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Korean Journal of Pediatrics

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https://www.readbyqxmd.com/read/30185018/transfusion-practice-in-neonates
#1
Do-Hyun Kim
Neonates, especially extremely low-birth-weight infants are one of the most heavily transfused groups among all patients. Because they are exposed to higher specific risks of transfusion compared to other age groups, many special considerations are required for transfusion therapy in neonates. The risks of transfusion in neonates include adverse outcomes specific for preterm infants as well as increased metabolic, immunologic, and infectious complications. To reduce the risks of transfusion-transmitted cytomegalovirus infection and transfusion-associated graft versus host, leukoreduced and irradiated cellular blood products should be used for all neonates...
September 6, 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/30130953/erratum-pediatric-kidney-transplantation-is-different-from-adult-kidney-transplantation
#2
Min Hyun Cho
No abstract text is available yet for this article.
August 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/30130952/increased-procalcitonin-level-is-a-risk-factor-for-prolonged-fever-in-children-with-mycoplasma-pneumonia
#3
Ji Eun Jeong, Ji Eun Soh, Ji Hee Kwak, Hye Lim Jung, Jae Won Shim, Deok Soo Kim, Moon Soo Park, Jung Yeon Shim
PURPOSE: Macrolide-resistant Mycoplasma pneumoniae pneumonia (MPP) is characterized by prolonged fever and radiological progression despite macrolide treatment. Few studies have examined serum procalcitonin (PCT) level in children with MPP. We aimed to investigate the association of acute inflammation markers including PCT with clinical parameters in children with MPP. METHODS: A total of 147 children were recruited. The diagnosis of MPP relied on serial measurement of IgM antibody against mycoplasma and/or polymerase chain reaction...
August 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/30130951/use-of-child-safety-seats-during-transportation-of-newborns
#4
Seon Hyuk Kim, Sung Won Park, Yeon Kyung Lee, Sun Young Ko, Son Moon Shin
PURPOSE: Child safety seats (CSS) are critical for the protection of children, in case of motor vehicle accidents. Although the national legislation mandates that all newborns must be placed in an appropriately installed CSS during transportation, people often do not perceive the importance of CSS and do not use it as recommended. The purpose of this survey was to understand the use of CSS for the safe transport of newborns from hospital to home. METHODS: We interviewed parents of newborn infants, using a structured questionnaire, at the time of their discharge from Cheil General Hospital & Women's Health Care Center, between May 2014 and July 2014...
August 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/30130950/patterns-of-ischemic-injury-on-brain-images-in-neonatal-group-b-streptococcal-meningitis
#5
Seo Yeol Choi, Jong-Wan Kim, Ji Won Ko, Young Seok Lee, Young Pyo Chang
PURPOSE: This study investigated patterns of ischemic injury observed in brain images from patients with neonatal group B Streptococcal (GBS) meningitis. METHODS: Clinical findings and brain images from eight term or near-term newborn infants with GBS meningitis were reviewed. RESULTS: GBS meningitis was confirmed in all 8 infants via cerebrospinal fluid (CSF) analysis, and patients tested positive for GBS in both blood and CSF cultures. Six infants (75...
August 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/30130949/the-impact-of-a-quality-improvement-effort-in-reducing-admission-hypothermia-in-preterm-infants-following-delivery
#6
Han Saem Choi, Soon Min Lee, Hoseon Eun, Minsoo Park, Kook-In Park, Ran Namgung
PURPOSE: Hypothermia at admission is associated with increased mortality and morbidity in preterm infants. We performed a quality improvement (QI) effort to determine the impact of a decrease in admission hypothermia in preterm infants. METHODS: The study enrolled very low birth weight (VLBW) infants born at Gangnam Severance Hospital between January 2013 and December 2016. This multidisciplinary QI effort included the use of occlusive wraps, warm blankets, and caps; the delivery room temperature was maintained above 23...
August 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/30130948/prevalence-of-underweight-and-wasting-in-iranian-children-aged-below-5-years-a-systematic-review-and-meta-analysis
#7
Yousef Moradi, Fatemeh Khosravi Shadmani, Kamyar Mansori, Shiva Mansouri Hanis, Rozhin Khateri, Hossein Mirzaei
PURPOSE: Wasting and underweight are the 2 main indicators of children's undernutrition. We aimed to estimate the prevalence of undernutrition at the national level in Iran. METHODS: We performed a search for original articles published in international and Iranian databases including MEDLINE, Web of Science, Google Scholar, Scopus, CINHAL (Cumulative Index to Nursing and Allied Health Literature), Scientific Information Database, Irandoc, Iranmedex, and Magiran during January 1989-August 2017...
August 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/30032590/changes-of-the-growth-plate-in-children-3-dimensional-magnetic-resonance-imaging-analysis
#8
Hyung Ho Yun, Hyun-Jung Kim, Min-Sun Jeong, Yun-Sun Choi, Ji-Young Seo
PURPOSE: This pilot study assessed changes in the growth plate and growth rates in children during a 6-month period. METHODS: The study included 31 healthy children (17 boys, 14 girls) under evaluation for growth retardation. Height, weight, bone age, insulin like growth factor-1 (IGF-1), and insulin like growth factor binding protein 3 (IGF-BP3) were measured at baseline and after 6 months. In addition, the diameter, thickness, and volume of the femoral and tibial growth plates were measured using magnetic resonance imaging...
July 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/30032589/final-height-of-korean-patients-with-early-treated-congenital-hypothyroidism
#9
Jiyun Lee, Jeongho Lee, Dong Hwan Lee
PURPOSE: Congenital hypothyroidism (CH) is the most common endocrine disorder in children. Thyroid hormone deprivation results not only in mental retardation but also growth retardation. This study investigates the final height (FH) in Korean patients with CH detected by newborn screening and examines factors that may affect the FH. METHODS: The medical records of Korean CH patients (n=45) were reviewed. The FH was examined and target height (TH) was calculated based on mid-parental height...
July 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/30032588/autoimmunity-and-intestinal-colonization-by-candida-albicans-in-patients-with-type-1-diabetes-at-the-time-of-the-diagnosis
#10
Semra Gürsoy, Tuba Koçkar, Sezen Ugan Atik, Zerrin Önal, Hasan Önal, Erdal Adal
PURPOSE: Type 1 diabetes mellitus (T1DM) is a chronic and immune-mediated disease, which is characterized by the progressive destruction of pancreatic beta cells. T1DM precipitates in genetically susceptible individuals through environmental factors. In this study, we aimed to evaluate the impact of autoimmunity and intestinal colonization of Candida albicans on the development of T1DM. METHODS: Forty-two patients newly diagnosed with T1DM and 42 healthy subjects were included in this monocentric study...
July 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/30032587/outcome-of-neonatal-palliative-procedure-for-pulmonary-atresia-with-ventricular-septal-defect-or-tetralogy-of-fallot-with-severe-pulmonary-stenosis-experience-in-a-single-tertiary-center
#11
Tae Kyoung Jo, Hyo Rim Suh, Bo Geum Choi, Jung Eun Kwon, Hanna Jung, Young Ok Lee, Joon Yong Cho, Yeo Hyang Kim
PURPOSE: The present study aimed to evaluate progression and prognosis according to the palliation method used in neonates and early infants aged 3 months or younger who were diagnosed with pulmonary atresia with ventricular septal defect (PA VSD) or tetralogy of Fallot (TOF) with severe pulmonary stenosis (PS) in a single tertiary hospital over a period of 12 years. METHODS: Twenty with PA VSD and 9 with TOF and severe PS needed initial palliation. Reintervention after initial palliation, complete repair, and progress were reviewed retrospectively...
July 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/30032586/pediatric-kidney-transplantation-is-different-from-adult-kidney-transplantation
#12
Min Hyun Cho
Kidney transplantation (KT) is the gold standard for renal replacement therapy in pediatric patients with end-stage renal disease. Recently, it has been observed that the outcome of pediatric KT is nearly identical to that in adults owing to the development and application of a variety of immunosuppressants and newer surgical techniques. However, owing to several differences in characteristics between children and adults, pediatric KT requires that additional information be learned and is associated with added concerns...
July 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/29963104/breast-abscess-caused-by-staphylococcus-aureus-in-2-adolescent-girls-with-atopic-dermatitis
#13
Sung Man Park, Won Sik Choi, YoonSun Yoon, Gee Hae Jung, Chang Kyu Lee, So Hyun Ahn, Yoon Wonsuck, Young Yoo
Atopic dermatitis (AD) is a chronic inflammatory skin disease in children. Patients with AD experience a high rate of colonization of the skin surface by Staphylococcus aureus . Because of a skin barrier defect, there is a potential risk of staphylococcal invasive infection in patients with AD. Here, we present 2 cases of breast abscess caused by S. aureus in 2 adolescent girls with severe AD. Methicillin-sensitive S. aureus was identified from the breast abscess material. They were treated with appropriate antibiotics, however surgical drainage of the abscess was needed in case 1...
June 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/29963103/outcome-of-ultrasonographic-imaging-in-infants-with-sacral-dimple
#14
Jin Hyuk Choi, Taekwan Lee, Hyeok Hee Kwon, Sun Kyoung You, Joon Won Kang
Purpose: Sacral dimples are a common cutaneous anomaly in infants. Spine ultrasonography (USG) is an effective and safe screening tool for patients with a sacral dimple. The aim of this study was to determine the clinical manifestations in patients with an isolated sacral dimple and to review the management of spinal cord abnormalities identified with USG. Methods: We reviewed clinical records and collected data on admissions for a sacral dimple from March 2014 through February 2017 that were evaluated with spine USG by a pediatric radiologist...
June 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/29963102/the-outcome-of-percutaneous-stent-implantation-in-congenital-heart-disease-experience-of-a-single-institute
#15
Moon Sun Kim, Ja Kyoung Yoon, Seong Ho Kim, Ji Seok Bang, So Ick Jang, Sang Yoon Lee, Eun Young Choi, Su Jin Park, Hye Won Kwon
Purpose: The efficacy of percutaneous stent implantation for congenital heart disease (CHD) in Korea, where stent availability is limited, has not been determined. This study evaluated the acute and midterm results of stent implantation in different CHD subgroups. Methods: Stents were implanted in 75 patients with 81 lesions: (1) pulmonary artery stenosis (PAS) group, 56 lesions in 51 patients; (2) coarctation of the aorta (CoA) group, 5 lesions in 5 patients; (3) Fontan group, 13 lesions in 12 patients; (4) ductal stent group, 3 lesions in 3 patients; and (5) other CHD group, 4 lesions in 4 patients...
June 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/29963101/clinical-and-laboratory-profiles-of-hospitalized-children-with-acute-respiratory-virus-infection
#16
Eunjin Choi, Kee-Soo Ha, Dae Jin Song, Jung Hwa Lee, Kwang Chul Lee
Purpose: Despite the availability of molecular methods, identification of the causative virus in children with acute respiratory infections (ARIs) has proven difficult as the same viruses are often detected in asymptomatic children. Methods: Multiplex reverse transcription polymerase chain reaction assays were performed to detect 15 common respiratory viruses in children under 15 years of age who were hospitalized with ARI between January 2013 and December 2015...
June 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/29963100/esophageal-perforation-in-children-etiology-and-management-with-special-reference-to-endoscopic-esophageal-perforation
#17
REVIEW
Krishna Kumar Govindarajan
Perforation of the esophagus is an uncommon problem with significant morbidity and mortality. In children undergoing endoscopy, the risk of perforation is higher when interventional endoscopy is performed. The clinical features depend upon the site of esophageal perforation. Opinions vary regarding the optimal treatment protocol, and the role of conservative management in this context is not well established. Esophageal perforation that occurs as a consequence of endoscopy in children requires careful evaluation and management, as outlined in this article...
June 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/29853942/differentiation-between-incomplete-kawasaki-disease-and-secondary-hemophagocytic-lymphohistiocytosis-following-kawasaki-disease-using-n-terminal-pro-brain-natriuretic-peptide
#18
Jung Eun Choi, Yujin Kwak, Jung Won Huh, Eun-Sun Yoo, Kyung-Ha Ryu, Sejung Sohn, Young Mi Hong
Purpose: Hemophagocytic lymphohistiocytosis (HLH) is a hyperinflammatory syndrome with many causes, including Kawasaki disease (KD). The purpose of this study was to identify the laboratory tests needed to easily differentiate KD with HLH from incomplete KD alone. Methods: We performed a retrospective study on patients diagnosed with incomplete KD and incomplete KD with HLH (HLH-KD) between January 2012 and March 2015. We compared 8 secondary HLH patients who were first diagnosed with incomplete KD with all 247 incomplete KD diagnosed patients during the study period...
May 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/29853941/clinical-implications-in-laboratory-parameter-values-in-acute-kawasaki-disease-for-early-diagnosis-and-proper-treatment
#19
Yu-Mi Seo, Hyun-Mi Kang, Sung-Churl Lee, Jae-Won Yu, Hong-Ryang Kil, Jung-Woo Rhim, Ji-Whan Han, Kyung-Yil Lee
Purpose: This study aimed to analyse laboratory values according to fever duration, and evaluate the relationship across these values during the acute phase of Kawasaki disease (KD) to aid in the early diagnosis for early-presenting KD and incomplete KD patients. Methods: Clinical and laboratory data of patients with KD (n=615) were evaluated according to duration of fever at presentation, and were compared between patients with and without coronary artery lesions (CALs)...
May 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/29853940/diagnostic-and-prognostic-value-of-proadrenomedullin-in-neonatal-sepsis
#20
Sameh Samir Fahmey, Heba Mostafa, Noha Abd Elhafeez, Heba Hussain
Purpose: Sepsis is a major cause of neonatal morbidity and mortality. Early diagnosis is a major problem because of the lack of specific clinical signs. Therefore, a reliable diagnostic marker is needed to guide the use of antimicrobial agents. The objective of our study was to assess the value of proadrenomedullin (pro-ADM) in establishing the diagnosis and evaluating the prognosis of neonatal sepsis. Methods: This study enrolled 60 newborn infants with sepsis proven with positive blood cultures and 30 healthy neonates...
May 2018: Korean Journal of Pediatrics
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