• Maxillofacial Plastic and Reconstructive Surgery
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• v.41
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• pp.43.1-43.5
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• 2019

Background: Reconstructive surgery is often required for tumors of the oral and maxillofacial region, irrespective of whether they are benign or malignant, the area involved, and the tumor size. Recently, three-dimensional (3D) models are increasingly used in reconstructive surgery. However, these models have rarely been adapted for the fabrication of custom-made reconstruction materials. In this report, we present a case of maxillary reconstruction using a laboratory-engineered, custom-made mesh plate from a 3D model. Case presentation: The patient was a 56-year-old female, who had undergone maxillary resection in 2011 for intraoral squamous cell carcinoma that presented as a swelling of the anterior maxillary gingiva. Five years later, there was no recurrence of the malignant tumor and a maxillary reconstruction was planned. Computed tomography (CT) revealed a large bony defect in the dental-alveolar area of the anterior maxilla. Using the CT data, a 3D model of the maxilla was prepared, and the site of reconstruction determined. A custom-made mesh plate was fabricated using the 3D model (Okada Medical Supply, Tokyo, Japan). We performed the reconstruction using the custom-made titanium mesh plate and the particulate cancellous bone and marrow graft from her iliac bone. We employed the tunneling flap technique without alveolar crest incision, to prevent surgical wound dehiscence, mesh exposure, and alveolar bone loss. Ten months later, three dental implants were inserted in the graft. Before the final crown setting, we performed a gingivoplasty with palate mucosal graft. The patient has expressed total satisfaction with both the functional and esthetic outcomes of the procedure. Conclusion: We have successfully performed a maxillary and dental reconstruction using a custom-made, pre-bent titanium mesh plate.

• Journal of Aquaculture
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• v.17 no.1
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• pp.30-38
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• 2004

To estimate the spawning period the annual change of gonadosomatic index (GSI) were examined from January 2000 to December 2001. Fecundity, spawning frequency and egg diameter were measured by ocular observation. Germ cell differentiation during gametogenesis, the reproductive cycle and the first sexual maturity of greenling Hexagrammos otakii were observed under light microscopy from January to December, 2000. GSI began to increase in August and reached the maximum in November when ovary was getting mature. The reproductive cycle of H. otakii can be divided into five successive stages in females: early growing stage (July), late growing stage (July to August), mature stage (September to October), ripe and spent stage (September to December), and recovery and resting stage (December to June). Males showed four successive stages : growing (June to August), mature (August to October), ripe and spent (September to December), and recovery and resting stage (December to May). According to the frequency distributions of egg diameter in spawning season, H. otakii could be one of polycyclic species spawning 2 times or more during one spawning season. Number of total eggs and mature eggs in the absolute fecundity were related to the standard length and body weight, respectively. Number of total eggs and mature eggs in relative fecundity were also proportional to the standard length, but rather these numbers decreased with body weight. Percentages of first sexual maturity of females and males in greenling were over 50% from 19.1 to 21.1cm in length, and 100% for fish over 25.1cm in length. Therefore, both sexes are ready to reproduce after one year old.

• Journal of Gastric Cancer
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• v.2 no.1
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• pp.26-28
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• 2002

Carcinomas of the stomach can spread to adjacent structure by local extension or metastasize to lymph nodes, peritoneum and distant organs. However, the incidence of metastatic bladder cancer originated at the stomach is very rare. A fifty-five year-old man admitted complaining of epigastric pain for 2 months. A large ulceroinfiltrative lesion was seen in the low body, which was confirmed poorly differentiated adenocarcinoma by histological examination. Abdominopelvic CT scan showed wall thickening at the greater curvature side of gastric body and urinary bladder. Urine cytology was negative. By transurethral resection of bladder, he was diagnosed as metastatic adenocarcinoma of the bladder. We report a case of stomach cancer with metastasis to urinry bladder.

• 한국초등상담교육학회:학술대회논문집
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• 2004.01a
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• pp.189-204
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• 2004

We can usually found the children who do overactive and aggressive behaviors. They disrupt classroom order and cause other children immense damage. Their teachers exert themselves to control or manage them in class. This may lead to a reduction of precious time for teaching-learning classroom activities. This study has counseled those children doing overactive and aggressive behaviors with solution-focused brief counseling. This study also explores the following problems. First, how does solution-focused brief counseling affect their overactive and aggressive behaviors? Second, what changes do they experience through solution-focused brief counseling? Third, is solution-focused brief counseling useful in elementary schools? To do this study task, four students have been chosen with the help of teachers in the fifth year at B Elementary School in Ansan. The four children scored high in Mi-hyun Han's 'The ratings of the child's behavior problems' and Se-Yong Jeong's 'Life of school and behavior test'. They are all eleven years old and had two interviews before the experiment and five interviews during the experiment. The analysis of the counseling has been interpreted according to the different analytical methods based on the tasks. Solution-focused brief counseling's effect on children doing overactive and aggressive behaviors has been studied by quantity-analysis method, their changes in behaviors by quality analysis method; phenomenal and psychological method and the usefulness of this counseling in school surroundings by the joint of above two methods. The analysis has provided the following results. First, solution-focused brief counseling has been effective in the reduction of behavioral problems for those children doing overactive and aggressive behaviors and the continuation of the counseling has had a positive effect but it has depended on the individual characteristics and the degree of severity in their behaviors. Second, solution-focused brief counseling has lent itself to encouraging children to have egostrength, confidence, and volition in their behavioral changes with a favorable attitude to the counseling. Third, The egostrength formed through counseling has led children to a progressive direction of their behaviors in their school life. The increasing frequency in counseling has caused a decreasing time-period expected for counseling, and a feasibility of counseling with less resistance. In conclusion, solution -focused brief counseling may be a useful means to help children have positive self-esteem and lead a proper school life, leading to be a helpful facilitation for school site facing a deficiency of counseling.

• Korean Journal of Childcare and Education
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• v.8 no.5
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• pp.5-24
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• 2012

The purpose of this study was how a nature-friendly fingertips play program with nature affected the development of small muscle functions and creative thinking abilities of young children. The subjects of this study were 28 five year old children. Fourteen of them were from H preschool and the other fourteen were from P preschool in the city of B. The research 'evaluation tool for small muscle motor function development' by Byung Dong Kang(2002) was used to measure the small muscle motor functions of preschool students. The Korean version standardized by Young Chae Kim(2004) was used to measure the development of creative thinking abilities. The study arrived at the following results. First, the nature-friendly fingertips play program affected positively to the development of entire small muscle functions, accuracy, rapidness, and stability for young children. Second, the nature-friendly fingertips play program affected positively to the entire creative thinking abilities, fluency, and resistance to the early conclusion. In conclusion, the nature- friendly fingertips play program affected positively to the development of small motor functions and creative thinking abilities.

• Korean Journal of Childcare and Education
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• v.8 no.5
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• pp.25-45
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• 2012

The aim of the present study was to analyze the elements of young children's leadership which is influenced by socio-demographic variable elements, mother's parental attitude and the ability of children' self-regulation with subjects of 435 five-year-old children and their mothers. Results showed that there was a difference in children's total leadership according to the gender. Regarding differences of mother's rearing attitude, boys showed higher self-control and leadership than girls. In differences of self-regulation and leadership, girls had a higher ability of self-regulation and leadership than boys. For birth order, parents who had more than 2 children show higher Control enemy rearing attitude. Regarding mother's employment, a working mother had freer rearing attitudes. Regarding a mother's educational background, there were differences of groups among rearing attitudes. In differences of family monthly income, there were differences regarding AE static rearing attitudes, autonomous parenting attitudes and get-up-and-go of leadership. Secondly, as a result of the relationship among mother's rearing attitudes had a static correlation between autonomous parenting attitudes and control enemy rearing attitudes. Thirdly, the children's leadership is high when the family income is high, mother's rearing attitude is free and children's ability of self-control is high.

• Korean Journal of Childcare and Education
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• v.8 no.5
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• pp.179-202
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• 2012

This study examined the relationship among children's theory of mind, social skills, and emotional intelligence. A total of 76 five-year old children in the Seoul area participated in this study. Children were tested on three different type of theory of mind tasks and teachers rated their children's emotional intelligence and social competency. SPSS 18, t-test, correlation analysis, and step-wise of multilateral regression were performed for data collection. The results were as follows: First, 40.8% of participants passed the task of theory of mind. There were significant differences in total score of theory of mind, social competence skills, and emotional intelligence between successors and failures. Second, by gender, there were significant differences in total score of theory of mind, social competence skills, and emotional intelligence. Third, there was a relationship between theory of mind and social competence skills, social competence skills and emotional intelligence, and theory of mind and emotional intelligence.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.36 no.4
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• pp.303-308
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• 2010

Excessive oral and maxillofacial bleeding causes upper airway obstruction, bronchotracheal and gastric aspiration and hypovolemic shock. Therefore, the rapid and correct bleeding control is very important for saving lives in the emergency room. Despite the conventional bleeding control methods of wiring (jaw fracture, wound suture and direct pressure), continuous bleeding can occur due to the presence of various bleeding disorders. There are five main causes for excessive bleeding disorders in the clinical phase; (1) vascular wall alteration (infection, scurvy etc.), (2) disorders of platelet function (3) thrombocytopenic purpura (4) inherited disorders of coagulation, and (5) acquired disorders of coagulation (liver disease, anticoagulant drug etc.). In particular, infections can alter the structure and function of the vascular wall to a point at which the patient may have a clinical bleeding problem due to vessel engorgement and erosion. Wound infection is a frequent cause of postoperative active bleeding. To prevent postoperative bleeding, early infection control using a wound suture with proper drainage establishment is very important, particularly in the active bleeding sites in a contaminated emergency room. This is a case report of a rational bleeding control method by rapid wiring, wound suture with drainage of a rubber strip & iodoform gauze and wet gauze packing, in a 26-year-old male cerebral palsy patient with active oral and maxillofacial bleeding injuries caused by a traffic accident.

• Korean Journal of Child Education & Care
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• v.18 no.2
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• pp.49-63
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• 2018

The objective of this study is to understand the effects of storybook making activity based on masterpiece appreciation on the language expression and picture appreciation ability of young children. Targeting 47 five year-old children of S & A kindergartens in Gwangju Metropolitan City, they were randomly assigned like 23 children for experimental group and 24 for comparative group. The experimental group performed the storybook making activity based on masterpiece appreciation for four sessions within 12 weeks while the comparative group expressed their feelings and thought into painting after appreciating masterpieces during the same period of time. Using SPSS 18.0 Program for the collected data, t-test was conducted for differences in the results of language expression and picture appreciation ability. The results of this study are as follows. First, the storybook making activity based on masterpiece appreciation had significant effects on the whole language expression except for sentence length, and it improved the language expression of young children. Second, the storybook making activity based on masterpiece appreciation had significant effects on the overall picture appreciation ability, and it improved the picture appreciation ability of young children. Such results imply that the whole process of appreciating masterpieces and making/appreciating storybook by expressing pre/post stories of painting into writing and drawing would be an effective teaching/learning method for the improvement of language expression and picture appreciation ability of young children.

• Korean Journal of Cleft Lip And Palate
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• v.12 no.2
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• pp.47-56
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• 2009

The orbicularis oris muscle (OOM) is a very important muscle that originate from the second branchial arch and is innervated by the facial nerve. The aim of this study was to elucidate distribution types of two muscle fibers that composing OOM by using enzyme-histochemical examinations and tried to make a basis for a clinical application. The fresh frozen tissues from the superior and inferior portions of the OOM were taken from post mortem 65-year-old Korean male adult. Total five different sagittal sections were used on the midline of the philtrum, the middle portion of lower lip, the mouth corner, and each midlateral side of upper and lower mouth. We used enzyme-histochemical staining such as Periodic Acid-Schiff (PAS), Succinic Dehydrogenase (SDHase), reduced Nicotinamide Adenine Dinucleotide-Tetrazolium Reductase (NADH-TR), Adenosine Triphosphatase (ATPase) in pH 9.4, 4.6 and 4.3, and Modified Gomori Trichrome. There were about 30.24 % type 1 muscle fiber and 65.40 % type 2 muscle fiber in the midline of the philtrum (p < 0.05). Enzyme-histochemical staining is very useful and innovative method to elucidate characteristics of muscle fibers. We expect that chiloplasty and reconstruction of the lip portions for cleft lip patients, based on these results, are better to recovery function and aesthetic. However, we have some problems as an intramuscular variability and the inter-individual variation etc. Therefore we have to make progress these studies continuously to overcome these problems.