• Title/Summary/Keyword: primary-grade

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Treatment of Giant Cell Tumor of Distal Radius with Wide Resection and Proximal Fibular Graft (광범위한 절제술 후 근위 비골 이식을 이용한 원위 요골 거대세포종의 치료)

  • Kim, Bu-Hwan;Yi, Sang-Hun;Heo, Mu-Jung;Chun, Sang-Jin;Ryu, Chong-Il;Kim, Yong-Jin
    • Archives of Reconstructive Microsurgery
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    • v.11 no.1
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    • pp.67-72
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    • 2002
  • Purpose : Treatment of giant cell tumor of distal radius can be treated in several ways according to the agressiveness of the tumor. We treated 3 cases of widely involved giant cell tumor of distal radius with wide resection and proximal fibular graft and report the results with review of literatures. Material and Method : We have treated 3 cases of giant cell tumor of the distal radius since last 1990. Among 3 cases, two cases were grade III radiologically and treated by wide resection of distal radius and vascularized proximal fibular graft, and one case, grade II radiologically, treated by distal radial resection and non-vascularized proximal fibular graft. We followed up clinical results of above three cases 9 years, 12 years and 2 years. Result : In all three cases, tranplanted fibula graft showed solid union but grade III tumors recurred at 4 year and 6 year postoperatively. One of the case which recurred 4 year later was treated with secondary wide resection and wrist fusion with autogenous iliac bone graft, and didn't show any recurrent finding for these 5 years after re-operation. And another grade III, which recurred at 6th post-operative year, is under follow-up for 6 years after recur without 2nd operation. Grade II case didn't show any recurrent findings on 2 year follow-up. Conclusion : Grade III cases recurred at 4 year and 6 year follow-up. The cause of recurrence was thought to be invasion of remaining tumor cell in the soft tissue. To prevent recurrence, complete resection of primary tumor was necessary.

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Fine Needle Aspiration Cytology of Mucoepidermoid Carcinoma of the Salivary Gland (점액표피양 암종의 세침흡인 세포학적 소견)

  • Moon, Jeong-Seok;Oh, Hwa-Eun;Lee, Ju-Han;Kim, Ae-Ree;Kim, Chul-Hwan;Kim, Han-Kyeom;Park, Mee-Ja;Won, Nam-Hee
    • The Korean Journal of Cytopathology
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    • v.8 no.2
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    • pp.135-142
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    • 1997
  • Mucoepidermoid carcinoma is the most common malignant neoplasm of the salivary gland, compring between 30 and 40%. Fine needle apsiration cytology was performed in five patients with mucoepidermoid carcinoma. The patients consisted of three males aged of 42, 48, and 60 years, and two females aged 36, and 56 years. The primary tumor sites were the parotid gland in four patients and the submandibular gland in the rest one. The histologic grades were low in one patient, intermediate in two patients and high in other two. In our experience, the common cytologic findings of low grade subtype were predominent mucous cells with some intermediate cells in an abundant mucinous background. The cytologic findings of intermediate grade subtype were predominant clusters of intermediate cells with or without mucous cells in an abundant mucinous background. And the cytologic findings of high grade subtype were predominant clusters of epidermoid cells with intermediate cells in a bloody background. Cytologic pleomorphism and atypia were more severe in high grade than low and intermediate grade, and nucleoli were more frequently noted in epidermoid cells. In low grade, it is very difficult to decide the benignancy or malignancy of the tumor. In fact, the presence of mucous cells in a mucinous background should rule out any other type of well differentiated carcinoma.

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A Study on the Need for Sex Education of Middle School Students and Their Parents in Suwon (중학교(中學校) 학생(學生)과 학부모(學父母)의 성교육(性敎育) 요구(要求) 조사연구(調査硏究) - 수원시내 중학생을 대상으로 -)

  • Choi, Sun Hee
    • Journal of the Korean Society of School Health
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    • v.3 no.1
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    • pp.119-134
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    • 1990
  • The purpose of this study is to find out the need for sex education of middle school students and their parents. For the data collection, the survey was conducted during the period from September 10 to September 20, 1989 by using prepared questionnaire. A questionnaire was given to 592 students of 1st, 2nd and 3rd grade from four middle schools and to 408 their parents in Suwon City. The major results are summarized as follow; 1. Among the 25 questions were asked about knowledge of sex, the structure of reproductive organs, physical change during puberty, menstruation, Sexually stimulation and family plan were answered correctly by over 50% of the students. The higher the grade, the more the knowledge of sex. There was no significant difference between this knowledge and with eider sister or brother. Among the 20 questions were asked about knowledge of sex, sexually stimulation, pregnancy, emission, induced abortion and sexually transmitted disease were answered correctly by over 50% of the parents. 2. 30 questions were asked about attitude of sex, 47.7% of the students and 53.4% of the parents answered 'positive'. There was no significant difference between grade and sex of students. A significant difference '.vas not also found between years and education level of parents. 3. In case of students, experience of sex education was showed the structure of reproductive organs, physical change during puberty, temper during puberty, menstruation, emission more. In the event of parents, experience of sex education was showed the structure of reproductive organs, temper during puberty, menstruation, emission, relationship with apposite sex more. Most students felt that sex education should begin from the first grade of middle school and the first grade of high school strongly. In parents was showed the need for sex education from the primary school and the first grade of middle school highly. Namely, students and parents felt that sex education should begin from puberty. To help good developments and growth of middle school students with rapid change should be educated sex eduction properly for the occasion.

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The Physical Development and Dietary Intake for Korean Children and Adolescents: Food and Nutrient Intake (서울 지역 일부 아동 및 청소년의 성장발달 및 식생활 비교 연구: 식품 및 영양소 섭취 실태(II))

  • Song Yoon Ju;Joung Hyo Jee;Kim Young Nam;Paik Hee Young
    • Journal of Nutrition and Health
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    • v.39 no.1
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    • pp.50-57
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    • 2006
  • The aim of this study was to evaluate the food and nutrient intakes in 5th to 8th grade school boys and girls. A total of 1,333 students were recruited from 1 elementary and 1 middle school, both located in Seoul. The data on food and nutrients intake were collected by 3-day food record. The food intake was calculated as the percentage of total energy intake according to 21 food subgroups. The consumption of noodles, and meat's products (including ham and sausage) groups were higher in 7th and 8th grade than 5th and 6th grade. On the other hand consumption of vegetables and milk & its products groups were lower in 7th and 8th grade. As results, calcium, riboflavin, and vitamin C intakes were lower in 7th and 8th grade students. Dietary patterns by cluster analysis resulted in $77\%$ of subjects with traditional pattern based rice and kimchi, and $23\%$ with modified pattern. All students regardless of grades showed high fat intake, above 20 percent energy intake from fat, and high cholesterol intakes. In conclusion, there was significant difference between 5th and 6th grade primary school students and 7th and 8th junior school students regarding food and nutrient intakes; It should be necessary to provide proper nutrient education and monitoring in order to establish good dietary profile.

An Analysis of Vocabulary Rating and Types in Elementary Mathematics Textbooks for Grade 1-2 (초등학교 1~2학년 수학 교과서 어휘의 등급 및 유형별 분석)

  • Park, Mimi;Lee, Eunjung
    • Education of Primary School Mathematics
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    • v.25 no.4
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    • pp.361-375
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    • 2022
  • In this study, the vocabularies in elementary mathematics textbooks for grade 1-2 were analyzed according to 9-degree of semantic system. Also, the types of vocabulary were analyzed using general academic words, mathematics specific concept words, and mathematics general concept words. As a result, percentages of 1-degree and 2-degree vocabulary was the most in both grade 1 and 2 mathematics textbooks. It also shows that some of general academic words were 3-degree vocabulary and some of mathematics specific concept words were either unregistered or 1-degree vocabulary. In particular, general academic words, which are 3-degree vocabulary, may be unfamiliar to 1st and 2nd grade students. Therefore, students should be given the opportunity to guess and understand the contextual meaning of general academic words from the given contexts in textbooks. The frequency of use of mathematics general concept words in grade 2 textbook increased significantly compared to grade 1 textbook. Since mathematics general concept words are academic and technical vocabulary they should be taught explicitly. Based on the results of this study, implications for vocabulary instruction in mathematics textbooks were discussed.

The Analysis of Activity Energy, Total Energy, and Estimated Energy Expenditures in 5th and 6th Grade Primary School Students (초등학교 5, 6학년 남녀학생의 활동에너지 소비량 및 에너지필요추정량 분석)

  • Kim, Mi-Jeong;Na, Hyeon-Ju;Kim, Young-Nam
    • Korean Journal of Community Nutrition
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    • v.16 no.2
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    • pp.195-205
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    • 2011
  • This study was conducted to investigate the time spent, activity coefficient and energy expenditure on 7 different types of activity. Total of 386 5th and 6th grade primary school boys and girls in Seoul participated in this study. The participants spent 8 hrs for rest, 4 hrs for out of school study, 3 hrs for leisure, 1 hr 45 mins. for hygiene, 1 hr for commute, and 15 mins. for house choir activity in the day of 6 class hours. The average activity coefficient of 1 day for boys and girls were 1.69 and 1.64, respectively. The TEEs were 2,382 kcal and 2,050 kcal for boys and girls, respectively. The energy cost for study related activity (in school and study activities) was 40% of the TEE, and for rest 20%, for commute 9%, and for hygiene 10% of the TEE. The energy cost for house choir was only about 2% of TEE. The 91.2% participant's EER was higher than the EER shown in the table of 2010 DRI for Koreans. When the participant's EER was compared with the energy allowance calculated by the method in 2000 RDA for Korean, 81.6% was in the range of ${\pm}5%$, and the correlation coefficients between the 2 values were 0.981 for boys and 0.978 for girls, which means high agreements.

The Eating Behaviors and Nutrient Intakes of Third Grade Primary School Children in Kwangju (광주지역 일부 초등학교 3학년 아동의 식습관의 영양소 섭취량)

  • 오승호;이성숙;최인선
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.28 no.5
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    • pp.1172-1179
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    • 1999
  • The purpose of this study was to determine eating behaviors and nutrient intakes of 256 third grade primary school children(134:boys, 122:girls) in Kwangju. There were no significant differences in the heights, weights, physical circumferences measurements between the boys and girls, but the skinfold thickness measurements were significantly different. Most nutrient intakes were higher than the Rec ommended Dietary Allowances but the intake of energy, calcium, and vitamin E were lower than the RDA. The intakes of calcium, niacin, and vitamin E of the girls were significantly lower than those of the boys. With regard to meal volume, 13.6% of the subjects has been 'much'. With regard to meal speed, 24.6% of the subjects has been 'fast'. The study also found that 50% of the subjects skipped breakfast, 67.6% of the subjects had irregular meal times, 64.6% of the subjects ate snacks after dinner and 85.9% of the subjects ate snacks. These results show that the nutrient intake of children was related to snack eating more than regular meals. With regard to dietary behavior and nutrient intakes, meal volume, meal speed, skipping breakfast, eating snacks and eating snacks after dinner were major influences. But regularity of meal time was not influence on nutrient intakes. These results suggest that children's eating behaviors are in needs of correction. This reasserts the importance of nutrition education to children through teachers, parents and dietitians. The findings of this study should be applied to nutrition education to ensure better physical fitness of children.

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Analysis and Evaluation of the Content Relevance in the 7th National Primary Science Curriculum (제7차 초등학교 과학과 교육과정 내용의 적정성 분석 및 평가)

  • Lee Yang-Rak;Part Jae-Keun;Lee Bong-Woo;Han In-Ok
    • Journal of Korean Elementary Science Education
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    • v.24 no.3
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    • pp.214-225
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    • 2005
  • The purpose of this study was to examine the content relevance of the 7th national primary science curriculum and textbooks. To fulfill the purpose of the study, we 1) analyzed the 7th national science curriculum of Korea, Californian science standards, the national science curriculum of England and Japan, and current Korean and Japanese science textbooks, 2) conducted a nationwide survey to gather opinions from students, teachers, and professors of teachers colleges about the relevance of the science curriculum and textbooks. Main findings of this study are as follows: First, the science contents at each grade level should be determined by the students' characteristics, not by an equal portion rule among physics, chemistry, biology and earth science. Second, the excessive overlapping and repetition of contents due to the spiral curriculum should be avoid. Third, the number of topics at each grade level should be reduced, and the similar topics and themes should be integrated for students' deeper understanding. Fourth, the number of science concepts and activities should be reduced to an appropriate level considering the time allotment for science classes, teachers workload, laboratory conditions, etc. Fifth, differentiated curriculum, such as in-depth and supplementary course, should be described not in science contents, but in teaching and learning strategy.

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A Study on the Visual Impairment State and Knowledge and Practice about Visual Impairment Protective Care of the Primary School Students in Chonbuk Area (국민학교 학생의 시력관리 지식 및 실천과 시력장애에 관한 조사연구 -3, 4, 5, 6학년을 중심으로-)

  • Chung, Young Sook
    • Journal of the Korean Society of School Health
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    • v.6 no.1
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    • pp.58-68
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    • 1993
  • This study was designed to grasp the knowledge and practice the level about visual impairment protective care of the primary school students and also analyse the state of visual impairment. The subjects of this study ware 347 students composed of 456 boys and 391 girls in primary school students. The data were collected by questionaire developed for the purpose of this study which has been made through studying references. These were carried out from the 10th to 30th of June 1992. Analysis of the data was done utilizing SPSS for percentage, mean, S.D., T-test., ANOVA and Pearson's Correlation Coefficient. The major results obtained from this study were as follows: 1. The level of the knowledge about visual impairment protective care was in intermediate range (mean on 20 point scale of 12.34, with O=definitely no), but low in aspects of preventive care for overwork of eye (mean on 5 point scale of 2.67). 2. The level of the practice about visual impairment protective care was intermediate range (mean on 20 point scale of 12.34, with O=definitely no), but low in aspects of preventive care for overwork of eye (mean on 5 point scale of 2.58). 3. Significant variables influencing knowledge of visual impairment protective care were sex (p<0.01) and grade (p<0.001). 4. Significant variables influencing practice of visual impairment protective care was living area (p<0.01). 5. Correlation between knowledge and practice: Those who have more knowledge score have more practice score (p<0.001). 6. vision impairment state 1) Student with subnormal in 0.9 or less were 26.3% in left eye and 28.4% in right eye. 2) Student with subnormal in 0.6 or less were 11.9% in left eye and 10.9% in right eye. 7. Vision impairment programs 1) Males are slightly higher in the degree of visual impairment than females. 2) Visual impairment were increased in accordance with the increase of grade. 3) Urban students are higher in the degree of visual impairment than rural students, but these seem to have no statistical meaning.

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Study on Bullying among Primary School Students (초등학생들의 집단따돌림에 관한 연구)

  • Jung Eun-Soon;Kim Yi-Soon;Lee Hwa-Za;Kim Young-Hae;Song Mi-Gyoung
    • Child Health Nursing Research
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    • v.8 no.4
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    • pp.422-434
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    • 2002
  • This study was conducted with 512 students in 4 primary schools located at the inner and the outskirt of K city, Northern Kyungsang Province from November 6, 2001 to November 27, 2001(during 3 weeks). This study was a research about the difference of a bullying degree and tendency of both teasing and teased students. The purpose of the study was to help nursing teachers in charge of student consultation and treatment. The findings are as follows: First, for to whom students confess their worries, students in lower grade talked to their parents while students in higher grade talked to their close friends. The higher grader, the higher rate in solving their problems by themselves. For how many students are teased by their peers in groups, 52.0% students answered 1 or 2 students in a class. For the reasons of bully, 37.0% higher graders answered, very selfish and putting on airs after 29.6% lower graders answered, ugly and bad at speaking. Second, for perception of peer relation, 81.3% students participating in the study answered, very important. For a question whether students satisfy present relation with their friends by gender, 53.7% boys were satisfied while 34.6% girls were satisfied. Third, for difference in bullying by gender, boys mainly teased others by using words and physical power(p<0.000) while girls estranged others. When it goes to teased students, it was the case: boys were bullied physically(p<0.000) and linguistically while girls were hurt by estrangement. Having nothing direct to do with school achievement, nursing teacher should make good use of such an advantage that students tend to easily confess their worries to them and take care of psychological aspects of students in treatment. Furthermore, it needs to include contents of bully in the regular heath care education.

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