• Title/Summary/Keyword: 관계 외상

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TREATMENT OF AN IMPACTED DILACERATED INCISOR BY SURGICAL REPOITION (외과적 재위치술에 의한 매복된 만곡절치의 치험례)

  • Seo, Yun-Jin;Lee, Kwang-Hee;La, Ji-Young;An, So-Youn;Kim, Yun-Hee;Keum, Ki-Seok;Lee, Sang-Bong
    • Journal of the korean academy of Pediatric Dentistry
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    • v.39 no.2
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    • pp.166-173
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    • 2012
  • Dilaceration is a developmental disturbance in shape of teeth. It refers to an angulation, or a sharp bend or curve, in the root or crown of a formed tooth. Dilacerations are estimated to occur in 3% of all permanent dentitions. However, the etiology of dilaceration is not yet fully understood. Traumatic injury to the deciduous predecessors and ectopic development of the tooth germ are the two commonly cited causes of this anomaly. The involved tooth is usually the maxillary central incisor and it also shows high prevalence of impaction. At first, We tried to do surgical exposure with orthodontic traction but to no avail. After then surgical repositioning of the dilacerated tooth was performed. Finally, Satisfactory results were obtained at the end of treatment, with improvement in dental esthetics and functional aspects.

The Relationship between Symptoms of Posttraumatic Stress Disorder and Addictive Use of Mobile Phone in Bullies of School Violence (학교폭력 가해자에서 외상후 스트레스 증후군의 증상과 휴대폰 중독적 사용과의 관계)

  • Seo, Ji-Yeong;Park, Chul-Soo;Kim, Bong-Jo;Cha, Bo-Seok;Lee, Cheol-Soon;Lee, So-Jin
    • Anxiety and mood
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    • v.8 no.2
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    • pp.127-132
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    • 2012
  • Objective : This study aims to investigate the relationship between addictive mobile phone use and post-traumatic stress disorder (PTSD) symptoms in bullies who experienced school violence. Methods : The study subjects consisted of 97 adolescents in The Foundation for Preventing Youth Violence after school violence. The participants conducted self-report questionnaire for addictive mobile phone use and Impacted Event Scale-revised-Korean version (IES-R-K). Partial correlation and multiple logistic regressions were performed. Results : The scores related to addictive mobile phone use were correlated with total score (r=0.21, p=0.04), avoidance score (r=0.21, p=0.04) and intrusive score (r=0.26, p=0.01) related to PTSD symptoms on the IES-R-K. Intrusive score related to PTSD symptoms on the IES-R-K were significant risk factor for addictive mobile phone use (O.R=1.25, 95% CI=1.12-1.39). Conclusion : This data supports that PTSD intrusive symptoms could be predictable factor of addictive mobile phone use. An appropriate intervention about PTSD symptoms might play a useful role in preventing addictive mobile phone use in bullies of school violence.

5 Cases of Tracheal Reconstruction (기관성형술 5예)

  • 유홍균;임현호;김종민;신홍수
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1983.05a
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    • pp.14.3-14
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    • 1983
  • In recent years there has been considerable interest in reconstructive surgery of the trachea for cervical tracheal stenosis developed by complication of endotracheal intubation or tracheotomy, or trauma of the neck. The methods used to reconstruct the tracheal defects can be repaired with end-to - end anastomosis, cervical flaps, and autogenous graft materials. Since Grillo had undertaken tracheal reconstruction after circumferential resection in dogs, resection and end - to - end anastomosis was used in cases of circumferential stenosis. And, costal, nasal septal and auricular cartilage have been used for the autogenous graft materials. Since Caputo and Consiglio had undergone tracheoplasty with auricular cartilage, Morgenstein reported successful repair of a tracheal defect with a composite postauricular cartilage graft. The advantages of the auricular cartilage graft are its easy accessibility, availability and familiarity to the otolaryngologist. In past 2 years, We performed the tracheoplasty with auricular cartilage graft and end- to end an astomosis after segmental resection in 5 patients who had suffered from tracheal stenosis. And we obtained good results. So, we reported the cases with review of the literatures.

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RETROSPECTIVE STUDY OF TRACHEOTOMY IN CHILDREN (유소아 기관 절개술의 후향적 고찰)

  • 정명현;홍원표;장미숙;이정환
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1991.06a
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    • pp.26-26
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    • 1991
  • 기관 절개술은 절대적으로 필요한 수술 방법임에도 불구하고 경우에 따라서는 매우 심각한 합병증이나 후유증을 유발하고 있어 가능한 피하는 것이 좋으며 부득이하여 시술을 하더라도 그 적절한 시기를 정하기 어려운 경우가 많다. 특히 유소아에서는 최근에 개량된 삽관튜브의 출현으로 비교적 장기간의 기관삽관이 가능해지자 기관절개술의 적용예가 많이 감소하기는 하였으나 합병증이나 후유증을 너무 우려한 나머지 기관절개술을 기피하거나 적절한 수술시기를 놓쳐 더욱 어려운 입장에 처하게 되기도 한다. 저자들은 1977년도부터 1990년까지 세브란스 병원에서 기관절개술을 시행받은 15세이하의 유소아 환자 94례에서 기관절개술의 원인 질환과 적용시기 및 합병증을 알아보고 기관삽관과의 관계를 후향적으로 조사하여 다음의 결과를 얻었다. 1. 유소아 기관 절개술의 원인 질환은 두부외상이 28례(29.8%)로 가장 많았고, 신경계 질환 17례(18%), 기도 감염 10례(10.6%)의 순이었고 그 외 선천적 기형 종양, 외상, 감염 등으로 다양한 분포를 보였다. 2.기관 절개술전에 기관삽관을 시행하지 않았던 예는 18례(19.1%)이고 기관삽관을 시행했던 예는 76례(80.9%)이며, 38례(40.4%)는 일주이내에 기관절개술을 시행하였고 12례(12.8%)는 2주이내에, 8례(8.5%)는 3주이내, 6례(6.4%)는 4주이내에 시행하였으며 12례(12.8%)는 기관 삽관후 4주이후에 기관절개술을 시행하였다. 3.기관 절개술후, 합병증은 26례(27.7%)에서 있었고 육아조직 형성이 14례(14.9%) 였고 기관 협착이 12례(12.8%)의 순이었다. 4.인공 호흡기률 사용하였던 46례(48.9%)중 14례(14.9%)에서 합병증이 있었고, 인공 호흡기를 사용치 않았던 48례(51.5%)에서는 12례(12.8%)에서 합병증이 발생하였다. 5.삽관 발거를 시행할 수 있었던 예는 47례(50%)였으며, 기관 절개술후 1개월이내에 시행한 예가 21례(16%), 6개월이내 시행한 예가 16례(17%), 2년이내에 시행한 예가 6?(6.4%)였으며 2년 이후 시행할 수 있었던 예도 4례(4.3%) 있었다. 6.기관 절개술 환자중 26례(27.7%)는 원인 질환으로 결국은 사망하였으며, 21례(22.3%)는 삽관 발거를 하지 않은 상태에서 퇴원하여 추적이 불가능하였다.

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Relationship between Posttraumatic Stress, Coping Style, and Dissociation in Korean Firefighters (소방공무원의 외상 후 스트레스, 대처방식, 해리 경험의 관계)

  • Kim, Bong-Mung;Pan, Shin-Hwan;Chae, Jeong-Ho
    • Anxiety and mood
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    • v.7 no.1
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    • pp.29-33
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    • 2011
  • Objective : This study was performed to analyze the relationship between posttraumatic stress, coping style, and dissociation in Korean firefighters. Methods : Subjects included 193 male and 9 female firefighters in the metropolitan city of Daejeon. Their age ranged from 25 to 57 with an average of 39.17 (SD : 7.572) years. Their posttraumatic stress or traumatic experiences were assessed with the Korean Version of the Posttraumatic Stress Diagnostic Scale. Their coping style was categorized with the Korean version of the Ways of Coping Checklist. Their dissociation was assessed with the Korean version of Dissociative Experiences Scale. The data analysis included a correlation analysis and structural equation modeling. The modeling tested the validity of the model that posttraumatic stress had a direct effect on dissociation and coping style had an mediatory effect between stress and dissociation. Results : First, firefighters' posttraumatic stress or traumatic experiences had a direct effect on dissociation, a symptom of a mental disorder. Second, the firefighters employed passive styles to cope with their stress. This is explained that they had been exposed to their traumatic events repeatedly without being able to control it themselves. Third, coping style had no effect on the mediation between posttraumatic stress and dissociation. This is explained in terms of repeated exposure to the traumatic events. Conclusion : Based on the results, it is concluded that Korean firefighters' dissociation was not relieved by their coping effort but associated directly with their traumatic experiences. To decrease their dissociation, it is necessary to reduce the exposure to their traumatic events.

Prosthetic reconstruction of maxillary defect resulting from a traumatic fall in an elderly patient: A case report (낙상에 의해 상악 전치부에 외상을 입은 노인 환자에서 수술을 배제하고 고정성 보철물을 이용하여 수복한 증례)

  • Bae, Yoonjoo;Choi, Sunyoung
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.1
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    • pp.75-80
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    • 2019
  • Fall is the most common cause of trauma in the elderly and a major reason of dental injury. Maxillary anterior region is the most vulnerable area to the traumatic fall. Loss of teeth and adjacent tissue in this area results in maxillofacial defects and inappropriate maxillomandibular relationship. Reconstruction of the loss requires comprehensive and careful planning to fulfill not only functional but also esthetic demand. Prosthetic approach can avoid surgically extensive intervention, reducing both treatment cost and time. This clinical report describes a 78-year-old woman with the loss of teeth and alveolar bone in maxillary anterior region due to a traumatic fall, rehabilitated with a metal-ceramic fixed dental prosthesis using gingival porcelain.

Mediating effect of resilience between post-traumatic stress and emotional exhaustion in nurses during the COVID-19 pandemic (COVID-19 유행시기에 병원간호사의 외상후스트레스와 정서적 소진의 관계에서 회복탄력성의 매개효과)

  • Jeong, Juhee;Song, Yeoungsuk
    • The Journal of Korean Academic Society of Nursing Education
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    • v.28 no.2
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    • pp.193-203
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    • 2022
  • Purpose: This study explored the mediating role of resilience between post-traumatic stress and emotional exhaustion in nurses during the COVID-19 pandemic. Methods: The data were collected from 193 nurses working at a hospital in Daegu from October 16 to 30, 2020, in the middle of the COVID-19 pandemic. Participants conducted self-reported surveys of post-traumatic stress (Impact of Event Scale-Revised Korean version), emotional exhaustion (Maslach Burnout Inventory), and resilience (Korean Resilience Quotient Test). The data were analyzed using descriptive statistics, frequency, t-tests, Mann-Whitney U tests, Kruskal-Wallis tests, Pearson correlation coefficients, and multiple regression. Mediation analysis was performed using the Baron and Kenny method and Sobel test. Results: The mean scores for post-traumatic stress, resilience, and emotional exhaustion were 16.18±16.18, 183.41±18.29, and 32.64±9.66, respectively. A higher level of post-traumatic stress was associated with lower resilience (r=-.20, p=.004) and with higher emotional exhaustion (r=.33, p<.001). A higher level of resilience was associated with lower emotional exhaustion (r=-.35, p<.001). The resilience was confirmed to have a partial mediating effect in the relationship between post-traumatic stress and emotional exhaustion, verified by the Sobel test (Z=2.31, p=.02). Conclusion: Resilience had a partial mediating effect in the relationship between post-traumatic stress and emotional exhaustion. Thus, nurses should develop individual strengths to reduce emotional exhaustion, and managers should also make efforts to increase the nurses' resilience. It is also necessary to develop and apply a program to strengthen nurses' resilience.

Roentgenographic Relationship with Cervical Spondylosis and Lateral Epicondylitis (단순방사선 검사상 주관절 외상과염과 경추 척추증의 관계)

  • Youn, You-Suk;Han, Soon-Hyun;Lee, Jong-Soo;Sim, Woo-Jin
    • The Journal of Korea CHUNA Manual Medicine
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    • v.3 no.1
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    • pp.31-41
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    • 2002
  • Objectives : To study that lateral epicondylitis(tennis elbow) is related with cervical spondylosis. Subjects : The study was composed of 25 patients of lateral epicondylitis(LEP group) and 25 normal control group(CON group). Method : Simple radiologic scale was compared such as cervical lordotic angle, grading for disc degeneration. Pavlov ratio and Intervertebral body Index Results : Cervical lordotic angle and disc degeneration is not significantly different. And Pavlov ratio and intervertebral body index is significantly decrease in the LEP group. Conclusion : The cervical spondylosis is related with ocuuring lateral epicondylitis.

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The study on physiological changes of hemorrhagic shock in rats (출혈량에 따른 출혈성 쇼크로 인한 백서에서의 생리 변화에 관한 연구)

  • Lee, Ju-Hyung;Lee, Tak-Hyung;Kim, Soo-Chan;Chung, Sang-Won;Kim, Deok-Won
    • Proceedings of the KIEE Conference
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    • 2008.10b
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    • pp.131-132
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    • 2008
  • 본 연구에서는 백서(SD rat)을 통하여 출혈량을 제어하여, 일정만 프로토클 내에서 통합 시스템으로 생리적 데이터를 획득하고, 출혈량에 따른 생리적 변화를 관찰하는데 목적이 있나 외상 환자의 사망 원인 중에서 높이 차지하고 있는 출혈성 쇼크의 효과석인 조기 피로 및 치료 효과 예후의 객관적 판정에 도움을 주고자, 컨트롤이 용이한 백서 11마리로부터 출혈성 쇼크와 상관관계가 높다고 알려진 자율 신경계의 생체 신호 변화 특성인 심전도, 혈압, 체온, 호흡 등의 계측 방법으로 측정하고 정량적으로 분석하였다. 그 결과 출혈전과 출혈중, 출혈후 각각의 생체 신호 변화를 살펴보았으며, 호흡수와 심박수, 심박변이도의 변화를 알 수 있었다.

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닭고기 부분육 등급제 설정을 위한 도계장 관리자 의식 조사

  • Chae, Hyeon-Seok;Yu, Yeong-Mo;An, Jong-Nam;Ham, Jun-Sang;Jeong, Seok-Geun;Lee, Jong-Mun;Choe, Yang-Il
    • Proceedings of the Korean Society for Food Science of Animal Resources Conference
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    • 2005.05a
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    • pp.178-182
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    • 2005
  • 본 실험은 닭고기 부분육의 품질 등급을 설정하기 위한 기초 자료로 이용하기 위하여 시중도계 장을 대, 중, 소로 구분하여 생산 관리 책임자들을 대상으로 설문지에 의한 방문 조사를 실시하였다. 도계 과정에서 닭고기 부분육 등급 판정을 수행하기 적당한 곳은 대규모도계장의 경우 마지막 포장단계를 선호하였다. 닭고기 부분육 등급은 몇 단계를 선호하는지에 대한 응답은 대규모도계장 및 단순가공장은 2단계를 선호하였고 중규모 도계장은 $2{\sim}3$단계를 선호하였다. 등급판정 요인으로는 신선도, 멍, 외상, 트리밍(손질) 이물질 순으로 중요도를 표현하였다. 부분육 등급 판정 도입 시기는 도계장 규모와 관계없이 지금당장은 아니드래도 도입되는 것이 좋다는 의견이 다수를 차지하여 닭고기 부분육에 대한 품질등급제를 선호하였다.

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