Recently with the development in computer technology and its communication system, many changes have come to the medical field. For example, Picture Archiving and Communication System(PACS) has been used in the medicine experimentally. But this system needs high cost and instrument, so this system is not used in personal generally. Our hospital established the medical forum for health and medical counseling in Computer communication network called HITEL. We analysed the questions about urologic problem especially from Sep, 1994 to Jan, 1997. Most of questions are related to external genitalia and sexually transmitted diseases and most of users were in their 2nd, 3rd and 4th decades and male-predominant. In conclusion, medical counseling using PC communication is an effective method especially in urologic field.
Computer Communication Networks ; Counseling* ; Genitalia ; Humans ; Microcomputers ; Sexually Transmitted Diseases

No abstract available.
Animals ; Epithelium* ; Gene Expression* ; Laser Capture Microdissection* ; Mice* ; Microarray Analysis* ; Phenobarbital*

Current therapeutic approaches for presbyphonia are generally categorized into non-invasive and surgical methods. Voice therapy is commonly chosen as initial treatment modality used to reduce maladaptive compensatory muscle behavior and to improve glottal closure. Nevertheless, in advanced cases of presbyphonia, glottal insufficiency may be aggravated, reducing the benefits of voice therapy. To manage the glottal insufficiency observed in such cases, surgical intervention is performed to medialize the vocal folds. Available surgical modalities include injection laryngoplasty and type I thyroplasty. Additionally, cutting-edge regenerative treatments, such as the injection of basic fibroblast growth factor, are under investigation internationally and show promising outcomes. This review aims to elucidate the current indications and relevance of surgical interventions for presbylarynx.

Current therapeutic approaches for presbyphonia are generally categorized into non-invasive and surgical methods. Voice therapy is commonly chosen as initial treatment modality used to reduce maladaptive compensatory muscle behavior and to improve glottal closure. Nevertheless, in advanced cases of presbyphonia, glottal insufficiency may be aggravated, reducing the benefits of voice therapy. To manage the glottal insufficiency observed in such cases, surgical intervention is performed to medialize the vocal folds. Available surgical modalities include injection laryngoplasty and type I thyroplasty. Additionally, cutting-edge regenerative treatments, such as the injection of basic fibroblast growth factor, are under investigation internationally and show promising outcomes. This review aims to elucidate the current indications and relevance of surgical interventions for presbylarynx.

Current therapeutic approaches for presbyphonia are generally categorized into non-invasive and surgical methods. Voice therapy is commonly chosen as initial treatment modality used to reduce maladaptive compensatory muscle behavior and to improve glottal closure. Nevertheless, in advanced cases of presbyphonia, glottal insufficiency may be aggravated, reducing the benefits of voice therapy. To manage the glottal insufficiency observed in such cases, surgical intervention is performed to medialize the vocal folds. Available surgical modalities include injection laryngoplasty and type I thyroplasty. Additionally, cutting-edge regenerative treatments, such as the injection of basic fibroblast growth factor, are under investigation internationally and show promising outcomes. This review aims to elucidate the current indications and relevance of surgical interventions for presbylarynx.

Current therapeutic approaches for presbyphonia are generally categorized into non-invasive and surgical methods. Voice therapy is commonly chosen as initial treatment modality used to reduce maladaptive compensatory muscle behavior and to improve glottal closure. Nevertheless, in advanced cases of presbyphonia, glottal insufficiency may be aggravated, reducing the benefits of voice therapy. To manage the glottal insufficiency observed in such cases, surgical intervention is performed to medialize the vocal folds. Available surgical modalities include injection laryngoplasty and type I thyroplasty. Additionally, cutting-edge regenerative treatments, such as the injection of basic fibroblast growth factor, are under investigation internationally and show promising outcomes. This review aims to elucidate the current indications and relevance of surgical interventions for presbylarynx.

OBJECTIVES: The Korean government in January 2006 instigated an exemption policy for hospitalized children under the age of six years old. This study examines how this policy affected the utilization of medical care in Korea. METHODS: A total of 1,513,797 claim records from the Health Insurance Review Agency were analyzed by complete enumeration methods. The changes of medical utilization were compared from 2005 to 2006. In addition, the changes of medical utilization between 2004 and 2005 were compared as a pseudocontrol group. RESULTS: The admission rate increased 1.14-fold from 15.20% in 2004 to 17.32% in 2005, and this further increased 1.08-fold to 18.65% in 2006. The increase of patients with a common cold (1.2-fold) was higher than that of both the general patients (1.08-fold) and the patients with the top 10 fatal diseases (0.91-fold). The average length of stay per case for clinics showed the highest increase rates (1.06-fold). The rates of patients with the common cold showed a higher increase (1.05-fold) than that of the general patients. The average medical expense per case was increased by 1.10-fold from 2005 to 2006, which was higher than that from 2004 to 2005 (1.04-fold). The increase rate for patients with the common cold was higher at 1.18-fold than that of the general patients. CONCLUSIONS: The cost exemption policy has especially led to an increase in the utilization of clinics and the utilization by patients with a common cold.
Child, Preschool ; Cost Sharing/*legislation & jurisprudence ; *Health Policy ; Health Services/*utilization ; Hospitalization ; Humans ; Insurance Claim Review ; Korea ; Length of Stay

OBJECTIVE: This study aims at investigating the incidence, clinical nature and associated clinical characteristics of the clozapine-induced fever. METHODS: Retrospective review of hospital records was performed for 56 inpatients who had started to take clozapine and stayed at the hospital for four or more weeks after the initiation of clozapine treatment. RESULTS AND CONCLUSION: Clozapine-induced fever was developed in 31% of the patients. The mean peak temperature was 39degrees C and the mean duration of the fever was 3 days. Fever was developed average of 11 days after the initiation of clozapine treatment. All the patients were recovered without discontinuation of clozapine. Demographic variables, the clinical response to clozapine, other drugs administered with clozapine, and the presence of other adverse effects of clozapine were not associated with the clozapine-induced fever.
Clozapine* ; Fever* ; Hospital Records ; Humans ; Incidence* ; Inpatients ; Retrospective Studies ; Schizophrenia

PURPOSE: Craniospinal neurenteric (NE) cysts are rare developmental non-neoplastic cysts of the central nervous system with diverse MR imaging findings. The purpose of this study was to evaluate various MR imaging findings of intracranial and intraspinal NE cysts. MATERIALS AND METHODS: We retrospectively reviewed the MR imaging findings of six NE cysts that were confirmed by pathology. We evaluated anatomic location, signal intensity, size and enhancement pattern of NE cysts. RESULTS: Two intracranial lesions were located extra-axially in the cerebellopontine angle and quadrigeminal cisterns. Three spinal lesions were intraduralextramedullary cysts, located ventral to the spinal cord, but one thoracic lesion was an intramedullary cyst. The signal intensity of the cysts was hyperintense on T1-weighted images as compared with the cerebrospinal fluid (CSF) for two intracranial lesions and one cervical lesion. In addition, all intracranial lesions showed diffusion restriction. For the remaining three spinal lesions, the signal intensity was nearly the same as the signal intensity of the CSF as seen on both T1- and T2-weighted images. On contrast-enhanced studies, two intracranial cysts showed a small nodular enhancement and one thoracic spinal lesion showed rim enhancement. CONCLUSION: NE cysts have various locations, signal intensities, and possible focal nodular or rim enhancement. Therefore, NE cysts can be included in the differential diagnosis of various craniospinal cystic or tumorous cystic lesions.
Central Nervous System ; Cerebellopontine Angle ; Diagnosis, Differential ; Diffusion ; Neural Tube Defects ; Retrospective Studies ; Spinal Cord

PURPOSE: Currently many studies have confirmed the relationship between serum adiponectin and its influence on insulin resistance in adults. But physiologic insulin resistance due to changes in sex hormones exists during puberty, which prohibits us from knowing the influence of adiponectin to insulin resistance in this population. In this study, we investigated the influence of adiponectin on insulin resistance in children and adolescents. METHODS: 18 obese children, from the OPD were selected. From All subjects, blood was sampled after overnight fasting, adiponectin, lipid profiles, AST, ALT, fasting glucose and insulin levels were measured to evaluate correlations with adiponectin. The group were divided into subgroups by BMI, sex and HOMA-IR values. All variables were compared for differences and relationships. RESULTS: Obese groups showed decrease in adiponectin and showed increased insulin. HOMA-IR values were increased in the obese group. In all study participants, adiponectin showed significant correlation with triglyceride and HDL. But adiponectin showed no significant correlation with HOMA-IR, insulin and glucose. In the obese group adiponectin showed no correlation with HOMA-IR, insulin and glucose. HOMA-IR showed significant correlation with BMI, body weight and age. There were no sexual differences in adiponectin, insulin and HOMA-IR values. Insulin resistant group showed decrease in adiponectin but had no statistical significance. CONCLUSION: Decreased adiponectin levels and increased insulin resistance were observed in obese children but adiponectin showed no correlation with insulin resistance in children and adolescence. Factors other than adiponectin may play a more significant role in insulin resistance in this age group.
Adiponectin* ; Adolescent* ; Adult ; Body Weight ; Child* ; Fasting ; Glucose ; Gonadal Steroid Hormones ; Humans ; Insulin Resistance* ; Insulin* ; Puberty ; Triglycerides