1.Clinical Analysis of 149 Cases of Twin Pregnancies.
Yeoung Chan PARK ; Sun Hee KO ; Tae In LEE ; Jae Nam MA ; Kang Woo JUNG ; Jong Cheon WEON ; Yong Pil KIM
Korean Journal of Obstetrics and Gynecology 2000;43(9):1539-1543
No abstract available.
Humans
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Pregnancy, Twin*
3.Detection of the c-m c Oncogene Amplification in Ovarian Carcinomas by Differential Polymerase Chain Reaction.
Geun Shin LYU ; Chan Kum PARK ; Chun Geun LEE ; Youl Hee CHO ; Youn Yeoung HWANG ; Jung Dal LEE
Korean Journal of Pathology 1997;31(7):644-654
The amplification of c-myc oncogene was evaluated in 42 cases of ovarian carcinomas to correlate with clinical parameters. Using oligonucleotide primers, sequences from the c-myc exon-3 gene and from a control gene, tissue plasminogen activator (tPA), were amplified simultaneously by polymerase chain reaction (PCR). After the products of differential PCR (d-PCR) were electrophoresed, slot blot hybridization was performed, and hybridized with P32 dATP-labeled myc and tPA oligonucleotide probes and then autoradiographed. The signal intensities of the two products were quantitated by densitometry and the ratios of two products (c-myc/tPA) were measured. The ovarian carcinomas showed significantly increased amplification of c-myc oncogene Oligonucleoti compared to normal control group (p<0.05). 15 of 42 cases (35.7%) showed various degrees of the MYC gene amplification up to 27 folds in various histologic types of ovarian carcinomas. No significant differences of the MYC gene amplification according to histologic subtypes, tumor action) grades and clinical stages of ovarian carcinomas were present.
Densitometry
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DNA Primers
;
Genes, myc
;
Oligonucleotide Probes
;
Oncogenes*
;
Polymerase Chain Reaction*
;
Tissue Plasminogen Activator
4.A Case of Diabetes Insipidus in Patient with Sheehan's Syndrome
Hye Young PARK ; Moon Ho KANG ; Sung Gwang LEE ; Jung Ho YOUN ; Yeoung Sook KANG ; Deuk Jo KIM ; Yun Young CHOI ; Hee Young HWANG
Journal of Korean Society of Endocrinology 1996;11(1):108-113
Sheehans syndrome is a known complication of pregnancy, It was described as a syndrome of hypopituitarysm due to acute ischemic necrosis of the anterior pituitary gland secondary to severe postpartum bleeding and shock. The neurophysis is usually preserved. But it can be involved in severe cases manifesting as diabetes insipidus. Because of its rare coexistence with Sheehans syndrome, diabetes insipidus is seldom recognized as a potential postpartum complication. The report describes a patient who developed Sheehans syndrome and diabetes insipidus immediately following delivery. Diabetes insipidus resolved spontaneously after 15 months, while panhypopituitarysm is persistent.
Diabetes Insipidus
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Hemorrhage
;
Humans
;
Hypopituitarism
;
Necrosis
;
Pituitary Gland, Anterior
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Postpartum Hemorrhage
;
Postpartum Period
;
Pregnancy
;
Shock
5.Open versus closed treatment for extracapsular fracture of the mandibular condyle
Junyeong LEE ; Hee-Yeoung JUNG ; Jaeyoung RYU ; Seunggon JUNG ; Min-Suk KOOK ; Hong-Ju PARK ; Hee-Kyun OH
Journal of the Korean Association of Oral and Maxillofacial Surgeons 2022;48(5):303-308
Objectives:
Selection of treatment methods for mandibular condylar fractures remains controversial. In this study, we investigated treatment methods for condylar fractures to determine the indications for open or closed reduction.
Patients and Methods:
Patients >12 years of age treated for mandibular condylar fractures with a follow-up period of ≥3 months were included inthis study. The medical records of enrolled patients were reviewed for sex, age, fracture site, treatment method (open or closed reconstruction), postoperative intermaxillary fixation period, operation time, and complications. Radiological analysis of fracture fragment displacement and changes in ramal height difference was performed using computed tomography and panoramic radiography.
Results:
A total of 198 patients was investigated, 48.0% (n=95) of whom underwent closed reduction and 52.0% (n=103) underwent open reduction.There was no significant correlation between reduction method and patient sex, age, or follow-up period. No statistically significant difference between the incidence of complications and treatment method was observed. None of the patients underwent open reduction of condylar head fracture. Binary logistic regression analysis showed that open reduction was significantly more frequent in patients with subcondylar fracture compared to in those with a fracture in the condylar head area. There was no statistically significant correlation between the groups and fracture fragment displacement. However, there was a significant difference between the treatment groups in amount of change in ramal height difference between the fractured and the nonfractured sides during treatment.
Conclusion
No significant clinical differences were found between the open and closed reduction methods in patients with mandibular condylar fractures. According to fracture site, closed reduction was preferred for condyle head fractures. There was no significant relationship between fracture fragment displacement and treatment method.
6.A Case Successive Ovulation Induction with an Extended Therapy of Clomiphene in a Patient with Clomiphene-resistant Anovulatory Disorders.
Seung Hee GOH ; Jung Hye HWANG ; Seung Ryong KIM ; Young Jin MOON ; Jung Bae YOO ; Jae Auk LEE ; Hyung MOON ; Youn Yeoung HWANG
Korean Journal of Obstetrics and Gynecology 1997;40(7):1496-1501
Clomiphene citrate is the simplest and least expensive from of ovulation induction therapy. In most cases, women who fail to ovulate in response to maximal doses of clomiphene became candidates for treatment with gonadotropins or pulsatile GnRH. Recently, as an alternative to the use of gonadotropins and ovarian surgery, there are some studies of the effectiveness of extended duration clomiphene among the anovulatory women who were resistant to a standard 5-day course of treatment with clomiphene. We have experienced a case of successive ovulation induction and pregnancy with an extended 10-day course of clomiphene in women with clomiphene-resistant anovulatory disorders and reproted with brief reviews of related literatures.
Anovulation
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Clomiphene*
;
Female
;
Gonadotropin-Releasing Hormone
;
Gonadotropins
;
Humans
;
Ovulation Induction*
;
Ovulation*
;
Pregnancy
7.A Study of Covert Narcissism in Adolescent Internet Addiction : Relationshipto Anonymity, Presence, Interactivity, and Achievement Motivation.
Won Hee CHOI ; Jung Woo SON ; Yeoung Rang KIM ; Sang Ick LEE ; Chul Jin SHIN ; Sie Kyeong KIM ; Ga Won JU
Journal of the Korean Academy of Child and Adolescent Psychiatry 2011;22(2):103-111
OBJECTIVES: This study compared covert narcissistic propensity in adolescents with internet addiction tendency to normal adolescents. Further, we investigated the correlation between such propensities and anonymity in cyberspace, presence feeling and interactivity in internet gaming, and achievement motivation in adolescents with internet addiction tendencies. METHODS: Male middle school students with internet addiction tendencies (Addiction Tendency Group, N=27) and normal students (Control Group, N=29) were recruited. The scale of internet use, Covert Narcissism Scale, scale of achievement motivation, scale of anonymity in cyberspace, scale of presence feeling in internet games, and the scale of interactivity in internet games were administered. A comparison of the average scores and correlation analyses were performed. RESULTS: 1) Compared with Control Group, the Addiction Tendency Group showed significantly higher scores on all subscales of the Covert Narcissism Scale, and both the scale of presence feeling and that of interactivity in internet games. Further, the score on the scale of achievement motivation for the Addiction Tendency Group was significantly lower than that of the Control Group. 2) In the Addiction Tendency Group, the scores on several subscales of the Covert Narcissism Scale were significantly positively correlated with the scores on the scale of presence feeling in internet games, anonymity in cyberspace, and interactivity in internet games. However, in the Control Group, the scores of several subscales on the Covert Narcissism Scale were significantly negatively correlated with the score on the scale of achievement motivation, and was significantly positively correlated with the score on the scale of interactivity in internet games. There were no other significant correlations between the scores on the subscales of the Covert Narcissism Scale and the scores of either presence feeling in internet games or anonymity in cyberspace. CONCLUSION: These results suggested that adolescents with a tendency to be addicted to the internet exhibited higher covert narcissistic propensities than normal adolescents and that the covert narcissistic tendencies were related with presence feeling in cyber games as well as with anonymity in cyberspace.
Achievement
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Adolescent
;
Anonyms and Pseudonyms
;
Humans
;
Internet
;
Male
;
Motivation
;
Narcissism
8.A Case of Pulmonary Paragonimiasis with Recurrent Pleural Effusion and Cured by Four Cycles of Chemotherapy.
Gye Jung CHO ; Jung Hwan LIM ; Dong Ryeol CHAE ; Su Young CHI ; Hee Jung BAN ; Byeong Kab YOON ; Yong Soo KWON ; In Jae OH ; Kyu Sik KIM ; Yu Il KIM ; Sung Chul LIM ; Young Chul KIM
Tuberculosis and Respiratory Diseases 2009;66(6):451-456
Paragonimiasis is a parasitic infection that occurs following the ingestion of infectious Paragonimus metacercariae, which occurs as a result of eating raw or undercooked freshwater crabs or crayfish. Pulmonary paragonimiasis is the most common clinical manifestation of this infection. Human paragonimiasis occurs sporadically. We experienced a case of pulmonary paragonimiasis in a 35-year-old woman with left lower chest pain. The patient had hypereosinophilia and a pleural effusion. The diagnosis was confirmed by positive ELISA (Enzyme-linked immunosorbent assay) that detected Paragonimiasis westermani antibody in the serum. We treated the patient with praziquantel for two days at a daily dosage of 75 mg/kg. Left pleuritic pain and pleural effusion improved after treatment. However, similar symptoms and pleural effusion developed recurrently for the first 3 courses of treatment with praziquantel. Upon the fourth round of treatment, the patient made a full recovery.
Adult
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Astacoidea
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Chest Pain
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Eating
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Enzyme-Linked Immunosorbent Assay
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Female
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Fresh Water
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Humans
;
Metacercariae
;
Paragonimiasis
;
Paragonimus
;
Pleural Effusion
;
Praziquantel
;
Recurrence
9.Correlation between Adenoma Detection Rate and Advanced Adenoma Detection Rate.
Shin Yeoung LEE ; Nam Hee KIM ; Hyun Beom CHAE ; Ki Joong HAN ; Tae Hoon LEE ; Choel Min JANG ; Kyung Mo YOO ; Yoon Suk JUNG ; Jung Ho PARK ; Hong Joo KIM ; Yong Kyun CHO ; Chong Il SOHN ; Woo Kyu JEON ; Byung Ik KIM ; Dong Il PARK
The Korean Journal of Gastroenterology 2014;64(1):18-23
BACKGROUND/AIMS: Adenoma detection rate (ADR) is widely used as an index of colonoscopy quality management. Although advanced adenomas can be found less frequently than non-advanced adenomas, advanced adenomas have a higher clinical significance during screening for colorectal cancer. The aim of this study was to investigate the correlation between advanced and non-advanced ADR among colonoscopists. METHODS: This study is an observational study of a cohort of patients undergoing screening colonoscopy between 2009 and 2010. We collected the data on patients' characteristics and colonoscopic findings. The detection rates of adenoma and advanced adenoma were calculated. Logistic regression was used to determine the effects of variables on advanced adenoma detection, and spearman's rank-order correlation was used to evaluate the relationship between advanced ADR and ADR. RESULTS: A total of 561 patients underwent screening colonoscopy by 18 experienced colonoscopists. Most colonoscopists had adequate (>20%) ADRs. Logistic regression showed that increased patient age (OR 1.07 per 1 year increase, 95% CI 1.009-1.133, p=0.023) and male gender (OR 1.860, 95% CI 0.764-4.529, p=0.171) were associated with advanced ADR. When colonoscopists were divided into two groups on the basis of advanced ADR of 5%, ADR was also significantly higher in the group having higher level of advanced ADR. However, there was no correlation between advanced ADR and ADR among colonoscopists as an individual. CONCLUSIONS: Colonoscopists' advanced ADRs were independent of their ADRs, indicating that advanced ADR could be quite low even among colonoscopists with acceptable ADRs. Thus, there seems to be a limitation in using ADR as an adequate index of colonoscopy quality management.
Adenoma/*diagnosis
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Adult
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Aged
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Cohort Studies
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Colonoscopy
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Colorectal Neoplasms/*diagnosis
;
Early Detection of Cancer
;
Female
;
Humans
;
Logistic Models
;
Male
;
Middle Aged
;
Neoplasm Staging
;
Odds Ratio
10.The current changing trend for termination of pregnancy(1993-2000).
Ji Eun KIM ; Jung Yeol HAN ; Dong Chul OH ; Yon Ju KIM ; Young Chul CHUNG ; Sang Hee JUNG ; June Seek CHOI ; So Yeon PARK ; Hyun Kyong AHN ; Min Jeong OH ; Hyun Mee RYU ; Moon Young KIM ; Kyu Hong CHOI ; Yeoung Ho LEE ; Jae Hyug YANG
Korean Journal of Obstetrics and Gynecology 2001;44(11):2025-2030
OBJECTIVE: To evaluate the recent trend of indication for pregnancy termination. METHOD: From 1993 to 2000, 1,087 cases of termination out of 61,842 cases of deliveries in Samsung cheil hospital were analyzed. We reviewed retrospectively the data-base and charts of delivery, and analyzed the indication for pregnancy termination. RESULTS: Among 61,842 cases of deliveries, indications of pregnancy termination were fetal structure anomalies in 399 cases (0.7%), IUFD in 261 cases (0.4%), PROM in 215 cases (0.4%), chromosomal anomalies in 138 cases (0.2%), anhydroamnios in 32 cases (0.05%), rubella infection of mother or fetus in 24 cases (0.04%), and others in 20 cases (0.03%). Autopsy was performed in 242 cases of fetal anomalies (60.7%), 116 cases of UIFD (44%), and 59 cases of fetal chromosomal abnormalities (43%). The cases of chromosomal anomaly as indication of termination increased and rubella infection of mother or fetus decreased recently, and it is statistically significant r=0.95(P=0.00) and r=-0.73(P=0.04). The fetal weight terminated due to PROM is significantly decreased (Y=517-26 x year P=0.002). CONCLUSION: The indications of termination for fetal chromosomal abnormalities were increased, but for rubella infections were decreased. In cases of PROM, the terminated fetal weight were significantly decreased. However, no change was observed in cases of fetal anomaly, IUFD,and PROM.
Autopsy
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Chromosome Aberrations
;
Fetal Weight
;
Fetus
;
Humans
;
Mothers
;
Pregnancy
;
Retrospective Studies
;
Rubella