• Title/Summary/Keyword: 배부

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Adipofascial Flap Distally Based on the Perforating Branch of the Peroneal Artery for Coverage of Dorsum of the Foot and Ankle (족부와 족관절 배부의 피복을 위한 비골 동맥 천공지를 기초로 한 역혈행성 지방근막 피판)

  • Lee, Young-Ho;Choi, Soo-Joong;Sung, Moo-Kwon;Rah, Soo-Kyoon
    • Archives of Reconstructive Microsurgery
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    • v.12 no.1
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    • pp.19-29
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    • 2003
  • Soft tissue reconstruction of dorsum of the foot and ankle has long presented challenging problems for the reconstructive surgeon. Limitations of available local tissue, the need for specialized tissue, and donor site morbidity restrict the options. In an effort to solve these difficult problems, we have begun to use adipofascial flap based on the perforating branch of the peroneal artery. We present our early experience of 5 patients treated with this flap. Our patients ranged from 6 to 26 years in age and included 3 males and 2 females. The etiologies of the wounds were secondary to traffic accident, and crushing injury. The flaps had reverse flow in all patients. The flap and the adjoining raw area were covered with a full-thickness skin graft, while the donor site at the lateral aspect of the leg was closed primarily without grafting. The skin graft was taken from the inguinal area, which was closed primarily. Compared with other flap, this adipofascial flap is thinner, producing less bulkiness to the recipient site and minor aesthetic sequelae to the donor site. In our opinion, this flap is versatile, effective, and an addition to the armamentarium of the reconstructive surgeon for coverage of difficult wounds of the foot and ankle.

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Surgical Resection of a Posterior Mediastinal Tumor That Was Previously Treated with Aortic Stent-graft under the Misdiagnosis of Aortic Aneurysm -A case report- (대동맥류로 오인되어 스텐트 그라프트가 삽입되었던 후종격동 육종의 수술 치험 -1예 보고-)

  • Kim, Mi-Jung;Park, Kay-Hyun;Lim, Cheong;Chung, Eui-Suk;Lee, Hae-Young;Choi, Jin-Ho
    • Journal of Chest Surgery
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    • v.43 no.5
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    • pp.546-549
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    • 2010
  • A 70-year-old man was transferred to our center due to severe epigastric and back pain with the impression of a ruptured thoracic aortic aneurysm. Six months previously, he had undergone insertion of stent graft into the descending thoracic aorta at another hospital. The findings of the computed tomographic scan suggested a rapidly growing malignant mediastinal tumor rather than a ruptured aneurysm. Exploratory thoracotomy confirmed the diagnosis and the tumor was resected along with the portion of the aorta contained in it. This exemplary case should raise the concern against overzealous application of endovascular aortic repair.

The Effect Analysis of a Picture Book-Based Leadership Education Program (그림책을 활용한 리더십교육 프로그램이 유아의 리더십에 미치는 영향)

  • Chung, Nam Mi
    • Korean Journal of Childcare and Education
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    • v.8 no.4
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    • pp.113-136
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    • 2012
  • The purpose of this study was to examine the effects of a picture book-based leadership program on children's leadership. The participants of the study were 76, four- and five-year-old children of two kindergartens located in Seoul. The subjects participated in a 10-week program. The program was conducted once a week, for a total of 10 times during two and a half months. Children's leadership rating scale(Jang & Hwang, 2009) was used in the collection of data by teachers. A pre-post test paired-samples t-test and ANCOVA(analysis of covariance) were conducted to analyze the differences between the experimental group and the comparative group in leadership. The results of this study were as follows: First, there was a significant difference between the experimental group and the comparative group in the leadership scores of 5-year old children of the leadership scores of teachers. Second, there was a significant difference between the experimental group and the comparative group in the scores of challenges and self-confidence, self-control, and problem solving ability among the leadership component factors only among 5-year old children.

The Effects of Social Capital of Child's Perceived Parent-child Relationship, Ego-resilience and Sociodemographic Variables on Children's Happiness (아동의 행복감에 대한 아동이 지각한 부모-자녀관계의 사회적 자본, 자아탄력성, 사회 인구학적 변인의 영향)

  • Jung, Hyun Jung;Moon, Hyuk Jun
    • Korean Journal of Childcare and Education
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    • v.7 no.3
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    • pp.21-42
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    • 2011
  • This study examined the effects of social capital, ego-resilience and sociodemographic variables on children's Happiness. The subjects were 426 5th and 6th grade students living in Seoul. Collected data was subjected to descriptive statistical analysis, t-test, and multiple regression analysis. Results were :(a) Happiness index was higher in the fifth grade and the higher the economic level. There were no significant differences in gender. (b) Ego-resilience was deeply related to Children's Happiness.

Influence factors of Internet addiction tendency of University students (대학생의 인터넷 중독성향 영향요인)

  • Kim, Yun-Jeong;Cho, Hye-Eun;Kim, Ji-Young
    • Journal of the Korea Convergence Society
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    • v.9 no.9
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    • pp.89-95
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    • 2018
  • The purpose of this study was to examine the internet addiction tendency of University students. A self-reported questionnaire was completed by 354 students in the G city from March 15 to May 22, 2017. The data were analyzed by exploratory factor analysis, Pearson's correlation analysis and multiple regression analysis using the SPSS 12.0 program. Factors affecting the internet addiction tendency were using time of internet, consciousness of information ethics(soundness to internet use), self-control(p<0.05). Accordingly, it is necessary to develop mediator program in order to preventive internet addiction to enhance of consciousness of information ethics and control using time of internet and self-control.

The Relationship between Academic Stress and Major Satisfaction of University Students: Factors Affecting Self-Effectiveness and Social Support (대학생의 학업스트레스와 전공만족도의 관계 : 자기효능감과 사회적 지지의 영향요인)

  • Park, Hyo-Jin;Yoo, Eun-Ju;Lee, Hwa-Myung
    • The Journal of the Korea Contents Association
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    • v.20 no.2
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    • pp.310-322
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    • 2020
  • This study also examined the influence of academic stress on major satisfaction of college students and the influence of self-efficacy and social support. The subjects of this study were 320 students attending K university in B city. The 295 questionnaires were collected and 291 questionnaires were finally analyzed except for 4 questionnaires that were insufficient. Major satisfaction had a statistically significant negative correlation with academic stress, and major satisfaction had a statistically significant positive correlation with self-efficacy. Also, major satisfaction had a statistically significant positive correlation with social support. Finally, as a result of examining the effects of each factor, academic stress, self-efficacy, and social support had a significant effect on major satisfaction except for informational support in social support. In order to increase the satisfaction of college students, it is necessary to study the factors that can lower academic stress and develop the program accordingly. It is necessary to develop educational methods and programs that can increase self-efficacy and social support. This is considered to have a positive effect on the satisfaction of college students.

The Effect of Motivation for Major Choice and Satisfaction in Major on the Adaption of university Life among university students (대학생의 전공선택 동기 및 전공만족도가 대학생활 적응에 미치는 영향)

  • Park, An-Sook;Kim, Hey-Kyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.2
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    • pp.511-519
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    • 2016
  • The purpose of this study was to examine the effects of motivation for the selection of major and satisfaction in the major on the adaption of university life among university students and to present basic data to assist in the healthy adaption of university life. A survey was given to university students in Seoul and Chungcheong cities from October 13 to October 27, 2015 of 250 copies of the questionnaire distributed, a total of 242 copies were in the final analysis. For data analysis, SPSS 21.0 for Windows was used. As a result, there were correlations among the variables, the adaption of University life of university students was affected by the personal motivation, social motivation for the selection of major with the largest effect being class satisfaction. The explanatory power was 38%. In conclusion, it is important to develop teaching and learning programs and counselling students considering class satisfaction for improving the adaption to university life.

Relationship of Parenting Stress and Anxiety in Children With ADHD (주의력결핍/과잉행동장애(ADHD) 아동의 불안수준과 어머니 양육스트레스간의 관계)

  • Kim, Se-Yun
    • The Journal of the Korea Contents Association
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    • v.11 no.11
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    • pp.221-230
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    • 2011
  • The purpose of this study was to determine whether parenting stress is related to anxiety in children with ADHD. The data were provided by 112 children between the ages of 7 and 9. Forty nine children with a diagnosis of ADHD were recruited through 3 departments of child psychiatry and 63 normal children were recruited from elementary schools from the same city. The Korean version of Parenting Stress Index-Short Form was used to assess parenting stress and the Korean version of the State Trait Anxiety Inventory for Children was used to assess the level of anxiety. The results show that children with ADHD have significantly higher levels of anxiety and parenting stress than normal children. However, no significant differences in parenting stress and anxiety were found across gender, age, and the type of ADHD. Significant correlation was found between trait anxiety and parental distress and between state anxiety and difficult child. Parenting stress didn't significantly influence on anxiety in children with ADHD. Occupational therapist need to consider that the anxiety level of children with ADHD is different from normal children. It is needed for interventions for children with anxiety symptoms and also consultation and intervention for parents with parenting stress.

The Clinical Study on the Relationship of Headache and Back shapes (두통(頭痛)과 배부체형(背部體形)과의 상관성에 대한 임상적 고찰)

  • Kim, Jang-Hyun
    • The Journal of Pediatrics of Korean Medicine
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    • v.17 no.2
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    • pp.161-171
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    • 2003
  • This study was to investigate the relationship of headache and back shape using the Moire interferometer and Questionnaire investigations. In this study the subjects consisted of 317 pupils[168 boys(53%), 149girls(47%)] attending S high school in Sungnamsi, Kyoungkido in 2002, and their ages ranged from sixteen to eighteen. The results are following. 1. In questionnaire investigation, we observed that the ratio of headache was more than 70% and the ratio of girls are more than that of boys. The inclination for ages was not shown. 2. In moire topography, the remainder values of scapular region were from 0.5 cm to 1.1 cm in boys, and from 0.45 cm to 1 cm in girls. The remainder values of gluteal region were from 0.2 cm to 0.8 cm in boys, and from 0.4 cm to 0.6 cm in girls. The reminder values of the vertical lines of cervical and buttock region were from 0.71 cm to 1.51 cm in boys, and from 0.96 cm to 1.43 cm in girls. More frequent findings of reminder value of the vertical lines of cervical and buttock region were observed that the vertical lines of cervical region were inclined to left than the vertical lines of buttock 3. Through the Pearson's Correlation analysis of headache and Moire topography, we found the close relationship of headache and the remainder values of scapular region(Pearson correlation coefficient : 0.116, P<0.05) and gluteal region(Pearson correlation coefficient : 0.153, P<0.01). But the relevances to headache and the remainder values of neck lines, sacral lines and neck-sacral lines were not found.

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Septoplasty Through Dorsal Approach (비배부 접근법을 통한 비중격 성형술)

  • Gwon, Yong-Seok;Lee, Keun-Cheol;Jeong, Ki-Hwan;Han, Jae-jung;Park, Jung-min;Kim, Seok-Kwun;Park, Si-Hyun;Kim, Ju-Heon
    • Archives of Plastic Surgery
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    • v.32 no.1
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    • pp.43-48
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    • 2005
  • Septal deviations interfere with the nasal airflow and contribute to the deformities in the external appearance of the nose. An aesthetically and functionally satisfactory correction of severe septal deformities often requires temporary intraoperative removal of the septal cartilage for appropriate remodeling. This article describes septoplasty through dorsal approach for the correction of septal deviation. From March 2001 to April 2004, the author performed septoplasty through dorsal approach for the correction of septal deviations on 45 patients, of whom 22 of whom had nasal obstruction. Open rhinoplasty was used for dorsal approach in all patients and operation was performed under the general anesthesia or local anesthesia. The follow-up period of the patients ranged from 3 to 15 months with a mean of 10 months, and postoperative results were quite satisfactory. There was neither incidences of patients' complaints, nor any complications such as hematoma, septal perforation, supratip deformity, or recurrence. And there was some improvement of nasal obstruction in 15 patients. In conclusion, Septoplasty through dorsal approach is an effective method for the correction of septal deviation and improvement of the nasal airway obstruction.