• Title/Summary/Keyword: 외상 후 스트레스

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Incident shock and Related Factors in Rescue Workers (구조대원의 사건충격 정도와 관련 요인 분석)

  • Yoo, Eui-Tae;Cho, Sung-Je
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.5
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    • pp.2225-2233
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    • 2013
  • This study was designed to identify the extent of incident shock who are in high risk of post traumatic shock stress, and analyze the related factors that affect the extent of incident shock. The subjects are 415 rescue workers from Seoul Metropolitan Fire & Disaster Headquarters, who are in high frequency of fire outbreaks and rescue mobilization. With a reliability of Cronbach's ${\alpha}$=.975, the results show invasion, avoidance, sleep disorder and emotional paralysis, dissociative symptom, hyper arousal as foremost causes respectively. Moreover, the results imply that the extent of incident shock was higher in people with more age or being married. Also, from the occupational perspective, the number of years as fire fighters, as rescue workers, mobilization and experiences at work in proportion to incident shocks has risen exponentially. It is notable that the groups who alleviate stress by consuming liquors had higher extent of incident shock. In conclusion, to deal with groups in high risk, management system and prevention care programs for incident shocks need to be introduced immediately and put into effect.

수의학강좌 II: 최근 한우 성우에 제각대용으로 뿔커버를 시술한 요령, 사례 및 그 이점에 대해서

  • Ryu, Il-Seon
    • Journal of the korean veterinary medical association
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    • v.46 no.9
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    • pp.816-821
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    • 2010
  • 일반적으로 알려져 있는 소에 있어서의 제각은 화학적인 소락제, 송아지 제각기 (tube calf dehorner), 전기인두, 톱 및 선거(線鋸; wire saw) 등을 이용하고 있으나, 제각 처치시 소에 많은 스트레스를 주고 있는 실정에 있다. 2001년도에 일본의 요우카이치시(四日市) 소재 냉동 및 냉장창고업을 하는 일신냉장고(주)에 근무하는 직원이 현내의 비육농장에서 제각하는 것을 보고, 생산자나 소비자로부터 이야기를 나누던 중, 점차적으로 소 사육농장에서 다두사육화가 되면서 우군 무리중에서 순위싸움으로 인해 외상을 입거나, 경쟁에 밀린 소는 사료를 제대로 먹지 못하여 스트레스를 받는 다는 것에 착안하여, 끝이 뾰쪽한 뿔에 복싱 글러브(boxing glove)와 같은 커버를 장착하면 제각을 하지 않고 소 본래의 자연체형을 유지한 체로 안심, 안전, 위험방지가 가능한 소의 뿔 커버를 연구개발하게 되었다. 최초로 제작된 소의 뿔 커버는 고무 특유의 수축작용을 이용해서 소의 뿔에 장착하였으나, 소의 큰 압력에 눌려 하루도 못가 각상피(角上皮)와 같이 탈락하였으며, 그 후 약 3년간은 실패를 거듭한 끝에 4년째인 2005년 봄에 의외의 장소에서 힌트를 얻었는 데, 귀가시 가족중 우연히 이가 빠졌는 것을 보고, 소의 각돌기(角突起)의 각첨부(角尖部)에 고정하는 방법을 생각하게 되었다. 연구를 시작하면서부터 NOSAI 수의사들, JA 동일본조합사료 수의사, 전농축산 서비스 등의 도움을 받았으며, 이후 오리온기업육성기술개발지원사업에 채택되어 4년여간의 연구를 한 끝에 약 30초의 부착시간이 걸리는 1회성의 영구적인 소의 뿔 커버를 특허개발(2005년)하여 2008년도부터 판매하기 시작하여 거세 화우, 교잡종 화우암소, 화우 암소 등에 일본 전역에서 보급되어 시술되고 있다. 최근 수개월전에 제가 아는 지인이 일본서 뿔 커버 2두분을 직접 구입하여 왔는 바, 직접 한우 경산우 암소 2두에 극히 간편하고 쉽게 시술하였기에 소개하여 도움을 주고 저 한다.

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Characterization of Peroxiredoxins in the Gray matter in the spinal cord after Acute Immobilization Stress (급성 부동 스트레스 후 척수 회색질에서 Peroxiredoxin I 및 III의 발현 변화)

  • Paek, Nam-Hyun;Kwak, Seung-Soo;Lee, Dong-Seok;Lee, Young-Ho
    • Journal of Trauma and Injury
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    • v.19 no.2
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    • pp.105-112
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    • 2006
  • Purpose: Many stresses produce reactive oxygen species and bring about mechanism of antioxidant reaction. Cytokine and a neurotransmitter through the cell membrane, as well as signal transduction through the cell membrane, are used for various pathological condition of the brain, such as neurodegenerative disease. There are several antioxidant enzymes in cells (superoxcide dismutase, glutathion peroxidasae, peroxiredoxin catalase, etc.) Methods: This study used single- or double-label immunohistochemical techniques to analyze mouse spinal neuron cells expressing Prx I and Prx III after acute mobilization stress. Results: Prx I was observed in dendritic cell of the gray matter of the spinal cord, and Prx III was observed in the cytoplasm of the GM of the spinal cord. Conclusion: The results of this study will help to explain differences of expression in the distributions of the peroxiredoxin enzymes of the spinal cord.

A Review on Clinical Research Trends in the Treatment of Hatha-Style Yoga for Post Traumatic Stress Disorder (외상후 스트레스장애에 대한 하타 스타일 요가 치료의 해외 임상연구 동향)

  • Hong, Hee-Yeon;Hong, Min-Ho;Koo, Byung-Su;Kim, Geun-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.31 no.1
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    • pp.13-23
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    • 2020
  • Objectives: The purpose of this study was to review the research trends in the treatment of hatha-style yoga on Post Traumatic Stress Disorder (PTSD). Methods: We searched articles in Pubmed and the China National Knowledge Infrastructure (CNKI) January 2010-December 2019, for studies to treat PTSD using hatha-style yoga. Selected studies were evaluated by the CLEAR-NPT (A Checklist to Evaluate a Report of a Non-pharmacological Trial). Results: Seven randomized controlled clinical trials were selected. PSS-I (PTSD Symptom Scale-Interview) was the most frequently used as diagnostic criteria. The PCL (PTSD Checklist) was also the most commonly used outcome measurement. Of the seven articles, most studies reported that hatha-style yoga was effective to reduce symptoms of PTSD. Conclusions: Hatha-style yoga practice intervention can be used to relieve symptoms of PTSD. More studies should be conducted to make hatha-style yoga as protocol (complementary therapy) for PTSD patients.

A Comparative Study between the Korean-medical and the Western-medical Psychotherapy on PTSD (외상 후 스트레스 장애(PTSD)의 정신치료에 대한 양·한방 비교 고찰)

  • Park, Areum;Park, Se-Jin;Son, Ah-hyun;Hur, Han-Sol
    • Journal of Oriental Neuropsychiatry
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    • v.29 no.1
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    • pp.1-8
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    • 2018
  • Objectives: The purpose of this study is to compare the Korean-medical and the Western-medical psychotherapy on PTSD for improving the Korean-medical psychotherapy on this issue. Methods: We surveyed recent articles relating to psychotherapy on the incidence of PTSD. Results: Under the circumstances of this study, we note that applying the qigong therapeutics would be helpful when conducting relaxation training on the identified PTSD patients. We understand that taking a systematic desensitization style in the use of the kyungja-pyungji treatment is recommended. It would also be more effective to combine other treatments such as the use of the I-Jeong-Byeon-Gi Therapy and the five minds mutual restriction therapy. We have shown that by using the five minds mutual restriction therapy for the imagery rescripting has a better a synergy effect for optimum patient outcomes for patients who have been diagnosed with PTSD. Conclusions: Our study has shown that by improving the shortcomings of the Korean psychotherapy and utilizing Western psychotherapy's merits, we expect to increase the efficacy of the Korean psychotherapy with these recommendations for changes in this case.

Impact of Peer's Suicide on Mental Health of Adolescents (친구의 자살이 청소년의 정신 건강에 미치는 영향)

  • Kang, Na Ri;Chung, Un Sun;Kwack, Young Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.26 no.4
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    • pp.266-272
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    • 2015
  • Objectives : This study examined the impact of peer's suicide on mental health of middle-school students. The aim of this study was to describe the course of posttraumatic stress and grief reaction, suicide ideation, and depression score among adolescents after exposure to peer's suicide and to examine the relationship between posttraumatic stress and other mental health scores in these subjects. Methods : Thirty seven middle school students who were exposed to the suicidal death of a peer completed self-report measures to assess levels of depression, grief reaction, post-traumatic stress, and suicide ideation at 1 month and 8 months after the peer's suicide. Results : There was no significant change in mental health scores between 1 month and 8 months. Level of posttraumatic stress after 8 months was related to acute grief response. Subjects who experienced a clinically significant level of suicidal ideation and posttraumatic stress showed more mental health problems. Conclusion : The results suggested that peer's suicide strongly impacted mental health issues of adolescents at a critical time of adolescent development. Clinicians should perform a thorough evaluation of mental health problems for youth who experienced peer's suicide and help them in management of their grief reaction.

The Influence of Post-Traumatic Stress and Social Support on Depression of Vietnam Veterans (베트남 참전군인의 외상 후 스트레스와 사회적 지지가 우울에 미치는 영향)

  • Hyun, Hye-Sun;Kim, Tae-Yeol;Kim, Yun-Young
    • The Korean Journal of Health Service Management
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    • v.12 no.1
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    • pp.137-147
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    • 2018
  • Objectives : The purpose of this study was to identify the post-traumatic stress, social support, and depression of Vietnam veterans and the effects of post-traumatic stress and social support on depression. Methods : This study was carried out from June 2017 to September 2017 with the cooperation of the Korean Society of Veterans' Affairs and 250 Vietnamese veterans from D city were randomly sampled and collected. The collected data were used by SPSS 24.0 Statistics Program. Results : Social support was inversely correlated with post-traumatic stress (r=-.268, p<.001) and depression (r=-.333, p<.001), and post-traumatic stress and depression (r=.592, p<.001) were positively correlated. Post-traumatic stress and social support of veterans had a significant effect on depression, and post-traumatic stress and social support showed an explanatory power of 37.7% in depression. Conclusions : It is necessary to improve soldiers' mental health by mediating their post-traumatic stress and reducing their depression level by establishing a social support system.

The Effects the Application of MyoFascial Release of Depression, Anxiety, Sleep Disturbance, and Headache in Post Traumatic Stress Disorder Patients with Somatization: Case Study (신체화를 동반한 외상후 스트레스 장애 환자의 근막이완술 적용이 신체화, 우울증 및 통증에 미치는 영향 : 사례 연구)

  • Yu, Seong-hun;Park, Jae-myung;Hong, Hyun-pyo
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.23 no.2
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    • pp.75-81
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    • 2017
  • Background: The purpose of this study is to examine the effects of myofascial release technique (MFR) on psychological and physical symptom in somatization with post traumatic stress disorder (PTSD). Based on this, proceed to present an effective physical treatments. Methods: In this study, three subjects were applied ABA design for a total of 12 weeks. Intervention was performed three times per week, and only MFR for 6 weeks was applied to the patient for 60 minutes. General physical therapy consisted of a total of 60 minutes including hot pack, electric therapy, and ultrasound. In this study, we measured three times in the second baseline stage at the initial evaluation before the commencement of intervention, somatization, depression, anxiety, sleep disorder, and pain after 6 weeks and 12 weeks. Results: In this study, the application of MFR showed significant differences in somatization symptoms, sleep disturbance, and headache. There was no significant difference in depression and anxiety. Conclusions: As a result, the application of MFR in PTSD patients with somatization can be suggested as a useful intervention to resolve the psychosomatic problem.

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Oriental medical Intervention Research for Post traumatic stress disorder - A Model of Oriental medicine for Disaster Mental Health - (외상 후 스트레스장애에 대한 한방중재 고찰 - 재해정신보건 한의학적 치료 모델 연구 -)

  • Kwon, Yong-Ju;Cho, Seung-Hun
    • Journal of Oriental Neuropsychiatry
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    • v.22 no.4
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    • pp.77-86
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    • 2011
  • Objectives : These days assaults and other natural and human disasters are increasing. But oriental medical treatment researches in Korea are limited in car accident PTSD patients only. Our object is to explore an oriental medical intervention model for the evidence-based approach to PTSD after diverse trauma including disasters. Methods : Domestic papers for Korean researches are obtained from oriental medical related journals by internet searching. International materials are obtained from PubMed searching and a publication from Department of Veterans' Affairs. After assorting searched articles into RCTs and non-RCTs, we analyzed the articles according to the elapsed time from trauma. Results : We confirmed that acupuncture, CBT, and PMR were effective in acute stage after traumatic event. And EMDR, EFT, and relaxation therapy were effective in chronic stage after traumatic event. Building on the findings, we proposed a model of oriental medicine for Disaster Mental Health. Conclusions : Analyzing previous researches about oriental medicine on PTSD, several interventions were confirmed the effectiveness on specific treatment stage. We could find the possibility of Oriental Medicine as a Disaster Mental Heath and proposed a model of Oriental medicine for Disaster Mental Health.

Effects of Cyber Defamation Victims' Post-Traumatic Stress on Coping behaviour : Focusing on the Theory of Reasoned Action (사이버 명예훼손 피해자의 외상 후 스트레스가 대처행동에 미치는 영향 : 합리적 행동 이론을 중심으로)

  • Kim, Youngsoo;Byun, Sanghae
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.15 no.1
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    • pp.29-41
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    • 2019
  • The purpose of this study examined how post-traumatic stress, caused when internet users in web portal or social media are defamed in cyberspace, influence on coping behaviour, through the Theory of Reasoned Action's two major factors: Attitude on behaviour and subjective norm. In so doing, it aims to provide a technical and political solution that would fundamentally prevent future victims in cyberspace. In an effort to examine its research theory, a survey was conducted on people who have had the experience of being defamed in cyberspace. The results showed, first, hypersensual has no significant influence over attitude on behaviour and subjective norm. Second, intrusion has no significant influence over attitude on behaviour and subjective norm. Third, avoidance showed significant influence over attitude on behaviour and subjective norm. Fourth, attitude on behaviour and subjective norm showed significant influence on behaviour. This study has both theoretical and practical significance; Unlike previous studies on cyber defamation with qualitative research method, this study employed quantitative method through theory-based approach. In other words, the researcher did not arbitrarily set variables, but utilized the Theory of Reasoned Action for examination.