1.Comparison of Fine Needle Aspiration Cytologic Diagnoses and Histologic Diagnoses in 256 Breast Lesions.
Mi Sun KANG ; Soo Jin JUNG ; Hye Kyoung YOON
Korean Journal of Cytopathology 1997;8(2):120-128
PURPOSE: Henoch-Schonlein purpura nephritis(HSPN) accompanied by nephrotic syndrome(NS) is known to have a poor prognosis and effective treatment is still controversial, even though both corticosteroids and immunosuppresant have been used for therapy. Cyclosporine A(CsA) is a well known immunosuppresant and widely used in renal transplantation and glomerular diseases especially steroid resistant. The aims of this study was to evaluate the therapeutic effect of CsA and to compare CsA with previously reported our data of rifampin(RFP) and azathioprine(AZA) in children with HSPN accompanied by NS. METHODS: 37 HSPN patients with NS confirmed by renal biopsy were selected. Of these, 17 patients were treated with CsA(5 mg/kg/day) for 6-8 months, 7 children were treated with RFP(10-20 mg/kg/day) for 9-12 months and 13 patients were treated with AZA(2 mg/kg/day) for 8 months. Along with these regimens, low dose oral prednisolone(0.5-1 mg/kg, qod) was also used. Sequential renal biopsy was done in all patients 1 month after termination of treatment. RESULTS: Complete remission rate of nephrotic syndrome was 5S.8% in CsA, 57.1% in RFP and 38.4% in AZA group after 17, 22, 11 months of mean follow-up period. Overall remission rate including partial remission was 88.2% in CsA, 85.7% in RFP and 84.6% in AZA group. Disappearance rate of hematuria was 58.8% in CsA, 57.1% in RFP and 46.2% in AZA group. Improvement of grade of clinical status was observed in 17 out of 17 CsA, 7 out of 7 RFP and 10 out of 13 AZA group. Improvement of pathologic class on sequencial renal biopsy was shown in 5 CsA(29.4%), none RFP(0%) and 2 AZA group(12.4%). Improvement on histologic immune-deposition was seen in 15 CsA(88.2%), 6 RFP(85.9%) and 4 AZA group(30.8%). CONCLUSION: In conclusion, Both CsA and RFP treated groups showed better result in complete remission rate of nephrotic syndrome and significant inprovement of histologic immune-deposition compared with AZA treated group(p=0.004). So, we recommend CsA and RFP rather than AZA for immunosuppresant treatment in HSPN with nephrotic syndrome.
Adrenal Cortex Hormones
;
Biopsy
;
Biopsy, Fine-Needle*
;
Breast*
;
Child
;
Cyclosporine
;
Diagnosis*
;
Follow-Up Studies
;
Hematuria
;
Humans
;
Kidney Failure, Chronic
;
Kidney Transplantation
;
Nephrotic Syndrome
;
Prognosis
;
Purpura, Schoenlein-Henoch
2.Effect of Hydrosalpingeal Fluid on the Implantation in-vitro in a Murine Model.
Jin Hyun JUN ; Chun Kyu LIM ; Soo Kyung KIM ; Mi Kyoung KOONG ; Inn Soo KANG
Korean Journal of Fertility and Sterility 2000;27(2):159-164
No abstract available.
3.Correction of the Aging Upper Third of the Face Using by Transpalpebral Approach.
Kyoung RHO ; Yang Soo KANG ; Bong Soo RYU ; Myung Ju LEE ; Jeoung Yeol YANG
Journal of the Korean Society of Plastic and Reconstructive Surgeons 2000;27(1):11-15
Aging changes on the upper third of the face include brow ptosis, glabellar furrowing and forehead transverse wrinkle caused by an imbalance of the forehead muscles. Surgical methods to correct these phenomena include forehead lift with a coronal incision, endoscopic access, and direct forehead skin excision. In response to a common need for cosmetic improvement in the brow-upper eyelid and a desire for minimal incisions for forehead rejuvenation, an approach through blepharoplasty incision had been developed. This approach has many advantages, such as fewer skin incision, less tissue mobilization and direct excision of the hyperactive depressor muscles. However, this approach is not suitable for those who have significant forehead wrinkle and ptosis. We used a combined subperiosteal approach for forehead lift and transection of the hyperactive corrugator and procerus muscles through blepharoplasty incision. This combined surgical technique is simple and effective to correct aging of the upper third of the face without the usual complication. We performed 10 cases of the transpalpebral approach for the correction of the upper third of the face from January 1997 to September 1998, following them up for from 3 to 6 months and obtained satisfactory results. We report our experiences with a review of the literature.
Aging*
;
Blepharoplasty
;
Eyelids
;
Forehead
;
Muscles
;
Rejuvenation
;
Skin
4.Adhesive potential of the shed endometrial cells in menstrual fluid using amniotic membrane: establishment of in-vitro model for pathogenesis of endometriosis.
Mi Kyoung KOONG ; Jin Hyun JUN ; Eun Soo KIM ; Kyoung Nam KO ; Soo Jeong HONG ; Ji Hong SONG ; Keun Jai YOO ; Inn Soo KANG
Korean Journal of Obstetrics and Gynecology 1999;42(12):2700-2704
OBJECTIVES: The purpose of this study was to determine whether or not the shed endometrial tissues in menstrual fluid (MF) have adhesive potentials, using human amniotic membrane (AM). METHODS: The MF from 20 patients with regular menstruation was collected with Wallace catheter by aspiration from the uterine cavity on the second or third day of the menstrual period. The AM was obtained from the placenta of term delivery without any complication. The MF was washed and diluted fivefold with Hams F-10 medium supplemented with 10% fetal bovine serum. The cell suspension was placed on either epithelial layer (EP) or extracellular matrix layer (ECM) of the AM. After 5 days of culture, the adhesion sites were observed under a stereomicroscope. For histological observation, each cultured AM was prepared for the serial paraffin section. RESULTS: The adhesion sites of endometrial tissues in MF were found both ECM (20/20) and EP (11/20) of the AM. The size of adhesion sites in each AM were highly variable from microscopic to macroscopic size. CONCLUSION: We found that the shed endometrial tissues in MF have adhesive potential to epithelial layer in addition to extracellular matrix layer of amniotic membrane. This adhesive potential may be related to pathogenesis of endometriosis. We suggest that this culture system can be useful as an in-vitro model for endometriosis.
Adhesives*
;
Amnion*
;
Catheters
;
Endometriosis*
;
Extracellular Matrix
;
Female
;
Humans
;
Menstruation
;
Paraffin
;
Placenta
5.Diagnosis of chest injury by abdominal CT scan in multiple injured patients.
Moo Ub AHN ; Sung Oh HWANG ; Kyoung Soo LIM ; Joong Hwan OH ; Seong Joon KANG
Journal of the Korean Society of Emergency Medicine 1991;2(1):91-98
No abstract available.
Diagnosis*
;
Humans
;
Thoracic Injuries*
;
Thorax*
;
Tomography, X-Ray Computed*
6.Three Cases of Renal Tuberculosis in children.
Young Hwa JOUNG ; Kyoung Soo KIM ; Sung Won KANG ; Kyu Hong CHO ; Byung Churl LEE
Journal of the Korean Pediatric Society 1985;28(9):916-921
No abstract available.
Child*
;
Humans
;
Tuberculosis, Renal*
7.Analysis of korean disaster plan with the review of three cases of disasters.
Moo Eob AHN ; Sung Oh HWANG ; Kyoung Soo LIM ; Sung Joon KANG
Journal of the Korean Society of Emergency Medicine 1993;4(2):27-39
No abstract available.
Disasters*
8.The Relationship of Communication Competence, Professional Self-Concept and Stress in Clinical Practice of Nursing Students.
Journal of Korean Academic Society of Nursing Education 2016;22(4):452-461
PURPOSE: This study was conducted to investigate the relationships among communication competence, professional self-concept, and stress in clinical practice of nursing students. METHODS: The study participants were 308 senior year nursing students in D city and K province. Collected data were analyzed using t-tests, analysis of variance, Pearson's correlation coefficient, and stepwise multiple regression with the SPSS Version 20.0. RESULTS: There were significant differences in participants' stress of clinical practice based on their level of satisfaction on clinical practice, self-confidence of nursing and difficulty with relationships in clinical practice. A negative correlation was detected between stress in clinical practice and the professional self-concept of nursing students. Significant predictors of the perceived stress of clinical practice were satisfaction in clinical practice and pride in nursing. These accounted for 18% of the perceived stress of clinical practice in a regression model. CONCLUSION: The results may serve as basic data in support of the need to the develop effective systematic stress management programs and clinical training courses in order to attenuate the stress experienced during clinical practice of nursing students.
Humans
;
Mental Competency*
;
Nursing*
;
Professional Competence*
;
Students, Nursing*
9.Surgical Complication and Its Management in Ischemic Stroke.
Dal Soo KIM ; Do Sung YOO ; Pil Woo HUH ; Kyoung Suok CHO ; Joon Ki KANG
Journal of Korean Neurosurgical Society 2000;29(8):1107-1112
No abstract available.
Stroke*
10.Evaluation of the ability of continuous palonosetron infusion, using a patient-controlled analgesia device, to reduce postoperative nausea and vomiting.
Korean Journal of Anesthesiology 2014;67(2):110-114
BACKGROUND: The efficacy of palonosetron in preventing postoperative nausea and vomiting (PONV), as well as chemotherapy-induced nausea and vomiting, has already been demonstrated in multiple clinical studies. The purpose of this study was to determine whether continuous infusion of palonosetron following single injection could reduce PONV to a greater extent than single injection only of palonosetron. METHODS: In total, 132 women were enrolled in the study. All subjects were over the age of 20 years and were scheduled to undergo gynecologic laparoscopic surgery. Patients were randomly allocated into two groups. In both groups, patients received 0.075 mg of palonosetron intravenously, immediately before induction of anesthesia. In the continuous palonosetron infusion group, 0.075 mg (1.5 ml) of palonosetron was added to the patient-controlled analgesia device. In the single-injection palonosetron group, 1.5 ml of normal saline was added. RESULTS: The incidence of PONV 24 hours postoperatively was significantly lower in the continuous palonosetron infusion group than the single-injection palonosetron group (31.8 vs. 56.1%, P = 0.009). CONCLUSIONS: Continuous palonosetron infusion, following single injection, reduces the incidence of PONV compared with single injection only.
Analgesia, Patient-Controlled*
;
Anesthesia
;
Female
;
Humans
;
Incidence
;
Laparoscopy
;
Nausea
;
Postoperative Nausea and Vomiting*
;
Vomiting