• Safety and Health at Work
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• 제10권3호
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• pp.336-340
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• 2019

Background/Aims: Victim advocates are at risk of developing secondary traumatic stress (STS), which can result from witnessing or listening to accounts of traumatic events. This study investigated the relationship between victim status, years of experience, hours of direct contact with victims, and availability of workplace supports in the development of STS. Results: Of the 142 victim advocates, 134 were women. Regression analyses revealed that the only significant predictor of STS was the number of direct hours of victim services provided. Conclusion: The findings from this study found that women have high rates of STS and that more workplace support needs to be implemented.

• Journal of Korean Neurosurgical Society
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• 제65권6호
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• pp.846-852
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• 2022

Objective : Traumatic intracranial hematomas have been rarely evacuated by endoscopic surgery. The frontal lobe is the usual location for the traumatic intracerebral hematoma (TICH). Endoscopic evacuation for the frontal TICHs via an eyebrow incision is to be presented as minimally invasive surgery. Methods : Thirteen patients with frontal TICHs were managed with endoscopic hematoma evacuation via eyebrow incision. After making the incision in the lateral eyebrow, a small frontal craniotomy was made, and the hematoma was evacuated under direct visualization of a rigid endoscope. No catheter was placed. Orbital rim resection, hematoma evacuation rate, surgical complications, and outcome at discharge were analyzed. Results : Men were 11 and the mean age was 54 years old (range, 27-86). Orbitotomy was performed in four patients, and no effect on the hematoma evacuation rate was observed. More than 80% of the hematoma volume was successfully removed in 10 cases. Hematoma configuration was not related to the hematoma evacuation rate. None of the patients underwent revision operation or decompressive craniectomy. Conclusion : Endoscopic evacuation of the TICHs with the supraorbital approach may be a good method to evacuate the hematoma located in the frontal base.

• Medical Lasers
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• 제9권2호
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• pp.179-183
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• 2020

The picosecond laser has been widely used to remove tattoos, and improve wrinkles, acne scarring, and pigmented scars. This study was performed to investigate the efficacy and safety of a 1,064-nm fractional picosecond laser treatment for depressed traumatic scars. A total of twenty Korean patients with depressed scars were treated with a 1,064-nm fractional picosecond laser at a two-week interval with a spot size of 3 mm, fluence of 3.5 to 5.5 J/cm², and frequency of 2 Hz with a combination of microlens arrays. At 4 weeks after the final treatment, there was a statistically significant improvement in the modified Vancouver Scar Scale (mVSS) and the patient satisfaction score without any significant complication. A 1,064-nm fractional picosecond laser treatment is a safe and effective method to improve traumatic wound scars with depression.

• Journal of Korean Neurosurgical Society
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• 제62권1호
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• pp.130-130
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• 2019

• 대한간호학회지
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• 제36권4호
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• pp.621-629
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• 2006

Purpose. The purpose of this study was to identify the clinical variables that predict functional and cognitive recovery at 1- and 6-month in both severe and moderate/mild traumatic brain injury patients. Methods. The subjects of this study were 82 traumatically brain-injured patients who were admitted to a Neurological Intensive Care Unit at a university hospital. Potential prognostic factors included were age, motor and pupillary response, systolic blood pressure, heart rate, and the presence of intracranial hematoma at admission. Results. The significant predictors of functional disability in severe traumatic brain injury subjects were, age, systolic blood pressure, the presence of intracranial hematoma, motor response, and heart rate at admission. In moderate/mild traumatic brain injury patients, motor response, abnormal pupil reflex, and heart rate at admission were identified as significant predictors of functional disability. On the other hand, the significant predictors of cognitive ability for severe traumatic brain injury patients were motor response and the presence of intracranial hematoma at admission, whereas those for moderate/mild patients were motor response, pupil reflex, systolic blood pressure at admission, and age. Conclusions. The results of the present study indicate that the significant predictors of TBI differ according to TBI severity on admission, outcome type, and outcome measurement time. This can be meaningful to critical care nurses for a better understanding on the prediction of brain injury patients. On the other hand, the model used in the present study appeared to produce relatively low explicabilities for functional and cognitive recovery although a direct comparison of our results with those of others is difficult due to differences in outcome definition and validation methods. This implies that other clinical variables should be added to the model used in the present study to increase its predicting power for determining functional and cognitive outcomes.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제22권3호
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• pp.169-181
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• 2011

Objectives: The Child Report of Post-traumatic Symptoms (CROPS) and the Parent Report of Post-traumatic Symptoms (PROPS) are screening measures for post-traumatic symptoms in children. The present study aimed to investigate the reliability and validity of the Korean versions of the CROPS and the PROPS. Methods: The Korean versions of the CROPS and the PROPS were administered to a sample of 304 children aged 6 to 15 years old. The internal reliability, test-retest reliability, factorial validity, predictive validity and concurrent validity were evaluated. Results: The reliability of the CROPS and the PROPS was shown to have excellent internal consistency and test-retest correlation. The single factor structure of the PROPS was good and that of the CROPS was borderline acceptable according to confirmatory factor analysis. Other validity measures such as the predictive validity and concurrent validity were also shown to be satisfactory. Conclusion: This study demonstrated that the Korean versions of the CROPS and the PROPS were reliable measures with satisfactory psychometric qualities. Because it takes less than 5 minutes to fill out the CROPS and the PROPS, respectively they can be quick and easy screening scales for assessing post-traumatic symptoms in Korean children.

• Journal of Korean Neurosurgical Society
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• 제59권6호
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• pp.622-627
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• 2016

Objective : Although a high incidence of chronic subdural hematoma (CSDH) following traumatic subdural hygroma (SDG) has been reported, no study has evaluated risk factors for the development of CSDH. Therefore, we analyzed the risk factors contributing to formation of CSDH in patients with traumatic SDG. Methods : We retrospectively reviewed patients admitted to Hallym University Hospital with traumatic head injury from January 2004 through December 2013. A total of 45 patients with these injuries in which traumatic SDG developed during the follow-up period were analyzed. All patients were divided into two groups based on the development of CSDH, and the associations between the development of CSDH and independent variables were investigated. Results : Thirty-one patients suffered from bilateral SDG, whereas 14 had unilateral SDG. Follow-up computed tomography scans revealed regression of SDG in 25 of 45 patients (55.6%), but the remaining 20 patients (44.4%) suffered from transition to CSDH. Eight patients developed bilateral CSDH, and 12 patients developed unilateral CSDH. Hemorrhage-free survival rates were significantly lower in the male and bilateral SDG group (logrank test; p=0.043 and p=0.013, respectively). Binary logistic regression analysis revealed male (OR, 7.68; 95% CI 1.18-49.78; p=0.033) and bilateral SDG (OR, 8.04; 95% CI 1.41-45.7; p=0.019) were significant risk factors for development of CSDH. Conclusion : The potential to evolve into CSDH should be considered in patients with traumatic SDG, particularly male patients with bilateral SDG.

• Journal of Chest Surgery
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• 제49권6호
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• pp.435-442
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• 2016

Background: Blunt traumatic cardiac rupture is rare. However, such cardiac ruptures carry a high mortality rate. This study reviews our experience treating blunt traumatic cardiac rupture. Methods: This retrospective study included 21 patients who experienced blunt traumatic cardiac rupture from 1999 to 2015. Every patient underwent surgery. Several variables were compared between survivors and fatalities. Results: Sixteen of the 21 patients survived, and 5 (24%) died. No instances of intraoperative mortality occurred. The most common cause of injury was a traffic accident (81%). The right atrium was the most common location of injury (43%). Ten of the 21 patients were suspected to have cardiac tamponade. Significant differences were found in preoperative creatine kinase-myocardial band (CK-MB) levels (p=0.042) and platelet counts (p=0.004) between the survivors and fatalities. The patients who died had higher preoperative Glasgow Coma Scale scores (p=0.007), worse Trauma and Injury Severity Scores (p=0.007), and higher Injury Severity Scores (p=0.004) than those who survived. Conclusion: We found that elevated CK-MB levels, a low platelet count, and multi-organ traumatic injury were prognostic factors predicting poor outcomes of blunt cardiac rupture. If a patient with blunt traumatic cardiac rupture has these factors, clinicians should be especially attentive and respond promptly in order to save the patient's life.

• 한국콘텐츠학회논문지
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• 제17권10호
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• pp.518-525
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• 2017

본 연구는 외상 후 성장, 자아존중감, 희망이 중년여성의 삶의 질에 어떠한 영향을 미치는지 파악하기 위해 실시되었다. 연구대상자는 총 118명 중년여성 이였으며, 자가 보고식 설문지를 이용하여 2017년 6월 1일부터 6월 30일까지 자료를 수집하였다. 자료분석은 SPSS 21.0프로그램으로 기술적 통계, t-test, ANOVA, Scheffe's test, Pearson's correlation coefficients, 다중회귀분석으로 하였다. 연구 결과 자신과 타인에 관하여 희망적일수록, 자가건강상태에 대한 평가가 긍정적일수록, 자아존중감이 높고, 외상 후 성장을 극복했을수록 삶의 질의 점수가 높게 나왔다. 희망, 자가건강상태, 자아존중감, 외상 후 성장은 중년여성의 삶의 질과 순의 상관관계를 보였고, 나이대는 음의 상관관계를 보였다. 희망, 자가건강상태, 자아존중감, 외상 후 성장은 중년여성의 삶의 질을 예측할 수 있는 유의한 변수로 나타났다. 이 연구 결과에서 나타난 주요 변수들을 고려하여 노년기의 전 단계인 중년여성의 삶의 질을 체계적으로 관리하여 길어진 삶 속에서의 삶의 질을 효과적으로 중재하는 기초자료를 제공하고자 시도되었다.

• 한국콘텐츠학회논문지
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• 제15권11호
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• pp.115-125
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• 2015

본 연구는 사회복지전담공무원의 이차적 외상스트레스에 미치는 결정 요인을 실증적으로 분석하였다. 연구대상은 충청남도에 재직 중인 사회복지전담공무원이며, 총 654부가 분석에 사용되었다. 분석결과, 이차적 외상스트레스를 보이는 전담공무원은 69.0%이며, 이 중 심각한 외상을 보이는 응답자는 36.9%로 조사되어 이차적 외상스트레스 정도가 상당히 심각한 것으로 나타났다. 다중회귀분석 결과, 일반적 요인에서는 성별과 근무시간이, 폭력경험 요인에서는 신체적 폭력과 위협이, 대처방안 요인에서는 문제중심적 대처, 정서완화적 대처, 소망적 사고가, 직무효능감 요인에서는 자기효능감과 집단효능감이 각각 이차적 외상스트레스에 영향을 미치는 것으로 나타났다. 연구결과를 바탕으로 클라이언트 폭력으로부터 안전한 직무 환경의 조성, 위기상황 대처능력을 향상시킬 수 있는 실무 교육 프로그램의 개발, 사회복지전담공무원들의 정신건강을 정기적으로 모니터링 할 수 있는 제도의 도입과 같은 구체적 방안들이 논의되었다.