• 보건행정학회지
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• 제28권3호
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• pp.195-196
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• 2018

The Korean Academy of Health Policy and Management (KAHPM) has shown remarkable achievements in the field of health policy and management in Korea for the last 30 years. The KAHPM consists of experts in various fields of health policy and management, and has been the leading academic discussion forum for health policy agendas of interest to the public. Health Policy and Management (HPM), the official journal of the KAHPM, published the first issue of volume 1 in October, 1991 and is publishing the second issue of volume 28 as of 2018. Currently, it is one of Korea' main journals in the field of health policy and management. HPM has published a special issue in commemoration of the 30th anniversary of the KAHPM. The HPM invited authors, including former presidents of the KAHPM and current board members, to write about main issues in health policy and management. Although the HPM tried to set up an invited author on all subjects in the health policy and management field, 19 papers are published, that completed the peer review process by August, 2018. The authors of the special issue of the 30th anniversary of the KAHPM include six former presidents, a senior professor, and 12 board members. The subjects of this issue are reform of the healthcare delivery system, health insurance and medical policy, reform of health system governance, the role of National Health Insurance Service (NHIS), the Korea Institute for Health and Social Affairs (KIHASA) and the National Evidence-based healthcare Collaborating Agency (NECA), ethical aspects of health policy change, regional disparities of healthcare, healthcare accreditation, new healthcare technology evaluation system, globalization of the healthcare industry, the epidemiological investigator system, the quarantine system, safety and disaster, and official development assistance. There are some remaining topics to deal with for the KAHPM: aged society, anti-smoking, non-infectious disease, suicide, healthcare resources, emergency medical care, out-of-pocket money, medical fee payment system, medical aid system, long-term care insurance, industrial accident compensation insurance, community-centered health welfare system, and central government and local government of health. The HPM will continue to publish review articles on the main topics in health policy and management. This is because the KAHPM, which has been the leading academic society of Korea's health policy and management for the last 30 years, feels responsible for continuing its mission for the next 30 years.

• 보건교육건강증진학회지
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• 제31권3호
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• pp.73-81
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• 2014

Objectives: This study examined how adolescents' cognitive stress relates to suicidal thought, thereby offering basic data about social and institutional ways to reduce adolescent suicide. Methods: In this study, data from an online survey on adolescents' health conducted by Korea Center for Disease Control(2013, 9th) was used after altering it to fit the purpose of the study. The data was analysed using the complex sampling method and structural equation model(SEM). Results: Whilst adolescents' cognitive stress had positive effects on suicidal thought, problem drinking and cognitive depression, it had a negative effect on physical activity. The structural equation model from cognitive stress, problem drinking, cognitive depression, physical activity influenced suicidal thought. Problem drinking on the other hand had an influence on cognitive depression. Conclusion: These findings suggest that future intervention programs for prevention of adolescents' suicidal thought should also address problem drinking, cognitive depression, and cognitive stress.

• 한국응급구조학회지
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• 제10권1호
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• pp.61-70
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• 2006

Purpose: The purpose of this study was to prevent the Aged from encountering a sudden accident in an emergency situation caused by drinking, help them have better awareness of drinking problems, and provide basic data for forming sound drinking. Method: A descriptive approach was made to the occurrence of emergency situations caused by drinking for the aged by reviewing literature concerning the subject, along with the analysis of the actual condition through the cases of emergency situations. Result: The Aged had a drink to drown their loneliness due to the loss of social belonging and solitude and attempt suicide, relied on drinking due to the loss of economic roles and reduced income to cause emergency situations, drove when drunken to bring emergency situations to themselves and others, and committed incendiarism after drinking due to social dissatisfaction and mental problems. Conclusion: It is necessary to develop leisure management programs positively and provide an opportunity for sound living culture to old people so that they can have sound entertainment culture other than drinking; such educational programs will serve to form healthy society with no emergency situation caused by the Aged drinking.

• 아동학회지
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• 제38권2호
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• pp.81-91
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• 2017

Objective: The purpose of this study was to identify the longitudinal relationship between child maltreatment and adolescent suicidal ideation. Several studies suggest that child maltreatment is associated with adolescent suicidal ideation. However, these studies have not focused on the duration of child maltreatment. Methods: Participants were 420 adolescents (52.6% male; 47.4% female) involved in the Korea Welfare Panel Study. Data were collected via youth self-report in 2006, 2009, and 2012. A self-report assessment of children and youths' experiences of physical, emotional, or neglect had been surveyed longitudinally. Questionnaires on adolescent suicidal ideation were answered in 2012. A growth mixture model and multiple regression were conducted using Mplus 5.21. Results: The study results showed that 93.5% of the children had experienced no maltreatment; 6.5% had experienced increasing maltreatment longitudinally. The trajectory of increasing maltreatment was positively associated with adolescent suicidal ideation. Conclusion: These results show that children suffering from chronic maltreatment are subject to a high risk of suicide and therefore require continuous supervision and management.

• 한국콘텐츠학회:학술대회논문집
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• 한국콘텐츠학회 2014년도 추계 종합학술대회 논문집
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• pp.193-194
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• 2014

자살시도는 결코 개인만의 문제라고 치부할 수 없는 사회적인 중요한 문제임에도 불구하고 국가차원에서의 관심과 예방계획은 아직도 미비한 수준이다. 본 연구에서는 NEDIS 등록자료를 이용하여 응급의료기관에 내원하는 자살시도자의 규모 및 특성에 대한 현황을 파악함으로써 응급실에서의 자살시도자에 대한 효과적인 관리 방안과 정책 마련 등을 위한 기초자료를 제공하고자 한다. 자살시도자는 여성 비율이 상대적으로 높았고, 연령은 20대~40대에서 많이 발생하였다. 서울특별시와 경기도에서 발생률이 가장 높았고, 자살시도 환자 수가 여름, 일요일에 많은 것으로 나타났다. 자살 시도 후 직접 내원하는 비율이 높았고, 약물 및 농약, 열상으로 인한 내원이 점차 증가하는 추세인 것으로 나타났다. 자살시도에 실패한 사람은 재발 가능성이 높은 것을 고려할 때, 응급실을 내원한 자살시도자들에 대한 지속적이고 전문적인 맞춤형 사후관리 프로그램이 절실히 요구되며, 자살 재발 위험을 방지할 수 있는 포괄적인 국가적 관리프로그램을 적극적으로 모색하는 등 다각적인 정신보건정책이 마련되어야 한다.

• Journal of Yeungnam Medical Science
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• 제32권1호
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• pp.17-21
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• 2015

Amlodipine, a calcium channel blocker of the dihydropyridine group, is commonly used in management of hypertension, angina, and myocardial infarction. Amlodipine overdose, characterized by severe hypotension, arrythmias, and pulmonary edema, has seldom been reported in Korean literature. We report on a fatal case of amlodipine intoxication with complications including rhabdomyolysis and oliguric acute kidney injury. A 70-year-old woman with a medical history of hypertension was presented at the author's hospital 6 hours after ingestion of 50 amlodipine (norvasc) tablets (total dosage 250 mg) in an attempted suicide. Her laboratory tests showed a serum creatinine level of 2.5 mg/dL, with elevated serum creatine phosphokinase and myoglobin. The patient was initially treated with fluids, alkali, calcium gluconate, glucagon, and vasopressors without a hemodynamic effect. High-dose insulin therapy was also started with a bolus injection of regular insulin (RI), followed by continuous infusion of RI and 50% dextrose with water. Despite intensive treatment including insulin therapy, inotropics, mechanical ventilation, and continuous venovenous hemodiafiltration, the patient died of refractory shock and cardiac arrest with no signs of renal recovery 116 hours after her hospital admission.

• 대한기관식도과학회지
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• 제13권1호
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• pp.55-58
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• 2007

Caustic bums of the upper aerodigestive tract continue to be a significant clinical problem. Wide -field pharyngoesophagectomy is commonly performed as treatment for malignancies of the hypopharynx. A total laryngectomy is often necessary at the time of this procedure because of the anatomical proximity of the cancer or because of the likely compromise of swallowing postoperatively. When preservation of the larynx is attempted, aspirations after surgery frequently require a second-stage laryngectomy. And various flaps are using for reconstruction of esophageal defect. The choice of reconstruction is depended to the patient's status. A 54-year-old women whose symptom was severe dysphagia and X-ray revealed laryngopharyngeal stricuture. She had attempted suicide by swallowing lye liquids 32 years ago. She has entire laryngopharyngeal and esophageal stricutures. Total laryngectomy was performed and reconstruction of theesophagus was carried out with unusual reversed-gastric tube formation. Hence, we report this case with the review of literaturefor proper management in the future.

• 한국간호교육학회지
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• 제20권4호
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• pp.650-658
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• 2014

Purpose: This study compares differences in stress, depression and suicidal ideation between nursing and students of other academic disciplines. Method: Nursing students (n=105) and students of other majors (n=148) were surveyed on the degree of personal stress, depression and suicidal ideation. Participants were recruited from three universities in cities S and C in Korea. Data were collected from May 1 to 20, 2013. Measurement tools were the Revised Life Stress Scale for College Students, Center for Epidemiological Studies-Depression Scale(CES-D), and Scale for Suicide Ideation(SSI). PASW Statistics 18 was used for descriptive analysis, homogeneity test(chi-square distribution) and ANCOVA. Results: The level of stress among nursing students was lower than that of students in other majors. Among the subcategories of stress, however, stress among nursing students arising from the student-faculty relationship was higher than that of their non-nursing counterparts. Conversely, differences in the prevalence of depression were notsignificant between nursing students and non-nursing students. Ultimately, it was revealed that there exists a strong correlation among stress, depression and suicidal idea for nursing students. Conclusion: Developing stress and depression management programs for nursing students is highly recommended.

• Perspectives in Nursing Science
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• 제13권2호
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• pp.96-109
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• 2016

Purpose: The purposes of this study were to develop a nursing assessment tool for senior center nurses, and to test its feasibility and content validity. Methods: The study utilized a psychometric test design. Preliminary items were developed based on geriatric health needs and Gordon's 11 domains of functioning health. Initially, the tool was evaluated for content validity and feasibility. Then, it was administered among 195 older adults in a senior center by a gerontological nurse practitioner. Data were analyzed to describe the nursing problems of the senior center older adults. Results: The final version of the nursing assessment tool consisted of 27 items. The internal consistency, measured with the Cronbach's ${\alpha}$, was .74. The result of the assessment showed that senior center older adults had high nursing needs in the area of management of chronic diseases (hypertension, diabetes, and lipids), dental care, community relations, safety, elder abuse, health behaviors (such as drinking), mental health (depression, suicide, and cognitive function), and health consultations. Conclusion: The new tool was feasible for use with senior center participants, and it was evaluated as having high content validity by senior center nurses.

• 디지털융복합연구
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• 제17권12호
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• pp.535-543
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• 2019

본 연구는 손상환자의 미충족의료 관련요인을 총괄적으로 조사·파악하여 미충족의료에 관련이 있는 요인을 제시하기 위하여 시행되었으며, 연구대상은 국민건강영양조사에 응답한 손상 환자 중 미충족의료 경험이 있는 2169명을 대상으로 시행하였다. 연구방법은 빈도 백분율, Chi-square test, 다중회귀분석을 사용하였고, 이는 SPSS/WIN 23.0 Program를 이용하여 분석하였다. 연구결과, 스트레스가 있을수록, 우울감을 느낄수록, 자살생각을 할수록 미충족의료와 관련이 있는 요인으로 나타났으며, 이는 향후 미충족의료가 발생하지 않도록 의료이용 제도를 개선하고 정책 결정을 하는 데 기여할 수 있을 것으로 사료된다.