• Title/Summary/Keyword: childhood cases

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Child Abuse (아동학대)

  • Kim, Choon-Kyung;Lee, Ju-Ok;Song, Young-Joo
    • Korean Journal of Child Studies
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    • v.30 no.6
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    • pp.349-360
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    • 2009
  • During the last ten years, a number of the substantiated child abuse cases, studies, and newspaper articles in relation to child abuse have increased rapidly. Newspaper reports on physical abuse cases decreased, while articles on those of the sexual abuse and negligence increased after the year of 2000. However, the reason of child abuse was less studied, in comparison to the substantial number of research on the policy and the negative effects of child abuse. It is suggested that child abuse studies and policies should be performed from a pre-preventive perspective as well as a pro-protective perspective. The research regarding child abuse has to be conducted in the ecological perspective which includes not only the problems of children and their families, but also sociocultural issues. The results of studies on child abuse should be applied for the actual policy and systems improvement.

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Two Cases Suggesting the Relationship of IgA Nephropathy and Henoch-$Sch{\ddot{o}}nlein$ Purpura (IgA Nephropathy와 Henoch-$Sch{\ddot{o}}nlein$ Purpura가 동일 병인임을 시사하는 2례)

  • Jeong Dong-Ho;Song Chang-Ju;Kim Deok-Su;Ha Tae-Sun
    • Childhood Kidney Diseases
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    • v.5 no.1
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    • pp.59-63
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    • 2001
  • There are a considerable number of reports suggesting a common pathogenesis of IgA nephritis(IgANn) Henoch-$Sch{\ddot{o}}nlein$ Purpura(HSP). In previous reports, a patient develops IgAN after kidney transplantation for HSP nephritis, one of Identical twin boys, developed IgAN and the other HSP, and a boy with IgAN later developed HSP. We report two cases, one with IgAN who later developed HSP and the other with HSP who later developed IgAN, suggesting that IgAN and HSP have a common pathogenesis. (J. Korean Soc Pediatr Nephrol 5 : 59- 63, 2001)

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Two Cases of Nephrotic Syndrome Associated with Kimura Disease (Kimura 병에 병발한 신증후군 2례)

  • Hahn Hye-Won;Park Kyung-Mi;Ha Il-Soo;Choi Yong;Cheong Hae-Il
    • Childhood Kidney Diseases
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    • v.3 no.2
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    • pp.217-220
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    • 1999
  • Kimura disease is a chronic benign disorder, primarily seen in asians male during the second and third decades of life, which presents itself as a tumour like lesion with a predilection for the head and neck region. There is high prevalence of associated renal disease. We report two cases of nephrotic syndrome associated with Kimura disease, and this is the first report of Kimura disease with renal involvement in Korean children.

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Eisenmenger syndrome: report of 3 cases (Eisenmenger 증후군 3례 보)

  • Song, Won-Yeong;Lee, Jong-Tae;Lee, Gyu-Tae
    • Journal of Chest Surgery
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    • v.17 no.2
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    • pp.250-256
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    • 1984
  • Eisenmenger syndrome is a condition which systemic arterial blood oxygen unsaturation occurs if obstruction in the pulmonary capillaries raises the pulmonary vascular resistance and pulmonary arterial pressure to or beyond systemic levels and then a significant right to left shunt develops across a preexisting cardiac septal defect or an aortopulmonary communication-We have experienced 3 cases of similar condition. Case I is 24 year old man who has had cyanosis and dyspnea on exertion since childhood. His pulmonary arterial pressure was 110/80mmHg. He was operated under diagnosis of the mitral stenosis and tetralogy of Fallot, but it was finally discovered that he had patent ductus arteriosus and ventricular defect was closed with perforated prosthetic patch, but the patient expired due to right heart failure low cardiac output. Case II was 16 year old female who had pulmonary hypertension of 110/85mmHg. She was diagnosed as Eisenmenger syndrome combining with atrial septal defect and patent ductus arteriosus. Case III was 20 year old male. His pulmonary arterial pressure was 110/70mmHg and the underlying defect was patent ductus arteriosus.

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Surgical Treatment of Bronchial Rupture by Blunt Chest Trauma in Children -2 cases reports- (소아에서 발생한 외상성 기관지 파열의 수술 치험 -2례 보고-)

  • Na, Guk-Ju;Kim, Gwang-Hyu;An, Byeong-Hui;Kim, Sang-Hyeong
    • Journal of Chest Surgery
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    • v.29 no.3
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    • pp.355-359
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    • 1996
  • Rupture of the main bronchus due to blunt chest trauma is very rare, especially In childhood although the incidence is increasing. Early diagnosis and primary repair not. only restore normal lung function but also avoid the difficulties and complications associated with delayed diagnosis and repair. We experienced 2 cases of right main bronchial rupture caused by traffic accidents. Patients suffered from progressively developing dyspnea and subcutaneous emphysema on the neck, anteriorchest,andanteriorabdominalwall. Emergency operations were performed through right posterolateral thoracotomy incision at the 4th intercostal space. Intraoperatively, the right main bronchus completely transsected and separated. Corrective bronchoplasty was performed with end-to-end anastomosis using interrupted suture with 3-0 Vicryle and the suture line was reinforced with azygos vein and parietal pleural flap. Postoperative courses were uneventful and patients discharged without any specific pro lems.

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Three Cases of True Splenic Cyst (진성 비장 낭종 3예)

  • Huh, Young-Soo;Kang, Su-Hwan;Yun, Sung-Su
    • Advances in pediatric surgery
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    • v.5 no.2
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    • pp.130-136
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    • 1999
  • Splenic cysts are uncommon and classified as either primary(true) or secondary(pseudo-) depending on the presence or absence of a true epithelial lining. True cysts (epidermoid cyst) of the spleen are very rare. Three cases of splenic cysts in childhood were treated at the Yeungnam University Hospital in the last eleven years(1989-1999). Two of patients were girls. The ages at diagnosis were 7, 12 and 15 years. Abdominal ultrasonography and computerized tomography were utilized for the diagnosis. Radionuclide scanning was performed in one patient. Surgical resection(one partial splenectomy and two total splenectomies) was performed. The sizes of cysts were 4, 6.5 and gem in maximum demension.

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Air Pressure Enema Reduction in Infant and Childhood Intussusception (장중첩증 환아의 공기압 정복)

  • Jun, Si-Youl
    • Advances in pediatric surgery
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    • v.3 no.2
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    • pp.126-132
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    • 1997
  • Reduction of intussusception using air or oxygen has wide acceptance as an alternative to conventional hydrostatic reduction. This study was undertaken to evaluate the results and complications of air pressure enema in 948 pediatric intussusception. One hundred and twenty nine cases were operated on at the Department of Surgery, Masan Samsung Hospital from 1985 to 1996 because of air reduction failure. The success rate was 86.4 %. Twenty-one patients(2.2 %) showed perforation during air reduction. Risk prone factors of perforation were; age less than 3 months(42.9 % vs 11.1 %), duration of symptoms greater than 48 hours (66.7 % vs 33.3 %), and presence of pathologic leading point(28.6 % vs 3.7 %). Vomitting and spontaneous rectal bleeding revealed higher prediction to the complication. In nineteen cases, bowel infarction, coagulated necrosis and hemorrhage suggested that the cause of perforation was due to the preexisting strangulation. In conclusion, when doing an air pressure enema reduction, care must be taken if the patient is of a young age or the symptoms are of long duration.

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Three Cases of Hypertensive Encephalopathy in Acute Poststreptococcal Glomerulonephritis: MRI Findings (급성 연쇄상구균 감염후 사구체 신염에 동반된 고혈압성 뇌병증 3례의 MRI 소견)

  • Kim Hyoung-No;Yoon Sung-Min;Kim Jong-Shin;Lee Chang-Youn
    • Childhood Kidney Diseases
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    • v.1 no.1
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    • pp.73-78
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    • 1997
  • The hypertensive encephalopathy is one of sudden convulsive cause in patients with acute post-streptococcal glomerulonephritis, but commonly, after the episode we can observe only mild to moderately hypertension in APSGN at ER. So these remains some question of what causes the convulsion in patients with APSGN. In this article, we report 3 cases of convulsion in APSGN with only moderate hypertension, the etiology of which proved to be due to hypertensive encephalopathy by the brain MRI. We believe that the brain MRI is a very useful test to diagnose the etiology of convulsion in APSGN and if brain edema in occipital lobe is detected by brain MRI, the convulsion would be due to hypertensive encephalopathy and the prognosis will be very good.

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Anomalous right coronary artery from pulmonary artery discovered incidentally in an asymptomatic young infant

  • Kim, Kyu Seon;Jo, Eun Young;Yu, Jae Hyeon;Kil, Hong Rang
    • Clinical and Experimental Pediatrics
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    • v.59 no.sup1
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    • pp.80-83
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    • 2016
  • Isolated anomalous right coronary artery originating from the pulmonary artery (ARCAPA) is a rare congenital coronary anomaly that is asymptomatic and discovered incidentally in most cases. ARCAPA is generally not considered a fatal defect in infancy or childhood, although cases of sudden death have been reported. Here, we report a 2-month-old female infant who presented with a prolonged fever that was determined to be caused by rhinovirus infection. Myocardial ischemia of the left ventricular posterior wall was already seen on echocardiography, and ARCAPA was discovered incidentally. The patient underwent successful surgical reimplantation of the right coronary artery to the aortic root to re-establish dual ostial circulation.

Two Cases of Renal Stone Associated with Ketogenic Diet (케톤 식이요법 후에 발생한 신장 결석 2례)

  • Chung, Ju-Young;Koo, Ja-Wook;Kang, Hoon-Churl;Kim, Sang-Woo;Kim, Heung-Dong
    • Clinical and Experimental Pediatrics
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    • v.48 no.2
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    • pp.204-207
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    • 2005
  • Ketogenic diet is a high-fat, low-carbohydrate, low-protein diet used in the treatment of epilepsy since 1920's. Recently, it's use for intractable epilepsy in childhood has increased. Complications of ketogenic diet are known to include dehydration, vomiting, diarrhea, renal stones, metabolic derangement, hypercholesterolemia and refusal to eat. We experienced two cases of renal stones in children with intractable epilepsy during ketogenic diet.