• Title/Summary/Keyword: 중독치료

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Two Cases of Acute Glufosinate Ammonium Intoxication with Disparate Outcomes (급성 글루포시네이트 중독 후 서로 다른 예후를 보인 2례: 증례보고)

  • Han, Hong Joon;Jeong, Ju Ho
    • 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.

A Study on Development and Application of An Educational Program to Intervene with Elementary School Students' Smartphone Addiction (초등학생 스마트폰 중독 개입교육 프로그램의 개발 및 적용)

  • Hwang, Jae In;Shin, Jae-Han
    • The Journal of Korean Association of Computer Education
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    • v.16 no.4
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    • pp.23-31
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    • 2013
  • The purpose of this study is to examine if educational programs to intervene with smartphone addiction developed for elementary school students are effective in reducing their smartphone overuse that has been rapidly increasing nowadays. To attain the goal, the study analyzes internet addiction intervention programs previously developed with the cognitive behavior therapy of which effectiveness has been verified in psychotherapy for those showing addiction, and based on that, it develops and applies educational programs to intervene with smartphone addiction. The conclusions the paper has drawn are as follows: First, educational programs to intervene with smartphone addiction are effective in reducing the tendencies of smartphone addiction of those students using smartphones too much for their irrational thinking or habitual behavior. Second, educational programs to intervene with smartphone addiction will facilitate behavioral changes regarding negative factors of smartphone addiction such as maladaptation in everyday life or tolerance and also help the reconstruction of elementary school students' positive cognition on smartphone use.

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A study on pruritus of female alcoholics (여성알코올중독환자의 소양증에 관한 연구)

  • Kim, Dong-Hyeon;Kim, Hui-Kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.9
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    • pp.4412-4420
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    • 2013
  • Alcohol affects human body very seriously by causing different types of disease. Therefore, a great deal of studies on alcohol addiction have been conducted. There is little, however, on skin problem in relation to alcohol abuse in domestic researches. This study, with this reason, has been conducted on alco holic women, especially who have sensitive skin, with pruritus. From May 1st until 20th, 2013, surveys using same questionnaires had been carried out for the two different groups. one with 114 female alcoholics from four different clinics for acoholics through the nation, the other with 106 residents without alcoholic problems in Cheong-ju and Seong-nam city. From the comparative study of those surveys, alcohol addicts showed higher scores on pruritus than those without alcoholic problems. In addition, Audit-K score had positive correlation with pruritus score, and drinking cycle and quantity, too, had been found related to pruritus. It is expected that the findings will be used as a fundamental data for treating alcohol addicts with skin disease and leading more active researches on this field for the future.

The mediating effects of the interpersonal problems in the relationship between depression and smartphone addiction of college student living in a dormitory (대학 기숙사생의 우울과 스마트폰 중독과의 관계에서 대인관계 문제의 매개효과)

  • Lee, Mi Young;Kang, Hee Yang
    • Journal of Digital Convergence
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    • v.17 no.1
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    • pp.413-421
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    • 2019
  • This study focuses on the mediating effects of the interpersonal problems in the relationship between depression and smartphone addiction of college student living in a dormitory. The subject group was consist of students living in a dormitory among the college students in K city. The final 1,016 questionnaires were used as research data. The data analysis used correlation analysis, regression analysis, and Sobel test. The results showed depression, interpersonal problems and smartphone addiction were significantly correlated, and depression had a direct effect on smartphone addiction. In other words, the higher the level of depression, the higher the level of smartphone addiction of college students. Interpersonal problems was partially mediated between depression and smartphone addiction. Therefore, in order to decrease the level of college student's depression and smartphone addiction, it is necessary to develop and implement a program or counseling that can handle interpersonal problems as one of the strategies that can decrease the level of smartphone addiction. Discussed the use of research results and future research.

The Rehabilitation of Gambling Addiction: Comparison with the other psychiatric disorder (도박중독의 재활: 타 정신장애와의 비교)

  • Heung-Pyo Lee;Tae-Woo Kim
    • Korean Journal of Culture and Social Issue
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    • v.16 no.3
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    • pp.241-265
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    • 2010
  • This study reviewed the present state and differences of rehabilitation programs of the gambling addiction by comparing with other psychiatric disorder(including psychotic disability and alcohol addiction). This study also intended to suggest necessities, meanings and inherent fields of the rehabilitation in gambling addiction. First of all, the government and a few gambling industries run clinic centers for gamblers and their families, but have been lacked rehabilitation services for social comeback and adaptation or devaluated rehabilitation services than therapies. Gambling addict didn't have impairments of the cognitive function and their daily abilities was better than any other psychiatric disorders. But Damage of social role or function of gambling addiction was severe. And it is caused by nonadaptive nature of gambling behavior, personality/emotional change through gambling addiction process, and previous personality problem etc. There are many severe failure of social role and its attendant bankrupcy, family's problems and social poverty in gambling addiction, Therefore, important fields in the rehabilitation of gambling addiction should be services for basic social comeback support service, credit recovery support, monetary management, support of rehabilitation of family and vocational rehabilitation. Finally, the significance and critical points of the current study has been discussed as well.

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A Study on Internet Addiction of Teenagers and College Students, and Development of Therapeutic Techniques (청소년과 대학생의 인터넷 중독 실태 및 치료기법 개발에 관한 연구)

  • Lee, Hun-Jae
    • Journal of the Korea Society of Computer and Information
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    • v.17 no.3
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    • pp.157-165
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    • 2012
  • The purpose of this study is to treat the students addicted to the internet by implementing a program using computers. In order to accomplish the purpose, the program was created by combining the game making activities using scratch programming, self-examination activities, and future occupation search activities. This treatment program will have major positive effects on the students who are addicted to the internet. First, it will be effective for reducing the time for using the internet and it will also improve the addictiveness such as being immersed in playing games. Second, there will be a change in attitude toward the internet and an improvement in intellectual capacity of the students. They will realize the fun of making and sharing the programs with friends, and their thinking skills will be improved by getting training for algorithmic and creative thinking. Third, this treatment program will have positive effects on the students' affective domain. They will have deeper and wider perspective on occupation by searching their future occupation, and discover the meta-ego through self-examination., which in turn, help them gain confidence and feel a sense of accomplishment.

Why did she lose her sight? A case of visual damage due to methanol inhalation (메탄올 흡입 후 발생한 시각장애 : 증례보고)

  • Han, Sangsoo;Shin, Hee-Jun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.11
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    • pp.421-425
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    • 2018
  • Methanol is a clear, colorless, volatile, and poisonous liquid that is commonly used as an industrial solvent. Visual impairment is a common symptom of methanol poisoning; however, visual impairment rarely occurs after exposure through inhalation. Therefore, visual loss after methanol intoxication via respiration has rarely been reported. We report a case of visual damage associated with methanol poisoning via respiratory exposure in an industrial setting. In this case in South Korea, a 28-year-old woman who worked at a cell phone factory was admitted to the emergency department with mental changes. She had blurred vision that began two days prior, but she did not come to the hospital until she experienced mental changes. She ranked 9 on the Glasgow Coma Scale and presented with severe metabolic acidosis. So, she was admitted to intensive care, and continuous renal replacement therapy was performed. Finally, she was discharged after recovery of her mental state, but had to undergo rehabilitation for six months. Also, her visual impairment was permanent. Methanol intoxication can occur through inhalation, which is difficult to detect initially. However, treatment of methanol poisoning is time-critical. Therefore, doctors should always keep in mind that methanol intoxication may occur via respiration. If in doubt, treatment should be given as soon as possible.

Intensive Treatment Program for Students with Game Addiction based on Multiple Intelligences (다중지능이론 기반의 게임중독치료 프로그램)

  • Jun, SooJin;Kim, SooHwan;Lee, WonGyu;Han, SunGwan
    • Journal of The Korean Association of Information Education
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    • v.18 no.1
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    • pp.13-23
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    • 2014
  • For this paper, we developed a game-addiction therapy program for students with gaming addiction based on multiple intelligences (MI) and verified its effects. The participants were 54 elementary students selected through a game addiction test in Incheon City, Korea. We tested the students' MI to facilitate program development. the students with gaming addiction showed strengths in the Bodily-kinesthetic, Naturalist, and Spatial intelligences whilst showing weaknesses in the Logical-mathematical, Intrapersonal, and Interpersonal intelligences as opposed to normal students who had opposite results. We arranged the program around various gaming and playing activities to engage their stronger intelligences; we added activities to address their weakness (i.e., Logical-mathematical, Intrapersonal, and Interpersonal intelligences). This study has shown that this program lowered the game immersion level of the students and was helpful in turning their attention to other activities. There were significant differences between pretest and posttest game addiction scores (p<0.001). Their weekly gaming time and computer usage decreased rapidly. Satisfaction with the game addiction therapy program based on MI was very high.