• Title/Summary/Keyword: 후기 청소년

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Factors Affecting Mental Health and Behavioral Problems in High School Students: Based on a Social Cognitive Career Theory (고등학생의 정신건강 및 문제행동에 영향을 미치는 요인: 사회인지진로이론에 근거하여)

  • Son, Hae Kyoung;Lee, Hyejung;Kim, Miyoung
    • Child Health Nursing Research
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    • v.20 no.4
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    • pp.314-321
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    • 2014
  • Purpose: This study was conducted to identify factors affecting mental health and behavioral problems among high school students through the lens of a Social Cognitive Career Theory. Methods: A descriptive study was carried out with 384 high school students in Seoul, Korea. A self-administrative questionnaire was used. It consisted of items on person background variables, career-related variables including career barriers, learning experiences, self-efficacy, outcome expectations, and career indecision, and mental health and behavioral problems. Descriptive statistics, correlation analysis and multiple regression analysis were performed using the SPSS 21.0 program. Results: The results showed that perceived stress (t=5.12, p<.001), perceived health status (t=-4.08, p=.002), and school record (t=5.46, p<.001) were statistically significant variables. Also, career barriers (t=10.57, p<.001) was a significant factor influencing mental health and behavioral problems. Conclusion: These findings indicate that among career-related variables, career barrier needs to be considered for preventive and therapeutic approach to mental health and behavioral problems in adolescents. Furthermore, the results suggest that career-related stress level should be assessed in high school students on a regular basis.

A Case of Propionic Acidemia Presenting with Dilated Cardiomyopathy (확장성 심근병증으로 발현된 프로피온산혈증 1례)

  • Son, Jisoo;Choi, Yoon-Ha;Seo, Go Hun;Kang, Minji;Lee, Beom Hee
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.21 no.1
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    • pp.22-27
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    • 2021
  • Propionic acidemia (PA) is an inherited autosomal recessive disorder, due to the deficiency of propionyl-CoA carboxylase (PCC). PCC is the enzyme which catalyzes the conversion of propionyl-CoA to D-methylmalonyl-CoA, and it is critical for the metabolism of amino acids, odd-chain fatty acids, and side chains of cholesterol. The clinical manifestations present mostly at the neonatal period with life-threatening metabolic acidosis and hyperammonemia. Here, we described a case of a 16-year-old Korean boy with late-onset PA who presented with embolic cerebral infarction due to dilated cardiomyopathy (DCMP) with left ventricular noncompaction. And he has family history of sudden cardiac death, so we performed metabolic screening and genetic tests. Elevated levels of 3-hydroxypropionic acid, methylcitric acid and propionylglycerine were detected in urine. Plasma acylcarnitine profile showed elevated propionylcarnitine (C3). Diagnosis of PA was confirmed by genetic analysis, which revealed compound heterozygous mutations, c.[1151T>G] (p.[Phe384Cys]) and c.[1228C>T] (p.[Arg410Trp]) in PCCB gene. His heart function is in improving state and the results of biochemical analysis are stable with heart failure medication and metabolic managements. We present a case of patient without episodes of metabolic decompensation who manifests DCMP as the first symptom of PA.

ATTACHMENT AND PSYCHOPATHOLOGY (애착과 정신병리)

  • Choi, Jee-Eun;Ahn, Dong-Hyun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.15 no.1
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    • pp.40-60
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    • 2004
  • Introduction:Research on attachment in view point of the developmental perspective which began in the 1940s progressed during several decades. Many investigators focused mother-child separation in early attachment studies, and moved to the relationship with childhood psychopathology. Recently attachment theory and research are moving forward along the intergenerational transmission of attachment patterns, and adolescents and adult mental disorders in the developmental perspectives. Methods:We surveyed the research papers through Medline search, attachment-related monographs, and review or original papers published in Korean journal. Results:Developmental attachment researches have demonstrated convincingly that insecure attachment in infancy is associated with attachment disorder; several childhood psychopatholgy, such as institutional care and adoption, aggression and behavioral problems, childhood anxiety disorders and depressive disorders, gender identity disorder and feeding disorder, and child abuse and maltreatment; peer relationship and social competency, and parental behaviors. Recently the methodological advances including the Adult Attachment Interview that systematically assesses the adults' recollections of the earlier parent-child relationship they experienced could move beyond attachment researcher's initial concern with infancy to consider attachment processes throughout the life span. We could find that the quality of attachment was associated with several mental disorders in adolescents and adults significantly. Conclusion:Attachment theory would have focused on more specific parent-child relationship than general parental behavior. Recent attachment theory underscores its evolutionary origins to promote development of infant and contribute to human survival in psychobiological bases. Advances in attachment research could unite interests in evolutional biology and developmental psychology in understanding early parent-child relationship, and apply to clinical issues concerning mental health throughout the life span.

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Relationship between Broca Index of Late School-Aged Children and Their Mothers' Eating, Cooking, and Exercise Habit (어머니의 식습관, 요리습관 및 운동습관과 학령기 후기 아동의 Broca 체질량지수와의 상관관계 연구)

  • Lee, Hyerim;Lee, Kyoung-Eun;Ko, Kwang Suk;Hong, Eunah
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.45 no.10
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    • pp.1488-1496
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    • 2016
  • The purposes of this study were to analyze mothers' eating, cooking, and exercise habits based on their demographic characteristics and to examine the relationship between those habits and their late school-aged children's Broca index. A total of 393 questionnaires were mailed to the mothers of late school-aged children who registered at four elementary schools in the Seoul area, of which 159 participants (40.0%) completed questionnaires. Statistical data analyses were performed using SPSS/Win 21.0 for descriptive statistics, t-test ANOVA, and Pearson's regression coefficient. There was a statistically significant difference in mothers' cooking habit (F=3.920, P=0.022) and exercise habit (F=3.211, P=0.043) according to their educational level. Interestingly, 82.4% of mothers had a Broca index of less than 90% of normal body mass level. A significant positive correlation of Broca index between mothers and their late school-aged children (r=0.345, P<0.001) indicated that children whose mothers had a low body mass level also tended to have a low body mass level. In this study, late school-aged children's Broca index was not significantly related with mother's eating (r=-0.072, P=0.367) or exercise habits (r=-0.010, P=0.897) but was significantly related with their mother's cooking habits (r=-0.157, P=0.048). Considering there are few studies examining the impacts of mother's cooking habits on their children's appropriate body mass, the results suggest that developing an effective educational program to cultivate mothers' healthy cooking habits to improve school-aged children's health status is very important. The findings of this study provide important data that could be used when developing health education programs tailored to the multi-dimensional impacts of mothers' life habits on their last school-aged children's developmental health status.

Credibility Judgement of Information by Tweens (트윈세대의 정보 신뢰성 판단에 관한 연구)

  • Chung, Jin Soo
    • Journal of the Korean Society for Library and Information Science
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    • v.54 no.1
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    • pp.303-324
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    • 2020
  • This study investigates the credibility judgements of information by tweens using digital media and information. Particularly, the study focused on tweens' perception of internet research and information use and on their credibility judgement of source and message, internet service providers, and on consulting with others for their credibility judgement. The survey methodology was used to collect data from grade 5 and 6 students in two elementary schools whose parents are likely in middle and upper class. 336 valid questionnaires were collected among 400. Descriptive statistics, factor analysis, and t-test were used to analyze the data collected using SPSS 25. Findings suggested that tweens understood the importance of using smart media and computers, that they used Youtube, Naver, Kakao talk, Naver JisikIN much in sequence, and that they believed the Internet research was easy and fun. Using exploratory factor analysis, the survey questions for credibility judgement were classified into three factors: Internet service providers, sources and information, and consulting with others. Tweens used sources and information credibility, consulting with others credibility, Internet service providers credibility in sequence. However, it was interesting to find that there were greater deviation in answers on knowing how to find out the cognitive authority of the authors and on the importance of using current information. This study suggests the critical need for tweens' credibility judgement research for promoting critical thinking skills as well as for proactive educational practices in schools and libraries on information literacy.

Diagnostic Significance of Neonatal Electroencephalography (신생아 뇌파의 진단적 유용성에 대한 연구)

  • Kim, Byeong Eui;Kim, Heung Dong
    • Clinical and Experimental Pediatrics
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    • v.46 no.2
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    • pp.137-142
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    • 2003
  • Purpose : This study was performed to determine the sensitivity of neonatal electroencephalography (EEG) in detecting underlying brain disease, to compare the sensitivity and specificity of EEG with those of brain ultrasonography and to determine the prognostic value of EEG for neonatal neurologic diseases. Methods : Eighty-seven newborn babies were subjected to a electroencephalographic examination for the evaluation of underlying neurological diseases and EEGs were recorded at least before three days of life. The findings of early ultrasonography performed within three days after birth were compared with those of magnetic resonance imaging(MRI) or ultrasonography after seven days of life. Results : The EEG results were more sensitive and specific than ultrasonography for the detection of neonatal brain damage. The EEG results showed 91.7% sensitivity for mild grade neurological sequelae and 100.0% sensitivity for moderate and severe-grade neurological sequelae in predicting the neurological outcome. However, early ultrasonography results showed 20.8% and 18.8% of sensitivity and specificity, respectively. Conclusion : EEG is a highly sensitive diagnostic tool for detecting neonatal brain disease and is valuable for predicting the long-term outcome of neurologic sequelae.

Diabetic Nephropathy in Childhood and Adolescence (II) ; Pathology and Pathophysiology (소아청소년기 당뇨병성 신병증 (II) ; 병리 소견 및 병태생리를 중심으로)

  • Ha, Tae-Sun
    • Childhood Kidney Diseases
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    • v.13 no.2
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    • pp.99-117
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    • 2009
  • Diabetic nephropathy is a major cause of chronic renal failure in developing countries, and the prevalence rate has markedly increased during the past decade. Diabetic nephropathy shows various specific histological changes not only in the glomeruli but also in the tubulointerstitial region. In the early stage, the effacement of podocyte foot processes and thickened glomerular basement membrane (GBM) is noticed even at the stage of microalbuminuria. Nodular, diffuse, and exudative lesions, so-called diabetic glomerulosclerosis, are well known as glomerular lesions. Interstitial lesions also exhibit fibrosis, edema, and thickened tubular basement membrane. Diabetic nephropathy is considered to be multifactorial in origin with increasing evidence that one of the major pathways involved in the development and progression of diabetic nephropathy as a result of hyperglycemia. Hyperglycemia induces renal damage directly or through hemodynamic alterations, such as, glomerular hyperfiltration, shear stress, and microalbuminuria. Chronic hyperglycemia also induces nonhemodynamic dysregulations, such as, increased production of advanced glycosylation endproducts, oxidative stress, activation of signal pathway, and subsequent various cytokines. Those pathogenic mechanisms resulted in extracellular matrix deposition including mesangial expansion and GBM thickening, glomerular hypertrophy, inflammation, and proteinuria. In this review, recent opinions on the histopathologic changes and pathophysiologic mechanisms leading to initiation and progression of diabetic nephropathy will be introduced.

Perceived Social Support and Parent-child Relationship ,Coping in Late Adolescents (후기 청소년의 부모-자녀 관계, 사회적 지지 및 대처)

  • Lee Eun Young;Tak Young Ran
    • Child Health Nursing Research
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    • v.5 no.3
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    • pp.358-367
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    • 1999
  • The Purpose of this study was to identify of parent-child relationship, Perceived social support and coping of female in late adolescents and its relationships. The underlying assumption is that Parent-child relationship based on internal working cognition affects on perceived social support and coping. The sample was consisted of 277 female students of college. The instruments used in this study were Parental bonding instrument (PBI)(Parker, Tupling & Brown. 1979), Personal resources questionnaire : PRQ-part II (Weinert ' Brant, 1987), and Way of coping (Folkman & Lazarus, 1985). The data was analyzed using frequencies, correlation coefficient, ANOVA. and t-test. As a result. perceived social support correlated positively with Parental care and negatively with parental overprotection. Perceived social support showed positive relationship with coping. Perceived social support differed according to parent-child relationship type. The group of 'affectionate constraint' high care and high overprotection. reported high perceived social support, but 'affectionless control'(low care and high overprotection) reported low perceived social support. The group of high perceived social support showed higher parental care and higher coping than low one. The group of high coping showed higher parental care, lower parental overprotection and higher perceived social support than low one. Findings from this study linking retrospective accounts of early parental relationships to current working models concerning the nature of supportive relationships are consistent with attachment theory that individual who, as children, experienced relationships with their parents that were independent-encourage. affectionate, and not overprotective developed working models of others as available to provide social support. This study confirmed that perceived social support significantly related to coping in dealing with stress.

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Effect of the University Students' Social Support and Volunteer Motivation on their Multicultural Acceptance (대학생의 사회적 지지와 자원봉사 참여동기가 다문화수용성에 미치는 영향)

  • Ra, Dong-Seok
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.3
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    • pp.155-163
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    • 2019
  • This study was to analyze whether volunteer motivation represents a mediated effect in the relationship between social support and multicultural acceptance by university students as a late adolescent. Among the students attending a university located in North Chungcheong Province, 256 participants have experienced volunteer work. Data analysis conducted multiple regression analysis using SPSS and analysis showed that social support of university students affected multicultural acceptance and that volunteer motivation in their relationship between social support and multicultural acceptance was fully mediated. Based on these results, it has revealed a path that the social support of university students affects multicultural acceptance through volunteer motivation. Therefore, in order to gain social support, university students should improve their ability to maintain a positive view of interpersonal relations and to cope with conflicts efficiently. They will also have to strengthen self-directing capacity in order to increase the level of motivation for volunteer participation.

군 장병의 그릿 및 주관적 안녕감이 자기결정성에 미치는 영향에 있어 회복탄력성의 매개효과

  • Bae, Dong-Hun;Byeon, Sang-Hae
    • 한국벤처창업학회:학술대회논문집
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    • 2022.11a
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    • pp.105-117
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    • 2022
  • 본 연구은 군 장병들의 자기결정성에 영향을 미치는 변인을 선정하고 회복탄력성의 매개효과를 알아보고자 한 박사학위논문의 요약본이다. 연구를 위해 전국 육군 8개 부대 장병 898명을 대상으로 자기결정성의 관련 변인을 측정하기 위한 설문을 실시하였다. 설문 결과는 통계분석을 시행하였는데, 매개효과 검증을 위해 독립변인으로 그릿과 주관적 안녕감을, 종속변인으로 자기결정성, 매개변인을 회복탄력성으로 하는 3단계 회기분석을 실시하였다. 연구 결과, 군 장병들의 일반적인 특징에서 성별과 회복탄력성 교육참여 여부는 각 변인에 유의한 차이를 보이지 않았고, 연령은 27세 이상, 계급은 부사관이 모든 변인에서 높은 수치를 보였다. 그릿과 주관적 안녕감의 하위요인들은 자기결정성에 모든 하위요인에 다소 높은 정적 상관관계와 유의한 영향을 미치는 것으로 나타났으며, 그릿과 주관적 안녕감의 하위요인들은 회복탄력성의 모든 하위요인과도 전반적으로 높은 정적 상관관계를 보였고, 전반적으로 유의한 영향을 미치는 것으로 나타났다. 회복탄력성의 하위요인들은 자기결정성의 하위요인 전반에 상관관계를 가졌으며, 부분매개효과를 확인했으나 일부요인은 기준을 충족하지 못하였다. 결론적으로 군 장병들에게 지속적인 관심과 꾸준한 노력을 기울일만한 동기부여가 무엇보다 필요하며, 군 장병들의 성공적인 자기결정력 성장을 위해서는 자율성 증진과 원활한 대인관계 환경 제공을 통한 그릿과 주관적 안녕감의 요인들의 충족이 필요함을 알 수 있었다. 또한 장병들의 회복탄력성 능력 향상을 위한 그릿과 주관적 안녕감 증진은 장병들의 자기결정성 증진에 기여할 주요 수단임을 알 수 있었고, 장병들의 주관적, 긍정적 심리상태와 자신 삶의 만족을 위한 주관적인 능력 증진을 위해서는 그릿 및 주관적 안녕감과 회복탄력성이 주요한 에너지로 활용될 수 있음을 추론할 수 있었다.

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