• 한국가구학회지
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• 제26권3호
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• pp.187-195
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• 2015

School activities which are opened after-school or during a vacation have been social issues as our society is nuclearized and both parents are working, so that elementary school students and middle school students are less taken care of and less concerned by their parents. It is regrettable that students are spending too much time on private academies in the situation where they cannot help but staying alone after school and where frantic fever of private education pervades their lives. For the sake of those students, the Ministry of Education announced, "Each school can open its after-school programs or vacation programs based on students and their parents' demands making it a rule of a student's voluntary participation. After school programs for elementary and middle school students are operated by local communities providing extra courses or programs in addition to regular classes. Those programs are paid by participants or supported by financial aids in order to decrease parents' burdens of costs of private education and to reduce educational gaps between rich and poor children or between the regions. After school programs are either curricular or non-curricular educational activities with students' voluntary participation, and the programs are meant to supplement and strengthen the role of public school education. Non-curricular courses that consist of various programs, in particular, are receiving good reputations by students and parents. Therefore, this study develops and operates "children's making D.I.Y. furniture" program that is one of non-curricular courses and an activity-oriented art program for children to improve their designing creativity and to help them experience their future jobs in advance. The purpose of this study is to analyze advantages and disadvantages of the program using survey and assessment methods and to find out a developmental direction focused on future-oriented and specialized educational programs for children.

• Annals of Clinical Neurophysiology
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• 제19권1호
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• pp.64-67
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• 2017

Guillain-Barre syndrome (GBS) is an auto-immune disease of peripheral nerve system. It occurs mainly after preceding infection such as upper respiratory or gastrointestinal infection and other antecedent events as tetanus vaccinations. However, any case of GBS after tetanus infection has not been reported. Recently, when analyzed the clinical aspects of 13 tetanus patients including ours, 2 GBS occurred after tetanus infection. We report the neurological and electrophysiologic findings of two cases of Guillain-Barre Syndrome after generalized tetanus.

• 아동학회지
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• 제30권3호
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• pp.37-53
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• 2009

This study researched aspects of gender and grade related to the after-school happiness of lower grade elementary students and the correlation between the children's happiness and their stress and playfulness. Results of surveys and interviews of 124 lower grade elementary students who attended 4 after-school programs in Seoul showed that : (1) there were no gender differences in happiness but first graders were the happiest, then 2nd graders and the 3rd graders who were the least happy. (2) Children's happiness correlated negatively with stress. (3) There was no relationship between children's overall happiness and playfulness, but there was a negative correlation between happiness and playfulness under the sub-category of cognitive spontaneity. Results were discussed in relation to the Korean socio-cultural environment.

• Annals of Clinical Neurophysiology
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• 제16권1호
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• pp.35-38
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• 2014

Japanese-B viral encephalitis (JE) usually has a monophasic illness pattern. A 45-year-old woman in an altered mentality had improved over 1 month. About 1 week after the initial improvement, the patient became comatose with aggravated EEG and MRI findings. Assays of cerebrospinal fluid and serum were positive for the IgM antibody to Japanese-B virus. After intravenous immunoglobulin (IVIG) infusion, the patient recovered. We report a patient with JE who showed a biphasic illness pattern and recovered after IVIG therapy.

• 과학교육연구지
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• 제38권3호
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• pp.490-508
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• 2014

본 연구는 초등학교 방과후 과학관련 특기적성 교육활동 운영 실태를 파악하고 특기적성 과학실험에 공개수업에 참여한 학부모를 대상으로 프로그램에 대한 인식을 조사하여 초등학교 방과후 과학관련 특기적성 교육활동이 성공적으로 운영될 수 있는 활성화 방안을 제시하는데 그 목적을 두고 있다. 이를 위해 경기도 관내 809개 초등학교 방과후 과학관련 특기적성 교육활동 안내장을 수합해 강좌명, 수강료, 재료비, 수업시수의 운영 실태를 조사하였고, 공개수업에 참여한 학부모 36명을 대상으로 프로그램에 대한 인식을 설문지 결과로 분석했다. 인식조사는 설문지를 사용하였는데, 이는 2013년도 한국과학창의재단 생활과학교실 고객만족도 설문지를 수정 보완하여 초안을 개발하였고, 과학교육 관련 교수 1인과 과학교육 관련 석사 과정 12인에게 자문을 구하여 설문 내용의 타당성 및 용어 등에 대한 의견을 얻어 최종 설문지를 완성한 것이다. 본 연구에서 수집된 자료는 통계 프로그램을 이용하여 분석했다. 연구 결과를 종합해 보면, 초등학교 방과후 과학관련 특기적성 교육활동이 활성화되기 위한 방안을 다음과 같이 제시할 수 있다. 첫째, 초등학교 방과후 과학관련 특기적성 교육활동이 활성화될 수 있도록 하기 위해서는 교육 수요자(학부모)의 요구를 꾸준히 파악하고 반영해야 한다. 둘째, 초등학교 방과후 과학관련 특기적성 교육활동이 지속적으로 활성화되기 위해서는 교육 수요자(학부모)의 요구와 선택을 반영한 과학프로그램이 개발되어야 한다.

• Journal of Korean Neurosurgical Society
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• 제40권6호
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• pp.434-440
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• 2006

Objective : The purpose of this study is to examine the influence of cranioplasty on dynamics of cerebral blood flow[CBF] and cerebrovascular reserve capacity[CVRC], and to investigate the usefulness of single photon emission computed tomography [SPECT] as a prognostic factor for neurological improvement after cranioplasty. Methods : Between March 2003 and December 2005, a prospective study was performed on 24 patients who had undergone total 25 cranioplasty operations. Cerebral blood flow velocities in the middle cerebral artery[MCA] and internal carotid artery[ICA] were obtained by transcranial Doppler ultrasonography[TCD]. The CVRC was assessed by SPECT in the natural state and after stimulation with 1g of acetazolamide. Neurological improvement after cranioplasty was compared between patients who showed hyperactivity to acetazolamide-activated SPECT [Group 1, n=7] and hypoactivity to acetazolamide-activated SPECT [Group 2, n=17]. These measurements were obtained two weeks prior to and two weeks after cranioplasty. Results : The blood flow velocities at the opposite site to the cranioplasty as well as at the cranioplasty site were significantly increased [P<0.05]. Compared with Group 2, there was significant increase in CBF and neurological improvement after cranioplasty in Group 1. Conclusion : Among patients with surgical bony defects, the patients who had normal reactivity of the CVRC showed a significant increase in CBF and neurological improvement after cranioplasty. The authors suggest that CVRC measurement prior to surgery may be an important prognostic factor for neurological improvement after cranioplasty.

• 한국학교ㆍ지역보건교육학회지
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• 제17권3호
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• pp.1-10
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• 2016

Objectives: The purpose of this study was to verify correlation between social support & psychosocial stress and drinking behavior after consuming alcohol among college students. Methods: This study surveyed by questionnaire 440 students who consumed alcohol regularly from 36 colleges around the country in 2014. Data were analyzed using the program SPSS 21. Results: The effects of social support on problem behavior after drinking and psychosocial stress had significant influence with each path coefficient -0.178(CR= -3.408, p<0.001) and -0.294(CR= -6.195, p<0.001). Also, the effects of psychosocial stress on problem behavior after drinking had significant influence with path coefficient -0.141(CR= -2.858, p<0.05). Social support had significant influence(p<0.001) on problem behavior after drinking through psychosocial stress, serving as a mediator variable, and social support had significant influence on problem behavior after drinking through psychosocial stress. Conclusions: Problem behavior after consuming alcohol held strong relevance in social support and psychosocial stress.

• Journal of Yeungnam Medical Science
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• 제40권2호
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• pp.164-171
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• 2023

Background: The study aimed to evaluate the effect of prehydration solution on hearing thresholds after cisplatin chemotherapy. Methods: In this retrospective cohort study, we reviewed the data of patients who underwent ≥3 courses of cisplatin-based chemotherapy for locally advanced head and neck cancers at a tertiary referral center (n=64). The dextrose solution (DW) group (n=26) received 2 L of normal saline and 1 L of 5% dextrose. The Hartmann solution (HS) group (n=38) received 2 L of normal saline and 1 L of HS. Hearing data were measured 1 day before starting the first course of chemotherapy, and again 20 days after the first, second, and third courses of chemotherapy. The severity of hearing loss was evaluated using the Common Terminology Criteria for Adverse Events (CTCAE). Results: Thresholds at all frequencies after chemotherapy were greater in the DW group than in the HS group. The increase in thresholds in 1 to 4 kHz after the third course of chemotherapy was greater in the DW group than in the HS group. CTCAE grades after the second and third courses of chemotherapy were greater in the DW group than in the HS group. Logistic regression showed that the odds ratio for CTCAE grade 3 or 4 after the third course of chemotherapy in the DW group was 4.84 on univariate analysis. Conclusion: Prehydration using a solution with salt was associated with a decrease in change in hearing thresholds after cisplatin chemotherapy in patients with head and neck cancers.

• Journal of Korean Neurosurgical Society
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• 제30권4호
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• pp.501-508
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• 2001

Objectives : Hemifacial spasm is painless uncommon disorder characterized by involuntary paroxysmal movement on one side of face. It is known that hemifacial spasm is mainly due to pulsatile compression by vessels at the root exit zone(REZ) of the facial nerve. Microvascular decompression at REZ of the facial nerve has become the standard treatment modality for hemifacial spasm. The authors have analized patients with hemifacial spasm treated with microvascular decompression to evaluate operation result and clinical course after operation. Patients and Methods : From 1992 to 1999, 41 patients with hemifacial spasm underwent this operation. Retrospective analysis of operation results and clinical recovery patterns was done. The length of observation had been more than 6 months in all cases. Results : The ratio of male to female was 1:1.4, and age at operation ranged from 24 to 66 years. Their mean age was 47.6 years and the mean preoperative duration of symptoms was 7.2 years. Most common offending vessels were AICA in 18 cases(48%) and second most common were PICA in 13 cases(31.7%). The rest of them were 3 case in vertebral artery, and 7 cases(13%) in multiple offending vessels. Patterns of improvement after surgery could be divided into 4 clinical types. There was complete recovery in 3 days after operation in 24 cases(58.6%, Immediate complete recovery). There was complete recovery in 3 days after operation, and symptom was recurred partially, which was gradually subsided in 2 weeks after operation in 4 cases(9.8%, Delayed complete recovery type I). There was partial recovery after operation and symptom was compretely disappeared gradually in 6 months after operation in 7 cases(17.1%, Delayed complete recovery type II). Finally, there was partial recovery after operation, and symptom was somewhat remained after 6 months later(14.5%, Delayed partial recovery). Conclusion : In conclusion, microvascular decompression for hemifacial spasm is a safe and reliable treatment modality with good results of improvement and there are 4 recovery patterns in clinical course after operation in our series. Therefore, follow-up observation after microvascular decompression is necessary to evaluate the operative results and complication, especially in the delayed resolved cases.

• Clinical and Experimental Pediatrics
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• 제63권4호
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• pp.151-156
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• 2020

Background: Acute kidney injury (AKI) is one of the most significant postoperative complications of pediatric cardiac surgery. Because serum creatinine has limitations as a diagnostic marker of AKI, new biomarkers including neutrophil gelatinase-associated lipocalin (NGAL), kidney injury molecule-1 (KIM-1), and interleukin-18 (IL-18) are being evaluated to overcome these limitations and detect AKI at an early stage after cardiac surgery. Purpose: This study aimed to investigate the clinical usefulness of these biomarkers in young children. Methods: Thirty patients with congenital heart diseases who underwent cardiac surgery using cardiopulmonary bypass (CPB) were selected, and their urine and blood samples were collected at baseline and 6, 24, and 48 hours after surgery. Serum creatinine and blood urea nitrogen levels as well as NGAL, KIM-1, and IL-18 levels in urine samples were measured, and clinical parameters were evaluated. Results: Of the 30 patients, 12 developed AKI within 48 hours after cardiac surgery. In the AKI group, 8 of 12 (66.6%) met AKI criteria after 24 hours, and urine KIM-1/creatinine (Cr) level (with adjustment of urine creatinine) peaked at 24 hours with significant difference from baseline level. Additionally, urine KIM-1/Cr level in the AKI group was significantly higher than in the non-AKI group at 6 hours. However, urine NGAL/Cr and IL-18/Cr levels showed no specific trend with time for 48 hours after cardiac surgery. Conclusion: It is suggested that urine KIM-1/Cr concentration could be considered a good biomarker for early AKI prediction after open cardiac surgery using CPB in young children with congenital heart diseases.