• Title/Summary/Keyword: 조기개입

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Association between Depression and Sociodemographic Factors of Elderly Welfare Facility Users in a City (일도시 노인복지시설 이용자들에서 우울증과 인구사회학적 요인과의 연관성)

  • Shin, Ae Rin;Lee, Kang Joon;Kim, Hyun
    • Korean Journal of Psychosomatic Medicine
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    • v.24 no.2
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    • pp.133-139
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    • 2016
  • Objectives : As the prevalence of elderly depression increases, it becomes urgent problem to provide preventive and management measures. But in practice, it is difficult to detect depression in early stage. The purpose of this study is to evaluate the association between sociodemographic factors and depression in elderly welfare facility users in a city. Methods : In this research, the severity of depression and sociodemographic factors(gender, age, education, co-morbid disease, housing type, number of children, number of family members living with the subjects) was evaluated through PHQ-9 and interview. Using the data, the associations of depression and sociodemographic factors were analyzed. Based on PHQ-9 depression cut-off value(10 points), the subjects were divided into two groups, and the difference of the variables between groups were analyzed statistically. Results : 'Own house'(YES/NO), education(less than elementary school graduation/more than elementary school graduation) were sociodemographic factors which showed significance difference in mean PHQ-9 scores. Group with Over PHQ-9 10 points showed less 'having their own house' and less education level than group with less PHQ-9 10 points. Conclusions : With this research, it is expected that the risk factors for the elderly depression can be understood and the measures for early detection and invention of elderly depression would be provided.

A Recent Insight into the Diagnosis and Screening of Patients with Fabry Disease (파브리병 환자의 진단과 선별검사의 최신지견)

  • Hye-Ran Yoon;Jihun Jo
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.24 no.1
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    • pp.17-25
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    • 2024
  • Fabry disease (FD) is an X-linked lysosomal storage disorder. It is caused by mutations in the α-galactosidase A gene, which results in deficient or absent activity of α-galactosidase A (α-Gal A). This leads to a progressive accumulation of globotriaosylceramide (Gb3) in various tissues. Manifestations of Fabry disease include serious and progressive impairment of renal and cardiac function. In addition, patients experience pain, gastrointestinal disturbance, transient ischaemic attacks, and strokes. Additional effects on the skin, eyes, ears, lungs, and bones are often seen. Reduced life expectancy and deadly consequences are being caused by cardiac involvement. Chaperone therapy or enzyme replacement therapy (ERT) are two disease-specific treatments for FD. Thus, early detection of FD is critical for decreasing morbidity and mortality. Globotriaosysphingosine (lyso-Gb3) for identifying atypical FD variants and highly sensitive troponin T (hsTNT) for detecting cardiac involvement are both significant diagnostic indicators. This review aimed to offer a basic resource for the early diagnosis and update on the diagnosis of having FD. We will also provide a general diagnostic algorithm and information on ERT and its accompanying treatments.

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Effect of Autumn Seeding Date on the Productivity and Feed Values of Hairy Vetch(Vicia villosa Roth.) Varieties (파종시기가 Hairy Vetch(Vicia villosa Roth) 품종의 생산성 및 사료가치에 미치는 영향)

  • Kim, Sung-Jin;Kim, In-Su;Lee, Ju-Sam
    • Korean Journal of Organic Agriculture
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    • v.15 no.1
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    • pp.59-69
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    • 2007
  • This experiment was conducted to study the spring productivity and feeding value of hairy vetch varieties. We also measured DM yield and feeding value by analyze CP and CF that authors made possible to calculate TDN and RFV. The results can be summarized as follows; Dry matter yield were increased earlier autumn seeding date and later cut in spring. Differences of dry matter yield in earlier cut in spring was high in order of Ostsaat, Welta, Vv4712, Penn-02, Common and Minnie. Crude protein(CP) yield was increased when earlier autumn seeding date and later cut in spring. Total digestible nutrient(TDN) yield of hairy vetch varieties was decreased when later autumn seeding date, and was increased when later cut in spring. TDN yield was highest in Ostsaat and Welta varieties had highest dry matter yield. Acid detergent fiber(ADF) content was decreased when later autumn seeding date and was increased when later cut in spring. Neutral detergent fiber(NDF) content was decreased when later autumn seeding date. Average values for relative feed value(RFV) were 157% and 132% in both cut. It shows that a high feed value in all of hairy vetch varieties. Above all, the results presented that the optimal seeding date for cultivating hairy vetch in the central region of Korea is between the 10th to the 20th of September. Because Ostsaat and Welta had significantly high dry matter yield we expected Ostsaat and Welta have a higher wintering ability.

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A Study on the Parenting Experience of the Child with ADHD (ADHD 자녀를 둔 어머니의 양육경험에 관한 연구)

  • Oh, Yeon Soo
    • The Journal of the Korea Contents Association
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    • v.19 no.8
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    • pp.252-264
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    • 2019
  • The purpose of this study is to explore the meaning of the essence through the parenting experience of the mother with ADHD child and to divide the parenting experience into the domains and categories. The data was collected through several depth interviews with 12 semi-structured questionnaires of the mother with ADHD child. The analysis of the data has adopted a consensus qualitative research method(CQR) that describes the phenomenon based on the collected data and can deduce inductive conclusions. Through CQR, various experiences of ADHD mothers were deeply analyzed. Through the consensus process, 12 cases were combined and quantified to understand the overall pattern and specificity. As a result, 11 domains and 51 categories were derived. The 11 areas were classified as 'Ignorance of ADHD symptom', 'Confronting ADHD diagnosis', 'Peripheral reaction after ADHD diagnosis', 'Acceptance of ADHD diagnosis', 'Ambivalence for medication', 'ADHD active treatment intervention', 'Family support','Social support', 'Social perception change', and 'Mature parent'. This suggests that early treatment and intervention for ADHD child is significant. Also, appropriate intervention is required based on accurate understanding through acceptance of ADHD diagnosis and that parent education can lead to positive life for child and mother of ADHD. Finally, based on this, I made suggestions the future research.

ANTERIOR CROSSBITE CORRECTION IN PRIMARY DENTITION USING INTRAORAL APPLIANCE AND CLASS III ELASTIC (구강 내 장치와 III급 고무줄을 이용한 유치열기 전치부 반대 교합 치료)

  • Choi, A-Mi;Choi, Byung-Jai;Choi, Hyung-Jun;Song, Je-Seon;Kim, Seong-Oh
    • Journal of the korean academy of Pediatric Dentistry
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    • v.39 no.3
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    • pp.306-313
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    • 2012
  • Class III malocclusion or anterior crossbite is commonly seen in Asian. This problem is easily recognized by dentists and parents. During the primary dentition period, anterior crossbite with functional shift and deep overbite could develop to skeletal protrusive mandible. So, early and proper diagnosis of anterior crossbite which needs prompt treatment is important. These cases showed the early management of crossbite with functional shift in primary dentition using intraoral removable appliance resulting in improvement of intermaxillary relationship. And I analyzed the positional change and the dimensional change during treatment with lateral cephalometric x-ray analysis. Our patients showed vertical dimensional change of lower anterior facial height and clockwise rotation which results crossbite correction in 1 year of treatment period.

The Study of Sexual Behavior of the Middle School Students (중학생의 성행동 관련 요인)

  • Jung, Sun Young;Park, Hyun Sook;Jo, Geum Yi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.12
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    • pp.6330-6339
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    • 2013
  • The aims of this study were to identify the significant predictors of the sexual behavior of middle school students. The subjects consisted of 603 middle school students (male 344, female 259). The data was collected through self-report questionnaires, which were constructed to include the attitudes to sexual behavior, sexual permissiveness, perceived behavioral control, sexual behavioral intention, father's child-rearing attitudes, mother's child-rearing attitudes, friends' attitudes to sex, exposure to pornography, and sexual behavior. The data was analyzed using the SPSS 19.0 program. The significant predictors of sexual behavior of middle school students that explained 51.0% of the variance in sexual behavior were the friends' attitudes to sex, alcohol drinking experience, experience of sexual abuse, sexual permissiveness, exposure to pornography, sexual behavioral intention, perceived behavioral control, father's child-rearing attitudes, and mother's child-rearing attitudes. These findings suggest that the approach to a sexual education promotion program for middle school students should consider multisystemic predictors.

A Study on the UAV-based Vegetable Index Comparison for Detection of Pine Wilt Disease Trees (소나무재선충병 피해목 탐지를 위한 UAV기반의 식생지수 비교 연구)

  • Jung, Yoon-Young;Kim, Sang-Wook
    • Journal of Cadastre & Land InformatiX
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    • v.50 no.1
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    • pp.201-214
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    • 2020
  • This study aimed to early detect damaged trees by pine wilt disease using the vegetation indices of UAV images. The location data of 193 pine wilt disease trees were constructed through field surveys and vegetation index analyses of NDVI, GNDVI, NDRE and SAVI were performed using multi-spectral UAV images at the same time. K-Means algorithm was adopted to classify damaged trees and confusion matrix was used to compare and analyze the classification accuracy. The results of the study are summarized as follows. First, the overall accuracy of the classification was analyzed in order of NDVI (88.04%, Kappa coefficient 0.76) > GNDVI (86.01%, Kappa coefficient 0.72) > NDRE (77.35%, Kappa coefficient 0.55) > SAVI (76.84%, Kappa coefficient 0.54) and showed the highest accuracy of NDVI. Second, K-Means unsupervised classification method using NDVI or GNDVI is possible to some extent to find out the damaged trees. In particular, this technique is to help early detection of damaged trees due to its intensive operation, low user intervention and relatively simple analysis process. In the future, it is expected that the utilization of time series images or the application of deep learning techniques will increase the accuracy of classification.

Factors Affecting the Duration of Untreated Psychosis in Community-Dwelling Patients with Schizophrenia Spectrum Disorder (지역사회 거주 조현병 범주 장애 환자의 정신증 미치료 기간 관련 요인)

  • Kim, Mina;Kim, Jae-Kyeong;Jhon, Min;Kim, Ju-Wan;Lee, Ju-Yeon;Kim, Jae-Min;Shin, IL-Seon;Yoon, Jin-Sang;Lee, Myung-Soo;Kim, Sung-Wan
    • Korean Journal of Schizophrenia Research
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    • v.23 no.1
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    • pp.1-7
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    • 2020
  • Objectives: This study aimed to identify factors affecting the duration of untreated psychosis (DUP) in patients with schizophrenia spectrum disorder. Methods: Six-hundred patients with schizophrenia spectrum disorder were recruited from mental health welfare centers in Gwangju Metropolitan City and Gyeonggi-do. Subjects were categorized into two groups according to median DUP. Demographic and clinical characteristics were compared between the two groups. Results: The mean DUP was 80.8 weeks, and the median DUP was 15.9 weeks. Patients with Medicaid, higher age, and longer duration of the schizophrenia prodrome were more likely to have a longer DUP. The DUP was shorter in patients who were consulted by family/relatives prior to treatment. Patients visiting university hospitals were more likely to have a shorter DUP compared with those visiting psychiatric clinics or small-sized mental hospitals, i.e., with less than 100 beds. A multivariate regression analysis showed that the duration of the prodrome was a factor that significantly affected DUP. Conclusion: The vulnerable group of patients with schizophrenia with a long DUP should be monitored closely. Moreover, it is necessary to develop a strategy to identify patients who have an insidious course of psychosis to reduce the DUP.

A Study on Factors Related to Sleep Disordered Breathing in Children (어린이의 수면 호흡 장애 관련 위험인자)

  • Nawoon, Kim;Daewoo, Lee;Jaegon, Kim;Changkeun, Lee;Yeonmi, Yang
    • Journal of the korean academy of Pediatric Dentistry
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    • v.49 no.2
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    • pp.180-187
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    • 2022
  • The aim of this study was to investigate the risk factors associated with sleep disordered breathing (SDB) by comparing intraoral factors, body mass index (BMI), and medical history with pediatric sleep questionnaire (PSQ) findings. Seven hundred eighty-seven subjects aged between 7 to 11 years old were included. Their caregivers were asked to complete questionnaires. Oral manifestations including Angle's classification, overjet, and Brodsky tonsil grade were examined. Children with PSQ scores of more than 0.33 points were classified into the SDB high-risk group. Among the 787 subjects, 34 (4.3%) were classified into the SDB high-risk group. Children with allergic rhinitis, atopic dermatitis, excessive overjet, or large tonsil size had a significantly higher risk for SDB versus those without. Also, there was a significant difference in SDB risk according to BMI status. Gender, gestational age, breastfeeding, and Angle's classification were not associated with SDB. Children at high risk for SDB were predisposed to tonsillar hypertrophy, allergic rhinitis, obesity, and atopic dermatitis. Children with these factors could be candidates for early intervention to prevent the progression of SDB.

Korea MVNO Policy and Adequacy Study (MVNO정책 타당성 연구)

  • Shin, Jin
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.19 no.12
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    • pp.2765-2772
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    • 2015
  • In Korea MVNO was introduced in 2011 when twenty seven years had passed since Korea Mobile Telecom(now SK Telecom) started mobile phone service. MVNO can make competition more effective to lower communication costs through the alternatives. In the early 2000s, the need for the introduction of the MVNO has been raised already by scholars in Korea. But it wasn't until the late 2000s when rate cuts appeared to be a major policy issue, and Korean government introduced MVNO. In April 2015, MVNO's market share reached 8.8%, but Korea does not have a firm system yet. This rapid growth of MVNO market in Korea was made possible by consumers' demand for cheaper services and late introduction of MVNO. And telecom companies(MNO) abuse their supreme power against small and medium firm MVNOs and reserved market share using their subsidiary companies. Thus proper regulation is necessary. However, the government authorities should have recognized global MVNO flow quickly and have to make a sufficient effort to establish proper competition condition of the mobile telecom market.