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Clinical Study of Bell's Palsy with DITI and Nerve Conduction Test(EN0G and EMG) (DITI 및 전기신경전도검사(EN0G 및 EMG)를 이용한 구안와사(Bell's palsy) 환자에 대한 임상적 고찰)

  • Kim, Jin-man;Hong, Chul-hee;Du, In-sun;Hwang, Chung-yeon;Kim, Nam-kwen;Park, Min-chul;Lee, Sang-kwan;Jung, Sang-su;Yoon, Jun-chul
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.16 no.2
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    • pp.189-211
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    • 2003
  • The clinical data and thermographic imaging were analyzed on the 38 cases of Bell's palsy who were treated admission in the Oriental Medicine Hospital of Wonkwang University from January 2002 to May 2003. 38 patients with Bell's palsy were within one week after the onset of the paralysis, and thermal type in the DITI were hypo or hyper generally. Nerve conduction test(ENOG and EMG) examined in two weeks after onset. We studied interaction effect between thermal type and paralysis grade on admission day. We studied each main effect ; paralysis grade on admission day - nerve conduction test, nerve conduction test - thermal type, thermal type - paralysis grade after 4 weeks, paralysis grade on admission day - paralysis grade after 4 weeks, sasang constitution - nerve conduction test. The following results were obtained that interaction effect between thermal type and paralysis grade on admission day showed no significance, each main effect ; paralysis grade on admission day - nerve conduction test, paralysis grade on admission day - paralysis grade after 4 weeks, showed significance, each main effect ; nerve conduction test - thermal type, thermal type - paralysis grade after 4 weeks, sasang constitution - nerve conduction test, showed no significance.

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Comparative Study on Treatment of Acne Scar (여드름 흉터의 치료방법에 대한 비교연구)

  • Lee, Hyung-Kee;Cho, Soo-Young;Kim, Kyu-Nam;Choi, Yong-Hun;Lee, Jung-Hwan;Kim, Jung-Ho
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.29 no.1
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    • pp.93-102
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    • 2016
  • Objective : This study performed to evaluate that duration of acne scars effects on Qualitative Global Acne Scarring Grading System(QGASC) grade changing and treatment duration. Also this study performed to evaluate the relationship between dysmenorrhea and acne scars, and the effects of each treatment on treatment duration and Korean Acne Grading System(KAGS) and QGASC grade.Methods : 95 patients with acne scars were understood by medical records and case photos, and we evaluated pre and post acne scar grade based on KAGS and QGASC. We analyzed data by SPSS 22 for windows program, and figured out the relation between duration of acne and QGASC grade and treatment duration by Spearman correlation analysis, and performed Mann-Whitney U-test to figure out the relation between dysmenorrhea and QGASC grade. We performed Wilcoxon test to evaluate that treatment of acne scars effects on KAGS grade and QGASC grade, and performed Kruskal-Wallis test to figure out the difference of each treatment which effects on KAGS grade and QGASC grade, and performed Post-hoc analysis to figure out the group comparison.Results & Conclusions : QGASC grade depending on duration of acne was statistically significance. Subcision and Microneedle Therapy System(MTS) and pharmacopuncture were significantly improved acne scars. Other treatments were significantly more effective than subcision and pharmacopuncture combined treatment. Treatment duration of Subcision and MTS combined treatment was significantly most shortest than other treatment.

Comparison of Video Laryngoscope and Direct Laryngoscope on Rapidity and Accuracy in Tracheal Intubation by Paramedic (1급 응급구조사의 비디오후두경 기관삽관과 직접후두경 기관삽관의 신속성 및 정확도 비교)

  • Sim, Gyu-Sik
    • The Korean Journal of Emergency Medical Services
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    • v.14 no.1
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    • pp.5-18
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    • 2010
  • Objective : This study compares Video laryngoscope and Direct laryngoscope in tracheal Intubation on rapidity and accuracy by paramedic and aims to improve efficiency of airway management and survival rate in pre-hospital treatment for the patients with severe trauma, cardiac arrest or dyspnea caused by acute diseases. Methods : 60 paramedics were recruited from 13 fire stations located in C province. With the consent of the paramedics, likelihood ratio test was carried out and they were divided into two different groups; DL group (30) and GVL group (30). Regarding intubation conditions, difficult airway grade I, grade II and grade III as well as sniffing position and neutral position were examined. This study also compared between ambulance in motion and in stand still. Frequency, average and standard deviation were analyzed with statistics program, SPSS WIN 17.0 and repeated measure design was introduced to examine inter-relations between position, grade and groups. Results : Intubation was performed more rapidly in neutral position and GVL than in sniffing position and DL(F = 15.260, p = .000). Rapidity value was better with grade I and grade II than grade III and better with GVL than DL(F = 32.629, p = .000). Accuracy value was higher with neutral position and GVL than sniffing position and DL(F = 5.008, p = .011). grade III was less accurate than grade I, grade II and GVL was more accurate than DL(F = 10.966, p = .000). Ambulance motion status did not show any statistically significant differences in accuracy and rapidity. Conclusion : Given this study results, neutral position is better for the patient with severe trauma. For a better survival, GVL intubation can be considered since GVL can enhance accuracy as well as rapidity regarding difficult airway. Since there is no significant differences in ambulance motion factors, intubation can be recommended even in moving ambulance for shortening traveling time to a hospital.

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The Prediction of Academic Achievement at 6th Grade from Perceived Academic Achievement at 4th Grade: Serial Multiple Mediation of Self-esteem and Self-control in Learning at 5th Grade (초등학교 아동이 지각한 6학년 학업성취에 대한 4학년 학업성취의 예측: 5학년 자아존중감 및 학습행동조절의 순차적 매개효과)

  • Chang, Young Eun;Sung, Miyoung
    • Korean Journal of Childcare and Education
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    • v.13 no.2
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    • pp.21-37
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    • 2017
  • Objective: The current study aimed at examining the mediation effects of children's self-esteem and self-control in learning between perceived academic achievement at $4^{th}$ grade and $6^{th}$ grade. This article proposes that perceived academic achievement boosts self-esteem and self-control in learning and both in turn, influence subsequent perceived academic achievement. We especially attempted to empirically prove that a serial multiple mediation of self-esteem and self-control in learning between the perceived academic achievement at two time points exists. Methods: We analyzed the longitudinal data of 1,881 children from the $4^{th}$ to the $6^{th}$ wave data of the '2010 Korea Children and Youth Panel Survey (KCYPS)' by means of a Hayes's PROCESS(2012) program. Results: The results revealed that perceived academic achievement at $4^{th}$ grade influenced children's self-esteem and self-control in learning at $5^{th}$ grade. Children' self-esteem and self-control in learning subsequently predicted perceived academic achievement at $6^{th}$ grade. Children's self-esteem significantly predicted self-control in learning supporting the hypothesis of serial multiple mediation. Conclusion/Implications: In conclusion, children's self-esteem and self-control in learning behaviors both mediated the association between perceived academic achievement at $4^{th}$ grade and at $6^{th}$ grade. The findings imply the importance of consideration of both psychosocial and behavioral aspects in understanding the academic performance during childhood.

A Study on the Readability of Elementary School Science Textbooks (초등학교 과학 교과서의 이독성 연구)

  • Koh, Han-Joong;Song, Jeong-Mee;Kang, Suk-Jin
    • Journal of Korean Elementary Science Education
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    • v.29 no.2
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    • pp.134-143
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    • 2010
  • The purpose of this study is to devise a new method for examining the readabilities of textbooks and to compare the readabilities of elementary school science textbooks. Third and sixth grade science textbooks were compared in terms of word, sentence, and paragraph in this study. In the word analyses, criterion suggested by Kim (2003) who classified about 238,000 words into seven categories according to their educational importances was adopted. In this study, the words from 3rd and 6th grade science textbooks were classified into four categories, and then the kinds and frequencies of words in each category were investigated. In the sentence analyses, sentences were classified either a simple sentence or a compound/complex sentence, and the ratios of each type were calculated. The average number of words in a sentence was also calculated in the sentence analyses. The ratios of conjunctions and demonstratives were examined in the paragraph analyses. The results indicated that both the kinds and frequencies of words in 3rd grade science textbook were smaller than those of 6th grade one. However, both science textbooks were similar in the distributions of words across the four categories. The ratio of simple sentences in 3rd grade science textbook was higher than that of 6th grade one, and the length of a sentence in 3rd grade science textbook was also shorter than that of 6th grade one. Both the ratios of conjunctions and demonstratives in 3rd grade science textbook were lower than those of 6th grade one.

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Electrode properties of various carbon anodes containing different sizes and distributions of pores (다양한 기공 크기 및 분포를 갖는 양극 탄소의 전극 특성)

  • 안홍주;오한준;김인기;김세경;임창성;지충수;이재봉;박광규;고영신
    • Journal of the Korean Crystal Growth and Crystal Technology
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    • v.12 no.1
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    • pp.42-49
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    • 2002
  • Differences in electrode properties and in fluorine electrolysis behaviors of various carbon anodes, which were the YBD-like grade carbon, the YBD grade carbon and the P2X grade carbon, containing different pore sizes and distributions were investigated. The evaluations were performed by measuring their mechanical properties, cyclic voltammograms and chronoamperometries in 0.5 M $K_2SO_4$ solution with 1 mM $[[Fe(CN)_6]^\;{3-}/Fe(CN)_6$] $^{4-}$ redox couple and electrochemical behaviours of fluorine electrolysis in molten KF . 2HF electrolyte at $85^{\circ}C$. It was found that the P2X grade carbon anode showed better electrode properties in the cyclic voltammogram and chronoamperometry than the other carbon anodes while the YBD-like grade carbon anode which contained the pore size of 200~300$\mu$m showed superior electrode properties for fluorine electrolysis to the others. These differences in the electrode properties of various carbon anodes seemed to be owing to different sizes and distributions of pores on their surfaces.

Factors Related to Vision Disturbances in the Elementary School-Age Children (학령기 아동의 시력저하 실태 및 관련 요인)

  • Shin Hee-Sun;Oh Jin-Joo
    • Child Health Nursing Research
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    • v.8 no.2
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    • pp.164-173
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    • 2002
  • The vision disturbances of school-age children has been recognized as and important school health problem. The purpose of this study is to describe the current status of the visual health and to explore the related factors for the decrease in visual acuity in the elementary school age children. The study subjects were 697 children (Boys: 338, Girls: 359) of 4th to 6th grade in two school in urban area. The visual acuity data of the school health examination in 1999 and 2000 were utilized for analysis. The questionnaire for children and parents was used for survey. The findings were as follows. 1. The prevalance rate of the children with the visual acuity less than 0.7 on the left eye were 26.84% ( Grade 4), 31.30% (Grade 5), and 38.39% (Grade 6). The rate on the right eye were 28.31% (Grade4), 30.37% (Grade 5), and 37.92% (Grade 6). There was a significant difference in the rate of the visual acuity less than 0.7 according to grade (p<.01). 2.The rate of visual acuity decrease was 40.12%. 3. The factors related to the decrease in the visual acuity were grade, sex, genetic factor, posture, and the awareness of the visual acuity. There was more decrease in the visual acuity when the children were in higher grade (O.R= 1.06), girls (O.R=2.29). Children having parents with better vision (Father: O.R=1.26; Mother O.R= 1.25) showed better vision. On the other hand, when the children have siblings with glasses, there was more decrease in the visual acuity (O.R=2.31). Students with good posture during study (sitting on the chair) and watching TV to the lower direction showed less decrease in the visual acuity. Also, when the students know their visual acuity, the rate of decrease were lower. The variables which odds ratio were statistically significant were sex (p<.01), siblings with glasses (p <.01), and awareness of visual acuity (p<.01).

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A Research on Quality of Life of Facial Palsy Patients (구안와사 환자의 삶의 질에 대한 연구)

  • Moon, Hyo;Park, Min-Cheol;Hong, Seok-Hoon;Youn, In-Hwan;Lee, Dong-Hyo;Lee, Chung-Ho;Kim, Nam-Kwon
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.22 no.1
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    • pp.157-171
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    • 2009
  • Objective : The face is very important for human communication. So facial palsy patients experience not only physical disturbances but also serious emotional stress. Therefore the focus of treatment must be to not only aid the recovery of objective symptoms but also the improvement of subjective quality of life. However there has not been enough Oriental Medical study in this field until now. Thus this study was begun to suggest a useful index for the treatment of facial palsy. Methods : Grade of paralysis, sequelas, and quality of life were used for evaluation. To evaluate Grade of paralysis, House-Brackman Grade was used as the Gross scale and Kim's Grade was used as the Regional scale. Sequelas were evaluated by muscle contraction, synkinesis, NA, and grade of philtrum tilt. Quality of life was evaluated by SF-36v2, Facial Disability Index, and Vas. Results & Conclusion : 1. The change of grade of paralysis between the early and the present time reveals remarkable improvement statistically. 2. There was a remarkable improvement in all parts of quality of life except several areas of SF-36(RP, RE, MH, VT) 3. In only PF(Physical Function) of FDI, quality of life increased remarkably according to the improvement of grade of paralysis. 4. There is the positive relationship among Kim's grade, HB grade and Synkinesis 2. 5. Synkinesis among sequelas has the greatest effect on quality of life. And muscle contraction, change of NA, and grade of philtrum tilt also affect quality to some extent. 6. There was no remarkable relationship between the period of illness and change of quality of life. 7. Change of NA is shown after 3 months of illness and synkinesis becomes worse after 6 months of illness.

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Effects of Dietary Education on Elementary Children in After-school Program in Seoul (서울 일부 초등학교 방과 후 교실 아동을 위한 식생활교육의 효과)

  • Kim, Kyung-Hee
    • Journal of the Korean Society of Food Culture
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    • v.29 no.2
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    • pp.222-230
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    • 2014
  • This study was conducted to investigate the effects of 10-week dietary education on elementary students in an after-school program in Seoul. Participants were 20 1-2 grade students and 283-6 grade students, and the dietary program consisted of dietary education and activities focused on children's levels of understanding. The results were as follows: Total participant's food habit scores and nutrition knowledge significantly increased (p<0.05) after dietary education. Food habit and nutrition knowledge scores of lower grade participants (grade) increased desirably (p<0.05). Meanwhile higher grade participants' (grade) food habit scores also changed (p<0.05), but their nutrition knowledge scores were changed. Boy's food habit scores significantly changed (p<0.05), whereas girl's food habit scores did not change significantly. Further, female participants' nutrition knowledge scores did not changesignificantly after education. Participants' obesity knowledge scores significantly changed after the education (p<0.05), but their attitudes on obesity increased insignificantly. Lower grade participants' attitudes on obesity significantly and desirably changed (p<0.05), whereas higher grade participants' attitudes on obesity changed insignificantly. Girl's knowledge and attitudes on obesity significantly and desirably changed (p<0.05-0.01). This study revealed the correlation between food habit scores and attitudes on obesity (p<0.01), demonstrating that participants with high food habit scores have advisable attitudes on obesity. The result of this study shows that lower grade participants' food habit scores, nutrition knowledge, and attitudes on obesity changed desirably after dietary education. Therefore, this study promote the development of adequate nutrition education and materials focused on lower grade students and the need for systematic and continuous dietary education programs based on elementary school.

Analyses of Teachers교 Learning Motivation Strategies in Elementary Science Classes (초등학교 과학수업에서 교사의 학습 동기 전략 분석)

  • 김동욱;이성숙;강대훈;백성혜
    • Journal of Korean Elementary Science Education
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    • v.23 no.1
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    • pp.50-60
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    • 2004
  • The purpose of this study was to define teachers' learning motivation strategies and students' responses by analyzing science classes and interviews. The subjects were first grade and sixth grade teachers and students of an elementary school. The analysis tools are based on Keller's ARCS theory. The differences of teachers' motivation strategies were analyzed by grades and teachers' and students' backgrounds. The interviewers were composed of three teachers and three students of first grade, and three teachers and three students of sixth grade. The data were collected by recording of the classes using tape recorders, video cameras, and notebooks written by researchers. The results are as follows. First, teachers had their own styles of teaching strategies in their classes. Especially teachers' teaching backgrounds affected on the teachers' instructional strategies. The teachers who had long teaching experiences of lower grade students used to show a lot of attention strategies. While the teachers with long teaching experiences of higher grade students used to show few learning motivation strategies. Especially, sixth grade teachers used to show fewer confidence strategies than first grade teachers. Second, all of the teachers used to show few satisfaction strategies commonly in all the classes observed. Third, the students' recognition of the motivation strategies were not different according to their conceptions or activities of the classes. Commonly first grade students focused on the attention strategies, while sixth grade students focused on negative motivation strategies. Fourth, the teachers who believed that students need detail guidance and control recognized the needs of satisfaction strategies by students' autonomous activities after observing video tapes of other teachers' classes.

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