• 생물정신의학
• /
• 제21권2호
• /
• pp.37-48
• /
• 2014

Besides from medical data, the patients who were previously called as attention disorder, mental instability, moral imbeciles, or moral defectives, can also be identified by exploring literatures and historical figures. In the past, as we can notice from the titles, they were recognized as a 'moral defect group'. And rather than treating them, separation from the society was the main solution. After the endemic encephalitis from 1917 to late 1920s, however, many survivors suffered from behavioral problems similar to those of the previous 'moral defect group' and studies on the relationship between brain damage and behavior problems were started henceforth. After being known as the 'minimal brain dysfunction', it was developed into the current attention-deficit/hyperactivity disorder. While the disease concept changed and developed over time, after numerous trials and errors, treatment medication starting from central nervous system stimulants such as amphetamine and methylphenidate is used for treatment in children and adult patients with ADHD, and most recently non-stimulants such as atomoxetine has become the one of the first line treatment options. Although we went through a thorough verification process of the safety and efficacy of the medication by contemplating the historical development process, we believe that adjustment is needed for remaining concerns on medication abuse and slight differences in disease paradigm and therapeutic philosophy depending on cultures.

• Journal of Trauma and Injury
• /
• 제22권2호
• /
• pp.128-133
• /
• 2009

Purpose: Bicycle riding is a healthy and cheap form of transportation and a popular form of recreation. This study aims to evaluate the epidemiology and the factors affecting the severity of bicycle-related injuries and to find effective methods for preventing injuries. Methods: This is a retrospective study of the patients'characteristics, the injury severity, the injury location, the effect of safety equipment on the bicycle injury based on information collected through the NEDIS (National Emergency Department Information System) from 1,284,429 patients who visited 55 emergency rooms nationwide. Results: During the research period throughout 55 emergency rooms 5,671 patients were seen because of bicycle injuries. The male-to-female ratio was 3.1:1, the median age 28 years old, and 42.6% of the patients were younger than 20 years old. Injury sites were mostly in the extremities(46.7%), the head(32.4%), and the face(14%), and 70.3% of severely injured patients had accompanying head trauma. Males aged 65 and older was possibly associated with severe head trauma. Of the patients who provided helmet information 4.8%(71patients) used helmets, and 95.2%(1392 patients) did not. In this group of patients providing helmet information, none of those wearing helmets died, but 0.4% of those not wearing helmets died. Conclusion: In this study, most bicycle injuries occurred in young adult men. From now, there seems to be a need for more effort on publicity activities on bicycle injuries and on the education of children and teenagers, who show a high incidence rate, and of senior citizens (over 65 years old) who show a high severity rate, about using a safety helmet to reduce the severity of injury.

• 한국의류산업학회지
• /
• 제19권1호
• /
• pp.11-18
• /
• 2017

The purpose of this study is to investigate the trends of Hanbok pattern research published in journals and theses. We collected 70 articles related to the Hanbok pattern. The articles were divided into 7 chronicles based on publishing year, and analyzed by journal, publishing year, research theme, wearing subject and research pattern. Researches can be categorized into journals, university research paper, and master's theses. After 1981, studies on the pattern of Hanbok have been continuing. Most researches were focused on traditional Hanbok, especially about Jeogori. Research on modernized Hanbok started from Vchronicle(2001~2005), but it has not progressed anymore. According to the analysis on wearing subject, the number of research for female Hanbok was almost three times that of the male. Most researches were performed on adult Hanbok, and subjects were expanded to children, adolescents and middle-aged. The body shape of the wearer did not mentioned on many articles. Pattern researches started from excavated costume, but most researches were about commercial patterns. These researches on the pattern on Hanbok have shown an increasing tendency as the years passed, but researches on modernized Hanbok, including Hanbok pattern development for modern life style should be conducted more actively. In an aging society, as the number of middle-aged consumers increases, pattern research on middle-aged or older people and their various body shapes should be necessary.

• Journal of Chest Surgery
• /
• 제13권1호
• /
• pp.26-33
• /
• 1980

The incidence of the empyema thoracis has been drastically reduced with the advent of antimicrobial drugs. Empyema thoracis is however still dealt with one of major problems in thoracic surgery because of difficulties in the management of associated bronchopleural fistula. During the period of January 1975 to June 1979, 145 patients of empyema thoracis were treated in the Department of Thoracic Surgery, Busan National University Hospital. This reports dealed especially with the incidence, etiology and management of chronic empyema thoracis with B.P.F. and estimated the results of intercostal myoplasty. The results: 1 ] Among 145 empyema thoracis patients, 33 patients [22.7%] had bronchopleural fistula. 2] Male predominated in general with the ratio of 4:1 and in empyema thoracis with B.P.F. male predominance was further more prominent with the ratio of 10:1. Peak incidence of chronic empyema thoracis lay on 3rd and 4th decade. 3] The most common causation of empyema thoracis was pneumonia [77.3%] in children and tuberculosis [48.8%] in adult. 4] The most common causative organism of empyema thoracis was staphylococcus aureus [52.5%]. 5] Among 40 cases of resection for pulmonary tuberculosis, 4 cases developed empyema thoracis with B.P.F. [10%], and resection for another underlying pathology was 2.1%. 6] In contrast to good prognosis of acute empyema thoracis, chronic empyema thoracis with B.P.F. was improved only 66.6% of cases. 81.5% of chronic empyema without B.P.F. were cured completely. 7] Intercostal myoplasty were performed in 21 cases of empyema thoracis with B.P.F. and of which 15 cases showed that fistula were closed. 8] The over all mortality rate in empyema thoracis was 8.7%. The mortality rate of chronic empyema thoracis with and without B.P.F. was 15.2% and 5.3% respectively.

• 한국주거학회논문집
• /
• 제20권2호
• /
• pp.77-86
• /
• 2009

The purpose of this study was to examine the household characteristics, the actual residential environment of the elderly living with their offsprings together in Gwangju. We also evaluated their satisfaction with the needs for remodeling of their houses and the different opinions about those things between the elderly and their off springs. We used comparative and descriptive T-test in statistical analysis. The results were as follows. There were more families living in the detached houses than those living in the apartments. The average size of the houses was 100.8 square meters. The mean residence period was 13.5 years. The sons were usually the legal householders. The residents who experienced remodeling before reassigned the furniture and installed the bathtub, which was designed to be sat on comfortably in a common. A few residents installed safety system such as alarms for incident fire or gas, convenient knobs for handling and faucets for running hot or cold water separately. After the installation of alarms, convenient knobs of windows or door, Customer satisfaction for those things were quite high. But that for the installation of safety bar were the lowest in contrast. The most things the old wanted to change were to rearrange bedrooms and bathrooms on the first floor and to decorate them in westernized styles. They didn't need to set up safety bars or shower instrument for modulating heights. The second generation wanted to install the blinds or curtains more than the third generations.

• 한국사회복지학
• /
• 제64권4호
• /
• pp.163-188
• /
• 2012

본 연구는 한국노동패널 자료를 활용하여 외환위기 이후 십여 년간 노인 소득불평등 추이의 영향요인을 분석하였다. 분석 결과는 다음과 같다. 첫째, 노인 소득불평등은 1999~2002년에 증가하고 2002~2008년에 감소하였다. 둘째, 성인 자녀와의 동거 감소, 독거노인 증가, 노인이 스스로 생계를 책임지는 노인가구주 가구 증가 등의 가구구성 변화가 불평등 증가에 기여하였고, 2002~2008년에는 사적이전의 불평등 기여도가 증가하였다. 셋째, 노인 교육수준의 향상과 근로활동의 변화가 불평등 증가에 기여하였다. 넷째, 근로소득의 비중이 감소하고 있고, 2002~2008년에는 근로소득의 불평등 기여도가 크게 감소하였다. 다섯째, 사회보험소득의 불평등 기여도는 1999~2002년에 증가하고 2002~2008년에 감소하였다.

• 대한치과마취과학회지
• /
• 제4권2호
• /
• pp.90-95
• /
• 2004

Background: Sevoflurane, a rotatively new inhalational anesthetic. has non-pungent odor and is less reluctant to pediatric patients. The purpose of this study is to examine the feasibility of sevoflurane in inhalational sedation instead of the nitrous oxide for short and simple dental treatments in pediatric patients. Patients and Methods: Fifteen healthy children, whose dental treatment was abandoned due to their little or no cooperation, were selected with their caregivers' written permission. Deep sedation was induced and maintained with oxygen and 1-5% sevoflufane via specially designed nasal mask. Blood pressure, heart rate, oxygen saturation, and electrocardiogram were monitored at 3-nin interval. A dental anesthesiologist, who was independent of dental treatments, was wholly responsible for the sedation procedure. Post-sedation complications and operator's and caregiver's acceptability of this type of inhalational sedation were also investigated. Results: The systolic and diastolic blood pressure, heart rate, and oxygen saturation was significantly depressed during the deep sedation using sevoflurane (P < 0.05). No severe post-sedation complications were found, however, bradycardia was reported in 3 patients. Almost all the operators and caregivers answered that they would adapt this sedation procedure again if possible. Conclusion: In this study, inhalational deep sedation using sevoflurane for dental treatments was found to be very useful. Furthermore, the application of sevoflurane to conscious sedation for pediatric and adult dental patients should be added.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제31권3호
• /
• pp.146-153
• /
• 2020

Objectives: This study aimed to evaluate the reliability and validity of the Korean Form of the Premonitory Urge for Tics Scale (K-PUTS). Methods: Thirty-eight patients with Tourette's disorder who visited Jeonbuk National University Hospital were assessed with the K-PUTS. Together with the PUTS, the Yale Global Tic Severity Scale (YGTSS), the Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS), the attention-deficit/hyperactivity disorder (ADHD) rating scale (ARS), and the Adult ADHD Self-Report Scale (ASRS) were implemented to evaluate concurrent and discriminant validity. Results: The internal consistency of items on the PUTS was high, with a Cronbach's α of 0.79. The test-retest reliability of the PUTS, which was administered at 2 weeks to 2 months intervals, showed high reliability with a Pearson correlation coefficient of 0.60. There was a significant positive correlation between the overall PUTS score and the YGTSS score, showing concurrent validity. There was no correlation between the PUTS, CY-BOCS, and ASRS scores, demonstrating the discriminant validity of the PUTS. Factor analysis for construct validity revealed three factors: "presumed functional relationship between the tic and the urge to tic," "the quality of the premonitory urge," and "just right phenomena." Conclusion: The results of this study indicate that the K-PUTS is a reliable and valid scale for rating premonitory urge of tics.

• Journal of the Korean Data and Information Science Society
• /
• 제27권5호
• /
• pp.1327-1336
• /
• 2016

우리나라에서 발생하는 아동학대의 대부분은 가정 내에서 부모에 의해 발생하며 해가 갈수록 증가하는 추세이다. 성장기에 있는 아동을 대상으로 한 학대는 아동의 발달전반에 피해를 주며, 그 영향이 장기화되어 청소년기 부적응, 성인기 범죄로까지 이어지기 쉬우므로, 사회의 각별한 주의가 요구된다. 급변하는 사회 환경 속에서 맞벌이, 한 부모 가족 등 다양한 가족형태가 등장했으며, 취약한 경제구조속에서 가장들의 고용형태의 불안정은 가족들을 더욱 불안하게 만들고 있다. 이러한 환경 속에서 힘이 없는 아동은 무방비 상태로 부모로부터 신체적, 정신적 학대를 경험할 위험에 놓인다. 어려운 사회 경제적 환경 속에서 어떤 형태의 가정에서 아동학대가 많이 발생하는지에 대하여 회귀모형을 통하여 연구하였다.

• 대한가정학회지
• /
• 제38권10호
• /
• pp.157-180
• /
• 2000

This study focused on the disintegration and reconstruction of the family/kinship structure among the rural families of Korea. For this study, detailed data about the value related to the family/kinship, the family relationship, The attitude of divorce and remarriage, the social network, and the family/kin rites are gathered A total 593 subjects completed structured questionnaires. Major conclusion of the study are as follows : First, most of the rural respondents are found to support familism and boy preference slightly, and not to agree the reward of child value. So, their attitudes toward traditional values are changing slowly than urban residents. Second, the rural respondents shared the common perceptions that spousal and parent-child relationships has been changed toward the direction that the positions of wives and children are respected and the their influences are increased in the past 10 years. In addition, generational differences in the perceptions of relationship change and appropriate roles of wives and husbands are discovered. However, sex differences previously revealed in Seoul study were not found in the case of rural respondents. Third, generally, there are both remaining and changing aspects of conservative attitude toward divorce and remarriage, the level of change is different according to age and sex. And the difference by age is stronger than by sex. Fourth, the social networks of the respondents is characterized by two distinct trends, namely, strong parent-adult child ties and the close relationships between neighbors. fifthly, in the family/kin rites, traditional aspects coexist with changing aspects under the influence of industrialization and westernization. But the aspects of attitudes toward rites, it is showed the non-traditional tendency. Respondents who support westernization and socialization of family rites are young, highly eamed, and Christian.