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함초롬,박경일,박혜연,황철웅,김종연,김태년,진재용,이성순 白中央醫療院 2005 仁濟醫學 Vol.26 No.1
Vocal cord dysfunction (VCD) is a respiratory disorder characterized by the abnormal adduction of the vocal cords upon inspiration, expiration, or both, leading to a diverse array of acute obstructive airway signs and symptoms (wheezing, chest tightness, shortness of breath, and cough). VCD frequently mimics or confounds asthma. Misdiagnosis as asthma has led to inappropriate treatment, most notably with high-dose corticosteroids. Mistaken for anaphylaxis or angioedema, VCD has led to intubation and tracheostomy. VCD should be suspected in patients who are treated aggressively for asthma but continue to experience dyspnea. The diagnosis of VCD is made from direct visualization of the vocal cords during an attack. Inspiratory, anterior vocal cord closure with a posterior glottic chink is seen. On pulmonary function testing, a pattern of "saw-toothing", or fluttering of the inspiratory limb, representing fluctuations in the abnormal cord motion is seen in VCD patient. Treatment includes discussion of the diagnosis with the patients, discontinuing unnecessary medications, using of a helium-oxygen mixture in acute attack. Speech therapy and psychotherapy are the mainstays of long-term treatment. Here in we report a case of VCD in company with asthma.
무용전공대학생의 특성불안이 진로결정 자기효능감에 미치는 영향 : 무용멘토링의 매개효과
함초롬,김영미 한국무용학회 2021 한국무용학회지 Vol.21 No.3
본 연구는 무용전공대학생의 특성불안과 진로결정 자기효능감의 관계에서 무용멘토링의 매개효과 검증하는데 목적을 두고 수도권에 소재하고 있는 무용전공 4년제 대학생 227명을 대상으로 설문조사를 실시하였다. 수집 된 자료를 분석한 결과 첫째, 무용전공대학생의 특성불안은 진로결정 자기효능감과 무용멘토링에 부(-)적 상관 관계를 나타내지만, 무용멘토링은 진로결정 자기효능감에 정(+)적 상관관계가 있는 것으로 나타났으며 둘째, 특성불안과 진로결정 자기효능감과의 관계에서 무용멘토링이 부분매개로 매개효과가 있는 것으로 나타났다. 따라서 본 연구는 무용전공대학생들의 진로문제에서 측정가능한 주관적 요소인 특성불안과 그를 조절 할 수 있는 프로그램인 무용멘토링에 대한 기초자료를 제공하며 무용전공대학생의 진로문제에 대한 지속적인 관심과 더욱 실효성 있는 프로그램의 개발의 필요성을 시사한다. This study surveyed 227 four-year dance majors located in the metropolitan area with the aim of verifying the mediating effect of dance mentoring in the relationship between anxiety-trait and career decision-making self-efficacy of dance majors. As a result of analyzing the collected data, first, it was found that dance mentoring had a positive (+) correlation with career decision self-efficacy and dance mentoring, but second, dance mentoring had a mediating effect in the relationship between anxiety-trait and career decision self-efficacy. Therefore, this study provides basic data on anxiety-trait, which is a subjective factor measurable in the career problem of dance majors, and dance mentoring, a program that can control it, suggesting the need to develop a more effective program.
함초롬,김용욱,박종미 대한노인재활의학회 2023 Geriatric rehabilitation Vol.13 No.1
As the geriatric population grows rapidly, the incidence of stroke is high in the elderly (age > 65 years) and peaks in the oldest old (age > 85 years). However, there is conflicting evidence regarding the effectiveness of rehabilitation in the oldest old stroke patients. We report the case of a 93-year-old man with hemiplegia, cognitive impairment, aphasia, and dysphagia after acute stroke. The patient underwent rehabilitation evaluation within 48 hours of disease onset and started early mobilization. After being transferred to the Department of Rehabilitation Medicine, he underwent eccentric biased strengthening exercises and customized treatment to prevent complications. After 4 months of intensive inpatient rehabilitation, his functional level (FIM total from 25 to 51), aphasia (AQ score from 5.9 to 12.4), and dysphasia improved. He could independently walk to the toilet using an anterior walker. Although aging progression is associated with reduced effectiveness of rehabilitation treatment, our case report suggests that early multidisciplinary intensive inpatient rehabilitation may bring significant functional benefits to the oldest-old population.