No abstract available.
Child* ; Humans ; Urinary Tract Infections* ; Urinary Tract*

PURPOSE: The purposes of this article are to identify CT findings distinguishing nasal polyps, that are the most common cause of the nasal polypiod lesions, from other nasal cavity masses and to identify differential points between benign and malignant masses of nasal cavity. MATERIALS AND METHODS: We classified 567 cases of pathologically proved nasal cavity masses into 4 different groups on CT according to the sites of origin and surrounding bone changes. RESULT: The nasal polyps were the most common cause of nasal cavity masses(515/567). Group I had a high diagnostic specificity for the nasal polyps (513/515, 99.6%) although inverted papilloma (8/522) and malignant melanoma(1/522) showed similar CT appearances. The representitive nasal mass of Group Ila was the inverted papilloma (15/24, 66.5% of the inverted papilloma). Group III pattern was seen in 3 cases of benign minor salivary gland tumor and 2 cases of pyogenic granuloma. Group IV suggested malignancy and thus was mostly observed in malignant tumors except I case of inverted papilloma and 1 case of granulomatous necrosis. CONCLUSION: The differential diagnosis between nasal polyps and the other nasal cavity masses is possible by characteristic bone changes and their sites of origin revealed on CT. In addition, it is possible to differentiate malignant masses from benign in most cases.
Diagnosis, Differential* ; Granuloma, Pyogenic ; Nasal Cavity* ; Nasal Polyps* ; Necrosis ; Papilloma, Inverted ; Salivary Glands, Minor ; Sensitivity and Specificity

PURPOSE: Knee IVIR images were repeatedly obtained after intravenous administration of gadopentetate dimeglumine to evaluate the arthrographic effect and to determine the optimal scan timing and technique. MATERIALS AND METHODS: Sagittal Tl-weighted (650/15) sequences were repeated before and after intravenous gadolinium enhancement in 26 patients who were divided into exercise (14/26) and nonexercise (12/26) groups. Fourteen patients in exercise group were allowed to move the affected knee joint actively for 10 minutes immediately after the first post-enhancement scan and before repeating scans. The signal intensities in central and peripheral portions of the joint were measured and compared between these two groups. RESULTS: In all cases, enhancement of joint fluid began at peripheral portion and progressed toward central portion. The diffusion rate in exercise group was far faster than that in nonexercise group and homogeneous arthrographic image was revealed within 10 minutes after completion of joint movement. The arthrographic effect continued and the rate of signal decrease was quite slow. CONCLUSION: MR arthrographic image of knee joint can be obtained within 10 minutes after completion of a few minute exercise following intravenous injection of gadopentetate dimeglumine. Intravenous MR arthrography is expected to become an useful method as a convenient alternative to direct MR arthrography.
Administration, Intravenous ; Arthrography* ; Diffusion ; Gadolinium ; Gadolinium DTPA ; Humans ; Injections, Intravenous ; Joints ; Knee Joint ; Knee*

No abstract available.
Nephritis, Hereditary*

No abstract available.
Ectoderm*

Since a nationwide childhood vaccination with tetanus toxoid, tetanus has become a rare disease in Korea. However, we recently experienced 17 cases of adult tetanus in a university hospital during a 21-month period. Seventy percent of the patients were female, and the mean age was 63 yr (range, 29-87). The majority (88.2%) of the patients did not get primary vaccinations for tetanus and decennial tetanus-diph-theria toxoid booster. Most patients (88.2%), who sustained acute injury, did not seek medical care for their wounds or did not receive the prophylaxis for tetanus. Tetanus was found most frequently among farmers. Tetanus was diagnosed initially only in 53% of patients. The case-fatality ratio was 23.5%. These cases show that recently occurring tetanus in Korea is a disease, affecting the elderly and the female who may have a lower immunity against tetanus, and the farmers who are likely to be exposed to Clostridium tetani. In addition, diagnosis of tetanus is often delayed in area where cases are seen infrequently. Therefore, improved education among patients and physicians, emphasis of anti-tetanus immunization and awareness of tetanus respectively, may be essential for the prevention of disease and the reduction of its mortality.
Adult ; Aged ; Aged, 80 and over ; Agricultural Workers' Diseases/epidemiology ; Diagnostic Errors ; Diphtheria-Tetanus-Pertussis Vaccine ; Emergency Service, Hospital ; Health Education ; Health Knowledge, Attitudes, Practice* ; Human ; Immunization, Secondary/psychology ; Immunization, Secondary/utilization* ; Korea/epidemiology ; Middle Aged ; Tetanus/diagnosis ; Tetanus/epidemiology* ; Tetanus/prevention & control ; Tetanus/therapy ; Tetanus Antitoxin/therapeutic use ; Tetanus Toxoid ; Treatment Outcome ; Vaccination/utilization* ; Wounds, Penetrating/complications

No abstract available.
Trichosporon*

OBJECTIVES: To demonstrate consistent and significant findings of neurocognitive functioning in detoxified alcoholics have been inconclusive. The purpose of this study was to evaluate cognitive functions in detoxified alcoholics and the relationship between neuropsychological test scores and alcohol consumption patterns. METHODS: Twenty-four alcoholics, aging between 30 and 50 years, at least 4 weeks after the beginning of detoxification and 24 normal controls equated for age and education were exmained on Seoul computerized neurocognitive function tests in order to evaluate neurocognitive functions, which include attention, memory function, executive function, motor performance. RESULTS: Compared to controls, alcoholics were more impaired on both finger tapping test (FTT, right: p<0.05, left: p0.01), but there were no significant differences between two groups on any measures including attention, memory function, and executive function. Even though there were significantly negative associations between length of drinking history and performances on FTT with both hands (right: r=-0.55, p0.01; left: r=-0.48, p0.05) in alcohol group, multiple regression analyses showed that age and STAI contributed significantly to the prediction of FTT, ameliorating the dignostic effect. CONCLUSION: There was no evidence of significant declines in attention, memory, and executive functions in alcoholics compared to normal controls, except impaired motor performance functions which may be related to concurrent anxiety.
Aging ; Alcohol Drinking ; Alcoholics* ; Alcoholism ; Anxiety ; Drinking ; Education ; Executive Function ; Fingers ; Hand ; Humans ; Memory ; Neuropsychological Tests ; Seoul*

OBJECTIVES: To demonstrate consistent and significant findings of neurocognitive functioning in detoxified alcoholics have been inconclusive. The purpose of this study was to evaluate cognitive functions in detoxified alcoholics and the relationship between neuropsychological test scores and alcohol consumption patterns. METHODS: Twenty-four alcoholics, aging between 30 and 50 years, at least 4 weeks after the beginning of detoxification and 24 normal controls equated for age and education were exmained on Seoul computerized neurocognitive function tests in order to evaluate neurocognitive functions, which include attention, memory function, executive function, motor performance. RESULTS: Compared to controls, alcoholics were more impaired on both finger tapping test (FTT, right: p<0.05, left: p0.01), but there were no significant differences between two groups on any measures including attention, memory function, and executive function. Even though there were significantly negative associations between length of drinking history and performances on FTT with both hands (right: r=-0.55, p0.01; left: r=-0.48, p0.05) in alcohol group, multiple regression analyses showed that age and STAI contributed significantly to the prediction of FTT, ameliorating the dignostic effect. CONCLUSION: There was no evidence of significant declines in attention, memory, and executive functions in alcoholics compared to normal controls, except impaired motor performance functions which may be related to concurrent anxiety.
Aging ; Alcohol Drinking ; Alcoholics* ; Alcoholism ; Anxiety ; Drinking ; Education ; Executive Function ; Fingers ; Hand ; Humans ; Memory ; Neuropsychological Tests ; Seoul*

BACKGROUND: Helicobacter pylori (H. pylori) infection may cause systemic inflammation and increase the production of tumor necrosis factor-alpha, interleukin-1, and interleukin-6. Unfortunately, bone mineral density also may be affected by these cytokines. This study aimed to evaluate the association between bone mineral density and H. pylori infection. METHODS: A cross-sectional study evaluated 1,126 men undergoing a comprehensive health screening in a private Korean screening center. Subjects' sera were tested for H. pylori antibodies (immunoglobulin G) using an enzyme-linked immunosorbent assay, and bone mineral densities (g/cm2) of the lumbar spine, femoral neck, and total femur were obtained using dual-energy X-ray absorptiometry. To evaluate the difference in bone mineral density according to H. pylori infection status, the adjusted mean bone mineral densities at each site were compared after adjusting for potential confounders, including age, sex, body mass index, smoking, alcohol consumption, and exercise. RESULTS: H. pylori infection was associated with a significant decrease in mean lumbar bone mineral density (H. pylori-positive, 1.190 g/cm2; H. pylori-negative, 1.219 g/cm2; P=0.006), which was greatest among men who were > or =50 years old (H. pylori-positive, 1.193 g/cm2; H. pylori-negative, 1.233 g/cm2; P=0.006). However, no significant association was observed in the bone mineral densities of the total femur and femoral neck. CONCLUSION: In men, H. pylori infection was negatively associated with lumbar bone mineral density. This association may be useful in the early detection, prevention, and management of male osteoporosis.
Absorptiometry, Photon ; Alcohol Drinking ; Antibodies ; Body Mass Index ; Bone Density ; Cross-Sectional Studies ; Cytokines ; Enzyme-Linked Immunosorbent Assay ; Femur ; Femur Neck ; Helicobacter pylori* ; Helicobacter* ; Humans ; Inflammation ; Interleukin-1 ; Interleukin-6 ; Male ; Mass Screening ; Osteoporosis ; Risk Factors* ; Smoke ; Smoking ; Spine ; Tumor Necrosis Factor-alpha