Psychosocial Correlates of Suicidal Attempts / 생물치료정신의학

Objectives@#：This study investigated psychosocial risk and protective factors associated with suicide attempt. @*Methods@#：This cross-sectional study included 1,466 participants. Socio-demographic and clinical variables were collected. The following scales were used : Hospital Anxiety and Depression Scale (HADS), Perceived Stress Scale (PSS), Alcohol Use Disorder Identification Test-Korean version (AUDIT-K), Family Adaptability & Cohesion Evaluation Scale III (FACES-III), Korean version of Connor-Davidson Resilience Scale (K-CD-RISC), Rosenberg Self-Esteem Scale (RSES), and Korean version of Gratitude Questionnaire 6 (K-GQ-6). Univariate and logistic regression analyses were used to identify factors associated with a history of suicide attempt. @*Results@#：Seventy-one of the 1,466 participants (4.8%) reported a history of suicide attempt. Attempted suicide was less common in married individuals, but more common in Medicaid recipients and smokers. Compared with participants who had not attempted suicide, participants who had attempted suicide had higher scores for the HADS, AUDIT-K, and PSS, whereas they had lower scores for the FACES-III, RSES, K-GQ-6, and four subscales of the K-CDRISC (Hardiness, Persistence, Optimism, and Support). Logistic regression analysis revealed that Medicaid use [odds ratio (OR)=5.837] and AUDIT-K score (OR=1.066) were positively associated with a history of suicide attempt. Marriage (OR=0.451), FACES-III score (OR=0.971), and K-CD-RISC Support subscale score (OR=0.711) were negatively associated with a history of suicide attempt. @*Conclusion@#：Low income and alcohol abuse were positively associated with attempted suicide, whereas marriage, high family cohesion, and social support were negatively associated with attempted suicide in the general population.A social and economic support system might aid suicide prevention.

A Case of Prolonged Paresis following GaIIamine on Reoperation Patient / 대한마취과학회지

The authors have experience of a case of prolonged paresis following administration of galamine triethiodide to a patient undergoing reoperation. The muscular weakness continued for 20 hours, necessitating artificial ventilation intermittently. It was reversed by neostigmine.

A Case of Incompatible Blood Transfusion during General Anesthesia / 대한마취과학회지

The authors have experienced a case of incompatible blocd transfusion during general anesthesia, which was mostly due to technical error, lack of knowledgeoble handling and universal doncr "0" type blood.

Anesthetic experiences with two cases of congenital esophageal fistula atresia with tracheo-esophageal fistula / 대한마취과학회지

The authors have experienced two cases of general anesthesia for patients of congenital esophageal atresia with tracheo-esophageal fistula. Of great importance in anesthetic management is preventing pulmonary complications before or during operation as well as post-operation. Survival rates mostly depend upon the early diagnosis and abscence of pulmonary complications which are the most common cause of high death rates. Meticulous care of the patients to keep on airway, clearing of bronchial secreations, maintaining normal body temperature and humidity are very important in management of anesthesia. To avoid gastric distension, careful inflation of the lungs during opened chest has been recommended. Also intermittent positive pressure ventilation during the repair may be required.