1.Growth Promoting Factors Which Affect Final Adult Height.
Mi Jung PARK ; Churl Young CHUNG ; Duk Hi KIM
Journal of Korean Society of Pediatric Endocrinology 1997;2(1):10-15
PURPOSE:Factors influencing postnatal growth are innumerable. It is known that genetic factors such as parental height and environmental factors such as nutrition, economic status and hormonal effects are important factors. The purpose of this study was to examine the factors affecting final adult height in normal children. METHODS:753 high school students (513 boys, 240 girls) who live in Seoul were studied. Height and body weight were measured and questionaires about sexual development were examined. We included the subjects who reached fianl adult height. The criteria of final adult height was as following: ages over 17 years in the boys and over 15 years in the girls and growth velocity was less than 1 cm per year. They had no systemic diseases and height standard deviation scores were more than -2.5. RESULTS: 1)Final adult heights were 173.1+/-.1cm in boys and 160.9+/-.7cm in girls. 2)Final adult height significantly correlated with father height(r=0.13, p<0.01), mother height(r=0.25, p<0.01), midparental height(r=0.25 p<0.01) and birth weight (r=0.16, p<0.01). 3)In short final adult height groups, birth weight and midparental height were significantly lower(p<0.05), but puberty onset age, body mass index and economic status were similar to normal stature groups. 4)Final adult height significantly correlated with target height.(r=0.43, p<0.01). In boys, the final adult height was 1.7cm taller than target height on the average. In girls, final adult height was 1.6cm taller than target height on the average. 5)In the group in which final adult height is less than target height, birth weights were significantly lower than those of the groups in which final height is greater than target height. CONCLUSIONS:Among factors affecting final adult height, parent height and birth weight were important. To predict final adult height, target height can be used simply and target height showed significant correlation with final adult height. In the case of showing differences between final adult height and target height, many factors including birth weight will influence the outcome.
Adolescent
;
Adult*
;
Age of Onset
;
Birth Weight
;
Body Mass Index
;
Body Weight
;
Child
;
Fathers
;
Female
;
Humans
;
Mothers
;
Parents
;
Puberty
;
Seoul
;
Sexual Development
2.A Case of Tuberculous Meningoencephalitis Presenting as Prominent Psychotic Features.
Hyun Jung YU ; Jee Young OH ; Jee Hyun KIM ; Jung Eun KIM ; Kee Duk PARK
Tuberculosis and Respiratory Diseases 2001;51(6):603-608
Intracranial vasculitis is a rare and disastrous complication of tuberculous meningitis if not treated properly. Focal neurologic deficits according to the vessels involved are common manifestation. Here, we report a 29-year-old man who suffered abrupt, bizarre behavioral changes caused by vasculitis complicating tuberculous meningoencephalitis. The diagnosis of tuberculous meningitis is based upon both the CSF findings and a chest X-ray. His systemic symptoms disappeared by after being administered antituberculous medication but various psychotic features such as hypersomnia, hyperphagia and aggressivebehavior continued. A brain MRI showed multiple small parenchymal tuberculous nodules, and the brain MR angiography revealed a narrowing of the proimal middle cerebral arteries and a reduced visualization of the cerebral vessels, suggesting widespread vasculitis. Intravenous dexamethasone successfully ameliorated his behavioral changes. In addition both the follow up brain MRI and angiography showed a normalization of the previous findings.
Adult
;
Angiography
;
Brain
;
Dexamethasone
;
Diagnosis
;
Disorders of Excessive Somnolence
;
Follow-Up Studies
;
Humans
;
Hyperphagia
;
Magnetic Resonance Imaging
;
Meningoencephalitis*
;
Middle Cerebral Artery
;
Neurologic Manifestations
;
Thorax
;
Tuberculosis
;
Tuberculosis, Meningeal
;
Vasculitis
3.Two Cases with Prolonged TSH Elevation in Congenital Hypothyroidism.
Jung Ho SEO ; Ho Young YOON ; So Mi PARK ; Hae Jung SHIN ; Duk Hee KIM
Journal of Korean Society of Pediatric Endocrinology 1999;4(1):109-114
It has been proven that the newborn screening programs for congenital hypothyroidism are very important for its early detection and the early treatment of congenital It has been proven that the newborn screening programs for congenital hypothyroidism are very important for its early detection and the early treatment of congenital hypothyroidism can ameliorate and possibly reverse its consequences. Treatment with L-thyroxine is started in case of suspicious hypothyroidism at the first visit. Serum concentration of total and free thyroxine become normal within 1week after start of therapy but TSH values become normal from 2 months to 6 months after L-thyroxine therapy. The possible explanations for prolonged TSH elevation in congenital hypothyroidism are poor compliance for therapy, an inadequate dose of L-thyroxine, elevated threshold for thyrotropin suppression and two novel mutations in the thyrotropin (TSH) receptor gene in a child with resistance to TSH. Authors have experienced two cases of prolonged TSH elevation with normal T3 and T4 levels till 18months and 27 months of age after optimal L-thyroxine therapy and literature were reviewed.
Child
;
Compliance
;
Congenital Hypothyroidism*
;
Humans
;
Hypothyroidism
;
Infant, Newborn
;
Mass Screening
;
Thyrotropin
;
Thyroxine
4.The Effect of Growth Hormone on Carbohydrate Metabolism in Turner Syndrome.
Hye Jung SHIN ; Jung Ho SEO ; Ho Young YOON ; Duk Hee KIM
Journal of Korean Society of Pediatric Endocrinology 1999;4(1):71-77
PURPOSE:The incidence of glucose intolerance is increased in patients with Turner syndrome. Both noninsulin dependent diabetes mellitus and insulin dependent diabetes mellitus are increased. The purpose of this study was to investigate the impaired rate of carbohydrate metabolism in Turner syndrome after growth hormone treatment. METHODS:We investigated the incidence of carbohydrate intolerance and diabetes mellitus in 94 patients with Turner syndrome with NDDG and WHO criteria. The oral glucose tolerance test was performed in 78 patients. In 12 patients treated with growth hormone, the glucose tolerance test was performed before and after treatment. The insulin tolerance test was done in 20 patients. RESULTS:Only one patient had random plasma glucose level of more than 200 mg/dl. In results of the glucose tolerance test(n=78), 2 patients had glucose tolerance by NDDG criteria and 7 patients had it by WHO criteria. There was no change in glucose tolerance test results during growth hormone treatment. According to the results of the insulin tolerance test, we couldn't find any difference in insulin resistance between the growth hormone treatment group and the other treatments(oxandrolone, estrogen) group. CONCLUSION: The impaired rate of carbohydrate metabolism in Turner syndrome was much lower than in other reports. We observed that the impaired rate of carbohydrate metabolism did not increase after growth hormone treatment. However, the long-term effects in patients treated with growth hormone will be elucidated.
Blood Glucose
;
Carbohydrate Metabolism*
;
Diabetes Mellitus
;
Glucose
;
Glucose Intolerance
;
Glucose Tolerance Test
;
Growth Hormone*
;
Humans
;
Incidence
;
Insulin
;
Insulin Resistance
;
Turner Syndrome*
5.Clinical Study of 20 Pediatric Cases of HBs Antigenemia Associated Membranous Nephropathy.
Jae Seung LEE ; Jung Hye CHOI ; Young Cherl LEE ; Duk Jin YUN
Journal of the Korean Pediatric Society 1984;27(8):760-765
No abstract available.
Glomerulonephritis, Membranous*
6.Growth Status in Infants Born Intrauterine Growth Retardation.
Il Ran KIM ; Mi Jung PARK ; Churl Young CHUNG ; Duk Hi KIM
Journal of Korean Society of Pediatric Endocrinology 1997;2(1):25-31
PURPOSE:In infants born intrauterine growth retardation(IUGR), there may be persistent short stature in childhood and adulthood, although most IUGR infants show some degree of catch-up growth. The purpose of this study was to describe the postnatal growth status in order to determine the incidence of catch-up growth. METHODS:This study was carried out with the 260 IUGR infants(birth weight<2,500gm) born at Inje University Sanggye Paik Hospital, from October 1989 to March 1995. RESULTS: 1)Mean gestational age was 38.3+/-.6weeks, mean birth weight was 2.3+/-.2kg and mean birth length was 46.1+/-.7cm. 2)Mean height standard deviation score(height SDS) was 0.02+/-.03. Height SDS was -0.002+/-.71 at 1 year of age, 0.03+/-.14 at 2 years of age, -0.03+/-.71 at 3 years of age, 0.01+/-.24 at 4 years of age, 0.16+/-.24 at 5 years of age, -0.08+/-.43 at 6 years of age. 3)Of the entire study group of the 260 children, 16 children (6%) were below 10 percentile in height. 1 of 36 (2.8%) was below 10 percentile in height at 1 year of age, 5 of 86(5.8%) at 2 years of age, none at 3 years of age, 6 of 44 (13.6%) at 4 years of age, 1 of 25 (4.0%) at 5 years of age, 3 of 17 (17.6%) at 6 years of age. 4)Height SDS significantly correlated with gestational age (r=0.57, p<0.01), birth weight (r=0.17, p<0.01) and midparental height (r=0.72, p<0.01). 5)Birth length and midparental height showed significant differences between catch-up group and non-catch-up group (p<0.01). Condusions:In summary, of the infants born IUGR, 94% showed catch-up growth. Birth length and midparental height were significantly lower in non- catch-up group.
Birth Weight
;
Child
;
Fetal Growth Retardation*
;
Gestational Age
;
Humans
;
Incidence
;
Infant*
;
Parturition
7.Effects of Exercise on Glycemic Control in Patients with Type 1 Diabetes Mellitus.
Duk Hee KIM ; Dae Young PARK ; Hae Jung SHIN ; Kwan Sik CHOI
Journal of Korean Society of Pediatric Endocrinology 2000;5(2):182-190
PURPOSE: Exercise is frequently recommended in the management of diabetes mellitus(DM) and can improve blood control by increasing insulin sensitivity and psychological benefits. Exercise can result in good glycemic control in type 2 DM, when combined with diet and drug therapy. However, in type 1 DM, the expected improvement in glycemic control with exercise have not been clearly established. Effects of exercise on glycemic control in patients with type 1 DM were investigated. METHODS: 20 patients with of type 1 DM, who were no retinopathy, neuropathy, nephropathy and cardiac disorders, were enrolled and exercised for 30min. with 50% of individualized maximum VO2. Blood sugar concentration were measured before, immediate and 15min after exercise. The results were evaluated with HbA1c, C-peptide and DM duration. RESULTS: Blood sugar concentration were significantly decreased from pre-exercise 198+/-9.7mg/dL to immediate 145+/-7.1mg/dL and at 15min. Post-exercise 134+/-4.0mg/dL(P<0.05). In case with HbA1c<10%, there was significantly decreased in blood sugar level from pre-exercise 176+/-9.7mg/dL to immediate 123+/-63.2mg/dL and at 15min post-exercise 113+/-1.9mg/dL(P<0.05). In case with HbA1c>10% there was also significantly decreased in blood sugar levels 222+/-64.7mg/dL, 169+/-6.1mg/dL, 157+/-1.2mg/dL respectively(P<0.05). Group with moderate decreased blood sugar(40-99mg/dL) was 8 patients(42.1%), group with mild decreased blood sugar(<40mg/dL) was 7 patients(36.8%) and group with decreased more than 100mg/dL was 4 patients(21.5%). There was no correlation in degree of decreased blood sugar concentration among HbA1c, C-peptide, DM duration. CONCLUSION: Proper exercise in type 1 diabetic children can decrease blood sugar level significantly and make good glycemic control and can decrease DM microvascular complications in addition to motivating physically active lifestyle.
Blood Glucose
;
C-Peptide
;
Child
;
Diabetes Mellitus
;
Diabetes Mellitus, Type 1*
;
Diet
;
Drug Therapy
;
Humans
;
Insulin Resistance
;
Life Style
8.Weighting the items of Korean Activities of Daily Living(K-ADL) Scale and its Validity.
Chang Woo WON ; Soo Young KIM ; Bi Ryong CHO ; Duk SUNWOO ; Eun Sook JUNG
Journal of the Korean Geriatrics Society 2004;8(4):196-205
BACKGROUNDS: Though K-ADL was developed and validated, weighting each item of K-ADL is needed to evaluate the severity of functional disability as a whole. METHODS: Nominal group technique was used to weight individual items of K-ADL. Relevant experts were recruited; one specialist in geriatrics, one expert in elderly health service, one doctor expert in questionnarie, one nurse and two social welfare workers and one caregiver who work in nursing home for elderly, one nurse working at dementia care center. At the first round, each expert assigned the weights of each item. At the second round, those experts met, discussed, and re-evaluated each weighting. Using the newly developed weighted score, we measured its validity compared to brain-disability grade and three experts' decision of severe dysfunction. RESULTS: For inability to perform task, 7 points were given to 'dressing'and 'washing face', 6 points to 'bathing', 9 points to 'feeding', 8 points to 'transfer and toileting'. If any assistance is needed, 7 points were scored to 'dressing', 4 points were scored to 'washing face', 'feeding', 'transfer' and 'toileting', 2 points were scored to 'dressing'. Correlation coefficient between weighted K-ADL sum and brain-disability grade was -0.665(p=0.000). CONCLUSIONS: We assigned differential weighting to each of K-ADL and found that summing weighted K-ADL was excellent in some validity test.
Aged
;
Caregivers
;
Dementia
;
Geriatrics
;
Health Services
;
Humans
;
Nursing Homes
;
Social Welfare
;
Specialization
;
Weights and Measures
9.Correction of congenital microtia using the tissue expanders.
Soon Ock KANG ; Jae Ook OH ; Young Duk JUNG ; Jun CHOE ; Se Min BAEK
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1991;18(6):1106-1112
No abstract available.
Tissue Expansion Devices*
10.Delayed interval delivery in twin pregnancy.
Doo Suk CHOI ; Wan Young KIM ; Sang Duk SHIM ; Jung Gu KIM
Korean Journal of Obstetrics and Gynecology 1992;35(6):920-927
No abstract available.
Humans
;
Pregnancy, Twin*
;
Twins*