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1.
Journal of Breast Cancer ; : 194-204, 2020.
Article | WPRIM | ID: wpr-835602

ABSTRACT

Purpose@#We aimed to analyze the treatment outcomes of ipsilateral cervical lymph node (CLN)-positive breast cancer without other distant metastasis and compare the outcomes with those of supraclavicular lymph node (SCL)-positive breast cancer. @*Methods@#Seventy-eight patients with breast cancer and ipsilateral CLN metastasis above the supraclavicular fossa (CLN[+] group) were treated at 7 institutions (2000–2014). Seventy-four patients received systemic chemotherapy and breast surgery followed by locoregional radiotherapy. Outcomes of the CLN(+) group were compared with those of the SCL(+) group, which included 183 patients with SCL involvement. @*Results@#The median follow-up duration was 55.9 months. Twenty-two regional failures were found in 15 patients—axillary lymph node (LN) in 8, SCL in 6, internal mammary LN in 3, previously involved CLN in 4, and previously uninvolved ipsilateral CLN in one patient. The 5-year overall survival (OS), disease-free survival (DFS), locoregional relapse-free survival (LRRFS), and distant metastasis-free survival (DMFS) rates were 68.6%, 46.7%, 68.4%, and 57.0%, respectively. Neck dissection did not improve LRRFS and DFS (p = 0.86 and p = 0.26, respectively). Multivariate analysis showed that hormone receptor negativity and the presence of extracapsular extension were prognostic factors for poor DFS. On comparison with stage IIIC using propensity score matching, survival outcomes of the CLN(+) and SCL(+) groups were not different (5-year OS, p = 0.75; DFS, p = 0.88; LRRFS, p = 0.86; and DMFS, p = 0.45). @*Conclusion@#The comparable clinical outcomes indicate that patients with breast cancer who have ipsilateral CLN metastasis without other distant metastasis may benefit from locoregional treatment of the ipsilateral breast and systemic therapies, as do those with N3c disease.

2.
Radiation Oncology Journal ; : 148-150, 2020.
Article | WPRIM | ID: wpr-837092

ABSTRACT

Pleuropulmonary blastoma (PPB) is a rare intrathoracic neoplasm in children. Although surgery with or without chemotherapy mainly conducted, the response of radiotherapy (RT) has not been evaluated yet. For unresectable tumor, RT might be considered as one option to decrease tumor extent to relieve obstructing symptoms or to facilitate successive treatment. We report one child in whom PPB with DICER1 mutation recurred after surgery and lead to respiratory distress. She emergently received palliative RT with a relatively low dose (20 Gy), and symptoms sufficiently relieved. Even she showed an 84.3% reduction in diameter and maintained the remission status for 1 year. These might reflect possible radiosensitivity of PPB, and further investigations of RT might be necessary for unresectable PPB.

3.
Cancer Research and Treatment ; : 1313-1323, 2019.
Article in English | WPRIM | ID: wpr-763228

ABSTRACT

PURPOSE: We first analyzed the prognostic power of albumin-to-alkaline phosphatase ratio (AAPR) before radical radiotherapy (RT) in non-metastatic nasopharyngeal carcinoma (NPC) patients. MATERIALS AND METHODS: The records of 170 patients with biopsy-proven, non-metastatic NPC treated by radical RT between 1998 and 2016 at our institution were retrospectively reviewed. Median follow-up duration was 50.6 months. All patients received intensity-modulated RT and cisplatin based chemotherapy before, during, or after RT. The major treatment of patients was based on concurrent chemoradiotherapy (92.4%). The AAPR was calculated by the last value of both albumin and alkaline phosphatase within 1 month immediately preceding RT. The optimal cut-off level of AAPR was determined by using Cutoff Finder, a web-based system. Propensity score matching (PSM) analysis was performed. RESULTS: The optimal cut-off level of AAPR was 0.4876. After PSM analysis of whole cohort, an AAPR was not related to survival outcomes. In PSM analysis for patients with locoregionally advanced nasopharyngeal carcinoma (LA-NPC), an AAPR ≥ 0.4876 was related to better overall survival (OS), progression-free survival (PFS), and locoregional relapse–free survival (LRRFS) (OS: hazard ratio [HR], 0.341; 95% confidence interval [CI], 0.144 to 0.805; p=0.014; PFS: HR, 0.416; 95% CI, 0.189 to 0.914; p=0.029; and LRRFS: HR, 0.243; 95% CI, 0.077 to 0.769; p=0.016, respectively). CONCLUSION: The AAPR, inexpensive and readily derived from a routine blood test, could be an independent prognostic factor for patients with LA-NPC. And it might help physicians determine treatment plans by identifying the patient's current status. Future prospective clinical trials to validate its prognostic value are needed.


Subject(s)
Alkaline Phosphatase , Chemoradiotherapy , Cisplatin , Cohort Studies , Disease-Free Survival , Drug Therapy , Follow-Up Studies , Hematologic Tests , Humans , Prognosis , Propensity Score , Prospective Studies , Radiotherapy , Retrospective Studies
4.
Article in English | WPRIM | ID: wpr-760991

ABSTRACT

PURPOSE: To identify prognostic factors influencing progression-free survival (PFS) of aggressive fibromatosis (AF) after postoperative radiotherapy (PORT) and assess correlations between immunohistochemistry (IHC) features of β-catenin/smooth muscle actin (SMA) and PFS. MATERIALS AND METHODS: Records of 37 patients with AF treated by PORT from 1984 to 2015 were retrospectively reviewed. Fifteen patients underwent wide excision for AF and 22 patients received debulking operation. The median total dose of PORT was 59.4 Gy. IHC staining results of β-catenin and SMA were available for 11 and 12 patients, respectively. RESULTS: The median follow-up duration was 105.9 months. Five-year PFS rate was 70.9%. Tumor size or margin status was not related to PFS in univariate analysis (p = 0.197 and p = 0.716, respectively). Multivariate analysis showed that increased interval from surgery to PORT (>5.7 weeks) was a marginal risk factor for PFS (p = 0.054). Administration of PORT at the initial diagnosis resulted in significantly improved PFS compared to deferring PORT after recurrence (p = 0.045). Patient with both risk factors of deferring PORT after recurrence and interval from surgery to PORT >5.7 weeks had significantly lower 5-year PFS than patients without risk factor (34.1% vs. 100.0%; p = 0.012). Nuclear β-catenin intensity tended to inversely correlate with 5-year PFS, although it did not reach statistical significance (62.5% at low vs. 100.0% at high; p = 0.260). SMA intensity was not related to PFS (p = 0.700). CONCLUSION: PORT should be performed immediately after surgery irrespective of margin status or tumor size especially in recurrent case. Nuclear β-catenin staining intensity of IHC might correlate with local recurrence.


Subject(s)
Actins , beta Catenin , Diagnosis , Disease-Free Survival , Fibromatosis, Aggressive , Follow-Up Studies , Humans , Immunohistochemistry , Multivariate Analysis , Radiotherapy , Radiotherapy, Adjuvant , Recurrence , Retrospective Studies , Risk Factors
5.
Korean Journal of Urology ; : 1108-1113, 2009.
Article in Korean | WPRIM | ID: wpr-101209

ABSTRACT

PURPOSE: Patients in the intensive care unit (ICU) are usually at greater risk for acquiring urinary tract infection (UTI). Few studies have focused on UTI specifically acquired within the ICU. We retrospectively studied and compared the microbiology and antibiotic sensitivity of UTI in ICU-admitted patients between 2001 and 2008. MATERIALS AND METHODS: We reviewed the medical records of a total of 1,818 ICU patients who had undergone a urine culture exam in 2001 and 2008 in a single hospital. Changes in causative organisms and their antibiotic sensitivity between 2001 and 2008 were analyzed. RESULTS: The common pathogens in 2008 were Escherichia coli (20.3%), Pseudomonas (19.5%), Enterococcus (18.0%), Klebsiella (7.8%), coagulase-negative Staphylococcus (CNS) (4.3%), and Staphylococcus (4.3%). Pseudomonas species significantly increased in 2008 compared with 2001 (p=0.002). Gram-negative organisms showed relatively higher sensitivities to amikacin, imipenem, and Tazocin (72.1%, 76.2%, and 74.6%, respectively), whereas they showed relatively lower sensitivities to third-generation cephalosporins and ciprofloxacin (43% to 59%). Gram-positive organisms showed high sensitivities to teicoplanin and vancomycin (91.2% and 86.8%, respectively), whereas they showed low sensitivities to ampicillin and ciprofloxacin (25% and 26.5%, respectively). The antibiotic resistance of Pseudomonas species was nearly double that of E. coli. CONCLUSIONS: E. coli, Pseudomonas, and Enterococcus were the three most common organisms in ICU-acquired UTI in our study. In particular, Pseudomonas species were found to have increased significantly in recent years. Pseudomonas species had a significantly lower susceptibility to antibiotic sensitivity than did the other organisms.


Subject(s)
Amikacin , Ampicillin , Cephalosporins , Ciprofloxacin , Drug Resistance, Microbial , Enterococcus , Escherichia coli , Humans , Imipenem , Critical Care , Intensive Care Units , Klebsiella , Medical Records , Penicillanic Acid , Piperacillin , Pseudomonas , Retrospective Studies , Staphylococcus , Teicoplanin , Urinary Tract , Urinary Tract Infections , Vancomycin
6.
Article in Korean | WPRIM | ID: wpr-62718

ABSTRACT

PURPOSE: Erectile dysfunction (ED) is a common comorbidity with diabetes mellitus (DM). The goal of this study was to evaluate the effect of cardiovascular risk factors (CVRF) on ED patients with DM and the response to phosphodiesterase type-5 (PDE5) inhibitors. MATERIALS AND METHODS: We performed a retrospective study on 32 patients with ED and type II DM. The CVRFs were defined as hypertension, coronary artery disease, hyperlipidemia, smoking and obesity. All the patients were checked for CVRFs and the erectile function was assessed with the International Index of Erectile Function (IIEF) score. Tadalafil (20mg) was taken for 3 months, and then the IIEF score was checked again. The scores of the IIEF-EF, Q3 and Q4 and the number of risk factors were analyzed. RESULTS: The scores of the IIEF-EF, Q3 and Q4 were higher in the non-risk factor group than that in the risk factor group. After Tadalafil treatment, the score of the group that had less than 1 risk factor was significantly improved, but the score of the group that had more than 2 risk factors showed little change. CONCLUSIONS: To treat ED patients with DM, their cardiovascular risk factors must be assessed.


Subject(s)
Carbolines , Comorbidity , Coronary Artery Disease , Diabetes Mellitus , Erectile Dysfunction , Humans , Hyperlipidemias , Hypertension , Male , Obesity , Phosphodiesterase 5 Inhibitors , Retrospective Studies , Risk Factors , Smoke , Smoking , Tadalafil
7.
Article in Korean | WPRIM | ID: wpr-656988

ABSTRACT

OBJECTIVE: The aim of this study was to compare the initial lateral cephalometric characteristics in two groups of patients: those that had mandibular setback surgery only and those that had mandibular setback surgery with advancement genioplasty. METHODS: The lateral cephalograms of thirty-one patients were studied. Twenty-one Class III patients (group A) had only madibular setback surgery. Twelve Class III patients (group B) had mandibular setback surgery with advancement genioplasty. RESULTS: Differences between two groups were found in N-Me, ANS-Me, Occlusal Plane angle, Palatal Plane to U1, Mandibular Plane to L1, Mandibular Plane to L6, SN to U1, Sn-Stms, and Pog' projection. Compared to group A, group B showed more linguoversion and extrusion of upper incisors, more extrusion of lower incisors and lower first molar, and more steepness of the occlusal plane. N-Me, ANS-Me, and Sn-Stms were also longer in group B. But Pog' projection was shorter than group A. CONCLUSION: We conclude that certain initial lateral cephalometric characteristics may help indicate the inclusion of advancement genioplasty when mandibular setback surgery is planned in skeletal Class III patients.


Subject(s)
Dental Occlusion , Genioplasty , Humans , Incisor , Molar , Orthognathic Surgery
8.
Korean Journal of Urology ; : 860-862, 2008.
Article in Korean | WPRIM | ID: wpr-13373

ABSTRACT

Vesicouterine fistula is a rare disease that comprises 1 to 4% of all reported urogenital fistulas. Repeated cesarean section may be related to the formation of vesicouterine fistula. We experienced a case of vesicouterine fistula, and the patient's symptom was gross hematuria during her mensturation period after repeated cesarean section.


Subject(s)
Cesarean Section , Female , Fistula , Hematuria , Pregnancy , Rare Diseases
9.
Korean Journal of Urology ; : 257-262, 2006.
Article in Korean | WPRIM | ID: wpr-113095

ABSTRACT

PURPOSE: With the recent changes in eating habits and the westernization of peoples' lifestyle, the occurrence of coronary artery disease is on the rise. In 1998, the World Health Organization (WHO) defined "metabolic syndrome" as a condition in which all the risk factors of coronary artery disease exist in an elderly individual. We investigated the relationship between metabolic syndrome and voiding difficulty. MATERIALS AND METHODS: In 2004, we investigated 123 male out-patients who visited the endocrinology department and the health care center between the months of March and October. We divided the patients into two groups: one group met the criteria for metabolic syndrome (n=90, 58.7+/-8.9 years old) and one group didn't met the criteria (n=33, 57.8+/-9.5 years old), and we compared factors of voiding difficulty between the these two groups. RESULTS: When comparing the components of metabolic syndrome in the patient study group to the control study group, the metabolic syndrome patients scored poorly for all the metabolic syndrome components in comparison to the control group (p<0.05). When comparing the voiding factors of the metabolic syndrome patients to the control group, the metabolic syndrome patient group scored substantially lower than the control group for all the voiding factors (p<0.05). CONCLUSIONS: The results of this study proved that metabolic syndrome and voiding difficulty are related. Therefore, the earlier diagnosis of metabolic syndrome should be possible by performing a more active investigation for metabolic syndrome in the patients who are admitted with voiding difficulty.


Subject(s)
Aged , Coronary Artery Disease , Delivery of Health Care , Diagnosis , Eating , Endocrinology , Humans , Life Style , Male , Metabolic Syndrome , Multiple Endocrine Neoplasia Type 1 , Outpatients , Prostatic Hyperplasia , Risk Factors , Urination Disorders , World Health Organization
10.
Article in Korean | WPRIM | ID: wpr-110791

ABSTRACT

PURPOSE: Chronic pelvic pain syndrome (CPPS) is the most common urogenital disease in middle aged men, and it shows various symptoms and a high recurrent rate. Uro-Vaxom(R) is effective for the treatment of urinary tract infection via the activation of the urothelial immune system. The main objectives of this study were to investigate the recurrence of CPPS and to find out if Uro-Vaxom(R) is helpful to suppress the recurrence of this condition. MATERIALS AND METHODS: After completing treatment for CPPS (NIH-IIIa 45, NIH-IIIb 85), 130 patients were given a 12 week course of Uro-Vaxom(R) 60mg once a day before breakfast. Sixty patients were also included in the study as a control group after they completed the treatment for CPPS (NIH-IIIa 22, NIH-IIIb 38). All of patients were reevaluated 12 weeks and 24 weeks later with the NIH-CPSI criteria and the EPS findings. RESULTS: The overall recurrent rate for NIH-IIIa disease was 22.7%, and it was 26.3% for the patients with NIH-IIIb disease in the control group, and it was 6.7% for the patients with NIH-IIIa disease and 7.1% for the patients with NIH-IIIb disease in the Uro-Vaxom(R) group (p<0.05). The classification of the recurrent CPPS was 46.7% NIH-IIIa and 53.3% NIH- IIIb in the control group, and 11.1% NIH-IIIa and 88.9% NIH-IIIb in the Uro-Vaxom(R) group. The possible predisposing factors related to the recurrence of CPPS were excessive alcoholic drinking (29.2%), overwork (25.0%) and stress (16.7%). In the non-recurrent patients, there was no change of the NIH-Chronic Prostatitis Symptom Index and the EPS findings for all patients during the follow-up period. CONCLUSIONS: There was about a 30% recurrence rate of CPPS within 6 months after treatment, and Uro-Vaxom(R) may play a significant role to suppress the recurrence of CPPS.


Subject(s)
Alcoholics , Breakfast , Causality , Classification , Drinking , Follow-Up Studies , Humans , Immune System , Male , Middle Aged , Pelvic Pain , Prostatitis , Recurrence , Urinary Tract Infections
11.
Korean Journal of Urology ; : 1334-1338, 2006.
Article in Korean | WPRIM | ID: wpr-53570

ABSTRACT

PURPOSE: Extracorporeal magnetic innervation (ExMI) therapy has been known to be safe and immediately effective in stress urinary incontinence (SUI). However, no long term follow-up results have been reported. Therefore; herein, are reported our results from a two year follow-up study on ExMI therapy, with pelvic floor muscle exercises, for SUI. MATERIALS AND METHODS: The study group was comprised of 94 patients with SUI. ExMI therapy was performed for 20 minutes (10Hz and 50Hz for each 10 minutes), twice a week, for 6 weeks. Thereafter, 44 of the 94 patients underwent pelvic floor muscle exercises. Objective measures (quality-of-life surveys, pad changes, and leak episodes per day) were evaluated before, immediately after and 24 months after the ExMI therapy. RESULTS: After 6-week of ExMI therapy, the quality-of-life score improved from 5.1+/-0.9 to 1.8+/-1.1. The mean frequency of pad changes was reduced from 2.1+/-1.6 to 1.1+/-1.0. The mean frequency of leak episodes was also reduced from 2.8+/-1.8 to 1.7+/-1.5 times. After 24 months, the 44 patients having also undergone pelvic floor muscle exercise had persistent improvements in their leak episodes per day compared to the 50 patients that had not. CONCLUSIONS: When ExMI therapy was followed by pelvic floor muscle exercises, the favorable effect in leak episodes per day after ExMI therapy may persist for at least 24 months.


Subject(s)
Exercise , Humans , Muscles , Pelvic Floor , Urinary Incontinence , Urinary Incontinence, Stress
12.
Article in Korean | WPRIM | ID: wpr-219143

ABSTRACT

PURPOSE: Obstructive voiding difficulties were frequent in the patients with metastatic prostatic cancer, and sometimes acute urinary retention may be developed even though medical treatments. We performed channel transurethral resection of prostate(TURP) as palliative treatment for those patients and reported the results. MATERIALS AND METHODS: Fifteen patients with metastatic prostatic cancer were taken TURP aiming for relief of infravesical obstruction. All patients were under the anti-androgen hormonal therapy and had sudden onset of acute urinary retention. TURP was done under general or epidural anesthesia. After TURP, 30~50 cc ballooning urethral Foley catheter was placed for 4 days. We analyzed voiding parameters comparatively before and 3 months after TURP. RESULTS: The mean age of patients was 75.6+/-5.7 years old. Mean prostatic volume was 47.8+/-1.4 cc. Mean resected prostatic tissue was 6.4+/-2.1 cc. All patients had stage D prostatic cancer. Mean serum PSA was 75.2+/-73.8 ng/ml and mean gleason score was 7.8+/-0.9. After TURP, mean international prostatic symptom score(IPSS) was improved from 25.5+/-2.0 to 13.8+/-2.0, mean quality of life score(QOL) was improved from 4.4+/-0.5 to 2.0+/-0.5, and mean maximum uroflow rate was increased from 5.0+/-1.1 ml/sec to 6.0+/-1.6 ml/sec. All patients did not have any complications according to TURP. CONCLUSION: In patients with metastatic prostatic cancer, channel TURP could be considered as a treatment option to relieve severe obstructive voiding difficulty.


Subject(s)
Anesthesia, Epidural , Catheters , Humans , Neoplasm Grading , Palliative Care , Prostatic Neoplasms , Quality of Life , Transurethral Resection of Prostate , Urinary Retention
13.
Korean Journal of Urology ; : 1040-1045, 2005.
Article in Korean | WPRIM | ID: wpr-95579

ABSTRACT

PURPOSE: Chronic prostatitis displays various pathophysiologies due to various causes, and is a life time affliction, but the diagnosis and treatment are still unclear. Therefore, it is important to find if some elements influence the incidence and progress of the disease; attempts were made to recognize the risk factors for chronic prostatitis. MATERIALS AND METHODS: 184 chronic prostatitis patients were selected, and divided, after treatment, into the improvement (IG; n=147) and non-improvement groups (NIG; n=37). 40 healthy men were chosen as the control group (CG) for a comparative analysis. Subjects were investigated for their professional stati and form of work, driving, motorcycle or bicycle utilization, drinking, smoking, sex and their style of diet. RESULTS: The ratio of sedentary desk workers in the NIG (73.0%) was higher than in the other groups. The ratio of those that drove for more than 1 hour was much high in the NIG by 54.1%. The ratio of the people who ejaculated more than once a week, either through sexual intercourse or masturbation, was lower in the NIG by 56.5%, but that of people who ejaculated every day was higher in the NIG (13.5%). People drinking more than once a week was greater in the NIG (67.6%), and those who drank more than 1 bottle of Korean wine, Soju, were showed an expressively higher ratio in the NIG (72.0%). In relation to dietary behavior, the NIG showed a high ratio (73.0%) for a preference for salty food only. CONCLUSIONS: Factors that may influence the prognosis of chronic prostatitis are thought to be the form of profession, number ejaculations, frequency and amount of drinking, an a habit of eating salty food. Therefore, these factors should be considered together when looking for a cure for chronic prostatitis.


Subject(s)
Coitus , Diagnosis , Diet , Drinking , Eating , Ejaculation , Humans , Incidence , Male , Masturbation , Motorcycles , Prognosis , Prostatitis , Risk Factors , Smoke , Smoking , Wine
14.
Korean Journal of Urology ; : 1290-1301, 2005.
Article in Korean | WPRIM | ID: wpr-154391

ABSTRACT

PURPOSE: Cryptorchidism is a common congenital anomaly seen in urology practice, and early diagnosis and treatment plays an important role in the prognosis of the disease. This survey was performed to discover how many parents and primary care physicians understand cryptorchidism from the aspect of the optimal time for surgical correction. MATERIALS AND METHODS: 100 pediatricians and 200 parents of the patients who were operated on for treating cryptorchidism in Pusan National University Hospital (PNUH) between the years 2000 and 2004 were enrolled in this survey. We sent out survey letters and conducted individual counseling secessions with using questionnaires that consisted of 11 items for the parents and 12 items for the pediatricians. RESULTS: Most of the parents (62.7%) and a portion of the pediatricians (21.1%) preferred to operate beyond 2 years of age for treating cryptorchidism. For the pediatricians, there was no significant interconnection between the physicians' gender, the post-residentship interval, experience of employment, the practice duration, the necessity of hormonal therapy and the additional studies on the univariated and multivariated analyses (p>0.05). However, with a longer post-residentship interval and practice duration, the pediatricians tended to prefer delayed orchiopexy (p<0.05). For the parents, there was a significant relationship between paternal age, the parents' academic background and income level and the optimal operation time on both the univariated and multivariaged analyses (p<0.05). The younger parents, the more educated parents and the higher income parents showed earlier recognition of cryptorchidism and they preferred earlier orchiopexy (p<0.05). CONCLUSIONS: The education programs and public activities targeting on the parents and the primary care physicians should be emphasized for achieving a better therapeutic outcome of cryptorchidism.


Subject(s)
Counseling , Cryptorchidism , Early Diagnosis , Education , Employment , Humans , Male , Orchiopexy , Parents , Paternal Age , Physicians, Primary Care , Prognosis , Surveys and Questionnaires , Urology
17.
Korean Journal of Urology ; : 1019-1023, 1999.
Article in Korean | WPRIM | ID: wpr-19847

ABSTRACT

PURPOSE: The goal of this study was to estimate the prevalence rate of incontinence in institutionalized facilities-dwelling women over 60 years of age. MATERIALS AND METHODS: This study was conducted in five institutionalized facilities of Pusan. The data were collected from June 12th to July 12th in 1998. The total number of 5 institutionalized facilities-dwelling women over 60 years old were 382 women. The interviews using questionnaires regarding general characteristics, obstetric history, disease-related factors, and urinary symptoms including incontinence were performed and additional uroflowmetry was done. RESULTS: Of 382 women residents over 60 years old, 308 women were participated in our study. The response rate was 80.6%. The prevalence rate of incontinence in all age groups was 45.5%(140/308). The prevalence rate of stress incontinence, urge incontinence and mixed incontinence were 15.6%(48/308), 6.2%(19/308) and 23.7%(73/308) respectively. There was no statistical differences of prevalence rate according to obstetric history(p>0.05). The results of uroflowmetry had not shown any difference according to types of incontinence. Among the bothersome symptoms in incontinent women, weak stream was 31.9%(43/135), dribbling 14.8%(20/135) and abdominal straining 8.9%(12/135). Among 140 incontinent women, 14.3%(20/140) of women have been worn diaper and 3.6%(5/140) of women kept on urethral catheter. The prevalence rate of incontinence was relatively high, however, 112 out of 140 incontinent women had no specific complaints. CONCLUSIONS: The prevalence rate of incontinence for elderly women over 60 years old at institutionalized facilities in Pusan, Korea was 45.5%. Because of this high prevalence and lack of medical service and knowledge of incontinence, the governmental based medical service and education will be needed for the proper care of these women.


Subject(s)
Aged , Education , Female , Humans , Korea , Middle Aged , Prevalence , Surveys and Questionnaires , Rivers , Urinary Catheters , Urinary Incontinence , Urinary Incontinence, Urge
18.
Korean Journal of Urology ; : 1043-1046, 1998.
Article in Korean | WPRIM | ID: wpr-185258

ABSTRACT

We report firstly a case of mullerian duct cyst associated with bilateral ectopic opening vasa in 4 months old male infant in Korea. Presenting findings were the complaint of urinary retention, fever and lower abdominal mass. Ultrasonography and MRI of pelvis showed a monolocular 5 x 5 x 4cm sized cystic mass, which was located on the midline between the bladder and rectum. RGU and VCUG showed anterior displacement of bladder due to outside compression. Under the impression of mullerian duct cyst, surgical removal of cyst was performed by transvesical, transtrigonal approach because the large cystic mass produced hydronephrosis of left kidney and urethral diameter was smaller than that of our pediatric resectoscope(11Fr.) We performed ligation of the vas because the bilateral vasa entered into the cyst, directly. Microscopically mullerian duct cyst was lined by stratified squamous epithelium. Walthard cell nests, nuclear groove and vas tissue were also showed in mullerian duct cyst. In the course of follow-up, he has no urologic difficulty after the operation.


Subject(s)
Epithelium , Fever , Follow-Up Studies , Humans , Hydronephrosis , Infant , Kidney , Korea , Ligation , Magnetic Resonance Imaging , Male , Pelvis , Rectum , Ultrasonography , Urinary Bladder , Urinary Retention
19.
Article in English | WPRIM | ID: wpr-44928

ABSTRACT

Staphylococcus aureus and Staphylococcus epidermidis strains isolated at eight large medical centers in Korea were examined for methicillin resistance and resistance to eight other antibiotics; cefazolin, cefamandole, cefuroxime, cefoxitin, cefotaxime, moxalactam, penicillin G and vancomycin. Methicillin resistance was found in 296 of 1225 strains (24.2%) of S. aureus and 126 of 348 strains (36.2%) of S. epidermidis. Methicillinresistant strains were isolated from all sources with the frequency of isolation ranging from 11% to 60%. From pleural effusion, throat swab and blood, methicillin-resistant strains of S. aureus were more frequently isolated with statistical significance (Chi-squared test, 95% confidence). Almost all of Methicillin-resistant S. aureus (MRSA) and S. epidermidis (MRSE) strains were multiply resistant to one or more tested eight antibiotics. However only 7(2.4%) of 296 MRSA strains and 2(1.6%) of 126 MRSE strains were resistant to vancomycin. Vancomycin was the most effective antibiotic against staphylococcal isolates as well as MRSA and MRSE.


Subject(s)
Anti-Bacterial Agents/pharmacology , Cross Infection/microbiology , Drug Resistance, Microbial , Humans , Korea , Staphylococcal Infections/microbiology , Staphylococcus aureus/drug effects , Staphylococcus epidermidis/drug effects
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