ABSTRACT
OBJECTIVES: The aim of this study was to examine the relationship between personality of parent and offspring, and offspring's psychological adaptation. METHODS: We examined temperament and character of 65 parents and their offspring (measured using the Junior Temperament and Character Inventory and Temperament and Character Inventory) and offspring's internalizing (anxiety, depression) and externalizing (delinquency, hyperactivity) problems. RESULTS: The internalizing problems of offspring were positively associated with harm avoidance (HA) of offspring and parent, and negatively associated with self-directedness (SD) of offspring and parent. The externalizing problems of offspring were positively associated with novelty seeking of offspring, and were predicted by SD of parent. The interaction between parent's HA and offspring's HA predicted higher levels of anxiety of offspring. CONCLUSION: The association between the offspring's personality and internalizing and externalizing problems can depend on the personality of the parent.
Subject(s)
Humans , Adaptation, Psychological , Anxiety , Parents , TemperamentABSTRACT
PURPOSE: To evaluate the pathological and clinical effects of preoperative chemoradiation (CCRT) in cases of locally advanced rectal cancer and to determine the predictive factors for tumor downstaging. MATERIALS AND METHODS: From March 2004 to August 2008, 33 patients with locally advanced rectal cancer were treated with preoperative CCRT. Twenty-eight patients (84.8%) were treated using a concomitant boost technique while five (15.2%) patients were treated using a cone down boost technique. All patients received 50.4 Gy of irradiation and concurrent chemotherapy with 5-fluorouracil. The median follow-up duration was 24.2 months (range, 9.8 to 64.7 months). RESULTS: Thirty-one (93.9%) patients underwent surgery. Twenty-four patients (72.7%) underwent anal sphincter-preserving surgery. The 3-year disease free survival (DFS) and overall survival rates were 63.4% and 78.8%, respectively. Post-operative factors were more important for DFS. Pathologic N stage, margin status, and pathologic differentiation were significant prognostic factors (p=0.001, 0.029, 0.030). Tumor size and lymphovascular invasion were also associated with marginal significance (p=0.081, 0.073). However, only pre-treatment T stage was a significant pre-operative factor (p=0.018). The complete pathological response rate was 9.1%. T-downstaging was observed in ten (30.3%) patients, whereas N-downstaging was found in 24 (72.7%) patients. Pre-treatment T stage and the interval between CCRT and operation were the predictive factors for downstaging in a univariate analysis (p=0.029, 0.027). Pre-treatment carcinoembryogenic antigen was also associated with marginal significance (p=0.068). CONCLUSION: The survival of rectal cancer patients can be better determined based on post-operative findings. Therefore, pre-operative CCRT for downstaging of the tumor seems to be important. Pre-treatment T stage and the interval between CCRT and operation can be used to predict downstaging.
Subject(s)
Humans , Disease-Free Survival , Fluorouracil , Follow-Up Studies , Rectal Neoplasms , Survival RateABSTRACT
We experienced 4,945 cases of surgical operation at the Busan National University Hospital from Jan. 1966 to Dec. 1970. The cases that expired within the first 24 hours pastoperatively, were recorded as the postoperative death in this analysis. Thus, postoperative deaths were 126 cases, comprising 2,6 per cent of all the surgical operation. Emergency operation was 119 cases and neurosurgery was 90 cases among 126 cases, Above results imply that more careful attention and efforts to every emergency and neurosurgical case were needed.
Subject(s)
Emergencies , Mortality , NeurosurgeryABSTRACT
The authors have experienced five cases of general anesthesia for repair of diaphragmatic hernia in children, and following results were obtained. Whether it was congenital or traumatic in origin, prompt reduction and repair is desirable if accurate diagnosis was made and patients condition was acceptable, for increased postoperative survival rate and prevention of possible complications. When the intermittent positive pressure breathing was needed during preoperative, intraoperative or postoperative period, the greatest concern of anesthetist is that excessive positive ventilation should be avoid. The most important factors in this situation probably are the use of chest drainage, daily Roentgen-ray examination, and better use of postoperative ventilatory assistance, for prevention of postoperative atelectasis and other pulmonary complications.
Subject(s)
Child , Humans , Anesthesia, General , Diagnosis , Drainage , Hernia, Diaphragmatic , Intermittent Positive-Pressure Breathing , Postoperative Period , Pulmonary Atelectasis , Survival Rate , Thorax , VentilationABSTRACT
A 22 year-old-male-patient of Pyoderma Gangrenosum had been suffered from longstanding ulcers at his cheeks, nuchal region and upper back, which had been treated with corticosteroids and antibiotics without any effect. We have applied 49 times of hyperbaric oxygen therapy to the patient at 2.0~3.0 atmospheres absolute pressure. The pressure was increased for 15 min, then kept constant at the desired presseure for 30 min., and reduced to the atmospheric pressure within 5 min. The ulcer. had been treated with hyperbaric oxygen and revascularization was noted in the scars.
Subject(s)
Humans , Adrenal Cortex Hormones , Anti-Bacterial Agents , Atmosphere , Atmospheric Pressure , Cheek , Cicatrix , Hyperbaric Oxygenation , Oxygen , Pyoderma Gangrenosum , Pyoderma , UlcerABSTRACT
A 22 year-old-male-patient of Pyoderma Gangrenosum had been suffered from longstanding ulcers at his cheeks, nuchal region and upper back, which had been treated with corticosteroids and antibiotics without any effect. We have applied 49 times of hyperbaric oxygen therapy to the patient at 2.0~3.0 atmospheres absolute pressure. The pressure was increased for 15 min, then kept constant at the desired presseure for 30 min., and reduced to the atmospheric pressure within 5 min. The ulcer. had been treated with hyperbaric oxygen and revascularization was noted in the scars.
Subject(s)
Humans , Adrenal Cortex Hormones , Anti-Bacterial Agents , Atmosphere , Atmospheric Pressure , Cheek , Cicatrix , Hyperbaric Oxygenation , Oxygen , Pyoderma Gangrenosum , Pyoderma , UlcerABSTRACT
PaO2 and PaCO2 values were studied in 8 surgical patients with a modified Flagg can system anesthesia. Arterial blood gases were analyzed with a Radiometer before every induction, after the first 30 minutes of anesthesia and in the immediate post-anesthetic period. The following results were obtained: 1) The values of PaO2 and PaCO2 in all cases during anesthesia did not show any remarkable change. 2) In cases, with no necessity of muscle relaxation or assisted and controled respiration, especially in children, the modified Flagg can system anesthesia seemed to be safe, simple and economical.
Subject(s)
Child , Humans , Anesthesia , Ether , Gases , Muscle Relaxation , RespirationABSTRACT
3 cases of ulnar nerve paralysis following general anesthesia are reported. In all of 3 cases, there were no anatomical abnormalities and any neurologic disease, and no traumatic history before operation. And there were no specific findings in laboratory and radiologic examination. It is suggested in the absence of any causative factors other than malposition. In two cases, the paralysis disappeared without specific therapy in 4 to 5 weeks, but in one case, the paralysis was more severe and the improvement was not remarkable with physiotherapy for 3 months.