A Case of Spontaneous Regression of Non-small-cell Lung Cancer / 결핵및호흡기질환

Lung cancer is one of the most prevalent cancers and it has the highest mortality of all forms of cancers. Although surgery, chemotherapy and radiotherapy are routinely used for the treatment of lung cancer treatment, little progress has been made in the treatment of this condition over the past 20 years. The histological subtype of squamous cell carcinoma (SCC) accounts for approximately 30% of all lung cancer patients. Spontaneous regression of non-small-cell lung cancer (NSCL) is an extremely rare phenomenon. Spontaneous regression of cancer (SR) is defined as a complete or partial, temporary or permanent disappearance of all or at least some the relevant parameters of soundly diagnosed malignant disease without any medical treatment or with treatment that is considered inadequate to produce the resulting regression.

Changes of Characteristics of Mentally Ill Criminals: Between 1990 and 2000 / 대한법의학회지

The authors reviewed the medical records and additional data of 460 mentally ill criminals who had referred to National Forensic Psychiatric Hospital, from January 1990 to December 1990 (60 cases) and from January 2000 and December 2000 (394 cases). The demographic factors, characteristics of crime, psychiatric diagnoses and psychiatric opinions and legal opinions , and legal opinions were analyzed and the results are as follows. 1) The frequency of crimes by female, high education level and single status increased. 2) As to the psychiatric diagnosis, schizophrenia decreased whereas substance- use disorder, mood disorder and personality disorder were increased and kleptomania and anxiety disorder were added. 3) As to the types and feature of crime, homicide and violence increased, whereas arson decreased and larcency, violation of harzadous substance and violation of narcotic drug were added. 4) As to victims of crime, the frequency of crimes committed to strangers increased whereas that of the family members and their lelatives were decreased. 5) As to motivation of crime, the frequency of impulsivity increased but psychotic symptoms such as delusion and hallucination significantly decreased. 6) More that half of psychiatric tests were referred from the court, but the agreement rate between the judge 's opinions and psychiatric opinions was decreased. In Conclusion, the changes of charateristics of mentally ill criminal were attributed to sociocultural changes for mentally ill criminals and implimeted in Social Protection Law. As the judges do not completely agree to the psychiatric opinions, the close cooperation between the judges and the psychiatrist as legal adviser should be necessory for mentally ill criminals.

The Characteristics of Schizophrenia to Commit Homicide / 대한법의학회지

The authors analyzed the mental evaluation reports for 5 years from 1995 to 1999, done in the Forensic Psychiatric Hospital for the schizophrenic patients who were prosecuted for homicide. The survey was done for the schizophrenics' sex, age, marital status, job, the first or second offense, a residential status, offense place, weapons used, chief motive for homicide, whether he or she was drunken at the time of commission of homicide, the victims' characteristics, the age of the onset of disease, previous psychiatric treatment history, previous criminal history, the duration of schizophrenic disease. In the age of onset of disease, 20-29 years old were the most, 30 cases of 67%. In the psychiatric treatment history for the chronic cases, there's statistical significance. For the chronics, it can be said that the experiences of psychiatric treatment were statistically significant. For the chief motive of homicide, delusion and hallucination were of 44%, but angers were 18 cases(40%) and excitements were 3 cases. What is specially noteworthy is the angers and excitements, consisting of 46.7% of all. And for the chronic cases, delusion and hallucination were the major motive with statistical significance.

A Case of Behcet s Disease Accompanied with a Duodenal Ulcer / 대한소화기내시경학회지

Behcet's disease is a recurrent and multisystemic disorder which usually persists over many years. In 1937 Behcet described a chronic relapsing triple symptom complex of recurrent oral ulceration, genital ulceration and ocular inflammation. Other manifestations of the syndrome include arthritis, cutaneous vasculitis, thrombophlebitis, epididymitis, ulcers of gastrointestinal tract and meningoencephalitis. Recently, a case was experienced involving intestinal Behcet's syndrome with duodenal ulcer bleeding. A 32-year-old male patient was admitted due to hematemesis, and epigastric pain. The patient had ulcers on the oral mucosa, soft palate, external genitalia, and anus. An irregularly marginated ulcer with bleeding was found on the anterior of the duodenal bulb through esophago- gastroduodenoscopic examination. The patient was diagnosed with Behcet's disease and was treated with steroids. In this paper, the case of duodenal bulb involvement of Behcet's disease is reported with a review of relevant literature.