarch Therapy in Type I Glycogen-Storage Diasese(GSD-I)
Seon Young Lee, Jeong Kee Seo
Clin Exp Pediatr. 1995;38(1):36-46.   Published online January 15, 1995
Purpose : A few years ago it was shown that uncooked cornstarch feeding(UCS) could correct the biochemical abnormalities resulting from a deficiency of glucose-6-phosphatase in children with type ment. So far, little experience is available with UCS in Korea. We studied to compare the effects on biochemical control and growth of therapy with portacaval shunt and therapy with UCS. Methods : Enghteen...
Study on Mean Birth Weight and Medical Care System at City Hospital
Young Mi Kim, Woon Ja Chung, Mi Kyung Kim, Shin Na Kim
Clin Exp Pediatr. 1995;38(1):27-35.   Published online January 15, 1995
Since Dongboo City Hospital cares patients with medicaid and poor socio-economic status in large percentage, we analized all the newborns delivered at the hospital from 1984 to 1992 by their birth weights, gender, gestational age and their Medical Care System. We found our babies' mean birth weight was lower than National standard mean birth weight of 1975 and 1985 (published...
Outbreak of Non-typhoidal Salmonellosis in neonates
N.M. Park, M.J. Chey, M.J. Jeong, H.S. Kim, K.H. Kim, H.S. Lee
Clin Exp Pediatr. 1995;38(1):20-26.   Published online January 15, 1995
During the period from Jun. 24, 1991 to Aug. 31, 1991, we experienced 6 cases of non-typhoidal salmonella and 18 cases with symptoms suggesting salmonellosis. The results obtained were as follows; 1) Mean age on admission was 9¡¾6 days and mean body weight was 3.3¡¾0.3kg. All cases were fullterm neonate. 2) 12 pts were transferred from nursery becasuse of diarrhea (50.0%), 7 pts...
Clinical Study of Transient Tachypnea of the Newborn
Young Soo Kweon, Soo Jin Jung, Chang hee Han, Hae Woon Jang, Ki Ho Kim
Clin Exp Pediatr. 1995;38(1):10-19.   Published online January 15, 1995
Transient tachypnea of the newborn(TTN) is a benign self-limited disease characterized by early onset and rapid recovery of tachypnea although it may occasionally have a more prolonged and protracted course. A retrospective clinical study was mad on 29 neonates with TTN admitted to NICU of Pohang St. Mary's Hospital from January 1992 to June 1993. The results were as follows: 1) TTN(36.2%) was...
A Study of Auditory Brainstem Responses in Neonates with Hyperbilirubinemia and Their Neurodevelopmental Outcome
Sung Shin Park, Myoung Jae Chey, Kil Hyun Kim, Hak Soo Lee
Clin Exp Pediatr. 1995;38(1):1-9.   Published online January 15, 1995
Neonatal hyperbilirubinemia is a significant risk factor for the developemtn of otoneurologic disorder. Hyperbilirubinemia resulting in kernicterus produces widespread neuronal damage with the most common sites of staining and destruction involving the hippocampus, basal ganglia and the brainstem nuclei in the floor of the fourth ventricle, including the dorsal cochlear nucleus. ABR may be a useful tool for the monitoring early...
A Study on Prognostic Factors in Children with Encephalopathy
Jin Nyoung Park, In Joon Seol
Clin Exp Pediatr. 1994;37(12):1738-1745.   Published online December 15, 1994
To elucidate the clinical characteristics-especially its clinical pattern and outcome of chidren with encephalopathy, we carried out a retrospective review on medical records of 45 patients who were intially diagnosed as encephalopathy except mumps meningitis, Reye's syndome and neonatal hypoxic ischemic encephalopathy at the Department of pediatrics, Hanyang University children's hospital from January 1986 to February 1994. The results were summerized...
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