• Journal of Korean Neurosurgical Society
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• 제42권1호
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• pp.1-5
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• 2007

Objective : We studied whether frontal skull base fracture has an impact on the occurrence and recovery of anosmia and/or ageusia following frontal traumatic brain injury (TBI). Methods : Between May 2003 and April 2005, 102 consecutive patients who had hemorrhage or contusion on the frontal lobe base were conservatively treated. Relevant clinical and radiographic data were collected, and assessment of impaired smell and taste sensation were also surveyed up to at least 12 months post-injury. Results : Among 102 patients, anosmia was noted in 22 (21.6%), of whom 10 had ageusia at a mean 4.4 days after trauma. Bilateral frontal lobe injuries were noted in 20 of 22 patients with anosmia and in all 10 patients with ageusia. Frontal skull base fracture was noted in 41 patients, of whom 9 (21.4%) had anosmia and 4 (9.5%) had ageusia. There was no statistical difference in the occurrence of anosmia and ageusia between patients with or without fracture. Of the 22 patients with anosmia, recovery from anosmia occurred in nine (40.9%) at the interval of 6 to 24 months after trauma, of whom six had frontal skull base fracture and three were not associated with fracture. Recovery of anosmia was significantly higher in patients without fracture than those with fracture (p<0.05). Recovery from ageusia occurred in only two of 10 patients at the interval of 18 to 20 months after trauma and was not eminent in patients without fracture. Conclusion : One should be alert and seek possibile occurrence of the anosmia and/or ageusia following frontal TBI. It is suggested that recovery is quite less likely if such patients have fractures on the frontal base, and these patients should wait for at least 6 to 18 months to anticipate such recovery if there is no injury to the central olfactory structures.

• 한국심리학회지 : 문화 및 사회문제
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• 제24권3호
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• pp.451-472
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• 2018

본 연구의 목적은 외상후 스트레스 증상을 경험하는 대학생들의 부정적 정서(불안 및 우울)와 자기의 암묵적 연합을 알아보는 것이었다. 61명의 참가자들(남 16명, 여 45명)은 한국판 사건 충격척도의 점수에 따라 두 집단, 즉 외상군과 통제군으로 분류되었다. 정서 단어와 얼굴표정 사진을 사용한 암묵연합검사로 측정한 두 집단의 자동적 자기-불안 및 자기-우울이 비교되었다. 결과에 따르면, 명시적 차원의 경우 인지 및 우울 증상에서 집단 간 차이가 유의하지 않았으나, 암묵적 차원의 경우 외상군은 통제군에 비해 단어 조건에서 자기-불안 연합이 더 강화되고 사진 조건에서는 더 강한 자기-불안과 자기-우울 연합을 보여주었다. 이러한 결과는 외상 경험이 자동적, 암묵적 과정의 자기 개념에 영향을 줄 가능성을 시사한다. 본 연구의 한계점과 후속 연구를 위한 제언이 논의되었다.

• 대한불안의학회지
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• 제10권2호
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• pp.103-107
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• 2014

Objective : The objective of this study was to examine the association between childhood adversity and parenting attitude and neuroticism in adulthood. Methods : Forty nine women were recruited from community and completed Early Trauma Inventory-Short Form (ETI-SF). We compared scores on the Maternal Behavior Research Instrument (MBRI), Neuroticism of NEO Personality Inventory (NEO-PI), and Beck Depression Inventory (BDI) between women with and without childhood adversity. Results : Compared to women without childhood adversity, women with childhood adversity showed more rejecting parenting attitude and higher Depression and Self-Consciousness scores on Neuroticism domain of NEO-PI. Total ETI-SF scores and emotional abuse scores were positively correlated with rejecting attitude scores on the MBRI and BDI scores. Physical abuse scores were positively correlated with rejecting attitude scores. There were positive correlations between rejecting attitude scores on the MBRI, Neuroticism scores on the NEO-PI, and BDI scores. Conclusion : Our results suggest that childhood adversity may have a negative impact on parenting attitude and emotional state in adulthood. For girls who experienced traumatic event, early intervention is needed to prevent the development of neurotic temperament and rejecting parenting in adulthood.

• Clinics in Shoulder and Elbow
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• 제12권2호
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• pp.264-270
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• 2009

목적: 주관절은 인체에서 가장 안정적인 관절 중 하나지만, 견관절 다음으로 탈구와 골절이 흔히 발생한다. 이러한 손상은 발생 당시 기전과 환자의 나이 그리고 충격에 따라 다양하게 나타나는데 적절한 치료에도 불구하고 여러 가지 합병증들이 발생 가능하다. 이에 저자들은 외상후 합병증을 고찰하고자 한다. 대상 및 방법: 저자들은 일반적인 주관절 탈구의 합병증인 관절 운동제한, 불안정성, 그리고 관절 주위 이소성 골형성의 원인과 치료 등에 대해 기술하였다. 결과 및 결론: 주관절 주위 골절 이후 발생 가능한 합병증 중 부정유합, 불유합, 외상성 관절염 등에 대한 그 기전과 치료에 대해 기술하고자 한다.

• 한국전문물리치료학회지
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• 제11권4호
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• pp.1-6
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• 2004

The kinematics involved in different landing strategies may be related to the occurrence of trauma. Several sources suggest that the angle of knee extension on touchdown and impact with the ground determines the magnitude of the impact force and, indirectly, knee loading. This study compared the initial knee angle and maximum knee flexion angle at the instant of impact on drop-landings between healthy men and women. In this study, 60 participants (30 males, 30 females) dropped from a height of 43 cm. A digital camera and video motion analysis software were used to analyze the kinematic data. When landing, there was significant difference between the two groups ($15.67{\pm}6.05^{\circ}$ in male, $24.10{\pm}6.34^{\circ}$ in female) in the mean knee flexion angle. The range of knee flexion on landing ($44.06{\pm}10.97^{\circ}$ in male, $36.96{\pm}9.99^{\circ}$ in female) also differed significantly (p<.05). The greater knee flexion that was observed in the male subjects would be expected to decrease their risk of injury. Women land with smaller range of knee flexion than men and this might increase the likelihood of a knee injury.

• Child Health Nursing Research
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• 제25권1호
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• pp.9-16
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• 2019

Purpose: Childhood leukemia is a serious trauma affecting both adolescents and their parents, who experience painful process. However, adolescents with leukemia and their parents also experience positive changes, which is referred to as posttraumatic growth. We examined posttraumatic growth, core beliefs, impact of event, and event-related rumination in adolescents within 5 years of a diagnosis of childhood leukemia and their parents. Methods: The participants were 68 adolescents with childhood leukemia (aged 13~18 years) and their parents, who were recruited from C university hospital in Korea from May to September 2016. The Posttraumatic Growth Inventory, Core Belief Inventory, Impact of Event Scale-Revised, and Event-related Rumination Inventory were completed by the adolescents and their parents. The mean scores and correlations between variables were investigated for both set of participants. Results: Parents showed significantly higher levels of posttraumatic growth, disruption of core beliefs, impact of event, and invasive rumination than adolescents. Disruption of core beliefs and deliberate rumination were positively correlated with posttraumatic growth in both groups. Conclusion: Nursing intervention programs that involve modifying core beliefs and inducing a positive thought can help adolescents with leukemia and their parents grow after traumatic events.

• 한국자동차공학회논문집
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• 제7권5호
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• pp.249-257
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• 1999

A three dimensional finite model of a human neck has been developed in an effort to study the mechanics of cervical spin while subjected to vertical impact. This model consisting of the vertebrae from C1 through C7 including posterior element and ligaments was constructed by 2mm thick transverse CT cross-sections and X-ray film taken at lateral side. Geometrical nonlinearity was also considered for the large deformation on the disc. ABAQUS package was used for calculation and its results were verified comparing with responses of a model under static loading condition with published in-vitro experimental data. There were more cervical fracture in the restrained (compression) mode than in the nonrestrained (flexion-compression and extension-compression) mode. Upper cervical(C1-C2) injuries were observed under compression-extension modes, while lower cervical injuries occurred undjer compression-flexion modes. Posterior ligament distraction without bony damage at the upper cervical spin(C1-C2) were observed secondary to C5-C7 trauma in compression-flexion modes.

• 디지털융복합연구
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• 제17권10호
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• pp.479-487
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• 2019

이 연구는 외상을 경험한 청소년 운동선수들을 대상으로 포커싱적 태도와 인지적 정서조절이 외상 후 성장에 미치는 영향력을 밝히고자 하였다. 이를 위해 S시와 K도 지역에 위치한 중, 고등학교 운동선수 215명을 대상으로 예비조사를 통해 타당성과 신뢰성이 검증된 설문지를 사용하여 포커싱적 태도와 인지적 정서조절이 외상 후 성장에 영향을 미치는지 파악한 결과, 청소년 운동선수들의 포커싱적 태도와 인지적 정서조절은 외상 후 성장에 영향을 미치며, 외상 후 성장에 영향을 미치는 요인은 긍정적재평가요인과 알아차리기, 수용, 받아들이기, 되새겨보기 및 긍정적 초점변경요인으로 영향력이 있는 것으로 나타났다. 이 연구에서 나타난 결과를 통해 외상 후 성장을 경험하기 위해서는 포커싱적 태도와 인지적 정서조절에 대한 총체적인 이해와 기전에 대해 파악하는 것이 중요하며, 이에 청소년 운동선수들의 포커싱적 태도와 인지적 정서조절에 대해 포괄적으로 개념을 파악하고 이를 통해 포커싱적 태도 수준을 제고하고 인지적 정서를 긍정적으로 조절할 수 있는 효율적인 심리적 훈련 방법의 개발이 필요할 것으로 사료된다.

• 한국콘텐츠학회논문지
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• 제21권11호
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• pp.609-625
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• 2021

수천 명의 목숨을 앗아가고 일상생활에서 많은 면을 변화시킨 코로나19의 대유행이 한국에서 시작된 지 1년이 지났다. 코로나 대유행은 신체적 건강에만 영향을 끼친 것이 아니라 심리적인 부분에도 영향을 주며, '코로나 블루'라고 불리는 집단적 사회 스트레스 현상을 일으켰다. 본 연구의 목적은 코로나 대유행을 재난의 관점에서 바라보며, 공감이 재난에 관련된 심리적 변수인 위험지각과 간접외상을 통해 불안과 우울에 어떤 영향을 미치는지 살펴보는 것이다. 본 연구는 일반 대중 214명의 설문 데이터를 구조방정식모델링으로 분석하였다. 분석 결과, 대상자의 53.3%가 불안을, 35.7%가 우울증을 경험했으며 이는 2019년 정부에서 발표한 수치보다 약 6배 높게 나타났다. 구조방정식모델에서 정서적 공감은 위험지각에 유의한 영향을 미쳤고, 인지적 공감은 간접적 외상에 유의한 영향을 미쳤다. 위험지각과 간접외상은 모두 불안에 유의한 영향을 미쳤고 불안은 우울증에 유의한 영향을 미쳤다. 그리고 인지적 공감만이 불안과 우울에 유의한 간접적인 영향을 미쳤다. 본 연구는 코로나 대유행이라는 사회적 재난 상황에서 나타난 집합적 우울 현상을 개인의 인지적·정서적 공감 수준 관점에서 이해하려한 새로운 시도라는 점에서 학문적 의의를 가진다.

• 한국전문물리치료학회지
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• 제1권1호
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• pp.61-66
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• 1994

The purpose of this study was to investigate the effect of a single treatment o voltage pulsed current (HVPC) on edema reduction. Hind limbs of 23 anesthetized were injured by dropping a 400 g weight onto the plantar aspects of the feet. On limb of each frog was randomly selected to receive 30 minutes of continuous, 12 cathodal HVPC at voltages 10 % less than motor threshold levels. Limb volumes measured by water displacement before trauma and at predetermined intervals hours posttrauma. Sources of significant differences were determined by t-test HVPC significantly (p<0.05) reduced edema formation. We hypothesize that HVP also be effective in controlling edema formation after impact injuries in humans.