Résumé
We have reserched the relationship of their clinical pictures and factors related to the risk of recurrence of 75 patients with simple or complex febrile convulsions, who were admitted to the Departmenrt of Pediatrics, Chungnam National University Hospital from January 1987 to July 199. The 75patient were followed up and consisted of the 55 patients with initial or non-recurrent febrile convulsions and the othere 20 patients with recurrent febrile convulsions. The results were of follows; 1) The age of first episodes was under the 6 years in 94.6% and the first episode under the 12 months was 14.6% in initial cases and 55% in recurrent cases. 2) There were family history of convulsive disorder in 40% of recurrent cases, compared to 10.9% of initial cases. 3) In gestational age, there was no significant difference between initial and recurrent cases. 4) In sex distribution, the boys (66.7%) outnumbered the girls(33.7%) and the ratios was 2:1. Among the recurrent cases of 20 patients, the boys(90%) were much more than the girls(10%). 5) The patients of low birth weight had more febrile convulsions than large birth weight in both initial and recurrent cases. 6) There was no significant difference between initial and recurrent cases in the causes of febrile convulsion. 7) In abnormal EEG findings, recurrent cases were 30% more than 7.3% of initial cases. 8) There was no significant difference of number of seizure during a day in both initial and recurrent cases 9) In episodes of duration over 15 minutes, recurrent cases were 40% more than 23.7% of initial cases. 10) The resident of urban was 78.6% and of rural was 21.4%. 11) The types of convulsion were generalized in 92% of total cases and focalized in 8%. In the focal types, recurrent cases (15%) were much more than initial cases (5.5%). 12) In occurrence of seizures in body temperature above 40 degrees C, it was 5.5% in initial cases, whereas it was 20% in recurrent cases. 13) 13) There was no significant difference between initial and recurrent cases on fever duration before seizure.
Sujets)
Humains , Nouveau-né , Poids de naissance , Température du corps , Électroencéphalographie , Fièvre , Âge gestationnel , Nourrisson à faible poids de naissance , Pédiatrie , Récidive , Crises épileptiques , Crises convulsives fébriles , Répartition par sexeRésumé
A study was made on 50 cases of epileptic children who had been observed at the pediatric department of Chungnam National University Hospital Taejeon Eul Ji Hospital during the period from July, 1986 to June, 1991. The result are as follows: 1) Epilepsy was most frequent in children from 1 year to 10 year of age (80%). Epilepsy was commoner in female children compare to male representing male to female ratio, 1:1.2. 2) Intractable cases with VPA were 40%, and male to female ratio was 1.2:1. Intractable cases were most common between 1 and 5 years (65%). 3) The most common epileptic type was generalized tonic clonic seizure (38%). 4) The clinical effect of valproic acid was the worst in severely abnormal EEG finding. 5) The mean plasma VPA level was significantly lower for the polytherapy (57.7microgram/ml) than for the monotherapy (69.5microgram/ml). The VPA dose of steady-state was significantly higher for polytherapy (27.9mg/kg/d) than for the monotherapy (20.9mg/kg/d). VPA level: dose ratio was reduced in the polytherapy (2.1) as compared to monotherapy (3.3). 6) The plasma VPA level increased according to dosage. In the same dose, plasma level of monotherapy was significantly higher than polytherapy. 7) The VPA dose of stead-state was highest under 1 year (monotherapy: 24.8mg/kg/day, polytherapy: 33.4mg/kg/day). The VPA dose decreased in accordance with an increase of the age. 8) There was no correlation between EEG change and plasma concentration of VPA. 9) There was linear correlation between clinical affect and plasma VPA level, and plasma concentration of VPA reached 51 to 100microgram/ml at that time. 10) The clinical effect was good in abscence seizure, simple partial seizure, myoclonic seizure, and generalized tonic clonic seizure in decreasing order. 11) The incidence of side effect were gastrointestinal disturbance, behavior disorder, laboratory abnormality, neurologic abnormality in order of frequency. The frequency of overall side effects observed was 40% but toxic effects were generally mild.
Sujets)
Enfant , Femelle , Humains , Mâle , Électroencéphalographie , Épilepsie , Incidence , Plasma sanguin , Crises épileptiques , Acide valproïqueRésumé
No abstract available.
Sujets)
Enfant , Humains , Liquide cérébrospinal , Méningite , OxidoreductasesRésumé
The characterization of genetic variation at the level of DNA has generated significant advances in gene mapping and disease diagnosis, and forensic identification of individuals. It is now possible to identify individual DNA from various tissue specimens, like hair, using the PCR and oligonucleotide probes. To date, however, the number of hairs needed, the preservation conditions, and the kinds of hair suitable for DNA extraction have not been well known. We performed DNA extraction using hairs from different body sites, using different numbers of hairs, under various different preservation conditions to investigate the acquisition conditions of DNA data from hair using PCR and specific HLA-DQA probe. HLA-DQA genotyping of DNA extracted from peripheral blood was performed to compare the results of hair and blood HLA-DQA genotyping from individuals. The results are as follows: 1) The concentration of DNA extracted from a single strand of hair is 5.23+/-0.54 g/ml. It is possible to extract sufficient DNA for HLA-DQA genotyping from a single strand of hair. 2) DNA concentration is different according to body site. Concentrations are 7.01+/-0.33 g/ml in scalp hair, 6.28+/-0.29 g/ml in axillary hair, and 6.10+0.24 microgram/ml in pubic hair. 3) There is no difference between the electrophortic bands resulting from DNA extracted from the hair of an individual preserved under different conditions, such as room temperature, exposure to sunlight, exposure to low temperature (+4degrees C), or exposure to moisture. 4) There is no difference between the electrophoretic bands resulting from DNA extracted from hair of a single individual preserved for different lengths of time. 5) In an individual, the HLA-DQA genotype obtained from peripheral blood is identical to that obtained from hair. Even though the amout of DNA obtained from hair is limited, it is possible to identify the HLA-DQA genotype of an individual using a single strand of hair. This requires adequate extraction of DNA for PCR analysis using an allele specific probe. We believe that HLA-DQA genotyping using the PCR method on DNA extracted from hair is useful for disease diagnosis and forensic science.
Sujets)
Allèles , Cartographie chromosomique , Diagnostic , ADN , Sciences légales , Variation génétique , Génotype , Poils , Sondes oligonucléotidiques , Réaction de polymérisation en chaîne , Cuir chevelu , Lumière du soleilRésumé
No abstract available.
Résumé
No abstract available.
Sujets)
Humains , Anémie , Maladie de Gaucher , Fratrie , ThrombopénieRésumé
No abstract available.
Résumé
Total 60 cases of the patients of neonatal tetanus were clinically evaluated who were admitted to the department of Pediatrics, Chungnam National University Hospital from Jan. 1976 to Dec. 1980 to identify the predisposing factors of death. The result were as follows; 1) The annual patients were encountered in 12 cases and the over all mortality was 42.9%. 2) Sex incidence showed that males predominated in proportion of 2.5 : 1, but mortality of females were twice of males. 3) The distribution of incidence by residence of patients was same between urban and rural area. All cases were delivered at home. 4) The umbilical cords were cut by unsterilized scissors in 80% of cases. 5) The peak incidence of incubation period was between 5 to 7 days after birth. The shorter the incubation period was, the worse the prognosis was. 6) The most of patients were admitted within 3 days. 7) The common symptoms on admission were poor feeding, trismus and convulsion. 8) The higher or the lower the temperature was, the worse the prognosis was. 9) The majority of patients(70.9%) were expired within 2 days after admission. 10) The important complications were sustained fever, asphyxia and pneumonia. The mortality rate was increased with complications. 11) The more effective dosage of antitoxin was 20,000I.U. to 40,000I.U. 12) The patients body weight below 3kg or above 4kg on admission had poor prognosis. 13) The lower the hemoglobin was, the higher the mortality rate was. 14) The patients whose WBC counts on peripheral blood being above 25,000/mm3 had high mortality rate.