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Original Article
Acute Renal Failure in Children : Underlying Disease and Management according to Age
Eun Joung Park, Joung Sim Kim, Jai Bok Yoo, Joung Sook Sul, Si Whan Koh, Phil Soo Oh, I Suk Kang, Moon Soo Park, Heung Jae Lee, Dong Kyoo Jin
Clin Exp Pediatr. 1998;41(5):654-662.   Published online May 15, 1998
Purpose : It has been stressed that age itself as well as multiple organ failure are important prognostic factors in acute renal failure(ARF) in children. This study was performed to find out the significance of age factor and underlying disease of ARF in children. Methods : We tried to review 58 pediatric ARF cases, retrospectively, in the pediatric intensive care unit(excluding...
Case Report
Two Childhood Cases of Heat Stroke with Rhabdomyolysis and Multiorgan Failure
Yang-Suk Jung, Jae-Young Lim, Yun-Kyeong Cho, Gye-Woo Yi, Chan-Hoo Park, Hyang-Ok Woo, Hee-Shang Youn
Clin Exp Pediatr. 1998;41(4):568-573.   Published online April 15, 1998
Heat stroke occurs when body thermal regulation is upset and unable to dissipate adequate amounts of heat with rise in body temperature. Thus heat stroke may result in rhabdomyolysis and multiorgan failure. We observed two childhood cases of heat stroke with rhabdomyolysis and multiorgan failure. One case was caused by accidentally being left in a car trunk for 3 hours on a sunny afternoon...
Original Article
Normal Predicted Values of Pulmonary Function Test in Healthy Korean Children
Seung Yeon Nam, Kyung Hyo Kim, Young Mi Hong, Gyoung Hee Kim
Clin Exp Pediatr. 1998;41(3):338-345.   Published online March 15, 1998
Purpose : We performed a pulmonary function test with simple, computerized spirometry composed of pneumotachometry and evaluated the predicted normal values of air flow rates and lung volumes in healthy Korean children. We calculated each of the simple and complex linear and logarithmic regression equations setting the predicted values. Methods : Four hundred and fifty-two healthy children were enrolled from December, 1994 to August, 1995....
Therapeutic Efficacy of Dual Therapy and Triple Therapy for Helicobacter pylori Infection in Children
Sun-Hwan Bae, Jae-Sung Koh, Jeong-Kee Seo
Clin Exp Pediatr. 1998;41(3):323-330.   Published online March 15, 1998
Purpose : An optimal treatment for Helicobacter pylori (H. pylori ) infection in children has not yet been established. In this study, the efficacy and the tolerability of triple therapy with colloidal bismuth subcitrate(CBS), amoxicillin and metronidazole, were evaluated in comparison with dual therapy with CBS and amoxicllin. Methods : Eighty-six children with H. pylori infection, aged 6 years to 14...
Etiological Analysis of Gynecomastia in Children
Jai Keun Kim, Ki Keun Oh, Choon Sik Yoon, Jae Hyun Park
Clin Exp Pediatr. 1998;41(2):224-229.   Published online February 15, 1998
Purpose : The purpose of this study is to analyze the etiology of gynecomastia confirmed by breast operation among children under the age of 15 exhibiting clinical symptoms. Methods : Twenty patients under the age of 15 were diagnosed as having gynecomastia in the past 10 years. The number of pathologically confirmed gynecomastia patients was 15. The causes or related...
Treatment of Supraventricular Tachycardia by Catheter Ablation Using Radiofrequency Currents in Children and Adolescents
Sung Jae Lee, Mi Jin Jung, Dieter Gonska
Clin Exp Pediatr. 1998;41(2):186-191.   Published online February 15, 1998
Purpose : Catheter ablation using radiofrequency currents have been proven to be an effective and safe tool for the treatment of adult patients with accessory atrioventricular pathways. This study was designed to analyze the efficacy of this method in childern and adolescents. Methods : Using radiofrequency currents, cathether ablation of an accessory pathway was performed in 54 patients(mean age 11.8 years)...
Causes of Syncope in Children
Jae Young Lee, Chung Il Noh, Eun Jung Chun, Sun Sung Park, Myung Ja Yun, Hong Ryang Gil, Ho Sung Kim, Jung Yun Choi, Yong Su Yun
Clin Exp Pediatr. 1998;41(1):81-89.   Published online January 15, 1998
Purpose : Syncope is not rare and is caused by various conditions ranging from common physiologic derangements to life-threatening conditions. However, there are limited reports regarding syncope in children. We retrospectively analyzed our experiences of the syncope in children. Methods : Retrospective analysis of the medical records of patients with syncopal episodes between October 1985 and June 1996. Results : Sixty-eight patients(male; 36, female; 32,...
Clinical Study and Diagnostic Value of the Lung Perfusion Scan in Foreign Body Aspiration
Gyo-Dang Koo, Young-Ho Rah, Chong-Woo Bae, Sa-Jun Chung, Yong-Mook Choi
Clin Exp Pediatr. 1998;41(1):74-80.   Published online January 15, 1998
Purpose : Early diagnosis of foreign body aspiration and removal of the inhaled material may save the patient from chronic illness and may prevent serious complications. At present the diagnostic problems of bronchial foreign bodies are being solved by using the lung scanning technique. Therefore, we investigated the clinical study and diagnositic value of the lung perfusion scan in foreign body aspiration. Methods : Eighteen...
A Clinical Study on the Etiology and the Characteristics of Pleural Effusion in Children
Jin Hwa Jeong, Song Yi Rah, Yong Han Sun, Myung Hyun Lee, Young Yull Koh
Clin Exp Pediatr. 1998;41(1):62-73.   Published online January 15, 1998
Purpose : Many different conditions result in pleural effusions(PEs) and making the differential diagnosis of PE is difficult. The purpose of the present study was to document the change of incidence and compare the etiologies of PEs with regards to age, the sidedness and characteristics of PE. Methods : During the 10-year period from 1986 to 1995, thoracentesis was performed in 197 children with PEs...
The Clinical Aspects of Septic Arthritis in Children
Milim Koo, Dongsoo Kim
Clin Exp Pediatr. 1997;40(12):1731-1744.   Published online December 15, 1997
Purpose : Acute septic arthritis in infancy and childhood is uncommon. Delay of diagnosis and inappropriate treatment of septic arthritis results in permanent physical sequelae. We studied the initial treatment, clinical manifestations, involved sites, and etiologic organisms of septic arthritis. Methods : We reviewed 74 patients who were diagnosed septic arthritis in Departments of Pediatrics and Orthopedic Surgery, Yonsei University College of Medicine from July 1986...
A Result of Treatment of Malignant Germ Cell Tumors in Childhood
Hyoung Jin Kang, Jun Ah Lee, Hyo Jeong Han, Hyoung Su Choi, Hyeon Jin Park, Ki Woong Sung, Eun Sun Yoo, Hee Young Shin, Hyo Seop Ahn, Kwi Won Park, Byung Keu Cho, Hwang Choi, Chul Woo Kim
Clin Exp Pediatr. 1997;40(12):1707-1718.   Published online December 15, 1997
Purpose : Germ cell tumors have variable clinical characteristics according to the age, sex, primary site, and pathologic diagnosis. To provide the therapeutic principle, the clinical characteristics, response to the treatment, and prognostic factors were analyzed. Methods : Medical records of 57 children who were diagnosed as malignant germ cell tumor in Seoul National University Children' s Hospital from January 1986 till June 1996 were...
Childhood Near-Drowning in Chinju
Hyang Ok Woo, Chan-Hoo Park
Clin Exp Pediatr. 1997;40(11):1588-1595.   Published online November 15, 1997
Purpose : Drowning is the second most common cause of accidental death in children, exceeded only by motor vehicle accidents. The purpose of the present study was to investigate the prognostic factors of near-drowning in children, such as age, sex, season, site of submersion, and initial clinical or laboratory manifestrations, and to formulate preventive strategies for decreasing injuries by drowning. Methods : Sixty-one near-drowning children...
Endoscopic Removal of Foreign Bodies in Upper GI Tract in Children
Hae Jung Han, Sang Gil An, Yong Min Chung, Hee Sup Kim, Hann Tchah, Ho Jin Park
Clin Exp Pediatr. 1997;40(11):1552-1558.   Published online November 15, 1997
Purpose : The foreing bodies in the upper GI tract are chiefly caused by accidental swallowing and rarely provoke symptoms. It is recommended to remove the foreign bodies if they produce symptoms or remain in GI tract for long duration or complications are expected to bring about. Nowadays the development of pediatric therapeutic endoscopy enables the removal of the foreign bodies in upper GI tract...
Complications, Apolipoproteins and Lipoprotein(a) in Severely Obese Children in Incheon, 1996
Yon Ho Choe, Yong Hoon Jun, Soon Ki Kim, Seung Kyu Han, Byong Kwan Son, Jong Weon Choi, Soo Hwan Pai
Clin Exp Pediatr. 1997;40(10):1386-1393.   Published online October 15, 1997
Purpose : This study was designed to evaluate the incidence of complication in severely obese children and to determine whether the difference of Lp(a) between severely obese children and normal control group exists. Methods : Body weight, height and obesity index were measured in 5885(M:F= 3089:2796) elementary school children. Eight eight(M:F=63:25) were selected as severely obese children. Of the 88 children, 74 agreed to venous...
Immunohistochemical Study of Bcl-2 Oncoprotein Expression in Childhood Non-Hodgkin's Lymphoma
Sung Mee Kim, Jin Hwa Jung, Jeong Ho Lee, Jong Dae Jo, Young Tak Lim, Do Youn Park, Sun Kyeung Lee
Clin Exp Pediatr. 1997;40(9):1265-1274.   Published online September 15, 1997
Purpose : The aim of the present study was to assess the clinicopatholgical significance of Bcl-2 oncoprotein expression in childhood non-Hodgkin' s lymphoma(NHL). Methods : We have assessed 16 cases of childhood NHL during last 6 years from 1990 to 1995. Bcl-2 oncoprotein expression has been semiquantitatively analyzed in paraffin sections from 16 cases of childhood NHL with 39 control cases of adult NHL. The...
Early Results of Radiofrequency Catheter Ablation of Supraventricular Tachycardia in Children
Jae Kon Ko, Young Hwee Kim, Young Hwee Kim, Chang Yee Hong, Jae Joong Kim, You Ho Kim
Clin Exp Pediatr. 1997;40(9):1258-1264.   Published online September 15, 1997
Purpose : Although the data of radiofrequency catheter ablation(RFCA) of supraventricular tachycardia in adults has been accumulated in several centers in Korea, few data are available on its efficacy and safety in pediatric ages. We reviewed the data in young patients who underwent this procedure in a pediatric cardiology center, to evaluate the indications, early results, complications, and short-term follow-up data. Methods : We retrospectively...
The Therapeutic Effect of Interferon-alpha Treatment in Children with Chronic Hepatitis B
Il Sang Jeong, Ki Sup Chung
Clin Exp Pediatr. 1997;40(7):955-964.   Published online July 15, 1997
Purpose : The prevalance rate of chronic hepatitis B viral infection in children is high in our contry. We performed a prospective study to evaluate the effectiveness of and the factors predictive of response to interferon-alpha therapy in children with chronic hepatitis B. Methods : Thirty-two children with chronic hepatitis B werew admitted to the Department of Pediatrics, Yonsei University College of Medicine from...
Case Report
A Case of Ischemic Colitis in Childhood
Hwang Jae Yoo, Su Eun Park, Sang Ook Park, Jae Hong Park, Su Yung Kim
Clin Exp Pediatr. 1997;40(6):867-871.   Published online June 15, 1997
Ischemic colitis is a common gastrointestinal disease not in childhood but in sixties decade. It' s developed due to ischemic injury of colon and classified to transient reversible form, chronic form and acute fulminant form. Uniquely Authors had experienced a case of ischemic colitis diagnosed as barium enema in childhood. This patient was brought to our hospital due to abdominal pain, abdominal distension and...
Original Article
Intermediate Term Follow-up Results of Hypertrophic Cardiomyopathy in Children
Eun Jung Cheon, Chung Il Noh, Jae Young Lee, Sun Sung Park, Myung Ja Yun, Hong Ryang Kil, Ho Sung Kim, Jung Yun Choi, Yong Soo Yun
Clin Exp Pediatr. 1997;40(5):641-649.   Published online May 15, 1997
Purpose : Hypertrophic cardiomyopathy(HCMP) is a primary cardiac muscular disease with high risk of sudden cardiac death. This study is performed to understand the clinical features of children with HCMP. Methods : Retrospective analysis of the medical records of the patients diagnosed at Seoul National University Children's Hospital between October 1985 and June 1996 was done. Excluded the patients who had...
Fixed Subaortic Stenosis in Children
Eun Jin Choi, Byung Ho Choi, Myung Chul Hyun, Sang Bum Lee
Clin Exp Pediatr. 1997;40(4):505-511.   Published online April 15, 1997
Purpose : This study attempted to describe the Doppler and two-dimensional echocardiographic features of fixed subaortic stenosis, the de novo occurrence and progression of this lesion and to review its etiology, treatment and course. Methods : We studied 17 patients of fixed subaortic stenosis who, between Jan. 1993 and Jan. 1996, ware diagnosed by echocardiographic examination at Kyungpook National University Hospital....
A Clinical Study of Congenital Urinary Tract Anomalies in Children
Mi-Young Han, Seong-Ho Cha, Byong-Soo Cho, Jin-Il Kim, Yung-Tae Ko
Clin Exp Pediatr. 1997;40(3):375-384.   Published online March 15, 1997
Purpose : A study was done to assess the incidence, clinical characteristics of urinary tract anomalies for decreasing urinary tract morbidity. Methods : We review 98 cases of anomaly of urinary tract who were admitted Kyung Hee University Hospital between 1986 and 1995. We analyzed incidence and associated anomalies, associated diseases and treatment modalities. Results : 1) It was composed of 45 cases(45%) of renal...
Whole blood and Plasma Vitamin C Concentrations of Elementary School Children in Chinju
Yoon-Ok Kim, Myoung-Bum Choi, Youn-Kyeong Cho, Sun-Kyeong Sin, Song-Ja Kim, Hyang-Ok Woo, Seoung-Hwan Kim, Hee-Shang Youn, Seon-Ju Kim, Kook-Young Maeng, Gyung-Hyuck Ko, Seung-Chul Baik, Woo-Kon Lee, Myung-Je Cho, Kwang-Ho Lee
Clin Exp Pediatr. 1997;40(3):352-360.   Published online March 15, 1997
Purpose : Recommended dietary allowance of vitamin C was determined on the basis of preventing the scurvy without considerations of the important function of the vitamin C as a first line antioxidant. So we measured the whole blood and plasma vitamin C concentrations of the contemporay healthy elementary school children in Chinju for the establishment of the optimal daily vitamin C...
Case Report
A Case of Ischemic Enteritis
Ran Lee, Jeong Kee Seo, Kwi won Park, Jong Je Kim
Clin Exp Pediatr. 1997;40(2):254-259.   Published online February 15, 1997
Ischemic enteritis is caused by embolism or thrombosis of superior mesenteric artery and nonocclusive ischemia. Mesenteric venous thrombosis, drugs, and vasculitis are less frequent etiologic factors. In children, occlusion of microcirculation by fibrin thrombi initiated by endotoxemia may be an etiology. Severe abdominal pain, vomiting, and diarrhea with evidence of gross or microscopic bleeding are common presenting symptoms. Angiography may be...
Four Cases of The Imported Falciparum Malariain Childre
So Young Lee, Tae Sung Ko, Hyun Sook Chi, Young Seo Park
Clin Exp Pediatr. 1997;40(2):249-253.   Published online February 15, 1997
Malaria is a protozoan disease transmitted by the bite of female Anopheles mosquitoes. Only four species of Plasmodium can infect human, which are P.vivax, P. ovale, P. malariae, and P. falciparum. We experienced four cases of the imported falciparum malaria in children who were admitted due to fever, vomiting, diarrhea, abdominal pain, lethargic state, and/or altered mentality after traveling Kenya and Tanzania without...
Original Article
TheAnalytic Review of Standard Growth Valuein School-Age Children in Seoul
Joo Young An, Jin Seop Kang, Young Jin Hong, Don Hee Ahn, Sung Jae Suh
Clin Exp Pediatr. 1996;39(12):1669-1679.   Published online December 15, 1996
Purpose : It hasn't been developed a new standard growth value for children in Korea since 1985. This study was designed to compare the difference of standard growth value of height, weight and chest circumference for school-age children in Seoul between 1985 and 1994. Methods : Height, weight and chest circumference were measured in 6,308 students, aged 6-17 years, of 12...
Trend of Tuberculous Meningitis since 1970
Jeong A Park, Chang Weon Oh, Kyoung Sim Kim, Yong Wook Kim, Ki Bok Kim
Clin Exp Pediatr. 1996;39(11):1527-1537.   Published online November 15, 1996
Purpose : The incidence of tuberculous meningitis has reportedly decreased from 4.2% in 1970 to 1.8% in 1990 in Korea; however, tuberculous meningitis, which spreads hematogenously, claiming majority of mortality in childhood tuberculosis, still poses serious problems. This study was performed to evaluate the recent trend of tuberculous meningitis. Methods : We compared with three groups of tuberculous meningitis, two were our previous reports on...
Clinical Lecture
Surgical Emergencies of the Abdomen in Children
Soo-Myung Oh
Clin Exp Pediatr. 1996;39(11):1504-1511.   Published online November 15, 1996
Original Article
Measles Hepatitis in Children
Sang Gil An, Ji Eun Wuon, Ki Moon Cha, Yong Min Chung, Hee Sup Kim, Hann Tchah, Ho Jin Park
Clin Exp Pediatr. 1996;39(10):1371-1377.   Published online October 15, 1996
Purpose : Measlesinfection in children hasbeen known to havemany complications including hepatitis. But there has been no appropriate study about measles hepatitis in children. So we studied to facilitate the understanding of measles hepatitis in children by analyzing their clinical features and laboratory findings. Methods : We investigated 164 patients who were admitted to the Department of Pediatrics, Seoul Red Cross Hospital due to measles...
A Study on Mean Blood Lead and ZPP Levels of Children around Cheonan-city,Chungcheongnam-do
Hyun Mi Kim, Hae Kyung Lee, Kyeong Bae Park, Sang Chul Park, Sang Man Shin, Kyu Dong An, Byoung Kuk Lee
Clin Exp Pediatr. 1996;39(10):1358-1363.   Published online October 15, 1996
Purpose : Recent years have witness a dramatic increase in public awareness of the health risks associated with lead exposure-particularly concerning young children. The lead poisoning in children was considered a rarity, usually resulting from unique circumstances such as in appropriate use of lead-based body cosmetics or direct administration of lead-containing folk medicine or contaminated atmosphere. The increasing concern about children with lower levels...
A Study on Blood Lead Levels of Children in Ulsan
Seung Gyu Park, In Gyeong Back, Chul Ju Jung, Dong Jin Lee, Gyeong Dong Jung
Clin Exp Pediatr. 1996;39(9):1231-1238.   Published online September 15, 1996
Purpose : Lead toxicity affects every organ system, most importantly, the central and periphral nervous systems, kidney, and blood. Not yet, there are not so many data about blood lead levels of children in Korea. The children residing in Ulsan have some risk exposured to lead because of air pollution resulted from rapid industrialization and some lead-using industries. So we estimated the blood lead...
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