No abstract available.
Hepatitis* ; Humans

Purpose: Early diagnosis and treatment are essential features to save the kidney in patients with an acute renal infarction. To reduce the delay in diagnosis, the clinical features and treatments of an acute renal infarction were evaluated. Materials and Methods: The medical records of 19 patients (14 men and 5 women) diagnosed with an acute renal infarction were retrospectively analyzed. Symptoms, findings of a cardiologic evaluation, laboratory findings, presumptive diagnosis and treatments were evaluated. Results: All patients complained of flank or abdominal pain. Fifty-three percent of the patients had a history of cardiovascular disease and 37% had no history of specific illnesses. The level of serum LDH was markedly elevated in all patients that performed the test. Initially, only 4 patients were diagnosed as acute renal infarction. In the others, the presumptive diagnoses were urinary stone, acute abdomen, aortic dissection and so forth. Seven patients were managed with conservative care due to the delay in diagnosis or poor general condition. Nine patients were managed with systemic anticoagulation and 3 with intra-arterial thrombolytic therapy. Conclusions: An acute renal infarction must be considered as one of the presumptive diagnoses in patients presenting with flank or abdominal pain and a history of cardiovascular diseases. Prompt CT scanning and testing of the serum LDH level will help in the accurate and immediate diagnosis of an acute renal infarction.
Abdomen, Acute ; Abdominal Pain ; Cardiovascular Diseases ; Diagnosis ; Early Diagnosis ; Humans ; Infarction* ; Kidney ; Male ; Medical Records ; Retrospective Studies ; Thrombolytic Therapy ; Tomography, X-Ray Computed ; Urinary Calculi

Sterile intermittent catheterization was used in spinal cord injury patients who had indwelling catheters. This study included 17 men who had indwelling catheters for from 6 months to 5 years, an average of 22 months. Incidence of achieving catheter-free state was 12 cases among 17 cases (70.6%) and the mean period of intermittent catheterization of successful trials was 31 days. Among successful 12 patients follow-up studies up to 1 year, 9 patients (53.0%) were complete catheter-free state and 3 patients (17.6%) needed alternative intermittent catheterization. For the period of 1 year follow-up studies, there were not been any urologic complications except 2 cases of acute pyelonephritis and some trivial urinary tract infections. As these results, sterile intermittent catheterization was the useful method for management of neurologic bladder due to spinal cord injury and eliminating indwelling catheter.
Catheterization* ; Catheters* ; Catheters, Indwelling* ; Drainage* ; Follow-Up Studies ; Humans ; Incidence ; Male ; Pyelonephritis ; Spinal Cord Injuries* ; Spinal Cord* ; Urinary Bladder ; Urinary Tract Infections

81 spinal cord injury Patients divided to 4 groups; The 1st. group was 12 patients with vesicostomy, the 2nd. group was 27 Patients with urethral indwelling catheterization, the 3fd. group was 15 Patients with intermittent catheterization and the 4th. group was 27 Patients with self voiding state. In 81 spinal cord injury Patients of 4 groups, urine culture, colony count and drug susceptible test were done from the department of Urology, Veterans Hospital during the period from Mar. 1983 up to Jun. 1983. 1. The incidence of bacteriuria was totally 54 cases (66.7%) among 81 cases, 10 cases (83.3%) among 27 cases in 2rid. group, 8 cases (53.3%) among 15 cases in 3rd. group and 12 cases (44.4%) among 27 cases in 4th. group. 2. The frequency of isolate organisms by culture were as followings; Pseudomonas: 34.8%, Proteus: 17.4%, Serratia: 14.5%, Providence: 13.0%, Acinetobacter: 5.8%, E. coli. 4.3% Alkaligenes: 2.9%. 3. Mixed infection of 2 different organisms was 12 cases (30.8%)among 39cases in 1st. and 2nd. groups and 2 cases (4.8%) among 42 cases in 3rd. and 4th. groups. 4. On the whole, all isolated organisms showed considerable susceptibility to Amikacin (73.9%) and then frequency of susceptible drugs were Tobramycin and Velocef. The incidence of resistance for all drugs was 13 cases (18.8%) among 69 cases.
Acinetobacter ; Amikacin ; Bacteriuria ; Catheterization ; Catheters ; Catheters, Indwelling ; Cephradine ; Coinfection ; Cystostomy ; Hospitals, Veterans ; Humans ; Incidence ; Proteus ; Pseudomonas ; Serratia ; Spinal Cord Injuries* ; Spinal Cord* ; Tobramycin ; Urinary Tract Infections* ; Urinary Tract* ; Urology

BACKGROUND: The present study is undertaken to acquire normative data of health-related physical fitness(HRPF) of Republic of Korea Air Force(ROKAF) aircrews and to provide norm-referenced standard of HRPF. METHODS: From 15 May 1998 through 14 December 1999, 1284 KAF pilots are checked muscular strength, muscular endurance, flexibility, and body fat percentage. RESULTS: The grip strength was relatively maintained, but flexibility, back strength, and muscular endurance were declined according to promotion and aging. And the incidence of obesity determined by bioelectrical impedence analysis was higher than that assessed on the basis of height and weight. CONCLUSION: It is suggested that many pilots who were normal in BMI have abdominal or visceral obesity. Further studies must be made on the health promotion program for the pilots, on the changes in physical fitness, and on the criterion-referenced standard of HRPF of the pilots.
Adipose Tissue ; Aging ; Hand Strength ; Health Promotion ; Incidence ; Obesity ; Obesity, Abdominal ; Physical Fitness* ; Pliability ; Republic of Korea

Leiomyorrw is the mest cunmon in the uterine hunor. Smooth muscle tumors of the female genital taact arise mostly from the uterine myometrium and only rarely from the broad ligament. We experienced a cases of huge leiomyoma of the broad ligarnent with secondary cystic degeneration. In the respect of rarity, we report this case with a brief review.
Animals ; Broad Ligament* ; Female ; Humans ; Leiomyoma* ; Mice ; Myometrium ; Round Ligaments ; Smooth Muscle Tumor

The purpose of this study was to investigate the prevalence, relative factor and the effects that overactive bladder or urinary incontinence have on women's lives. Data was gathered through an internet survey. The subjects included 3,372 women ranging from 20 years old to 49 years of age. The questionnaire included general characteristics (age, parity, family history, and history of UTI), overactive bladder symptoms (urgency, frequency, nocturia, urgent incontinence), urinary incontinence, discomfort in ADL and sexual activity. The data was analyzed by the SPSS/PC+ program using frequency, X(2) test, and multi- variate logistic regression. The results were as follows; 1. The prevalence was 12.7 % in overactive bladder and 21.0% in urinary incontinence. 2. 19.2% of the subject have urge incontinence, 5% of them have coped with the use of a pad. 3. The significant factors to overactive bladder were age(X(2)= 6.6, p<0.05), history of urinary tract infection (X(2)= 50.8, p<0.01) and family history (X(2)= 26.1, p<0.01). The significant factors to urinary incontinence were age (X(2)= 6.2, p<0.05), occupation (X(2)=11.0, p<0.05), history of urinary tract infection(X(2)= 20.2, p<0.01), parity (X(2)= 8.6, p<0.01), and family history (X(2)= 4.9, p<0.05). 4. Overactive bladder impacts on individual daily life was 5.0 times, urinary incontinence was 2.9 times higher than in non-symptoms. Also, overactive bladder impacts on their sexual activity disturbance was 4.3 times, urinary incontinence has 3.9 times higher than in non-symptoms. In conclusion, overactive bladder symptoms and urinary incontinence were health problems that disturbed women's lives. Also the most problem among overactive bladder may be urgency in Korean. Intervention based on these results needs to be provided for these women.
Activities of Daily Living ; Adult* ; Female ; Humans ; Internet ; Logistic Models ; Nocturia ; Occupations ; Parity ; Prevalence* ; Surveys and Questionnaires ; Sexual Behavior* ; Urinary Bladder, Overactive* ; Urinary Incontinence* ; Urinary Incontinence, Urge ; Urinary Tract ; Urinary Tract Infections ; Young Adult

To evaluate the effectiveness of computed tomography for the differential diagnosis of cervical lymphadenopathy, we reviewed CT scans of 26 patients with cervical lymphadenopathy retrospectively. These included 10 patients with tuberculous lymphadenitis, 11 patients with metastasis and 5 patients with lymphoma, We evaluated the CT scans with a special attention to internal nodal density, feature of contrast enhancement and location of lymphadenopathy. Tuberculous lymphadenitis involved multiple nodes unilaterally and showed central low density with even or uneven rim enhancement, usually occurring in young patients (mean: 31.6 years). Two cases with tuberculous lymphadenitis showed calcifications within the lymph nodes. Lymphoma involved unilateral or bilateral nodes and appeared as conglomerated isodense mass with even rim enhancement. Metastasis involved multiple nodes unilaterally and showed focal, diffuse of mixed pattern of central low density with variable rim enhancement, usually occurring in old patients (mean: 59.4 years). Locations of most frequent lymph node involvements were internal jugular group (76%), spinal accessory group (54%) and retropharyngeal group(12%).
Diagnosis, Differential ; Humans ; Lymph Nodes ; Lymphatic Diseases* ; Lymphoma ; Neoplasm Metastasis ; Retrospective Studies ; Tomography, X-Ray Computed ; Tuberculosis, Lymph Node

No abstract available.
Child* ; Glomerulonephritis, IGA ; Hematuria* ; Humans ; Nephritis* ; Purpura, Schoenlein-Henoch*

BACKGROUND: Residual pleural thickening is frequently seen following treatment for tuberculous pleurisy, and pleural decortication is performend occasionally in patients with severe residual pleural thickening. However, predictive factors for the development of residual pleural thickening are uncertain at the initial diagnosis of the tuberculous pleurisy. Therefore, the purpose of this study was to identify the associated factors for residual pleural thickening at initial diagnosis. METHODS: We separated 63 patients diagnosed as tuberculous pleurisy into two groups; group 1 consisted of patients without residual pleural thickening and group 2 comprised patients with residual pleural thickening at the end of tuberculous pleurisy treatment. We analyzed the clinical characteristics, radiological findings, pleural biopsy and characteristics of pleural fluid between group 1 and group 2. RESULTS: The study population and clinical symptoms of the two groups were not significantly different and the duration of symptoms before treatment and the peripheral WBC were similar between the two groups. The presence of pulmonary tuberculosis, pleural fluid loculation or the amount of pleural effusion sid not differ significantly between the thwo groups. The incidence of positive AFB staining(group 1 : 8%, group 2 : 38%) and granuloma(group 1 : 30%, group 2 : 62%) on pleural biopsy specimens was significantly higher in group 2 than in group 1. Pleural fluid WBC and differential count, adenosine deaminase level, pH, preotein level or glucose level did not differ between the two groups. However, group 2 had higher LDH levels (1370±208mg/dl) than group 1 (860±71mg/dl, p<0.05). CONCLUSION: In tuberculous pleurisy, patients with residual pleural thickening following treatment demonstrated a higher incidence of posivive AFB staining and granuloma on the pleural biopsy specimens or higher LDH level in the pleural fluid than patients wihtout residual pleural thickening From these results, we speculate that the amonut of tuberculous bacilli and granuloma are probably correlated with residual pleural thickening in the tuberculous pleurisy.
Adenosine Deaminase ; Biopsy ; Diagnosis ; Drug Therapy* ; Glucose ; Granuloma ; Humans ; Hydrogen-Ion Concentration ; Incidence ; Pleural Effusion ; Pleurisy* ; Sudden Infant Death ; Tuberculosis, Pleural ; Tuberculosis, Pulmonary