In children and adolescents, inguinal and scrotal diseases are relatively common, and imaging is very useful for the diagnosis and differential diagnosis of these diseases. Therefore, it is important to understand the imaging findings of these diseases. In this article, we classify these diseases into small testes, cryptorchidism, patent processus vaginalis, acute scrotum pain, trauma, testicular tumors, and others and describe their characteristic findings.

Purpose: This study investigated the relationship between allergic diseases, general anxiety disorder, and depressive symptoms among Korean adolescents. Methods: A secondary analysis was conducted on the findings of the 18th Korea Youth Risk Behavior Survey (2022). The study included 51,850 adolescents and analyzed the relationships among allergic diseases, general anxiety disorder, and depressive symptoms using complex samples logistic regression analysis. Results: Among the Korean adolescents, 12.7% experienced general anxiety disorder, while 28.7% experienced depressive symptoms. The prevalence of allergic diseases was 5.7% for asthma, 36.3% for allergic rhinitis, and 22.2% for atopic dermatitis. General anxiety disorder was associated with asthma and allergic rhinitis but not atopic dermatitis. Depressive symptoms were associated asthma, allergic rhinitis, and atopic dermatitis. Conclusion Examining the correlation among allergic diseases, general anxiety disorder, and depressive symptoms in adolescents underscores the need for implementing suitable strategies. Moreover, when addressing general anxiety disorder and depressive symptoms in adolescents, it becomes crucial to consider the presence of allergic diseases.

PURPOSE: The purpose of this study was to analyze the mental health and health risk behaviors of multicultural adolescents according to their mothers' native country. METHODS: For this study raw data from the 11th Youth Health Behavior Online Survey (2015) was examined. Mental health and health risk behaviors for 62,985 adolescents were analyzed according to their mothers' native country. Collected data were analyzed with the SPSS program using descriptive statistics and logistic regression analysis, to which the complex sample design was applied. RESULTS: The odds ratio of depression in multicultural adolescents compared to Korean adolescents was 44.92 (CI: 5.77-349.59) for adolescents whose mothers came from Cambodia and 3.00 (CI: 1.57-5.76) for adolescents whose mothers came from North Korea. The odds ratio of attempted suicide was 14.73 (CI: 3.09-70.22) for adolescents whose mothers came from Cambodia and 8.63 (CI: 3.45-21.62) for adolescents whose mothers came from North Korea. The odds ratio of problematic drinking in multicultural adolescents was 7.47 (CI: 1.71-32.67) for adolescents whose mothers came from Mongolia. CONCLUSION: Findings indicate that when planning a health promotion program for adolescents from multicultural families, a customized approach should be sought taking into account the characteristics of mothers' native country.
Adolescent* ; Cambodia ; Cultural Diversity ; Democratic People's Republic of Korea ; Depression ; Drinking ; Health Behavior ; Health Promotion ; Humans ; Korea* ; Logistic Models ; Mental Health* ; Mongolia ; Mothers ; Odds Ratio ; Risk-Taking* ; Suicide, Attempted

PURPOSE: The purpose of this study was to develop an experience-based sex education program to improve adjustment to puberty in elementary school students in the upper grades and to verify its effectiveness. METHODS: This study had a pretest-posttest nonequivalent control group design. The subjects of this study were a total of 95 sixth-graders in Y city (experimental group: 48, control group: 47). The measurement variables were sexual knowledge, body image, self-esteem, and satisfaction with life. Four sessions of the experience-based sex education program to improve adjustment to puberty, consisting of 40 minutes per session, were provided to the experimental group. RESULTS: Children's sexual knowledge, self-esteem, and satisfaction with life in the experimental group, which participated in the experience-based sexual education program to improve adjustment to puberty, showed a significant increase compared to the control group. However, there was no statistically significant difference in body image. CONCLUSION: This study presents the development of an experience-based sex education program for adjustment to puberty to overcome the shortcomings of existing sex education programs that are limited to sexual knowledge and attitudes, and also verified that the sexual knowledge, self-esteem, and life satisfaction of the elementary school students who were provided with the program improved meaningfully.
Adaptation, Psychological ; Adolescent ; Body Image ; Child ; Education ; Humans ; Puberty* ; Self Concept ; Sex Education*

No abstract available.
Echolalia ; Serotonin Uptake Inhibitors ; Stroke

PURPOSE: The goal of this study was to investigate the association between hypercholesterolemia and the time required for progression to castration-resistant prostate cancer (CRPC) in patients who have undergone androgen deprivation therapy (ADT). MATERIALS AND METHODS: Data from 154 patients with prostate cancer between 2005 and 2012 were reviewed retrospectively. ADT was employed as a treatment modality for these patients either due to multiple bone metastases at the time of diagnosis or due to old age in combination with other morbidities. Serum cholesterol levels and statin use were reviewed. We analyzed the factors associated with the development of CRPC after ADT treatment. The mean follow-up period was 34.8 months. RESULTS: The mean age of the patients was 71.3 years old and their mean prostate-specific antigen level was 141.8±212.6 ng/mL. Their mean cholesterol level was 175.9±37.7 mg/dL, and 14 patients (9.1%) were statin users. CRPC developed in 44 patients (28.6%), and the mean duration from ADT treatment to CRPC was 24.1 months. In a multivariate analysis, hypercholesterolemia was associated with the development of CRPC (hazard ratio [HR]=1.017, p<0.001), depending on clinical T stage (p=0.005) and the presence of bone metastasis (p<0.001). A subanalysis showed that hypercholesterolemia was associated with the development of CRPC in patients with bone metastasis (HR=1.032, p<0.001), but not in patients without bone metastasis. CONCLUSIONS: Hypercholesterolemia may be associated with the development of CRPC after ADT in patients with bone metastasis. Further studies with longer follow-up periods and larger samples are needed to validate this finding.
Cholesterol ; Diagnosis ; Follow-Up Studies ; Humans ; Hydroxymethylglutaryl-CoA Reductase Inhibitors ; Hypercholesterolemia* ; Multivariate Analysis ; Neoplasm Metastasis ; Prognosis ; Prostate* ; Prostate-Specific Antigen ; Prostatic Neoplasms* ; Retrospective Studies

PURPOSE: The purpose of this study was to develop a multi-disciplinary self-management intervention based on empowerment theory and to evaluate the effectiveness of the intervention for older adults with chronic illness. METHODS: A randomized controlled trial design was used with 43 Korean older adults with chronic illness (Experimental group=22, Control group=21). The intervention consisted of two phases: (1) 8-week multi-disciplinary, team guided, group-based health education, exercise session, and individual empowerment counseling, (2) 16-week self-help group activities including weekly exercise and group discussion to maintain acquired self-management skills and problem-solving skills. Baseline, 8-week, and 24-week assessments measured health empowerment, exercise self-efficacy, physical activity, and physical function. RESULTS: Health empowerment, physical activity, and physical function in the experimental group increased significantly compared to the control group over time. Exercise self-efficacy significantly increased in experimental group over time but there was no significant difference between the two groups. CONCLUSION: The self-management program based on empowerment theory improved health empowerment, physical activity, and physical function in older adults. The study finding suggests that a health empowerment strategy may be an effective approach for older adults with multiple chronic illnesses in terms of achieving a sense of control over their chronic illness and actively engaging self-management.
Aged ; Aged, 80 and over ; Chronic Disease ; Exercise ; Female ; Health Education ; Humans ; Male ; Motor Activity ; *Power (Psychology) ; *Program Evaluation ; Self Care/*methods ; Self Efficacy

We report the case of a 56-year-old man with a prostatic mass that extended into the rectal mucosa. He experienced constipation and anal bleeding for 6 months. He underwent surgical ablation for an approximately 5-cm, benign, subepithelial cystic mass in the rectum, which was adjacent to a 5-cm solid mass located on the prostatic gland seen on computed tomography and magnetic resonance imaging (MRI) of the pelvis. One year after the surgery, the patient had recurrent anal bleeding with difficulty defecating. The pelvic MRI scan showed a solid mass with heterogeneous enhancement that was compressing the rectum. The sigmoidoscopic exam showed a 4-cm mass protruding through the anterior rectal mucosa 7-cm above the anal verge. Ultra-low anterior resection with ileostomy and prostatectomy was performed for curative resection of the mass with extension into the rectum. However, the pathologic report showed massive benign prostatic hyperplasia involving the rectum, but not penetrating into the rectal mucosa. The patient did not complain of any symptoms including constipation and anal bleeding, until 18 months after the surgical resection. This is the first reported case of benign prostatic hyperplasia mimicking a rectal submucosal tumor in a patient presenting with anal bleeding and constipation.
Constipation ; Gastrointestinal Hemorrhage ; Hemorrhage ; Humans ; Ileostomy ; Magnetic Resonance Imaging ; Middle Aged ; Mucous Membrane ; Pelvis ; Prostatectomy ; Prostatic Hyperplasia* ; Rectal Neoplasms ; Rectum

Proteins in DNAJ/K families are ubiquitous, from prokaryotes to eukaryotes, and function as molecular chaperones. For systematic phylogenomics of the DNAJ/K families, we developed the Eukaryotic DNAJ/K Database (EDD). A total of 12,908 DNAJs and 4,886 DNAKs were identified from 339 eukaryotic genomes in the EDD. Kingdom-wide comparison of DNAJ/K families provides new insights on the evolutionary relationship within these families. Empowered by 'class', 'cluster', and 'taxonomy' browsers and the 'favorite' function, the EDD provides a versatile platform for comparative genomic analyses of DNAJ/K families.
Eukaryota ; Genome ; HSP40 Heat-Shock Proteins ; HSP70 Heat-Shock Proteins ; Humans ; Molecular Chaperones ; Proteins

PURPOSE: We evaluated whether a 6Fr transurethral catheter affects urinary flow in women undergoing pressure-flow studies. MATERIALS AND METHODS: We retrospectively reviewed urodynamics database of 201 consecutive women referred for the evaluation of lower urinary tract symptoms from January 1997 to June 2000. Before the urodynamic study, all patients voided privately using a standard toilet and free uroflowmetry parameters were recorded. Then, a standard pressure-flow study was performed using 6Fr transurethral catheter. We excluded the patients with inadequate voided volume(<150ml) and volume difference more than 30% between two studies. Urinary flow parameters between the two studies were analysed by paired t-test according to voided volume, main urodynamic diagnosis and uroflowmetry pattern. RESULTS: Of 201 women, 144 were excluded and 57 were subjects of our analysis. According to voided volume, pressure-flow study parameters were significantly different from the equivalent free uroflowmetry parameters: the maximum flow rate and average flow rate were significantly lower and flow time was significantly longer in pressure-flow studies(p<0.01). According to main urodynamic diagnosis categories, the subgroups of patients with normal urodynamic study, bladder outlet obstruction, detrusor instability and others showed significantly lower maximum flow rate and average flow rate in pressure-flow studies(p<0.01). According to uroflowmetry pattern, obstructive patterns such as undulating and intermittent pattern were more common in pressure-flow studies. CONCLUSIONS: The 6Fr transurethral catheter used in pressure-flow studies significantly affects urinary flow parameters. In order to make a accurate diagnosis, we must not merely rely on the results of pressure-flow studies, but we must take into account patient's individual clinical situation and also, if available, the results of free uroflowmetry in addition to pressure flow study parameters.
Catheters* ; Diagnosis ; Female ; Humans ; Lower Urinary Tract Symptoms ; Retrospective Studies ; Urinary Bladder Neck Obstruction ; Urodynamics