The purpose of this study was to identify metacommunicative behaviors between nurses and patients in a pediatric unit. The research method included observation using videotaping. Data were collected from December, 2001 to February, 2002. Total six nurses, and eight patients and their mothers in a pediatric unit participated in this study. The interactions were videotaped under the participants' consent. The participants were observed for total 8 hours over 2-day period. Special episodes which were identified as metacommunicative behaviors in the taped interactions were transcribed. Transcription included verbal and nonverbal interactions. Selected episodes were classified using Mitchell's definition. Each classified definitions were named, and categorized by its purpose. The results were as follows: Nineteen metacommunicative behaviors which used frequently by nurses-approaching, mediating eye level, eye contact, touching, encouraging, turnabout, mimic voice, giving choices, friendly demand, expansion, tagging, repeating and confirming, identification, reflection, baby talk, symbolization, description of acts, relaxed posture, turning away- were identified and organized into four categories. They were call for attention, facilitating response, empathy, and tension release. In conclusion, nurses in this study used metacommunicative behaviors frequently and these behaviors were effective in interacting with children. It is suggested that any educational programs to teach communication skills to nurses need to include techniques on metacommunicative behaviors. This will help nurses to be more sensitive to different characteristics of their patients.
Journal of the Korean Academy of Child and Adolescent Psychiatry
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v.21
no.1
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pp.11-16
/
2010
This review aimed to assist clinicians in the identification and assessment of adult attention-deficit hyperactivity disorder (ADHD) with an emphasis on diagnostic and rating instruments. Pubmed and RISS were utilized to identify relevant studies and critical reviews on the diagnosis and assessment of adult ADHD, published between 1988 and 2010. The Adult ADHD Self-Report Scale-v1.1, the ADHD Rating Scale-IV, the Conners Adult ADHD Rating Scale, and the Current Symptoms Scale have been utilized for self-reporting of current ADHD symptoms. The Brown ADD Rating Scale, the ADHD Rating Scale-IV, the Current Symptoms Scale, and the Conners Adult ADHD Rating Scale have also been evaluated by an observer. The Childhood Symptom Scale and the Wender-Utah Rating Scale have been used for retrospective assessment of childhood ADHD symptoms and the Adult ADHD Investigator Symptom Rating Scale, the Adult Interview, the Brown ADD Diagnostic Form, the Conners adult ADHD diagnostic interview for DSM-IV, and the Wender-Reimherr Interview have been available as comprehensive diagnostic interviews. There is a wide variety of instruments available with respect to adult ADHD. The choice of appropriate instruments is essential for achieving accurate diagnosis and assessment of this disorder.
The article reports the process, contents and strategies in the development of community based-heath care management program for high-risk infants and family, which was based on literature review, empirical needs assessment from pilot study. The program was divided into two emphasis areas: (1) identification and home visiting nursing care program, and (2) the construction of self-supporting group. The contents of home visiting nursing care were developed from the pilot study of the direct home visiting to premature infants after discharge. The documentation form for home care was standardized, including the demographic data, birth history, home care services, education and counsels, and visiting schedules. The integrated education protocol was elaborated to enhance the body of knowledge as well as clinical competency in caring high-risk infants and family by the supports of neonatologists, nursing scholar, and clinical specialists. In addition, the process and strategies in developing self-supporting group, consisting the high-risk infants and family, and any significant others were addressed. Emphases were given to the role of public health center and the recycling health care referral system to maximize the growth and development of high-risk infants on the community-base, which in turn, contributing to decrease the postneonatal mortality rate.
Journal of the Korean Academy of Child and Adolescent Psychiatry
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v.33
no.2
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pp.48-54
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2022
Objectives: Among adolescent development tasks, being independent of parents is an essential process for emotional and physical separation. There are many conflicts of separation and individuation between parents and adolescents; however, most clinicians explore the process of separation and individuation only from adolescents' perspective. Whether simultaneously or sequentially, separation-individuation occurs between adolescents and parents, respectively. The authors have already introduced the theory of synchronized individuation in a clinical case to explain the concept of this intersubjective phenomena. This study also attempts to prove the synchronized individuation theory through the interaction of characters in a movie and a fairy tale. Methods: The authors present the basis for the theory of synchronized individuation of adolescence through the growing process of Mason Junior, the main character of the movie "Boyhood," and from the process of the separation of a hen, Sprout, and an orphaned duckling in "The hen who dreamed she could fly." Results: Synchronized individuation was developed and observed from Mason, the son's perspective in "Boyhood," and Sprout, the mother's subjective perspective in the story of the hen. Conclusion: Increasing conflict and mutual impact in the relationship between adolescents and parents, ambivalent feelings for separation, selective identification of each other, mutual respect through mutual recognition, and role changes in relationship position were confirmed. Sons and mothers were individualized with synchronization.
Kim, Jeongyong;Kim, Hyojeong;Lee, Ja Hyun;Kim, Hyo Sook;Kim, Eungsoo
Biomedical Science Letters
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v.27
no.2
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pp.105-110
/
2021
Short Tandem Repeats (STR) analysis which characterized by genetic polymorphism has been widely used in the forensic genetic fields. Unfortunately, mutation occurred in various STR loci could make it difficult to interpret STR data. Thus, the mutation rate of STR loci plays an important role for the data interpretation in human identification and paternity test. To verify the mutation of the STR loci in the Korean population, 545 trio sets (father, mother, and child) were analyzed with two commercial STR kits that include the 23 autosomal STR loci (D1S1656, TPOX, D2S441, D2S1338, D3S1358, FGA, D5S818, CSF1PO, D7S820, D8S1179, D10S1248, TH01, D12S391, VWA D13S317, D16S539, D18S51, D19S433, D21S11, D22S1045, SE33, Penta E and Penta D). As a result, 36 mutations were observed in 14 STR loci. The types of mutation were also classified by the increase or decrease of the alleles. The overall mutation rate was 1.4×10-3, and the paternal mutation rate was four times higher than that of the maternal. This study will provide more detailed criterion for human identification by the mutation rate of STR loci in the Korean population.
The purpose of this study was to analyze the trends in domestic and international gifted education in the last six years (2010-2015) by utilizing social network analysis methods. For papers of gifted education in Korea, two KCI (Korea Citation Index) rated journals, the 'Gifted/Talented Education' (The Korean Society for the Gifted) and 'Gifted and Talented Education' (The Korean Society for the Gifted and Talented Education) were selected and 457 pieces published in two journals were collected. The papers of 347 published in SSCI rated journals, 'The Gifted Child Quarterly,' 'Journal for the Education of the Gifted,' and 'High Ability Studies' were selected. English keywords were extracted from 457 papers from Korean journals and 347 papers from foreign journals and the Social Network Analysis (SNA) way was utilized for keyword frequency and central network analyses. It was appeared that the trends of paper keywords from domestic and foreign countries showed common keywords, 'academically gifted', 'science gifted', and 'gifted' as center keyword frequency, and keywords, 'achievement', 'identification', 'intelligence' appeared as the most frequent ones. For domestic papers, keywords, 'creativity', 'gifted education', and 'gifted education teacher' were the highest frequent keywords while keywords, 'foreign countries', and 'student attitudes' were most frequent ones for the foreign countries. For the analysis of papers from five journals as one group, it was found that keywords, 'identification', 'intelligence', and 'achievement' were the most important common ones and keywords, 'cognitive', 'motivation', and 'self-concept' were appeared as important keywords. The trend of gifted education in Korea seems to be different from ones of foreign countries, domestic papers of gifted education rarely included keywords of 'foreign examples', 'student attitudes', and 'gender differences.' Consequently, the trend of gifted education in Korea called for various research perspectives.
Purpose: Mycobacterium abscessus belongs to the group of rapid-growing atypical mycobacterium. The organism is ubiquitous and is found in soil, dust, and water. Although it rarely causes disease in humans, Mycobacterium abscessus has been associated with soft tissue infection. To the best of our knowledge, this is the first case report of facial soft tissue Mycobacterium abscessus infection in a healthy child in Korea. Methods: A 12-year-old girl presented with an erythematous skin lesion with serous discharge on her chin, which had been present for 3 weeks. On her history, she had a laceration wound on her chin at public bath and the lesion was repaired at emergency department immediately. Although conventional soft tissue infecton treatment, her lesion remains unhealed state and had serous discharge for 2 months. Moreover, we found a 1 cm sized nodular mass on her chin. Therefore we performed excision operation and referred the specimen to the laboratory for microbial and histopathologic study. Results: Pathology report confirmed the mass was enlarged lymph node with chronic necrotizing granulomatous inflammation with central microabscess. Non-Tuberculous mycobacterium identification test through tissue specimen resulted Mycobacterium abscessus. We prescribed clarithromycin for three weeks by oral administration as well as performed wound debridement and mass excision via previous wound. This way, her lesion appeared to be complete healing with minimal scarring. There were no evidence of inflammation sign or palpable mass. Conclusion: Although the prevalence is rare, Mycobacterium abscessus infections of soft tissue should be considered even in a healthy child with a lesion caused by trauma or which fails to respond to conventional treatment.
1. Partly because of Freud's greatemphaiss on the important of the child's successful weathering of the oedipal crisis and on the need to home both parents present if that period is to be successfully resolved, there has been a good deal of research on the effects of the absent father on the child's development. 2. Compared with boys whose fathers remained at home, boys were more immature and less secure in identification with their fathers. Some evidence suggests that father-absent children, particullarly boys suffer unusual difficulties in social relations wit their peers. 3. Emphasis on family quality , harmony, or climate as more important than father's absence, person is another recurrent finding among studies that attempt to analzed family factors in relation to juvenile deliquency. 4. The fatherless boys were more often judged to be anxious about sex and to be more effminated. 5. The sex-role problems of the boy without a father probably refect a number of factors, obviously they relate in part to the simple fact that he has not had a man around to provide a model of maliness. 6. Father is important to a girl's sex-role development not only because he is particularly interested in sex typing but also because he provides her with an opportunity to relate intimately to a man and to learn what it is like to invest emotionally in a male. 7. It is conceivable that children of broken marriages are more sensitive to martial problems and more ready than others to end an unhealthy relationship ; it is also conceivable that they are less likely to enter into a healthy one. 8. In some cultures it simply reflects the extreme amount of intimacy mother has with her son as compared with the amount of time compared with the amount of time father has available to spend with him.
Journal of the Korean Academy of Child and Adolescent Psychiatry
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v.34
no.1
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pp.4-14
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2023
This study aimed to discuss mental health services for children and adolescents that are being implemented as initiatives of the Korean government and to review the functions and roles of these projects during the COVID-19 pandemic. Three government departments are in charge of providing mental health services for children and adolescents: Ministry of Education, Ministry of Gender Equality and Family, and Ministry of Health and Welfare. The Ministry of Education has implemented several policies to facilitate the early detection of mental health issues among school students (from preventive interventions to selective interventions for high-risk students). The Ministry of Gender Equality and Family additionally serves out-of-school children and adolescents by facilitating early identification of adolescents in crises and providing temporary protection or emergency assistance (as required) through the Community Youth Safety-Net Project. Furthermore, the Ministry of Health and Welfare operates relevant mental health agencies for individuals of all ages including children and adolescents. Any high-risk students who have been screened through the projects of the Ministry of Education are supported through referrals to the following institutions for appropriate treatment of their symptoms: specialized hospitals, the Youth Counseling and Welfare Center operated by the Ministry of Gender Equality and Family, the National Youth Healing Center, the Mental Health Welfare Center operated by the Ministry of Health and Welfare, the Suicide Prevention Center, and the Child Welfare Center. To assist students who are facing any psychological difficulties because of the COVID-19 pandemic, the Ministry of Education has established a psychiatric support group for providing emergency mental health care; furthermore, schools are promoting psychological surveillance (e.g., provision of non-face-to-face counseling services that are centered around the Wee Center). The Ministry of Education, Ministry of Gender Equality and Family, and Ministry of Health and Welfare have provided varied mental health support services in order to address the challenges faced by children and adolescents during the pandemic. Nevertheless, the mental health services operated by each ministry do show some limitations because their service provision system is insufficiently collaborative. The present study discussed the positive effects of each initiative as well as its limitations; furthermore, it suggested improvements for facilitating the healthy development of children and adolescents' mental health.
This study aims to compare the performance of syllable identification task according to auditory and visual stimuli presentation methods and syllable position. Twenty-two typically developing children (age 4-6) participated in the study. Three-syllable words were used to identify the first syllable and the final syllable in each word with auditory and visual stimuli. For the auditory stimuli presentation, the researcher presented the test word only with oral speech. For the visual stimuli presentation, the test words were presented as a picture, and asked each child to choose appropriate pictures for the task. The results showed that when tasks were presented visually, the performances of phonological awareness were significantly higher than in presenting with auditory stimuli. Also, the performances of the first syllable identification were significantly higher than those of the last syllable identification. When phonological awareness task are presented by auditory stimuli, it is necessary to go through all the steps of the speech production process. Therefore, the phonological awareness performance by auditory stimuli may be low due to the weakness of the other stages in the speech production process. When phonological awareness tasks are presented using visual picture stimuli, it can be performed directly at the phonological representation stage without going through the peripheral auditory processing, phonological recognition, and motor programming. This study suggests that phonological awareness skills can be different depending on the methods of stimulus presentation and syllable position of the tasks. The comparison of performances between visual and auditory stimulus tasks will help identify where children may show weakness and vulnerability in speech production process.
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