• Journal of Chest Surgery
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• v.25 no.12
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• pp.1563-1569
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• 1992

From Jan. 1981 to Dec. 1991, we had treated 25 patients with congenital coronary art-eriovenous fistulas [CAVF] in Seoul National University Hospital. A retrospective review was made to delineate the course and the management of CAVF and to clarify the role of surgical treatment. Fifteen patients were male and 10 were female with The mean age of 17.4 years[from 3 months to 58 years]. The most frequent symptom was dyspnea on exertion[56%]. Other symptoms were angina and palpitation. Sixty-eight percent of the patients were symptomatic. Fifty-three percent of patients less than 20 years old were symptomatic and 100% of patients over 20 years old were symptomatic. Three patients had multiple CAVFs. The fistula drained into the right ventricle in 13, pulmonary artery in 9, left ventricle in 4, right atrium in 2, and left atrium in 1. Thirteen patients had other associated cardiac lesions. The mean pulmonary-to-systemic blood flow[Qp /Qs] in the isolate CAVF group was 2.19. All patients were operated on to correct the fistulas and other associated cardiac lesions. All patients were followed from 1 month to 11 years without late death. Postoperative complication rate was 24% -significant arrhythmia [3], recurred CAVF[1], psychosis[1], pneumonia [1]. Symptomatic improvement was evident postoperatively. Below 20 years old, 94% of patients were asymptomatic, but above 20 years old, symptoms persisted in 25%. In summary, early elective repair of CAVF is indicated in all patients because of higher complication rate and frequent persistent symptoms in older patients.

• Journal of Oriental Neuropsychiatry
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• v.14 no.2
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• pp.15-25
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• 2003

Objectives : This study aimed investigation of clinical development to child neuropsychiatry through the oriental western medical approach of child neuropsychiatric disorders Methods : As DSM-IV and ICD-10 set a standard for clinical expression. According to this standard and oriental medical diseases, child neuropsychiatric disorders are divided into six symptoms Results and Conclusion : 1. View point of oriental medicine, Psycho Somatic stroke(inclusive of the spasm) place under the category 'Epilepsy(癎)', 'Children's fit(驚風)' and 'Chi-Kyeung(?痙)'. 2. View point of oriental medicine, Mental Retardation place under the category 'Dementia(?)', 'Amnesia(健忘)' and 'Speech Disorder(語遲)' 3. View point of oriental medicine, Emotional Disorder place under the category 'Adjustment Disorder(客?)', 'Cry with anxiety at night(夜啼症)', 'Gi-Byung(?病)' and 'Child depressive Disorder(小兒癲症)' 4. View point of oriental medicine, Conduct development Disorder place under the category 'Physical frail of five part(五軟)' and 'Physical stiff of five part(五硬)'. 5. View point of oriental medicine, Childhood Psychosis place under the category 'Insanity(癲狂)'. 6. View point of oriental medicine, Somatoform Disorder place under the category 'Palpitation of the heart(驚悸)', 'Vomiting and Diarrhea(吐瀉)', 'Asthma(喘)', 'Headache(頭痛)' and 'Enuresis(遺尿)'

• The Journal of Korean Medicine
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• v.19 no.2
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• pp.177-193
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• 1998

It was the study on moxibustion-theraphy of Febrile-Disease to use clinical basic material date by the classic Literature, As a result The results were summerised as follows: 1. Principle of moxibustion-theraphy on fever of excess type is 'conducting heat with heat, (heat) had heat go out'. 2. Principle of moxibustion-theraphy on fever of defficiency type is 'Yin grows while yang is generating'. 3. The study on moxibustion-theraphy of Febrile - Disease is enable to use general term for manic-depressive psychosis, heat syndrome of febrile disease, heat (syndrome) of zang and fu(five solid organs and six hollow organs), jaundice, diabetes, hectic fever(due to yin-deficiency) etc. of medcine-disease. 4. The study on moxibustion-theraphy of Febrile-Disease is enable to using carbuncle, cellulitis, phlegmon, urticaria, disease due to noxious agents produced by various parasites, bite by dog, bite by snake etc. of surgical-disease. 5. The study on moxibustion-theraphy of Febrile-Disease is enable to using seven orfices of conjunctival congestion, blepharitis etc, of E.E.N.T-disease. 6. The study on moxibustion-theraphy of Febrile-Disease is enable to using epilepsy, infantile convulsion etc. of infantile-disease.

• Journal of Yeungnam Medical Science
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• v.38 no.4
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• pp.350-355
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• 2021

Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is a severe autoimmune paraneoplastic syndrome associated with ovarian teratomas. Most patients develop neurologic symptoms, including psychosis, memory deficits, seizures, or abnormal movements, and experience abdominal pain related to ovarian neoplasm. We present a case report of three patients diagnosed with anti-NMDAR encephalitis accompanied by ovarian teratomas at Ajou University Hospital in Korea. The patients demonstrated a different clinical course of the disease. However, upon diagnosis, all patients underwent surgical removal of the ovarian teratoma followed by intensive immunotherapy. The symptoms progressively improved following treatment. This is a case report of a rare autoimmune anti-NMDAR encephalitis associated with ovarian neoplasms, including immature teratoma.

• Journal of English Language & Literature
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• v.64 no.4
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• pp.629-649
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• 2018

To date, one of the prevailing criticisms of Daniel Defoe's Robinson Crusoe has seen the adventure novel as a celebration of the rise of mercantile capitalism and the beginnings of colonialism. From this point of view, the Englishman has often been interpreted as an early embodiment of the concept of the sovereign economic subject. Prominent social critics who took up this interpretation have included Karl Marx, Max Weber, and Jean-Jacques Rousseau. Within literary studies proper, the work of Ian Watt offered perhaps the earliest version of this point of view of the novel. Influenced by both Weber and Rousseau, Ian Watt argued that Defoe's wandering protagonist embodies the rise of economic individualism. More recent criticism has tended to challenge this dominant interpretation by laying greater stress on such countervailing factors as Crusoe's mental uncertainty and inner conflict. Drawing inspiration from Fredric Jameson's diagnosis of the ills of late capitalism, this paper analyzes the ways in which Defoe's hero, rather than championing modern rationality, can in fact be seen as suffering from many forms of emotional psychosis. Robinson Crusoe can, after all, be better viewed as a contradictory multi-layered text that, despite its outward valorization of economic individualism, portrays its hero as a victim of negative capitalistic forces, a hero driven by his desire to possess but haunted by a fear of loss, a hero who flaunts inflated feelings of self-worth even as he reveals deflated notions of material insecurity and mental persecution.

• Journal of English Language & Literature
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• v.57 no.1
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• pp.129-146
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• 2011

Despite the ubiquity of love in the work of Sarah Kane, the theme has been overshadowed by the violence that characterizes her early plays. This essay differentiates Kane from her contemporary "in-yer-face" playwrights, arguing that violence in Kane operates as a means of securing love. Antonin Artaud's concept of cruelty, often (mis)understood in a physical sense alone, provides a clue to the nature of Kane's violence and its relation to love. The essay focuses on Cleansed and Crave, both written in 1998, one about love's redemptive possibility, the other about its pure impossibility. What makes Cleansed hopeful is its violence that works as love's obstacle, creating the illusion that once it is removed love would be possible. The absence of violence in Crave on the contrary lays the illusion of love bare, making it Kane's most despairing play. Kane's oeuvre draws a trajectory of love from hope to despair; as a whole it stages the impossibility of love. To love the other requires the relinquishing of the self, making love logically impossible by depriving the verb of its subject. Love, if possible, would offer the bliss of unity, tearing out the constraint of the Symbolic Order. Kane's only alternative is death, as is expressed in Crave and 4.48 Psychosis.

• Journal of Yeungnam Medical Science
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• v.39 no.1
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• pp.58-61
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• 2022

Mega cisterna magna (MCM), one of the members of the Dandy-Walker complex, is a developmental malformation of the posterior fossa that is larger than 10 mm but morphologically does not affect the vermis and cerebellar hemispheres. Reports of psychiatric disorders associated with this anomaly are rare. We present the case of a patient with MCM who presented with a psychotic manic attack and was diagnosed with bipolar disorder. A 28-year-old female, single housewife, university graduate, presented with irritability, decreased sleep and appetite, distraction, and agitation. The patient also had a delusion of reference. In the clinical follow-up, an increase in energy and an increase in the amount of speech were observed. Her neurological examination was normal, and cranial magnetic resonance imaging revealed an MCM. The relationship and clinical significance of MCM with psychosis and mood disorders have not yet been fully elucidated. It is not known whether this association is accidental or based on etiological commonality. The purpose of this case report is to review the relationship between the cerebellum and psychiatric symptoms and to contribute to the literature.

• American Studies
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• v.44 no.1
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• pp.1-37
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• 2021

J.D. Salinger's 1951 novel, Catcher in the Rye, has generally been known as a story of a young rebel, Holden Caulfield, who tries to break away from reality in the fifties, a decade prevalent with the strict rule and faultfinding culture of what he is taught at school: to simplify and unify. This novel often refers to a journey of an outsider who commits to playing a catcher in the rye, a fantasy world of innocence, infinity, and youth. As the story unfolds, Holden's ontology is rendered to show how vulnerable his affective ontology is to the ideological reality of containment and conformity. This informs how Holden is a pathological character that reifies the performative crisis of the postwar US Cold War ideology. That said, this paper examines the extent to which this novel can be possibly read as a narrative of illness to expose Holden's pathological conditions of illness, hysteria, and psychosis. Thus, it looks at his medical symptoms whose pathogens I attempt to analyze in terms of his affective potential of being ontologically engaged to the historical context, or the political unconscious, of the postwar US in the early Cold War years.

• Iberoamérica
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• v.23 no.2
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• pp.179-208
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• 2021

Luis Humberto Crosthwaite, as a witness to the accelerated changes in Tijuana since the 80's, has built a chronicle of the city based on nostalgia, fantasy, popular language, music, and criticism of the inequality between both sides of the border, but above all, on humour and irony. Among the gallery of characters that populate his stories, the common resident of the border has a special place. Here we are not talking about the passing person or newcomers, but of those who have shaped their social and personal identity from a long every day relationship with the city and the borderline, which makes up what we will call the border-being. In this work, we dialogue with the psychoanalytic concept of border personality or borderline disorder, which refers in a general way to subjects with a deep fracture between the self and the being, which prompts a psychotic search to reconcile this division. In addition, we will engage in an interdisciplinary dialogue to analyse how Crosthwaite characterises the fracture of the border-subjects in some of the stories of the book Instrucciones para cruzar la frontera, to point out the psychosis caused by the sociocultural tensions of life in a border city like Tijuana.

• Journal of Digital Convergence
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• v.12 no.4
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• pp.409-418
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• 2014

The purpose of this study is to verify the causal relationship between the smartphone addiction proneness, mental health, and impulsiveness of high school students in Korea. 804 first and second year high school students participated in the survey that included the Smartphone addiction scale, Korean Brief Mental Diagnosis Exam - the highest 25% of total score (Addictive SmartPhone Use Group : ASPUG 213 persons), the lowest 25% of total score(Non-Addictive SmartPhone Use Group : NASPUG 204 persons), BIS-II Impulsiveness Scale and additional questions asking for demographical characteristics. The outcomes of this study were as follows. First, sex, grade of high school, academic accomplishment, student's satisfaction with school life, monthly allowance, the level of parental respect, having a opposite sex friend were related to smartphone addiction and impulsiveness. Second, ASPUG had worse mental health and impulsiveness than NASPUG, and the difference was statistically significant. Third, Students showed higher levels of mental health 9 subareas - anxiety, depression, phobic anxiety, Somatization, obsessive compulsive, interpersonal sensitivity, hostility, Paranoid ideation, Psychosis as their smartphone use increased.