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1.
Health Policy and Management ; : 56-64, 2021.
Article in English | WPRIM | ID: wpr-898504

ABSTRACT

Background@#Despite the high life expectancy, the subjective health status of the elderly people in Korea is reported to be the lowest as compared to other age groups. The purpose of the conducted study was to identify the factors related to the subjective health status of elderly people aged over 65 in Korea. @*Methods@#This study used data from the 7th Korea National Health and Nutrition Examination Survey (2016–2017) of the Korea Disease Control and Prevention Agency. The subjects of the study were selected to be 2,904 elderly people aged over 65. The factors that were selected related to subjective health status were socio-demographics, perceived diseases, health behaviors, and mental health. @*Results@#As a result of the examination of the subjective health status according to the characteristics of the subjects of study, the subjective health status was high in males (β=0.144, p=0.011), urban dwellers (β=0.107, p=0.015), employed persons (β=0.139, p=0.001), college graduates (β=0.322, p<0.001), persons with high household income (β=0.226, p<0.001), persons without chronic disease, nonsmokers (β=0.146, p=0.009), drinkers (β=0.111, p=0.003), persons who practiced aerobic physical activity (β=0.150, p<0.001), persons without depression (β=0.286, p<0.001), and persons who rarely had stress (β=0.837, p<0.001). @*Conclusion@#More attention should be paid to those with low subjective health to improve health for elderly people. Expanding policy supports are required for elderly people with low socioeconomic status, chronic disease or depression, or unhealthy behaviors (smoking or lack of physical activity).

2.
Health Policy and Management ; : 56-64, 2021.
Article in English | WPRIM | ID: wpr-890800

ABSTRACT

Background@#Despite the high life expectancy, the subjective health status of the elderly people in Korea is reported to be the lowest as compared to other age groups. The purpose of the conducted study was to identify the factors related to the subjective health status of elderly people aged over 65 in Korea. @*Methods@#This study used data from the 7th Korea National Health and Nutrition Examination Survey (2016–2017) of the Korea Disease Control and Prevention Agency. The subjects of the study were selected to be 2,904 elderly people aged over 65. The factors that were selected related to subjective health status were socio-demographics, perceived diseases, health behaviors, and mental health. @*Results@#As a result of the examination of the subjective health status according to the characteristics of the subjects of study, the subjective health status was high in males (β=0.144, p=0.011), urban dwellers (β=0.107, p=0.015), employed persons (β=0.139, p=0.001), college graduates (β=0.322, p<0.001), persons with high household income (β=0.226, p<0.001), persons without chronic disease, nonsmokers (β=0.146, p=0.009), drinkers (β=0.111, p=0.003), persons who practiced aerobic physical activity (β=0.150, p<0.001), persons without depression (β=0.286, p<0.001), and persons who rarely had stress (β=0.837, p<0.001). @*Conclusion@#More attention should be paid to those with low subjective health to improve health for elderly people. Expanding policy supports are required for elderly people with low socioeconomic status, chronic disease or depression, or unhealthy behaviors (smoking or lack of physical activity).

4.
Laboratory Medicine Online ; : 79-87, 2013.
Article in Korean | WPRIM | ID: wpr-82595

ABSTRACT

BACKGROUND: Clinical and Laboratory Standards Institute (CLSI) guidelines (H42-A2) recommend the "CD45/SSC" gating method for assays on lymphocyte subset enumeration and CD16 exclusion for assays enumerating NK cells. In contrast, the Flow Cytometry Checklist (06/17/2010) of the College of American Pathology does not recommend a specific lymphocyte gating method, but recommends the correction of lymphocyte subset results for lymphocyte gate purity. METHODS: We compared lymphocyte subset results of EDTA-treated blood from 102 patients with various diseases and 12 normal controls, using 3 lymphocyte gating methods (CD45/SSC, FSC/SSC, and lymphocyte gate purity correction after FSC/SSC gating), and assessed the proportion of CD56-/CD16+ NK cells within the total NK cell population. RESULTS: Lymphocyte gate purity increased as the percentage of lymphocytes increased. However, lymphocyte subsets that consistently showed high lymphocyte gate purity could not be identified. The purity of the T cell population differed significantly depending on the gating method used: CD45/SSC vs. FSC/SSC, P=0.027; CD45/SSC vs. gate purity correction after FSC/SSC, P=0.002. However, the lymphocyte gate purity correction after FSC/SSC gating did not significantly improve the accuracy of the lymphocyte subset enumeration assay using FSC/SSC gating. The subset of CD56-CD16+ NK cells, constituted an average of 17.1% of total NK cells. Patients had higher proportions of CD56-CD16+ NK cells (13.1-25.5%) than did the normal controls (9.52%). CONCLUSIONS: In flow cytometric assays to evaluate lymphocytic subsets, the CD45 is inevitable for lymphocyte gating, whereas the measurement of CD16 is essential for the evaluation of NK cell proportions.


Subject(s)
Humans , Checklist , Flow Cytometry , Killer Cells, Natural , Lymphocyte Subsets , Lymphocytes
5.
Journal of Laboratory Medicine and Quality Assurance ; : 1-8, 2012.
Article in English | WPRIM | ID: wpr-207574

ABSTRACT

BACKGROUND: Proper gating is important in flow cytometric assays of lymphocyte subsets. Forward light scatter (FSC)/side light scatter (SSC) gating requires application of a lymphocyte purity correction when lymphocyte purity is less than 95%. We compared 3 different gating methods to establish an accurate gating method appropriate for a T-lymphocyte subset assay of bronchoalveolar lavage (BAL) fluid. METHODS: Leukocyte numbers and subtypes in 31 BAL fluid samples were assessed manually and by using an automatic hematology analyzer. T-lymphocyte subsets (T cells, T helper/inducer cells [Th], and T suppressor/cytotoxic cells [Tc]) were assessed by flow cytometry. We compared 3 methods of lymphocyte gating: CD45/SSC gating (reference method), FSC/SSC gating, and FSC/SSC gating with application of a lymphocyte purity correction. Lymphocyte purity was determined by CD45/CD14 staining of BAL fluid. RESULTS: We observed a significant correlation between lymphocyte percentage and lymphocyte purity (r = 0.453, P = 0.011). T-cell results obtained using the reference method were not correlated with the results of the other 2 gating methods (r = 0.189 each, P = 0.308 for FSC/SSC gating and P = 0.310 for FSC/SSC gating with purity correction). Mean differences between the reference method and FSC/SSC gating (T cells: 14.4%, P = 0.002; Th cells: 7.7%, P = 0.006; Tc cells: 7.1%, P = 0.001) were greater than those between the reference method and FSC/SSC gating with purity correction (T cells: 12.1%, P = 0.004; Th cells: 1.7%, P = 0.608; Tc cells: 0.2%, P = 0.957). CONCLUSIONS: Lymphocyte purity correction after FSC/SSC gating improved the accuracy of Th- and Tc-cell measurements, but not T-cell measurements. CD45 is essential for lymphocyte gating in T-lymphocyte subset assays of BAL fluid.


Subject(s)
Bronchoalveolar Lavage , Bronchoalveolar Lavage Fluid , Flow Cytometry , Hematology , Leukocyte Count , Light , Lymphocyte Subsets , Lymphocytes , T-Lymphocyte Subsets , T-Lymphocytes
6.
Anesthesia and Pain Medicine ; : 27-31, 2009.
Article in Korean | WPRIM | ID: wpr-24145

ABSTRACT

Gorham's disease is a very rare non-familial disorder of uncertain etiology characterized by uncontrolled non-neoplastic proliferation of vascular or lymphatic channels within bone, leading to resorption and replacement of osseous matrix with angiomatous tissue. Spinal cord compression due to cervical spine osteolysis can lead to respiratory problems due to chylous pleural effusion or cardiac dysfunction due to chylous pericardial effusion, which can be life threatening and cause high morbidity and mortality. We present a 32-year-old female patient complicated by chylothorax who underwent general anesthesia for a bone biopsy.


Subject(s)
Adult , Female , Humans , Anesthesia, General , Chylothorax , Osteolysis , Pericardial Effusion , Pleural Effusion , Spinal Cord Compression , Spine
7.
Korean Journal of Anesthesiology ; : 598-602, 2008.
Article in Korean | WPRIM | ID: wpr-150076

ABSTRACT

Anesthegiologists commonly use arterial cannulation for both close blood pressure monitoring and repeated blood sampling for gas analysis. Radial artery cannulation is generally thought of as a safe and uncomplicated procedure, however, some possible complications have been reported. These include bleeding, hematoma, infection, pseudoaneurysm and thromboembolism, which do not usually result in any serious clinical problems. Although it is not common, thromboembolism could be serious because it can lead to digital ischemia and necrosis. We report here a case of finger necrosis following radial artery cannulation in a patient who underwent radical hysterectomy under general anesthesia.


Subject(s)
Humans , Aneurysm, False , Arteries , Blood Pressure Monitors , Catheterization , Fingers , Hematoma , Hemorrhage , Hysterectomy , Ischemia , Necrosis , Radial Artery , Thromboembolism
8.
The Korean Journal of Pain ; : 202-205, 2008.
Article in Korean | WPRIM | ID: wpr-111585

ABSTRACT

BACKGROUND: Lumbar radicular pain is a frequent and often debilitating event. Although many treatment methods have been described in several studies, the available evidences regarding efficacy is not sufficient enough to draw definitive conclusions on an optimal therapy regime. Pulsed radiofrequency (RF) treatment was found to exert a beneficial effect on intractable radicular pain in individuals. The purpose of this study was to assess the efficacy of pulsed RF of the dorsal root ganglion for chronic lumbar radicular pain. METHODS: Twenty five patients with chronic lumbar radicular pain that was refractory to selective nerve root blockage met the inclusion criteria of our study and received pulsed RF treatment. The average numeric rating scale (NRS) for leg pain during usual activities and the Oswestry disability index (ODI) were measured at 1 and 3 months after the procedure. RESULTS: Of the 25 patients accepted for pulsed RF treatment, one dropped out due to a vertebral compression fracture during this study. ODI and NRS showed a positive trend in favor of the pulsed RF treatment. No significant complications were observed during the study period. CONCLUSIONS: It appears that pulsed RF treatment of the lumbar spinal dorsal root ganglion may be an effective treatment method for patients suffering from lumbar radicular pain, and who were not responsive to selective nerve root blockage.


Subject(s)
Humans , Fractures, Compression , Ganglia, Spinal , Leg , Pulsed Radiofrequency Treatment , Stress, Psychological
9.
Korean Journal of Physical Anthropology ; : 13-24, 2006.
Article in Korean | WPRIM | ID: wpr-24407

ABSTRACT

Current anatomy education in Korea has been dependent upon foreign textbooks and atlas. Various models and medical devices commonly used in Korea were imported from overseas. Now, it is necessary to design, produce and supply medical education, operative tools and treatment supportive devices customized to Korean human body and constitution. Accordingly, this is the time to assemble and deliver medical data to Korean population. Indivicess from the measurement for various types of bones were calculated, and the results were compared with data from foreign atlas and pictures. Individual drawings of bones from sacrum, hip bone and lower limb were made by using parameters we calculated, thus the atlas of Korean skeleton was constructed from artistic anatomical point of view. As a result, there were significant differences between Korean skeletons and the medical drawings from the oversea edition, and also we found numerous exaggerated and false dimensions without actual measurement. In the present study, we primarily focused on building musculoskeletal system of Korea population and set our goal as utilizing its graphic data for medical education in Korea. The present study would be the first study preparing theoretical foundations of Korean skeletal graphic system based on Korean body shape by comparison with other ethnic groups and foreign graphical models. Simultaneously, we conducted practical construction of the skeletal atlas by employing Korean standard measure data.


Subject(s)
Humans , Constitution and Bylaws , Education , Education, Medical , Ethnicity , Foundations , Hip , Human Body , Korea , Lower Extremity , Musculoskeletal System , Sacrum , Skeleton
10.
Korean Journal of Physical Anthropology ; : 77-88, 2005.
Article in Korean | WPRIM | ID: wpr-87611

ABSTRACT

Current anatomy education in Korea has been dependent upon foreign textbooks and atlas. Various models and medical devices from overseas were imported and commonly used in Korea, Now, we need to provide our own literatures and graphic data based on Korean population for student education. It is necessary to design, produce and supply medical education, operative tools and treatment supportive devices customized to Korean human body and constitution. Accordingly, this is the time to assemble and deliver medical data to Korean population. In this study, we primarily focused on building musculoskeletal system of Korea population and set our goal as utilizing its graphic data for medical education in Korea. It is first study preparing theoretical foundations of Korean skeletal graphic system based on Korean body shape by comparison with other ethnic groups and foreign graphical models. Simultaneously, we conducted practical construction of the skeletal atlas by employing Korean standard measures. Parameters from the measurement for various types of bones were calculated, and the results were compared with data from foreign atlas and pictures. Individual drawings of bones from skull, upper extremity was made by using parameters we calculated, thus the atlas of Korean skeleton was constructed from artistic anatomical point of view. As a result, there were significant differences between Korean skeletons and the medical drawings from the oversea edition. Because many foreign drawings used data from Caucasians only and there were numerous exaggerated and false dimensions without actual measurement. In conclusion, the result of the study is expected to provide fundamental data for building anatomical atlas about Korean human body structure.


Subject(s)
Humans , Constitution and Bylaws , Education , Education, Medical , Ethnicity , Foundations , Human Body , Korea , Musculoskeletal System , Skeleton , Skull , Upper Extremity
11.
Journal of Korean Society of Medical Informatics ; : 337-343, 2005.
Article in Korean | WPRIM | ID: wpr-91272

ABSTRACT

OBJECTIVE: Indexing medical documents is important to retrieve medical information efficiently, but it is labor intensive and an annoying task for indexers or authors. This paper presents that whether an automatic indexing program can help the human task for Korean medical keyword indexing. METHODS: We developed an automatic indexing program using Korean Medical Subject Heading(K-MeSH) and evaluated the performance as compared with technical indexers and authors. RESULTS: Experimental result was that the current program's performance was much lower than technical indexers', but it was same as the authors' performance. CONCLUSION: The result showed that it is very affirmative to develop the automatic indexing program to help authors at least, and to help technical indexers with improving the program by enriching K-MeSH and utilizing K-MeSH structure.


Subject(s)
Humans , Abstracting and Indexing , Information Storage and Retrieval , Medical Subject Headings
12.
Journal of the Korean Society of Plastic and Reconstructive Surgeons ; : 223-232, 2001.
Article in Korean | WPRIM | ID: wpr-183291

ABSTRACT

Sixteen dogs were used to study the effect of bone morphogenic protein(BMP-4), betaig-h3 and chitosan during the early bony consolidation stage in the distracted zones of mandibles. The lateral surface of the mandibular body was exposed in the subperiosteal plane and vertical osteotomy was carried out on the mandibular body. An external distraction device was applied to the mandibular body about 1 cm apart from the osteotomy line. Mandibular distraction was started 5 days after the mandibular osteotomy at a rate of 2 mm per day for a total of 10 mm distraction for 5 days. The experimental group was divided into 4 groups: control group, BMP-4 group, betaig-h3 group and chitosan group depending on the injected material into the distracted area. Four dogs were allocated to each group. On the day of completion of distraction, 0.5 ml of BMP-4, 0.5 ml of betaig-h3, 0.5 ml of 5% chitosan solution was injected respectively into the distracted area of each group with the same amount of tripolyphosphate in dual syringe for solidification of the injected solution. In the control group, 1 ml of tripolyphosphate was injected into the distracted area. After injection of the study materials, the distraction device was left in place for 4 or 7 weeks to allow bony consolidation. Radiographs were taken weekly. Two dogs in each group, a total of eight dogs, were sacrified in 4 weeks, and another eight dogs in 7 weeks after completion of distraction. Bone specimens of the distracted mandibles were taken for histologic examination. The mineral density of the distracted bone was measured during the radiological procedures and analysed by the computer. In the radiographs of the distracted areas of the mandibles, the control group has shown a mostly radiolucent zone but the other groups have shown the radiodense zones with various width of central radiolucent zones. The central radiolucent zone became narrower in time and vertical thickness of the radiodense zone was about twice thicker in 7 weeks than that of 4 weeks after finishing bone distraction. BMP-4 group showed the thickest radiodense zone and the chitosan group shows the thinnest radiodense zone. The mineral density of bone was highest in the BMP-4 group and lowest in the control group. In the histological findings of the distracted areas of mandibles, the control group showed whole fibrous tissue but the other groups showed new woven bones with central narrow fibrous interzone. The degree of new bone formation was most remarkable in the BMP-4 group and was least remarkable in the chitosan group. In conclusion, there was an active formation of a new bone in the distracted area of the mandible by injection of BMP-4, betaig-h3 and chitosan. The new bone formation was most remarkable in the BMP-4 group followed by betaig-h3, chitosan and control group. These findings suggest that BMP-4 is clinically worth using for early bony consolidation in the distraction osteogenesis.


Subject(s)
Animals , Dogs , Humans , Chitosan , Mandible , Mandibular Osteotomy , Osteogenesis , Osteogenesis, Distraction , Osteotomy , Syringes
13.
Journal of the Korean Society of Plastic and Reconstructive Surgeons ; : 22-38, 1998.
Article in Korean | WPRIM | ID: wpr-132016

ABSTRACT

An arterialized venous flap has the advantages of being thin and pliable, utilizing a large-caliber vein with a pedicle of almost any length, as well as obviating the need to sacrifice a donor artery. However, the main disadvantage of this flap is the partial necrosis of the large flap. The aim of this study was to investigate the efficacy of a surgical delay procedure and a combined surgical and chemical delay procedure on the survival of arterialized venous flaps. Ninety New Zealand white rabbits were divided into three groups: control group, a surgical delay group and a combined surgical and chemical delay group. These groups were further divided into subgroups depending on the delay period and the chemical agents. One arterialized venous flap was made from only one ear of each rabbit due to operative mortality, and 10 rabbits were distributed to each subgroup. The arterialized venous flap had an arterial inflow by anastomosis of the central auricular artery to the anterior branch of the central auricular vein and a venous outflow through the anterior marginal vein. The results were as follows ; 1. Control group : The arterialized venous flaps without any delay procedure showed complete necrosis of all flaps. 2. Surgical delay group : The mean percentages of survival areas of arterialized venous flaps were 36.6% in the 4-day delay group, 59.7% in the 7-day delay group. 3. Combined surgical and chemical delay group: a. A 3-day chemical delay in a continuation of a 4-day simultaneous surgical and chemical delay group: The mean percentages of survival areas of the arterialized venous flaps were 81.1% in the doxazosin mesylate group, 72.8% in the nitroglycerine patch group and 92.9% in a combination group of doxazosin mesylate and nitroglycerine patch. b. A 3-day chemical delay in a continuation of a 7-day simultaneous surgical and chemical delay group : The mean percentages of survival areas of the arterialized venous flaps were 94% in the doxazosin mesylate group, 90.2% in the nitroglycerine patch group and 99% in a combination group of doxazosin mesylate and nitroglycerine patch. In conclusion, the surgical delay procedure increases the percentage of survival areas of the arterialized venous flap in proportion to the delay period. The combination group of surgical and chemical delay procedure had a significant increase of the percentage of survival areas than that of the surgical delay group(p < 0.001). The best survival of the flap was obtained from the subgroup which had a 3-day chemical delay in a continuation of a 7-day simultaneous surgical and chemical delay with combined chemical agents.


Subject(s)
Humans , Rabbits , Arteries , Doxazosin , Ear , Mortality , Necrosis , Nitroglycerin , Tissue Donors , Veins
14.
Journal of the Korean Society of Plastic and Reconstructive Surgeons ; : 22-38, 1998.
Article in Korean | WPRIM | ID: wpr-132013

ABSTRACT

An arterialized venous flap has the advantages of being thin and pliable, utilizing a large-caliber vein with a pedicle of almost any length, as well as obviating the need to sacrifice a donor artery. However, the main disadvantage of this flap is the partial necrosis of the large flap. The aim of this study was to investigate the efficacy of a surgical delay procedure and a combined surgical and chemical delay procedure on the survival of arterialized venous flaps. Ninety New Zealand white rabbits were divided into three groups: control group, a surgical delay group and a combined surgical and chemical delay group. These groups were further divided into subgroups depending on the delay period and the chemical agents. One arterialized venous flap was made from only one ear of each rabbit due to operative mortality, and 10 rabbits were distributed to each subgroup. The arterialized venous flap had an arterial inflow by anastomosis of the central auricular artery to the anterior branch of the central auricular vein and a venous outflow through the anterior marginal vein. The results were as follows ; 1. Control group : The arterialized venous flaps without any delay procedure showed complete necrosis of all flaps. 2. Surgical delay group : The mean percentages of survival areas of arterialized venous flaps were 36.6% in the 4-day delay group, 59.7% in the 7-day delay group. 3. Combined surgical and chemical delay group: a. A 3-day chemical delay in a continuation of a 4-day simultaneous surgical and chemical delay group: The mean percentages of survival areas of the arterialized venous flaps were 81.1% in the doxazosin mesylate group, 72.8% in the nitroglycerine patch group and 92.9% in a combination group of doxazosin mesylate and nitroglycerine patch. b. A 3-day chemical delay in a continuation of a 7-day simultaneous surgical and chemical delay group : The mean percentages of survival areas of the arterialized venous flaps were 94% in the doxazosin mesylate group, 90.2% in the nitroglycerine patch group and 99% in a combination group of doxazosin mesylate and nitroglycerine patch. In conclusion, the surgical delay procedure increases the percentage of survival areas of the arterialized venous flap in proportion to the delay period. The combination group of surgical and chemical delay procedure had a significant increase of the percentage of survival areas than that of the surgical delay group(p < 0.001). The best survival of the flap was obtained from the subgroup which had a 3-day chemical delay in a continuation of a 7-day simultaneous surgical and chemical delay with combined chemical agents.


Subject(s)
Humans , Rabbits , Arteries , Doxazosin , Ear , Mortality , Necrosis , Nitroglycerin , Tissue Donors , Veins
15.
Journal of the Korean Society of Plastic and Reconstructive Surgeons ; : 264-268, 1998.
Article in Korean | WPRIM | ID: wpr-213289

ABSTRACT

Conventional removal of benign skin tumors with transverse or elliptical excision often results in depression, considerable dog ear formation and lengthening of the final scar. The resulting scar is always longer than the maximal diameter of the elevated skin tumor. Curvilinear transverse incision was designs on the center of the skin tumor, then on the center of transverse incision, the vertical limb incision was added to complete T-shaped incision. After local anesthetic solution was infiltrated through the designed lines, the mass was completely removed. To obliterate dead space, the mid point of the incision was approximated with a suture; there remained dog ears on both sides. To remove the dog ears, triangular flaps were advanced anteromedially, excised, and sutured. Resection of the skin tumors through T-shaped incision provides easy dissection, simultaneous dog ear and dead space repair and elimination of depression of the skin lesion site. To predict the length of the vertical limb incision, it was measured intraoperatively, the length of the vertical limb incision was ranged from 30% to 41% of the transverse incision. So, initially the length of the vertical limb incision was safely designed to remove dog ears and depression from one third of the transverse incision.


Subject(s)
Animals , Dogs , Cicatrix , Depression , Ear , Extremities , Skin , Sutures
16.
Korean Journal of Urology ; : 904-910, 1982.
Article in Korean | WPRIM | ID: wpr-122218

ABSTRACT

Twenty-four anatrophic nephrolithotomies under hypothermia were performed between June, 1980, and July, 1982, to remove staghorn and multiple renal calculi. 1. There were no operative deaths, and eight transient postoperative complications occurred. These complications resolved during their initial hospitalization, and no nephrectomies were required. 2. The average time of the operation was 4.17 hours, and the mean cold renal ischemic time was 51 minutes. The patient required an average of 1.9 pints of blood intraoperatively and no transfusion postoperatively. The average length of postoperative hospitalization was 10.3 days in all patients and 17.4 days in complicated cases. 3. Magnesium ammonium phosphate calculi were present in the major of patients (62.5%) in staghorn calculi and calcium oxalate (62.5%) in multiple renal calculi. 4. Postoperative evaluation was done in 16 of 24 patients. Seven patients (43.8%) has residual calculi. This high residual stone rate was due to lack of intraoperative roentgenography. 5. Among 16 patients, 9 had preoperative urinary tract infection. In 4 patients who had residual stone, 2 patients had perpetuated urinary tract infection and in 5 patients who had no residual stone, postoperative urine culture were sterile. 6. Intravenous pyelography was performed 3 months after the operation in 6 patients. Of these 6 patients 5 revealed stable or improved renal function. In 1 patient it revealed non-functioning kidney. We suppose it may be due to vascular spasm or injury.


Subject(s)
Humans , Ammonium Compounds , Calcium Oxalate , Calculi , Hospitalization , Hypothermia , Kidney , Kidney Calculi , Magnesium , Nephrectomy , Postoperative Complications , Radiography , Spasm , Urinary Tract Infections , Urography
17.
Korean Journal of Urology ; : 290-299, 1981.
Article in Korean | WPRIM | ID: wpr-120686

ABSTRACT

Clinical observations and histopathologic behaviors of testicular tumors were made on 39 cases who were admitted to the Department of Urology, Seoul National University Hospital, during the period from January, 1966 to December, 1979. The results are summarized as follows; 1) Among the 4220 cases of male inpatients, 718 (17. 0%) were G. U tract tumors and 39(0. 92%) were testicular tumors. 2) Age distribution was between 8 months and 72 years old, showing the highest incidence under the 5 year-old age group (38%). 3) Twenty one cases (53. 8%) arose on the right and eighteen cases (46. 2%) on the left. 4) Twenty two cases (56. 4%) visited the hospital within 6 months after the onset of the symptoms and 30 cases (77. 1%) within 1 year. 5) The presenting symptoms were painless scrotal mass (79. 5%). painful scrotal mass (7.7%) and metastatic symptoms (12. 8%) 6) Three cases (7.7%) arose from undescended testis. 7) Twelve cases (30. 8%) had already metastasis when first seen. 8) We had measured the level of serum A. F. P. by gel agar precipitation method or radioimmunoassay in 18 cases. Normal levels of A. F. P. were seen it seminoma and nongerminal testicular tumor. Of 11 cases with no metastatic non-seminomatous germinal cell tumor, 5 had elevated serum A. F. P. All the 3 cases with metastatic non-seminomatous germinal cell tumor had elevated serum A. F. P 9) These patients were managed by surgery, radiotherapy and chemotherapy. Serum and urine H. C. G. was checked during chemotherapy on 1 case for the evaluation of response to chemotherapy.


Subject(s)
Aged , Child, Preschool , Humans , Male , Agar , Age Distribution , Cryptorchidism , Drug Therapy , Incidence , Inpatients , Neoplasm Metastasis , Radioimmunoassay , Radiotherapy , Seminoma , Seoul , Testicular Neoplasms , Urology
18.
Korean Journal of Urology ; : 544-550, 1981.
Article in Korean | WPRIM | ID: wpr-170732

ABSTRACT

This paper is presented to report the results of urinary quantitative culture and drug sensitivity tests for isolated micro-organisms in this study. Studies were done on 172 cases from the department of Urology, Eul Ji General Hospital during the period from Jan. 1979 up to Dec. 1980. 1. Quantitative urine culture in 172 cases were performed and of these, 89 cases grew micro-organism wile the remaining 83 cases showed no growth. Among the 89 cases, 67 cases (75.2%) revealed significant bacteriuria with colony count over 10 5/ml in urine while 22 cases (24. 8%) were below 105/ml. Radio of Male: Female is 29: 38 2. 55 cases (82.1%) among the 67 cases with significant bacteriuria could the bacteria be identified on a smear and Gram stain. 54 cases (80.6%) of the 67 significant bacteriuria casts revealed pyuria of more than 5/HPF while 13 cases (19.4%) were below 5/HPF 3. 60 cases(89. 6%) of the 67 cases significant bacteriuria has Gram (-) bacilli while 7 cases(10.4 %) were Gram (+) cocci by direct smear. The frequency of isolated organism were as following E. coli 33 cases (49. 3%). Pseudomonas 11 cases(16.4%) Enterobactor 6 cases(9.0%) Proteus and stapbylo. Aureus 4 cases(5.8%) respectively. 4. On the whole, all isolated micro-organisms showed considerable susceptibility to panimycin (82. 7%) and then frequency of susceptible drug were and then the frequency of susceptible drug were Cefamezine, Kedacillin, Gentamicin.


Subject(s)
Female , Humans , Male , Bacteria , Bacteriuria , Cefazolin , Gentamicins , Hospitals, General , Lymphography , Proteus , Pseudomonas , Pyuria , Urology
19.
Korean Journal of Urology ; : 112-121, 1980.
Article in Korean | WPRIM | ID: wpr-139939

ABSTRACT

Diagnostic ultrasonography was performed on 34 cases with, various urological disorders, mainly of the kidney, and its diagnostic accuracy and simplicity were evaluated.


Subject(s)
Kidney , Ultrasonography , Urology
20.
Korean Journal of Urology ; : 112-121, 1980.
Article in Korean | WPRIM | ID: wpr-139938

ABSTRACT

Diagnostic ultrasonography was performed on 34 cases with, various urological disorders, mainly of the kidney, and its diagnostic accuracy and simplicity were evaluated.


Subject(s)
Kidney , Ultrasonography , Urology
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