• Archives of Plastic Surgery
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• 제37권3호
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• pp.293-296
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• 2010

Purpose: NTM (non tuberculous mycobacteria) is rare cause of surgical site infection after plastic surgery in immunocompetent patients. There are some reports about NTM infection after body contouring procedure from Latin America. But, there is no report in Korea. The purpose of this article is to report 2 patients with soft tissue infection caused by NTM after body contouring procedure. Methods: Two young female patients exhibited signs of inflammation and abscess after body contouring procedure. One patient underwent liposuction. The other underwent HPL (hypotonic pharmacologic lipo-dissolution) injection. Results: The result of tissue cultures were positive for NTM. All patients responded to the combined therapeutic approach. Conclusion: The goal of this article is to raise awareness among plastic surgeons who may encounter such patients in their practice. NTM should be included in the differential diagnosis of surgical site infection after body contouring surgery.

• The Korean Journal of Pain
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• 제12권2호
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• pp.217-220
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• 1999

Background: Transcutaneous Electrical Nerve Stimulation (TENS) has been widely used for pain relief after surgery instead of opioid analgesics therapy. This study was designed to study the effectiveness of TENS on perianal pain after anal surgery. Methods: Forty-eight patients who underwent anal surgery were evaluated in this suudy. Caudal anesthesia with 1.5% lidocaine 30 ml mixture 1：200,000 epinephrine was performed. TENS was done at 100 Hz for 25 min. duration, postoperatively at 4 hrs and 24 hrs. Pain was also measured at the 4 hrs and 24 hrs postoperatively by visual analogue scale (VAS). VAS value were compared before and after TENS application. Results: Values of VAS after TENS were significantly lower compared to those before TENS. Conclusions: From these results, we concluded, TENS may be effective for postoperative perianal pain relief after anal surgery.

• 한국콘텐츠학회논문지
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• 제12권12호
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• pp.771-778
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• 2012

본 연구는 중학생의 방과 후 스포츠클럽활동 참가가 학교생활만족에 미치는 영향을 규명하는데 그 목적이 있었다. 이를 위하여 2012년 9월 현재 D시 산하 중학교의 중학생 명부를 모집단으로 선정, 유층집락무선표집법을 이용하여 표본을 추출한 다음 640명의 유효 표본을 최종 조사대상으로 활용하였다. 본 연구의 조사도구는 설문지였다. 독립변인은 참가유무, 참가정도(빈도, 기간, 강도)이었으며, 종속변인은 학교생활만족(교우만족, 교사만족, 학습활동, 학교행사, 규칙준수)이었다. 이러한 자료를 기초로 예비조사를 거쳐 본 설문조사를 실시하였으며, 회수된 최종 자료를 SPSSPC+ 18.0 프로그램을 이용하여 빈도분석, 요인분석, 신뢰도분석, t검증, 상관관계분석, 회귀분석 등을 실시하였다. 위와 같은 연구방법을 통하여 얻어진 결과를 종합하여 도출된 결론은 다음과 같다. 첫째, 중학생의 방과후 스포츠클럽활동 참가집단이 비참가집단에 비하여 학교생활만족 정도가 높다. 둘째, 중학생의 방과후 스포츠클럽활동 참가정도는 학교생활만족에 영향을 미친다. 구체적으로 참가빈도가 많을수록 학교생활만족 정도가 높고, 참가기간이 길수록 학교생활만족 정도가 높으며, 참가강도가 클수록 학교생활만족 정도가 높다.

• Journal of Korean Neurosurgical Society
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• 제42권3호
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• pp.228-231
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• 2007

The intracranial hemorrhage in regions remote from the site of initial operations is unusual but may present as fatal surgical complication. We report a rare case of multiple, sequential, remote intracranial hematomas after cranioplasty in a patient who did not have any prior risk factors. A 51-years-old man was transferred to the hospital after a head trauma. The brain computed tomography (CT) revealed acute subdural hemorrhage on the right hemisphere with prominent midline shifting. After performing decompressive craniectomy and hematoma removal, the patient recovered without any complications. However, the patient showed neurological deterioration immediately after cranioplasty, which was done three months after the first surgery. There was extensive hemorrhage in the posterior fossa remote from the site of the initial operation site. The brain CT taken soon after removing this hematoma evacuation displayed large epidural hematoma on the left hemisphere. This case represents posterior fossa hemorrhage after supratentorial procedure and sequential delayed hematoma on the contralateral supratentorial region thus seems very rare surgical complications. Despite several possible pathogenetic mechanisms for such remote hematomas, there are usually no clear cut relationships with each case as in our patient. However, for the successful outcome, prompt evaluation and intensive management seem mandatory.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제38권2호
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• pp.96-100
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• 2012

Objectives: This study sought to evaluate trabecular changes in the mandible using fractal analysis and to explain the transient osteopenia related to rapid orthodontic tooth movement after orthognathic surgery. Materials and Methods: Panoramic radiographs were taken of 26 patients who underwent bilateral sagittal split ramus osteotomy. Radiographs taken before the surgery and 1 month after surgery were overlapped, and $40{\times}40$ pixel square regions of interest were selected near the mandibular canines and 1st molars. After the image processing procedure, the fractal dimension was calculated using the box-counting method. Results: Fractal dimension after orthognathic surgery decreased in a statistically significant manner (P<0.05). The change in fractal dimension on the canine side had greater statistical significance as compared to that seen on the 1st molar side. Conclusion: This study found that bone density decreases after orthognathic surgery due to transient osteopenia related to the regional acceleratory phenomenon. This result can provide a guide to evaluating orthodontic tooth movement after orthognathic surgery.

• 한국학교보건학회지
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• 제29권3호
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• pp.209-217
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• 2016

Purpose: This study was to examine the changes in knowledge, attitudes, and preventive behaviors among elementary school students after providing them with tuberculosis prevention education. Methods: A total of 235 students from D elementary school in G city were selected. After completing tuberculosis prevention education, the subjects were surveyed five times for 16 weeks. 1,087 samples were included in the final analysis. One-way ANOVA, $Scheff{\acute{e}$'s test, Pearson's correlation, and multiple regression analysis were performed to examine the changes in tuberculosis-related knowledge, attitudes and preventive behaviors over time. Results: After 16 weeks from the education, the scores of preventive behaviors did not show any significant difference compared to the time right after the education. However, the scores of knowledge and attitudes tended to improve. In particular, 1st~2nd graders had high scores in both knowledge and attitude, and the scores of knowledge and attitude gradually increased over time. The correlation between knowledge, attitude, and preventive behavior regarding tuberculosis had a positive significance during the entire time of the survey. Conclusion: Positive associations between knowledge and attitude and between attitude and preventive behavior sustained for 16 weeks after tuberculosis education among elementary school students. This study suggests that tuberculosis prevention education conducted early on from lower grades can produce more educational effects and that it could be a foundation not only for developing knowledge of tuberculosis but also for cultivating adequate attitudes and forming active tuberculosis preventive behaviors.

• 교육시설 논문지
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• 제20권6호
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• pp.41-48
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• 2013

Elementary school education in Korea has been constantly changing according to the requirements of social change. Contemporary primary education is oriented creative-education and institutional changes were required. As a result, it is appearing movement wants to get out of uniform curriculum of elementary school. This paper was carried out to analyze after-school programs other than the curriculum of elementary education school and to analyze the current status of the space use of school facilities. Based on this analysis, it is proposed utilization of spatial association between the elementary school and local public facilities.

• 아동학회지
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• 제31권4호
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• pp.199-217
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• 2010

This study investigated the effects of an after-school picture-book program on the happiness and socio-emotional ability levels of first graders. The subjects consisted of 44 elementary school first graders; of these, 22 formed the experimental and 22 formed the control group. A detailed analysis of both happiness and socio-emotional ability levels was undertaken to determine the homogeneity of the two groups. A broad variety of activities using 12 picture-books were applied to the experimental group for twelve-week periods. The results of this study were as follows; the after-school program using picture books was effective in strengthening children's levels of both happiness and socio-emotional ability.

• Journal of Gastric Cancer
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• 제16권3호
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• pp.152-160
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• 2016

Purpose: Endoscopic diagnosis of gastric cancer (GC) that emerges after eradication of Helicobacter pylori may be affected by unique morphological changes. Using comprehensive endoscopic imaging, which can reveal biological alterations in gastric mucosa after eradication, previous studies demonstrated that Congo red chromoendoscopy (CRE) might clearly show an acid non-secretory area (ANA) with malignant potential, while autofluorescence imaging (AFI) without drug injection or dyeing may achieve early detection or prediction of GC. We aimed to determine whether AFI might be an alternative to CRE for identification of high-risk areas of gastric carcinogenesis after eradication. Materials and Methods: We included 27 sequential patients with metachronous GC detected during endoscopic surveillance for a mean of 82.8 months after curative endoscopic resection for primary GC and eradication. After their H. pylori infection status was evaluated by clinical interviews and $^{13}C$-urea breath tests, the consistency in the extension of corpus atrophy (e.g., open-type or closed-type atrophy) between AFI and CRE was investigated as a primary endpoint. Results: Inconsistencies in atrophic extension between AFI and CRE were observed in 6 of 27 patients, although CRE revealed all GC cases in the ANA. Interobserver and intraobserver agreements in the evaluation of atrophic extension by AFI were significantly less than those for CRE. Conclusions: We demonstrated that AFI findings might be less reliable for the evaluation of gastric mucosa with malignant potential after eradication than CRE findings. Therefore, special attention should be paid when we clinically evaluate AFI findings of background gastric mucosa after eradication (University Hospital Medical Information Network Center registration number: UMIN000020849).

• Imaging Science in Dentistry
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• 제44권1호
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• pp.15-20
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• 2014

Purpose: This study aimed to assess the three-dimensional (3D) facial changes after orthognathic surgery by evaluating the spherical coordinates of facial lines using 3D computed tomography (CT). Materials and Methods: A 19-year-old girl was diagnosed with class III malocclusion and facial asymmetry. Orthognathic surgery was performed after orthodontic treatment. Facial CT scans were taken before and after orthognathic surgery. The patient had a menton deviation of 12.72 mm before surgery and 0.83 mm after surgery. The spherical coordinates of four bilateral facial lines (ramal height, ramal lateral, ramal posterior and mandibular body) were estimated from CT scans before and after surgery on the deviated and opposite side. Results: The spherical coordinates of all facial lines changed after orthognathic surgery. Moreover, the bilateral differences of all facial lines changed after surgery, and no bilateral differences were zero. Conclusion: The spherical coordinate system was useful to compare differences between the presurgical and postsurgical changes to facial lines.