1.Usefulness of the Blink Reflex Study as a Preoperative Evaluation in the Orbitozygomatic Complex Fracture.
Dae Il KANG ; Sang Woo PARK ; Jae Hoon CHOI
Journal of the Korean Society of Plastic and Reconstructive Surgeons 2010;37(6):779-782
PURPOSE: As the evaluation of the preoperative sensibility in the orbitozygomatic complex fracture, used by most surgeons, depends on the patient's subjective judgements, it is difficult to make generalization and to use it as an objective evaluation method. We used the blink reflex study to objectively evaluate injury to the infraorbital nerve. METHODS: From December 2008 to November 2009, a total of 16 patients underwent the patient's subjective report on sensory symptoms and the blink reflex study preoperatively. Among patients having orbitozygomatic complex fracture of type III or more according to Henderson's classification and simultaneously suspected as being injured along the infraorbital nerve pathway, patients who had difficulty in checking preoperative sensibility and said 'normal sensibility' were selected as candidates. RESULTS: Fifteen patients showed abnormal R1 on the fracture side. These results suggested that most of patients had injury to the infraorbital nerve. CONCLUSION: Contrary to the existing tests, the blink reflex study is a useful diagnostic tool in reflecting injury to the infraorbital nerve objectively.
Blinking
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Generalization (Psychology)
;
Humans
2.Generalization of Conscious Fear Is Positively Correlated with Anxiety, but Not with Depression
Doyoung PARK ; Hwa Jin LEE ; Sue Hyun LEE
Experimental Neurobiology 2018;27(1):34-44
Generalization of learned fear has been considered to be critical for our survival. Patients with anxiety problems show overgeneralization of learned fear, as reflected by defensive physiological responses to harmless stimuli. Together with these physiological responses, conscious feeling of fear is a seminal part of emotional process that is directly related to the suffering of anxiety patients. However, the effect of anxiety on the generalization of conscious feeling remains unclear. We thus focused on the question whether the generalization of conscious feeling of fear depends on individual anxiety level in nonpatient participants. To address this question, we developed a fear generalization paradigm using natural scene images. We found that subjective feeling of fear was generalized to similar stimuli with the conditioned stimuli (CS), and that this generalization of conscious fear was positively correlated with the level of individual anxiety. Anxiety and depression frequently co-occur, but the individual depression level was not correlated with the fear generalization. These suggest that individual anxiety level mainly affects the generalization of conscious fear.
Anxiety
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Depression
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Generalization (Psychology)
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Humans
3.Generalized Acrodermatitis Continua - Generalization Following Steroid Withdrawal.
Tae An CHUNG ; Chang Hyo PARK ; Hou Suk SUNG
Korean Journal of Dermatology 1972;10(1):45-49
Generalized acrodermatitis continua occurred in a 33-year-old man. Lesions initially limited to the both hands were treated with corticosteroid for long term, however, generalization of the lesions appeared to follow the steroid withdrawal.
Acrodermatitis*
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Adult
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Generalization (Psychology)*
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Hand
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Humans
4.Cost-Benefit Analysis of a Factory Dispensary.
In Keun YOO ; Jong Uk WON ; Jae Seok SONG ; Jae Hoon ROH
Korean Journal of Occupational and Environmental Medicine 2001;13(2):190-199
OBJECTIVES: We performed cost-benefit analysis to investigate the benefit of companies dispensary. METHODS: We measured the cost and benefit of running a factory dispensary. This study focused on a factory with well arranged professional health-care staff. The study was carried out during 1995-1997. All the past values of cost and benefit were converted into present value. We used net benefit and cost/benefit ratio as determinants. RESULTS: The net benefit of the object factory dispensary was -73,000,000 Won, and cost/benefit ratio was about 0.65. This result showed no profitability. CONCLUSION: There would be limitation of generalization because this study included only one factory dispensary. As we did not consider many indirect benefits. the benefit portion might be underestimated. We should also think about the possibility of profitability. If one dispensary takes charge of two or more factories. then it can produce sufficient profit. With all of those efforts we dream the days of healthy workers will come.
Cost-Benefit Analysis*
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Generalization (Psychology)
;
Running
5.Changes in frequency of seizure after acute antiepileptic drugs withdrawal.
Sung Soo KIM ; Yeigh LEE ; Jeong Geun LIM ; Sang Doe YI ; Young Choon PARK
Journal of the Korean Neurological Association 1997;15(3):555-562
This study was performed to evaluate the effects of acute withdrawal of antiepileptic drugs in epileptic patients during continuous BEG monitoring. One hundred sixty-five withdrawals in 134 patients who were candidates for epileptic surgery were included for this study. Clinical features and frequency of seizure were observed after drug withdrawal with daily monitoring of serum drug level. The phases after withdrawal of antiepileptics were divided into phase of therapeutic drug level, phase of falling drug level, and phase of subtherapeutic or undetectable(zero) drug level. There were significant increase in frequency of seizure and seizure of secondary generalization after acute withdrawal of antiepileptic drugs. Number of seizure during the period of drugs withdrawals was not correlated with onset age of epilepsy, duration of epilepsy, duration of medication, and number of administrated antiepiteptic drugs. The number of frequency of seizure before drug withdrawal was correlated with the number of frequency of withdrawal seizure. The number of seizure frequency after carbamazepine withdrawal was significantly higher during the phase of subtherapeutic or zero drug level, and not during phase of rapid falling antiepileptic drug level.
Age of Onset
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Anticonvulsants*
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Carbamazepine
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Epilepsy
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Generalization (Psychology)
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Humans
;
Seizures*
6.The Use of Statistical Methodology in Articles in Medical Journals and Suggestions for the Quality Improvement of the Pediatric Allergy and Respiratory Disease.
Pediatric Allergy and Respiratory Disease 2011;21(3):144-155
Statistical analysis is an essential component of all biomedical research. Use of descriptive and inferential analysis enables researchers to summarize findings and conduct generalizations from research findings. Physicians must keep current with clinical information to practice evidence-based medicine. In doing so, physicians need to access reports of original research. This requires the reader to critically appraise the design, conduct, and analysis of each study and subsequently interpret the results. However, many surveys reveal prevalent statistical errors in articles in medical journals, and it is also clear that many physicians are seriously unfamiliar with statistical methods. This constitutes a major barrier to the development of medical research. Given this situation, this review article discusses the use of statistical methods in medical journal articles, the status of statistical errors among them, and the results of evaluation of physicians' understanding of statistical methods. Moreover, this article introduces the current trend in statistical reviews to improve the quality of medical journal articles, and explains the uniform requirements for manuscripts submitted to medical journals. Finally, the article proposes several specific ways to improve the quality of the Pediatric Allergy and Respiratory Disease.
Evidence-Based Medicine
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Generalization (Psychology)
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Hypersensitivity
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Quality Improvement
7.Postictal Serum Prolactin Alterations in Various Type of Seizures.
Kyung Mu YOO ; Chung Kyu SUH ; Young Choon PARK
Journal of the Korean Neurological Association 1987;5(2):124-131
Postictal sequential serum prolactin concentrations were observed in 28 patients with various type of seizures who were hospitalized at Keimyung University Hospital. Of 28 epileptic patients, 18 male and 10 female, age ranged from 18 years to 79 years (mean 42 years), 15 with generalized seizures, 13 with focal seizures (5 with simple partial seizures and 8 with partial seizures with generalization). Symptomatic epilepsy and epileptic patients with factors which may affect serum prolactin concentrations were excluded in this study. Serum prolactin concentrations were measure at 15, 30 and 60 minutes after convulsion and 24 hours after convulsion for the base line serum prolactin level. Patients with generalized seizsures and significant elevation of serum prolactin concentrations at 15, 30 and 60 minutes after ictus (Table 1). Same results were obtained in patients with simple partial seizures at 30 minutes and 60 minutes after ictus, and 15 minutes and 30 minutes after ictus in patients with partial seizures with secondary generalization (Table 2 and 3). Level of serum prolactin concentrations were higher in patients with generalized seizure than the other type of seizures. Therefore, measuring serum prolactin level could help differentiate postictal state and other causes of mental change, and also differentiative various type of seizures.
Epilepsies, Partial
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Epilepsy
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Female
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Generalization (Psychology)
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Humans
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Male
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Prolactin*
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Seizures*
8.A Preliminary Study for Illuminating Formal Ways of Pathological Language Behavior.
Hyung Won MIN ; Sung Ki HONG ; Seung Ah JUNG ; Jang Han LEE ; Byung Hwan YANG
Journal of Korean Neuropsychiatric Association 2001;40(4):569-580
OBJECTIVE: The purpose of this study was to identify differences in thinking between schizophrenic patients and healthy subjects with linguistic-philosophical approach and to develop a tool to measure pathological thinking. METHODS: Approximately 50 cards(pictures of either representational or abstract sculptures and paintings) from the previous experiment(1997) were carefully examined and 10 cards were selected based on their variety and promptness of the response. Twenty-four schizophrenic patients and 19 healthy subjects participated in this experiment. Participants were required to give a title to each picture. Their responses were analysed based on the forms of thinking, abstractness(or concreteness) and the category of the title. Each response was also coded either direct or indirect. RESULTS: 1) Schizophrenic patients emitted more direct and simple descriptive responses whereas healthy subjects showed projection-related direct traits, indirect traits, indirect association and generalization. 2) Both groups tended to utilize the whole rather than parts. Schizophrenic group depended more on the whole pictures than healthy group. Healthy subjects showed more generalization tendency with parts. 3) Both groups preferred concrete titles to abstract ones. Schizophrenic group(95.3%) used more concrete titles than healthy group(71.4%) and healthy group(28.65%) used more abstract titles than schizophrenic group(4.7%). 4) Schizophrenic patients(73.5%) showed more directness in thinking than healthy subjects, whereas healthy subjects(58.7%) more indirectness. CONCLUSIONS: 1) Schizophrenic patients clearly showed direct and simple forms of thinking and expressive language, lacking reasoning, and systematic processing. Additionally, schizophrenic patients simply responded to the whole and used concrete and direct expression. 2) Replication study is warranted to improve reliability and validity of the tool we developed. Research on individual differences needs to be conducted to measure differences among individuals and change over time in an individual. 3) Further study on the factors which might be related to forms of thinking and language expressions, such as intelligence is warranted.
Generalization (Psychology)
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Humans
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Individuality
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Intelligence
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Reproducibility of Results
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Schizophrenia
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Sculpture
;
Thinking
9.Clinical Significance of Nasopharyngeal EEG in Patients with Psychomotor Seizure.
Il Nam SUNWOO ; Ki Whan KIM ; Seung Min KIM
Journal of the Korean Neurological Association 1987;5(1):13-23
n the patients with epilepsy, especially in psychomotor epilepsy the epileptiform discharges occasionally has its origin from the basal structure of brain or the mesial side of temporal lobe which is not accessible to the standard surface EEG. The nasopharyngeal electrode, which was introduced by Grinker and Serota in 1938 and modified several times, is a kind of special electrodes to investigate electrical activity from the mesiobasal part of the temporal lobe, and there are several studies about clincial usefulness of the nesopharyngeal EEGs with some controversies in other countries. In this country, however, there is no reports about this topic, and in fact only a few laboratories are known to use the nasopharyngeal electrode. To determine clinical significance of nasapharyngeal EEG in patients with psychomotor seizure, the selecting records of 123 cases who had been taken both standard surface and nasopharyngeal EEG are analysed and compared with each other. Eight nine of cases are the patients with seizure disorder including 13 simple partial seizure with or without secondary generalization, 47 psychomotor seizure (or complex partial seizure) with or without secondary generalization and 29 primary generalized seizure, diagnosed by history and clincial findings. The other 34 cases are the patients with similar symptoms of psychomotor seizure but without definite convulsion. The standard surface EEG revealed 48 (56%) of epileptiform activity, 24(28%) of nonspecific dysrrhytmia and 17(19%) of normal record in 89 patients with seizure discharges. There are 38 patients who showed spike or sharp wave on nasopharyngeal generalized seizures. In nonseizure cases, however, epileptiform activity is not detected on nasopharyngeal electrodes. Five cases are technically unsatisfactory. The significances of nasopharyngeal EEG in 38 with epiletiform discharges on nasopharyngeal electrode(s) are; more definite and prominent epileptiform activity in 17 and unexpected nasopharyngeal discharges in 10 patients including 5 with normal standard surface EEGs. In 47 psychomotor seizure, 42 cases (89%) reveal epileptiform discharges on standard surface and/or nasopharyngeal EEG and the sensitivity of nasopharyngeal EEG (75%) is higher than that of standard surface.
Brain
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Electrodes
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Electroencephalography*
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Epilepsy
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Epilepsy, Complex Partial
;
Generalization (Psychology)
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Humans
;
Seizures*
;
Temporal Lobe
10.The Association Between the 10-Year Risk of the Korean Stroke Risk Prediction Model and the Carotid Intima-Media Thickness.
Bo Woo JEONG ; Hyo Kyung SOHN ; Jin Hoon YANG ; Hwa Pyung LEE ; Chae Yong LEE
Journal of the Korean Neurological Association 2012;30(4):274-278
BACKGROUND: Both carotid intima-media thickness (IMT) and global risk score of cardiovascular disease were independent risk factors of stroke and heart disease. We assessed the correlation between the 10-year risk of Korean Stroke Risk Prediction model (KSRP) and carotid intima-media thickness. Additionally, from a perspective of carotid IMT measurement following KSRP risk stratification, we analyzed the difference of carotid IMT and plaque according to the KSRP risk strata. METHODS: Subjects were 282 persons who visited one hospital for the screening of stroke. The 10-year risk was calculated automatically based on the equation of KSRP model. The maximal carotid IMT and the plaque were adopted as the study variables. The sensitivity and the positive predictive value of the KSRP risk categories were calculated. RESULTS: The correlation coefficient between the KSRP risk and the maximal carotid IMT was 0.29 (p<0.01). The mean (+/-standard deviation) of KSRP risk of the group with carotid plaque was statistically significantly higher, 5.3 (+/-4.1), than that of the group without plaque, 3.3 (+/-3.1) (p< or =0.01). The sensitivity of the risk stratum with more than 6% of KSRP risk for the plaque was 28.2%. The positive predictive value of the above cut-point was 48.8%. CONCLUSIONS: The 6% of KSRP risk may be considered as the beginning point of intermediate risk stratum to recommend the carotid ultrasonography. However, generalization needs further studies for various populations.
Cardiovascular Diseases
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Carotid Intima-Media Thickness
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Generalization (Psychology)
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Heart Diseases
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Humans
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Mass Screening
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Risk Factors
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Stroke