• 대한치과마취과학회지
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• 제12권2호
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• pp.115-119
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• 2012

Double outlet of right ventricle (DORV) refers to a congenital heart disease in which pulmonary and systemic circulation originates from the right ventricle. In the patient with DORV, it is important to maintain the balance between pulmonary and systemic circulation in anesthetic management. A 4-year-old boy with DORV, who underwent a Blalock-Taussig shunt operation, was transferred to the clinic with a chief complaint of multiple caries. Due to poor cooperability, it was impossible to treat the caries without sedation or general anesthesia. We planned to sedate him with consideration with detrimental effects associated with positive pressure ventilation for dental treatment. After a prophylactic administration of antibiotics, sevoflurane was administered through T-cannula site. Throughout the treatment, His blood remained stable around 80/40 mmHg, oxygen saturation remained around 91%. After 3 hour of sedation with sevoflurane (end-tidal sevoflurane con 1-1.8 vol%), he fully regained consciousness, and discharged from hospital without complications. In case of DORV patient, deep sedation with sevoflurane may be used as effective method of behavioral management during dental treatment.

• 비교문화연구
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• 제20권
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• pp.241-274
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• 2010

Due to the remarkable changes in the early twentieth century, the new invention and technology impacted peoples' everyday lives and people started to use the word, modern, to apply specifically to what pertained to present times and to designate a movement in what was new and not old-fashioned-a condition of newness. In the present day, however, the fantastic cultural changes of a century ago have now become commonplace, and what was once considered radically new is no longer a reason to marvel. This paper considers what it mean to be modern, once the new is no longer new. This question seems to remain as complicated and inappropriate to ponder because the consideration and impact of modernity cannot simply end with the end of an era. This paper investigates how the interconnected nature of popular culture provides apt illustrations to reveal the ambivalent nature of modernity and postmodernity. In doing so, first of all, this paper pays attentions to the notion of modernity and popular culture which emerged together in the early twentieth century when technology and mass consumer culture were promoted over the world. Also, it examines how popular culture represents a complex of mutually-interdependent perspectives and values that influence society and its institutions in various ways as the image of modernity continues to build in a postmodern era. That is, popular culture is identified as a large amount of intertextuality or collective experiences due to its intermingling of complementary distribution sources and techonology. Thus, this paper explores that popular culture devotes itself other images or narratives instead of referring to the real world and its output revisits the contemporary or past times in other places, being a means to produce and reproduce the accumulated images of the modern which shapes ceaseless simulacra of modernity over complexities of modernity. In order to find a critical juncture of the complex networks of modernity and popular culture, this paper considers two places, Chicago and Gyeongsung in the 1920s and 1930s in which the rapid modern experience took place and the modern movement forced the two societies to join the mass consumer culture whether willingly or not. Next, this paper considers two movies released in 2002 and 2008 that exemplify the complexities of modernity in Chicago and Gyeongung of the 1920s and 30s: Chicago and Modern Boy. Both films have common themes of the 1920s and 30s such as violence, adultery, femme fatal, and criminal themes with the forms of musical, dance, drama, and romance. Through the textual analysis of both Chicago and Modern Boy, two films are compared in observing the similar and different ways in which two films deal with the theme of modernity when they are represented from the contemporary perspectives. More specifically, this paper questions how modernity is present in contemporary cultural forms such as commercial and hybrid genre films; and how these movies create a new image of modern by embodying the double coding. Ultimately, this paper aims at realizing the paradox of double edged modernity and its ongoing discourse that controls people's consciousness through the medium of popular culture.

• 심성연구
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• 제26권2호
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• pp.149-188
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• 2011

한국의 남쪽 섬 진도의 장례식에서는 상여가 나가기 전날 밤에 다시래기(再生 ; 다시 낳기)라는 연극을 한다. 그 과정 중에 숨겨진 죽음과 관련된 원초적이고 보편적인 심리적 의미를 분석심리학적 관점에서 고찰해 본다. 이 연희의 특징은 1) 축제식 장례 2) 광대의 등장(대극의 존재와 갈등) 3) 성적표현들 4) 여성의 적극적 참여 5) 출산과정의 난관 6) 아이의 탄생과 함께 나누는 기쁨들로 요약된다. 이는 인생의 마지막 통과의례 중 전이기의 의례(Transition)이다. 연희의 전제조건인 호상(好喪)은 삶의 여정에서 그가 갖추어야 할 페르조나(persona)들에 대한 집단의식의 판단이다. 갖추어진 삶을 산 다음에 제대로 된 죽음이 된다. 등장하는 눈 뜬 장님 거사와 남성들을 희롱하는 사당 그리고 파계승 세 사람은 삼각의 갈등 구조를 보인다. 거기에 연출자이면서 주인공인 가상제가 합세 4인의 균형을 이룬다. 이들은 예의 바르고 이성적인 집단의식의 그림자적 측면을 나타내는 광대들이다. 동시에 트릭스터 원형상의 모습을 나타낸다. 산 자와 죽은 자, 상자와 가상자, 경건함과 난장판, 통곡과 웃음, 침묵과 넋두리, 죽음과 출생 등 다양한 대극이 공존하고 이로서 전체가 된다. 거사와 중은 대극이며 사당(아니마)은 둘 사이를 오가며 갈등을 부추긴다. 아기는 그 갈등의 소산이며 동시에 해결책이기도 하다. 갈등은 전체성의 상징인 아이의 탄생으로 해소되는 듯 하다 아기의 친권을 두고 재연되고 그 해결은 네 번째 인물이자 최초의 시작인 상주에게 아기를 맡기는 것이다. 이렇게 무의식은 드러나는 현실과 손을 잡는다. 무의식의 상들이 의식화 되고 무의식에서 생성된 새로운 에너지는 의식으로 흘러들어 의식의 결손을 치유하는 힘이 된다. 다시래기는 죽은 자를 위한 것이기 보다 오히려 산자를 위로하기 위한 성격이 더 강한 놀이이다. 죽음이 상실이 아니라 새로 태어남이요, 살아남은 자에게는 새로운 독립된 지도자로의 변환을 뜻한다. 죽은 자와 산 자 모두에게 갱신이라는 이중적 의미를 갖는다. 최근에 민간의 장례절차에서는 다시래기가 사라지고 단지 무대에서 굿으로 그 형태가 일부 보존되고 있다. 지나치게 엄격한 죽음에 대한 집단의식의 일방적 태도를 보상하는 무의식의 표현이 다시래기라면, 그 사라 저감은 죽음을 종결로 보고 너무 쉽게 정리해 버리려는 오늘날의 사회적 태도와 관련성을 고려해 봐야 할 것이다.

• Current Research on Agriculture and Life Sciences
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• 제9권
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• pp.71-86
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• 1991

This study has tried to illuminate a shocking phenomenon, the import liberalization of agricultural products in the aspect of Consumer consciousness. It has been applied that Table Analysis by using computer programming for instance-MINITAB, and Correlation Analysis and Multiple Regression Analysis, things like that. The results of this study are as follows; 1. Comparing domestic and imported stuffs, Comsumers came to awareness that domestic products superior to foreign's in the cases of the degree of freshness, taste and pollution damage, in the meanwhile, inferior to the cases of price and wrapping. Food self-supplyment is considered as one of the most important things of all, moreover, by most comsumers and health food and conventional food are favored by high class people. 2. Bying imported stuffs could clearly be fatal blow to our agriculture is fully recognized among consumers, what is more, there would only be doomed to our agriculture, too. 3. The most mass-purchasing imported stuffs by consumers illustrates in order; Beef, Banana, Coffee and Tabacco etc. The most significant elements why consumers buy foreign product is that the prices of them are relatively lower than those of ours. Besides, the next causes lies to non-producing stuffs and curiosity. 4. It must've been generally conceived by most consumers that Open-the-market-policy has been progressed for USA's repression and our monopolistic capital. Therefore, they demand that our market should be contained against unadviciable wave, moreover, keep paying attention to the policy how it will work to protect Korean agriculture. 5. Consumer attitude toward buying imported agricultural products is double-faced, Never-buy occupied only 24.4 % among respondents, but overwhelming respondents say non-producing stuffs can be obtained selectively. In this case, however, never-buy-movement would be backed by consumers in proportion to their educational background. 6. Various consumer minds surrounding Open-the-market-situation, in the end, has been analized econometrics through eleven variables to approach accurate fulfillments.

• Journal of Chest Surgery
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• 제12권3호
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• pp.281-288
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• 1979

For years, physicians and anatomists have been interested in the heart that has one functioning ventricle. Various terms have been suggested for this entity including single ventricle, common ventricle, double-inlet left ventricle, cor biatriatum triloculare, and primitive ventricle. In this report, the term "single ventricle" is utilized as suggested by Van Praagh, and is defined as that congenital cardiac anomaly in which a common or separate atrioventricular valves open into a ventricular chamber from which both great arterial trunks emerge. An outlet chamber, or infundibulum, may or may not be present and give rise to the origin of either of the great arteries. This definition excludes the entity of mitral and tricuspid atresia. An 11 year old cyanotic boy was admitted chief complaints of exertional dyspnea and frequent upper respiratory infection since 2 weeks after birth. He was diagnosed as inoperable cyanotic congenital heart disease, and remained without any corrective treatment up to his age of 11 year when he suffered from aggravation of symptoms and signs of congestive heart failure for 2 months before this admission. On 22nd of May 1979, he was admitted for total corrective operation under the impression of tricuspid atresia suggested by a pediatrician. Physical check revealed deep cyanosis with finger and toe clubbing, and grade V systolic ejection murmur with single second heart sound was audible at the left 3rd intercostal space. Development was moderate in height [135 cm] and weight[28Kg]. Routine lab findings were normal except increased hemoglobin [21.1gm%], hematocrit [64 %], and left axis deviation with left ventricular hypertrophy on EKG. Cardiac catheterization and angiography revealed 1-transposition of aorta, pulmonic valvular stenosis, double inlet of a single ventricle with d-loop, and normal atriovisceral relationship [Type III C solitus according to the classification of Van Praagh]. At operation, longitudinal incision at the outflow tract of right ventricle in between the right coronary artery and its branch [LAD from RCA] revealed high far anterior aortic valve which had fibrous continuity with mitral annulus, and pulmonic valve was stenotic up to 4 mm in diameter positioned posterolaterally to the aorta. Ventricular septum was totally defective, and one markedly hypertrophied moderator band originated from crista supraventricularis was connected down to the imaginary septum of the ventricular cavity as a pseudoseptum of the ventricle. Size of the defect was 3X3 cm2 in total. Patch closure of the defect with a Teflon felt of 3.5 x 4 cm2 was done with interrupted multiple sutures after cut off of the moderator band, which was resutured to the artificial septum after reconstruction of the ventricular septum. Pulmonic valvotomy was done from 4 mm to 11 mm in diameter thru another pulmonary arteriotomy incision, and right ventriculotomy wound was closed reconstructing the right ventricular outflow tract with pericardial autograft of 3 x 4 cm2. Atrial septal defect of 2 cm in diameter was closed with 3-0 Erdeck suture, and atrial wall was sutured also when rectal temperature reached from 24`C to 35.5`C. Complete A-V block was managed with temporary external pacemaker with a pacing rate of 110/min. thru myocardial wire, and arterial blood pressure of 80/50 mmHg was maintained with Isuprel or Dopamine dripping under the CVP of 25-cm saline. Consciousness was recovered one hour after the operation when his blood pressure reached 100 /70 mmHg, but vital signs were not stable, and bleeding from the pericardial drainage and complete anuria were persisted until his heart could not capture the pacemaker impulse, and patient died of low output syndrome 320 min after the operation.

• Journal of Chest Surgery
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• 제12권3호
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• pp.289-296
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• 1979

For years, physicians and anatomists have been interested in the heart that has one functioning ventricle. Various terms have been suggested for this entity including single ventricle, common ventricle, double-inlet left ventricle, cor biatriatum triloculare, and primitive ventricle. In this report, the term "single ventricle" is utilized as suggested by Van Praagh, and is defined as that congenital cardiac anomaly in which a common or separate atrioventricular valves open into a ventricular chamber from which both great arterial trunks emerge. An outlet chamber, or infundibulum, may or may not be present and give rise to the origin of either of the great arteries. This definition excludes the entity of mitral and tricuspid atresia. An 11 year old cyanotic boy was admitted chief complaints of exertional dyspnea and frequent upper respiratory infection since 2 weeks after birth. He was diagnosed as inoperable cyanotic congenital heart disease, and remained without any corrective treatment up to his age of 11 year when he suffered from aggravation of symptoms and signs of congestive heart failure for 2 months before this admission. On 22nd of May 1979, he was admitted for total corrective operation under the impression of tricuspid atresia suggested by a pediatrician. Physical check revealed deep cyanosis with finger and toe clubbing, and grade V systolic ejection murmur with single second heart sound was audible at the left 3rd intercostal space. Development was moderate in height [135 cm] and weight[28Kg]. Routine lab findings were normal except increased hemoglobin [21.1gm%], hematocrit [64 %], and left axis deviation with left ventricular hypertrophy on EKG. Cardiac catheterization and angiography revealed 1-transposition of aorta, pulmonic valvular stenosis, double inlet of a single ventricle with d-loop, and normal atriovisceral relationship [Type III C solitus according to the classification of Van Praagh]. At operation, longitudinal incision at the outflow tract of right ventricle in between the right coronary artery and its branch [LAD from RCA] revealed high far anterior aortic valve which had fibrous continuity with mitral annulus, and pulmonic valve was stenotic up to 4 mm in diameter positioned posterolaterally to the aorta. Ventricular septum was totally defective, and one markedly hypertrophied moderator band originated from crista supraventricularis was connected down to the imaginary septum of the ventricular cavity as a pseudoseptum of the ventricle. Size of the defect was 3X3 cm2 in total. Patch closure of the defect with a Teflon felt of 3.5 x 4 cm2 was done with interrupted multiple sutures after cut off of the moderator band, which was resutured to the artificial septum after reconstruction of the ventricular septum. Pulmonic valvotomy was done from 4 mm to 11 mm in diameter thru another pulmonary arteriotomy incision, and right ventriculotomy wound was closed reconstructing the right ventricular outflow tract with pericardial autograft of 3 x 4 cm2. Atrial septal defect of 2 cm in diameter was closed with 3-0 Erdeck suture, and atrial wall was sutured also when rectal temperature reached from 24`C to 35.5`C. Complete A-V block was managed with temporary external pacemaker with a pacing rate of 110/min. thru myocardial wire, and arterial blood pressure of 80/50 mmHg was maintained with Isuprel or Dopamine dripping under the CVP of 25-cm saline. Consciousness was recovered one hour after the operation when his blood pressure reached 100 /70 mmHg, but vital signs were not stable, and bleeding from the pericardial drainage and complete anuria were persisted until his heart could not capture the pacemaker impulse, and patient died of low output syndrome 320 min after the operation.

• 한국문헌정보학회지
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• 제42권2호
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• pp.327-370
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• 2008

본 연구는 사서의 직업사회화에 관한 총체적인 행위이론을 도출하기 위한 일차적인 연구로서 사서직의 직업사회화 경험의 의미와 경험의 구조가 무엇인지를 밝히고, 그 이해를 도모하고자 하는 연구이다. 연구의 참여자는 학부에서 문헌정보학(도서관학)을 전공하고, 현재 서울과 경기도의 공공, 대학, 학교, 전문도서관에서 5년 이상의 정규직경험을 가지고 있는 16명의 현직 사서 및 사서교사들이며, 개별적으로 2회의 개방적 및 반구조적인 심층면담을 하여 자료수집이 이루어졌다. 수집된 자료의 현상학적 분석 결과 연구 참여자들이 체험한 사서직의 직업 사회화경험은 1) '업무 심화와 업무능력 화장을 통해 성장함', 2) '조지문화에 순응함', 3) '이용자와 더불어 성숙함', 4) '양면적 직업의식을 가짐', 5) '사서로서의 자기실현을 추구함'의 5개의 주제범주로 도출되었다. 또한 사서의 직업사회화의 총체적 의미는 사서가 상호작용적 조정과정을 농해 공유하는 이상적인 사서 상을 구체화시키고 실현해 나가는 과정으로, 현실에 적합한 전문성을 갖춘 사서 되기를 지향하는 것으로 나타났다.

• 대한가정학회지
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• 제37권1호
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• pp.133-143
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• 1999

Originally, ancestral rites is a ceremony to pay filial piety to ancestors continuously even though they died, and this is a startingpoint based on the thought of paying respect to ancestors and 'root consciousness' which Korean people have. In the earliest days, Korean people worshipped nature and the sacrificial rituals were performed mainly for the fods of the skies and the earth. After the end-Koryeo Era introduced [Juja-Garye]ancestrial rites of forefather in home generalized. By the way, the foods for ancestrial rites on the original literature centering the [Sa-Rye-Pyon-Ram]are as follows: raw meat(saeng: 牲), rice and broth(ban, gaeng: 飯羹), fruits(果), slice meats(po: 脯), salted dry fish(jaban(佐飯), rice punch(sikhye: 食醯), soup(tang: 湯), fish and meat, roasts beef (jeok: 炙), roast vegetable(sookchae: 熟菜), rice cake(pyon: 餠), noodles(麵), soy(醬), Kimchi(沈菜), drink(酒), green tea(cha: 茶) etc. Today, ancestral rites, basically with this conception, has a function to bind the family and relatives as one. But as double income family are increasing, most housewives have heavy burden mentally and financially to prepare the food for the ancestral. The foods for ancestral rites can be said a way to express the internal true heart, and a basic medium to practice the filial piety. Many documents let us know that a few days before the ancestral rites, we should prepare the food for it with careful and pious attitude. And, they stress that our sincere attitude in preparing food is important rather than its quantity. In this industrial society, we have lots of difficulty preparing and observing the same service as it in the traditional socity. But I think that housewives can be freed from the burden they have to some degree when they realize what the true meaning of ancestral rites is and that the food for it plays a role an external expression.

• Journal of Korean Neurosurgical Society
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• 제54권2호
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• pp.100-106
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• 2013

Objective : To investigate the cases of intracranial abnormal brain MRI findings even in the negative brain CT scan after mild head injury. Methods : During a 2-year period (January 2009-December 2010), we prospectively evaluated both brain CT and brain MRI of 180 patients with mild head injury. Patients were classified into two groups according to presence or absence of abnormal brain MRI finding even in the negative brain CT scan after mild head injury. Two neurosurgeons and one neuroradiologist validated the images from both brain CT scan and brain MRI double blindly. Results : Intracranial injury with negative brain CT scan after mild head injury occurred in 18 patients (10.0%). Headache (51.7%) without neurologic signs was the most common symptom. Locations of intracranial lesions showing abnormal brain MRI were as follows; temporal base (n=8), frontal pole (n=5), falx cerebri (n=2), basal ganglia (n=1), tentorium (n=1), and sylvian fissure (n=1). Intracranial injury was common in patients with a loss of consciousness, symptom duration >2 weeks, or in cases of patients with linear skull fracture (p=0.00013), and also more frequent in multiple associated injury than simple one (35.7%>8.6%) (p=0.105). Conclusion : Our investigation showed that patients with mild head injury even in the negative brain CT scan had a few cases of intracranial injury. These findings indicate that even though the brain CT does not show abnormal findings, they should be thoroughly watched in further study including brain MRI in cases of multiple injuries and when their complaints are sustained.

• 패션비즈니스
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• 제6권5호
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• pp.72-86
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• 2002

Recently the fashion design has been expressed mixing trend of antipodal concept. There are shown disorganization of existing standard with eclectism, pursued more sensational fashion by the sense of unease. And there are spreaded body exposure in producing on a commercial scale for sex, are shown the phenomenon by wearing innovation inner-wear in private area are exposed out. The purpose of this study are to consider preponderantly the fashion design using corset, shown up as the motive of costume design from 1990's to 2002's, define the character of molding. and extend the width of understanding of modern fashion. The results of the study are as follows: 1. The trend of deconstructionism as one line of fashion world in the 1990's make into outer garment of inner-wear, corset has been using the main item of infra costume. The past corset was existed innerwear, but it is revived various forms by transforming outer garment of body expression consciously. 2. Corset look is shown double faced factory of the beauty of tradition and decadence, vulgarity and nobility, concealment and exposure, and are expressed boldly the free consciousness outer about woman's sex with the improvement of woman's social position. 3. The molding character of Corset look divided Eroticism, Fetishism, Deconstructionism. Futurism. The trend of Corset look design is the emphasized sexual part of lace-up and cutting line of corset, and various details of see-through, kitsch, glitter look. Therefore, the trend of Corset look will be applied the modern fashion and used as motif of new design, affected the inspiration of more developed design with grafting of up-to-date fabrics and processing technique.