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The Posttraumatic Stress Research Trends of Korean and Foreign Firefighters (국내외 소방대원의 외상 후 스트레스 연구경향)

  • Baek, Mi-Lye
    • The Korean Journal of Emergency Medical Services
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    • v.13 no.2
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    • pp.61-72
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    • 2009
  • Purpose : This study aimed to analyze the posttraumatic stress research trends in Korean and foreign firefighters. Method : Total 63 published international articles were searched by Pub Med internet site and total 17 published Korean articles were searched by Korean Medical Database internet site using 'PTSD in firefighters'. These articles were analyzed by published time, domains of journal, research designs, key words and research subjects. Result : 1) By the published time, there were 29 disaster-related researches(46.0%) and 34 job-related researches(54.0%) among 63 international articles. However, there were 16 disaster-related researches(94.1%) and 1 job-related research (5.9%) of Korean 17 articles. 2) By the international research domain, 9 researches(14.3%) were published in The Journal of Nervous and Mental Disease. Among domestic research domain, there were 9 researches(52.9%) consisting of 6 master's degrees and 3 doctor degrees. In major analysis of Korean domain, the highest portion is 4 psychology researches. (23.5%) 3) In the term of the international research design, quantitative research methods were highly used in both 23 disaster-related researches (36.5%) and 30 job-related researches(47.5%). In domestic research, quantitative research methods were mostly used in 14 job-related researches(82.3%) and Q methodology was only used in 1 disaster-related research(5.9%). 4) Looking on the research content trends according to the key words, 9 researches (31.0%) done on posttraumatic stress and coping had the most research and was followed up by posttraumatic stress symptom. Among these researches, key words for PTSD(Posttraumatic Stress Disorder) and PTS(Posttraumatic Stress) were mostly used. Moreover, there was 1 domestic study done on verifying the trends of Posttraumatic Stress in disaster-related research with PTS as the key word. In job-related research, the relationship between the Posttraumatic Stress and other factors had the most with ten studies (62.5%). Among these researches, key words for 5 PTSD(31.3%) were mostly used. 5) According to the international research subjects, the Posttrau consist the most subjects with 16 cases each for disaster and job related stress ; however, domestic research had 16 studies(94.1%) only using firefighters and 1 (5.9%) with their families as subjects. Conclusion : Although the studies of Posttraumatic Stress on Korean firefighters had started later than those on Foreign firefighters, first used for crucial topics show research development in various fields of study and should be tested for studies like those done in abroad regarding multiple topics and methods.

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Results of Public Awareness Survey of Panic Disorder at the 2014 Mental Health Exposition in Seoul (2014년 정신건강박람회 공황장애 인식도 조사)

  • Rho, Seung Sun;Huh, Hyu Jung;Chae, Jeong Ho;Kim, Daeho;Lee, Dong-Woo;Seo, Ho Jun
    • Anxiety and mood
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    • v.10 no.2
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    • pp.176-181
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    • 2014
  • Objective : Despite high prevalence and effective treatments of panic disorder, lots of patients are not properly treated due to lack of awareness of the disorder. This study summarizes and presents the results from Public Awareness Survey of Panic Disorder during the Mental Health Exposition held in Seoul in April, 2014. Methods : A total of 401 participants who visited the booth of the Korean Academy of Anxiety Disorder agreed and completed the survey. The questionnaires comprised of three sections; first, after given a case of patient with panic disorder, participants were asked to choose a diagnosis and treatment options. Second, participants were asked to differentiate the symptoms of panic disorder from those of other mental disorders and answer where they acquired the knowledge of the disorder. Third, visual analogue scales were used to get more detailed information for several issues about panic disorder. The incidence and ratio for each question were provided and compared. Results : Among the participants, 78% reported a patient within the case need treatment, and 30% accurately recognized it was panic disorder. As for treatment needed, 40% selected psychotherapy by psychiatrists, 28% chose counseling by psychologist, 23% said that they can overcome it by self-care. Only 2% of participants selected the pharmacotherapy as treatment needed. Approximately 40% of participants have encountered information about the disorder from gossips of celebrities, 32% from mass-media, and merely 6% from medical professionals. About 80% of participants could discriminate the symptom of panic disorder from those of depression, schizophrenia, or generalized anxiety disorder. Conclusion : Our results suggest that substantial proportions of participants have the awareness of panic disorder, while as for treatment they were strongly biased against pharmacologic treatments. Most of their source of the awareness was not relied upon professional information. Efforts for giving correct information and increasing public awareness of panic disorder are needed to bridge a gap between professionals and general public.

Physical symptoms generated by internet game addiction and relationship between physical symptom and game addiction grade. (인터넷 게임 중독으로 발생하는 신체증상과 중독성 사이의 상관성 연구)

  • Cho, Sung-Min;Yoon, Kyung-Hee;Koh, Duck-Jae;You, Han-Jung;Lee, Jin-Yong;Kim, Deog-Gon
    • The Journal of Pediatrics of Korean Medicine
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    • v.20 no.3
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    • pp.143-160
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    • 2006
  • Objectives : As the side effect brought up by internet game addiction, many reports come out, but most of past articles are for middle or high school students. There is seldom a poisoning game treatise to a primary school student, if there is treatise, it is real condition that treatise for lead pipe with psychological reasons is seldom discussion about physical symptoms. This research searches high grade elementary students' game use actual conditions and when divide to general user group, latent danger use group, high dangerous use group, according to serious illness degree of game poisoning, three groups and game poisoning happens, recognized about body symptoms that happen much. Methods : Target population of these questionnaire are fifth and sixth grade elementary student of Seoul city 2 school. Chose 263 elementary students, 144 men, 119 women who understand purpose of research and admit participation is 25 October, 2006 since 1 September, 2006 Results : As poisoning serious illness degree is high, there are many number of game times, much more boys are addicted to internet game than girs, insomnia is apt to happen frequently in game poisoning danger group, and correlation is high by megrim, shoulder ache, digestive trouble. Insomnia, symptoms that show next even if some symptoms show first because there is high correlation between megrim, shoulder ache, digestive trouble is high possibility to happen among four symptoms. Insomnia, megrim, shoulder ache, digestive trouble that happen by internet game poisoning, is apt to increase by increasing addiction. Symptoms treatment can divide by internal treatment that treat insomnia, megrim, digestive trouble, external treatment that is typical symptoms of VDT syndrome shoulder ache, headache, fatigue persimmon. Root treatment is mind symptoms treatment. Game addiction treatment is relationship method 'seven emotions injury treatment' in oriental medicine. 'promote the normal flow of qi' and 'adjustment of suitable emotion' can talk as pivotal point of treatment.

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Analysis of the factors influencing headache and backache following lumbar puncture (요추 천자 후 발생하는 두통 및 요통에 영향을 주는 요인의 분석)

  • Lee, Sang Taek;Chung, Sochung;Park, Yong Mean;Bae, Sun Hwan;Yu, Jeong Jin;Lee, Ran
    • Clinical and Experimental Pediatrics
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    • v.51 no.8
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    • pp.856-860
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    • 2008
  • Purpose : This study aimed to examine the factors influencing the appearance of headache and backache following diagnostic lumbar puncture in children, focusing on the need for strict bed rest after lumbar puncture. Methods : We studied 70 two-fifteen-year-old pediatric patients who underwent diagnostic lumbar puncture from July 2005 to July 2007 at Konkuk University Hospital. We divided them into two groups. Patients in the first group (n=24) were allowed free mobility and patients in the second group (n=46) were to have strict bed rest for four hours after puncture. Data were analyzed by age, sex, number of puncture attempts, cell counts and pressure in the cerebrospinal fluid (CSF), duration of bed rest, and occurrence of headache and backache. Results : The rate of complications was not significantly related to sex, age, presence of enterovirus, CSF pressure, or postural headache. The occurrence of headache was significantly correlated with white blood cell (WBC) count in CSF (P=0.043). Symptom frequency did not differ significantly between the groups. Backache was significantly related to the frequency of puncture attempts (P=0.046). Conclusion : Strict bed rest following diagnostic lumbar puncture in children does not influence headaches and backaches. These are respectively related to the WBC count on the CSF profile and the frequency of attempts. Therefore, after lumbar puncture, absolute bed rest is not necessary and patients are more comfortable with free mobility.

The Longitudinal effect of parental depressive symptoms on language development, problem behavior, and school adjustment in the first grade child (부모의 우울이 초등학교 자녀의 언어발달, 문제행동 및 학교적응에 미치는 종단적 영향)

  • Kwon, Taeyeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.1
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    • pp.338-348
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    • 2020
  • This study examined the longitudinal relationship between paternal depressive symptoms and maternal depressive symptoms simultaneously. This study also identified the interplay of paternal and maternal depressive symptoms for predicting elementary children's language development, their problem behaviors and their school adjustment. Using the data from the Panel Study on Korean Children for the 4th-8th years (2011~2015 year), this study used the Latent Growth Curve Model, which is helpful for examining longitudinal relationship differences among variables. The sample subjects were 1,754 parents and children. The results are as follows. The initial level of paternal depressive symptoms had a positive impact on the rate of change in maternal depressive symptoms. The initial level of maternal depressive symptoms had a negative impact on the rate of change in maternal depressive symptoms. Mothers' depressive symptoms showed not only the mothers' own depression problem. but also the self-effect and counterpart effect of depression on the fathers' depression problem. The rate of change in maternal depressive symptom mediated the relation between the initial level of parental depressive symptoms and children's receptive language, internalizing/externalizing problems, and school adjustment. Therefore, depression prevention and intervention programs for both fathers and mothers are needed for the healthy development and school adaptation of school-age children.

A Study on two cases of Insanity in "WooJam JabJeo(愚岑雜著)" ("우잠잡저(愚岑雜著)" 소재(所在) 광증(狂證) 이안(二案)에 관(關)한 연구(硏究))

  • Park, Sang-Young;Kwon, Oh-Min;Lee, Jung-Hwa;Oh, Jun-Ho
    • Journal of Korean Medical classics
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    • v.24 no.6
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    • pp.101-110
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    • 2011
  • There are not a few cases in Oriental medicine where a different prescription should be given to some of the patients whose symptoms are similar to each other. In other words, there might happen a misdiagnosis due to an extremely delicate difference in symptoms of the same diseases, causing a patient's condition to get worse or to be even on the brink of death. In such a context, the records in "WooJam JabJeo(愚岑雜著)" are worthwhile to do in-depth research on. Jang-Taegyung described his first-hand experience in major medical treatment very vivaciously during his ages between 25 and 42. Particularly, most of the prescriptions recorded in this book include not only his empirical prescriptions on the patients who life was almost on the brink of death but it also so plentifully contained the process of overcoming the side effect caused by other clinics' misdiagnosis; thus, that this book is drawing attention in that it could be indispensable materials not only in the research on medical history but also for clinical treatment. Particularly, as regards two cases of insanity, this book mentions the reason for using totally different prescription on one case from the other case even though the two cases had a similar symptom, through which we can acquire somewhat concrete experience in curing scenes though indirectly during the period of the Joseon Dynasty. We were able to get the result from the analysis of the two cases of insanity as follows: 1. WooJam, in treating the two cases of insanity due to the severe exacerbation of yang energy, managed to treat the one case by inducing a bowel movement and the other case by inducing urination. Such a different treatment seems to be greatly attributable to the constitutional factor of the two patients. Such an Oriental-medicine-based method of diagnosis and prescription as WooJam's is rarely found in Western medicine-i.e., that's why more thorough research on Oriental medicine is deeply required. 2. In case of the second patient, the patient arrived at insanity due to another clinic's treatment on perspiration on the patient with severe mouth thirst. This medical story once again highlights the importance of a diagnosis in today's Oriental medicine and at the same time it's a good example showing how big the side effect caused by the abuse of medicinal herbs is. The second patient's body fluids ran dry and finally his yang energy got exacerbated all the more due to the treatment by perspiration.

Clinical Considerations of Trigeminal Neuralgia (삼차신경통 진단 및 치료의 중요 고려사항)

  • Jeon, Young-Mi;Tae, Il-Ho;Choi, Jong-Hoon;Ahn, Hyung-Joon;Shim, Woo-Hyun;Kwon, Jeong-Seung
    • Journal of Oral Medicine and Pain
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    • v.32 no.4
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    • pp.449-453
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    • 2007
  • Trigeminal neuralgia is defined as "a sudden, usually unilateral, brief stabbing recurrent pain in the distribution of one or more branches of the fifth cranial nerve" by the International Association for the Study of Pain(IASP). Trigeminal neuralgia is classified as an idiopathic trigeminal neuralgia with no apparent cause and a symptomatic trigeminal neuralgia which is caused by a structural lesion such as brain tumor. Over 80% of the tumors are meningioma, acoustic neuroma, and epidermoid tumors. Symptomatic trigeminal neuralgia can not be excluded even if old-aged patient does not have abnormal neurologic sign and symptom, and good response to pharmacotherapy. Therefore, initial examinations such as MRI or CT are essential to exclude symptomatic trigeminal neuralgia. When compared with CT, MRI, especially gadolinium enhanced MRI, has an increased sensitivity in the detection of intracranial lesions. The most effective medical treatment of trigeminal neuralgia is carbamazepine. The most common side effects of carbamazepine include drowsiness, dizziness, unsteadiness, nausea, anorexia. Hepatotoxicity, bone marrow depression are the most feared side effect of carbamazepine therapy but occurs rarely. It require periodic complete blood cell counts as well as hepatic and renal function tests. It has been recommended that complete blood cell counts is done every 2 weeks for the first 2months and then quaterly thereafter. Oxcarbazepine can be used if neutropenia occurs.

A Study ‘On the Morbid Pulse of Abdominal Fullness, Cold Mounting, and Abiding Food' in the Chapter 10 of Synopsis of Golden Chamber (금궤요약(金匱要略).복만한산숙식병맥증병치제십(腹滿寒疝宿食病服證幷治第十)에 대(對)한 연구(硏究))

  • Seo, Dae-Seon;Ahn, Jun-Mo;Cho, Gyeong-Jong;Jeong, Heon-Young
    • Journal of Korean Medical classics
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    • v.19 no.2 s.33
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    • pp.138-162
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    • 2006
  • 'On the Morbid Pulse of Abdominal Fullness, Cold Mounting, and Abiding Food' in the Chapter 10 of Synopsis of Golden Chamber that enunciates Abdominal Fullness, Cold Mounting, and Abiding Food is related to the stomach and intestines respectively, and is similar to the region and symptom of disease in the light of both abdominal fullness and symptoms of pain. This chapter was united into one because the formula mentioned in this chapter can be applied to three disease patterns. Abdominal fullness shows the symptoms of distention and unease, but judging from the text as well as a specific formula and symptoms, it follows pain. Accordingly Abdominal fullness dealt with in this chapter is the first consideration and it is a kind of a disease pattern attendant on abdominal pain. Cold Mounting does not mean mounting gi disease but means the abdominal pain. The cause of cold mounting is mainly due to insufficiency of yang gi and oversufficiency of cold evil. And the main symptoms of cold mounting follow the severe pain around the naval and sweating, cold of the extremities, pulse deep and tight. Abiding food is of the same meaning such as damage of food today. Abiding food is now referred to as damage of food. Principles which have set forth in this chapter are put to use of the method of ejection in case that abiding food places in the upper part, precipitation in the lower part. The symptoms of abiding food show that the pulse is slight and slippery and the wrist pulse is both superficial and large and rough in applying the pressure, and the cubit pulse is also slight and superficial as well, and that have diarrhea and have little appetite.

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Notes on Powdery mildew of Ailanthus altissima caused by Phyllactinia corylea (Pers.) Karst (Phyllactinia corylea (Pers.) Karst에 의(依)한 가중나무 흰가루병(病))

  • Kim, Ki Chung
    • Journal of Korean Society of Forest Science
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    • v.4 no.1
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    • pp.9-13
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    • 1965
  • Powdery mildew of Ailanthus altissima Sw. was first reported by J.S. Park in Korea, 1961. According to his report, this disease was found on the leaves of this tree species collected in Jeongup, 1957, and in Taejon, 1958. He described morphological characters of this pathogen and described also that the causal fungus may be closely related with Phyllactinia corylea. This disease which appears dusty grayish yellow molds under surface of leaves was collected again by the author in Kwangju, 1962. The present works were undertaken to make clear the species of causal fungus by means of the morphology and pathogenecity. According to the following results, the pathogen was identified as Phyllactinia corylea (Pers.) Karst. Morphological characters of the fungus Mycelia persistent or more or less evanescent; matured conidia solitary, aseptate, short-clavate to clavate to clavate, hyaline or yellowish, granulate, $44.6-89.2{\times}9.3-24.2{\mu}$, average $64.8-17.8{\mu}$ in size; conidiophores elongate clavate or columnar, hyaline, 2-3 septate, $122.8-346.0{\times}3.7-7.4{\mu}$, average $208.8{\times}6.3{\mu}$; per-thecia usually scattered, rarely gregarious, dark brown to black, depressed globose to globose, $223.2-297.6{\mu}$, average $267.8{\mu}$ in diameter; appendages 12-19, usually 15 in number, hyaline, straight, needle-shaped, sharply pointed at the apex and bulbous at the base, aseptate, $93.0-310.0{\times}5.0-8.0{\mu}$, average $173.3{\times}6.4{\mu}$ in size; asci elongate ellipsoidal to broadly clavate, hyaline, more or less stalked, 8-13 in number, $68.5-76.6{\times}26.1-34.2{\mu}$, average $71.4{\times}29.0{\mu}$ in size; ascospores 2-4, usually 2 in number, hyaline or yellowish, aseptate, ellipsoidal or ovate, $27.7-34.2{\times}14.7-17.9{\mu}$, average $25.5{\times}13.9{\mu}$ in size. Pathogenicity of the fungi In order to make clear the species of the fungus and the pathogenic differences of Phyllactinia fungi which are collected around the contaminated area and seemed to be related to Ailanthus powdery mildew, some inoculation experiments were performed. 1. Cross inoculation to several tree species with their pathogen: Tested materials; Phyllactinia in question on Ailanthus altissima Sw. Ph. fraxini (DC.) Homma. On Alnus firma S. et Z. Ph. moricola (P. Henn.) Homma on morus alba L. According to the results of the experiments, the reactions were all negative with the exception of the original hosts of tested fungi. 2. Inoculation to Picrasma ailanthoides Planch. : The appearance of symptom on the leaves of P. ailanthoides is not distinct, but more or less mycelial growth. Therefore, under the optimal condition in glass chamber, it may be possible to success artificially.

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Pink Mold Rot on Unishiu Orange (Citrus unshiu Mac.) Caused by Trichothecium roseum (Pers.) Link ex Gray in Korea (Trichothecium roseum에 의한 감귤 분홍빛열매썩음병 발생)

  • Kwon, Jin-Hyeuk;Kang, Dong-Wan;Choi, Okhee;Shim, Hong-Sik
    • Research in Plant Disease
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    • v.19 no.3
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    • pp.226-228
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    • 2013
  • In 2012, a pink mold rot was observed on unishiu orange (Citrus unshiu Mac.) fruits at the Wholesale Market for Agricultural Products, Jinju, Korea. The symptom on unishiu orange was a water-soaked lesion on the surface of fruit, which later on enlarged to form softened brown rot lesions. The diseased fruits were covered with pink-colored mold, consisting of conidia and conidiophores of the pathogen. Optimum temperature for mycelial growth was $25^{\circ}C$. Conidia were hyaline, smooth, 2-celled, and thick-walled conidia with truncate bases, ellipsoidal to pyriform, characteristically held together zig-zag chains and $12-26{\times}8-12{\mu}m$ in size. Conidiophore was erect, colorless, unbranched, and 4-5 ${\mu}m$ wide. On the basis of mycological characteristics, pathogenicity test, and molecular analysis with complete ITS rDNA region, the causal fungus was identified as Trichothecium roseum (Pers.) Link ex Gray. This is the first report of pink mold rot caused by T. roseum on unishiu orange in Korea.