This is the clinical statistics concerning the admissions in the Pediatric Department of the Chosun University Hospital during the past 5 years from Jan. 1975 to Dec. 1979. All the patients were classified by y Classification of Disease by W.H.O. The Obtained results are as follows: 1. Total number of admission during 5 year period were 3249 cases, of which 2121 cases (65.28%) were male, 1128 cases (34.72%) were female and male to female ratio was 1.88:1. 2. The number of patients were increased every year gradually. 3. On age group, Infancy age group was the most frequent group, 714 cases (22%), followed by School age group, 6679 cases (20.9%) and Preschool age group, 679 cases (20. 9% ) in the order of frequency. 4. On monthly distribution, there was the more admission in the September and the Autumn on season, 5. Infectious and Parasitic diseases were the most frequent, 840 cases(25. 9%), followed by Neonatal disease, 573 cases (17.6%) and Respiratory disease, 476 cases (14.7%) 6. Ten major leadil1g causes of hospitalization were Diarrheal disease, 323 cases (9. 9%) ,prematurity, pneumonia, common cold, epidemic encephalitis, hyperbilirubinemia, epilepsy, glomerulonephritis, hepatitis and typhoid fever in the order frequency.
Classification ; Common Cold ; Encephalitis, Arbovirus ; Epilepsy ; Female ; Glomerulonephritis ; Hepatitis ; Hospitalization ; Humans ; Hyperbilirubinemia ; Inpatients* ; Male ; Parasitic Diseases ; Pneumonia ; Seasons ; Typhoid Fever

No abstract available.
Emergencies* ; Emergency Service, Hospital* ; Humans ; Statistics as Topic*

With the availability of the method of analysis of serum protein using minute amounts of material, it was felt desirable to understand the protein metabolism and physiologic function in the body. The present study was undertaken to clarify the serum albumin, globulin and total protein at term to demonstrate the normal concentration and correlation between the 30 mother and newborn infant pairs. Serum albumin, globulin and total protein were determined by the Biuret method with pooled human serum. The A/G ration was calculated by formula of A/G. The following result were obstained. 1) In comparing the newborn infants of nonanemic mothers a albumin and total protein concentrations were higher and globlin concentrations decreased in the anemic mothers. 2) In comparing the nonanemic mothers and anemic mothers the mean albumin concentrations were nearly equal but globulin and total protein were slightly increased in the nonanemic mothers. 3) The mean serum albumin(of maternal and umbilical cord blood) was 3. 8+/-0. 35 gm/100 ml and 3. 8+/-0. 49 gm/100 ml respectively. 4) The mean serum globulin of mate. nal and umbilical cord blood was 2. 7+/-0. 41 gm/100 ml and 2. 32+/-0. 47 gm/100 ml respectively. The correlation of the globulin status between mot-hers and their newborn infants was not significant(r=0. 32). 5) The m-an serum total protein of maternal and umbilical cord blood was 6. 59+/-0. 59 gm/100 ml and 6. 02+/-0.57gm/100ml respectively.
Biuret ; Fetal Blood ; Humans ; Infant, Newborn* ; Metabolism ; Mothers* ; Serum Albumin* ; Umbilical Cord

No abstract available.
Bone Marrow* ; Humans

We studied to investigate the predictive values of gated SPECT for the improvement of wall motion after bypass surgery. As we compared postoperative SPECT with preoperative ones, we defined viability as wall motion improvement. We performed rest T1-20l/stress Tc-99m-MIBI gated SPECT in 25 patients before and 3 months after bypass surgery. Myocardial wall motion was graded as normal, hypokinesia, a kinesia, and dyskinesia by pair-wise visual analysis of gated pre and postoperative SPECT's on the same monitor wall motion abnormalities before operation, 69 (75%) improved and 23 did not. Before operation, we could find segments with good systolic thickenining 64 segments among total 92. Thickening of the remaining 28 was poor. Wall motion improved postoperatively in 45 segments (70%) among 64 with good thickening, Twenty four(86%) among 28 segments with poor thickening had also improved. We grouped segments into mild(hypokinetic) and severe(akinetic/dyskinetic) ones. Among 33 segments with severe motion abnormalities, 14 had good thickening and 19 did not. Nine(60%) improved out of 14 segments having severe abnormality with good thickening. However, 16(84%) segments out of 19 having severe abnormality with poor thickening also improved. Neither degree of perfusion decrease nor severity of wall motion abnormalities could explain the high rate of false negatives. In conclusion, as we defined viability as wall motion improvement by comparing pre and postoperative SPECT, systolic thickening observed by gated Tc-99m-MIBI SPECT in myocardial segments with wall motion abnormalities predicted wall motion improvement after bypass surgery. However, poor thickening could not be referred as evidence of nonviable myocardium both in mild and severe contractile dysfunction, so that we might need stimulation study such as dobutamine echocardiography or dobutamine gated SPECT.
Coronary Artery Disease* ; Coronary Vessels* ; Dobutamine ; Dyskinesias ; Echocardiography ; Humans ; Hypokinesia ; Myocardium ; Perfusion* ; Tomography, Emission-Computed, Single-Photon*

No abstract available.
Antibodies, Monoclonal* ; Herpesvirus 3, Human*

OBJECTIVE: Although there are several explanations for a duplicated middle cerebral artery (DMCA), its embryological origin is still an open question. We reviewed these anomalous vessels to postulate a theory of their different origins, sizes, and courses. METHODS: A retrospective review of 1,250 cerebral angiographies, 1,452 computed tomography (CT)-angiographies, and 2,527 magnetic resonance (MR)-angiographies was performed to identify patients with DMCA. RESULTS: Twenty-five patients had 25 DMCAs. Conventional angiography detected nine patients with DMCA (9/1250, 0.72%), MR-angiography detected seven patients with DMCA (7/2527, 0.28%), and CT-angiography detected nine patients with DMCA (9/1452, 0.62%). The DMCAs originated near the internal carotid artery terminal in eight patients (type A), and between the origin of the anterior choroidal artery and the terminal internal carotid artery in 17 patients (type B). The diameters of the eight type A DMCAs were the same or slightly smaller than those of the other branch of the DMCA. All type A DMCAs showed a course parallel to that of the other branch of the DMCA. The diameters of the 17 type B DMCAs were the same, slightly smaller, or very much smaller than that of the other branch of the DMCA. Nine type B DMCAs showed parallel courses, and the other eight curved toward the temporal lobe. CONCLUSION: The two branches of the type A DMCAs can be regarded as early bifurcations of the MCA. The branches of the type B DMCAs had parallel courses or a course that curved toward the temporal lobe. The type B DMCA can be regarded as direct bifurcations of the MCA trunk or the early ramification of the temporal branch of the MCA.
Angiography ; Arteries ; Carotid Artery, Internal ; Cerebral Angiography ; Choroid ; Humans ; Magnetic Resonance Spectroscopy ; Middle Cerebral Artery ; Retrospective Studies ; Temporal Lobe

STUDY DESIGN: Cases report OBJECTIVES: We report 2 cases of relatively rare cervical fracture. SUMMARY OF LITERATURE REVIEW: Although numerous studies in the literature have investigated cervical spine injuries, patients with multiple-level cervical fractures have not been commonly described. Multiple non-contiguous cervical fractures are distinctively unusual. MATERIALS AND METHODS: First case was a girl aged 8 years and 4 months who had multifocal compression fracture of C3, 5, 6 & T7, 8 without spinal cord injury. Second case was a thirty nine-year-old female who had Type I Hangman's fracture and compression fractures of C3, 7. RESULTS: We had satisfactory results of them treated nonsurgically. CONCLUSIONS: We should remind that cervical spinal column can incur multiple injuries in variant patterns.
Female ; Fractures, Compression ; Humans ; Multiple Trauma ; Spinal Cord Injuries ; Spine*

STUDY DESIGN: Case report OBJECTIVES: We report a case of relatively rare multiple bilateral perineural cysts. SUMMARY OF LITERATURE REVIEW: Tarlov cysts, also known as perineural cysts are most often found in the sacral region, but there are a few cases reported in the thoracic region. In particular, there are very few cases of multiple bilateral thoracic perineural cysts. MATERIALS AND METHODS: A woman aged 65 years with perineural cysts in the bilateral T10-T11 and T11-12 neural foramens, underwent a T10-11-12 decompressive laminectomy and resection of the cyst. RESULTS: Satisfactory results were obtained for the patient after surgery. CONCLUSIONS: For more detailed and definitive treatment of thoracic perineural cysts, additional cases are required.
Aged ; Female ; Humans ; Laminectomy ; Sacrococcygeal Region ; Tarlov Cysts

OBJECTIVE: The present study is conducted to clarify the long-term outcome of intracranial giant aneurysm(IGA) and to elucidate optimal treatment strategy. METHODS: The authors analyzed respectively clinical records and radiological images of 51 patients with IGA treated from 1981 to 2000. Ten patients underwent conservative treatment. Twenty-nine patients underwent surgical procedure and twelve patients underwent endovascular treatment. RESULTS: The patients' ages ranged from 5 to 75 years, with a peak incidence in the sixth decade. The male to female ratio was 1:2.4. Twenty-seven cases presented with mass effect, and twenty-one cases manifested with subarachnoid hemorrhage(SAH). The incidence of rebleeding among twenty-one patients that presented with SAH was 16.4% within 7 dyas after first bleeding. Five of ten patients that underwent conservative treatment died. Permanent balloon occlusion after successful temporary carotid occlusion was performed in eight cases of unclippable internal carotid aneurysm. Seven of them demonstrated both clinical and angiographic tolerance. The clinical outcome for the aneurysmal neck clipping was good in 10, poor in one, death in three, and follow up loss in one patient. The clinical outcome of fourteen patients that underwent other surgical treatment was good in eight, poor in one, death in four, and follow up loss in one patient. CONCLUSION: High mortality rate has been observed with conservative management. Immediate obliteration of aneurysm is mandatory in intracranial giant aneurysm unless medical risks are prohibitive.
Aneurysm* ; Balloon Occlusion ; Female ; Follow-Up Studies ; Hemorrhage ; Humans ; Immunoglobulin A ; Incidence ; Male ; Mortality ; Neck ; Treatment Outcome