• 한국심리학회지:여성
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• 제13권3호
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• pp.263-282
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• 2008

진로포부는 성인기 삶에서 중요한 직업적 삶의 적응과 관련된 변인으로서 많은 진로 연구자들의 지속적 관심을 받아왔다. 진로포부 발달의 성차의 심리적 기제를 밝히는 것은 여성과 남성의 진로 발달의 차이에 대한 이해를 바탕으로 개인의 잠재성 발현을 위한 효과적인 진로 지도 및 상담을 위해 꼭 필요한 일일 것이다. 본 연구는 진로포부 형성에 주요한 영향을 미치는 사회적 지지와 진로포부 간의 관계에서 개인자존감과 집단자존감이 어떠한 역할을 하는지를 조사한 후 이러한 심리적 기제가 성차에 따라 다른지를 검증하였다. 서울에 있는 대학교에서 심리학 관련 교양 수업을 듣는 학생 316명을 대상으로 자료를 수집하였으며, 질문지에는 사회적 지지, 집단자존감, 개인자존감과 진로포부에 관한 문항들이 포함되었다. 구조 방정식 모형을 이용해 개인자존감과 집단자존감의 매개효과를 살펴보았을 때 결과는 다음과 같았다. 먼저, 개인자존감과 진로포부의 관계에 있어 집단자존감의 완전매개모형이 부분매개모형보다 더 우수한 적합도를 보여주었다. 다음으로 사회적 지지와 진로포부사이에서 개인자존감과 집단자존감의 부분매개효과 유의미하게 나타났다. 마지막으로 사회적지지, 개인자존감, 집단자존감과 진로포부 간의 관계 모형이 성차에 따라 달라지는 지를 확인해 본 결과 성차에 따라 이들 각 변인 간의 관계성에 있어서 차이가 있었다. 이와 같은 결과는 진로포부 형성에 있어서 독립된 개인에 대한 평가 또는 지각뿐만 아니라 개인 속한 사회적 집단에 대한 평가 또는 지각이 환경적 요인과의 상호작용을 통해 진로포부 형성에 영향을 끼침을 보여주는 것이다. 또한 성차에 따른 관계 모형의 차이는 진로포부 형성의 심리적 기제가 성차에 따라 다를 수 있음을 보여주는 것이다.

• Journal of Yeungnam Medical Science
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• 제33권2호
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• pp.162-165
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• 2016

Barium sulfate is an inert material used as a radiographic contrast medium during upper gastrointestinal contrast studies for evaluation of patients with dysphagia. Oral barium aspiration is an uncommon but well-reported complication of this procedure. While barium aspiration of small amounts may not cause any symptoms, massive barium aspiration can be life-threatening, particularly in elderly patients with multiple comorbidities. In this case report, we describe an elderly patient with multiple comorbidities who presented with thyrotoxicosis and dysphagia, and then died after massive barium aspiration. Despite administration of intensive medical care with ventilator support and therapeutic bronchoalveolar lavage to remove the aspirated barium, the patient died of multiple organ failure 9 days after barium aspiration. Clinicians should pay attention to elderly patients with predisposing factors for aspiration in whom upper gastrointestinal barium contrast studies are indicated, and should consider other diagnostic tools for evaluation of dysphagia in this population.

• Tuberculosis and Respiratory Diseases
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• 제72권2호
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• pp.177-181
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• 2012

Activated charcoal is an inert substance and it is used in standard therapy in patients with acute intoxication. Charcoal has some side effects such as pulmonary aspiration, gastrointestinal complications, and electrolyte abnormalities. Although aspiration of charcoal is a rare complication, it can cause fatal sequelae. We report a 69-year old man who developed acute respiratory failure associated with charcoal aspiration after management of glyphosate poisoning. The patient was drowsy and suffered severe vomiting during transport to our hospital. On arrival, acute respiratory failure was observed due to charcoal aspiration, but the clinical state was improved with repeated bronchoscopy with a bronchoalveolar lavage (BAL). We presumed that the aspirated charcoal was an important factor in evoking a lung injury. Early bronchoscopy with a BAL might be an effective method for eliminating charcoal from the lung, especially in the case of a large amount of aspiration, and be helpful in decreasing respiratory failure due to charcoal aspiration.

• 성인간호학회지
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• 제18권5호
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• pp.718-726
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• 2006

Purpose: The purpose of this study was to investigate differences between a pulmonary aspiration group and a non-pulmonary aspiration group in glucose concentration of tracheal secretions by measuring time and feeding methods. Method: The subjects were 36 ICU patients who were receiving formula via nasogastric tubes and had endotracheal tubes or tracheostomy tubes. Tracheal secretions were collected by connecting suction traps to a suction catheter in three different times(within 1 hour after feeding, between 1 to 2 hours after feeding, and between 2 to 3 hours after feeding) for 2 days, overall six times. Glucose concentration of tracheal secretions was measured with the glucometer(Accucheck II). Results: Glucose concentration of tracheal secretions increased in progression after feeding. The mean of specimens collected last(between two to three hours after feeding) was shown to be the highest value(M=61.61mg/dl) in the pulmonary aspiration group. Significantly(p=.000) more subjects(94.44%) in the pulmonary aspiration group received formula via a 50cc syringe than those in the non-pulmonary aspiration group(22.22%). Conclusion: Critically ill patients may need more time for head-elevation after tube feeding to prevent pulmonary aspiration. In practice, enteral formula should not be given the patients via a $50_cc$ syringe anymore, instead a feeding bag or infusion pump should be used to prevent pulmonary aspiration.

• Asian-Australasian Journal of Animal Sciences
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• 제20권4호
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• pp.496-500
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• 2007

Holstein cow ovaries obtained at a slaughterhouse were used to study the influence of the oocyte collection methods (slicing, puncture, aspiration I and II) on recovery efficiency and subsequent in vitro maturation and embryonic development competence of immature oocytes recovered. In the slicing method, the whole ovarian was chopped into small pieces with a surgical blade. In the puncture method, the whole ovarian surface was punctured by 18-g needle. In other 2 aspiration methods, collected oocytes by aspirating from the visible follicles using an 18-g needle attached to a 5 ml syringe (aspiration I) or using a constant negetive pressure (-80 mmHg) with a vacuum pump (aspiration II). The oocytes were classified into 4 classes on the basis of the morphology of cumulus cells and cytoplasmic appearance of oocyte. Slicing ($9.6{\pm}0.4$) and puncture ($9.7{\pm}0.4$)yielded a larger number of oocytes per ovary than other two aspiration methods (aspiration I and II were $5.8{\pm}0.3$and $5.6{\pm}0.4$, respectively) (p<0.05). The number of the highest quality oocytes (grade A) per ovary was significantly higher in slicing ($4.2{\pm}0.2$) and puncture ($4.6{\pm}0.1$) methods than in other methods (aspiration I and II were $1.2{\pm}0.2$ and $1.4{\pm}0.2$, respectively) (p<0.05). The rate of nuclear maturation of the highest and higher quality oocytes (grade A and grade B, respectively) was not affected by the oocytes collection methods. The oocytes collection methods also did not influence subsequent embryonic developmental competence after in vitro fertilization with M II stage oocytes. It is concluded that slicing and puncture methods of the ovaries can be used as an alternative techniques to aspiration by the syringe or vacuum pump.

• 한국보육학회지
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• 제17권2호
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• pp.159-179
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• 2017

본 연구는 경기도에 소재한 대학의 보육학과 학생들을 대상으로 핵심역량과 진로스트레스 그리고 진로포부간의 영향을 연구하였다. 구체적인 연구 결과는 다음과 같다. 첫째, 핵심역량과 진로포부 그리고 진로스트레스의 상관관계는 핵심역량이 높을수록 진로포부는 높아지고 진로스트레스는 낮아졌다. 둘째, 핵심역량과 진로포부가 진로스트레스에 미치는 영향을 중다회귀분석으로 살펴본 결과 핵심역량의 하위요인인 자질과 태도 및 능력역할과 진로포부는 진로스트레스에 유의미한 영향을 미치는 것으로 나타났다. 셋째, 핵심역량이 진로스트레스에 미치는 영향에 대한 진로포부의 매개효과를 살펴본 결과는 핵심역량이 진로스트레스에 직접적인 효과는 유의하지 않았으나 진로포부를 매개로한 간접효과는 유의하게 나타났다. 핵심역량은 진로포부를 매개로 하여 진로스트레스에 영향을 미치고 있었다. 이 결과를 바탕으로 논의 부분에서는 연구에 대한 논의 및 제한 그리고 추후연구방향을 제시하였다.

• 대한임상검사과학회지
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• 제41권4호
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• pp.189-195
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• 2009

Lung cancer is a type of cancer with high mortality; its 5-year survival rate is at a low 14%. Related cytological tests include sputum, bronchial brushing, bronchial washing and fine needle aspiration cytology test etc. From the test specimens in which sputum, bronchial brushing, bronchial washing, and fine needle aspiration cytology were performed, the sensitivity, specificity and accuracy between cytology test and histology test. In the sputum test, sensitivity was 27.71% and specificity was 98.02%, and the bronchial brushing test showed sensitivity of 93.33% and a specificity of 91.3%. The bronchial washing test was a sensitivity of 53.7% and its specificity was 98.9%, and the fine needle aspiration cytology test showed sensitivity and specificity were 88.46% and 72.97%, respectively. In the specimens diagnosed as normal at the sputum test, malignant diagnosis was found in 21 specimens of bronchial brushing, 30 cases of bronchial washings and 37 cases of fine needle aspiration cytology specimens. In the specimens diagnosed as normal at the bronchial washing test, malignant diagnosis was found in 5 specimens of sputum, 7 specimens of bronchial brushin and 1 cases of fine needle aspiration cytology. One specimens found to be normal in fine needle aspiration cytology turned out to maligant in sputum test. The result of this research shows that, in diagnosis lung cancer, a test method of high sensitivity and specificity should be pursued. However, depending on the location and malignancy of the illness, diagnosis may not be obtained in some cases. Therefore, we conclude that the cytological tests performed for lung cancer testing such as sputum, bronchial brushing, bronchial washing, and fine needle aspiration cytology should be carried out in a mutually complementary manner.

• 대한기관식도과학회지
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• 제4권1호
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• pp.52-58
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• 1998

BACKGROUND： Aspiration is defined as the laryngeal penetration of secretions below the level of the true vocal cords. Aspiration can result in life-threatening complications, such as bronchospasm, airway obstruction, pneumonia, pulmonary abscess, sepsis, and death. The patient with high vagal palsy had significant aspiration and dysphagia OBJECTIVE： To formulate a step-by-step management paradign for the patients with high vagal palsy MATERIALS AND METHODS : The medical records of 23 patients who were diagnosed as high vagal palsy from September, 1995 to April, 1998 in Seoul National University Hospital were reviewed retrospectively. Eleven patients were managed conservatively and 12 patients were operated to treat chronic aspiration. RESULTS : The main etiologies of high vagal palsy were mass lesions of the skull base such as neurogenic tumor, pseudotumor, meningioma or nasopharyngeal carcinoma. Aspiration and dysphagia improved in 7 out of 11 patients who were managed conservatively after 2.2 months on the average. The patients who were refractory to the conservative management underwent surgery and showed improvement in 10 out of 12 patients. The employed surgical modalities were vocal cord medialization combined with cricopharyngeal myotomy in 7 patients, laryngotracheal separation in 3 patients and arytenoid adduction only in 2 patients. Two patients still had gastrostomy tube due to the persistent symptoms. Two patients had improved after surgery, but died of underlying disease. CONCLUSION : The patients with high vagal palsy are recommended to be managed conservatively for the first 2 months. If aspiration and dysphagia are persisting after conservative management, vocal cord medialization combined with or without cricopharyngeal myotomy should be considered. If failed, laryngotracheal separation or gastrostomy will be the next option based on the control of the oropharyngeal secretion.

• 사상체질의학회지
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• 제15권2호
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• pp.75-83
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• 2003

Aspiration pneumonia is common complication in Stroke patient. A 60-years-old man was admitted because of cerebrovascular infarction. This patient had problem of aspiration pneumonia. Without Western medical treatment(Antibiotics), patient's symptoms, sign and laboratory findings were improved through Soyangin Hyoungbangpaedoksan treatment. So, we report it for the better treatment.

• 대한수의학회지
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• 제47권3호
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• pp.341-347
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• 2007

Pancreatic pseudocyst is one of the most common pancreatic mass lesions developed following acute or chronic pancreatitis. Two dogs were presented with nonspecific clinical signs such as abdominal pain, vomiting and depression and diagnosed as pancreatic pseudocysts through percutaneous ultrasound-guided aspiration. Pancreatic pseudocyst may contain pancreatic juice, so leads the deteriorate state of patient through pertinent inflammation and autodigestion of pancreas. In this study, the clinical signs and pancreatic lesion were improved after aspiration. Percutaneous ultrasound-guided aspiration can provide the diagnostic information through cytology and lipase and amylase concentration, and be selected as the first choice for treatment.