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Reference Values*

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Bacteria, Anaerobic*

CT has revolutionized the evaluation and management of patients with head injuries. CT is noninvasive and rapidly provides accurate information regarding the presence, extent and nature of intracranial lesions resulting from trauma. We have reviewed the CT scans of 114 patients, who got head injury with confirmed to skull fracture in plain film. The result were as follows; 1. Of all cases, traffic accident was the most frequent cause and in children fall down was more than 50%. 2. Compound linear fracture was the most frequent type fractures in plain skull film. 3. Of all 114 case, epidural hematoma was 16%, subdural hematoma was 18.4%, intracerebral hematoma was14.4%, subdural hygroma was 2.4%, normal finding was 50%. 4. Mortality rate was 13.2%. 5. Fracture was detected by CT about 28.9%, depression fracture was more easily detected in CT. 6. Incidence rate of countercoup lesion was14.0% and mortality rate was higher than same site lesion, 7. The shape of epidural hematoma was biconvex in 75%, planoconvex in 25%. 8. The shape of subdural hematoma was crescentic shape 82.6%, biconvex shape 8.7%, planoconvex shape 8.7%.
Accidents, Traffic ; Brain ; Child ; Craniocerebral Trauma ; Depression ; Head ; Hematoma ; Hematoma, Subdural ; Humans ; Incidence ; Mortality ; Skull Fractures ; Skull ; Subdural Effusion ; Tomography, X-Ray Computed

The study was undertaken to asses the changes in the size and densities of intracranial hematomas by analyzingthe sequential CT examination of 23 patients ar Soon Chun Hyang College Hospital from July '80 to Aug. '81. Theresuls were as follows; 1. The high densities of hematoma were the cause of hematoma, hematoma locaiton, age andsex of patients, and initial hematoma size. 3. The CT findings that indicate complete absorption of hematomas werenormalization of mass effect, not diappearence of hematoma densities. 4. In intracerebral hematoma, the highdensity of hematoma reduced it's density and mass effect about 4-6 weeks duration. 5. In subdural hematoma, about7 weeks after head trauma, the CT findings were normalized.
Absorption ; Craniocerebral Trauma ; Equidae ; Hematoma ; Hematoma, Subdural ; Humans

PURPOSE: Renal scar or reflux nephropathy, known as a major cause of end-stage renal failure and hypertension in children and young adults, is frequently detected in pediatric urinary tract infection(UTI) patients at their first infections. So early and accurate diagnosis, and follow up of renal scar are very important. We performed this study to recognize the importance of radiologic examinations for detection of renal scar and vesicoureteral reflux(VUR) in pediatric UTI patients at their first attacks, and to compare the accuracy and usefulness of DMSA renal scan with renal ultrasonography and IVP in early detection and follow up of renal scar. We also wanted to find the association of renal scar with VUR detected by VCUG, and increased C-reactive protein(CRP) level. METHODS: We studied on 41 pediatric UTI patients without past medical history of UTI, who were admitted to the Department of Pediatics, Kangbuk Samsung Hospital from May 1993 to August 1995. On admission a blood sample was taken for the determination of CRP. Renal ultrasonography and DMSA renal scan were performed within five days after admission. Eight weeks later, with repeated studies of renal ultrasonography and DMSA renal scan, IVP and VCUG were also performed for all patients. RESULTS: 1) The incidence of UTI was most prevalent in infancy grou(56%). The ratio of male to female patients was 4.8:1 under the age of one year, and 1:2 over the age of one year. 2) At admission, 21 of 41 patients(51%) showed renal scars in the DMSA renal scans. At follow up of DMSA renal scans, 8 weaks later, 7 of 21 initially abnormal cases(33%) became normal while 14 cases(67%) continued to show renal scars. Twenty initially normal cases continued to show normal DMSA renal scans at follow up. 3) Renal ultrasonography showed 10 abnormal cases among 41 cases(24%) at admission, and 7 abnormal cases(17%) at follow up. IVP showed 13 abnormal cases among 41 cases(32%). 4) For detection of renal scar, sensitivity and specificity of DMSA renal scan were 95% and 100%, sensitivity and specificity of renal ultrasonography were 45% and 90%, and sensitivity and specificity of IVP were 59% and 100% retrospectively. 5) VCUG showed reflux in 13 patients among 41 patients(32%). Among 20 patients with normal DMSA renal scan, only two patients(10%) showed VUR in VCUG, and they were classified as grade I and II VUR by International Reflux Study Committee classifications. Among 21 patients with abnormal by DMSA renal scan, 11 patients(52%) showed VUR in VCUG, of whom 9 patients were classified as severe reflux above grade III. 6) The mean CRP level in the patients with normal DMSA renal scan was 9.6mg/L, significantly lower than mean CRP level of patients with abnormal DMSA renal scan which was 60.57mg/L(p<0.01). CONCLUSIONS: For early detection of renal scars and reflux nephropathy, appropriate radiologic investigations including DMSA renal scan and VCUG should be done to all pediatric UTI patients at their first attacks. DMSA renal scan seemed to be better radiologic method than renal ultrasonography and IVP in early detection of renal scar and have association with VUR. We also found that blood CRP level is easy and useful test for early suspection of upper UTI.
C-Reactive Protein* ; Child ; Cicatrix ; Classification ; Diagnosis ; Female ; Follow-Up Studies ; Humans ; Hypertension ; Incidence ; Kidney Failure, Chronic ; Male ; Retrospective Studies ; Sensitivity and Specificity ; Succimer* ; Ultrasonography ; Urinary Tract Infections* ; Urinary Tract* ; Young Adult

OBJECTIVE: A number of studies have reported association between Toxoplasma gondii (T. gondii) and Chlamydia infection and the risk of schizophrenia. The aim of the present study was to compare the prevalence of T. gondii and Chlamydia infection between the schizophrenia and normal control subjects and to compare the clinical features between seropositive and seronegative schizophrenia patients. METHODS: The rate of serum reactivity to T. gondii, Chlamydia trachomatis (C. trachomatis), Chlamydia pneumonia in 96 schizophrenia and 50 control subjects was investigated using enzyme-linked immunosorbent assay and indirect fluorescent antibody technique. The clinical symptoms of the schizophrenia patients were scored with Positive and Negative Syndrome Scale and a comparative analysis was carried out. RESULTS: A significant positive association between immunoglobulin G (IgG) antibodies to T. gondii and C. trachomatis in schizophrenia was found, and the odds ratio of schizophrenia associated with IgG antibody was found to be 3.22 and 2.86, respectively. The Toxoplasma-seropositive schizophrenia patient had higher score on the negative subscale N1 and N7 and general psychopathology subscale G13, while C. trachomatis-seropositive schizophrenia patient had higher score on the general psychopathology subscale G10. CONCLUSION: The results from the present study suggest significant association between T. gondii, C. trachomatis infection and schizophrenia. In future, further studies are needed to elucidate the correlation between the two types of infection and schizophrenia.
Antibodies ; Chlamydia ; Chlamydia Infections ; Chlamydia trachomatis ; Chlamydophila pneumoniae ; Enzyme-Linked Immunosorbent Assay ; Fluorescent Antibody Technique, Indirect ; Humans ; Immunoglobulin G ; Odds Ratio ; Pneumonia ; Prevalence ; Psychopathology ; Schizophrenia ; Toxoplasma

We hypothesized that lower proportion of serum phospholipid docosahexaenoic acid (DHA) is inversely associated with increased cardiovascular risk and vascular function in metabolically healthy men. To elucidate it, we first compared serum phospholipid free fatty acid (FA) compositions and cardiovascular risk parameters between healthy men (n = 499) and male patients with coronary artery disease (CAD, n = 111) (30-69 years) without metabolic syndrome, and then further-analyzed the association of serum phospholipid DHA composition with arterial stiffness expressed by brachial-ankle pulse wave velocity (ba-PWV) in metabolically healthy men. Basic parameters, lipid profiles, fasting glycemic status, adiponectin, high sensitivity C-reactive protein (hs-CRP) and LDL particle size, and serum phospholipid FA compositions were significantly different between the two subject groups. Serum phospholipid DHA was highly correlated with most of long-chain FAs. Metabolically healthy men were subdivided into tertile groups according to serum phospholipid DHA proportion: lower (< 2.061%), middle (2.061%-3.235%) and higher (> 3.235%). Fasting glucose, insulin resistance, hs-CRP and ba-PWVs were significantly higher and adiponectin and LDL particle size were significantly lower in the lower-DHA group than the higher-DHA group after adjusted for confounding factors. In metabolically healthy men, multiple stepwise regression analysis revealed that serum phospholipid DHA mainly contributed to arterial stiffness (β'-coefficients = -0.127, p = 0.006) together with age, systolic blood pressure, triglyceride (r = 0.548, p = 0.023). Lower proportion of serum phospholipid DHA was associated with increased cardiovascular risk and arterial stiffness in metabolically healthy men. It suggests that maintaining higher proportion of serum phospholipid DHA may be beneficial for reducing cardiovascular risk including arterial stiffness in metabolically healthy men.
Adiponectin ; Blood Pressure ; C-Reactive Protein ; Coronary Artery Disease ; Fasting ; Glucose ; Humans ; Insulin Resistance ; Male ; Particle Size ; Pulse Wave Analysis ; Triglycerides ; Vascular Stiffness*

Hepatoblastoma is a hepatic tumor predominantly occurring in children. The usual site of metastasis is the lung. There are only several reports worldwide on the distant metastasis of hepatoblastoma to the central nervous system in children. Only one reported case showed survival of a patient after multiple resections of a recurrent brain lesion. Involvement of the cardiovascular system has been reported in the medical literature. Lesions almost always involve the right-side of the heart. We report a case of recurrent hepatoblastoma at multiple sites, including brain, left atrium of the heart and lung in a 6-year-old girl who was partially treated in the past at the age of 1.5 years; the patient had been event-free for four and a half years.
Brain* ; Cardiovascular System ; Central Nervous System ; Child ; Female ; Heart Atria ; Heart* ; Hepatoblastoma* ; Humans ; Lung* ; Neoplasm Metastasis*