• Korean Journal of Child Studies
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• v.30 no.4
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• pp.135-153
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• 2009

This study examined trends in private after-school lessons for preschoolers and elementary school children as a function of demographic characteristics such as children's age, socioeconomic status, and mothers' employment status. One thousand and sixty-three mothers completed questionnaires on demographic characteristics and their children's participation in private after-school lessons. Data were analyzed by chi-square, one-way ANOVA, t-test, and multiple regression analyses. Results demonstrated that older children and children from higher income and full-time homemaker families attended more private lessons. Age of children was the most influential variable among the demographic characteristics; that is, older children had more after-school lessons. Recommendations for future research are to focus on possible negative effects of excessive private lessons on children's socio-emotional development.

• Archives of Plastic Surgery
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• v.46 no.2
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• pp.135-139
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• 2019

Background In immediate breast reconstruction using an extended latissimus dorsi musculocutaneous (eLDMC) flap, the volume of the flap decreases, which causes a secondary deformity of the breast shape. Since little research has investigated this decrease in muscle volume, the authors conducted an objective study to characterize the decrease in muscle volume after breast reconstruction using an eLDMC flap. Methods Research was conducted from October 2011 to November 2016. The subjects included 23 patients who underwent mastectomy due to breast cancer, received immediate reconstruction using an eLDMC flap without any adjuvant chemotherapy or radiotherapy, and received a computed tomography (CT) scan from days 7 to 10 after surgery and 6 to 8 months postoperatively. In 10 patients, an additional CT scan was conducted 18 months postoperatively. Axial CT scans were utilized to measure the volumetric change of the latissimus dorsi muscle during the follow-up period. Results In the 23 patients, an average decrease of 54.5% was observed in the latissimus dorsi muscle volume between the images obtained immediately postoperatively and the scans obtained 6 to 8 months after surgery. Ten patients showed an average additional decrease of 11.9% from 6-8 months to 18 months after surgery. Conclusions We studied changes in the volume of the latissimus dorsi muscle after surgery using an eLDMC flap performed after a mastectomy without adjuvant chemotherapy or radiotherapy. In this study, we found that immediate breast reconstruction using a latissimus dorsi muscle flap led to a decrease in muscle volume of up to 50%.

• Journal of Periodontal and Implant Science
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• v.53 no.5
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• pp.347-361
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• 2023

Purpose: Exosomes are membrane vesicles that are present in body fluids and contain proteins, lipids, and microRNA (miRNA). Periodontal tissue examinations assess the degree of periodontal tissue destruction according to the probing depth (PD), clinical attachment loss (CAL), bleeding on probing, and X-ray examinations. However, the accurate evaluation of the prognosis of periodontitis is limited. In this study, we collected saliva from patients before and after initial periodontal therapy (IPT) and compared changes in the clinical parameters of periodontitis with changes in the components of salivary exosomes. Methods: Saliva was collected from patients with stage III and IV periodontitis at the first visit and post-IPT. Exosomes were purified from the saliva, and total protein and RNA were extracted. Changes in expression levels of C6, CD81, TSG101, HSP70, and 6 kinds of miRNA were analyzed by western blots and real-time polymerase chain reaction. Results: Patients with increased C6 expression after IPT had significantly higher levels of periodontal inflamed surface area (PISA), miR-142, and miR-144 before and after IPT than patients with decreased C6 expression after IPT. Patients with decreased and unchanged CD81 expression after IPT showed significantly higher PD, CAL, and PISA before IPT than after IPT. Patients with decreased and unchanged TSG101 expression after IPT had significantly higher PD before IPT than after IPT. Patients with increased HSP70 expression after IPT had significantly higher PD and PISA before and after IPT than patients with unchanged HSP70 after IPT. The expression levels of miR-142, miR-144, miR-200b, and miR-223 changed with changes in the levels of C6, CD81, TSG101, and HSP70 in the salivary exosomes of periodontitis patients before and after IPT. Conclusions: The expression levels of proteins and miRNAs in salivary exosomes significantly changed after IPT in periodontitis patients, suggesting that the components of exosomes could serve as biomarkers for periodontitis.

• Journal of Korean Neurosurgical Society
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• v.57 no.4
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• pp.283-288
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• 2015

Objective : This study aims to visualize the subjective symptoms before and after the treatment of whiplash injury using infrared (IR) thermography. Methods : IR thermography was performed for 42 patients who were diagnosed with whiplash injury. There were 19 male and 23 female patients. The mean age was 43.12 years. Thermal differences (${\Delta}T$) in the neck and shoulder and changes in the thermal differences (${\Delta}dT$) before and after treatment were analyzed. Pain after injury was evaluated using visual analogue scale (VAS) before and after treatment (${\Delta}VAS$). The correlations between ${\Delta}dT$ and ${\Delta}VAS$ results before and after the treatment were examined. We used Digital Infrared Thermal Imaging equipment of Dorex company for IR thermography. Results : The skin temperature of the neck and shoulder immediately after injury showed $1-2^{\circ}C$ hyperthermia than normal. After two weeks, the skin temperature was normal range. ${\Delta}T$ after immediately injuy was higher than normal value, but it was gradually near the normal value after two weeks. ${\Delta}dT$ before and after treatment were statistically significant (p<0.05). VAS of the neck and shoulder significantly reduced after 2 week (p=0.001). Also, there was significant correlation between ${\Delta}dT$ and reduced ${\Delta}VAS$ (the neck; r=0.412, p<0.007) (the shoulder; r=0.648, p<0.000). Conclusion : The skin temperature of sites with whiplash injury is immediately hyperthermia and gradually decreased after two weeks, finally it got close to normal temperature. These were highly correlated with reduced VAS. IR thermography can be a reliable tool to visualize the symptoms of whiplash injury and the effectiveness of treatment in clinical settings.

• Journal of the Korean Society of School Health
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• v.5 no.2
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• pp.91-103
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• 1992

The objective of school lunch program is make a student to understand the basic knowledge on the diet through improved food patterns. Diet is an important factor in the development of dental caries. Generally, snack foods contain much sugar and cause dental caries to children. The diet education in the school lunch program should involve the control of snack food intake. In this study, the anlysis of influence of school lunch program on the cariogenic snack food intake of school children was carried out. The questionarie was given to 1,441 sixth-grade children of 5 school lunch group and 1,443 sixth-grade children of 5 non-school lunch group in Pusan on the intake of snack foods and toothbrushing after meals. Its were as follows : 1. No differences were observed snack food intake per day between school lunch group and non-school lunch group. 2. The snack food intake frequency at home in school lunch group was more frequent than that of non-school lunch group. However, in school, the result was reverse. 3. No difference was observed the frequency between school lunch group on the intake of cariogenic, foods, detergent foods, protective foods, cariogenic foods alone and cariogenic and detergent foods between meals. 4. The frequency of toothbrushing per day and the ratio of toothbrushing after meals in school lunch group was a little higher than that of non-school lunch group. 5. No difference was observed on the ratio of toothbrushing after snack food intake between school lunch group and non-school lunch group. 6. The influence of school lunch program on the cariogenic food intake in school children was little significant for its goodness. 7. The improvement of education on snack food take and toothbrushing after meals to shool children was recommended.

• Journal of Digital Convergence
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• v.12 no.5
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• pp.45-56
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• 2014

This study takes the position that present after-school classes affect the development of children's sociality and self-esteem, and aims at comparing, analyzing and grasping the differences in sociality and self-esteem of the children who attend after-school classes and those of the children who don't. First, when the differences of sociality were analyzed between the children going to after-school classes and those who weren't, it was revealed that those who attended after-school classes had rather lower level of sociality than those who didn't, but there were no statistically meaningful differences. Second, when the differences of self-esteem in regard to whether children took after-school classes or not were examined, those who were taking after-school classes were analyzed to have lower self-esteem than those who weren't. The study results showed that the children who went to after-school classes had lower sociality and self-esteem compared to those who didn't. Taking this fact into consideration, different ways should be found to improve their sociality and self-esteem. In addition, programs need to be developed and introduced so that after-school classes can not only fulfill their original purposes of protecting and guiding children, but also continuously elevate and maintain children's sociality and self-esteem.

• Archives of Plastic Surgery
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• v.39 no.2
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• pp.154-157
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• 2012

Lymphedema is a common complication after mastectomy in breast cancer patients. Many treatment options are available, but no treatment results in a complete cure. We report a case of lymphedema that occurred after modified radical mastectomy in a breast cancer patient who showed objective improvement after delayed breast reconstruction with an latissimus dorsi myocutaneous flap. A 41-year-old female patient with left breast cancer had undergone modified radical mastectomy with axillary lymph node dissection and postoperative radiotherapy 12 years previously. Four years after surgery, lymphedema developed and increased in aggravation despite conservative treatment. Eight years after the first operation, the patient underwent delayed breast reconstruction using the extended latissimus dorsi myocutaneous flap method. After reconstruction, the patient's lymphedema symptoms showed dramatic improvement by subjective measures including tissue softness and feeling of lightness, and by objective measures of about 7 mL per a week, resulting in near normal ranges of volume. At a postoperative follow-up after 3 years, no recurrence was observed. Delayed breast reconstruction with extended latissimus dorsi myocutaneous flaps may be helpful to patients with lymphedema after mastectomy. This may be a good option for patients who are worried about the possibility of the occurrence or aggravation of secondary lymphedema.

• Journal of the Korean Society of School Health
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• v.35 no.3
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• pp.123-132
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• 2022

Purpose: The purpose of this study is to identify factors related to hand washing practice among adolescents before and after the outbreak of the COVID-19 pandemic. Methods: The study was conducted using data from the 15th~16th (2019~2020) Korea Youth Risk Behavior Web-based Survey, and the subjects of the study were 57,303 and 54,948 people who participated in the 2019 and 2020 study, respectively. The data were analyzed with frequency test, rao-scott 𝑥² test and multiple logistic regression analysis using SPSS 27.0. Results: Changes in the hand washing practice rate were observed before and after the COVID-19 pandemic in all five behaviors; before eating in school, after using the toilet in school, before eating at home, after using the toilet at home, and after returning home. The study found that the hand washing practice rate increased by 1.21-2.43 times after the COVID-19 pandemic. In addition, as a result of logistic regression analysis, the hand washing practice rate before and after the COVID-19 pandemic was related to gender, region, school grade, school type, economic status, health status, and personal hygiene education experience. Conclusion: This study confirmed the importance of hand washing education to improve the hand washing practice rate in adolescents. It is necessary to develop and apply an effective youth hand washing education program in consideration of various variables that appeared as significant factors influencing the hand washing practice rate before and after the COVID-19 pandemic.

• Korean Journal of Child Studies
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• v.36 no.1
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• pp.147-162
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• 2015

This study examined the role of after-school caregiver absence in the relationship between school adjustment and mobile phone dependency during early adolescence. Sixth grade students(N=1,863) from the nationally representative Korea Child and Youth Panel Study were analyzed using moderated multiple regression models. The results showed that higher school adjustment may be effective in reducing youth mobile phone dependency. There was also a significant interaction effect between school adjustment and high caregiver absence, indicating that the protective role of school adjustment concerning mobile phone dependency may be less effective among youth of highest risk. Policy implications of the results are also discussed.

• 대한공업교육학회지
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• v.37 no.2
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• pp.77-98
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• 2012

The purpose of this study is to investigate what kind of activities by specialized highschool students who have a sense of learned helplessness do after school, and then to inquire if there would be any of differences between their school activities and after school activities. The students in J specialized highschool for vocational education, located in D city participated in the program of improving learning motivation for students with learned helplessness. We selected 15 out of them as the subjects who were judged to be suitable for this study through 'Convenience sampling'. The research methods of this study is qualitative research methods by observation and in-depth interviews. The results are as in the following. First, daily activities after school of the specialized highschool students with learned helplessness can be divided into 3 groups; leisure activities, learning activities, and sustenance activities. Most of the students spend a lot of time doing leisure activities such as playing with a computer, watching TV, doing something with their friend, and killing time. Secondly, the character of daily activities after school of the specialized high school students with learned helplessness is different from that of the students' school activities connected with their daily activities after school. Based on the results we need to consider the character of the students' daily activities after school so as to help the students with learned helplessness, especially in specialized school.