• Title/Summary/Keyword: 상실감

Search Result 168, Processing Time 0.041 seconds

Vital Sign and Sedative Effect of Midazolam for Conscious Sedation during Upper Gastrointestinal Endoscopy (소아에서 상부 위장관내시경 검사 시 Midazolam 투여에 따른 생명활력징후의 변화 및 진정 효과)

  • Baek, Seoung Yon;Koh, Hong;Chung, Ki Sup
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • v.9 no.2
    • /
    • pp.169-175
    • /
    • 2006
  • Purpose: Esophagogastroduodenoscopy (EGD) is a very useful procedure in diagnosing gastrointestinal diseases. However, there can be some difficulty in performing this procedure in children due to the associated discomfort. Recently, sedative agents such as midazolam have been introduced to alleviate this problem quite successfully. In our study, we attempted to confirm the safety and efficacy of midazolam use by monitoring the vital signs of children undergoing endoscopy. Methods: We analyzed data on 244 children who received EGD in the department of pediatrics at Severance Hospital, Yonsei University between August 2003 and July 2005. We evaluated $O_2$ saturation, heart rate and change of mental status before and during the procedure and analyzed the results using the SPSS 12.0 package (Chi-square test, cross table method, etc.). Results: There was no significant difference in vital signs measured before and during EGD between midazolam treated and non treated children. There was no significant relationship between the amount of midazolam given and $O_2$ saturation or a change of mental status. Regarding the $O_2$ saturation, it was decreased during EGD in both groups with p<0.01 though no difference was noted between the groups; the $O_2$ level was maintained above 95% in all patients. The heart rate was also increased during EGD in both groups with a p<0.01; however, no significant difference was noted between the groups. Conclusion: We confirmed the safety of low dose midazolam by evaluating the vital signs of children during endoscopies. However, the doses used were not sufficient for sedation or to obtain an amnestic effect.

  • PDF

Street furniture design for the symbolic expression of regional impression - Focusing on the Sam-san street in Ulsan city - (지역 이미지의 상징성 표현을 위한 가로환경시설물 디자인 개발 연구 - 울산광역시 남구 삼산로를 중심으로 -)

  • 김도경;임창빈
    • Archives of design research
    • /
    • v.16 no.1
    • /
    • pp.63-72
    • /
    • 2003
  • The purpose of this study is to understand the character of concerned local area through using roadside space that is space for daily experience of citizen as target, extracting symbolic image reconsidering the historical and cultural character and clarifying the local identity on the basis of it. Through applying image of local symbolism and future-oriented roadside to street furniture, I tried to express local symbolism and through composing symbolic roadside of local that can be newly recognized as unique street, I tried to give a local symbolism and compose active roadside environment. Through providing basic material and actual design example, this paper tried to activate characterized local culture. As the method to approach design of symbolic roadside, the researcher divided local symbolic image into present local image and future-oriented image through selecting the roadside that historical element is lost and urbanization is achieved as target. The researcher characterized local roadside, using street furniture as symbolic tool of future-oriented roadside on the basis of symbolic image extracted from image evaluation testing. This paper has the meaning to suggest one direction for extracting symbolism when organizing distinguished roadside through applying symbolic image to roadside environmental facility, helping for of local resident's sense of place, his self-esteem and love for his hometown and public authority's establishing and promoting the policy concerned to the context of this paper.

  • PDF

LONG TERM FOLLOW UP OF EFFECTIVENESS AND COMPLICATIONS OF PALATOPHARYNGOPLASTY (구개인두성형술의 효과 및 합병증에 관한 장기추적관찰)

  • 박재훈;이용배;남순열;김원일
    • Proceedings of the KOR-BRONCHOESO Conference
    • /
    • 1993.05a
    • /
    • pp.100-100
    • /
    • 1993
  • Palatopharyngoplasty has been widely performed for the treatment of chronic snoring and obstructive sleep apnea syndrome. Lack of literature for long term effectiveness and complications of palatopharyngoplasty made us to report our result with minimum follow up of 5 years, compare to preop and postop 8 weeks deta. We evaluated subjective symptom and objectively documented polysomnographic improvement of 25 among 37 patients undergoing palatopharyngoplasty from 1987 to 1985. The remaining 12 patients were lost to follow up (1) snoring was abolized in 10 patients(40%) of these 25 patients and with vary degree(Grade 1-3), reduced in remainders except 3 patients (2) Sleep apnea seen preoperatively in 15 patient (AI > 20) was reduced to Grade 0 or Grade 1 in 13 patients. And marked change in AI & body weight was not seen at 5 year after operation. (3) 3 cases of mild velopharyngeal insufficiency, 1 case of asymmetry of soft palate 5 cases of pharyngeal dryness, were observed in this retrospective study and there was no nasopharyngeal stenosis loss of taste respiratory and cardiovascular complications.

  • PDF

Investment and Locational Strategy to the Commerce and Service Industry in Yanji City, China (중국(中國) 연길시(延吉市)에 대한 상업.서비스업의 투자입지전략모색(投資立地戰略摸索))

  • Lee, Jae-Ha;Jin, Shizhu
    • Journal of the Korean association of regional geographers
    • /
    • v.4 no.1
    • /
    • pp.57-76
    • /
    • 1998
  • Yanji(延吉) city is the district seat of the Yanbian(延邊) Korean Autonomous District where is located in the Jilin(吉林) Province in China, and also the largest city with a population of three hundred sixty thousand, Since the mid-1980s, the inter-exchange and cooperation between Yanbian District and South Korea has been increased rapidly. That draw many scholars' attention to studying Yanbian District and Korean Chinese as a research theme for area studies. Unfortunately they neglect the study of the commerce and service industry in Yanbian city, which has indicated its rapid growth by the market economic policy of China, and an inter-exchange between Korean Chinese and Korean. The purpose of this study is to provide an information to many Korean potential investors for an investment strategy of the commerce and service industry in Yanji city. In order to do so, this study consists of three major steps. First of all. we analyzed the regional structure and locational characteristics of the commerce and service industry in Yanji City. Secondly, we investigated the characteristics of consumers behavior toward purchasing goods and service facilities. Finally, we supplied the proper businesses and location information for investment to Korean firms according to the results that identified above. In conclusion, we suggest that the proper businesses to invest are department store, retail clothing store, shoes store, cosmetics store, electronics and home appliances store, oversea branch offices of trading companies, Korean-style restaurant, hotel, nightclubs, Korean-style music room(Noraebang), travel agencies, beauty parlors, video rooms, electronic games, and so on. We also suggest that the proper locational areas to invest those businesses are the core area of the commerce and service industry in Yanji, where are Xinxing(新興) 3-zone and Jinxue(進學) 2-zone expressed in the Yanji city figure.

  • PDF

Implant-assisted removable partial denture using digital guide surgery in partially edentulous mandible: A case report (하악 부분 무치악 환자에서 디지털 가이드 수술을 이용한 임플란트 융합 가철성 국소의치 수복 증례)

  • Kim, Taehoon;Jeong, Chang-Mo;Yun, Mi-Jung;Lee, So-Hyoun;Lee, Hyeonjong;Huh, Jung-Bo
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.59 no.1
    • /
    • pp.88-96
    • /
    • 2021
  • Fixed implant prostheses or removable partial dentures are common treatment for partially dentulous patients. Recently, an implant-assisted removable partial denture (IARPD) has been introduced and is widely used. In the case of removable partial dentures using implant attachment and surveyed fixed prostheses, the consideration about parallelism of insertion path between implants and surveyed fixed prostheses is an important factor for success of IARPDs. In this case, she complained of discomfort while using the mandibular removable partial denture. Thus, an IARPD using implant surveyed fixed prostheses was fabricated. Thereafter, more implants were placed by a digital guide surgery to have the same insertion path as the existing surveyed fixed prostheses. Locator attachments were installed to the left and right premolar implants, and the left molar was able to obtain support of the removable partial denture with healing abutment. The clinical results were satisfactory on the aspect of aesthetic and masticatory function.

Five-stage Anger Model Approach to Narrative and Protagonist's Revolt Action Mechanism in the Movie, "The Man Standing Next" ('분노의 5단계 모델'관점의 영화 <남산의 부장들> 서사와 주인공의 거사 결행 기제)

  • Kim, Jeong-Seob
    • Journal of Korea Entertainment Industry Association
    • /
    • v.14 no.3
    • /
    • pp.285-294
    • /
    • 2020
  • "The Man Standing Next" was a 'anger-character movie' that shows a fierce psychological game between the characters. Inspired by this point, it was analyzed the narrative structure of this film based on scene unit applying the 'Five-stage Anger Model' formulated by Lakoff and Kövecses and others. The results showed that the causality and feasibility of the protagonist's anger behavior were highly reflected above the model. In particular, among the five steps, the film-maker spent the longest time on 'anger control' justifying the hero's motivation for punishment or retaliation, while giving the shortest time to 'loss of control' to maximize the urgentness of the punitive actions. The detonator causing his anger at each stage was disposed two to six times each stage with neglect, contempt, arrogance, ostentation, mockery, unauthorized intervention, etc. Sneering of "Chief Security Officer" and insulting of "The President" make the protagonist feel the scorn of a terrible friend-murderer each functioned as a "rage trigger." In conclusion, the film follows the above sophisticated model in its narrative structure. Though it was a political drama that sets up a lot of anger scheme caused from public reasons, it reflects ordinary people's routine anger, which corresponds to 24 percent of the list of Nobaco's Provocation Inventory (PI). The producers elaborately reflected the anger procedure theory and balanced the public and private drivers of rage. It was considered to be derived from the intention to enhance communication with the audience increasing their understanding and aspiration for political movie that are usually heavy and unfamiliar.

A Comparative Analysis of OTT Service Reviews Before and After the Onset of the Pandemic Using Text Mining Technique: Focusing on the Emotion-Focused Coping and Nostalgia (텍스트 마이닝을 활용한 코로나 19 전후 온라인 동영상 서비스(OTT) 리뷰 비교분석 연구 - 정서 중심 대처와 노스탤지어를 중심으로)

  • Ko, Minjeong;Lee, Sangwon
    • The Journal of the Korea Contents Association
    • /
    • v.21 no.11
    • /
    • pp.375-388
    • /
    • 2021
  • This study aims to contribute to the understanding of consumer behavior during the COVID-19 by comparing blog reviews of an over-the-top (OTT) online video service from before and during the pandemic. We anticipate that the COVID-19 outbreak prompts the use of the OTT service as part of an emotion-focused coping strategy derived from the loss of personal control and the subsequent avoidance motivation. We also posit that a strong yearning for life before COVID-19 will increase interest in the content that fulfills a need for nostalgia. Our analysis of Netflix reviews provides empirical evidence of the effects of an emotion-focused coping strategy and nostalgia on OTT service usage. First, the titles of the reviews posted during COVID-19 indicate that consumers were less likely to mention OTT services other than Netflix, more interested in domestic content, and used OTT services as an avoidance-denial strategy. Second, the blog content demonstrates that while pre-COVID reviews tend to focus on the practical benefits of OTT services, those posted during the pandemic focus on mood, emotions, and dialogue. In addition, interest in comedy and romance genres increased during COVID-19. Third, we identified a greater preference for realistic or everyday content that depicted the pre-pandemic era. This is the first empirical study to investigate the effects of COVID-19 on video streaming usage in Korea. In addition, this research contributes to the field of marketing by expanding our understanding of online video service users during COVID-19 and identifies practical implications for OTT services in the midst of a pandemic.

Exploring the Determinants of the Elderly Problem and Death by 'modernization theory' -Focused on the movie 'The Woman Who Kills' ('현대화 이론'에 의한 노인 문제와 죽음의 결정요인 탐구 -영화 '죽여주는 여자'를 중심으로)

  • Han, Myung-Ja
    • The Journal of the Korea Contents Association
    • /
    • v.22 no.5
    • /
    • pp.518-526
    • /
    • 2022
  • The extension of life expectancy due to modernization means an extension of the benefit time for elderly care and disease. However, compared to the increase in the elderly, the attitude of children toward parental responsibility is gradually weakening. These social phenomena bring alienation, hopelessness, and stress to life in old age, and the resulting sense of helplessness leads to suicidal thoughts or intentional death (suicide), becoming a social problem. The intentional death (suicide) of the elderly is a social phenomenon that often occurs around them, and the reality can be seen through the movie. In this study, the main character 'Soyoung' in the movie 'The Woman Who Kills' and the surrounding characters 'Song Old Man', 'Jongsu', and 'Jaewoo' in conversations with the elderly problem and death factors were analyzed in the Matrix. ), and then applied to the 'flow chart of problems in the elderly due to modernization' compiled by Byeong-Woo Lim (2019), to explore the factors of intentional death (suicide). As a result of the analysis, the four elderly were exposed to problems of the elderly such as disease, alienation and loneliness, poverty, and loss. (Suicide) was analyzed.

Multiple Trajectories of Depressive Symptoms Among Older Adults (노년기 우울의 다중변화궤적에 관한 연구)

  • Kang, Eun-Na;Choi, Jae-sung
    • 한국노년학
    • /
    • v.34 no.2
    • /
    • pp.387-407
    • /
    • 2014
  • This study aims to identify the multiple trajectories of depressive symptoms and the characteristics of each trajectory group among the elderly. This study uses five waves of longitudinal data from the Korean Welfare Panel Study (KWPS, 2006-2010). Subjects were older adults aged 60 and over who had completed at least three waves between 2006 and 2010. A total of 4,181 respondents were analyzed. The latent growth mixture model and the multiple logistic regression model were mainly used for data analysis. The major findings were as follows: After controlling for the variables of gender, age, education, marital status, self-assessed health, and poverty, this study identified four different trajectory classes: stable low depressive symptoms (71.8%), high but decreased depressive symptoms (10.6%), moderate but increased depressive symptoms (7.9%), and an increased, then a decreased pattern of depressive symptoms (9.7%). The characteristics of theses trajectories as compared to previous studies were a lower percentage of 'stable low depressive symptoms', no 'persistently high depressive symptoms', and higher level of depressive symptoms. Also, the elderly in the stable low trajectory group had better health status, higher self-esteem and a good relationship with family members, having longer working periods, and more living in non-poverty. In addition, chronic health problems, loss of spouse, and household income differentiated the increased and then decreased pattern from the low stable pattern. Also, age and public pension differentiated the moderated but increased pattern from the low stable pattern. Based on the findings of this study, the researchers suggested political and practical implications for reducing depressive symptoms in later life.

A Study on the Experience of Settlement of Elderly North Korean Women Defectors in South Korea (북한이탈여성노인의 남한사회 정착경험에 관한 연구)

  • Lee, Hyen Joo;Oh, Bo Ram;Lee, Eun Hye
    • 한국노년학
    • /
    • v.29 no.4
    • /
    • pp.1501-1520
    • /
    • 2009
  • The aim of this study is to observe the settlement experience among elderly North Korean women defectors who have been living in South Korea, and to understand their experience more fully. In this study, we adopted Colaizzi's phenomenological research method. The research participants consisted of six elderly North Korean women defectors in the age group of 65 to 70 who have settled in South Korea over three years. We utilized the purposed sampling and an in-depth interview for data collection. Data analysis was based on Colaizzi's six specific steps. As a result, eight theme clusters and sixteen themes were deduced from this research. The eight theme clusters are , , , , , , , . Based on these results, we discussed the meaning of elderly North Korean women's settlement experience in South Korea from a socio-cultural aspect and provided social welfare implications and future research suggestions.