• Title/Summary/Keyword: 주호소

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Self-inflicted Tongue Ulceration in a Patient with Tourette Syndrome: A Case Report (뚜렛 증후군 환자에서 자해로 인한 혀 손상 : 증례 보고)

  • Lee, Kkotnim;Kim, Miae;Hwang, Inkyung;Park, Jihyun;Mah, Yonjoo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.43 no.3
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    • pp.327-333
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    • 2016
  • Tourette's syndrome is a chronic neuropsychiatric disorder characterized by the presence of vocal and multiple motor tics. Tics are defined as brief, intermittent, repetitive, unpredictable, purposeless, and stereotyped movements or sounds. Some patients experience physical pain from intense and complex tics. In addition, motor tics can result in self-injury which is a common feature of Tourette's syndrome. A 9-year-old boy was referred by the department of neuropsychiatry because of a severe tongue laceration. His parents reported that he had been biting his tongue irregularly for 2 months before referral and suffered from an intense burning sensation. The repeated biting resulted in ulcers on the tongue, which quickly worsened and led to progressive difficulty chewing and swallowing food. We offered to give him a two-piece removable appliance to limit tongue biting; it was made of soft silicone and fitted to both the maxillary and mandibular arches. As we emphasized that the device could help alleviate his pain, he agreed to accept it and adapted well. Just 3 weeks later, his tongue lesions had healed significantly.

Exploring Cognitive Biases Limiting Rational Problem Solving and Debiasing Methods Using Science Education (합리적 문제해결을 저해하는 인지편향과 과학교육을 통한 탈인지편향 방법 탐색)

  • Ha, Minsu
    • Journal of The Korean Association For Science Education
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    • v.36 no.6
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    • pp.935-946
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    • 2016
  • This study aims to explore cognitive biases relating the core competences of science and instructional strategy in reducing the level of cognitive biases. The literature review method was used to explore cognitive biases and science education experts discussed the relevance of cognitive biases to science education. Twenty nine cognitive biases were categorized into five groups (limiting rational causal inference, limiting diverse information search, limiting self-regulated learning, limiting self-directed decision making, and category-limited thinking). The cognitive biases in limiting rational causal inference group are teleological thinking, availability heuristic, illusory correlation, and clustering illusion. The cognitive biases in limiting diverse information search group are selective perception, experimenter bias, confirmation bias, mere thought effect, attentional bias, belief bias, pragmatic fallacy, functional fixedness, and framing effect. The cognitive biases in limiting self-regulated learning group are overconfidence bias, better-than-average bias, planning fallacy, fundamental attribution error, Dunning-Kruger effect, hindsight bias, and blind-spot bias. The cognitive biases in limiting self-directed decision-making group are acquiescence effect, bandwagon effect, group-think, appeal to authority bias, and information bias. Lastly, the cognitive biases in category-limited thinking group are psychological essentialism, stereotyping, anthropomorphism, and outgroup homogeneity bias. The instructional strategy to reduce the level of cognitive biases is disused based on the psychological characters of cognitive biases reviewed in this study and related science education methods.

A Case of Cholethorax following Percutaneous Transhepatic Cholangioscopy (경피경간 담도내시경술 이후에 발병한 담즙흉 1예)

  • Park, Chan Sung;Lee, Soon Jung;Do, Gi Won;Oh, Ssang Yong;Cho, Hyun;Kim, Min Su;Hong, Il Ki;Bang, Sung Jo;Jegal, Yang Jin;Ahn, Jong-Joon;Seo, Kwang Won
    • Tuberculosis and Respiratory Diseases
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    • v.65 no.2
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    • pp.131-136
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    • 2008
  • Cholethorax (bilious pleural effusion) is an extravasation of bile into the thoracic cavity via a pleurobiliary fistula (and also a bronchobiliary fistula). It is an extremely rare complication of thoraco-abdominal injuries. It can be caused by congenital anomaly and also by hepatobiliary trauma, severe infection or iatrogenic procedures. The definitive diagnosis is made with aspiration of bilious fluid from the pleural space during thoracentesis, by finding a fistulous tract during endoscopic retrograde cholangiopancreatography (ERCP) or cholagioscopy, or with finding an abnormal pleural accumulation of radioisotope during hepatobiliary nuclear imaging. Its symptoms include coughing, fever, dyspnea and pleuritc chest pain. Herein we report on a case of cholethorax following performance of percutaneous transhepatic cholangioscopy (PTCS) to remove incidentally discovered common bile duct (CBD) stones.

An Analysis on the Demand of Rural Settlement Support Services for Rural Residents (경북 울진군 기성면 척산리 중심의 농촌정주지원 서비스 요구사항 분석)

  • Choi, Yoon-Ji;Hwang, Jeong-Im;Kim, Young;Park, Gwang-Rae
    • Proceedings of the Korean Society of Community Living Science Conference
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    • 2009.09a
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    • pp.106-106
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    • 2009
  • 영국에서는 농촌문제의 심각성과 범정부적 대책 마련에 대한 부처간 인식 공유가 증가함에 따라 2000년 "농촌백서"에 '농촌서비스 표준화(Rural Services Standard, RSS)'를 제정하였다. RSS는 농촌 주민의 삶의 질 제고와 복지 서비스 향상을 위해 달성할 주요 서비스의 National Minimum을 의미한다. 매년 RSS 운용에 대한 지속적인 모니터링을 통하여 내용을 매년 업데이트 하고 있다. 교육 및 아동서비스, 광대역 통신, 사회적 돌봄, 우체국 서비스, 보건, 인터넷 접속, 긴급 서비스, 교통의 8개분야 13개 서비스 기준을 설정 제시하고 있다. 우리의 경우도 농촌 주민의 삶의 질 향상을 위한 범정부적 투자가 이루어져 왔지만 농촌지역의 사회서비스 기준을 도시와 비교해 보면 아직도 부족한 부분이 많이 있다. 농촌 인구가 감소되고 있는 상황에서 지속적인 하드웨어 중심적 투자에 대한 의문제기와 함께 농촌 주민들이 최소한의 공적 서비스를 활용할 수 있는 기반이 되어야한다는 의견이 대립되고 있는 가운데 그 해결책을 찾기 위하여 '농촌 서비스 기준'을 설정하자는 논의가 추진되고 있다. 이에 본 연구에서는 인구 5만 이상 군지역에 속하는 경상북도 울진군 기성면 척산리를 중심으로 농촌 정주지원 서비스 요구사항을 분석하였다. 척산리에는 총가구 187호 363명이 거주하고 있으며 지난 3년간 인구 이동이 전혀 없었다. 주민들의 연령대는 50~60대가 가장 많으며 척산 3리가 가장 고령화 되어 있는 것으로 나타났다. 교통 환경은 좋은 편이었는데 기성공용버스 정류장에 10곳 이상의 차편이 있고 7번 국도가 있어 타 지역으로 이동도 용이하였다. 마을에 보건/의료를 담당하는 곳은 보건진료소뿐이었으며 잦은 외근과 구급약 부족 등으로 불편을 호소하고 있었다. 응급상황 발생시 수송 가능한 응급체계는 갖춰져 있지 않았고 노인들이 가장 많이 이용하는 물리 치료실은 일주일에 3번 개방하기에 불편하다고 하였다. 3층 건물의 복지회관이 있으나 장날(5일장; 1일, 5일)만 개방되어 이용에 한계가 있었고 마을주민을 위해 운영되는 프로그램은 없었다. 논농사 중심의 경제생활이었고, 부녀회와 청년회 등은 면단위 또는 행정리로 묶어서 운영하고 있었다. 주민들은 울진군 면소재지 중 척산리에만 약국이 없어 불편한 사항이 많기에 약국, 물리치료실의 상시 개방을 필요로 하였으며 장날을 이용한 노인대상 영화상영, 강연회 등 다양한 문화프로그램 운영을 희망하였다.

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Degradation of Taste-and-Odor Compounds and Toxins in Water Supply Source Using Plasma (플라즈마를 이용한 상수원 이취미 및 독성물질 분해 연구)

  • Jo, Jin Oh;Kim, Sang Don;Lim, Byung-Jin;Hyun, Young Jin;Mok, Young Sun
    • Applied Chemistry for Engineering
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    • v.24 no.5
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    • pp.518-524
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    • 2013
  • This study investigated the degradation of taste-and-odor compounds and toxins using dielectric barrier discharge plasma. The degradation of taste-and-odor compounds was conducted on geosmin and 2-methyl isoborneol (2-MIB), and the toxins investigated were microcystin-LR (MC-LR), microcystin-RR (MC-RR), microcystin-YR (MC-YR) and anatoxin-a. Largely depending on the type of gas fed to the plasma reactor, the degradation efficiencies of the taste-and-odor compounds decreased in order of oxygen (100%) > dry air (96%) > nitrogen (5%) for geosmin and in order of oxygen (100%) > dry air (94%) > nitrogen (2%) for 2-MIB on the basis of 150 s reaction time. This result suggests that the oxidative reactive species generated during plasma treatment, especially long-lived ozone, are mainly responsible for the degradation of these compounds. When using oxygen as the feed gas, geosmin and 2-MIB were totally degraded within 150 s, microcystins within 10 s, and anatoxin-a within 30 s. It was found that the taste-and-odor compounds and toxins were degraded more rapidly in real lake water than in distilled water.

Characteristics of DOC Release from Sediment in Eutrophic Lake (부영양호 퇴적층으로부터 용존유기물의 용출특성)

  • Park, Je-Chul
    • Korean Journal of Ecology and Environment
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    • v.36 no.3 s.104
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    • pp.304-310
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    • 2003
  • This study was conducted to estimate the internal dissolved organic carbon (DOC) loading from sediment in eutrophic shallow Lake Kasumigaura. Contents of water and organic carbon were about 80% and 6.3% with depth in the sediment, respectively. The highest DOC concentration in porewater (104 mg C/l) was observed in September suggesting that the porewater could play an important role as an internal loading of DOC. Results of DOC release experiments showed that the labile-DOC (L-DOC) release was not detected in the oxic condition, while refractory-DOC(R-DOC) release was detected. The L-DOC and R-DOC release rates in the anoxic codition ranged from 14.5${\sim}$ 48.6, 14.4 ${\sim}$27.3 mgC $m^{-2}$ $d^{-2}$, respectively. The current study showed that L-DOC released in the oxic condition was rapidly utilized by aerobic bacteria, in contrast, L-DOC and R-DOC released in anoxic codition were slowly utilized by anaerobic bacteria. These results suggested that L-DOC and R-DOC were closely related to sediment release and most of the R-DOC released could be an important source of DOC in eutrophic lakes during summer. Therefore, R-DOC pool should be added as one of the important energy source for microbial-based aquatic food webs in eutrophic lakes.

Comparison of Clinical Menifestations between Adolescents and Unmarried Young Women with Endometriosis in Daegu (대구 지역 청소년 및 미혼 여성 자궁내막증 환자의 임상 특성에 관한 비교연구)

  • Kim, Yoon-Jeong;Choi, Min-Hye;Chung, Min-Ji;Lee, Jung-Ho;Lee, Taek-Hoo
    • Clinical and Experimental Reproductive Medicine
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    • v.34 no.3
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    • pp.167-172
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    • 2007
  • Objective: The purpose of this study is to find out the differences of clinical characteristics of endometriosis and to emphasize the significance of early diagnosis of endometriosis to protect disease progression in adolescents. Methods: A retrospective analysis was carried out. All cases (n=130) were diagnosed surgically as endometriosis between January 2000 and August 2007 in two university hospitals in Daegu. Adolescents were 23 cases and unmarried young women were 107 cases. Data were collected through review of medical records. Results: The predominant symptom in adolescents was cyclic pain. 52.2% of adolescent patients were stage I or II. And stage III was 47.8% but stage IV was none. The other side 82.2% of unmarried young women patients were stage II or III and stage IV was 15.8%. Serum CA-125 level was elevated in adolescents, also. But there was no significant difference between the two groups. Conclusions: Endometriosis is progressive disease. Early diagnosis is necessary for prevention of the disease progression and free from pain. Appropriate gynecologic examination and careful concerns about adolescents are mandatory.

The Relationship between Working Environment Factors and Stress and Musculoskeletal Disorders in Dental Hygienists (치과위생사의 근무환경 요인과 스트레스 및 근골격계 장애의 관련성)

  • Moon, Ae-Eun
    • Journal of dental hygiene science
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    • v.15 no.4
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    • pp.472-479
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    • 2015
  • The purpose of this study is to examine musculoskeletal disorders and grasp the relationship between working environment factors and stress and musculoskeletal disorders in dental hygienists. The self-administered questionnaire survey was conducted with 483 dental hygienists working in Gwangju who were selected by convenience sampling. Frequency analysis, crosstab analysis, t-test, and multiple logistic regression analysis were made. Subjects' musculoskeletal disorders that complain of severe pains were 29.8%. The relationship between working environment factors and stress and musculoskeletal disorders were examined. As a result, work break frequency of working environment factors and stress were found to influence musculoskeletal disorders. For working environment factors, the odds ratio of musculoskeletal disorders of the two breaks group was 0.29 (95% confidence interval [CI], 0.11~0.73), compared with the no break group, indicating less musculoskeletal disorders. However, no significant difference was found in one break and more than three breaks groups. The odds ratio of musculoskeletal disorders of stress was 0.44 (95% CI, 0.27~0.70), indicating negative correlation. As break frequency was moderate (two breaks), musculoskeletal disorders became decreased. Stress showed negative correlation with musculoskeletal disorders.

A case study of the person centered art therapy for improving sexual victimized adolescent's emotional stability, ego-resiliency, self-esteem (성폭력피해 청소년의 정서안정감, 자아탄력성, 자아존중감 향상을 위한 인간중심미술치료 사례연구)

  • Sug-Min, Lee;Soon, Song
    • Journal of Digital Convergence
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    • v.16 no.2
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    • pp.385-402
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    • 2018
  • This study was to examine how Art Therapy affected improving Self-Esteem and Ego-Resiliency, Emotional Stability of Sexual Victimized Adolescent. The subject was the middle school student girl, 3th grades(15year old). She was suffered from sexual assault she was lack of self-confidence and suffered difficulty in daily life. Individual Art Therapy was performed once a week for 60 minutes and for 20 periods. Emotional Stability, Self-Resilience, Self-Esteem were performed pre-post test to verify the effectiveness of the program. The results obtained after Art Therapy were as follows. Firstly, The Self-Esteem score improved to post- 35 points from pre-16points. The Ego-Resiliency score improved to post-133points from pre- 63 points. The Emotional Stability score changed to a post-ex-post 96 score with a score of 110 as a positive effect. Secondly, the subject in the whole process of Art Therapy were formed intimacy with the researchers, able to heal painful scars while expressing inner feelings in a stable psychological state. Through the creative activities, she became confident and had positive thoughts about his future. Even though, this program focused to prevent PTSD. So the subjects needs to participate follow up program to treat depression, anxiety, nerveless be caused by sexual assault.

Cutaneous Adverse Reactions Induced by Gefitinib (Iressa) in Lung Cancer Patients (폐암 환자들에서 Gefitinib (Iressa)에 의한 피부 부작용)

  • Yun, Sook Jung;Lee, Jee Bum;Kim, Kyu Sik;Kim, Young Chul
    • Tuberculosis and Respiratory Diseases
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    • v.61 no.2
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    • pp.150-156
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    • 2006
  • Background: Gefitinib (ZD 1839, Iressa) is a new anticancer agent; more specifically, it is a selective epidermal growth factor receptor tyrosine kinase inhibitor that is, widely used for various solid cancers, including lung cancer. Cutaneous adverse reactions induced by gefitinib have recently been reported; however, not much on this topic has been reported in the Korean literature. Method: We studied cutaneous adverse reactions of gefitinib in 23 patients who suffered with non-small cell lung cancer at Chonnam National University Hwasun Hospital from October 2004 to September 2005. Result: The patients ranged from 23-72 years old, and there were 17 patients with adenocarcinoma, 5 with squamous cell carcinoma and 1 with bronchioloalveolar carcinoma. The most common adverse reaction was acneiform eruptions in 15 patients (65.2%). This reaction appeared within 2 months after medication, and it didn't correlate with the therapeutic response and tumor type. Pruritus was the second most common reaction (39.1%), which was mild and generalized, especially around eyelid area. Xerosis (26.1%), exfoliation on palm and sole (21.7%), and paronychia (21.7%) followed. Hair breakage and intertrigo were rare adverse reactions. Conclusion: Various cutaneous adverse reactions were observed in patients with non-small cell lung carcinoma after gefitinib treatment. The skin complications could be alleviated with dermatologic consultations and treatments, skin complications could be alleviated.