• 제목/요약/키워드: mental Damage

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항공여객의 정신적 손해배상에 관한 최근 동향 - 미국 연방법원 판례를 중심으로 - (Recent Trends in Compensation for Mental Anguish of Airline Passengers)

  • 이창재
    • 항공우주정책ㆍ법학회지
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    • 제35권1호
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    • pp.33-62
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    • 2020
  • 현재의 항공운송산업은 시장의 양적 성장 측면 뿐 아니라 법제적(法制的) 측면에서도 많은 변화를 맞이하고 있다. 지난 오랜 세월동안 바르샤바 협약은 국제항공운송에서 발생되는 항공운송인의 민사책임의 통일적 규율에 기여하고 항공운송산업의 발전을 위해 법제적 후견인의 소임을 다하였다. 하지만 그 과정에서 항공운송산업의 소비자 이익은 다른 산업과 비교할 때 그다지 탄탄한 보호를 받지 못하였다. 이에 대한 반성으로 몬트리올 협약은 항공소비자 이익보호라는 기치를 내걸었고, 전 세계 곳곳에서 여객과 같은 항공소비자 보호를 위한 움직임이 나타나고 있다. 항공사고에 따른 항공여객의 정신적 손해배상문제도 항공소비자 보호의 일환으로 이해될 수 있다. 미국 연방법원은 1990년대 초부터 항공여객의 정신적 손해배상에 관한 인정여부를 다루었던 점을 감안하면, 아직까지 항공사고에 따른 정신적 손해를 그 배상범위에서 제외하고 있는 우리나라 판례도 방향전환을 고민해 볼 필요가 있다고 생각한다. 이런 측면에서 항공사고로 여객의 신체손해가 발생하였음을 전제로, 항공사고에 따른 정신적 손해를 적극적으로 인정하는 미연방법원의 최신 판례를 분석해 보는 것은 학문적 의의를 가진다. 정신적 손해에 관한 가장 최신 판례라 할 수 있는 지난 2017년 8월 미연방 제6항소법원에서는 다소 이례적인 결론이 도출되었다. Doe v. Etihad Airways사건에서 법원이 신체손해와 직접적인 인과관계가 있는 정신적 손해에 관해서만 손해배상책임을 인정한 종래 절충적 입장을 견지하였던 다수의 연방법원들과 달리 정신적 손해와 신체적 손해 사이의 인과적 연결고리(causal connection)가 존재하지 않는 경우에도 정신적 손해배상이 인정될 수 있다고 판단하였다. 법원이 이러한 결론에 이르게 된 배경은 여러 가지로 설명될 수 있겠지만, 과거 바르샤바 협약과 달리 항공운송산업의 보호와 육성이라는 시대적 명제를 뒤로 하고 몬트리올 협약이 선언한 항공소비자 보호라는 목소리에 귀를 기울인 결과로 볼 수 있다.

전산화단층촬영 방사선영상을 이용한 이공과 하악관 전방고리의 형태학적 분석 (Morphological Analysis of the Mental Foramen and Anterior Loop of the Mandibular Canal using Computed Tomography)

  • 김용건
    • 구강회복응용과학지
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    • 제27권3호
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    • pp.317-326
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    • 2011
  • 이공과 하악관 전방고리는 악골의 외과적 술식에서 중요한 기준점이 된다. 이번 연구의 목적은 전산화단층촬영를 이용해 이공과 하악관 전방고리의 형태를 분석하고, 이를 임상에 적용하기 위함이다. 외과적 수술이 계획된 96명(남성 33명, 여성 63명, 연령범위 17 ~ 43세, 평균연령 $24.6{\pm}4.99$세)의 환자를 대상으로 전산화단층촬영을 시행하였다. 전산화단층촬영 방사선영상에서 이공의 수평적, 수직적 위치, 치근첨과의 거리를 측정하였고, 하악관 전방고리는 치근첨에서의 거리, 협측 측방각도를 측정하였다. 이공의 위치는 하악 제2소구치 하방이 81례(46.0%)로 가장 많았으며, 하악 제1소구치와 제2소구치사이에 존재하는 경우는 67례(38.0%)로, 하악 제2소구치와 제1대구치 사이에 존재하는 경우는 19례(10.2%)로 나타났다. 이공과 하악골 하연과의 평균거리는 $12.20{\pm}1.77$ mm, 이공과 치근첨과의 평균거리는 $5.16{\pm}0.98$ mm. 하악관 전방고리의 평균 길이는 $5.80{\pm}2.00$ mm로 나타났다. 하악관 전방고리에 대한 협측 각도는 $47.7{\pm}9.07^{\circ}$로 나타났다. 치근첨과 이공과의 거리는 파노라마 영상에서는 $5.16{\pm}0.98$ mm로 나타났고, 전산화단층촬영영상에서는 $6.2{\pm}3.07$ mm로 나타났다. 이공과 하악관의 평균거리는 $5.39{\pm}1.62$ mm로 나타났다. 임플란트를 포함한 악골의 외과적 술식에서 이신경의 손상 및 외과적 외상의 위험을 최소화하고 최적의 수술결과를 얻기 위해서는 이공과 하악관 전방고리의 형태와 위치에 대한 정확한 평가가 이뤄져야 한다. 전산화단층촬영 영상은 이러한 해부학적 구조를 찾는데 유용할 것으로 생각된다.

상한문헌에 나타난 현훈의 정의와 치료법에 대한 연구 (A Research of Definition and Treatment of Dizziness in the Books on Cold Damage)

  • 김상운;정현종
    • 대한한의진단학회지
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    • 제18권3호
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    • pp.149-174
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    • 2014
  • Objectives to study definition and treatment of dizziness in the books of Cold damage which are classified as symptoms of all time. Methods 1. Quote provisions related to dizziness in "Sanghanlon(傷寒論)" 2. Among the books of Cold damage which are classified as symptoms, select 19 literatures on dizziness with table of contents and collect data and categorize in two perspectives on theories and disease pattern. 3. Compare and draw a chart all data collected in above methods. Results & Conclusions 1. In the books on Cold damage, dizziness is expressed in 2 ways such as head dizziness(頭眩) and fainting(鬱冒). fainting is much more several symptoms than head dizziness and it is the difference that it has mental confusion. 2. The cause of head dizziness after promoting sweating, vomiting and purgation is that source qi(元氣) of upper energizer(上焦) is deficiency, and cause of head dizziness before using method of treatment is wind(風), heat(熱), phlegm(痰), blood deficiency(血虛) and etc. 3. Main cause of fainting is that deficiency is getting severe so that cold invades, and symptoms are blood deficiency, after giving birth and excess pattern of fire and heat. 4. Remedies for head dizziness are using Yeonggyechulgam-tang(苓桂朮甘湯), jinmu-tang(眞武湯), sosiho-tang(小柴胡湯), sagunja-tang(四君子湯), samul-tang(四物湯) and etc. 5. Insamsambaek-tang (人蔘三白湯) and Sayeok-tang(四逆湯) are used for deficiency pattern of fainting, and Dojeok-san(導赤散), Daeseunggi-tang(大承氣湯), and Hwangryeonhaedok-tang(黃連解毒湯) are used for excess pattern(實證).

Prognosis after treatment with multiple dental implants under general anesthesia and sedation in a cerebral palsy patient with mental retardation: A case report

  • Hong, Young-Joon;Dan, Jung-Bae;Kim, Myung-Jin;Kim, Hyun Jeong;Seo, Kwang-Suk
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제17권2호
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    • pp.149-155
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    • 2017
  • Cerebral palsy is a non-progressive disorder resulting from central nervous system damage caused by multiple factors. Almost all cerebral palsy patients have a movement disorder that makes dental treatment difficult. Oral hygiene management is difficult and the risks for periodontitis, dental caries and loss of multiple teeth are high. Placement of dental implants for multiple missing teeth in cerebral palsy patients needs multiple rounds of general anesthesia, and the prognosis is poor despite the expense. Therefore, making the decision to perform multiple dental implant treatments on cerebral palsy patients is difficult. A 33-year-old female patient with cerebral palsy and mental retardation was scheduled for multiple implant treatments. She underwent computed tomography (CT) under sedation and the operation of nine dental implants under general anesthesia. Implant-supported fixed prosthesis treatment was completed. During follow-up, she had the anterior incisors extracted and underwent the surgery of 3 additional dental implants, completing the prosthetic treatment. Although oral parafunctions existed due to cerebral palsy, no implant failure was observed 9 years after the first implant surgery.

Modification of Severe Violent and Aggressive Behavior among Psychiatric Inpatients through the Use of a Short-Term Token Economy

  • Park, Jae Soon;Lee, Kyunghee
    • 대한간호학회지
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    • 제42권7호
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    • pp.1062-1069
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    • 2012
  • Purpose: Meager research has been carried out to determine the effectiveness of the token economy among patients behaving violently in mental hospitals. The purpose of this study was to examine the effectiveness of the Short-Term Token Economy (STTE) on violent behavior among chronic psychiatric in-patients. Methods: A nonequivalent control group design method was utilized. Participants in an experimental group (n=22) and control group (n=22) took part in this study from January to April, 2008. Observation on aggressive behavior among male in-patients in one hospital as a baseline was made during the week before the behavior modification program and measurement of aggressive behavior was done using the Overt Aggression Scale (OAS), which includes verbal attacks, property damage and physical attacks. Results: The aggressive behavior scores of the experimental group decreased, those of the control group, scores showed an increase after the eight-week behavior modification program utilizing STTE. Conclusion: The results of the study indicate that STTE is effective in reducing the incidence of aggressive behavior among male in-patients in psychiatric hospitals. The outcome of this study should be helpful in reducing the use of coercive measures or psychoactive medication in controlling the violent behavior among in-patients in hospitals.

공동주택 지하주차장 계획을 위한 거주자 의식조사연구 (A Study on Inhabitants' Mental Survey for Apartment House's Underground Parking Lots)

  • 정영석;조성우;오세규
    • 한국주거학회:학술대회논문집
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    • 한국주거학회 2009년 춘계학술발표대회 논문집
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    • pp.113-117
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    • 2009
  • By statistics in August, 2007, currently Korean motors registration number broke through 16 million units. The demand of motors is being increased as time goes on and the demand of parking lot within apartment complex is increased together. Therefore, it is inevitable to expand underground parking lots. Underground parking lots have relatively weaker environment than the ground and physical/psychological problems as distance far away from the main building, fear for vehicle damage and crimes, impure air, darkness and closed feeling take place. Underground parking lots also occupy a lot of area ratio within apartment complex and have a lot of effects on other facilities. Therefore, underground parking lots are neglected for all that underground parking lots have deep relations with satisfaction for public space within apartment complex. Accordingly, the purpose of the study is to make reference materials when underground parking lots are planned by grasping satisfaction of underground parking lots through inhabitants'mental survey and surveying preferential location and requirements of parking lots.

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피로누적에 따른 최적 비행시간 산출에 관한 연구 (A Study on the Optimal Flight Time According to the Amount of Fatigue)

  • 이승훈;윤봉수
    • 한국국방경영분석학회지
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    • 제24권1호
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    • pp.41-57
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    • 1998
  • Since the aircraft has a property of moving in the three-dimensional space, it may cause personally and financially critical damage in the case of an accident. Among the causes of aircraft accident, human factor has occupied about 70% of all accidents. Specially, fatigue among human's problems has been studied earlier than any other factor. Fatigue has been the cause of 75% of accidents that are related to human factor. So many studies have been conducted. But the direction of these studies mainly attach importance to the sleep loss and circadian rhythm. Limitation for flight time of ICAO is 8 hours per day, civil airlines in domestic line also adopt the limitation. But this rule is not based on human's performance but compromise between labor and management. The long-haul flight brings about a mental block to pilot. This mental block decreases performance of pilot and loses a lot of important information. So this may cause many accidents. This paper is to offer optimal flight time according to the amount of fatigue due to increasing flight time. The optimal flight time is searched through the field experiment. The experiment has adopted two methods. One is to examine pilot's objective fatigue accumulation rate through the critical fusion frequency, and another is to investigate pilot's subjective fatigue feeling through the fatigue subjective symptoms investigation table.

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재난트라우마에 대한 이침의 활용 - NADA 프로토콜의 소개 (Ear Acupuncture Treatment for Disaster-Related Trauma: Introduction of the National Acupuncture Detoxification Association (NADA) Protocol)

  • 김다운;김상호
    • 동의신경정신과학회지
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    • 제31권3호
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    • pp.157-168
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    • 2020
  • The number of disasters caused by natural or human-made events such as earthquakes, tsunamis, floods, typhoons, industrial disasters, and the recent outbreak of COVID-19 has increased and the damage caused by such disasters is increasing every year. Disasters can cause physical destruction and also have unexpected psychological impacts, such as post-traumatic stress disorder (PTSD). Ear acupuncture is a treatment modality that can be helpful for both physical and mental health problems. Since ear acupuncture is a cost-effective, flexible, and safe treatment tool, it has the potential to provide medical assistance in disasters. The National Acupuncture Detoxification Association (NADA) auricular acupuncture protocol, originally developed for addiction treatment, has been used for mental illness and behavioral symptoms in both community health settings and in a variety of disaster, terror, and refugee settings. In this review, we introduced the NADA protocol, including its history, features, training, clinical evidence, and cases in disaster settings, suggesting that the NADA protocol could be utilized as a disaster medical support model in Korean medicine.

동마(東武) 이제마(李濟馬)의 사상의학(四象醫學)에 드러난 심신의학(心身醫學)적 특징 (Characteristics of Mind-Body Medicine Revealed in the Sa-Sang Constitutional Medicine of Lee Je-ma)

  • 전준모;구병수
    • 동의신경정신과학회지
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    • 제34권1호
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    • pp.23-31
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    • 2023
  • Objectives: The purpose of this study was to identify the characteristics of mind-body medicine revealed in the Sa-sang constitutional medicin. Methods: This study examined the psychosomatic aspects of "DongUiSuSeBoWon" that Lee Je-ma wrote about the Sa-sang constitutional medicine, comparing them to Neo-Confucianism and Oriental medicine. Results: Sa-sang constitutions contain much content that can be applied to mind-body medicine. Conclusions: First, the principle of disease caused by mental and physical connections was clearly suggested, as it was considered that when emotions of joy, sorrow, and pleasure reach their peak, they cause fatal damage to the body. Second, it was encouraged to prevent diseases by giving specific examples to prevent the prejudice of the methodology of looking back when it hasn't happened yet and the feeling of anger and joy before the emotions of joy and sorrow are revealed. Third, it suggested the treatment of mental and physical diseases using drugs for diseases that have already occurred and psychiatric methods.

포스트휴먼 시대 청소년의 정신 건강: 비대면 대화 매체 사용과 언어폭력 관련성 연구 (The Mental Health of Adolescents in the Post-Human Era: A Study of the Relationship Between Non Face-To-Face Communication Media and Verbal Violence)

  • 이유미;오미영
    • 한국학교ㆍ지역보건교육학회지
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    • 제20권3호
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    • pp.123-134
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    • 2019
  • Objectives: The purpose of this study is to identify the problems of verbal violence that adolescents face in the post-human age, when the non-face-to-face media is increasing. Methods: A survey was conducted on 305 adolescents, aged 14 to 16 years of middle school and high school students. The data were analyzed with the SPSS 25.0. Results: As a result of conducting multiple regression analysis to identify the type of conversation that affects verbal abuse of adolescents, a model with a conversation with family, conversation with other people, messenger conversation such as KakaoTalk, and video chat conversation was selected. The amount of explanation was 11.4%. (R2 = .114) Of these, non-face-to-face conversations have been shown to increase verbal violence, and face-to-face conversations with family have, in turn, lowered the risk. As a result of t-testing to examine the effect of verbal abuse experience on the verbal violence index, the damage experience was significant in depression (p = .042) and impulsive aggression (p = .021). (P = .000). Conclusion: This study reiterates the importance of family dialogue along with the fact that the development of various non-face-to-face media in the Fourth Industrial Revolution can have a negative impact on adolescent mental health.