• 동의신경정신과학회지
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• 제18권3호
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• pp.193-207
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• 2007

Panic disorder is one of the anxiety disorder, characterized by panic attacks which are discrete episodes of fear accompanied by somatic symptoms such as shortness of breath, palpitations, chest pain, choking, dizziness, trembling and/or faintness. We experienced a 41 year-old male who complained of sudden enervation, unstable blood pressure and anxiety about self's symptoms. We bad given herbal medicines aoh cognitive & behavioral therapy. Results from studies to date suggest the cognitive behavioral therapy(CBTl are useful for depression, anxiety disorder, phobia. He understood his symptom's meaning and tried to overcome fear related to symptoms through exposure training. We concluded that cognitive behavioral therapy can be very effective methods to treat panic disorder, because patient with panic disorder has maladaptive automatic thoughts, based on dysfunctional beliefs like "I'm too weak, I have some problem."

• 정신신체의학
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• 제5권2호
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• pp.214-217
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• 1997

Electroconvulsive therapy(ECT) is one of the most effective treatment modalities for the treatment of depression, mania, schizophrenia, or other neuropsychiatric disorders. But, reportedly ECT also can produce various forms of cardiac arrhythmia. We experienced a case of ECT-induced arrhythmia(PVC) accompanied with chest pain in a schizophrenic patient during the course of plain ECT. We conclude that there is a possible causal relationship between ECT and cardiac arrhythmia(PVC). The mechanisms of cardiac arrhythmia(PVC) due to ECT may be explained by the effects of ECT to vagal and sympathetic nervous systems. from this case report, We suggest that careful cardiac monitoring before, during, and after ECT with appropriate anesthetic preparation to a patient may enable to minimize the cardiovascular side effects of ECT in the patients with neuropsychiatric disorders.

• 지역사회간호학회지
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• 제12권2호
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• pp.468-481
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• 2001

The purpose of this study was to collect basic data to develop school health policy and health promotion program. This survey measured the levels of risk behaviors in six categories in a middle school students in Kyungju(n=490). The data was collected from November to December 2000. It was done using a 1999 version of the Youth Risk Behavior Survey of CDC, which was translated and make a partial modification. The major results were as follows. Many middle school students engaged in behaviors that will increase the likelihood of death or illness. 1) A high percentage of middle school students engaged in behaviors that contribute to unintentional injuries and school-related violence (42.1 -78%) 2) Students who perceived their school life are happy experienced more depression(p=.000) and Students who perceived their school and family life are so-and-so seriously considered attempting suicide(p = .000) than other subgroup. 3) In spite of they were normal weight, 14.5% of students considered themselves overweight. 4) There was significantly difference or correlation between health risk behaviors and grade, parents educational level perception of school life and performance, perception of family life and religion. Based on this results of study, it is necessary to develop school health program and school health policy to prevent health risk behaviors and improve health promotion especially considering characteristics of middle school students.

• 여성건강간호학회지
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• 제6권2호
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• pp.316-329
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• 2000

The purpose of this study is to identify various predictors of smoking behavior among female adolescents. Data for this study was collected from 357 students enrolled in a female high school, a coeducational high school, and a vocational high school in Seoul from 1st to 20th July 1999 and this data was analysed based on descriptive statistics and logistic regression with the SAS program. The results were as follows: 1. The proportion of current smokers was 17.9% and experienced smokers was 34.2% in girl high schools. 2. According to the factors family, school, peer, social learning, and psychological factors, the predictable variables are lack of family attachment and function in family factors, school involvement in school factors, associating with smokers among peers and modeling and differential reinforcement of smoking in social learning factors, self-assertiveness, self-esteem, and depression in psychological factors. 3. According to all the factors, the main predictors were peer association, differential reinforcement of smoking, and lack of family attachment. These variables cause 48.4% of smoking behavior. To prohibit smoking among female students, this society should develop a program to focus on peer leadership about quitting smoking, acquirement of skills of refusal for smoking, counter conditioning, reinforcement management, and support system about nonsmoking.

• 한국환경과학회지
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• 제25권9호
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• pp.1223-1231
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• 2016

To create urban landscapes that take human emotion into consideration, the present study verified the psychological effects of artificial waterscape facilities on users, as these facilities significantly impact their psychological comfort. Data was collected using the SD scales and POMS of 60 male and 60 female participants after they watched a video of four waterscape facilities. Participants deemed the video clip of a fountain waterscape to be artificial and linked it with changeable images that increased their vigor. The video clip of waterfall stimulated various impressions (e.g., vital, liked, active, etc.) and changed participant' mood states by increasing their vigor and decreasing fatigue. The video clip of the pond yielded familiar impressions, produced less free images, and decreased tension among participants. Finally, the video clip of the stream stimulated quiet and comfortable images as well as reduced negative feelings of anger, confusion, and depression among participants. Furthermore, males experienced more positive effects than females, regardless of the type of waterscape facility. The study findings indicate that the four different waterscape facilities influenced participants' mood states. Additionally, the psychological effects differed by gender. The data suggest that landscape planners need to carefully consider their choice of waterscape facility when designing green spaces to ensure that the space is psychologically comforting to users.

• 보건교육건강증진학회지
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• 제24권1호
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• pp.75-91
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• 2007

Objectives: It is known that the majority of middle schoolers spend the substantial amount of time using the Internet. Despite the fact, little is known about which factors are related to an increase in Internet use and what could be the consequences of excessive Internet use. The aim of this study was to explore factors affecting an increase in Internet use among elementary schoolers representing the population of South Korean elementary schoolers. Method: Secondary data obtained from the Korea Youth Panel Survey were analyzed longitudinally. Results: The average minutes spent using the Internet was 73.43 in the first wave, and was 92.17 in the second wave. Also, the percentage of those who experienced illegal behaviors on the Internet was 22.86% in the first wave, and was 30.92% in the second wave. Second, increased Internet use was strongly associated with an attack tendency, depression, suicidal ideation, stress, and delinquent behaviors. Finally, gender(being female), and increased attacking tendency, and smoking experiences successfully predicted an increase in Internet use one year later. Conclusions: It is necessary to provide education programs to young people and to develop preventive strategies for them. Through providing education programs, children can form desirable attitudes regarding the Internet use. Through providing intervention strategies, children can prevent from experiencing negative consequences due to excessive Internet use.

• Journal of Oral Medicine and Pain
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• 제24권2호
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• pp.107-115
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• 1999

The author studied the prevalence and sites of orofacial pain during the latest 6 months, and psychologic symptoms under the emotional stress through SCL-90-R in thirty-five dental students(nineteen men and sixteen women) of school of Dentistry, Chonbuk National University. 26 students(74.3%), 12 men and 14 women, experienced the orofacial pain; headache, toothache, facial & buccal pain, TMJ pain and intraoral pain were occurred in 51.4%, 37.1%, 25.7%, 17.1% and 17.1% respectively. In psychological scores in before-, during- and after examination, there was no significant difference between men and women. On the other hand, when these scores were compared each other in one group with orofacial pain experience and the other group without pain experience, the former showed significantly higher values in somatization, depression, hostility, and paranoid ideation dimension before examination, interpersonal sensitivity and anxiety dimension during examination, and somatization dimension after examination than those of the later group(P<0.05). The changes of psychologic symptoms in before-, during-, and after examination were observed in one group with pain experience and the other group without pain experience, respectively; in the former group the significantly higher values of anxiety dimension in during examination than after examination, and the significantly higher values of interpersonal sensitivity dimension in before examination than after examination(P<0.05) were evaluated.

• The Korean Journal of Pain
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• 제9권1호
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• pp.69-74
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• 1996

Background: Efficacy of spinal opioids for the treatment of intractable cancer pain has been reported by several authors. The epidural route seems to be a more reliable and effective method of pain control as compared to the intrathecal route which can lead to opioids by portal system. Methods: Medical records were reviewed of 18 patients who had been treated with epidural morphine via an implanted port-A-Cath from Mar. 1991 to Sep. 1994. Results: Patients were treated for a mean of 92 days. There were wide variation of dose requirements. The minimum daily dose ranged from 2 to 10mg, and maximum daily dose from 3 to 30 mg. Verbal rating scale were below moderate until 100th days after posrtal implantation. When 3 patients suffered from aggravated pain associated with vertebral metastasis. Five of 11 patients who were administered medication longer than 50 days reguired increased doses ranging from 3 mg to 25 mg which were higher as compared to initial doses. These patients also experienced pain due to vertebral metastasis. There were no report of epidural scarring, respiratory depression, epidural infections, meningitis, or catheter blockade. Conclusion: Continuous epidural morphine administration via Port-A-Cath is an effective method with minimal complication.

• Journal of Chest Surgery
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• 제25권8호
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• pp.837-843
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• 1992

The most common deformity of the sternum is the depression deformity, variously calid pectus Excavatum, funnel chest, schwusterbrust, trichterburst, thorax en entonnoir. During the period 1983 to 1991 a total of 15 cases of funnel chest were treated surgically at Department of Thoracic Surgery, Hanyang University Hospital. The age at the time of operation ranged from 4 to 26 years 73.3 percent of the patients were under 12 years of age They all had symptoms of feeling Inferiority about chest deformity. The concavity on the funnel chest varied in its Extent, and the severity, which was measured by water volume filled into it, varied from 45ml to 100ml. We have Experienced 15 cases of pectus Exc-avatum with several operative method, i.e., Ravitch operation in 2 cases, Taguchi operation in 3 cases[using by Both IMA], Adkins operation in 5 cases, Modified wada operation [sternal costal cartilage Elevation Technique] in 5 cases. After surgery, follow up vertebral Index showed 44%, preoperatively and 29% postoperatively, average decrement of 15%. We Reported 15 cases of funnel chest and the surgical results of thease cases were satisfactory Except one case of Ravitch operation.

• 가정∙방문간호학회지
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• 제23권1호
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• pp.34-44
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• 2016

Purpose: This study investigated the factors associated with suicidal ideation in the Korean Echo Generation using 2012 Korea Health Panel Data. Methods: The 2012 Korea Health Panel Data were collected from February 2012 to July 2012 and included 2,303 people who responded to a question asking whether they had experienced suicidal ideation. The data were analyzed by chi-square and multiple logistic regression test using SPSS 22.0. Results: The rate of suicidal ideation was 4.2% in the Echo Generation. Factors associated with suicidal ideation in the Echo Generation revealed that the following variables increased the rate of suicidal ideation: sex(odd ratio: 2.39, CI: 1.39-4.09), education(odd ratio: 1.95, CI: 1.08-3.52), depression(odd ratio: 12.06, CI: 6.92-21.03), frustrating experience(odd ratio: 2.52, CI: 1.22-5.20), anxiety about the future(odd ratio: 14.58, CI: 3.20-66.41), self-rated health status(odd ratio: 2.39, CI: 1.39-4.09 and odd ratio: 6.41, CI 2.87-14.33). Conclusion: This study provides a preliminary examination of the factors associated with suicidal ideation in the Echo Generation. A more careful examination may be warranted.