• Archives of Plastic Surgery
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• v.42 no.2
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• pp.214-217
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• 2015

Blepharoptosis is a common indication for surgery in plastic surgery units, yet its possible underlying pathology frequently remains unidentified. A 52-year-old man with a 20-year history of progressive bilateral ptosis (right>left) presented with recurrent ptosis of both eyes; he had undergone an operation on the levator aponeurosis 12 years prior. Due to the suspicion of an underlying disease, he was evaluated further. Chronic progressive external ophthalmoplegia in transition to the more severe syndromic variant Kearns-Sayre syndrome, a mitochondrial disorder causing myopathy, was diagnosed. The patient was treated with coenzyme Q10, and he underwent ptosis surgery on both eyes. This case illustrates a potentially multi-systemic disease that was diagnosed by a further evaluation of a common symptom, in this case worsening blepharoptosis. Awareness of myopathic symptoms is necessary to prevent overlooking serious yet improvable conditions.

• School Mathematics
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• v.1 no.1
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• pp.109-122
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• 1999

In this paper we give a description of students' obstacles in their learning of geometry, especially resulted from their confusing a physical drawing with a figure, a geometrical object which a physical drawing represents. In computer-based teaching-learning environment, we could relieve such obstacles through providing students for experiences in which they must focus on elements of a figure and relations of them. But there may be potential in computer-based environment if we offer students only visual experience for validity of geometrical gacts: students' lack of understanding for need of proof and experience of cognitive obstacles which is very important for students to reflect their thinking and activities. Thus an didactical treatment must follows, which we also give an example.

• Hip & pelvis
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• v.30 no.4
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• pp.260-268
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• 2018

Purpose: This study was performed to assess the clinical and radiological outcomes following one-stage hip reconstruction, consisting of open reduction femoral shortening and pelvic osteotomy, for neglected developmental dislocation of the hip (DDH). Materials and Methods: This is a retrospective analysis of 77 hips in 65 patients (46 females and 19 males; 12 had bilateral dislocations), operated at a Ghurki Trust Teaching Hospital in Pakistan between 2013 and 2015. The average age at surgery was $11.02{\pm}3.43$ years. According to the Tonnis classification, there were 10, 14, 22, and 31 patients in grades 1, 2, 3, and 4, respectively. The pelvic procedure utilized in this study was triple osteotomy (47 hips) followed by double and Salter osteotomy (18 and 12 hips, respectively). Postoperative evaluations were conducted using the modified MacKay's scoring system (functional outcomes) and Severin's scoring method (radiological assessment). Results: Postoperatively, there were 38 (49.4%), 19 (24.7%), 14 (18.2%), and 6 (7.8%) hips in Severin grade I, II, III and IV, respectively. According to the modified McKay criteria, there were 22 hips (28.6%) in excellent condition, 44 (57.1%) in good condition, 9 (11.7%) in fair condition and 2 (2.6%) in poor condition. Both patients with poor outcomes had an unstable, painful hip with evidence of avascular necrosis of the femoral head. Conclusion: Based on the results presented here, we recommend the single stage procedure of open reduction, femoral shortening and pelvic osteotomy for treatment of DDH in older children with good to excellent functional and radiological outcomes.

• Communications of Mathematical Education
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• v.23 no.2
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• pp.327-347
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• 2009

The purpose of the present study is to investigate the effects of mathematical communication-centered teaching using peer feedbacks on students' mathematics achievement and mathematical dispositions toward mathematics, and then this study examined the characteristics of feedbacks used by students. To do this study, two sixth grade classes selected from an elementary school in Seoul participated in the current study; one class for a treatment group applying mathematical communication-centered teaching using peer feedback, and the other for a comparison group applying traditional teaching using teacher-centered communication. The results of this study showed the fact that a treatment group of mathematical communication-centered teaching applying peer feedback scored statistically higher than a comparison group applying teacher-centered communication with respect to both students' mathematical achievement and disposition. Especially, this communication-centered teaching program focused on peer feedback was more effective to middle or lower level students than higher level students. In addition, mathematical communication-centered teaching applying peer feedbacks helps students reflect their own thinking process about problem solving, and students experienced the improvement of their confidence about mathematics from opportunities to provide peers with feedbacks. Finally, the present study suggests the important role of communication in mathematics learning, particularly student-to-student feedbacks rather than teacher-to-students feedbacks. That is to say, students need to have many opportunities to represent their own mathematical thinking processes using mathematical language.

• Journal of Environmental Science International
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• v.13 no.3
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• pp.301-311
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• 2004

The purpose of this study was to examine teachers’ awareness of chemical waste produced in elementary school laboratory experimentation and how this awareness relates to collection and disposal of chemical waste. More specifically, the study looked at the correlation between the handling of chemical waste and factors such as years of teachers’ educational career, class size and amount of waste produced. The target population were 250 elementary school teachers in Gyeongnam area and 237 subjects were responded. Among the 237 responses, 37 cases that did not complete the questionnaire were eliminated. Therefore, 200 responses were analyzed in this study. The survey questionnaire consisted of 15 questions. The categories of the questionnaire were their skills of management and treatment of the chemical waste. The data collected were analyzed by SPSS 10.0, and the relations among variables such as class sizes and years of teaching experience were also analyzed by $x^2-test.$ The results in this study were as follows: First, there were no significant differences between the years of teaching and class sizes in the training experience of chemical waste disposal. Second, there was a significant difference between the science laboratory size and class sizes in the laboratory actual condition. In addition, in the relations between the number of times of experimentation and the years of teaching experience, there was a significant difference. Third, in terms of the discharge amount of chemical waste, there was a significant difference between the years of teaching and class sizes. Fourth, in the simple chemistry waste disposal process in the science laboratory, there also was a significant difference between the kinds of experimental equipments that used in the experimentation and the years of teaching. Based on this study, it was found that great amount of the chemical wastes produced in the science laboratory dumped into the drain and the treatment process of chemical waste was also inattentive. Even the importance of environmental education is emphasized in the elementary education, the basic problems occurred in the science laboratory is disregarded. Therefore, not only students but teachers have to pay attention to the disposal process of chemical waste in the laboratory in order to prevent environment pollution. Furthermore, the efforts of preventing environment pollution are needed such as opening the teacher training course about environment education, minimal use of chemicals, treatment of chemical waste, and so forth.

• Journal of Veterinary Clinics
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• v.33 no.4
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• pp.237-242
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• 2016

A 1.86 kg, 3-year-old, female, Maltese was presented to the Veterinary Medical Teaching Hospital of Seoul National University after being hit by a car. The patient was diagnosed with urinary bladder rupture, diaphragmatic hernia and fracture of ilium, tibia and fibula. Repair surgery was performed after stabilizing treatment. During the surgery, hypoxia was identified and it worsened after positive pressure ventilation (partial pressure of oxygen in arterial blood ($PaO_2$): 52 mmHg, pulse oximetry ($SpO_2$): 87%, arterial hemoglobin oxygen saturation ($SpO_2$): 85.8%). In addition to hypoxia, blood pressure decreased to 30 mmHg. Positive pressure ventilation was discontinued because hypoxia and hypotension were aggravated. After suturing the diaphragm, air was withdrawn to form negative pressure within the thorax. However, negative pressure was not attained despite continuous withdrawal of air. A thoracostomy tube was placed because tension pneumothorax was strongly suspected. The patient recovered through close monitoring with the tube for 3 days. Due to limitation of evaluation of the lung, predicting occurrence of tension pneumothorax is difficult in patient of diaphragmatic hernia. Therefore, it is recommended that indicators of tension pneumothorax should be closely monitored during diagnosis and repair procedures of diaphragmatic hernia.

• Journal of Physiology & Pathology in Korean Medicine
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• v.19 no.3
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• pp.580-585
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• 2005

Treatment chart(醫案) is a document that doctors have described about their own practice. Western doctor's chart has a prescribed form, but otherwise chart of oriental medicine is a free form. As It has no prescribed form, doctors of oriental medicine have recorded important facts that they think especially. For example, details are patient's name, age, sex and address, the name of disease, state of pulse and tongue, state of secretions(stools, urine, perspiration, etc.), color of face, state of sleep and thirst, diagnosis, prescription, improvement of herb, teaching, and so forth. If we study on chart of oriental medicine, we draw a lesson about practices of a famous doctors. Through that we can increase ability of diagnosis and adaptation to circumstance, make ourselves familiar with use of past prescriptions and way of changing prescription, and learn narrative story of past doctors' personal experience, their though and teaching. As chart of oriental medicine had many methods to take a measure to meet the false situation, we can learn that. Through chart of oriental medicine, we can improve our practice of oriental medicine.

• Journal of Korean Elementary Science Education
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• v.26 no.4
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• pp.449-458
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• 2007

The purpose of this study was to investigate the effect of the 'Chemistry and Experiment' course employing the Small-Scale Chemistry(SSC) experiment on the 30 pre-service elementary teachers' attitude toward laboratory work and their science teaching efficacy. This study also examined the perception of the pre-service elementary teachers about the SSC experiment. In the result, there were found significant interactions between the treatment and prior level in attitude toward laboratory work. The attitude toward laboratory work of low-level pre-service teachers was improved while that of high-level pre-service teachers remained unchanged. However, there was no significant change in their beliefs regarding science teaching efficacy. Through the analysis of questionnaire, it was also found that they had positive perceptions about the SSC experiment, and most of them as pre-service teachers found the SSC experiment helpful to teach chemistry experiments.

• Journal of The Korean Society of Integrative Medicine
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• v.2 no.3
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• pp.15-22
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• 2014

Backround : The paradigm of recent education has been shifting from existing style of professor-oriented, passive and rote teaching to learner-centered education. Rather than mere delivery of knowledge, today's idea of education uses various audiovisual media to let learners gain more problem-solving skills, judgment, cognitive thinking ability, and creativity to apply to real practice. Also, while current trends and change in policy ask for related industry to require practice-centered teaching learning model, Problem-Based Learning (PBL) is quite effective that it activates problem-solving skills as well as application of National Competency Standards (NCS). Purpose : The purpose of this study was to suggest a teaching learning model article as an approach to apply web-based PBL for patient & medical charge management practices. Discussion & Conclusion : This paper the cases on PBL and presents the teaching learning model on web-based PBL as an approach to applying web-based PBL, which fits Medical Information System Department that combines health-medical treatment and computer applications, to practical health administrative affairs.

• Research in Mathematical Education
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• v.25 no.4
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• pp.267-284
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• 2022

In response to the current educational situation of students' heavy workload, the author constructs the precision-targeted classroom based on Precision Teaching (PT), Network Pharmacology, and Treatment Based on Syndrome Differentiation. The precision-targeted classroom can solve the current problems of PT and the phenomenon of the heavy academic burden on students, achieve the reduction of the burden and increase the efficiency of education. The precision-targeted classroom includes five key points: targeted goals, childlike thinking, precise intervention, intelligent homework, and stereoscopic evaluation, and the implementation process of the precision-targeted classroom is built from three aspects: before, during and after class. In addition, the author applied it to the actual mathematics classroom to test its teaching effect, and the experimental results showed that: the precision-targeted classroom significantly improved students' academic performance and thinking level; considerably improved students' classroom learning status, and facilitated teaching personalization and realized homework quantity control and quality improvement.