• Title/Summary/Keyword: Veterans

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A Preliminary Study on the Psychopathological protocols of the Vietnam War Agent Orange Patients and Korean Civil War Wound Soldier -Focus on Rorschach Tests- (베트남 참전 고엽제 환자와 한국전쟁 참전 상이군인의 심리적 특성에 관한 예비 연구 -로샤 반응을 중심으로-)

  • Chang, Mun-Seon;Kim, Tae-Yeol
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.9
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    • pp.2492-2500
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    • 2009
  • This study was carried to examine overall psychopathological patterns of the Vietnam Civil War Veterans(Agent Orange patients)and Korean Civil War veterans(wounded soldier) using Rorschach tests. Test protocols of were compared with those of twenty Vietnam Civil War Veterans group and twenty-one Korean Civil War veterans. Rorschach protocols were administrated, scored, analysed according to the Exner's comprehensive system. Specifically, each Rorschach variable was divided into 3 clusters(e.g., core section, response determinants, and several special indices. The results of t-tests between the Vietnam Civil War Veterans group and the Korean Civil War veterans showed that Vietnam Civil War Veterans group were characterized as 1)cognitive rigidity, 2) ineffective problem solving, 3)emotional represion, 4)hypervigilance, 5)anxiety and 6) depressive tendency. These patterns suggest that still Vietnam Civil War Veterans experience the past trauma and lasting psychological seguela. Other implications and limitations of this study were discussed.

A Study on Comparing the Veteran Affair System Between Korea and the Other Countries (우리나라와 세계 각국의 보훈제도 비교 연구)

  • Sang-Hyuk Park;Seung-Woo Wang;Jae-Geon Lee
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.1
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    • pp.395-400
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    • 2023
  • Korea has been in a truce state for about 70 years, not an end-of-war country. Even in a situation with this specificity, Korea's veterans' system is insufficient compared to other countries. In addition, Korea's veteran policy lacks an "honor of veterans" system compared to veterans' advanced countries (the United States, Canada, Australia, France, and Germany), and a representative example of it is the "support system for veterans and discharged soldiers." After analyzing the major veterans' policy systems in the veterans' developed countries (US, Canada, Australia, France, and Germany), this study suggests that we should expand the major anniversaries related to veterans and suggest a policy alternative as it is necessary to introduce public awareness education on the promotion of veterans. In the end, it is necessary to properly recognize the pain and agony of division to the generations before and after, laying the foundation for the advanced country-type veteran affair system.

Intraneural Ganglion Cyst of the Peroneal Nerve -A Case Report- (비골신경내의 결절종 - 1례 보고-)

  • Yoon, Jung-Ro;Shim, Jae-Ik;Kim, Taek-Seon;Lee, Sung-Jong;Kim, Young-Bae;Kim, Hak-Joon;Lee, Tae-Jin;Ko, Dae-Chul
    • The Journal of the Korean bone and joint tumor society
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    • v.8 no.3
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    • pp.106-110
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    • 2002
  • Ganglion cysts occurring within sheaths of peripheral nerves have been documented, but are relatively rare entities. The peroneal nerve at the level of the knee and proximal tibiofibular joint is most commonly involved. We report a case of the intraneural ganglion cyst in the peroneal nerve without neurologic deficit, which was excised sucessfully.

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Serum 2,3,7,8-Tetrachlorodibenzo-p-dioxin Levels and Their Association With Age, Body Mass Index, Smoking, Military Record-based Variables, and Estimated Exposure to Agent Orange in Korean Vietnam Veterans

  • Yi, Sang-Wook;Ohrr, Heechoul;Won, Jong-Uk;Song, Jae-Seok;Hong, Jae-Seok
    • Journal of Preventive Medicine and Public Health
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    • v.46 no.5
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    • pp.226-236
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    • 2013
  • Objectives: The aim of this study was to examine the levels of serum 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) and evaluate their association with age, body mass index, smoking, military record-based variables, and estimated exposure to Agent Orange in Korean Vietnam veterans. Methods: Serum levels of TCDD were analyzed in 102 Vietnam veterans. Information on age, body mass index, and smoking status were obtained from a self-reported questionnaire. The perceived exposure was assessed by a 6-item questionnaire. Two proximitybased exposures were constructed by division/brigade level and battalion/company level unit information using the Stellman exposure opportunity index model. Results: The mean and median of serum TCDD levels was 1.2 parts per trillion (ppt) and 0.9 ppt, respectively. Only 2 Vietnam veterans had elevated levels of TCDD (>10 ppt). The levels of TCDD did not tend to increase with the likelihood of exposure to Agent Orange, as estimated from either proximity-based exposure or perceived self-reported exposure. The serum TCDD levels were not significantly different according to military unit, year of first deployment, duration of deployment, military rank, age, body mass index, and smoking status. Conclusions: The average serum TCDD levels in the Korean Vietnam veterans were lower than those reported for other occupationally or environmentally exposed groups and US Vietnam veterans, and their use as an objective marker of Agent Orange exposure may have some limitations. The unit of deployment, duration of deployment, year of first deployment, military rank, perceived self-reported exposure, and proximity-based exposure to Agent Orange were not associated with TCDD levels in Korean Vietnam veterans. Age, body mass index and smoking also were not associated with TCDD levels.

The Effects of Agent Orange in Patient with Pneumonia (고엽제 노출이 폐렴의 치료 결과에 미치는 영향)

  • Kim, Dong Sung;Lee, Jungyoup;Kye, Yu Chan;Jung, Euigi;Jeong, Ki Young
    • Journal of The Korean Society of Clinical Toxicology
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    • v.18 no.1
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    • pp.26-33
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    • 2020
  • Purpose: Agent Orange (AO) is a herbicide and defoliant used by the United States and its military allies during the Vietnam War. Pneumonia is a common cause of death among Vietnam veterans in our hospital. There have been no previous studies researching any association between AO exposure and the prognosis for pneumonia. The primary objective of this study was to investigate associations between AO exposure and 30-day mortality due to pneumonia. The secondary objective was to examine the clinical factors associated with therapeutic outcomes in veterans with pneumonia, and to assess the prevalence of combined diseases in AO-exposed veterans. Methods: This study retrospectively included veteran patients diagnosed with pneumonia in the emergency department and hospitalized between February 2014 and March 2018. The enrolled patients were grouped according to their defoliant exposure history, and the clinical information of defoliant-exposed and non-defoliant-exposed groups were compared. Patients were divided according to 30-day mortality, and significant factors influencing mortality were evaluated by using univariate analysis and multivariate analysis. The final multivariate model revealed the effect of AO exposure on therapeutic outcomes of pneumonia. Results: A total of 1006 patients were analyzed. Of these, 276 patients had a history of AO exposure, whereas 730 patients had not been exposed. Factors positively associated with 30-day mortality were malignancy, respiratory rate, blood urea nitrogen, and albumin which was negatively associated with mortality. Conclusion: Exposure to defoliant is not associated with 30-day mortality in patients with pneumonia. However, veterans with defoliant exposure are associated with a high prevalence of diabetes mellitus, hypertension, cerebrovascular accident, malignancy, and chronic kidney disease.

Association between defoliant exposure and survival to discharge after out-of-hospital cardiac arrest (고엽제 노출과 병원 밖 심정지 후 생존 퇴원과의 연관성)

  • Kim, Dong Wook;Kye, Yu Chan;Lee, Jung Youp;Jung, Eui Gi;Kim, Dong Sung;Choi, Hyun Jung;Lee, Young
    • Journal of The Korean Society of Clinical Toxicology
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    • v.19 no.1
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    • pp.38-43
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    • 2021
  • Purpose: We investigated the association between defoliant exposure and survival to discharge after out-of-hospital cardiac arrest. Methods: This is a retrospective case-control study based on the cardiopulmonary resuscitation (CPR) registry. The electronic medical records of out-of-hospital cardiac arrest victims from 6/9/2008 to 12/31/2016 were analyzed statistically. The case patients group had a history of defoliant exposure while the control group did not. Among the 401 victims studied, a total of 110 patients were male out-of-hospital cardiac arrest patients. Baseline characteristics and the parameters involved in cardiac arrest were analyzed and compared between the two groups after propensity score matching. The primary outcome was survival to discharge, and secondary outcomes were sustained return of spontaneous circulation (ROSC) and survival to admission. Results: After propensity score matching a total of 50 patients (case=25, control=25) were analyzed. Primary outcome (survival to discharge) was not significantly different between case and control groups [(OR, 1.759; 95% C.I., 0.491-6.309) and (OR, 1.842; 95% C.I., 0.515-6.593), respectively]. In the subgroup analysis, there were also no significant differences between the control group and subgroups in primary and secondary outcomes according to defoliant exposure severity. Conclusion: There is no statistically significant association between defoliant exposure and survival of out-of-hospital cardiac arrest.

Arthroscopic Decompression of an Inferior Paralabral Cyst of the Shoulder in an Elderly Patient: A Case Report

  • Kim, Ju-Oh;An, Ki-Yong;Bong, Hwang-Se;Lee, Kyu-Jung;Min, Woong-Bae
    • Clinics in Shoulder and Elbow
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    • v.18 no.4
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    • pp.266-268
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    • 2015
  • The widespread use of diagnostic radiography, especially using magnetic resonance imaging, has helped to increase the diagnosis of paralabral cysts in patients with chronic shoulder pain. These paralabral cysts are frequent in the anterior, the superior, and the posterior compartment of the shoulder joint but are rare in the inferior compartment. Paralabral cysts in the shoulder appear particularly in men in their third and fourth decades but rarely in elderly patients. We report a case of an inferior paralabral cyst in an elderly patient whom we treated through arthroscopic decompression.

Spinal Epidural Lipomatosis - Report of Four Cases - (척추경막외 지방종증 - 증례보고 -)

  • Kim, Tae Wan;Huh, Yong Suk;Chi, Moon Pyo;Kim, Jae O;Kim, Jung Chul
    • Journal of Korean Neurosurgical Society
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    • v.29 no.11
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    • pp.1527-1532
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    • 2000
  • Althogh spinal epidural lipomatosis is relatively rare, it is a widely recognized complication of excess exogenous glucocorticoids. We report 4 cases of epidural lipomatosis. None of the patients had definitive history of steroid treatment, obesity, or diabetes mellitus, but all had sciatica and radiating pain. In all cases, the authors removed excess amount of epidural fat with surgery after which significant improvement of symptoms was noted.

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A Case of Choledochal Cyst Detected by $^{99m}Tc-DISIDA$ Hepatoblilary Scan ($^{99m}Tc-DISIDA$ 간담도 스캔으로 발견된 총담관낭종 1예)

  • Au, Ho-Yong;Kim, Dong-Woo;Park, Sung-Ki;Byun, Jong-Hoon;Shin, Hyun-Ja
    • The Korean Journal of Nuclear Medicine
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    • v.20 no.2
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    • pp.105-107
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    • 1986
  • It is well known that $^{99m}Tc-DISIDA$ hepatobilliary scan is a noninvasive and accurate method for detecting choledochal cyst. In the case we are reporting, $^{99m}Tc-DISIDA$ scan of a 17 year old female patient showed the characteristic pattern of a choledochal cyst, confirmed by surgery.

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A case of fatal hyperinfective strongyloidiasis with discovery of autoinfective filariform larvae in sputum

  • KIM Jin;JOO Hyun-Soo;KO Hyang-Mi;NA Min-Sik;HWANG Sun-Ho;IM Jong-Cheol
    • Parasites, Hosts and Diseases
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    • v.43 no.2 s.134
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    • pp.51-55
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    • 2005
  • The autoinfective filariform larva of Strongyloides stercoralis causes hyperinfection in immunosuppressed hosts. Here we report on the case of a male patient who was admitted to the emergency room at Gwangju Veterans Hospital with a complaint of dyspnea, and who was receiving corticosteroid therapy for asthma. Many slender larvae of S. stercoralis with a notched tail were detected in Papanicolaou stained sputum. They measured $269\pm21.2{\mu}m$ in length and $11\pm0.6{\mu}m$ in width. The esophagus extended nearly half of the body length. The larvae were identified putatively as autoinfective third-stage filariform larvae, and their presence was fatal. The autoinfective filariform larva of S. stercoralis has not been previously reported in Korea.