Objective : There are a few reports on the complications of surgery for epilepsy. We surveyed our data to present complications of epilepsy surgeries from the neurosurgeon's point of view and compare our results with other previous reports. Methods : A total of 179 surgical procedures for intractable epilepsy (41 diagnostic, 138 therapeutic) were performed in 92 consecutive patients (10 adults, 82 children) during the last 9.2 years (February. 1997-April. 2006). Their medical records and radiological findings were reviewed to identify and analyze the surgical complications. Results : The diagnostic procedures encompassed various combinations of subdural grid, subdural strips, and depth electrodes. Four minor transient complications developed in 41 diagnostic procedures (4/41=9.8%). A total of 138 therapeutic procedures included 28 anterior temporal lobectomies, 21 other lobectomies, 6 lesionectomies, 21 topectomies, 13 callosotomies, 20 vagus nerve stimulations, 13 multiple subpial transections, and 16 hemispherectomies. Twenty-six complications developed in therapeutic procedures (26/138=18.8%). Out of the 26 complications, 21 complications were transient and reversible (minor; 21/138=15.2%), and 5 were serious complications (major; 5/138=3.6%). Five major complications were one visual field defect, two mortality cases and two vegetative states. There were 2 additional mortality cases which were not related to the surgery itself. Conclusion : Our results indicate that complication rate was higher than previous other reports in minor complications and was comparable in major complications. However, our results show relatively high frequency of mortality cases and severe morbidity case compared to other previous reports. The authors would like to emphasize the importance of acute postoperative care in young pediatric patients as well as meticulous surgical techniques to reduce morbidity and mortality in epilepsy surgery.
Despite the importance of sexual life of the aged, it is almost disregarded due to the Confucius value system and bias. The common people's view on the sex of the aged was clearly demonstrated by their attitude toward a movie entitled "I love it though I might die" which was determined "18 Age over"being awareness of its explicit sexual intercourse and several lied on the discussion. For this reason, the sex of the aged is clandestinely revealed and uses to receive publicity for sexual assault for children, sexual crime, and illegal prostitution in parks. And social atmosphere that prevents open discussion of the sexof the aged increases in the number of suffering aged in reality, and it causes the decrease of life quality of them. In this circumstance, cartoon contents can be perfectly used for sex education for them. Entertainment character and genre character of cartoon contents can deliver the understanding of sex rather voluntarily and easily to the aged and it can be used as a tool to motivate by indirect experience and to enhance efficient understanding.
Purpose: To determine the long-term efficacy of the anti-tumor necrosis factor (TNF) agents, infliximab (IFX) and adalimumab (ADA), in pediatric luminal Crohn's disease (CD) by performing a systematic literature review. Methods: An electronic search was performed in Medline, Embase, and the Cochrane Library from inception to September 26, 2019. Eligible studies were cohort studies with observation periods that exceeded 1 year. Studies that reported time-to-event analyses were included. Events were defined as discontinuation of anti-TNF therapy for secondary loss of response. We extracted the probabilities of continuing anti-TNF therapy 1, 2, and 3 years after initiation. Results: In total, 2,464 papers were screened, 94 were selected for full text review, and 13 studies (11 on IFX, 2 on ADA) met our eligibility criteria for inclusion. After 1 year, 83-97% of patients were still receiving IFX therapy. After 2 and 3 years the probability of continuing IFX therapy decreased to 67-91% and 61-85%, respectively. In total, 5 of the 11 studies subgrouped by concomitant medication consistently showed that the probabilities of continuing IFX therapy in patients with prolonged immunomodulator use were higher than those in patients on IFX monotherapy. Conclusion: This review of real-world evidence studies confirms the long-term therapeutic benefit of IFX therapy in diverse cohorts of children with luminal CD. Moreover, it supports the view that combination therapy with an immunomodulator prolongs the durability of IFX therapy in patients who previously failed to recover following first-line therapy. The limited number of time-to-event studies in patients on ADA prevented us from drawing definite conclusions about its long-term efficacy.
Journal of The Korean Association of Information Education
/
v.21
no.6
/
pp.711-721
/
2017
As the importance of SW education increases, the necessity of SW gifted education is being required that early discovery of talented children in SW fields. In 2016, thirty SW gifted classes were set up for elementary and secondary school students and SW gifted education began. However, SW gifted education could not be carried out with consistency in detail because each class had different conditions such as selection methods of gifted students, curriculum and environment. Therefore, it is necessary to analyze the situation of SW gifted classes in order to decrease the gap of the SW gifted class. In this research, all the SW gifted classes were investigated in the view of the curriculum, environment, student selection and contents through reviewing the installation-performance reports and on-site visits of all classes. Also, limitations and problems of the SW gifted classes were described and improvement methods were discussed.
This study analyzed parents' school satisfaction longitudinally using data from the 1st, 3rd, and 5th wave data of the Korea Education Longitudinal Study(KELS)2013. The subjects of analysis are parents who responded without dropping out in the first, third and fifth panel of the KELS2013, and 4,227 cases that had no missing values in the variables were selected for the sample to input for analysis of the latent growth modeling(LGM). As a result, it is confirmed that the parents' education, educational support, and children's academic achievement have a positive effect on the parents' school satisfaction. But the parents' educational view and education cost have a negative effect on that. The results of this study are expected to be important information to help enhance the primary function of the school.
The relationship between bone mineral density and the environmental factors were investigated from the view point of preventing osteoporosis in Korean pubescent girls. The effects of calcium, nutrient intake, physical activity on total bone mineral density, lumbar spine and femoral bone mineral density and total bone mineral content were evaluated 33 healthy pubescent girls aged 14∼16y. A convenient method was used to assess nutritional and energy intake and calcium index was used together. Calcium intake in childhood was estimated by asking whether subjects usually drank milk as children. Eating habits data and history of menstruation were obtained by questionnaire and interview. Average energy expenditure was calculated. Bone mineral density and content were measured by dual energy x-ray absorptiometry using a Lunar DPX+Scanner (Lunar, Madison, WI). The lumbar spine(L2∼L4) and three sites in the proximal femur (femoral neck, trochanteric region, and Ward's triangle)were measured. Height and weight were measured, and the body mass index(BMI) was derived from the formula : BMI=kg/㎡ Statistical analysis was performed by simple correlation using the SAS package. The mean calcium intake (736mg) was below the RDA of 800mg/d. Twelve percent of the total subjects did not drink milk at all because they did not like the taste. Skipping meals, low calcium intake and low energy intake were significantly correlated with the low BMD. Also the data indicate that girls who reported drinking milk with every meal during childhood had significantly higher bone densities than girls who reported drinking milk less frequently. The results suggest that milk consumption in childhood appears to be needed not only for growth and development, but possibly also to assure an optimal peak of bone mass and thus greater latitude for the maintenance or skeletal integrity in the face of bone losses. There was a highly significant correlation between the total BMD and overall level of physical activity. Body weight was a better predictor of total BMD than was and other factor. Simple mechanical loading may explain why body weight, but total BMC was positively relatd to height. Conclusively, increasing calcium intake and physical activity in the pubescent girls could influence BMD.
For the young period, privacy is a crucial factor in establishing one's own identities, values and relationships. The capacity of residential environment to protect individual's privacy takes considerable part in influencing psychological and physiological development of adolescents. This study analyzed adolescents residential values and the elements of spatial plans for the passage and outdoor in Apartment Design Competition of Suwon A district in 2008. One hundred and ten middle and high school students living in Metropolitan area were selected and questionnaire was conducted during February 7 to February 15 in 2009. The data was analyzed by SPSS 11.0 program using one-way ANOVA and crosstab. The study results were summarized as follows; First, the adolescents valued 'safety' the most, regardless of their age and gender and the safety of adolescents commuting should be considered. Second, protecting their own private territories was next important element among other elements. Privacy can be protected by using movable walls, changing the doorway, dividing parents' and adolescents independent territory. Third, in terms of convenience, choosing location of children's room and walking way should be considered. Forth, from the survey, demand for indoors leisure activity was highly valued and required for aesthetic point of view. Considering the sculptures and facilities must satisfy the aesthetics and practicality. Fifth, in terms of social needs, 61.6% of people answered positively to the community facilities for social relationship. Residential environment affects enormous part of adolescents emotional and academic development. Therefore, designing residential areas for adolescents friendly should reflect the demands for safety, territory, convenience, aesthetic and social life.
Journal of Korean Home Economics Education Association
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v.9
no.1
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pp.19-37
/
1997
The aim of this study is to research and analyse how junior-high students, both male and female in Inchon area, are recognizing the contents of the curriculum in the subject of home economics and how effectively they are learning and applying it in their actual life. 772 students, both male and female, who started to learn the subject of home economics from the 7th grade as compulsory are the respondents, and the survey is done by using questionnaire. The result shows that after taking the course of home economics, both male and female students have got more positive view on the necessity of learning the subject. But still, on the whole, female students are more intersted and more active than males the subject in learning. As for food and nutrition part, large percentage of the respondents, both male and female, answer that it is very helpful. They tend to be on more balanced diet and when they purchase food or when they eat at restaurant they refer what they learn about nutrition at school more often than not. A number of the students are re-practicing cooking at home after they learn it at school. Also the fact in the survey shows that more and more mothers are getting active in asking their children to re-practice cooking. One of the difficulties for male students to take the course is stereo-typed thinking on the separate role of man and woman in the family. But many of them started cooking some food, even though it is very simple, and the survey shows that their interest in nutrition and health increased after they were initiated into this course.
The purpose of this study is to develop a program which aims at providing a better understanding of parenthood, establishing a desirable value of being a parent and preparing for being a good father positively affecting children, and determine effects of the program on unmarried men who are in the so-called stage of 'not belonged youth'. The program consisted of 5 sessions titled 'My father, 'I will be a father, too', 'Being a good father I', 'Being a good father II' and 'I will be a respectable father'. 7 unmarried men surveyed here were asked to participate in the program held at B church located in Busan from Oct. 3 to Nov. 7, 2004, with 1 session a week and 120 minutes per session based. Before and after the program, tests were carried out with the father acceptance-rejection scale and the scale of confidence in father's role'. For each of the sessions, a process evaluation was performed. Results of the study can be summarized as follows. First, the pre- and post-tests with the father acceptance-rejection scale showed some changed recognition that father's attitude of child raising would be more acceptable and unrejectable. This indicates that the program made some achievements in relation to understanding and reestablishing relations with father. Second, significant differences were found in confidence in father's role between before and after the program. Especially, anxiety about father's role as a sub-area of such confidence was most considerably reduced. In conclusion, such objectives of the program as removing vague anxiety about father's role, establishing a desirable view of fatherhood and improving confidence about being a father proved to be achievable through getting skills of child understanding with the concept of developmental perspective and narrative therapy based.
Recently, by the popularization of computers and the development of many kinds of information transmission software, the living pattern in business offices and in home-life have changed rapidly. Because of the great progression of today's science technology, the influence of social education on the children is larger than that of the traditional school.. By a rapid change in the social atmosphere, there are some people who insist the traditional school education system is of no use any more. There have been many calls for reform of traditional schooling and in particular there has been major rethinking of school mathematics. The initial demand for change in elementary school mathematics is because of the poor achievement of students. There are even more compelling reasons for change. For example today's science technology society requires a different mathematical literacy for its citizens than that of the past. The importance of problem-solving based on interest and progress is more important than just paper-pencil computation in elementary schools. And also the increasing information wave of today's society demands that the school accept the long-distance education which could not be imagined in the past. Taking account of this variety, school education in the future should willingly introduce and apply the open education system to keep pace with today's society. To accept society demands actively, today's schools are going to accept and apply the idea of the open education. In this viewpoint, the purpose of the paper is to analyze the causes of under-achievement in mathematics teaming, the directions of school mathematics education, the system of textbooks and the problems of teaching-learning programs and paper-pencil test.
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