• Title/Summary/Keyword: Adolescent in Transition

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Double burden of malnutrition in ethnic minority school-aged children living in mountainous areas of Vietnam and its association with nutritional behavior

  • Truong, Duong Thuy Thi;Tran, Trang Huyen Thi;Nguyen, Tam Thanh Thi;Tran, Van Hong Thi
    • Nutrition Research and Practice
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    • v.16 no.5
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    • pp.658-672
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    • 2022
  • BACKGROUND/OBJECTIVES: Although children of ethnic minority groups are experiencing a transition from a predominance of undernutrition to overnutrition, there is little evidence of a dual-malnutrition burden. Therefore, this study examined the double burden of malnutrition among school-aged ethnic minority children living in mountainous areas and its association with their diets. SUBJECTS/METHODS: A cross-sectional study was conducted from September 2019 to March 2020 in 3 mountainous areas of Northern Vietnam among 1,556 ethnic minority school-aged children. The prevalence of under-nutrition (stunting and thinness) and over-nutrition (overweight and obesity) were measured using the WHO 2006 child growth standards (height-for-age and BMI-for-age Z-score). Nutritional practices were evaluated by the frequency of food consumption based on a 4-level scale. RESULTS: The percentage of children with stunting and thinness were 14.0% and 5.4%, respectively, while the figure for overweight/obesity was 9.4%. The factors positively associated with stunting were living in a family with more than 2 children or being Muong/other ethnicities compared to the Tay ethnicity. Children who consumed fish/shrimps/crabs or milk weekly/daily were less likely to be undernourished compared to those who never consumed these foods. By contrast, children who never consumed foods rich in vitamin A precursors and vitamin A and fruit or consumed daily snacks/junk food were more likely to be overweight/obese. CONCLUSIONS: Undernutrition remains a common issue among school-aged children and adolescents of ethnic minority groups, while over-nutrition exists simultaneously. Public health nutrition programs promoting adequate diets and positive lifestyle changes related to nutrition are essential to tackle the double burden of malnutrition among ethnic minority children.

Health Management Experiences of Adolescents with Severe Congenital Heart Disease (중증 선천성 심장병 청소년의 건강관리 경험)

  • Hwang, Ji-Hye;Chae, Sun-Mi
    • The Journal of the Korea Contents Association
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    • v.20 no.9
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    • pp.659-671
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    • 2020
  • Severe congenital heart disease (CHD) is a chronic disease requiring continuous and holistic health management to improve patients' quality of life. This study explored the health management experiences of adolescents with severe CHDs in Korea. On the basis of in-depth interviews with nine youths, four categories and 12 subcategories were identified. The participants lacked a full understanding of their health status and the need for appropriate health management for their health status. Nonetheless, they practiced health management to some extent, in ways that were affected by heart function, self-identity, and social support. Although adolescents with severe CHDs were affected by physical limitations and the discriminatory gaze around them, they tried to achieve normalcy through managing information, seeking homogeneity with peers, and fostering positive acceptance about their disease. Regarding demands for health management programs, disease knowledge and mental health content were preferred, and the preferred delivery methods were self-help group camps and smartphone applications. Based on the results of this study, we suggest a health management intervention to promote a healthy transition to adulthood for adolescents with severe CHDs, and that policy-makers should consider measures that would enable a successful transition to adulthood in the future of youth with severe CHDs.

Everyday Information Practices of 'Isolated' Adolescents: A Case Study of New Korean Immigrant Adolescents in the U.S. (소외 청소년의 일상적 정보행태: 재미 한인 청소년을 사례로 하여)

  • Koo, Joung Hwa
    • Journal of Korean Library and Information Science Society
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    • v.46 no.4
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    • pp.161-190
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    • 2015
  • The purpose of the study is to explore how isolated immigrant adolescents seek and use necessary information when they are unable to use significant information sources-their peer groups-in the period of transition before new peer groups are established. Sixteen recently arrived Korean immigrant adolescents were recruited and a mixed method including surveys and in-depth interviews was used through three research phases. This study gained a preliminary understanding of isolated immigrant adolescents' information world: how they interpret their current situations and daily hassles, seek (or do not seek), and utilize information to cope with their daily life problems, and evaluate their use of information, including library systems and interpersonal sources. Five main emergent themes were analyzed from the findings and pertinent theories/models to interpret these unique features were suggested and discussed. The contribution and limitation of the study and future study are suggested and discussed.

A Study on Analyzing Adolescents' User Satisfaction Survey and Suggesting Service Development Plan: Focusing on Seoul Metropolitan Office of Education Library (청소년의 공공도서관 이용만족도 분석 및 서비스 발전 방안 연구 - 서울특별시교육청 도서관·평생학습관을 중심으로 -)

  • Lee, Hyewon;Jang, Seonhwa
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.33 no.3
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    • pp.397-417
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    • 2022
  • The purpose of this study was to identify the status of adolescents' user satisfaction with the 22 libraries of Seoul Metropolitan Office of Education and to improve the quality of information services for adolescents by improving the factors of dissatisfaction, and ultimately, to activate the use of young adults in the libraries of the Seoul Metropolitan Office of Education. In addition, in the transition to the digital age, it was attempted to investigate the use of Seoul Metropolitan Office of Education Digital Library in the context of the inevitable change of reading media. Through this, this study suggested planning a reading program that could arouse adolescents' interest and reflect new information technologies, improving the scope and system of e-book services, linking with school libraries, and restructuring library' space.

Mediating Effects of the Distress Tolerance on the Relationship between Negative Emotions and Subjective Well-Being (부정적 정서와 주관적 안녕감의 관계에서 고통 감내력의 매개효과 연구)

  • Choi, Soon-Mi;Jeong, Moon-Kyeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.5
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    • pp.145-154
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    • 2019
  • As the interest in the positive quality of life is increasing throughout the world, the number of people who are suffering from negative sentiments, such as depression, anxiety, or stress, is increasing, as well. Especially, the adolescence period is the period of transition from childhood to adulthood and accompanies significant changes in terms of the body and mind alike. The purpose of this study is to examine the negative sentiment of the juveniles, caused by the stress they experience in their social and personal domains and the distress tolerance that can protect the inner feelings of them at the same time, to understand how they are related to the subjective well-being of the juveniles. For this study, the researcher employed the data from 362 high school students from the high schools located in Seoul and Gyeonggi area, which were analyzed using the statistics suites SPSS 22.0 and AMOS 22.0. According to the findings of this study, first, the depression and anxiety of the adolescent population showed a significant relationship for each variable with regard to the distress tolerance and the subjective well-being. Especially, the negative correlation with the subjective well-being was highly significant. Second, the depression and anxiety of the juveniles turned out to influence the distress tolerance and subjective well-being of them in a negative manner. In both distress tolerance and subjective well-being, the influence of anxiety was higher than that of depression. Third, in the relationship between depression, anxiety, and subjective well-being, the distress tolerance turned out to have a mediating effect. Such results of this study provided the basic data for suggesting the strategies to promote the perceived psychological well-being and help the juveniles who are under stress.

Health and risk taking behaviors of freshmen in college (대학교 신입생들의 건강위험행태)

  • Ko, Hong Ki;Han, Jae Joon;Lee, Yoon;Yoo, Young;Lee, Kee Hyoung;Choung, Ji Tae;Park, Sang Hee
    • Clinical and Experimental Pediatrics
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    • v.49 no.10
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    • pp.1042-1049
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    • 2006
  • Purpose : This study was conducted to survey the preliminary data on risk behaviors and to identify the factors that prevent risk-behaviors in late adolescence. Methods : Freshmen(n=1,297) beginning the first semester in Korea University, Seoul, Korea completed self-administered risk behavior questionnaires, comprising 5 domains : demographics, smoking, drinking, drug abuse and sexual behavior. Results : The rate of smoking experience was higher in people having friends who smoke and the predictors of transition to current smoking were male gender, urban residence, friends' smoking, and nicotine dependence. The rate of high risk drinking was higher among students who are male and who had experience of heavy episodic drinking. The study group showed a low prevalence of narcotic users, but two-thirds of students could get medicine easily without prescriptions. The prevalence of sexual experience was 6.5 percent, and the sexual education was not a predictor of contraceptive behavior. The prevalence of homosexuality was 1.6 percent, and the rate of mostly heterosexuality was higher in female students. Conclusion : The main targets of youth health education should be campaigns aimed at atcessation of reinforcing risk behaviors and the development of a surveillance system for the prevention of chronic disease. These results can be used to find risk factors of health-risk behaviors among late adolescents.

Analyzing longitudinal effect of physical education activity on adolescent self-rated health evaluation changes using hierarchical linear and nonlinear models (위계적 선형, 비선형 모형을 적용한 청소년기 주관적 건강평가 변화에 대한 체육시간활동에 종단적 영향 분석)

  • Kim, Sae Hyung
    • Journal of the Korean Data and Information Science Society
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    • v.27 no.4
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    • pp.1013-1025
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    • 2016
  • The purpose of this study was to analyze longitudinal effect of physical education activity (PEA) score on self-rated health evaluation change (SHEC). This study used hierarchical linear and nonlinear models to investigate of the SHEC during the transition into adolescence (from middle school 1st to high school 2nd grade). Using the Korea children and youth panel survey (KCYPA), data were collected over the course of five years (from 2010 and 2014). HLM 6.8 computer program was used to analyze the data. The result were as follows. First, boys' SHEC increased across the five years, and girls' SHEC decreased across the five years. Second, boys' the self-rated health was increased across the three years and decreased across the two years. Third, girls' the self-rated health was increased across the two years and decreased across the three years. Fourth, the PEA score of 1st grade of high school showed a significant positive association with the boys' SHEC. Fifth, the PEA score of 1st grade of middle school showed a significant negative association with the girls' SHEC.

Case study of Music & Imagery for Woman with Depression (우울한 내담자를 위한 MI(Music & Imagery) 치료사례)

  • Song, In Ryeong
    • Journal of Music and Human Behavior
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    • v.5 no.1
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    • pp.67-90
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    • 2008
  • This case used MI techniques that give an imagery experience to depressed client's mental resource, and that makes in to verbalism. Also those images are supportive level therapy examples that apply to positive variation. MI is simple word of 'Music and Imagery' with one of psychology cure called GIM(Guided Imagery and Music). It makes client can through to the inner world and search, confront, discern and solve with suitable music. Supportive Level MI is only used from safety level music. Introduction of private session can associate specification feeling, subject, word or image. And those images are guide to positive experience. The First session step of MI program is a prelude that makes concrete goal like first interview. The Second step is a transition that can concretely express about client's story. The third step is induction and music listening. And it helps to associate imagery more easily by used tension relaxation. Also it can search and associate about various imagery from the music. The last step is process that process drawing imagery, talking about personal imagery experience in common with therapist that bring the power by expansion the positive experience. Client A case targets rapport forming(empathy, understanding and support), searching positive recourse(child hood, family), client's emotion and positive support. Music must be used simple tone, repetition melody, steady rhythm and organized by harmony music of what therapist and client's preference. The client used defense mechanism and couldn't control emotion by depression in 1 & 2 sessions. But the result was client A could experience about support and understanding after 3 sessions. After session 4 the client had stable, changed to positive emotion from the negative emotion and found her spontaneous. Therefore, at the session 6, the client recognized that she will have step of positive time at the future. About client B, she established rapport forming(empathy, understanding and support) and searching issues and positive recognition(child hood, family), expression and insight(present, future). The music was comfortable, organizational at the session 1 & 2, but after session 3, its development was getting bigger and the main melody changed variation with high and low of tune. Also it used the classic and romantic music. The client avoids bad personal relations to religious relationship. But at the session 1 & 2, client had supportive experience and empathy because of her favorite, supportive music. After session 3, client B recognized and face to face the present issue. But she had avoidance and face to face of ambivalence. The client B had a experience about emotion change according depression and face to face client's issues After session 4. At the session 5 & 6, client tried to have will power of healthy life and fairly attitude, train mental power and solution attitude in the future. On this wise, MI program had actuality and clients' issues solution more than GIM program. MI can solute the issue by client's based issue without approach to unconsciousness like GIM. Especially it can use variety music and listening time is shorter than GIM and structuralize. Also can express client's emotion very well. So it can use corrective and complement MI program to children, adolescent and adult.

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Korean parents' perceptions of the challenges and needs on school re-entry during or after childhood and adolescent cancer: a multi-institutional survey by Korean Society of Pediatric Hematology and Oncology

  • Lee, Jun Ah;Lee, Jae Min;Park, Hyeon Jin;Park, Meerim;Park, Byung Kiu;Ju, Hee Young;Kim, Ji Yoon;Park, Sang Kyu;Lee, Young Ho;Shim, Ye Jee;Kim, Heung Sik;Park, Kyung Duk;Lim, Yeon-Jung;Chueh, Hee Won;Park, Ji Kyoung;Kim, Soon Ki;Choi, Hyoung Soo;Ahn, Hyo Seop;Hah, Jeong Ok;Kang, Hyoung Jin;Shin, Hee Young;Lee, Mee Jeong
    • Clinical and Experimental Pediatrics
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    • v.63 no.4
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    • pp.141-145
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    • 2020
  • Background: For children and adolescents with cancer, going back to school is a key milestone in returning to "normal life." Purpose: To identify the support vital for a successful transition, we evaluated the parents' needs and the challenges they face when their children return to school. Methods: This multi-institutional study was conducted by the Korean Society of Pediatric Hematology and Oncology. The written survey comprised 24 questions and was completed by 210 parents without an interviewer. Results: Most parents (165 of 206) reported that their children experienced difficulties with physical status (n=60), peer relationships (n=30), academic performance (n=27), emotional/behavioral issues (n=11), and relationships with teachers (n=4) on reentering school. Parents wanted to be kept informed about and remain involved in their children's school lives and reported good parent-teacher communication (88 of 209, 42.1%). Parents reported that 83.1% and 44.9% of teachers and peers, respectively, displayed an adequate understanding of their children's condition. Most parents (197 of 208) answered that a special program is necessary to facilitate return to school after cancer therapy that offers emotional support (n=85), facilitates social adaptation (n=61), and provides tutoring to accelerate catch up (n=56), and continued health care by hospital outreach and school personnel (n=50). Conclusion: In addition to scholastic aptitude-oriented programs, emotional and psychosocial support is necessary for a successful return to school. Pediatric oncologists should actively improve oncology practices to better integrate individualized school plans and educate peers and teachers to improve health literacy to aid them in understanding the needs of children with cancer.