No abstract available.
Congenital Abnormalities* ; Fingers* ; Plastics*

No abstract available.
Nasal Mucosa*

Fractures about the knee including the distal femur and the proximal tibia not infrequently result in vaseular injuries of the popliteal artery and the distal part of the femoral artery. This is often followed by circulatory disturbance and jeopadizes the viability of the lower extremity. During the three and a half year period, from January 1973 to June 1976, 20 cases of vascular injuries complicated by fractures about the knee were treated at the Orthopedic Department of Busan National University Hospital. Review of the cases resulted in the following observations. 1. The lower extremity escaped amputation in 45% the cases (9 of the 20 cases) 2. Femoral arteriography showed that the site of injury was proximal to the Soleus insertion. in 17 cases. 3. Types of vascular injury were contusion in 9 cases, laceration in 7 and total disruption in 4. 4. 5 of the 6 extremities that were treated within 12 hours after injury survived, while only 2 out of t he 9 extremities treated after 24 hours following injury escaped amputation. 5. 6 of the 13 extermities (46%) tredted by interval fixation survived, while 1 out of 5 extremities (20%) treated by traction escaped amputation.
Amputation ; Angiography ; Busan ; Contusions ; Extremities ; Femoral Artery ; Femur ; Knee ; Lacerations ; Lower Extremity ; Orthopedics ; Popliteal Artery ; Tibia ; Traction ; United Nations ; Vascular System Injuries

No abstract available.

Congenital hepatic fibrosis is an inherited, congenital disorder of the liver, and is occasionally associated with cystic disease of the liver and kidney. We present a case of congenital hepatic fibrosis with Caroli's disease. A 21-year-old woman had suffered from an episodic fever with headaches for 3 years. In laboratory examination, the liver function test was within the normal limits. Esophageal varix was noted by an endoscopic examination. Hepatosplenomegaly and multiple dilated bile ducts were seen by abdominal CT scanning. An orthotopic whole liver transplantation was done. The liver was fibrotic and enlarged. Multiple cystically dilated intrahepatic ducts were noted. Microscopically, diffuse portal fibrosis and widening with proliferation of bile ductules were seen. Intrahepatic bile ducts were markedly dilated and tortuous. The liver cell cords were well preserved.
Bile ; Bile Ducts ; Bile Ducts, Intrahepatic ; Caroli Disease* ; Congenital, Hereditary, and Neonatal Diseases and Abnormalities ; Esophageal and Gastric Varices ; Female ; Fever ; Fibrosis* ; Headache ; Humans ; Kidney ; Liver ; Liver Function Tests ; Liver Transplantation ; Tomography, X-Ray Computed ; Young Adult

In Korea Mental Heath Law came into operation in 1997, and the management of the mentally ills has become an important issue and it is inevitable to train mental health workers for the management of the mentally ills. The purpose of the management seems not only to care the patients' symptoms but also to improve the quality of life. Nowadays, in the best approach of treatment and management it is difficult that one to one management is used because of the cost limitation and management efficacy. So it is highly recommended that the group approach should be used. Hence 'the activation of group psychotherapy' is very important for the effective treatment and efficient management of the mentally ills. And therapists should know group psychotherapy well and to use it properly. In these viewpoints, we first introduced various types of group psychotherapy generally, including Yalom's group psychotherapy which focus on the interpersonal relationship and is the representative type of group psychotherapy. And then we classified group psychotherapy simply, describe the concepts of practical application of group psychotherapeutic approach. And last on the basis of understanding group psychotherapy in this paper, we explored the necessity of its activation on the practical setting and the surrounding circumstances.
Jurisprudence ; Korea ; Mental Health ; Psychotherapy, Group* ; Quality of Life

No abstract available.
Echocardiography, Doppler* ; Heart Diseases* ; Heart*

OBJECTIVES: The purpose of this study was to investigate important therapeutic factors in encounter group and compare these therapeutic factors with those in long-term outpatient group psychotherapy, to understand the content and process in real cases for facilitation of interpersonal learning which is important for long-term outpatient group psychotherapy, and to acquire basic data of long-term outpatient group psychotherapy on the basis of this understanding. METHODS: The subject was 7 encounter groups, composed of 41 persons. We used short form of Yalom's Q-sort to find important therapeutic factors in encounter group. We selected 2 cases for analyzing the process and content in these cases. RESULTS: Three of the most important therapeutic factors were existential factors','self understanding', and 'interpersonal teaming(input)'. CONCLUSION: We suggest that interpersonal learning is the most important therapeutic factor in encounter group.
Humans ; Learning ; Outpatients ; Psychotherapy, Group* ; Q-Sort ; Sensitivity Training Groups

Group psychotherapy is an important therapy far inpatient treatment. A lot of studies proved the effect of inpatient group psychotherapy. Therefore it is necessary to use group psychotherapy actively for inpatient treatment. There are many models of inpatient group psychotherapy made in foreign counties. But It is difficult to apply those models themselves directly in Korean inpatient unit, and so it is an urgent issue to make an inpatient group psychotherapy model that fits Korean inpatient unit setting. According to this need we made our paper in order to introduce an effective model of group psychotherapy for Korean inpatients in detail, and then to provide opportunity for effective inpatient treatment. The characteristics of this inpatient group psychotherapy model are as follows. 1) This model of group psychotherapy give a field in which a therapist encounter inpatients as a human being. 2) This model is easy to perform generally, and helpful to a comprehensive therapeutic approach for inpatients. 3) In this model heterogeneous inpatients participate in a same one group, therefore this model is able to apply various inpatients. 4) This model makes the basis of continuous outpatient treatment or day hospital treatment, and the basis of outpatient group psychotherapy or individual psychotherapy. 5) Group functions as a social microcosm, and so reveals patient's interpersonal relationship and gives the opportunity to treat it. Therefore group helps patients to be adapted well to inpatient unit and society. 6) In this model, social workers, nurses, or students in practice play a role of healthy egos or observers, and so they can activate group psychotherapy. And this model co be used as a practical and useful tool of the education for psychiatric residents, medical students, social workers, and other students. Psychiatrists seem to be less interested in group psychotherapy than other mental heath practitioners. But it may be appropriate for well trained psychiatrists to use group psychotherapy with individual psychotherapy.
Education ; Ego ; Humans ; Inpatients* ; Outpatients ; Psychiatry* ; Psychotherapy ; Psychotherapy, Group* ; Social Workers ; Students, Medical

In this paper, first of all we compared psychoanalysis with psychodrama by a historical point of view. Next, we reviewed group Psychotherapy generally and considered the position of psychodrama through the comparison with various types of soup psychotherapy On the basis of this consideration, we compared Yalom's group psychotherapy as a typical type of group psychotherapy with psychodrama. Lastly, we discussed the application of group psychotherapy and psychodrama to each other. Psychoanalysis, psychodrama, and group psychotherapy developed separately at similar times in different fields. finally, these three fields met with one another in the field of psychiatry. Each of these three fields changed itself as a result of absorbing various things from one another. Therefore, nowadays these fields became to have a close relation with one another. Psychodrama is in a position as a type of group psychotherapies, so it is important to understand group Psychotherapy generally for understanding Psychodrama. Psychodrama has similar aspects to other group psychotherapies, but also has different aspects from other group psychotherapies. When we understand these aspects, we can conduct therapeutic works effectively in practice. Psychodrama's methods can be applied to group psychotherapy and group psychotherapy's theories can applied to psychodrama. When psychodrama and group psychotherapy takes good points from the other side they can make progress.
Psychoanalysis ; Psychodrama* ; Psychotherapy ; Psychotherapy, Group*