Urinary Excretion of Iron Renal Diseases

No abstract available.

Feeding Results of SIMILAC(Ready to Fed) formula for Premature Infants

40 premature(some low birth weight) infants were included for this study consisting 20 infants of SIMILAC (Ready to fed) formula fed group and 20 infants of Local product formula fed group.1) Average gestational age of SIMILAC fed group was 33.65 weeks and that of Local product formula fed group was 34.45 weeks.2) Average birth weight of SIMILAC fed group was 1774.5gm and that of Local product formula fed group was 1813gm. 3) Daly total Kcal given to the SIMILAC group was 129.2 Kcal/kg and that of Local product group was 180 Kcal/kg. 4) No weight gain was seen with 120 Kcal-145kcal/kg of Local product formula feeding during initial study period. 5) Total fluid supplied for both group were equal and that were 190ml/kg/day in each group. 6) Average number of defecation per day was 3.4 times in SIMILAC group and 2.8times in Local product group. Mild tendency to loose stool was seen at 2 babies in SIMILAC group and at 4 babies in Local product group. Mild tendency to constipation was also seen at one baby in SIMILAC group and 3 babies in Local product group. 7) Average daily weight gaining in SIMILAC group was 25gm and that of Local product group was 27.9gm.

The Clinical Observation of Miliary Tuberculosis in Children

We made a clinical observation of 63 cases with miliary tuberculosis at the pediatric department of Hanyang University Hospital in Seoul, Korea, during the period from January, 1973 to September, 1979. The result were as folowing: 1. The incidence of miliary tubeculosis in children was 0.57%(63 cases/11,040) of total admission cases. The incidence was increased for the last 2 years, that is 0.54% in 1978 and 0.96% in 1979 respectively. 2. The highest incidence by age was noticed as 79.4% in the group under the age of 3 years with the 1 case of 2 months old. 3. The seasonal prevalence were winter and spring showing incidence of 63% 4. The source of infection was found in 49.2% of all cases, and majority (58.1%) of the infection was caused by their parents. 5. Only 9.5% of cases had received BCG innoculation. 6. The chief compalints on admission were revealed in the order of fever (71.4%), coughing (66.7%), vomiting (49.2%), irritability (25.4%), etc. 7. The principal clinical features on admission were marked emaciation (46.0%), abnormal neurologic sign (46.0%), hepatosplenobegaly (34.9%) in order. 8. The tuberculin skin test with 5TU PPD was noticed positive reaction in 54%. 9. The causative organism was isolated in 42.3% of all 26 observed cases. 10. Hematologic findings revealed mild degree of anemia (63.9%), leukocytosis (75.5%), increased ESR (63.4%). 11. Miliary density on X-ray were disappeared within 4 months following treatment in 73.9% of all 23 observed cases. 12. The complications or combined diseases were tuberculous meningitis (41 cases), cervical lymphadenopathy (10 cases) and tuberculous peritonitis (4 cases), etc. 13. The mortality rate was 14.3% (9 cases/63).

3 Cases of Congenital Leukemia

3 cases of congenital leukemia, 27 day old female, 1 month old and 6 month old male were presented. We made diagnosis by clinical features as well as peripheral blood and bone marrow studies and autopsy findings. Two of three revealed acute Lymphocytic leukemia and one case revealed acute myelomonocytic leukemia on peripheral blood smear and bone marrow studies.

Clinical and Bacteriological Studies of Shigellosis

Clinical and bacteriological studies were carried out on 74 cases of infants and children with Shigellosis who were cared from May 1972 to Sept. 1977 in our hospital. 1) The age distribution revealed the range between 6 months and 5 ysers (85% of all) with the sex ratio of 42(57%) of male and 32(43%) of female, 13:1,0. 2) The peak incidence was noted in summer, although there were occurrence throughout the year, even in winter. 3) On bacteriological studies, Shigella flexneri was isolated most frequently (73%) and shigella sonnei was the next(32%). Since 1977, however, the rate of isolation was reversed as the former 32% and the latter 62%. 4) Up to 1976, ampicillin was the most effective (in 93%) and carbenicillin the next (in 87%) on sensitivity test. But gentamicin became hightly sensitive in 88%, kanamycin in 81% and ampicillin in 13% since 1977. 70% to 95% of isolated Shigellae were resistant to Terramycin, Chloromycetin, streptomycin and Colimycin. 5) The average duration from the onset to the clinical improvement including stool character was that of 3.4 days. 6) The mortality rate was 2.7% (2 of 74 patients) and they all were under 2 years of age.