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Definitive Surgical Management for Deep-Seated Mediastinitis and Sternal Osteomyelitis Following Tracheal Reconstruction -Sternectomy, Free or In-Situ Omental Transfer, Myocutaneous Flap- (기관재건술 후 발생한 심부 종격염 -흉골 절제, 위망 이식, 근피성형을 병합한 근치술-)

  • Lee, Seo-Won;Kim, Jung-Taek;Kim, Kwang-Ho;Lee, Choong-Jae;Kim, Young-Mo;Lim, Hyun-Kyoung;Sun, Kyung
    • Journal of Chest Surgery
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    • v.32 no.2
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    • pp.206-210
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    • 1999
  • We report here 2 cases of deep-seated mediastinitis combined with sternal osteomyelitis after tracheal reconstruction which were successfully treated with sternectomy, in-situ or free omental transfer, and pectoralis major myocutaneous flap. In case I, an 8 year-old boy with deep seated mediastinitis and sternal osteomyelitis that developed after anterior tracheoplasty through a standard midline sternotomy. In case II, a 50 year-old female patient with mediastinal abcess and sternal osteomyelitis that developed after resection and end-to-end anastomosis of the trachea through an upper midline sternotomy. Treatments consisted of drainage and irrigation followed by wide resection of the infected sternum, placement of the viable omentum into the anterior mediastinal space, and chest wall reconstruction with a pectoralis major myocutaneous flap. The omentum was transferred as an in-situ pedicled graft in case I and a free graft in case II. Both patients have recovered smoothly wit out any events and have been doing well postoperatively.

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A STUDY OF THE DEVELOPMENT AND STANDARDIZATION OF ADHD DIAGNOSTIC SYSTEM (전산화된 주의력장애 진단시스템의 개발 및 표준화 연구)

  • Cho, Sung-Zoon;Chun, Sun-Young;Hong, Kang-E;Shin, Min-Sup
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.11 no.1
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    • pp.91-99
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    • 2000
  • Objectives:Present study developed the computerized ADHD Diagnostic System(ADS) in order to diagnose ADHD and evaluate treatment effect of it, and conducted a standardization study for ADS. Methods:The normative group was composed of 847 children and adolescents between the age of 5 and 15(boy 429, girl 418) living in the areas of Seoul, Kyunggi-do, and Kangwon-do. 30 ADHD children with age ranged 7 to 9 years were participated present study to evaluate the validity of ADS. To establish the norms for diagnosing ADHD, the means and standard deviations of normative group were used to calculate T-scores for each age group. Results:The reliability coefficient of ADS(Cronbach's ${\alpha}$) was .85. There were significant differences in the measures of ADS except commission error between the normal and the ADHD groups. Three factors were extracted through factor analysis of ADS, which were labelled 'inattention', 'slow information processing' and 'impulsivity'. Discriminant analysis showed that ADS significantly discriminate the normal and the ADHD groups. Percentage of correct classification by ADS variables was 96.7%. Conclusion:These results put together strongly support the reliability and validity of ADS as a diagnostic instrument for ADHD.

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The Influence of Parental Rearing Attitudes on Smartphone Addiction - The Mediating Effect of Aggression and Impulse - (부모양육태도가 스마트폰 중독에 미치는 영향 -공격성과 충동성의 매개효과-)

  • Lim, Jung Ah;Kim, Myung Shig
    • Journal of Digital Convergence
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    • v.16 no.3
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    • pp.395-405
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    • 2018
  • The purpose of this study is to investigate the effects of parental rearing attitudes on smartphone addiction and mediation effect of children's aggression and impulse between them. The randomly chosen 390 subjects of the 4th and 5th elementary school students (boy: 199, girl: 191) of J City participated in this research. The main scales were EMBU-Shot, Smartphone Addiction Scale and NEO-PAS. Spss 22.0 was used for its statistical analysis, that is correlation analysis and regression analysis. The main results are as follows. First, parental rearing attitude, smartphone addiction, and aggression and impulse were statistically significantly correlated. Second, it is testified that rejective parental rearing attitudes statistically significantly increasingly influenced smartphone addiction with partial mediation of aggression and impulse. Also overprotective parental rearing attitudes statistically significantly increasingly influenced smartphone addiction with full mediation of them. It suggested the importance of intervention for aggression and impulse of the children with smartphone addiction as well as parental rearing attitude changes in intervening and counseling them. This study tried to supply evidence-based and basic data for the developing preventive education and counseling programs for them. The limit and future tasks were discussed.

The Study on Hyo Consciousness and Filial Piety of Middle School Students (중학생의 효 의식과 효행에 관한 연구)

  • Lee Sook-Hee;Shin Hyo-Shik;Lee Seon-Jeong
    • Journal of Korean Home Economics Education Association
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    • v.17 no.2
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    • pp.159-170
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    • 2005
  • This Study has an aim to offer the basic materials to teach the establishment and practice of Hyo consciousness to teenagers after finding the degree of accomplishment about their filial piety as the changes of related variables for the subject of this study, the Middle school boys and girls. The results of this research were followings. 1. The objects of research's Hyo consciousness and filial piety was totally high. 2. The teenagers' Hyo consciousness was showed significant difference according to adolescent's sea school's place, parents' job, the level of parents' education, income level, religion, family composition, and the place people who were educated Hyo live. 3. The teenagers' filial piety was showed significant difference according to adolescent's sea mother's job, the level of father's education, religion, and the place people who were educated Hyo live. 4. The teenagers' filial piety was showed significant difference according to Hyo consciousness. 5. In the relative influence of changes of having influence on filial piety, the better relative changes for filial piety were expressed as sex, religion, the place people who were educated Hyo a lot live, and Hyo consciousness. That is, the more they had Hyo consciousness the more they practiced filial piety. and girl students was expressed higher than boy students in practicing.

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A STUDY ON MENTAL HEALTH STATE OF HIGH SCHOOL STUDENTS (고등학생의 정신건강 상태에 관한 연구 -SCL-90을 이용, 서울시 인문계 1 . 3학년을 중심으로-)

  • 김은주
    • Korean Journal of Health Education and Promotion
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    • v.5 no.2
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    • pp.110-141
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    • 1988
  • This study was conducted to find out the mental health state of high school students. First-year students and third-year students af liberal high schools is Seoul were subject to this study. Questionnaire of Symptom Checklist-90 and various factors was adopted for the survey. A total of 916 questionnaires was sellected for the analysis, and the results are obtained as follows; 1) The characteristics in responses to mental health scale showed that obsessive-compulsive scale score was the highest, followed by interpersonal-sensitivity, depression, hostility, and anxiety. The subject group of the students showed higher scores in nine symptom dimensions except somatization than other normal group. 2) Girl-students showed higher scores than boy-students in somatization, depression, and anxiety, whereas the opposite was true in hostility. 3) Third-year students got high scores, in somatization, anxiety and Depression. 4) Parental marriage state of the repondents showed significant differences in nine symptom dimensions of mental health. Scores of the students with parents was the lowest, followed by those of students with only mother, only father and the rest(no parents, divorced, sepaerated, step-parent) in increasing order. 5) Smoking students showed high score in obsessive-compulsive, depression, hostility, paranoid ideation, and psychoticism. Especially in hostility, they got much higher score. 6) Students with poor record at school got higher scores in every symptom dimension than those with good record at school, especially in obsessive-compulsive and depression scale. 7) Parents' attitude toward student showed significant effect on every scale. Students under over-expectation or indifference from parents were in bad mental health state. 8) Students who have advisor proved to be in better mental health state than those who never consult their personal problems with others. 9) He who has family history got higher scores in some scales. 10) Respondents who looked upon what they have learned in high school as being rather an obstacle to sound social life got high scores in all the symptom dimensions and next came those of the students who answered that there were a lot of unnecessary things in their learning. 11) Those for whom it would not quite necessary to enter college if there were little formal schooling discrimination in society got high scores in obsessive-compulsive, interpersonal sensitivity, depression, hostility, and in psychoticism, especially higher in obsessive-compulsive scale. 12) Mental health state of the students who are influenced by the social surroundings, mass media, and the home environments showed high score in 8 symptom dimensions. 13) Abnormal response frequency of this sample is as follows; 24.0% of boys, 23.8% of girls, 22.5% of the first-year students, and 26.9% of the third-year students. There were significant difference among the grades. 14) The factors of distinctive correlation between the dimensions of SCL-90 and 16 factors were the father's negative attitude and depression, negative responses on teaching contents and anxiety, and smoking and hostility. In conclusion, mental health state of liberal highschool students on the whole showed worse than other normal groups. It had close terms with relation with their parents, schoolwork, smoking, teaching contents, the social surrounding, mass media, and the home environments. Thus I believe there need not only mental health education of students, training of teachers, counceling of parents, but also changes in teaching contents, and the improvement of educational system and the social surroundings under the national support.

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TREATMENT OF HORIZONTAL AND VERTICAL ROOT FRACTURE IN IMMATURE PERMANENT TEETH - A CASE REPORT (미성숙 치근의 수직 파절과 수평 파절의 치험례)

  • Song, Seung-Ho;Park, Ho-Won
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.1
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    • pp.92-97
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    • 2004
  • Traumatic injuries in the young peranent dentition are common, but root fractures, defined as fractures in volving dentin, cementum and pulp, are relatively uncommon. Case 1 is a 9-year-old boy who had a horizontal root fracture of his maxillary right central incisor in the apical third. Root canal therapy was performed in coronal segment and calcium hydroxide therapy was initiated. Six months after treatment, a periapical radiograph showed calcific tissue formation and normal root development. 1 year and 3 months later, the canal was permanently obturated with gutta-percha. Case 2 is a 7-year-old girl who had a vertical root fracture of her maxillary right central incisor. Fractured tooth was intentionally extracted atraumatically, and then the separated fragments are bonded with resin cement. the restored tooth was replanted into the original socket. Recalls up to 8 months showed normal mobility and no periapical pathosis. In these cases, we performed conservative treatment. Clinical and radiographic examination showed no pathosis or abnormality of the teeth and periodontal tissue.

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Surgical Management of Dentigerous Cyst for Preserving Permanent Tooth Buds (영구치 보존을 고려한 함치성 낭종의 외과적 처치)

  • Park, Chanyoung;Park, Kitae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.41 no.1
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    • pp.85-92
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    • 2014
  • Dentigerous cyst is the most common developmental odontogenic cyst of the jaw which is associated with unerupted teeth. Treatment modalities range from enucleation to marsupialization. Enucleation is the process in which the cyst is completely removed, and this is usually indicated for smaller lesions. Larger cysts can be treated by marsupialization, which is a process that consists of making a surgical cavity on the wall of the cyst, emptying its content and maintaining the continuity between the cyst and the oral cavity. This procedure allows decompression of the cyst, regeneration of the bone-defected area, and also lets the wall of the cyst change into normal mucosa. This technique will protect adjacent structures and will promote spontaneous eruption of succedaneous teeth previously surrounded by the cyst. These are two case reports of a 5-year-old and an 11-year-old boy with dentigerous cysts found regarding supernumerary tooth and pulpotomized mandibular primary molars, respectively. Due to the large size of the cysts, both cases were treated with marsupialization. This case report shows that in cases regarding large-sized dentigerous cysts, marsupialization can be an effective surgical technique that promotes spontaneous eruption of cyst-involved succedaneous teeth and the preservation of adjacent teeth.

Self-inflicted Tongue Ulceration in a Patient with Tourette Syndrome: A Case Report (뚜렛 증후군 환자에서 자해로 인한 혀 손상 : 증례 보고)

  • Lee, Kkotnim;Kim, Miae;Hwang, Inkyung;Park, Jihyun;Mah, Yonjoo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.43 no.3
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    • pp.327-333
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    • 2016
  • Tourette's syndrome is a chronic neuropsychiatric disorder characterized by the presence of vocal and multiple motor tics. Tics are defined as brief, intermittent, repetitive, unpredictable, purposeless, and stereotyped movements or sounds. Some patients experience physical pain from intense and complex tics. In addition, motor tics can result in self-injury which is a common feature of Tourette's syndrome. A 9-year-old boy was referred by the department of neuropsychiatry because of a severe tongue laceration. His parents reported that he had been biting his tongue irregularly for 2 months before referral and suffered from an intense burning sensation. The repeated biting resulted in ulcers on the tongue, which quickly worsened and led to progressive difficulty chewing and swallowing food. We offered to give him a two-piece removable appliance to limit tongue biting; it was made of soft silicone and fitted to both the maxillary and mandibular arches. As we emphasized that the device could help alleviate his pain, he agreed to accept it and adapted well. Just 3 weeks later, his tongue lesions had healed significantly.

The Effect of Test Anxiety,Intelligence, and Item Arrangement Order on Test Performance in Earth Science (시험불안(試驗不安) 지능(知能) 및 문항배렬(問項配列) 방식(方式)이 지구과학(地球科學) 의험수행(議驗遂行)에 미치는 효과(效果))

  • Kim, Sang-Dal;Yi, Hyang-Sun;Hwang, In-Ho
    • Journal of The Korean Association For Science Education
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    • v.11 no.2
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    • pp.161-178
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    • 1991
  • This study was designed to investigate the effect of test anxiety, intelligence, and item arrangement order on test performance in Earth Science. The main purposes in this study were to investigate (1) (2) (3) (4) on test performance.: (1) the effect of test anxiety components on test performance in Earth Science. (2) the effect of item arrangement order on test performance in Earth Science. (3) the effect of test anxiety This study was designed to investigate the effect of test anxiety, intelligence, and item arrangement order on test performance in Earth Science. The main purposes in this study were to investigate (1) (2) (3) (4) on test performance.: (1) the effect of test anxiety components on test performance in Earth Science. (2) the effect of item arrangement order on test performance in Earth Science. (3) the effect of test anxiety components on test performance in Earth Science according to learner's intelligence levels. (4) test effect of item arrangement order on learner's intelligence. The hypothesis was that there is difference among test achievements scores according to (1) test anxiety-worry levels. (2) item arrangement orders. (3) item arrangement orders on test anxiety-worry levels. (4) test anxiety-worry levels on intelligence levels. (5) test anxiety-emotionality levels. (6) item arrangement orders on test anxiety-emotionality levels. (7) test anxiety-emotionality levels on intelligence levels. (8) item arrangement orders on intelligence levels. The test items selected for this study were derived from the text Science (part 1) first grade of high school. The subjects of this study were 164 of high school first grade boy students in Pusan. They were assigned to one of the three groups, according to test anxiety levels.: (1) upper 25% of total subjects designated to high group (2) middle 50% (3) low group, lower 25% of total subjects And according to LQ. (1) upper 25% of total subjects designated to high group. (2) middle 50%. (3) low group, lower 25% of total subjects Analysis of variance was used in this study for hypothesis examination. The dependent variable was the achievement scores of Earth Science test and independent variables were test anxiety(worry, emotionality) level, LQ. level, item arrangement orders. The principal findings of the present study are as follows: (1)Test achievement score trend decreases as the test anxiety (worry, emotionality) increases although the result is not statistically significant. (2)There is no significant difference among test achievement scores according to item arrangement orders. (3)The higher the LQ. is, the more effective test anxiety. And the LQ. has significant interaction effect with test anxiety. (4)There is significant interaction effect between the LQ. levels and itemqr arrangement orders.

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The Effects of Neurodevelopmental Treatment Approach Based Undressing Skill Training on the Midline Orientation and Protective Reaction of Children With Cerebral Palsy (신경발달치료 접근법을 기초한 옷 벗기 기술 훈련이 뇌성마비 아동의 신체중심선과 보호반응에 미치는 효과)

  • Lee, Hye-Rim;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.14 no.1
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    • pp.41-49
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    • 2016
  • Objective : The purpose of this study was to investigate how undressing skill training based on Neuro-developmental treatment (NDT) approach effected on the midline orientation and protective reaction of children with cerebral palsy (CP). Methods : Two participants of this study were 3 years 5 months old boy and 4 years 5 months old girl, living in B city. They were medically diagnosed as cerebral palsy. Research design used in this study is AB design for a single subject research. There was no intervention on the baseline A phases, and functional activity based NDT was used undressing skill training during the B phases. Midline orientation was tested by Stepping subtest in MAP. Protective reaction was measured by Protective reaction subtest in QUEST. Results : In comparison with the baseline (A), midline orientation was improved above 2 standard deviations at intervention phase (B). and protective reaction was improved above averages in both hands. Conclusion : The study showed undressing skill training based on NDT approach that were effective for midline orientation of children with CP. Undressing skill training was one of the major functional activities. Thus, large studies are required to ensure the training effects.