• Korean Journal of Psychosomatic Medicine
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• v.28 no.2
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• pp.116-125
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• 2020

Objectives : Self-poisoning is the leading cause of visits to the emergency departments after a suicide attempts. This study is aimed to compare the patient characteristics according to the category of drugs ingested by the patients who attempted suicide. Methods : All medical charts were retrospectively reviewed from patients who visited the emergency center, at Seoul Medical Center, due to intentional self-poisoning from April of 2011 to July of 2019. We investigated the information regarding the subtype and quantity of the intoxication drug, how it was obtained, suicidal history, and psychiatric history, as well as, sociodemographic information. Variables were compared between prescription drug (PD) and non-prescription drug (NPD) poisoning groups. Results : The mean age of the NPD poisoning group was significantly lower than that of the PD poisoning group. The patient ratio of those enrolled in national health insurance and living with spouses were significantly higher in the NPD poisoning group. Compared to the NPD poisoning group, the PD poisoning group had a higher incidence of mental illnesses, underlying diseases and ratio of involuntary visit to the emergency department. Among the prescription drugs, the benzodiazepine poisoning group had a higher rate of self-prescription than the non-poisoning group, while the zolpidem poisoning group had a higher rate of the using someone else's prescription than other drugs. Each single drug poisoning group (benzodiazepine, zolpidem, and antidepressant single-agent) had a higher rate of no mental illness than each of the mixed-poisoning group. Conclusions : Guidelines for regulating non-prescription drugs are needed as a matter of suicide prevention. Also, this study suggests that clinicians need to be careful when issuing prescriptions and should suicidal risk according to patients' characteristics, duration of follow-up and type of drug packaging.

• Korean Journal of Psychosomatic Medicine
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• v.29 no.2
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• pp.144-152
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• 2021

Objectives : The purpose of this study is to identify differences between suicide attempters who used zolpidem and others who used different methods in emergency department. Methods : This study classified 2,734 suicide attempters, who went to emergency department from 2009 to 2018, into zolpidem user group, another drug user group and non-drug user group. For these three groups, chisquare test and logistic regression analysis were conducted regarding sociodemographic feature and clinical feature related with suicide. Results : In the result of logistic regression analysis of a variable, which showed meaningful difference between suicide attempter group who used zolpidem and the other group who did not use the drug, the occurrence of zolpidem-using suicide attempers was related with the case where anxiolytics/hypnotics was used or the case where lethality and intention was low. In the drug intoxication group which showed similar feature, there was also a relevance between anxiolytics/hypnotics and the occurrence of zolpidem-using suicide attempts. Conclusions : This study identified significant difference of sociodemographic and clinical feature in suicide attempter group who used zolpidem and the other group. This result can contribute to plan further medicinal treatment in using zolpidem.

• Journal of Digital Convergence
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• v.13 no.3
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• pp.295-304
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• 2015

We assessed reading-related skills in children with reading comprehension difficulties ("Poor comprehenders"), word decoding difficulties ("Poor decoders") and normal readers, matched for age and nonverbal IQ. The reading-related skill tests used in our study are phonological processing, visual processing test, and receptive vocabulary test. The authors argue that children who had difficulty in reading comprehension had lower scores only on the phonological short-term memory test compared with normal readers, although their performance on receptive vocabulary and visual processing tests are comparable to normal readers. The results of our study revealed that poor decoders had lower scores on the phonological processing, visual processing, and receptive vocabulary tests.

• Proceedings of the Korean Society for Cognitive Science Conference
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• 2000.05a
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• pp.287-291
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• 2000

후천성 한글 난동증 환자인 BHS를 대상으로 두 개의 과제를 이용하여 어휘 처리에 있어서의 구체성 효과(concreteness effect)를 조사하였다. 어휘판단과제를 실시한 결과 BHS는 구체어에 비해 추상어에 대해서 상대적으로 많은 오류를 나타내었다. 그러나 비단어에 대한 어휘 판단은 비교적 정확했다. 음독과제를 실시한 결과 어휘판단과제와 동일하게 구체어에 대한 음독수행은 매우 저조하였다. BHS는 구체어보다 추상어에 대한 처리의 손상 정도가 심한 것으로 판단된다. 이러한 결과는 심성어휘집에 있어서 구체어와 추상어가 독립적으로 표상되어 있을 가능성을 시사한다. 또한 BHS의 비단어에 대한 음독이 거의 불가능하였던 것은 자소-음소 변환 경로(조합경로)의 심한 손상에 기인한 것으로 생각된다.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.5
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• pp.384-390
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• 2020

Purpose: Organophosphate insecticide poisoning can have clinically fatal results. This study aimed to evaluate the relationship between the neutrophil/lymphocyte ratio (NLR) and the occurrence of death in patients with organophosphate insecticide poisoning. Methods: For this retrospective study, data on patients with organophosphate insecticide poisoning who visited the emergency room between January 2008 and November 2018 were collected. The NLR was measured at the time of arrival in the emergency room. The patients were divided into survival and death groups. Results: Overall, 150 patients were enrolled: 15 (10%) in the death group and 135 (90%) in the survival group. In the univariate analysis, the following variables were significantly different between the two groups: age, white blood cell count, amylase level, creatinine level, Acute Physiology And Chronic Health Evaluation (APACHE) II score, and NLR. In the logistic regression analysis of variables with significant differences in the univariate analysis, there were significant differences between the two groups with respect to age, APACHE II score, and NLR. The NLR was significantly higher in the death group than in the survival group (20.83 ± 22.24 vs. 7.38 ± 6.06, p=0.036). Conclusion: High NLR in patients with organophosphate insecticide poisoning may be useful in predicting mortality.

• Proceedings of the Korean Society for Cognitive Science Conference
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• 2000.05a
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• pp.292-296
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• 2000

뇌손상에 기인하는 한글 난독증의 어휘처리 양상을 분석하여 한글정보처리의 특성을 알아보고자 하였다. 피험자 PSK의 한글 어휘처리에서 특히 주목되는 점은 단어의 음독은 가능하나, 비단어의 음독은 불가능하였다는 것이다. PSK의 한글 어휘처리는, 자소-음소변환(grapheme-phoneme conversion)경로가 선택적으로 손상되어, 심성어휘집(mental lexicon)의 발음정보를 이용하는 직접경로에 의해서 이루어진다고 판단된다. 읽기(reading)와 그림명명(picture naming)에서 나타난 오류들에 대하여, 음운적 단서(phonological cueing)를 제시하였다. 그 결과, 읽기 수행에서는 단서 주기 효과가 나타나지 않았으나 그림명명에서는 수행상의 향상이 나타났다. 또한, 1음절어의 읽기 수행에서는 규칙효과가 나타나지 않았으나 2음절어의 읽기 수행에서는 빈도와 규칙성의 상호작용이 나타났다. 이것은, PSK의 1음절어와 2음절어에 대한 읽기 수행이 상이한 경로에서 이루어질 가능성을 시사한다.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.11 no.2
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• pp.750-757
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• 2010

In order to investigate acute drug intoxication trends in the elderly who visited emergency medical center, Data were collected from the records of poisoning patients visited five different hospitals from January 1, 2007 to December 31, 2007. The analysis was conducted by using 624 cases from these hospitals. The results are as follows. The study was designed to be divided into two categories of elderly and those under age 65. The criteria were as follows ; male to female ratio, those living together with families, past suicide attempts, acute drug intoxication reasons, management, mental status and the level of sobriety on arrival at the medical centers, and monthly distribution. There was no difference between two groups. In conclusion, it is necessary to develop suicide prevention program for the suicide vulnerable group. Accidental poisonings are going to continue. This means that poisoning prevention education programs must also be developed for periodic use.

• Journal of agricultural medicine and community health
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• v.43 no.2
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• pp.108-113
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• 2018

목적 글루포시네이트암모늄은 비선택성 제초제로 1984년 일본에서 개발되었으며, 급성 중독시에는 위장관계 증상뿐만 아니라 의식변화, 경련, 호흡부전 및 기억소실 등과 같은 다양한 임상증상을 보이는 것으로 알려져 있다. 한국에는 1994년 소개된 이후로 널리 사용되고 있으며, 사용량의 증가와함께 음독환자가 점점 증가하여 사회적 문제가 되고 있다. 저자들은 최근 글로포시네이트 중독 환자에서 초기치료 후 지연성 악화를 보였던 2례를 문헌고찰과 함께 보고하고자 한다. 방법 및 결과 첫 번째 증례는 62세의 남자환자로 음주상태에서 글루포시네이트암모늄 음독 후 의식 저하 상태로 발견되어 응급실로 이송되었다. 응급 위세척을 시행 후 보존적 치료 및 집중모니터링을 유지하였고, 의식수준은 6시간 후에 거의 명료한 상태로 호전되었다. 지연성 악화의 가능성에 대해설명하고 지속적인 경과관찰 및 치료를 위해 집중치료실 입원이 필요함에 대해 설명하였으나, 환자와 보호자는 타상급병원으로의 전원을 원하였다. 환자는 이송 중에 발생한 심폐정지로 심폐소생술을 시행하였으나, 회복되지 못하고 사망하였다. 두 번째 증례는 54세의 남자 환자로 글루포시네이트암모늄 음독 후 발생한 의식 변화로 응급실로 이송되었다. 내원시 의식은 혼미한 상태였으며 앞의 증례와 같이 응급 위세척을 시행하였다. 본 환자는 초기치료 후 본원 집중치료실에서 지속적인 혈액 및 생화학적 검사를 시행하였으며, 집중모니터링 및 치료를 유지하였다. 입원 2일째 혈액검사 소견은 호전 중이었으나, 경련이 발생하였으며 의식은 혼미한 상태가 지속되었다. 신경과 협진하여 뇌파검사를 시행 후 항경련제를 증량한 후로 경련은 발생하지 않았다. 입원 7일째에는 의식 수준은 거의 명료한 상태까지 호전되었다. 입원 13일째 혈액 및 생화학검사에서 약간의 혈색소 감소 외에는 정상소견을 보였으며, 뚜렷한 신경학적 합병증 없이 퇴원하였다. 결론 급성 글루포시네이트중독 환자는 매우 다양한 임상증상을 보이며 초기치료 후에 상태가 안정적이더라도 지연성으로 임상적 또는 신경학적 악화가 발생할 가능성이 있으므로 치료에 유의하여야 한다.

• Journal of the Korean Society for Library and Information Science
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• v.41 no.1
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• pp.33-54
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• 2007

The Purpose of this study is to investigate how the different types of reading method of contrary concept : between "oral reading" and "silent reading", between "intensive reading" and "extensive reading", between "thorough reading", "selective reading", influence on the tendency of the creative ability and the self-directed learning ability. This study was collected using 2 classes of 6th-grade 62 children of an elementary school. The influences according to reading methods on creative ability and the self-directed teaming ability analysis were as follows : "Oral reading" more than "silent reading", "intensive reading" more than "extensive reading" had a significant influence on the creative ability and the self-directed learning ability. Out of reading methods, "selective reading" and "thorough reading" had no significant influence, or had negative factors on the creative ability and the self-directed learning ability.

• Journal of Korean Critical Care Nursing
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• v.6 no.1
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• pp.11-20
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• 2013

Purpose: This study to describe experiences of nurses who work in intensive care units (ICUs) where they frequently encounter patients with attempted suicide by drug ingestion. Methods: Data were collected by 2 focus group interviews with 9 ICU nurses. The interview were recorded and transcribed, and data were analyzed using qualitative content analysis. Results: The results of data analysis, five themes were drawn: 'Confusion about for the attempted suicidal patient care', 'Helplessness for dying with attempted suicidal patients', 'Guilty for insufficient care', 'Ambivalence for the attempted suicidal patients', 'Recognition of need for professional approach'. Conclusion: The results of this study help us to understand patients who attempted suicide through the ICU nurses' experience. It would be useful to develop effective education programs for ICU nurses to preventive strategies for patients who are high risk of recurrence of suicidal crisis situation.