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The Clinical Analysis of Sulcus Vocalis (성대구증에 관한 임상적 고찰)

  • 김광문;서장수;오혜경;최홍식;김기령
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1982.05a
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    • pp.11.2-12
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    • 1982
  • The major advancement in phonosurgery due to recent development of laryngomicrosurgery enabled more accurate diagnosis and treatment of patient with voice disorders. Among large proportion of voice disordered patients, prominent linear furrow running parallel along the free edge of vocal cord extending from the vocal process to anterior commissure can be seen as well as incomplete closure during phonation. These cases were illustrated and coined as sulcus vocalis by Salvi in 1901, since then other similar paper was reported in Europe and Japan, but has not been reported in Korea. The exact etiology and therapeutic methods of sulcus vocalis has not been elaborated. At Department of Otolaryngology of Yonsei University College of Medicine a series of voice analysis were performed among those 35 patients with sulcus vocalis visited to Vocal Dynamics Laboratory from May, 1981 to March, 1982. Following is the result of clinical statistical investgation and therapeutic modality. 1) The incidance of sulcus vocalis among 290 patients with voice disorder visited to Vocal Dynamics Laboratory was approximately 12%(35 cases). 2) Onset of this voice disorder was most frequent among patient under 10 year-old groups; 19 cases (54%) followed by second decade, third decade groups in decreasing frequency respectably. 3) The etiology of sulcus vocalis was mostly unknown. The sequelae after measle (4 cases) and severe upper respiratory infection (3 cases) and congenital deformity (2 cases) were the possible causes of sulcus vocalis. 4) These patients were involved bilaterally in 25 cases (71%), left side only in 8 cases (23%) and right side only in 2 cases (6%). 5) Almost all patients complained hoarseness and 7 patients were suffering from chronic laryngitis. 6) In aerodynamic analysis, Maximal Phonation Time was decreased in 20 cases (57%), Phonation Quotient was increased in 22 cases (63%) and Mean Air Flow Rate was increased in 23 cases (66%). 7) Among them, 33 cases were analyzed with stroboscopy. The findings were as follows; incomplete glottic closure during phonation in 31 cases (93%), regular vocal cord movement in whole cases, asymmetric cord movement in 4 cases (12%), decreased amplitude in 5 cases (21%) and small mucosal wave in 24 cases (73%). 8) Intracordal Teflon injection in 5 cases and Sulcusectomy in 1 cases were performed as therapeutic management, however, the therapeutic results were not effective except one case with Teflon injection.

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Database for Hospice Nursing in Electronic Medical Record (호스피스 전자기록을 위한 데이터베이스 개발)

  • Kim, Young-Soon;Lee, Chang-Geol;Lee, Kyoung-Ok;Kim, Ok-Kyum;Kim, In-Hye;Kim, Mi-Jeong;Hwang, Ae-Ran;Lee, Won-Hee
    • Journal of Hospice and Palliative Care
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    • v.7 no.2
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    • pp.200-213
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    • 2004
  • Purpose: The purpose of this study was to create an electronic nursing record form to build a hospice nursing process database to be used in the u-hospital EMR system. Specific aims of the study were: 1. To generate a complete, accurate, and simple electronic nursing record form. 2. To verify its appropriateness following documentation with the standardized hospice protocol. 3. To verify its validity and finalize the hospice nursing process database through discussion among hospice professionals. Methods: Nursing records from three independent hospice organizations were collected and analyzed by five expert hospice nurses with more than 10 years of experience, and a nursing record database was developed. This database was applied to 81 hospice patients at three hospice organizations to verify its completeness. Results: 1. An electronic nursing record form with completeness, accuracy, and simplicity was developed. 2. The completeness of the standardized home hospice service protocol was 95.86 percent. 3. The hospice nursing process database contains 18 items on health problems, 79 items on related causes and major symptoms, and 229 items on nursing interventions. Conclusion: The new nursing record form and database will reduce documentation time and articulate and streamline the working process among team members. They can also improve the quality of hospice services, and ultimately enable us to estimate hospice service costs.

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A Study of 'Yokagura of Takachiho': A sacred Music and Dancing Performed in Takachiho, the Land of Japanese Myths (일본신화의 고장 다카치호(高千穗)의 요가구라(夜神樂))

  • Park, Weon-mo
    • Korean Journal of Heritage: History & Science
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    • v.38
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    • pp.43-107
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    • 2005
  • A ritual ceremony accompanied by a song and dance is called as Kagura in Japan. The word Kagura is originally derived from Kamukura, which means the place where spirits reside. However, later it came to refer to the whole process of the ritual ceremony itself. Through the field studies, this paper examines Takachiho-kagura, helded in Takachiho, known as the village of myths, located in northern Miyazaki-ken in Japan. Kagura takes place all night through in each and every village in Takachiho and it normally runs from the end of November when the harvest season ends until early February the next year. One ordinary house is especially chosen for this ceremony, in which Kagura performs 33 repertoires. Takachiho-kagura is sometimes called as Yokagura, since the performance takes place over-night. A song and dance is performed by ordinary village people called hoshyadong, who inherited Takachiho-kagura. Currently, the ceremony is held in more than 20 villages and designated by the government as "Important Intangible Folk Cultural Property" in Japan. Takachiho-kagura follows the example of rituals held in Sada shrine in Izumo, which is now eastern Hiroshima-ken. It is the dance using a bell, a sword, a fan, which signify Norimono and is usually combined with mask-play called as Shinno. From the shrine of village, itwelcomes the gods who defense their village, called Ujikami and other 8 million gods, called Yaoyorozunokami, in Kagurayado, where Kagura of 33 repertoires is played in order. Kagura starts from dances for attendance of the gods, Hikomai, Daidono, Kamioroshi, performs dances of Amanoiwato, the gate of heaven's cave in Japanese myths, Dazikara, Uzume, Dotori, and continues dances for the old ghosts Shibahiki, Yatsubachi mixed with acrobatics. Finally, this performance ends with dances to send off the gods, Hinomae, Gurioroshi, Gumooroshi, until the dawn the next morning. This paper explores Takachiho-kagura from the perspective of folk performance with ethnography. These days, ecstasy and oracle do not happen in Takachiho-kagura. However, it kept the old form of folk performance as Kagura held in ordinary house. Especially, in Takachiho, remarkable venue of the Japanese myths, Takachiho-kagura is developed artistically. The first field study was held in Gokamura, Iwato-zone and Ashakabe, Mitai-zone between December 6th and December 12th 1997. Afterwards, the second field study was conducted in the area of Shiba and Ashakabe from December 17th until December 19th 1997 and from December 1st until December 10th 2000.

Analysis of Global Success Factors of K-pop Music (K-pop 음악의 글로벌 성공 요인 분석)

  • Lee, Kate Seung-Yeon;Chang, Min-Ho
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.4
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    • pp.1-15
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    • 2019
  • Psy's Gangnam style in 2012 showed K-pop's potential for global growth and BTS proved it by reaching three consecutive Billboard No.1. The success in the global music market brings tremendous economical and cultural power. This study is conducted for the continuous growth of K-pop music in the global music market by analyzing the musical factor of K-pop's global success. The top 20 most-viewed K-pop MV on Youtube is chosen as a research subject because Youtube is a worldwide platform that reflects global popularity. For the process of K-pop music creation, the role of the composer is expanded and many overseas producers participate in music creation. All 20 songs are created by the collective creation system and there is a consecutive collaboration between the main producers and certain artists. The top 20 most viewed K-pop songs have the musical characteristics of transnational genre convergence, hook songs, sophisticated sounds, frequent use of English lyrics, a reflection of the latest global trends, rhythm optimized for dance and clear concept. It makes the K-pop song easily remembered and familiar to overseas listeners. K-pop's healthy and fresh theme brings emotional empathy and reflects Korean sentiments. K-pop's global success is not a coincidence, but a result of continuous efforts to advance overseas. Some critics criticize K-pop's musical style is similar and it shows K-pop's limitation but K-pop progressed its musical evolution. By keeping the merits of K-pop's success factors and complementing its weak points, K-pop will continue its popularity and increase influence in the global music market.

The experience of nursing students' exploring historic sites of independence movement overseas (간호대학생의 국외독립운동사적지 탐방 경험)

  • Song, Mi-Sook;Bae, Su-Jin
    • The Journal of the Convergence on Culture Technology
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    • v.4 no.3
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    • pp.15-26
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    • 2018
  • This is a qualitative study conducted to understand and explain the experience of nursing students' exploring historic sites of independence movement overseas. The study's participants were 24 nursing students in the first and second graders who participated in a program to explore the historic sites of independence movement overseas at a college in C County, Gyeongsangbuk-do. The data collection period was from December 23, 2017 to December 25, 2017. The data collection was carried out in an open self-reporting process, and the collected data were analyzed using the qualitative content analysis method of Krippendorff[13]. Based on the analysis of the experience of nursing students' exploring historic sites of independence movement overseas 19 sub-theme, 10 themes, and 4 categories were derived. The four categories are "Our History Represented in the wake of the independence movement", "Footprint projected of an independent activist ", " Rage Boiling But Hope Remaining", "blooming patriotism through reflection". The results of this study provided an understanding of nursing students' experience in exploring the historical sites of independence movement and have shown that nursing students had the opportunity to recognize the history of independence movements, inspire patriotism and reflect on their attitude as nurses. In addition, institutional efforts and resources should be supported to address the lack of policies on the preservation of the historic sites for independence movements overseas, which are dependent on the private sector.

Clone Identification of Cudraria Tricuspidata and Hibiscus Syriacus by Using PCR and Southern Hybridization (PCR과 Southern hybridization을 이용한 구지뽕나무와 무궁화의 클론감별)

  • Ryu, Jang-Bal;Park, Sang-Gyu
    • Applied Biological Chemistry
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    • v.41 no.1
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    • pp.42-46
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    • 1998
  • Polymerase chain reaction (PCR) and Southern hybridization analyses were carried out to identify clones of silk worm thorn (Cudraria tricuspidata) and Rose of sharon (Hibiscus syriacus) which look like one tree with two ar three, branches or two or three different trees. For PCR five different PCR primers $(17{\sim}24\;nucleotides)$ are derived from CaMV 35S promoter, nopaline synthase terminator and coding region of thylakoid membrane protein gene. In the case of silk worm thorn, about 500 bp of PCR product was produced from DNAs of one tree or branch in the presence of 35S primer alone. Southern hybridization analysis of genomic DNAs hybridized with $^{32}P$ labeled PCR product showed that the same size of DNA fragments were hybridized with different intensities. In addition, PCR analyses using 20 different primers of OPERON 10-mer kits showed that only OPA01 primer produced PCR products of different size. These results indicate that two different trees of silk worm thorn combined to one tree. In the case of the Rose of Sharon, the same size of PCR products were produced from three different samples but Southern hybridization with the above PCR product as a probe did not show any hybridized bands. PCR analyses in the presence of OPERON 10-mers showed OPA04 and OPA13 produced different products including same sizes of products. These, results indicate that three different trees of the Rose of Sharon seem to be derived from the tree.

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A Comparative Analysis of Comments Before and After the Controversy Over the 'Back Advertisng' of Influencers : Focused on LDA and Word2vec (인플루언서의 '뒷광고' 논란 전,후에 대한 댓글 비교 분석:LDA와 Word2vec을 중심으로)

  • Cha, Young-Ran
    • The Journal of the Korea Contents Association
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    • v.20 no.10
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    • pp.119-133
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    • 2020
  • Recently, as famous YouTubers produce and broadcast videos that receive sponsorship and advertising such as indirect advertising (PPL), a so-called 'back advertising' controversy continues, and not only famous YouTubers but also entertainers are caught up in the issue. It is causing confusion among the public in Korea. This study attempts to find out the public's reaction before and after the controversy of 'back advertising' by YouTubers through comment analysis. Specifically, among text analysis using R programs, we intend to analyze the issue through various methods such as word cloud, qgraph analysis, LDA, and word2vec analysis, a deep learning technique. The target of the analysis was to analyze the channels of three YouTubers who belonged to the controversy of the 'back advertising' YouTuber and uploaded the 'Apology video'. The 5 most recent videos of Muk-bang YouTuber Moon Bok-hee, who has a similar content disposition to SussTV's Han Hye-yeon stylist, which was controversial, and Yang Pang, a YouTuber who showed various contents (August 09, 2020) Criterion and her first 5 videos uploaded were reviewed. As a result of the study, most of the comments that showed positive reactions before the controversy, but after the controversy, it was found that negative reactions accounted for most of the comments. Therefore, this study examines the degree of change of the public about influencers through comments after the controversy over 'back advertising' through various analysis using R program. This research also devises various measures to prevent the occurrence of back advertising of influencers in the future.

The Relationship between HbA1c Control and Diabetes Self-care Knowledge, Competence, Behavior and Quality of Life on Diabetes elderly (노인 당뇨환자에서 당뇨 자가관리 지식, 자신감, 행위 및 삶의 질과 당화혈색소 조절의 관련성)

  • Lee, Song-heun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.11
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    • pp.357-366
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    • 2017
  • This study was conducted to identify the diabetes self-care (DSM) knowledge, DSM competence, DSM behavior, and quality of life according to HbA1c control in diabetic elderly. The participants were 205 diabetes elderly who visited the citizen health promotion center located in D city, Korea. Data were collected from April, 4 to August 31 2015, and were analyzed by the t-test and chi-squared test using IBM SPSS 23.0. The mean scores of DSM knowledge, DSM competence, DSM behavior and quality of life were $50.61{\pm}16.39$, $71.27{\pm}10.21$, $62.78{\pm}1.29$ and $0.86{\pm}0.11$, respectively. Additionally, DSM behavior (t=2.17, p=0.031), education level (t=11.80, p=0.0019) l, BMI (t=0.001, p=0.012), and number of visits to citizen health center (t=16.497, p=0.001) differed significantly between the controlled HbA1c group and uncontrolled HbA1C group. However, ANCOVA revealed that the level of HbA1c did not affect the DSM behaviors. Therefore, it is necessary to develop and apply a DSM education program that reflects the characteristics knowledge level of the elderly. In addition, healthcare institutions with high accessibility in terms of distance and cost to guide and manage desirable diabetic self-care behaviors should be provided everywhere.

The School Experiences of Middle-school Students in the Free Learning Semester (중학생의 자유학기제 경험)

  • Yeo, Ji-Young;Chae, Sun-Mi
    • The Journal of the Korea Contents Association
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    • v.16 no.5
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    • pp.698-709
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    • 2016
  • Free Learning Semester, the new education policy of middle schools in Korea, will be completely implemented in 2016. The purpose of this study was to explore the school experiences of middle-school students in the Free Learning Semester through qualitative approach. In-depth interview was conducted with 8 middle-school students from the purposive sampling. As a result of the analysis, 10 essential themes were identified. Themes were as follows: 'Struggling from the performance evaluation with biting the bullet', 'Great pressure on final examination that is only once a year', 'Inconvenience of career education experience', 'Higher level of friendship', 'Double face of discrimination and respect', 'Chance to adaptation between elementary and middle-school', 'Regret about fleeting time without thought', 'Ambivalence of freedom and suppression', 'Warm place with peer', 'Being pushed rehearsal wearing other's cloth'. In conclusion, the nature of lived experience of middle-school students in the Free Learning Semester is based on ambivalence of various aspects, but is predominant in 'higher level of friendship'. It suggested that the Free Learning Semester can be a positive alternative to existing education system that made students to compete each other. It is expected to be able to discuss the future policy direction using the result of this study which explored the nature of lived experience related to the Free Learning Semester.

The Effect of Career Self-efficacy on the Course of Retirement for Baby Boomer Generation (베이비부머 세대의 진로자기효능감이 은퇴경로에 미치는 영향)

  • Kim, Ki-Seung;Yun, Sung-Won
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.4
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    • pp.1585-1593
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    • 2012
  • Year 2010 was the first year in which the baby boomer generation began to regularly retire by the corporate retirement system. For the following 10 years from then, large scale retirement of the baby boomer generation that used to be the driving force of economic growth in Korean society is expected to cause various social problems such as reduction in labor force and economic loss from transfer to welfare subjects. In relation to reemployment of the baby boomer generation after retirement, this study was attempted first, for analysis on the difference in the course of retirement according to average monthly income and current occupation and second, with an assumption that career self efficacy will influence the course of retirement. Total of 500 surveys for this study were distributed to baby boomer generations through direct visit or mail post in Seoul, Gyeonggi, Gangwon, Chungnam, Gyeongnam, Jeonnam and Jeju for one month during January 17 and February 16, 2012. 443 surveys were returned, among which 400 effective responses were selected as study subjects. As a result, the course of retirement according to average monthly income was verified to be significant for all factors. Significant results were found for the course of retirement according to current occupation in job transfer, complete non-employment and repetitive non-employment. In relation to the effect of career self efficacy on the course of retirement, job movement factor was affected by 21%. This study will be a good guide for the establishment of a social policy and retirement life preparation of the baby boomer generation.