• Title/Summary/Keyword: 고위험군

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Prevalence and Related Risk Factors of Suicidal Ideation in Urban Adolescents (일 도시지역 청소년의 자살사고 유병률과 위험인자에 대한 연구)

  • Lee, Tae Ho;Lee, Yu Jin
    • Sleep Medicine and Psychophysiology
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    • v.21 no.2
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    • pp.61-68
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    • 2014
  • Objective: The aim of the present study is to assess the prevalence and related risk factors of suicide ideation among middle and high school students in an urban area. Methods: We surveyed 3,691 middle and high school students (2,159 male, 1,532 female, 11-19 years of age) using a self-report questionnaire that covered basic socio-demographic data, academic achievements, presence of physical or psychiatric illness, sleep duration on weekdays, time spent at private academies on weekdays and weekends, and subjective needs for counseling. The Beck Depression Inventory (BDI) and Reynolds' Suicidal Ideation Questionnaire (SIQ) were included in the survey. Results: The prevalence of students with high suicide ideation ($SIQ{\geq}62$) was 4.6%. In a logistic regression model, female sex (p = 0.002), younger age (p < 0.001), poor academic achievement (p = 0.043) and higher score of BDI (p < 0.001) were associated with a higher SIQ score. In addition, younger age (p = 0.045) and a higher BDI score (p < 0.001) were associated with a higher SIQ score adolescents having high suicide ideation ($SIQ{\geq}62$). Conclusion: Related risk factors of suicide ideation in adolescents were female sex, younger age, poor academic achievement, and a depressive mood. It would be especially helpful to pay more attention to younger adolescents and a depressive mood as a high-risk group. The understanding of these factors will be helpful for providing an effective suicide screening and prevention program for adolescents.

Characteristics and Risk Factors of High Caries Risk Group in 12-year-old Children Using Data from the 2015 Children's Oral Health Survey (2015년 아동구강건강실태조사 자료를 이용한 12세 아동의 치아우식증 고위험군의 특성과 위험 요인 분석)

  • Kim, Kayoung;Kim, Ah-Hyeon;An, So-Youn
    • Journal of the korean academy of Pediatric Dentistry
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    • v.47 no.3
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    • pp.327-336
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    • 2020
  • The purpose of this study was to examine the characteristics of the high caries risk group of 12-year-old children in Korea. Oral health status and interview data were collected from 23,089 children aged 12 years who participated in the 2015 Korean Children's Oral Health Survey. Subjects were classified into high-risk and low-risk groups according to the Significant caries (SiC) index, and the influence of each variable was analyzed. As a result of the study, the SiC index of the high-risk group was 5.08, which was about 9.6 times higher than the low-risk group. The risk factors associated with the high-risk group were in the order of the number of sealant teeth, dental treatment demand for the past year, perceived oral health status, gender, region, frequency of snack intake per day, and use of oral hygiene aids. In order to improve the oral health of children, appropriate preventive treatment and oral health education should be carried out with reference to the items indicated as risk factors in the high-risk group of dental caries.

A Study on the Internet Game and Smartphone Usage of the Senior Elementary School Students (초등학교 고학년의 인터넷 게임 및 스마트폰 이용실태에 관한 연구)

  • Lee, In-Suk;Lee, Mi-Hyoung;Kim, Hee-Kyung;Park, Jeong-Sook;Son, Ji-Hye
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.10
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    • pp.421-432
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    • 2020
  • This study was designed to determine the Internet game and smartphone usage status of senior elementary school students. Data were collected from 6 October 2018 to 30 September 2019, and 1618 subjects were analyzed using SPSS 18.0. As a result of the study, the I-GUESS rating was 6.1% in the high-risk group, and, the S-scale ratios were 10.1% for the potential-risk group and 0.8% for the high-risk group. Physical problems related to Internet games and using smartphones were experienced by 36.0% of the students, with eye fatigue being the highest at 20.4%. Emotional problems were found in 18.5% of the students, with anger being the highest at 6.8%. Social problems were experienced by 21.8% of the students, conflicts with parents being the highest at 10.3%. As a result of surveying the main content based on S-scale and I-GUESS, it was found that the higher the S-scale ratio and the I-GUESS rating, the more broadcast content was used. The correlation between I-GUESS rating and S-scale ratio showed that the higher the I-GUESS rating, the higher the S-scale ratio, and the higher the S-scale ratio, the higher the I-GUESS rating. Future research is necessary to develop an intervention program for elementary school students from a preventive perspective.

Hearing Screening Test for High Risk Neonate (고위험군 신생아의 청각 스크린 검사)

  • Soh, Un-Ki;Na, Bak-Ju;Lee, Moo-Sik;Kim, Chul-Woung;Lim, Nam-Gu
    • Proceedings of the KAIS Fall Conference
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    • 2009.05a
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    • pp.599-602
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    • 2009
  • 본 연구는 2006년 3월부터 2007년 2월까지 일개 대학병원에서 출생한 고위험군 신생아 121명을 대상으로 청각선별검사인 자동화 유발이음향방사와 확진검사인 청성뇌유발전위검사를 실시하여 임상양상과 청각장애 발생률, 검사소요 시간에 대해 조사하였다. 결과는 다음과 같다. 1. 청각장애발생률은 전체 고위험군 신생아 121명 중 5명의 신생아가 난청으로 조기에 진단되었다. 2. 난청으로 확진 받은 신생아 5명의 관련 질병을 살펴보면 고빌리루빈혈증 2명, 저체중 1명, 구개열 1명, 다운증후군 1명이었다. 3. 난청으로 확진 받은 신생아 5명의 청력손실정도는 양측 고도난청 1명(70dB), 양측 중도난청 2명(55dB), 편측성 난청 2명으로 나타났다. 4. 검사소요 시간은 선별검사인 유발이음향방사 검사를 실시하는 데 소요된 총 시간의 평균은 $107.5{\pm}65.2$초였고, 확진검사인 청성뇌유발전위 검사를 실시하는 데 소요된 총 시간의 평균은 $1,500{\pm}90.1$초가 소요되었다. 5. 연구를 진행하는 도중 11명의 고위험군 신생아가 이사, 연락처 변경, 경제적 사정으로 추적검사에 참여하지 않았다. 신생아 난청은 다른 질병에 비해 발병률이 높은 선천성 질환으로서 모든 신생아를 대상으로 청각검사를 실시하여 난청의 조기진단에 대한 선별검사의 정착이 필요하다고 생각된다.

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Responses and Toxicities of Risk-adapted Chemotherapy in Pediatric Intracranial Germ Cell Tumors (소아 두개 내 생식 세포종에서 위험군에 따른 화학요법의 치료 반응 및 독성)

  • You, Dong Kil;Lee, Soo Hyun;Yoo, Keon Hee;Sung, Ki Woong;Lim, Do Hoon;Shin, Hyung Jin;Koo, Hong Hoe
    • Clinical and Experimental Pediatrics
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    • v.48 no.2
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    • pp.186-190
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    • 2005
  • Purpose : The purpose of this study was to evaluate the responses and toxicities of risk-adapted chemotherapy in pediatric intracranial germ cell tumors(IC-GCT). Methods : Fourteen patients who were diagnosed as IC-GCT from October 2002 to December 2003 received chemotherapy as an initial treatment modality. The low risk(LR) group was defined as follows : Pure germinoma and normal AFP level. Beta-hCG level 50 mIU/mL or less. The others belonged to the high risk(HR) group. Chemotherapy was composed of cisplatin, cyclophosphamide, etoposide and vincristine. Double doses of cisplatin and cyclophosphamide was used in HR patients. Results : Pathologic confirmation was done in all but one. Median age at diagnosis was 11.6 yr (1.2-18.7 yr), and nine patients belonged to the HR group. Tumor markers were normalized after chemotherapy in all patients whose tumor markers had been elevated. Four LR patients(80 percent) and seven HR patients(77.8 percent) showed complete response(CR) at the end of chemotherapy. An additional two of the three patients with partial response(PR) achieved CR after radiation therapy (RT), and the remaining one relapsed before RT. Four LR and all HR patients experienced infectious episodes that required hospitalization. Four of the nine HR patients(44.4 percent) suffered from tinnitus, three of whom developed sensorineural hearing loss. All but one are surviving, event-free, with a median follow-up of 13.9 mo(8.1-22.3 mo). Conclusion : Risk-adapted cisplatin-based chemotherapy was effective even in HR patients, but regimen modification seems to be necessary to avoid an unacceptably high toxicity rate.

The Relationship among the Coping Style, Social Support, and Post-Traumatic Stress Disorder in Breast Cancer Patients Treated with Chemotherapy (항암치료 단계 유방암 환자의 대처방식, 사회적지지 및 외상 후 스트레스 장애와의 관계)

  • Yang, Seung Kyoung;Kim, Eunshim
    • Journal of Hospice and Palliative Care
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    • v.18 no.1
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    • pp.35-41
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    • 2015
  • Purpose: This study was conducted to examine how patients' coping style and social support affect post-traumatic stress disorder (PTSD) in breast cancer patients who are treated with chemotherapy. Methods: The sample consisted of 134 outpatients who received breast cancer treatments at the cancer clinic of a university hospital. The collected data were analyzed by frequency, percentage, t-test, ANOVA, ${\chi}^2$-test, Pearson correlation coefficients using SPSS for Windows, version 18.0. Results: Among total, 26.9% of patients were classified into a high-risk PTSD group. In the high-risk group, a positive correlation was found between active and passive coping styles and between social support and active coping styles. Conclusion: In this study, the stronger the social support was, the more active the coping style was for high-risk PTSD patients with breast cancer. Considering the fact that cancer requires life-long self-management, strong social support could improve patients' healthcare capability. Furthermore, solid social support could effectively reduce the stress level and improve the quality of life for breast cancer patients in the high-risk PTSD group.

Analysis of Daily Internet·Gaming·Smartphone Habit and Preference Factors of Moral Machine (인터넷·게임·스마트폰생활 습관과 모랄머신 선호도 요인 분석)

  • Park, SunJu
    • Journal of The Korean Association of Information Education
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    • v.24 no.1
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    • pp.21-28
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    • 2020
  • Technological advancements such as artificial intelligence, robots, and big data are revolutionizing the entire society. In this paper, we analyzed preliminary teachers' daily internet/gaming/smartphone habit and the difference between preference factors in gender and diagnosis group in the situation of ethical dilemma in driverless cars. The result shows most of the male students are in high risk group of daily internet/gaming usage, and male students tend to be more immersed in games compared to female students, which negatively affects their daily lives. Students who have at least one of the daily internet/gaming/smartphone habits are more likely to be classified as high-risk group in all three of daily internet/gaming/smartphone habit. Fortunately, the students perceived themselves addicted and wanted change their habits. An analysis by a moral machine of these students tells that there is no significant difference in preference between male and female students and among diagnosis groups. However, specifically in the ethical dilemma of driverless cars, all the groups of male, female, normal, high-risk showed they have priority in pedestrians over drivers, a large number of people over small, and people who obey traffic rules over who do not. The tendency was pronounced in female group and high-risk students prioritized people who are older and in lower social status.

Factors Affecting Emotional Status and Suicidal Risk in Hospitalized Medical Patients (일 종합병원 입원 환자의 자살 위험도 및 정서 상태에 영향을 미치는 요인 연구)

  • Lee, Jeon-Ho;Lee, Jong-Ha;Mok, Young-Eun;Lee, Ho-Jun;Jung, Hyun-Gang;Kim, Seung-Hyun;Lee, Moon-Soo
    • Korean Journal of Psychosomatic Medicine
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    • v.26 no.2
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    • pp.127-134
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    • 2018
  • Objectives : This study aimed to identify the group with high risk of suicide in general hospital inpatient by comparing the depression, anxiety, and distress and their clinical characteristics. Methods : The study included all patients admitted to a general hospital between January 2016 and December 2017, and the final 41,249 patients were analyzed. Distress thermometer (DT) and hospital anxiety-depression scale (HADS) were used for emotional state evaluation. Group with high risk of suicide was defined as showing more than 4 in the DT and more than 8 in one of the two subscales (anxiety and depression) of the HADS. Results : Among the subjects, 3,603 patients (8.7%) met the high-risk criteria for suicide. The group with high risk of suicide experienced more severe pain than the control patient group, and it was found that there was more underlying disease. Patients who reported pain showed higher scores than those who reported no pain on the DT and HADS subscales. Conclusions : Group with high risk of suicide showed more severe pain and more underlying disease. Therefore, suicide prevention program specifically targeted for the group with high risk of suicide should be developed according to the risk of the patient evaluated at the time of the admission.

A Pilot Study on the Development and the Effect of a Cognitive-Behavioral Intervention for Undergraduates at Mental Health High Risk (정신건강 고위험군 대학생을 위한 인지행동치료적 개입의 개발 및 효과 확인 예비 연구)

  • Kim, Jihye;An, Sun-Hee;Park, You Jin;Park, Sehwan;Jhung, Kyungun
    • Korean Journal of Psychosomatic Medicine
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    • v.30 no.1
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    • pp.30-37
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    • 2022
  • Objectives : The purpose of this study was to develop a cognitive-behavioral intervention for college students at high risk for mental health and to investigate its effect on mental health outcomes. Methods : The program was developed to reduce depressive symptoms and adverse outcomes while promoting resilience and positive effects. It consisted of eight sessions in a small group format for eight weeks. Thirty subjects at high risk for mental health participated in the program. Outcomes on the depressive symptoms, resilience, satisfaction with life, negative affect, and positive affect were evaluated at pre-and post-intervention. Results : Depressive symptom scores reduced significantly post-intervention compared to pre-intervention (t=3.51, p=0.002). Resilience scores (t=-3.65, p=0.001) and satisfaction with life scores (t=-3.00, p=0.006) increased after intervention than pre-intervention. Positive affect scores decreased post-intervention (t=2.28, p=0.031). There was no significant difference between pre-and post-intervention negative affect scores (t=-0.94, p=0.356). Conclusions : Present study demonstrated that group-based cognitive-behavioral intervention could be helpful for college students at high risk for mental health to reduce mental health symptoms and improve healthy protective factors.

The Effect of Children's perception of parenting attitude and learned helplessness on computer game addiction (부모의 양육태도, 학습된 무기력이 컴퓨터 게임중독에 미치는 영향)

  • Kweon, Soon-Hee;Kweon, Soon-Nyu
    • Journal of the Korea Society of Computer and Information
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    • v.13 no.4
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    • pp.59-69
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    • 2008
  • The purpose of this study was to investigate children's Perception of parenting attitude parent and learned helplessness on addictive use of computer game. The data was collected through paper-pencils surveys with 745 students who are attending the 4, 5, and 6 grade of three elementary schools. The instrument used to see how they looked at the parenting attitude of their was Ji-hyun Hwang(2006)'s Perceived Parenting Attitude Inventory, Chang-woo Song(1997)'s Learned Helplessness, and Internet Game Addiction Test by developed Korean Agency Digital Apportunity & Promotion. Statistics and methods used for the data analysis were Cronbach'a alpha, freuency, percentage, Two-Way ANOVA, Pearson's Correlation, and Regression by using SPSS WIN 12.0. The results of this study is described as follows. In this study, prevalence of computer addiction tendency and addiction is 14.3%. Male students showed highest computer addiction game than female students.

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