ABSTRACT
Radioactive iodine treatment (RAIT) after surgery reduces local recurrence and cancer related death. Cases of hyponatremia after preparation for RAIT have rarely been reported. We report 4 cases of hyponatremia which developed after RAIT. The cause of hyponatremia seemed to be related with over ingestion of free water which is recommended during RAIT. These cases highlighted the importance of weight adjusted water ingestion during RAIT.
Subject(s)
Humans , Eating , Hyponatremia , Iodine Radioisotopes , Iodine , Recurrence , Thyroid Gland , Thyroid Neoplasms , Water , Water IntoxicationABSTRACT
This study was conducted to determine the effect of large amounts of whole cow's milk intake on serum levels of minerals and lipids. Subjects were normal infants who were brought to the pediatric hospital for vaccination at the age of 7-26 months after birth, living in Eumsung-Choongbuk area. The serum concentrations of the imnerals(calcium, phosphorus, magnesium, iron, zinc and copper), lipids and fatty acids composition were analyzed in 38 infants which consumed large amount of whole cow's milk(over 700ml/day). The results obtained are summarized as follows : 1) The mean levels of calcium, phosphorus and magnesium in the serum of the total subjects were 7.56+/-0.51mg/dl, 11.12+/-0.72mg/dl and 1.62+/-0.13mg/dl respectively. The serum concentrations of iron, zinc and copper in total subjects averaged 72.42+/-1.62 microgram/dl, 76.29+/-3. 62 microgram/dl and 86.44+/-2.98 microgram/dl respectively. 2) The mean serum concentrations of triglyceride, total cholesterol, HDL and LDL in the total number of subjects were 96.84+/-9.22mg/dl, 133.45+/-6.30mg/dl, 32.79+/-1.77mg/dl and 81.29+/-4.81mg/dl respectively. 3) The average percentages of SFA, MUFA and PUFA inth total serum fatty acids were 38.98+/-2.42%, 25.82+/-0.98% and 37.30+/-1.09% respectively and the mean omega6/omega3 fatty acids ratio was 13.48. In general, the levels of serum minerals and omega3 fatty acid composition in the subjects of this study, who were whole cow's milk fed infants were lower than those reported in breast milk or formula fed infants. Therefore, the intake of large amount of whole cow's milk in the weani ng period should be controlled and adequate for the infant's nutritional status.
Subject(s)
Humans , Infant , Calcium , Cholesterol, HDL , Copper , Fatty Acids , Hospitals, Pediatric , Iron , Magnesium , Milk , Milk, Human , Minerals , Nutritional Status , Parturition , Phosphorus , Trace Elements , Triglycerides , Vaccination , ZincABSTRACT
PURPOSE: Lipids and fatty acids are very important for brain and nervous system in growing children. This study was carried out to compare the composition of serum lipids and fatty acids according to the type of feeding in children. METHODS: One hundred and twenty two children aged from 5 month to 24 month who visited Soonchunhyang University Hospital from Mar. 1995 to Jan. 1996 with no gastrointestinal or nutritional problems were selected to compare the composition of serum lipids and fatty acids according to the type of feeding. They were divided into 3 groups according to type of feeding. Thirty three cases were breast milk fed group (BF), 48 cases were formula fed group and 41 cases were whole cow's milk fed group. Serum lipids were analysed by Folch method. Fatty acid methyl ester was made with BF3-methanol solution. Fatty acid contents (area%) were calculated by automatic analyser. RESULTS: 1) The mean serum cholesterol level was 144.14mg/dl and it was significantly higher in breast milk fed group (BF). 2) The mean serum low density lipoprotein (LDL) level was 88.82mg/dl and it was significantly higher in breast milk fed group (BF) (p<0.05). 3) Serum polyunsaturated fatty acid (PUFA) level was 39.13% and it was significantly higher in BF. 5) Mean serum omega6 fatty acid level was 35.43% and there was no significant difference between three groups. 6) Mean serum omega3 fatty acid level was 3.70% and it was significantly higher in BF (p<0.05). 7) Mean serum arachidonic acid (AA) level was 5.28% and it was significantly higher in BF (p<0.005). 8) Mean serum eicosapentaenoic acid (EPA) level was 0.51% and there was no significant difference between three groups. 9) Mean serum docosahexaenoic acid (DHA) level was 2.00% and it was significantly higher in BF (p<0.005). CONCLUSIONS: Nutritional benefit of breast milk was proven by significantly high serum levels of arachidonic acid and DHA in breast milk fed group. Essential fatty acids and DHA should be addded to infant formula. Excessive amount of whole cow's milk feeding to infants is not good in nutritional aspects. Education and guidance about feeding method of infants are also needed.
Subject(s)
Child , Humans , Infant , Arachidonic Acid , Brain , Cholesterol , Education , Eicosapentaenoic Acid , Fatty Acids , Fatty Acids, Essential , Feeding Methods , Infant Formula , Lipoproteins , Milk , Milk, Human , Nervous SystemABSTRACT
PURPOSE: The appropriate age and amount that whole cow's milk and commercial baby food can be introduced safely into the infant diet are unknown and remains an area of controversy. Early feeding of excessive amount of whole cow's milk has been associated with iron deficiency anemia and nutritional deficiency. We studied the present status and problems on the feedig of whole cow's milk and commercial baby food in children. METHODS: This survey was done through questionnaire to the 541 out patients who visited Seoul, Chun An and Eum Sung Soon Chun Hyang University Hospitals during the period from Jun. 1994 to Fab. 1995. RESULTS: 1) Feeding patterns according to age of children: Infants were fed prepared milk(63.6%), human milk(16.2%), whole cow's milk(8.1%), commercial baby food(7.1%) and rice(5.0%) in the order of frequency. Children between 1 and 2 years of age were fed rice(37.1%), whole cow's milk (34.3%), prepared milk(17.1%), commercial baby food(7.4%) and human milk(4.0%) in the order of frequency. 2) Whole cow's milk feeding was started at 3 to 6 months of age in 11.5%, at 7 to 12 months of age in 59.6% and after 12months of age in 28.9%. 3) The daily feeding amounts of whole cow's milk was less than 500 ml in 48.2%, 500 to 999 ml in 36.2%, and more than 1000 ml in 15.6%. Suprisingly 49.7% of them were fed more than 500 ml a day. 4) About iron content in whole cow's milk, only 25.9% of mothers gave the correct answer. 5) 62.5% of mothers considered that whole cow's milk was the best food in infant period. 6) Only 19.1% of subjects used commercial baby food properly in method and amount. CONCLUSIONS: Whole cow's milk was introduced during early months of life and fed in excessive amount. There was a lack of maternal knowledge about iron content in whole cow's milk. The improper use of commercial baby food produced the numerous nutritional problems. Thus, we need education about whole cow's milk and commercial baby food to mothers.
Subject(s)
Child , Humans , Infant , Anemia, Iron-Deficiency , Diet , Education , Feeding Behavior , Hospitals, University , Iron , Malnutrition , Milk , Mothers , Outpatients , Surveys and Questionnaires , Seoul , WeaningABSTRACT
We experienced a case of abdominal wall abscess originated from abdominal wall hematoma in 3 year old girl, who complained of abdominal pain, fever and lethargy. On admission, abdominal ultrasonography, abdominal computed tomography, and diagnostic needle aspiration were performed. Incision was made over the abscess so necrotic tissue and pus were evacuated. A nelaton catheter drain was placed into abscess cavity and, irrigation was done daily with normal saline mixed with antibiotics. Postoperative course was uncomplicated and the patient was discharged on 17th hospital day.
Subject(s)
Child, Preschool , Female , Humans , Abdominal Pain , Abdominal Wall , Abscess , Anti-Bacterial Agents , Catheters , Fever , Hematoma , Lethargy , Needles , Suppuration , UltrasonographyABSTRACT
After aseptic or septic meningitis, some neurologic complications such as convulsions, delirium, rigidity, cerebral infarctions and cerebral hemorrhage can be developed. The cerebral infarction after meningitis is caused by arterial or venous occlusions. Involvement of small perforating arteries leads to ganglionic infarcts while severe sapsm of major vessels may lead to massive infarctions in the distribution of middle and/or anterior cerebral arteries. Cortical venous and/or dural thrombosis (especially in the superior sagittal sinus) produces typical features, including multiple areas of white matter hemorrhagic infarction. These neurologic complications are common in bacterial meningitis and very rare in aseptic meningitis. We experienced a case of cerebral infarction in MCA/ACA territory and subdural hemorrhage in occipital lobe after aseptic meningitis in 10 month-old-boy. We report a case with a brief review of related literature.
Subject(s)
Anterior Cerebral Artery , Arteries , Cerebral Hemorrhage , Cerebral Infarction , Delirium , Ganglion Cysts , Hematoma, Subdural , Infarction , Meningitis , Meningitis, Aseptic , Meningitis, Bacterial , Occipital Lobe , Seizures , ThrombosisABSTRACT
The association of colonic atresia in patients with Down syndrome is a rare anomaly. The incidence of congenital atresia of the gastrointestinal tract has been estimated to be about one in 1500 births. Colonic atresia is rarer still, and is throut to comprise about 5% to 10% of this group. This intestinal atresia occurs in about 30% to 50% of patient with Down syndrome. We experienced a case of Down syndrome associated with colonic atresia in a 1 day old male. His initial chief complaints at the admission were severe abdominal distension and Down appearance. Diagnosis was confirmed by chromosomal study and operative laparotomy with end-to-end ileodescending colostomy. We report the case with brief review of related literatures.
Subject(s)
Humans , Male , Colon , Colostomy , Diagnosis , Down Syndrome , Gastrointestinal Tract , Incidence , Intestinal Atresia , Laparotomy , ParturitionABSTRACT
No abstract available.