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김대호,최용우,성춘호,정운혁 대한마취과학회 1988 Korean Journal of Anesthesiology Vol.21 No.2
During surgical repair of a descending thoracic aorts aneurysm, one-lung ventiation improves visualization of the surgical field, facilitates surgical resection, and reduces lung tranuma. Trauma to the left lung during surgical repair of the descending thoracic aorta is very common, and intrapulmonary hemorrhage can be occurred if both lungs are ventilated. A doubitus position, hypoxemia can frequently occur and hypoxic damage can result. Selective nondependent lung high frequency jet ventilation was administered using a MERA JET VENTILATOR with FiO_2 1.0, driving gas pressure 1 kg/㎠, respiration rate 120/min., and an I:E ratio of 1:2. Oxygenation (PaO_2 readings were all above 200 torr) was well maintanined and PaCO_2 values were all within normal limits thoroughout the operation. Under the left atrial-femoral artery bypass with the cardiopulmonary bypass machine without oxygenator, an internal bypass graft with Woven dacron was performed. The patient tolerated the surgery well, and the postoperative course was uneventful except for left for left vocal cord paralysis.
김대호 대한신경정신의학회 2010 신경정신의학 Vol.49 No.-
The weight of a psychodynamic approach in the understanding and treatment of psychiatric disorders has reduced significantly during the last decades. For many psychiatrists, however, it still remains one of the familiar frames for looking both at the mental process and psychopathology. The aim of this article was to provide clinicians with an opportunity to understand Eye Movement Desensitization and Reprocessing (EMDR) in the context of psychodynamic theory and therapy. First, a brief summary of EMDR process was presented, followed by a discussion of the psychodynamic elements in EMDR. Next, the similarity and disparity between these two seemingly incomparable therapies was addressed. Finally, a few existing articles on use of EMDR during psychoanalytic psychotherapy were summarized.
김대호,최준호,김석현,오동훈,박선철,이선혜,Kim, Daeho,Choi, Joonho,Kim, Seok Hyeon,Oh, Dong Hoon,Park, Seon-Cheol,Lee, Sun Hye The Korean Society of Biological Psychiatry 2010 생물정신의학 Vol.17 No.2
Objectives : Eye movement desensitization and reprocessing(EMDR) is a novel, time-limited psychotherapy originally developed for treatment of psychological trauma. The effectiveness of this therapy has been validated only for posttraumatic stress disorder ; however, EMDR is often applied to other psychiatric illnesses, including other anxiety disorders and depression. This pilot study tested the efficacy of EMDR added to the routine treatment for individuals with acute stage schizophrenia. Methods : This study was conducted in the acute psychiatric care unit of a university-affiliated training hospital. Inpatients diagnosed with schizophrenia were randomly assigned to either three sessions of EMDR, three sessions of progressive muscle relaxation(PMR) therapy, or only treatment as usual(TAU). All the participants received concurrent typical treatments(TAU), including psychotropic medication, individual supportive psychotherapy and group activities in the psychiatric ward. The Positive and Negative Syndrome Scale(PANSS), the Hamilton Depression Rating Scale and the Hamilton Anxiety Rating Scale were administered by a clinical psychologist who was blinded to the patients' group assignment. Results : Forty-five patients enrolled and forty patients(89%) completed the post-treatment evaluation. There were no between-group differences in the withdrawal rates of patients during the treatment or at the three-month follow-up session. All three groups improved significantly across each of the symptomatic domains including schizophrenia, anxiety, and depressive symptoms. However, a repeated measures ANOVA revealed no significant differences among the groups over time. Effect size for change in total PANSS scores was also similar across treatment conditions, but effect size for negative symptoms was large for EMDR(0.60 for EMDR, 0.39 for PMR and 0.21 for TAU only). Conclusion : These findings supported the use of EMDR in treating the acute stage of schizophrenia but the results failed to confirm the effectiveness of the treatment over the two control conditions in three sessions. Further studies with longer courses of treatment, more focused target dimensions of treatment, and a sample of outpatients are necessary.