• 제목/요약/키워드: Paradoxical

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역설적 태도 연구에 기반한 상황적 패러다임 모델 구축 (Building Contingency Paradigm Model based on Paradoxical Attitude Study)

  • 이원준;정상수
    • 한국콘텐츠학회논문지
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    • 제10권2호
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    • pp.412-420
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    • 2010
  • 상품 및 시장의 복잡성으로 인하여 소비자들은 마케팅 대상에 대하여 역설적인 태도를 가지는 현상이 증대하게 되었는데, 이런 역설적인 태도들은 소비자와 상품간의 관계에 중요한 영향을 미치게 된다. 본 연구에서는 심층 면접, 근거 이론 등을 활용하여 최근 그 중요성이 강조되고 있는 농식품을 중심으로 이런 역설적 현상들을 발견하고 소비자의 대응 행동 양식을 이해하고자 하였다. 연구 결과에 의하면 사전의 기대나 소비 경험이 역설을 발생시키는 요인이 되며, 이로 인하여 가격, 유통, 상품, 촉진 및 소비와 관련한 역설적인 품질 경험이 발생하게 됨을 알 수 있었다. 발생된 경험은 인구통계학적 특성의 차이나 기타 기호, 위험 지각 등 중재적 조건의 정도에 따라 차이는 있지만 소비자들에게 품질 역설과 관련된 상호작용이나 커뮤니케이션을 유발하게 되고, 결과적으로 소비자들이 이런 역설적 상황에 보다 효율적으로 대응할 수 있도록 구매 최소화, 잉여분 처분, 참여, 품질기대 조정, 품질기준 재정립, 품질정보원 활용 등 다양한 대응 전략들을 촉진하게 된다.

열린타원구멍을 통한 기이색전증이 발병 원인으로 추정되는 뇌경색 환자의 동서 협진 치험 1례 (A Case Report of Integrative Treatment with Conventional and Korean Medicine Applied to a Patient with Cerebral Infarction Due to Presumed Paradoxical Embolism Through a Patent Foramen Ovale)

  • 김민성;옥효준;양지연;정택수;선종주;유소정
    • 대한한방내과학회지
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    • 제37권5호
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    • pp.733-740
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    • 2016
  • Objective: To evaluate the effects of integrative treatment with conventional and Korean medicine on cerebral infarction due to presumed paradoxical embolism through a patent foramen ovale. Methods: We applied acupuncture, herbal medication, western medication, and physical therapy routinely every day and applied fluid therapy provided as needed. The NIHSS, K-MBI, MRS, MMT, and MMSE-K score were determined to assess any improvement in symptoms. Results: Scores appeared to be improved for the NIHSS (9 to 5), K-MBI (94 to 100), MRS (2 to 1), MMT (2+, 4 to 4, 4), MMSE-K (24 to 26). No side effects were observed during the treatment. Conclusions: This study demonstrates that integrative treatment with conventional and Korean medicine may be an effective option for treating cerebral infarction due to a presumed paradoxical embolism through a patent foramen ovale.

지속성 좌측 상대정맥 환자에서 발생한 드문 색전성 뇌졸중 (Unusual paradoxical embolic stroke in a patient with persistent left superior vena cava)

  • 권태훈;최강운;김병준;조재호;이재영;박규환;이상희;손장원
    • Journal of Yeungnam Medical Science
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    • 제32권2호
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    • pp.118-121
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    • 2015
  • Cardiogenic embolic stroke accounts for approximately 20% of ischemic strokes and the likelihood of its recurrence is high. Paradoxical embolism may be an important cause of cardioembolic stroke, which can be evaluated through multiple diagnostic modalities including transesophageal echocardiography (TTE) or transcranial Doppler. A persistent left superior vena cava (PLSVC) is a rare congenital vascular anomaly, which mainly drains to the right atrium via the coronary sinus. Although rare, PLSVC draining into the left heart predisposes the patient to paradoxical embolism through a right-to-left shunt. We report on a 78-year-old female patient with an ischemic stroke associated with PLSVC draining into the left atrium through the pulmonary vein, which was investigated via TTE with an agitated saline test and computed tomography.

치과치료를 위한 정주진정법에 사용되는 미다졸람에 대한 역설적 반응 -증례 보고 및 문헌고찰- (Paradoxical Reaction to Midazolam Used in Intravenous Sedation for Dental Treatment -Report of a Case and Review of the Literature-)

  • 전재윤;정세화;이병하;임재중;황경균;심광섭;박창주
    • 대한치과마취과학회지
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    • 제9권2호
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    • pp.104-107
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    • 2009
  • Midazolam, one of the most common benzodiazepine derivatives, is widely used in intravenous sedation for dental treatment without severe complications. However, paradoxical reactions to midazolam, including patient's unanticipated restlessness, agitation, hostility, and rage, have been frequently reported since the introduction of benzodiazepine. During outpatient intravenous sedation using midazolam for dental treatment, we experienced a paradoxical reaction to midazolam in a 28-year-old female patient. With a thorough review of the literature, the management of this complication and its various etiologies were discussed.

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대순사상에 대한 한철학적 접근 방법론에 관한 시론 (A Study on Han Philosophical Approaching to The Daesoon Thoughts)

  • 김상일
    • 대순사상논총
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    • 제20권
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    • pp.95-123
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    • 2009
  • This paper is designed to show the relationship between the Daesoon Principle and the recent theories like transpersonal psychology(TP) and predicate logic. According to TP there are 3 categories and 8 elements inside of not only human consciousness but civilization; three are pre-ego, ego, trans-ego, and eight are Uroboros, Typhon, Greater Mother, solarization, and repetition of the previous fours. The former is called, for Ken Wilber, the Average mode and the latter, the Advanced mode. I think that Daesoon thought including general Korean National religions belongs to the Advanced mode. I applied the predicate logic or paradoxical logic to understand of the Harmony of God and Man as well as Correspondence of Yin with Yang. The paradoxical logic has been not acceptable through two thousands years in the western tradition. I call the paradoxical logic the E type logic in this paper. The E type logic is most suitable logic for apprehending the Daesoon philosophy to a large extent. Finally my paper may contribute to the globalization of Daesoon mind system.

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Discrepancy between in vitro and in vivo Effect of $G{\alpha}_s$ Gene Mutation on the mRNA Expression of TRH Receptor

  • Park, Seung-Joon;Yang, In-Myung;Yim, Sung-Vin;Chung, Joo-Ho;Jung, Jee-Chang;Ko, Kye-Chang;Kim, Young-Seol;Choi, Young-Kil
    • The Korean Journal of Physiology and Pharmacology
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    • 제2권1호
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    • pp.101-108
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    • 1998
  • We investigated the effect of ${\alpha}-subunit$ of the stimulatory GTP-binding protein ($G{\alpha}_s$) gene mutation on the expression of the thyrotropin-releasing hormone (TRH) receptor (TRH-R) gene in GH3 cells and in growth hormone (GH)-secreting adenomas of acromegalic patients. In the presence of cyclohexicmide, forskolin and isobutylmethylxanthine, cholera toxin, and GH-releasing hormone (GHRH) decreased rat TRH-R (rTRH-R) gene expression by about 39%, 43.7%, and 46.7%, respectively. Transient expression of a vector expressing mutant-type $G{\alpha}_s$ decreased the rTRH-R gene expression by about 50% at 24 h of transfection, whereas a wild-type $G{\alpha}_s$ expression vector did not. The transcript of human TRH-R (hTRH-R) gene was detected in 6 of 8 (75%) tumors. Three of them (50%) showed the paradoxical GH response to TRH and the other three patients did not show the response. The relative expression of hTRH-R mRNA in the tumors from patients with the paradoxical response of GH to TRH did not differ from that in the tumors from patients without the paradoxical response. Direct PCR sequencing of $G{\alpha}_s$ gene disclosed a mutant allele and a normal allele only at codon 201 in 4 of 8 tumors. The paradoxical response to TRH was observed in 2 of 4 patients without the mutation, and 2 of 4 patients with the mutation. The hTRH-R gene expression of pituitaty adenomsa did not differ between the tumors without the mutation and those with mutation. The present study suggests that the expression of TRH-R gene is not likely to be a main determinant for the paradoxical response of GH to TRH, and that $G{\alpha}_s$ mutation may suppress the gene expression of TRH-R in GH-secreting adenoma. However, a certain predisposing factor(s) may play an important role in determining the expression of TRH-R.

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The Effect of Multiple Value Frames of IT Productivity on Business Performance

  • Kang, Taeg-Yong;Kwon, Do-Wan;Son, Eun-Il
    • 품질경영학회지
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    • 제31권4호
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    • pp.203-218
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    • 2003
  • The ongoing debate over IT productivity has revealed paradoxical effects of IT. This study proposes that IT business value is paradoxical structured. IT impacts are not easy to generalize according to one perspective or paradigm. This study assumes multiplicity in the phenomenon of IT value and explores effects of these multiple interpretations. The study seeks to understand organizational performance. Hypotheses are developed to test the relationship between competing interpretations of IT value and organizational performance. The purpose of this study is to determine whether or not senior managers perceive IT value on the basis of divergent managerial value frames.

심한 호흡곤란을 동반한 역설성성대운동 1예 (A Case of Paradoxical Vocal Fold Movement with Severe Respiratory Distress)

  • 박준우;김지원;임채만;최승호
    • 대한후두음성언어의학회지
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    • 제26권1호
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    • pp.51-53
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    • 2015
  • Paradoxical vocal fold movement (PVFM) is characterized by aberrant vocal fold adduction. Although the exact pathogenesis is unknown, botulinum toxin injection, behavioral techniques, including speech therapy, bio-feedback, and cognitive-behavioral psychotherapy are considered for treatment of PVFM. The effectiveness of these treatments is not fully evaluated because of the rarity of disease. We present a case of 16-year-old female with sudden onset of respiratory distress associated with PVFM refractory to several treatments and spontaneously resolved later.

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