• Title/Summary/Keyword: 불안

Search Result 5,326, Processing Time 0.04 seconds

Giant Cell Tumor of the Proximal Fibula Treated by En Bloc Resection (전 절제술로 치료한 근위 비골의 거대 세포종)

  • Suh, Jeung-Tak;Choi, Sung-Jong;Kim, Young-Goun;Kim, Jeung-Il;Kim, Hui-Taek;Yoo, Chong-Il
    • The Journal of the Korean bone and joint tumor society
    • /
    • v.9 no.2
    • /
    • pp.200-205
    • /
    • 2003
  • Purpose: To report our experiences of clinical features, treatment method and results of giant cell tumor of 5 patients in proximal fibula. Materials and Methods: Five patients managed with an en bloc resection preserving common peroneal nerve and lateral collateral ligament reconstruction with biceps femoris tendon followed up between January 1997 and July 2001. Preoperative plain radiograph and MRI and bone scan were checked. The recurrence of the tumor was judged by plain radiograph and clinical signs. Lateral instability of knee joint was checked during the outpatient follow-up. Results: The mean age of the patients at the time of operation was twenty- three (21-29). There were one male and four female patients. Dull pain was main symptom and palpable mass was seen in two patients. Peroneal nerve palsy and local recurrence were not observed except one case of temporary peroneal nerve palsy. During the outpatient follow up, one among 5 patients showed slight lateral instability and the other 4 patients showed no instabililty. Conclusion: Giant cell tumor in proximal fibula managed with an en bloc resection preserving common peroneal nerve and lateral collateral ligament reconstruction with biceps femoris tendon showed favorable results.

  • PDF

Effects of Genetic and Environmental Factors on the Depression in Early Adulthood (초기 성인기 우울증에 대한 유전적, 환경적 요인의 영향)

  • Kim, Sie-Kyeong;Lee, Sang-Ick;Shin, Chul-Jin;Son, Jung-Woo;Eom, Sang-Yong;Kim, Heon
    • Korean Journal of Biological Psychiatry
    • /
    • v.15 no.1
    • /
    • pp.14-22
    • /
    • 2008
  • Objectives : The authors purposed to present data for explaining gene-environmental interaction causing depressive disorder by examining the effects of genetic factors related to the serotonin system and environmental factors such as stressful life events in early adulthood. Methods : The subjects were 150 young adults(mean age 25.0${\pm}$0.54), a part of 534 freshmen who had completed the previous study of genotyping of TPH1 gene. We assessed characteristics of life events, depression and anxiety scale and checked if they had a depressive disorder with DSM-IV SCID interview. Along with TPH1 A218C genotype confirmed in previous study, TPH2 -1463G/A and 5HTR2A -1438A/G genes were genotyped using the SNaPshot$^{TM}$ method. Results : In comparison with the group without C allele of TPH1 gene, the number of life events had a significant effect on the probability of depressive disorder in the group with C allele. Other alleles or genotypes did not have a significant effect on the causality of life events and depressive disorder. Conclusion : The results of this study suggest that TPH1 C allele is a significant predictor of onset of depressive disorder following environmental stress. It means that the TPH1 gene may affect the gene-environmental interaction of depressive disorder.

  • PDF

A Systematic Review of the Effects of Music Interventions on the Psychological and Emotional Well-Being of Adolescents With Internet Addiction (음악중재가 인터넷 중독 청소년의 심리·정서 반응에 미치는 영향에 관한 체계적 문헌고찰)

  • Yoon, Eun Jeong;Park, Hye Young
    • Journal of Music and Human Behavior
    • /
    • v.16 no.2
    • /
    • pp.79-108
    • /
    • 2019
  • The purpose of this study was to systematically examine the effects of music interventions on the psychological and emotional well-being of adolescents with Internet addiction. Electronic databases were searched for combinations of terms related to adolescents, Internet addiction and related disorders, music intervention, and psychological and emotional outcomes. A total of nine studies that were published between 1995 and 2018 were identified and included in the final analysis. Among the included studies, six studies targeted middle school students and included both males and females. For outcome variables, anxiety and self-control were most frequently targeted. The most frequently used genre of music was popular Korean songs. In terms of intervention effects, the studies that used songwriting as a therapeutic technique showed positive results. Only four studies reported a rationale for their interventions and linked interventions to the target goals. This study discusses how music therapy interventions for adolescents with Internet addiction should be designed to effectively address the psychological and emotional issues of this young population.

Impact of the Type of Dental Treatment on the Dental Fear of Adolescents in South Gyeongsang Province (경남지역 청소년들의 치과진료형태가 치과공포감에 미치는 영향)

  • Kwon, Soo-Jin;Choi, Yu-Jin
    • The Journal of the Korea Contents Association
    • /
    • v.10 no.2
    • /
    • pp.277-285
    • /
    • 2010
  • The purpose of this study was to examine the influential relationship between the type of dental treatment and the dental fear of teens in a bid to seek ways of relieving adolescents of dental anxiety and fear. The subjects were teenaged students in South Gyeongsang Province. After a survey was conducted for eight days from December 2 to 9, 2009, the answer sheets from 420 students were analyzed. The findings of the study were as follows: When a correlation analysis was employed to look for connections between dental treatment experiences and dental fear, the components of dental treatment experiences had a significant correlation to those of dental fear. As a result of making a regression analysis, overall dental fear was under the significant influence of prosthodontic treatment experiences, and avoidance of dentistry was significantly affected by conservative treatment experiences. Oral and maxillofacial treatment experiences had a significant impact on physiologic response, and dental stimulus was significantly affected by prosthodontic treatment experiences. Therefore dental institutions should direct their efforts into the development of manuals geared toward different types of treatment and different patients in order for adolescents to receive dental treatment without any anxiety or fear, to get a regular dental checkup, to receive more preventive treatment, to promote their oral health and ultimately to lead a healthy life.

The Clinical Evaluation between Overtraining Syndrome and Exercise-related Immunity (과훈련증후군과 면역반응의 임상적 분석)

  • Choi, Seung-Jun;Park, Song-young;Kwak, Yi-Sub
    • Journal of Life Science
    • /
    • v.25 no.11
    • /
    • pp.1324-1330
    • /
    • 2015
  • The present study was performed to analyze and review the physical and immune responses to overtraining syndrome in humans. Overreaching refers to the initial phage of overtraining syndrome and has been known as a physical fatigue which is mainly from metabolic imbalance. It has been known that overtraining also results in a loss of adaptability which may lead to an attenuation of exercise performance, sleeping disorder, central fatigue, neurohormonal changes, difficulty recovery to physical stress, and immunological changes. Additionally, overtraining syndrome is characterized by persistent fatigue, poor performance in sport due to the prolonged and strenuous physical training. Also, previous studies reported that endurance athletes experienced a high incidence of URTI during intense training and the post training. And also, high-performance athletes reported that suppression of cell mediated and anti-body mediated immune function. NK cell numbers were also reduced in the period of overtraining syndrome. Major components of prevention and treatment for the overtraining syndrome are screening, education, and detraining. Furthermore, the combination of these prevention and treatment strategies will be much helpful. Therefore, the current review will be helpful for athletes and individuals who are at the risk of overtraining syndrome.

Mediating Effect of Ego Resilience on the Relationship between Adult Attachment and Job Stress of Fire Officers (소방공무원의 성인애착과 직무스트레스의 관계에서 자아탄력성의 매개효과)

  • Chang, Chul-In;Kim, Sang-Ok
    • Fire Science and Engineering
    • /
    • v.33 no.3
    • /
    • pp.154-165
    • /
    • 2019
  • This study was conducted to investigate whether ego - resilience plays a mediating role in the relationship between adult attachment and job stress of fire officers, and to derive implications for job stress reduction of fire officers. A questionnaire survey was conducted for 480 fire officers working in Seoul and Gyeonggi - do, and correlation analysis and regression analysis were conducted using SPSS 21.0. The results showed that there was a negative correlation between instability attachment and job stress in adult attachment, negative correlation between instability attachment and ego - resilience in adult attachment, and negative correlation between ego - resilience and job stress. Adult attachment and ego - The results showed that there was a statistically significant effect on stress. Ego - resilience was found to full mediate the effect of anxiety of adult attachment on job stress and to partial mediate the effect of avoidance on job stress. This study suggests the need to develop a program that can improve ego - resilience considering the importance of ego - resilience and the occupational characteristics of fire officer. This means that the psychological and psychological factors of the individual should also be considered in order to reduce the level of job stress of the fire service personnel.

Treatment of Infection after Anterior Cruciate Ligament Reconstruction: Graft Retention (전방 십자 인대 재건술 후 감염의 치료: 이식건의 보존)

  • Kim, Hyoung-Jun;Koh, Hae-Seok;Moon, Chan-Woong;Choi, Nam-Yong;In, Yong;Kim, Min-Woo
    • Journal of the Korean Arthroscopy Society
    • /
    • v.11 no.2
    • /
    • pp.99-103
    • /
    • 2007
  • Purpose: To report the results of graft retention treatment for infection cases after anterior cruciate ligament(ACL) reconstruction. Materials and Methods: From a group of 511 consecutive ACL reconstruction patients, we report 5 who sustained septic arthritis. All patients underwent arthroscopic lavage, debridement, synovectomy with graft retention, and treatment with intravenous antibiotics. Results: All patients were evaluated at an average of 34 months after operation. The infection was successfully eradicated. No patient showed instability with KT-2000 arthrometer testing. The clinical outcome was inferior to normal ACL reconstruction patients. Two patients were graded as nearly normal and 3 patients were graded as abnormal with International Knee Documentation Committee evaluation form. Conclusion: There were no recurrences of septic arthritis or bone infection with graft retention treatment for infection patients after ACL reconstruction.

  • PDF

Semi-Empirical MO Calculations on ${\pi}$-Nonbonded and ${\sigma}$-Conjugative Interactions (반경험적 분자궤도함수 계산법에 의한 ${\pi}$-비결합 및 ${\sigma}$-컨쥬게이션 상호작용에 관한 연구)

  • Ikchoon Lee;Young Gu Cheun;Kiyull Yang;Wang Ki Kim
    • Journal of the Korean Chemical Society
    • /
    • v.26 no.4
    • /
    • pp.195-204
    • /
    • 1982
  • Semi-empirical MO calculations, EHT, CNDO/2, MINDO/3, and MNDO met hods, were performed on various geometries of n-butane, n-alkyl radical and tetramethylene diracal (triplet) in order to compare eigenvalue and eigenvector properties with those obtained by STO-3G method. All methods predicted the same relative order of stabilities of various geometries for n-butane; geometrical preferences were found to be dominated by one-electron factor, ${\pi}$-orbital energy changes being more impotant in the semi-empirical methods. The hyperconjugative energy changes accompanying structural changes from $(n-{\sigma}{\ast})_{trans}$ to (n-{\sigma}{\ast})cis were underestimated in the EHT, CNDO/2 and MINDO/3, whereas those were overestimated in the MNDO. The net destabilizing effect of $(n-{\sigma}{\ast})_{trans}$ structure was mainly due to the large internuclear energy involved in the structure. Through-space interaction between $n_1$ and $n_2$ orbitals of diradical caused energy gap narrowing of ${\Delta}E_{sp}$ and ${\Delta}{\varepsilon}={\varepsilon}_0$-${\varepsilon}_{av}$; through-space interaction had opposing effect to that of through-bond interaction. Due to the less severe neglect of differential overlaps in the MNDO, this energy gap narrowing effect appeared amplified in the MNDO. In general orbital properties were found to be reproduced satisfactorily, but eigenvalue properties were not, in all the semi-empirical methods especially when ${\sigma}-{\sigma}{\ast}$ and n-$n-{\sigma}{\ast}$interactions were involved.

  • PDF

EXECUTIVE FUNCTIONS OF ATTENTION DEFICIT/HYPERACITIVITY DISORDER (주의력 결핍/과잉행동장애 아동의 실행 능력)

  • Kim, Ji-Hae;Hong, Sung-Do
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
    • /
    • v.10 no.1
    • /
    • pp.15-20
    • /
    • 1999
  • Objective:This study was designed to investigate the difference between executive function of Attention Deficit/Hyperactivity Disorder(ADHD) group and that of neurotics, and to investigate the developmental aspects of ADHD group's executive function. Method:Executive function between ADHD(N=87) and Neurotics(N=19) was evaluated through their performance on the Wisconsin Card Sorting Test. The results were analyzed by 2-way ANOVA and t-test. Results:The results revealed group difference between ADHD and neurotics in total correct reponses, total error responses, nonperseverative errors, number of categories completed, conceptual level responses. There was no significant difference between the performance of 8-12 aged group and 13-15 aged group. But 7-8 aged group showed significantly poor performance than 8-12 aged in total responses, total error responses, perseverative responses, perseverative error responses, nonperseverative error responses. Conclusions:In comparison to the neurotics group, the children of ADHD group are suggested to be lacking the ability to correct their responses according to the external feedback and they probably respond randomly without self-control. However, as there is no difference between perseverative errors and perseverative responses, the interpretation of this finding warrants caution. It also suggests that the developmental aspects should be considered in the studies of executive functions because there are differences in the performance of executive functions by ages.

  • PDF

THE RELATIONSHIP AMONG CHILD'S BEHAVIOR PROBLEMS, MATERNAL DEPRESSION, AND PARENTING STRESS (아동의 정서 및 행동 문제와 어머니의 우울증, 양육 스트레스간의 관계)

  • Lee, Young-Joon;Song, Won-Young;Choi, Yui-Gyum;Shin, Yee-Jin
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
    • /
    • v.14 no.2
    • /
    • pp.218-228
    • /
    • 2003
  • Objectives:This study investigated the relationship among child's behavior problems, maternal depression, and parenting stress in children with psychiatric diagnoses and their mothers, and the effect of these variables to the mothers' parenting stress. Methods:Seventy-three children(31 externalizing, 24 internalizing, 18 mixed) and their mothers were involved in this study. The mothers of three groups completed MMPI, KPI-C(Korean Personality Inventory for Children), and PSI(Parenting Stress Index). To investigate the relationships among each variables, ANOVA, Pearson correlation, stepwise regression analysis were performed. Results:There was no significant difference in maternal depression among three groups of children. In 2-Way ANOVA, main effect of maternal depression was statistically significant on depression, parent health, and relationship with spouse subfactor in parent domain, parent domain total, and overall parenting stress. But the main effect of child group was statistically significant on distractability/hyperactivity subfactor in child domain only. In regression analysis, maternal depression explained the parent domain of parenting stress most effectively, and child's hyperactivity and anxiety explained the child domain of parenting stress significantly. Conclusion:These findings suggest that it is important to intervene maternal depression to reduce the parenting stress, along with the treatment of the child's behavior problems.

  • PDF