No abstract available.
Diagnosis* ; Heart Defects, Congenital*

No abstract available.
Anemia, Hemolytic, Congenital* ; Diagnosis*

No abstract available.
Congenital Hypothyroidism* ; Diagnosis* ; Prognosis*

No Abstract available.
Diagnosis* ; Heart Defects, Congenital*

Ultrasound (US) is currently contributing to early detection of congenital birth defects (CBDs) but its diagnostic value is not yet systemically assessed. Objectives: To describe the distribution of CBDs among children born at the National Hospital of Obstetrics and Gynecology from 2001 to 2003 and to assess the effectiveness and diagnostic value of US. Methods: A descriptive cross-sectional study involving all mothers and their fetuses/newborns with CBDs at the NHOG from Jan 2001 to Dec 2003. Results: The number of fetuses with CBDs detected during the 3 years was 933, accounted for 2.7%. CBDs of the central nervous system and the head-face-neck area accounted for 36.2%; followed by abdominal organs (33.0%), bones and extremities (17.0%), thorax (9.0%) and others. The percentage of CBDs detected at gestational age from 12 to 23 weeks has increased two-fold from 2001 to 2003. Conclusions: The percentage of CBDs detected during the 3 years was 2.7%, with CBDs of the central nervous system and the head-face-neck area accounted for 36.2%; followed by abdominal organs (33.0%), bones and extremities (17.0%), thorax (9.0%). US played the 1st role leading to suspicion of CBDs (39.7%). For fetuses less than 32 weeks, 2-D and 3-D US have diagnostic values of more than 97%.
Congenital Abnormalities ; Early Diagnosis ; Diagnosis

No Abstract available.
Diagnosis* ; Echocardiography* ; Heart Defects, Congenital*

A cross-sectional study of 204 hip radiographs of high risk CDH (Congenital Dislocation of the Hip) group newborn, using: (1) The Tonnis critenrion of acetabular index upper limit 35 degrees. (2) The position of femoral metaphyseal "beak" with Perkins and Hilgenreiner's lines, showed: 21 CDH/204 risk newborn or 10.24% with 7.35% Dislocatable Hip, 2.93% Complete Dislocation; Female = 9.5:1; Left side: Right side=3:2.
Hip Dislocation, Congenital ; diagnosis ; epidemiology

19.460 newborn infants at 2 Obstetric and Gynecology Hospitals and various Hospital had been given a postnatal screening (22.43%) from the year 2000 to 2003. The rate of mother/families who opt for screening was increased from 9% in the year 2000 to 36-40% in 2003. In suburban area the rate of screening in the year 2003 was 7.5% verus 28.1%, 44.1% in urban area. The rate of re-examination is 4.18% and there are 5 false negative cases. The detection rate for congenital hypothyroidism was 1/9000 case.
Infant, Newborn ; Congenital Hypothyroidism ; diagnosis

Twenty patients were operated on under the diagnosis of congenital nystagmus(CN). Of these, nineteen were motor CN and one was sensory CN. Head turning was toward the leftside in 13 patients(65.0%) and the rightside in 7(35.0%). Preoperatively, the degree of head turn ranged from 20 degrees to 45 degrees with a mean of 34.5 degrees. Primarily, modified Kestenbaum procedures were performed and, if necessary, 2nd and/or 3rd operations(Anderson's procedure, Goto's procedure) were performed additionally. The degrees of head turn after the 1st operation ranged from -5 degrees to 30 degrees with a mean of 11.5 degrees. On an average, 23.5 degrees was corrected by 14.8mm of operation on muscles(resection plus recession) for each eye. By these procedures, seventeen patients(85.0%) showed improvement or cure(75% after 1st operation and 10% after 2nd and/or 3rd operation).
Diagnosis ; Head ; Humans ; Nystagmus, Congenital*

Congenital Hyperinsulinism ; diagnosis ; therapy ; Humans