• 제목/요약/키워드: Abuse report

검색결과 130건 처리시간 0.022초

Deep Intracerebral Hemorrhage Caused by Rupture of Distal Lenticulostriate Artery Aneurysm : A Report of Two Cases and a Literature Review

  • Choo, Yeon Soo;Kim, Yong Bae;Shin, Yong Sam;Joo, Jin Yang
    • Journal of Korean Neurosurgical Society
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    • 제58권5호
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    • pp.471-475
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    • 2015
  • Intracerebral hemorrhage (ICH) is common among various types of storkes; however, it is rare in young patients and patients who do not have any risk factors. In such cases, ICH is generally caused by vascular malformations, tumors, vasculitis, or drug abuse. Basal ganglia ICH is rarely related with distal lenticulostriate artery (LSA) aneurysm. Since the 1960s, a total of 29 distal LSA aneurysm cases causing ICH have been reported in the English literature. Despite of the small number of cases, various treatment methods have been attempted : surgical clipping, endovascular treatment, conservative treatment, superficial temporal artery-middle cerebral artery anastomosis, and gamma-knife radiosurgery. Here, we report two additional cases and review the literature. Thereupon, we discerned that young patients with deep ICH are in need of conventional cerebral angiography. Moreover, initial conservative treatment with follow-up cerebral angiography might be a good treatment option except for cases with a large amount of hematoma that necessitates emergency evacuation. If the LSA aneurysm still persists or enlarges on follow-up angiography, it should be treated surgically or endovascularly.

Estimation of High-Risk Drinkers and Drinking Behavior in Korea - Focusing on Korean National Health and Nutrition Examination Survey (KNHANES) and Korean Statistical Information Service Data -

  • Hwang, Seonghee
    • 한국환경보건학회지
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    • 제46권1호
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    • pp.65-77
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    • 2020
  • Objectives: This study investigated the average number of drinkers in Korea, the number of high-risk drinkers, the average amount of alcohol consumed by high-risk drinkers, and the types of alcohol consumed according to the characteristics of the group of dependent drinkers. Methods: The results were obtained by analyzing the following data: The Global Status Report on Alcohol and Health; Country Profile 2014; WHO Country Profile 2014; Korea National Health and Nutrition Examination Survey 2014, Korean Statistical Information Service; National Tax Statistics-Liquor Tax; Gallup Drinking Frequency Survey 2015 Results: This study found that a large proportion of drinkers in Korea are already high-risk drinkers, and even among drinkers, alcohol consumption was highly biased. It was reported that 49.8% of men in the problem, abuse, and dependence groups accounted for 92.4% of total alcohol consumption among the male population. Notably, the 9.6% of men making up the dependent group consumed more than 30% of the alcohol ingested among males. Women had significant variations within groups that were considered high-risk and exhibited a large share of alcohol consumption in the problem (10.0% of the female population), abuse (1.8% of the female population), and dependence (1.5% of the female population) groups, constituting 72.8% of total alcohol consumption. The average amount of alcohol consumed by drinkers in Korea seems to have exceeded the level of intake by high-risk groups. Alcohol-dependent groups consumed 900.7 mL of soju, 405.2 mL of table wine, and 2,043.8 mL of beer, which is very similar to the consumption average of 2,031 mL of beer and 895.2 mL of soju in the drinking group. Conclusion: It has been shown that men's dependence on alcohol is serious, and it is possible to infer that alcohol consumption in some vulnerable groups is very high. As the average alcohol intake among alcohol-dependent groups and ordinary drinkers is very similar, it is highly likely that the drinker is an alcohol-dependent consumer in Korea.

미생물 성장을 억제하기 위하여 수용성 절삭유에 과다하게 첨가한 붕소와 아민 사례 연구 (Ethanolamine and boron abuse to limit microbial growth in water-synthetic metalworking fluids)

  • 박동욱;백도현
    • 한국산업보건학회지
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    • 제15권3호
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    • pp.270-276
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    • 2005
  • This study was conducted to examine whether a specific synthetic metalworking fluid (MWF), "A", in use for 10 months without replacement, displayed microbial resistance and to identify the additives associated with the control of microbial growth. Three synthetic MWF products ("A", "B", and "C") were studied every week for two months. Microbial deterioration of the fluids was assessed through evaluation by endotoxin, bacteria and fungi levels in the MWFs. In addition, formaldehyde, boron, ethanolamine, and copper levels were also studied to determine whether they influence microbial growth in water-based MWFs. Throughout the entire study in the sump where MWF "A" was used, bacteria counts were lower than 103 CFU/mL, and endotoxins never exceeded 103 EU/mL. These levels were significantly lower than levels observed in sumps badly deteriorated with microbes. Boron levels in MWF "A" ranged from 91.7 to 129.6 ppm, which was significantly higher than boron levels found in other MWF products. The total level of ethanolamine (EA) in MWF "A" ranged from 35,595 to 57,857 ppm (average 40,903 ppm), which was over ten times higher than that found in other MWFs. Monoethanolamine (MEA), diethanolamine (DEA) and triethanolamine (TEA) concentrations in MWF "A" were also significantly higher than seen in other MWFs. However, although EA and boron might improve anti-microbial performance, their abuse can pose a serious risk to workers who handle MWFs. From an industrial hygiene perspective, our study results stress that the positive synergistic effect of boron and EA in reducing microbial activity in MWF must be balanced with the potentially negative health effects of such additives. Our study also addresses the disadvantage of failing to comprehensively report MWF additives on Material Safety Data Sheets (MSDS). Future research in MWF formulation is needed to find the best level of EA and boron for achieving optimal synergistic anti-microbial effects while minimizing employee health hazards.

Botulinum Toxin Type A (BOTOX$^{\circledR}$)를 이용한 성대 육아종의 치료효과 (The Effect of Botulinum Toxin Type A for the Vocal Fold Granuloma)

  • 김정홍;김한수;남지인;장정현;김지훈;최홍식
    • 대한후두음성언어의학회지
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    • 제14권1호
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    • pp.40-46
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    • 2003
  • Background and Objectives : The vocal fold granuloma has been associated with vocal abuse, gastroesophageal reflux, endotracheal intubation and habitual throat clearing etc.. Granuloma is benign growth of hypertrophic granulation tissue. It is usually located on the posterior third of vocal fold, in one or both vocal process of the arytenoid cartilage In spite of the voice therapy, steroid therapy, anti-reflex therapy and surgical procedure. The distinct advantage and uniform success rate of each methods have not been generally shown. Authors report that localized injection of botulinum toxin type A (BOTOX$^{\circledR}$) is the promising method both as an initial treatment and as an alternative treatment in patients who do not respond to standard therapy or who are poor surgical candidates. Materials and Method : We carried out a retrospective study of 9 patients with the diagnosis of vocal fold granuloma on the videostroboscopic examination from Jan 2000 to Mar 2003. The botulinum toxin type A was injected into one or both thyroarytenoid muscle or lateral cricoarytenoid muscle under the electromyography. The average dosage ranges from 6U to 8U per injection. Results : Unilateral vocal fold granuloma in 7 patients had been resolved completely within 2-3 months after first injection : 5 patients received th\ulcorner GER medical therapy in addition to the Botulinum toxin injections, 2 patients was resolved completely who had shown recurrence after $CO_2$ laser vaporization. 2 patients who had shown recurrence after $1^st$ injection were also completely resolved within 6 months after further injections. Conclusion : We expect that localized injection of Botulinum toxin type A can provide an alternative treatment for the refractory cases to the traditional forms of therapy and avoid the recurrence in conjunction with proper medical and voice therapy against GER and vocal abuse.

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청소년 흡연 예방을 위한 자기주장 훈련 비디오 개발과 효과검증연구 (Development and the Effect of Adolescent Smoking Prevention Video)

  • 신성례;하나선
    • 대한간호학회지
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    • 제32권3호
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    • pp.336-343
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    • 2002
  • Recently the rate of adolescent smoking in Korea has increased rapidly, and various health problems related to smoking can be expected to increase in the future. Studies on smoking behavior report that assertiveness is important factor influencing on the adolescent smoking. Purpose: This study was conducted to develope a educational video for the purpose of adolescent's smoking prevention. Method: The 533 participating subjects, 269 in experimental group and 264 control group, in the study were 7th grade students. The content of video introduces three smoke tempting situations. The experimental group received 17 minute video education, and the control group did not receive any treatments. Result: The results show that the student's assertiveness was increased significantly in the experimental group after the video education. Student's attitude on smoking became more negative in the experimental group. However, in the control group, the intention, assertiveness, attitude was not changed. Conclusion: This assertiveness video can be useful educational resource for the smoking prevention program for adolescents. Also further study on longitudinal effect and application on drinking, drug abuse are needed.

MDMA (Ecstasy) Induces Egr-1 Expression and Inhibits Neuronal Differentiation

  • Lee, Ji-Hae;Kim, Sung-Tae;Choi, Don-Chan;Lee, Seung-Hoon
    • 한국발생생물학회지:발생과생식
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    • 제15권2호
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    • pp.173-178
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    • 2011
  • The amphetamine derivative 3,4-methylenedioxymethamphetamine (MDMA) is a potent monoaminergic neurotoxin with the potential to cause serotonergic neurotoxicity, but has become a popular recreational drug. Little has been known about the cellular effects induced by MDMA. This report shows that MDMA inhibits neuronal cell growth and differentiation. MDMA suppressed neuronal cell growth. The results of quantitative real-time PCR analysis showed that Egr-1 expression is elevated in mouse embryo and neuroblastoma cells after MDMA treatment. Transiently transfected Egr-1 interfered with the neuronal differentiation of neuroblastoma cells such as SH-SY5Y and PC12 cells. These findings provide evidence that the abuse of MDMA during pregnancy may impair neuronal development via an induction of Egr-1 over-expression.

복합외상과 극단적 스트레스 장애 (Complex Trauma and Disorder of Extreme Stress(DESNOS))

  • 박선철;김석현
    • 대한불안의학회지
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    • 제5권2호
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    • pp.80-88
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    • 2009
  • Disorder of Extreme Stress, Not Otherwise Specified (DESNOS) is the proposed diagnosis that meets the severe, complex, and prolonged psychological sequela of victims with chronic traumatization (e.g., family violence, incest, and childhood sexual or physical abuse). The hallmarks of DESNOS are a multiplicity of symptoms (e.g., somatization, dissociation, and depression), pathological changes in relationships, identity disturbances, and a propensity to experience repeated harm and injury at the hands of oneself and others. DESNOS can be directly assessed by Structured Interview of Disorder of Extreme Stress (SIDES) and Self- Report Inventory of Disorder of Extreme Stress (SIDES-SR). The treatment of DESNOS should be phaseoriented and involve movement back and forth among three basic stages : 1) stabilization ; 2) trauma processing ; 3) reintegration.

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국악(판소리) 발성법 (The Vocalization for Korean Traditional Song "Pansori")

  • 홍기환
    • 대한후두음성언어의학회지
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    • 제22권2호
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    • pp.111-114
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    • 2011
  • All singers can often develop voice trouble secondary to vocal abuse and overuse, but it is well known that traditional Korean singer (pansori) develop voice disorders more frequently than western style sunger. While laryngological concern for voice disorders arising in professional singers has received some attention, empirically motivated investigations of the underlying acoustic features of the singing voice have been relatively limited. Since all singers have a good knowledge of the voice and voice training, they would hardly give consent for treatment to a doctor unless he understood their desire to maximize their voice quality. The components of this report are composed of breathing, basic ekement, and vocalization, essencial fact, for getting a perfect voice for pansori. The breathing is based on hypogastric breathing. The main functions of breathing are energy and power of utterence, tempo of rhythm and seperating paragraph and controlling feelings according to dramatic situation. Vocalization is based on general vocalization. Main uses of it are maintaining singer's tone and harmony of cosmetic dual force.

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은진(隱疹)의 침구치료(鍼灸治療)에 대한 문헌적(文獻的) 고찰(考察) (A Study of Literature on Acupuncture Treatments for the Skin Disease(Eunjin))

  • 장윤성;황배연;이상룡
    • Korean Journal of Acupuncture
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    • 제19권1호
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    • pp.145-151
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    • 2002
  • Medical concept of the skin disease is a symptom like itchs. It outbreakes by immunologic and nonimmunologic mechanisms. The most common case is hypersensitive reaction intermediated by IgE. Other case of immunologic mechanism includes activation of the complement system. Autoimmune antibodies for histamine-secreting mast cell IgE receptors are found in some patients suffer from chronic skin paroxysm. Most common causes of acute skin paroxysm are foods, viruses, parasite infections and drugs. Causes of chronic skin paroxysm are undiscovered. Air pollution, simplification of eating habits, habitual eating of convenience food; drug abuse in present days made skin disease more common. Now many methods of acupunctural treatments are being used clinically. So this report presents some views about acupunctural treatments for the Skin disease.

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가정폭력 가해자를 위한 집단프로그램 개입에 관한 연구 (A Study on the Group Intervention for Family Violent Offenders)

  • 권진숙;전석균
    • 한국사회복지학
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    • 제44권
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    • pp.36-63
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    • 2001
  • The purposes of this study are to experiment a modified domestic conflict containment program (DCCP) which was initially development for developed by Dr, Neidig on 10 Korean offenders, and to provide practical basement for development of Korean offenders' group. This modified group program is based on cognitive-behavioral and communication theories. The group was leaded by 2 therapists, one female and one male, and continued 12 consecutive weeks, each week for 2 1/2 hours. The evaluation on the program is based on 4 different data: 1) intake form for spouse abuse, 2) group leader's summary on each session based on video taping and an analysis after each session with two probation officers in charge for the offenders, 3) clinical measurement for self esteem (ISE), 4) daily self report on each session and the final evaluation form by the group members. The result was shown consisently that this program achieved the purpose of this study across the all 4 data. Therefore, we suggest our experimental study will be able to provide a practical basement for future development of group treatment model for Korean offenders.

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