• Title/Summary/Keyword: 이중적 장애

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Detection of Antibody to Hepatitis C Virus in Psychiatric Inpatients (정신과(精神科) 입원(入院) 환자(患者)의 C형(型) 간염(肝炎) 항체(抗體) 양성솔(陽性率))

  • Cheon, Jin-Sook;Han, Ho-Sung
    • Korean Journal of Biological Psychiatry
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    • v.2 no.1
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    • pp.100-106
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    • 1995
  • Antibodies to hepatitis C drew attention because of high morbidity to chronic hepatitis, liver cirrhosis and hepatocellular carcinoma. HCV was known to be transmitted by transfusion, sexual behavior and parenteral drug use. However, some kind of autoimmune mechanism was suggested to be involved in the genesis of HCV-induced liver diseases. We hypothesized the prevalence of having anti-HCV might be higher in psychiatric patients rather than general population because of the characteristic route of transmission. Using Abbott HCV BA kit, anti-HCV was detected in the sera of 113 psychiatric inpatients from early December in 1992 to late May in 1994. The Positivity of anti-HCY was significantly(P<0.05) higher among psychiatric inpatients(10.6%) than in healthy controls(3.0%). There were no disease specificity among psychiatric inpatients who had anti-HCV, though alcoholics tended to have more anti-HCV. We couldn't find any significant correlation of anti-HCV with age, seasons of birth, lymphocytes (%) and liver function.

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Prosthetic rehabilitation by double-processing technique for edentulous patient with soft palate defect after maxillectomy: A case report (연구개를 포함한 상악골 절제술을 받은 완전 무치악 환자에서 이중 온성법으로 제작한 구개 폐색장치를 통한 보철수복: 증례 보고)

  • Park, Jin-Yong;Wang, Yuan-Kun;Song, Kwang-Yeob;Park, Ju-Mi;Lee, Jung-Jin
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.4
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    • pp.356-363
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    • 2019
  • A patient who went through maxillectomy can have soft palate defects including oronasal fistulas and suffer from dysphagia and dysarthria due to velopharyngeal insufficiency. This defect causes the food to enter nasal cavity and creates hypernasal sound which debilitates a quality of life. An obturator can rehabilitate the substantial oral tissue defects. The maxillary obturator separates the nasopharynx from the oropharynx during speech and deglutition by closing of the defect. For edentulous obturator patient, it is difficult to obtain proper retention due to reduced peripheral sealing. Therefore, the contours of the defects must be used to maximize the retention, stability, and support. Hollow type obturator can improve physiologic function by reducing weight than the traditional obturator. This case report describes a patient with hemi-maxillectomy who recovers mastication, speech, deglutition, and appearance with a maxillary obturator using physiological border molding of the velopharyngeal area and double-processing method.

An Exploratory Study on the Business Failure Recovery Factors of Serial Entrepreneurs: Focusing on Small Business (연속 기업가의 사업 실패 회복요인에 관한 탐색적 연구: 소상공인을 중심으로)

  • Lee, Kyung Suk;Park, Joo Yeon;Sung, Chang Soo
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.16 no.6
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    • pp.17-29
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    • 2021
  • Recently, as social distancing have been raised due to the re-spread of COVID-19, the number of serial entrepreneurs who are closing their business is rapidly increasing. Learning from failure is a source of success, but business failure can result in psychological and economic losses and negative emotions of the serial entrepreneur. At this point, it is very important to find a way to recover the negative emotions caused by business failures of serial entrepreneurs. Recently, a strategic model has emerged to deal with the negative emotions of grief caused by business failures of serial entrepreneurs. This study identified the recovery factors from the grief of business failures of serial entrepreneurs and analyzed Shepherd's(2003) three areas: loss orientation, restoration orientation, and dual process. To this end, individual in-depth interviews were conducted with 12 small business serial entrepreneurs who challenged re-startup to identify the attributes of recovery factors that were not identified with quantitative data. As a result of the study, first, recovery factors were investigated in three areas: individual orientation, family orientation, and network orientation. It was found to help improve recovery in nine categories: self-esteem, persistence, personal competence, hobbies, self-confidence, family support, networks, religion, and social support. Second, recovery obstacle factors were investigated in three areas: psychological, economic, and environmental factors. Nine categories including family, health, social network, business partner, competitor, partner, fund, external environment, and government policy were found to persist negative emotions. Third, the emotional processing process for grief was investigated in three areas: loss orientation, restoration orientation, and dual process. Ten categories such as family, partner support, social member support, government support, hobbies, networks, change of business field, moving, third-party perspective, and meditation were confirmed to enhance rapid recovery in the emotional processing process for grief. The implications of this study are as follows. The process of recovering from the grief caused by business failures of serial entrepreneurs was attempted by a qualitative study. By extending the theory of Shepherd(2003), This study can be applied to help with recovery research. In addition, conceptual models and propositions for future empirical research were presented, which can be discussed in carious academic ways.

A Case of Cerebral Adrenoleukodystrophy with c.1252C>T Mutation inABCD1 Gene (ABCD1 유전자 c.1252C>T의 돌연변이가 확인된 X-연관성 대뇌부신백질형성장애 1례)

  • Jeong, Yu Ju;Huh, Rimm;Kwun, Younghee;Lee, Jieun;Cho, Sung Yoon;Ki, Chang-Seok;Jin, Dong-Kyu
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.14 no.1
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    • pp.54-59
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    • 2014
  • Adrenoleukodystrophy is an X-linked genetic disease resulting from mutations in the ABCD1 gene. Cerebral adrenoleukodystrophy is one of the phenotypes of adrenoleukodystrophy and shows progressive demyelination of brain white matter and adrenal insufficiency. We report a nine year old male who presented with rapidly progressive cognitive and neurologic deterioration. He had abnormal findings in brain imaging and elevated very long chain fatty acid level in serum. Mutation analysis of ABCD1 revealed a c. 1252C>T (p.Arg418Trp) mutation which was previously known but not reported in Korea.

Spontaneous Echo Contrast Observed on Carotid Duplex Ultrasonography (경동맥이중초음파검사에서 관찰된 자발에코대조)

  • Minho HAN
    • Korean Journal of Clinical Laboratory Science
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    • v.56 no.3
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    • pp.273-276
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    • 2024
  • Spontaneous echo contrast is a swirling, smoke-like echographic pattern observed in B-mode ultrasound imaging, typically arising in areas of blood stasis or low-flow states. This hemodynamic disturbance generates low shear stress due to sluggish flow, leading to endothelial dysfunction and facilitating the activation of fibrinogen, a coagulation factor. Consequently, blood cells, including erythrocytes, readily aggregate, forming a spontaneous echo contrast, a precursor to thrombus formation. Spontaneous echo contrast is primarily found in the left atrium of patients with left atrial enlargement or the left atrial appendage of patients with atrial fibrillation. While less common, it can also be observed in the carotid arteries. This case report presents the imaging findings of spontaneous echo contrast detected during carotid duplex ultrasonography in a patient with metastatic cancer and discusses its clinical implications.

Hydraulic and structural interaction of a double-lined tunnel lining due to drainhole blockings (이중구조 라이닝의 배수공 막힘에 따른 수리-역학적 상호작용)

  • Shin, Jong-Ho;Nam, Taek-Soo;Chae, Sung-Eun;Yoon, Jae-Ung
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.11 no.3
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    • pp.243-254
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    • 2009
  • Tunnel problems relate to pore water pressure generally occur due to the restriction of groundwater flow into the tunnel which is generally caused by the deterioration of drainage systems. Previous studies have identified the problem as combined mechanical and hydraulic interaction occasions. In this study, detrimental effects of pore water pressure on the lining were investigated using the finite element method considering deterioration of the drainage system. Particularly, double-lined linings with drain-holes are considered. Deterioration of drainage system is represented as blockages of drain-holes. It is identified that the secondary lining ran be influenced by the deterioration of drainage system. It is shown that a tunnel with all drain-holes blocked moved upward, and unbalanced drain-hole blocking may result in torsional behavior of the tunnel which causes significant damages to the secondary linings.

Prevalence and Clinical Features of Probable REM Sleep Behavior Disorder-An Epidemiological Study in Osan City (유력 렘수면 행동장애 환자 유병률과 임상 양상-오산시 역학 연구)

  • Choe, Young-Min;Yoon, In-Young;Kim, Ki-Woong;Lee, Sang-Don;Ju, Ga-Won;Park, Joon-Hyuk
    • Sleep Medicine and Psychophysiology
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    • v.18 no.1
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    • pp.23-28
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    • 2011
  • Objectives: REM sleep behavior disorder (RBD) has received little attention in epidemiologic studies. This study aimed to determine the prevalence of probable REM sleep behavior disorder (pRBD) in the elderly population and its clinical features. Methods: A random sample of 1,588 was selected from a roster of 14,050 elderly population living in Osan city. The subjects were asked to fill out the REM sleep behavior disorder screening questionnaire (RBDSQ). Subjects whose score were 5 or higher on RBDSQ underwent a diagnostic phase of person-to-person assessment by experts in RBD. Results: Among 1,588 subjects, 886 elderly subjects participated in the screening phase and 123 subjects were assessed in the diagnostic phase. Eleven subjects were diagnosed as having pRBD, so prevalence was 1.5% (95% CI=0.70-2.30%). The frequency of depression and cognitive decline was significantly increased in patients with pRBD compared to subjects without pRBD, and there was no difference in sleep disturbances between two groups. Conclusions: Probable REM sleep behavior disorder is not rare in the elderly but frequently under-recognized. More attention should be paid to evaluation and treatment of RBD.

A Study on the Job Satisfaction of Wage Workers with Disabilities: Focusing on the Paths of Job Engagement (장애인 임금근로자의 직무적합, 직무만족, 직무몰입이 생활만족도에 미치는 영향에 대한 경로분석)

  • Lee, Jong Jeong;Jung, Jae Yeob;Lee, Dal Yob
    • 재활복지
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    • v.22 no.3
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    • pp.41-68
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    • 2018
  • The purpose of this study was to verify the causal relations among related factors of job and life satisfaction among 805 wage workers with disabilities. The study conducted a path analysis using the $8^{th}$ Panel survey of Employment for the Disabled data. The results are as follows. Firstly, the life satisfaction scale was categorized into the human relationship satisfaction and the material environment satisfaction by an explorative factor analysis. These two satisfactions are directly affected by Job Satisfaction (JS) and Job Involvement (JI), not directly affected by Job Engagement (JE). Secondly, JS and JI have a complete mediated effect on the path from JE to these two satisfactions. Thirdly, an indirect effect in the path reaching JS was shown to be significant in a dual mediating effect through JS and JI. Based on this study, it is recommended the way of vocational rehabilitation counseling and the related supporting strategies and programs devise toward a JS of wage workers with disabilities, vocational rehabilitation field practitioners and professionals should consider properly intervening job factors.

Use of dynamic measurement for pavement condition evaluation (도로포장상태 평가를 위한 진동계측의 이용)

  • 김수일
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 1990.10a
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    • pp.21-26
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    • 1990
  • 포장도로는 신설된 후 계속적인 차량의 통행과 기후 조건의 변화등으로 시 간이 경과함에 따라서 그 상태가 저하된다. 따라서 포장도로는 일정기간이 지난 후에는 쾌적한 차량의 통행을 보장하기 위하여 유지보수를 실시하여야 한다. 이러한 유지보수를 효율적이고 과학적으로 수행하는 것은 대단히 중요 하다. 미국과 같은 선진국의 경우 도로 신설의 투자비 보다 유지보수에 사용 되는 예산이 더 많아지고 있는데 효율적인 유지관리 시스템의 개발로 투자 비를 적정화하고자 하는 노력이 크게 증가되고 있다. 도로 포장 구조체가 도 로 이용자에게 어느 정도의 안전성, 쾌적성 및 신속성을 제공하고 있는가를 평가하는 것은 포장관리의 중요한 고려사항이며 그 결과는 포장의 공용성 개념으로 표현된다. 포장상태 조사시 포함되는 항목들은 포장유지관리 시스 템을 운용하는 기관마다 약간씩 차이는 있으나 대체로 노면조도, 노면장애, 구조적 능력, 미끄럼저항등이다. 이중 진동계측장비가 많이 사용되는 항목은 노면조도와 구조적 능력평가 부분으로서 이 두 항목에 포함되는 진동 계측 장비와 그 이용방법에 관해서 논하고자 한다.

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Aerodynamics of Speech using Aerophone II (Aerophone II를 이용한 조음적 공기역학검사)

  • 홍기환
    • Proceedings of the KSLP Conference
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    • 1995.11a
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    • pp.165-180
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    • 1995
  • 복잡한 음성장애를 이해하기 위해서는 음성관에 대한 여러 단계에서의 정량적인 검사가 이루어져야 한다. 이를 위하여 여러 가지 검사 법이 이용되고 있는데 예를 들면 음성의 인지적 검사(perceptual intelligibility), 음향음성학적검사(acoustic analysis), 공기역동학적 검사(aerodynamic study), 후두구조물의 운동 관찰, 그리고 근과 신경의 기능 검사(electromyographic study)등이 있다. 이중 인지적 검사는 청취자 동의 문제와 검사 법에 대하여 문제점이 제기 되기도 하며 발화 중 후두기능의 병태생리에 관한 추론적인 정보만을 제공한다는 문제점이 있다. 음향음성 검사는 이미 잘 알려진 상태로서 많은 parameter들이 측정되어온 것이 사실이나 그 유용성에 대해서도 아직 논란이 있으며 단지 성대의 진동에 의해 나타나는 현상만을 이용한 검사로서 일종의 정지성 연구에 불과한 것이 사실이다. (중략)

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