• Journal of the Korean Society of Radiology
• /
• v.81 no.1
• /
• pp.231-236
• /
• 2020

Duodenal varices can develop in patients with portal hypertension secondary to liver cirrhosis. Although upper gastrointestinal bleeding is often severe and fatal, the definite treatment or guideline has not been established. Although endoscopy is the primary therapeutic modality, the use of radiologic interventions, such as transjugular intrahepatic portosystemic shunt, balloon or vascular plug-assisted retrograde transvenous obliteration, and percutaneous transhepatic variceal obliteration, can be considered alternative treatment methods for duodenal varices. Herein, we report a case of duodenal varix in a patient with poor hepatic functional reserve and vascular anatomy, which are contraindications for an occlusion balloon or a vascular plug, successfully treated with coil-assisted retrograde transvenous obliteration.

• Journal of the Korean Society of Radiology
• /
• v.81 no.3
• /
• pp.726-732
• /
• 2020

Neurofibromatosis type 1 (NF1) is a common autosomal-dominant disorder. Vasculopathies associated with NF1 are rare and can cause aneurysms, stenoses, and arteriovenous malformations. Aneurysms may rupture spontaneously, which could be fatal. Spontaneous mesenteric hemorrhage due to rupture of an inferior mesenteric artery aneurysm associated with NF1 has rarely been reported. Herein, we report a case of spontaneous rupture of a fusiform aneurysm in the superior rectal artery in a 56-year-old woman with NF1 who was successfully treated with transcatheter arterial embolization.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.12 no.5
• /
• pp.2222-2229
• /
• 2011

The purpose of this study was to evaluate the efficacy of basic integrative lecture course of medical college through cyber lecture. This study was also aimed to develop and implement a progressive cyber-teaching method which integrative lecture system is concerned for medical students. In this study, effectiveness of cyber lecture on the student's satisfaction, content difficulty and course management were analyzed by way of anonymous survey at the end of basic neuroscience integrative lecture course. Survey data were also analyzed with statistical tools to find out strength of correlation between students degree of satisfaction to cyber lecture and their individual grade of this course. The majority of students held positive opinions on course management, level of difficulty in each session, utilizing multimedia contents and preferred cyber lecture system to be continued in the future. Many students also suggested intimate integration of multimedia contents shown in cyber lecture to the lab sessions for the maximization of educational effect. In this study, it suggested that cyber lecture could be a useful tool in teaching integrative medical subjects and play more important role in the future integrative medical subjects with the improvement of present problems and limitations.

• Journal of Korean Medical classics
• /
• v.18 no.4 s.31
• /
• pp.155-165
• /
• 2005

진당시기대상한론치법적연구유(晋唐時期對傷寒論治法的硏究有): 왕숙화운용당시성행적(王叔和運用當時盛行的)‘한(汗), 토(吐), 하(下), 온(溫), 구(灸), 자(刺), 수(水), 화(火)’등팔법(等八法), 귀납료상한론적증치경험(歸納了傷寒論的證治經驗); 손사막근거자기적임상경험(孫思邈根據自己的臨床經驗), 파상한론적태양병편진행료(把傷寒論的太陽病篇進行了)‘이방명법(以方名法), 안법류증(按法類證)’, 저시해시기대상한론육경병치법적대표성적연구(這是該時期對傷寒論六經病治法的代表性的硏究), 저종연구유원시화력사적국한성(這種硏究有原始和歷史的局限性), 종중국의학대상한론육경병치법적연구력사고려(從中國醫學對傷寒論六經病治法的硏究歷史考慮), 저성위료후세적치법연구적선구자(這成爲了後世的治法硏究的先驅者), 구유비상대적영향(具有非常大的影響). 재송대대상한론치법적연구상(在宋代對傷寒論治法的硏究上), 기관건작용적의가유방안시화주굉(起關鍵作用的醫家有龐安時和朱肱). 타문대상한론치료원칙적천발(他們對傷寒論治療原則的闡發), 대륙경병적분석귀납(對六經病的分析歸納), 이급제시구체적치법상(以及提示具體的治法上), 도주출료공헌(都做出了貢獻). 방안시주장료응안인(龐安時主張了應按人), 지(地), 시제정치료적사상(時制定治療的思想); 주굉이(朱肱以)‘병유표본(病有標本), 치유선후(治有先後)’위치료원칙(爲治療原則), 여상한론상결합진행치료(與傷寒論相結合進行治療), 대후세의가산생료영향(對後世醫家産生了影響). 도료금원대성무기(到了金元代成無己), 류완소(劉完素), 왕호고등(王好古等), 대내경내용각자이사상관점(對內經內容各自以思想觀点), 분별안변증론치총결료육경병적치료규율(分別按辨證論治總結了六經病的治療規律), 동시대증후화방약진행료분석(同時對證候和方藥進行了分析), 천명료구체적육경병치법적병리전귀(闡明了具體的六經病治法的病理轉歸), 도유기독창성(都有其獨創性). 성무기용내경해석료상한론(成無己用內經解釋了傷寒論), 총결해기(總結解肌) 발한(發汗) 중제발한(重劑發汗) 해표행수(解表行水) 화해(和解) 공비 지열(止熱) 삼설등치법, 위후세대상한론치법적연구개벽료도로, 인이갱가명확화해적개념(因而更加明確和解的槪念), 병응용지금(幷應用至今). 류완소제창료주화론(劉完素提倡了主火論), 중시료상한론한(重視了傷寒論汗), 토(吐), 하삼법적연구(下三法的硏究), 창립료신량해표법(創立了辛凉解表法), 대후세온병치료적발전대래료흔대영향. 왕호고작위이수학파(王好古作爲易水學派), 운용장부적한열허실이론결합약미효능(運用臟腑的寒熱虛實理論結合藥味效能), 탐색료상한론육경병적치료규율(探索了傷寒論六經病的治療規律), 강조료양명병적익진액적치료원칙(强調了陽明病的益津液的治療原則), 대후세연구상한론치법급여료흔대적계발. 이상대상한론치법연구(以上對傷寒論治法硏究), 불근성위당시임상의학적선도(不僅成爲當時臨床醫學的先導), 이차성위료후세연구상한론치법적기초(而且成爲了後世硏究傷寒論治法的基礎).

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.14 no.12
• /
• pp.6330-6339
• /
• 2013

The aims of this study were to identify the significant predictors of the sexual behavior of middle school students. The subjects consisted of 603 middle school students (male 344, female 259). The data was collected through self-report questionnaires, which were constructed to include the attitudes to sexual behavior, sexual permissiveness, perceived behavioral control, sexual behavioral intention, father's child-rearing attitudes, mother's child-rearing attitudes, friends' attitudes to sex, exposure to pornography, and sexual behavior. The data was analyzed using the SPSS 19.0 program. The significant predictors of sexual behavior of middle school students that explained 51.0% of the variance in sexual behavior were the friends' attitudes to sex, alcohol drinking experience, experience of sexual abuse, sexual permissiveness, exposure to pornography, sexual behavioral intention, perceived behavioral control, father's child-rearing attitudes, and mother's child-rearing attitudes. These findings suggest that the approach to a sexual education promotion program for middle school students should consider multisystemic predictors.

• Korean Journal of Social Welfare Studies
• /
• v.44 no.1
• /
• pp.135-164
• /
• 2013

The purpose of this research is to examine the effects of family social capital and community social capital on how successfully children adapt to school. Utilizing the second year data from the 1st year of middle school panel found in the 2010 Korea Children and Youth Panel Survey, descriptive statistical analysis, correlation analysis, and hierarchical linear model analysis were conducted successively on 2,056 second-year middle school students living in 93 communities. The data produced was used to determine what degree of influence family social capital and community social capital exert on the ability of children to successfully adapt to school. First, 6.1% of the variables relating to school adaptation were explained by differences among communities, and the remaining 93.3% were explained by differences among individuals. Second, the examination of the effects of family social capital showed that students who experienced lower rates of neglect also experienced less abuse, had parents who were more interested in and better informed about their lives, and better adapted to school. Third, the examination of the effects of community social capital showed that the higher the community spirit the communities had, the better the young students in the communities adapted to school. Fourth, when the effects of family social capital and community social capital were examined in conjunction with each other, it was found that the less neglect the students experienced, the less abuse the students experienced, the greater the interest their parents had in their close friends, the better they themselves adapted to school. In relation to community social capital, the level of community spirit was still found to exert positive effects on the ability of young students to successfully adapt to school.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• v.8 no.2
• /
• pp.232-241
• /
• 1997

The psychological problems following the experiences of school-violence could be more important than the physical problems. Victims could suffer from fear, depression, anger, lowered self-esteem, suicidal thought, and personality changes. To study the risk factors for school violence and the psychiatric problems after the experiences to school-violence provide us important informations to prevent and solve the problems of school violence. We examined clinical characteristics and psychosocial backgrounds of 13 adolescents who visited the psychiatric clinic after exposures to school violence from September, 1996 to May, 1997. The clinical data included intensity, motivations, durations, and methods of violence, psychiatric symptoms following exposure, findings of psychological test, and treatment course. The socioeconomic data included developmental characteristics of subjects, family characteristics, school life, and peer relationships. Of the 13 adolescents who experienced exposure to violence, 8 have experienced chronic psychiatric disturbances, 5 experienced transient psychiatric symptoms such as anxiety, depression, suicidal attempt who eventually returned to home and school life. Of the 8 adolescents who experienced chronic psychiatric disturbances, 4 experienced PTSD and depression lasting 3-6 months more, otherwise 4 showed converted features, such as aggressive behavioral disorder or perpetrator by strong compensatory effects after psychological shock. The subjects who have experienced chronic psychiatric disturbance have clinical characteristics such as physical or emotional abuse, physical illness or handicap, defects of ego functionings, and lack of family support. In summary, victims by school-violence manifested serious psychiatric disturbances, and they had clinically significant risk factors and some of them became perpetrators of school-violence.

• Korean Journal of Social Welfare
• /
• v.59 no.1
• /
• pp.301-327
• /
• 2007

The purpose of this study is to examine the timing and the risk factors associated with the adoption of legally-free foster children. The sample of the study was drawn from foster care files of Adoption and Foster Care Analysis and Reporting System(AFCARS) in 32 states between October 1998 (FY 1999) and September 2002(FY 2002). The timing post-TPR to adoption was examined by plotting the Kaplan-Meier cumulative hazard function for adoption and by plotting the KM hazard functions stratified by child's race and child's age at TPR. Cox proportional-hazards regression analysis was used to identify risk factors for adoption of legally-free foster children after TPR. The hazard of adoption was very low immediately after TPR but increased steadily starting at 3 months and then declined after 20 months. The cumulative hazard functions for White non-Hispanic children and Black non-Hispanic children crossed over at 13 months after TPR. Racial minority status, older age, and disability were negatively associated with the hazard of adoption. Physical abuse, sexual abuse had the lower hazard for adoption compared by neglect. Caretaker's inability to cope had the slightly lower hazard for adoption whereas inadequate housing showed the slightly greater hazard for adoption. Characteristics of foster care services turned into be powerful predictors of adoption. Specifically, legally-free children placed in pre-adoptive homes, those who shared the same racial/ethnic background with their foster caretakers, and those who were placed in two-parent families have a greater likelihood of adoption. The findings highlight the importance of foster care service provisions after TPR to facilitate adoption of legally-free foster children. Furthermore, a more substantial resources and targeted support for foster children who experience physical abuse and sexual abuse in need of adoption should be provided for moving the foster children into permanency.

• Journal of Environmental Impact Assessment
• /
• v.28 no.2
• /
• pp.101-112
• /
• 2019

Over the last few years, air pollution ($PM_{10}$, $PM_{2.5}$) in the Seoul metropolitan area (SMA) has emerged as one of the most concerned and threatening environmental issues among the residents. It brings about various harmful effects on human health, as well as ecosystem and industrial activities. Governments and individuals pay various costs to mitigate the level of air pollutants. This study aims to empirically find the willingness to pays (WTP) among the parents from different socio-cultural groups - international and domestic groups to mitigate air pollution ($PM_{10}$, $PM_{2.5}$) in their residential area. Contingent Valuation Methods (CVM) is used with employing single-bounded dichotomous choice technique to elicit the respondent's WTP. Using tobit (censored regression) and probit models, the monthly mean WTP of the pooled sample for green electricity which contributes to improve air quality in the region was estimated as 3,993 KRW (3.58 USD). However, the mean WTP between the international group and domestic group through a sub-sample analysis shows broad distinction as 3,325KRW (2.98 USD) and 4,449 KRW (3.98 USD) respectively. This is because that socio-cultural characteristics of each group such as socio-economic status, personal experience, trust in institutions and worldview are differently associated with the WTP. Based on the results, the society needs to raise awareness of lay people to find a strong linkage between the current PM issue and green electricity. Also, it needs to improve trust in the government's pollution abatement policy to mobilize more assertive participation of the people from different socio-cultural background.

• Korean Journal of Psychosomatic Medicine
• /
• v.28 no.1
• /
• pp.53-62
• /
• 2020

Objectives : This study investigated lifetime experiences of trauma, treatment retention, and psychiatric symptoms among outpatients with panic disorder after initiation of pharmacotherapy. Our research hypothesis was that panic patients with childhood trauma would display more severe symptoms and less treatment retention compared to those without such history. Methods : A total of 135 first-visit outpatients with DSM-IV panic disorder were approached during the period from March 2012 to August 2016. Fifty-three patients (39%) either refused or returned incomplete questionnaires, leading to a final sample size of 82. Participants completed the Trauma History Screen, the Beck Depression Inventory, the Beck Anxiety Inventory, and the Abbreviated PTSD checklist. Results : The number of lifetime trauma was significantly correlated with treatment retention (rho=-0.269, p=0.015). Among subtypes of trauma, only childhood physical abuse was significantly correlated with treatment retention (rho=-0.298, p=0.007). Conclusions : Our results indicated that psychological trauma, particularly of an interpersonal nature from childhood, can affect pharmacotherapy treatment retention in panic disorder. This may be mediated by poor patient-doctor relationships originating from trust issues among childhood trauma survivors or lack of perceived improvement due to the more severe symptoms and unfavorable course experienced by those with childhood trauma. Further studies are needed to explore the reasons for poor treatment adherence in this population.