Background
Little attention has been given to the sonographic appearances of the epididymis in testicular torsion.
Objective
To describe the position and morphology of the epididymis in childhood ...acute testicular torsion when testicular flow is present on color Doppler sonography.
Materials and methods
We studied the sonographic findings in boys with clinically and surgically proven acute testicular torsion who were examined sonographically from May 2013 to May 2014 and who had preserved intratesticular flow on color Doppler sonography. We retrospectively evaluated the sonograms with emphasis on the epididymal findings.
Results
In all nine boys with confirmed torsion but with preserved intratesticular flow on color Doppler sonography, the epididymal head had an unexpected configuration and size, and no close relationship with the upper pole of the testis. In five of these children the spermatic cord appeared twisted on the affected side. In the remaining four boys the spermatic cord appeared straight.
Conclusion
The position and morphology of the head of the epididymis were abnormal in all boys with acute testicular torsion but with preserved testicular flow.
With these words, Konstantinos Savvas, professor of hygiene and microbiology at the University of Athens, started his inaugural speech for the winter semester course in 1900, summarizing the ...importance of hygiene in modern societies. The Greek state was almost seventy year old, having survived a turbulent period marked by revolts, a radical change in demography and territorial gains of one-third of its initial size, insolvency, a humiliating war (the Greco-Turkish War of 1897), the establishment of a constitu- tion, and a new king (King George I). This extraordinary period, however, fanned Greek enthusiasm for modernity, which became a fundamental element
The volume discusses the social and cultural history of public health and its influence on state and nation building in East and Southeast Europe, which evolved with the 19th century and stretched ...throughout the 20th century, including the Cold War period. The national case studies include Bosnia and Herzegovina, Czechoslovakia, the GDR, Greece, Hungary, Poland, Serbia, the Soviet Union, and Yugoslavia, making an original contribution to the debate on the intertwined relationship between health, medicine and state and nation building. The authors challenge the idea of different paths to modernity and late modernity of Europe’s western (liberal) and eastern (communist) countries, arguing that—through the perspective of public health—the history of the region stands emblematic for the European history from the late 19th century onwards. The studies explore close links between an evolving professionalizing elite and its understanding and use of scientificprofessional knowledge on the one hand, and the modern state on the other, which in a very ambivalent way makes use of medical knowledge as a political tool for its own advancement. Close reading and dense description of the case studies on public health will contribute to a better understanding of the genuinely European patterns of public health in the state and nation building era of the last two centuries.
Two twins with late infantile globoid cell leukodystrophy or Krabbe's disease were studied with conventional magnetic resonance imaging (MRI) and proton magnetic resonance spectroscopy. Brain MRI ...demonstrated brain atrophy with extensive bilateral symmetric abnormal T2 signal in the posterior periventricular white matter, parietal lobes, corona radiata, centrum semiovale, and splenium of the corpus callosum. Magnetic resonance imaging-guided proton magnetic resonance spectroscopy revealed prominent peaks from choline-containing compounds, total creatine, and inositols. The N-acetylaspartate peak was markedly reduced, and the choline-to- N-acetylaspartate ratio was abnormally high; in one of the twins, lactic acid was also detected. The constellation of magnetic resonance spectroscopy findings is indicative of extensive demyelination, gliosis, and loss of axons in the involved white matter; the latter two events occur in the later stages of globoid cell leukodystrophy. In conjunction with brain MRI, these magnetic resonance spectroscopy findings may alert clinicians to the possibility of leukodystrophy in children with progressive encephalopathy. (J Child Neurol 2001;16:522-526).
Congenital cervical teratomas Hasiotou, Maria; Vakaki, Marina; Pitsoulakis, George ...
International journal of pediatric otorhinolaryngology,
September 2004, 2004-Sep, 2004-09-00, Letnik:
68, Številka:
9
Journal Article
Recenzirano
Congenital cervical teratomas are rare, representing 3% of teratomas in childhood. Although mostly benign, they are associated with a high mortality rate due to respiratory distress and require ...immediate surgical excision. The diagnosis is usually suggested on the physical examination. The imaging investigation is essential for the proper diagnosis and preoperative planning.
We present the imaging characteristics of cervical teratomas identified in five neonates over a 10-year-period. The masses were surgically resected. Histopathology revealed the presence of congenital teratomas (three immature, two mature). Two neonates died soon after surgery, while the remaining were discharged from the hospital without symptoms.
