• Title/Summary/Keyword: First-Year Experience

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Clinical Experience of Management of Lower Leg Pain due to Chloroma of Lumbosacral Bone in Chronic Myelogenous Leukemia (만성골수성 백혈병 환자에서 발생한 요천추부 Chloroma로 인한 좌하지통증의 치료경험 1예 보고)

  • Sung, Choon-Ho;Chung, Woon-Hyok
    • The Korean Journal of Pain
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    • v.2 no.1
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    • pp.61-65
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    • 1989
  • Chloroma is a localized myeloblastic tumor which may develop during the course of myelogenous leukemia or as a presenting sign of the disease. A 47-year-old female diagnosed as chronic myelogenous leukemia in her hematologic remission period complained of left lower leg pain. The lumbar-spine series showed multiple osteolytic changes in the left lateral border of the lumbar spine. An inhomogenous soft tissue mass involving left lateral aspects of lumbar vertebrae was identified by CT-scanning. At the first pain attack, lumbar epidural steroid and local anesthetic injection could abolish her pain and the patient could go a few days without pain. The following radiation therapy could also improve the symptom and retain the pain free interval. One month later, a second pain attack occurred and lumbar and caudal epidural steroid and local anesthetic injections could result only in an incidental relief of pain. Radiation and chemotherapy were started but failed to relieve pain. A neurolytic block was considered but the patient's general condition was aggravated and even verbal communication with her became impossible.

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Diagnosis and Treatment of Unilateral Maxillary Sinus Hypoplasia (편측 상악동 저형성증의 진단과 치료)

  • Kim, Soung-Min;Kim, Min-Keun;Kwon, Kwang-Jun;Lee, Suk-Keun;Park, Young-Wook
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.34 no.2
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    • pp.127-132
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    • 2012
  • Maxillary sinus hypoplasia (MSH) is an uncommon clinical disease that represents a persistent decrease in sinus volume, which results from centripetal reaction of the maxillary sinus walls. We present a unilateral MSH case of a 46-year-old male patient with a history of nasal obstruction and headache for 3 years. He had a history of Caldwell Luc operation (CLOP) 10 years ago, and no enophthalmos, hypoglobus or facial asymmetry. After confirming the right diagnosis of MSH, filled with bone in the computed tomography scan, hyperplastic bone was removed by the CLOP approach. The uncinate process and infundibular passage were found to be degenerated and ostium was also examined to be obstructed under endoscopic confirmation. MSH can be mistaken for chronic maxillary sinusitis because of the plain x-ray appearance, so the aggravated state of MSH can be the result of surgeon's misjudgment. With additional literature reviews, this rare experience is first introduced in our Korean oral and maxillofacial surgery field.

Esophageal Atresia with Tracheoesophageal Fistula : A 20 Year Experience of 51 Cases (식도기관루를 동반한 선천성 식도폐쇄 -20년간 51례 치료경험-)

  • Han, Jae-Hyun;Chung, Jae-Hee;Song, Young-Tack
    • Advances in pediatric surgery
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    • v.14 no.1
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    • pp.1-11
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    • 2008
  • The aim of this study is to analyze the outcomes of the esophageal atresia with tracheoesophageal fistula over the last 2 decades. The records of 51 patients born between 1987 and 2006 were reviewed. Twenty-seven patients were male. Mean values of the age, gestational age and birth weight were 2.9 days, 296 days and 2.7kg, respectively. All patients had Gross type C anomalies. Thirty-one patients (60.7 %) had one or more associated congenital anomalies and the most common anomaly was cardiac malformation. In 48 cases, primary anastomosis was done and staged operation was done in one case. Circular myotomies in the proximal esophagus were performed in 9 cases. Postoperative complication developed in 26 cases (54 %): pulmonary complication in 12 cases, anastomotic leakage in 10 and anastomotic stricture in 10, recurrent trachoesophageal fistula in one and tracheomalasia in 2 cases. Reoperation was carried out in 2 patients with anastomotic leaks, the remaining leaks were managed non operatively. Three of the strictures were reoperated upon and the others were successfully managed by balloon dilatations. Overall mortality rate was 15.6 %. Mortality rate of the second 10 years (8 %) period decreased significantly compared to that of the first 10 years (23 %) period.

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A Case of Bronchial Granular Cell Tumor (기관지의 과립세포종 1예)

  • Park, Tae-Byung;Song, Young-Goo;Ku, Sung-Hyun;Ko, Young-Yoon;Hwang, Sung-Chul;Lee, Yi-Hyeong;Joo, Hee-Jae
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.2
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    • pp.243-250
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    • 1996
  • Granular cell tumor(GCT) of tracheobronchial tree is a rare neoplasm comprising approximately 6-10% of all GCT and about 1.6% of all benign tumors of the tracheobronchial tree. Since the first observation of GCT in the bronchus by Kramer in the late 1930s, less than 100 cases have been reported in tracheobronchial tree, and probably no such case have been published in Korea yet. Here we report an experience concerning 53 year-old women with an active pulmonary tuberculosis, who also was diagnosed to have a bronchial GCT on bronchoscopy and immunohistochemistry of the specimens.

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A Study on the Impact of Satisfaction with Public Libraries on Using and Recommending Intention

  • Noh, Younghee;Chang, Rosa
    • International Journal of Knowledge Content Development & Technology
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    • v.10 no.3
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    • pp.69-86
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    • 2020
  • As the South Korean government has recently announced its intention to implement a three-year policy on building additional libraries and complex community centers as the community-based everyday life SOC project, society has shed new light on libraries as public service institutions. Accordingly, this study was conducted to determine the factors affecting resident satisfaction with public libraries, intention to use, and intention to recommend public libraries, for use as basic data to increase resident satisfaction and use of public libraries in South Korea. To this end, we conducted a survey on residents who have experience with using 13 public libraries designated as regional representative libraries in South Korea. The surveyed data was verified with a structural equation using AMOS. The results were as follows. First, all factors, such as material, facility, staff, program, and service, except location and space, had a significant effect on resident satisfaction with public libraries. Second, it was found that satisfaction had a significant effect on the intention to use and intention to recommend. The results of this study may contribute to qualitatively improving public library services by reflecting the changing needs of users, as well as social trends at the working level of libraries in South Korean society.

Endoscopic Thyroidectomy - An Experience of Gasless Axillary Approach - (내시경 갑상선절제술 - 무기하 액와부 접근법의 시술 경험 -)

  • Kim Tae-Hyun;Oh Sang-Hoon;Kim Sang-Hyo
    • Korean Journal of Head & Neck Oncology
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    • v.21 no.1
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    • pp.10-14
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    • 2005
  • Objectives: Various techniques of endoscopic thyroidectomy have been developed in thyroid resection since 1998 in the aspect of excellent cosmetic viewpoint. Of them, we evaluated our experiences and advantages of gasless axillary approach technique for resection of dominant thyroid nodules. Material and Methods: Twenty-nine cases of thyroid nodules were operated by the technique of gasless axillary approach during one year from December 2003 to December 2004. Twenty four patients underwent total lobectomy and five patients were partial lobectomy. Results: The operation time of first case took 300 minutes, however it became gradually shortened with case experiences down to 100-120 minutes. Pathologically, nodular hyperplasia was twenty cases, follicular adenoma five cases, papillary carcinoma three patients, and Hashimoto's thyroiditis one patient. There was no case of conversion to open thyroidectomy. Three cases of postoperative hoarseness were recovered spontaneously in 3 months. Hospital stay was four days for most patients. The cosmetic result was excellent without visible scar in anterior neck and chest. Conclusion: Endoscopic thyroidectomy via gasless axillary approach shows excellent result in cosmetic view point with hidden incision scar at axilla, and shorter hospitalization. However a question of longer operation time for dissection of the long plane over pectoral muscle is still remained.

Autonomy, Teaching Effectiveness, and Clinical Practice Satisfaction for Fundamentals Nursing Clinical Practice in Student Nurses (간호 대학생의 기본간호 임상실습에 관한 자율성, 교수효율성 및 임상실습 만족도)

  • Kim Yeong-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.13 no.1
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    • pp.6-14
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    • 2006
  • Purpose: The purpose of this study was to investigate autonomy, teaching effectiveness, and clinical practice satisfaction for fundamentals nursing clinical practice in student nurses. Method: The participants were 244 sophomores, who had done the practice for 8 weeks from June 17 ${\sim}.33$ August 23, 2005. Autonomy the Caring Perspective(ACP) devised by Boughn(1995) was used to measure autonomy, Instrument to Measure Effectiveness of Clinical Instructor(IMECL) by Reeve(1994) for measuring teaching effectiveness, and an instrument by Moon(2002) for measuring satisfaction. Results: After practice, the role model was seen as rich in knowledge and experience(48.77%). Desirable categories for instructor were full-time professors with a practice background and head nurses(31.97%). Average score for autonomy was 3.71(${\pm}.33$), for teaching effectiveness, 3.67(${\pm}.48$) and for satisfaction 3.51(${\pm}.38$). Autonomy scores were high for students satisfied with their major(F=5.23, p=.006), and interested In practice(F=4.38, p=.014). Teaching effectiveness scores were high for students satisfied with practice (F=2.57, p=.038). Clinical practice satisfaction scores were high for students interested in practice(F=5.01, p=.007). Relationships between autonomy and teaching effectiveness (r=.174, p=.006), and between leaching effectiveness and satisfaction showed a positive correlation(r=.632, p=.000). Conclusion: Interest in clinical practice courses in first year affect autonomy, teaching effectiveness and satisfaction.

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Parenting Education Participation of Mothers in the Transition to Parenthood and Related Variables From the Ecological Systematic Perspective (부모기로의 전이기 어머니의 부모교육 참여경험과 생태체계적 접근에 기반한 관련 변인 연구)

  • Jeong, Yu-Jin
    • Journal of Family Relations
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    • v.20 no.4
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    • pp.131-156
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    • 2016
  • Objective: This study aimed to examine parenting education participation of Korean mothers in the transition to parenthood and its related variables. Method: A study sample was composed of 870 mothers whose first child was younger than one-year old from the Panel Study on Korean Children in 2008(mean age=30.1, SD = 3.69). The descriptive statistics of parenting education participation were presented. In addition, negative binomial and logistic regression models were used in Stata13 in order to examine the variables related to parenting education participation of mothers in the transition to parenthood. Results: Approximately 82% of the mothers reported that they had participated in at least one parenting education program. Further, mother's educational level, monthly household income, mother's working experience, and community type generally predicted parenting education participation of mothers. However, the effects of these variables varied by the subjects and the providing institutions. Conclusion: This study provides the overall picture of parenting education participation of Korean mothers in the transition to parenthood and its related variables. The findings can be utilized to plan more effective parenting education programs for new parents.

Pediatric follicular lymphoma of the parotid gland

  • Choi, Jangyoun;Choi, Hyuk Joon;Yim, Kwangil;Kwon, Ho;Byeon, Jun Hee;Jung, Sung-No
    • Archives of Craniofacial Surgery
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    • v.19 no.4
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    • pp.279-282
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    • 2018
  • Primary malignant lymphoma rarely presents as a mass in the salivary gland. It accounts for about 1% of salivary gland tumors. The lymphomas of the parotid gland are mainly non-Hodgkin's lymphoma of B-cell follicular type. It usually occurs in male adults and is very rare in children. In contrast to the intractable disease course of adult parotid follicular lymphoma, when occurred in children or adolescent, its prognosis is very good when it is first treated with surgical excision. Thus, a solitary follicular lymphoma in an extranodal site that has occurred in children is termed separately as pediatric follicular lymphoma (PFL). We share our treatment experience of a 16-year-old PFL patient through surgical removal combined with superficial parotidectomy. In line with the few previous case reports of PFL, we suggest that active surgical removal should be undertaken for solitary, extranodal follicular lymphoma of the pediatric and adolescent population.

Development of Rental Children's Dress Using the Abandoned Wedding Dress I (웨딩드레스의 업싸이클링 대여 아동드레스 개발 I)

  • Park, Youshin
    • Journal of Fashion Business
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    • v.22 no.5
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    • pp.113-124
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    • 2018
  • This study is to find ways to use fast-fashion wedding dresses continuously which usually have worn three or four times and just wasted, which is an current interesting issue over the society. Among clothing from the 19th Century, three styles of Empire, and Crinoline were analyzed from their underwear styles to outwear styles through library and museums and are made for rental service. Based on 8-year-old girls' physical dimensions, openings and closing methods of each size were applied to develop and make rental dress designs. It will be a good opportunity to study history and develop creativity if children can try different styles of dresses from different cultures and times and also experience difference wearing ways as they also have such desire. Underwears were designed to be worn by adjusting cloth rings, rubber bands, or hook and eye to fit different dimensions. The final products are as follows. First, empire dress doesn't need underwear to wear. Depending on the purpose of the rental dress, the back side of upper clothes have lace up by using cloth rings like empire style. Skirt was cut to use hem lace suitably from wasted dress. Second, Crinoline dress is usually configured of Crinoline, Petticoat, Two Piece on Drawers, Chemise, and Corset. It was designed by flat front, bigger sides and backs by Crinoline and Petticoat.