• Title/Summary/Keyword: the Unconscious

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Clinical Analysis of the Laryngo-Tracheal Stenosis (후두 및 기관협착증의 임상적 고찰)

  • 김영호;최은창;최재영;홍원표
    • Korean Journal of Bronchoesophagology
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    • v.3 no.2
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    • pp.261-269
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    • 1997
  • When performing an endotracheal intubation or tracheotomy to an unconscious patient in emergent situations, one should consider the possibility of later complication of laryngo-tracheal stenosis which can result in difficulties in decannulation. Laryngo-tracheal stenosis is a bothersome problem developing as a complication of treatment by tracheotomy with a cuffed tube and long-term endotracheal intubation with assisted ventilation. One hundred twenty-three cases of laryngo-tracheal stenosis patients during the four yew period from May 1992 to April 1996 were restrospectively reviewed according to several parameters such as the duration of intubation, site of stenosis, treatment modality and, site of tracheostoma. The present report is an analysis of these materials to search for the possible etiologic factors and its proper preventive methods. It was desirable that the endotracheal intubation should be limited within 20 days at most. Tracheotomy performed by non-otolaryngologists has a tendency to be on a higher level of trachea. Technical precautions should be taken into consideration when doing a tracheotomy. The success rate of decannulation of tracheal T-tube was 78.8% and it required average 11 months.

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Problem solving and teaching 'group concept' from the point of symmetry (대칭성' 관점에서 본 '문제해결' 및 '군' 개념지도)

  • 남진영;박선용
    • Journal of Educational Research in Mathematics
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    • v.12 no.4
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    • pp.509-521
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    • 2002
  • The purpose of this paper is as follows: $^{\circleda}$ to disclose the essence of symmetry $^{\circledb}$ to propose the desirable strategy of problem-solving as to symmetry $^{\circledc}$ to clarify the relationship between symmetry and group $^{\circledd}$ to propose a way of introduction of 'group' in school mathematics according to its fundamental characteristic, symmetry. This study shows that the nature of symmetry is 'invariance under a transformation' and symmetry is the main idea of 'group'. In mathematics textbooks and mathematics education literature, we find out that the logic of symmetry is widespread. We illustrate two paradigmatic problem related to symmetrical logic and exemplify a desirable instruction of Pascal's triangle. This study also suggests a possibility of developing students' unformal and unconscious conception of group with sym metry idea from elementary to secondary school mathematics.

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A Post-de Manian Look at Romantic Self-Consciousness and the Wordsworthian Case: History, the Subject, (Lyric) Poetry (드 만 이후 낭만적 자의식 다시 보기와 워즈워스의 경우 -역사, 주체, (서정)시)

  • Sohn, Hyun
    • Journal of English Language & Literature
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    • v.60 no.2
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    • pp.339-363
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    • 2014
  • This essay reconsiders the subject of Romantic self-consciousness in a post-de Manian perspective. Self-consciousness is an attribute of Romantic lyricism whereby the poetic speaker I remains conscious of how (s)he feels or lives here and now. This self-reflective feature of Romantic poetry has been controversially interpreted either as self-centered solipsism or as self-expressive objectivism. The question is stirring more disputes among Romantic critics after the advent of New Historicism and Feminism. These two historicistic approaches reprove Romantic poetry for a lack of the sense of history and ascribes it to Romantic self-consciousness. They argue that Romantic poets in general displace historical materiality into an object of internal consciousness, so negating absurd social realities "merely to gain their own immortal soul." This essay targets to overcome this negative stance on Romantic self-consciousness with a "subversive" return to Paul de Man's criticism of Romantic internality.

The Role of Intuition and Logic in Creative Problem Solving Process (창의적인 문제해결과정에서의 직관과 논리의 역할)

  • 이대현
    • The Mathematical Education
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    • v.38 no.2
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    • pp.159-164
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    • 1999
  • The purpose of this paper is to find role of in and logic in creative problem solving process. Intuition and logic have played an important role in creative problem solving process. Nevertheless, Intuition has been treated less importantly than logic. Therefore, I intend to review the role of intuition, and then the relationship of intuition and logic, and the role of intuition and logic in creative problem solving process. Although intuition gives an important clue in problem solving process, it may sometimes cause an error. This fact gives an idea that intuition and logic have to be harmoniously cultivated. In fact, Intuition and logic have been playing a complementary role in creative problem solving process. A creative learner is regarded as a mathematician of his age. It must be through intuition and logic that he/she solves the problem creatively, just as a mathematician invents the new mathematical fact through unconscious and conscious process. In this respective, teachers also should make every effort to cultivate intuition and logic themselves.

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Neoplastic Pericardial Tamponade -1 Case Report- (Neoplastic pericardial tamponade의 치험 1례)

  • Lee, Seok-Gi;Im, Jin-Su;Jo, Nam-Su
    • Journal of Chest Surgery
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    • v.28 no.11
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    • pp.1049-1053
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    • 1995
  • Although neoplastic involvement of the pericardium is frequently present postmortem, cardiac manifestations before death are uncommon, and cardiac tamponade as the initial presentation of cancer is rare. We are presenting a metastatic pericardial tumor with cardiac tamponade of unknown primary neoplasm. The patient brought to hospital in a state of unconscious. The chest x-ray film showed cardiomegaly with a globular heart shape and right pleural effusion. We underwent an anterior thoracotomy and pericardial window was created. The histopathologic finding of pericardium, pleural and pericardial effusion show a metastatic adenocarcinoma. The patient subsequently received adjuvent radiotherapy and chemotherapy, but he expired on the postoperative 132 day.

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A Study on Sensitivity Analysis by Fuzzy Inference Rules Using Color and Location Information

  • Kim, Kwang-Baek;Woo, Young-Woon
    • Journal of information and communication convergence engineering
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    • v.7 no.3
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    • pp.268-274
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    • 2009
  • Human beings can represent state of mind such as psychological state, personality or emotional trouble by the pictures painted on one's own initiative. But in general, it is hard to understand a consulter's unconscious state through one's objective and intentional descriptions only. So one's psychological state and emotional trouble can be understood and cured by color and location information of objects drawn in one's picture. By this reason, a consultant can help and settle a consulter's growth stages of life and emotional trouble through treatment by pictures. In this paper, we proposed a method to find out state of sensitivity by analysis of color and location information represented in a picture and fuzzy inference rules. We applied the proposed method to the states of sensitivity from color information proposed by Alschuler and Hattwick and the psychological states from location information proposed by Grunwald. In the experimental results by the two applications, we verified the proposed sensitivity analysis method is efficient.

Emergency Cesarean Section Rescue of a Fetus from Maternal Severe Drug Intoxication (심각한 약물중독으로 내원한 38주 산모에게 실시된 응급제왕절개술 1례)

  • Park, Jung-Geun
    • Journal of The Korean Society of Clinical Toxicology
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    • v.7 no.1
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    • pp.44-46
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    • 2009
  • Herein, we report a case of emergency cesarean section after severe maternal drug intoxication in late pregnancy. At a 38-week-gestation, a 32-year-old woman with a 10-year history of bipolar disorder took olanzapine (200 mg), diazepam (20 mg), and zolpidem (200 mg) as part of a suicidal attempt. Given her unconscious state and the evident concern regarding the toxic effects of the drugs on the fetus, a cesarean section was performed immediately. The patient gave birth to a male baby with Apgar scores of 5 at 1 and 8 at 5 minutes. The baby showed dyspnea and decreased activity directly after birth. After supportive care, the condition of both mother and baby improved and both were discharged.

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Taiwan's Palliative and Hospice Care Act - Legislative Background and Controversial Issues - (중화민국(타이완) "안녕완화의료조례(安寧緩和醫療條例)"의 연혁과 내용)

  • Suk, Hee-Tae
    • The Korean Society of Law and Medicine
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    • v.9 no.2
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    • pp.77-107
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    • 2008
  • In Republic of Chaina (Taiwan), Natural Death Act named "Anning Huauhe Yiliao Tiaoli" which means palliative and hospice care act was enacted in year of 2000. And enforced in the same year. Many scholars say that Taiwan's Act took Many U.S.A.'s acts such as 'Federal Patient Self-Determination Act 1990', 'California Natural Death Act 1976' and 'Washington Natural Death Act 1979' for a model. Taiwan's Act adopts a few outstanding systems - 'advance declarations' including 'living will' and 'durable power of attorney for health care', 'family-determination system' for a patient who is in a persistent unconscious state. This paper disusses this Act. 'The content is as follow: 1. A background of legislation. 2. The purpose of legislation. 3. The concept of terms. 4. Patient's self-determination. 5. Subrogated determination by family. 6. Keeping documents. 7. Punitive provision. 8. The relationship with euthanasia. 9. Controversial issues.

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A STUDY ON THE PSYCHOTHERAPEUTIC PROCESS OBSERVED IN AN OBSESSIVE COMPULSIVE ADOLESCENT (강박장애 청소년에서 관찰된 정신치료 과정에 관한 연구)

  • Kim, Hak-Riong
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.4 no.1
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    • pp.164-172
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    • 1993
  • By observing the psychotherapy process expressed by an adolescent with obssessive compulsive disorder, the author suggests that the main problem of OCD is not merely a product of an unconscious process as traditionally thought, but a learned problem solving process as a method surviving the more realistic conflicts, and therefore the treatment should be directed to more or less conscious and realistic issues and conflicts, family therapy should be offered too.

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Left Thoracic Sympathetic Ganglionectomy with Thoracoscope for the Treatment of the Long QT Syndrome -A case report- (Long QT 증후군 환자에게 시행한 좌측 흉부 교감신경절 절제술 -1례 보고-)

  • 홍남기;정태은;이정철;한승세;이동협
    • Journal of Chest Surgery
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    • v.33 no.9
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    • pp.766-769
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    • 2000
  • The long QT syndromes have been classified into acquired or inheritary forms, both of which are associated with a characteristic type of life-threatening polymorphic ventricular tachycardia called torsade de points. Beta-adrenergic blocker is the first cholic treatment, but in those whom cardiac events are not prevented by $\beta$-blockade, left thoracic sympathetic ganglionectomy may be useful in selected cases. A 50-year-old woman had an recurrent syncopal attack in which she was unconscious for 1-2 min and 1-2 times a month for 10 years. The EKG revealed that QT & QTc intervals were 744 and 632 msec respectively. Treatment with Beta-adrenergic blocker and calcium channel blocker was ineffective in preventing recurrence of syncopal spell. Therefore, she underwent left thoracic sympathetic ganglionectomy with thoracoscope. During the 9 months after operation, she was free of syncopal episodes and is doing well.

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