PURPOSE: The goal of this study was to estimate development of secondary sex characters and genitalia including testicular volume, penile length and girth, and prevalence of varicocele. In addition, we evalua ted the relationship between testicular volume and presence of varicocele. MATERIALS AND METHODS: A cross sectional study was conducted on 893 school boys between the ages of 14 to 15 years, 3rd grade middle school in Chonju city during the period september to October, 1999. The testicular volume was measured in the upright posture using Prader's orchidometer and penile length and girth were estimated with a ruler. Varicocele was evaluated by dubin's method. RESULTS: The testis volume (mean+/-SD) was 10.20+/-2.6ml on right and 9.93+/-2.6 on left and penile length (mean+/-SD) was 10.9+/-1.6cm and penile girth (mean+/-SD) was 8.0+/-0.8cm. The prevalence of varicocele was 38.2% (342/893) in left side, 16%(146/893) in right side. The difference in testicular volume between right and left testis was statistically significant in students with unilateral varicocele than the students without varicocele (0.78+/-1.06ml v/s, 0.54+/-1.01ml, p=0.004). CONCLUSIONS: In this study, we obtained mean testicular volume, penile length and girth and higher incidence rate of varicocele on adolescent school age group in Chonju area. The difference in testicular varicocele. The reduction of the testicular volume with varicocele correlated with the severity of grade of varicocele need following up to disclose the effect of the varicocele on the testicular growth and fertility potential.
Adolescent ; Fertility ; Genitalia* ; Humans ; Incidence ; Jeollabuk-do* ; Posture ; Prevalence* ; Testis ; Varicocele*

No abstract available.
Seminal Vesicles* ; Ureter*

OBJECTIVES: To test the neurodevelopmental hypothesis of the schizophrenia, we compared MR brain scans of schizophrenic patients with headache patients. METHOD: We conducted 7mm-slice magnetic resonance imaging study to evaluate the prevalence of CSF in a sample of 28 headache patients and 23 schizophrenic patients. All subjects are right-handed person by Annett's questionaires. RESULTS: Any size CSF was fecund 13/23(56.5%)schizophrenics and 16/28(57.1%) of headache patients. But larger CSF was found 26.1% of schizophrenics and 10.7% of headache patients. No statistically significant difference in gender and clinical subtype. CONCLUSIONS: Higher incidence of CSF in schizophrenic patients supports the hypothesis that anomalous development of the brain is an important aspect of the schizophrenia.
Brain ; Headache ; Humans ; Incidence ; Magnetic Resonance Imaging* ; Prevalence ; Schizophrenia*

Glomerulonephritis associated with visceral abscess is being increasingly recognized. The association of glomerulonephritis with visceral suppuration in the absence of endocarditis was first described by Whitworth and associates. Abscesses were most frequently located in the respiratory tract but have been reported at numerous other sites, including appendix, uterus, aorto-femoral bypass graft and cutaneous wound. This report documents the apparently rare occurrence of glomerulonephritis with acute renal failure in association with pyogenic liver abscess. The need for awareness of glomerulonephritis as a cause of acute renal failure in pyogenic liver abscess is highlighted.
Aged ; Antibiotics/administration & dosage ; Biopsy, Needle ; Case Report ; Drainage/methods ; Follow-Up Studies ; Glomerulonephritis/*complications/*diagnosis/therapy ; Human ; Liver Abscess/*complications/*diagnosis/therapy ; Male ; Pseudomonas Infections/*complications/*diagnosis/therapy ; Tomography, X-Ray Computed ; Treatment Outcome

Nail-patella syndrome is a relatively rare autosomal dominant disorder characterized by dysplastic nail, hypoplastic or absent patella, and dislocation of radial head and iliac horns. In addition, renal abnormalities have been reported. The usual clinical signs of the renal involvement are asymptomatic proteinuria, microscopic hematuria, and in some cases progression to end stage renal disease. We present the case of adult with nail-patella syndrome, who developed proteinuria. Electron microscopy revealed irregular thickening of the glomerular basement membrane with areas of rarefaction, giving rise to a pathognomonic "moth-eaten" appearance.
Adult ; Animals ; Dislocations ; Glomerular Basement Membrane ; Head ; Hematuria ; Horns ; Humans ; Kidney Failure, Chronic ; Microscopy, Electron ; Nail-Patella Syndrome* ; Patella ; Proteinuria

No abstract available.
Heart* ; Thoracic Surgery*

BACKGROUND: Oxidative stress, lipid peroxidation and immune response to oxidized low density lipoprotein(oxLDL) are important events in the progression of atherosclerosis in diabetes mellitus(DM). Though, many clinical studies used man-made reagents that the reproducibility of the tests was not reliable and showed controversial results in some aspects. We performed above three tests in DM patients by the commercial kits and compared our results with previous results. METHODS: Total 67 DM patients and sex- and age-matched healthy persons were tested about total antioxidant status(TAS), lipid peroxidation(LPO) and autoantibody to oxLDL(anti-oxLDL) by Total Antioxidant Status kit(RANDOX Labs., Crumlin, UK), BIOXYTECH LPO-586 kit(OXIS International Inc., Portland, OR, USA) and Ox-LDL IgG ELISA kit(BIODESIGN International, Kennenbunk, ME, USA) each. RESULTS: The intra-run and between-run coefficients of variation of TAS and LPO were 2.6/2.7% and 13.4/15.6% respectively. The intra-run coefficient of variation of anti-oxLDL was 1.8 to 6.9%. DM patients showed decreased TAS(1.31+/-0.15 mmol/L) when compared with normal controls(1.38+/-0.09 mmol/L, P <0.01). TAS was inversely correlated with HbA1c(r=-0.38, P <0.01). LPO and anti-oxLDL in DM patients did not differ significantly from normal controls. CONCLUSIONS: By commercial kits, we could get reproducible results of TAS and anti-oxLDL, but not LPO test. The results of TAS and HbA1c among the DM patients and normal controls suggested that poor glycemic control might be associated with decrease of TAS. We could not find significant difference in the results of LPO and anti-oxLDL between two groups.
Atherosclerosis ; Diabetes Mellitus* ; Enzyme-Linked Immunosorbent Assay ; Humans ; Immunoglobulin G ; Indicators and Reagents ; Lipid Peroxidation* ; Lipoproteins* ; Oxidative Stress

PURPOSE: The average rate of surgical site infections (SSIs) for laparoscopic cholecystectomy (LC) has been reported in the literature to be between 0.4% and 6.3%. Also, these recent reviews have concluded that a prophylactic antibiotics for elective LCs in low-risk patients is not useful, but there were no results in high-risk patients. METHODS: The aim of this study was to investigate the role of a single dose of first-generation cephalosporin as a prophylactic antibiotic for patients undergoing elective LC, regardless of patient risk. This randomized clinical trial was conducted from October 2013 to December 2014 by single surgeon at our hospital. Patients were randomized into two groups by following method. Odd-numbered patients (group A) received 1-g cefazolin intravenously within 30 minutes before incision, whereas even-numbered patients (group B) received normal saline intravenously instead of prophylactic antibiotics, with the aim of including 100 patients in each group. SSIs were recorded and compared between the groups. RESULTS: There were no differences in preoperative demographics and postoperative findings between the groups. There were no superficial and deep SSIs in either group, 9 cases of superficial seromas developed (4.5%) in the cohort: 4 in group A (4%) and 5 in group B (5%). There were no significant associations between SSIs and the use of prophylactic antibiotics in either group. Additionally, the high-risk group did not show a significantly increased rate of SSIs. CONCLUSION: Based on our study, prophylactic antibiotics are not necessary in elective LC, regardless of patient risk.
Anti-Bacterial Agents* ; Antibiotic Prophylaxis ; Cefazolin ; Cholecystectomy, Laparoscopic* ; Cohort Studies ; Demography ; Humans ; Methods ; Seroma ; Surgical Wound Infection

OBJECTIVE: The authors retrospectively evaluate the benefits of the various pain procedures for the treatment of low back pain unresponsive to conservative management. METHODS: Over a period of 2 years from May 2002 and June 2004, the authors had performed various pain procedures on 106 patients with low back pain. Epidural block, facet joint block, sacroiliac joint block, and myofascial block were included among various pain procedures. The pain improvement, period of analgesic use, and degree of satisfaction were evaluated 1 day, 4 weeks, and 6 months after injections. The outcome of pain procedures was analyzed by using a modified Macnab criteria. RESULTS: Sixty-four patients had a single procedure with no combination and 42 patients (39.6%) received the combination of the various pain procedure. Regardless of the single or combination cases of procedure, combination of appropriate spinal level on each procedure was conducted in 104 (98.1%). Mean follow up period was 12.2 months. Eighty-two patients (77.4%) experienced significant pain relief and overall analgesic medication was reduced in 91 patients (85.8%) at 6 months after procedure. Unfavorable results were demonstrated in 10 patients. Permanent procedural complications did not occur. CONCLUSION: The various pain procedures are the possible therapeutic option for low back pain unresponsive to conservative management including medication or physical therapy.
Follow-Up Studies ; Humans ; Low Back Pain* ; Retrospective Studies ; Sacroiliac Joint ; Zygapophyseal Joint

OBJECTIVE: To investigate the cases of intracranial abnormal brain MRI findings even in the negative brain CT scan after mild head injury. METHODS: During a 2-year period (January 2009-December 2010), we prospectively evaluated both brain CT and brain MRI of 180 patients with mild head injury. Patients were classified into two groups according to presence or absence of abnormal brain MRI finding even in the negative brain CT scan after mild head injury. Two neurosurgeons and one neuroradiologist validated the images from both brain CT scan and brain MRI double blindly. RESULTS: Intracranial injury with negative brain CT scan after mild head injury occurred in 18 patients (10.0%). Headache (51.7%) without neurologic signs was the most common symptom. Locations of intracranial lesions showing abnormal brain MRI were as follows; temporal base (n=8), frontal pole (n=5), falx cerebri (n=2), basal ganglia (n=1), tentorium (n=1), and sylvian fissure (n=1). Intracranial injury was common in patients with a loss of consciousness, symptom duration >2 weeks, or in cases of patients with linear skull fracture (p=0.00013), and also more frequent in multiple associated injury than simple one (35.7%>8.6%) (p=0.105). CONCLUSION: Our investigation showed that patients with mild head injury even in the negative brain CT scan had a few cases of intracranial injury. These findings indicate that even though the brain CT does not show abnormal findings, they should be thoroughly watched in further study including brain MRI in cases of multiple injuries and when their complaints are sustained.
Basal Ganglia ; Brain ; Craniocerebral Trauma ; Head ; Headache ; Humans ; Magnetic Resonance Imaging ; Magnetics ; Magnets ; Multiple Trauma ; Neurologic Manifestations ; Prospective Studies ; Skull Fractures ; Unconsciousness