• Title/Summary/Keyword: Traumatic

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The Moderating Effect of Ego Resilience on the Relationship between Post-Traumatic Stress and Anxiety of National Merits of War (참전 국가유공자들의 외상 후 스트레스와 불안과의 관계에서 자아탄력성의 조절효과)

  • Kim, Tae-Yeol;Kim, Yunyoung
    • Journal of Digital Convergence
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    • v.16 no.3
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    • pp.477-485
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    • 2018
  • The purpose of this study was to investigate the effects of post-traumatic stress on anxiety of national merits of war and to investigate the moderating effect of ego resilience on the relationship between variables. We collected data on 200 national merits of war from August 2017 to October 2017 and examined general characteristics, post traumatic stress, anxiety, and ego resilience by using SPSS 24.0 Statistics Program. Post-traumatic stress was positively correlated with anxiety (r=.426, p<.001) and negatively correlation with ego-resilience (r=-.297, p<.001), respectively. Anxiety was negatively correlated with ego-resilience (r=-.656, p<.001), and ego-resilience was found to have a moderating effect on post-traumatic stress and anxiety (F=45.796, p<.001). Based on the results of this study, it is necessary to develop a national education system to manage post-traumatic stress and to operate a training and management program considering the characteristics of the subjects.

Screening for Metastatic Osteosarcoma Biomarkers with a DNA Microarray

  • Diao, Chun-Yu;Guo, Hong-Bing;Ouyang, Yu-Rong;Zhang, Han-Cong;Liu, Li-Hong;Bu, Jie;Wang, Zhi-Hua;Xiao, Tao
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.4
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    • pp.1817-1822
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    • 2014
  • Objective: The aim of this study was to screen for possible biomarkers of metastatic osteosarcoma (OS) using a DNA microarray. Methods: We downloaded the gene expression profile GSE49003 from Gene Expression Omnibus database, which included 6 gene chips from metastatic and 6 from non-metastatic OS patients. The R package was used to screen and identify differentially expressed genes (DEGs) between metastatic and non-metastatic OS patients. Then we compared the expression of DEGs in the two groups and sub-grouped into up-regulated and down-regulated, followed by functional enrichment analysis using the DAVID system. Subsequently, we constructed an miRNA-DEG regulatory network with the help of WebGestalt software. Results: A total of 323 DEGs, including 134 up-regulated and 189 down-regulated, were screened out. The up-regulated DEGs were enriched in 14 subcategories and most significantly in cytoskeleton organization, while the down-regulated DEGs were prevalent in 13 subcategories, especially wound healing. In addition, we identified two important miRNAs (miR-202 and miR-9) pivotal for OS metastasis, and their relevant genes, CALD1 and STX1A. Conclusions: MiR-202 and miR-9 are potential key factors affecting the metastasis of OS and CALD1 and STX1A may be possible targets beneficial for the treatment of metastatic OS. However, further experimental studies are needed to confirm our results.

Association between dental implants in the posterior region and traumatic occlusion in the adjacent premolars: a long-term follow-up clinical and radiographic analysis

  • Lee, Jae-Hong;Kweon, Helen Hye-In;Choi, Seong-Ho;Kim, Young-Taek
    • Journal of Periodontal and Implant Science
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    • v.46 no.6
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    • pp.396-404
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    • 2016
  • Purpose: The aim of this retrospective study was to determine the association between dental implants in the posterior region and traumatic occlusion in the adjacent premolars, using data collected during from 2002 to 2015. Methods: Traumatic occlusion in the adjacent premolars was assessed by examining clinical parameters (bleeding on probing, probing pocket depth, fremitus, and tooth mobility) and radiographic parameters (loss of supporting bone and widening of the periodontal ligament space) over a mean follow-up of 5 years. Clinical factors (gender, age, implant type, maxillary or mandibular position, opposing teeth, and duration of functional loading) were evaluated statistically in order to characterize the relationship between implants in the posterior region and traumatic occlusion in the adjacent premolars. Results: The study inclusion criteria were met by 283 patients, who had received 347 implants in the posterior region. The incidence of traumatic occlusion in the adjacent premolars was significantly higher for splinted implants (P=0.004), implants in the maxillary region (P<0.001), and when implants were present in the opposing teeth (P<0.001). The other clinical factors of gender, age, and duration of functional loading were not significantly associated with traumatic occlusion. Conclusions: This study found that the risk of traumatic occlusion in the adjacent premolars increased when splinted implants were placed in the maxillary molar region and when the teeth opposing an implant also contained implants.

The Study of the Severity and Prognosis in Severe Traumatic Patients according to Alcohol Ingestion (중증외상환자에서 알코올 섭취에 따른 중증도와 예후에 대한 연구)

  • Jung, Ho Hyung;Han, Sang Kyoon;Lee, Sung Wha;Park, Sung Wook;Park, Soon Chang;Yeom, Seok Ran;Min, Moon Gi;Kim, Yong In;Ryu, Ji Ho
    • Journal of Trauma and Injury
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    • v.27 no.4
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    • pp.108-114
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    • 2014
  • Purpose: Alcohol ingestion is a significant risk factor for injuries. However, the influence of high blood alcohol concentration about the severe traumatic injury is controversial. The aim of study was to analyze the injury severity, prognosis in severe traumatic patients according to alcohol ingestion. Methods: This study was performed retrospectively with severe traumatic patients (Injury Severity $Score{\geq}16$) who visited the emergency department at Pusan National University Hospital from January 2013 to December 2013. Results: In total 98 severe traumatic patients, blood alcohol concentration (BAC) positive group (BAC>30 mg/dl) is 42 (42.90%) patients and BAC negative group ($BAC{\leq}30mg/dl$) is 56 (57.10% )patients. Head and neck injury is significantly high in BAC positive group (35 patients, 83.3%) compared to BAC negative group (33 patients, 58.9%). Comparison of injury severity, outcome and mortality is not significantly different between two groups. Conclusion: In severe traumatic patients, head and neck injury occurred high in BAC positive group. Alcohol ingestion did not influence injury severity, outcome in severe traumatic patients. However, effort to decreasing injury related to alcohol ingestion and prospective multi-center study is needed.

A Systematic Review of the Variables Related to Post-Traumatic Stress Disorder in Firefighters (소방공무원의 외상 후 스트레스 장애 관련변인에 관한 체계적 문헌고찰)

  • Kang, Min-Ju;Kim, Young-Hwa;Han, Seung-Woo
    • Fire Science and Engineering
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    • v.33 no.2
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    • pp.164-172
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    • 2019
  • This study examined the Post-Traumatic Stress Disorder (PTSD)-related variables of firefighters through a systematic literature review. Electronic databases were searched, including RISS, National Assembly Library, NDSL, KmBase. The search terms were PTSD, Post-Traumatic Stress, Post-Traumatic Stress Disorder and Firefighter. Eleven studies from 146 references screened were included. All studies were non-experimental and correlational analyses. The positive correlation factors were age, duration of work, traumatic events, frequency of mobilization, number and strength of traumatic events experienced, work burden, coping method, D-type personality, depression, and anger rumination. The negative correlation factors were resilience, social support, self-esteem. To improve the mental health of firefighters in the future, professional intervention programs should be constructed to improve resilience, social support, and self-esteem, which are protective factors of PTSD.

The Relationship between Adult Interpersonal Traumatic Experience and Posttraumatic Growth : The Multiple Mediating Effect of Optimism and Quality of Relationship (성인의 대인외상경험과 외상 후 성장의 관계 : 낙관성과 관계의 질의 다중매개효과)

  • Park, Euna
    • Korean Journal of Social Welfare
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    • v.67 no.1
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    • pp.263-288
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    • 2015
  • This study is to research the mediating effects of optimism and quality of relationship which interpersonal traumatic experience influences posttraumatic growth. It focuss on verifying the impact of interpersonal traumatic experience to optimism and quality of relationship and the influence of optimism and quality of relationship to posttraumatic growth. And also it is to verify dual mediating effect between optimism and quality of relationship. Data for this study were collected through the use of a survey instrument completed by 405 interpersonal traumatic experience, 30-60 age group. Collected data were analysed by AMOS program, Structure Equation Model(SEM) was implemented to verify the mediating effect between optimism and quality of relationship. Finally, Phantom Variable was utilized for verification of indirect influence of a multi mediating effects. The findings of this study were as follows, First, the result shows that the higher level interpersonal traumatic experience, the higher posttraumatic growth they have. Second, it shows that optimism and quality of relationship have partial mediating effect between interpersonal traumatic experience and posttraumatic growth. Third, it was analyzed that optimism and quality of relationship had double mediating effect. Based on these findings, the research discussion reinforced the importance of intervene with its optimism and quality of relationship in the site of those who experience interpersonal trauma. Theological, political and practical implications of this study are as follows. First, it has a series of significance in terms of that this study confirmed its influence considering the quality of relationship from interpersonal experience among relevant factors of traumatic accident, optimism among individual factors, quality of relationship among environmental factors based on 'the crisis of life and the theory of individual growth'. econd, even though optimism and quality of relationship were proved as major predictors for posttraumatic growth of those who experience interpersonal traumatic, psychological support center for traumatic experience is not operated systematically in Korea. Third, this study implies that it should intervene mainly with its optimism and quality of relationship in the site of those who experience interpersonal trauma such as any abuses including sexual abuse, bullying, and divorce.

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TRAUMATIC BONE CYST : A CASE REPORT (외상성 골낭의 치험례)

  • Oh, Min-Hyung;Kim, Dae-Eop;Lee, Kwang-Hee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.1
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    • pp.18-25
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    • 2005
  • Traumatic bone cyst is a nonodontogenic cyst without epithelial-linig which contains fluid in it's cavity, and it is limited by bone walls with no evidence of infection. Traumatic bone cyst is asymptomatic and appears more frequently in the second decade. Gender distribution is approximately equal, although males are affected slightly often than females. Radiographically the lesion shows a well demarcated radiolucent lesion of variable size and the lesion may have scalloped margins. The adjacent teeth to traumatic bone cyst remains vital. Traumatic bone cyst is usually treated by surgical exploration and currettage of the lesion. In the first case of this case report, the patient was refered from the local dental clinic for the radiolucent area under the left mandibular first molar. From the panorama radiograph at the first visit, the radiolucent area of the left mandible showed a well defined scalloped margin and identified as traumatic bone cyst. In the second case, the patient have visited for the chief complaint of swelling and abcess of right maxillary second premolar. In the radiographic check up with panorama radiograph, the radiolucent lesion with well demarcated scalloped margin was found in the right mandible body, and identified as traumatic bone cyst. In the first case, overinstrumentation was done through the mesial root canal to irrigate the lesion. In the second case, not any treatment was done, and watched the progression of the lesion. And in both cases, after two month, the radiolucency and the size of the lesion has decreased to show healing in progress.

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The Effects of Traumatic Event Type on Posttraumatic Growth and Wisdom: the Mediating effects of Social Support and Coping (외상 유형이 외상후성장 및 지혜에 미치는 영향: 사회적 지지와 대처의 매개효과)

  • Lee Sulim
    • Korean Journal of Culture and Social Issue
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    • v.19 no.3
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    • pp.319-341
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    • 2013
  • This study investigated the mediating effects of social support and coping on the relation between traumatic event type, posttraumatic growth and wisdom by the data from 247 adults by using path analysis. Besides, the difference of the level of posttraumatic growth and related variables between traumatic event type groups. At first, The results of the MANCOVA, person-related traumatic event group were higher than the non-personal traumatic event group in negative coping and trauma stress level, and lower in social support, positive coping, posttraumatic growth and wisdom. The path analysis results shows that traumatic event type was related to wisdom by mediate factors. Traumatic event type affected wisdom through social support, positive coping, posttraumatic growth. The significant mediators were social support, positive coping, posttraumatic growth. Negative coping was not a significant mediator between event type and posttraumatic growth. The results show that non-personal traumatic event group are tends to have high level of social support, positive coping, posttraumatic growth, and wisdom. In the end, we described that the implication and the limitation of this study and suggestions for following studies.

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TRAUMATIC TMJ INJURY (외상성 악관절 손상)

  • Kim, Young-Kyun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.19 no.2
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    • pp.191-199
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    • 1997
  • Mandibular trauma is developed due to traffic accident, fall down, industrial injury, and others. TMJ disorder is usually also developed after facial traumatic injury. Many authors suggested that disc displacement or tearing, acute synovitis, TMJ ankylosis, traumatic arthritis, or effusion are developed after facial trauma. It is still very controversible what is the best treatment of TMJ injury such as condylar fracture and meniscal injury. In TMJ injury, synovial inflammation is developed and pain mediators such as prostaglandin E2 or leukotriene B4 are released from the synovial membrane. This can be a cause of TMJ disorder. I present a variety of experimental study about the condylar fracture and meniscal injury and enzyme-immunoassay of synovial fluid after mandibular trauma that have been studied since 1992 and establish the treatment criteria of traumatic TMJ injury. I think that the treatment option of condylar fracture depends upon the surgeon's criteria exclusively. There are no significant differences between conservative and surgical treatment. If the aggressive functional physical therapy and long-term followup be performed, the favorable functional recovery of TMJ can be obtained. And I think that the initial surgical management of meniscus of TMJ is unnecessary in condylar fracture. And also arthrocentesis can be available to release the patient's subjective symptoms and improve the healing of injured TMJ.

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The Influence of Subjective Health Status, Post-Traumatic Growth, and Social Support on Successful Aging in Middle-Aged Women (중년여성의 주관적 건강상태, 외상 후 성장, 사회적 지지가 성공적 노화에 미치는 영향)

  • Lee, Seung Hee;Jang, Hyung Suk;Yang, Young Hee
    • Journal of Korean Academy of Nursing
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    • v.46 no.5
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    • pp.744-752
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    • 2016
  • Purpose: This study was done to investigate factors influencing successful aging in middle-aged women. Methods: A convenience sample of 103 middle-aged women was selected from the community. Data were collected using a structured questionnaire and analyzed using descriptive statistics, two-sample t-test, one-way ANOVA, Kruskal Wallis test, Pearson correlations, Spearman correlations and multiple regression analysis with the SPSS/WIN 22.0 program. Results: Results of regression analysis showed that significant factors influencing successful aging were post-traumatic growth and social support. This regression model explained 48% of the variance in successful aging. Conclusion: Findings show that the concept 'post-traumatic growth' is an important factor influencing successful aging in middle-aged women. In addition, social support from friends/co-workers had greater influence on successful aging than social support from family. Thus, we need to consider the positive impact of post-traumatic growth and increase the chances of social participation in a successful aging program for middle-aged women.