• Title/Summary/Keyword: after school

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Case of Surgical Treatment with Free Flap on Large Size Facial Capillary Malformation (안면부 모세혈관기형에 따른 광범위 안면부 결손의 유리피판술을 이용한 치험례)

  • Kim, Do-Hoon;Pyon, Jai-Kyong;Mun, Goo-Hyun;Bang, Sa-Ik;Oh, Kap-Sung;Lim, So-Young
    • Archives of Reconstructive Microsurgery
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    • v.20 no.1
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    • pp.60-63
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    • 2011
  • Capillary malformation is common vascular malformation. In case of facial capillary malformation, patients' cosmetic and functional deficits are quite significant. The standard treatment which has been applied so far for capillary malformation is pulsed dye laser with 585nm. But in case of advanced capillary malformation, surgical interventions are inevitable. The problem of large size facial capillary malformation is how to cover the remnant defect, which occurs after resection. In this case, authors have experienced surgical treatment of large size facial capillary malformation and covered the large facial defect with free thoracodorsal artery perforator flap. The flap was thick, so facial asymmetry remained after the first surgery. But with the secondary procedure, authors have made more symmetric figures. The patient was satisfied with the result. Using free flap to replace the defect after resection due to capillary malformation is useful for these kinds of cases.

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Case of seropositive allergic bronchopulmonary aspergillosis in a 10-year-old girl without previously documented asthma

  • Shin, Jeong Eun;Shim, Jae Won;Kim, Deok Soo;Jung, Hae Lim;Park, Moon Soo;Shim, Jung Yeon
    • Clinical and Experimental Pediatrics
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    • v.58 no.5
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    • pp.190-193
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    • 2015
  • Allergic bronchopulmonary aspergillosis (ABPA) is a hypersensitivity lung disease due to bronchial colonization of Aspergillus fumigatus that occurs in susceptible patients with asthma or cystic fibrosis. A 10-year-old girl was referred to the Department of Pediatric Pulmonology for persistent consolidations on chest radiography. Pulmonary consolidations were observed in the right upper and left lower lobes and were not resolved with a 4-week prescription of broad-spectrum antibiotics. The patient had a history of atopic dermatitis and allergic rhinitis but no history of asthma. She had no fever but produced thick and greenish sputum. Her breathing sounds were clear. On laboratory testing, her total blood eosinophil count was $1,412/mm^3$ and total serum IgE level was 2,200 kU/L. Aspergillus was isolated in the sputum culture. The A. fumigatus-specific IgE level was 15.4 kU/L, and the Aspergillus antibody test was also positive. A chest computed tomography scan demonstrated bronchial wall thickening and consolidation without bronchiectasis. An antifungal agent was added but resulted in no improvement of pulmonary consolidations after 3 weeks. Pulmonary function test was normal. Methacholine provocation test was performed, revealing bronchial hyperreactivity ($PC_{20}=5.31mg/mL$). Although the patient had no history of asthma or bronchiectasis, ABPA-seropositivity was suspected. Oral prednisolone (1 mg/kg/day) combined with antifungal therapy was started. Pulmonary consolidations began decreasing after 1 week of treatment and completely resolved after 1 month. This is the first observed and treated case of seropositive ABPA in Korean children without previously documented asthma.

HISTOMORPHOMETRIC EVALUATION OF OSTEOGENESIS WITH BRUSHITE IMPLANT SURFACES IN DOGS (성견에서 거친 표면을 가지는 임플란트에서 골형성에 관한 조직형태계측학적인 평가)

  • Moon, Chul-Woong;Kim, Su-Gwan;Kim, Hak-Kyun;Moon, Seong-Yong;Lim, Sung-Chul;Oh, Ji-Su;Baik, Sung-Mun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.30 no.2
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    • pp.150-157
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    • 2008
  • This study evaluated the influence of smooth and brushite-coated implant surfaces in dogs. The first through fourth mandibular premolars were extracted from eight young adult dogs. Twelve weeks after extraction. implantation was performed at the extraction sites. In total, 40 implant fixtures were implanted in the dog mandibles. Twenty machined implants served as controls and twenty brushite-coated surfaces served as tests. Dogs were sacrificed 2 and 4 weeks after implantation. The hemi-mandibles were obtained and processed histologically to obtain non-decalcified sections. Longitudinal sections of each implant were made and analyzed using light microscopy. The overall implant success rate was 83.3%. Histomorphometrically. the experimental group had a better percentage of bone-implant contact than the control group (p<0.05) and there was a significant difference between the 2- and 4-week groups after implantation (p<0.05) Our results suggest that the implant surface morphology influences the increase in peri-implant osteogenesis in the early period of peri-implant healing.

Contribution of the delayed-rectifier potassium channel Kv2.1 to acute spinal cord injury in rats

  • Song, Min-Young;Moon, Youn-Joo;Shin, Seok-Kyo;Kim, Tae-Yong;Yune, Tae-Young;Park, Kang-Sik
    • BMB Reports
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    • v.43 no.11
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    • pp.756-760
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    • 2010
  • Recent studies have reported that delayed-rectifier Kv channels regulate apoptosis in the nervous system. Herein, we investigated changes in the expression of the delayed-rectifier Kv channels Kv1.2, Kv2.1, and Kv3.1 after acute spinal cord injury (SCI) in rats. We performed RT-PCR analysis and found an increase in the level of Kv2.1 mRNA after SCI but no significant changes in the levels of Kv1.2 and Kv3.1 mRNA. Western blot analysis revealed that Kv2.1 protein levels rapidly decreased and then dramatically increased from 1 day, whereas Kv3.1b protein levels gradually and sharply decreased at 5 days. Kv1.2 protein levels did not change significantly. In addition, Kv2.1 clusters were disrupted in the plasma membranes of motor neurons after SCI. Interestingly, the expressional changes and translocation of Kv2.1 were consistent with the apoptotic changes on day 1. Therefore, these results suggest that Kv2.1 channels probably contribute to neuronal cell responses to SCI.

Does Early Drain Removal Affect Postoperative Pericardial Effusion after Congenital Cardiac Surgery?

  • Kim, Young Eun;Jung, Hanna;Cho, Joon Yong;Kim, Yeo Hyang;Hyun, Myung Chul;Lee, Youngok
    • Journal of Chest Surgery
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    • v.53 no.1
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    • pp.16-21
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    • 2020
  • Background: Patients undergoing cardiac surgery require postoperative chest drainage. However, the drain is difficult to keep in place in children with congenital heart disease. Since 2015, at Kyungpook National University Hospital, the chest tube is removed on postoperative day 1 in patients who have undergone simple congenital cardiac surgery (i.e., closure of an atrial or ventricular septal defect). In this study, we evaluated the relationship between the duration of drain placement and the likelihood of pericardial effusion after congenital cardiac surgery. Methods: The medical records of patients who underwent closure of an atrial or ventricular septal defect at our hospital between January 2014 and December 2016 were reviewed. In total, 162 patients who received follow-up echocardiography and had information available on postoperative pericardial effusion after the repair procedure were enrolled. Results: Echocardiography was performed at a median of 5 days (range, 4 to 6 days) postoperatively before discharge from the hospital. Pericardial effusion occurred in 21 patients (13.0%), of whom only 3 (1.9%) had moderate or greater pericardial effusion, regardless of the drain duration. All patients improved during outpatient follow-up without invasive management. No patient had severe complications because of pericardial effusion. The duration of drain placement did not affect the incidence of postoperative pericardial effusion (p=0.069). Operative survival was 100%. Conclusion: Based on our study, we recommend removing the drain as soon as its role is complete, generally on postoperative day 1, because early removal does not increase the incidence of pericardial effusion in patients undergoing simple congenital cardiac surgery.

Effects of Nutrition Education through Social Cognitive Theory in Elementary School Students -Focusing on the Nutrition Education of Sugar Intake- (사회인지이론을 적용한 초등학생 대상 영양교육의 효과 -당 섭취에 관한 영양교육 중심으로-)

  • Kim, Yun-Sil;Lee, Min-June
    • The Korean Journal of Food And Nutrition
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    • v.24 no.2
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    • pp.246-257
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    • 2011
  • The purpose of this study was to identify the effectiveness of a nutrition education program of reducing children's sugar intake based on social cognitive theory. This education program composed of 6 units was conducted in discretional activity class of the $3^{rd}$ and $4^{th}$ grade elementary school students. The results are as follows: First, the rate of correct answers and score of nutrition knowledge significantly increased after nutrition education. The scores of nutrition education in male students, students whose mothers have no job, and students with skinny physiques were much improved after nutrition education(p<0.05, p<0.01, p<0.001, respectively). Second, the dietary attitudes toward reducing sugar intake and checking nutrition labels significantly improved(p<0.05). And also, it tended to decrease in preference and intake of sweet foods. Third, the consumption of candy caramel jelly(p<0.05), yogurt(p<0.05), jam honey(p<0.05), and ice cream(p<0.001) were reduced after nutrition education. Besides, obese students' consumption of isotonic beverages, carbonated beverages, and fruit juice was reduced. Therefore, a positive change in dietary behavior appeared. Based on the above results, we confirmed that the nutrition education program focusing on reducing sugar intake applied with social cognitive theory was effective for improving the nutrition knowledge, dietary attitude and dietary behavior in sugar intake in elementary school students. Especially, this program showed the improvement in nutrition knowledge as well as dietary attitude and behavior in sugar intake among obese children. Since nutrition education during childhood significantly influences lifetime-health and disease prevention, it is necessary to develop theory-based nutrition education program and practice systematic and constant nutrition education in elementary schools.

Analysis on the Participation Constraints of After school Sports Activity in Elementary School Student (초등학생 방과후 스포츠 활동 참여에 따른 제약 인식 분석)

  • Lee, Seok-Hoon;Kim, Chae-Woon
    • The Journal of the Korea Contents Association
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    • v.12 no.6
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    • pp.466-474
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    • 2012
  • This study aims at looking into constraints of physical activity amid "after school" programs operated by an elementary school of Incheon City. For this study, 330 elementary school students of Incheon City were sampled, and tested of descriptive statistics, explanatory factor analysis, Cronbach's alpha, One-way ANOVA, independent t-test, and confirmatory factor analysis by Raymore, Godbey, Crawford's questionnaire. First, examining difference of constraints in accordance with the demographic variables of physical activity participants. Second, analyzing probing and confirmative factors and reliance of leisure constraints for physical activity participants. Third, examining the relations of cause and effect between factors of leisure constraints of physical activity participants and participation.

Effect of Chitosan on Expression of Osteogenic Genes during the Healing of Rat Extraction Socket

  • Youn, Gap-Hee;Jung, Seunggon;Lee, Tae-Hoon;Kook, Min-Suk;Park, Hong-Ju;Oh, Hee-Kyun
    • Journal of Korean Dental Science
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    • v.7 no.2
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    • pp.58-65
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    • 2014
  • Purpose: This study was performed to evaluate the effect of chitosan combined with absorbable gelatin compressed sponge on the expression of osteoblastic differentiation marker genes during the healing of rat extraction socket. Materials and Methods: Twenty-four male Wistar rats were used. In control group, the extraction socket was closed with suture. In chitosan group, the socket was filled with chitosan combined with Gelfoam (Pharmacia & Upjohn Co.) and closed with suture. In each group, the animals were sacrificed at 3 days, 1 week, 2 weeks, and 4 weeks postoperatively. The expression of osteoblastic differentiation marker genes, including BSP, OCN, Runx2, and Col1 were quantified by real-time polymerase chain reaction. Result: Compared to control group, the mRNA level of BSP in chitosan group increased significantly at 2 weeks after extraction and the level of OCN decreased significantly at 3 days and 4 weeks after extraction (P<0.05). The mRNA levels of OCN, Runx2, and Col1 in chitosan group increased slightly at 2 weeks after extraction, but there was no statistical difference between groups. Conclusion: The results indicate that chitosan has some effects on the expression of osteogenic genes during the healing of extraction sockets.

Desflurane Inhalation Provide Cardiovascular Stability During Intubation but Prevention of Rocuronium Injection Pain

  • Ko, Hyun-Min;Hong, Hun-Pyo;Yoon, Ji-Young;Yoon, Ji-Uk;Lee, Do-Won;Kim, Cheul-Hong
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.13 no.3
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    • pp.117-120
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    • 2013
  • Background: Desflurane has very short induction time because its physical characteristics. But its pungent odor and tendency to irritate the upper airway make it unsuitable for induction of anesthesia. This study was performed to determine what time is prefer to start the desflurane inhalation. Methods: Forty adults (17-45 years) were enrolled in a randomized, double-blind study. Twenty start desflurane inhalation just after loss of consciousness, and the others received desflurane after intubation. We monitored vital signs, BIS, desflurane concentration, rocuronium injection pain response, and airway irritation signs. Results: The demographic data were not different two groups. Early inhalation group showed more stable cardiovascular response than that of late inhalation group. But rocuronium injection pain response and airway irritation sings were not different between two groups. Conclusions: Early inhalation of desflurane (6 vol%) just after loss of consciousness attenuates cardiovascular responses during intubation.

A Study on the Analysis of Paradigm Change in Common Space of High School - Focused on High Schools selected as Excellent School Facilities - (고등학교 공용공간의 패러다임 변화 분석 - 우수시설학교로 지정된 고등학교를 중심으로 -)

  • Shin, Ji-Eun;Whang, Hee-Joon
    • Journal of the Korean Institute of Educational Facilities
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    • v.24 no.6
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    • pp.55-64
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    • 2017
  • This study analyzes the common space of the high schools before and after the decade of 2009 which starts Subject-centered clusters school plan, and proposes the direction of common space planning for the future. Based on the floor plans of high schools awarded as excellent school facilities every year, first, types and numbers of common space, second, area ratio between common space and program space and also moving space and staying space, third, space connections were analyzed for tracking the change of the relationship between common, staying and program spaces. The study results demonstrated that types, numbers and area ratio of the common space were increased as the years go on. Especially, the area ratio of staying space was dramatically increased after 2009 and this result was caused by the home-base, alcove space, and hall that were adopted for subject-centered clusters planning after 2009. Connecting diagram of staying area and program spaces also shows the spaces related to staying area were changed from a classrooms and administrative office etc. to a library, gym, and seminar rooms etc. In case of staying area, it would have a value as a common space for various student activities such as group activities, meetings, and multi-uses. Because student activities would be changed and encouraged depending on the location, sizes and program spaces around staying area, it should be emphasized that the planning for staying area is critical for future school design.