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Meerae Lim,이수정,Jong Ik Park 대한신경정신의학회 2016 PSYCHIATRY INVESTIGATION Vol.13 No.4
ObjectiveaaA considerable proportion of suicide attempts are the result of sudden desires. Understanding such impulsive suicide attempts is necessary for effective interventions. We evaluated the impulsivity of suicide attempters treated in emergency rooms. The aim of the study was to identify the characteristics of impulsive suicide attempts by comparing these individuals to those who attempted to commit suicide in a non-impulsive manner. MethodsaaThis study analyzed suicide attempters who visited the emergency departments of seven selected university hospitals. A total of 269 medical records in which impulsivity of suicide attempt were confirmed were subject to be analyzed. The impulsivity of the suicide attempt was examined using a summative score of items 6 and 15 on the Suicide Intent Scale. ResultsaaA total of 48.0% of the participants were impelled by sudden inclinations to attempt suicide. Impulsive attempters were younger, unmarried and less physical illness than non-impulsive attempters, whereas no significant differences were found on psychiatric history and previous suicide history. Impulsive suicide attempters had suicide ideations that were not as severe (χ2=55.33, p<0.001) or intense (t=-8.38, p<0.001) as their counterparts’. Furthermore, medical results of impulsive suicide attempts were better than non-impulsive suicide attempts (t=-3.77, p<0.001). ConclusionaaThe results suggested that a considerable proportion of suicide attempts were the result of sudden inclinations. Impulsive attempts were made in relatively earlier stages of suicide ideation; consequently, they have less intent than non-impulsive attempts.
강석진(Seok-Jin Kang),박한선(Hanson Park),신용진(Yong Jin Shin),이호선(Ho Seon Lee),임미래(Meerae Lim),고석만(Seok-Man Ko),최영숙(Young-Sook Choi),신경철(Kyung-Chul Shin),최용성(Yong-Sung Choi) 대한사회정신의학회 2014 사회정신의학 Vol.19 No.1
인간의 몸과 마음이 분리될 수 없는 것처럼 인간의 영성과 마음도 분리될 수 없는 속성을 가진 실체이다. 로마 가톨릭 교회에서는 수 천년 전부터 여러 가지 형태와 이름으로 인간의 영성에 대한 신학적 이론 아래에서 정신장애인을 바라보고, 또한 실천적인 치료를 해오고 있다. 본고에서는 영성 정신치료의 역사적 연원을 다루어 보고, 로마 가톨릭의 입장에서 이에 대한 이론적 배경을 다루고 자 한다. 또한 임상적인 측면에서 가톨릭 영성 정신치료의 역할과 한계, 가능성을 간략하게 검토한다. It is human mind that has inseparable relation from the spirit, like the relation of body and mind. Roman Catholic Church has a long history of theory and practice about mental illness and mentally disabled people by a variety of therapeutic forms in the view of theological virtues. In this article, we overview the historical roots of spiritual psychotherapy and deal with the theological background in the terms of Roman Catholic Church. In addition, we review the role, limitation and possibility of Catholic spiritual psychotherapy in clinical psychiatric aspects in brief.
Lee Yeon Jung,Lee Hyeon-Ah,Kim Kyong Ah,Baik Myungjae,Paik Jong-Woo,Seol Jinmi,Lee Sang Min,Lee Eun-Jin,Lee Haewoo,Lim Meerae,Jun Jin Yong,Ki Seon Wan,Jeon Hong Jin,Kwon Sun Jung,Lee Hwa-Young 대한신경정신의학회 2023 PSYCHIATRY INVESTIGATION Vol.20 No.5
Objective North Korean defectors (NKDs) have experienced substantial difficulties during the migration and settlement in South Korea. They have a high prevalence of depression, post-traumatic stress disorder, and suicidal behaviors. The high prevalence of mental disorders among NKDs can lead to a high suicide rate. However, there are no suicide prevention programs for NKDs. This study aims to customize a suicide prevention program with content suitable for NKDs’ particular circumstances.Methods A multidisciplinary research team developed this program based on domestic and international gatekeeper training programs for suicide prevention and articles related to suicide prevention.Results We developed a multi-part gatekeeper training program, “Suicide CARE for NKDs.” In the “Introduction,” trainees learn about the need for the program and its importance. In “Careful observation,” trainees learn to recognize linguistic, behavioral, and situational signals of suicide risk. In “Active listening,” trainees learn how to ask about suicidal thoughts and to listen empathetically. In “Risk evaluation and expert referral,” trainees learn to evaluate suicide risk and to connect NKDs with institutes or services.Conclusion We expect this program to become useful for training gatekeepers to prevent suicide among NKD. A future follow-up study is needed to confirm the efficacy of the program.
Kyoung-Sae Na,Seon-Cheol Park,Sun-Jung Kwon,Minjae Kim,Hyoung-Jun Kim,Myungjae Baik,Jinmi Seol,Eun Ji An,Sang Min Lee,Eun-Jin Lee,Meerae Lim,Sung Joon Cho,Gwang Hun Kim,Nari Kim,Hong Jin Jeon,Jong-Woo 대한신경정신의학회 2020 PSYCHIATRY INVESTIGATION Vol.17 No.11
Objective Suicide is a huge nationwide problem that incurs a lot of socio-economic costs. Suicide also inflicts severe distress on the people left behind. The government of the Republic of Korea has been making many policy efforts to reduce suicide rate. The gatekeeper program, ‘Suicide CARE’, is one of the meaningful modalities for preventing suicide. Methods Multidisciplinary research team collaborated to update the ‘Suicide CARE’ to version 2.0. Results In the ‘Introductory part’, the authors have the time to think about the necessity and significance of the program before conducting full-scale gatekeeper training. In the ‘Careful observation’ part, trainees learn how to understand and recognize the various linguistic, behavioral, and situational signals that a person shows before committing suicide. In the ‘Active listening’ part, trainees learn how to ask suicide with a value-neutral attitude as well listening empathetically. In the ‘Risk evaluation and Expert referral’ part, trainees learn intervening strategies to identify a person’s suicidal intention, plan, and past suicide attempts, and connect the person to appropriate institutes or services. Conclusion Subsequent studies should be conducted to verify the efficacy of the gatekeeper program.
Seon-Cheol Park,Kyoung-Sae Na,Sun-Jung Kwon,Minjae Kim,Hyoung-Jun Kim,Myungjae Baik,Jinmi Seol,Eun Ji An,Sang Min Lee,Eun-Jin Lee,Meerae Lim,Sung Joon Cho,Gwang Hun Kim,Nari Kim,Hong Jin Jeon,Jong-Woo 대한신경정신의학회 2020 PSYCHIATRY INVESTIGATION Vol.17 No.9
Objective In 2011, “Suicide CARE” (Standardized Suicide Prevention Program for Gatekeeper Intervention in Korea) was originally developed for the early detection of warning signs of suicide completion, since there is a tendency to regard emotional suppression as a virtue of Korean traditional culture. A total of 1.2 million individuals completed the training program of “Suicide CARE” in Korea. Methods More sophisticated suicide prevention approaches according to age, sex, and occupation have been proposed, demanding for a more detailed revision of “Suicide CARE.” Thus, during the period from August 2019 to February 2020, “Suicide CARE” has been updated to version 2.0. The assessments on domestic gatekeeper training programs for suicide prevention, international gatekeeper training programs for suicide prevention, psychological autopsy interview reports between 2015 and 2018, and the evaluation of feedback from people who completed “Suicide CARE” version 1.6 training were performed. Results We describe the revision process of “Suicide CARE,” revealing that “Suicide CARE” version 2.0 has been developed using an evidence-based methodology. Conclusion It is expected that “Suicide CARE” version 2.0 be positioned as the basic framework for many developing gatekeeper training programs for suicide prevention in Korea in the near future.
Single-nozzle Core-shell Electrospun Nanofibers of PVP/Dextran as Drug Delivery System
Meera Moydeen A.,Syed Ali Padusha M.,Badr M. Thamer,Anis Ahamed N.,Abdullah M. Al-Enizi,Hany El-Hamshary,Mohamed H. El-Newehy 한국섬유공학회 2019 Fibers and polymers Vol.20 No.10
Ciprofloxacin-loaded poly(vinylpyrrolidinone) (PVP) and dextran sulfate (Dex) (PVP/Dex) nanofibers wereprepared using the emulsion electrospinning method. The physical and morphological characteristics of the preparednanofibers were evaluated by conducting a Fourier transform infrared spectroscopy (FT-IR), scanning electron microscopy(SEM) and thermogravimetric analysis (TGA). The polymer-polymer and polymer-drug interactions were determined usingdifferential scanning calorimetry (DSC). Moreover, the formation of the core-shell structure was confirmed by transmissionelectron microscopy (TEM) and confocal laser microscopy. The sustained release behavior was evaluated using ultravioletvisible(UV-vis) spectroscopy, and its kinetic mechanism was investigated using Korsmeyer-Peppas, Peppas-Sahlin, andWeibull models by a non-linear regression equation. The antibacterial properties were evaluated using the disc diffusionmethod with respect to several wound gram-positive (Methicillin-resistant Staphylococcus aureus (MRSA), Staphylococcusepidermidis, Staphylococcus aureus, and Klebsiella pneumoniae) and gram-negative bacteria (Pseudomonas aeruginosa,Salmonella typhimurium, and Proteus vulgaris). In general, the release behavior of Ciprofloxacin from PVP/Dex is controlledby diffusion in the delivery system.
Study on the Bonding Structures of Nano-Pore SiOC(-H) Films Deposited by UV-Source Assisted PECVD
Meera KANNAN,Chi Kyu CHOI,Chang Sil YANG 한국물리학회 2004 THE JOURNAL OF THE KOREAN PHYSICAL SOCIETY Vol.45 No.3
SiOC(-H) lms with low dielectric constant were deposited on a p-type Si(100) substrate by using ultraviolet (UV)-source assisted plasma enhanced chemical vapor deposition with a mixture of trimethylsilane (TMS : H-Si-(CH3)3) and oxygen gases. Fourier transform infrared spectroscopy and X-ray photoelectron spectroscopy were used to investigate the bonding congurations and the atomic concentrations of the SiOC(-H) lms. By illumination of UV light to the TMS/O2 plasma, the plasma parameters and the deposition properties can be controlled. By the addition of He to the mixture of TMS and O2, the electron density can be raised to 9.6 109 cm
( Meera Kweon ),( Dal Lae Ju ),( Misun Park ),( Jihyeong Choe ),( Yun-suhk Suh ),( Eun-mi Seol ),( Hyuk-joon Lee ) 한국임상영양학회 2017 Clinical Nutrition Research Vol.6 No.3
Many individuals with short bowel syndrome (SBS) require long-term parenteral nutrition (PN) to maintain adequate nutritional status. Herein, we report a successful intestinal adaptation of a patient with SBS through 13 times intensive nutritional support team (NST) managements. A thirty-five-year-old woman who could not eat due to intestinal discontinuity visited Seoul National University Hospital for reconstruction of the bowel. She received laparoscopic Roux-en-Y gastric bypass (RYGB) due to morbid obesity in Jan 2013 at a certain hospital and successfully reduced her weight from 110 kg to 68 kg. However, after a delivery of the second baby by cesarean section in Jul 2016, most of small bowel was herniated through Peterson`s defect, and emergent massive small bowel resection was performed. Thereafter, she visited our hospital for the purpose of intestinal reconstruction. In Sep 2016, she received side-to-side gastrogastrostomy and revision of double barrel enterostomy. The remaining small bowel included whole duodenum, 30 cm of proximal jejunum, and 10 cm of terminal ileum. Pylorus and ileocecal valves were intact. The patient given only PN after surgery was provided rice-based soft fluid diet after 10 day of operation. Through intensive nutritional management care, she could start solid meals, and finally stop the PN and eat only orally at 45 days postoperatively. Three nutritional interventions were conducted over 2 months after the patient was discharged. She did not require PN during this period, and maintained her weight within the normal weight range. Similar interventions could be used for other patients with malabsorption problems similar to SBS.
Modulation of Leptin Levels by Oxidized Linoleic Acid: A Connection to Atherosclerosis?
Meera Penumetcha,Nadya Merchant,Sampath Parthasarathy 한국식품영양과학회 2011 Journal of medicinal food Vol.14 No.4
The objective of the study was to determine the effects of oxidized linoleic acid (Ox-LA) on plasma leptin and to determine the relationship between plasma leptin levels and atherosclerosis in animals treated with Ox-LA. Low-density lipoprotein (LDL) receptor knockout (LDL r^(−/−)) mice were fed a high fat diet with or without Ox-LA for 11 weeks. Plasma leptin levels in the high fat group consuming Ox-LA were significantly higher (14,052 ± 601 pg/mL vs. 10,950 ± 541 pg/mL; P < .01) compared to the group receiving the high fat diet alone. There was a highly significant correlation between the plasma leptin levels and aortic atherosclerotic lesions. From this we conclude that chronic exposure to dietary Ox-LA increases the plasma levels of leptin in LDL r^(−/−) mice on a high fat diet. Considering our previous finding that dietary Ox-LA increased atherosclerosis, the current findings emphasize the need to reduce dietary intake of oxidized fat.