No abstract available.
Career Choice* ; Humans

Teratoma is very rarely developed in the third ventricle. We report a case of third ventricular mature teraroma in 12 year old boy with headache and precocious puberty. In TlWl and Gd-DTPA enhanced TlWl, the mass in the third ventricle showed mixed signal intensities with signal void and partial contrast enhancement. The tumor was confirmed as a mature teratoma including teeth and fatty tissue.
Adipose Tissue ; Child ; Gadolinium DTPA ; Headache ; Humans ; Magnetic Resonance Imaging* ; Male ; Puberty, Precocious ; Teratoma* ; Third Ventricle* ; Tooth

PURPOSE: Leptin is the product of the ob gene secreted by adipocyte. This study investigated whether leptin concentrations were elevated in obese children and the relationship between leptin concentrations and gender, and age in Korean children. METHODS: We measured serum concentrations of leptin in 124 subjects (10 to 18 years, 62 girls and 62 boys). Height, weight, obesity index, and body mass index were measured in 124 subjects. Radioimmunoassay for serum leptin was performed using Human Leptin RIA Kit. Data analysis was done according to the gender, age and obesity. RESULTS: The mean serum concentration of leptin was 5.3 +/- 4.9 ng/ml. The mean leptin level in girls was 7.6 +/- 5.2ng/ml compared with 2.9 +/- 3.3ng/ml in boys (P<0.001). Leptin concentrations were highly increased during the period of 14 to 17 years in girls. The mean serum concentration of leptin in obese group (obesity index>120%) was 8.7 +/- 6.0 ng/ml compared with 4.8 +/- 4.6ng/ml in non-obese group (P<0.01). Serum leptin concentrations were correlated with the body mass index (Pearsons coefficient r=0.42, P<0.001). When boys and girls with equivalent values of body mass index were compared, there was significant difference between the sexes (P<0.001). CONCLUSION: Serum leptin concentrations were significantly higher in girls and obese children. Increased adipose tissue in children was associated directly with serum leptin concentration. Because leptin concentrations were highly increased during the period of 14 to 17 years in girls, it was speculated that central leptin resistance in developing girls may be necessary for the accumulation of the adipose tissue stores.
Adipocytes ; Adipose Tissue ; Body Mass Index ; Child* ; Female ; Humans ; Leptin* ; Obesity ; Radioimmunoassay ; Statistics as Topic

PURPOSE: Leptin is the product of the ob gene secreted by adipocyte. This study investigated whether leptin concentrations were elevated in obese children and the relationship between leptin concentrations and gender, and age in Korean children. METHODS: We measured serum concentrations of leptin in 124 subjects (10 to 18 years, 62 girls and 62 boys). Height, weight, obesity index, and body mass index were measured in 124 subjects. Radioimmunoassay for serum leptin was performed using Human Leptin RIA Kit. Data analysis was done according to the gender, age and obesity. RESULTS: The mean serum concentration of leptin was 5.3 +/- 4.9 ng/ml. The mean leptin level in girls was 7.6 +/- 5.2ng/ml compared with 2.9 +/- 3.3ng/ml in boys (P<0.001). Leptin concentrations were highly increased during the period of 14 to 17 years in girls. The mean serum concentration of leptin in obese group (obesity index>120%) was 8.7 +/- 6.0 ng/ml compared with 4.8 +/- 4.6ng/ml in non-obese group (P<0.01). Serum leptin concentrations were correlated with the body mass index (Pearsons coefficient r=0.42, P<0.001). When boys and girls with equivalent values of body mass index were compared, there was significant difference between the sexes (P<0.001). CONCLUSION: Serum leptin concentrations were significantly higher in girls and obese children. Increased adipose tissue in children was associated directly with serum leptin concentration. Because leptin concentrations were highly increased during the period of 14 to 17 years in girls, it was speculated that central leptin resistance in developing girls may be necessary for the accumulation of the adipose tissue stores.
Adipocytes ; Adipose Tissue ; Body Mass Index ; Child* ; Female ; Humans ; Leptin* ; Obesity ; Radioimmunoassay ; Statistics as Topic

Most patients who have spondylolysis dont's need surgical treatment. However, for the patients who have no response to conservative treatment, surgical treatment may be indicated. In 1970, Buck reported the operative technique that the used two screws between the pars defect and lamina followed by bone graft. In patients who have spondyloysis, pain in the back seems to be due to instability and irritation of nerve root by the abnormal motion of the loose neural arch and granulation tissue. For period of 7 years from May, 1984 to March, 1991, twelve patients with spondyloysis who had no response to conservative treatment were treated with Buck's operation and were analyzed. Following results were obtained: 1. The age of the patients was 24 years in average ranging from 14 to 40 years. 2. The level of the lesion was L5 in 10 cases, L4 in 2 cases. 3. Preoperative clinical feature included low back pain in 12 cases, refered pain in 2 cases. 4. Clinical sympotoms were improved in 83%, and the follow up result of the operation: excellent 16.7%, good 66.6% and poor 16.7%.
Follow-Up Studies ; Granulation Tissue ; Humans ; Low Back Pain ; Spondylolysis ; Transplants

Purpose: The aim of this research was to identify, appraise and synthesize available evidence exploring new nurses' experiences of turnover. Methods: The qualitative meta-synthesis method suggested by Thomas and Harden was used. Qualitative research articles considered for inclusion in the review were identified through an extensive search of relevant literature in scientific databases. Data were extracted from the aforementioned articles, and qualitative research findings were pooled according to Thomas and Harden's review process. This process involved the categorization of findings according to similarity of meaning and aggregation of these sub-themes to produce a comprehensive set of synthesized themes. Results: A total of 4 research articles met the inclusion criteria and were included in the review. The review process resulted in 30 sub-themes that were aggregated into 10 themes: ineffective education; overwhelming work; personal maltreatment by doctors, career nurses, patients and caregivers; lack of professional vision; suffering; fear; loss of confidence; isolation; cynical reaction to turnover; new beginning and growth. Conclusion These findings illuminated the necessity of educational, organizational, emotional and social support for new nurses to help them accomplish their developmental tasks during their transition, as well as the need for this support to continue even after the turnover.

A clinical study was carried out on patients with tuberculous meningitis who were admitted to the Department of Pediatrics, Kwangju Christian Hospital during a 9 year period from January, 1971 to December, 1979. The following results were obtained. 1) About 3/4 of all cases were under the age of 6, the majority being between the age of one and three. The male-to-female ratio was 1.3:1. 2) Seasonal incidence was in the order of spring, summer, winter and autumn, but no sign ificant differences were noted. 3) A family history of tuberculosis was found in 41.5%, usually in one of the parents. 4) A history of B.C.G. vaccination was found in 16.7% of tuberculous meningitis cases. The tuberculin test was positive in 28.9%. 5) The most frequent symptoms on admission were vomiting, fever, convulsion and headache, in that order. 6) The major neurologic findings were unconsciousness(34.0%), neck stiffness(76.4%), and positive Kernig's sign(63.2%). 7) Leukocytes in the C.S.F. on admission were generally elevated, but below the range of 500/mm3 in 74.5% of cases, and the mean count was 278.7/mm3 with 66.7% lymphocytes. Mean protein level in the C.S.F. was 162.5mg/dl, and 94.3% of all cases were over 50mg/dl. Sugar in the C.S.F. was definitely reduced to less than 120 mEq/L in 78.3%, with the mean level being 112.8mEq/L. 8) Chest X-ray revealed tuberculous lesions in 69.8% and miliary tuberculosis was found in 36.8% of cases. 9) The highest mortality was seen in young infants. Among 26 patients of clinical stage I on admission, 21(80.3%) recovered, and 35(79.5%) of 44 patients of stage II recovered, whereas only 13(36.1%) out of 36 patients of stage III were cured. Over-all mortality rate was 5.7% of those followed.
Fever ; Gwangju ; Headache ; Humans ; Incidence ; Infant ; Leukocytes ; Lymphocytes ; Mortality ; Neck ; Neurologic Manifestations ; Parents ; Pediatrics ; Seasons ; Seizures ; Thorax ; Tuberculin Test ; Tuberculosis ; Tuberculosis, Meningeal* ; Tuberculosis, Miliary ; Vaccination ; Vomiting

No abstract available.

No abstract available.

No abstract available.
Ureter*