• 대한불안의학회지
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• 제8권2호
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• pp.86-92
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• 2012

Objective : This study investigated the relationship between the resilience and posttraumatic stress symptoms, as well as comorbid symptoms in firefighters. Methods : We collected 764 firefighters, who worked at six fire department stations in Gangwon-do. We investigated the impact of event scale-revised (IES-R), the life events checklists (LEC), Connor-Davidson resilience scale (CD-RISC), Beck depression inventory (BDI), state trait anxiety inventory (STAI) and alcohol use disorder identification test (AUDIT). Full PTSD groups, partial PTSD groups and non-PTSD groups, which were classified by IES-R scores, were compared in the LEC, CD-RISC, BDI, STAI and AUDIT, ; multiple linear regression analyses were done for independent predictors of variables. Results : Of the 764 firefighters, there were significant differences in LEC (p<0.001), CD-RISC (p<0.001), BDI (p<0.001), and AUDIT (p=0.001) among the full PTSD groups, partial PTSD groups and non-PTSD groups. However, STAI did not show significant difference among three groups. In multiple regression analysis, CD-RISC (${\beta}=-0.168$, p<0.001), LEC (${\beta}=0.211$, p<0.001) and AUDIT (${\beta}=0.115$, p=0.001) were significant predictors for IES-R. Conclusion : The results of the present study suggested that resilience might be a protective factor in PTSD and comorbid symptoms of PTSD.

• 대한불안의학회지
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• 제13권1호
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• pp.32-38
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• 2017

Objective : Several recent studies determined the associations of job stress with depression and suicidal idea, but the association between the number of job stress components and depression remains unclear. In the present study, we investigated the associations of the number of components of job stress with depression and suicidal idea. Methods : We studied 194,226 participants who attended employee health screenings from January to December, 2014, and completely answered all the questionnaires, including the short form of Korean Occupational Stress Scale (KOSS), the Center for Epidemiologic Study-Depression (CES-D) and suicidal idea. The presence of clinical depressive symptoms was defined as a CES-D score of ${\geq}21$. The subjects in the highest quartile of each subscale of KOSS were considered as suffering from each component of job stress. Chisquare tests, t-tests and logistic regressions were performed to compare study outcomes between groups. Results : When we included all seven components of job stress, there was no significant association of the number of the components with depressive symptoms, or suicidal idea. However, the prevalence of depressive symptoms and suicidal idea was increased only in three occupational stress subscales including job demand, job insecurity and occupational climate. When we analyzed only these 3 components of job stress, the number of job stress subscales was significantly associated with depressive symptoms and suicidal idea, even after adjustment for sex and age. Conclusion : The number of components of occupational stress was associated with depressive symptoms and suicidal idea, only in the related components.

• 한국산학기술학회논문지
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• 제10권8호
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• pp.2164-2172
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• 2009

본 연구는 종합병원 간호사들을 대상으로 특수부서 근무 간호사(수술실, 중환자실, 응급실)와 병동 근무 간호사의 피로수준을 비교하고 그의 관련요인을 파악하기 위해 2008년 8월에 대전광역시에 소재하고 있는 400병상 이상의 3개 종합병원에 근무하는 여성 간호사 393명을 대상으로 자기기입식설문조사를 실시하였다. 연구결과 평균 피로점수는 특수부서 근무 간호사가 병동 근무 간호사보다 높았다. 다중회귀분석결과 피로수준에 영향을 미치는 관련 요인으로는 특수부서 근무 간호사의 경우 주관적 건강 상태, 연령, 간호직 생활에 대한 만족도가 주요 설명변수로 선정되었으며, 병동 근무자의 경우는 주관적 건강 상태, 평소 수면 시간, 교대 근무, 간호직 생활에 대한 만족도가 주요설명변수로 선정되었다. 위와 같은 결과를 볼 때, 특수부서 근무 간호사는 병동근무간호사에 비해 피로수준이 높은 것을 알 수 있으며, 특수부서 근무간호사와 병동 근무간호사의 피로에 영향을 미치는 관련 요인에도 차이가 있음을 알 수 있다.

• 대한한방내과학회지
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• 제18권2호
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• pp.229-235
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• 1997

Background and Purpose : The aim of the present study was to investigate the prodromes of stroke in already attacked patients and to prove the traditional hypothesis that some symptoms were to be prodromes of stroke in the oriental medicine. Methods : The questionnaire which was based on symptoms of traditional hypothesis was distributed to subacute stroke patients who were confirmed by Brain CT or MRI in Oriental Medical Hospital, Kyung Hee University, except patients with indistinct onset, symptoms proved any other disease. Results : Eighty-three patients(82.2%) felt some prodromal symptoms and fifty-nine patients (58.4%) underwent a change in their life within one week before onset. Most common prodromal symptoms was the weakness or numbness of limbs, single or unilateral. Conclusion : Our results suggest that the prodromal symptoms before stroke can be regarded as predicting sign. And we think that these research may contribute to preventing stroke and relapse.

• Korean Journal of Acupuncture
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• 제23권2호
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• pp.69-78
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• 2006

Objectives: TuRo, defined as a dance therapy applying the meridian Qi system into the dancing movements, may have effects on ameliorating the psychological symptoms that often appear in adolescent students in a stressful situation. The Objective of the present study was to examine whether TuRo training relieves the psychological symptoms in adolescent female students. Methods: Symptom Check List-90-Revision (SCL-90-R), a 5 point Likert scale, consisted of 90 items that represent psychological symptoms, were used to measure the psychological health status in healthy adolescent female. Twenty two adolescent female students were trained TuRo dancing for two months while 29 in control group were trained mimicked movements without the concept of Qi for the same period. Changes in Somatization, Obsessive-Compulsive behaviors, Interpersonal Sensitivity, Depression, Anxiety, Hostility, Phobic Anxiety, Parinoid Ideation and Psychotic symptoms by the two months of training were compared between TuRo and control groups using SCL-9Q-R. Results: Among the nine-categorized psychological symptoms, the somatization and hostility were significantly reduced in TuRo group (p

• The Korean journal of internal medicine
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• 제33권6호
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• pp.1111-1118
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• 2018

Background/Aims: Chest pain is an essential symptom in the diagnosis of acute coronary syndrome (ACS). One-third of patients with ACS present atypically, which can influence their receiving timely lifesaving therapy. Methods: A total of 617 NSTEMI patients from the Korea Acute MI Registry (KAMIR) and the Korea Working Group on MI (KorMI) databases were analyzed. The study population was divided into two groups by symptoms at presentation (typical symptoms group, 128; atypical symptoms groups, 128). Results: In this study population, 23% of patients presented without chest pain. After propensity score matching, the contact-to-device time ($2,618{\pm}381minutes$ vs. $1,739{\pm}241minutes$, p = 0.050), the symptoms-to-balloon time ($3,426{\pm}389minutes$ vs. $2,366{\pm}255minutes$, p = 0.024), and the door-to-balloon time ($2,339{\pm}380minutes$ vs. $1,544{\pm}244minutes$, p = 0.002) were significantly higher in the patients with atypical symptoms than in those with typical symptoms, respectively. Atypical symptoms were an independent predictor for 1-year mortality (hazard ratio, 2.820; 95% confidence interval, 1.058 to 7.515; p = 0.038). The Kaplan-Meier estimates showed higher risk for 12-month mortality in patients with atypical symptoms (p = 0.048) and no significant difference for 12-month major adverse cardiac events (p = 0.487). Conclusions: Acute myocardial infarction patients with atypical symptoms were not rare in clinical practice and showed a high risk of delayed reperfusion therapy. After imbalance between the groups was minimized by use of propensity score matching, patients who presented atypically had a high mortality rate.

• 한국심리학회지 : 문화 및 사회문제
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• 제21권3호
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• pp.511-534
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• 2015

본 연구의 목적은 캐나다 소재 대학교에 재학 중인 한국인 대학생을 대상으로 지각된 차별감과 우울의 관계에서 대처양식, 문화 정체성, 이중문화 자기효능감의 조절효과를 검증하는 것이다. 이를 위해 재캐나다 한국인 대학생 214명의 설문지 자료를 사용하여 위계적 회귀분석을 실시하였다. 연구의 결과는 다음과 같다. 첫째, 재캐나다 한국인 대학생들이 지각하는 차별감은 그들의 우울수준을 유의미하게 증가시켰다. 둘째, 대처양식의 세 유형인 사려형 대처, 억제형 대처, 반동형 대처 모두 지각된 차별감과 우울의 관계에서 유의미한 조절효과를 나타내지 않았다. 셋째, 지각된 차별감, 억제형 대처, 모국문화 정체성의 삼원 상호작용은 우울에 유의미한 영향을 미쳤다. 즉 모국문화 정체성이 낮은 경우 지각된 차별감의 수준이 높을 때, 억제형 대처를 많이 사용하면 우울의 수준도 상응해서 증가하나, 억제형 대처를 적게 사용하면 우울수준이 대폭 감소하는 것으로 나타났다. 넷째, 지각된 차별감과 사려형, 억제형, 반동형 대처의 각 유형과 이중문화 자기효능감의 우울에 미치는 삼원 상호작용 효과는 유의미하지 않았다. 논의에서 연구결과에 대한 이론적 논의와 제한점 및 제언을 진술하였다.

• Journal of Chest Surgery
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• 제28권2호
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• pp.193-195
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• 1995

Congenital lobar emphysema is an uncommon disease affecting newborns and infants with respiratory distress. This report describes a 1.9kg premature baby of 31weeks gestation who developed respiratory distress symptoms of congenital lobar emphysema involved left upper lobe.Left upper lobe lobectomy was carried out and good result was obtained. So, we present one case report with literature review.

• 원예과학기술지
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• 제33권3호
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• pp.429-434
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• 2015

Apple blotch-like symptoms (ABLS) were observed on 'Fuji' apple leaves in Cheongsong, Gunwi and Yeongcheon apple orchards located in Gyeongbuk Province during 2010-2014. Characteristics of ABLS were yellowing, brown spots on leaves, and defoliation, similar to apple blotch diseased (ABD) leaves, which are infected with Marssonina coronaria. It is difficult to differentiate by eye between ABLS and ABD, which has led to misdiagnosis and overuse of fungicides. The present study was conducted to investigate the cause of ABLS using stereomicroscopy, culture isolation, cross-sectional analysis of leaves, and PCR. No acervuli were found on the surface of ABLS leaves and no growth was observed on potato dextrose agar (PDA) plates in culture. Furthermore, cross-sectional analysis revealed similar results, and mycelia were absent in ABLS leaves. By contrast, all these characteristics were present in ABD leaves. Furthermore, no fungi or viruses were detected in ABLS leaves by PCR, suggesting that the disease is not caused by these agents. These findings suggest that ABLS might be a physiological disorder in plants that is distinct from ABD.

• Clinical and Experimental Pediatrics
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• 제54권2호
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• pp.86-89
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• 2011

Traumatic ventricular septal defect (VSD) resulting from blunt chest injury is a very rare event. The mechanisms of traumatic VSD have been of little concern to dateuntil now, but two dominant theories have been described. In one, the rupture occurs due to acute compression of the heart; in the other, it is due to myocardial infarction of the septum. The clinical symptoms and timing of presentation are variable, so appropriate diagnosis can be difficult or delayed. Closure of traumatic VSD has been based on a combination of heart failure symptoms, hemodynamics, and defect size. Here, we present a case of a 4-year-old boy who presented with a traumatic VSD following a car accident. He showed normal cardiac structure at the time of injury, but after 8 days, his repeated echocardiography revealed a VSD. He was successfully treated by surgical closure of the VSD, and has been doing well up to the present. This report suggests that the clinician should pay great close attention to the patients injured by blunt chest trauma, keeping in mind the possibility of cardiac injury.