The endoscopic fine needle aspiration cytology may add to the diagnostic accuracy of endoscopic biopsy and brush cytology. It is also of particular value in submucosal, infiltrative and ulceronecrotic tumors. Endoscopic fine needle aspiration cytology was done with sclerotherapy needle(23 gauge) in. the 17 patients with submucosal tumor(18 cases), extrinsic compression(2 cases), infiltrative gastric cancer(one case) and cancer of the ampulla of Vater(one case) on the upper gastrointestinal endoscopy. Endoscopic fine needle aspiration cytology established the diagnosis in 6 cases(submucosal tumor of the stomach; 2 cases, submucosal tumor of the duodenum; one case, extrinsic mass of the duodenum; one case, infiltrative cancer of the stomach; one case, and the cancer of ampulla of Vater; one case) of 17 cases. There were negative results for malignancy in 7 cases and material insufficiency in 4 cases. Five cases of the positive results with endoscopic fine needle aspiration cytology were not diagnosed with endoscopic forceps biopsies. There was no complication. We conclude that endoscopic fine needle aspiration cytology is a simple and safe technique and is of particular value in submucosal tumor, extrinsic compression of the upper gastrointestinal tract by tumor, and infiltrative gastric cancer.
Ampulla of Vater ; Biopsy ; Biopsy, Fine-Needle* ; Diagnosis* ; Duodenum ; Endoscopy, Gastrointestinal ; Humans ; Sclerotherapy ; Stomach ; Stomach Neoplasms ; Surgical Instruments ; Upper Gastrointestinal Tract

No abstract available.
Hormone Replacement Therapy ; Humans ; Incheon* ; Osteoporosis* ; Physicians, Primary Care* ; Primary Health Care*

PURPOSE: This study investigated the effects of a recovery education program on rehabilitation motivation, symptoms, and function for schizophrenic patients. METHOD: The study employed a quasi-experimental design. Participants for the study were 27 patients with schizophrenia, 14 in the experimental group and the other 13 in the control group. Data were analyzed by using the SPSS/WIN 11.5 program with Fisher's exact test, t-test, and Repeated measures ANOVA. RESULTS: After a 7 week intervention, participants in the recovery education program group reported increased rehabilitation motivation and function scores, which was significantly different from those in the control group. CONCLUSION: A recovery education program was effective improving rehabilitation motivation and function for schizophrenic patients. Therefore, this program is recommended as a rehabilitation strategy for schizophrenic patients.
Adult ; Female ; Humans ; Male ; Middle Aged ; Motivation ; *Patient Education as Topic ; Recovery of Function ; Schizophrenia/diagnosis/*rehabilitation

PURPOSE: The purpose of this study was to examine whether insight and empowerment had a positive impact on function and quality of life for patients with schizophrenia. METHODS: The subjects consisted of 446 patients with schizophrenia who were attending 20 psychosocial rehabilitation centers. Data were analyzed by the SPSS/WIN and AMOS programs. RESULTS: Insight showed a direct effect on empowerment, function, and quality of life for patients with schizophrenia. Empowerment showed a direct effect on function and quality of life for patients with schizophrenia. Function showed a direct effect on quality of life for patients with schizophrenia. CONCLUSION: These results suggest that function and quality of life for patients with schizophrenia can be improved by increasing insight and empowerment. Based on the outcomes of this study, it is necessary to design an intervention program that emphasizes increasing insight and empowerment in order to improve function and quality of life in patients with schizophrenia.
Humans ; Power (Psychology)* ; Quality of Life* ; Rehabilitation Centers ; Schizophrenia*

PURPOSE: The purpose of this study was to examine whether insight and empowerment had a positive impact on function and quality of life for patients with schizophrenia. METHODS: The subjects consisted of 446 patients with schizophrenia who were attending 20 psychosocial rehabilitation centers. Data were analyzed by the SPSS/WIN and AMOS programs. RESULTS: Insight showed a direct effect on empowerment, function, and quality of life for patients with schizophrenia. Empowerment showed a direct effect on function and quality of life for patients with schizophrenia. Function showed a direct effect on quality of life for patients with schizophrenia. CONCLUSION: These results suggest that function and quality of life for patients with schizophrenia can be improved by increasing insight and empowerment. Based on the outcomes of this study, it is necessary to design an intervention program that emphasizes increasing insight and empowerment in order to improve function and quality of life in patients with schizophrenia.
Humans ; Power (Psychology)* ; Quality of Life* ; Rehabilitation Centers ; Schizophrenia*

Based on the limitation of biomedical model of tinnitus, more attention has been paid to personalities or psychological aspects. Depressive disorder, anxiety disorder, and sleep disturbance were comorbid illnesses of tinnitus and research showed that neurobiological mechanisms such as dysfunction of limbic system or HPA axis were common in tinnitus and affective disorders and that comorbid psychiatric disorders enhanced the negative outcome of tinnitus. Recently, more attention is being paid to the relation of tinnitus with personality and the role of stress. Although the causal relation of personality and tinnitus is unclear, stress in itself showed that it can be a trigger in the development of tinnitus, and stress of tinnitus can cause adverse effects. Since the effect of fear-related cognition such as catastrophic thought about tinnitus was revealed more recently, its therapeutic implication should be explored. This review will describe the product of previous research and discuss future direction about psychological factors related to tinnitus.
Anxiety Disorders ; Cognition ; Depressive Disorder ; Limbic System ; Mood Disorders ; Psychology* ; Tinnitus*

It is known in general that neoplasms of smooth mucsle appear very rarely in the oral region, probaly because in the oral region with histopathologic investigations have been reported. This report presents an unusual case of angioleiomyoma that developed on the lower lip of a 48-year the course of one year and the immunohistochemical findings of the angioleiomyyoma are described.
Angiomyoma* ; Lip*

Purpose: This study aimed to identify the factors influencing the interaction between mothers and preschool-age children and construct a structural equation model based on the factors identified. Methods: The data were collected from the mothers of children aged three to six years enrolled in kindergartens in Seoul, Gyeonggi, Chungbuk, and Jeonbuk. A total of 328 questionnaires were used for the analysis. Analysis was performed using SPSS 26.0 and AMOS 26.0 programs. Results: The child’s self-regulation (β = .42, p < .001) had the most significant influence on the interaction between mothers and preschool children, followed by the mother’s parenting stress (β = - .23, p = .008), social support (β = .17, p < .001), and the child’s active temperament (β = .15, p < .001). The child’s gender, emotional temperament, social temperament, and mother’s education level had indirect influences. Conclusion These results suggest that interventions considering the child’s temperament, mother’s parenting stress, and social support are required to promote the interaction between preschool-age children and mothers.

Transarterial chemoembolization is often the first-line treatment for multiple hepatocellular carcinomas. However, hepatic arterial infusion chemotherapy is a treatment option for hepatocellular carcinoma refractory to multiple sessions of transarterial chemoembolization. Hepatic arterial infusion chemotherapy requires implantation of an appropriate port into the hepatic artery. However, it may be impossible to implant a port due to hepatic artery variation. We report a case of hepatocellular carcinoma refractory to transarterial chemoembolization and hepatic artery variation treated successfully with hepatic arterial infusion chemotherapy and radiofrequency ablation with complete response after implantation of ports in both liver lobes.

PURPOSE: This study was conducted to determine the influence of ego-identity, parenting efficacy, and stress coping style on depression in mothers of toddlers. METHODS: This was a cross-sectional, descriptive study. Data were collected from 164 mothers of toddlers, and analyzed using descriptive statistics, the t-test, analysis of variance, Pearson correlation coefficients, and multiple regression analysis using SPSS for Windows version 24.0. RESULTS: The factors influencing depression in mothers of toddlers included ego-identity, economic status, and perceived health status. These variables explained 60.0% of depression in mothers of toddlers. CONCLUSION: Lower ego-identity was associated with more intense depression. Therefore, healthcare providers should develop intervention programs that can improve ego-identity to decrease depression among mothers of toddlers.
Child, Preschool ; Depression ; Health Personnel ; Humans ; Mothers ; Parenting ; Parents