• 제목/요약/키워드: adulthood development

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소아청소년 결핵의 진료 지침 (Korean Guidelines for Diagnosis and Treatment of Tuberculosis in Children and Adolescents)

  • 최경민;김남희;김동호;김예진;김종현;오성희;은병욱;이수영;이택진;전진경;홍정연
    • Pediatric Infection and Vaccine
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    • 제18권1호
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    • pp.1-14
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    • 2011
  • Tuberculosis is a disease with high morbidity and mortality in children worldwide. Despite the decrease in the incidence of tuberculosis in Korea, more than 30,000 new patients are diagnosed each year. Active tuberculosis is less frequent in children compared to adults but the risk of miliary tuberculosis and CNS tuberculosis is much higher. The diagnosis of tuberculosis in children and adolescents is difficult due to the nonspecific symptoms upon presentation. Diagnostic work up is based on the confirmation of tuberculosis infection by tuberculin skin test, abnormal radiologic findings, and contact with an adult with active tuberculosis. Anti-tuberculosis medications are prescribed according to the drug susceptibility of the index patient. Latent tuberculosis infection plays an important role in adult tuberculosis by reactivation. Thus, it is critical to accurately diagnose latent tuberculosis in children to prevent reactivation in adulthood. Korean guidelines for diagnosis and treatment of tuberculosis in children and adolescents provide evidence based recommendations in the optimal diagnosis and treatment for active and latent tuberculosis in children and adolescents based on the current Korean situation.

3세대 모녀간의 애착.자율성 발달특성과 심리적 적응 (Three generations of mothers and daughters: attachment patterns and psychological well-being)

  • 유은희
    • 가정과삶의질연구
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    • 제14권4호
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    • pp.191-202
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    • 1996
  • This research applied an attachment theory to the study of three generations of women. Questionnaire and semistructured interview techniques were employed to collect the data on intergenerational mother-daughter relationships from 140 triads of adolescent daughters middle-aged mothers an old-aged grandmothers. The focus of the study had been on the characteristics of attachment patterns which is measured by sense of attachment and autonomy across and within generations and their effects on personal well-being. Women in each their three generations perceived a high and seminilar level of attachment across and within the generations. On the other hand the level of autonomy differed by the generations with middle-aged mothers showing a higher level of perceived sense of autonomy than other two generations. Although the levels of attachment and autonomy were related to psychological well-being the level of autonomy was slightly more related to it. The results also showed that not nly one's own attachment toward mother/daughter but attachment of others toward herself were associated with the personal well-being. Overall this study reflects and supports the basis concepts of mother-daughter attachment: its continuity reciprocity and personal development in adulthood.

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아동 물활론의 발달과 생명개념 (The Development of Child Animism and Concepts of Life)

  • 고윤주
    • 아동학회지
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    • 제9권1호
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    • pp.19-32
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    • 1988
  • The purpose of the present study was to investigate the view that animism is a result of immature concepts of life. Two studies were conducted for this purpose Study I examined developmental trends in animistic thinking and Study II examined children's knowledge of living things. The subjects of Study I were 10 males and 10 females at each level, 6, 8, 11 and 14 years of age and university students, for a total of 100 subjects. The subjects of Study II were 9 boys and 9 girls at each age level, 6, 7 and 8 years of age and university students, for a total of 78 subjects. According to the results of study I and study II, animistic thinking decreased up to middle childhood but increased at later childhood and adulthood. The conception of living things was acquired at 7 years of age. All things considered, there was no evidence that animism is a result of immature concepts of life.

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Biology of Platydema nigroaeneum Motschulsky (Coleoptera: Tenebrionidae) from Korea: Life History and Fungal Hosts

  • Jung, Boo-Hee;Kim, Jin-Ill
    • Journal of Ecology and Environment
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    • 제31권3호
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    • pp.249-253
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    • 2008
  • We conducted field and laboratory observations of the life histories and fungal hosts of the darkling beetle, Platydema nigroaeneum Motschulsky. P. nigroaeneum, a fungivorous tenebrionid beetle, was a widespread inhabitant of fungi on deciduous trees (Quercus, Salix, Alnus and Carpinus etc.) in Korea. Development from egg to adulthood took $4\sim11$ months in nature and about 66 days in the laboratory at $25.5{\sim}26.1^{\circ}C$ and $63.5\sim64.5%$ relative humidity. Both larvae and adults overwintered in their host fungi or beneath the bark of the host tree near the host fungi. Sporophores of Coriolus $Qu{\acute{e}}let$, Bjerkandera Karst., Daedaleopsis Schroet. and Merulius were common feeding and breeding sites in Korea.

Early nutrition and adult health: Perspectives for international and community nutrition programs and policies

  • Hoffman, Daniel J.
    • Nutrition Research and Practice
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    • 제4권6호
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    • pp.449-454
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    • 2010
  • Recent economic changes throughout the world, either development or crises and recessions, have prompted a host of nutrition related problems, including a decreased prevalence of undernutrition, an increase in the prevalence of diet related diseases, widespread food insecurity as crop prices increase, and so on. In addition, evidence is mounting that suggests that exposure to poor nutrition early in life is a predisposing factor for chronic diseases in adulthood. Thus, the role of international or community nutrition professionals is vital to not only studying and understanding the interplay between economics, food policy, and health, but also to improving the ability to intervene and prevent many problems related to food insecurity in developed and developing countries. The purpose of this review is to outline and describe these issues as a means to open discussion on how to best alleviate major nutrition problems in the world.

Morphological Differences of Immature Stages between Males and Females in a Korean Wood-Feeding Cockroach (Cryptocercus kyebangensis)

  • Park, Yung-Chul;Choe, Jae-Chun
    • Animal cells and systems
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    • 제7권2호
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    • pp.105-109
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    • 2003
  • Morphological characteristics of nymphal instars are described for a Korean wood-feeding cockroach, Cryptocercus kyebangensis. Eleven instars, including adults, were tentatively identified. Female adults had apicolateral emargination and a truncated apical median prominence in the seventh sternite, and female nymphs of the other instars except for the last had a narrowly rounded apical median prominence in the seventh sternite. In the last instar, the seventh sternite was partially desclerotized and somewhat shriveled at the start of the emarginated area. In contrast, males showed no emargination in adults, and had a rounded broad apical median in this area of all instars. In the ninth sternite, female nymphs had a medium notch on the caudal margin and styli were separated before reaching adulthood, whereas no such notch was observed in male nymphs. The styli remained prominent in the ninth sternite of male adults.

Emerging Mechanisms of Cyr61/CTGF/NOV Secretion in the Nervous System

  • Yang, Hayoung;Park, Young-Jun;Shim, Sungbo
    • 대한의생명과학회지
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    • 제28권2호
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    • pp.59-66
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    • 2022
  • The Cyr61/CTGF/NOV (CCN) family is dynamically expressed in various tissues, including the nervous system, from the prenatal period to adulthood. However, major studies have been conducted only in limited fields, such as the cardiovascular and muscular systems, skeletal development, and cancer. In addition, although the CCN family is a secretory protein, very few studies have described its mechanism of secretion. Recently, it has been suggested that overexpression of CCN3 or intracellular accumulation due to problems in the secretory pathway can inhibit neuronal axonal growth. In this review, we have briefly summarized the structure and characteristics of the CCN family and its related diseases, with particular emphasis on the secretory mechanism and modifiers of the CCN family, newly identified in the nervous system.

선천성 대사 이상 질환에서의 골격계 증상 발현 (Skeletal Manifestations of Inborn Errors of Metabolism: A Comprehensive Retrospect)

  • 조성윤
    • 대한유전성대사질환학회지
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    • 제23권1호
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    • pp.1-11
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    • 2023
  • Inborn errors of metabolism encompass a wide variety of disorders, frequently affecting bone. This review presents a comprehensive retrospect on the primary involvement of bone in inborn errors of metabolism. Primary involvement of bone in inborn errors of metabolism includes entities that primarily affect the bone marrow, mineral component or cartilage. These include lysosomal storage disorders, hypophosphatasia, and hereditary hypophosphatemic rickets. In this review, we discuss the primary involvement of bone in inborn errors of metabolism (hypophosphatasia, X-linked hypophosphatemic rickets, Gaucher disease, and mucopolysaccharidoses) along with the therapeutic agents used in clinical settings, diagnostic strategies, and general management. With the development of disease-specific targeted therapies and supportive care, more number of patients with these disorders live longer and survive into adulthood. Moreover, skeletal symptoms have become a more prominent feature of these disorders. This makes the awareness of these skeletal symptoms more important.

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Maternal caffeine consumption has irreversible effects on reproductive parameters and fertility in male offspring rats

  • Dorostghoal, Mehran;Majd, Naeem Erfani;Nooraei, Parvaneh
    • Clinical and Experimental Reproductive Medicine
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    • 제39권4호
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    • pp.144-152
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    • 2012
  • Objective: Concerns are growing about the decrease in male reproductive health. Caffeine is one of the popular nutrients that has been implicated as a risk factor for infertility. In the present study, we examined whether in utero and lactational exposure to caffeine affects the reproductive function of the offspring of rats. Methods: Pregnant rats received caffeine via drinking water during gestation (26 and 45 mg/kg) and lactation (25 and 35 mg/kg). Body and reproductive organ weight, seminiferous tubule diameter, germinal epithelium height, sperm parameters, fertility rate, number of implantations, and testosterone level of the offspring were assessed from birth to adulthood. Results: Significant dose-related decreases were observed in the body and reproductive organ weight, seminiferous tubule diameter, and germinal epithelium height of the offspring. Sperm density had declined significantly in offspring of the low-dose and high-dose groups, by 8.81% and 19.97%, respectively, by postnatal day 150. The number of viable fetuses had decreased significantly in females mated with male offspring of the high-dose group at postnatal days 60, 90, 120, and 150. There were also significant reductions in testosterone levels of high-dose group offspring from birth to postnatal day 150. Conclusion: It is concluded that maternal caffeine consumption impairs gonadal development and has long-term adverse effects on the reproductive efficiency of male offspring rats.

수면의 생리 (Physiology of sleep)

  • 채규영
    • Clinical and Experimental Pediatrics
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    • 제50권8호
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    • pp.711-717
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    • 2007
  • Sleep is a vital, highly organized process regulated by complex systems of neuronal networks and neurotransmitters. Normal sleep comprises non-rapid eye movement (NREM) and REM periods that alternate through the night. Sleep usually begins in NREM and progresses through deeper NREM stages (2, 3, and 4 stages), but newborns enter REM sleep (active sleep) first before NREM (quiet sleep). A period of NREM and REM sleep cycle is approximately 90 minutes, but newborn have a shorter sleep cycle (50 minutes). As children mature, sleep changes as an adult pattern: shorter sleep duration, longer sleep cycles and less daytime sleep. REM sleep is approximately 50% of total sleep in newborn and dramatically decreases over the first 2 years into adulthood (20% to 25%). An initial predominant of slow wave sleep (stage 3 and 4) that peaks in early childhood, drops off abruptly after adolescence by 40% from preteen years, and then declines over the life span. The hypothalamus is recognized as a key area of brain involved in regulation of sleep and wakefulness. The basic function of sleep largely remains elusive, but it is clear that sleep plays an important role in the regulation of CNS and body physiologic processes. Understanding of the architecture of sleep and basic mechanisms that regulate sleep and wake cycle are essential to evaluate normal or abnormal development of sleep pattern changes with age. Reduction or disruption of sleep can have a significant impact on daytime functioning and development, including learning, growth, behavior, and emotional regulation.