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The purpose of this study is to identify the structural relations among the desire for work and the factors of empowerment(self-efficacy, self-determination, locus of control, participation in self-help group, critical consciousness) of the beneficiaries with disability of the National Livelihood Security System. A total of 97 surveys was recollected through mail and interview surveys, which was used for the structural equation model analysis using AMOS 18.0 statistics program. The findings of the study were as follows:First, self-efficacy, self-determination and critical consciousness affect the desire for work directly, while others don't. Second, self-determination had an indirect effect on the need for work and critical consciousness had mediating effect on the causal relationship between self-determination and the need for work. Based on the results of this study, Different services, economic support, psychological interventions are needed for beneficiaries with disabilities in order to improve self-efficacy, self-determination and critical consciousness. 본 연구의 목적은 국민기초생활보장제도에 의한 수급권을 가진 지체장애인과 뇌병변 장애인의 근로욕구와 역량강화의 구성요인인 통제소재, 자기효능감, 자조모임, 비판적 의식, 자기결정력 간의 인과적 관계를 규명하는 것이다. 이를 위하여 최종적으로 선정된 97명의 설문자료를 가지고, AMOS 18.0 통계 패키지를 사용하여 변수들의 적합한 구조방정식 모형분석을 실시하였다. 주요 연구결과로는 첫째, 장애인의 자기효능감, 자기결정력, 비판적 의식은 근로욕구에 직접적으로 정적인 영향을 미쳤고, 통제소재와 자조모임 참여는 유의미한 영향력이 없는 것으로 나타났다. 둘째, 장애인의 자기효능감은 통제소재와 자조모임 참여에 영향을 정적 영향을 미쳤으나, 통제소재와 자조모임 참여는 근로욕구에 유의미한 영향을 미치지 않았다. 반면, 자기결정력은 비판적 의식을 매개로 근로욕구에 간접적으로 정적인 영향을 미치는 것으로 확인되었다. 따라서 근로의욕을 높이기 위해 여러 역량강화 요인들 중 자기효능감, 자기결정력, 비판적 의식을 중점적으로 높일 수 있는 교육 프로그램과 기관들을 설립 및 지원할 필요가 있다. 특별히 자조모임의 경우, 단순한 놀이나 취미생활이 아닌 근로와의 연계성을 고려한 프로그램을 실행하고 비판적 의식을 고양하는 능동적 활동으로 진행될 필요가 있다.
Background and Objectives:Tonsillectomy is one of the most comon surgical procedures in otolaryngologic field and it can be caried out under general anesthesia or local anesthesia. The author compared tonsillectomy under local anesthesia to general anesthesia with respect to operation, anesthesia and recovery time as well as satisfaction of the patients. Subjects and Method: (25 patients) and a general anesthesia group (25 patients). Parameters such as time spent for anesthesia, operation, recovery time, episodes of cautery, initiation of normal daily life including normal diet, pain, and complication were compared betwen the two groups. Paired student t-tests were used for statistical analysis. Results:Among other parameters, local tonsillectomy was superior in terms of saving time during anesthesia, operation, recovery as well as hospital course compared to tonsillectomy under differ betwen the two groups. Conclusion:The author fels that local tonsillectomy should be advocated not only for time saving during operation, anesthesia and recovery but also for the satisfaction or compliance of the patients. In these respects, it is sugested that more active training should be provided to surgeons during their residency on tonsillectomy under local anesthesia. (Korean J Otolaryngol 2002;45:714-8)
The psammomatoid ossifying fibroma consisted of numerous cellular fibrous stroma, various bony trabeculae and calcified spherules(psammoma bodies) is known to typically involve the sinonasal tract. It is more destructive than the other benign fibroosseouslesions. Clinical manifestations vary from proptosis, nasal obstruction and headache to cosmetic disfigurement, dependingon the location and the size of lesion. Complete surgical excision is the treatment of choice because of its tendency to recur.The author recently experienced a psammomatoid ossifying fibroma of sinonasal tract in a 37-year-old male with a facial deformityand choanal atresia, had a history of incomplete surgical excision. The choanal atresia was completely removed by endoscopicapproach and the mass in the sinonasal tract was removed by midfacial degloving approach. We report this case withreview of the literature. (Korean J Otolaryngol 2006;49:1212-6)
Background and Objectives:Because of its advantage over the conventional method, power-assisted adenoidectomy has become microdebrider to achieve the most successful outcome in patients with various configuration of adenoid vegetation. Subjects and Method:One hundred ninety-one patients who underwent adenoidectomy in the department of Otolaryngology at Inje University Seoul Paik Hospital from January 2000 to February 2006 were reviewed by charts and recorded video tapes for the techniques that we applied to these patients. Results:Four diferent combinations can be created from two diferent angles of endoscope and microdebrider;transnasal 0° (TN ), transnasal 0° endoscopic guided transoral adenoidectomy using curved microdebrider (TNTO), transoral 70° endoscopic guided transnasal adenoidectomy using straight microdebrider (TOTN) and transoral 70° endoscopic guided transoral adenoidectomy using curved microdebrider (TOTO). TOTO was the most frequent combination for simple adenoid vegetation. However, it is t combined technique was TNTN, which has inherent limitation to use in small sized nares and younger age. In this situation, TOTN is a better alternative to use. Conclusion:From six years of experience, we confirmed that endoscopic guided power-asisted adenoidectomy should be performed with proper combination of endoscope and microdebrider based on the location and configuration of adenoid vegetation. The most ideal combination we consistently applied for removal of adenoid is as follows;first, TNTO, secondly, TOTO. Lastly, TOTN could be useful in selected cases. ;50 :53-8)
The nasal valve spans a minimal cross sectional area of the intake point inside the nose. Acting as a Starling's resistor, it plays a pivotal role in controlling the inspiratory airflow. Nasal valve compromise, better known as nasal valve dysfunction, can be suspected when the patient complains of inspiratory nasal obstruction after trauma or surgery. If the patient has a history highly suspicious of nasal valve compromise, thorough physical examinations are mandatory in order to find the exact epicenter. The deformed L-strut septum and/or upper lateral cartilage are mainly responsible for the static internal nasal valve compromise. Characteristic findings include pinching of the middle vault and an inverted V deformity. Widening the nasal valve area is the most preferred therapy to correct statically narrowed nasal valve compromise. External valve compromise, on the other hand, is dynamically collapsible in many cases as evident during respiration. Typical sign, therefore, includes an inward collapse of alar and/or lateral wall upon inhalation. Treatment strategy, in this particular case, usually involves a cartilage addition to the deficient lateral wall or alar in order to stablize and provide rigidity to the lateral wall and also resist inspiratory negative force. However, surgeons should not be confused by the collapse as it may merely reflect the collapsibility of the structure rather than a genuine epicenter of nasal obstruction. Cartilage graft with or without suturing is the best therapeutic measure for patients with either static or dynamic nasal valve compromise when tackling nasal obstruction. It also enhances the structural integrity of the nasal valve. This review focuses on the various surgical techniques used in repairing nasal valve compromise to increase patency and restore breathing with an emphasis on each specific indication. Korean J Otorhinolaryngol-Head Neck Surg 2014;57(4):214-25