• Title/Summary/Keyword: impact of event scale

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응급실 근무자의 외상 후 스트레스장애 유병률 및 발생 기여 요인 (The Prevalence of Post-traumatic Stress Disorder Among Emergency Room Workers and Factors Contributing to Its Occurrence)

  • 고동률;김건배;이지환
    • 한국의료질향상학회지
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    • 제27권1호
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    • pp.10-19
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    • 2021
  • Purpose: This study was designed to investigate that the prevalence of Post-traumatic stress disorder (PTSD) and occupational environmental factors that contribute to the developing of PTSD in workers who worked in emergency room in Korea. Methods: This study is a multicenter cross-sectional study that was conducted in three emergency rooms. Data was collected by self-response method through questionnaire. The Impact Event Scale-Revised was used to screen the high-risk group of PTSD. Univariate and multivariate regression analysis was used to identify the factors associated with the developing of high-risk group of PTSD. Results: Total 211 subjects responded to the questionnaire. Of these, 170 subjects experienced psychological trauma event (PTE) in the working environment. And 60 subjects classified as high risk group of PTSD, so a prevalence of high risk group for PTSD was 28.4%. Factors related to the high risk group of PTSD were the frequency of psychological trauma events experienced over the past 1 year and the high score of QIDS-SR16. Conclusion: The prevalence of high risk group for PTSD among emergency room workers in Korea is very high. This may adversely affect the safety of patients, so early screening and intervention are necessary.

도시가스-수소 혼합가스의 누출사고 영향범위 분석 (Prediction of Damage Area due to Explosion of LNG-Hydrogen Mixed Gas)

  • 윤찬식;양진두;나길수;임성현;김기영;최은기
    • 화약ㆍ발파
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    • 제40권4호
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    • pp.27-34
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    • 2022
  • 탄소중립을 위한 온실가스 배출 감소를 위해 정부에서는 다양한 정책을 추진하고 있는데 그 핵심과제 중 하나가 수소경제 활성화 정책이다. 이 정책 중 하나로 정부는 기존 도시가스 배관에 수소를 혼입하는 추진안을 공식화하였고, 다가오는 2026년까지 20% 수소 혼입을 상용화하는 것을 목표로 하고 있다. 본 연구에서는 도시가스와 수소 혼입 상용화를 대비하여 이 두 가지 혼합가스의 누출사고 발생 시 피해 규모 및 영향범위를 정량적으로 예측하고자 한다. 정량적 피해예측 방식은 가상 시나리오에 따른 사고 발생 시 혼합가스의 누출량을 설정하여 TNT 당량 계산을 통해 피해 환산 거리를 산출하는 것이다.

외상후 스트레스 장애 환자의 신경인지기능 (Neurocognitive Functions in Posttraumatic Stress Disorder)

  • 김선국;이강준;이승환;남민;정영조
    • 생물정신의학
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    • 제10권2호
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    • pp.147-158
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    • 2003
  • Objective:The differences of various neurocognitive functions, including attention, memory, motor function, and higher cognitive function were compared between PTSD patients and normal control subjects. Also, correlation with PTSD symptom severity and neurocognitive functions were evaluated between PTSD patients and normal control subjects. Method:We assessed the neurocognitive functions by computerized neurocognitive test(CNT) batteries. The visual continuous performance test(CPT) and digit span test, finger tapping test and Wisconsin card sorting test(WCST) were executed. The Impact of Event Scale-Revised(IES-R) was used in the evaluation of the severity of PTSD. Result:The PTSD patients showed significantly impaired neurocognitive performance in all of the items, compared with normal control subjects. The relation between impairment in neurocognitive functions and symptom severity showed significant correlations. Conclusion:These results imply that PTSD patients have impaired neurocognitive functions concerning with specific brain areas, especially the frontal area. For the thorough evaluation of further neurocognitive functions, more detailed evaluation items of neurocognitive functions and brain imaging studies are necessary in the future study.

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A Suggestion for Data Assimilation Method of Hydrometeor Types Estimated from the Polarimetric Radar Observation

  • Yamaguchi, Kosei;Nakakita, Eiichi;Sumida, Yasuhiko
    • 한국수자원학회:학술대회논문집
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    • 한국수자원학회 2009년도 학술발표회 초록집
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    • pp.2161-2166
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    • 2009
  • It is important for 0-6 hour nowcasting to provide for a high-quality initial condition in a meso-scale atmospheric model by a data assimilation of several observation data. The polarimetric radar data is expected to be assimilated into the forecast model, because the radar has a possibility of measurements of the types, the shapes, and the size distributions of hydrometeors. In this paper, an impact on rainfall prediction of the data assimilation of hydrometeor types (i.e. raindrop, graupel, snowflake, etc.) is evaluated. The observed information of hydrometeor types is estimated using the fuzzy logic algorism. As an implementation, the cloud-resolving nonhydrostatic atmospheric model, CReSS, which has detail microphysical processes, is employed as a forecast model. The local ensemble transform Kalman filter, LETKF, is used as a data assimilation method, which uses an ensemble of short-term forecasts to estimate the flowdependent background error covariance required in data assimilation. A heavy rainfall event occurred in Okinawa in 2008 is chosen as an application. As a result, the rainfall prediction accuracy in the assimilation case of both hydrometeor types and the Doppler velocity and the radar echo is improved by a comparison of the no assimilation case. The effects on rainfall prediction of the assimilation of hydrometeor types appear in longer prediction lead time compared with the effects of the assimilation of radar echo only.

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통신공학 및 통신기술의 역사, 현황 그리고 미래 (The history, present status and future perspective of Communications and Communications technologh)

  • 조규심
    • 기술사
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    • 제25권1호
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    • pp.112-115
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    • 1992
  • 주지하는 바와 같이 전기통신은 사회의 신경이며, 각개인의 편리함에 그치지 않고 국가에게도 중요한 존재이다. 전기통신시설의 파괴는 사회를 큰 혼란에 빠뜨리고 중대한 지장을 준다는 것은 우리가 너무나 잘아는 바이다. 통신기술에 관하여는 자의 임무는 중대하다고 말하지 않으면 안된다. 통신공학의 제일의 목적은, 무엇이라 말해도 정보를 정확하게, 또한 신속하게 전하는데에 있다. 따라서 전기통신공학은 전기적 수단에 의한 정보의 전달을 주로 하는 학문이다(첨가하여 정보의 수집과 처리가 포함된다), 그 주된 목적은 정보를 보다 바르게, 정확하게, 값싸게 수집하여 전달하고, 때에 따라서는 처리하는 일이며, 나아가서는 높은 신뢰도로 또한 소형이고 사용하기 쉬운 기능을 하게끔 장치나 기기를 실현하는 일이다.

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A comparative study of the psychological impacts of tasks related and unrelated to COVID-19 on nurses: a cross-sectional study

  • Kim, Hyun Ji;Lee, Geon Ho
    • Journal of Yeungnam Medical Science
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    • 제39권3호
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    • pp.216-222
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    • 2022
  • Background: This study assessed the psychological impact of the outbreak of coronavirus disease 2019 (COVID-19) on university hospital nurses. It provides an assessment of mental health issues, including depression, anxiety, distress, and burnout of nurses dealing directly and indirectly with COVID-19. Methods: In a web-based, cross-sectional study, 111 nurses from Daegu Catholic University Hospital in Korea were enrolled from August 4 to August 9, 2020. Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, Impact of Event Scale-Revised, and Maslach Burnout Inventory were used to assess the psychological symptoms of depression, anxiety, psychological distress, and burnout among the study participants. Results: Of 111 nurses, 35 (31.5%), nine (8.1%), 26 (23.4%), and 49 (44.1%) experienced depression, anxiety, distress, and burnout, respectively. Nurses who performed COVID-19-related tasks were more likely to have moderate depression (related vs. unrelated, 52.0% vs. 25.6%; p=0.037). There were no differences in anxiety, distress, and burnout between nurses with and without COVID-19-related tasks. More than 50% of the participants showed receptive and positive attitudes toward caring for COVID-19 patients. Conclusion: Nurses who performed COVID-19-related tasks had a higher risk of depression. There were no significant differences in anxiety, distress, and burnout between the two groups. Since nurses who perform COVID-19-related tasks are more prone to psychological distress, continued psychiatric interventions are required for infectious disease outbreaks with a high mortality rate for healthcare workers who are emotionally vulnerable.

남자소방공무원의 외상 후 스트레스와 대처방식이 문제음주에 미치는 영향 (Effect of Post-traumatic Stress and Ways of Stress Coping on Problem Drinking in Firefighters)

  • 전경선;강경아
    • 한국직업건강간호학회지
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    • 제26권4호
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    • pp.218-226
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    • 2017
  • Purpose: The study aimed to determine the impact of post-traumatic stress and ways of stress coping on problem drinking in firefighters. Methods: Data were collected from May 11 to June 11, 2015, in fire brigades across South Korea. Participants were 183 male firefighters who used self-report questionnaires containing questions from the Impact of Event Scale-Revised (IES-R), Ways of Coping Checklist (WCC), and Alcohol Use Disorders Identification Test (AUDIT). Data were analyzed using $x^2$ test, t-test, and logistic regression with the SPSS/WIN 21.0 program. Results: The prevalence of PTSD among firefighters was 36.7% and that of problem drinking was 39.3%. Firefighters with single (OR=0.23, 95% CI=0.038~1.321) and married status (OR=0.46, 95% CI=0.069~3.040) were less likely to have problem drinking than those who were divorced or bereavement. Those with invasion symptoms (OR=1.17, 95% CI=1.031~1.327) and hyperarousal symptoms (OR=0.85, 95% CI=0.722~0.989) were more likely to have problem drinking than those with avoidance symptoms. Conclusion: Post-traumatic stress symptom was a major risk factor that increased problem drinking, and married status reduced problem drinking. There is a need to develop post-traumatic stress symptom management program and early education content for symptom management.

저영향개발 시설의 요소기술별 연계 효과 분석 (Analysis of the Linkage Effect by Component Technology in Low Impact Development Facilities)

  • 백종석;이상진;신현석;김재문;김형산
    • 한국물환경학회지
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    • 제35권1호
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    • pp.35-42
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    • 2019
  • Urbanization has led to extreme changes in land use on urban watersheds. Most cities are becoming residential, commercial and industrial areas, making infiltration and storage of rainfall less favorable. The demand for LID (Low Impact Development) technology is increasing in order to mitigate this water cycle distortion and return to existing hydrological conditions. The LID technique is effective in reducing runoff by permeating the urban impervious area. However, considering the limit of the installation area and the financial requirement of the installation, there is not much research on the linkage of each LID component technology for optimum efficiency according to the appropriate scale. In this study, the effects of the LID facilities applied to the target site were simulated using the SWMM model, suggesting the optimal linkage method considering interconnectivity, and applying the effects as an existing installation of individual facilities. The water balance at the time of application of the LID technology, short-term and long-term rainfall event were compared. Also, the individual application and the linkage application were compared with each other. If each component technology has sufficient processing size, then linkage application is more effective than individual application.

성매매 피해 여성의 외상 후 스트레스 증상과 정신건강-탈 성매매 후 추적 연구 (Symptoms of Posttraumatic Stress Disorder and Mental Health in Female Victims by Sex Trade : A Follow-Up Study in Shelter Samples)

  • 김성철;이준우;송정민;전태연;채정호
    • 대한불안의학회지
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    • 제2권1호
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    • pp.33-38
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    • 2006
  • Objectives : Since prostitution is multitraumatic phenomena, it is known that most women in prostitution have symptoms of posttraumatic stress disorder (PTSD) and other mental illness. In Korea, new anti-prostitution law launched in the year of 2004 imposes protecting prostituted victims at government-supported shelter. The objective of this study was to compare the mental symptoms, especially PTSD features of women who escaped from prostitution with those of control subjects. Methods : We assessed 113 ex-prostituted women who live in shelter for 8 months on the average and 65 normal control subjects. Demographic data, questionnaire for sleep, physical illness, smoking, alcohol and drug use, Stress Response Inventory, Davidson Trauma Scale (DTS), Impact of Event Scale-Revised (IES-R) were used. Results : Ex-prostituted women had significantly higher scores of DTS, IES-R, stress related responses, sleep problems, smoking problems, and alcohol problems than control group. Age and duration of sex trade of the subjects were significantly correlated with the severity or frequency of PTSD symptoms. The degree of smoking, alcohol drinking and sleep problems were also significantly correlated with the PTSD symptoms. Conclusion : These results suggested mental symptoms did not disappear even after women escaped from prostitution.

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소방공무원에서 우울 및 불안에 작용하는 대인관계 민감성/리질리언스의 영향 (The Effect of Interpersonal Sensitivity/Resilience on Depression and Anxiety in Firefighters)

  • 김선영;정나영;연보라;황선영;이경욱
    • 대한불안의학회지
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    • 제7권2호
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    • pp.107-112
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    • 2011
  • Objective : This study aimed to ascertain the effect of interpersonal sensitivity/resilience on depression and anxiety in firefighters whose frequency of exposure to traumatic events is high. Method : A survey was performed and data related to 75 firefighters were analyzed. Questionnaires included the Beck Depression Inventory (BDI) and Impact of Event Scale-Revised (IES-R). To assess the susceptibility or protector roles with respect to psychopathology, the Interpersonal Sensitivity Measure (IPSM) and Conner-Davidson Resilience Scale (CD-RISC) were used. Results : The personality characteristic, interpersonal sensitivity (IPSM) showed a significant positive correlation with depression (BDI, r=0.557, p<0.001) and posttraumatic stress symptoms (IES-R, r=0.316 ; p<0.001). In contrast, resilience and symptom parameters (BDI, IES-R) were negatively correlated with each other, but not statistically significant. However, an adaptive factor for change, a third sub-factor of CD-RISC, had significant negative correlation with depression and anxiety symptoms (BDI, r=-0.275, p<0.005 ; IES-R, r=-0.254, p<0.005). Conclusion : The results of the present study showed that some personality traits may act as vulnerability or protective factors with respect to the psychopathologies of depression and anxiety.