• Journal of Engineering Education Research
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• v.23 no.4
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• pp.37-51
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• 2020

This study examined the differential effects of High-Impact Practices(HIPs) on the career aspiration of STEM college students by gender. Through the theoretical lens of Social Cognitive Career Theory(SCCT), a two-level model analysis was conducted. A sample of 2,101 third- and fourth-year undergraduate students majoring in STEM at 38 universities, which had been collected from the National Survey on College Student Experiences and Learning Outcomes funded by the Korea Research Foundation, was used. This study found that the three HIP domains(learning with peers, faculty support, content relevancy) had different influences depending on gender. These findings suggest that HIPs can benefit the development of female students' career aspiration and have gender-differential effects on students in STEM majors. Based on those findings, this study also deduced implications about the roles of faculty members and higher-education institutions that might foster the retention of women in STEM.

• Management Science and Financial Engineering
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• v.13 no.2
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• pp.1-27
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• 2007

This paper presents a fuzzy-goal programming(FGP) approach for Bi-Level Linear Multiple Objective Decision Making(BLL-MODM) problem in a large hierarchical decision making and planning organization. The proposed approach combines the attractive features of both fuzzy set theory and goal programming(GP) for MODM problem. The GP problem has been developed by fixing the weights and aspiration levels for generating pareto-optimal(satisfactory) solution at each level for BLL-MODM problem. The higher level decision maker(HLDM) provides the preferred values of decision vector under his control and bounds of his objective function to direct the lower level decision maker(LLDM) to search for his solution in the right direction. Illustrative numerical example is provided to demonstrate the proposed approach.

• Korean Journal of Bronchoesophagology
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• v.4 no.1
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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.

• Korean Journal of Child Studies
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• v.4
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• pp.53-61
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• 1983

The purpose of this study was to investigate the effects of internal-external locus of control on level of aspiration in Korean Children. The locus of control was measured by means of the Nowicki & Strickland's "A Locus of Control Scale for Children (1973)". The level of aspiration was measured by "Throw Balls into the Basket Game" Sixty internal controlled children(30 girls and 30 boys) and 60 external controlled children(30 girls and 30 boys) were selected among 853 children in fifth grade. For the data analysis, two - way analysis of variance and t-test were applied, Pearson correlation coefficient was computed. The results of this study were as follows; 1. Goal discrepancy score were significantly higher in the internal controlled children than in the external controlled children. 2. Shift value were significantly higher in the external controlled children than in the internal controlled children. 3. School achievement were significantly higher in the internal controlled children than in the external controlled children. 4. There was no significant difference in the school achievement between the children who showed high goal discrepancy score and the children who showed low one. 5. There was no significant difference in the locus of control between girls and boys. 6. Goal discrepancy score were significantly higher in boys than in girls, but there was no significant difference in the shift value between girls and boys.

• Journal of The Korean Society of Clinical Toxicology
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• v.7 no.2
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• pp.127-136
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• 2009

Purpose: It is known that aspiration pneumonitis is associated with high mortality and morbidity following overdose. However, until now, few domestic studies on this subject have been conducted. The main aim of this study is to investigate the risk factors associated with aspiration pneumonitis in intubated patients following overdose. Methods: Among 654 adult overdosed patients who visited our institution from Jan. 2006 to June 2008, we enrolled 70 intubated patients within 24 hours after their overdose, and we reviewed the medical records to collect the data. This data was processed by univariate analysis, followed by multiple logistic regression analysis. P values <0.05 were deemed statistically significant. Results: In our study, a high incidence of pneumonitis was seen in the patients with an older age, a lower GCS and a high poisoning severity score or a high comorbidity score (p<0.05). Compared with the non-pneumonitis group, the pneumonitis group had a higher incidence of intubation (6% vs 61.8%, respectively, p<0.05). The main cause of intubation was a decreased mentality (68.6%). Older age, a high comorbidity score, irrigation without airway protection, relative hypoxemia and hyperkalemia were the risk factors of aspiration pneumonitis in the intubated overdosed patients (p<0.05). Among these factors, age, a high potassium level and airway protection might be significant predictors of aspiration penumonitis (p<0.05). Conclusion: Older age, a high potassium level and irrigation without proper airway protection may be the significant factors that can predict aspiration pneumonitis in patients who are intubated within 24 hours after overdose, although the further investigations on this are needed.

• Journal of Technology Innovation
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• v.24 no.2
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• pp.177-205
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• 2016

Growing competition is forcing firms to unceasingly achieve innovation for survival. In a response to increased competition, firms invest in R&D. In this vein, this study focuses on the relation between competition and R&D investments of firms. To this end, we decompose competition into actual and potential competition first and then empirically examine effects of each competition on firms' R&D investments. Further, this study also focuses on moderating roles of firms' performance relative to their aspiration level on these relations. By using Compustat data, we found that actual competition hinders firms' R&D investments, but potential competition enhances R&D investments. In addition, the effects of actual and potential competition were moderated by firms' performance relative to their aspiration level. Specifically, negative performance strengthens the negative effect of actual competition on R&D investments, but attenuates the positive effect of potential competition. Moreover, positive performance moderates the effects of each competition in the same direction, but its moderating effects are stronger than negative performance. As such, this research seeks to identify the relations between actual and potential competition and R&D investments of firms and the moderating role of performance relative to aspiration level.

• Journal of Korean Critical Care Nursing
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• v.14 no.3
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• pp.73-86
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• 2021

Purpose : This study aimed to investigate the effects of oropharyngeal sensory stimulation using low-temperature capsaicin on dysphagia, dietary level, aspiration pneumonia, and nutritional status in acute stroke patients with dysphagia admitted to a stroke intensive care unit. Methods : This study used a randomized controlled trial design and 43 participants were randomly assigned to the experimental group (n=21) or control group (n=22). An oropharyngeal sensory stimulation intervention program was constructed based on previous studies. The intervention was provided before meals twice a day for seven days and started with the first meal after hospitalization. In the control group, a solution was made using only bottled water without adding capsaicin solution, and the intervention was provided at the same time, method, and number of times as the experimental group. Results : As a result of the study, dysphagia and dietary level improved in the experimental group that received oropharyngeal sensory stimulation using capsaicin. There were no effects on the nutritional status or aspiration pneumonia. Conclusion : This study provides basic data for the development of an intervention program for patients with dysphagia by presenting a theoretical basis that oropharyngeal sensory stimulation intervention using capsaicin improves dysphagia and dietary levels.

• Journal of the Korea Convergence Society
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• v.8 no.9
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• pp.237-247
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• 2017

The Effects of Social Capital on Occupational Aspiration in University Students This study aims to understand the impact of social capital (parent-child relationship, human network, and SNS use) on the occupational aspiration level in university students based on Coleman's Social Capital Concept. To achieve this, statistical significance test was conducted through correlation analysis and hierarchical multiple regression analysis. The major study findings are as follows. As a result of correlation analysis, it was found that Other variables, except for parent's occupational of social capital had a positive effect on vocational aspiration. Also. as a result of hierarchical multiple regression analysis, it was found that parent-child relationship, human network obtained from social activities, Social Networking Service use and usefulness of information - social capital factors - had a statistically significant impact on occupational aspiration. Such findings suggest that the process of possessing and acquiring social capital among university students served as an important achievement-oriented value in terms of social mobility.

• The Korean Journal of Cytopathology
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• v.2 no.2
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• pp.134-141
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• 1991

Localized or solitary fibrous tumor (SFT) of the pleura has been classified as a type of mesothelioma, arising from the submesothelial connective tissue cells. The preoperative diagnosis of the tumor at the cytologic or histologic level is very important for the proper handling of the lesion. This preoperative diagnosis is now possible by means of the advance in the transthoracic fine needle aspiration biopsy (FNA) techniques and in the very experience of the cytopathologists. We describe FNA cytologic feature of two cases of SFT arising from the pleura. Cytologic, histologic, immunohistochemical, and electron microscopic characteristics of pleural SFT are discussed. The tumor cells of SFT are spindle or oval in shape with a variable amount of cytoplasm. They are arranged in irregular trabeculae intimately associated with capillaries. A unique cytologic feature observed in this tumor is that thick, eosinophilic, amorphous collagen bundles are scattered between tumor cells.

• Journal of Korean Neurosurgical Society
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• v.52 no.3
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• pp.264-266
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• 2012

Injury to the bilateral internal branch of superior laryngeal nerve (ibSLN) brings on an impairment of the laryngeal cough reflex that could potentially result in aspiration pneumonia and other respiratory illnesses. We describe a patient with traumatic cervical injury who underwent bilateral ibSLN palsy after anterior cervical discectomy with fusion (ACDF). An 75-year-old man visited with cervical spine fracture and he underwent ACDF through a right side approach. During the post-operative days, he complained of high pitched tone defect, and occasional coughing during meals. With a suspicion of SLN injury and for the work up for the cause of aspiration, we performed several studies. According to the study results, he was diagnosed as right SLN and left ibSLN palsy. We managed him for protecting from silent aspiration. Swallowing study was repeated and no evidence of aspiration was found. The patient was discharged with incomplete recovery of a high pitched tone and improved state of neurologic status. The SLN is an important structure; therefore, spine surgeons need to be concerned and be cautious about SLN injury during high cervical neck dissection, especially around the level of C3-C4 and a suspicious condition of a contralateral nerve injury.