No abstract available.
Korea*

No abstract available.
Humans ; Inpatients*

We observed 241 cases of type A hepatitis who were admitted to pediatric department of St. Mary`s Hospital, Cathlic Medial College from Jan. 1,1968 to Dec. 31,1977, and the following results were obtained. 1. Annual incidence was the highest in 1975 and lowest in 1969, but wr observedno significant difference. 2. Seasonal incidence was high in Autumn and Winter, and low in Spring and Summer. 3. Age incidence showed high in 7,8,6 and 5 years of ages in order of frequency. the age group of 3-10 years old occupied 76.3% of total cases. Sex incidence revealed male predominance with the ratio about 1.6:1. 4. The common clinical symptoms on admission were anorexia(68.8%), abdominal pain and discomfortness(66.0%), nausea and vomiting(59.8%), dark urine(53.1%) and fever(30.0). 5. The common physical findings on admission were jaundice(75.1%), hepatomegaly(68.8%), abdominal distension(14.5%) and palpable spleen(8.7%). 6. The hematologic findings on admission(total leukocytes, lymphocyte and ESR) were within normal limitis in the most of the cases. 7. Bilirubinuria was observed in about 65% of the tested cases during the first 2 weeks of the illness and urinary urobilinogen was increased during the first and third week of the illness and decreased during the second work of the illness. 8. In the majority of the cases the serum bilirubin reached peak during the second week of illness and ranged 2~15mg. And by the end of the fourth week of the illness, they returned to lese than 2mg% in the 86.5% of the tasted cases. 9. SG0T and SGPT reached peat during the first week of the illness and decreased to less than 100unit by the end of fourth week of the illness in the most of the tested cases. 10. TTT did not return to normal level in the 70.0% of the tested cases by the end of the fourth week of the illness. 11. The electrophoresis of the serum portein revealed slightly decreased alpha1-globulin and increased gamma-globulin level than normal. 12. Anicteric hepatitis was 37 cases(15.3%) of the total cases. 13. Hepatitis B surface antigen was positive in 3 cases(3.8%) of the 79 tested cases. 14. In the most of the cases, prognosis was excellent but 3 cases complicated hepatic coma and expired.
Abdominal Pain ; Alanine Transaminase ; Bilirubin ; Child* ; Electrophoresis ; gamma-Globulins ; Hepatic Encephalopathy ; Hepatitis B Surface Antigens ; Hepatitis* ; Humans ; Incidence ; Leukocytes ; Lymphocytes ; Male ; Nausea ; Prognosis ; Seasons ; Soil ; Urobilinogen

No abstract available.
Humans ; Infant, Newborn* ; Respiration, Artificial*

The relationship between lead related subject symptoms and lead exposure indices was studied in 435 male lead workers in thirteen lead using industries. 212 male office workers who were not exposed to lead occupationally were also studied as a control group. Fourteen lead related symptoms were selected. They were further subdivided into 4 sub-symptom groups such as 1) gastrointestinal, 2) neuromuscular and joint 3) constitutional, and 4) psychological symptoms. Symptom questionnaires were provided to the workers and filled up by themselves and reconfirmed by interviewer(doctor). The test used for the evaluation of lead exposure were blood lead (PbB), zinc protoporphyrin in whole blood(ZPP), hemoglobin(Hb), hematocrit(Hct), delta-aminolevulinic acid in urine(DALA). The results obtained were as follows; 1. The higher prevalence rate in the sub-group of neuromuscular and joint symptoms was observed in occupationally lead exposed subjects than non-exposed subjects. Among the sub-groups, the most frequent symptom was "numbness of finger, hands of feet", and the prevalence of the symptom of "arthralgia", "weakness of fingers, hands or feet" and "myalgia" were higher in order. 2. While the symptom which showed the biggest difference of prevalence rate among the 14 symptoms between exposed and non-exposed subjects was "numbness of fingers, hands or feet" , the symptom which showed the highest prevalence rate was "feeling tired generally" in exposed and non-exposed subjects, but no statistical difference of symptom prevalence were observed. 3. In total study population, PbB and ZPP had dose-response relationship with 4 symptoms of neuromuscular and joint symptoms ("numbness of finger, hands or feet", "arthralgia", "weakness of fingers, hands or feet" and "myalgia") and one symptom of gastrointestinal group("intermittent pains in lower abdomen"). 4. In lead exposed workers, only neuromuscular and joint symptoms group showed dose-response relationship with PbB and ZPP. 5. In lead exposed workers, the prevalence rate of overall symptoms of lead workers with age below 39 years was higher than that of lead workers with age above 40. While neuromuscular and joint symptoms group had a dose-response relationship with PbB in former group, it had a dose-response relationship with ZPP in latter group. 6. Age adjusted odds ratios of symptoms of non-exposed with exposed and odds ratios of low exposed with high exposed workers showed the dose-response relationship of lead exposure with neuromuscular and joint symptoms group("numbness of fingers, hands or feet", "arthralgia", "weakness of fingers, hands or feet" and "myalgia") and gastrointestinal symptoms group("intermittent pains in lower abdoman").
Aminolevulinic Acid ; Fingers ; Hand ; Humans ; Joints ; Male ; Occupations ; Odds Ratio ; Prevalence* ; Surveys and Questionnaires ; Zinc

This study was attempted to know the recent changes of the patterns of diseases among Korean children living inurban and rural areas. 21,498 sick-children, who admitted to the thirteen general hospitals which located in urban and rural areas during past five years from Jan. 1994 to Dec. 1978, were analysed for this purpose. 13,759 sick-children(64.0%) were male, others were female and the ratio of sex was 1,8 : 1. 13,210 sick-children(61.4%)wers lived in large cities(over 500,000 population), 23.9% and 14.7$ of total sick-shildren were lived in small and medium sized cities(50,000~500,000 population) and rural areas respectively. There was a tendency to increase year by year in total number of sick children who admitted to the hospitals with the various kinds of diseases. The seasonal incidence of diseases was highest in summer, 27.9% of sick-children were admitted during summer season and the next season was fall. According to the classification of dieases in childhood (by WHO), the main diseases of sick-childen admitted at thirteen hopitals in this study were classified as respiratory tract diseases(6,044 cases, 28.1%), infection and parasitic diseases(5,605 cases, 26.1%) and neonatal disease(4,013 cases, 18.1%). Thr major ten leading causes of admission were as follows; pneumonia(13.6%), diarrheas(12.4%), prematurity(8.6%), neonatal jaundice(8.2%), URI(5.2%), bronchiolitis(3.6%), nephritis(3.3%), bacterial meningitis(3.1%), viral hepatitis(2,8%), pleurisy and empyema(2.4%). The characteristic patterns of diseases in each different resident areas were noted as follows; In large city the incidence of diseases such as intussusception, typhoid fever and hyperbilirubinemia were high comparing to other areas unexpectively. The occurrence of Japanese B encephalitis, tetanus neonatorum, poliomyelitis, septicemia, meningitis and tuberculosis were come into notice in rural areas. Diarrheal disease, prematurity, pyelonephritis and pertussis were still common in small and medium sized cities. The leading diseases in each age groups were; in neonatal period, prematurity(34.9%), hyperbilirubinemia(32.9%) and pneumonia(8.0%); in infancy, diarrheal diseases(28.2%), pneumonia(19.6%) and bronchiolitis(12.5%); in preschool period, pneumonia(16.2%), diarrheas(13.4%) and URI(6.8%); in school period, glomerulonephrithis(11.0%), pneumonia(9.7%) and viral hepatitis(8.1%); in adolescence, glomerulonephritis(11.5%), viral hepatitis(10.5%) and pneumonia(7.6%).
Child ; Adolescent ; Male ; Female ; Infant, Newborn ; Child, Preschool ; Humans ; Incidence

No abstract available.
Bone Marrow* ; Precursor Cell Lymphoblastic Leukemia-Lymphoma*

The low birth weight infants have been fed with 15% concentration of Maeil Dry Milk G-80(Table 1) until the date of weight gaining to 2.5kg at the nursery room of our pediatric department, St. Mary's Hospital, Catholic Medical College. Feeding results were obtained as follows. 1. General physical condition was fair. The initial weight loss was average 6.8% of their birth weight and regaining of body weight started on 12th day of age(Table 2). 2. The frequency of stool passage was 1~6 times a day and normal yellowish stools were appeared on 8th day of age(Table 3). 91% of stools was the normal consistency and the other was loose stool. Mean value of stool pH examined on 10th day of age was 5.54(4.9~6.5) 3. Mean daily feeding amount of water, Calorie, protein and fat was 175ml, 131cal,3.4gm and 6.3gm per kg respectively(Table 4).
Birth Weight ; Body Weight ; Humans ; Hydrogen-Ion Concentration ; Infant* ; Infant, Low Birth Weight* ; Infant, Newborn ; Milk* ; Nurseries ; Water ; Weight Gain ; Weight Loss

PURPOSE: Anaplastic large cell lymphoma, has the following three characteristics of a malignant lymphoma; 1) An irregular large nucleus, called pathologic atypical cells, 2) Eosinophilic cytoplasm, 3) Immunologically positive for Ki-1. Anaplastic large cell lymphoma occurs mostly in the lymph nodes, but about 40% has been observed to occur in other tissues. Skin is the one of the main sources of origin and it is called 'primary cutaneous anaplastic large cell lymphoma'. METHODS: A 69-year-old male patient with an erythematous nodule, sized 1.5 X 1.7 cm on his right hand dorsum was excised under local anesthesia and on biopsy was diagnosed as 'Dermatofibrosarcoma Protuberans'. Three months after the local excision and biopsy, same natured mass reoccurred in the same region, and then spontaneous regressed after three weeks. However, metastatic large mass of 4.0 X 5.0 cm, of same nature was observed on the elbow. The large mass was operated with wide excision and biopsy. RESULTS: On final diagnosis, with an immunofluorescent stain with CD30(Ki-1), 'Primary cutaneous large cell lymphoma' was made. After follow up for three years, we did not observed recurrence and metastasis. CONCLUSION: We have reported that we have diagnosed primary cutaneous large cell lymphoma and treated without recurrence and metastasis.
Aged ; Anesthesia, Local ; Biopsy ; Cytoplasm ; Diagnosis ; Elbow ; Eosinophils ; Follow-Up Studies ; Hand ; Humans ; Lymph Nodes ; Lymphoma ; Lymphoma, Large-Cell, Anaplastic ; Lymphoma, Primary Cutaneous Anaplastic Large Cell* ; Male ; Neoplasm Metastasis ; Recurrence ; Skin

Two cases of an anomalous systemic arterial supply to the basal segments of the left lower lobe without pulmonary wequestration are presented. In the first case, a preoperative diagnosis was made by chest CT, and confirmed by angiograpy, in a 22-year old man who had a recurrent hemoptysis. There was systemic arterial supply that originated from the thoracic descending aorta and no pulmonary arterial supply to the basilar segment of the left lower lobe. However, the pulmonary parenchyma was normal without sequestration. Ligation of the abnormal artery and a left lower lobectomy were performed without complication. In the second case, there were characteristic features of this anomaly on chest CT and the angiogram in a 31-year-old man with symptoms of hemoptysis. The patient refused surgery.
Adult ; Aorta, Thoracic ; Arteries ; Bronchopulmonary Sequestration ; Diagnosis ; Hemoptysis ; Humans ; Ligation ; Tomography, X-Ray Computed