1.Correlation of human in vitro fertilization with the zona-free hamster penetation assay.
Jae Myung KIM ; Kyung Sook CHO ; Byung Hee SUH ; Jae Hyun LEE ; Kil Saeng CHUNG
Korean Journal of Obstetrics and Gynecology 1992;35(8):1220-1227
No abstract available.
Animals
;
Cricetinae*
;
Fertilization in Vitro*
;
Humans*
2.Atypical Sonographic Patterns of Fibroadenoma of the Breast: Pathologic Correlation.
Shin Ho KOOK ; Myung Sook KIM ; Won Kil PAE
Journal of the Korean Radiological Society 1999;40(3):597-602
PURPOSE: To correlate the atypical sonographic patterns of fibroadenoma of the breast with the pathologicfindings. MATERIALS AND METHODS: Among 203 surgically proven 43 which were sonographi-cally atypicalfibroadenomas, were retrospectively reviewed. The diagnostic criteria for atypical va riety, as seen onsonography, were an ill-defined margin, microlobulated or irregular shape, heterogeneous internal echo-pattern,posterior shadowing, micro-calcification, and clefts. The atypical sonographic patterns of these 43 fibroadenomaswere analysed and compared with the pathologic findings. RESULTS: Among 43 lesions, ill-defined margins orirregular shapes were seen in 15 c a s e s, heterogeneous internal echo-patterns in 27, posterior attenuation innine, and clefts in seven. Thirty-seven (86%) of the 43 were predominantly ductal or hada mixed ductal and stromalcomponent. Eleven (73.3%) of fifteen ill-defined margin or irregular shaped lesions were caused by interdigitationof surrounding normal breast parenchyma and mass. Twenty two (81.5%) of 27 heterogeneous internal echo-pat-ternswere related to dilated ducts, phyllodes features, collagen bundles, adenosis, mi-crocalcification, or fatvacuoles. Eight (88.9%) of nine posterior attenuations were caused by collagen bundles, microcalcification, ductalproliferation or dilatation. All seven cases showing clefts revealed phyllodes features and dilated ducts. CONCLUSIONS: Most atypical fibroadenomas had a redominantly ductal or mixed component. Ill-defined margin orirregular shape was mainly due to interdigitation of normal surrounding parenchyma. Variable histologic featureswere related to the het-erogeneous internal echo-pattern, posterior shadowing, and the clefts revealed by atypicalsonographic findings.
Breast Neoplasms
;
Breast*
;
Collagen
;
Dilatation
;
Fibroadenoma*
;
Retrospective Studies
;
Shadowing (Histology)
;
Ultrasonography*
3.The Effect of Ketamine on the Neuromuscular Blocking Action of Vacuromium .
Yang Sik SHIN ; Myung Sook CHEON ; Shin Ok KOH ; Hae Keum KIL
Korean Journal of Anesthesiology 1988;21(1):80-84
Comflicting results have been reported on whether ketamine potentiates the neuromuscular effect of succinylcholine or other non-depolarizing agents. Notably, there has been no reported clinical evatuation of the influence of ketamine upon the neuromuscular action of vecuronium a new muscle relaxant. The present study was undertaken to estimate the influence of ketamine upon the neuromuscular action of vecuronium with a single bolus injection of ED95. Forty-five ASA class l or ll surgical patients were divided into three groups: l, ll and lll and were given thiopental sodium(5mg/kg), ketamine 3mg/kg and ketamine 5mg/kg as induction agents, respectively. The duration and recovery index of group ll and lll (35.20+/-2.30 and 16.20+/-1.37 min., 52.60+/-3.98 and 25.47+/-3.78min., respectively) were longer than those in group l (24.87+/-1.59 and 10.66 +/- 1.23 min.). But group l had a lower TOF ratio(27.40+/-3.09%) at 75% single twitch recovery than group ll and lll (41.87+/-3.25 and 45.27+/-3.67%, respectively). The increase in duration and the recovery index of group lll were greater than that of group ll. It was concluded that ketamine woudly potentiate the neuromuscular action of vecuronium in a dose-dependent manner. We suggest that combination of ketamine and vecuronium requires careful postoperative neuromuscular monitoring for the recovery from a vecuronium induced neuromuscular block.
Humans
;
Ketamine*
;
Neuromuscular Agents
;
Neuromuscular Blockade*
;
Neuromuscular Monitoring
;
Succinylcholine
;
Thiopental
;
Vecuronium Bromide
4.Effects of a Recreation Therapy Program on Mental Health and Heart Rate Variability in Burn Rehabilitation Patients.
Myung Sook KIL ; Mi Hwa LEE ; Yong Mi LEE
Journal of Korean Biological Nursing Science 2015;17(2):179-187
PURPOSE: This study was done to evaluate the effects of a recreation therapy program on burn rehabilitation patients to determine if the program is an effective nursing intervention which can affect mental health problems and heart rate variability. METHODS: Subjects were 54 hospitalized burn rehabilitation patients (25 in the control group, 29 in the experimental group). The experimental group participated 6 times in a recreation therapy program led by a qualified instructor. Brief symptoms inventory-18 (somatization, anxiety, depression) questionnaire, and heart rate variability were checked before and after the recreation therapy program. RESULTS: The mental health scale showed significant differences in somatization (p<.001), anxiety (p<.001) and depression (p<.001). There was no significant difference in heart rate variability (autonomic activity, autonomic balance, stress resistance, stress parameter and fatigue, mean heart rate, electro-cardiac stability). CONCLUSION: The findings from this study suggest that a recreation therapy program is an effective nursing intervention to decrease the level of mental health problems of burn rehabilitation patients. However, a subsequent study is needed to develop an intervention program that will induce the effect of physiological parameters like heart rate variability (HRV).
Anxiety
;
Burns*
;
Depression
;
Fatigue
;
Heart Rate*
;
Heart*
;
Humans
;
Mental Health*
;
Nursing
;
Recreation Therapy*
;
Recreation*
;
Rehabilitation*
5.Ultrasonographic and Pathologic Correlation in Cases of Gynecomastia.
Shin Ho KOOK ; Seung Hee LEE ; Myung Sook KIM ; Won Kil PAE
Journal of the Korean Radiological Society 1996;35(1):137-141
PURPOSE: To define and correlate characteristic sonographic and pathologic findings in men with gynecomastia. MATERIALS AND METHODS: We reviewed medical records and sonographic findings of 26 patients with pathologically proven gynecomastia. All of the chief symptoms, physical findings and causes were categorized. Characteristic sonographic patterns of gynecomastia were analyzed and compared with pathologic findings. RESULTS: Gynecomastia was most common in the 20- to 40-year-old age group (50%) 6;palpable mass was found in 62% of all those cases. Gynecomastia was unilateral or asymmetrical in 22 men (85%), and was caused idiopathically in 21 (81%). The characteristic sonographic patterns correlated with pathologic findings were as follows : (1) focal subareolar smooth oval (or triangular) indistinct margined homogeneous hypoechoic(or isoechoic) patterns were found in 14cases (54%). Eight of these (57%) were of the florid type of gynecomastia (67%) ; (2) diffuse homogeneous hyperechoic (or isoechoic) patterns were found in five cases (19%) ; four of these (80%) were of the intermediate or fibrotic type : (3) involuting female breast parenchymal patterns were found in seven cases (27%), of which six(86%) were of the intermediate or fibrotic type. CONCLUSION: The characteristic sonographic patterns of gynecomastia correlate closely with pathologic types related to the duration of the condition. Ultrasonography isa useful primary diagnostic modality for the evaluation of gynecomastia.
Adult
;
Breast
;
Female
;
Gynecomastia*
;
Humans
;
Male
;
Medical Records
;
Ultrasonography
6.Inter-generation Occupational Mobility Experience of Nurses: Focus on Mother's Experience.
Joo Hyun KIM ; Eun Sook NAM ; Myung Sook KIL ; Sung Ja YOON ; Eun Jin SOUN ; Eun Young PARK
Journal of Korean Academic Society of Nursing Education 2014;20(4):523-533
PURPOSE: The purpose of this study is to analyze how the experiences of nurses influence their role model function when they are mothers of children who in turn have become nurses or nursing students. METHOD: The subjects of this study were 12 nurses, 8 of their children who became nurses and another 4 children then in training to become one. Data were collected through in-depth personal interviews and subsequently analyzed through a phenomenological approach. RESULTS: Four main themes were identified as follows; 'Persuasion and dissuasion,' 'Proud but still pathetic,' 'As mom and senior nurse' and 'Great to pass it down.' CONCLUSION: The results of this study show that the nurse as mother could be a positive professional role model for her children. However, they tended to stress the arduous clinical routines and poor work conditions nurses currently experience. Should such routines and conditions improve, mothers who are nurses would be more willing to recommend the nursing profession to their children. Improving the professional environment is thus important because inter-generation nursing mobility provides a reliable resource to recruit qualified and dedicated nursing personnel.
Career Mobility
;
Child
;
Humans
;
Intergenerational Relations
;
Mothers
;
Nursing
;
Professional Role
;
Qualitative Research
;
Students, Nursing
7.Triple detector SPECT imaging with 99mTc-DMSA in adult patients with urinary tract infection.
Jin Sook RYU ; Won Gyu BAE ; Dae Hyuk MOON ; Myung Hae LEE ; Soon Bae KIM ; Su Kil PARK ; Jung Sik PARK ; Changgi D HONG ; Kyung Sik CHO
Korean Journal of Nuclear Medicine 1992;26(2):290-298
No abstract available.
Adult*
;
Humans
;
Technetium Tc 99m Dimercaptosuccinic Acid*
;
Tomography, Emission-Computed, Single-Photon*
;
Urinary Tract Infections*
;
Urinary Tract*
8.Reevaluation of the thyroid scan for the assessment of pathophysiologic status of thyroid disease.
In Sook WOO ; Jung Il NAH ; Deog Yoon KIM ; Eun Mi KOH ; Sung Woon KIM ; In Myung YANG ; Jin Woo KIM ; Young Seol KIM ; Kwang Woo KIM ; Young Kil CHOI
Korean Journal of Nuclear Medicine 1991;25(1):101-109
No abstract available.
Thyroid Diseases*
;
Thyroid Gland*
9.Reevaluation of the thyroid scan for the assessment of pathophysiologic status of thyroid disease.
In Sook WOO ; Jung Il NAH ; Deog Yoon KIM ; Eun Mi KOH ; Sung Woon KIM ; In Myung YANG ; Jin Woo KIM ; Young Seol KIM ; Kwang Woo KIM ; Young Kil CHOI
Korean Journal of Nuclear Medicine 1991;25(1):101-109
No abstract available.
Thyroid Diseases*
;
Thyroid Gland*
10.Ultrasonographic Evaluation of Ischial Bursitis.
Sung Moon KIM ; Myung Jin SHIN ; Kyung Sook KIM ; Joong Mo AHN ; Kil Ho CHO ; Jae Suck CHANG ; Soo Ho LEE
Journal of the Korean Radiological Society 1999;40(6):1197-1201
PURPOSE: The objective of this study was to evaluate the findings of ultrasonography (US) in patients withis-chial bursitis. MATERIALS AND METHODS: Our study included 27 patients (mean age 62 years) who underwent US fora painful mass or tenderness in the buttock area. In six of these 27, serous fluid was obtained by needleaspiration, and in five cases, bursal excision permitted histologic confirmation. The other sixteen patients werefollowed up for one or two months with only NSAID medication; all showed some improvement or remission of symptoms. Using a 5-10 MHz linear array probe, US examination was performed while the patient was lying facedown. US images were analyzed with regard to location and size of the lesions, thickness of cyst wall, thepres-ence of internal septa or mural nodules, echogenicity of the cyst wall, fluid content, internal septa,compressibility by a probe, and Doppler signals within the cyst wall. RESULTS: In all 27 patients, ischialbursitis was located superficially to ischial tuberosity. Lesion size(maximum diameter) was 1.5-7(mean 3.8)cm, andthe cyst wall was 0.2-0.8cm thick. Internal septa and mural nodules were seen in 12 cases (44%) and 13 cases(48%), respectively. The cyst wall was identifiable in 21 cases (78%), appearing as a single layer with lowechogenicity (n=10) or with high echogenicity (n=1); it also appeared as two (n=6) or three (n=4) layers ofdifferent echogenicities. When internal septa were present, fluid within the cyst was low echoic in 59% of cases,high echoic in 30%, and of mixed echogenicity (so-called compartmentalization) in 15%. In all cases, the cystbecame deformed, when compressed by a probe. In all patients who underwent doppler examination, some vascularitywas found within the cyst wall. CONCLUSION: US helped to detect ischial bursitis; US findings were thin-walled cystic lesion located superficially to ischial tuberosity, with or without internal septa and mural nodules, andeasy compressibility.
Bursitis*
;
Buttocks
;
Deception
;
Humans
;
Ultrasonography