No abstract available.
Antiemetics* ; Cisplatin* ; Dexamethasone* ; Humans ; Lorazepam* ; Metoclopramide* ; Ondansetron*

Labial adhesions are extremely rare in adolescent and adult populations, because the etiology of this entity commonly relates to chronic vulvar inflammation or irritation, and is basically associated with low estrogen status. Although a few cases reported urinary retention resulting from severe labial adhesions, there is no report of labial adhesion that precipitates upper genital tract infection in prepubertal and postpubertal females. We present a rare case of severe labial adhesion and consequential lower genital tract obstruction that allegedly causing bilateral pyosalpinx in a 14-year-old adolescent girl who decisively denied sexual experience. The patient was successfully treated with surgical lysis of adhesion and administration of antibiotics.
Adolescent ; Adult ; Anti-Bacterial Agents ; Estrogens ; Female ; Humans ; Inflammation ; Reproductive Tract Infections ; Urinary Retention

Seminal vesicle cysts have been rarely detected. Most of them are caused congenitally, and two- thirds of them are accompanied with ipsilateral renal agenesis or dysplasia. They are usually present with dysuria, urinary frequency, perineal pain, epididymitis, pain after ejaculation, scrotal pain or infertility in the second to fourth decade of patient's life. Occasionally cysts are palpable by digital rectal examination, but radiologic imaging study is necessary to diagnose. We report a case of an infant with seminal vesicle cyst accompanied with ipsilateral renal agenesis detected incidentally in postnatal sonogram. The infant's right side of kidney was diagnosed as antenatally multicystic dysplastic kidney.
Congenital Abnormalities ; Digital Rectal Examination ; Dysuria ; Ejaculation ; Epididymitis ; Humans ; Infant ; Infertility ; Kidney ; Kidney Diseases ; Male ; Multicystic Dysplastic Kidney ; Seminal Vesicles

Auriculotemporal neuropathy is a rare aetiology of orofacial pain. A 66-year old female patientpresented with severe, throbbing pain around the right ear after herpes zoster. The pain was consistentwith post-herpetic neuropathy and was not relieved by oral medications. To alleviate neuropathicpain, ultrasound-guided auriculotemporal nerve block was done. The pain was relieved completelyand the patient remained symptom-free until the last follow up at eight months after treatment. Withunderstanding of the anatomy and related symptoms of auriculotemporal nerve, auriculotemporalneuropathy can be controlled by ultrasound-guided auriculotemporal nerve block.

No abstract available.
Antibodies, Antineutrophil Cytoplasmic* ; Wegener Granulomatosis*

No abstract available.
Amniotic Fluid* ; Female ; Humans ; Thiram*

OBJECTIVE: The purpose of this study was to compare the effectiveness, easiness, postoperative complications between tension-free vaginal tape (TVT) and Burch colposuspension (BC) in the surgical management of female genuine stress urinary incontinence. METHODS: A retrospective study of 77 cases with stress urinary incontinence at Department of Obstetrics and Gynecology and Urology, Pochon CHA University Medical College from January 2000 to December 2002, followed up more than 6 months. All of 77 cases were above grade 2 genuine stress urinary incontinence, 37 cases were performed tension-free vaginal tape, 40 cases were performed Burch colposuspension. RESULTS: Cure rate was 91.4% in the tension-free vaginal tape (TVT) group, 90% in the Burch colposuspension group. The mean operative time for TVT was 23.4 minutes and for Burch colposuspension was 47.2 minutes. The mean hospital stay in TVT was 1.8 days and in Burch colposuspension was 5.2 days. The incidence and severity of postoperative complication is similar in both groups. CONCLUSION: The cure rates of TVT were comparable with Burch colposuspension in the surgical management of female genuine stress urinary incontinence. And the incidence and severity of postoperative complication is similar in both groups. Moreover TVT is simple procedure more than Burch colposuspension.
Female* ; Gynecology ; Humans ; Incidence ; Length of Stay ; Obstetrics ; Operative Time ; Postoperative Complications ; Retrospective Studies ; Suburethral Slings* ; Urinary Incontinence* ; Urology

OBJECTIVE: The purpose of this study was to compare the effectiveness, easiness, postoperative complications between tension-free vaginal tape (TVT) and Burch colposuspension (BC) in the surgical management of female genuine stress urinary incontinence. METHODS: A retrospective study of 77 cases with stress urinary incontinence at Department of Obstetrics and Gynecology and Urology, Pochon CHA University Medical College from January 2000 to December 2002, followed up more than 6 months. All of 77 cases were above grade 2 genuine stress urinary incontinence, 37 cases were performed tension-free vaginal tape, 40 cases were performed Burch colposuspension. RESULTS: Cure rate was 91.4% in the tension-free vaginal tape (TVT) group, 90% in the Burch colposuspension group. The mean operative time for TVT was 23.4 minutes and for Burch colposuspension was 47.2 minutes. The mean hospital stay in TVT was 1.8 days and in Burch colposuspension was 5.2 days. The incidence and severity of postoperative complication is similar in both groups. CONCLUSION: The cure rates of TVT were comparable with Burch colposuspension in the surgical management of female genuine stress urinary incontinence. And the incidence and severity of postoperative complication is similar in both groups. Moreover TVT is simple procedure more than Burch colposuspension.
Female* ; Gynecology ; Humans ; Incidence ; Length of Stay ; Obstetrics ; Operative Time ; Postoperative Complications ; Retrospective Studies ; Suburethral Slings* ; Urinary Incontinence* ; Urology

PURPOSE: This study compared the performance for the prediction of three-level versus five level triage tool (Emergency Severity Index version 4, ESI) on the hospital outcome of emergency patients. METHODS: This was an observational study that included all patients >15-year-of-age visiting an urban tertiary hospital emergency department (ED) in Korea from July 2007 to December 2008. We collected data from the electronic medical records, which included demographic factors, hospital outcome including admission to intensive care unit (ICU) and hospital mortality, and result of triage at arrival to ED. A three-level triage tool was used in the first year (July 2007 to June 2008), divided in four 3-month periods (threelevel phase). For 5 weeks, the three-level tool and ESI were used simultaneously (test phase). For the last 4 months, ESI was used for triage (five-level phase). We described the demographic findings of each study phase and compared the performance for the prediction of admission to ICU as well as hospital mortality, using the area under the receiver operating characteristic curve (AUC). RESULTS: A total of 34,342 patients during three-level phase, 3,371 during the test phase, and 11,048 during five-level phase were involved. Demographic findings about gender, age, week and time of visiting to ED, use of ambulance service, injury or illness, and results after ED management were similar without significant difference. Proportion of admission to ICU and hospital mortality at ED and on the ward was 6.1% in period 1, 6.1% in period 2, and 5.6% in period 3 of the three-level phase, 5.8% in the test phase, and 5.8% in the five-level phase. The calculated AUC of the three periods in the three-level phase was 0.747 (95% Confidence Interval, CI, 0.729~0.765), 0.786 (95% CI, 0.769~0.804), and 0.786 (95% CI, 0.769~0.804). During the test phase, the AUC of the three-level was 0.820 (95% CI, 0.786~0.854) and that of the five-level was 0.842 (95% CI, 0.809~0.874). During five-level phase using ESI, AUC of ESI was 0.826 (95% CI, 0.809~0.844). CONCLUSION: ESI showed greater ability to predict hospital mortality than the three-level triage tool of emergency patients in a Korean ED, where the emergency care system and insurance coverage differs from North America.
Ambulances ; Area Under Curve ; Demography ; Electronic Health Records ; Emergencies ; Emergency Medical Services ; Hospital Mortality ; Humans ; Insurance Coverage ; Intensive Care Units ; Korea ; North America ; ROC Curve ; Tertiary Care Centers ; Triage

No abstract available.
Electrocardiography* ; Family Practice* ; Humans