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Childhood Trauma and Pharmacotherapy Retention among Outpatients with Panic Disorder (공황장애 외래 환자의 아동기 외상과 약물치료 유지)

  • Kim, Dong Joo;Kim, Daeho;Lee, Jinbok;Kim, Yaeseul;Sohn, Sujin
    • Korean Journal of Psychosomatic Medicine
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    • v.28 no.1
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    • pp.53-62
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    • 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.

Analysis of Fish Blocking Effect using Illuminance Difference (조도 차이를 이용한 어류 차단 효과 분석)

  • Kang, Joon-Gu;Kang, Su-Jin;Kim, Jong-Tae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.9
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    • pp.76-83
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    • 2017
  • Fish respond sensitively to light, so it is possible to develop fish management technology using this feature. In this study, we developed a light-based fish barrier and analyzed itsblocking effect using the difference in illuminance for the major fish species in Korea, bass and bluegill. The light was generated by a light emitting diode and the facility was installed vertically from the bottom. Considering the fish's ability to travel upstream, the flow rate was divided into three stages (0.2, 0.1, and 0.05 m/s). To prevent the learning effect, an experiment was carried out with fish that had rested for more than one day in a rearing tank. The experiment was carried out in such a way as tocompare the number of fish which travelled upstream after the introductionof the fish barrier and that of the fish which travelled upstream after itsremoval. It was also carried out after sunset to increase the effectiveness of the barrier. According to the results of the experiment, the fish blocking effect depending on the difference in illuminance was high and, overall, the blocking rate for bass was lower than that for bluegill. Based on the total size of the experimental population, the blocking rates for bass and bluegill were 96.33% and 99.00%, respectively. Based on the number of fish that travelled upstream, the blocking rates for bass and bluegill were 91.73% and 98.73%, respectively.

Validation of Korean Water Quality Standards to Hot Springs for Agreement with Legionella-Incidence Risk (레지오넬라균 출현위해도에 대한 현행 온천수 수질기준의 적합성 분석)

  • Kim, Jin-Nam;Lee, Soyoung;Zo, Young-Gun
    • Microbiology and Biotechnology Letters
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    • v.43 no.3
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    • pp.259-266
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    • 2015
  • Observed trends in climate change, globalization and an aging population have an effect on public health conditions in Korea, prompting a reevaluation of current environmental regulations. In this study, we evaluated the performance of the total coliform (TC) standard, which is the only microbiological standard in the current regulation regime for hot spring water, by estimating correlation with the presence/absence of Legionella, a non-fecal opportunistic pathogen with heat-tolerance. Microbiological data in 7 studies that surveyed Legionella in hot spring waters were subjected to meta-analyses with the odds ratio (OR) as the effect size. The presence/absence of Legionella was significantly correlated to TC levels [OR = 3.1(1.5–6.4, 95% CI), p = 0.002]. Due to there being no direct explanation as to the reason for the occurrence of TC, mesophilic fecal bacteria, being coupled with Legionella presence, the mechanism of the correlation between the two kinds of bacteria was further investigated. Legionella presence was more prevalent with a high heterotrophic plate count [HPC; 4.0(2.2–7.2); p < 0.001] and water temperature [4.3(1.4–13.6), p = 0.011] when the temperature range was <40℃. However, it was reverse-correlated with water temperature when the temperature was >50℃ [0.2(0.1–0.4), p < 0.001]. Therefore, bacterial standing crops in hot spring waters appear to be determined by water temperature in general, and this forces TC and Legionella levels be correlated. In accordance with this relationship, HPC rather than TC reflect the levels of non-fecal contamination better. Therefore, employing HPC as the sole microbiological standard, or adding HPC into the current standard of hot spring water assessment, is suggested as a proactive measure to prevent health issues arising from contamination.

Identifying the Causal Relationships of Appearance Management through an Analysis of One's Own Clothing and Wearing Experiences over a 10-day Period (10일 동안 선택한 자신의 의복 및 착용 경험의 분석을 통한 외모관리에 대한 관련성 연구)

  • Moody, Wendy;Kinderman, Peter;Sinha, Pammi;You, Kyung-Sook
    • Journal of the Korean Society of Clothing and Textiles
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    • v.33 no.6
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    • pp.841-852
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    • 2009
  • The aim of the study was to quantify and explore the causal relationships of appearance management through an analysis of one's own clothing and wearing experience, namely clothing preference, personality factors, emotion and mood, newness, familiarity of one's own clothing, and social interaction. Explorative quantitative and qualitative research was carried out using a uniformly composed sample of 10 size 12 females. A personality questionnaire was completed a short while prior to the study. A 10 day ‘wearing diary’ was administered to record where and when outfits were worn. Two questionnaires were completed measure emotion and mood, prior to changing into clothing (a daily baseline), and when they were wearing or changed clothing (dynamic mood). Qualitative information was recorded and included their thoughts and feelings other than the questionnaires, along with photographs that were taken by participants. Preference, social and newness ratings for each outfit worn were recorded after the 10 day period. SPSS analysis identified relationships and linear regression analysis identified preference indicators. Thematic analysis identified 9 themes regarding the management of mood, personality and social factors when wearing one's own clothing. The results indicated strong relationships between emotion, mood, personality and preference and how much newness and different levels of social interaction influence these factors. Participants tended to match their mood and personality with their clothing choices but in some cases also compensated. This research recognises the value of consumer psychological processes involved in appearance management, and has implications for further research into product involvement, post-purchase behaviour and retail strategies for personal shoppers.

Influence of New Town Development on the Urban Heat Islands - ln the Case of Pan-Gyo Area and Bun-Dang New Town - (신도시 개발이 도시열섬 형성에 미치는 영향 - 분당신도시와 판교지역을 중심으로 -)

  • 송영배
    • Journal of the Korean Institute of Landscape Architecture
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    • v.30 no.4
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    • pp.37-46
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    • 2002
  • The main purpose of this research is to discuss the urban heat island which will be caused by urbanization, especially by the construction of new town on a wide green zone. Over the last ten years, five new towns have been developed around the Seoul metropolitan area. However these new towns become bedroom communities and create traffic problems between Seoul and its surrounding areas because of an increase in population and a lack of roads and other infrastructures. The construction of another such new town is under consideration in the Pan-gyo area. But it is important that Pan-gyo remains a wide green zone. Many studies show that green space can play an important role in improving urban eco-meteorological, ameliorative capability and air hygiene. The objective of this study is to analyze the urban heat islands of Bund-Dang Si which was constructed in 1996 and of the Pan-Gyo area planned as new town. To investigate the local thermal environment and its negative effects caused by change of the land use type and urbanization we used LANDSAT TM images for extraction of urban surface temperature according to change of land use over 15 years. These data were analyzed together with digital land use and topographic data. As a study result, we found that the thermal island of this area from 1985 to 1999 rapidly increased with a difference of mean temperature of more than 12'E. Before construction of Bun-Dang Si the temperature of this area was the same as the forest, but during the new town construction in 1991, an urban heat island developed. The temperature of forest with a size of over 50% of the investigation area was lowest, which leads us to conclude that the forest cools the urban and its surroundings. The mean temperature of the residential and commercial area is more than +4.5$^{\circ}C$ higher then forest, so this method of land use is the main factor increasing the urban heat island. Urban heat islands and green space play an important role in urban wind systems, i.e. Thermal Induced Air Exchange and Structural Wind Circulation, because of their special properties with regard to energy balance between constructed urban and land. The skill to allocate land use types in urban areas is a very important planning device to reduce air pollution and induce the fresh cold air from green space. An urban climatic experiment featuring a numerical wind simulation study to show the air corridor will be published in a following research paper.

A Case Study for Evaluating Forest Functions by Watershed Unit: Gyeongsangnam-do (경상남도 유역단위 산림기능평가에 관한 사례연구)

  • Kim, Hyung-Ho;Park, Young-Kyu;Roh, Hye-Jung;Jeon, Jun-Heon;Hwang, Jin-Yeong;Kang, Hyeon-Deug;Park, Joon-Hyung
    • Journal of the Korean Association of Geographic Information Studies
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    • v.14 no.3
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    • pp.163-173
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    • 2011
  • This paper, as a case study on the evaluation of nationwide-unit forest functions, targeting the entire Gyeongsangnam-do region, examined the integration measures for the evaluation of national, public and private forest functions, as well as GIS data problems and GIS data building methods. Also, the distribution and characteristics of Gyeongsangnam-do's forest functions were examined. First, as integration measures for forest function evaluation, evaluation unit was proposed as watershed unit, and GIS techniques were proposed to correct some patterns of errors shown in the watershed maps. Also, of GIS data used for forest function evaluation, maps of locations of saw mills to be revised, expressway interchange location maps, and population distribution maps were built nationwide. Based on watershed units, the forest functions of 20 cities and counties in Gyeongsangnam-do were evaluated, revealing that wood production function and forest recreation function potentials, high-ranking was high distributed throughout the site, while most functions potentials, low-ranking was low distributed. In forest function maps with the application of priority by city and gun, the area size was ranked in the order of forest recreation, timber production, natural conservation, water yield, living environment conservation, and prevention of natural disaster. Case analysis results for large areas can be used in evaluating nationwide forest functions.

A Study on Park Service Provision Assessment in Busan Metropolitan City (부산시 도시공원 공급적정성 평가에 관한 연구)

  • Lee, Dong-Hyun;Lee, Gyoung-Ju
    • Journal of the Korean Association of Geographic Information Studies
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    • v.13 no.1
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    • pp.164-172
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    • 2010
  • The objective of this research is to assess the level of urban park service provision in comparison to demand population size by region (e.g., dong) in Busan metropolitan areas. To this end, a park service provision assessment index is utilized. The index is built upon the difference between planned and actual levels of park service provision. For each region, planned level is obtained by multiplying the per capita service amount by the number of residents in that region. Actual level is estimated based on Huff model, where distance between parks and residential locations are explicitly accounted for in model building. Empirical analysis was carried out for Busan Metropolitan Area. The result shows that Gumsung-dong, Chunga-dong and Dongdaesin3-dong are well supplied with park service, while Hadan1-dong, Goejung2-dong and Joorae3-dong are under-provided when per capita service provision amount and the extent of service area are set to $6m^2$ and 1km, respectively. It is argued that those regions that suffer from under-provision need to be highlighted such that a priority is given to those areas for establishing new urban parks when renewing urban management plan.

Production of Supermale (YY) and Superfemale $({\Delta}YY)$ Nile Tilapia (Oreochromis niloticus) by Sex Reversal and Chromosome Manipulation I. Induction of Gynogenetic Diploid from XY Female (성전환 및 염색체 공학 기법을 이용한 초수컷(YY) 및 초암컷$({\Delta}YY)$ 나일틸라피아(Oreochromis niloticus) 생산 I. 성전환된 XY 암컷으로부터 자성발생성 이배체 유도)

  • Kim Dong Soo;Choi Yoon Hee;Noh Choong Hwan;Nam Yoon Kwon
    • Journal of Aquaculture
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    • v.8 no.4
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    • pp.295-306
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    • 1995
  • The present study was performed to produce supermales and superfemales in Oreochromis niloticus by combination of induced sex reversal and diploid gynogenesis. More than $95\%$ of female was obtained by oral administration of $17\beta-estradiol$ (480 mg/kg diet) to the eutheroembryonic larvae of this species. The result of progeny tests with XY pseudofemales showed that incidences of male progeny were ranged from $71.4\%\;to\;73.7\%$. p.opo.lion of male from XY pseudofemale was not significantly different (P>0.05) from that of $\chi^2$ (1:3), but it was significantly different (P<0.01) from that of $\chi^2$(1:1) Gynogenetic diploids were produced by applying cold shocks 3 min after insemination to the eggs of XY pseudofemale sperms were genetically inactivated by ultraviolet rays of 4,050 $erg/mm^2$. Fertilization rates of gynogenetic diploids were not different from that of their controls, however, hatching rates and early survival rates were silghtly lower than those of controls. In the cytogenetic studies, there was no difference in the size of cell and nucleus between the gynogenetic diploids and the controls. At 80 days after hatching, frequencies of gynogenetic male were higher than those of gynogenetic female (P<0.01) in their population.

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Choosing clusters for two-stage household surveys (가구조사를 위한 이단추출 표본설계에서의 집락선택)

  • Park, Inho
    • Journal of the Korean Data and Information Science Society
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    • v.27 no.2
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    • pp.363-372
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    • 2016
  • Two-stage sample designs are commonly used for household surveys in Korea using as clusters the enumeration districts (EDs). Since clustering decomposes the population variation into within- and between-cluster variations, the sample sizes allocated in stages can affect the overall precision. Alternative clusters are often considered due to diverse reasons such as the EDs' limitation in size, being out-of-date, and in-assessibility to their household lists. In addition, the EDs are currently under development by the Statistics Korea as an joint effort toward their transition from the traditional practice to the register census from 2015. We present an approach for evaluating the difference in the precision of the mean estimators of the sets of the cluster units in between a hierachical and nested form, where the design effect is used to reflect the effect of the clustering and the sample allocation. We also demonstrate our approach using the U.S. Census counts from the year 2000 for Anne Arundel County in Maryland. Our research shows that the within-cluster variance can be significantly different for survey variables and thus the choice of cluster units and the associated sample allocation scheme should reflect the corresponding variance decomposition due to clustering.

Analysis of the medical and welfare projects Efficiency of Senior Welfare Centers by DEA Model (DEA를 이용한 노인복지관 의료복지사업 효율성 분석)

  • Kim, Keum Hwan
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.8 no.2
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    • pp.161-174
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    • 2013
  • The purpose of this study was to examine the efficiency of senior welfare centers and the cause of differences among senior welfare centers in that regard, and to investigate influential factors for the differences in efficiency and the size of the influence of the factors. What methods would be effective at assessing the efficiency of senior welfare centers by taking into account their circumstances was reviewed, and post-hoc analyses were made by using data envelopment analysis(DEA) and Tobit analysis, which were useful tools to evaluate relative efficiency. After 24 senior welfare centers located in Seoul were selected, their yearly operating data of 2011 were utilized. In this study, we set limits to the medical welfare of the elderly welfare services business, and divided into model 2 including the elderly population in the region and model 1, input factors for only internal factors, such as full-time workers. We calculated a valid result by proceeding a BCC analysis and analysis of CCR respectively. As this study has some limitations, follow-up research should be implemented. Yet this study is of significance in that it attempted to present general norms for the efficiency analysis of senior welfare centers by using a DEA model and made various post-hoc analyses based on the efficiency data to give significant suggestions on the service of senior welfare centers.

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