• Title/Summary/Keyword: Involuntary

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A qualitative study on the psychological difficulties of conglomerates executives after involuntary retirement (대기업 임원들이 비자발적 퇴직 이후 겪는 심리적 어려움에 대한 질적 연구)

  • Jabok Koo;Taeyun Jung
    • Korean Journal of Culture and Social Issue
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    • v.25 no.4
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    • pp.249-277
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    • 2019
  • This study examined the involuntary retirement of executives in conglomerates based on Williams' need-threat temporal model of ostracism(2009), which explains the psychology of individuals facing social exclusion in the stages of reflexive, reflective and resignation. In-depth interviews were conducted on 15 retirees from conglomerates, and their contents were used for phenomenological method of analysis. As a result, in the reflexive stage of need-threat temporal model of ostracism, they experienced cognitive panic and emotional panic immediately following retirement. Due to an unexpected shocking experience of retirement notice, they experienced cognitive numbness first, and repressed the following negative feelings cognitively to hide them. In the reflective stage, retirees dream of 'a complete restoration to their best performance in the past', but as such expectation fails, they don't adjust to the reality more due to 'unrealistic thought', 'self-deception', and 'shift responsibility'. In resignation stage, a long-term failure to satisfy the desire led them to experience a sense of defeat and helplessness. Such results were reviewed and compared to Williams' need-threat temporal model of ostracism, and the implications of such result on the nation, companies and retirees in terms of the response to retirement.

An Evaluation of Real-Time Navigational Safety with Weather Conditions (함정의 기상 변화에 다른 실시간 항해 안전성 평가)

  • 공길영
    • Journal of the military operations research society of Korea
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    • v.25 no.1
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    • pp.169-177
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    • 1999
  • There is some limitations for ship to gather weather and sea state information. To make up for this weakness, land organizations can gather the wider variety of information, evaluate the navigational safety on a ship, and supply this information to the ship. In this study, the involuntary speed loss are calculated using the real-time information on weather and considering the increase of resistance induced by wave, and the navigational safety in a seaway is evaluated. The used model for computer simulation is Lpp 93m frigate class ship. The feasibility study is made of using simulation results in actual operation.

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Negative myoclonus associated with pregabalin

  • Park, Kwan-Do;Kim, Min-Ku;Lee, Se-Jin
    • Journal of Yeungnam Medical Science
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    • v.35 no.2
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    • pp.240-243
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    • 2018
  • Negative myoclonus (NM) is a jerky, shock-like involuntary movement caused by a sudden, brief interruption of muscle contraction. An 80-year-old man presented with multifocal NM and confusion. Two days before the onset of NM, he commenced the intake of pregabalin at a dose of 150 mg/day for neuropathic pain. His NM resolved completely and mental status improved gradually after the administration of lorazepam intravenously and the discontinuation of pregabalin. Our study suggests that pregabalin can cause NM even in patients without a history of seizures.

A Case Report of a Right-sided Hemichorea Patient Diagnosed with Chorea Hyperglycemia Basal Ganglia Syndrome : A Combined Western-Korean Medicine Approach (우반신 무도증을 호소하는 Chorea Hyperglycemia Basal Ganglia Syndrome 환자에 대한 증례보고 : 양한방 복합치료적 접근으로)

  • Kim, Sung Yoon;Park, Jun Hyeong;Ahn, Jae Hyun;Jo, Jung Jae;Lee, Seung Min;Kang, Jung Won;Nam, Dong Woo
    • Journal of Acupuncture Research
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    • v.33 no.1
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    • pp.117-125
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    • 2016
  • Objectives : The purpose of this report is to introduce a rare case of a patient with Chorea Hyperglycemia Basal Ganglia syndrome (C-H-BG) whose initial medical interventions were started 2 weeks after the onset, and to suggest the possibility of treatment using a combined Western-Korean medicine approach. Methods : A 75-year-old female C-H-BG patient complaining of persistent right-sided hemichorea was treated with a therapy that combined Korean and Western medicine from April 4, 2015 to April 29, 2015. Improvements of symptoms were measured by a motor assessment of Unified Huntington's Disease Rating Scale (UHDRS), Visual Analog Scale (VAS) and the number of involuntary movements. Results : Motor assessment of UHDRS, VAS and the number of involuntary movements all showed a gradually improving tendency during 26 days of admission treatment. However, the patient's hemichorea persisted. Conclusion : Rapid blood sugar control is the most important treatment for C-H-BG, because pathologic changes of basal ganglia seem to become irreversible as time goes by. A combined Western-Korean medicine approach to treating C-H-BG seems effective not only in reducing hemichorea, but also in the management of accompanying symptoms such as muscle pain and general weakness.

The Clinical Observations of 2 Case of Senile Oro-facial Dyskinesia (노인성 구강-안면 이상운동증 환자 2례에 대한 증례보고)

  • Na, Gun-Ho;Shin, Jung-Chul;Wei, Tung-Shuen;Lyu, Chung-Yeol;Cho, Myung-Rae;Chae, Wu-Suk;Yoon, Yeo-Choong;Lee, Dong-Hyun
    • Journal of Acupuncture Research
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    • v.22 no.5
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    • pp.183-193
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    • 2005
  • Objectives : The purpose of this case is to report the improvement after the acupuncture therapy and herbal medicine about two patients with senile oro-facial dyskinesia. Methods : We treated the patient with acupuncture therapy and herbal medicine by evaluating facial, lips, jaw and tongue expression of AIMS(Abnormal Involuntary Movement Scale) and clinical symptom progress. Results : We have recently experienced two cases of senile oro-facial dyskinesia. Two patients were improved significantly through the acupuncture therapy and herbal medicine, so we report it for the better treatment. Conclusion : Oro-facial dyskinesia is stereotyped movements, consisting of smacking and pursing of the lips, lateral deviation and protrusion of the tongue, and occasionally lateral deviation and protrusion of the jaw. Spontaneous oro-facial dyskinesias occur in the elderly and had been said to result from edentulousness. Oriental medical treatment for oro-facial dyskinesia resulted in satisfactory results by diminishing the symptoms progressively during the admission periods. More research of oro-facial dyskinesia is needed.

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Two Cases of Dystonia and Chorea in Basal Ganglia (기저핵병변(基底核病變)에 의(依)한 불수의운동(不隨意運動) 환자(患者) 2례(例)에 대(對)한 임상보고(臨床報告))

  • Kim, Gi-Yeol;Kim, Jong-Dae;Jeong, Ji-Cheon
    • Korean Journal of Oriental Medicine
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    • v.3 no.1
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    • pp.215-228
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    • 1997
  • Extrapyramidal movement disorders are divided descriptively into hypokinesias(such as parkinsonism), characterized by poverty and slowness of movement : hyperkinesias(such as chorea, athetosis, dystonia, ballism, etc.), manifested by abnormal involuntary movement. Chorea refers to widespread arrythythmic movements of a forcible, rapid, jerky, restless type Choreic movements are noted for their irregularity and variability. They are generally continuous, may be simple or quite elaborate, and affect any part of the body. Dystonla refers to abnormally increased muscular tone that causes fixed abnormal postures. Some patients with dystonia also have shifting postures, resulting from irregular, forceful twisting movement that affect trunk and produce bizarre, grotesque movements and positions of the body. The most frequent and familiar type of focal dystonia is spasmodic torticollis. It consists of an involuntary turning of the head to one side - intermittent at first, then gradually worsening to the point of being more or loss continuous. The combination of blepharospasm and oromandibular dystonia is sometimes refered to as Meige's syndrome. We report two patients with dystonia and chorea in cerebral infarction at basal ganglia. We have experienced good improvement by the oriental medicine and acupuncture treatment.'rho acupuncture points of LI 4, ST 36, TE 3, GB 34, GB 41, LR 3, GB 39 were used. The therapies of herb-medicine were treated by Zibu-Ganshen(滋補肝腎), Huoxue-Xifeng-Tongluo(活血息風通絡).

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Belief, Pragmatic Acceptance, and Epistemic Acceptance (믿음, 실용적 수용, 그리고 인식적 수용)

  • Lee, Byeongdeok
    • Korean Journal of Logic
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    • v.21 no.2
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    • pp.269-300
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    • 2018
  • In his recent three papers, Joohan Lee defends the following three theses. First, an ordinary term 'believes' is polysemous in that it can refer to three different types of mental attitudes; that is, it can refer to a belief as an involuntary mental disposition, or a pragmatic acceptance as a voluntary mental action, or an epistemic acceptance as a different voluntary mental action. Second, a person's pragmatic acceptance of a proposition is his voluntary mental action which takes it to be true for pragmatic reasons, despite the fact that there is no adequate epistemic evidence for the proposition, whereas a person's epistemic acceptance of a proposition is his voluntary mental action which takes it to be true for epistemic reasons, despite the fact that there is a pragmatic reason to the contrary. Third, mental attitudes to which epistemic norms apply are epistemic acceptances as voluntary mental actions, rather than beliefs as involuntary mental dispositions. If these theses are correct, then they will have important implications for contemporary epistemology. In this paper, however, I argue that Joohan Lee is not successful in defending these theses.

Deleuze's Epistemology and Mathematics Learning (들뢰즈의 인식론과 수학 학습)

  • Noh, Jeong-Won;Lee, Kyeong-Hwa
    • School Mathematics
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    • v.18 no.3
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    • pp.733-747
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    • 2016
  • To describe mathematics learning relying on a priori assumptions about the learners has a risk of assuming the learners as well-prepared subjects. In this study we investigate the epistemological perspective of Gilles Deleuze which is expected to give overcome this risk. Then we analyze the constructivist's epistemology and prior discussions about learning mathematics in the preceding studies accordingly. As a result, a priori assumption on which students are regarded as well-prepared for learning mathematics is reconsidered and we propose a new model of thought to highlight the involuntary aspect of the occurrence of thinking facilitated by the encounter with mathematical signs. This perspective gives a new vision on involuntary aspects of mathematics learning and the learner's confusion or difficulty at the starting point of learning.

The Achievement of The Employment-oriented Welfare State (고용중심 복지국가의 고용과 재정 성과)

  • Ko, Hyejin;Cho, Hyojin
    • 한국사회정책
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    • v.25 no.2
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    • pp.305-332
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    • 2018
  • This study explores the effectiveness of employment-oriented welfare state by analyzing the mediating role of employment rate on the relationship between public welfare effort and fiscal soundness. Notably, this study considers the quality of employment into the analysis: part-time work, involuntary part-time work and low-wage work in analysis. The data sample consists of 18 OECD countries which initiated employment-oriented welfare strategy after the crisis of welfare state. An analysis was conduct based on Baron & Kenny(1986)'s method and panel two-stage model to handle the endogeneity problem. The results show that while the high level of public welfare effort negatively affects the fiscal soundness if it contributes to boosting employment rates, it has positive effects on the fiscal soundness. However, when the incidence of involuntary part-time employment and low-wage employment is high, the mediating impact of employment rate on the fiscal soundness disappears. This study argues that unless the quality of employment is taken into consideration, the positive effect of employment-oriented welfare state strategy to improve the fiscal soundness is not fully guaranteed.

Efficacy and Safety of OnabotulinumtoxinA in Patients With Neurogenic Detrusor Overactivity Caused by Spinal Cord Injury: A Systematic Review and Meta-Analysis

  • Li, Guang-Ping;Wang, Xiao-Yan;Zhang, Yong
    • International Neurourology Journal
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    • v.22 no.4
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    • pp.275-286
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    • 2018
  • Purpose: OnabotulinumtoxinA (BoNT-A) is a promising therapy for treating neurogenic detrusor overactivity (NDO) in individuals with spinal cord injury (SCI). This systematic review and meta-analysis aimed to carry out an in-depth review and to make an objective estimation of the efficacy and safety of BoNT-A on NDO after SCI. Methods: The PubMed, Embase, and Cochrane databases were searched for all relevant articles published from 2001 to 2016 that referred to NDO, SCI, and BoNT-A or botulinum toxin A. All data were recorded in an Excel spreadsheet by 2 individual reviewers. Review Manager version 5.3 was used to carry out the meta-analysis. Results: This analysis included 17 studies involving 1,455 patients. Compared with placebo and baseline, BoNT-A was effective in increasing maximum cystometric capacity, volume at first involuntary detrusor contraction, cystometric bladder capacity (all P<0.00001), compliance (P=0.001), and the number of patients with complete dryness (P=0.0003), and decreasing detrusor pressure, the number of patients with no involuntary detrusor contractions, the maximum flow rate, the incidence of detrusor overactivity (all P<0.00001), and the number of urinary incontinence episodes (P=0.001). There were no statistically significant differences between doses of 200 U and 300 U or between injections into the detrusor and submucosa. There were no life-threatening adverse events. Conclusions: BoNT-A is effective and safe in treating NDO after SCI. There were no statistically significant differences between doses of 200 U and 300 U or between injecting into the detrusor and submucosa. However, more high-quality randomized controlled trials are still needed.