• Journal of Dental Anesthesia and Pain Medicine
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• v.24 no.1
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• pp.57-65
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• 2024

Background: The objective of behavioral guidance is to establish effective communication that aligns with a child's requirements to manage disruptive behavior. This study aimed to evaluate the effectiveness of the Tell-Show-Do and Ask-Tell-Ask techniques in managing dental anxiety in children during their initial appointment. Methods: The study included 50 children (28 boys and 22 girls) without any prior experience between the ages of 7 and 11 at their first dental visit. The children were randomly categorized into two groups: Group 1, Tell Shows Do, and Group 2, Ask-Tell-Ask. Subsequently, all children underwent noninvasive treatment procedures such as restorations, sealants, and oral prophylaxis. Furthermore, behavioral management techniques were employed based on the allocated group. Finally, anxiety levels for all children were assessed using the Raghavendra, Madhuri, and Sujata Pictorial Scale (RMS-PS) and heart rate at three different intervals (before, during, and after). The obtained data were entered into Microsoft Excel, and statistical analysis was performed using SPSS software. A paired t-test and Mann-Whitney U-test were used to compare the mean and median values of the two groups and determine their effectiveness. Results: Children in the TSD group exhibited statistically significant heart rates and RMS-PS scores in intra-group comparisons. However, children in the ask-tell-ask group showed a significant reduction only in the RMS-PS scores (P < 0.001) but not in the measures used to assess heart rate (P < 0.001). Conclusion: Tell-Show-Do was more effective than ask-tell-ask in alleviating dental anxiety in children. The simultaneous application of these two strategies can synergistically alleviate dental anxiety during a child's initial dentist appointment.

• Journal of Dental Anesthesia and Pain Medicine
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• v.19 no.1
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• pp.29-36
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• 2019

Background: An inability to cope with threatening dental stimuli, i.e., sight, sound, and sensation of airotor, manifests as anxiety and behavioral management problems. Behavior modification techniques involving pre-exposure to dental equipment will give children a first-hand experience of their use, sounds, and clinical effects. The aim of this study was to compare the techniques of Tell-Show-Play-doh, a smartphone dentist game, and a conventional Tell-Show-Do method in the behavior modification of anxious children in the dental operatory. Methods: Sixty children in the age group of 4-8 years, with Frankl's behavior rating score of 2 or 3, requiring Class I and II cavity restorations were divided into three groups. The groups were Group 1: Tell-Show-Play-doh; Group 2: smartphone dentist game; and Group 3: Tell-Show-Do technique and each group comprised of 20 children. Pulse rate, Facial Image Scale (FIS), Frankl's behavior rating scale, and FLACC (Face, Leg, Activity, Cry, Consolability) behavior scales were used to quantify anxious behavior. Operator compliance was recorded through a validated questionnaire. Results: The results showed lower mean pulse rates, lower FIS and FLACC scores, higher percentage of children with Frankl's behavior rating score of 4, and better operator compliance in both the Tell-Show-Play-doh and smartphone dentist game groups than in the conventional Tell-Show-Do group. Conclusion: The Tell-Show-Play-doh and smartphone dentist game techniques are effective tools to reduce dental anxiety in pediatric patients.

• Journal of Dental Anesthesia and Pain Medicine
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• v.19 no.6
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• pp.369-378
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• 2019

Background: Behavior guidance is a technique used to subdue inappropriate behavior by establishing communication that meets the needs of a child. This study aimed to measure the effectiveness of a mobile app (Little Lovely Dentist) compared to the tell-show-do (TSD) technique in managing anxious children during their first dental visit. Methods: Fifty children (30 boys and 20 girls) without any past dental experience, aged from 7 to 11 years, were randomly allocated into either the dental app group or the TSD group. The pre- and post-operative anxiety of children who underwent prophylactic cleaning was assessed both physiologically and subjectively using a heart rate measurement and the RMS pictorial scale, respectively. Results: The intragroup comparison of heart rate and RMS scores for children allocated to the dental app group was statistically significant (P value ≤ 0.001). However, a significant reduction only occurred in the RMS scores, but not the heart rate measurements, in the TSD group. Conversely, there was an increase in heart rates in the TSD group. Conclusion: Educating the child prior to a dental procedure using a smartphone application such as Little Lovely Dentist can significantly alleviate the anticipatory anxiety and engage children in dental treatment during their first visit.

• Journal of the korean academy of Pediatric Dentistry
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• v.44 no.4
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• pp.427-436
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• 2017

The purpose of this study was to examine guardian's attitudes toward behavior guidance techniques used in pediatric dentistry. In this study, 117 guardians participated and the several behavior guidance techniques being used during actual pediatric dental treatment were explained to the guardians prior to writing a questionnaire. The behavior guidance techniques explained were: tell-show-do, voice control, protective stabilization by device, protective stabilization by staff, nitrous oxide sedation, sedation, and general anesthesia. For analysis, 106 completed survey forms were selected. Tell-show-do was rated as the most acceptable technique, followed (in order of decreasing acceptance) by: voice control; protective stabilization by staff; nitrous oxide sedation; protective stabilization by device; sedation; general anesthesia. Acceptance of each behavior guidance technique was not related to guardian age, gender, patient age, patient gender, patient dental experience, type of visit, and position of doctor. Within the limit of this study, the communicative guidance techniques (tell-show-do, voice control) were more acceptable than advanced behavior guidance techniques (protective stabilization, sedation, general anesthesia). The acceptability of general anesthesia was the lowest. The results of this survey may contribute to maintain optimal dentist - guardians communication in pediatric dentistry.

• Journal of the korean academy of Pediatric Dentistry
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• v.29 no.2
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• pp.189-195
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• 2002

In the area of pediatric dentistry, several behavior modification techniques have been attempted to relieve young patients' dental fear. The use of audio-visual(AV) aids is one of them and is increasing. In this study, several patients' reactions to dental treatment have been investigated after using AV aids, including patients' sleep, movement, crying and overall behavior. The effectiveness of AV aids have also been investigated through patients' age, previous dental experience and daily exposure to TV or video. Thirty healthy children with Frankl behavior rating (+) or (-) were included in this study. The average age of the children was $52.9{\pm}12.7$ months and no statistical difference was found between the two groups. Thirty patients were equally divided into two groups. Group I(control) received dental treatment with the conventional tell-show-do while group II(AV) with tell-show-do and AV aids. All patients received only restorative dental treatment and received no extraction. Houpt behavior rating scale was used to evaluate patients' behavior during the dental treatment. As a result, there was no significant difference between the two groups in movement and crying. However, more patients in the AV group fell asleep during the dental treatment compared to the control group. Within the AV group, patients with previous dental experience, older age and frequent exposure to AV materials showed better overall behavior during the dental treatment as audio-visual aids were used for behavior management.

• The Journal of the Korea Contents Association
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• v.16 no.5
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• pp.96-103
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• 2016

The aim of this study was to confirm the effectiveness of learner-centered teaching models to reduce the dental anxiety. 18 children with age of 10 at the case group and 22 children with age of 10 at the control group was completed. Children from case group were participated in learner-centered oral health education, while those from control group were participated in instructor-led oral health education. Dental Anxiety Scale (DAS) at each groups were measured before oral health education, after then, oral health education of two types at each groups were separately conducted during 1-hour, 2 times. Learner-centered oral health education adapted the systematic desensitization (Tell-Show-Do) was conducted for case groups. Instructor-led oral health education was performed by using the presentation file (PPT). The change of Dental Anxiety Scale (DAS) were compare between case and control groups to evaluate the effect of learner-centered teaching type. After oral health education, DAS of the case and control groups at the baseline were 9.61 and 11.14, respectively, and the average DAS decline of case and control groups after oral health education were 2.48 and 0.55, respectively. These findings show that a learner-centered teaching type is an effective oral health program to reduce of dental anxiety in childhood.

• Journal of the Chungcheong Mathematical Society
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• v.37 no.2
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• pp.57-66
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• 2024

In this paper, we study how the Hilbert polynomial, associated with a reduced closed subscheme X of codimension 2 in ℙ^N, reveals geometric information about X. Although it is known that the Hilbert polynomial can tell us about the scheme's degree and arithmetic genus, we find additional geometric information it can provide for smooth varieties of codimension 2. To do this, we introduce the concept of Gotzmann coefficients, which helps to extract more information from the Hilbert polynomial. These coefficients are based on the binomial expansion of values of the Hilbert function. Our method involves combining techniques from initial ideals and partial elimination ideals in a novel way. We show how these coefficients can determine the degree of certain geometric features, such as the singular locus appearing in a generic projection, for smooth varieties of codimension 2.

• English Language & Literature Teaching
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• no.5
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• pp.27-48
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• 1999

College students frequently feel their grammar knowledge from primary and middle school is not useful when they are asked to speak in college conversation classes. Because of their frustration at their lack of communicational ability as well as inappropriate teaching methods and class textbooks that have little to do with the student's major course of study, the student often has a low motivation to study. It is not uncommon for students to seek English education outside of their college classrooms by going to language institutes or studying abroad. College teachers need to find a way to use the student's background in grammar from primary and secondary schools. Despite the student's sentiment about his/her grammar education, grammar is an essential key to successful English conversation. Some ways that teachers can close the gap between primary and secondary school grammar education and college conversation classes are: to use a theme-based methodology, cue cards, and modeling. Activities such as Grammar Clinic, Grammar Police, and Show and Tell can be effective ways to bridge this gap. Teachers can use these activities and methods to correct such student errors as: incorrect word order, missing or unnecessary be verbs, confusion between be and do verbs, subject-verb agreement. and incorrect tense.

• Cross-Cultural Studies
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• v.19
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• pp.389-409
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• 2010

Chinese is a topic-prominent language, so when we learn Chinese we should know the discourse function of the Chinese language. Most of the Korean student think Chinese sentences should appear in the order of S-V-O and they always make mistakes when they use Chinese. I think Korean is very similar with Chinese in the discourse function. Hence, in this paper, I try to find a method of teaching Chinese topic sentence. It does so by comparing Chinese with Korean in the light of discourse function. I think when Korean student know how to use Korean topic sentence to explain the discourse functions of the Chinese language, they will not make similar mistakes. With this understanding in mind, chapter 2 tries to show various topic sentences to prove that 'topic' is very important in Chinese sentences. This is why we say Chinese is a topic-prominent language. In chapter 3, I analysis the sentences that students made, and highlight the reasons why they made mistake. The result lies in the reason whereby they always think Chinese should appear in the order of S-V-O. They do not understand why some sentences appear in the order of O-(S)V or S-O-V. It show that they do not know what is topic sentence and do not know how to make topic sentences. Sometime I have them translate them into Korean, but they also make Korean sentences like in the order of Chinese S-V-O. Therefore, I think, under this circumstance, to let them to translate and to speak in Korean in topic sentence, get some feelings about Chinese topic sentences, and tell and make Chinese topic sentences are naturally critical in their training.

• Phonetics and Speech Sciences
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• v.4 no.3
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• pp.161-169
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• 2012

The purpose of this study was to investigate the characteristics of speech intelligibility of spontaneous speech and the vowel space parameters in patients with Parkinson's disease. Ten PD patients (M=5, F=5) and a corresponding control group of ten normal adults participated in this study. Firstly, subjects were asked to tell a story about their hometown and youth in order to analyze speech intelligibility. Secondly, the subjects were also asked to repeat four vowels (/a/, /i/, /u/, /e/) five times in order to compare their vowel spaces. The results were as follows: (1) the speech intelligibility of the PD group was lower than that of the control group. (2) Four parameters including vowel area, vowel articulatory index, formant centralization ratio, F2i/F1u ratio were significantly different in each group. For instance, vowel area and F2 ratio were wider and higher, respectively. As a result, a decrease in speech intelligibility of patients with PD is likely to show different types of errors from the normal group. The results of this research are meaningful in a sense that they could provide the objective standard of speech intelligibility and vowel space parameters.