• Title/Summary/Keyword: Behavioral disturbance

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A Cross-Validation of the Korean Version of the Revised Memory and Behavioral Problems Checklist(K-RMBPC): Exploratory and Confirmatory Analyses ("한국형 기억 및 행동문제 개정점검표(Korean Version of the Revised Memory and Behavioral Problems Checklist: K-RMBPC)"의 타당화를 위한 탐색적 연구)

  • Lee, Min-Hong;Yoon, Eun-Kyung
    • Korean Journal of Social Welfare
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    • v.59 no.2
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    • pp.65-88
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    • 2007
  • This study evaluates psychometric properties of the Revised Memory and Behavioral Problems Checklist(RMBPC) in Korean version. The sample includes 387 South Korean family caregivers who provide the majority of day to day tasks and emotional care for their older family members with physical and/or cognitive disabilities. The psychometric properties of the RMBPC are verified by item analysis, exploratory factor analysis(EFA) & confirmatory factor analysis(CFA). For cross-validity, the randomly divided two samples are used: one sample for EFA(n=193, 387/2) and the other sample for CFA(n=194, 387/2). The internal consistency of the K-RMBPC is excellent, and the convergent and criterion-related validity of the K-RMBPC with related variables is empirically confirmed. An EFA based on the Principal Component Analysis(PCA) method with varimax rotation explains 65.85% of variance accounted for by the three factors. A CFA also verifies that the model fit was acceptable. The shorter Korean version of the RMBPC is found reliable and valid. The translated checklist would be very useful for clinical and research settings by (a) focusing on observable, conceptually relevant, potentially modifiable behaviors and (b) using objective criteria within a self-administered framework, to enable clinicians and researchers to pinpoint areas of disturbance and target intervention goals for patients and caregivers in a cost-effective manner.

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BEHAVIOR MANAGMENT TECHNICS FOR AUTISTIC CHILDREN : A CASE REPORT (자폐의 정도에 따른 행동조절법의 적용 : 증례보고)

  • Chung, Saet-Byul;Choi, Yeong-Chul;Lee, Keung-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.25 no.3
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    • pp.525-532
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    • 1998
  • The autism is a complex disorder, characterized language impairment, perceptual-motor difficulties, and social disturbance. The autistic children have hyperactivity, lack of communication' lack of cooperation, inappropriate patient/dentist interaction, so they require professionally recognized behavioral management technique during dental treatment such as behavior modification, phamacological agents, and general anesthesia. A behavior management technique can be chosen by factors such as the severity of autism and possible accompanying disabilities, degree of cooperation, oral and general conditions of children. A non-pharmacological behavior modification may be selected for the autistic children who are able to communicate with dentist with mild dental caries, without compromised medical history. In case of excessively hyperactive, destructive, antisocial, and/or severe communicative disorder, a sedation technic with chloral hydrate, hydroxyzine, midazolam or nitrous oxide gas might to be performed. General anesthesia is preferred for severe communicative and/or behavioral disorder, elder age, excessive dental care need, and living a remote area.

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A Qualitative Study on Reducing Dental Anxiety through Cognitive Behavioral Therapy (인지행동치료를 통한 치과불안 감소에 대한 질적 연구)

  • Koh, Boo-Il;Song, Youn-Mi;Bae, Soo-Myoung
    • Journal of dental hygiene science
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    • v.17 no.1
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    • pp.46-55
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    • 2017
  • Many people in Korea suffer from a fear of dental treatments; however, only a few studies have focused on this population. This study assessed the effectiveness of cognitive behavioral therapy (CBT) and its interventions in reducing dental anxiety, especially when administered by trained dental staff. Using case studies, the authors analyzed the content of each session and examined the process of reducing dental anxiety. First, the authors observed that the results of both dental fear scale and subjective unit of disturbance decreased significantly with changes in cognitive distortions related to dental anxiety and that rapid improvements were noted after two therapy sessions. Second, the study reported that practicing relaxation (deep-breathing) and muscle relaxation techniques; using hand signals to indicate anxiety or discomfort; establishing an empathic relationship with the therapist; making an anxiety list; and graded insensitive and exposure along with rehearsal, were effective in coping with dental anxiety and in changing negative thoughts towards the dentist. Third, a simple cognitive behavioral intervention can be effective in reducing dental anxiety. In summary, a short-term, five-session psychological intervention with CBT produced a sustained decrease in the symptoms of dental anxiety, allowing the patients to receive the required procedures. The authors discussed the study limitations and the implication of their results on future research.

Dehydroevodiamine.HCl Improves Stress-Induced Memory Impairments and Depression Like Behavior in Rats

  • Kim, Hee Jin;Shin, Ki Young;Chang, Keun-A;Ahn, Sangzin;Choi, Hee Soon;Kim, Hye-Sun;Suh, Yoo-Hun
    • The Korean Journal of Physiology and Pharmacology
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    • v.18 no.1
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    • pp.55-59
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    • 2014
  • Dehydroevodiamine HCl (DHED) has been reported to prevent memory impairment and neuronal cell loss in a rat model with cognitive disturbance. We investigated the effect of DHED on memory impairment and behavioral abnormality caused by stress. We demonstrated that DHED can improve stress-induced memory impairments and depression-like behaviors by using open-field test, Y-maze test and forced swimming test. DHED treatment significantly recovered the decreases in the levels of neural cell adhesion molecule (NCAM) proteins caused by stress and the decreases in cell viability. Our results suggested that DHED is a potential drug candidate for neuronal death, memory impairment and depression induced by stress.

A Study on Consolidation Characteristics by Considering the Initial Radial Compression at Sand Pile Adjacent Ground (샌드파일 주변지반에서 초기 방사방향 압축에 의한 압밀특성 연구)

  • 천병식;여유현
    • Proceedings of the Korean Geotechical Society Conference
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    • 2000.11a
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    • pp.649-656
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    • 2000
  • Consolidation of the ground surrounding the sand piles is delayed by well resistance and smear effect. This study is executed to understand the factors that affect the characteristics of consolidation. This was accomplished by utilizing the estimated and measured values of the soil properties through the monitoring of the ground surrounding the sand piles. When it is assumed that the horizontal coefficient is equal to the vertical coefficient of consolidation, the estimated values is exceedingly similar to the measured values. The properties of the initially disturbed soil by the sand pile installation seemed to improve through the process of consolidation with the passage of time. From the results of the analysis of the settlement measurement, the measured values occurred about 60~90% of the predicted values. Considering the initial radical compression deformation, according to the theory of cavity expansion, the difference between the two appears to be in good agreement. In this study, to understand the behavioral characteristics of the ground surrounding the sand piles requires estimation through considering the initial radial compression as well as smear effect of the soil disturbance and well resistance.

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Impact of Pesticide Treatment on an Arthropod Community in the Korean Rice Ecosystem

  • Park, Hong-Hyun;Lee, Joon-Ho
    • Journal of Ecology and Environment
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    • v.32 no.1
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    • pp.19-25
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    • 2009
  • An arthropod community in a rice ecosystem was surveyed to determine the impact of two insecticides frequently used in Korean rice ecosystems: carbofuran 3GR, which targets the rice water weevil, Lissorhoptrus oryzophilus Kuschel (Coleoptera: Curculionidae) in the early season and fenobucarb EC, which targets the brown planthopper, Nilaparvata lugens ($St{\aa}l$) (Hemiptera: Delphacidae) in the mid- and late seasons, respectively. Overall, the application of the insecticides reduced density of total arthropods by 48.4% compared to the untreated field, but their impact on each functional group were different. Carbofuran GR treatment on 1 June reduced the L. oryzophilus population significantly until mid-season. The population of filterfeeding chironomids was also reduced by 50%, whereas the spider population was less disturbed. Fenobucarb EC treatment on 16 August significantly reduced N. lugens and detrivorous entomobryid populations until the late season. Both web-building and wandering spiders were also significantly disturbed by fenobucarb EC although the impact differed according to their behavioral differences. While the population of web-building spiders significantly decreased over time, that of wandering spiders recovered from the disturbance a few weeks later.

Biobehavioral Health Research: A nursing study of women with and without fibromyalgia

  • Landis, Carol A.;Lentz, Martha J.
    • Perspectives in Nursing Science
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    • v.2 no.1
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    • pp.37-47
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    • 2005
  • Biobehavioral nursing research is focused on generating knowledge that examines relations among biological, behavioral, and social dimensions of health to improve outcomes. In this paper we review the findings of a biobehavioral nursing study of individuals with fibromyalgia (FM) that was framed from the perspective of an individual human response model, the FM literature, and our previous studies in midlife women. We were particularly interested in the studying the role of 'arousal' secondary to pain or to dysregulated hypothalamic-pituitary-adrenal (HPA) axis hormones during sleep and the impact on symptom expression. Unexpectedly, we did not find evidence of, arousal' or abnormal amounts of HPA axis hormones but we did find reduced amounts of growth hormone (GH) and prolactin (PRL) and of sleep spindle activity, a biomarker of sleep maintenance. We discuss these new findings and how our thinking was re-shaped to better understand the role that disturbed sleep plays in symptom expression in FM. It is argued that disturbed sleep maintenance mechanisms coupled with dysregulated somatotrophic-growth hormone axis and sleep-related PRL render individuals vulnerable to the development of or exacerbations of FM symptoms.

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The Experience of Nursing Staff on the Dementia Patients′ Aggressive Behavior (간호제공자들의 치매노인 공격행동 경험에 대한 연구)

  • 오진주
    • Journal of Korean Academy of Nursing
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    • v.30 no.2
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    • pp.293-306
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    • 2000
  • Providing care to the dementia elderly with behavioral problem is a major issue in nursing homes today. This study was aimed to explore the nursing staffs′ response to aggressive dementia patients, and the effect that the aggressive behavior had on Nsgstaff. The interviews used a semi-structured questionnaire are were carried out from May to July, 1999. The subjects were 23 nursing personnel working in the nursing homes for dementia elderly. The result are as follows; 1. The types of aggressive behavior cited by the subjects was "physical", "linguistic", and "sexual". 2. The factors that caused the behavior were "symptoms of disease", "under- conditioning", "context of nursing care", "unsatisfied need", "relationship to other patients", "change of outer environment", and "invasion of one′s own privacy". 3. The response of the subjects were "unhappiness", "stress", "anger", "exaggeration", "anxiety", and "fear". 4. The management strategies listed by nursing personnel used to alleviate aggressive behavior were "ignorance" "patience" "leaving the area" "soothing sounds" "verbal punishment" "restriction and isolation" and "various management skill appliance" "adaptation". 5. The effect that aggressive behavior and were "disturbance of relationship to elderly" "decline in the amount and quality of nursing care" "interruption of task performance" "job exhaustion" "desire to leave the job" "physical impact" "stress on the cognition of others" "anxiety about health and one own future" "interference to family life′. The findings of this study will be useful in understanding the difficulties of nursing personnel when confronting the aggressive behavior of dementia partients. It also is useful as basic data in preparing efficient intervention program for these difficulties.

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Involvement of Cortical Damage in the Ischemia/Reperfusion-Induced Memory Impairment of Wistar Rats

  • Hong, Jin-Tae;Ryu, Seung-Rel;Kim, Hye-Jin;Lee, Sun-Hee;Lee, Byung-Moo;Kim, Pu-Young
    • Archives of Pharmacal Research
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    • v.23 no.4
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    • pp.413-417
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    • 2000
  • The effect of ischemia/reperfusion-induced neuronal damage on the memory impairment were investigated using active avoidance and Morris water maze tasks in Wistar rats. Focal ischemia was induced by 1 h occlusion of the right middle cerebral artery (MCA) of Wistar male rats. Reperfusion was induced by releasing the occlusion and restoring the blood circulation for 24 h. The acquisition and preservation memory tested by active avoidance showed a significant difference between the sham and ischemia/reperfusion group. The water maze acquisition performance was also significant difference between sham and ischemia/repefusion groups in both latency and moving distance. The infarction volume was increased by the ischemia/reperfusion. Furthermore, the cresyl violet staining of the ischemia/reperfusion brain showed severe neuronal damage (pyramidal cell loss) in the cortex in addition to the striatum lesion of brain. This study shows that pyramidal cell damage in the cortex lesion may be partially related to memorial disturbance in the ischemia/reperfusion brain injury.

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PTSD Symptoms in Elementary School Children After Typhoon Rusa

  • Lee, In-Sook;Ha, Yang-Sook;Kim, Yoon-A;Kwon, Yong-Hee
    • Journal of Korean Academy of Nursing
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    • v.34 no.4
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    • pp.636-645
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    • 2004
  • Purpose. A natural disaster negatively affects children's emotional and behavioral adjustment. The purpose of this paper was to examine the prevalence, symptoms, and correlates of PTSD after the occurrence of Typhoon Rusa. Method. 261 elementary school children living in Kimcheon, which was a devastated rural area in South Korea by Typhoon Rusa, were selected. Data were collected 4 months after the disaster using the PTSD Reaction Index categories recommended by Frederick, severity of PTSD. Results. 12.3% of the children had either moderate or severe PTSD symptoms; 22.7% reported mild symptoms; and the remaining 65% had sub-clinical symptoms of PTSD. The most frequent symptom was recurrenct fear(67.0%). 13% to 17.2% of children exhibited difficulty in concentration, sleep disturbance, and guilt feeling. The regression model of severity of PTSD was composed of the level of exposure to traumatic experiences, grade in school, gender, negative coping style, and social support, and explained 34.3% for PTSD symptoms. Exposure to traumatic experiences was the strongest factor of all predictors. Conclusion. Emotional support from friends and coping style were correlated with PTSD severity. School-based interventions that emphasizes coping with disaster related problems and problem-solving may prove to be useful, and may aid in building close and supportive ties with teachers, classmates, and friends.