• Journal of the Korean Orthopaedic Association
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• v.56 no.2
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• pp.157-163
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• 2021

Purpose: Xanthomatosis of the Achilles tendons is rare. In some patients, however, the lesions in the Achilles tendon need to be removed, which may be painful and disfiguring. While studies of successful surgical outcomes for the total resection and reconstruction of the Achilles tendon have been reported, reconstruction surgery has a technical challenge, and extended surgical exposures are required. This study analyzed five cases of bilateral xanthoma of the Achilles tendon, which was treated surgically using a wedge-shaped tendon-sparing approach to eliminate the need for tendon reconstruction. Materials and Methods: From July 2010 to May 2018, five patients with xanthomatosis in both Achilles tendons underwent wedge-shaped tendon preserving surgery. The average age was 49 years (range, 40-55 years), and the follow-up period was 21.4 months (range, 12-31 months). The patients consisted of three males and two females. Complications related to surgery were recorded. The outcome measures included the range of motion of the ankle joint, American Orthopaedic Foot and ankle Society (AOFAS) ankle/hindfoot score, and visual analogue scale (VAS) for overall satisfaction at the last follow-up. The availability of a single-limb heel raise and returning time to work were also measured. Results: Wound dehiscence that did not require secondary surgery was noted in one patient. At the last follow-up, the range of motion of the ankle joint was normal in all patients. The mean AOFAS ankle/hindfoot score was 91 (range, 85-96) and the VAS for the overall satisfaction ranged from 8 to 10. The average time between surgery and return to work was 27.6 days (range, 17-58 days) and all patients could perform a single-limb heel raise test. Conclusion: The tendon-sparing technique, which can preserve the anatomical functioning of the Achilles tendon, could be an excellent surgical approach because it has very promising functional and cosmetic surgical outcomes in patients with Achilles tendon xanthomatosis.

• Journal of Life Science
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• v.33 no.1
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• pp.56-63
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• 2023

In this study, two cases of food poisoning caused by Salmonella that occurred in Gyeongsangnam-do in September 2021 are reported. One of the outbreaks occurred in a school and the other in a company. The molecular epidemiological characteristics of the isolated strains in the two outbreaks were analyzed. In the case of the school outbreak, 29 (4.9%) of 588 individuals experienced diarrhea and abdominal pain. As a result of a test of 36 individuals (patients, n=29; cook workers, n=7), Salmonella enterica serotype Enteritidis was detected in 17 (47.2%) patients, suggesting this serotype was the principal cause. Meanwhile, Salmonella spp. were not detected in 35 food and environmental samples. In the company outbreak, 87 (3.0%) of 2,900 individuals who had intaked from the same source experienced diarrhea, abdominal pain, and fever. In a test of 50 individuals (patients, n=40; cook workers, n=10), S. Enteritidis was detected in 28 patients (56.0%). Also, Vibrio cholerae (NAG) was detected in four patients with S. Enteritidis, and V. cholerae (NAG) only was detected in one patient. Salmonella spp. were not detected in 118 preserved foods, but S. Enteritidis was detected in one eaten food (toast) delivered in group by the company. Through PFGE genetic homology analysis of the isolated strains, all S. Enteritidis detected in patients and consumed foods were the same type. It seems that these S. Enteritidis isolates were the same type as detected in a previous school outbreak and in patients of group food poisoning in other regions, leading to an enhanced problem of food poisoning and epidemiology. Our analytic results can provide data for epidemiological management and food poisoning prevention based on molecular characteristics.

• Journal of the korean academy of Pediatric Dentistry
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• v.50 no.1
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• pp.65-74
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• 2023

This study compared the surface roughness and microbial adhesion characteristics of Omnichroma, a novel composite resin developed using "smart chromatic technology", with those of two other conventional composite resins with different filler compositions. A total of 144 specimens were fabricated using 3 types of composite resins: Omnichroma (nano-spherical), Filtek Z350XT (nanofill), and Tetric N-Ceram (nanohybrid) and, divided into 3 groups of 48. Finishing was performed using tungsten carbide burs. Specimens were then divided into 3 subgroups using different polishing methods: Control, SofLex, and PoGo. Surface roughness was analyzed quantitatively and qualitatively using an atomic force microscope and a scanning electron microscope. Microbial adhesion was assessed by culturing Streptococcus mutans on the specimens for 24 hours and then measuring colony-forming units attached to the upper surface. The surface roughness (Ra) of Omnichroma was 0.123 ㎛ after finishing, and it exhibited a smooth surface compared to the other resins. However, after polishing, there were no significant differences in the surface roughness between the three composite groups, regardless of the polishing methods. The surfaces of the Control subgroups were significantly rougher than those of the SofLex subgroups in all 3 composite groups. However, except for Tetric N-Ceram, there were no significant differences between the Control and PoGo subgroups in the other composite groups. Microbial adhesion assessment showed no significant differences between any of the 3 composite resin subgroups; however, Omnichroma exhibited higher microbial adhesion than the other two composites. No significant correlation was observed between surface roughness and microbial adhesion.

• Journal of the Korean Orthopaedic Association
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• v.54 no.5
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• pp.427-434
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• 2019

Purpose: This study evaluated the long term clinical and radiographic results and the survival rates of unicompartmental knee arthroplasty (UKA). In addition, the factors affecting the survival of the procedure were analyzed and the survival curve was compared according to the affecting factors. Materials and Methods: Ninety-nine cases of UKA performed between December 1982 and January 1996 were involved: 10 cases with Modular II, 44 cases with Microloc, and 45 cases with Allegretto prostheses. The mean follow-up period was 16.5 years. Clinically, the hospital for special surgery (HSS) scoring system and the range of motion (ROM) were evaluated. Radiographically, the femorotibial angle (FTA) was measured. The survival rate was analyzed using the Kaplan-Meier method. Cox regression analysis was used to identify the factors affecting the survival according to age, sex, body mass index, preoperative diagnosis, and type of implant. The Kaplan-Meier survival curves were compared according to the factors affecting the survival of UKA. Results: The overall average HSS score and ROM was 57.7 and 134.3° preoperatively, 92.7 and 138.4° at 1 year postoperatively, and 79.1 and 138.4° at the last follow-up (p<0.001, respectively). The overall average FTA was varus 0.8° preoperatively, valgus 4.1° at postoperative 2 weeks, and valgus 3.0° at the last follow-up. The overall 5-, 10-, 15- and 20-year survival rates were 91.8%, 82.9%, 71.0%, and 67.0%, respectively. The factors affecting the survival were the age and type of implant. The risk of the failure decreased with age (hazard ratio=0.933). The Microloc group was more hazardous than the other prostheses (hazard ratio=0.202, 0.430, respectively). The survival curve in the patients below 60 years of age was significantly lower than those of the patients over 60 years of age (p=0.003); the survival curve of the Microloc group was lower compared to the Modular II and Allegretto groups (p=0.025). Conclusion: The long-term clinical and radiographic results and survival of UKA using old fixed bearing prostheses were satisfactory. The selection of appropriate patient and prosthesis will be important for the long term survival of the UKA procedure.

• Journal of the Korean Institute of Educational Facilities
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• v.4 no.1
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• pp.53-64
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• 1997

지난 20여년간의 비약적 경제 성장을 통하여 우리 사회는 모든 물리적 측면에서 양적인 성장과 질적인 발전을 거듭하여 왔다. 이러한 경제 성장기를 거치면서 우리의 삶은 다각도에서 변화를 겪었으며 건축환경에도 많은 변화가 있었다. 정보화, 세계화라는 시대적 흐름은 우리의 생활자체를 급속도로 변화시키고 있으며 업무용 시설을 포함한 모든 건축물이 대형화, 고층화 뿐 아니라 정보화, 현대화되고 있다. 그러나, 교육의 중요성과 이를 뒷받침해 줄 학교 시설의 중요성에도 불구하고 교육환경의 질적 개선은 상대적으로 낙후되어 있는 상황이라고 할 수 있다. 교육개혁위원회의 교육개혁방안이 계속적으로 나오고 있고 서울의 불암초등학교를 필두로 한 시설 현대화 시범학교가 시도별로 마련되고는 있지만 전반적인 교육 환경은 아직 열악한 상태이다. 특히 구도심부에 위치한 초등학교의 경우, 준공된 후 30년 이상 경과된 학교 건물을 사용하고 있는 경우가 적지 않아 안전상의 문제마저 안고 있는 실정이다. 따라서, 건물의 내구 연한이 그 한계에 달해 가고 유지보수비용이 계속적으로 늘어 경제성을 잃어 가고 있는 학교들을 대상으로 한 재건축과제가 신설 학교의 신축 또는 기존학교의 이전 못지 않은 주요 과제로 대두되고 있다. 더욱이 기존 학교의 재건축사업은 수업을 진행시켜가며 철거 및 신축공사가 단계적으로 수행돼야 한다는 어려움을 갖고 있다. 본 연구는 초등학교의 재건축을 위한 기본적인 자료를 정리하고 배치 및 평면 계획을 중심으로 한 계획 대안을 작성, 검토하여 대안별 장단점을 분석한 후 가장 바람직하다고 평가되는 안을 제시하는 것을 연구의 범위로 하였다. 계획안의 작성에 앞서 실시된 문헌조사 및 실측조사를 통하여, 신축되는 홍파초등학교에 필요한 시설의 내용 및 규모가 산정되었는데 특기할 사항은 좁은 대지임에도 불구하고 가능한 체육관 시설을 포함시키고자 하였다는 것이다. 홍파초등학교 부지는 $8,960m^2$ 정도밖에 안되는 좁은 부지로서 운동장도 제대로 확보할 수 없는 상황이었으나 체육관의 높은 활용도 및 장래의 필요성을 고려하여 소규모라도 계획되는 것이 바람직하다고 판단하였다. 열린교육에의 대응, 제반 특별교실의 확충, 식당 및 지하주차장의 확보 등 모든 시설이 현재 및 장차의 사용에 적합하도록 계획하여 현 시설의 1.5배 정도의 연면적을 갖는 신축 계획안을 작성하였다. 서울대학교와 광운대학교에서 분담하여 실시된 계획안의 작성을 통하여 총 4개의 계획안이 도출되었으며 이 대안들을 채광 및 환기, 학년별 zoning, 기능별 zoning, 열린교실의 정도, 지역사회에의 개방성, 재건축 공사의 용이성, 규모, 옥외공간의 활용성, 동선 계획, 조형성 등 10개 항목을 기준으로 평가하였다. 이러한 비교분석을 통하여 결론적으로 제1안을 최적안으로 제시하게 되었으며, 이를 바탕으로 구체적인 최종 설계안이 도출되기를 기대하는 바이다.

• School Mathematics
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• v.5 no.4
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• pp.459-476
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• 2003

Internet was introduced to this study for making mathematics class the surroundings where students can solve the mathematics problems and communicate mathematically in a free way without restriction of time and place. With the intention of investigating mathematical communication and problem solving in mathematics education using internet, the objects of this study were determined as follows: First, how does a student express mathematical idea in problem solving using internet\ulcorner Second, is there any difference in the degree of participation of mathematical communication according to schoolwork accomplishment and characteristics of the student\ulcorner Third, what's the effect of class using internet on problem solving of mathematics class\ulcorner A case study was executed for the solution and the subjects were all students(44 persons) of a class in the fourth grade of elementary school in D city got into web-site of internet and had class with it and 8 students out of them were deeply analyzed. Their results were shown on internet, and eight of them had interview for deep research after survey with questionnaires for all of the students after class. The results and the conclusions of this study were as follows: First, it showed that there was various types(simple statement, fact enumerating, logical thinking, using letters and formula, insufficiency of explanation) of the mathematical idea expression in internet according to students and study using internet seems to be helpful to the improvement of logical his own expression through other students' expression. Second, it showed that there was difference in mathematical communication participation according to the student's characteristics and it helped students of poor schoolwork be interested and confident in mathematics. Third, it showed that pattern study using internet had effect on forming a habit of reason and verification in problem solving in mathematics class. Accordingly, pattern study using internet seems to have a positive effect on increasing mathematical interests and solving problems in mathematics class.

• Journal of Elementary Mathematics Education in Korea
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• v.13 no.2
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• pp.193-210
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• 2009

This research were to develop and apply an educational program for 6th grade students in mathematics by using level orientated teaching method and to make an analysis of their effects on students' mathematics learning achievements and mathematical disposition. Those purposes is following: First, we develop the level orientated teaching method that fits to the low level and high level students and analyze the effect on students' mathematics learning achievements. Second, we analyze the effect on students' mathematical disposition by using level orientated teaching method. The biggest problem of applying level orientated teaching method is that all the groups should do the meaningful activity while just one group is on process. So we tried to keep the proposition that level orientated teaching method should be helpful to both high and low level students. The duration of the research was about 8 weeks from march 2 to may 22 and the level orientated mathematics program consists in lesson 1 "a fraction and a decimal" to lesson 3 "The range of numbers". The results of this study are as follows : First, there was significant effect to the students, develop level orientated mathematics program and using that program. Second, there was an affirmative effect to the students about mathematical disposition using level orientated mathematics program. To sum up conclusion of this study, the level orientated mathematics program has an affirmative effect on mathematics learning achievements and mathematical disposition. We expect further research about level orientated teaching method and use effective level orientated teaching method widely.

• Journal of dental hygiene science
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• v.16 no.2
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• pp.118-126
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• 2016

This study collected opinions about the design and management of toothbrushing facilities from schoolteachers and the people in charge of public centers, through a focus group interview (FGI), for the development of guidelines. Four moderators conducted eight FGIs of 32 subjects in charge of toothbrushing facilities across all the regions. The qualitative data was analyzed by constant comparative analysis. The findings indicated that more students utilized the facility and brushed their teeth after the installation of toothbrushing facilities. To enhance students' accessibility and safety, guidelines for design and management guidelinesfor toothbrushing facilities need to be developed; the location, sink height and depth, drain size, etc. should be comprehensively considered in the development of the guidelines. This study can help to improve students' satisfaction by enhancing the accessibility, safety, and functionality of toothbrushing facilities, and by providing fundamental data for toothbrushing facilities' development. Finally, this study can maximize the effects of management of toothbrushing facilities management on the improvement of students' oral health and behaviors.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.10
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• pp.433-445
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• 2019

This study was designed to create an innovative Korean school space plan. This was done by performing an analysis of cases of student-tailored class operations and the composition of school space in Sweden's Vittra Telefonplan School. To this end, the research team analyzed prior studies, the Vittra school space and the student-tailored classes through an analysis of the literature, documents and video images. First, the OpenSpace was operating classes tailored to each student's academic growth and needs. Second, the open-space school space played a role as the space for student life. Third, the teacher played a role as an active guide and facilitator of students. Forth, the students' individual learning management team actively conducted coding classes by utilizing IT-based learning platforms. The implications of the Vittra School are as follows. When designing a new school, it is recommended to design a small school as small as possible, organize an open space according to the grade and not by the class, and operate the curriculum around the students' grade. When reorganizing existing schools, it is proposed that standardized classrooms be modified for schools with spare classrooms to create learning spaces that can vary for large to small and to practice project-oriented classes at the grade level.

• Journal of the Korea Convergence Society
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• v.10 no.11
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• pp.199-207
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• 2019

This study was a convergence study of pre- and post-treatment clinical outcomes and radiologic results of school aged flexible flat foot using insole inserted indoor sandal. Thirty five subjects were asked to wear insole inserted indoor sandals at least five times a week and at least four hours a day. Before and after the $4^{th}$ and $8^{th}$ week of the treatment, foot radiography and FAOS questionnaire were performed. Statistical analysis was performed using repeated measure ANOVA. The clinical results showed statistically significant improvement in FAOS symptom and pain category. Radiological results showed a tendency of improvement in the Anterioposterior Talo-$1^{st}$ Metatarsal angle, the Lateral Talo-$1^{st}$ Metatarsal angle, and the Talo-Horizontal angle, but no statistical significance was found. In this study, the use of insole inserted indoor sandal during the majority of the indoor life in school aged flexible flat foot patients is effective in alleviating symptoms and pain relief in the short term.