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차홍대,강진무,서은숙 啓明大學校 醫科大學 1987 계명의대학술지 Vol.6 No.2
Acute hydrops of the gallbladder has been reported in Kawasaki disease as a major component of abdominal crises. Certain abdominal symptoms and signs such as abdominal pain, vomiting, diarrhea and abnormal liver function test were correlated with the development of hydrops. Ultrasonography provides a simple, rapid and noninvasive prccedure, which is helpful for the evaluation and diagnosis of gallbladder disease and other abdominal organic abnormality. Abdominal ultrasonography were done on 51 cases of Kawaski disease which were admitted to Pediatric department of Dong San hospital, Keimyung University, during the period of four years and three months from March 1983 through June 1987 and observed the abnormal findings. Out of 51 tested cases, abnormal ultrasonographic findings were observed on 10 cases(19.6%), showing gallbladder distention in 8 cases(15.6%), gallbladder hydrops in 1 case(2.0%) and splenomegaly in 1 case(2.0%) Gastrointestinal symptoms such as abdominal pain, vomiting and diarrhea were noted in 5 abnormal ultrasonographic cases(50%). Authors suggest that abdominal ultrasonography is necessary for those Kawasaki disease patients who complained of gastrointestinal symptoms.
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김흥식,강진무,차홍대 啓明大學校 醫科大學 1986 계명의대학술지 Vol.5 No.2
This report is a presentation of a rare case of wilms tumor involved rigth kidney, right renal vein, ingerior vena cava and right atrium seen in a girl of 4 years of age, who presented abdominal distention and hematuria for last 1 month. Ultrasonography of the abdomen revealed dilatation of right renal vein and inferior vena cava and mass iesion in the right atrium was seen on Echocardiogram. A mass of the right upper quadrant which invaded inferior vena cava and right atrium through the right renal vein was found on CT scan of the chest and abdomen, which suggested the wilms tumor of right kidney propagated into the right renal vein, inferior vean cava and right atrium as a tumor thrombosis. A brief review of literature was made.
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정순용,김팔동,차홍대,강진무 啓明大學校 醫科大學 1990 계명의대학술지 Vol.9 No.1
Breast feeding is recongnized as the ideal method of providing nutrition for the first year of life but infant needed additional supply of nutrition oher than milk from 5-6 months of life for providing good nutrition. The weaning diet should be started in proper time to fullfill these purpose. This study was carried out to find out present status of weaning in infant and to give a good guidelines to the mothers who take care of the infants who are ready to weaning diet. Five hundred mothers who visited well baby clinic of Dong San Hospital, Keimyung Univerity from January to JUly 1989 answered to the questions for weaning status. The results of the questions were analysed and obtained following results. Weaning was started at 3 months of age in 24.4% of the infants and 76.6% started between three and six months of age. Weaning was completed at 12 months in 59.0%, 47.6% of the mother offered commercial foods and 31.0% used home made foods. The beef(74.3%) was the most commoly used among meats. apple(55.8%) among fruits and spinach(53.8%) among vegetables. The main source of obtaining knowledge about weaning were the book on childcare(28.4%) and the newspaper or television(22.3%). The problem following weaning were mainly gastrointestinal symptoms such as diarrhea (21.7%), constipation (14.7%) and vomiting (9.2%)
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박응원,차홍대,강진무 啓明大學校 醫科大學 1991 계명의대학술지 Vol.10 No.3
The weaning diet should bw started in proper time to provide good nutrition for the infants under the age of one year. This study was carried out to investigate the present status of weaning in infants and to give good guidelines for the establishment of an ideal weaning method. The study included 650 mothers in three rural areas around Taegu City(Ko-Ryung, Keu-Chang and Young-Dik) during the period from January to JUly 1990. The results of the questions were analysed and compared with data which was obtained from the study cone at the Department of Pediatrics, Keimyung Universith Hospital for the children in Taegy City recently. The weaning which was started at the age of 6 months was 19.5%, at 5 months 18.0&, 3 months 15.8% and 68.1% started between 3 and 6 months. there was no difference in the initial weaning period relative to the educational level of the mother, feeding method, or the birth order. The weaning was completed bvefore 6 months of age in 38.3% and 12 months in 55.2%. 50.3% of the mothers used commercial foods for a weaning diet and 25.45 used home-made foods. The most frequently used food for initial weaning diet was fruit(59.6%). Beef(56.2%) was the most commonly used meat, apples(61.7%) among fruits, and spinach(50.0%0 among vegetables. 39.2% of the mothers gave in the initial weaning diet as much as the infant needed. Majority of the mothers (45.4%) started with an initial weaning diet schedule of two times daily, and added new weaning diet at intervals of 3 to 4 days. The main source of obtaining the knowledge about weaning was newspaper or television (39.8%) and books lor magazines(26.0%). Abnormal conditions following weaning were, in order of frequency, diarrhea(20.0%), vomiting(14.8%) and constipation (2.2%). Initial weaning period in rural areas was delayed and the completion period was earlier than in that of urban areas. The main source of knowledge about weaning was newspaper or television in rural areas in contrast to books or magazines in urban areas. Fruit was most frequently used initial weaning diet, with beef among the meats, apples among fruits, and spinach among the vegetables with similarity in boty rural and urban areas. For the initial meat in the weaning diet fist was minimal while chicken and pork were more abundant than in urban are as. There was no difference in the weaning method used in boty areas. It is necessary to design educational efforts to establish an ideal was of establishing the weaning diet and method for infants.
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강동민,차홍대,권태찬,장진무,이상권 대한감염학회 1987 감염 Vol.19 No.3
Salmonella osteomyelitis is an uncommon condition in normal populations but patients with sickle-cell diseases show a susceptibility to salmonella infection resulted in apparently increased incidence of osteomyelitis. 2 cases of salmonella typhi osteomyelitis, 3 years old male and 10 years old girl were presented. Both cases had destructive bone changes in the femur neck and diagnosis was confirmed by widal test and culture of the pus from periosteal collection of the lesions. Patients were treated with chloramphenicol with complete recovery. Brief review of the literature was made.
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서종두,강진무,권태찬,차홍대,김명성 대한감염학회 1991 감염 Vol.23 No.2
Clinical analysis was done on 13 cases of atypical Kawasaki disease who had prolonged high fever of unknown etiology associated with less than two clinical diagnostic criteria for Kawasaki disease and also had coronary abnormality on two dimensional echocardiography. Following results were obtained. 1) Among 13 cases, 9 cases were male and mean age was 28.2 months. 2) Body temperature was ranged between 38.5∼40.6℃ and the mean duration of febrile illness was 11.7 days. 3) Clinical Symptoms other than fever were bulbar conjunctival congestion in 46.2%, lips and oral cavity changes in 61.5%, cervical lymphadenopathy in 23.1%, polymorphous exanthema in 30.8% and changes of peripheral extremities in 38.5%. 4) Thrombocytes on admission were over 450,000/㎣ in 76.9% and the mean was 547,846/㎣. 5) ESR was elevated in all cases. 6) Echocardiogram revealed left main coronary artery dilatation in 84.6% of the cases. These results were almost same patterns which were observed in 64 cases of typical Kawasaki disease, seen during the same period in Dong San hospital. This analysis suggests that the diagnosis of Kawasaki disease be considered in an infants or children with a prolonged unexplained high fever and a partial criteria for Kawasaki disease and initiated prompt anti-platelet therapy to prevent or decrease the mortality and serious coronary complications.
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