• 제목/요약/키워드: grades 3-4

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특발성 척추 측만증이 있는 초등학생을 대상으로 한 조기 운동요법의 효과 (The Effect of the Early Therapeutic Exercise on Idiopathic Scoliosis in Elementary School Children in Seosan City)

  • 최흥식;민경진
    • 한국전문물리치료학회지
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    • 제7권3호
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    • pp.1-18
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    • 2000
  • The present study was performed to investigate the prevalence rate of idiopathic scoliosis and to determine the effect of exercise training on scoliotic angle in elementary school children. In this study, two out of five elementary schools in Seosan city were chosen by random sampling. Seven hundred sixty four students (from four grade to the sixth grade student) were selected in two schools. Screening tests were conducted to find idiopathic scoliosis. Among the 764 individuals, 139 subjects who showed positive sign in physical examination took whole spine radiography. Thirty six subjects who had a curve of 10 or greater and consented to participate in the exercise program were selected for the exercise program. The exercise program was performed four times a week for 5 months. The results of this study were as follows: 1) One hundred thirty nine subjects showed positive sign in the scoliosis screening test. 2) The overall prevalence of curve of $10^{\circ}or$ greater in X-ray finding was 8.15%. The prevalencies of curve of $10^{\circ}or$ greater in male and female were 7.1% and 9.2%, respectively. 3) Scoliosis curves were observed at thoracic area (48.4%), at thoracolumbar area (27.4%) and at lumbar area(24.4%). 4) Right side curve was 59.7%, and left side curve was 40.3%. 5) After the 5 month exercise program for scoliosis, the Cobb's angle was significantly decreased. 6) There was no significant difference of Cobb's angle change respect to sex, grades, and scoliosis curve site. Results shown here indicates that an early detection and early exercise for scoliosis can result in decreased the Cobb's angle in elementary school children.

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High-Dose Simvastatin Is Effective in Preventing Cerebral Vasospasm after Aneurysmal Subarachnoid Hemorrhage : A Prospective Cohort Study in Korean Patients

  • Woo, Sung Woong;Kim, Jae Hoon;Kang, Hee In;Kim, Deok Ryeong;Moon, Byung Gwan;Kim, Joo Seung
    • Journal of Korean Neurosurgical Society
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    • 제58권4호
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    • pp.328-333
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    • 2015
  • Objective : The goal of this study was to assess the effect of high-dose simvastatin on cerebral vasospasm and its clinical outcome after aneurysmal subarachnoid hemorrhage (SAH) in Korean patients. Methods : This study was designed as a prospective observational cohort study. Its subjects were aneurysmal SAH patients who had undergone aneurysm clipping or coiling. They were assigned to 1 of 3 groups : the 20 mg, 40 mg, and 80 mg simvastatin groups. The primary end-point was the occurrence of symptomatic vasospasm. The clinical outcome was assessed with the modified Rankin Scale (mRS) score after 1 month and 3 months. The risk factors of the development of vasospasm were assessed by logistic regression analysis. Results : Ninety nine patients with aneurysmal SAH were treated and screened. They were sequentially assigned to the 20 mg (n=22), 40 mg (n=34), and 80 mg (n=31) simvastatin groups. Symptomatic vasospasm occurred in 36.4% of the 20 mg group, 8.8% of the 40 mg group, and 3.2% of the 80 mg group (p=0.003). The multiple logistic regression analysis showed that poor Hunt-Hess grades (OR=5.4 and 95% CI=1.09-26.62) and high-dose (80 mg) simvastatin (OR=0.09 and 95% CI=0.1-0.85) were independent factors of symptomatic vasospasm. The clinical outcomes did not show a significant difference among the three groups. Conclusion : This study demonstrated that 80 mg simvastatin treatment was effective in preventing cerebral vasospasm after aneurysmal SAH, but did not improve the clinical outcome in Korean patients.

암의 원인지각에 관한 탐색적 연구 -Q 방법론 적용- (An Inquiry into Causal Perceptions of Cancer)

  • 김분한
    • 대한간호학회지
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    • 제24권3호
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    • pp.364-376
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    • 1994
  • This study was initiated to find the characteristic awareness of disease in Korean culture and then, with its applying to psychological nursing, to help cancer victims cope with their disease. Research period was from Dec. 1, 1989 to Aug.3, 1992. The research method, while the method of face-to-face interview with 33 cancer victims were mainly adopted, was to identify the causal perception through analyses of literature and traditional sayings deeply rooted in Korean culture. The causal perceptions were differentiated into 4 sections, which apply to 32 cancer victims with Q-sorting. Be-ing coded into grades from 1 to 9, the data were analyzed with the aid of Quanal program on PC ; in analyzing Q-factor principal component analysis method was used. The results were revealed as follows : 1. Subject victims owe their disease to 1) the omnipotent and animating powers in Shamanism rooted in Korean culture, 2) their intimate persons, i.e. their husband, wife, children, or other fellows ameng their groups. 3) victims themselves, and 4) nowhere, for they thought the disease is the struggle with their own self. 2. In Q-methodology analysis, cancer victims are categorized into 5 types. The first type, self-mastery type, consisting of 11 subjects, has the characteristic of overcoming their disease with their own strong will or by the help of the Omnipotent God, which is estimated to be the ideal type to cope with the disease. The second type, omnipotent & animating powers-dependent type, consisted of 7 subjects, who have the causal perception of traditional shamanism. The third type, intimate person-dependent type, consisted of 4, all of whom are women and whose causal perception has the characteristic of the their complains about each member of their family, espectially about their husband. The fourth type, fate-recipient type, was the com-plex form of the first and the second types. It consisted of 6 subjects, to whom cancer had meant bad fate coming on them but had to be overcome by their strong will. The fifth type, personal type, consisted of 4, whose causal perception is toward themselves personality It is hoped that the study provide the chance of developing nursing intervention to help cancer victims accept and overcome their disease as their own reality instead of attributing to anyone or any-thing else.

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외국인 유학생과 국내 대학생의 구강건강관리실태에 따른 주관적 구강상태인식도와 구강건강영향지수(OHIP)의 관계 (Subjective oral status perceptionand oral health impact profile(OHIP) according to the oral health management among international and domestic university students)

  • 윤성욱;이은숙;박영남
    • 한국치위생학회지
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    • 제15권4호
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    • pp.687-694
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    • 2015
  • Objectives: The purpose of the study is to investigate the subjective oral status perception and OHIP according to the oral health managementamong international and domestic university students. Methods: self-reported questionnaire was completed by 176 domestic and 175 international university students in Daegu and Gyeongbuk from August 25 to November 1, 2014. The informed consent was received after explanation of the purpose of the study by the researcher. The questionnaire consisted of general characteristics of the subjects, toothbrushing behavior, oral health management, subjective oral status perception. and oral health impact profile (OHIP). The subjective oral status perception and OHIP was measured by Likert 5 point scale. Results: The international students tended to have higher subjective oral status perception when they had longer stay with the roommate in Korea. The female international students tended to have higher OHIP than the male students. The domestic students with lower grades and roommates showed higher OHIP. The international students had a poorer practice of oral health management than domestic students. The overall mean of subjective oral status perception was 3.13 in domestic students, and 3.09 and 3.22 in international students. The overall mean of OHIP was 4.21 in domestic students and 4.25 and 4.16 in the international students, Conclusions: International students had a higher subjective oral status perception than domestic students, but their wrong oral health management lowered their quality of life. It is necessary to provide the oral health management for the international students continuously.

자하거 약침으로 호전된 방아쇠 수지 환자의 증례 보고 (The Case Report of Trigger Finger Improved with Hominis Placenta Pharmacopuncture Treatment)

  • 김정원;김주영;최승범;한상욱;이재철;김동훈
    • 대한약침학회지
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    • 제13권4호
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    • pp.139-147
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    • 2010
  • 본원에서 방아쇠 수지 환자 3례를 자하거 약침으로 5-7회 치료한 결과 유의한 효과가 있었다. 그러나 연구자의 치료예가 부족하여 4도 정도로 굴건의 걸림이 심한 경우나, 양방의 보존적 치료 후 재발되는 경우, 증상이 오래된 경우에 대한 연구와 1년 후의 재발율에 대한 추적 조사가 더 필요한 것으로 생각된다. 그리고 방아쇠 수지를 급성기, 결절형의 염증상태와 만성기, 미만형 퇴행상태로 정확하게 구분하여 염증상태에는 봉약침을 사용하고, 퇴행화 상태에서는 자하거 약침을 사용한다면 좋은 효과를 볼 것으로 기대된다. 앞으로 각종 수지관절 및 건의 질환에 대한 치료방법에 대한 연구가 더욱 더 필요할 것으로 생각된다.

역도 인상동작 불안정성 수준에 따른 발바닥 체성감각요인 분석 (Factor Analysis of the Somatosensory for Foot according to the Instability Level of Snatch Lifting)

  • Moon, Young Jin
    • 한국운동역학회지
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    • 제30권1호
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    • pp.7-16
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    • 2020
  • Objective: It is to find factors related to stability through analysis of plantar pressure factors according to the level of instability when performing Snatch. Method: Foot pressure analysis was performed while 10 weightlifters performed 80% of the highest level of Snatch, and motion was classified and analyzed in 3 grades according to the level of instability. Results: First, in Bad Motion, the movement distance of the pressure center in the direction of ML and AP was larger significantly in Phase 2. Second, in Phase 2, the number of zero-crossing in the AP direction was larger statistically significantly in Good Motion. Third, in the bad motion in Phase 3, the number of zero-crossing in the ML direction showed a significantly larger value. Fourth, in Phase 4, it was found that the more stable the lock out motion, the greater the activity of foot controlling in the left and right directions. Fifth, Phase 3, the greater the Maximum/Mean foot pressure value, the more stable the pulling action. Sixth, in Phase 2, the foot pressure was concentrated with a wide distribution in the midfoot and rearfoot. Seventh, the triggering number of the forefoot region was small in the last pull phase. Eighth, the number of triggers in the toe area was significantly higher during Good Motion in Phase 4. Conclusion: Summarizing the factors of instability in Snatch, there was no significant difference in Phase 1 for each condition. In order to enhance the stability in Phase 2, the sensory control ability in the AP direction is required, and focusing the foot pressing motion with a wide distribution in the middle and rear parts increases the instability. In Phase 3, it was found that the more unstable, the more sensory control activity was performed in the ML direction, the stronger the forefoot pressing action should be performed for a stable Snatch. In Phase 4, It is important that the feet sensory control activity in ML directions and the control ability of the toes in order to have stable Lock out motion.

Estimation of the prevalence of malocclusion on the basis of nationwide oral health examinations of pre-adolescent and adolescent students during 2012-2017

  • Hong, Mihee;Kyung, Hee-Moon;Park, Hyo-Sang;Yu, Won-Jae;Baek, Seung-Hak
    • 대한치과교정학회지
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    • 제50권3호
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    • pp.197-205
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    • 2020
  • Objective: To investigate the prevalence of malocclusion with respect to grade, sex, and year among Korean pre-adolescent and adolescent students during 2012-2017. Methods: A total of 165,996 students (first grade [E1, 6-7 years of age], fourth grade [E4, 9-10 years], seventh grade [M1, 12-13 years], and tenth grade [H1, 15-16 years]) were selected by stratified sampling method and underwent the nationwide oral health examination performed by the Ministry of Education, Republic of Korea. The malocclusion assessments based on dentists' judgments were "no malocclusion," "needs orthodontic treatment (N-OTx)," and "under orthodontic treatment (U-OTx)." The sum of N-OTx and U-OTx cases was determined as the number of students with malocclusion. After analyzing the prevalence of malocclusion according to grade, sex, and year-by-year differences, Pearson correlation analyses and two-way analyses of variance were performed. Results: The prevalence of malocclusion was 18.7%, which increased with the grades (E1 [8.3%] < E4 [15.8%] < M1 [22.9%] < H1 [25.3%], p < 0.001). However, there was no significant difference in the prevalence of malocclusion in each grade group for the period (p > 0.05) without significant correlation (E1, ρ = 0.129; E4, ρ = -0.495; M1, ρ = 0.406; H1, ρ = -0.383; all p > 0.05). The prevalence of malocclusion within each grade group over the six-year period was more prominent in the female (p < 0.0001). Conclusions: Further studies are necessary to modify the malocclusion assessment method to account for specific types of malocclusion in pre-adolescent and adolescent students.

초등학생의 인터넷 중독과 VDT 증후군 및 건강행위 간의 관련성 (The Relationship with Internet Addiction, VDT Syndrome and Health Behavior of Elementary School Students)

  • 이경란;황미혜
    • 한국학교ㆍ지역보건교육학회지
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    • 제9권2호
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    • pp.65-80
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    • 2008
  • Objectives: To identify the relationship between the internet addition of elementary school students, and their health behavior and VDT syndrome, and thereby to detect the impact of internet addiction on the health behavior of elementary school students, to get the basic information necessary to develop a prevention program for internet addiction and to plan for VDT syndrome prevention program. Methods: We conducted this study during the period from jun 27, 2007 through July 8, 2007. The subjects of this study were 416 children whose grades were in 4th through 6th grades of elementary schools located in the city A in Kyung Pook Providence. Data were obtained from self-rating questionnaires. The questionnaires were composed of Korean Internet Addiction Self-examination on Internet Use Patterns (K-scale), Health Behavior Profile, VDT Syndrome, and general characteristics. We used t-test, AVOVA with Ducan method for Post-hoc comparison in means comparison between groups, $X^2$-test for frequency analysis and Pearson's correlation coefficient. We used SPSS/PC(12.0 ver) program and the LISREL 8.53 Win program for covariance structural analysis. Results: Major results were as follows. 1. The internet addiction propensity distribution based on the distribution of scores were investigated according to the self diagnosis scale on internet addiction. 6.5% of them were high risk user group, 14.4% were potential risk users and 79.1% of them were common user groups. 2. Internet addictions by sex, internet use duration, frequency (days/week), time(hours/day), purpose, position, brightness of internet, attitude of parents and frequency of conversation of family members were statistically significant(p<0.01). 3. There was a statistically significant difference in VDT syndrome according to internet addiction groups(p<0.001) besides ocular symptoms, dry mouth and GI troubles. 4. The health behavior score was the lowest in high risk user group(p<0.001). There were significant differences between internet addiction groups in personal hygiene and habits of daily living(p<.002), the prevention of accidents(p<.002), the practice concerned with the prevention of infectious disease(p=.002), and mental health(p<.001). 5. There was also a significant negative correlation between internal addiction and health profile(r=-0.365, p<0.01) and a significant positive correlation between internal addiction and VDT syndrome(r=0.331, p<0.01). 6. As the result of structural model analysis, internet use time(/day), days of internet use(/1week), conversation frequency among family members, degree of brightness of internet use had significant direct effects on internet addiction. Conclusions: The results will help the development of an effective intervention program for the prevention and treatment of internal addiction by clarifying the effect of the internal addiction upon elementary school students' VDT syndrome and health behavior.

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경기 일부 초등학교 고학년생과 교사의 영양교육에 대한 인식조사 (The Condition of Nutrition Education for Elementary School Teachers and $5^{th}&6^{th}$ Grades Students in a Part of Gyeonggi Area)

  • 전지혜;이승교;원향례;정은희
    • 한국지역사회생활과학회지
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    • 제18권2호
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    • pp.335-348
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    • 2007
  • This study aimed to investigate how the current elementary school teachers think about nutrition education, how they are teaching, and what kind of problems have occurred. And this study was made to provide basic materials to be used for the effective nutrition education in the elementary school. The survey was done on 60 elementary school teachers and 570 elementary school students of the 5th and 6th grade in Gyeonggi Province by questionnaire and analyzed for the perception of nutrition education, current status of nutrition education, nutrition knowledge and cooking knowledge. The average scores of nutrition knowledge were 2.72 for male and 3.75 for female students out of full score of 5. The fifth grade students learned more nutrition education than the sixth grade ones in accordance with the different curricula. Nutrition education was taught as apart of other subjects(87%) and mainly done by lectures. For most of the students, information source of the nutrition education was the meal service(47.4%) and the most common one was the Internet that 38.1 % of the teachers used. Most of the students responded that nutrition education was necessary in the curriculum of elementary school for proper growth(36.2%), intelligence(25.9%), health(21.5%), and dieting(16.4%). The perception for the suitable teacher was in the order of nutrition specialist and dietician. And the right time of the related class was in the order of spare time everyday, a special activity time, and the meal service time. The important contents of nutrition education were in the order of proper eating habits, growth & nutrition, food hygiene and diseases. Nutrition problems of the elementary students were in the order of unbalanced diet, too much ingestion of processed and instant foods, lack of table manners, and child fatness and weakness. 80.0% of the teachers supported the early nutrition education and demanded it should begin when children are in kindergarten. The analysis showed that nutrition education should be taught by parents(29.4%), teachers(29.2%), and nutritionists(25.9%) and that family and school should cooperate closely. Main responses of the teachers to the children's problems were that they had too much instant food, did not eat in a variety, and had no manners in eating. Ironically, they thought malnutrition, fainting and growth stunt were not important nutrition related problems.

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혈액 종양 질환에서 항과립구항체 골수 스캔을 이용한 중심 골수와 말초 골수 분포의 분석 (Central and Peripheral Distribution of Bone Marrow on Bone Marrow Scintigraphy with Antigranulocytic Antibody in Hematologic Malignancy)

  • 강도영;이재태;손상균;이규보
    • 대한핵의학회지
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    • 제36권5호
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    • pp.298-305
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    • 2002
  • 목적: 혈액 종양 질환을 가진 한자들에서 과립구에 대한 단일클론항체를 이용한 골수 스캔을 시행하여 혈액 종양 질환의 종류에 따라서 말초 골수의 분포를 등급화하고 중심성 골수의 정량적 섭취율을 구하였으며 또한 이들 상호간의 관련성을 조사하였다. 대상 및 방법: 혈액 종양 환자 중에서 골수 조직검사를 시행하여 진단이 확진되고 Tc-99m antigranulocyte monoclonal mouse antibody BW 250/183를 이용한 골수 스캔을 시행한 환자 50명을 대상으로하였다. 환자는 4군으로서 급성 골수성 백혈병 환자 11명, 급성 임파구성 백혈병 환자 12명, 임파선종 환자 15명, 골수이형성증후군 환자 12명이었다. 골수 스캔의 분석은 말초 골수 분포는 골수 확장 소견에 따라 4개의 등급으로 분류하였고, 중심성 골수 기능은 장골과 천골에 관심영역을 그려 섭취율을 계산하였다. 결과: 말초 골수 확장의 정도는 전체 환자 50명 중에서 1등급에 4명, 2등급에 27명, 3등급에 15명, 4등급에 4명 이었다. 말초 골수 확장의 정도는 골수이형성증후군과 임파구성 백혈병에서 3, 4등급이 58% (7/12)로 심하였고 임파종에서는 1, 2등급이 93% (14/15)로 가장 경하였으며 질환별로 특이적인 분포는 보이지 않았다. 중심성 골수의 섭취율은 4가지 질환 중 골수이형성증후군에서 $8.5{\pm}4.0$으로 가장 높았고, 급성 임파구성 백혈병에서 $5.9{\pm}3.6$으로 가장 낮았으나 4군 간에 통계적으로 유의한 차이는 없었다(p>0.05). 말초 골수 화장 정도에 따른 중심 골수의 정량화는 4가지 등급간에는 섭취율에 있어서 통계적으로도 유의한 차이가 있었으나(p=0.003), 개개의 환자에서 말초 골수 확장 정도와 중심 골수의 정량값의 상관관계는 거의 없었다(r=0.05). 결론: 혈액 종양 질환에서 골수 스캔은 말초 골수의 분포와 중심 골수의 기능에 있어서 질병 특이적인 소견은 보이지 않았으며, 골수의 변화는 말초 골수와 중심 골수에 서로 상관 관계없이 변화를 초래하므로 한 가지 방법으로 보다는 두 가지 방법으로 평가할 필요가 있다.