급성하벽심근경색에서 전흉부유도 ST절 하강의 의의

정병천,배호상,곽동훈,김영태,배용학,황종현,임현주,류재근,조용근,채성철,전재은,박의현 慶北大學校 醫科大學 1997 慶北醫大誌 Vol.38 No.2

목적 : 급성하벽심근경색증 환자에서 심전도상 흔히 동반되는 전흉부유도 ST절 하강의 의의를 알아보았다. 방법 : 심근경색후 24시간에서 48시간에 얻은 심전도를 기준으로 52명의 급성하벽심근경색증 환자를 전흉부유도에서 ST절의 하강이 있는 군과 없는 군으로 나누었으며 심도자, 관상동맥조영술, 심초음파도 및 방사성 핵종을 이용한 좌심구혈율 측정 등을 시행하였다. 결과 : 1) 좌심실확장기말압은 전흉부유도에서 ST절의 하강이 있는 경우에서 16.9±5.33mmHg로 없는 경우의 11.0±4.02mmHg보다 유의하게 높았다(p<0.05). 그러나 운동량 및 좌심구혈을은 흥부 유도상 ST절의 하강이 있는 경우 7.6±3.0 METs 및 53.9±9.1%로 없는 경우의 9.1±2.7 METs 및 54.6±9.5%보다 낮았으나 통계적 유의성은 없었다(p=0.180, p=0.823). 2) 관상동맥조영술상 전흉부 ST절의 하강이 동반된 군에서는 유의한 좌전하행지나 좌회선지의 협착이 있는 경우가 60.9% 및 57.9%로 ST절의 하강이 없는 군에서의 34.5% 및 7.7%와 비교해 좌관상동맥에 협착이 동반된 경우가 많았다(p=0.050, p=0.001). 3) 관상동맥조영술상 세 혈관질환의 빈도는 흉부유도상 ST절의 하강을 보인 23예에서 10예로 ST절 하강이 없었던 29예중 2예에 비하여 유의하게 많았고(P=0.007), 단 혈관질환의 빈도는 ST절의 하강을 보인 군에서 23예중 5예로 ST절 하강이 없었던 29예중 17예에 비하여 유의하게 적었다(P=0.002). 두 혈관질환의 경우에는 각각 8예와 10예로 양군간에 유의한 차이가 없었다. 4) 흉부유도상 ST절 하강의 빈도는 단 혈관질환 22예 중 5예에서, 두 혈관질환 18예중 8예, 세 혈관질환 12예 중 10예에서 관찰되어 협착이 있는 관상동맥의 수가 많을수록 ST절의 하강이 나타나는 빈도가 많음을 보였다(p=0.00308). 그러나 흉부유도상 나타난 ST절의 하강을 모두 합하여 구한 ST절 하강의 합은 협착이 있는 관상동맥의 수와 통계적인 유의성이 없었다. 5) 심초음파도상 좌심실 하벽의 벽운동은 ST절 하강을 보인 군에서는 akinesia가 83.3%, hypokinesia가 11.1%, 정상 벽운동이 5.6%로, ST절 하강이 없었던 군에서의 dyskinesia가 3.6%, akinesia가 39.3%, hypokinesia가 25.0%, 정상 벽운동이 32.1%와 비교하여 ST절의 하강이 있는 군에서 유의하게 벽운동의 장애가 빈번함을 보였다(p=0.03891). 그러나 좌심실전벽, 측벽 및 중격부위에서는 유의한 벽운동의 차이가 없었다. 결론 : 급성하벽심근경색증 환자의 전흉부유도에서 ST절의 하강이 동반되는 경우 다혈관 질환의 가능성이 높으며 좌심실확장기말압이 상승되었고 운동능력은 감소되어 있었다. 또한 심초음파도상 좌심실하벽의 벽운동장애도 심하였다. 따라서 전흉부 ST절의 하강을 동반한 급성하벽심근경색증 환자는 전흉부유도에 ST절 하강이 없는 경우보다 예후가 불량할 것으로 생각되며, 보다 적극적인 치료가 필요할 것으로 생각된다. The purpose of this study was to determine the significance of precordial ST segment depression appearing during acute inferior myocardial infarction and to assess the correlation of that with angiographic finding. 52 patients were allocated into two groups based on the existence of precordial ST segment depression : 23 patients with ST segment depression and 29 patients without ST segment depression. The extent of coronary artery disease as well as the prevalence of significant stenosis (≥70%) in left anterior descending artery were more frequent in patients showing precordial ST segment depression than in patients not showing them (p=0.050) and the result were similar in cases of left circumplex artery (p=0.001). On echocrdiographic examination of left ventricular (LV) wall motion, it showed more severely decreased inferior LV wall motion in patients showing precordial ST segment depression than in patients not showing them (p=0.03891) even though the other segment of LV wall motion didn't show the statistical difference between both groups. The other cardiac parameters such as LVEDP, exercise amount (METs) and ejection fraction were tend to showing bad profile in patients with precordial ST segment depression. From the above results, we could deduce that patients with precordial ST segment depression have relatively large infarction or concomitant left coronary artery disease, so they need more caution and intensive theraphy.

서울의 Penicillinase Producing Neisseria gonorrhoeae 발생빈도(1998)

김재홍,김준호,반재용,이정우,황성주,정준규,정성태,강진문,조흔정,홍창의,정혜신,이한승,김이선,이봉길,이종호,선영우,한기덕,윤성필,이성훈,안종성,박석범,문승현,조항래,김형섭,류지호,황재영,박준홍,손상욱 한양대학교 의과대학 2001 한양의대 학술지 Vol.21 No.1

In recent years, gonorrhea has been pandemic and remains one of the most common STDs in the world, especially in developing countries. For the detection of a more effective therapeutic regimen and assessing the prevalence of Penicillinase Producing Neisseria gonorrhoeae(PPNG), we have been trying to study the patients who have visited the Venereal Disease Clinic of Choong-Ku Public Health Center in Seoul since 1980 by menas of the chromogenic cephalosporin method. In 1998, 93 strians of N. genorrhoeae were isolated, among which 60(64.5%) were PPNG. The prevalence of PPNG in Seoul, which had been decreased to 39% in 1996 after a peak of 74.3% in 1993, is increased to 64.5% in 1998.

태권도 품새 수련이 아동의 심박수, 심근산소소비량, 에너지 대사에 미치는 영향

정성태,전태원,박익렬,정덕조,우재홍,이광희,이동기,강현주 서울대학교 체육연구소 2000 서울大學校 體育硏究所論集 Vol.21 No.1

The Taegeuk Poomse 1 through 8 of Taekwondo are based upon eight major branches of philosophical theories. The propose of this study was to investigate the nfluence of Taekwondo poomse trainning on heart rate, MVO2, energy metabolism in primary school students. Subjects for this study were eight male the fifth∼sixth grades students who participated in exercise program consist of Taekwondo poomse trainning in dojang which is located in Shinlim-2dong, Kwanak-Gu, Seoul(12.7± 0.5years, 150.8 ±4.6cm, 45.1 ± 9.4kg, 24.9 ± 9trainning length). The results of thet this study are as follows: 1) The average of heart rate was Taegeuk Poomse 1 through 8 of Taekwondo 90.57± 4.gbeats/min in rest and 139.7 ± 17.5beats/min in exercise. The minimum heart rate was 89.0±2.8, peak heart rate was 167.1 ±6.4 in exercise. It was ranged from 42% to 80% 2) of the max heart rate and ranged 42 to 65%HRmax. Taegeuk 1 Jang was differenced with others Jangs significantly(p<0.05), 2) The time of the Taegeuk 1 through 8 Jang of Taekwondo was 5minutes 12seconds. Heart rate was ranged from 90.6 ± 7.85beats/min to 171.8 ±8.Ibeats/min and increased linearly. 3) The average of the MVO2 was 11.1 ±0.78mmHg · bpm-3 in rest and 19.1 ± 1.2mmHg ㆍbpm-3 in exercise. MVO2 was ranged from 10.5mmHg · bpm-3 to 20.3mmHg · bpm-3. There were not difference between Taegeuk Poomses(p<0.05). 4) The energy metabolism was as follows: Mean VO2 Respiratory exchange ratio, energy consumption were 0.51(V02L/min),0.71(RQ),2.32Ckca1/min) in rest respectively. but In exercise Mean VO2 Respiratory exchange ratio, energy consumption were 0.89 ± 0.18( V 02L/min), 0.79±0.08(RQ), 4.26±0.51(kcal/min) respectively . The difference was only between Taegeuk 1 Jang and Taegeuk 3 Jang(p<0.05). This study showed that the Taekwondo Poomse trainning was proper exercise for fitness, body composition and weight control in normal, abnormal(obese) children because the Taekwondo trainning are dynamic and exciting sport.

신앙성찰과 신학하기 : 한국 기독교 신앙에 대한 종교문화적 분석을 통하여

정재현 연세대학교 신과대학 2008 신학논단 Vol.53 No.-

The purpose of this study is to search for a way in which Christianity in Korea can contribute to Korean society and culture through cross-cultural criticism and interreligious reflection. More concretely, this study places, through reading of the Korean traditional religions and culture, its focus on the reality of Christianity in Korea which shows strong tendencies of narcissism through religious egoism due to the instinctive self-centrism, and of idolatry through power-orientedness in the name of deity. It goes without saying that human existence has natural instinct to adore supernatural power and wish blessing. However, the negative aspect of Korean religious mentality is characterized not by such primordial instinct but by practical egoism as an excessive pursuit of power and materials. And such religious egoism is driven to its extreme form of narcissism, and the power-oriented tendency moves toward idolatry in such a way that Christianity in Korea is mostly characterized by narcissistic idolatry. Here let it be noted that there have been tremendous influences from existing religious culture on the Christianity in Korea. Of course, this is not to say that Christianity is itself not responsible for such phenomena; rather, it is due to the synergistic reaction between cultural remembrances and inflowing religion. On the one hand, religious egoism instigated by Shamanism as underlying religion has formulated the perennial tradition of divineness, thereby flowing from Shamanism to Christianity. On the other hand, Confucianism as reigning religion has expanded authoritarianism and emphasized collectivism in such a way as to interweave them, thereby making Christian churches transformed into fascistic groups. Religious fascism wrapped with voluntary subordination identifies the divine ultimate power by deifying the secular power, thereby falling into idolatry. Through such synergistic reaction with traditional religion and cultural mentalities, Christianity in Korea has come to appear as blind belief of ‘don’t ask.’ However, there would be no living without asking, and if this were the case, there would be no authentic faith at all. In other words, it is not unfaith to ask, but rather it is unfaith not to ask. Thus, we have to reveal that the sameness or identity represented by naming is actually illusion and delusion, and finally idol through realizing that we ourselves are constituted not by identity or sameness but by differences which were concealed by the very named identity. Thus, self-emptying and iconoclasm should be the decisive prognosis for ‘blind belief of don’t ask’ composed of narcissistic idolatry. If this were the wisdom of life taught by all significant religions, Christianity in Korea could contribute to Korean society through searching for it.

측두골 골절에 의한 재발성 뇌막염 1례

정학현,고태옥,서한규,임현호,황순재 한국의학사 1998 診斷과治療 Vol.18 No.2

노화 흰쥐 간에 미치는 비타민 A 급성과다 효과 : Ⅱ.미세구조적 연구 Ⅱ.Ultrastructural Study

정형재,박원학,조현국 嶺南大學校 基礎科學硏究所 1994 基礎科學硏究 Vol.14 No.-

급성 비타민 A 과다가 노화과정의 진행정도(3,6,20개월)에 따라 간조직에 미치는 영향을 미세구조적으로 관찰하였다. 대조군 6개월의 세포구조는 불규칙한 핵막, 담모세관 주위의 dense body 증가와 더불어 RER의 종창이 관찰되었다. 20개월군에서 미토콘드리아의 소실, hyaloplasm의 형성 뿐만 아니라 residual body의 수적 증가가 나타났다. 비타민 A 투여군은 간정맥부와 동양혈관 변연부의 섬유화, 세포질 수포현상, 그리고 노화진행에 따라 세포간질의 협착이 보였다. 3,6개월군의 간세포질에서는 미토콘드리아의 소실과 RER의 붕괴가 관찰되었을 뿐만 아니라 지질저장 세포내의 지방소적의 축적과 담모세관 주위의 dense body 증가가수반되었다. 더우기 지질저장세포내의 지방소적은 그 축적도에 있어서 20개월군에서 증가하였다. 특히 간세포질에서 섬유가 관찰되였다. The effects of acute hypervitaminosis A on liver tissue, obtained from 3, 6, 20 months of rats, were studied by observing ultrastructural changes. The celluar structure in control grorp of 6 minths showed irregular nuclear envelope, dense bodies around bile canaliculi, and swelling of endoplasmic reticulum. That of 20 months appeared not only a loss of mitochondria, and formation of hyaloplasm, but also the number of residual body was increased. The results from treated with vitamin A, showed fibrosis of portal vein, cytoplasmic bullae, perisinusoidal fibrosis, and occlusions of intercellular space dependent upon aging process. In hepatic cytoplasm of 3 and 6 months group, a loss of mitochondria and disruption of RER were observed, as well as accumulation of lipid droplets within the lipid-storing cell and increased dense body around the bile canaliculi. Moreover, the lipid droplets within the lipid-storing cell. a degree of accumulation was increased in 20 months. Especially, the fiber appeared in hepatic cytoplasm on 20 months group.

유치열과 혼합치열기 어린이의 상악 절치부 외상

정주현,이제호,김성오,최병재 大韓小兒齒科學會 2004 大韓小兒齒科學會誌 Vol.31 No.2

현대인의 생활양식과 환경이 도시화 및 인공화되고 취미활동이 다양화됨에 따라 외상을 받을 수 있는 요인들을 증가하고, 특히 어린이 활동량이 많아져 외상의 기회가 잦아지고 있다. 어린이에서 외상이 발생하는 경우, 어린이의 일상적인 활동 뿐 아니라, 사회성 및 정서 발달에도 영향을 미칠 수 있으며, 그 보호자에게도 부정적인 영향을 미칠 수 있기에 외상의 발생 빈도를 줄이고 예방하는 것이 중요하다. 본 연구는 유지열과 혼합치열기에 발생하는 치아 외상을 예방하기 위한 기초 자료를 얻기 위하여, 특히 구강악안면부의 외상시 치아 외상을 가장 많이 받는 상악 유절치와 영구절치를 연구하기 위하여, 2002년 6월부터 2003년 5월까지 연세대학교 치과대학병원 소아치과에 내원한 유치열과 혼합치열기의 신환 8.799명중 상악 절치부 외상을 주소로 내원한 어린이 487명(남자 316명, 여자 171명)의 상악 절치 955개(유절치543개, 영구절치 412개)를 조사하여 다음과 같은 결과를 얻었다. 1. 상악 절치부 외상이 호발하는 나이는 유절치에서 1~3세, 영구절치에서 7세였으며 남자대 여자의 비율은 1.85:1이었다. 2. 상악 절치부 외상은 유절치와 영구절치 모두 오후 시간에 많이 발생하였으며, 유절치는 외상 장소로 집이 가장 많았고 (44.1%), 영구절치는 길에서 다치는 경우가 가장 많았다(17.5%). 3. 외상의 원인으로 유절치와 영구절치 모두 넘어져 다치는 경우가 가장 많았으며(39.8%, 12.9%), 다음으로 부딪히는 경우가 많았다(22.2%, 6.0%). 유절치에서는 다음으로 떨어져 다치는 경우, 교통사고, 폭력과 운동에 의한 외상 순이었으며, 영구절치에서는 폭력, 운동, 교통사고, 떨어져 다치는 순이었다. 4. 조사대상 어린이 1명당 유절치는 1.6개, 영구절치는 2.8개에 외상을 입었다. 5. 유절치와 영구절치 모두에서, 치관 파절 양상은 치수미노출 치관 파절이 많았고, 치주조직 외상 양상은 아탈구가 가장 많았다. 최근 어린이의 단체 생활이나 운동과 취미 활동에 참여하는 나이가 예전에 비하여 점차 낮아지고 있어, 이번 연구 결과와 같이, 외상이 발생하는 나이 역시 지속적으로 낮아질 수 있다. 나이에 따른 어린이의 외상을 받는 장소는 특별한 곳이 아닌, 집이나 학교와 같은 일상의 생활공간이기 때문에 단순한 주의만으로도 외상의 발생을 예방할 수 있을 것으로 사료된다. In children, change in lifestyles such as an increase in participation of physical activities has increased the chance of receiving an injury, harming the child and their parents. This study was carried out to give basic information of traumatic injuries to the upper anterior teeth which can be used in prevention of future complications that may arise. From June, 2002 to May, 2003, of the 8,799 children in their primary and mixed dentition visiting Department of Pediatric Dentistry, College of Dentistry, Yonsei University. 955 upper anterior teeth(primary 543, permanent 412) of 487 children(ma1e 316, female 171) with traumatic injures to the upper incisors were studied. The results were as follows: 1. Trauma to the primary teeth prevailed at the age of 1-3 and to the permanent teeth at the age of 7. The male to female ratio was 1.851. 2. Trauma to the upper incisors for both the primary and permanent teeth occurred in the afternoon. Primary teeth were injured most frequently in the home(44.1%) and the permanent teeth outdoors, in the street(l7.5%). 3. Both the primary and permanent teeth were most injured by fall-down injuries(39.8%, 12.9%), and next were collisions(22.2%, 6.0%) :For the primary teeth, high fall, traffic accident, violence and sports are next in order, and for the permanent teeth, violence, sorts, traffic accidents were next. 4. Average number of 1.6 primary teeth and 2.8 permanent teeth were injured with the right central incisor most prevailing. 5. Crown fracture without pulpal exposure and subluxation injures were highest in frequency in both the primary and permanent teeth.

Protein Methylase Ⅱ에 依한 Carboxylmethylation이 胎盤組織 Na^+, K^+―ATPase 活性에 미치는 影響

鄭顯,林圭,黃炳斗,李載欣 충남대학교 의과대학 지역사회의학연구소 1987 충남의대잡지 Vol.14 No.2

Partial purified human placental Na+, K+-ATPase and plasma membrane proteins were enzymically carboxylmethylated by human placental protein methylase II, and changes in their Na^+, K^+-ATPase acivities were studied. 1.. The rates of enzymatic carboxylmethylation by protein methylase II of the placental Na^+, K^+-ATPase fraction, which had been purified 19-fold, and of the plasma membrane proteins were 0.71 and 0.50 pmoles/mg protein/minute, respectively, when measured by the incorporation of ^3H-methyl group from S-adenosylmethionine into the proteins. 2. The enzymatic carboxylmethylation was found to be a function of the concentration of S-adenosylmethionine as well as of the substrates and incubation time. 3. More than 60% of the carboxylmethylated Na^+, K^+-ATPase fraction and plasma membranes were demethylated during 30 minutes incubation at pH 7.4, with the demethylation half time of 15 and 8 minutes, respectively. 4. The placental Na^+, K^+-ATPase fraction and plasma membrane proteins were found to be better substrates for protein methylase II than histone IIA. 5. Polyacrylamide gel electrophoresis of the carboxylmethylated plasma membrane proteins and Na^+, K^+-ATPase fraction showed multiple carboxylmethylated subfractions: in the plasma membrane, subfractions of molecular weight 95000, 43,000, 26,000 and less than 20,000, among which molecular weight 26,000 fraction was most strongly carboxylmethylated, and in the Na^+, K^+-ATPase fraction, subfractions of molecular weight 50,000, 40,000, 26,000, and less than 20,000 were carboxylmethylated. 6. Na^+, K^+-ATPase activities of the plasma membrane and the Na^+, K^+-ATPase fraction were increased by 36% and 9% when carboxylmethylated, and decreased by 25% and 21% after cAMP-dependent phosphorylation, respectively. These results suggest that protein merhylase II may have some indirect role in the regulation of Na+, K+-ATPase activity.

강력한 생전분 분해효소의 개발과 특성

정만재,허원녕,정재현,谷口肇 한국산업미생물학회 1990 한국미생물·생명공학회지 Vol.18 No.3

생전분 분해력이 강력한 glucoamylase를 생산하는 균주로서 Asp. usamii IAM 2185를 선정하였다. 밀기울배지에서의 효소생산의 최적 initial pH는 6.0∼8.0, 최적 배양온도는 25∼30℃, 최적 배양시간은 72시간이고, 밀기울배지에 ammonium nitrate와 albumin의 첨가는 효소의 생산을 약간 증가시켰다. 황산암모늄분획, CM-cellulose와 DEAE-cellulose column chromatography에 의하여 효소를 정제하였고, 정제효소의 specific activity는 34.3U/㎎ protein, 수율은 10.3%이었다. 정제효소는 polyacrylamide disc gel electrophoresis에 의하여 single band를 나타내었고, SDS-polyacrylamide disc gel electrophoresis에 의하여 추정된 분자량은 67,000이었다. 정제효소의 등전점은 pH3.7, 최적 온도는 60℃, 최적 pH는 3.0, pH 안정범위는 1.0∼11.0, 50℃ 이하에서 안정하였으며, Ca^2+은 효소의 내열성을 크게 증가시켰다. 정제효소는 raw corn starch, raw rice starch, raw yam starch, raw arrow root starch, raw sweet potato starch, raw glutinous rice starch에 대하여 높은 분해율을 나타내었다. Asp. usamii IAM 2185 was selected as a strain producing the powerful raw starch digesting glucoamylase. The optimum initial pH, the optimum temperature and the optimum cultural time for the enzyme production on wheat bran medium were pH 6∼8, 25∼30℃ and 72 hrs, respectively. The addition of ammonium nitrate and albumin on wheat bran medium, respectively, increase slightly the enzyme production. The enzyme was purified by ammonium sulfate fractionation, CM-cellulose and DEAE-cellulose column chromatography. The specific activity of the purified enzyme was 34.3 U/㎎ protein and the yield of enzyme activity was 10.3%. The purified enzyme showed a single band on polyacrylamide disc gel electrophoresis and its molecular weight was estimated to be 67,000 by SDS polyacrylamide disc gel electrophoresis. The isoelectric point for the purified enzyme was pH 3.7. The optimum temperature and optimum pH were 60℃ and pH 3.0 and the purified enzyme was stable in the pH range of 1.0-11.0. The purified enzyme was stable below 50℃ and its thermostability was greatly increased by the addition of Ca^2+. The purified enzyme showed a high hydrolysis rate on various raw starches such as corn, rice, yam, arrow root, sweet potato and glutinous rice.

소아과 입원 환자에 대한 통계적 고찰

정용현,서우식,유재홍,변상현 충남대학교 의과대학 지역사회의학연구소 1995 충남의대잡지 Vol.22 No.2

For the purpose of assessing the disease patterns by the body organ system in patients of the pediatric age, we performed a statistical analysis of diseases of patients admitted to the department of pediatrics at Chungnam National University Hospital from January 1990 to December 1994. The results obtained were as follows : 1. Total numbers of in-patients were 8,007, of which 4,923 were male and 3,084 were female. The ratio male to female was 1.60 : 1. 2. Prevalence of the diseases classified by body organ system was in the following order : neonatal diseases (34.6%), respiratory diseases (17.4%), infectious diseases (11.5%), congenital anomalies (5.5%), digestive diseases (5.1%), genitourinary diseases (4.9%), neoplasm (4.7%), blood diseases (3.3%), nervous system diseases (2.8%), metabolic and endocrine diseases (2.4%), circulatory system diseases (2.3%), skin and subcutaneous diseases (1.3%), musculoskeletal and connective tissue diseases (1.2%), mental and behavior disorders (0.4%). 3. Major diseases in each body organ system were as follows : 1) infectious diseases : unspecified acute gastroenteritis (35.9%), viral meningitis (10.4%), Rotaviral enteritis (6.8%), sepsis (6.7%), measles (5.8%). 2) neoplasm ; ALL (34.1%), AML (15.8%), Wilms tumor (12.8%), NHL (8.2%), neuroblastoma (5.6%) 3) blood diseases : allergic purpura (24.2%), aplastic anemia (17.1%), ITP (16.4%), iron deficiency anemia (15.8%). 4) metabolic and endocrine diseases : short stature (22.0%), hypocalcemia (13.8%), metabolic acidosis (9.6%), IDDM (6.4%). 5) mental and behavior diseases : neurosis (47.7%), mental retardation (18.2%). 6) Nervous and sensory system diseases : epilepsy (43.2%), cerebral palsy (12.1%), otitis media (9.3%), encephalopathy (6.2%). 7) circulatory system diseases: congestive heart failure (29.2%), dilated cardiomyopathy (8.0%), rheumatic fever (8.0%), mitral insufficiency (6.8%), hypertension (6.4%). 8) respiratory diseases : pneumonia (40.1%), URI (9.6%), acute tonsillitis (9.4%), asthma (8.5%), acute bronchiolitis (8.3%), croup (7.1%), acute bronchitis (4.1%). 9) digestive system diseases : unspecified hepatitis (22.8%), acute gastritis (13.8%). CAH (12.6%), intussusception (7.8%), constipation (7.1%). 10) skin and subcutaneous diseases : cellulitis (23.1%), lymphadenitis (19.7%), urticaria (15.6%), atopic dermatitis (8.8%), furuncle (8.2%). 11) musculoskeletal and connective tissue diseases : Kawasaki disease (76.8%), JRA (8.5%), SLE (7.0%). 12) genitourinary system diseases : UTI (29.0%), minimal change nephrotic syndrome (27.3%), APSGN (7.6%), APN (4.9%). 13) congenital or chromosomal abnormalities : VSD (38.7%), ASD (10.5%), TOF (8.4%), PDA (5.2%), CHPS (4.5%), Down syndrome (4.1%). 14) neonatal diseases : jaundice (32.0%), prematurity (12.7%), RDS (5.7%), sepsis (4.5%), birth asphyxia (3.0%), SGA (3.0%). 15) Others : febrile convulsion (45.6%), failure to thrive (9.2%), FUO (8.9%), drug intoxication (8.2%). 4. Common diseases for admission in pediatrics were in the following order : jaundice, pneumonia, unspecified acute gastroenteritis, VSD, RDS, URI, acute tonsillitis, acute lymphadenitis, ALL, sepsis, asthma, acute bronchiolitis, UTI.