A clinical observation was made on the obstruction at the ureteropelvic Juncture of the inpatient in the Department of Urology. Seoul National University Hospital during the period September, 1961 through August, 1968 and the following results were observed. 1. Of 1824 cases hospitalized, 33 cases werehydronephrosis of non-calculous origin. Among the 33 cages 10 were obstruction ofthe ureteropelvic juncture giving a rate of 30.3%. Age distribution ranged from 4to 48 years with average of 26 years. 2. As to the origin of the obstruction, 5 cases were due to aberrant vessel one congenital stricture one fibrous band and one fibrosis, respectively. The causes were unknown in 2 cases. 3. The most common complaints were pain on the involved site in 8 cases. Palpable mass, gastrointestinal trouble and general weakness were found in 6 cases. Loss of weight and pollakisuria were noted in 3 cases. Hypertension. hematuria, fever andedema were found respectively in one case. 4. All cases including two which showed non-function on IVP showed markedly dilated pelvis and marked narrowing ofthe ureteropelvic juncture. 5. Nephrectomy was performed in 5 cases, removal of aberrant vessel in 2, ureteroplasty in one and ureteral dilation with contralateral nephrectomy in 2.
Age Distribution ; Constriction, Pathologic ; Fever ; Fibrosis ; Hematuria ; Humans ; Hypertension ; Inpatients ; Nephrectomy ; Pelvis ; Seoul ; Ureter ; Urology

Idiopathic ureteropelvic junction stricture is not an uncommon disorder with resultant hydronephrosis of affecting kidney, and most frequently encountered in infant and children. Multiple causes of stricture have been identified. Abnormal organization of smooth muscle bundles at the ureteropelvic junction has been reported, and electron microscopy has demonstrated excessive collagen deposition within the intramural stroma. However, the exact cause of obstruction of UPJ stricture is uncertain. We reviewed 23 cases with idiopathic hydronephrosis underwent dismembered pyeloplasty. Examination of strictured segment with light the normal interwoven pattern, were arranged into an abundant outer circular and an inner longitudinal layer in 21 of 23 cases. But muscle thickness was not changed, and collagen was normal in both amount and arrangement. This results suggested that the abnormal muscle arrangement at the ureteropelvic junction might be the cause of the idiopathic stricture.
Child ; Collagen ; Constriction, Pathologic* ; Humans ; Hydronephrosis ; Infant ; Kidney ; Microscopy, Electron ; Muscle, Smooth

Although hypospadias should be repaired before school age, there is no one good method for all hypospadias repair. The surgical goals of hypospadias repair are primarily correction of chordee, formation of urethral tube, and achievement of a meatus near or at the tip of glans penis in order to achieve a functionally and cosmetically acceptable phallus. We reported on 46 patients who underwent hypospadias repair between May, 1972 and April, 1984. In two stage operation, chordectomy was undergone in 30 cases, of which 1 case had complication with incomplete chordee remove. At recent, with artificial erection technique complete chordee remove is possible. In 42 cages of urethroplasty such as MAGPI, flip-flap, Island flap technique by Duckett, modified Crawford method, Belt-Fuqua, and free flap using thigh skin, urethrocutaneous fistula developed in 9 cases, urethral stricture in 2, and keloid in 1.
Female ; Fistula ; Free Tissue Flaps ; Humans ; Hypospadias* ; Keloid ; Male ; Penis ; Skin ; Thigh ; Urethral Stricture

PURPOSE: To compare standard laparoscopy-assisted Billroth I gastrectomies including standard lymph node dissection (LABIG) with hand-assisted laparoscopic surgery with the HandPort system (HALS) for the removal of early gastric cancers (EGC). METHODS: A prospective study was performed on 26 patients of EGC at Ewha Womans University Mok-Dong Hospital from July 1999 to August 2001. Seventeen patients (Group L) received LABIG using conventional laparoscopy-assisted methods and 9 patients received LABIG using HALS (Group H). We used staplers for the anastomosis, and a standard D2 lymph node dissection was done with ultrasonic shears or electrocautery. RESULTS: In group L, pathologic reports revealed 14 EGC (stage IA 14 cases), and 3 pm cancers (stage IB 1 case, II 2 cases). In group H, there were 9 early gastric cancers (stage IA 8 cases, IB 1 case). Significant differences (P<0.05) were present between group L and H in regards to the number of harvested lymph nodes (30.8 vs 18.9), estimated blood loss (462.1 vs 286.7 ml) and postoperative transfusion amounts (0.59 vs 0 unit). There were no differences in the mean operating time, distance from the lesion to the resection margin, postoperative leukocyte count, frequencies for pain control, wound size, time to diet, weight loss, serum protein, and postoperative hospital stay. Complications were present in 1 case in group L (enterocutaneous fistula) and 1 case in group H (gastric atony). There was one conversion to open surgery in group H. CONCLUSION: LABIG including standard lymph node dissections with both standard laparoscopic surgery and HALS were performed with equal outcome. The choice of surgical method depends on the characteristics of the lesion and the patient's physical factors.
Conversion to Open Surgery ; Diet, Reducing ; Electrocoagulation ; Female ; Gastrectomy* ; Gastroenterostomy* ; Hand-Assisted Laparoscopy* ; Humans ; Laparoscopy ; Length of Stay ; Leukocyte Count ; Lymph Node Excision ; Lymph Nodes ; Prospective Studies* ; Stomach Neoplasms* ; Ultrasonics ; Wounds and Injuries

The bacteria as well as the fungi can build up resistance against different kinds of drugs or can decrease in sensitivity to these drugs. Therefore it is necessary that we use the MIC test for acertain period of time to determine the right concentration of drug to use in therapy. The culturing of P. orbiculare was successful in 1951. Up until that time, there were few drugs available to use in the MIC test. So, treatment for Tinea versicolor was dependent upon ones previous experience in determining the drug's effective concentration. Therefore, we performed the MIC test of clotrimazole, sodium thiosulfate, selenium sulfide, propylene glycol against P. orbiculare. The diagnos is for Tinea versicolor in the patient was confirmed by using KOH smear and by the clinical manifeststion. The fungi were then isolated in a culture from an olive oil rich media Mixture of isolated fungus and olive oil was applied to the lateral side of a healthy male's right upper extremity. After one week, P. orbiculare was confirmed by wood lamp examination, KOH smear and culture. After confirmation of P. orbiculare, a variety of concentrated drugs were used. Then media, containing propylene glycol, sodium thiosulfate, selenium sulfide and clotrimazole with a small amount of olive oil was used in inoculations of 10 viable unit/ml of P.orbiculare in attempt to estblish the MIC test. Test results are as follows: l) Propylene glycol MIC Range; 12. 5mg/ml~7. 5mg/ml. 2) Sodium thiosulfate MIC Range; 500mg/ml~7. 5mg/ml. 3) Selenium sulfide MIC Range; l. 25mg/ml~0. 04mg/ml. 4) Clotrimazole MIC Range; 0. 5mg/ml~ 0. 0005mg/ml.
Bacteria ; Clotrimazole ; Fungi ; Humans ; Malassezia* ; Olea ; Propylene Glycol ; Selenium ; Sodium ; Tinea Versicolor ; Upper Extremity ; Wood ; Olive Oil

No abstract available.
Prostatitis*

Authors review the clinical and histopathologic findings of 41 EIenoch-Schonlein purpur.a patients and attempt, to clarify the association between abnorma] urinary findings and anti-streptolysin 0(ASLO) titer and performed the direct immunofluorescence(',E)II) study on skin lesion to investigate the pathogenetic mechanim of renal involvement. The results were summarized as follows : 1. Ag(, distribution was form 3 month to 63 years and mean age was 18.9 years. male to female ratio was 1.2:1(22 males '. 19 females). 2. In he past history, there were preceding upper respora.tory infections in 25(61:o)patients and drug history in 10(24.3%)patients. 3. (linical manifestations in the order of frequency were as follows : arthralgia (60.9%), hematuria or albuminuria(43.8%), abdominal pain(21.9%), and positive occult: blood test(7.3%)in stool examination. 4. In the laboratory fiindings, leukocytosis was cleveloped in 14.6%, anemia in 2.4%, increased eryttrocyte sec1imentation zate in 12.3% increased ASLG titer in 43.9% of patients, and serum IgG was increased in 4 of 20(20.6)patierits, IgA in 4 of 21(19%)patients, IgM in 1fo 19(5.3o)patients. 5. Because correlation between increased A.LO titer ancl ahnoormal urinary findings wa.s high(x-test, p< 0.0,5), increased ASI,O titer may be inclicator of renal involvement. 6. DIF stuc].y was per formed in 34 patients. All showed positive reactiviy. IgG(17%), IgA(29.4% ), Clq(14.6%), C3(12.2% ), fibrinog.n(82.4%) were deposited around the vessel wall in a granular pattern. 7. There was statistically significant increase in mean serum IgG value in patients with abnormal urinary findings( t test, p < 0.05 ).
Anemia ; Arthralgia ; Female ; Hematuria ; Humans ; Immunoglobulin A ; Immunoglobulin G ; Immunoglobulin M ; Leukocytosis ; Male ; Purpura* ; Purpura, Schoenlein-Henoch ; Skin

PURPOSE: This study was conducted to examine the relationship between job stress and work-related musculoskeletal symptoms of hospital nurses. METHOD: The questionnaires were administered to 290 nurses working in a general hospital located in S city from September 1 to 15, 2008. The data were analysed with descriptive statistics, and logistic regression test by SPSS WIN 14.0. RESULTS: With the NIOSH criteria 1, the musculoskeletal symptoms were prevalent in 66.8% of the subjects. The musculoskeletal symptoms by body parts appeared mostly on leg/foot(40.6%) and followed by shoulder (38.7%), waist(30.3%), neck(23.6%), hand/wrist/ finger(14.0%) and arm/elbow(4.4%). There were statistically significant differences in prevalence rate of musculoskeletal symptoms by age, work department, career and job stress. CONCLUSION: When developing a management program for musculoskeletal symptoms of hospital nurses, it is necessary to fully understand nurses' work considering each hospital's nursing administration system.
Hospitals, General ; Human Body ; Logistic Models ; National Institute for Occupational Safety and Health (U.S.) ; Prevalence ; Surveys and Questionnaires ; Shoulder

Bladder mucosa has been reported as an excellent tissue for construction of a neourethra. We used bladder mucosa in 3 cases when there was inadequate foreskin to create a neourethra. Two cases were penoscrotal hypospadias with chordee which were repaired in one stage operation and one case was scrotal hypospadias with severe chordee which was repaired in two stage operation. The. sizes of harvested bladder mucosa were 4x 1.5cm, 10 x 3.5cm and 15 x 3cm respectively. Two minor and one major complications occurred. The minor complications were urethral stricture in one case which was managed with urethral dilation and penile swelling after self-voiding in one case which required urinary diversion for several days. In one case severe problem with entire neourethra stricture necessitated internal urethrotomy and intermittent urethral dilatation. In all cases sufficient graft tissue could be obtained and there were no urethrocutaneous fistulas. Thus, the use of bladder mucosal graft in hypospadias repair is feasible in cases in which previous repairs have railed or in which sufficient foreskin for neourethral reconstruction is lacking.
Constriction, Pathologic ; Dilatation ; Female ; Fistula ; Foreskin ; Hypospadias* ; Male ; Mucous Membrane ; Transplants* ; Urethral Stricture ; Urinary Bladder* ; Urinary Diversion

No abstract available.
Humans ; Infant, Newborn*