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The Effect of Long-Term Unilateral Deafness on Auditory Performance
곽민영,김동현,오현식,안용휘,원종호,심현준 대한이비인후과학회 2020 대한이비인후과학회지 두경부외과학 Vol.63 No.12
Background and Objectives We investigated whether there are differences in auditory performancebetween the healthy ears of subjects with unilateral deafness (UD) and the controlears of subjects with normal hearing (NH) in both ears. Subjects and Method Sixteen subjects with acquired UD and 16 subjects with NH thresholdsfor both ears were enrolled. We compared the auditory performance of UD group and controlgroup with NH in both ears. Results We found no meaningful differences in the three measures of psychoacoustic performancebetween the total healthy ears of subjects with UD and the ears of the control group. However, in the subgroup comparison, the left ears of subjects with right UD showed significantlypoorer spectral-ripple discrimination (SRD) than the right ears of the subjects with leftUD (p=0.006) and the ears of control subjects with NH (p=0.004). Conclusion Our findings indicate that after unilateral auditory deprivation, auditory processingis differentially affected by the side involved. In the subjects with acquired UD, the longtermhearing deprivation on the right side induced the down-regulation of central auditory processfor SRD, but hearing deprivation on the left side did not affect SRD.
소방공무원의 동료자살 이후 외상 후 성장 경험에 관한 질적연구
곽민영 한국디지털정책학회 2019 디지털융복합연구 Vol.17 No.2
The purpose of this study was to describe the semantic system and process of posttraumatic growth experience of firefighters after colleague's suicide. Grounded theory methodology based on symbolic interactionism was utilized. The subjects of this study were 7 firefighters who experienced the colleague’s suicide. Data were collected by using in-depth interviews from October 1 to November 30, 2015. The results showed that “Gradually becoming more resilient” was analyzed to be the core category of firefighters’ posttraumatic growth. We derived four categories and nine subcategories. Based on the results, it is necessary to develop a convergence intervention program to promote posttraumatic growth of firefighters exposed to various traumatic events. 본 연구의 목적은 동료자살 이후 소방공무원이 경험하는 외상 후 성장의 의미체계와 과정을 기술하기 위함이다. 이를 위하여 상징적 상호작용주의에 바탕을 둔 근거이론 방법을 적용하여 분석하였다. 연구 참여자는 동료의 자살사망을 경험한 소방공무원 7명이며, 자료 수집은 2015년 10월 1일부터 11월 30일까지 심층인터뷰를 통해 이루어졌다. 연구 결과 동료자살 이후 소방공무원의 외상 후 성장 경험은 ‘조금씩 단단해져 감’이 핵심범주로 분석되었고 4개의 범주와 9개의 하위범주가 도출되었다. 본 연구의 결과를 토대로 다양한 외상사건에 노출되는 소방공무원의 외상 후 성장을 도모하기 위한 융복합 중재 프로그램 개발이 필요하다.
곽민영,임미해 한국정신간호학회 2022 정신간호학회지 Vol.31 No.2
Purpose: Firefighters belong to an occupational group that is consistently exposed to psychological challenges, such as post-traumatic stress disorder (PTSD). This study examines firefighters’ perceptions of psychological intervention programs. Methods: Semi-structured interviews were conducted with 12 firefighters who were divided into two focus groups. Qualitative data were analyzed using content analysis. Results: Six barriers and seven suggestions regarding psychological intervention programs were identified. The barriers were “work overload”, “uncomfortable counseling situation”, “perfunctory programs”, “lack of consulting specialists”, “limited number of participants”, and “lack of replacement workers while attending the intervention programs”. Suggestions to overcome these barriers included developing “sustainable” and “highly accessible” intervention programs “focused on positive aspects of traumatic events”, considering “job characteristics” and “individual psychosocial characteristics”, as well as employing “experts with knowledge of firefighters’ duties”, and “creating a supportive work environment for psychological intervention”. Conclusion: Based on these findings, the interventions should focus on the positive aspects of traumatic events, with flexibility and practicality, tailored to the individual and occupational characteristics of firefighters.
어지럼증이 동반되지 않은 급성 저주파 감각신경성 난청의 고실 내 스테로이드 및 경구 이뇨제 병용 요법
곽민영,유광규,강용경,윤상원,심현준,안용휘 대한이비인후과학회 2015 대한이비인후과학회지 두경부외과학 Vol.58 No.1
Background and Objectives The effectiveness of intratympanic dexamethasone injections (ITD) alone is compared against the combination therapy of ITD and oral diuretics as treatments for acute low frequency sensorineural hearing loss (LFHL) without vertigo. Subjects and Method A total of 36 patients, with LFHL ≤500 Hz that had been developed within the last 1 month, were enrolled and then were retrospectively categorized into two groups: 1) those treated with ITD four times each day for 4 consecutive days (ITD only group; 19 patients) and 2) those treated with ITD in the same way and diuretics orally for 2 weeks (combination group; 17 patients). After 8 weeks, treatment outcomes were analyzed for LFHL using subjective improvement and audiometric change. Results Hearing thresholds at low frequencies ≤500 Hz were significantly reduced at 8 weeks after treatment in both ITD only and combination group (p<0.05). The cure rate of the combination group was higher than that of the ITD only group but was not statistically significant (52.9% vs. 42.1%, p>0.05). For subjective symptoms, there were no statistically significant differences in the improvement rate in either group (combination 58.8% vs. ITD only 63.2%, p>0.05). In pure tone audiometry, the improvement rate of the combination group was not significantly different from that of the ITD only group (76.5% vs. 73.7%, p>0.05). There was a significant correlation between the complete recovery rate and duration of symptoms. Conclusion ITD alone is an effective treatment modality for LFHL within 1 month after onset. Diuretics have no additive effect for the recovery of hearing in patients with acute LFHL without vertigo.
지진 피해자의 외상 후 성장에 영향을 미치는 요인들 간의 구조모형
곽민영 한국지역사회간호학회 2019 지역사회간호학회지 Vol.30 No.3
Purpose: The purpose of this study is to construct and test a structural equation model of posttraumatic growth(PTG) of earthquake victims based on Tedeschi and Calhoun’s model(2004). Methods: Data were collected from 195 earthquake victims living in K. City. The exogenous variables include distress perception, resilience, and social support, and the endogenous variables include intrusive rumination, deliberate rumination, and posttraumatic growth. For data analysis, descriptive statistics, factor analysis, and structural equation modeling were performed. Results: The modified model showed a good fitness to the data. Moreover, 6 of the 9 paths of the final model were statistically significant, which include PTG affected by deliberate rumination(β=.58, p<.001), resilience(γ=.18, p=.001), and distress perception(γ=.20, p=.002). These predictors explain 51.8% of variance in posttraumatic growth. Conclusion: Based on the results of this study, it is necessary to develop and disseminate preventive intervention programs to increase the resilience of earthquake-prone communities. In addition, after exposure to a community-scale traumatic event such as earthquake, we should provide social supports to alleviate distress perception and transition from intrusive rumination to deliberate rumination so that we can seek new meaning from the earthquake and facilitate posttraumatic growth.