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The diagnosis of an imperforate anus in female fetuses

  • Kim, Hyun Mi;Cha, Hyun-Hwa;Kim, Jong In;Seong, Won Joon;Park, Sook-Hyun;Kim, Mi Ju
    • Journal of Yeungnam Medical Science
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    • v.38 no.3
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    • pp.240-244
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    • 2021
  • Imperforate anus is an anomaly caused by a defect in the development of the hindgut during early pregnancy. It is a relatively common congenital malformation and is more common in males. Although there are cases of a solitary imperforate anus, the condition is more commonly found as a part of a wider spectrum of other congenital anomalies. Although urgent reconstructive anorectal surgery is not necessary, immediate evaluation is important and urgent decompressive surgery may be required. Moreover, as there are often other anomalies that can affect management, prenatal diagnosis can help in optimizing perinatal care and prepare parents through prenatal counseling. In the past, imperforate anus was diagnosed by prenatal ultrasonography based on indirect signs such as bowel dilatation or intraluminal calcified meconium. Currently, it is diagnosed by directly checking the perineum with prenatal ultrasonography. Despite advances in ultrasound technology, accurate prenatal diagnosis is impossible in most cases and imperforate anus is detected after birth. Here, we present two cases of imperforate anus in female fetuses that were not diagnosed prenatally.

Newspaper and Teacher Constructions of Children of Migrant Parents in Rural China (교사들과 신문 보도를 통해서 본 중국 농촌 학교에서의 유수(留守) 아동(left behind children))

  • Kim, Sung won
    • Korean Journal of Comparative Education
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    • v.28 no.2
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    • pp.53-75
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    • 2018
  • This study explores and compares how rural teachers and Chinese newspapers representing the dominant ideology of the state and the local government construct left behind children's problems and solutions. I draw on teacher interviews in two rural schools and the reports of three major Chinese newspapers (2011 to 2015). Teacher and media narratives largely agreed that parental absence and negative mental health consequences were the biggest source of the problem, placing the blame largely on families. However, the narratives diverged when discussing solutions as teachers largely sought institutional structural solutions while the media emphasized the individual role that volunteers could play. School-based activities and teachers' contributions extensively discussed in teacher interviews were muted from newspaper reports that emphasized contributions from government officials and local representatives.

Relationship between Chinese adolescents' academic performance and smartphone overdependence: Moderating effects of parental involvement (중국 청소년의 학업성적과 스마트폰 과의존의 관련성: 부모개입의 조절효과)

  • Liu, Xing;Yoo, Gyesook
    • Journal of Family Relations
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    • v.22 no.4
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    • pp.157-179
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    • 2018
  • Objectives: This study aimed to examine the relationship between Chinese adolescents' academic performance and smartphone overdependence as well as the moderating effects of parental involvement. Method: For this study, a survey was conducted with 472 adolescent students in three middle schools (n = 224) and three high schools (n = 248) in Shanghai, China. The survey consisted of the "S-Scale for Smartphone Addiction," the "Parental Involvement Scale," and questions regarding perceived academic performance using a demographic questionnaire. Results: The following are the major findings. First, after controlling for the students' demographic characteristics, hierarchical multiple regression analysis revealed that the students' perceived academic performance was negatively related to the levels of smartphone overdependence. Second, this study found significant moderation effects of parental involvement on the relationship between academic performance and smartphone overdependence. Chinese adolescents with low levels of perceived academic performance and high levels of perceived parental involvement showed high levels of smartphone overdependence. Finally, this study found significant moderation effects of parental involvement on the relationship between academic performance and smartphone overdependence only in middle-school students. Conclusions: These results indicate the need for healthy smartphone use and education and therapy programs for Chinese parents and adolescent children to prevent smartphone overdependence.

The Influence of Parenting Attitudes and Conversation Hours Between Parent and Child on Children's Happiness (아동의 행복감에 대한 부모양육태도 및 부모와 대화시간의 영향)

  • Mun, Ye Eun;Lee, Joo-Yeon
    • Korean Journal of Childcare and Education
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    • v.17 no.1
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    • pp.85-104
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    • 2021
  • Objective: This study examined the main effects and interaction effect of parenting attitudes and conversation hours between parent and child, by focusing on parental influence among factors impacting children's happiness. Methods: This study used the data from 2,578 fourth grade elementary school students from the first waves of the Korean Child Youth Panel Study(KCYPS) 2018. The data were analyzed using correlation analysis and stepwise regression analysis. Results: First, there was a significant corelation between children's happiness and socio-economic variables such as parental education level, family's income, and family type. Second, it was found that the main effect of all sub-factors of parenting attitude and conversation hours between parent and child on children's happiness was statistically significant. Third, only the interaction effect between structural parenting attitude and parent-child conversation hours was statistically significant. That is, children who had more conversations with parents with structural parenting attitudes providing guidelines ware reported to be particularly happy. Conclusion/Implications: This study is meaningful in examining overall quantitative and qualitative effects of the relationship between parent and child to understand parental factors impacting children's happiness.

Development of Korean Medicine Health Promotion Program for Short Stature Children (소아 성장 한의약건강증진프로그램 개발)

  • Jang, Soobin;Lee, Johyun;Park, Seokyung;Lee, Boram
    • Journal of Society of Preventive Korean Medicine
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    • v.26 no.1
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    • pp.1-10
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    • 2022
  • Objectives : The aim of this study was to introduce the development process of Korean medicine health promotion program for short stature children that is suitable for applied at public health center. Methods : The draft of health promotion program was developed through literature search of previous similar programs and advice of several experts. A small conference targeted public health Korean medicine doctors was also held to introduce the developed program and discuss for improvements. Results : The details of 12-week of Korean medicine health promotion program for children growth are as follows: 4-week of taking herbal medicines (Yukmijihwang-tang or Yukgunja-tang), contactless counseling with Korean medicine doctor, self-care home kit consisting of Sogeonjung-tang tea leaf, Sogeonjung-tang with Cervi Parvum Cornu extract, ear acupressure stick, finger chuna manual, growth diary, and jump rope. Conclusions : This health promotion program can help to increase the height of children and self-esteem of children with short stature as well as decrease the stress of parents.

Exploring the Psychosocial Characteristics and Systematic Support of Academically Maladjusted Students (의과대학 학업부적응 학생의 심리사회적 특성과 체계적 지원방안에 대한 탐색)

  • Park, Young-Soon;Chun, Kyunghee;Lee, Tae Hee
    • Korean Medical Education Review
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    • v.24 no.3
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    • pp.215-230
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    • 2022
  • The purpose of this study was to explore the psychosocial characteristics of academically maladjusted students and the College's current status regarding academic maladjustment based on 4-year medical student cohort data collected from 2018 to 2021 and through interviews with 10 medical education experts using the integrated research method. This study included 223 students who consented to inclusion in the student cohort and participated in the emotional behavior test and college adaptability test of whom 65 students experienced academic maladjustment. Academically maladjusted students had significantly higher scores for social stress, anxiety, sense of inadequacy, attention, hyperactivity, and school maladjustment, and significantly lower scores for relationships with parents, interpersonal relationships, self-esteem, self-confidence, and self-strength. Academic and social integrity, emotional stability, university satisfaction, and university service satisfaction were all significantly lower in the academically maladjusted students than in the non-maladjusted group. The expert interviews indicated that academic maladjustment was mainly recognized as a personal problem, with causes such as lack of motivation and learning methods, vulnerability to stress, lack of social relationships and alienation, lack of support from the family, and insufficient resilience. Systematic support other than counseling for academically maladjusted students is required, and an early diagnosis and preventive intervention are important.

Development of Mission and Vision of College of Korean Medicine Using the Delphi Techniques and Big-Data Analysis

  • Yeo, Sanghee;Choi, Seong Hun;Chae, Su Jin
    • The Journal of Korean Medicine
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    • v.42 no.4
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    • pp.176-184
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    • 2021
  • Objectives: The purpose of this study is to introduce the procedures and methods for mission and vision development at a College of Korean Medicine (CKM), which established its mission and vision using Delphi techniques and big data analysis on various members and stakeholders. Methods: A total of 754 participated in the Delphi survey. A Delphi survey was conducted with professors, students, parents, and alumni stakeholders to establish Daegu Haany University CKM's mission and vision. The data were analyzed through content analysis and big data analysis of keywords. Results: As a result of the study, the most important keywords to be included in the mission and vision were "professionalism" and "morality." Included in the mission were the concepts of "morality" and "professionalism," which were emphasized by the four groups. All surveyed stakeholders regarded "scientific," and "global" as important themes to be included in the vision. Conclusions: The present study confirmed that there were themes commonly prioritized by all stakeholders for college mission and vision, and a difference in demand for educational goals between professors and students was also affirmed. Therefore, institutions of higher learning should develop their mission and vision by appropriately reflecting the needs of the interest groups.

Does Parental Psychological Control Affect Non-Suicidal Self-Injury of Adolescents via Depression? (부모의 심리적 통제가 청소년의 비자살적 자해에 미치는 영향에 대한 우울의 매개 효과)

  • Sarah, Kim;Ju Hee, Park
    • Human Ecology Research
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    • v.60 no.4
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    • pp.535-547
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    • 2022
  • This study aimed to examine the effect of parental psychological control on adolescents' non-suicidal self-injury and verify whether this effect is mediated by depression. In the first survey of 647 middle and high school students, only those who had experiences of non-suicidal self-injury were selected (136 adolescents). For data analysis purposes, descriptive statistics for each measured variable and Pearson's correlation coefficients among research variables were calculated. In addition, Process Macro - Model 4 by Hayes (2013) was used to investigate the mediating model. Finally, the bootstrapping method was applied to confirm the significance of the mediating effect. The results of this study were as follows. First, parental psychological control and depression directly affected the frequency of non-suicidal self-injury among adolescents. Second, depression mediated the relationship between parental psychological control and non-suicidal self-injury. In conclusion, the more parents controlled their children's psychological factors, the higher the level of depression among adolescents, and as a result, the higher the frequency of non-suicidal self-injury. These findings suggest that educational intervention on parental psychological control is important to prevent and reduce non-suicidal self-injury; however, psychotherapy intervention that reduces the levels of depression should also be required.

The relationships of perceived susceptibility, perceived severity, and subjective norms with COVID-19 preventive behaviors: a secondary data analysis comparing adolescents and emerging adults in South Korea

  • Sunhee Park;Sumi Oh
    • Child Health Nursing Research
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    • v.29 no.2
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    • pp.149-160
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    • 2023
  • Purpose: Based on the health belief model and theory of planned behavior, this study investigated how age group (adolescence and emerging adulthood) moderated the relative effects of perceived susceptibility, perceived severity, and subjective norms on preventive behavior against coronavirus disease 2019 (COVID-19). Methods: This secondary data analysis utilized data from adolescents (n=272) and emerging adults (n=239). Hierarchical multiple regression analysis was performed to test the moderating effect of age group on the relationships among variables. Results: Higher perceived susceptibility (β=.21, p<.001), perceived severity (β=.14, p=.002), subjective norms (friends) (β=.26, p<.001), subjective norms (parents) (β=.44, p<.001), and subjective norms (schools) (β=.28, p<.001) enhanced COVID-19 preventive behaviors. Moderated regression analysis showed that subjective norms (friends and school) impacted preventive behavior in adolescents more than in emerging adults. Conclusion: Given the need to increase perceived susceptibility and severity among adolescents and emerging adults, these findings provide baseline data for designing effective COVID-19 prevention interventions that consider the developmental characteristics of different age groups. Interventions by health centers at universities can strengthen COVID-19 preventive behavior among emerging adults. As adolescents are influenced by friends, their peer roles must be strengthened to enhance adherence to COVID-19 preventive guidelines.

Prevalence of chronic pain and contributing factors: a cross-sectional population-based study among 2,379 Iranian adolescents

  • Maryam Shaygan;Azita Jaberi;Marziehsadat Razavizadegan;Zainab Shayegan
    • The Korean Journal of Pain
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    • v.36 no.2
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    • pp.230-241
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    • 2023
  • Background: This study aimed to determine the prevalence of chronic pain and its contributing factors among teenagers aged 12-21 years in Shiraz, Iran. Methods: This cross-sectional study was conducted on adolescents aged 12-21 years. Demographic variables of the adolescents and their parents as well as the pain characteristics were assessed. Descriptive statistics, multinomial logistic regression, and regression models were used to describe the characteristics of the pain and its predictive factors. Results: The prevalence of chronic pain was 23.7%. The results revealed no significant difference between the male and female participants regarding the pain characteristics, except for the home medications used for pain relief. The results of a chi-square test showed that the mother's pain, education, and occupation, and the father's education were associated significantly with chronic pain in adolescents (P < 0.05). Multinomial logistic regression also showed the mother's history of pain played a significant role in the incidence of adolescents' chronic pain. Conclusions: The prevalence of chronic pain was relatively high in these adolescents. The results also provided basic and essential information about the contributing factors in this area. However, consideration of factors such as anxiety, depression, school problems, sleep, and physical activity are suggested in future longitudinal studies.