• Archives of Plastic Surgery
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• v.49 no.3
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• pp.369-372
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• 2022

Reduction mammaplasty is the gold standard treatment for gigantomastia. We report one female patient with juvenile gigantomastia associated with severe pulmonary hypertension where her pulmonary pressure decreased significantly after the surgery, improving her quality of life. A 22-year-old female patient with gigantomastia since 10 years old, tricuspid regurgitation, and pulmonary thromboembolism antecedent was admitted to the emergency department. Her oxygen saturation was 89%. Acute heart failure management was initiated. An echocardiogram reported left ventricle ejection fraction (LVEF) of 70% with severe right heart dilation, contractile dysfunction, and arterial pulmonary pressure (PASP) of 110 mm Hg. A multidisciplinary team considered gigantomastia could generate a restrictive pattern, so a Thorek reduction mammoplasty with Wise pattern was performed. Presurgical measurements were: sternal notch to nipple-areola complex, right 59 cm, left 56 cm. Three days after surgery, the patient could breathe without oxygen support. In the outpatient follow-up, patient referred reduction of her respiratory symptoms and marked improvement in her quality of life. Six months after surgery, a control echocardiogram showed a LVEF of 62% and PASP of 85 mm Hg. Pulmonary hypertension may be present in patients with gigantomastia. Reduction mammoplasty may be a feasible alternative to improve the cardiac signs and symptoms in patients with medical refractory management.

• Journal of muscle and joint health
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• v.31 no.1
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• pp.1-11
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• 2024

Purpose: This study aimed to evaluate the effects of an arthritis self-management program on elderly women living alone in the community. Methods: This study recruited 36 individuals, who participated in the program once a week for six weeks at two community centers. The program consisted of muscle strengthening and flexibility exercises, health education on muscles and joints, and joint dance for aerobic exercise. The data collected were analyzed using the paired t-test and Wilcoxon rank test. Results: After six weeks, participants showed significant improvements in pain (t=3.03, p=.005), difficulties in activities of daily living (t=2.77, p=.010), health-related quality of life (t=-2.63, p=.014), flexibility of right shoulder (z=-2.42, p=.015), and balance (right leg, t=-2.63, p=.036; left leg, z=-2.36, p=.018). Conclusion: The results showed that the arthritis self-management program effectively improved outcomes for elderly women living alone. Thus, this program could be incorporated into various programs for elderly people living alone.

• Anatomy and Cell Biology
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• v.57 no.3
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• pp.392-399
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• 2024

The recurrent laryngeal nerve is a bilateral branch of the vagus nerve that is mainly associated with the motor innervation of the intrinsic muscles of the larynx. Despite its bilateral distribution, the right and left recurrent laryngeal nerves display unequal length due to embryological processes related to the development of the aortic arches. This length asymmetry leads to theories about morphological compensations to provide symmetrical functions to the intrinsic muscles of the larynx. In this study we investigated the developmental and cross-sectional morphometrics of the recurrent laryngeal nerves in human fetuses. Fifteen stillbirth fetuses donated to anatomical and medical research were used for investigation. Fetuses had intrauterine age ranging from 30 to 40 weeks estimated by biometry methods. Specialized anatomical dissection of the visceral block of the neck was performed to prepare histological samples of the recurrent laryngeal nerves in its point of contact with the larynx, and morpho-quantitative techniques were applied to evaluate the epineurium and perineural space of the recurrent laryngeal nerves. No statistical difference in the cross-sectional morphology of the epineurium and perineural space between right and left recurrent laryngeal nerves intra-individually was confirmed, however, we found evidence that these structures are under greater development in the left recurrent laryngeal nerve during 30 to 40 weeks of intrauterine life. Our data suggest that the nerves are under morphological development that possibly set the stage for accommodation of larger diameter and myelinization of the left recurrent laryngeal nerve during post-natal life.

• The Journal of Korean Society for School & Community Health Education
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• v.13 no.2
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• pp.119-146
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• 2012

Objectives: The purposes of this study were to investigate the life satisfaction, obesity, depression, self esteem, body image of adolescents by their demographic characteristics, to analyze factors impacting on life satisfaction, and to provide basic data to intervention programs for bright and healthy development. Methods: The data in this study came from the Korea Youth Survey Data collected through questionnaires from 10,156 students. To investigate the causal relationship between each variable presented in the research model, descriptive statistics, t-test, ANOVA, Scheffe's test, correlation analysis, hierarchical regression analysis were carried out by using SPSS Ver. 18.0. Results: The most impacting factor on adolescents' life satisfaction were the self-esteem and depression, followed by the economic level, regular exercise, and regular eating. In conclusion, the strongest factors that influenced adolescents' life satisfaction were self-esteem and depression. Also we found that regular eating, regular exercise, and adequate sleep were the important causes of raising adolescents' life satisfaction. Conclusions: In order to enhance the adolescents' life satisfaction, we should make an effort to increase self-esteem, to prevent obesity, and to reduce depression through regular exercise and eating, adequate sleep. Therefore, it is important to recognize the importance of regular exercise and eating through health education. In addition, it is needed desperately to develop sleeping education program and to efforts to ensure sleeping right of adolescents.

• Journal of the Korean Home Economics Association
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• v.41 no.12
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• pp.147-168
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• 2003

The researcher worked with 1001 middle and high school students so as to inquire into family-related variables affecting adolescents' school life maladjustment, relying on average, standard deviation and hierarchical regression. The following are the major findings. 1) The research shows that to look into school life maladjustment on the basis of analysis models including family environment variables and family relationship variables in addition to family background variables offers more explanatory power. 2) Of all the variables, parent relationship variables turned out to have the greatest influences on maladjustment to teacher relationship and teaming activity areas among the subordinate areas of school life maladjustment. 3) Of all the variables, family's physical variables have the greatest influence on maladjustment to regulation-keeping relationship and opposite sex relationship among the subordinate areas of school life maladjustment. 4) Of all the variables, sibling relationship variables have the greatest influence on maladjustment to friendship among the subordinate areas of school life maladjustment. 5) Parent relationship variables have the greatest influence on total school life maladjustment followed by family physical environment, structural environment, the number of family members, cultural environment and residential variables in the right order.

• The Journal of the Convergence on Culture Technology
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• v.2 no.1
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• pp.13-33
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• 2016

In arts, literary is always dealing human emotion and it makes a man weap or laugh among them. Hence, insight on how to write a poet is very effective in view of literary theraphy. The healing effect by literary theraphy on the invisible frame of life gives the resultant limitation using the poetry of a fixed form. Therefore, the search on how to write the free human immune system related on neurons or on how to deal with literary drugs makes our technique creatively developed. In this study, "the right writings for Korean poetry of a fixed form 'Writing Sijo'" is shown to make the literary theraphy more extensible and it is shown to makes the life quality more abundant. This paper suggests the right writing methodology of Sijo in such a view point.

• Science of Emotion and Sensibility
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• v.8 no.1
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• pp.29-36
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• 2005

This study investigated which recumbent posture can give rise to the highest vagal modulation in patients with coronary artery disease(CAD), among three recumbent postures; namely, the supine, left lateral, and right lateral postures. For this purpose, 43 patients as CAD group and 31 patients as control group were studied. Heart rate variability(HRV) was measured on these patients for three recumbent postures in random order Normalized high-frequency power was the highest, whereas normalized low-frequency power was the lowest in the right lateral postures, among the three recumbent postures.

• Journal of Dental Anesthesia and Pain Medicine
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• v.15 no.2
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• pp.63-68
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• 2015

Background: Conventional anesthetic nerve block injections into the mandibular foramen risk causing nerve damage. This study aimed to compare the efficacy and safety of the anterior technique (AT) of inferior alveolar nerve block using felypressin-propitocaine with a conventional nerve block technique (CT) using epinephrine and lidocaine for anesthesia via the mandibular foramen. Methods: Forty healthy university students with no recent dental work were recruited as subjects and assigned to two groups: right side CT or right side AT. Anesthesia was evaluated in terms of success rate, duration of action, and injection pain. These parameters were assessed at the first incisor, premolar, and molar, 60 min after injection. Chi-square and unpaired t-tests were used for statistical comparisons, with a P value of < 0.05 designating significance. Results: The two nerve block techniques generated comparable success rates for the right mandible, with rates of 65% (CT) and 60% (AT) at both the first molar and premolar, and rates of 60% (CT) and 50% (AT) at the lateral incisor. The duration of anesthesia using the CT was $233{\pm}37min$, which was approximately 40 min shorter than using the AT. This difference was statistically significant (P < 0.05). Injection pain using the AT was rated as milder compared with the CT. This difference was also statistically significant (P < 0.05). Conclusions: The AT is no less successful than the CT for inducing anesthesia, and has the added benefits of a significantly longer duration of action and significantly less pain.

• The Korean Society of Law and Medicine
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• v.13 no.1
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• pp.11-40
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• 2012

National Health Insurance Act has been enforced all over the People as part of the effort to assure the minimum constitutional human worth and dignity in the aspect of the right to pursue health for preventing misfortune that comes to death without even a chance to be received treatment for illness or injury. Meanwhile auto insurance is compulsory in certain parts in order to promote benefits of everyday life and the rapid recovery of the damage caused by traffic accident when one have negligently driven a car which has become the necessities in daily life. Any injured driver in a traffic accident can be treated by National Health Insurance without getting an auto insurance in various circumstances, but Article 3 paragraph 2 of Traffic Accident Act don't allow exception of criminal punishment when he has driven a car without license, drunken, or tresspassing the centerline, etc. When the injury occured by his own certain negligence is judged to 'when he has intentionally or through gross negligence caused a criminal conduct or intentionally contributed to the occurrence of an accident' of National Health Insurance Act, insurance benefits can be restricted. Such a restriction could harm the right to pursue happiness and health of People by depriving the poor, who cannot afford to pay, of chances to get treatment. Here we will see benefit restriction by 'gross negligence' of National Health Insurance Act Article 48 paragraph 1, which has largest portion of such restriction. It is desirable to delete 'gross negligence' clause from above paragraph and to interpret 'when' clause restrictively for diminishing confusion of interpreting and guaranteeing the right of health.

• Korean Journal of Applied Biomechanics
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• v.22 no.2
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• pp.141-150
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• 2012

This study aims to provide the basic biomechanical data on the average, maximum and distribution of plantar pressure during hockey penalty stroke by comparing five skilled and five unskilled players. Following are the conclusions. First in the case of average and maximum planter pressure during penalty stroke, the skilled players showed higher pressures at the moment of left foot landing in rear plantar of left foot and fore, rear plantar of right foot compared to the unskilled players. Also at the moment of impact, the skilled players showed higher pressures in fore, rear plantar of left foot and fore plantar of right foot compared to the unskilled. The analysis drew the conclusion that the skilled players move their center of body from fore, rear plantar of right foot to fore, rear plantar of left foot at the moment of left foot landing and impact in order to perform a quick and strong shooting. Second in the case of plantar distribution, as the skilled players put over 70% of their weights on left foot, they showed overall higher plantar pressure distributed on the outer fore, mid and rear parts of left foot plantar, in contrast with the unskilled players who showed about 50/50 distribution of weights on their right and left foot. The analysis concluded that such distribution was shown because the skilled players transferred their weights from the right to left foot effectively while the unskilled players could not do so.