• The Journal of the Convergence on Culture Technology
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• v.9 no.1
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• pp.407-412
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• 2023

When a traumatic subject experiences extreme stress, various psychiatric problems, including PTSD, can occur if they do not respond appropriately. In addition, non-war soldiers who experience life-threatening events while serving in the military may experience severe and chronic PTSD symptoms. However, there are still insufficient domestic studies on what traumatic events soldiers are exposed to and how much PTSD symptoms they experience. Therefore, this study provides a method that can be used as basic data for PTSD and psychological support of military service personnel by identifying trends in domestic research. Furthermore, it studies PTSD not only of soldiers but also of 'civilians' who have experienced combat, and provides symptomatic treatment and relief programs to civilians according to the difference in PTSD between general trauma and war trauma. It is expected that these studies will increase military confidence and enable the military to play a leading role in war trauma PTSD research and prevention, treatment and mitigation.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1979.05a
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• pp.3.2-3
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• 1979

Bone conduction loss is one of the most common complication in chronic otitis media, and is mostly high frequency loss. Of 233 tympanomastoidectomy ears, 187 ears were considered eligible for this study. A histopathological change was examined in the natural otitis media of guinea pigs. It is our intention to analyze the pattern of bone conduction loss in chronic otitis media, and to correlate this findings with clinical and pathological changes in human and animal otitis media. l) In unilateral cases, a significant difference in bone conduction threshold was observed between normal and diseased ears, and between each frequency with significant interaction between 2KHz and 4KHz (p 0.01). 2) Using one way analysis of variance, mean bone conduction was compared with the duration of disease. We observed a significant difference (p 0.05) between each group of duration, except between 11-15 and 15-20 years group. 3) A comparison of bone conduction between stapes loss group and intact stapes group revealed significant t ratio (p 0.01) at each frequency. The effect of stapes loss on each frequency was evaluated, using one way analysis of variance. there were significant difference(p 0.05) between 250Hz and 500Hz. and between 2KHz and 4KHz. 4) A comparison of bone conduction between round window obliteration and nonobliteration group revealed significant t ratio (p 0.01) at each frequency. Using one way analysis of variance. the effect of round window obliteration was evaluated in each frequency. We observed significant difference (p 0.05) between 250Hz and 500Hz. and between 2KHz and 4KHz. 5) A comparison of bone conduction between cholesteatoma and non -cholesteatoma group revealed significant t ratio (p 0.01) only in 2KHz and 4KHz. No significant differency was observed in mean bone conduction. 6) In a histopathological study of natural otitis media in guinea pig, we observed inflammatory infiltration of the round window membrane, serofibrinous precipitate in the scala tympani, and degeneration of the organ of Corti most significant near the basal turn. These changes would explain high tone bone conduction loss in the process of chronic otitis media.

• Journal of Chest Surgery
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• v.43 no.6
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• pp.753-757
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• 2010

We report hereon a case of double bypass of the esophagus and descending thoracic aorta for the treatment of esophagopleural fistula and aortopleural fistula due to an infected aortic aneurysm after esophageal rupture. A 48 year old man was diagnosed as having esophageal rupture after an accidental explosion. Although he had been treated by esophageal repair and drainage at another hospital, the esophageal leakage could not be controlled and subsequent empyema developed in the left pleura. Further, bleeding from the descending thoracic aorta had developed and he was managed with endovascular stent insertion to the descending thoracic aorta. He was transferred to our hospital for corrective surgery. We performed esophago - gastrostomy via the substernal route, without exploring posterior mediastinum and we let the empyema resolve spontaneously. While he was being managed postoperatively Without any signs and symptoms of infection, sudden bleeding developed from the left pleural cavity. After evaluation for the bleeding focus, we discovered an Infected aortic aneurysm and an aortospleural fistula at the stent insertion site. We performed a second bypass procedure for the infected descending thoracic aorta from the ascending aorta to the descending abdominal aorta via the right pleural cavity. We found leakage at the distalligation site during the immediate postoperative period, and we occluded the leakage using a vascular plug. He discharged without complications and he is currently doing well without any more bleeding or other complications.

• Journal of Preventive Medicine and Public Health
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• v.28 no.3 s.51
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• pp.715-725
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• 1995

This study was done for identifying the factors which affect psychologic symptoms of low back(LBP) patients. The study subjects were 43 work-related low back pain patients, 28 work-related non-low back pain patients and 47 general low back injury patients. The study materialis SCL 90-R for checking psychologic symptoms and questionnaire for obtaining general information about the subjects. The data were analyzed by model of analysis of covariance adjusted by several variables such as gender, age, education and marital status and then compared the least square means of symptom score between groups. To identify the factors that affect psychologic symptom, duration of suspension, return to work and interaction factor of these two variables were analyzed by multivariate model and we calcuated partial correlation coefficient of these variables. As a result, work-related LBP patients showed higher score of symptoms in somatization, depression and psychosis than work-related non-LBP and non-work-related LBP. Duration of suspension and return to work were significant explanatory variables for psychologic symptom score of work-related LBP. Then, we may conclude that the treatment and rehabilitation programe for work-related LBP should cover the strategy of early return to work.

• Anxiety and mood
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• v.13 no.2
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• pp.66-73
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• 2017

Objective : The purpose of this study was to examine the effects of adjunctive aripiprazole versus bupropion on specific symptoms of depression. Methods : Data were from 6-week, randomized, prospective, open-label multi-center study in 103 patients with major depressive disorders. Participants were randomized to receive aripiprazole (2.5-10 mg/day) or bupropion (150-300 mg/day) for 6 weeks. Change in four subscales of the 17-item Hamilton Depression Rating Scale (HAM-D17) that capture core depression symptoms was determined, and change in individual HAM-D17 items was also assessed. Changes in three composite subscales-anxiety, insomnia, and drive were also examined. Results : Within-group change in the four core subscales was large [effect size (ES)=1.30-1.47] and it was similar to that in the HAM-D17 total score. Differences between aripiprazole and bupropion were significant for each of the four core subscales and the HAM-D17 total score favored aripiprazole (p<0.001). On three composite scales, both treatments caused substantial changes in anxiety (within-group ES=1.10 (aripiprazole) vs. 1.00 (bupropion)], insomnia (ES=0.75 vs 0.50), and drive (ES=1.17 vs 1.15). Conclusion : This results suggested that both aripiprazole and bupropion adjunctive therapies with selective serotonin reuptake inhibitors resulted in significant and clinically meaningful changes in core symptom subscales for depression.

• Journal of the Korean association of regional geographers
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• v.8 no.2
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• pp.270-279
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• 2002

1997년 IMF 경제위기 이후 한국사회의 뚜렷한 변화의 하나는 빈부격차의 확대와 함께 사회계층의 양극화가 진행되고 있다는 점이다. 이 논문의 목적은 사회적 양극화의 주요 원인은 무엇이며, 사회적 양극화가 공간적으로는 어떻게 나타나는가를 서울을 사례로 하여 규명하는 데 있다. 서구 선진자본주의 국가에서 사회적 양극화에 대한 논의는 이미 1990년대 초 세계화 또는 세계도시가 주요한 연구주제로 등장하면서 시작되었다. 1980년대 이후 선진자본주의 국가를 중심으로 한계에 도달한 포드주의 축적체계가 포스트 포드주의로 급속히 전환되면서 사회적 양극화가 자본의 유연화 및 세계화 전략과 맞물리는 현상으로 인식되었기 때문이다. 이런 점에서 최근 전개되고 있는 한국의 사회적 양극화는 서구 선진국과 유사하다. 1997년 경제위기 이후 세계화가 급속히 진행되는 가운데 지식기반경계의 대두로 고소득 전문직이 등장하는 반면, 중산층의 몰락과 더불어 임시적 고용이 확대되고 실업이 만성화되는 등 자본의 세계화와 유연화 과정에서 나타나는 양극화 양상이 보이기 때문이다. 이와 같은 맥락에서 한국의 사회적 양극화는 이미 1990년대 초부터 진행되어 왔으며, IMF 경제위기는 단지 그러한 사회적 양극화를 급속히 진행시키는 방아쇠 역할을 하였다고 할 수 있다. 그러나 양국의 사회적 양극화는 직업구조와 임금소득의 격차만으로 설명하기 어려운 또 다른 특성을 갖는다. 왜곡된 시장구조에서 무엇보다도 부동산과 같은 자산소득의 격차가 큰 역할을 하기 때문이다. 서울은 이와 같은 한국의 사회적 양극화가 한 도시 내에서 전형적으로 전개되는 곳이라고 할 수 있다. 한국 내 어떤 도시보다도 세계화되어 있고 전문지식을 기반으로 하는 산업이 발달하고 있기 때문이다. 서울의 사회적 양극화는 공간적으로도 나타난다. 일반적으로 서울은 크게 주거지로서는 공동화되고 있는 중구 종로구 용산구 등 사대문안의 구도심지역, 강남구 서초구 송파구 등을 중심으로 한 1970년대 이후 계획적으로 계발된 이른바 강남의 신흥주택 및 신산업 지역, 영등포구 구로구 금천구 성동구 동대문구 등 제조업 중심의 구 산업 및 저소득층 주거지역 그리고 그 나머지 강북 강서 강동 등의 전형적인 주거지역 등 4개 유형으로 지역이 구분된다. 그러나 IMF 경제위기 이후에 강남구 서초구 송파구를 중심으로 하는 고소득증의 주거지와 그 나머지 주거지로 공간적 양극화가 이루어지고 있다. 사회적 양극화의 이와 같은 공간화 과정에는 자산소득의 격차를 확대하는 강남구 서초구 송파구의 높은 지가 및 아파트 가격이 중요한 역할을 하고 있다. 높은 부동산 가격이 이 지역에 대한 일종의 진입장벽을 참음으로써 고소득층에 의한 공간독점을 가능하게 하기 때문이다. 공간적 양극화를 촉진하는데는 지하철 및 문화복지시설의 집중 둥 불균형적인 공공투자와 강북에서 이전한 명문고등학교를 중심으로 형성된 8학군 등 양호한 교육환경 또한 중요한 역할을 하고 있다. 서울의 사례에서 확인할 수 있듯이, 한국에서의 사회적 양극화는 직업구조와 임금소득이라는 일반적인 요인 외에도 부동산 가격 및 소득 그리고 생활인프라의 격차를 통해 공간적 양극화물 야기하고 있다. 이러한 현상이 한국내 다른도시에서도 전개되고 있는지, 공간적 양극화로 인한 도시문제는 무엇이고 대처방안은 무엇인지 등에 대해서 후속연구가 요구된다.

• Journal of Digital Convergence
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• v.11 no.4
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• pp.285-292
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• 2013

This study performed a proprioception improvement training for recurrence prevention of industrial workers with chronic lateral epicondylitis and analysed their pain and proprioception. The subjects of the study were thirty chronic lateral epicondylitis patients working for K company and were divided into elbow exercise program Group made of 15 subjects and proprioception improvement training Group made of 15. As variables for pain, pressure pain, and grip strength were measured and for the propioception, joint position sense of each group was measured before and after the exercise program. To compare differences before and after the program, a paired t-test was used and to compare differences between both groups, an independent samples t-test was used. As a result of the test, it was discovered that pressure pain, grip strength and joint position sense of the both groups were improved statistically significantly. These were statistically differential effect between each group on pressure pain, grip strength and joint position sense. In conclusion, it is suggested that proprioception improvement training should be considered as a method chronic and recurrence prevention lateral epicondylitis of industrial workers.

• Journal of Yeungnam Medical Science
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• v.10 no.2
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• pp.338-344
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• 1993

The purpose of this study was to investigate the trait cortical arousal level, measured by extraversion-introversion, in schizophrenics. Subjects in this study were 231 (chronic schizophrenics=78, acute schizophrenics=62, and normal persons=91). All subjects were asked to respond to extraversion-introversion subtest scale in the korean EPQ(Korean Version Eysenck Personality Questionnaire). Collected data were analyzed by using the t-test and one-way analysis of variance. Results were as follows : 1) Trait cortical arousal level of chronic schizophrenics, which was measured by extraversion-introversion subtest scale in the Korean EPQ, was statistically higher than that of acute schizophrenics and normals. 2) Acute schizophrenics and normals were not significantly different in the trait cortical arousal level. However, the trait cortical arousal level of chronic schizophrenics was higher than that of acute schizophrenics. Therefore, it may state that the trait cortical arousal level of schizophrenics is getting higher when schizophrenic symptoms become more chronic.

• Journal of the Korean Arthroscopy Society
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• v.16 no.1
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• pp.92-97
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• 2012

Purpose: The reparability of rotator cuff tears is very important to establish the indication of the surgical treatment of rotator cuff tears. We reviewed the factors that effect to reparability of rotator cuff tears, and considered about the surgical indication of rotator cuff tears. Materials and Methods: The reparability was considered by the surgical reparability and the postoperative healing potentials of rotator cuff. The natural history of rotator cuff tear gives us the information to make decision about the surgical treatment or the conservative treatment. Results: There are 3 general categories of factors that help predict the healing potential of a rotator cuff tear. These include surgical technique, biology, and environmental issues. Surgeon can control the surgical technique by himself. The control of biology comes from careful operative indications by age, acute trauma history, chronicity, and tear size. And the control of environmental factor can give better outcomes by cessation of smoking and nonsteroidal anti-inflammatory drug (NSAID). Conclusion: A better understanding of the natural history and the reparability of rotator cuff tear will help us to estabilish the indication of surgical treatement of rotoator cuff tears, and lead to satisfactory clinical outcomes.

• Journal of Life Science
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• v.27 no.5
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• pp.600-610
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• 2017

It was common that the classification of itching was classified into four categories according to the neurophysiological mechanisms of pruritoceptive itching, neuropathic itching, neurogenic itching and psychogenic itching. Recently it was classified by clinical criteria. The neurotransmission pathway of itch is divided into histamine-dependent pathway and histamine-independent pathway. Different receptors and neuropeptides act on each itch mediator. Itch mediators such as histamine, BAM8-22, and chloroquine are transmitted through the histamine-dependent pathway. Cowhage spicule, protease, and TSLP (Thymic stromal lymphopoietin) have been reported to be related to the histamine-independent pathway. These itch mediators, receptors, and neuropeptides are the targets of treatment for itching. Although itching and pain are typical noxious stimuli, and in the past, it was argued that two senses were transmitted through one noxious stimulus receptor. It has recently been shown that itching and pain have an independent neurotransmitter system and both neuronal systems inhibit each other. In addition, the mutual antagonism between itching and pain is explained by various mechanisms. Recently, many new mediators and receptors are being studied. The studies on histamine 4 receptor (H4 receptor) have been actively conducted. And the H4 receptors are expressed in immune cells such as T cells. The therapeutic agent for blocking the H4 receptor can inhibit the inflammatory reaction itself, which is important for the itching and chronicization. Understanding the underlying mechanisms of itching and studying new itch mediators will lead to the development of effective therapies, and this is what I think the itching study will go on.