• Journal of Korean Neurosurgical Society
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• v.30 no.1
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• pp.33-40
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• 2001

Objective : Aneurysms of vertebral artery and its branches make up approximately 3% of all intracranial aneurysms. As the aneurysm have an intimate relationship with lower cranial nerves and medulla, surgical management of the aneurysms are one of the challenging neurosurgical problems. The authors analyzed the management outcomes for aneurysms arising from vertebral artery and its branches. Methods : At the authors' institution between May 1989 and Jan. 2000, 42 patients were treated with transcranial and endovascular surgery for aneurysms of vertebral artery and its branches. The medical records and neuroimaging studies of the patients were reviewed retrospectively. Results : Forty two patients were comprised of 28 female and 14 male patients aged from 26-80 year old(mean : 51.8). Of the 42 patients, 37 patients(88%) had subarachnoid hemorrhage. Of the 37 patients with subarachnoid hemorrahge, 35 patients(95%) were in good neurological status(Hunt Hess grade I-III), 2 patients(5%) in poor grade(H-H grade IV-V) before operation. Location of the aneurysm were 16 in vertebral artery, 12 in vertebro-PICA junction, and 14 in the peripheral PICA. Twenty nine patients were treated with transcranial surgery and 13 patients with endovascular surgery. The management outcome of the transcranial surgery was : Glasgow outcome scale(GOS) I and II ; 24, GOS III ; 2, GOS IV ; 1 and GOS V(death) ; 2. The causes of mortality related to transcranial surgery were rebleeding after failure in clipping in one and suspected brainstem infarct in one. Morbidity was attributed to vasospasm(3), lower CN palsy(7, including temporary dysfunction) and pseudomeningocele(1). The management outcome of the endovascular surgery was : Glasgow outcome scale(GOS) I-II ; 9, GOS III ; 1, GOS IV ; 1, and GOS V(death) ; 2. The causes of mortality related to endovascular surgery were sepsis from pneumonia(1) and vasospasm(1). There were one cerebellar infarct and one lateral medullary syndrome. Conclusion : Excellent and good surgical results can be expected in 80% of the patients with aneurysms of vertebral arery and its branches. The outcomes of endovascular surgery in treating vertebral artery aneurysm were satisfactory and endovascular surgery may offer a therapeutic alternative especially in vertebral dissecting aneurysm.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.11
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• pp.361-367
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• 2019

This exploratory study investigated the real time adaptability of industry training for college professors. For this study, the researcher whose college's professor in the department of early childhood education used collaborative action research. This research was conducted in a class of five year old children of a daycare center in D city. The researcher and the homeroom teacher interacted with each other through 4 steps during the researcher's training period. The first step was group formation between the researcher and the teacher. The second step was problem identification. The third step was a review of the literature. The forth step was problem-solving. The researcher and teacher finally developed a rhythm movement program that was based on fundamental motor performance of young children. Through this collaborative effort, the researcher and teacher had the opportunity to improve their professionalism. Especially, the researcher improved her understanding and knowledge of teaching young kids. The result of this study is meaningful in that it provided basic data to improve training of college professors.

• Journal of Korean Library and Information Science Society
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• v.19
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• pp.145-209
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• 1992

This study, that is made by an on-the-spot survey and a library survey, is aimed at finding some problems in the recognition regarding public library users and suggesting the clue to solve the problems revealed in the way of having compared with 'Book-Room' and Public Library. Poor material was always a troublemaker in this study. Especially the part of 'Book-Room' phenomenon is wholly dependent upon a field survey, that is, interview with a 'book-room' clerks, gathering the advertising leaflets, a close observation on 'Book-Room', etc. There are little printed materials, much less precedent research theses. In the other parts of this paper, there are needed good statistical materials, but the nortion presented in the public library user statistics-for example pupil, students, housewives, old men, the generality of people, etc.- is so vague that it is insufficient and unhelpful for this study. In my judgment, with all these limitations, this article gets some results as follows : 1. 'Book-Room' is the cultural organization which is being operated by, for, of the community inhabitants and it takes on the character of movement - labor movement, cultural movement, and community movement. 2. The pioneer of the Book-Room is 'Yangso Hyupdong chohap' (which means good book- cooperative association) lasted from 1978 to the next year. 3. 'Arom'(means learning) Book-Room is the first real Book-Room at Seomyon district in Pusan established in 1987. 4. Book-Room can be classified by its character as 'Labor BookRoom' and 'Cultural Book-Room'. There are 10 Labor BookRooms and 4 Cultural Book-Rooms in Pusan. 5. Labor Book-Rooms organized themselves to 'Labor Book-Room conference'. 6. Book-Rooms have done their best to extort the needs and interests of the community inhabitants, but relatively public libraries do not, hence the majority of residents are neglected from the public library service. This is at Book-Rooms' back to have been spread so quickly. 7. There is a very large gap between the component ratio of community inhabitants by class and that of public library users by same criterion, that is, in the case of the former, the labor class goes beyond a half point, in the latter, the majority of public library user is composed of students and housewives. 8. Researchers and librarians have concentrated their attention and effort not upon whole residents in community but upon existing users at present time. They do not try to develope potential users. So, researchers' and librarians' recognition regarding the public library users needs to be changed. 9. The concept of 'core-user' may be the key to solve the problems related with public library users. For the purpose of ensuring the 'core-user', it is necessary to study the community and inhabitants.

• Journal of Music and Human Behavior
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• v.4 no.2
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• pp.41-65
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• 2007

This study examines children's responses on Audie music activity based on Gordon's Music Learning Method. Subjects of study were 3 five year old children(2 boys, 1 girl) in kindergarten. Data collection drew from participatory observation, researcher journal, the classroom teacher interview. Where more specific data were necessary, video and digital camera recorded. The data were described, analyzed, and interpreted. The main findings in this study are as follows : The children who participated in Audie music activity showed desirable changes in many ways. Their music listening attitude was the one that changed most remarkably. At the beginning activity application, the children were not naturally and could not listen attentively while researcher was singing song without words. Gradually children could listen attentively to the researcher's singing without words. Through the Audie music activity, the children began to think carefully the tone and rhythm of music and to express themselves freely and creatively. At the beginning activity application, the children who showed negative responses and blocked up activity became gradually able to show positive aptitude and to amuse. Also the children who showed passive attitude and no responses became gradually able to react spontaneously.

• Archives of Plastic Surgery
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• v.38 no.6
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• pp.894-898
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• 2011

Purpose: Coverage of full-thickness large flank defect is a challenging procedure for plastic surgeons. Some authors have reported external oblique turnover muscle flap with skin grafting, inferiorly based rectus abdominis musculocutaneous flap, and two independent pedicled perforator flaps for flank reconstruction. But these flaps can cover only certain portions of the flank and may not be helpful for larger or more lateral defects. We report a case of large flank defect after resection of extraskeletal Ewing's sarcoma which is successfully reconstructed with reverse latissimus dorsi myocutaneous flap. Methods: A 24-year-old male patient had $13.0{\times}7.0{\times}14.0$ cm sized Ewing's sarcoma on his right flank area. Department of chest surgery and general surgery operation team resected the mass with 5.0 cm safety margin. Tenth, eleventh and twelfth ribs, latissimus dorsi muscle, internal and external oblique muscles and peritoneum were partially resected. The peritoneal defect was repaired with double layer of Prolene mesh by general surgeons. $24{\times}25$ cm sized soft tissue defect was noted and the authors designed reverse latissimus dorsi myocutaneous flap with $21{\times}10$ cm sized skin island on right back area. To achieve sufficient arc of rotation, the cephalic border of the origin of latissimus dorsi muscle was divided, and during this procedure, ninth intercostal vessels were also divided. The thoracodorsal vessels were ligated for 15 minutes before divided to validate sufficient vascular supply of the flap by intercostal arteries. Results: Mild congestion was found on distal portion of the skin island on the next day of operation but improved in two days with conservative management. Stitches were removed in postoperative 3 weeks. The flap was totally viable. Conclusion: The authors reconstructed large soft tissue defect on right flank area successfully with reverse latissimus dorsi myocutaneous flap even though ninth intercostal vessel that partially nourishes the flap was divided. The reverse latissimus dorsi myocutaneous flap can be used for coverage of large soft tissue defects on flank area as well as lower back area.

• Journal of Chest Surgery
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• v.29 no.4
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• pp.444-448
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• 1996

Hemolytic anemia due to tiny prosthetic paravalvular leakage is one of a complication of prosthetic valve replacement. Mild Hemolysls usually occurs after aortic valve replacement with mechanical valve but rarely occurs in mitral valve position especially in case of tissue valve. Cardiac valves fabricated from biologic material are associated with a reduced incidence of hemolytic anemia. Hemolysis was reported in patients with an lonescu-Shiley bovine pericardial xenograft prosthesis in the aortic position but not in the mitral site. A 41-year-old female patient was admitted due to sudden development dark colored urine. About 10 years ago the patient was underwent MVR (Mitral Valve Re lacement) with fTmm lonescu-Shiley valve due to MR (Mitral regurgitation). Echocardiographic examination showed mild degree of mitral regurgitation with valvular thickening. However, there was no definitive evidence of paravalvular leakage. The peripheral blood smear showed nomochromic normocytic anemia, but the hematologic and urinary examination revealed severe hemolytic evidence. Mitral valve replacement with St. Jude Medical valve (27mm) was done and intraoperatively, a tiny paravalvular leakage was found which was regarded as the point of hemolysis. The hemolytic evidence completely disappeared. We are reporting a case of severe hemolytic anemia due to tiny prosthetic paravalvular leakage with a review of the literature.

• Journal of Korean society of Dental Hygiene
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• v.9 no.1
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• pp.141-151
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• 2009

Cognitive degree of musculoskeletal symptoms and existence (or non-existence) of experience was conducted following dental hygienists' health habits, heath state and working environment targeting dental hygienists who were working for the dental clinics in Masan-si, Changwon-si and Jinhae-si in Gyeongsangnam-do for one year or more. The research findings were as follows. 1. Cognitive degree of musculoskeletal symptom following general characteristics was the highest among the subjects who were 40 years old or above. 2. As for the education level, cognitive degree of musculoskeletal symptoms was high while prevalence was low, which were statistically significant when the education level was higher. 3. Cognitive degree of musculoskeletal symptom was high when the subjects exercised, and cognitive degree of musculoskeletal symptom and prevalence were significantly high when they are engaged in leisure activities or hobbies. 4. Prevalence of musculoskeletal symptoms was statistically high if they are afflicted with disease, if they feel burdened by their job, if they suffer from considerable physical fatigue, if they feel chronic fatigue or if they feel that their health state is poor. 5. Cognitive degree of musculoskeletal symptom and prevalence were higher, which was statistically significant, when the number of years worked was higher. 6. Cognitive degree of musculoskeletal symptom was higher, but prevalence was lower when the time that they were seated was longer. This research demonstrated that the musculoskeletal disorders related to their job that afflicts the dental hygienists is not caused by one element, but it is possible to see that the musculoskeletal disorders results from the interaction of the diverse elements that are interrelated such as the subjects' characteristics and health habits and heath state, working environment and so forth including inappropriate work related movements. To this, dental hygienists need to improve their health habits so that they can form proper health habits that will ensure health in every day life on their own with the improvement of their every day life habit and positive self-evaluation to act on the health promotion behaviors, education and publicity, and measures to prevent and to manage musculoskeletal disorders in overall need to bepursued after in an active manner.

• Korean Journal of Head & Neck Oncology
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• v.16 no.2
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• pp.228-234
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• 2000

Objectives: Esthesioneuroblastoma is a rare malignant neoplasm that originates from the olfactory sensory cells. This tumor grows from the upper nasal cavity and ethmoid sinus and invades surrounding structures through the cribriform plate into intracranium or orbit in advanced stage. Even though there has been some controversies in determining standard treatment due to rarity of this tumor, the combination treatment of surgery and adjuvant radiation has been recommended for the locally advanced esthesioneuroblastomas. However, the recent clinical experiences of advanced cases showed that combination chemotherapy is highly effective to reduce tumor mass and improve clinical outcomes. Materials and Methods: The authors conducted a retrospective analysis of 6 esthesioneuroblastoma patients who were treated in our hospital from 1986. Results: The age of these patients was between 19 and 86 year-old. Among the 6 cases, 2 were diagnosed at stage B and 4 at stage C, according to Kadish classification. Anti-tumor treatments were performed in 5 patients. One patient refused active treatment and was lost to follow-up. Better survival outcome were observed in 3 patients who were treated with combination chemotherapy alone or combined modality treatment including chemotherapy. Conclusion: Based on our retrospective study, the combined treatment consisting of surgery, radiotherapy, and combination chemotherapy should be used to improve treatment results. And furthermore, innovative clinical approaches such as neoadjuvant chemotherapy, high-dose chemotherapy and autologous peripheral stem cell transplantation, which have been reported to have good therapeutic results, should be considered and applied actively.

• Journal of Music and Human Behavior
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• v.6 no.1
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• pp.81-109
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• 2009

The purpose of this study was to determine the effectiveness the Song Psychotherapy Program in decreasing test anxiety in adolescent students. For this study, twelve sessions were conducted in five stages for four 14-year-old middle school students at D Middle School on Daejeon. To measure the effects of the Song Psychotherapy Program, the researcher compared the results of Test Anxiety Inventory of Korea (TAI-K) before and after the program. The researcher also analyzed the contents of the participants' verbal responses and answers to repeated questionnaires to find out what participants experienced in Song Psychotherapy. The results of this study were as follows. First, a comparison of test anxiety scores prior to and following the program showed an average decrease from 91.75 to 60.5. Second, the subjects reported a positive musical experience in the program. The results of the research as described above show that the Song Psychotherapy Programis effective in decreasing test anxiety levels and general examination stress in adolescent students.

• Clinical and Experimental Pediatrics
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• v.48 no.6
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• pp.669-674
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• 2005

Nephrogenic diabetes insipidus (NDI) is a disorder in which the secretion of antidiuretic hormone is normal, but the response of the renal collecting tubules to vasopressin is impaired. Compared with acquired NDI (a-NDI), which is secondary to chronic bilateral incomplete urinary tract obstruction with hydronephrosis, congenital NDI (c-NDI) is a very rare heritable disorder that usually follows the X- linked recessive pattern. Clinical symptoms of c-NDI can be non specific, and often the disease ultimately results in failure to thrive, or mental retardation. Recently, the diagnosis can be confirmed by direct sequencing analysis of the peripheral blood specimens. The long-term results of treatment for c-NDI are not satisfactory. Reports on the follow up of c-NDI cases are rare and there is no report on the cases treated with combinations of three drugs. We report herein a case of severe c-NDI in an 8 year-old-boy with a severely dysconfigurated urinary tract system. The patient and his mother showed a frameshift mutation on the AVPR2 gene on chromosome Xq28:.847_851delTGCTG (p.C283fsX90). The patient showed normal growth and development by treatment with combinations of hydrochlorothiazide ($65mg/m^2$), amiloride (0.3 mg/kg/d) and indomethacin ($100mg/m^2$), yet after five years he needed adjuvant cystostomy to relieve him from the residual symptoms of urgency with polyuria.