A case of foreign body (a black rubber string of 60cm in length used for masturbation) in the bladder was presented in a 17 years old Korean boy and reported with review of literature.
Adolescent ; Foreign Bodies* ; Humans ; Male ; Rubber ; Urinary Bladder*

No abstract available.
Infection Control* ; Seoul*

BACKGROUND: As information technology evolves rapidly computer-based surveillance systems for nosocomial infection have been developed. Well designed computerized system could provide an opportunity for improving, enlarging, and conducting hospital-wide surveillance more efficiently in the situation with limited resources. Recently, we launched a new computerized monitoring system in a hospital where digital medical information system has been operated without paper chart. METHODS: We developed a new surveillance program based on the total Electronic Medical Record (EMR) system. Numerous critical medical information can be easily accessible through this system without further work. This includes major demographic data, essential information from the inpatient medical record, the laboratory information system, and the pharmacy information, Comprehensive Clinical Data Repository (CDR) system was also developed. CDR is potentially very useful to conduct a hospital-wide surveillance by integrating all the available information. RESULTS: This system consists of several programs in the EMR and the CDR environment. In the EMR system, inquiry for patients with fever, case ascertainment and registration of nosocomial infections, inquiry for patients with indwelling devices, microbiological reports, and data on antibiotic prescriptions were included. The CDR has integrated comprehensive inquiries for frequency of major pathogens in clinical isolates and their trends of antibiotic resistance, nosocomial infection rates based on the duration of the devices or hospitalization, and the history of antimicrobial usage based on defined daily dosage. Data obtained from the EMR and the CDR systems could be easily accessed by infectious diseases specialists and healthcare workers of infection control services at any place within the hospital. A new reporting system has been built up to facilitate identification of notifiable diseases among the list of diagnoses on the EMR. In addition, the "Alert" notice was designed to highlight isolation precautions for indicated cases. CONCLUSION: This new computerized surveillance program might be a valuable model to which other hospitals can refer to develop newer version of programs in the future.
Clinical Laboratory Information Systems ; Communicable Diseases ; Cross Infection ; Delivery of Health Care ; Diagnosis ; Drug Resistance, Microbial ; Electronic Health Records* ; Fever ; Hospitalization ; Humans ; Infection Control ; Information Systems ; Inpatients ; Medical Records ; Pharmacy ; Prescriptions ; Specialization

Bacille Calmette-Guerin (BCG) lymphadenitis is the most common complication of BCG vaccination. It commonly occurs in infants aged <6 months involving ipsilateral axillary lymph nodes. We described BCG lymphadenitis in a 22-month-old boy presenting swelling of left supraclavicular lymph node that was confirmed by real-time polymerase chain reaction (PCR) and the multiplex PCR targeting the region of difference (RD).
Humans ; Infant ; Lymph Nodes ; Lymphadenitis* ; Male ; Multiplex Polymerase Chain Reaction ; Mycobacterium bovis* ; Real-Time Polymerase Chain Reaction ; Vaccination*

BACKGROUND: Many studies have reported hypocalcemia during peripheral blood stem cell (PBSC) collection. On the other hand, changes in other electrolyte levels such as potassium have received little attention. To see if it is necessary to monitor other electrolytes, we determined sodium, potassium, chloride, total CO(2), and ionized calcium before and after the PBSC harvest. The changes in hemoglobin and platelets were also investigated. METHODS: A total of 111 PBSC harvest procedures for thirty-six patients or donors were included in this study. The samples were collected within 2 hours around PBSC harvest. Patients who received blood transfusions or in whom electrolytes were administered immediately before or during the procedure were excluded from the evaluation. RESULTS: In the autologous PBSC harvest using CS3000, all five electrolytes showed significant changes. Ionized calcium significantly dropped by about 7.2+/-13.1% at the end of apheresis. Potassium significantly decreased to 12.3+/-10.2% during PBSC harvest. Hemoglobin and platelets significantly decreased except the autologous PBSC harvest using CS3000 and Cobe, respectively. CONCLUSIONS: Our data reveal a strong association between anticoagulant-induced hypocalcemia and concomitant hypokalemia during the PBSC harvest. We suggest that the potassium level should be carefully monitored, especially for patients with relatively low preharvest potassium levels.
Blood Component Removal ; Blood Platelets ; Blood Transfusion ; Calcium ; Electrolytes* ; Hand ; Humans ; Hypocalcemia ; Hypokalemia ; Potassium ; Sodium ; Stem Cells* ; Tissue Donors

A case of 28 year-old female having vesico-sigmoido-ileal fistula associated with large bladder stone due to long-standing foreign body was presented with review of literatures.
Adult ; Female ; Fistula* ; Foreign Bodies ; Humans ; Urinary Bladder Calculi

In situ hybridization using biotinylated HPV(Human papillomaviruses) probes was performed to detect HPV DNA in 24 patients with genital wart-like lesions. The lesions were divided into two groups, with or without dysplastic changes histologically. We could detect HPV6/11 in 13 of 17 lesions(76.5%) without dysplastic changes. HPU16/18 was detected in a case with dysplastic changes. HPV6/ll was also detected in a case considered to be misdiagnosed as bowenoid papulosis. Oncogenic HPV such as HPV16/18 was found in one of histologically splastic lesions(14.3%).
Condylomata Acuminata* ; DNA* ; Humans* ; In Situ Hybridization

We performed a retrospective study of 47 patients(47 eyes) with retinal vein occlusion who had treated with laser photocoagulation for neovascularization from January 1991 through January 1992. Only cases with a minimum of one year follow up were included in this study. The majority of patients were 50 year old(78.7%). Sixteen patients were male(34%) and thirty one patients were female(66%). The proportion of branch retinal vein occlusion and central retinal vein occlusion was 74.5%, 25.5%, respectively. New vessles elsewhere were developed in 36 eyes(76.6%), new vessles on the disc in 7 eyes(14.9%), and 4 eyes(8.5%) had both types of neovascularization. The percents of regression in neovascularization was 72.3% which ranged from 84% for under 10 disc diameter area of retinal ischemia to 64% for over 10 disc diameter area of retinal ischemia. Vitreous hemorrhage occured in 12 eyes(25.5%) within 1 year and especially when ischemic area was over 10 disc diameters and associated with systemic vascular diseases.
Argon* ; Follow-Up Studies ; Humans ; Ischemia ; Light Coagulation* ; Retinal Vein Occlusion* ; Retinal Vein* ; Retinaldehyde* ; Retrospective Studies ; Vascular Diseases ; Vitreous Hemorrhage

We report here on a case of simultaneously detecting anti-D as an autoimmune antibody and anti-E as an alloimmune antibody without any evidence of autoimmune hemolytic anemia. A 66-year-old female with tuberculous spondylitis was admitted for removing a previously-placed surgical screw in her spine. She had received antituberculosis drugs and six units of AB, RhD positive packed red blood cells during the previous 6 months. The laboratory findings were as followings: the direct antiglobulin test was positive for IgG, the Rh phenotype of the erythrocytes was typed as group CcDe and RhD antigen was confirmed by the molecular method and the serological method to rule out partial-D.
Aged ; Anemia, Hemolytic, Autoimmune ; Coombs Test ; Erythrocytes ; Female ; Humans ; Immunoglobulin G ; Isoantibodies ; Phenotype ; Spine ; Spondylitis

BACKGROUND: Despite the increasing demand for transfusions, the availability of blood is hampered by low birth rate and stringent donor qualifications. Therefore, it is important to appropriately utilize blood products and take measures to minimize their wastage. We established an electronic review system for assessing transfusion practice and evaluated the appropriateness of blood transfusion. METHODS: Utilization of red blood cells (RBC), platelet concentrates (PC), single donor platelets (SDP), fresh-frozen plasma (FFP), and cryoprecipitates issued to 3 major blood using departments (Internal Medicine Divisions of Gastroenterology and Hematology/Medical Oncology, General Surgery) at the Seoul National University Hospital was reviewed over a one-month period. A new program was developed to review laboratory test results and blood product information. Criteria for appropriate transfusion were based on the guidelines proposed in 2009 by the Korean Ministry of Health and Welfare and the Korean Society of Blood Transfusion. A comparative audit was also conducted according to the guidelines proposed in 2002. RESULTS: There were 3,705 units of blood components issued to 325 patients during 1,542 transfusion episodes. The number of inappropriately transfused units were 402 (10.9%) at 144 (9.3%) episodes. The rates of inappropriate transfusion episodes (as per the 2002 guidelines) per blood components were as follows: RBC, 0.4%; PC, 11.7% (8.3%); SDP, 5.7% (2.4%); FFP, 20.2% (2.4%); and cryoprecipitates, 22.1%. CONCLUSION: Based on the 2009 guidelines, there was a notable inappropriate use of blood transfusions. Education programs promoting evidence-based guidelines and the use of this new program will help clinicians make better decisions in transfusion practice and lower inappropriate transfusion rates.
Birth Rate ; Blood Component Transfusion ; Blood Platelets ; Blood Transfusion ; Decision Support Systems, Clinical ; Electronics ; Electrons ; Erythrocytes ; Gastroenterology ; Humans ; Medical Audit ; Plasma ; Tissue Donors