1.The Current Status and Requirements for Non-pharmacological Treatment of Depression in Korea.
Hong Seok OH ; Hae Won LEE ; Yong Chon PARK
Journal of the Korean Society of Biological Psychiatry 2007;14(1):21-27
OBJECTIVES: As a part of plan to develop evidence-based treatment guidelines for depression that is more suitable for Korean situation, we investigate the present status and client's requirements for non-pharmacological treatment of depression in Korean clinical situation. METHODS: Subjects were patients with depression in 12 university hospitals which are located in metropolises in Korea. We analyzed the records from questionnaires about current clinical status and requirements for the non-pharmacological treatment of depression in Korea. RESULT: 50.8% of the subjects have experienced non-pharmacological treatments for their depression. The preference of non-pharmacological treatment method of depression is exercise/interesting activity, counseling by psychiatrists and psychotherapy, and the best effective treatment method is psychotherapy (Es=4.36). Actually, the mean consultation time by psychiatrist is 11.31+/-7.16 min, and the appropriate consultation time for client's situation is 18.39+/-8.95 min. During consultation, patients' satisfaction measurement for psychiatrist's explanation about pharmacological treatment is 64.17+/-27.11, and satisfaction measurement for psychiatrist's counseling for their depression about personal problems, resent stress, interpersonal relationship is 61.66+/-26.63. CONCLUSION: In Korea, many psychiatrists offered biologically oriented treatment to their patients with depression, and patients' satisfaction measurement about consultation by psychiatrists is low. Many patients wanted to combined pharmacological and non-pharmacological treatment for their depression, and aspired to information about complementary and self-help treatment methods. It is necessary to develop non-pharmacological treatment guideline for depression which reflect the clinical situation in Korea and meet Korean patients' need.
Counseling
;
Depression*
;
Hospitals, University
;
Humans
;
Korea*
;
Psychiatry
;
Psychotherapy
2.A Case of Early Age Onset Hailey-Hailey Disease Treated with Surgical Operation.
Yong Sub OH ; Sung Yul LEE ; Hae Joon SONG ; Young Chul KYE ; Soo Nam KIM
Annals of Dermatology 1994;6(1):86-89
Hailey-Hailey disease is a rare hereditary dermatosis that begins in the 2nd or 3rd decade of life. The skin lesion is characterized by a localized, recurrent eruption of small vesicles on an erythematous base. It courses remissions and exacerbations. It seldom begins in early childhood, and main treatment modalities are conservative ones. We report a case of Hailey-Hailey disease that began on a 7-month old infant and improved by surgical treatment. In according to review of the previous reports, it is probably the earliest onset age and it is may be the first case which was treated with surgery in Korea.
Age of Onset
;
Humans
;
Infant
;
Korea
;
Pemphigus, Benign Familial*
;
Skin
;
Skin Diseases
3.An Epidemiologic Study on Occupational Dermatosis Associated with Mites.
Hyun Sul LIM ; Ji Yong KIM ; Hae Kwan CHEONG ; Yeol Oh SUNG ; Han Il REE
Korean Journal of Preventive Medicine 1995;28(1):13-26
An outbreak of dermatosis occurred in a livestock fodder factory at Kyongju in May 1994. Authors conducted a questionnaire survey on 60 workers in the factory and a dermatologist examined their skin lesion. Authors also collected mites and identified them. The obtained results were summarized as follows; 1. Twentyeight cases of dermatosis were identified with attack rate of 46.7%. Attack rate was not different by department, age, sex, educational level and employment duration. Attack rate was 67.5% in productive worker and 5.0% in clerical workers (p<0.01) but was not significantly different between departments among productive workers (p>0.05). 2. Three cases among 28 dermatosis cases and one subject among 32 non-cases had a history of same dermatosis last year. Only one of dermatosis cases had a history of dermatosis among family members. History of other skin lesion and allergy was very rare in both cases and non-cases. 3. Skin lesions of the cases were rice-sized erythematous papules or vesicles with a central biting point. Onset date of dermatosis was between May 1 and June 10. Duration was from one day to more than 30 days. Skin lesion was most frequent at the back(75.0%). and also observed at the arms(64.3%). abdomen(60.7%), legs(57.1%), chest(32.1%) and neck (25.0%). Skin lesion was aggravated while workers are sweeping the floor(35.7%), working at the workplace(21.4%) and in bed at night(28. 6%). 4. Total l,637 mites were collected and identified into 3 suborder, 7 families and 17 species. Dermafophagoides farinae was most frequent Nnd most of the species identified were blood sucking mites. Authors concluded that the outbreak of dermatosis was brought about by mite-bites and grain beetle parasitizing Acarophenax tribolii was the most suspected species. Further studies to identify the specific species causing dermatosis and route of import are needed.
Beetles
;
Edible Grain
;
Employment
;
Epidemiologic Studies*
;
Gyeongsangbuk-do
;
Humans
;
Hypersensitivity
;
Korea
;
Livestock
;
Mites*
;
Neck
;
Surveys and Questionnaires
;
Skin
;
Skin Diseases*
4.Tendocutaneous free flap transfer from dorsum of the foot.
Kwang Suk LEE ; Sang Won PARK ; Young Soo BYUN ; Hae Il PARK ; Oh Yong KANG
The Journal of the Korean Orthopaedic Association 1992;27(6):1458-1464
No abstract available.
Foot*
;
Free Tissue Flaps*
5.Evaluation in Systemic Adverse Reactions after Instillation of Phenylephrine HCI.
Yong Oh CHO ; Kyoo Sung OH ; Hae Wan CHO
Journal of the Korean Ophthalmological Society 1979;20(4):539-545
Phenylepherine HCI widely used as a mydriatic and vasoconstrictor, have been generally considered safe and innocuous. But hypertension caused by instillation of phenylepherine HCI is frequently reported, and even severe systemic adverse reactions, such as myocardial in farction, sudden death etc. are reported, recently. For the purpose of studying alteration of B.P. and systemic adverse reactions that are caused by instillation of phenylephrine HCI. we divided 42 patients into 2 groups; group 1 includes 20 patients who are instilled once a drop of 10% phenylephrine HCI viscous solution into the conjunctival cul-de-sac of bOth eyes, group 2 includes 22 patients who are instilled twice a drop at 2 minute intervals. We observed alteration of B.P. and systemic adverse reactions in both groups, next made a comparative study, and mydriatic effect too. The results was generally there was no severe reaction, but marked increase of B.P. that statistically significant was observed in 3 patients. There was no significant difference between the 2 groups. In mydriatic effect, the significant difference was not observed between the 2 groups or according to the age. When a clinician does its instillation, he should keep possible adverse reactions in mind. and especially in cardiac disease, hypertensjon, aneurysms, advanced arteriosclerosis, infants and the elderly etc., who have much chance of accompanying severe adverse reactions, he should use phenylepherine HCI cautiously. (this time it is desirable that he use low percentage of phenylepherine HCI).
Aged
;
Aneurysm
;
Arteriosclerosis
;
Death, Sudden
;
Heart Diseases
;
Humans
;
Hypertension
;
Infant
;
Mydriatics
;
Phenylephrine*
6.Clinical Features of Spontaneous Isolated Superior Mesenteric Artery Dissection.
Mi Hee KO ; Gab Teog KIM ; Yong Hae OH
Journal of the Korean Society of Emergency Medicine 2013;24(6):716-723
PURPOSE: Spontaneous isolated superior mesenteric artery dissection (SISMAD) is defined as superior mesenteric artery (SMA) dissection without an associated aortic dissection. SISMAD is an uncommon mesenteric ischemia, but can lead to death if not recognized early. Here, we present our experience on features characterizing SISMAD in an early period and review imaging findings. METHODS: Twelve symptomatic SISMAD patients who received conservative treatment between March 2005 and February 2012 were included in this study. Their clinical characteristics, imaging findings, treatment methods and outcomes were retrospectively analyzed. A diagnosis of SISMAD was confirmed by multidetection computed tomography (MDCT) and computed tomographic (CT) angiography. RESULTS: All patients complained of severe (6 patients) or moderate abdominal pain (6 patients), and 4 patients complained of radiating back pain at the same time. Eight patients had an acute onset (< or =3 days) of abdominal pain, and 4 patients had a chronic onset of the abdominal pain. The abdominal pain was located in the upper abdomen in 7 patients and in the periumbilical area in 5 patients. Angiographic types of SISMAD were classified into Sakamoto's type I (3 patients), type II (1), type III (4), and type IV (4). The dissection occurred within 3 cm from the orifice of the SMA in 9 patients (75%). The angiographic type of SISMAD was not associated with clinical symptoms and treatment methods. Ten out of 12 patients were treated with conservative management such as expectation and anticoagulation. Aneurysmal dilation of the SMA was noted in 4 patients, and 2 patients out of these 4 underwent surgical operations due to persistent abdominal pain and a growing aneurysm. No patients had a recurrence of symptoms and lesion progression on follow-up CT angiography. CONCLUSION: Patients with an acute onset of severe abdominal pain or chronic persistent abdominal pain should be suspicious of SISMAD and CT angiography should be performed.
Abdomen
;
Abdominal Pain
;
Aneurysm
;
Angiography
;
Back Pain
;
Diagnosis
;
Follow-Up Studies
;
Humans
;
Ischemia
;
Mesenteric Artery, Superior*
;
Methods
;
Recurrence
;
Retrospective Studies
7.The normal values of platelet count, mean platelet volume and platelet distribution width in the normal newborn, small for gestational age and premature neonates.
Eun Kyung OH ; Hae Yong LEE ; Hwang Min KIM ; Jae Seung YANG ; Baek Keun LIM ; Jong Soo KIM
Journal of the Korean Pediatric Society 1991;34(3):340-347
No abstract available.
Blood Platelets*
;
Gestational Age*
;
Humans
;
Infant, Newborn*
;
Mean Platelet Volume*
;
Platelet Count*
;
Reference Values*
8.The normal values of platelet count, mean platelet volume and platelet distribution width in the normal newborn, small for gestational age and premature neonates.
Eun Kyung OH ; Hae Yong LEE ; Hwang Min KIM ; Jae Seung YANG ; Baek Keun LIM ; Jong Soo KIM
Journal of the Korean Pediatric Society 1991;34(3):340-347
No abstract available.
Blood Platelets*
;
Gestational Age*
;
Humans
;
Infant, Newborn*
;
Mean Platelet Volume*
;
Platelet Count*
;
Reference Values*
9.A case of retiform sertoli - Leydig cell tumor inn patient with hyperthyroidism family history.
Min Jung OH ; Jung Hee AHN ; Yong Yook KIM ; Hae Joong KIM ; Kyu Wan LEE ; In Sun KIM
Korean Journal of Obstetrics and Gynecology 1993;36(7):2398-2404
No abstract available.
Humans
;
Hyperthyroidism*
;
Leydig Cell Tumor*
10.A case of retiform sertoli - Leydig cell tumor inn patient with hyperthyroidism family history.
Min Jung OH ; Jung Hee AHN ; Yong Yook KIM ; Hae Joong KIM ; Kyu Wan LEE ; In Sun KIM
Korean Journal of Obstetrics and Gynecology 1993;36(7):2398-2404
No abstract available.
Humans
;
Hyperthyroidism*
;
Leydig Cell Tumor*