• Title/Summary/Keyword: Disaster medicine

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A Reflection on Korean MERS Crisis in 2015: Socio-Medical Approach (2015년 메르스 사태의 사회의료학적 조명)

  • Kim, MunCho
    • Journal of Science and Technology Studies
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    • v.16 no.1
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    • pp.5-22
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    • 2016
  • MERS(Middle East Respiratory Syndrome), an acute and infectious viral disease with high fatality sneaked in South Korea in May 2016. Although MERS is officially declared to be exterminated in Korea by the date of December 24, it aroused a great panic throughout the country and remained many tasks requiring sincere deliberations and innovative actions. This study starts to summarize all that had been happening during first 7 months since last May, reconsider the whole process in light of disaster paradigm, analyze the causes and tasks of such turmoil under the framework of social medicine. It is wrapped up with the visions and prospect of the social medicine, an interdisciplinary approach that takes into account the expert knowledge of academia, administrative knowledge of government, media knowledge from traditional/new media and lay knowledge of civil society.

Assessment Instruments for Disaster Behavioral Health (재난정신건강 평가도구)

  • Park, Joo Eon;Kang, Suk-Hoon;Won, Sung-Doo;Roh, Daeyoung;Kim, Won-Hyoung
    • Anxiety and mood
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    • v.11 no.2
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    • pp.91-105
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    • 2015
  • Objectives : After disaster, some people develop posttraumatic stress sequelae such as posttraumatic stress disorder (PTSD), major depression, substance use disorders, and suicide. To date, numerous screening and assessment tools for behavioral health issues including mental health problems, psychosocial maladjustment and status of recovery after disaster have been developed. In this condition, one of important topics is to choose instruments that can quickly and accurately measure the issues. Methods : This article reviewed several self-reported scales in adults for disaster behavioral health, which were searched using academic search engines like PubMed, Scopus, KoreaMed and KISS from the earliest available date of indexing through January 31, 2015. Results : More than 40 eligible instruments evaluating the disaster behavioral health issues containing posttraumatic stress sequelae, psychological and social resources, non-disaster stress, and general functions were presented in terms of availability, effectiveness, and expeditiousness. Also, we introduced basic frame aiming on practical usage, which includes standard version and brief version of the instruments for disaster behavioral health. Conclusion : We suggest the accessibility and the applicability of assessment instruments for disaster behavioral health. The systemic review of this article will provide further directions for them.

THERAPEUTIC APPROACH FOR CHILD AND ADOLESCENT AFTER DISASTER (재해를 당한 소아청소년에 대한 치료적 접근)

  • Lee, Young-Sik
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.13 no.1
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    • pp.24-29
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    • 2002
  • The social attention about disaster psychiatry was increased after 911 terror in New York. The role of child psychiatrist and specific consideration for the treatment of child victim in disaster were reviewed. The following were main points. 1) The most single determining factor of prognosis is supporting system and parental attitude to their child victim. So family therapy and parental eucation are needed. 2) Cognitive Behavior Therapy is known to the most effective treatment in many literature. 3) Brief group therapy with fellow victim is cost effective preventive methods and screening tool for more serious victim, 4) Eye Movement Desensitization and Reprocessing(EMDR) could be a very amazing method in reducing repetative horrible traumatic image. 5) Many kinds of drug using in adult are considered with caution.

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Stereoisomer-specific ginsenoside 20(S)-Rg3 reverses replicative senescence of human diploid fibroblasts via Akt-mTOR-Sirtuin signaling

  • Yang, Kyeong-Eun;Jang, Hyun-Jin;Hwang, In-Hu;Hong, Eun Mi;Lee, Min-Goo;Lee, Soon;Jang, Ik-Soon;Choi, Jong-Soon
    • Journal of Ginseng Research
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    • v.44 no.2
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    • pp.341-349
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    • 2020
  • Background: The replicative senescence of human dermal fibroblasts (HDFs) is accompanied by growth arrest. In our previous study, the treatment of senescent HDFs with Rg3(S) lowered the intrinsic reactive oxygen species (ROS) levels and reversed cellular senescence by inducing peroxiredoxin-3, an antioxidant enzyme. However, the signaling pathways involved in Rg3(S)-induced senescence reversal in HDFs and the relatedness of the stereoisomer Rg3(R) in corresponding signaling pathways are not known yet. Methods: We performed senescence-associated β-galactosidase and cell cycle assays in Rg3(S)-treated senescent HDFs. The levels of ROS, adenosine triphosphate (ATP), and cyclic adenosine monophosphate (cAMP) as well as the mitochondrial DNA copy number, nicotinamide adenine dinucleotide (NAD)+/1,4-dihydronicotinamide adenine dinucleotide (NADH) ratio, and NAD-dependent sirtuins expression were measured and compared among young, old, and Rg3(S)-pretreated old HDFs. Major signaling pathways of phosphatidylinositol 3-kinase/Akt, 5' adenosine monophosphate-activated protein kinase (AMPK), and sirtuin 1/3, including cell cycle regulatory proteins, were examined by immunoblot analysis. Results: Ginsenoside Rg3(S) reversed the replicative senescence of HDFs by restoring the ATP level and NAD+/NADH ratio in downregulated senescent HDFs. Rg3(S) recovered directly the cellular levels of ROS and the NAD+/NADH ratio in young HDFs inactivated by rotenone. Rg3(S) mainly downregulated phosphatidylinositol 3-kinase/Akt through the inhibition of mTOR by cell cycle regulators like p53/p21 in senescent HDFs, whereas Rg3(R) did not alter the corresponding signaling pathways. Rg3(S)-activated sirtuin 3/PGC1α to stimulate mitochondrial biogenesis. Conclusion: Cellular molecular analysis suggests that Rg3(S) specifically reverses the replicative senescence of HDFs by modulating Akt-mTOR-sirtuin signaling to promote the biogenesis of mitochondria.

Symptom severity, Functional Impairment, and Personality Profiles between Partial and Full Post-traumatic Stress Disorder Patients among the Adolescent Survivors from the Incheon Fire Disaster (인천 화재사건 청소년 생존자를 대상으로 한 PTSD 하위유형간 증상, 기능 및 기질성격 특성 비교연구)

  • Hwang, Seo Hyun;Lee, Hong Seock;Lee, Sang Kyu;Lee, Heung Pyo;Jeon, Chul Eun;Lee, So Young;Lee, Yong Ku
    • Anxiety and mood
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    • v.7 no.2
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    • pp.92-100
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    • 2011
  • Objectives : The aim of this study was to investigate Post Traumatic Stress Disorder (PTSD)-related symptom severity, level of functional impairment and personality profiles between full-blown PTSD, partial PTSD and non-PTSD groups among 59 adolescent survivals from the Incheon fire disaster. Method : Using Short Screening Scale for DSM-IV PTSD, victims of the disaster were assigned to a full-blown PTSD group (n=18), a partial PTSD (n=22), or a non-PTSD group (n=19). Assessments included the Beck Depression Inventory (BDI), the State-Trait Anxiety Inventory (STAI), the Impact of Event Scales (IES), the McBride's Degree of General Labor Loss, and the Korean Version of Temperament and Character Inventory (K-TCI). Results : Significantly severe PTSD symptoms (F=4.832, df=2, p<.05) and functional impairment (F=12.144, df=2, p<.01) were demonstrated by PTSD groups as compared to the non-PTSD group. Interestingly, full and partial PTSD did not differ in these comparisons. Similarly, the subtypes of PTSD did not differ with respect to personality profiles using the K-TCI ; however, personality profiles were sharply differentiated between the PTSD and non-PTSD group. Conclusion : Although high subject homogeneity and small sample size may limit the results of this study, the present results highlight the possibility of the underestimation as well as the insufficient, treatment and compensation of partial vs full PTSD.

Preventive Medicine in Times of a Rapid Epidemiologic Transition in Korea (예방의학의 발전 방향)

  • Park, Jung-Han
    • Journal of Preventive Medicine and Public Health
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    • v.39 no.1
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    • pp.2-6
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    • 2006
  • Ever since the foundation of the Korean Society for Preventive Medicine in 1947, members of the Society had made remarkable contributions to the public health development and national health promotion. They had played key roles in establishing national health system, improving environmental hygiene, controlling infectious and chronic diseases, promoting family planning, improving industrial and environmental health, and developing health service management. However, the Society had less actively responded to the changes in health service needs of the population that were caused by a rapid epidemiologic transition in last a few decades. Early detection and treatment of chronic diseases including cancer and cardiovascular diseases and risk reduction by the life style modification are major approaches to the contemporary national health problems and they are the core contents of preventive medicine. The author proposed to develop the clinical preventive medicine specialist who will have additional training in clinical medicine for health screening and life style modification to the current preventive medicine training program and thus will be able to provide comprehensive preventive medical services. Another area that the Society may take the initiative is training preventive medicine specialist in the disaster, including bioterrorism, preparedness and management. The Society should be more active in proposing health policy and health service program and also participate collectively in a large scale health research project of the government. These approaches may not only contribute more effectively to the national health promotion but also improve the identity of the Society.

A Study for Link of Institution in Disaster Management : Ansan District Study (재난 지원에 있어 지역사회 기관 연계에 관한 연구)

  • Yoon, Seoyoung;Yoon, Ho-kyoung;Kim, So-yeon;Ko, Young-Hoon
    • Korean Journal of Psychosomatic Medicine
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    • v.24 no.2
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    • pp.125-132
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    • 2016
  • Objectives : The management of disaster should be immediate and sustainable. Further, it is hard to predict where the disaster will occur, using pre-exists governmental and non-governmental organizations are important. In this study, we tried to investigate the associated activities of organizations performed in Ansan city, in Sewol ferry accident. Methods : A total 121 workers in 25 organizations were surveyd about organizations which they worked with, kind of works performed, frequency of meetings, satisfaction in activities and factors associated with dissatisfaction in usual state and in Sewol ferry accident state, respectively. The differences between those two situations were analyzed using paired t-test for continuous variables and Chi-square test or McNemar test for categorical variables. Results : The total number of linkage of institutions were decreased(from n=397 to n=251) and the mean scores of rating satisfaction were significantly lower in most of organizations in disaster state. The rigid policy in performance evaluation was more likely associated with dissatisfaction in disaster state than usual state(p=0.045). Conclusions : For effective linkage of institutions, preparedness, such as understanding the capability of organizations in the communities and developing the protocol for associated activities, is important. The unnecessary and effortful performance evaluation should be sublated.

Relationship between the Characteristics of Occupational Stress and Depression among Local Government Officials (일 지역 공무원의 직무스트레스 특성과 우울의 관련성)

  • Yoo, Seonyoung;Lee, Dayoung;Lee, Junghyun;Kim, Jiae;Jeon, Kyoungsun;Kim, Do Hoon;Sim, Minyoung
    • Anxiety and mood
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    • v.15 no.2
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    • pp.84-93
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    • 2019
  • Objective : The aim of this study was to examine the relationship between occupational stress and depression, as it is seen to be corresponding with the work characteristics of local government officials. Methods : The data of 671 local government officials who participated in this study from July to December 2015 as a part of an occupational stress management program, were analyzed retrospectively in this study. Likewise, the participants completed questionnaires, including a short form of the Korean Occupational Stress Scale (KOSS), and the Beck Depression Inventory-II (BDI-II) the results of which were evaluated and reviewed. Results : The study noted that the subscales of occupational stress related to depression were varied, according to the work characteristics of the participants, after adjusting for age and job grade. It was found that the participant's variables of job insecurity, lack of reward, organizational system and occupational climate were significantly related to the development of a depressed mood in the participant in a general sense. Notably, the factor of interpersonal conflict was significantly related to depressed mood among the general administrative group; meanwhile, lack of reward in the welfare group and insufficient job control in the technical group were significantly associated with the likelihood of developing a depressed mood in participants reviewed. In the operation and maintenance of facilities group, job insecurity was significantly related with depressed mood, whereas job demand was related more with the incidence of depression in the field work group. Conclusion : This study revealed that the influence of occupational stress on depression varied according to the occupational characteristics experienced by the participants in the work environment. These findings may be used to enhance the occupational stress management program for local government officials according to their work characteristics, to bring awareness to this issue.

Trend Analysis for the Beehive Removal Dispatch of the 119 Rescue Teams in Busan (부산지역 119구조대의 벌집 제거 출동 경향 분석)

  • Lee, Geun-chul;Kim, Byoung-Gwon;Seo, Il-hwan
    • Journal of the Society of Disaster Information
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    • v.17 no.4
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    • pp.667-673
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    • 2021
  • Purpose: The aim of this study is to analyze the trend for the dispatch of the 119 rescue teams to remove the beehive according to the distribution of temperature and time in Busan metropolitan city for 5 years from 2015. Method: From January 2015 to December 2019, 11 fire stations in Busan were dispatched and the source data of rescue and emergency activities were collected. The number of beehive removal dispatches was determined by the Busan Metropolitan Fire Station's jurisdiction over the past five years, and the temperature meteorological factors and honeycomb removal dispatches were analyzed in frequency and percentage. Result: The frequency of dispatch began to increase at an monthly average temperature of more than 20℃ and was higher at 23℃ to 29℃ than other temperature range. The highest frequency of dispatch was 7,900 cases in 2017. In particular, we found that the start timing of the honeycomb removal is getting faster as the year goes by. Gijang-gun had the largest frequency of dispatch, and Haeundae-gu, Geumjeong-gu, and Nam-gu were found to have a higher that. Conclusion: We found that the start timing of the honeycomb removal is getting faster as the year goes by and temperature changes. The results of this study are considered to be useful in future studies of wasps in urban areas.

Evaluation on Medical Application of Survey meters in Convergence Perspective for the Efficient Disaster Responses in the Massive Radiological Disasters: A Simulation Study of Externally Contaminated Patients Using Two Representative type of Survey-Meters (융합적 관점에서 본 대량방사선 재난에서 효율적 재난반응을 위한 오염감시기의 의학적 적용에 대한 평가: 대표적 두가지 오염감시기를 이용한 방사선외부오염환자 시뮬레이션 연구)

  • Kim, Chu Hyun
    • Journal of the Korea Convergence Society
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    • v.12 no.3
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    • pp.77-83
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    • 2021
  • The purpose of the study is to evaluate the effect on medical application and convergence for the efficient disaster responses in the massive radiological events by comparison of two types of survey-meters(hand held survey-meter and transportable portal monitor). In the simulated radiation disaster drill, twelve participants randomly wore a personal protective equipments (PPE) with twelve check source. We measured participants to detect five real radioactive sources of the twelve check sources, using two types of survey meters. The primary outcome was the measuring time. The secondary outcome was the sensitivity and specificity of the detection of the real radioactive source. The average time by the hand held survey meter was 231.9 ± 116.6 seconds, and the time by transportable portal monitor was statistically shorter 8.690 ± 1.667 seconds. There was no difference in the sensitivity and specificity between two survey meters. The transportable portal monitor survey meter was considered to have medical application and play an important role in radiological disasters.