1.Acute Abdominal Pain.
Korean Journal of Pediatrics 2004;47(Suppl 3):S678-S685
No abstract available.
2.A Case of Liver Abscess in A Child.
Seung Taek OH ; Kwang Hae CHOI
Yeungnam University Journal of Medicine 2008;25(1):72-77
Liver abscess in children is rare in developed countries; the incidence is 25 per 100,000 admissions in USA. Common complications are pleural effusion, empyema, pneumonitis, hepatopleural or hepatobronchial fistula, intraperitoneal or intrapericardiac rupture, septic shock, cerebral amebiasis, etc. These complications may lead to death if the management is delayed. However, recent management results in a mortality of less than 15%. We report a case of liver abscess in a child. He manifested with fever and abdominal pain in the right upper quadrant. On computerized tomography scans, multiple cystic lesions were seen in both lobes of the liver and were 5 to 55 mm in size. In laboratory findings, neutrophilic leukocytosis, peripheral eosinophila, elevated values of ESR, C-reactive protein, and elevated serum AST, ALT, ALP and GGT were detected. Furthermore, we determined the organisms in the blood culture and serum. Blood culture was positive for Streptococcus spp., and amebic indirect hemagglutination antibody titer was increased to 1:512.
Abdominal Pain
;
Abscess
;
Amebiasis
;
C-Reactive Protein
;
Child
;
Empyema
;
Fever
;
Fistula
;
Hemagglutination
;
Humans
;
Incidence
;
Leukocytosis
;
Liver
;
Liver Abscess
;
Neutrophils
;
Pleural Effusion
;
Pneumonia
;
Rupture
;
Shock, Septic
;
Streptococcus
3.Clinical Observation about complications(Especially about Mortality Cases) in Childhood Primary Nephrotic Syndrome.
Hae ll CHEONG ; Yong CHOI ; Kwang Wook KO
Journal of the Korean Pediatric Society 1984;27(3):246-252
No abstract available.
Mortality*
;
Nephrotic Syndrome*
4.The Biochemical and Bacteriological Study of the Umbilical Venous Blood for Autologous Trnasfusion in Neonates.
Son Moon SHIN ; Kwang Hae CHOI ; Jeong Ok HAH
Journal of the Korean Pediatric Society 1994;37(7):928-936
This study was conducted to investigate the safety of the umbilical venous blood for antologous transfusion in the premature newborn babies. Umbilical venous blood was collected with aseptic technique immediately after delivery from 270 healthy mothers admitted to the Yeungnam University Hospital between March 1,1992 and August 31,1992 . The volume of the blood and the time taken for collecting the blood were measured. Also the hematological and biochemical changes of the blood during storage in the refrigerator of blood band and the incidence of bacterial contamination were studied. It took 67.6+/-25.9 seconds on the average for collecting the blood from an umbilical vein and the average volume of the blood was 77.1+/-23.2ml which would be sufficient volume for one time transfusion of 10ml/kg of packed red blood cells for the neonates. The hemoglobin and hematocrit values did not change significantly during storage for three weeks. Thus significant hemolysis did not seem to occur during storage. However, platelet counts decreased significantly from 248+/-59x10E3/mm3 to 193+/-47x10E3/mm3(p<0.01). Although plasma calcium level was not changed (8.4+/-0.9mg/dL), sodium was decreased significantly from 184.3+/-11.1mEq/L to 170.9+/-13.9mEq/L(p<0.01) and potassium was incresed from 5.0+/-1.0mEq/L to 26.7+/-4.8mEp/L.(p<0.01). Plasma glucose level was decreased from 521.7+/-106.7mg/dL to 294.3+/-120.8mg/dL (p<0.01), blood pH and bicarbonate concentrations were decreased significantly from 6.825+/-0.110 to 6.378+/-.087 and from 13.5+/-1.6mEq/L to 2.1+/-1.0mEq/L respectively (p<0.01). The smear of the umbilical venous blood and peripheral blood of the neonates stained by KleihauerBetke method revealed no significant differences in the percentages of adult red blood cells. Also there were no differences in the percentages of adult ted blood calls in the umbilical venous blood samples according to time for collection. The degree of decrement of hemoglobins (1.2gm/dL) after delivery in the mothers who had sampling of the umbilical venous blood was not different from that in the mothers who didn't hava sampling. The bacterial contamination rate of the umbilical venous blood was 3.5% (95% confidence interval was from 0.7 to 6.3). It seems to be safe to use the umbilical venous blood in the neonates for autologous transfusion but confirmation of bacterial contamination by culture is necessary.
Adult
;
Blood Glucose
;
Calcium
;
Erythrocytes
;
Hematocrit
;
Hemolysis
;
Humans
;
Hydrogen-Ion Concentration
;
Incidence
;
Infant, Newborn*
;
Mothers
;
Plasma
;
Platelet Count
;
Potassium
;
Sodium
;
Umbilical Veins
5.Clinical Observation on Hemodialysis in Children with Chronic Renal Failure.
Hae Il CHEONG ; Yong CHOI ; Kwang Wook KO
Journal of the Korean Pediatric Society 1988;31(5):590-596
No abstract available.
Child*
;
Humans
;
Kidney Failure, Chronic*
;
Renal Dialysis*
6.The clinical study on the incompetent internal os of the cervix.
Hae Suek JUNG ; Young Cheol CHOI ; Hae Jong KIM ; Kwang Su KEE ; Hun Jung IM
Korean Journal of Obstetrics and Gynecology 1993;36(7):1426-1433
No abstract available.
Cervix Uteri*
;
Female
7.Clinical and statistic analysis of cesarean section: change in recent 10 years.
Keun Young BAE ; Hae Suck JUNG ; Young Chul CHOI ; Hae Jong KIM ; Kwang Soo KEE ; Hun Jung IM
Korean Journal of Obstetrics and Gynecology 1993;36(7):1099-1110
No abstract available.
Cesarean Section*
;
Female
;
Pregnancy
8.Probability of Food Allergy in Case of Benign Transient Non-Organic Ileus of Neonate.
Eun Kyung LEE ; Kwang Hae CHOI
Neonatal Medicine 2015;22(4):183-186
PURPOSE: Although the symptoms of benign transient non-organic ileus of neonate (BTNIN) are similar to that of Hirschsprung's disease (HD), the etiology underlying BTNIN remains unclear. In the present study, we aimed to compare laboratory and clinical characteristics of BTNIN with those of HD and to clarify the possibility of an association between food allergies and BTNIN. METHODS: We retrospectively reviewed the data from 34 BTNIN and 11 HD patients from January 2005 to December 2011. We compared several variables between these patients, including sex, age, feeding method, rate (%) and absolute count of serum eosinophils, and eosinophil count in the rectal mucosa. Pearson chi-square tests and independent t-tests were used for statistical analysis. RESULTS: BTNIN (N=34) is more likely to affect males as compared to HD (N=11), BTNIN had a longer duration of symptoms after birth, and BTNIN patients were more likely to be breast fed; all these factors were statistically significant (P=0.019, 0.000, and 0.000, respectively). The rate (%) and absolute count of serum eosinophils in the serum of BTNIN and HD patients was 3.9+/-2.4% and 401+/-388/HPF, respectively, and 1.4+/-0.8% and 170+/-110/HPF, respectively (P=0.001 and 0.000). Moreover, the eosinophil count in the rectal mucosa of BTNIN and HD patients was 14.4+/-12.9/HPF and 5.2+/-4.7/HPF, respectively (P=0.017). CONCLUSION: We observed that BTNIN patients exhibited a later symptom onset, and that BTNIN was more closely associated with breast feeding as compared to HD. A greater number of eosinophils were present in the serum and rectal biopsies of BTNIN patients. Thus, we suggest that BTNIN is associated with food allergy.
Biopsy
;
Breast
;
Breast Feeding
;
Eosinophils
;
Feeding Methods
;
Food Hypersensitivity*
;
Hirschsprung Disease
;
Humans
;
Ileus*
;
Infant, Newborn*
;
Male
;
Mucous Membrane
;
Parturition
;
Retrospective Studies
9.Experience for S-OIV of Admission Pediatric Patient with S-OIV at YUMC, 2009.
Myong Soon SUNG ; Kwang Hae CHOI
Yeungnam University Journal of Medicine 2010;27(1):18-26
The clinical picture in severe cases of pandemic (H1N1) 2009 influenza is markedly different from the disease pattern seen during the epidemics of seasonal influenza as many of those affected were previously healthy young people. Current predictions estimate that during a pandemic wave, 12~30% of the population will develop clinical influenza (compared with 5~15% for seasonal influenza) with 4% of those patients requiring hospital admissions and one in five requiring critical care. Until July 6, 94,512 people have been infected in 122 countries, of whom 429 have died with an overall case-fatality rate of <0.5%. Most of the confirmed cases of S-OIV (Swine- Origin Influenza A Virus) infection have been characterized by a self-limited, uncomplicated febrile respiratory illness and 38% of the cases have also included vomiting or diarrhea. Efforts to control these outbreaks are based on our understanding of novel S-OIV (Swine-Origin Influenza A Virus) and the previous influenza pandemics. So, this review covers the experience with S-OIV (Swine-Origin Influenza A Virus) for the admission and background data and the clinical presentation, diagnosis and treatment of H1N1 in pediatric patient with S-OIV (Swine-Origin Influenza A Virus) at YUMC, 2009.
Critical Care
;
Disease Outbreaks
;
Humans
;
Influenza, Human
;
Pandemics
;
Seasons
;
Vomiting
10.Clinical Evaluation of Intravenous Regional Aneetheeia using Bupivacaine .
Kwang Kyun CHOI ; Hae Kyung KIM ; Chang Kun AHN
Korean Journal of Anesthesiology 1987;20(1):34-38
We prospectively studied the clinical effect of intravenous bupivacaine for regional anes-thesia in the lower & upper extremities in sixty consecutive patient from September, 1985 to truly 1986. 0.2% bupivacaine was used and dosage was varied between 1.0mg/kg and 2.5mg/kg. according to the 7ype of surgery, site, body weight and the size of the limb. The amount of bupivaeaine required was rather depend upon the size of the limb thats the patient's body weight. The effect of the anesthesia for a variety of extremity procedures was rated as exoellent, good or fair in 98.3% of the patient.
Anesthesia
;
Body Weight
;
Bupivacaine*
;
Extremities
;
Humans
;
Prospective Studies
;
Upper Extremity