• Title/Summary/Keyword: familial

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Endoscopic Findings and Treatment of Gastric Neoplasms in Familial Adenomatous Polyposis

  • Sato, Chihiro;Takahashi, Kazuya;Sato, Hiroki;Naruse, Takumi;Nakajima, Nao;Takatsuna, Masafumi;Mizuno, Ken-ichi;Hashimoto, Satoru;Takeuchi, Manabu;Yokoyama, Junji;Kobayashi, Masaaki;Terai, Shuji
    • Journal of Gastric Cancer
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    • v.22 no.4
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    • pp.381-394
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    • 2022
  • Purpose: Gastric neoplasia is a common manifestation of familial adenomatous polyposis (FAP). This study aimed to elucidate the clinical characteristics, endoscopic features including fundic gland polyposis (FGPsis), and treatment outcomes of gastric neoplasms (GNs) in patients with FAP. Materials and Methods: A total of 35 patients diagnosed with FAP, including nine patients from four pedigrees who underwent esophagogastroduodenoscopy (EGD), were investigated regarding patient characteristics, GN morphology, and treatment outcomes. Results: Twenty-one patients (60.0%) had 38 GNs; 33 (86.8%) and 5 (13.2%) were histologically diagnosed with adenocarcinoma and adenoma, respectively. There were no specific patient characteristics related to GNs.Nodule-type GNs were more prevalent in patients with FGP than without (52.2% vs. 0.0%, P=0.002) in the upper body of the stomach. Conversely, depressed-type GNs were fewer in patients with FGPsis than in those without (13.0% vs. 73.3%, P<0.001). Slightly elevated-type GNs were observed in both groups (34.8% vs. 20.0%, P=0.538). Even within pedigrees, the background gastric mucosa and types of GNs varied. In total, 24 GNs were treated with endoscopic submucosal dissection (ESD) and eight with endoscopic mucosal resection (EMR). EMR was selected for GNs with FGPsis because of the technical difficulty of ESD, resulting in a lower en bloc resection rate (62.5% vs. 100%, P=0.014). Conclusions: Our study indicates the necessity of routine EGD surveillance in patients diagnosed with FAP. Notably, the morphology and location of GNs differed between patients with and without FGPsis. Endoscopic treatment and outcomes require more attention in cases of FGPsis.

A Study on Grievance-resolution for Women in Daesoon Thought: Focusing on Choi Song-sul-dang, a Female Writer from the Early 20th Century (대순사상의 여성 해원에 대한 연구 - 20세기초 여성 문인 최송설당을 중심으로 -)

  • Lim Bo-youn
    • Journal of the Daesoon Academy of Sciences
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    • v.42
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    • pp.143-165
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    • 2022
  • This study is a novel attempt at a fusion of female-authored Chinese poetry and Daesoon Thought. Notably, this has style of fusion has never been attempted in classical literature studies or in studies on Daesoon Thought. This study will also clarify the the key concept of grievance-resolution (解冤 haewon) in Daesoon Jinrihoe through comparison with classical works. Choi Song-seoldang's poetry that was composed in the early 20th century, contemporaneous the emergence of Daesoon Thought, is analyzed here via the concepts of 'tranquility (平 pyeong)' and 'harmony (和 hwa)' under the framework of grievance-resolution for women. An effort is made to find a point of progression towards familial harmony (家和 gahwa) and Mutual Beneficence (相生 sangsaeng). Resentment (恨 han) from the perspective of a woman was expressed in her works such as Wang So-gun's Resentment (昭君怨 sogunwon), Self-Report (自述 Jasul), and An Original Rhyme of Song Seol-dang (松雪堂原韻 Song Seol-dang Won-un). Works such as Wishes on the First Day of New Year (元朝祝 wonjochuk) and A Spontaneous Poem (偶吟 Ueum) expressed the contents of wishing for familial peace. In the process of trying to resolve the grievances (冤 won) of her family, Song Seol-dang faced limitations, and felt resentment (恨 han) for her inability to become a man. She strived her whole life to embody 'tranquility' and 'harmony' as both are crucial components of achieving familial harmony. This thesis has an important significance in terms of academic expansion via the convergence of literature and ideas. In terms of Daesoon Thought, it is meaningful to examine concepts and literature within a context of fusion because this goes beyond research that focuses only on theory or ideology. It is also meaningful to confirm aspects of Daesoon Thought through the life and culture of the still traditional early modern era and to reveal how it still has the present-day significance that transcends time.

Cultural Psychological Exploration on Suicide (자살: 문화심리학적 관점에서의 조망)

  • Hyo-Chang Kim
    • Korean Journal of Culture and Social Issue
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    • v.16 no.2
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    • pp.165-178
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    • 2010
  • The present study was to explore the suicide from the perspective of cultural psychology. The result was that: First, the main reason to commit the familial suicide in korea is due to cultural characteristic. Korean people does not think the relationship of parents and children is separate or independent. So, When they can not bring up their child, Korean parents commit the familial suicide. Second, many people commit suicide not individual problems but interpersonal problems. This result reveal that Korean people think relationship between the people is very important. Third, there art too many alcohol problem in korea. The reason is generous attitude about alcohol problem. Fourth, suicide of man due to economic problem on the other hand, women due to personal health problem. The reason of this is cultural characteristics of korea. In traditional Korean culture, the family responsibility rest with man and the household affairs responsibility rest with women. Also, it is suggested that further psychological researches must be performed in the serious consideration of the indigeneous characteristics of Korean culture.

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Bronchoesophageal Fistula with Sick Sinus Syndrome in Adult -A Case Report- (동기능 부전이 동반된 식도 기관지루 수술치험 -1례 보고-)

  • 이재필
    • Journal of Chest Surgery
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    • v.27 no.7
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    • pp.631-633
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    • 1994
  • Congenital bronchoesophageal fistula is a rare anomaly that can appear in adult uncommonly. Especially sick sinus syndrome with bronchoesophageal fistula is very uncommon.The patient was 53 years old male who admitted for chronic coughing recurrent lobar pneumonia on RLL since few years ago. And he had familial history of sick sinus syndrome.We confirmed the fistula by barium swallow examination and performed ligation of the fistula and pacemaker implantation.

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CHERUBISM : REPORT OF 3 CASES (Cherubism의 3 증례보고)

  • Nah Kyung-Soo;Jung Yeun-Hwa
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.27 no.1
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    • pp.251-262
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    • 1997
  • The authors reported 3 cases of cherubism which included easily diagnosable cases with typical clinical and radiologic features and a difficult case in which a through study of familial factor contributed to final correct diagnosis.

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Risk and Protective Factors for Adolescent Delinquency

  • Kwon Hee-Kyung
    • International Journal of Human Ecology
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    • v.2 no.1
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    • pp.135-152
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    • 2001
  • The purpose of this study was to investigate the association of protective and risk factors with adolescent delinquency. Using nationally representative data from the National Longitudinal Study of Adolescent Health (Add Health) project, the delinquency level and the influence of individual characteristics, dyadic relationships in the family, school and peer variables on adolescent delinquency were examined by gender. Boys and girls differed in delinquency level with boys showing significantly higher delinquency than girls. The relative influence of protective and risk factors in individual, familial, peer, and school contexts differed by gender as well. More diverse variables influenced the delinquency level of girls than that of boys.

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Hereditary Multiple Exostosis with Chondrosarcomatous Change (Report of One Case) (연골육종을 동반한 다발성 외골증 (증례보고 및 문헌고찰))

  • Hwang, M.S.;Choi, W.H.
    • Journal of agricultural medicine and community health
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    • v.8 no.1
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    • pp.88-92
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    • 1983
  • Hereditary multiple exostosis is familial disturbance in the growth of cartilagenous bone tissue, most marked at the metaphyseal region of long bone. In most of the reported cases, the disease appears to have been transmitted through the male. And chondrosarcomatous transformation of the exostotic area is not uncommon, particularly in adult subjects.

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Cherubism의 일례 보고

  • Park, Tae-Won;Kim, Yung-Gul;Park, Jae-Joong
    • The Journal of the Korean dental association
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    • v.20 no.11 s.162
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    • pp.971-974
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    • 1982
  • The authors observed a case of Cherubism from 8 year-old boy who visited the Dept. of Oral Radiology in S.N.U.H. The patient complained of painless, bilateral swelling on mandibular angle area. Radiologically, sharply defined multiocular radiolucencies are found at both mandibular angle and maxillary posterior area. Another lesion is found at mandibular symphysis area. Interestingly, patient did not show 'look toward heaven' appearance in spite of maxillary involovment. The purpose of this paper if to describe the characteristic clinical, radiological and histopathological feature of the patient without familial involvement.

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