• 대한영상의학회지
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• 제82권3호
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• pp.682-687
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• 2021

체-폐동맥루는 주로 외상, 감염, 종양 등에 의해 유발될 수 있으나 위험 인자가 없는 환자에서 생기는 체-폐동맥루는 매우 드물다. 이들은 감염이나 출혈 혹은 폐 고혈압 등을 유발할 수 있어 치료가 필요하다. 호흡곤란을 주소로 내원한 67세 여자 환자에서 늑간동맥-폐동맥루가 발견되었다. 먼저 배출혈관인 확장된 폐동맥으로 역행성으로 접근하여 코일 색전술로 치료하였으나 5개월 후 인접폐동맥의 확장이 관찰되어 공급동맥인 늑간동맥을 N-butyl cyanoacrylate를 이용하여 색전하였다. 10개월 추적검사에서 환자의 증상과 확장된 폐동맥은 호전되었다. 체-폐동맥루를 치료에서 순차적 혹은 동시에 역방향과 순방향 접근으로 혈관 내 치료하는 것이 효과적일 수 있겠다.

• Hip & pelvis
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• 제36권1호
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• pp.37-46
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• 2024

Purpose: The prognosis of total hip replacement (THR) after open reduction and internal fixation (ORIF) versus THR following non-operative treatment of acetabular fractures is unclear. Few studies have been conducted in this regard. Therefore, the purpose of the current study was to perform an assessment and compare the functional outcomes for study subjects in the ORIF and non-ORIF groups during the follow-up period compared to baseline. Materials and Methods: This longitudinal comparative study, which included 40 patients who underwent THR for either posttraumatic arthritis after fixation of an acetabular fracture or arthritis following conservative management of a fracture, was conducted for 60 months. Twenty-four patients had undergone ORIF, and 16 patients had undergone nonoperative/conservative management for acetabular fractures. Following THR, the patients were followed up for monitoring of functional outcomes for the Harris hip score (HHS) and comparison between the ORIF and non-ORIF groups was performed. Results: The HHS showed significant improvement in both ORIF and non-ORIF groups. At the end of the mean follow-up period, no significant variation in scores was observed between the groups, i.e., ORIF group (91.61±6.64) compared to non-ORIF group (85.74±11.56). A significantly higher number of re-interventions were required for medial wall fractures and combined fractures compared to posterior fractures (P <0.05). Conclusion: THR resulted in improved functional outcome during follow-up in both the groups; however, the ORIF group was observed to have better functional outcome. Re-intervention was not required for any of the posterior fractures at the end of the mean follow-up period.

• 비교문화연구
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• 제44권
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• pp.29-58
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• 2016

'포스트메모리'는 역사적 상흔을 직접적으로 경험하지 않은 이후 세대의 기억으로, 현재의 고민과 관심사가 깊숙이 투영되면서 과거를 재해석하는 행위 혹은 서사를 지칭한다. 칠레 영화 는 피노체트의 연장집권을 묻는 국민투표가 실시된 1988년으로 돌아가 당시 반대캠페인 내부를 들여다본다. 이들은 효과적인 홍보 전략과 광고 언어를 사용하여 선거에서 승리하고 민주화에 기여하지만, 그 과정에서 감독은 민주주의를 상품화의 논리로 치환시키는 소비사회와 신자유주의 체제가 도래하는 이행기 칠레사회에 대한 성찰을 시도한다. 한편, 한국의 <변호인>은 1980년대 초반 군부독재 시절, 한 세금변호사가 국가보안법 사건을 맡으면서 인권변호사로 변화하는 과정을 다룬다. 영화는 국가주의에 의해 개인과 공동체의 삶이 위협받는 상황을 보여주면서 상식과 공감을 바탕으로 민주주의의 의미를 재구성한다. 역사적 맥락의 차이에도 불구하고 비슷한 시기에 제작된 두 영화는 민주화 이후 나타난 민주주의의 위기를 과거 역사를 통해 포착하며, 이와 함께 민주주의의 재구성을 위해 지식인과 전문가집단의 역할과 책임을 강조한다.

• 동의신경정신과학회지
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• 제25권1호
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• pp.73-84
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• 2014

The purpose of this study was to introduce a PTSD patient who experienced significant effects of mindfulness meditation and Ii-Gyeung-Byun-Qi therapy. Our psychotherapy was executed five times a week for the 14-year-old male patient who attended middle school and was diagnosed by DSM-IV Diagnostic Criteria for PTSD, and then the MMPI-A was evaluated to determine the effects after 3 months. The results showed normal profiles of MMPI-A validity scales and Clinical Scales profile after his treatment, positive changes in content scales, and significant decreases of PSYC (psychoticism) and NEGE (negative emotionality) in PSY-5 scales. This study made through a case report on the treated psychotherapy for PTSD by the applications of modern psychological techniques in the Korean psychotherapy. We expected that this case report will have a role in development of standardized psychotherapy programs for PTSD.

• 한국화재소방학회논문지
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• 제26권6호
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• pp.109-117
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• 2012

본 논문에서는 소방공무원과 경찰공무원을 대상으로 360명씩 표본을 선정하여 외상후 스트레스에 영향을 주는 측정변인들과 외상후 스트레스 간의 관계, 외상후 스트레스가 심리적 복지감과 우울에 미치는 관계를 구조방정식 모형에 의해 분석하고 비교하였다. 연구 결과 소방공무원이 경찰공무원에 비하여 외상후 스트레스가 우울을 더 크게 증가시키고 심리적 복지감까지 떨어뜨리고 있었다. 공무원의 외상후 스트레스에 대한 철저한 관리와 정신건강에 대한 체계적인 예방 및 관리프로그램이 필요하다.

• Asian Pacific Journal of Cancer Prevention
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• 제13권9호
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• pp.4311-4314
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• 2012

Posttraumatic growth (PTG) is the experience of positive change that occurs as a result of the struggle with highly challenging life crises. The need to understand PTG in relation to actual changes in an individual's life has recently been raised. Little is known about the role of social support in the experience of positive outcomes. The purpose of this study is to investigate the role of perceived social support in enhancing PTG in cancer patients. This study involved 105 cancer patients. The data were collected using a questionnaire that determined the socio-demographic features, posttraumatic growth inventory (PTGI) and perceived social support. Participants reported relatively high levels of PTG and social support. Total perceived social support, support from family, and friends were significantly positive associated with the development of PTG among cancer patients. Accordingly, the social surroundings of the patient should be informed about the importance of social support and how it helps the patient; they should be made aware of necessity of social support.

• 한국보육지원학회지
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• 제16권1호
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• pp.1-20
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• 2020

Objective: The purpose of this study was to explore the application of the multidisciplinary model, which is customized evidence-based counseling for abused preschool children done by a day care center teacher. Methods: The participants were 16 preschool children which were abused by a day care center teacher and their parents. The data were analyzed by using the Wilcoxon Signed-rank test. Results: The multidisciplinary cooperative service model based on customized evidence-based counseling for abused preschool children, their parents, and day care center teachers was developed. Based on this model, customized evidence-based Post-Traumatic Stress Disorder (PTSD) emergency intervention was provided to preschool children abused by a day care teacher in Incheon. The multidisciplinary cooperative emergency intervention service proved to be effective in reducing emotional and behavioral problems of abused preschool children and enhancing the mental health of parents. Conclusion/Implications: The results of this study indicated that the customized evidence-based counseling for abused preschool children done by a day care center teacher using the multidisciplinary cooperative linkage system would be effective, and that child abuse prevention by day care center teachers and intervention services should be provided systematically at the national level.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제31권1호
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• pp.26-32
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• 2020

With the advancement in modern information technology, virtual reality (VR) is being increasingly used for the diagnosis, assessment, and treatment of mental disorders. Recently, a VR-based cognitive behavioral therapy for social phobia has been recognized as a new medical technology in South Korea. This might lead to an increase in the use of VR in the field of psychiatry. The present review provides an overview of the status of VR therapies in various psychiatric conditions such as anxiety disorder, post-traumatic stress disorder, psychosis, addiction, and eating disorder. Besides, it summarizes the role of VR therapy in the management of disorders associated with child and adolescence psychiatry as well as various other clinical applications. Additionally, we discuss the merits and limitations of VR therapy, which might serve as a useful reference for researchers. In the current environment wherein novel medical models consisting of a combination of digital devices and medicine are being developed; understanding new technologies such as VR could open new doors to mental health treatments.

• 한국재난정보학회 논문집
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• 제14권1호
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• pp.17-27
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• 2018

본 연구의 목적은 자연재난을 경험한 농촌주민을 대상으로 재난 후 개인의 변화와 재해인식, 심리적 스트레스를 알아보고 이에 따른 농촌주민의 재난대책방안을 모색하고자 하였다. 연구대상은 2017년 7월 집중호우로 직간접적인 피해를 입은 충청남도 청주시에 거주하는 농촌주민을 대상으로 하였으며, 설문조사와 인터뷰 방법을 사용하였다. 연구결과 성별에 따른 재해인식에 유의미한 차이가 있었으며, 많은 주민들이 외상 후 스트레스를 겪고 있는 것으로 나타났다. 마지막으로 본 연구의 고찰 및 제언을 통해 농촌주민의 재난 후 성장을 위한 방향을 제안하였다.

• 대한족부족관절학회지
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• 제11권1호
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• pp.18-22
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• 2007

Purpose: To provide basic data on anatomy of the ankle joint in adults using magnetic resonance imaging as well as to compare measurements with available data of corresponding dimension in the different sizes of the total ankle replacements design ($HINTEGRA^{(R)}$). Materials and Methods: Magnetic resonance (MR) sagittal and coronal images from one hundred-forty nine were studied. Post traumatic, arthritic, or grossly deformed ankles at any reason were excluded. Lengths, widths of the main parts of this articulation and also the radius of curvature of talar dome were measured in the MR images. Statistical analysis was performed on these measurements. Results: On MR coronal image data, average tibial width was $30.0{\pm}4.1\;mm$ and talar width was $27.0{\pm}3.4\;mm$. On sagittal image date, average anteroposterior length of the distal tibia was $39.0{\pm}4.2\;mm$, average anteroposterior length of the talus was $31.3{\pm}2.8\;mm$, and average sagittal radius of curvature of talar dome was $20.1{\pm}2.9\;mm$. All measurements in male were significantly larger than in female (p<0.01), but a significant difference according to age was not found. Conclusion: Ankle morphometric data define a basis of size, particularly useful in the design of ankle prostheses.