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

Paroxysmal atrial fibrillation may be induced by coronary spasm presenting with typical angina-like pain and palpitations. It is typically treated using rate or rhythm control strategies, although sustained coronary spasm can induce sinus bradycardia with dizziness and syncope. In the present case, we reached a diagnosis of paroxysmal atrial fibrillation and sinus bradycardia due to coronary artery spasm using the methyl-ergonovine provocation test during angiography. While the treatment of coronary spasm can resolve paroxysmal atrial fibrillation, sinus bradycardia, and variant angina, the mechanism remains unclear, although it may be associated with sinus node ischemia. Similar symptoms, particularly chest discomfort, should be carefully considered in cases of paroxysmal atrial fibrillation.
Angiography ; Atrial Fibrillation* ; Bradycardia* ; Coronary Vasospasm ; Coronary Vessels* ; Diagnosis ; Dizziness ; Ischemia ; Sinoatrial Node ; Spasm* ; Syncope ; Thorax

Loeffler's endocarditis is generally caused by hypereosinophilic syndrome. It is a restrictive cardiomyopathy characterized with eosinophilia and eosionophilic penetration leading to the fibrous thickening of endocardium of both ventricles, apical obliteration and heart failure. We report a case of a 23-year-old male with Loeffler's endocarditis caused by Churg-Strauss syndrome. The echocardiogram showed that biventricular failure with large thrombus in left ventricle. His symptoms and typical echocardiographic findings markedly improved within 2 months after treatment for Churg-Strauss syndrome.
Cardiomyopathy, Restrictive ; Churg-Strauss Syndrome ; Endocardium ; Eosinophilia ; Heart Failure ; Heart Ventricles ; Humans ; Hypereosinophilic Syndrome ; Male ; Thrombosis ; Young Adult

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

We experienced a 73-year-old male with lumbar nerve root compression due to leakage of bone cement after vertebroplasty. He was underwent vertebroplasty for acute osteoporotic L4 compression fracture at our hospital. After vertebroplasty, his back pain was improved but right leg pain was newly developed. Lumbar computed tomography scanning showed that bone cements were leaked along the L4 nerve root. The leaked cements around L4 nerve root were removed carefully via paraspinal muscle-splitting approach. After operation, severe right leg radiating pain was improved. We recommend proper entry point, high viscosity of polymethylmethacrylate and constant monitoring can reduce complication.
Aged ; Back Pain ; Bone Cements ; Fractures, Compression ; Humans ; Leg ; Male ; Osteoporosis ; Polymethyl Methacrylate ; Radiculopathy* ; Vertebroplasty* ; Viscosity