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  • 1
    In: Australian & New Zealand Journal of Psychiatry, SAGE Publications, Vol. 49, No. 1 ( 2015-01), p. 47-53
    Abstract: The suicide rate in South Korea was the highest among the Organisation for Economic Co-operation and Development (OECD) countries in 2011. Although the suicide rate in adolescents is lower than that of adults and is reported to be decreasing in young males in some countries, it has consistently increased in recent years in South Korea. We aimed to determine the prevalence, pattern, and predictors of suicidal ideation and attempt in the past 12 months. Methods: A total sample of 72,623 adolescents aged 12–18 years who responded to a web-based anonymous self-reported survey between September and October 2010 was used for the analysis. Results: The suicidal ideation and suicide attempt rates were 19.1% and 4.9%, respectively. Being female, having a poor perceived socioeconomic status and a poor perceived academic performance, subjective feelings of depression, cigarette smoking, alcohol use, perceived general medical health, and experiences of any involvement with sexual intercourse were the contributing factors that predicted elevated risks for suicidal ideation and suicide attempt. In contrast to previous reports in other countries, the suicide attempt rate in Korean female adolescents peaked at age 13 years, and there were no differences in suicidal ideation in females by age. There were no differences in both suicidal ideation and attempt rates in males by age. Conclusion: A multidisciplinary approach that takes into consideration the characteristics of Korean adolescents with suicidal ideation or suicide attempt is warranted for developing prevention and treatment programs.
    Type of Medium: Online Resource
    ISSN: 0004-8674 , 1440-1614
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2015
    detail.hit.zdb_id: 2003849-5
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  • 2
    Online Resource
    Online Resource
    SAGE Publications ; 2014
    In:  Proceedings of the Human Factors and Ergonomics Society Annual Meeting Vol. 58, No. 1 ( 2014-09), p. 1546-1550
    In: Proceedings of the Human Factors and Ergonomics Society Annual Meeting, SAGE Publications, Vol. 58, No. 1 ( 2014-09), p. 1546-1550
    Abstract: This study determined the optimal trigger grip span for the index finger and contact location between the index finger and trigger, using a cadaver experiment. Three fresh-frozen right male cadaveric hand specimens without any medical problem were employed, and the index finger motion simulator (IFMS), consisting of 1) support frame, 2) force measurement system, 3) motion delivery unit, and 4) operation system, was developed to support and control the specimens. The experiment consisted of two phases: triggering force was observed as a function of 1) grip spans (40, 50, 60 mm) and 2) three contact locations on the middle of the distal to the middle of the medial phalange. Also, three levels of total tendon forces (FDP + FDS: 40, 70, and 100 N) were applied to both phases. As a result, at Phase I, the maximum triggering forces, 8.9, 15.0, and 20.0 N, were obtained at 50 mm grip span for total tendon forces respectively. At Phase II, The contact location on the middle of the medial phalange showed the maximum triggering forces, 10.1, 18.2, and 28.2 N, for the total tendon forces respectively. Force efficiency, triggering force to tendon force ratio, showed approximately 10 to 30% of internal tendon force was converted into external trigger force. On the basis of the results of this study, 50 mm grip span and the contact location on the middle of the medial phalange were recommended for optimal trigger design.
    Type of Medium: Online Resource
    ISSN: 2169-5067 , 1071-1813
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2014
    detail.hit.zdb_id: 2415770-3
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  • 3
    In: Acupuncture in Medicine, SAGE Publications, Vol. 39, No. 6 ( 2021-12), p. 603-611
    Abstract: Acute pain significantly delays early physiological recovery and results in chronic functional disability in patients with traumatic multiple rib fractures (MRFs). This prospective cohort study aimed to investigate the feasibility of acupuncture combined with multidisciplinary care during recovery in patients with traumatic MRFs. Methods: Twenty patients with traumatic MRFs who were admitted to a regional trauma centre in South Korea were enrolled. A combination of acupuncture and multidisciplinary inpatient ward management was provided at the trauma ward. Patients were permitted to continue acupuncture treatments at outpatient clinics for 3 months after the traumatic events. Clinical outcomes, including pain, acute physiological recovery, quality of life, patient satisfaction with the care provided, respiratory function and use of opioids, were evaluated up to 6 months after trauma. Results: Seventeen (85%) participants completed the 6-month follow-up. One patient withdrew consent during admission due to discomfort after three sessions of acupuncture. The proportion of patients with above-moderate level of pain decreased from 95% at baseline to 41% at 6 months. Quality of life appeared to deteriorate consistently throughout the study period. Around 80% of respondents expressed satisfaction with the acupuncture treatments and stated that they found acupuncture to be acceptable. Over 94% of respondents reported slight or considerable improvement. Conclusion: The provision of acupuncture combined with multidisciplinary care for recovery in patients with traumatic MRFs was feasible in a regional trauma centre in South Korea. Randomised trials are needed to investigate the role of acupuncture combined with multidisciplinary care in the future. Trial registration number: KCT0002911 (Clinical Research Information Service)
    Type of Medium: Online Resource
    ISSN: 0964-5284 , 1759-9873
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2021
    detail.hit.zdb_id: 2126127-1
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  • 4
    Online Resource
    Online Resource
    SAGE Publications ; 2015
    In:  International Journal of Surgical Pathology Vol. 23, No. 7 ( 2015-10), p. 585-588
    In: International Journal of Surgical Pathology, SAGE Publications, Vol. 23, No. 7 ( 2015-10), p. 585-588
    Abstract: Ectopic pancreas is a well-known developmental anomaly found in approximately 2% of all autopsies, frequently in the gastrointestinal tract. Mediastinal pancreatic ectopia is very rare; only a few cases have been described in the English-language literature. According to previous reports, the pancreatic tissue is detected in the cyst wall or appears as small solid components of cystic masses within the anterior mediastinum. In this report, we present a case of ectopic pancreas appearing as a large solid mass in the anterior mediastinum of a 17-year-old male patient.
    Type of Medium: Online Resource
    ISSN: 1066-8969 , 1940-2465
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2015
    detail.hit.zdb_id: 2070102-0
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  • 5
    In: Laboratory Animals, SAGE Publications, Vol. 50, No. 2 ( 2016-04), p. 88-93
    Abstract: Diabetes mellitus (DM) is a major cause of morbidity and mortality worldwide, and its complications are prominent public health issues. Many experimental models of streptozotocin (STZ)-induced and high-fat diet (HF)-induced DM have been used to study this disease. Studies have indicated that unilateral nephrectomy (UN) accelerates the development of diabetic nephropathy. We hypothesized that UN stimulates HF and STZ combination-induced DM in mice. Seventy-two female C57BL/6J mice were divided into four treatment groups: HF; HF + STZ120 (HF and STZ, 120 mg/kg); UN + HF + STZ120 (UN, HF and STZ, 120 mg/kg); and HF + STZ200 (HF and STZ, 200 mg/kg). Onset of DM, survival rate, blood pressure, urine glucose level, and pancreatic histology were investigated. Additionally, renal function was evaluated in the UN + HF + STZ120 group after STZ injection. DM was induced in the UN + HF + STZ120 and HF + STZ200 groups within one week. The UN + HF + STZ120 group had lower mortality than the HF + STZ200 group and greater pancreatic destruction than the HF and HF + STZ120 groups. Two weeks after STZ injection, blood pressure was not significantly different among the groups. Nephrotoxicity associated with the combination of UN and STZ was not observed. In conclusion, the combination of these three techniques – UN, HF and STZ induced DM rapidly and effectively.
    Type of Medium: Online Resource
    ISSN: 0023-6772 , 1758-1117
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2016
    detail.hit.zdb_id: 2036511-1
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  • 6
    Online Resource
    Online Resource
    SAGE Publications ; 2010
    In:  The American Journal of Sports Medicine Vol. 38, No. 12 ( 2010-12), p. 2435-2442
    In: The American Journal of Sports Medicine, SAGE Publications, Vol. 38, No. 12 ( 2010-12), p. 2435-2442
    Abstract: Double-row arthroscopic rotator cuff repairs were developed to improve initial biomechanical strength of repairs to improve healing rates. Despite biomechanical improvements, failure of healing remains a clinical problem. Purpose To evaluate the anatomical results after double-row arthroscopic rotator cuff repair with ultrasound to determine postoperative repair integrity and the effect of various factors on tendon healing. Study Design Case series; Level of evidence, 4. Methods Forty-eight patients (49 shoulders) who had a complete arthroscopic rotator cuff repair (double-row technique) were evaluated with ultrasound at a minimum of 6 months after surgery. Outcome was evaluated at a minimum of 1-year follow-up with standardized history and physical examination, visual analog scale for pain, active forward elevation, and preoperative and postoperative shoulder scores according to the system of the American Shoulder and Elbow Surgeons and the Simple Shoulder Test. Quantitative strength was measured postoperatively. Results Ultrasound and physical examinations were performed at a minimum of 6 months after surgery (mean, 16 months; range, 6 to 36 months) and outcome questionnaire evaluations at a minimum of 12 months after surgery (mean, 29 months; range, 12 to 55 months). Of 49 repairs, 25 (51%) were healed. Healing rates were 67% in single-tendon tears (16 of 24 shoulders) and 36% in multitendon tears (9 of 25 shoulders). Older age and longer duration of follow-up were correlated with poorer tendon healing (P 〈 .03). Visual analog scale for pain, active forward elevation, American Shoulder and Elbow Surgeons scores, and Simple Shoulder Test scores all had significant improvement from baseline after repair (P 〈 .0001). Conclusion Increased age and longer duration of follow-up were associated with lower healing rates after double-row rotator cuff repair. The biological limitation at the repair site, as reflected by the effects of age on healing, appears to be the most important factor influencing tendon healing, even after maximizing repair biomechanical strength with a double-row construct.
    Type of Medium: Online Resource
    ISSN: 0363-5465 , 1552-3365
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2010
    detail.hit.zdb_id: 2063945-4
    SSG: 31
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  • 7
    Online Resource
    Online Resource
    SAGE Publications ; 1999
    In:  Asian Cardiovascular and Thoracic Annals Vol. 7, No. 1 ( 1999-03), p. 56-58
    In: Asian Cardiovascular and Thoracic Annals, SAGE Publications, Vol. 7, No. 1 ( 1999-03), p. 56-58
    Abstract: Palmar hyperhidrosis has a recurrence rate of 0% to 5% after thoracic sympathectomy. From January 1992 to October 1997, thoracic sympathectomy was performed by video-assisted thoracoscopic surgery for hyperhidrosis in 490 patients of whom 5 (2 male and 3 female with a mean age of 20 years) experienced recurrent hyperhidrosis in the early ( 〈 7 days) or late (up to 6 months) postoperative period. All patients had moderate to severe pleural adhesions in the previous sympathectomy sites but no operative complications or crossover to thoracotomy occurred. Surgery resulted in satisfactory outcomes showing that video-assisted thoracoscopic sympathectomy was effective in treating recurrent hyperhidrosis. Prevention of recurrence requires the identification and resection of the second thoracic sympathetic ganglion as well as the Kuntz fibers.
    Type of Medium: Online Resource
    ISSN: 0218-4923 , 1816-5370
    Language: English
    Publisher: SAGE Publications
    Publication Date: 1999
    detail.hit.zdb_id: 2044527-1
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  • 8
    Online Resource
    Online Resource
    SAGE Publications ; 2022
    In:  Australasian Psychiatry Vol. 30, No. 4 ( 2022-08), p. 541-546
    In: Australasian Psychiatry, SAGE Publications, Vol. 30, No. 4 ( 2022-08), p. 541-546
    Abstract: There is mixed evidence on the psychological effects of video games. While excessive use can be harmful, moderate use can have emotional, psychological and social benefits, with games successfully used in treating anxiety and depression. More data are required to understand how and for whom these benefits occur. This paper aims to identify correlations between video game genre, player demographics, wellbeing, and the in-play psychological processes for adult players. Method Adult gamers ( n = 2107) completed an anonymous cross-sectional survey canvassing play style, genre, perception of psychological impact and mechanisms (wellbeing, self-determination and flow). A multivariate multiple regression model explored correlations. Results 88.4% of participants experienced emotional benefits from gaming, with stronger benefits experienced by younger players in all categories. The genres most strongly correlated with psychological benefits were music games, role-playing games and survival horror games. Multiplayer online battle arena games had lower scores for psychological and emotional wellbeing. Conclusions Certain genres have stronger correlations with beneficial mechanisms, while some may be detrimental to players. These results may guide experimental studies to measure the directionality and strength of these correlations and can also impact practical aspects in development of therapeutic games to treat mental distress.
    Type of Medium: Online Resource
    ISSN: 1039-8562 , 1440-1665
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2022
    detail.hit.zdb_id: 2003737-5
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  • 9
    In: Angiology, SAGE Publications, Vol. 74, No. 8 ( 2023-09), p. 721-727
    Abstract: This study aimed to evaluate the causal relationship between long-term outdoor air pollutants and incidence of peripheral arterial disease (PAD) using the Korean National Health Insurance Service-National Sample Cohort (NHIS-NSC) database. We included 292,091 subjects from the general population who had previously not been diagnosed with PAD by the NHIS-NSC between 2008 and 2014. Hourly air pollutant data (particulate and gaseous) and climate data were collected. Correlation analysis of the collected data confirmed the relationship between air pollution and PAD incidence. For 1,836,965.4 person-years, incident cases of PAD were observed in 5243 subjects (285.4/100,000 person-years). In the Cox proportional hazard analysis, exposure to long-term average concentration of sulfur dioxide (SO 2 ) [hazard ratio (HR), 1.686; (95% confidence interval (CI), 1.108–2.565) for .01ppm] and nitrogen dioxide (NO 2 ) [HR, 1.200; (95% CI, 1.077–1.336) for .01 ppm] significantly increased the risk of PAD occurrence after the adjustment for several variables. This study demonstrated that SO 2 and NO 2 exposure are independent predictors of PAD.
    Type of Medium: Online Resource
    ISSN: 0003-3197 , 1940-1574
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2023
    detail.hit.zdb_id: 2065911-8
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  • 10
    Online Resource
    Online Resource
    SAGE Publications ; 2023
    In:  Australian & New Zealand Journal of Psychiatry Vol. 57, No. 4 ( 2023-04), p. 572-582
    In: Australian & New Zealand Journal of Psychiatry, SAGE Publications, Vol. 57, No. 4 ( 2023-04), p. 572-582
    Abstract: Mental health–related calls to emergency services made via 111 (New Zealand) or 000 (Australia) often represent critical junctures for the person in crisis. Traditionally, police, ambulance and mental health services work separately to manage such emergencies. Sequential agency responses may be protracted and cause escalation. This study tests multi-agency co-response aiming for more integrated, faster, safer and less coercive management of mental health crises. Methods: Immediate and 1-month outcomes of mental health emergency calls made to police and ambulance were compared according to whether they occurred on days with co-response availability. Outcomes measured included emergency department admission and waiting times, psychiatric admissions, compulsory treatment, use of force, detention in police cells and the time to resolution of the event. Relative risk estimates were constructed. Results: A total 1273 eligible mental health emergency callouts occurred between March 2020 and March 2021 (38% coded ‘mental health’ emergencies, 48% suicide risk and 14% as ‘other’), 881 on days with co-response availability and 392 on days without. Co-response interventions were resolved faster and were more likely to be community-based. Fewer than one-third (32%) led to emergency department admissions, compared with close to half (45%) on days without co-response (risk ratio: 0.7 [0.6, 0.8] ). In the following month, the number of emergency department and mental health admissions reduced ( p  〈  0.01 and 0.05, respectively). There were no statistically significant differences in use of force and few people were detained in police custody. Conclusion: Co-response intervention increased the likelihood of mental health crises being resolved in the community and reduced hospitalisations. Benefits were sustained at 1 month.
    Type of Medium: Online Resource
    ISSN: 0004-8674 , 1440-1614
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2023
    detail.hit.zdb_id: 2003849-5
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