• Title/Summary/Keyword: 이명장애

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A Conversation Analysis of Communication between Patients with Dementia and Their Professional Nurses (치매 환자와 간호사의 의사소통에 관한 대화분석)

  • Yi, Myung-Sun;Yih, Bong-Sook
    • Journal of Korean Academy of Nursing
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    • v.36 no.7
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    • pp.1253-1264
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    • 2006
  • Purpose: The purpose of this study was to understand conversations and to identify typical conversational problems between nurses and patients with dementia. Method: A conversation analysis method was used. The data was collected in a geriatric institutional setting, using a videotape recorder, and transcribed. The transcribed data was analyzed in terms of expressions, contents, and relationships to identify communicative problems and their resolutions, Results: Among a total of 532 episodes, 440(82.7%) we're identified as nurse-involved episodes. In addition, 66 of the 440 episodes were selected based on the significance of the conversation. The communicative problems between nurses and patients in terms of expressions were identified as 'directive and authoritative expressions', 'emotional and competitive expressions', 'evasive and on-looking expressions', and 'excessive use of title only', such as calling them granny or grandpa without proper names. In terms of content and relationships, 'lack of themes in psychosocial areas' and 'nurse-led relations' were identified respectively as communicative problems. Conclusion: The results of this study will provide substantial guidelines for nurses in caring for elderly patients with dementia by deeply understanding linguistic structures and problems of everyday conversations between nurses and patients with dementia.

A Study of Acoustic Measurement in Connected Speech with Dysphonia (음성장애 연속구어의 음향학적 분석)

  • Lee, Myoung-Soon
    • Phonetics and Speech Sciences
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    • v.3 no.4
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    • pp.109-115
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    • 2011
  • The purposes of this study were to identify acoustic parameters of connected speech and to contribute to acoustic analysis of dysphonic voice about patient's natural speech voice as well as sustained phonation of vowels. Acoustic parameters of sentences included LTAS (long-term average spectrum) mean and spectral slope over frequence ranges such as 0-4kHz, 0-6kHz, 0-8kHz, 0-12.5kHz as well as HNR. Acoustic parameters of the vowel 'a' included jitter, RAP, shimmer, NHR, and HNR. Based on 'G' of GRBAS for the severity of dysphonia, two experienced raters judged and classified as four groups including controls, mild, moderate and severe dysphonic group. Connected speech was two sentences extracted from 'stroll' passage. Parameters of the vowel and LTAS mean of the sentences were measured by CSL. The spectral slope of the sentences and HNR of the vowel and the sentences were measured by Praat. Data were statistically analyzed by Spearman correlation and Kruskal-Wallis test using SPSS 12.0. The results of this study are as follows: First, jitter, RAP, shimmer and NHR were significantly different between the groups. Second, for several frequencies, LTAS mean and spectral slope of the sentences were significantly different between the groups. Third, the HNR of the sentences were significantly different between the groups. Forth, there was a presence of correlation between HNR and NHR of the vowel and HNR of the sentences. Accordingly, this study concluded that LTAS, spectral slope, and HNR were predictive parameters of connected speech voice for dysphonic voice.

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Effecrs of Leonurus sibiricus extract on experimentally induced liver damage and alloxan diabetes in Rabbits (익모초녹즙(益母草綠汁)이 가토(家兎)의 간장장애(肝臟障碍) 및 고혈당(高血糖)에 미치는 영향(影響))

  • Sheo, Hwa-Joong;Kook, Hyun-Sook;Lee, Myung-Yul
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.16 no.1
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    • pp.22-28
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    • 1987
  • These studies were conducted to investigate the effects of Leonurus sibiricus extract (L.S.E.) on experimentally $CCl_4-induced$ liver damage and alloxan-induced diabetes in rabbits; Leonurus sibiricus juice (L.S.J.) showed the most rapid recuperation of liver function among samples compared to the control group in $CCl_4-intoxicated$ rabbits. SGPT activity stowed an apparant decreasing effect in 4 days, and the blood level of total cholesterol and total bilirubin in 6 days, and not in alkaline phosphatase level. L.S.J. exhibited more excellent hypoglycemic effect in alloxan-induced diabetes of rabbits, that is, significant to the control group after 2 days and adjacent to the normal level on 8th day. And SGPT activity and total cholesterol level were gradually decreased and showed markedly decreasing effect after 4 days.

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새로운 Quinolone 항균제(Q-35)의 제 1 상 임상 연구

  • 임동석;이경훈;장인진;신상구;이명묵;김의종;김진규;권준수
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 1994.04a
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    • pp.189-189
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    • 1994
  • Q-35의 일회 및 반복투여 연구결과, 자타학 증상은 단지반복투여 피험자에서 중등도의 두통(1예)과 설사(3예)가 관찰되었으나 이들 설사증례는 장내 세균총 검사상 복감염에 의한 것이 아니었다. Q-35 투여 후 Q-EEG 및 평행기능의 장애 등은 관찰되지 않았으며 임상화학 검사상 반복투여 3예에서 SGOT, SGPT의 경미한 상승을 보였으나 이러한 변화는 정상 범위내에서의 변화이었다. Q-35의 반복투여에 따라 투약 3일에서 8일에 걸처 장내세균총은 일부 호기성 및 혐기성 세균총의 감소를 보였으나 투약종료 10일 후에는 투약전 상태로 회복되었다. Q-35는 투여량의 약 70 % 가 24시간 뇨중으로 배설되었으며 일회 및 반복투여의 결과 용량의존적인 동태양상은 관찰할 수 없었다. 50 mg에서 400 mg까지 일회 투여시 5.6-7.1 시간의 혈장반감기를 보였으며, 반복투여 시험에서는 평균 5.6 $\pm$ 0.7 시간의 반감기를 보였다. Q-35는 타액내로 신속히 이행되었으며 타액내 AUC는 혈장 AUC의 약 75 %에 해당하였고, 식사에 의해 약간의 흡수속도지연(Cmax 0.4 시간지연)과 공복시에 비해 82 %의 상대적 생체이용율을 보였다.

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A Novel EMG-based Human-Computer Interface for Electric-Powered Wheelchair Users with Motor Disabilities (거동장애를 가진 전동휠체어 사용자를 위한 근전도 기반의 휴먼-컴퓨터 인터페이스)

  • Lee Myung-Joon;Chu Jun-Uk;Ryu Je-Cheong;Mun Mu-Seong;Moon Inhyuk
    • Journal of Institute of Control, Robotics and Systems
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    • v.11 no.1
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    • pp.41-49
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    • 2005
  • Electromyogram (EMG) signal generated by voluntary contraction of muscles is often used in rehabilitation devices because of its distinct output characteristics compared to other bio-signals. This paper proposes a novel EMG-based human-computer interface for electric-powered wheelchair users with motor disabilities by C4 or C5 spine cord injury. User's commands to control the electric-powered wheelchair are represented by shoulder elevation motions, which are recognized by comparing EMG signals acquired from the levator scapulae muscles with a preset double threshold value. The interface commands for controlling the electric-powered wheelchair consist of combinations of left-, right- and both-shoulders elevation motions. To achieve a real-time interface, we implement an EMG processing hardware composed of analog amplifiers, filters, a mean absolute value circuit and a high-speed microprocessor. The experimental results using an implemented real-time hardware and an electric-powered wheelchair showed that the EMG-based human-computer interface is feasible for the users with severe motor disabilities.

Health-Related Experience of Women with Physical Disabilities using Feminist Qualitative Approach (여성 지체장애인의 건강 관련 경험에 관한 페미니스트 질적 연구)

  • Hwang, Hye-Min;Yi, Myung-Sun
    • Korean Journal of Adult Nursing
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    • v.21 no.4
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    • pp.367-378
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    • 2009
  • Purpose: The purpose of the study was to understand and describe health-related experience of women with physical disabilities, using feminist qualitative approach. Methods: Eight women with physical disabilities participated to the study. Their mean age was 43, ranging from 39 to 67 years old. The data were collected by individual in-depth interviews and all interviews were audio-taped and transcribed verbatim. The transcribed data were analyzed using traditional qualitative content analysis from a feminist perspective. Results: Six major categories emerged from the data. Category 1: "Isolation and alienation from the world.", Category 2: "A distorted self-image of physically disabled body.", Category 3: "Difficulties due to a fixed gender role.", Category 4: "Constant suffering from chronic pain.", Category 5: "Health problems that they have to endure by themselves.", Category 6: "Sublimation through self-reliance." The results of the study show how Korean women with physical disabilities suffer from social stigma, indifferences, and discriminations and struggle to survive in these unfriendly surroundings. Conclusion: The results of the study would help health professionals in designing effective intervention to improve health and to empower women with physical disabilities by providing deep understanding and critical insights of those women.

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A Study on Tools for Worm Virus & DDoS Detection (대규모 백본망의 웜 바이러스와 분산서비스거부공격 탐지시스템 연구)

  • Lee Myung-Sun;Lee Jae-Kwang
    • The KIPS Transactions:PartC
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    • v.11C no.7 s.96
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    • pp.993-998
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    • 2004
  • As Worm Virus & DDoS attack appeares, the targets and damage of infringement accidents are extending from specific system or services to paralysis of the network itself. These attacks are expending very frequently and strongly, and ISP who will be used as the path of these attacks will face serious damages. But compare to Worm Virus & DDoS attack that generally occures in many Systems at one time with it's fast propagation velocity, network dimensional opposition is slow and disable to deal with the whole appearance for it is operated manually by the network manager. Therefore, this treatise present devices how to detect Worm Virus & DDoS attack's outbreak and the attacker(attacker IP adderss) automatically.

The Prosodic Characteristics of Utterance of Sentences with Ambiguous Word in Patients with Neurogenic Communication Disorders (어휘적 중의성 문장 발화 시 신경언어장애인의 운율 특성)

  • Lee, Myoung-Soon;Kwon, Do-Ha
    • Phonetics and Speech Sciences
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    • v.1 no.1
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    • pp.87-91
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    • 2009
  • The purpose of this study was to examine the characteristics of prosody of utterance of ambiguous sentences in patients with neurogenic communication disorders. Ambiguous words on which prosody may have an impact were used to investigate this matter. The characteristics of tone duration, pitch and intensity were analyzed to examine the characteristics of prosody in patients with lesions in the left or right hemisphere and normal controls. The whole process was recorded using a Praat 4.3.14 and for statistical analyses, two-way Anova and multiple comparative analyses were carried out using SPSS10.0 for Windows. The conclusions of this study are as follows: The length of vowel in homograph in Korean was different depending on the meaning and the duration of vowel was the longest in patients with lesions in the left hemisphere. There was agreed that they had problem of timing of prosody(Danly & Shapiro, 1982). On the other hand, there found that patients with lesions in the right hemisphere had deficiency of changeability in pitch. Among various acoustic parameters, this study focused on the duration which are closely related to suprasegmental characteristics of prosody. More acoustic parameters should be taken into account in future studies.

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A Choledochal Cyst Associated with Hemorrhagic Tendency and a Cerebral Hematoma -Report of a case and review of literature- (두강내 출혈 및 출혈성 경향을 동반한 선천성 담관 낭종 -1예 보고와 문헌보고-)

  • Park, Young-Bok;Lee, Myung-Wo;Kim, Hong-Jin;Kwun, Koing-Bo
    • Journal of Yeungnam Medical Science
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    • v.2 no.1
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    • pp.299-306
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    • 1985
  • Congenital dilatation of the common bile duct is relatively rare anomaly. Its pathogenesis has not been completely understood. Complications of the choledochal cyst are mainly suppurative cholangitis, liver cirrhosis, stone formation, malignant change, bile peritonitis due to spontaneous and traumatic rupture. We experienced one case of choledochal cyst associated with hemorrhagic tendency and a cerebral hematoma, which is extremely rare complication. The 3 monthes old male patient reported here was treated with complete excision of cyst and Roux-en-Y choledochojejunostomy after correction of bleeding tendency and removal of crebral hematoma. Postoperative course was relatively uneventful, 11 days after operation, the patient was discharged with full improvement.

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INHIBITION, PLANNING, AND WORKING MEMORY IN CHILDREN WITH ATTENTION DEFICIT HYPERACTIVITY DISORDER (주의력 결핍 과잉행동 장애 아동의 억제능력, 계획능력, 그리고 작업기억 능력)

  • Kim, Gui-Ae;Kim, Sang-Heop;Hong, Chang-Hee;Lee, Myoung-Ju
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.15 no.1
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    • pp.82-90
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    • 2004
  • Objectives:The study was performed to compare the executive function(EF;Inhibition, Planning and Working memory) between ADHD and normal group, and to controll the effect of age and intelligence. And the function of inhibition was assessed in two dimensions(cognitive inhibition and motor inhibition). Methods:K-WISC III and EF test(Go-No-Go, Stroop test, Tower of Hanoi, Digit) was administered to both 25 children with ADHD and 25 normal control participants, all aged between 7 and 12. The results were analyzed after statistically controlled for age and intelligence. Results:Children in the ADHD group had significantly lower IQ score than those in the control group and consistent relations were found between the child's age and the study's major variables. Once IQ and age were controlled, results indicated that children with ADHD had deficit only cognitive inhibition and motor inhibition. There was no significant difference in planning and working memory. Conclusion:These results suggested that specific deficits in inhibition control rather than general EF deficits are associated with ADHD. So inhibition is the core problem of children with ADHD. Thus, the therapeutic approach focused on cognitive inhibition and motor inhibition is required.

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