1.Pathologic Diagnosis and Clinical Findings in Patients Undergoing Transrectal Prostatic Biopsy.
Jung Hoo KIM ; Sung Goo CHANG ; Youn Wha KIM
Korean Journal of Urology 2000;41(4):492-499
No abstract available.
Biopsy*
;
Diagnosis*
;
Humans
2.Effect of surface contamination on the transverse strength of the relined denture.
Jeong Hyun KIM ; Jung Soo BAE ; Dong Hoo HAN
The Journal of Korean Academy of Prosthodontics 1993;31(1):11-18
No abstract available.
Dentures*
3.Time-Limited Group Psychotherapy with Outpatients.
Hoo Kyeong LEE ; Jeong Hwa CHA ; Sung Chul YOON ; Jung Il KIM
Journal of Korean Neuropsychiatric Association 2001;40(3):381-395
OBJECTIVES: Recently, the outpatient group psychotherapy has been changed from traditional long-term therapy to short-term or time-limited therapy. The termination time and session numbers are given from start line in the time-limited therapy while 10 to 40 sessions are needed in the short-term therapy. And therapist and patients come to an agreement of the accomplishable therapeutic goal and work together actively. The time-limited group psychotherapy is being accepted newly as an efficient therapeutic modality because effective therapeutic outcomes within given time have been reported. The objectives of this study are as follows; firstly, we examine the therapeutic outcomes and the therapeutic factors after performing the time-limited group psychotherapy for outpatients in the psychiatric clinic; secondly, we analyze the characteristics showed in the process of study; lastly, we verify the feasibility and the validity of this group psychotherapy and then establish the basis of the effective outpatient therapy that would be settled down as an applicable treatment modality economically and efficiently in the current medical environment of Korea. METHODS: This study was performed weekly in total 12 sessions from July 1999, April 2000 to and each session took 70-80 minutes. The experimental group were composed of the highly-functioning psychotic patients among outpatients in the psychiatric clinic. The control group were composed of the similar patients through one-to-one matching of age, sex, diagnosis, and duration of illness. The participants were 8 patients each. BDI(Beck Depression Inventory), STAI(Spielbergs State-Trait Anxiety Inventory), MMPI(Minnesota Multiphasic Personality Inventory), and EDMT(Ewha Defence Mechanism Test) as the evaluation scales were performed before and after treatment. And 13-therapeutic factors scale was performed just after each session and the self-report total assessment questionnaire was performed only in experimental group at the end of this study. RESULTS: The mean score of BDI was decreased significantly in experimental group in comparison with control group. The mean score of STAI-S was not changed significantly in both group, and the mean score of STAI-T was decreased in experimental group in comparison with control group. The mean score of MMPI was decreased significantly in experimental group in comparison with control group, but the comparison of difference scores(post-treatment score - pre-treatment score) between the experimental and control group was not decreased significantly. This result may come from psychopharmacotherapy and individual supportive psychotherapy given equally to both group. The mean scores of immature defence and neurotic defence in EDMT were decreased significantly in experimental group compared with control group. Comparing the therapeutic factors to divide into the first, middle, and the last stage, existential factor was ranked first, and catharsis, identification with therapist, universality, and group cohesiveness were ranked high in all stages. Interpersonal learning was ranked first in the last stage although being ranked low in the first and middle stage. The total assessment questionnaires about group psychotherapy were reported that 100% of participants were helped, 75% of participants were changed in their lives, and 75% of participants had minds to join this kind of program again if given for them. CONCLUSIONS: This result shows that not only symptom relief but also personality change was achieved when the time-limited group psychotherapy was practiced in addition to simple psychophamarcotherapy and individual supportive psychotherapy for outpatients. The degree of satisfaction for group psychotherapy of participants were evaluated highly. Group psychotherapy has been accepted in public as a therapeutic modality that must be as equally effective as psychotherapy although group psychotherapy derives from individual psychotherapy. In our current medical environment that has been changed suddenly by the separation of medical practice and pharmaceutical dispensing and the decrease of medical fee, group psychotherapy or time-limited therapy would be settled down as low-expense and high-efficiency therapeutic modalities that were as equally effective as individual psychotherapy or long-term therapy.
Anxiety
;
Catharsis
;
Depression
;
Diagnosis
;
Fees, Medical
;
Humans
;
Korea
;
Learning
;
MMPI
;
Outpatients*
;
Psychotherapy
;
Psychotherapy, Group*
;
Surveys and Questionnaires
;
Weights and Measures
4.Molecular Typing of the Methicillin-Resistant Determinant (mec) and Coagulase Typing as Epidemiologic Markers for Study of Nosocomial Infections Caused by Methicillin-Resistant Staphylococcus aureus.
Jung Man KIM ; A Seong KIM ; Kyeong Hee KIM ; Tae Gyeom KIM ; Jin Yeong HAN ; In Hoo KIM
Korean Journal of Clinical Pathology 1997;17(4):588-597
BACKGROUND: Methicillin-resistant Staphylococcus aureus(MRSA) is an increasingly common cause of nosocomial infections worldwide. Epidemiologic investigation of MRSA outbreaks and identification of pathways of nosocomial MRSA spread require the ability to distinguish individual MRSA strains. We applied molecular tap ing of the methicillin-resistant determinant (mec) and coagulase typing in the investigation of a nosocomial MRSA infections. METHODS: We randomly selected 79 strains of mecA positive MRSA isolated from patients who visited Dong-A university Hospital from Dec. 1995 to Oct. 1996. Molecular typing of MRSA was performed by comparing the size of the mac-associated hypervariable region amplified by the polymerase chain reaction (PCR). Coagulase typing with type I-VIII antisera was also used for classification of MRSA based on its phenotype. Each isolates were classified by the combination of molecular analyses and coagulase type. RESULTS: The 79 MRSA isolates were grouped Into sin hypervariable legion (HVR) genotypes on the basis of the size of the PGR products. In coagulase typing, the most predominant type was II(46.8%) and type V was not found. Nine strains were not typable. The combination of HVR genotypes and coagulase types showed 23 different types in 79 MRSA Isolates. The strains which were repeatedly isolated from the same patients showed the same HYR genotypes and coagulate types. CONCLUSION: The combination of HVR genotypes and coagulase types is thought to be useful in epidemiolgical Investigation of nosocomial infections caused by MRSA ,because of its simplicity and reproducibility.
Classification
;
Coagulase*
;
Cross Infection*
;
Disease Outbreaks
;
Genotype
;
Humans
;
Immune Sera
;
Methicillin Resistance*
;
Methicillin-Resistant Staphylococcus aureus*
;
Molecular Typing*
;
Phenotype
;
Polymerase Chain Reaction
;
Staphylococcus
5.Identification of an i(21q) by Using Dinucleotide Repeat Polymorphisms.
Kyeong Hee KIM ; Tae Gyeom KIM ; Jin Yeong HAN ; Jung Man KIM ; Joo In PARK ; In Hoo KIM
Korean Journal of Clinical Pathology 1997;17(1):183-189
BACKGROUND: Recent DNA polymorphism analysis using numerous DNA markers has been used to determine the parental origin of the extra chromosome 21 in Down syndrome. In this study we used seven dinucleotide repeat polymorphisms on chromosome 21 to characterize a case of rea(21q21q) and to know whether it is consistent with an isochromosome or a true Robertsonian translocation. METHODS: Cytogenetic investigation was done by conventional G banding DNA was extracted from whole blood of a proband and her parents and was amplified by PCR using seven sets of (GT)n repeat dinucleotide markers located on the long arm of chromosome 21 After electrophoresis of the PCR product in polyacrylamide gel and silver staining the parental origin and number of DNA copy were determined by visual comparison of the band intensities within and between individuals. RESULTS: Conventional cytogenetics showed that the proband had a 46.XX.re(21q21q) chromosome pattern. Parental chromosome studies were normal, therefore, the rearrangement was a de novo event. All seven DNA markers showed one or two alleles, demonstrating rea(21q21q) to be an isochromosome. For D21S215 and D21S156 markers both parents were heterozygous and the proband inherited one copy of paternal allele and two copies of maternal allele which both parents did not share. This finding was consistent with a maternally derided isochromosome. CONCLUSION: Use of dinucleotide repeat DNA polymorphisms after PCR amplification will be very useful to detect the parental origin of additional chromosome 21 or rearrangement of chromosome 21 in Down syndrome. Besides employing siltier staining of a PCR product we will be able to avoid using of radioisotopes and apply to clinical laboratory diagnosis.
Alleles
;
Arm
;
Chromosomes, Human, Pair 21
;
Clinical Laboratory Techniques
;
Cytogenetics
;
Dinucleotide Repeats*
;
DNA
;
Down Syndrome
;
Electrophoresis
;
Genetic Markers
;
Humans
;
Isochromosomes
;
Parents
;
Polymerase Chain Reaction
;
Radioisotopes
;
Silver Staining
6.Correction of pronouced nasolabial fold using subgaleal fascia.
Jeong Jin KIM ; Jeong Cheol KIM ; Kyung Hoo LEE ; Dong Bo SUH ; Jung Hyun SEUL
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1992;19(4):633-637
No abstract available.
Fascia*
;
Nasolabial Fold*
7.A standardization study of EWHA defense mechanism test.
Kun Hoo RHEE ; Jae Un KIM ; Jung Kyu KIM ; Young Sook PARK
Journal of Korean Neuropsychiatric Association 1991;30(3):582-592
No abstract available.
8.Primary Malignant Fibrous Histiocytoma of the Liver: 2 Cases Report.
Hee Chul YU ; Sung Hoo JUNG ; Baik Hwan CHO ; Jae Chun KIM ; Nam Poo KANG
The Korean Journal of Hepatology 1999;5(3):240-245
The malignant fibrous histiocytoma (MFH) was first introduced in 1963 to refer to a group of soft-issue tumors characterized by a storiform or cartwheel-ike growth pattern and predominantly fibroblastic appearance. It was postulated that they were derived from histiocytes that could assume the appearance and function of fibroblasts. MFH has been recognized to be the most common sarcoma in the soft tissue of late adult life which involves the deep fascia or skeletal muscles of the extremities or retroperitoneum. It has been noted in other organs, however, it rarely arises in the liver. We report two cases of primary malignant fibrous histiocytoma of the liver histopathologically confirmed after surgical resection-storiform pleomorphic and myxoid subtypes in the 55 year old male and 49 year old female patients, respectively, and describes the clinical courses, characteristics and pathologic aspects with review of the related literatures.
Adult
;
Extremities
;
Fascia
;
Female
;
Fibroblasts
;
Histiocytes
;
Histiocytoma, Malignant Fibrous*
;
Humans
;
Liver*
;
Male
;
Middle Aged
;
Muscle, Skeletal
;
Sarcoma
9.Diagnostic Value of Fine Needle Aspiration Cytology of the Breast Mass.
Journal of the Korean Surgical Society 1999;56(6):777-783
BACKGROUND: Palpable breast tumors have traditionally been diagnosed with open biopsy. We propose fine needle aspiration (FNA) cytology as a reliable, safe initial procedure in these patients. METHODS: We performed 248 fine needle aspiration cytologies of breast tumors during the period of from Jan. 1994 to Dec. 1997 at the Department of Surgery, Chonbuk National University Hospital, among which 106 cases were histologically examined. RESULTS: The main clinical symptom was a palpable mass on the breast at the time of the visit to our hospital. Clinical diagnosis based on symptoms and physical examination had a sensitivity of 96.9% and a specificity of 57.5%. Based on definite histologic diagnosis, the sensitivity of FNA cytology was 96.9%, the specificity 91.7%, and the diagnostic accuracy 93.5%. Of the cytologic malignancies, 86.1% were proven malignant histologically, and 100% of the cytologically benign cases turned out histologically benign. CONCLUSION: Fine needle aspiration cytology of solid, palpable breast lesions should be the diagnostic procedure of choice for those patients classified clinically as probably benign or clinically as malignant.
Biopsy
;
Biopsy, Fine-Needle*
;
Breast Neoplasms
;
Breast*
;
Diagnosis
;
Humans
;
Jeollabuk-do
;
Physical Examination
;
Sensitivity and Specificity
10.Clinical and hemodynamic investigation of atrial septal defect.
Sang Cho JUNG ; Jae Ho AHN ; Sung Hoo JIN ; Cheol Joo LEE ; Se Whan KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 1991;24(5):445-450
No abstract available.
Heart Septal Defects, Atrial*
;
Hemodynamics*