• 한방비만학회지
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• 제24권1호
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• pp.102-110
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• 2024

본 증례보고는 체중 115.8 kg이고 BMI가 35.5 kg/m²인 청소년 고도 비만 환자 1명을 대상으로 145일간 한약 치료와 감로수 절식요법, 전침, 약침 등의 한의 치료와 함께 공간척추도인안교를 시행한 결과, 최초 체중의 약 19.86%에 해당하는 23.0 kg의 체중감량을 보였기에 이를 보고하는 바이다.

• Childhood Kidney Diseases
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• 제3권1호
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• pp.11-19
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• 1999

목 적 : 소아의 미세변화형 신증후군은 원발성 신증후군의 $85\%$이상을 차지하며, 스테로이드 치료로 완전관해가 잘오는 예후가 양호한 질환이다. 그러나 이와 같은 미세변화형 신증후군의 전형적 임상양상은 2-10세에서 주로 나타나며 임상증상과 치료반응이 발병연령이 증가하면서 변화를 보이는데 성인기에는 원발성 신증후군중 비교적 낮은 빈도를 보이며 소아기에 비해 치료에 대한 예후가 불량한 것으로 알려져 있다. 따라서, 본 연구에서는 소아기와 청소년기 미세변화형 신증후군의 임상양상의 차이를 비교하여 청소년기 미세변화 신증후군 환자의 치료에 도움이 되고자 하였다. 방 법 : 미세변화형 신증후군으로 치료받은 216명의 환아를 대상으로 발병연령에 따라 12세미만인 환아군(소아군) 188명과 12세이상 18세미만인 환아군(청소년군)28명으로 구분하여 두 군간의 임상양상의 차이를 비교하였다. 결 과 : 1) 대상기간중 전체 원발성 신증후군은 소아군이 245명, 청소년군이 55명으로 총 300례 였다. 소아군에서는 MCNS 188명($77\%$), FSGS 30명($12\%$), MsPGN 4명($1.6\%$)이었고, 청소년군에서는 MCNS 28명($51\%$), FSGS 12명($22\%$)으로 두 군에서 청소년군에서 MCNS의 빈도가 감소한 반면 FSGS의 빈도는 증가하였다. 2) 평균발병연령은 소아군이 $4.7{\pm}2.7$세, 청소년군이 $14.7{\pm}2.0$세였고 두 군간의 남녀비는 소아군 3.8:1, 청소년군 2.5:1로 차이가 없었다. 3) 혈뇨가 동반된 경우는 소아군 $17\%$, 청소년군 $39.3\%$로 유의한 차이가 있었고(P=0.005),고혈압은 각각 $0.5\%,\;7\%$로 차이가 있었으나 통계학적으로는 의미있는 차이를 보이지는 않았다. 4) 검사소견상 발병당시 24시간 뇨단백량, SPI, albumin, BUN, cholesterol치는 두 군간에 유의한 차이가 없었다. 5) 소아군의 $11.7\%$, 청소년군의 $14.7\%$가 초기 스테로이드 치료로 재발없이 관해가 유지되었으며, 빈발재발형은 각각 $23.9\%,\;14.7\%$, 스테로이드 의존형은 각각 $21.8\%,\;28.6\%$. 스테로이드 저항형은 각각 $13.3\%,\;14.7\%$로 나타났으나 의미 있는 차이는 없었다. 6) 스테로이드 이외의 면역 억제제가 필요했던 경우는 소아군은 $57\%$, 청소년군은 $65\%$였다. 7) 평균재발횟수($0.8{\pm}0.84$회/6개월 Vs $0.8{\pm}0.79$회/6개월) 및 관해에서 첫 재발까지의 기간은($7.7{\pm}8.4$개월 Vs $4.9{\pm}5.8$개월) 두 군간에 의미 있는 차이는 없었다. 결 론 : 소아 미세변화형 신증후군의 임상양상의 비교에서 혈뇨의 빈도는 청소년 환자군에서 의미 있게 높았다. 스테로이드 의존형과 빈발재발형의 비율, 재발의 빈도는 청소년환자군에서 비교적 높게 나타나 치료에 대한 반응성이 떨어지는 양상을 보이므로 청소년기 미세변화형 치료에 있어서 이러한 문제들이 인식되어야 하고 보다 적극적인 면역억제제의 선택이 고려되어야 할 것이다.

• 대한간호학회지
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• 제31권4호
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• pp.610-618
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• 2001

Purpose: This study attempted to grasp the significance of high school boys smoking experiences, and to define its structure, then utilizing the results to create effective nursing intervention in order to protect students from smoking habit. Method: This study is based on a phenomenological approach. A group of eight male high school students who had experience in smoking were selected as the subject of this study. Intimate interview with participatory observation were carried out from them and the resulted data were analyzed by Giorgi's method as below. Result: The male high school students’smoking experiences were found to be a direct result from the environments around them and misty curiosity, masculinity, maintenance of close relations with peers, habitualness, stress relief, and concealment from the family. Conclusion: The result indicates that the male high school students' smoking, especially in an aspect from its starting point, motivational perspective, from the early stage of childhood as possible.

• Journal of Nutrition and Health
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• 제19권6호
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• pp.355-362
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• 1986

The purpose of this study was to estimate the urinary excretion of sodium cho\ulcornerloride of adolescent in Jeon Bug. Korea and to evaluate the correlation of sodium chloride excretion by sex and area. The subjects were 261 healthy persons of 16 years old ( male 131. fermale 130) which were randomly choosen from different areas (city, farming area and fishing area). The urinary sodium chloride excretion in 24hrs were evaluated. which were cal\ulcornerculated from the analysis of urine sample gathered for 12hrs. The results were as follows; 1) The urinary excretion of sodium chloride by the group of male and female in 24hrs were 388.0$\pm$191.4mEq(22.68$\pm$l1.19gm) and 303.6\ulcorner138.0mEq(l7.75$\pm$8.07gm) reo spectively. 2) The urinary excretion of sodium chloride by the group of male was higher than by the group of female. 3) The urinary excretion of sodium chloride by the group of city, farming area and fishing area in 24hrs. were 256.2$\pm$96.8mEq(14.97$\pm$5.66 gm), 433.2$\pm$188.6 mEq (25.32$\pm$l1.62gm) and 356.0$\pm$169.8mEq (20.81$\pm$.92gm) respectively. 4) The urinary excretion of sodium chloride by the farming area group and the fishing area group were higher than the city group. Hence the daily urinary excretion of sodium chloride by adolescent of 16years old was estimated to be 20.21$\pm$9.63gm.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제24권2호
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• pp.78-82
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• 2013

Child labor is being recognized as the key issue of human rights, and the International Labor Organization and the Convention on the Rights of the Child emphasize that children are individuals with dignity and rights. Male and female child actors belong to a profession with wide public exposure and there is a potential danger of invading classes and roles not matching the developmental stage of the child. In this study, we would like to discuss international and domestic laws and future complementary measures surrounding legal and institutional issues that need to be considered for child actors. Although the basic rights for child workers are stated in the Constitution Article 32 Paragraph 5 and Labor Standards Act Articles 64 through 70, they are insufficient. Following the revised broadcasting deliberation regulations by the Korea Communication Commission and amendment of the Juvenile Protection Law, several changes are taking place in the working environment. In certain foreign places such as California, United States, the economic and educational rights of male and female child actors are being protected. Although legal and institutional frameworks for the male and female child actors are being reinforced, more consistent devices are needed. Consideration for working hours, regulations to keep up with learning while working, and preparation for physical and emotional influences are required to keep up with international changes.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제21권1호
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• pp.68-71
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• 2018

Androgen therapy has proven efficacy in treating patients with bone marrow failure who are not candidates for bone marrow transplantation. Herein, we report on a case of colonic angioectasia secondary to oxymetholone use in an adolescent patient with Hoyeraal-Hreidarsson syndrome (HHS). A 13-year-old Caucasian male with HHS characterized by cerebellar hypoplasia, developmental delay, microcephaly, esophageal strictures and myelodysplasia presented with severe hematochezia from colonic angioectasia secondary to long-term oxymetholone therapy. These vascular lesions resolved spontaneously once this anabolic steroid was discontinued. While androgen therapy is often recommended for certain anemias and myelodysplastic syndromes, clinicians should be aware of the potential complication in developing these perceived uncommon colonic angioectasias. Moreover, pediatric gastroenterologists should familiarize themselves in identifying these vascular lesions by colonoscopy, especially among the high risk groups on long-term anabolic steroid therapy.

• 아동학회지
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• 제22권4호
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• pp.149-166
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• 2001

This study examined differences in function, structure, and satisfaction of adolescent friendships by differing patterns of internet usage and of real life versus internet friendships. Subjects were 396 male and female 10th grade students. Data were collected with structured questionnaires and analyzed by SPSS. Findings were that the internet functioned as a major field of interpersonal relationships for Korean adolescents. Among 3 types of internet usage patterns, pursuit of interpersonal relationship, constituted most of the functioning and the most intimate friendships and game pleasure had the fewest and least intimate friendships both in real life and on the internet. Subjects addicted to the internet had the most functioning friendships and the highest level of intimacy in friendships. As the level of internet addiction increased, the level of satisfaction in friendships in real life decreased while the level of satisfaction of friendships through the internet increased.

• 아동학회지
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• 제24권6호
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• pp.61-79
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• 2003

For this study of adolescent attitudes toward child sexual abuse, 200 students attending high school and college participated in a group survey. The Child Sexual Abuse Myth Scale (Collings, 1999) was used to measure social attitudes toward child sexual abuse. Overall, the attitudes of the respondents placed between negative and positive attitudes. Nevertheless, strong negative myths and stereotypes, particularly blame diffusion, denial of abusiveness, and restrictive abuse stereotypes were found in specific situations. High school students and male students had more negative myths and stereotypes than college students and female students. Hierarchical regression analysis indicated the variables of education level and gender as the most important predictors in explaining students' attitudes toward child sexual abuse.

• 대한가정학회지
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• 제46권9호
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• pp.113-123
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• 2008

The purpose of this study was to investigate how parenting and peer relationships influence the development of adolescent self-concept by using Structural Equation Modeling(SEM). The subjects were 198 first graders (94 male and 104 female) from four high schools within the Seoul area. Descriptive and comparative statistical analysis was conducted with SPSS (Version10.0), while AMOS (Version 4.0) was used to assess structural equation modelling of parenting, peer relationship and the self-concept. Results showed that, in terms of correlation, more positive parenting behaviors induced more positive self-concept. In addition, better peer relationships demonstrated more positive self-concept. Regression analysis showed that peer relationships explained the variance in adolescents' self-concept more effectively than parenting behavior. This was confirmed by the SEM.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제34권2호
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• pp.112-116
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• 2023

Numerous films and TV series worldwide have depicted characters with autism spectrum disorder (ASD) and savant skills. This study describes the portrayal of ASD and savant skills in Korean films and dramas. Starting with the 2005 film Marathon, characters with ASD have been featured in five films and four dramas. Most portrayals were based on the diagnostic criteria and pathogenesis of ASD, as outlined in the DSM-5. Of the 10 characters with ASD in these films and dramas, seven were male and three were female, with seven of them possessing savant skills. In the future, caution and guidance on the general characteristics of ASD from experts should be provided with the release of ASD-based films and TV dramas in Korea; in addition, critiques and social discourse pertinent to the reality of ASD should be provided by people with ASD, their families, and relevant experts.