Adolescent varicocelectomy--is the potential for catch-up growth related to age and/or Tanner stage?

Purpose: Adolescent varicocelectomy is associated with a 70% incidence of postoperative catch-up growth in boys with ipsilateral testicular hypotrophy. We determined whether preoperative patient age and Tanner stage were related to subsequent catch-up growth. In other words if patients are followed with a period of observation, will a window of opportunity be lost for achieving catch-up growth?

Materials And Methods: We studied a total of 163 boys (mean age 15.

Harriet Lane online culture book: matching residents' workflow.

Managing cultures taken from patients in a teaching outpatient setting, such as Johns Hopkins Harriet Lane Clinic (HLC) in Baltimore, is a complicated task to model,because it must support a task that lasts several days. There are many considerations in replacing the paper based system currently in place. We needed to balance the need for speed with the recognizability of familiar forms; the need for quality care with the need for teaching;and the need for documentation with the need for compact representation of clinical need.