• Neonatal Medicine
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• 제28권1호
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• pp.48-52
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• 2021

Aplasia cutis congenita (ACC) is a rare congenital disorder characterized by skin defects involving the epidermis, dermis, subcutaneous tissue, bone, and sometimes dura. It commonly affects the scalp in approximately 70% of cases, but the neck, trunk, and the extremities can also be affected. ACC can occur either as an isolated condition or associated with other anomalies and congenital syndromes, and it can be acquired either genetically or sporadically. Morbidity and mortality are associated with the defects of skull bone, dura, and other multiple anomalies. We herein report the case of a female infant, with a large scalp defect accompanied by a skull defect noted at birth, who developed mental retardation in the preschool years.

• 대한불안의학회지
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• 제19권2호
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• pp.27-36
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• 2023

Interest in anxiety has a long history, and this topic has played a significant role in the field of mental health. The concept of anxiety has evolved diversely over time and across cultures, influencing our understanding, diagnosis, and treatment approaches for anxiety disorders. In this paper, we have reviewed and summarized various concepts and theories related to anxiety that have evolved over several centuries. Furthermore, we have examined how the diagnostic criteria in the DSM (Diagnostic and Statistical Manual of Mental Disorders) have changed within this historical context. A precise understanding of the history of the concept of anxiety and anxiety disorders is believed to have a positive impact on shaping the future path of anxiety disorders in psychiatry.

• 대한임상독성학회지
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• 제21권2호
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• pp.135-142
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• 2023

Purpose: In patients with glufosinate poisoning, severe neurological symptoms may be closely related to a poor prognosis, but their appearance may be delayed. Therefore, this study aimed to determine whether the Acute Physiology and Chronic Health Evaluation II (APACHE II) score could predict the neurological prognosis in patients with glufosinate poisoning who present to the emergency room with alert mental status. Methods: This study was conducted retrospectively through a chart review for patients over 18 years who presented to a single emergency medical center from January 2018 to December 2022 due to glufosinate poisoning. Patients were divided into groups with a good neurological prognosis (Cerebral Performance Category [CPC] Scale 1 or 2) and a poor prognosis (CPC Scale 3, 4, or 5) to identify whether any variables showed significant differences between the two groups. Results: There were 66 patients (67.3%) with good neurological prognoses and 32 (32.8%) with poor prognoses. In the multivariate logistic analysis, the APACHE II score, serum amylase, and co-ingestion of alcohol showed significant results, with odds ratios of 1.387 (95% confidence interval [CI], 1.027-1.844), 1.017 (95% CI, 1.002-1.032), and 0.196 (95% CI, 0.040-0.948), respectively. With an APACHE II score cutoff of 6.5, the AUC was 0.826 (95% CI, 0.746-0.912). The cutoff of serum amylase was 75.5 U/L, with an AUC was 0.761 (95% CI, 0.652-0.844), and the AUC of no co-ingestion with alcohol was 0.629 (95% CI, 0.527-0.722). Conclusion: The APACHE II score could be a useful indicator for predicting the neurological prognosis of patients with glufosinate poisoning who have alert mental status.

• Korean Journal of Radiology
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• 제24권5호
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• pp.478-479
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• 2023

• 한국재난정보학회 논문집
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• 제16권1호
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• pp.34-43
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• 2020

연구목적: 본 연구는 소방공무원 보건안전 및 복지기본계획, 그리고 매년 연도별 계획이 실질적으로 소방공무원의 보건과 복지에 기여하는지 여부를 실증검증하여 현재 계획에 근거한 정책들의 문제점과 개선방안을 도출하고자 하였다. 연구방법: 현황분석과 더불어 해당분야 전문가들로부터의 델파이분석기법에 의해 연구결과: 소방공무원 보건안전정책에서의 문제점으로 소방관 전문병원의 부재, 일선 소방서차원의 정신건강교육프로그램 미흡, 현장활동 위험평가 체계 미흡의 문제, 심신건강관리사업의 효과성 문제, 심신안정 프로그램의 내실화 부족, 정신건강관련 교육의 부재, 정신건강관련 프로그램 이용자의 은닉성 보장문제가 주요 문제점으로 도출되었으며, 소방공무원 복지정책에서의 문제점으로 부모소방관에 대한 지원부족, 퇴직소방관에 대한 노후설계대비 미흡, 여성소방관에 처우개선 미흡이 도출되었다. 결론: 개선방안으로 소방전문병원설립, 정신건강교육프로그램의 내실화 및 소방서내 CISD 리더 양성프로그램 마련, 재난현장 위험평가체계의 마련, 찾아가는 심리상담실사업등에 대한 효과성 측정등의 평가체계 도입, 수요자 만족도 조사등을 통한 프로그램 내실화, 정신건강관련 교육시스템 마련, 인사시스템 개선을 통한 은닉성 보장 방안, 육아 휴직제도 장려 및 소방서내 육아시설 도입, 퇴직소방관 활용 방안 수립 및 사업 활성화, 여성소방공무원을 위한 정책마련 방안이 도출되었다.

• 한국심리학회지ㆍ건강
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• 제16권1호
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• pp.1-14
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• 2011

정신건강에서 강제적인 치료는 오랫동안 철학적 임상적 논쟁이 되고 있다. 이념과 실제가 서로 모순된다는 점에서 아직까지 중요한 문제가 남아있다. 이 연구는 정신장애를 가진 사람의 지각된 강요에 초점을 두고 정신장애특성(정신병적 증상, 심리사회적 기능, 통찰, 치료필요성의 인식)과 입원과정에서 경험(법적상태, 강요조치, 절차적 정당성)이 지각된 강요를 어떻게 예측할 수 있는지를 분석하였다. 이 연구의 참여자는 302명의 입원환자이며, 195명(64.6%)이 남자이고 106명(35.1%)은 여자였다. 참여자들은 MAES, BPRS, GAF, 통찰, 법적상태, 강요조치, 치료필요성의 인식 등을 측정하는 질문지에 응답하였다. 회귀분석결과, 정신장애 특성 가운데 통찰과 치료필요성의 인식이 지각된 강요의 중요한 예측변인이었고, 또한 입원할 때 경험하는 특징인 절차정당성, 강요조치 그리고 법적상태가 모두 지각된 강요를 유의하게 예측하였다. 본 연구 결과가 지각된 강요를 감소시키기 위한 실제적인 개입방법의 측면에서 지니는 함의와 본 연구의 제한점에 대해서 논의하였다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제31권4호
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• pp.193-200
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• 2020

Objectives: Adolescent suicide, a major cause of adolescent death, is affected by various factors, including attitudes toward suicide. This study investigated the association between parenting style and adolescents' attitudes toward suicide and the mediating role of attitude toward suicide between parenting style and suicidal ideation. Methods: We surveyed 1,071 adolescents from eight middle schools in Incheon, Korea. The survey included sociodemographic information, attitudes toward suicide, perception of parenting style, depression severity, and suicidality. Results: Students in the authoritarian parenting group had a more permissive attitude toward suicide compared with the democratic and permissive parenting groups. These students considered that suicide is justified in certain situations and that choosing suicide is an individual's right. They also had a negative attitude toward talking about suicide or intervening in others' suicide. This association remained statistically significant after adjusting for the impact of confounding factors that could affect attitudes toward suicide, except for suicidal processes and preparedness to prevent suicide. In the mediation analysis, we observed that some factors of the attitudes toward suicide mediated between authoritarian parenting attitudes and suicidal ideation, namely, suicide as a right, preventability, suicide as normal/common, preparedness to prevent suicide, and resignation. Conclusion: This study revealed the significant impact of parenting style on children's attitudes toward suicide. Educating parents about the appropriate parenting attitudes-sympathetic and rational-can help prevent youth suicide.

• 대한한방내과학회지
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• 제25권3호
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• pp.590-595
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• 2004

Conversion Disorder is a disorder whose predominant feature is a loss or alteration in physical functioning that suggests a physical disorder but that is actually a direct expression of a psychological conflict or need. The Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV) guidelines for Conversion Disorder include these definitions: A psychosocial stressor produces a psychological conflict that is believed to help initiate or exacerbate the illness The symptoms are not under conscious control, etc. While functional disabilities are common with conversion disorders, physical and laboratory abnormalities are absent or minor in comparison with the patient's subjective complaints. Symptoms of Conversion Disorder are similar to those of stroke. But the mechanism of Conversion Disorder is similar as that of Stagnation Syndrome of Ki (氣鬱證) in Oriental medicine. Gaegyeolseogyeong-tang has been used to treat women who suffer from Conversion Disorder induced by the Stagnation Syndrome of Ki (氣鬱證). After application of the Gaegyeolseogyeong-tang for 7 days, symptoms and signs improved dramatically.

• 대한불안의학회지
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• 제6권2호
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• pp.131-136
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• 2010

Objectives : In this study, we aimed to elucidate the demographic and psychological characteristics of maladaptive soldiers in the Republic of Korean Army. Methods : Study participants included 110 male conscripts who had participated in the Green camp, which was a form of group psychosocial treatment program for maladaptive soldiers. All participants were interviewed and diagnosed by a psychiatrist, and classified into two groups according to whether they left or rejoined the army. We analyzed the differences between these two groups in terms of demographic features, psychiatric diagnosis and the Minnesota Multiphasic Personality Inventory (MMPI) subscores. Results : Compared with soldiers who rejoined their units, those who left military service exhibited significantly lower educational level (p=0.041) and a higher rate in psychiatric treatment prior to enlistment (p=0.011). Among the 106 subjects, 63 (59.4%) and 23 (21.7%) were diagnosed with personality disorder and adjustment disorder, respectively. Further, those who left military service were diagnosed more frequently with mood disorder (p=0.001) and schizophrenia (p=0.014) than those who rejoined their units. Additionally, the MMPI scores of soldiers who left military service were significantly higher on the psychasthenia (p=0.028) and schizophrenia (p=0.039) scales than those of soldiers who rejoined their units. Conclusion : Most of the maladaptive soldiers were diagnosed with mental disorders. The results of this study suggest that systematic, consistent psychiatric evaluation and intervention for maladaptive male conscripts is crucial in the Republic of Korean army.

• Asian Pacific Journal of Cancer Prevention
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• 제13권7호
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• pp.3099-3102
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• 2012

Aim: We conducted the present study to assess health-related quality of life (HRQoL) among bone cancer patients after surgical treatment in one large teaching hospitals in China, and assess the risk factors for improving the physical or mental HRQoL. Methods: 344 eligible adult patients who were admitted to the hospital with malignant bone tumors during the period of Jun. 2008 to Dec. 2011, and a reference group with 361 health cases was recruited in the same hospital during the same period. All 344 patients were followed up for one year. The HRQoL before treatment and after one year was evaluated with the Medical Outcome Short Form 36 (SF-36). Results: All 8 domains of HRQoL had the lowest scores greatly improved over the first year after discharge. However, the patients still had significantly lower scores in every domain than the reference group one year after discharge. Age and type of surgery were associated with HRQoL in the mental domain. Conclusion: The HRQoL of patients with malignant bone tumors greatly improved one year after the treatment. This study also highlighted the utility of HRQoL assessment for prognostic evaluation of patients after surgical treatment for bone cancer.