• Title/Summary/Keyword: 중기 청소년

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Measuring Library Outcomes Using a Logic Model (논리모델을 이용한 도서관 성과측정에 관한 연구)

  • Park, Sung-Jae;Lee, Yonggu
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.26 no.2
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    • pp.269-287
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    • 2015
  • The purpose of this study is discussing the applicability of a logic model as a mean measuring library outcomes. For a case study, this paper suggested a full framework for Reading Academy, a reading program for children and adolescents. Among the outcomes composing of the framework, medium-term outcomes were analyzed by manipulating the data the library have in its database. The findings say what the output evaluation could not show. In terms of book circulation, this program positively influenced to 52 percent of participants. Additionally, some participants joined reading book clubs after the program and some were likely to read books in various topics. This program, however, didn't make a positive impact on its re-attendance and other cultural programs' attendance. These findings indicate that the logic model contributes in the field of library outcomes and values.

The Effects of Group Reminiscence Counseling on Ego integrity, Depression, Death anxiety of the Elderly. (일반노인 대상 회상치료 프로그램의 자아통합 및 우울, 죽음불안의 개선효과)

  • Nam, Hyang-Ja;Park, Joong-Kyu;Kim, Jung-Mo
    • 한국노년학
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    • v.31 no.1
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    • pp.49-61
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    • 2011
  • The purpose of this study was to analyze the effects of the Group Reminiscence Counseling on ego integrity, depression and death anxiety of the institutionalized compared to the home stay elderly. This study is conducted for 16 weeks from March 9, 2010 to June 22, 2010. The subjects of experimental group consisted of 14 elderly persons of G city. The control group consisted 13 who matched in D city. The experimental group was provided with group 60 minutes session once a week during 16 weeks. The results of this study were first, the experimental group showed higher statistically significant mean scores than control in ego integrity. second, the experimental group showed lower statistically significant mean scores than control in depression and death anxiety. Based on the above results, elder's ego integrity was improved, elder's depression and death anxiety were decreased after reminiscence counseling. it is expected that the group reminiscence counseling can be used as one program to improvement the psychological well-being of the elderly.

CYTOGENETIC ANALYSIS OF CHILDREN WITH AUTISM (자폐장애 환자의 세포유전학적 분석)

  • Jung, Chul-Ho;Lee, Je-Young;Park, Young-Nam;Park, Jong-Han;Kim, Jung-Bum;Kim, Jae-Ryong;Chun, Hyo-Jin
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.5 no.1
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    • pp.108-117
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    • 1994
  • Twenty nine children with autism and thirty children with mental retardation were examined for association between autism and chromosomal disorders including fragile X. The peripheral blood was cultured in Medium 199 with methotrexate and without methorexate for 70 hours. Thirty metaphase cells in each case were karyotyped in all samples. Chromosomal abnormalities were found in 11 cases(37.9%) of autistic disorder and 10 cases (33.3%) of mental retardation, but in none of fragile(X)(q27.3) from all cases. Chromosomal abnormalities were present on group A, C, D and X in autistic disorder and on group A, B, C, D, E and X in mental retardation. No specific chromosomal region was found in both autistic disorder and mental retardation. Types of chromosomal disorders were only fragile and/or gap but no numerical abnormality was present in all cases. Number of cells which revealed fragile sites were 31 cells(3.6%) out of 870 cells in autistic disorder and 29 cells(3.2%) out of 900 cells in mental retardation Number of cells which revealed gaps were 43 cells(4.9%) out of 870 cells in autistic disorder and 35 cells(3.9%) out of 900 cells in mental retardation. Autistic disorder may not be directly correlated with fragile X but with nonspecific chromosomal breakages from these data.

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Evaluation of Prognostic Factors in Corrected Transposition of the Great Arteries at Mid-term Follow-up (수정 대혈관 전위 환자에서 예후에 영향을 주는 인자들에 대한 중기적 고찰)

  • Song, Young-Hwan;Kwon, Hyok-Joo;Kim, Gi-Beom;Kang, Soo-Jung;Bae, Eun-Jung;Noh, Chung-Il;Yun, Yong-Soo;Lee, Jeong-Ryul;Kim, Yong-Jin;Rho, Joon-Ryang
    • Clinical and Experimental Pediatrics
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    • v.46 no.2
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    • pp.154-161
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    • 2003
  • Purpose : The prognosis of patients with corrected transposition of the great arteries(C-TGA) is variably affected by associated intracardiac defects, systemic right ventricular function, tricuspid valve competence, and conduction disturbances. This study aims to evaluate the importance of those factors at mid-term follow-up. Methods : Medical records of 94 patients(males 58, females 36; mean age at last follow-up, $12{\pm}9$ years; mean follow-up duration, $9{\pm}6.4$ years) diagnosed between January 1980 and May 2002 at Seoul National University Children's Hospital were studied retrospectively. Results : Among 94 patients, operations were performed in 72 patients(classic operations in 55; double switch operations in 17). Among prognostic factors including associated intracardiac anomalies(at least moderately severe tricuspid insufficiency(TI), ventricular septal defect, pulmonary stenosis and pulmonary atresia), intracardiac operation and complete atrioventricular block, TI was the only significant factor for death(P=0.001), and in turn, Ebstein anomaly and high grade atrioventricular block predicted TI. 20-year survival without TI was 77%, but only 35% with TI(P=0.0002); excluding perioperative death, the 20-year survival rates with and without TI were 48% and 87% respectively(P=0.008). There was no statistical difference in 20-year survival rate or association with TI between classic and double switch operation. Conclusion : TI was the major prognostic factor for C-TGA and was associated with Ebstein anomaly and high grade atrioventricular block at mid-term follow-up. Long-term follow-up is required to evaluate other factors, including double switch operations and associated intracardiac defects more exactly.

The Effects of Children's and Fathers' Perceptions of the Fathering Practice on Children's Sociality (아동 및 아버지가 지각한 아버지 역할수행이 아동의 사회성에 미치는 영향)

  • Song, Yo-Hyun;Hyun, On-Kang
    • Journal of Families and Better Life
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    • v.26 no.3
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    • pp.131-147
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    • 2008
  • The main purpose of this study is to examine the effects of the fathering practice on children's sociality. The subjects of this research are 569 (grade 6) students who are from 4 elementary schools, and 511 (grade 3) students who are from 4 other middle schools in Seoul and Gyeonggi province. The data was collected using two kinds of questionnaires: Canfield's (1995) Fathering Practice Scale and Urn Guy-Sung's (1999) Children's Sociality Scale. The data was analyzed by frequency, mean, standard deviation, percentage, Cronbach's alpha, t-test, one-way ANOVA, Scheffe's post hoc test, and hierarchical regression. The major results of this research are summarized as follows: First, there were differences in children's sociality according to children's and fathers' perceptions of the fathering practices. I classified 1080 students into 4 groups by mean${\pm}$1/2standard deviation of the children's and fathers' perceptions of the fathering practices. The results showed that children's sociality tends to be higher when the children's perceptions of the fathering practice are at a high level (Group 1 and Group 2), compared to when the fathers' perceptions of the fathering practice are at a high level (Group 3 and Group 4). Second, hierarchical regression was divided into two models so as to know how the effects were different from the children's and fathers' perceptions of the fathering practice on children's sociality. In the first model, only the fathers' variables were inputted and fathers' perceptions on fathering practice has significant effects on children's sociality. In the second model, both the children and fathers' variables were inputted into analysis. The fathers' perceptions of the fathering practice were not influenced, but children's perceptions of the fathering practice had great effects on children's sociality. Third, as the result of hierarchical regression with age, mid-childhood has significant effects on children's perceptions of the fathering practice on children's sociality. In addition, early adolescence is an important variable in the effects of the fathers' perceptions of the fathering practice on children's sociality. As a result the fathers' perceptions of the fathering practice are important and influential variables on children's sociality. In the result of this study fathering practice is necessary in children's development.

INHIBITORY EFFECTS OF ER:YAG LASER ON THE GROWTH AND ACID PRODUCING ABILITY OF STREPTOCOCCUS MUTANS (Er:YAG 레이저 조사가 S. mutans의 성장 및 산 생성능에 미치는 영향)

  • Kim, Hee-Jin;Kook, Joong-Ki;Lee, Sang-Ho;Lee, Nan-Young
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.4
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    • pp.660-666
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    • 2003
  • The purpose of this study was to investigate the inhibitory effect of Er:YAG laser against the intraoral acid producing bacterium of S. mutans. Bacterial pellet containing S. mutans KCTC 3065 was irradiated by Er:YAG laser having a $650\;{\mu}m$ diameter beam by non-contact mode. Irradiated parameters were 50mJ, 10Hz and exposure time were 1s, 3s, 5s, 7s, 9s respectively. We obtained the following results of relative growth rate and acid-producing ability of S. mutans by culturing for 48hrs. 1. The growth rate of S. mutans was decreased in the group of laser irradiation compared to the control group(P<0.01). 2. The growth rate at laser irradiation group of 7s, 9s irradiation time was decreased significantly compared to the laser irradiation group of 1s, 3s, 5s irradiation time, until 12 hours(P<0.05). After 24 hours, all groups of laser irradiation were not found to be statistically different in each other. 3. The acid-producing ability of S. mutans was inhibited for a certain duration by irradiation of laser. In summary, the growth rate and acid producing ability of S. mutans decreased according to laser irradiation. This effect was directly related to the amount of irradiation time. These results suggested that Er:YAG laser had an growth inhibition effect on S. mutans.

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Life Revaluation of Korean Housekeepers in Midlife (한국사회 중년기 전업주부의 삶의 재평가)

  • Jeon, Kyung-Sook ;Jung, Taeyun
    • Korean Journal of Culture and Social Issue
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    • v.19 no.1
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    • pp.19-44
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    • 2013
  • The present study aimed at investigating how Korean housekeeper in midlife revaluate their lives. For this purpose, 14 housekeepers whose youngest child was at least older than high school students were interviewed in a semi-structured retrospective method. The interview was focused on relational, psychological, and economical aspects of the participants before and after marriage each. The interview usually continued one and a half to two hours. The phenomenological method describing personal meaning of experiences was referred to for data analyses by transforming retrospective life story of participants into key meaningful units. According to main retrospective contents of each stage of development, the participants' childhood and adolescence was characterized by familial circumstances, formation of personality and value, and career choice. Main themes of their early adulthood were spouse selection and marriage, marital adaptation, and family relationships. Their midlife focused on children, economic and emotional stability, family relationships, acceptance of their spouse and themselves, and health and religion. Life styles of the participants were analyzed in terms of turning events, meanings of current life, and cumulative effects of life events. These findings were discussed in terms of developmental pattern in relation to the established theory of development.

OBSTETRICIAN'S VIEW OF TEENAGE PREGNANCY:PRESENT STATUS, PREVENTION AND PSYCHIATRIC CONSULTATION (산과 의사가 인지한 10대 임신의 현황, 예방, 정신과 자문)

  • Kim, Eun-Young;Kim, Boong-Nyun;Hong, Kang-E;Lee, Young-Sik
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.13 no.1
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    • pp.117-128
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    • 2002
  • Objectives:For the purpose of obtaining the more vivid present status and prevention program of teenage pregnancy, this survey was done by Obstetricians, as study subject, who manage the pregnant teenager in real clinical situation. Methods:Structured survey form about teenage pregnancy was sent to 2,800 obstetricians. That form contained frequency, characteristics, decision making processes, and psychiatric aspects of the teenage pregnancy. 349 obstetricians replied that survey form and we analysed these datas. Results:(1) The trend of teenage pregnancy was mildly increased. (2) The most common cases were unwanted pregnancy by continuing sexual relationship with boyfriends rather than by forced, accidental sexual relationship with multiple partners. (3) The most common reason of labor was loss the time of artificial abotion. (4) Problems of pregnant girls' were conduct behaviors and poor informations about contraception rather than sexual abuse or mental retardation. (5) Most obstetricians percepted the necessity of psychiatric consultation, however psychiatric consultation was rare due to parents refusal and abscense of available psychiatric facility. (6) For the prevention of teenage pregnancy, the most important thing was practical education about contraception. Conclusions:Based on the result of this study, further study using structured interview schedule with pregnant girl is needed for the detecting risk factor of teenage pregnancy and effective systematic approach to pregnant girl.

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Early and mid-term results of pulmonary valve reconstruction in surgical repair of tetralogy of Fallot; comparison with other techniques of right ventricular outflow reconstruction (활로사징 완전교정술에서 폐동맥 판막 재건술의 조기 및 중기 결과; 우심실 유출로 재건 방법에 따른 비교)

  • Wang, Sheng Wen;Lee, Young Seok;Kim, Si Ho;Kim, Tae Hong;Ban, Ji Eun;Lee, Hyoung Doo;Chang, Yun Hee;Sung, Si Chan
    • Clinical and Experimental Pediatrics
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    • v.49 no.6
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    • pp.635-642
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    • 2006
  • Purpose : The purpose of this study is to determine whether the new pulmonary valve reconstruction technique prevents short-term postoperative pulmonary regurgitation and improves early and mid-term clinical outcome. Methods : We reviewed postoperative echocardiographic variables and chest X-ray films from 31 patients who had undergone valve reconstruction(pulmonary valve reconstruction group : PVR) for the repair of TOF between April 2000 and August 2004. We compared the clinical data of these patients with those from 47 patients who had right ventricular outflow tract reconstruction with a monocusp valve(monocusp ventricular outflow patch group : MVOP) and 22 patients who had a transannular patch repair without a monocusp valve(transannular patch group : TAP). Results : In the PVR group, 25 patients(81 percent) had trivial or mild pulmonary regurgitation in their early post operative echocardiogram. Only 12 patients(26 percent) in the MVOP group had mild pulmonary regurgitation; and no patient in the TAP group had it. Pulmonary valve function was good in 96 percent of the PVR group, 36 percent of the MVOP group, and none in the TAP group in early post-operative echocardiogram. Follow-up echocardiogram(1, 2, 3, 4 years later) of the MVOP and TAP groups showed moderate pulmonary regurgitation and severely decreased valve function in almost all cases. However, in the PVR group 54 percent(16/28), 50 percent(14/28), 37 percent(9/24), and 31 percent(5/16) of the patients had trivial or mild pulmonary regurgitation 1, 2, 3 and 4 years after operation, respectively. The valve function remained good in 80 percent(24/30), 64 percent(18/28), 57 percent(12/21), and 31 percent(5/16) of the patients 1, 2, 3 and 4 years after operation respectively. Conclusion : Pulmonary valve reconstruction is effective in reducing pulmonary regurgitation and right ventricular dilatation in the repair of TOF, even though regurgitation increases with time. Further study is needed to determine long-term results.

Complications of transcatheter closure of atrial septal defects using the amplatzer septal occluder (심방 중격 결손의 경피적 폐쇄술 후 발생한 합병증에 관한 연구)

  • Jea, Seo Jin;Kwon, Hyo Jin;Jang, Gi Young;Lee, Jae Young;Kim, Soo Jin;Son, Chang Sung;Lee, Joo Won
    • Clinical and Experimental Pediatrics
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    • v.51 no.4
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    • pp.401-408
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    • 2008
  • Purpose : Transcatheter closure of atrial septal defects (ASD) is currently established therapy as an alternative to surgery. But rarely, complications are reported in some studies. We report early and intermediate term complications associated with transcatheter closure of atrial septal defects using the Amplatzer septal occluder (ASO). Methods : From June 2003 to May 2006, 64 patients underwent transcatheter closure of secundum ASD or patent foramen ovale using the ASO. The ratio of male to female was 1:2.4, the median age was 17 years (range: 2.6-64 years) and their median weight was 47.5 kg (range: 2.6-64 kg). Results : The median diameter of ASD measured with transthoracic or transesophageal echocardiography was 15 mm (range: 6-28 mm), the median balloon stretched diameter was 18 mm (range: 6.5-34 mm), and the median size of device was 19.5 mm (range: 6-36 mm), was little difference with balloon stretched diameter. There were 10 cases of complications: arrhythmia (2), device malformation (2), aorta to right atrial fistula (1), hemolytic anemia (1), mitral valve encroachment (1), malposition (1), residual shunt (1), and inferior vena cava perforation (1). Conclusion : Transcatheter closure of ASD using ASO is effective and safe therapy. However, significant complications such as aorta to atrial fistula, atrial erosion, or device embolization can happen, so an appropriate selection of patient and device in relevance to size and anatomy of ASD is important for successful closure.