No abstract available.
Adolescent* ; Humans

No Abstract Available.
Arthroplasty* ; Congenital Abnormalities* ; Humans ; Knee*

Primary carcinoma of the female urethra is relatively rare neoplasm. Urethral cancers account for less than 0.02 per cent of all neoplasms occurring In women and 0.01 per cent of all urologic malignancies. The rarity of the disease as well as the changes and improvements in the various treatment modalities have prevented unanimity of opinion with regard to its proper treatment. We report one case of transitional cell carcinoma in female urethra with brief review of the literature.
Carcinoma, Transitional Cell* ; Female* ; Humans ; Urethra* ; Urethral Neoplasms

Ureteroscopic extraction has been used for the management of the ureteral stone. especially lower ureteral stone. During the last 2 years we performed ureteroscopy for removal of mid or distal ureteral stones in 63 patients. The causes of failure consisted of 4 unskillful instrumental manipulations, 4 migrations, of the stone. 3 failure of dilating ureter. 3 failures of access to the stone and 2. severe bleedings due to ureteral avulsion. The failure rate decreased from 33.3% for 30 procedures done during the first one year to 18.7 % for 33 procedures done in the next one year. We believe that the failure rate of ureteral stone removal will be consistently decreased with experience.
Humans ; Ureter ; Ureteroscopy

Adenomyoepithelioma is a rarely occurring tumor and its generation in the limbs is extremely rare. We report a case of an adenomyoepithelioma over the proximal tibial tuberosity that was treated without any complications after an excisional biopsy with a literature review.
Adenomyoepithelioma ; Biopsy ; Extremities ; Knee

No abstract available.
Female* ; Humans ; Transplants*

PURPOSE: The prevalence of obesity in children is increasing rapidly. Epidemiologic studies suggest that obesity induced atherosclerosis may start in childhood. We investigated whether obese children show early abnormalities of the arterial wall and endothelial dysfunction. METHODS: Thirty-eight obese children(14-16 years old of age, male, body mass index 29.40+/-3.18 kg/m2) and forty-five age and sex-matched healthy control children(body mass index 18.43+/-1.01 kg/ m2) were enrolled. Their carotid artery intima-media thickness(IMT) and brachial artery flow-mediated dilation(FMD) response were measured by high-quality ultrasound system, and compliance, distensibility, stiffness index, incremental elastic modulus and wall stress were calculated by equation. In addition, we looked at the relations between these arterial features and metabolic cardiovascular risk factors. RESULTS: The obese children had significantly increased IMT(0.52+/-0.09 mm vs 0.40+/-0.07 mm, P< 0.001) and markedly impaired FMD(7.35+/-7.78 percent vs 20.34+/-16.81 percent, P<0.001) than the healthy controls. But the compliance and distensibility were lower, and the stiffness index, incremental elastic modules and wall stress were higher in the obese group than the control group, but not statistically significantly. Body mass index was highly associated with increased IMT(r=0.612, P< 0.001) and reduced FMD(r=-0.414, P<0.001). CONCLUSION: We showed the deleterious effect of child obesity on both early functional and structural atherosclerotic markers. The ultrasonic findings will be used for screening and follow up markers to identify high-risk patients among obese children.
Atherosclerosis ; Body Mass Index ; Brachial Artery ; Carotid Arteries ; Child* ; Compliance ; Elastic Modulus ; Epidemiologic Studies ; Humans ; Male ; Mass Screening ; Obesity ; Pediatric Obesity ; Prevalence ; Risk Factors ; Ultrasonics ; Ultrasonography

PURPOSE: Patient delays in seeking treatment of stroke and Emergency Department delays are major factors in preventing the use of thrombolytic therapy for stroke. For the achievement of rapid diagnosis and treatment in the emergency center, a unified and systematic confrontation of symptoms and good team cooperation are essential. METHODS: Various departments involved in the management of acute stroke in the ED conferred to discuss ways to minimize door-to-CT and door-to-drug times in the ED. This team formulated the BEST (Brain salvage through Emergent Stroke Therapy) protocol to optimize the treatment of acute stroke patients. Our study employed the BEST protocol for four month during the period from October, 2004 to February, 2005. Inclusion criteria for the protocol were admission to our Hospital's ED with an acute neurologic symptoms and an onset time of less than 12 hours. RESULTS: Ninety-six patients, including fifty-eight men were enrolled in the study. Reasons for acute neurologic changes were ischemic stroke (66 patients), hemorrhagic stroke (22 patients), and metabolic causes (8 patients). Of the 66 ischemic stroke patients, 11 received tissue plasminogen activator (tPA) and 2 were administered Intraarterial Urokinase (IAUK). Door-to-CT times before and after initiation of the BEST protocol were 47+/-19 minutes and 26+/-12 minutes, respectively (p-value=0.024). And door-to-drug times before and after the BEST protocol were 96+/-16 minutes and 67+/-28 minutes, respectively (pvalue=0.035). CONCLUSION: Assembly of a specific "stroke team"and implementation of a well-designed protocol allows the most efficient evaluation and treatment of patients with acute stroke, thus minimizing both door-to-CT and door-to-drug times.
Cerebral Infarction ; Diagnosis* ; Emergencies ; Emergency Service, Hospital ; Humans ; Male ; Medical Records ; Neurologic Manifestations* ; Stroke ; Thrombolytic Therapy ; Tissue Plasminogen Activator ; Urokinase-Type Plasminogen Activator

Herpes Zoster is an infection by varicella virus with neuralgic pain of involved area. Herpes Zoster is characterized by several groups of vesicles on an erythematous and edematous base situated unilaterally within the distribution of a cranial or spinal nerve coming from one posterior ganglion. The association of Herpes Zoster and neuropathic bladder dysfunction is not complication. Two cases of Herpes Zoster causing neuropathic bladder are presented.
Chickenpox ; Ganglion Cysts ; Herpes Zoster* ; Spinal Nerves ; Urinary Bladder, Neurogenic*