We have experienced an unusual case of hemorrhagic renal cyst in the rt. kidney at 58 years old woman. The Rt. kidney was enlarged, and showed a few subcapsular ischemic areas The color of kidney was dark brown. As the cyst at lower pole of rt. kidney was dissected, hemorrhagic fluid visualized in the cystic cavity. The final pathologic finding was renal cyst associated with malignant change and renal cell carcinoma at another renal parenchyma. Herein, hemorrhagic renal cyst, a rare clinical entity, was reported with review of literatures.
Carcinoma, Renal Cell ; Female ; Humans ; Kidney ; Middle Aged

In our daily clinical practice, we have come across several patients suffering from a fluctuating sensorineural hearing loss of unknown origin. Such patients were sometimes treated with sucess by steroid administration. Some kinds of immune injury in the inner ear have been proposed as a possible pathogenesis. However, the minute mechanisms of immune injury in the inner ear and the way in which steroids improve the hearing loss remained obscure. We have previously reported that the MRL/MP-lpr/lpr(MRL/lpr) autoimmune strain of mice showed IgG deposition in the stria vascularis with elevated thresholds of auditory brainstem response. This strain of mice though to be a good model for studying immune mediated inner ear dysfunction. The purpose of this study was to evaluated the therapeutic efffects of prednisolone on the hearing impairment in MRL/lpr mice, morphologically and electrophysiologically.
Animals ; Ear, Inner ; Evoked Potentials, Auditory, Brain Stem ; Hearing Loss ; Hearing Loss, Sensorineural* ; Humans ; Immunoglobulin G ; Mice* ; Prednisolone ; Steroids ; Stria Vascularis

The present study was carried out in order to observe the changes in the expression of the sialoglycoconjugates of the rabbit sinus mucosa after inoculation of influenza A virus utilizing a biotin labeled lectins for light microscopy with four different lectins; Maackia amurensis(MAA), Wheat germ agglutinin(WGA), Sambucus nigra(SNA), and Peanut(PNA). A comparison of the affinity of these lectins demonstrated the different distribution of sialoglycoconjugates in the ciliary layer and goblet cells. The normal sinus mucosa stained with four types of lectins showed that the sialoglycoconjugates were mainly distributed in the ciliary layer and goblet cells. Moreover, the main sugar residues of the sialoglycoconjugates were figured out to be consisted of Neu5Ac(alpha2,3)Gal, GlcNAc and Neu5Ac. Influenza A virus infection decreased the staining intensity of the mucosa with MAA, but not with WGA. The staining intensity of PNA, however, was highly increased in the viral infected mucosa. These results suggest that Neu5Ac(alpha2,3)Gal sugar residues may be required as protecting factor or modulator for Influenza A virus infectivity.
Biotin ; Goblet Cells ; Influenza A virus* ; Influenza, Human* ; Lectins ; Maackia ; Maxillary Sinus* ; Microscopy ; Mucous Membrane* ; Sambucus ; Triticum

BACKGROUND AND OBJECTIVES: Oxygen free radicals are generated markedly in various infected condition, and these molecular species were identified as potent pathologic agents. The activities of various antioxidant enzymes have close relationships to genereration and metabolism of oxygen free radicals. The purpose of this study was to investigate the changes in the generation of superoxide radicals and activities of antioxidant enzymes and to compare histopathological changes in influenza A virus-induced maxillary sinusitis. MATERIALS AND METHODS: The experimental viral infection was induced in New Zealand white rabbits by inoculating 0.3 ml of influenza A virus. Maxillary sinus mucosa were examined with a light microscope and the generation of superoxide radicals and activity of antioxidant enzymes were measured at the intervals up to 28 days after inoculation. RESULTS: The mucosal changes deteriorated and reached maximum at seven days after inoculation. The first day of inoculation, mononuclear phagocytes and neutrophils began to be found in subepithelial layer. We also found that capacity of oxygen generation increased about one and a half fold compared with the non-infected control group. The activity of SOD, GSH-Px and CAT, which are specific scavengers of oxygen radicals, peaked at three, five, and seven days after viral inoculation, respectively. CONCLUSIONS: These results suggest that oxygen free radicals play an improtant role in the histopathologic damage in the early stage of influenza A viral infection, and the activities of antioxidant enzymes are enhanced by the generation of superoxide radicals. It is also indicated that antioxidant enzymes may have a therapeutic potential for this viral infection and other conditions associated with free radicals.
Animals ; Catalase ; Cats ; Free Radicals ; Glutathione Peroxidase ; Influenza A virus ; Influenza, Human* ; Maxillary Sinus ; Maxillary Sinusitis ; Metabolism ; Mucous Membrane ; Neutrophils ; Oxygen ; Phagocytes ; Rabbits* ; Reactive Oxygen Species ; Sinusitis* ; Superoxide Dismutase ; Superoxides*

No abstract available.
Duodenal Ulcer* ; Humans ; Recurrence*

No abstract available.
Eating* ; Furosemide* ; Nephrocalcinosis*

OBJECTIVES: Seoul National University Bundang Hospital, which is the first Stage 7 hospital outside of North America, has adopted and utilized an innovative and emerging information technology system to improve the efficiency and quality of patient care. The objective of this paper is to briefly introduce the major components of the SNUBH information system and to describe our progress toward a next-generation hospital information system (HIS). METHODS: SNUBH opened in 2003 as a fully digital hospital by successfully launching a new HIS named BESTCare, "Bundang hospital Electronic System for Total Care". Subsequently, the system has been continuously improved with new applications, including close-loop medication administration (CLMA), clinical data warehouse (CDW), health information exchange (HIE), and disaster recovery (DR), which have resulted in the achievement of Stage 7 status. RESULTS: The BESTCare system is an integrated system for a university hospital setting. BESTCare is mainly composed of three application domains: the core applications, an information infrastructure, and channel domains. The most critical and unique applications of the system, such as the electronic medical record (EMR), computerized physician order entry (CPOE), clinical decision support system (CDSS), CLMA, CDW, HIE, and DR applications, are described in detail. CONCLUSIONS: Beyond our achievement of Stage 7 hospital status, we are currently developing a next-generation HIS with new goals of implementing infrastructure that is flexible and innovative, implementing a patient-centered system, and strengthening the IT capability to maximize the hospital value.
Achievement ; Disasters ; Electronic Health Records ; Electronics ; Electrons ; Hospital Information Systems ; Information Systems ; North America ; Patient Care ; Patient Safety ; Quality of Health Care

OBJECTIVES: Seoul National University Bundang Hospital, which is the first Stage 7 hospital outside of North America, has adopted and utilized an innovative and emerging information technology system to improve the efficiency and quality of patient care. The objective of this paper is to briefly introduce the major components of the SNUBH information system and to describe our progress toward a next-generation hospital information system (HIS). METHODS: SNUBH opened in 2003 as a fully digital hospital by successfully launching a new HIS named BESTCare, "Bundang hospital Electronic System for Total Care". Subsequently, the system has been continuously improved with new applications, including close-loop medication administration (CLMA), clinical data warehouse (CDW), health information exchange (HIE), and disaster recovery (DR), which have resulted in the achievement of Stage 7 status. RESULTS: The BESTCare system is an integrated system for a university hospital setting. BESTCare is mainly composed of three application domains: the core applications, an information infrastructure, and channel domains. The most critical and unique applications of the system, such as the electronic medical record (EMR), computerized physician order entry (CPOE), clinical decision support system (CDSS), CLMA, CDW, HIE, and DR applications, are described in detail. CONCLUSIONS: Beyond our achievement of Stage 7 hospital status, we are currently developing a next-generation HIS with new goals of implementing infrastructure that is flexible and innovative, implementing a patient-centered system, and strengthening the IT capability to maximize the hospital value.
Achievement ; Disasters ; Electronic Health Records ; Electronics ; Electrons ; Hospital Information Systems ; Information Systems ; North America ; Patient Care ; Patient Safety ; Quality of Health Care