• The Korean Journal of Pain
• /
• v.18 no.2
• /
• pp.232-234
• /
• 2005

Stellate ganglion block (SGB) is one of the most widely used treatment modalities for a broad range of disorders, including otolaryngologic indications such as Meniere's disease and sudden hearing loss. We present a case of a vertiginous attack following SGB for the management of Meniere's disease. A 31-year-old female, suffering from Meniere's disease, underwent repeated right side SGBs with 6 ml of 1% mepivacaine after negative aspiration tests for blood. The eleventh block was performed in the usual manner. Several seconds after injection, she showed agitation, anxiety, nystagmus, and left-sided tinnitus. Two minutes later, her tinnitus and nystagmus were resolved. Fifteen minutes after injection, she experienced acute onset of severe vertigo, nausea, and vomiting. However, her symptoms were gradually alleviated within two hours.

• Journal of Dental Anesthesia and Pain Medicine
• /
• v.15 no.2
• /
• pp.47-52
• /
• 2015

Sedation allows patients to maintain their airway independently and respond appropriately to physical stimulation and verbal command while maintaining a minimum depressed level of consciousness. Drugs commonly used for sedation of pediatric dental patients include a combination of chloral hydrate, hydroxyzine, and nitrous oxide-oxygen. Midazolam is a benzodiazepine and currently one of the most commonly used intravenous sedative agents. It can be easily titrated to provide a wide range of sedation, from conscious sedation to deep sedation, and exhibits a wide safety margin without severe respiratory and circulatory depression. At an appropriate dose, it also decreases patient anxiety and induces amnesia. We found that the submucosal administration of midazolam combined with chloral hydrate provided increased sedative effects and decreased the postoperative vomiting response compared with conventional chloral hydrate administration, with no significant difference in physiological responses. The depth of sedation can be titrated using this technique.

• Journal of Yeungnam Medical Science
• /
• v.38 no.4
• /
• pp.267-274
• /
• 2021

Sleep plays a critical role in homeostasis of the body and mind. Insomnia is a disease that causes disturbances in the initiation and maintenance of sleep. Insomnia is known to affect not only the sleep process itself but also an individual's cognitive function and emotional regulation during the daytime. It increases the risk of various neuropsychiatric diseases such as depression, anxiety disorder, and dementia. Although it might appear that insomnia only affects the nervous system, it is also a systemic disease that affects several aspects of the body, such as the cardiovascular, endocrine, and immune systems; therefore, it increases the risk of various diseases such as hypertension, diabetes mellitus, and infection. Insomnia has a wide range of effects on our bodies because sleep is a complex and active process. However, a high proportion of patients with insomnia do not seek treatment, which results in high direct and indirect costs. This is attributed to the disregard of many of the negative effects of insomnia. Therefore, we expect that understanding insomnia as a systemic disease will provide an opportunity to understand the condition better and help prevent secondary impairment due to insomnia.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• v.35 no.3
• /
• pp.181-187
• /
• 2024

Borderline intellectual functioning (BIF) is characterized by cognitive impairment and deficits in adaptive functioning. Despite affecting a significant proportion of the population, BIF still remains underdiagnosed and poorly understood. In addition to cognitive impairments across a range of domains, individuals with BIF face a greater risk of academic failure and often require special educational support. They suffer from emotional problems, such as difficulties with emotional awareness, anxiety, depressed mood, and unhappiness. Individuals with BIF are more likely to have an impairment of social and adaptive functioning. Furthermore, individuals with BIF are at higher risk of physical and mental health problems, often receive inadequate treatment, and have a poorer prognosis. This review aims to enhance the understanding of clinicians, educators, and policymakers by providing an overview of the characteristics of BIF and its associated challenges, ultimately contributing to the improvement of support systems for individuals with BIF.

• Journal of Oriental Neuropsychiatry
• /
• v.26 no.1
• /
• pp.49-61
• /
• 2015

Post traumatic stress disorder (PTSD) is an anxiety disorder that usually occurs after suffering from a psychological trauma that can not threatening events, which is one of the individual's subjective pain and their families and the larger society due to the chronic disease burden results. Treatment with a medication, as well as cognitive behavioral therapy (CBT), exposure therapy, prolonged exposure therapy (PE), eye-movement desensitizing, and reprocessing (EMDR) are preferentially performed, including psychotherapy. Korean medical psychotherapy consists of a wide range of manual therapy, but it does not have systematically screening limits. This study was developed by Korean medical psychotherapy program for PTSD, and it was carried out as a preliminary clinical trial for validity. The Korean medical psychotherapy program for PTSD consists of four stages as follows: building chapter of safety, flow and send, accept, and integration. Based on this preliminary clinical study of PTSD, seven patients were treated for 2 hours per week for 5 weeks. We report the meaningful results gained by observing the changes in IES-RK points, questionnaire on five-faceted mindfulness, quality of life, anxiety, depression, insomnia, hwabyung scale, HRV, and EEG, before and after the Korean medical psychotherapy program.

• Asian Pacific Journal of Cancer Prevention
• /
• v.14 no.12
• /
• pp.7359-7366
• /
• 2013

Objective: To assess the effects of perioperative comprehensive supportive care interventions on outcome of Chinese esophageal cancer patients in a prospective study. Methods: 60 patients with primary esophageal carcinoma were randomized into an intervention group (IG, n=31) and a control group (CG, n=29). The Chinese version of symptom checklist-90 (SCL-90) was adopted to assess their psychological status. The interventions, including health education, psychological support, stress management, coping strategies and behavior training, were carried out in 3 phases (preoperative, postoperative I and postoperative II), and psychological effects were thereafter evaluated accordingly before surgery, and 1 week, 4 weeks and 24 weeks post-surgery. Medical costs were estimated at discharge. Survival of patients was estimated each year post-surgery. General health status and satisfaction-with-hospital were surveyed by a follow-up questionnaire 4 years post-surgery. Results: All the subjects demonstrated higher scores in the preoperative phase than the normal range of Chinese population concerning 7 psychological domains including somatization, obsessive-compulsive, depression, anxiety, hostility, phobic anxiety and paranoid ideation. Although no significant difference was observed between the two groups at admission, the scores of IG, which tended to decrease at a faster rate, were generally lower than those of CG at weeks 1, 4 and 24 post-surgery. The length of hospital stay and medical costs of IG were significantly less than those of CG and satisfaction-with-hospital was better. However, there was no significant difference in 4-year survival or health status between two groups. Conclusions: Appropriate perioperative comprehensive supportive care interventions help to improve the psychological state of Chinese patients with esophageal carcinoma, to reduce health care costs and to promote satisfaction of patients and their families with hospital.

• Journal of Korean Academy of Fundamentals of Nursing
• /
• v.15 no.1
• /
• pp.80-88
• /
• 2008

Purpose: By focusing on immigrant women's problems and considering human rights, resettlement plans and marital-life adaptation, health status is often overlooked. It was examined in this study. Method: The participants were 110 immigrant women who lived in Busan. Data were collected from September to November 2007 using a questionnaire. Results: One of five of the women had been hospitalized for a delivery, about 25% were pregnant, and most (80.9 %) have never had a pap-smear test. The average score for anxiety was 3.0 (${\pm}2.50$) and for depression 2.9 (${\pm}2.71$). Most were in the normal range for blood pressure, body mass index(BMI), blood sugar and urine test. There was a significant difference in level of anxiety according to education (F=3.42, p=.020) and in level of depression according to age (F=4.05, p=.020), number of children(t=-.444, p=.009), financial status (F=3.75, p=.027) and satisfaction with life (F=6.38, p=.002). There were significant differences in BMI according to age (F=7.73, p=.001), native nation (F=18.38, p=.000), period of stay in Korea (F=3.11, p=.049), education (F=3.82, p=.012), number of children (t=-4.26, p=.040). Conclusion: Although the health status of the immigrant women was good, procreative care protocols should be developed to support immigrant women who are pregnant.

• Anxiety and mood
• /
• v.16 no.1
• /
• pp.18-23
• /
• 2020

Objective : The purpose of this study was to examine the effects of bullying victimization on depressive symptoms in adolescents, and to determine how depression depends on resilience. Methods : A total of 4,160 students were recruited, from middle and high schools in Goheung, Yeosu, and the Jangheung area of Jeollanam-do Province. All participants completed self-report questionnaires, that included demographic variables, the Beck Depression inventory (BDI) the School Bullying Self-Rating Questionnaire (SBSRQ), and the Resilience Test (RT). Results : Prevalence of depression was 30.3%. A total of 220 (5.3%) students were evaluated likely to be bullied and 45 (1.1%) students were evaluated very likely to be bullied. Depressive symptoms positively correlated with bullying victimization. Depressive symptoms and resilience, bullying victimization and resilience negatively correlated. Results from regression analyses indicated that, while controlling for a range of demographic variables, resilience moderated the association between bullying victimization and depressive symptoms. Conclusion : Based on the results, professionals must consider resilience for treatment to reduce depression in adolescents of bullying victimization.

• Anxiety and mood
• /
• v.13 no.1
• /
• pp.25-31
• /
• 2017

Objective : The purpose of this study was to evaluate the factors associated with the experience of bullying victimization in school among elementary school students in the Jeju area. Methods : A total of 662 students were recruited from elementary schools for a school-based cross-sectional survey (age range : 11-12 years) in the Jeju area. This study used a self-reported questionnaire concerning the experience of being victimized by bullying, the Korean form of the Children's Depression Inventory (CDI) to assess depressive symptoms, and questions on sociodemographic characteristics, including school- and family-related factors. Results : The prevalence of bullying victimization in school among elementary school students was 10.0% (n=66). The factors associated with bullying victimization were lower socioeconomic status, lower than average academic achievement, more depressive symptoms, and family problems. Conclusion : This study not only indicates that bullying at school is a significant public health issue among elementary school students, but also confirms that children with family problems commonly exhibit bullying behaviors, which highlights the importance of considering family-related environmental factors when managing bullying victimization.

• Journal of Oral Medicine and Pain
• /
• v.40 no.1
• /
• pp.35-40
• /
• 2015

Purpose: This study aims to assess the psychological characteristics of patients with iatrogenic damage of the trigeminal nerve using Symptom Checklist-90-Revised (SCL-90-R). Methods: A total of 22 patients who visited the clinic of Department of Oral Medicine, School of Dentistry, Chosun University were evaluated in the months from December 2012 to December 2014. Patients were included in the study if they presented with reported sensory changes due to iatrogenic trigeminal nerve injury. A total of 37 control group who has no symptoms of pain and sensory change were included in the study. All participants filled out the SCL-90-R instrument to assess psychosocial symptoms. Results: The T-scores of most of the SCL-90-R symptom dimensions were within normal range (less than 55) in the patients and the control group. The patients group showed higher T-scores of SCL-90-R than those of the control group, with statistically significance of somatization, anxiety, psychoticism, and positive symptoms distress. Female patients group had higher Tscores of SCL-90-R than those of male patients group, but there was no statistical difference, except for the positive symptom global index. The chronic patients group showed higher Tscores of SCL-90-R than those of the acute patients group, but there was no statistical difference, except for the Positive symptom global index. Conclusions: According to the psychological assessment of iatrogenic trigeminal nerve injury patients using SCL-90-R, the patients group, as compared to the control group shows a significantly higher score for somatization, anxiety, and psychoticism. Therefore, assessment of psychological state would be considered to treat patients with iatrogenic trigeminal nerve injury.