1.The Significance of Nesidiodysplasia of the Pancreas.
Soo Im CHOI ; Woo Hee JEONG ; Chan Il PARK
Korean Journal of Pathology 1990;24(1):10-15
To elucidate the significance of the nesidiodysplasia of pancreas, histological re-evaluation and immunohistochemical studies for insulin, glucagon and somatostatin were done on 16 consecutive cases (5 premature babies, 2 stillborns, 5 infants and 3 adults) in which paraffin blocks of the pancreas were available. Only one infant was hypoglycemic. All 16 pancreases showed changes of nesidiodysplasia which appeared immunohistochemically to have isulin, glucagon and /or somatostatin. The histologic patterns of nesidiodysplasia included ductoendocrine proliferation, endocrine cell dysplasia, adenomatosis, septal islet, islket cell hypertrophy and islet hypertrophy. All the patterns of nesidiodysplasia except for the adenomatosis were seen in premature babies, infants, stillborns and adults with or without hypoglycemia. The adenomatosis was found only in the hypoglycemic infant. The result suggests that all patterns of nesidiodysplasia of other than the adenomatosis does not imply the pathologic basis of hypoglycemia.
Infant
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Adult
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Male
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Female
;
Humans
2.Development and Effectiveness of the Interpersonal Caring Program for Young North Korean Defectors
Jeong Im CHOI ; Eun Joung CHOI
Journal of Korean Academy of Community Health Nursing 2020;31(3):310-321
Purpose:
The purpose of this study is to evaluate the effectiveness of the interpersonal caring program for young North Korean defectors which we developed based on Kim's interpersonal caring technique.
Methods:
This study employs a non-equivalent control group pretest-posttest design. The subjects of this study are 36 young North Korean defectors living in three areas. The participants are recruited through alternative schools, churches, and acquaintances. The experimental group consists of 20 participants and the control group consists of 16 participants. Experiments are conducted by four days. Specifically, the experiments are conducted eight times and each takes about 120 minutes. Furthermore, we run the camp for two nights and three days. We test our hypothesis by using Kolmogorov-Smirnov, Independent t-test, Paired t-test, and Independent t-test.
Results:
All the test statistics support our hypotheses such as self-esteem (t=1.87, p=.035), mental health (t=-1.69, p=.049), interpersonal relationships (t=1.93, p=.031), and quality of life (t=1.88, p=.034).
Conclusion
We found that the interpersonal caring program developed in this study is effective in improving North Korean defectors’ self-esteem, mental health, interpersonal relationships, and quality of life.
3.Traumatic diaphragmatic injuries.
Chang Geun OH ; Jin Soo IM ; Hyeng Ho CHOI ; Jeong Soo CHANG
The Korean Journal of Thoracic and Cardiovascular Surgery 1991;24(6):579-584
No abstract available.
4.Menstrual Disorders in Adolescence.
Journal of Korean Society of Pediatric Endocrinology 2008;13(1):15-20
Menarche is an important event and a primary indicator of the onset of sexual maturation during adolescent girls. During adolescence, severe gynecologic disorders are very rare but menstrual problems are common. Common menstrual disorders are amenorrhea, abnormal uterine bleeding, dysmenorrhea and premenstrual syndrome. Although most menstrual problems are caused by immaturity of the hypothalamic-pituitary-ovarian axis and can be normal during the first few years after menarche, organic pathology must always be considered. This article reviews the causes, diagnosis and treatment of above menstrual disorders in adolescence as well as normal menstrual cycle physiology.
Adolescent
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Amenorrhea
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Axis, Cervical Vertebra
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Dysmenorrhea
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Female
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Humans
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Menarche
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Menstrual Cycle
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Menstruation Disturbances
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Premenstrual Syndrome
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Sexual Maturation
;
Uterine Hemorrhage
5.Clinical Characteristics Study of Pseudohypoparathyroidism.
Im Jeong CHOI ; Jung Sub LIM ; Choong Ho SHIN ; Sei Won YANG
Journal of Korean Society of Pediatric Endocrinology 2002;7(1):105-111
PURPOSE: Pseudohypoparathyroidism(PHP) is caused by a defect of G protein and receptor despite of normal parathyroid hormone(PTH) secretion. It is a rare disorder characterized by hypocalcemia, hyperphophatemia, elevated PTH levels and albright hereditory osteodystrophy(AHO). We retrospectively reviewed the clinical characteristics of PHP. METHODS: We reviewed clinical features, laboratory findings, and outcome to treatment of 8 PHP patients, diagnosed at Seoul National University Hospital from 1988 to rool. RESULTS: Male to Female ratio was 1.7:1 and mean age at diagnosis was 11.8 years old. The initial average height SDS was 0.13+/-.08 and the average weight SDS was 0.43+/-.31. The most common symptom was seizure. Only one patient had typical AHO, three patients had mental retardation. Brain MRI or CT showed basal ganglia calcification in 3 patients. All patients treated with vitamin D and calcium supplementation could maintained normal serum levels of calcium and phophorus. CONCLUSION: PHP should be suspected in patient with seizure of unknown origin, aged above 5 year-old. AHO and mental retardation could be adjuvant signs to the diagnosis of PHP. But definite diagnosis could be made by laboratory work up.
Basal Ganglia
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Brain
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Calcium
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Child, Preschool
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Diagnosis
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Female
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GTP-Binding Proteins
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Humans
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Hypocalcemia
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Intellectual Disability
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Magnetic Resonance Imaging
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Male
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Pseudohypoparathyroidism*
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Retrospective Studies
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Seizures
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Seoul
;
Vitamin D
6.Diagnostic value of serum Troponin T measurements using EIA method in Acute Myocardial Infarction.
Yoon Jeong KIM ; Dal Sik KIM ; Hye Soo LEE ; Sam Im CHOI
Korean Journal of Clinical Pathology 1997;17(4):553-559
BACKGROUND: Cardiac troponin T (cTnT) is a new serological marker for use as a diagnostic toots for acute myocardial infarction (AMI). This study was designed to evaluate tee diagnostic efficiency of troponin T in AMI. METHODS: We determined the reference range of troponin T in 20 healthy adults without previous cardiovascular diseases and chest pain. We evaluated troponin-T, CK, LD, AST and CK-MB in serum of 13 AMI and 5 angina pectoris patients. The patients were arrived at the hospital within 3 hours after onset of (most recent) acute symptoms. Samples were drawn individually at the times of 0, 1, 3, 7, 18 and 24 hours after admission and continued at 6-h intervals for 2 days and 24-h intervals fort 2 weeks. Troponin T was determined by an enzyme-linked immuno-sorbent assay (one step sandwich assay) on an ES-300 analyzer. RESULTS: We found that serum troponin-T concentrations in healthy control adults were below 0.07microgram/L. The peak level of troponin-T concentration of patients with AMI was 22.0microgram/L, mean value, at 7 hours after admission and showed 110 times its discrimination limit value (0.2microgram/L). CK-MB value was normalized within 3 days after admission, but cTnT value remained high above its discrimination limit value until 2 weeks after admission during this study. CONCLUSIONS: The data indicate that the measurement of serum cTnT improves efficiency of serological testings of AMI as compared with conventionally used cardiac enzymes.
Adult
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Angina Pectoris
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Cardiovascular Diseases
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Chest Pain
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Discrimination (Psychology)
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Humans
;
Myocardial Infarction*
;
Reference Values
;
Serologic Tests
;
Troponin T*
;
Troponin*
7.Concept Analysis on the Organizational Commitment: Focused on the Nursing Organizations.
Yun Jeong CHOI ; Young Im PARK ; Gye Hyun JUNG
Journal of Korean Academic Society of Nursing Education 2014;20(2):276-287
PURPOSE: The purpose of this study was to explore the clear concept of organizational commitment for effective nursing personnel management. METHOD: This study was conducted using Walker & Avant's conceptual analysis framework(2005). RESULTS: Organizational commitment was identified with six attributes: acknowledgment, acceptance, trust, sacrifice, attachment, regulation. Antecedents of organizational commitment were personal characteristics, perceived organizational support, empowerment, fair compensation, job satisfaction, job autonomy, organizational culture, and leadership. Consequences of organizational commitment were turnover intention, job performance and organizational citizenship behavior. CONCLUSION: Organization commitment is a core concept for understanding the management of nursing personnel. Appropriate instruments to operationalize the concept of organizational commitment including six attributes need to be developed.
Compensation and Redress
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Humans
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Intention
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Job Satisfaction
;
Leadership
;
Nursing*
;
Organizational Culture
;
Personnel Management
;
Power (Psychology)
8.Lethal Hemomediastinum due to Spontaneous Rupture of an Aberrant Bronchial Artery in a Patient with Neurofibromatosis Type 1: Successful Treatment with Embolization
Yun Jin IM ; Min Jeong CHOI ; Bong Man KIM
Journal of the Korean Radiological Society 2020;81(4):958-964
Spontaneous bleeding due to vascular involvement of neurofibromatosis type 1 is rare but potentially fatal. Herein, we report a case of a lethal spontaneous hemomediastinum in a patient with neurofibromatosis type 1. The bleeding was caused by rupture of an aberrant bronchial artery arising from the ipsilateral subclavian artery, which was successfully treated using transarterial embolization with coils and N-butyl-2-cyanoacrylate.
9.The Optimum Dose of Oral Diazepam to Reduce Seizure Attack in Febrile Seizure Patients During Febrile Illness.
Im Jeong CHOI ; Je Eun CHOI ; Jung A LEE ; Pil Ju JEONG ; Sung Mi KIM ; Jin Hwa JEONG ; Jeong Ho LEE
Journal of the Korean Pediatric Society 2001;44(6):677-682
PURPOSE: Febrile seizure is the most common type of seizure affecting 3-4% of children. The recurrence rate of febrile seizure is approximately 33%. About 16% of children with a febrile seizure during the febrile illness have a recurrent seizure attack within 24 hours. This study aimed to investigate the optimum dose of diazepam to reduce the recurrence of febrile seizures in children who have had a febrile seizure attack. METHODS: The children with febrile seizure who were admitted to the Maryknoll hospital for in vestigation and treatment were retrospectively reviewed. The study group compromised 306 children. The febrile seizure was defined as seizure attack with fever(above 38degreeC) without evidence of intracranial infection or defined cause in children aged 6 months to 5 years. The children were divided into four groups according to dose of diazepam. Group I, 72 patients, received no diazepam therapy. Group II, 78 patients, received oral diazepam in a dose of 0.1 mg/kg every eight hours during the febrile illness, Group III, 87 patients, 0.2 mg/kg, and Group IV, 69 patients, 0.3 mg/kg, respectively. RESULTS: The seizure attack rate and the duration of admission were reduced in both Group III and Group IV. However, there was no difference in the side effects of the diazepam between group III and IV. CONCLUSION: Oral diazepam in a dose of 0.2 mg/kg effectively decreases both the seizure attack rate and the duration of admission.
Child
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Diazepam*
;
Humans
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Recurrence
;
Retrospective Studies
;
Seizures*
;
Seizures, Febrile*
10.Clinical Course of Childhood Onset Pseudoprecocious Puberty due to Autonomous Ovarian Cyst.
Min Jeong KIM ; Hyo Jin JUNG ; Im Jeong CHOI ; Su Young HONG
Journal of Korean Society of Pediatric Endocrinology 2011;16(2):86-91
PURPOSE: There are few reports about the natural history of patients with pseudoprecocious puberty due to autonomous ovarian cyst. We reviewed the clinical course of 7 patients who had autonomous ovarian cysts and signs of precocious puberty. METHODS: We retrospectively evaluated 7 children, aged 2.8 to 7.9 years, who were diagnosed with pseudoprecocious puberty due to autonomous ovarian cysts from November 2005 to May 2011. The follow-up durations ranged from 0.5 to 6.3 years. RESULTS: Four out of 7 patients showed elevated serum estrogen levels and all revealed prepubertal response of gonadotropin to GnRH stimulation at diagnosis. The size of the cysts was from 1.7 to 4.6 cm on pelvic ultrasound examination. After 1 to 3 months, the ovarian cysts disappeared in all patients. Three of the girls developed relapsing signs of precocious puberty (vaginal bleeding and breast budding). Two of them showed an increase in growth velocity and bone age due to recurrent ovarian cysts, and one of them was converted to true precocious puberty. CONCLUSION: In our cases, all patients with autonomous ovarian cysts resolved spontaneously. However, some showed frequent recurrence of ovarian cysts, and needed a longer follow up because of the possibility of conversion to true precocious puberty and signs of McCune-Albright syndrome.
Aged
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Breast
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Child
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Estrogens
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Female
;
Fibrous Dysplasia, Polyostotic
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Follow-Up Studies
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Gonadotropin-Releasing Hormone
;
Gonadotropins
;
Hemorrhage
;
Humans
;
Natural History
;
Ovarian Cysts
;
Puberty
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Puberty, Precocious
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Recurrence
;
Retrospective Studies