A 54-year-old man presented to the emergency department with a chief complaint of suprapubic pain and inability to void for 1 day after self insertion of urethral foreign bodies. These foreign bodies were two beans self inserted compulsively into the urethra by the patient. On physical examination, two materials of oval shape in the bulbous urethra were palpable. Retrograde urethrogram showed a complete obstruction in the bulbous urethra. When possible, endoscopic removal should be used for urethral foreign bodies. However the beans of our case required surgical retrieval. We present a case of foreign bodies in the urethra with brief review of literature. To our knowledge, this is the first case of acute urinary retention due to beans in Korean literature.
Emergency Service, Hospital ; Fabaceae ; Foreign Bodies* ; Humans ; Middle Aged ; Physical Examination ; Urethra ; Urinary Retention*

PURPOSE: We set out to investigate which factors affect the decision for the surgical treatment on the patients with benign prostatic hyperplasia (BPH). MATERIALS AND METHODS: Between January 2000 and May 2006, a total of 505 newly diagnosed patients (group 1) and 219 preoperative patients (group 2) with symptomatic BPH were evaluated. International Prostate Symptom Score (IPSS), IPSS quality-of-life (QoL) assessment score, uroflow variables and prostate-specific antigen (PSA) were used for the assessment of the affecting factors of the operation in all groups. Other objective variables such as Schaefer's obstruction grade, detrusor pressure at maximal urinary flow and prostate volume were evaluated in preoperative patients. We analyzed the relationships between QoL score and other variables. RESULTS: With a result that the individual components of IPSS had influence on QoL, incomplete emptying, weak stream, nocturia, frequency, intermittency decreased QoL in group 1. In group 2, incomplete emptying, nocturia, frequency led to the decrease of QoL. Among them incomplete emptying had the strongest impact on symptom-specific QoL of both groups. In both groups objectively measurable variables for bladder outlet obstruction had a weak negative or no association with QoL in correlation analysis. CONCLUSION: The incomplete emptying was the most problematic for patients with BPH. If the BPH patients decide to undergo the surgical treatment, it can be predicted with the severity of the incomplete emptying.
Humans ; Nocturia ; Prostate ; Prostate-Specific Antigen ; Prostatic Hyperplasia* ; Quality of Life ; Rivers ; Urinary Bladder Neck Obstruction

The authors clinically analysed 2,856 ocular injury patients among 36,922 patients who visited department of ophthalmology of Chonnam National University Hospital during the 9 years form January 1, 1981 to August 31, 1989. The results were as follows: 1. The incidence of ocular injury was 15.6% of all outpatient in first group(1981-83) and 29.7% in third group(1987-89.8). There was tendency to increase group by group and the average incidence was 7.7% of all patient. Among them, 2180 cases(76.3%) were male and 676 cases(23.7%) female. Males were nearly three times as many as females. 2. In comparison with age groups, the largest group in eye injury cases was in the age group of 20-29 years(27.2%). And the incidence was more common in the age of 3rd to 4th decades(47.2%), consisting about 1/2 of the total patient. 3. According to affected side, there was no significant difference between the right eye(43.2%) and the left eye(45.6%). Both eye involvement was 320cases(11.2%) and ones ide involvement was 1301 cases(45.6%). 4. According to seasonal distribution, visits were more common in spring(27.5%) and least in autumn(22.4%). 5. In regard to days, the most patients visited on sunday(20.0%), while the least patients on monday(10.4%). 6. The most common cause of ocular injuries was violence(26.4%), followed by injuries from traffic accident(19.1%), metal particles(11.3%) and explosive material(9.6%). In the cases of ocular perforation, metal particles(26.5%) is most common cause, followed by traffic accident(24.0%), flying particle(11.3%). 7. The most common ocular injury was corneal injury(37.8%), followed by eye lid injury(20.0%), traumatic hyphema(13.5%) and conjunctival injury(12.9%). 8. The incidence of IOF for ocular perforation patients was 43 cases(7.8%), and more common in male(6.6%) than female(1.2%). 9. Before treatment, visual acuity showed 0.08 or less in 627 cases(72.6 %) and 0.6 or more in 95 cases(11.0%), however after treatment, the number of the patients with visual acuity under 0.08 decreased to 325 cases(37.6%) and over 0.6 increased to 288 cases(33.3%).
Accidents, Traffic ; Diptera ; Eye Injuries ; Female ; Humans ; Incidence ; Jeollanam-do ; Male ; Ophthalmology ; Outpatients ; Seasons ; Violence ; Visual Acuity

The purpose of this study was to evaluate the relationship between osteoporosis and periodontal condition in postmenopausal women. Twenty-eight patients who have been treated at Chonnam national university hospital with osteoporosis(osteoporotic group, mean age62.2+/-6.6) and 21 normal postmenopausal women with periodontitis(control group, mean age60.4+/-3.7) were examined. Bone mineral density(BMD) of lumbar spine(L2-L4) was measured by dual energy X-ray absorptiomemtry(DEXA). Percentage to peaked bone mass in osteoporotic group was 70.9% which had lower BMD than in control group(p<0.05). The number of present teeth were 23.6 in osteoporotic group and 23.1 in control group, Percentage of bleeding on probing was 41% in osteoporotic group and 37% in control group, probing depth and attachment level were shown 3.18 mm, 3.63 mm in osteoporotic group and 2.85mm, 3. 11 mm in control group, respectively. Probing depth and attachment level were significantly greater in osteoporotic group than in control group(p<0.05). The significant negative correlation was found between BMD level and periodontal attachment level(p<0,001, ?=-0. 56). These results suggest that osteoporosis may be associated with periodontal breakdown.
Female ; Hemorrhage ; Humans ; Jeollanam-do ; Osteoporosis* ; Tooth

The purpose of this study was to evaluate the effect of stroke on hypothalamic-pituitary axis using dexamethasone suppression test. The effects were evaluated according to age, sex, type, size, and lesion site of stroke. There tests were performed in 62 patients with stroke(cerebral infarction, 42 cases : intracerebral hemorrage, 20 cases) and 21 disabled controlled patients without intracranial diseases at Yeungnam University Hospital from June 1992 to June 1993. The results summarized as follows. 1. Cerebral infarction showed significantly higher frequency of DST non-suppression in stroke patients than control (p<0.05). 2. Patients with left hemisphere stroke showed more frequent abnormal neuroendocrine test results (p<0.01). 3. Patients with large infarction revealed strongly non-suppressed DST results(p<0.01). 4. Significantly higher basal cortisol level in patients with cerebral infarction was noted(p<0.01). 5. There are no statistical significance between DST results and sex, age, motor impairment, type of cerebral infarction.
Cerebral Infarction ; Dexamethasone* ; Humans ; Hydrocortisone ; Infarction ; Stroke*

No abstract available.
Estrogens, Conjugated (USP)* ; Heart Failure* ; Humans ; Thyroid Function Tests* ; Thyroid Gland*

In recent years, numerous cases of intraocular fungal infections have been reported. Mycotic infections of eyes have occurred after surgery, trauma, and topical antibiotics or cortisone therapy, which are considered the infections produced by exogenous origin. To know ocular mycotic infection, the normal fungal flora of the eyes becomes extremely important, because these organisms may be the source of the infection. We cultured, fungi from normal conjunctival sac by Sabouraud glucose agar media at Chonnam National University Hospital and the results obtained as follows. The results were as follows: 1. The mycotic flora of the conjunctival sac was investigated in following five groups: group I: neonates to less than 2months of eyes(44 cases), group II: 2 months to 19 years(34 cases), group III: 20 to 39 years(84 cases), group IV: 40 years and over(95 cases), group V: controls(257 cases). 2. Positive cultures were observed in 13.2% of total cases. Cultures from the group I were positive in 2 cases(4.5%), the group II were positive in 8 cases (3.5%), the group III were positive in 9 cases(10.7%), and the group IV were positive in 15 cases(15.8%). The lowest positivity(4.5%) was observed in the group I, and the highst(23.5%) in the group II. 3. There was no significant differences in positive culture rate between male and female group, as 11.4% in male and 15.4% in female group. 4. Fungi cultured were identified as the following species: Penicillium SP.(8 cases), Aspergillus SP.(6 cases), Candida SP.(6 cases), Mucor SP.(6 cases), Trichophyton(5 cases) and Cephalosporium SP.(3 cases).
Acremonium ; Agar ; Anti-Bacterial Agents ; Aspergillus ; Candida ; Cortisone ; Eye Infections, Fungal ; Female ; Fungi ; Glucose ; Humans ; Infant, Newborn ; Jeollanam-do ; Male ; Mucor ; Penicillium ; Trichophyton

In recent years, numerous cases of intraocular fungal infections have been reported. Mycotic infections of eyes have occurred after surgery, trauma, and topical antibiotics or cortisone therapy, which are considered the infections produced by exogenous origin. To know ocular mycotic infection, the normal fungal flora of the eyes becomes extremely important, because these organisms may be the source of the infection. We cultured, fungi from normal conjunctival sac by Sabouraud glucose agar media at Chonnam National University Hospital and the results obtained as follows. The results were as follows: 1. The mycotic flora of the conjunctival sac was investigated in following five groups: group I: neonates to less than 2months of eyes(44 cases), group II: 2 months to 19 years(34 cases), group III: 20 to 39 years(84 cases), group IV: 40 years and over(95 cases), group V: controls(257 cases). 2. Positive cultures were observed in 13.2% of total cases. Cultures from the group I were positive in 2 cases(4.5%), the group II were positive in 8 cases (3.5%), the group III were positive in 9 cases(10.7%), and the group IV were positive in 15 cases(15.8%). The lowest positivity(4.5%) was observed in the group I, and the highst(23.5%) in the group II. 3. There was no significant differences in positive culture rate between male and female group, as 11.4% in male and 15.4% in female group. 4. Fungi cultured were identified as the following species: Penicillium SP.(8 cases), Aspergillus SP.(6 cases), Candida SP.(6 cases), Mucor SP.(6 cases), Trichophyton(5 cases) and Cephalosporium SP.(3 cases).
Acremonium ; Agar ; Anti-Bacterial Agents ; Aspergillus ; Candida ; Cortisone ; Eye Infections, Fungal ; Female ; Fungi ; Glucose ; Humans ; Infant, Newborn ; Jeollanam-do ; Male ; Mucor ; Penicillium ; Trichophyton

OBJECTIVE: To evaluate the discrepancies between initial STO and final STO in Class III malocclusions and to find which factors are related to the discrepancies. METHODS: Twenty patients were selected for the extraction group and 20 patients for the non-extraction group. They were diagnosed as skeletal Class III and received presurgical orthodontic treatment and mandibular set-back surgery at Pusan National University Hospital. The lateral cephalograms were analyzed for initial STO (T1s) at pretreatment and final STO (T2s) after presurgical orthodontic treatment, and specified the landmarks as coordinates of the X and Y axes. RESULTS: Differences in hard tissue points (T1s-T2s) in the X coordinates of upper central incisor edge, upper first molar mesial end surface, lower central incisor apex, lower first molar mesial end surface and mesio-buccal cusp and Y coordinates of upper central incisor edge, upper central incisor apex, upper first molar mesio-buccal cusp were statistically significant in the extraction group. Differences in hard tissue points (T1s-T2s) in the X coordinates of upper central incisor edge, lower central incisor apex, lower first molar mesial end surface and Y coordinates of lower central incisor apex were statistically significant in the non-extraction group. In the extraction group, the upper arch length discrepancy (UALD) had a statistically significant effect on maxillary incisor and first molar estimation. Lower arch length discrepancy and IMPA had statistically significant effects on mandibular incisor estimation in both groups. CONCLUSIONS: Discrepancies between initial STO and final STO and factors contributing to the accuracy of initial STO must be considered in treatment planning of Class III surgical patients to increase the accuracy of prediction.
Humans ; Incisor ; Malocclusion ; Molar ; Organophosphorus Compounds ; Orthodontics

Background: Systemic Clinic Outcome and Routine Evaluation (SCORE-15) is a compact scale that contains the most critical family function assessment tools including assessments of the strengths, adaptability, and communication among family members. It has been translated into other languages in the United States and Europe. This study aimed to verify the reliability and validity of SCORE-15 with a small research population and justify its applicability in Korea. Methods: SCORE-15 is a self-reporting family function measurement tool for each family member over the age of 11 years. This study used the Family Communication Scale (FCS) included in the Family Adaptability and Cohesion Evaluation Scales (FACES) IV package and FACES in FACES-III to verify the validity of the Korean-translated SCORE-15. Cronbach’s α value was calculated to check the reliability of SCORE-15. Data were analyzed using STATA ver. 15.0 (Stata Corp., College Station, TX, USA). Results: The study analyzed the correlation between FACES-III and SCORE-15 and FCS and SCORE-15 so that there was a significant static correlation in both comparisons (r=0.72 and r=0.81, respectively). Also, the research compared each subscale to analyze the correlation and the range was 0.47 to 0.95. The total SCORE-15 Cronbach’s α value was 0.92 and those values of the subscales for family strengths, family communication, and family difficulty were 0.89, 0.73, and 0.87, respectively (P<0.001). Conclusion Our study was the first to validate the Korean SCORE-15, which can be used as an appropriate shortform indicator for evaluating family function and changes in detecting therapeutic improvements in Korea.