No abstract available.
Erectile Dysfunction* ; Evoked Potentials, Somatosensory* ; Male

Objective: The I-gel device and endotracheal tube are used for advanced airway management during cardiopulmonary resuscitation (CPR). This study compares differences in the ventilation volume according to the fixation methods (tape and band) of I-gel using a simulation manikin. Methods: I-gel was placed in an advanced life support simulator and fixed with either tape or band fixation, and an endotracheal tube was inserted using an endotracheal tube holder (AnchorFast). CPR was performed according to the 2020 Korean CPR guidelines, using a mechanical chest compression device (LUCAS) and an adult bag. CPR was performed for 30 minutes. Positional shifts of the I-gel and endotracheal tube and differences in the ventilation volume on the simulation manikin were subsequently measured. Five trials were carried out in each setting. Statistical analysis was carried out using SPSS version 27.0. A P-value <0.05 is considered significant. Results: The following positional shifts were obtained after 30 minutes of CPR: I-gel tape fixation, 4.96±0.72 mm; I-gel band fixation, no change; endotracheal tube holder, no change. The mean ventilation volumes obtained were 504.43± 14.42, 536.86±5.56, and 528.38±8.81 mL, respectively. Conclusion Our results indicate that the use of I-gel is as effective as an endotracheal tube for initial airway maintenance during CPR in the hospital. We recommend using an elastic band-type fixation device for the fixation method.

No abstract available.
Humans ; Schools, Medical*

Twenty vesicoureteral reflux patients with 31 reflux renal units were treated with endoscopic Teflon injection. Twenty one reflux renal units were cured and the success rate after first injection was 67.7 %. In 5 more renal units the second injection was done and the refluxes were subsided in all cases. The overall success rate was 83.9 %. Teflon injection was also effective in vesicoureteral reflux with neurogenic bladder. There are many benefits of endoscopic Teflon injection in the treatment of vesicoureteral reflux but long term follow-up is needed and we must consider the possibility or complication especially in child.
Child ; Follow-Up Studies ; Humans ; Polytetrafluoroethylene* ; Urinary Bladder, Neurogenic ; Vesico-Ureteral Reflux*

Fetal teratomas rarely complicate pregnancy,having an incidance of only 20,000:1 to 40,000:1 of live births. Overthere, cervical teratomas are rare and accounts for only 5.5% of all neonatal teratomas. We have experienced a large cervical immature teratoma and present this case with a brief review of literatures.
Live Birth ; Teratoma*

Electrical ejaculation is widely used for semen collection in ejaculation failure patients with various causes including spinal cord injury. Semen collected by this method show sperm with low quality, and decrease in sperm motility is especially evident; multifactors are responsible but there are some reports that electrical current and increased temperature during electrical ejaculation are the cause. To confirm this theories, we observed the direct effect of variable electrical current and temperature to the motility of normal sperm in vitro. Semen analysis was performed after temperature was maintained at 37, 39, 41, and 43 `C for 10 minutes and electrical current at 5, 10, 15, 20 Volts for 3, 7, and 10 minutes. 1. Sperm motility change with temperature: The ratio of motile sperm decreased significantly (n=32, p<0.01) from 82.20, 70.12, 60.93, 48.87% as the temperature rose 37, 39, 41, 43 `C, respectively. Factors related to motility (distribution of progressive form and rapid velocity) decreased as well and the distribution of static velocity increased. However, additional semen analysis 20 minutes after rests were not significantly different in sperm motility before and after any temperature changes. 2. Sperm change with electrical energy: The motility of the sperm decreased significantly according to increasing volts and time, which showed a time-dependent and voltage-dependent decrease. The ratio of motile sperm decreased significantly to increasing volts and time and factors related to motility (distribution of progressive form and rapid velocity) also decreased. The distribution of static velocity increased. However, additional semen analysis 20 minutes after rests were not significantly different in sperm motility before and after inducing electrical energies. These data suggest that the effect of electrical current and temperature to sperm motility is temporary and that the low quality of sperm collected by electrical ejaculation in patients with ejaculation failure may not be due to the effect of electrical ejaculation but the various conditions of the patients themselves.
Ejaculation ; Hot Temperature ; Humans ; Male ; Semen ; Semen Analysis ; Sperm Motility* ; Spermatozoa* ; Spinal Cord Injuries

We looked for and discussed the changes of curricula of medical course of 31 medical schools during the period of 1984 and 1993. The data used in this study were Educational State Report of Korean Med ical Schools published from Dean Association of Korean Medical Schools in 1984 and 1992-1993. The significant findings were as follows. 1. There were great variability in number of subjects and in time for lecture and exercise in each subject among 31 medical schools. 2. There were a great deal of changes during the period of 1984 and 1993. There were increased tendency in number of subjects and especially block lectures. Schools which had 1-4 subjects vanished in curriculum were most frequent among 22 schools during 9 years. Name of most frequent subjects in block lecture were clinico-patholo gical conference, reproductive medicine, hematology, oncology and cardiology in 1993. 3. Subjects which were transferred to pre-medical program were classified to two groups. One group was traditional basic medical subjects such anatomy, physiology and biochemistry, the other group was newly introduced subjects such as molecular biology and cell biology as basic medical subjects. 4. The data were suggested that long time was needed to stabilized in newly introduced subjects of clinical medicine such as neurology and plastic surgery. Time for lecture and exercise of these subjects shows increasing tendency in schools established before 1978, but decreasing tendency in schools established after 1978.
Biochemistry ; Cardiology ; Clinical Medicine ; Curriculum* ; Hematology ; Humans ; Lectures ; Molecular Biology ; Neurology ; Physiology ; Reproductive Medicine ; Schools, Medical ; Surgery, Plastic

PURPOSE: Glucocorticoid contribute to the pathogenesis of hypertension through intracellular signals that stimulate vascular smooth muscle contraction. However, some in vitro and in vivo studies have shown that glucocorticoid has the potential role of vasorelaxation. Therefore, we tried to investigate the effect of short acting glucocorticoid (hydrocortisone; HCS) on the isolated rabbit cavernosal smooth muscle for evaluation of the possibility of using this material as a pharmacoerecting agent. MATERIALS AND METHODS: Strips of rabbit corpus cavernosum were mounted in organ chambers. On the precontracted muscle strips with phenylephrine(PHE; 5x10-6M), HCS was treated with increasing concentration from 10microgram/mL. The relaxing activity of ACh(10-7M), phentolamine(10-8M), papaverine(10-8M), verapamil(10-6M), PGE1(10-2M), SNAP(5x10-5M) were observed with the preparation of HCS. Depolarization by KCl were observed with HCS to investigate the relationship of HCS effects to K+. RESULTS: Pretreatment of muscle strips with low dose of HCS caused concentration-related increase of a PHE induced contraction. On muscle strips submaximally precontracted with PHE, HCS(10microgram/mL to 100microgram/mL) showed no relaxations. Pretreatment of muscle strips with 10microgram/mL dose of HCS caused a potentiation of a relaxation effects of ACh, papaverine, verapamil, SNAP, PGE1 and 50microgram/mL dose of HCS caused a potentiation of a relaxation effects of ACh, phentolamine. However, 100microgram/mL dose of HCS did not produce changes of these potentiating responses to relaxation. Also, HCS did not influenced the depolarization with any concentrations of KCl. CONCLUSIONS: HCS has the potentiating effect of both the PHE-induced contraction, and the relaxation of the ACh, phentolamine, papaverine, verapamil, SNAP, PGE1 at 10-50microgram/mL concentration on the cavernosal smooth muscle.
Alprostadil ; Hypertension ; Muscle, Smooth* ; Muscle, Smooth, Vascular ; Papaverine ; Phentolamine ; Relaxation ; Vasodilation ; Verapamil

Premature ejaculation (PE) has been thought to be psychological in the majority of patients. With few exceptions, organic conditions are rarely implicated. We investigated the possible role of sensory function in patients with primary PE to determine whether or not there is an etiologic basis for PE: We performed somatosensory evoked potentials (SEP) from the penis in 34 patients with primary PE and in 30 normally potent men. The latencies and amplitudes of the evoked potentials were measured by two different places in stimuli, with one at penile shaft (DNSEP) and the other at the glans penis (GPSEP). The mean latency of DNSEP was 1.51 msec. shorter in the patient group than the normal subjects, and the mean latency of GPSEP was significantly shorter (6.80 msec.) in the patient group than the normal subjects. The mean amplitude of GPSEP was lower than that of DNSEP in both groups. However, the mean amplitudes of DNSEP and GPSEP in patients with PE were significantly higher than that of normal subjects. With these results we conclude that patients with PE have a glans penile hyperexcitability. A glans penile hyperexcitability may give rise to an uncontrolled ejaculation, which is thought to be an organic implication for PE.
Ejaculation ; Evoked Potentials ; Evoked Potentials, Somatosensory* ; Humans ; Male ; Penis ; Premature Ejaculation* ; Sensation

We have investigated and discussed the changes of scholarship, tuition and educational facilities in national medical colleges and private medical colleges for the period of 1984 and 1993. The data an alysed in this study were cited from the third edition and the seventh edition and raw data for the eighth edition of the Educational State Report of Korean Medical Schools which were issued by the Deans' Association of Korean Medical Schools. The significant findings were as follows: 1. In all investigated medical college libraries, the number of seats and medical books and the sorts of medical journals have increased, particularly the average budgets for medical journals have increased over 3 times in 1993 compare to 1994. 2. Between 1984 and 1993, total budget for scholarship have been increased out average benefit rate have been decreased from 38.6% to 34.3%. But the average benefit doubled its amount. 3. Average tuition in national medical college was about 52% of that in private medical college in 1993. In national medical colleges, average tuition for premedical course was 10% costly than medical course but it was just opposite to private medical colleges. 4. Between 1984 and 1993, Audio-visual aids have increased in number a little bit but there was nothing significant changes between national and private medical college. 5. Eighty one percent of investigated medical colleges have animal laboratory for research but only 15.6% of medical colleges have specific pathogen free rooms in the animal laboratories. 6. In 1993, the space in medical college buildings was occupied 29.6% by student education facilities, 25.8% by research space for professors and 10.5% by medical library. The average area for student educations was 42.4m2, for professors research was 32.2m2 and for library was 11.4m2 per a student.
Animals ; Audiovisual Aids ; Budgets ; Education ; Fellowships and Scholarships* ; Humans ; Libraries, Medical ; Schools, Medical ; Specific Pathogen-Free Organisms