• Archives of Plastic Surgery
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• v.34 no.4
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• pp.520-523
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• 2007

Purpose: Verrucous carcinoma is a rare, low-grade and well-differentiated squamous cell carcinoma, representing as a warty tumor. Estimation of the incidence for cutaneous lesions is not available because they are rare. We describe a case of verrucous carcinoma, a rare type, complication of a chronic pressure ulcer of duration more than 15 years. Methods: A 17-year-old boy presented with a large lesion involving the sacral area, which had been neglected for about 15 years. He had a history of surgical extirpation 2 years ago, but not cured. Examination revealed a cauliflower-like mass arising from an irregularly oval-shaped tumor which was $6.0{\times}4.5cm$ in size with signs of infection and ulcer. The lesion involved the sacrococcygeal area, spreading to both medial gluteal regions. The perianal skin did not appear to be directly affected. Results: A preoperative punch biopsy revealed a extremely well differentiated verrucous carcinoma. There were positive results in immunohistochemistry in the items of p53, p63, Ki-67. An 'en-bloc' excision of the tumor with the clinically normal surrounding tissue was carried out. Reconstruction was achieved by local regional flap. Histopathological findings of the excised area fully confirmed the preoperative biopsy report. It remained free of recurrence for a period of about 8 months. Conclusion: We believe that in patients with buttock involvement, regardless of the extent of such tumors, surgical therapy should be considered as the first-choice of treatment as reconstruction can be performed without excessive impairment for the patient.

• Journal of the Korea Society of Computer and Information
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• v.27 no.4
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• pp.213-221
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• 2022

The purpose of this study is to find methods to prevent and improve smart device over-dependence problems by analyzing differences in school life adaptation and academic performance according to children's dependence on smart devices. For this, the data of fifth grade elementary school students in the 12th year were extracted and utilized from Panel Survey of Korean Children. The data were analyzed using non-hierarchical cluster(K-means) analysis, T-test, one-way ANOVA, and Scheffé tests. The results of this study are as follows. First, It has been shown that dependence on smart devices, school adaptation and academic performance have a negative correlation. Second, students in potential and high-risk groups who are highly dependent on smart devices have significantly lower school adaptation compared to those in the safety group. Third, high-risk students showed significantly lower academic performance compared to those in the potential risk group and general group. Based on these findings, it was suggested that for elementary school students who rely on smart devices, various learning support and national efforts such as counseling for school life adaptation are needed.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.26 no.6
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• pp.922-929
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• 2022

This study analyzes the effect of CAE class using PBL on professional knowledge acquisition and competency enhancement. The PBL class was applied to 3rd grade students of Dong-Eui University's Department of Automotive Engineering, and a one-year course, and a survey was conducted on satisfaction and effectiveness in the first and second semesters, respectively. With a significant difference in the survey for each semester, satisfaction in the second semester was found to be high, and satisfaction with non-face-to-face information exchange and team activities was high. In addition, it was evaluated to have a positive effect on the improvement of individual competency such as knowledge of subject, command-led learning, problem-solving ability, and communication. This study has educational implications in that it can be used as a quantitative indicator for class improvement and can be used as basic data for course operation.

• Clinical Pain
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• v.19 no.2
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• pp.116-119
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• 2020

Cervical transforaminal epidural steroid injection (TFESI) is commonly performed to provide relief of pain caused by radiculopathy. Intra-arterial injection of particulate steroid or direct needle injury can lead to spinal artery embolism or thrombosis. Also there is a possibility of vascular spasm. To our knowledge, this is the first reported case of spinal cord infarction that occurred after TFESI with non-particulate steroid in Korea. A 47-year-old female patient underwent C7 TFESI at local pain clinic. Injected materials were dexamethasone and mepivacaine. Right after the intervention, she felt muscle weakness and decreased sensation. On physical examination, she had decreased sensation from C4 to T2 dermatome in light touch and pin-prick test. Proprioception and vibration were intact. The motor grades of upper extremities were grade 1. Cervical and thoracic spine MRI was checked. Diffusion-weighted image and apparent diffusion coefficient image showed long extension of spinal cord infarction from C2 to T1 level.

• Journal of the Korean BIBLIA Society for library and Information Science
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• v.18 no.1
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• pp.117-146
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• 2007

This study analyzes the performance of school library rehabilitation project for the past four years. The project was launched in 2002 as a 5-year project from 2003 to 2007. Based on the analysis, the author suggests some considerations for the second phase of the project. First, librarians are the focal point to manage the library newly built and remodeled at a massive budget of 300 billion Korean won. Second, when developing curriculum employing school libraries, the curriculum should be differentiated by grade. class, textbook and even chapter. Third. the project should demonstrate the positive influence of school libraries on students' academic achievement so that the parents and community leaders voluntarily promote school libraries. Forth, the project should examine diverse users to successfully meet their demand. Fifth, the project should incorporate capacity building in librarian training course. It is also crucial that librarians themselves make visible effort to achieve an expert status before students and fellow teachers.

• Journal of Digestive Cancer Research
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• v.5 no.1
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• pp.62-65
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• 2017

Pancreatic cancer is an aggressive disease and despite the efforts of the past few decades, the 5-year overall survival (OS) rate remains disappointing and does not exceed 10% in Korea. Especially, only 15-20% of patients are candidates for surgical resection because most patients are diagnosed with locally advanced or metastatic disease, and their only treatment approach is palliative chemotherapy. Since the first chemo-regimen of Gemcitabine and Nanoparticle albumin bound (nab) - paclitaxel was brought to clinical practice in 2013, the improvement in overall survival, progression-free survival, and response rate was achieved in patients with metastatic pancreatic adenocarcinoma. We report the case of a young patient with cardiogenic shock accompanied by multi-organ failure after 4^th cycle Gemcitabine and nab-paclitaxel chemotherapy with partial response.

• The Journal of Korean Academic Society of Nursing Education
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• v.29 no.4
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• pp.440-449
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• 2023

Purpose: This study aimed to identify the reciprocal relationship between parenting attitudes (positive and negative) and adolescent emotional problems as indicated by aggression, social withdrawal, and depression. Methods: This study analyzed longitudinal data from 2,325 parents and their children from the Korea Children and Youth Panel Survey 2018 at three time points over a three-year period (the first to third grade of middle school). Autoregressive cross-lagged modeling was conducted using AMOS 26.0. Results: The results indicated that both parenting attitudes and adolescents' emotional problems were relatively stable over time. In other words, the parenting attitude at a previous point affects the parenting attitude at a later point, and the emotional problem at the previous point continues to affect the emotional problem at the later point. There were no significant cross-lagged effects from both positive and negative parenting attitudes to adolescents' emotional problems. In contrast, adolescents' emotional problems at previous time points positively predicted negative parenting attitudes at later time points. In other words, if there were many emotional problems of aggression, social withdrawal, and depression in adolescents at a previous time, negative parenting attitudes such as rejection, force, and inconsistency at a later time increased. Conclusion: This study can reflect the characteristics of the development of independence in adolescence. Parents should deal with their children's emotional problems based on their understanding of the developmental characteristics of adolescence, and this study provides a strategy for parents to establish appropriate parenting attitudes for adolescents with emotional problems.

• Journal of dental hygiene science
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• v.23 no.4
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• pp.271-281
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• 2023

Background: This study aims to improve dental hygiene education by investigating the relationship between metacognition, learning flow, and problem-solving abilities in dental hygiene majors. Methods: A survey was conducted on 2nd to 4th-year students from dental hygiene programs, with 132 responses analyzed. Data analysis involved t-tests and ANOVA to examine the differences in metacognition, learning flow, and problem-solving abilities based on the general characteristics. Multiple regression analysis was employed to investigate the factors influencing the dependent variable, which is problem-solving abilities. The collected data were analyzed using SPSS. Results: First, when comparing metacognition, learning flow, and problem-solving abilities based on the general characteristics of the study participants, statistically significant differences were observed in common factors such as major satisfaction, subjective academic performance, GPA (grade point average), and reason for major choice (p<0.05). Second, it was found that there is a significant positive correlation between metacognition, learning flow, and problem-solving abilities in dental hygiene students (r≥0.79, p<0.05). In other words, higher levels of metacognition and learning flow were associated with better problem-solving abilities. Third, factors influencing problem-solving abilities were identified, with both metacognition and learning flow having a statistically significant positive impact. It was also noted that metacognition had a greater influence on problem-solving abilities compared to learning flow (adjusted R²=0.815, p<0.05). Conclusion: To enhance the core competency of problem-solving abilities, it is essential to improve metacognition and learning flow. To enhance metacognition and promote learning flow, strategies such as goal setting, utilizing effective learning methods, boosting self-efficacy, managing the learning environment, choosing activities that foster immersion, stress management, self-assessment and feedback integration, improving focus, and utilization a variety of learning experiences will be necessary.

• Parasites, Hosts and Diseases
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• v.62 no.1
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• pp.131-138
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• 2024

Halicephalobus gingivalis is a free-living nematode that occasionally causes infections in horses. We report a rare case of limb fracture of horse caused by infection with H. gingivalis. An 8-year-old mare was referred to the Veterinary Hospital of the Federal University of Lavras with claudication grade 5 of the right hind limb, that had been started 3 months ago. The patient had aseptic arthritis in the tarsal joint and edema that extended to the quartile. The radiographic examination showed punctate osteolysis with exacerbation of bone trabeculation along the calcaneus, talus, proximal epiphysis of the third metatarsal and distal epiphysis of the tibia. Treatment for arthritis was initiated, and the animal showed a slight improvement in limb function. However, 21 days after hospitalization, due to a comminuted fracture of the tibia, it was euthanized. At necropsy, yellowish masses were found from the metatarsal to the tibia, and around the tarsal bones and joint. Similar masses were also found in the left kidney. Numerous nematodes compatible with H. gingivalis were identified. This is the first description of a pathological fracture caused by H. gingivalis infection in an equine limb.

• Journal of Engineering Education Research
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• v.27 no.3
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• pp.3-13
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• 2024

Since the launch of ChatGPT, many college students used it extensively in various ways in their curricular learning activities. This study investigates the utilization of ChatGPT in the curriculum of first and second-year engineering students, aiming to examine its influence from a learner perspective. We explored how ChatGPT is used in each subject and learning activity to understand how learners perceive the use of ChatGPT. From the survey data on engineering college students at E university, we examined students' perception on 'shortening time to perform tasks' through ChatGPT, 'dependence on ChatGPT', 'their contribution to individual capacity building', and 'their influence on academic grade'. The majority of students reported extensive use of ChatGPT for learning activities, particularly showing high dependency in liberal arts subjects and coding-related activities. While the use of ChatGPT in liberal arts was seen as not contributing to the enhancement of individual capacity, its use in coding was positively evaluated. Furthermore, the contribution of ChatGPT to the creativity in report writing tasks was highly rated. These findings offer several important implications for the use of AI tools like ChatGPT in engineering education. Firstly, the positive impact of ChatGPT's high usability and individual-capacity enhancement in coding should be expanded to other areas of learning. Secondly, as AI technology progresses, the contribution of AI tools compared to learners is expected to increase, suggesting that students should be encouraged to effectively use AI tools to achieve their learning objectives while maintaining a balanced approach to avoid overreliance on AI.