No abstract available.
Child* ; Dermatoglyphics* ; Down Syndrome* ; Humans ; Karyotype*

No abstract available.
Arthrogryposis* ; Humans ; Siblings*

In 1,146 term neonates without perinatal problems who were born in Kwangju Christian Hospital, blood TSH levels were measured by immunoradiometric assay. In 397 term neonates among them, blood T4 levels were measured by radioimmunoassay in same specimens. 1) In normal neonates aged 3~5 days, 6~10 days, 11~20 days and 21~28 days, the TSH levels were 8.88+/-5.21(mean+/-SD), 9.44+/-5.16, 9.69+/-4.98, 11.96+/-3.75 IU/ml and the T4 levels were 11.41+/-2.79, 11.37+/-2.82, 11.19+/-2.63, 10.51+/-2.99 g/dl respectively. 2) No significant sex difference in TSH level was found in each age group, and TSH level did not correlate with birth weight. In neonates delivered by Cesarean section, TSH levels were lower than those of the normally delivered. 3) T4 levels did not differ between both sexes, and between types of delivery in each age group, and nor did it correlate with birth wweight 4) If the recall rate should be set at 0.2% of the total, TSH levels above 26.9 IU/ml would be required to recall for serum sampling. TSH level above 2 SD was 19.7 IU/ml. Cutoff points of T4 levels at 1.5 SD and 2 SD were 5.8 and 7.2 g/dl respetively, and the lowest 10th percentile was 7.4 g/dl.
Birth Weight ; Cesarean Section ; Female ; Gwangju ; Humans ; Immunoradiometric Assay ; Infant, Newborn* ; Mass Screening* ; Parturition ; Pregnancy ; Radioimmunoassay ; Sex Characteristics

We observed 233 twins and 2 triplets cases among 16,774 newborns delivered at Kwangju Christian Hospital during 5 years from Jan, 1986 to Dec. 1990. The results obtained are as follows: 1) The overall incidence of win pregnancy was 1:72(1.4%)and that of triplets 1:z8387(0.01%). 2) The average male-female sex ratio of twins was 1.06:1 with male predominating and 86% were same sex pairs(male-male 43.8%, female-female 41.3%), only 14.0% being different. 3) The incidence of twin delivery tended to be more prevalent in primigravidas. 4) More than half of all cases(248/466)had birth weight less than 2,500 g, with 33% falling into the range of 2,001~2,500 g. No statistically significant differences of birth weight were noted between both sexes or among birth sequences. 5) At 5 minute after birth, Apgar score below 7 were found in 9.5% of the firtst born and in 11.6% of second born twins, with no significant difference noted. 6) The perinatal mortality rate of twins were 94.4/1,000 and the perinatal mortality rates of first and second twins were 77.2 and 111.6, resp., but not significantly different. The larger the difference of birth weight between co-twins, the shorter thee gestational age and the less the birth weight between co-twins, the shorter the gestation age and the less the birth weight of twins, the larger became the perinatal mortality. But, it was not related to the parities or maternal ages. 7) The overall principal causes of perinatal death were still birth (45.5%), respiratory distress syndrome(36.4%) and immaturity(11.4%) in descending order.
Apgar Score ; Birth Weight ; Gestational Age ; Gwangju ; Humans ; Incidence ; Infant, Newborn ; Male ; Maternal Age ; Parturition ; Perinatal Mortality ; Pregnancy ; Sex Ratio ; Triplets ; Twins*

No abstract available.
Humans ; Infant, Newborn* ; Pneumonia*

No abstract available.
Barium* ; Intussusception*

No abstract available.
Humans

Infections of the face, especially of the medial third or "the danger triangle", are the most frequent primary foci associated with thrombosis of cavernous sinus. Microorganisms entering the facial vein and pterygoid plexus from these sites are easily carried to the sinus through the ophthalmic vein. When the septic thrombosis involves various structures in the sinus, multiple clinical manifestations develop and if appropriate anti-infective therapy is not instituted timely, grave consequences with high mortality is possible. Recently, we experienced such a case. A five-year-old boy had high fever, proptosis, periorbital edema, chemosis and limitation of eye movements. Three days before admission, he had suffered from erythematous swelling spreading over the periorbital area, where simple steroid ointment containing no antibiotics had been applied after a furuncle on the nose had been squeezed. On admission, brain MRI revealed meningeal enhancement, high-signal densities in enlarged right cavernous sinus and narrowing of internal carotid artery. Analysis of cerebrospinal fluid showed bacterial meningitis and the cultures of blood and eye discharge proved to be Staphylococcus aureus. On massive antibiotic therapy, he recovered swiftly without any adverse sequelae. The authors report this case with a warning against wide-spread misuse of steroids and inadequate treatment of the mostly neglected, but once-dreaded minor infections on the face.
Anti-Bacterial Agents ; Brain ; Carotid Artery, Internal ; Cavernous Sinus Thrombosis* ; Cavernous Sinus* ; Cerebrospinal Fluid ; Edema ; Exophthalmos ; Eye Movements ; Fever ; Furunculosis* ; Humans ; Magnetic Resonance Imaging ; Male ; Meningitis, Bacterial ; Mortality ; Nose ; Staphylococcus aureus ; Steroids ; Thrombosis ; Veins

No abstract available.
Goiter*

No abstract available.
Humans ; Infant* ; Mothers* ; Polyhydramnios