Hematuria is a important clinical sign that is a consequence of significant fenal. urologic or sytemic disease. Recently the morphology of the red cell in hematuria has been used to indicate a renal or non-renal source and also the measurement of red cell volume by red cell analyzer has been used to distinguish glomerular from non-glomerular hematuria. In this study. the MCV(mean corpsular red cell voume). RDW(red cell distribution width) and HDW (hemoglobin distribution width) were measured using H-1 system in57 children with hematuria to assess the diagnostic usefulness of the urinary red cell analyzer in the differentation of glomerular and non-glomerular hematuria. The patients were divided into two groups as glomerular diseases(40cases)and non-glomerular diseases(17 cases)and the location of the bleeding was confirmed by renal biopsy, radiology and the clinical findings. The results were as follows. 1) The urinary red cell MCV waslower in patients with glomerular diseases than that in patients with non-glomerular diseases (79.89 +/- 12.0fl vs. 90.93 +/- 9.71fl vs. 90.93+/-9.71 fL; p<0.01) 2) The urinary RDW and HDW were significantly higher in glomerular diseases than those in non-glomerular diseases (RDW; 19.86 +/- 11.28% vs 11.34+/-5.88%, HDW; 3.37+/-2.07 gm vs. 1.86+/-1.43gm). 3) The urinary red cell MCV was correlated well with the RDW and HDW while there was no correlation between the urinary red cell MCV and the urinary SG or pH. 4) The sensitivity, specificity and positive predictability of the urinsary MCV were 37.8%, 94.1% and 93.7% and those of RDW were 62.5%, 82.3% and 89.2% 5) The sensitivity, specificity and positive predictability of the urinary HDW were 42.5%, 88.2% and 89.4% We concluded from above date that the measurment of the urinary MCV, RDW and HDW would be useful as a primary non-invasive screening test in differentation of glomerular and non-glomerular hematuria in children.
Biopsy ; Cell Size* ; Child* ; Diagnosis* ; Hematuria* ; Hemorrhage ; Humans ; Hydrogen-Ion Concentration ; Mass Screening ; Sensitivity and Specificity

PURPOSE: To translate and culturally adapt a Korean version of the Neck Disability Index (NDI), as well as to validate its use in Korean patient. MATERIALS AND METHODS: The NDI was linguistically translated into Korean and the prefinal version was assessed and modified by a pilot study. The Korean version was tested on 60 patients with degenerative cervical spine disease to verify the reliability and validity. The test-retest reliability, internal consistency, concurrent validity, and construct validity were examined by a comparison with the VAS and SF-36. RESULTS: The intraclass correlation coefficient of test-retest reliability was 0.927. The reliability estimated by the internal consistency reached a Cronbach's alpha of 0.82. The correlation of the NDI with VAS was r=0.489 (p=0.002) and correlation between NDI and SF-36 was r=-0.44 (p<0.01). The physical health component score of SF-36 showed a high correlation with the NDI as well as a high correlation between VAS and mental health component scores of SF-36. CONCLUSION: The Korean version of the NDI is a reliable and valid instrument for measuring the disability in Korean patient with cervical problems and can be useful in future clinical studies in Korea.
Buprenorphine ; Humans ; Korea ; Mental Health ; Neck ; Pilot Projects ; Reproducibility of Results ; Spine

A metaplastic carcinoma of the breast is a histologically diverse type of malignancy in which an adenocarcinoma is found to co-exist with an admixture of spindle cell, squamous, chondroid, or bone-forming neoplastic cells. Metaplastic breast cancer is rare and accounts for less than 1% of all mammary tumors. An adenocarcinoma with spindle cell metaplasia is one of the least often recognized variants of a metaplastic carcinoma. The clinical behavior of this variant of metaplastic carcinoma has not yet been clearly defined. Herein, we report a case of spindle cell metaplastic carcinoma of the breast. We also present a review of the literature.
Adenocarcinoma ; Breast Neoplasms ; Breast* ; Metaplasia

PURPOSE: It has been reported recently that peritoneal protein clearance (Pcl) is a marker of endothelial dysfunction and cardiovascular disease in peritoneal dialysis patients. We evaluated whether baseline or longitudinal follow-up Pcl is a factor to consider in predicting the outcome in peritoneal dialysis patients for the follow-up period. METHODS: Patients who initiated continuous ambulatory peritoneal dialysis at our center from September 1994 to January 2006 and had a baseline peritoneal equilibration test, measurement of dialysis adequacy, and 24-h dialysate Pcl (24hr dialysate protein loss/ [serum albumin/0.4783]) were included. Demography, comorbidities, and biochemical data were retrospectively collected. Follow-up was until death or the end of the period studied (November 2009). RESULTS: A total of 203 patients (56% men, mean age 55.0+/-12.5; 55.2% with diabetes; 22.2% with cardiovascular disease) were included. The mean follow up period was 38 months (3-170 months). Baseline Pcl was 128.2 ml/day. Follow up data of Pcl were not changed from baseline period. Cox's analysis revealed the predictors of mortality (and technical failure) were age and diabetes mellitus but not dialysate/plasma creatinine ratio (D/Pcr) and Pcl. On multivariate analysis, Pcl was negatively correlated with serum albumin and triglyceride and positively correlated with D/Pcr and peritoneal creatinine clearance. CONCLUSION: Our study showed that the changes in Pcl over time were not significant from baseline up to 53 months. Neither baseline nor mean Pcl during the follow-up period were independent predictors for technical or patient survival.
Ascitic Fluid ; Cardiovascular Diseases ; Comorbidity ; Creatinine ; Demography ; Diabetes Mellitus ; Dialysis ; Follow-Up Studies ; Humans ; Male ; Multivariate Analysis ; Peritoneal Dialysis ; Peritoneal Dialysis, Continuous Ambulatory ; Retrospective Studies ; Serum Albumin ; Treatment Outcome

Renal lipomas are among the rearest of renal tumors. They probably originate from fat cells within renal capsule or parenchyma. The tumors are confined within renal capsule, in contrast to the perirenal lipomas, which are extracapsular. We recently encountered a case of renal lipoma with bladder stone and diabetes mellitus in 61 years old male patient.
Adipocytes ; Diabetes Mellitus ; Humans ; Lipoma* ; Male ; Middle Aged ; Urinary Bladder Calculi

Dengue virus infection is an emerging imported disease in Korea. A total of 4 cases of dengue fever or dengue hemorrhagic fever diagnosed at Soonchunhyang University Hospital in Bucheon between January 2001 and December 2007 were retrospectively reviewed. In addition, relevant domestic literatures from Korean bibliographic databases, which matched 'dengue fever', 'dengue hemorrhagic fever' or 'dengue shock syndrome' as key words, have been reviewed. Ten articles (13 patients) met the inclusion criteria and were included in this review. All the patients except for one, who was infected in Africa, were infected in Asian countries: Philippines (4), Indonesia (3), India (2), Cambodia (2), Sri Lanka (1), Thailand (1), Bangladesh (1), Myanmar (1), and Malaysia (1). Clinical manifestations after returning from abroad were as follows: fever (100%), chills (82%), headache (65%), myalgia (53%), nausea (41%), neutropenia (82%), thrombocytopenia (82%), and elevation of AST (82%) and ALT (53%). Most of the patients improved with conservative care except for one who died of dengue shock syndrome.
Africa ; Asian Continental Ancestry Group ; Bangladesh ; Cambodia ; Chills ; Databases, Bibliographic ; Dengue ; Dengue Hemorrhagic Fever ; Dengue Virus ; Fever ; Headache ; Humans ; India ; Indonesia ; Korea ; Malaysia ; Myanmar ; Nausea ; Neutropenia ; Philippines ; Retrospective Studies ; Shock ; Sri Lanka ; Thailand ; Thrombocytopenia

Nontuberculous Mycobacteria, especially Mycobacterium avium complex (MAC) infection is a common opportunistic infection in patients with acquired immunodeficiency syndrome (AIDS). In patients with AIDS, MAC infection more frequently presents as disseminated form rather than localized infection. Disseminated MAC infection is associated with a high mortality rate in patient with AIDS. We report a case of disseminated MAC infection in an AIDS patient involving bone marrow, mediastinal lymph node and lung.
Acquired Immunodeficiency Syndrome ; Bone Marrow ; Humans ; Lung ; Lymph Nodes ; Mycobacterium ; Mycobacterium avium ; Mycobacterium avium Complex ; Nontuberculous Mycobacteria ; Opportunistic Infections

Dengue virus infection is an emerging imported disease in Korea. A total of 4 cases of dengue fever or dengue hemorrhagic fever diagnosed at Soonchunhyang University Hospital in Bucheon between January 2001 and December 2007 were retrospectively reviewed. In addition, relevant domestic literatures from Korean bibliographic databases, which matched 'dengue fever', 'dengue hemorrhagic fever' or 'dengue shock syndrome' as key words, have been reviewed. Ten articles (13 patients) met the inclusion criteria and were included in this review. All the patients except for one, who was infected in Africa, were infected in Asian countries: Philippines (4), Indonesia (3), India (2), Cambodia (2), Sri Lanka (1), Thailand (1), Bangladesh (1), Myanmar (1), and Malaysia (1). Clinical manifestations after returning from abroad were as follows: fever (100%), chills (82%), headache (65%), myalgia (53%), nausea (41%), neutropenia (82%), thrombocytopenia (82%), and elevation of AST (82%) and ALT (53%). Most of the patients improved with conservative care except for one who died of dengue shock syndrome.
Africa ; Asian Continental Ancestry Group ; Bangladesh ; Cambodia ; Chills ; Databases, Bibliographic ; Dengue ; Dengue Hemorrhagic Fever ; Dengue Virus ; Fever ; Headache ; Humans ; India ; Indonesia ; Korea ; Malaysia ; Myanmar ; Nausea ; Neutropenia ; Philippines ; Retrospective Studies ; Shock ; Sri Lanka ; Thailand ; Thrombocytopenia

Nontuberculous Mycobacteria, especially Mycobacterium avium complex (MAC) infection is a common opportunistic infection in patients with acquired immunodeficiency syndrome (AIDS). In patients with AIDS, MAC infection more frequently presents as disseminated form rather than localized infection. Disseminated MAC infection is associated with a high mortality rate in patient with AIDS. We report a case of disseminated MAC infection in an AIDS patient involving bone marrow, mediastinal lymph node and lung.
Acquired Immunodeficiency Syndrome ; Bone Marrow ; Humans ; Lung ; Lymph Nodes ; Mycobacterium ; Mycobacterium avium ; Mycobacterium avium Complex ; Nontuberculous Mycobacteria ; Opportunistic Infections

No abstract available.
Amniocentesis* ; Cytogenetics*