• 대한소아치과학회지
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• 제27권2호
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• pp.202-207
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• 2000

연구목적은 우식발생률이 높은 시기인 초등학교와 중고등학교 연령군의 정신지체장애인과 정상인의 우식경험도를 비교 조사하는 것이었다. 서울시와 평택시의 특수학교에 재학 중인 정신지체장애인 250명과 성남시의 정상인 210명을 연구대상으로 하였다. 구강검사를 통해 우식경험도를 조사하고, 보호자를 대상으로 연간 치과방문 횟수, 우식예방진료 경험, 칫솔질 행동 등을 설문 조사하였다. 우식경험치 수(dmft+DMFT)는 정신지체장애인이 3.28로서 정상인의 4.66보다 유의하게 적었다. 우식치 수(dt+DT)는 정신지체장애인이 2.24로서 정상인의 1.50보다 유의하게 많았으나, 충전치 수(ft+FT)는 정신지체장애인이 0.71로서 정상인의 3.06보다 유의하게 적었다. 충전치율(ft+FT rate)은 정신지체장애인이 19.78%로서 정상인의 58.89%보다 유의하게 낮았다(P<0.01). 정신지체장애인의 연간 치과방문 횟수는 한 번도 방문하지 않은 경우가 51.2%로서 가장 많았고 평균은 1.15회이었으며, 우식 예방진료를 받은 경우는 38.0%이었다. 정신지체장애인의 1일 칫솔질 횟수는 평균 2.16회이었고, 1회 칫솔질 시간은 1분이 41.0%, 2분이 37.3% 등이었으며, 스스로 칫솔질을 하는 경우가 51.2% 보호자가 칫솔질을 대신해 주는 경우가 35.5%, 보호자의 도움을 받으며 하는 경우가 13.3%이었다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제31권1호
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• pp.60-69
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• 2005

Orthopedic rapid maxillary expansion(RME) has been a common treatment modality used to widen narrow maxillae in young children. However, since more skeletally matured adolescents or adults has closed midpalatal suture, the result of RME was undesirable because of dental tipping with little or no basal skeletal movement and resulted to many other complications. After such treatment, complications often occurred such as alveolar bending, compression of periodontal ligament, extrusion, buccal tipping, and severe relapse. Thus, surgically assisted rapid maxillary expansion(SA-RME) is required, especially for patients over 14 years old, to skeletally release maxillary expansion. We used two methods of maxillary expansion surgery. Surgically assisted rapid maxillary expansion(SA-RME) & surgically assisted posterior segmental expansion(SA-PSE) were used for narrow maxilla. The study was divided into two groups(SA-RME group and SA-PSE group). SA-RME group was consisted of 2 males and 4 females, and the ages of materials ranged from 15 years to 25 years with a mean of 20.2 years. SA-PSE group was consisted of 1 male and 5 females, and the ages ranged from 13 years to 23 years with a mean of 18.7 years. Dental study models were fabricated before starting the expansion and immediately after the expansion was completed. It was fabricated again 1 month later, 3 months later when the expansion device was removed, and 6 months later after the expansion was completed. A repeated measures analysis of variance(ANOVA) test was applied to assess changes between each groups over time. The amount of expansion and the amount of tipping movement each in both groups were compared by using paired t-test and it was also compared between each subjects within the group by using independent t-test. Both SA-RME and SA-PSE group showed stable results, but SA-PSE group showed statical significance in tipping movement of second premolar. We compared 6 patients who recieved SA-RME with 6 patients who received SA-PSE, and appraised the clinical usefulness.

• Nutrition Research and Practice
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• 제9권4호
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• pp.404-410
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• 2015

BACKGROUND/OBJECTIVES: Although the association of body mass index (BMI) with metabolic syndrome (MetS) is well documented, there is little knowledge on the independent and joint associations of BMI and physical activity with MetS risk based on a continuous scoring system. This study was designed to explore the effect of physical activity on interactions between excess body weight and continuous metabolic syndrome (cMetS) in a nationwide survey of Iranian children and adolescents. SUBJECTS/METHODS: Data on 5,625 school students between 10 and 18 years of age were analyzed. BMI percentiles, screen time activity (STA), leisure time physical activity (LTPA) levels, and components of cMetS risk score were extracted. Standardized residuals (z-scores) were calculated for MetS components. Linear regression models were used to study the interactions between different combinations of cMetS, LTPA, and BMI percentiles. RESULTS: Overall, 984 (17.5%) subjects were underweight, whereas 501 (8.9%) and 451 (8%) participants were overweight and obese, respectively. All standardized values for cMetS components, except fasting blood glucose level, were directly correlated with BMI percentiles in all models (P-trend < 0.001); these associations were independent of STA and LTPA levels. Linear associations were also observed among LTPA and standardized residuals for blood pressure, high-density lipoprotein, and waist circumference (P-trend < 0.01). CONCLUSIONS: Our findings suggest that BMI percentiles are associated with cMetS risk score independent of LTPA and STA levels.

• 한국도서관정보학회지
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• 제51권4호
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• pp.59-81
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• 2020

본 연구의 목적은 지난 20년 간 국내 문헌정보학 분야 독서 연구 동향을 2000년대와 2010년대로 나누어 키워드 네트워크 구축을 통해 비교 분석하는데 있다. 연구 목적을 달성하기 위해 한국학술지인용색인(KCI)을 통해 문헌정보학 분야 4대 학회지에서 수집한 관련 논문 489편의 저자 키워드를 추출하여 NetMiner4를 활용하여 비교 분석하였다. 분석 결과는 첫째, 2000년대의 경우 '공공도서관', '독서치료', '독서교육', '학교도서관' 등이 빈도분석, 연결중심성, 매개중심성 값이 모두 높게 나타났다. 2010년대의 경우 '독서교육', '학교도서관', '어린이', '청소년', '공공도서관'이 모두 높게 나타났다. 둘째, 2000년대는 독서 환경과 여건을 조성하기 위한 정책 및 제도 개선, 도서관 인프라 구축, 독서운동을 통한 독서 연구가 다수 이루어졌다면 2010년대에는 2000년대 노력과 연구를 기반으로 이용자 맞춤형 독서 연구와 다양하고 세부적인 독서 연구가 이루어졌음을 알 수 있다. 셋째, 4차 산업혁명 시대 창의성과 상상력을 갖춘 인간다움의 회복이라는 시대적 요청에 부응하기 위해 공공도서관, 학교도서관 등 특정 관종 도서관 중심의 연구에서 벗어나 다양한 환경과 공간에서 이루어지는 독서연구와 전문적이고 심도 깊은 학제적 연구, 현장과 학계의 활발한 공동연구 등이 필요할 것으로 보인다.

• 한국콘텐츠학회논문지
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• 제17권2호
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• pp.449-466
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• 2017

본 연구는 청소년의 심리적 불안감과, 외모지향태도, 자아존중감과 이들의 문제행동 간 구조적 관계에 대해 분석하고, 이 구조적 관계가 성별, 학교 급별로 어떻게 나타나는지 실증적으로 밝히고자 하였다. 이를 위해 한국 아동 청소년 데이터 아카이브에서 제공하는 NYPI횡단조사 중 2013년 '청소년 문제행동 저연령화 실태 및 정책과제 연구'를 위해 수집된 자료를 SPSS 22.0프로그램과 AMOS 22 통계프로그램을 이용하여 분석하였다. 연구결과, 첫째, 심리적 불안감이 높을수록 자아존중감은 약해지며 문제행동의 수준은 높아지는 것으로 나타났다. 외모지향태도가 강할수록 자아존중감은 강해지며 문제행동의 수준은 높아지는 것으로 나타났으며, 자아존중감이 강할수록 문제행동의 수준은 완화되는 것으로 분석되었다. 둘째, 청소년의 심리적 불안감과 외모지향태도가 자아존중감을 통해 문제행동에 미치는 영향에 관한 간접효과를 검정한 결과, 심리적 불안감과 문제행동과의 관계에서 자아존중감은 정적 매개효과를, 외모지향적 태도와 문제 행동과의 관계에서 자아존중감은 부적 매개효과를 미치는 것으로 나타났다. 마지막으로, 청소년의 외모지향태도와 문제행동 간의 인과관계의 영향력 크기는 성별 및 학교급별에 따라 차이가 있는 것으로 나타났다. 이러한 결과를 토대로 청소년의 문제행동 예방 및 완화를 위한 이론적, 실천적 함의와 제언을 하였다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제27권1호
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• pp.39-47
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• 2016

Objectives: The aim of this study was to examine the association between current suicidal or violent behavior and deficits of specific neurocognitive variables in child and adolescent inpatient samples diagnosed with mood disorder. Methods: A retrospective review of the charts of mood disorder patients hospitalized at Samsung Medical Center between April 2004 and April 2015 was conducted. Child and adolescent patients aged between 10 and 18 years old and those who finished neurocognitive function testing during their hospitalization were included. Among them patients whose full scale IQ was between 85 and 115 were selected (N=111). Participants were first divided into two age-groups-group Y ($10{\leq}age{\leq}15$, N=54) and group O ($16{\leq}age{\leq}18$, N=57)-because neurocognitive function test tools were different according to age [Wechsler Intelligence Scale for Children (WISC) for 10 to 15-year-old patients, Wechsler Adult Intelligence Scale (WAIS) for 16 to 18-year-old patients]. They were then divided according to their suicidal or violent behavior-non suicidal/violent group (NG), suicidal group (SG), violent group (VG), and both suicidal/violent group (BG). The Child Behavior Checklist (CBCL) was checked for measurement of participants' behavior and the Gordon Diagnostic System was checked for measurement of their attention efficiency. Kruskal-Wallis Test and Tukey test was used to determine the differences in neurocognitive function between groups. Results: O-SG patients showed lower scores on the comprehension subscale of WAIS-III than O-NG patients (${\chi}^2=8.454$, p=.015). O-VG patients showed lower scores on the block design subscales of WAIS than O-SG patients (${\chi}^2=7.496$, p=.024). Y-VG patients showed higher scores in aggressive behavior, externalizing problems, and total problems scores of CBCL. Conclusion: This study showed relationship between specific neurocognitive deficits and suicidal or violent behavior. These relationships were significant in relatively older adolescents.

• 대한골대사학회지
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• 제25권4호
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• pp.195-211
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• 2018

Background: To develop guidelines and recommendations to prevent and treat glucocorticoid (GC)-induced osteoporosis (GIOP) in Korea. Methods: The Korean Society for Bone and Mineral Research and the Korean College of Rheumatology have developed this guideline based on Guidance for the Development of Clinical Practice Guidelines ver. 1.0 established by the National Evidence-Based Healthcare Collaborating Agency. This guideline was developed by adapting previously published guidelines, and a systematic review and quality assessment were performed. Results: This guideline applies to adults aged ${\geq}19years$ who are using or plan to use GCs. It does not include children and adolescents. An initial assessment of fracture risk should be performed within 6 months of initial GC use. Fracture risk should be estimated using the fracture-risk assessment tool (FRAX) after adjustments for GC dose, history of osteoporotic fractures, and bone mineral density (BMD) results. All patients administered with prednisolone or an equivalent medication at a dose ${\geq}2.5mg/day$ for ${\geq}3months$ are recommended to use adequate calcium and vitamin D during treatment. Patients showing a moderate-to-high fracture risk should be treated with additional medication for osteoporosis. All patients continuing GC therapy should undergo annual BMD testing, vertebral X-ray, and fracture risk assessment using FRAX. When treatment failure is suspected, switching to another drug should be considered. Conclusions: This guideline is intended to guide clinicians in the prevention and treatment of GIOP.

• International Journal of Computer Science & Network Security
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• 제22권9호
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• pp.251-257
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• 2022

Nowadays, the issues of comprehensive formation of a person capable of self-education, self-development and creative self-realization in the conditions of distance education are relevant. There is a need to solve this problem, which is due to social, cultural, and pedagogical factors. This makes it necessary to find effective means of personality formation. In this matter, great importance is attached to the modern method of forming a creative personality - art therapy. Various approaches to the definition of art therapy have been clarified. They consider various forms of art therapy when working with children, adolescents and adults in the context of distance education. The most relevant are the two main forms of work - individual and group art therapy. Art therapy develops the individual's creativity. Therefore, during art therapy, attention is focused on the inner world, experiences, and feelings. Therefore, we believe that in the context of distance education, art therapy has everything for the powerful potential of personality formation. Scientists consider this therapy as therapy by means of art, which is based on experiences, conflicts that can be expressed in the visual arts and music. Art therapy helps to get rid of conflicts and experiences. This happens in the context of distance education through the development of attention to feelings, strengthening one's own personal value and increasing artistic competence. The article describes the signs that characterize art therapy. Art-therapeutic technologies in the context of distance education, which are now actively used by psychologists, teachers and art therapists themselves, are highlighted. The advantages of distance learning are considered. The characteristic features of distance learning and features of the use of art therapy by means of distance education in the process of professional training of specialists are determined.

• 대한골관절종양학회지
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• 제5권3호
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• pp.169-177
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• 1999

Osteosarcoma in patients older than 40 years are rare, however they have different clinical, radiological and pathological features from those of younger patients. Sometimes accurate histologic diagnosis is not easy, which is important in determining the correct surgical treatment and appropriate chemotherapy. Since January 1995, 11 patients with osteosarcoma occurring in patients older than 40 years have been diagnosed, treated and followed up for more than 6 months. In contrast to osteosarcoma in children and adolescents, only 4 cases(36.4%) were conventional types, while the others included 2 malignant fibrous histiocytoma-like types, 2 small cell types, 2 periosteal osteosarcomas and 1 giant cell-rich type. Seven cases showed purely osteolytic or predominantly osteolytic bony lesions and 8 were in Enneking stage IIB. Performed surgical treatments included 2 amputations, 6 wide resections and reconstructions, and one curettage and autogenous bone graft. In the remaining 2 cases, definitive surgical treatments included not carried out because of old age, multifocal involvement or poor medical tolerance. Neoadjuvant and adjuvant chemotherapies were performed in 9 of 11 patients. At last follow-up, there were 6 continuously disease-free survivals, 3 alive with diseases and 2 died of diseases. The overall cumulative 4-year survival rate calculated using Kaplan-Meier's productlimit method was 59.3%. For improved oncologic outcomes and survivals, early and accurate diagnosis, surgical treatment with adequate margin and neoadjuvant and adjuvant chemotherapy will be necessary.

• 한국콘텐츠학회논문지
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• 제18권6호
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• pp.243-256
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• 2018

본 연구는 시각장애인을 대상으로 한 음악 연구의 동향을 살펴보기 위해 1998년부터 2017년까지 국내 국제 학술지에 게재된 총 62편의 학술논문을 내용분석 하였다. 발표연대, 학술지 분야, 연구방법, 연구유형, 연구주제, 연령, 장애특성을 분석틀로 하였다. 연구결과, 최근 10년간 국내 외 모두 논문 편수가 급증하였으며, 교육학, 치료학 등 다양한 분야로 확대되는 경향을 보였다. 연구방법에서 국내는 조사연구가 압도적으로 많은 반면, 국외는 질적연구와 실험연구가 고르게 분포하였다. 연구유형과 주제를 살펴보면, 국내는 음악흥미와 적성을 주제로 한 인식 및 현황조사 연구가 다수였으나, 국외는 음악중재, 음악지각 및 인지를 주제로 한 음악의 영향과 경험 연구가 높은 빈도를 나타냈다. 연령은 국내 외 모두 성인과 아동청소년으로 조사되었고 노인 대상은 확인되지 않았다. 장애특성별 빈도에서 전맹, 저시력을 대상으로 한 연구가 많은 반면, 중도나 중복장애는 적었다. 이는 시각장애와 음악에 관한 연구 동향을 설명함으로써 해당 분야 후속연구의 방향을 제안한다는 의의를 갖는다.