• 대한간호학회지
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• 제20권3호
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• pp.414-429
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• 1990

Numerous research reports have substantiated the role of stressful life events in relation to the onset of health changes. The relationship tends to hold across different age groups. Theoretically, adolescence has been considered a developmental crisis period of great stress, impoverished coping skills and high vulnerability to biological, social and psychological demands. The research problem addressed by this study was to examine the relationships between stressful life events and health symptom patterns, and the effect of two variables, coping and social, support, theoretically considered to mediate the relationship between stress and health symptoms in adolescents. The following five hypotheses were tested in this research : 1. Health symptoms are positively related to stressful life events in adolescents, 2. Health symptoms are negatively related to coping in adolescents, 3. Health symptoms are negatively related to social support in adolescents, 4. When coping is controlled, the relationship between health symptoms and stressful life events will decrease, and 5. When social support is controlled, the relationship between health symptoms and stressful life events will increase. The study subjects consisted of 1090 high school students of the metropolitan city of Seoul. The following sampling procedure was used : 1. Of the 169 high schools in nine school administrative districts in the city, a proportional sample of ten schools was selected. 2. One class from each of the freshman and sophomore was randomly selected and all the students who were in the sampled class were used as the study sample. The study was limited to freshman and sophomore adolescents, aged 15 to 18(mean＝16.6). Of the 1090 subjects 688(63%) were boys and 402(37%) were girls. An Adolescent Inventory of Stressful Life Events, a Health Symptom Questionnaire and an Adolescent Coping Inventory were adapted for this study. The Norbeck Social Support questionnaire was utilized to collect the data on perceived social support. Five high school teachers in the areas of school health and counselling reviewed the items of each questionnaire for content validity. A pilot study was undertaken to ascertain reliability. Fifty three high school students responded to the questionnaires and gave their opinions on the items. For stressful life events, health symptoms, coping, and social support, the Cronbach's alpha's on the study were .70, .94, .77, and .76, respectively. Research assistants attended all the sampled classes with the school proctor to explain the purpose and procedures of the study to the students. The questionnaires along with a ballpoint pen were distributed to the students who were asked to complete each item. The research assistants left the ballpoint pen with the students as a gift for their cooperation. An average of 50 minutes was required to complete the questionnaires. Using an SPSS, the first, three hypotheses were tested using Gamma, a measure of association for ordinal variables. Partial gamma was used to test the fourth and fifth hypotheses. Patterns of elaboration described by Babbie were selected to interpret the relationship of the three variable analyses. The significance of gamma was determined by Chisquare at a .05 level of significance. There was a positive relationship between health symptoms and stressful life events(Gamma＝.35, p＝.000). Thus the first hypothesis was supported. Unexpectedly, coping was positively related with health symptoms(Gamma＝.13, p＝.000). That is, the higher the coping levels, the greater number of health problems. The third hypothesis, the higher the level of social support, the fewer the health symptoms, was not accepted in this adolescent study group. When coping was controlled, under the condition of low coping the association between health symptoms and stressful life events increased significantly to a partial gamma of .39, and under the condition of high coping it was .30. According to the elaboration model, when one partial relationship is the same or greater than the original and the other is smaller, the control variable should be considered to be specifying the conditions. When social support was controlled the relationship between stressful life events and health symptoms increased under the condition of low social support, but with high social support, the relationship decreased. Both partial gamma were statistically significant at .05 level(.43 and .26 relatively). It can be interpreted that stressful life events are strongly and positively related to health symptoms under the condition of low social support, however this relationship can not be expected with high social support. Thus, the last two hypotheses were conditionally sustained. In this study, the relationships between stressful life events and health symptoms, and the specified me diating roles of coping and social support were found to have statistical interaction. This finding supports the theoretical position of this study. It suggests that stressful life events would create high susceptability to biological social and psychological health symptoms and coping and social support buffering the relationship between stressful life events and health symptom. The findings of this study have implications for nursing practice. When adolescents are confronted with non-developmental life events that are perceived as stressful, nurses should recognize the evidence of the stress-buffering effect of coping and social support on health symptoms and utilize the diverse sources of social support that are readily available to adolescents.

• Asian Pacific Journal of Cancer Prevention
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• 제14권6호
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• pp.3455-3459
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• 2013

Background: Smoking and smokeless tobacco use are almost always initiated and established during adolescence. More than 80% of adult smokers begin smoking before 18 years of age. The main objective of the present study is to assess the feasibility of preventing adolescent tobacco use with the help of a specially designed tobacco control program. Materials and Methods: A cross sectional survey on tobacco use and related health effects was conducted using a structured questionnaire in 13 randomly selected schools in Kannur district of Kerala. These students were followed for a period of one academic year with multiple spaced interventions such as anti-tobacco awareness classes, formation of anti-tobacco task forces, inter-school competitions, supplying IEC (information, education and communication) materials and providing a handbook on tobacco control for school personnel. Final evaluation was at the end of one year. Results: There were 4,144 school children who participated in the first phase of the study. The prevalence of tobacco smoking and chewing habits were 9.85% and 2.24% respectively. Ninety-one percent had parental advice against tobacco use and only 3.79% expressed desire for future tobacco use. The final evaluation witnessed a sharp decline in the current tobacco use as 4.68%. We observed a statistically significant difference towards the future use of tobacco (p<0.001) and awareness about the ill effects of passive smoking (p<0.001) among boys and girls. Further a significantly increased knowledge was observed among boys compared to girls about tobacco and oral cancer (p=0.046). Conclusions: The comprehensive school based tobacco control project significantly reduced the tobacco use pattern in the target population. School tobacco projects incorporating frequent follow ups and multiple interventions appear more effective than projects with single intervention.

• 한국학교보건학회지
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• 제13권2호
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• pp.261-270
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• 2000

Background: Adolescence is the transitional period between childhood and adulthood. We have to pay attention to their psycho-social problems as well as their physical symptoms. In this context, we need to investigate the adolescent depression tendency and its related factors. Method : From May to June in 1008, we chose one elementary school, one middle school and one high school in Seoul and surveyed for all students who were above the 4th grade of elementary school and their parents. We analyzed the data for 3,685 students. Result: From the 6th grade of elementary school to the 1st grade of high school, the girls' DSRS(Depression self-rating scale) score was significantly higher than the boys'. The DSRS score was increased from the 2nd grade of high school for boys and from the 1st grade of high school for girls. The Pearson correlation coefficient between age and DSRS score was 0.16(p<0.01) and that between APGAR and DSRS score was -0.45(p<0.01). The median number of psychosomatic symptoms of the past month was 6, and when students complained for more psychosomatic symptoms, the DSRS scores were higher. Those who drank or smoked ranked significantly higher in DSRS score; and, those who exercised regularly, had leisure activity, and had a faithful person for counselling ranked significantly lower in DSRS score. Conclusion : Adolescents who complained of many psychosomatic symptoms needed to be screened for depression. A primary physician have to intervene about health related behavior such as family function, smoking, exercise and relieving stress.

• 대한치과교정학회지
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• 제7권1호
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• pp.13-22
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• 1977

The author investigated the timing of land and wrist ossification events taking place in the hamate and pisiform by means of roentgenographic examination and its relation to the peak growth velocities in body height. Materials obtained included 493 sheets of X-ray films taken from 257 boys ana 236 girls aged between 7 and 17 years lived in Seoul area. The results indicate that; 1) The average ages at occurrence of initial ossification of the hook of the hamate were 12 years 3 months in boys and 10 years 1 month in girls. 2) The average ages at which advanced ossification of the hook of the hamate occurred were 13 years 7 months in boys and 11 years 11 months in girls. 3) Initial ossification of the pisiform appeared at 13 years 0 month in boys and 10 years 2 months in girls. 4) All three ossification events in hand and wrist, and peak growth velocity in body height occurred earlier in girls than in boys. 5) Initial ossification in the hook of the hamate and pisiform preceded or coincided with peak growth in body height in most boys and girls, on the other hand, advanced ossification in the hook of the hamate occurred around peak growth in body height but in girls did it after peak growth in body height. 6) It would appear that initial ossification in the hook of the hamate or in the pisiform, both for boys and girls, provides a better indication of approaching peak adolescent growth in body height. 7) Advanced ossification in the hook of the tamale would indicate that the period of cercumpuberal peak growth had teen entered or finished.

• 대한소아치과학회지
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• 제47권2호
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• pp.213-218
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• 2020

어린이의 맹출 중인 치아는 느슨한 치주 인대와 덜 석회화 된 치조골로 둘러싸여 있기 때문에 외상에 취약하다. 외상에 의한 치아의 완전 탈구는 상악 중절치에 가장 빈번하게 발생한다. 탈구된 치아의 재식 후 예후는 구강 외 보존 시간과 상태에 영향을 받는다. 외상 당한 전치의 예후가 불량한 경우 소구치의 전치부 자가 이식은 임플란트 보철이 어려운 성장기 청소년 환자의 적절한 치료 방법으로 받아들여진다. 이 증례 보고는 외상당한 전치와 불량한 구강 위생 및 심한 총생을 가진 청소년 환자에서 치근이 완성된 소구치의 전치부 자가 이식을 통한 심미적 회복의 결과를 기술하고 있다. 복잡하고 어려운 구강 문제의 개선을 위해 포괄적이고 장기간에 걸친 치료가 진행되었다.

• 한국식품영양학회지
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• 제27권6호
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• pp.1147-1155
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• 2014

Adolescence is the most important period of healthy development. The purpose of this study was to evaluate the food recognition, snack preference, and dietary behavior of 1st grade of middle and high school boys and girls. Subjects were 5,554 students from 16 schools with healthy tuck shop and 3,406 students from 9 schools without healthy tuck shop in Seoul, Korea. Students from schools with healthy tuck shop are significantly higher than control group for facility satisfaction and hygiene satisfaction (all p<0.05). For fruit, the preference (p<0.05) and recognition (attitude, p<0.001: intention, p<0.05: eating habit, p<0.001: social-environment, p<0.001: self-efficacy, p<0.001) of students in schools with healthy tuck shop are significantly higher than those in schools without healthy tuck shop. For the habit of checking the manufacturer, students in schools with healthy tuck shop were significantly higher than students in schools without healthy tuck shop (p<0.05). The result suggested that we have to create an environment in which fruits can be purchased easily at a tuck shop and to educate adolescents for the importance of healthy food purchasing behavior. In conclusion, healthy school tuck shop had a positive effect on accessibility to healthy food.

• Childhood Kidney Diseases
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• 제21권2호
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• pp.94-100
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• 2017

Purpose: The American Academy of Pediatrics provides guidelines for managing febrile urinary tract infection (UTI) in infants and children 2-24 months old, but little guidance is offered regarding UTIs in those younger than 8 weeks of age. The definition of UTI is unclear and whether to proceed with micturating cystourethrography (MCUG) or $^{99m}$technetium-dimercaptosuccinic acid (DMSA) scintigraphy scan in this age group is controversial. Methods: We retrospectively analyzed 29 neonates and infants younger than 2 months of age who underwent late DMSA scans 9 months following the first episode of febrile or symptomatic UTI between July 2009 and June 2016. Results: In total, 192 children aged 0-24 months underwent ultrasound and DMSA scans (MCUG in 174/192). Neonates and infants younger than 2 months of age were significantly less likely to develop fever, and had a lower fever peak, shorter duration of fever before admission and after starting antibiotics, longer hospitalization period, lower C-reactive protein, and greater incidence of nonEscherichia coli infection. There was no difference in pyuria response at diagnosis. The prevalence rates of an ultrasound abnormality (28%), vesicoureteral reflux (28%), UTI recurrence (38%), and renal scarring (10%) in infants younger than 8 weeks of age were similar to those in children 2-24 months old. Conclusion: Neonates and infants younger than 2 months of age with UTI warrant special consideration because the fever response used for diagnosis in older children may be absent or blunted. Clinical guideline is needed for the diagnosis and management of UTI in this age group.

• 한국콘텐츠학회논문지
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• 제9권1호
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• pp.197-204
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• 2009

본 연구는 청소년의 현실적 자아존중감과 아바타에 대한 그들의 의식을 연구하였다. 청소년들의 웹 가상문화에 대한 독특한 삶의 방식을 근본적인 측면에서 이해하려는 의도이다. 청소년기는 자아존중감 형성에 중요한 시점으로 웹 문화가 청소년의 심리적 작용에 영향을 미치는 중요한 요인으로 작용하고 있기 때문이다. 연구방법은 유저의 자존감과 아바타에 대한 호감도 그리고 타인의 아바타에 대한 의식을 분석하여 그들의 심리 사회적 성숙도를 알아보았다. 연구결과는 청소년의 현실적 자아존중감이 높을수록 웹사이버문화의 아바타에 대한 호감도가 높게 상승하고 타인의 아바타를 인식하는 태도도 상승하는 것으로 나왔다. 이러한 결과는 청소년들은 자기소유의 아바타에도 자기에 못지않은 자존감을 형성하고 있는 것으로 볼 수 있다. 따라서 청소년의 자존감 형성과 수준 여하에 따라 건전한 웹 사이버문화가 형성될 수 있는 심리적 성숙면의 자아정체감(self identity)의 중요성이 인식된다.

• 한국도서관정보학회지
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• 제46권4호
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• pp.161-190
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• 2015

이 연구의 목적은 청소년들이 그들의 가장 중요한 정보원인 또래집단으로부터 소외되었을 때, 그 삶 속에서 당면하고 있는 일상적 고민의 실체와 정보행태적 특징을 파악하는데 있다. 이를 위해, 최근 미국으로 이민간 16명의 한인 청소년들을 사례로 하여 그들의 이민 과정, 일상적 고민과 정보요구, 정보추구 및 회피과정, 그리고 도서관을 비롯한 정보시스템의 이용 과정에서 드러나는 특징을 조사하였다. 조사 결과 밝혀낸 5가지 정보행태적 특징을 기존 정보이론과 모델에 비교하여 분석함으로써, 또래집단으로 부터 소외된 청소년의 정보행태를 이해하기 위한 이론적 기반을 마련하고자 하였다. 한편, 연구문제를 논의하는데 필요한 데이터는 설문조사와 심층면담을 통해 수집하였고, 이 연구의 의미와 한계 그리고 후속 연구들이 논의되었다.

• 한국도서관정보학회지
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• 제48권2호
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• pp.405-428
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• 2017

본 연구는 용인과 시흥의 쉼터에 있는 여자 가출청소년을 대상으로 아들러의 개인심리학을 적용한 독서심리코칭 프로그램을 개발하여 그 효과를 파악하고자 하였다. 이를 위하여 2016년 8월 9일부터 2016년 10월 30일까지 1회 120분씩 12회 독서심리코칭 프로그램을 진행하였으며 그 효과를 검증하기 위해 생활양식척도, 열등감증후척도의 사전 사후 검사 및 차시별 결과보고서, 글쓰기 자료를 비교 분석하였다. 연구 결과, 아들러의 개인심리학을 적용한 독서심리 코칭 프로그램은 쉼터 여자청소년에게 긍정적인 영향을 미치는 것으로 나타났다.