• Title/Summary/Keyword: borderline

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CLINICAL CATEGORIES OF ADOLESCENT BORDERLINE STATE (청소년 경계선 상태의 임상적 분류)

  • Hong, Kang-E;Jeon, Seong-Ill;Shin, Min-Sup
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.6 no.1
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    • pp.18-33
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    • 1995
  • The Purpose of this article is to identify the specific characteristics of borderline disorder in adolescence to conceptualize the borderline state as an adolescent process different from borderline personality disorder in adult, and to classify them according to it's unique clinical feature, porcess and outcome. The development of borderline disorder in adolescent, epidemiology, comorbid disorders and differential diagnosis, pre-existing sub-classification systems, and etiology in theories of psychodynamics, biological theories, experimental studies, and follow-up studies are reviewed. The authors conceptualize the adolescent borderline state include all clinical states generated by re-emergence of unresolved rapproachement conflicts in adolescent, and propose that there are four subgroups in adolescent borderline state. (1) Borderline state as an adolescent process. (2) Borderline state associated with psychotic disorders (3) Borderline state as an initial stnge of typical borderline personality disorder (4) Borderline state associated with organic problems. Conceptually, borderline state in adolescence is not a simple continuation of primary failure of separation-individuation but a struggle for mastering unresolved separation-individuation conflicts in adolesance i.e., the second separation-individuation state, and if it fails this time, the struggle might continue into adult life as borderline personality disorder.

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The Development of Serious Game to Improve Cognitive Ability for Children with Borderline Intelligence (경계선 지능 아동을 위한 인지능력 향상 기능성 게임 개발)

  • Hong, Inseok;Choi, Youngmee;Yoon, Taebok
    • Journal of Korea Game Society
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    • v.16 no.2
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    • pp.129-138
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    • 2016
  • Recently, the number of children who are required to take special care are increasing because of the fast-changing society and the environment factor. Among them, most children in poor family are leading to Children with borderline intelligence, so urgent action are needed to prevent this situation. This study is conducted to establish the reason why children with borderline intelligence are taking place. In addition, this study embodies serious game as a solution which is able to prevent and cure this children with borderline intelligence problem. This game was made to improve weak memory, concentration and judgment of children with borderline intelligence and was verified in effectiveness by thirty people and experts.

Systematic Review of Research Progress on Borderline Resectable Pancreatic Cancer: A Bibliometric and Visualized Analysis (경계성 절제가능형 췌장 연구 동향에 대한 체계적인 문헌 고찰: 계량서지학적 분석 및 시각화된 분석)

  • Jae Keun Park;Ji Woong Hwang
    • Journal of Digestive Cancer Research
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    • v.12 no.1
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    • pp.23-30
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    • 2024
  • Borderline resectable pancreatic cancer, an intermediate stage between a completely resectable state and an unresectable state, requires a multidisciplinary treatment approach. This study aimed to elucidate the main characteristics and recent research trends regarding borderline resectable pancreatic cancer to gain further insights into them. Data from published papers about borderline resectable pancreatic cancer were collected from Web of Science (2014-2023) for the analysis. This study included 355 papers; data on major countries, publishing organizations, and keywords were collected and analyzed. Furthermore, R studio and VOSviewer were used for the qualitative and quantitative analyses of keywords. Publication of papers on borderline resectable pancreatic cancer was observed to be increasing annually by 12.8%, with the United States and Japan being the main publishing countries. In 2014, keywords related to surgery and chemotherapy were dominant; however, a shift toward more integrative approaches, such as neoadjuvant therapy, was observed over time. This study demonstrates rapidly evolving trends and paradigm changes in the research and management of borderline resectable pancreatic cancer. Thus, the results of this study are expected to contribute to establishing future research strategies and improving patient treatment outcomes.

MDM2 Expression in Serous and Mucinous Epithelial Tumours of the Ovary

  • Abdelaal, Shereen E;Habib, Fahima M;el Din, Amina A Gamal;Gabal, Samia M;Hassan, Nabila S;Ibrahim, Nihad A
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.7
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    • pp.3295-3300
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    • 2016
  • Background: Different types of cancer exhibit abnormalities in cell cycle regulators. The murine double minute-2(MDM2) cell cycle regulator is a proto-oncogene that negatively regulates the P53 tumour suppressor gene. Surface epithelial tumours constitute approximately two thirds of ovarian neoplasms. Each histologic type can be classified as benign, borderline and malignant. This study aimed to examine immunohistochemical expression of the MDM2 protein in ovarian serous and mucinous epithelial tumours (benign, borderline and malignant). Materials and Methods: This study included forty five ovarian tumours, subdivided into fifteen cystadenomas (5 serous and 10 mucinous), fifteen borderline tumours (11 serous and 4 mucinous) and fifteen cystadenocarcinomas (9 serous and 6 mucinous). Paraffin sections were stained with haematoxylin and eosin for histopathologic study, and with mouse monoclonal anti-MDM2 antibody for immunohistochemistry. Results: MDM2 positivity was detected in 28.9% of the studied ovarian tumours. All benign tumours were negative and positivity was significantly higher in malignant than borderline tumours (P value of chi-square test =0.000). Significantly, all MDM2 positive mucinous tumours were malignant with no positive mucinous borderline tumours. Malignant tumours showed positive MDM2 expression in 83.3% of mucinous type and in 55.6% of serous type. Borderline serous tumours showed negative MDM2 in 72.7% of cases (P value of Z test =0.04). Conclusions: Alterations in the expression of the cell cycle regulator (MDM2) occur early in the process of tumourigenesis in serous and mucinous ovarian tumours. We suggest that MDM2 may be used in those tumours as a marker for risk stratification and identification of cases with cancer development and progression. We recommend further studies on MDM2 immunohistochemistry, in conjunction with adjuvant methods as DNA ploidy and FISH gene amplification, focusing on the mucinous tumours and differentiating between the three tumour categories, benign, borderline and malignant.

The Effect of Mentalization and Mindfulness on the Relationships between Secure Attachment and Borderline Personality Traits (안정 애착과 경계선 성격특성의 관계에서 정신화와 마음챙김의 매개효과)

  • Lee, Moon-Hee;Lee, Su-Lim
    • The Journal of the Korea Contents Association
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    • v.20 no.6
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    • pp.598-608
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    • 2020
  • The present study was aimed to verify the mediating effect of mentalization and mindfulness in the relationship between secure attachment and borderline personality traits. To this purpose, a self-reporting survey were conducted to universities and general companies in Seoul and Gyeonggi, so the final 358 data were used for analysis. Questionnaires including attachment type, mentalization, mindfulness and borderline personality traits were administered. A data was analyzed by a descriptive analysis, correlation analysis, and a structural equation model using SPSS and AMOS statistic program. A summary of the research results are as follows. First, in the results of the correlation analysis on the primary factors, secure attachment, mentalization, mindfulness and borderline personality traits had a significant correlation. Second, a dual mediation effect of mentalization and mindfulness was shown in the relationship between attachment and borderline personality traits. An secure attachment effect on the borderline personality traits through mentalization and mindfulness. Lastly, the significance and limitations of this study was discussed, as well as proposals for future research.

BORDERLINE PERSONALITY DISOREDER IN ADOLESCENTS (청소년기의 경계선 인격장애)

  • Jang, Kyung-June;Chung, Jea-Yun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.6 no.1
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    • pp.34-42
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    • 1995
  • Borderline personality disorder in adolescents present with suicide attempts or gestures, and they are characterized by the same patterns of splitting, devaluation, manipulation, need-gratifying object relations, impulsivity, and ego deficits that are finds in borderline adults, Symptomatolgy are depression, anxiety, identity crisis, and occasionally antisocial behavior in borderline personality disorder in adolescents. These findings should be differentiated to normal stormy adolescents. Theses borderline personality disorder in adolescents are known about the instability of object relations, labile affect, splitting, and psychotic episode in severe stress. According to thses finding, schizophrenia, mood disorder, schizoptypal personality disorder, paranoid personality disorder could be differentiated. Etiology is complex including psychodynamic, genetic, familial factor. Treatments are individual psychotherapy, group therapy, and pharmacotherapy. The continuity or discontinuity of borderline states from childhoon to adult life is controversy.

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A Study used Q-methodology on the Subjective Cognition-Patterns of School Aged Children with Borderline Intelligence Function to the School (학령기 경계선 지능 아동의 학교에 대한 주관적 인식 유형 연구: Q방법론 적용)

  • Lee, Keum Jin
    • The Journal of the Korea Contents Association
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    • v.17 no.2
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    • pp.384-393
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    • 2017
  • The purpose of this study was to find out the subjective cognition-patterns of school aged children with borderline intelligence function to the School using Q Methodology. Q-sample was included 21 statements obtained from literatures and in-depth interviews with 4 specialist & 4 children with borderline intelligence function. P-sample was consisted through the consent of 18 children with borderline intelligence function and their parents. The 21 selected Q-statements were classified into a normal distribution using a 5 point scale. The collected data analyzed using a Quanl PC program. This study found out two subjective cognition-patterns of school aged children with borderline intelligence function to the school. Two types were 'participatory & dependent type', and 'onlooking & atrophic type'. This research finding can be used to make clear understanding on diverse voices of school aged children with borderline intelligence function to the School. And this result will attribute to mediations of educational welfare practice for maintaining a safe & healthy learning environment.

Study on the Performer's Transference and Mental Borderline in a Performance (공연에서 나타나는 '전이'와 배우의 '심리적 경계'에 관한 연구)

  • Kim, Jong-Gu
    • (The) Research of the performance art and culture
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    • no.25
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    • pp.57-89
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    • 2012
  • The performers preparing for a performance usually experience the process of mental transference, contacting with text (drama) for the first time. It is movement from their everyday life to space in the play, when they try to break the wall between cast and themselves. The transference happens actually at the physical space, such as a dressing room, wing, (place just before appearing at a stage), and a stage (place to contact with audience). Performers keep moving among each psychological and physical space repeatedly, until the performance finishes totally. The transference means moving to each space to another, and the mental borderline means the point of mental change the performers experience during the process of transference. The mental borderline can be guessed to exist through mental aspects the performers feel when they move from each space to another. The most typical example, that shows performer's mental borderline well, is stage fright shown as tension, or anxiety among the variety of aspects. According to a research, the most performers experience that kind of mental aspect just before appearing at a stage. The study on it is already referred by my article.' A Study on Korean Performer's Stage Fright. This study aims at examining the relationship among psychological and physical space the performers experience, mental borderline when transferring and penetrating those spaces, and performer's mental change First, the concept of mental borderline is to be understood totally with preceded research. And the space the performers experience and mental borderline at transference are to be reorganized. Secondly, the area of transference in the process of performance is to be reclassified into physical and mental space. Third, analyzing the actual case of performers experiencing the mental borderline, the diversified use should be searched to make use of mental borderline as a positive element. The psychological symptoms, performers experience in the performance, can have positive consequence beside negative one. The tension occurring at the area of borderline is positive, and it can be the actual borderline for the performers. It will be researched how the performers change at the mental borderline, the state of mind is maintained, and they perform in an overall performance, through the study on the relationship between the transference and the mental borderline. And the stress and concentration caused by stage fright, and shyness will be confirmed, and the positive element of a stage, which is used as various defense mechanism.

Dietary Risk Factors of Hypertension in the Elderly (노인집단을 대상으로 한 고혈압의 식이위험요인에 관한 연구)

  • 문현경
    • Journal of Nutrition and Health
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    • v.32 no.1
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    • pp.90-100
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    • 1999
  • In order to investigate dietary risk factors for hypertension in th elderly, dietary intakes and dietary habits of 405 elderly subjects, aged 60-94, were assessed by the questionnaire, anthropometric measurement and a 24-hour dietary recall. The prevalence of definite (>95mmHg for diastolic or>160mmHg for systeolic blood pressue) and borderline(90-95mmHg for diastolic or 140-160mmHg for systolic blood pressure) hypertensive subjects 33.3% and 19.3%, respectively. The distribution of the subjects for Body Mass Index(BMI), waist-hip ratio, and alcohol consumption were significantly different among definite, borderline, and normal groups(p<0.05). The distribution of the subjects for smoking, exercise, and preference of salty food were not significantly different among definite, borderline, and normal groups(p>0.05). From the generalized logistic regression analysis of the risk factors for the hypertension, the subjects with over 27 of BMI had significantly higher risk of hypertension. Alcohol consumption and preference of salty food were significant risk factors of hypertension in the elderly. Dietary risk factors for the hypertension that had significant relationship to the hypertension were intakes of potassium, calcium, phosphate, sodium, vitamin B1, niacin, and folate. There was no significant difference of consumption frequencies of food and dish among definite, borderline, and normal groups(p>0.05). The amount of intakes for cereals and grain product, bean and their products, eggs were significantly different among definite, borderline, and normal groups(p<0.05). In summary, the amount of dietary intakes to hypertension in elderly population. Longitudinal studies for dietary risk factors on incidence of hypertension are needed in general population, especially in the elderly.

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Best Treatments in Borderline Resectable Advanced Pancreatic Cancer

  • Joon Seong Park
    • Journal of Digestive Cancer Research
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    • v.4 no.2
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    • pp.88-91
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    • 2016
  • Pancreatic cancer is the lethal disease and the prognosis of pancreatic cancer has remained largely unchanged over the past years. Borderline advanced pancreatic cancer is a biological different from resectable pancreatic cancer due to higher risk of early recurrence because of artery/vein abutment. Therefore this unique subset of pancreatic cancer has a controversial issue with regard to their treatment policy. Some institutes managed borderline advanced pancreatic cancer by up-front neoadhuvant chemotherapy because neoadjuvant chemotherapy provide the opportunity to treat early micro-metastasis with unfavorable tumor biology. But, some institutes try aggressive up-front surgical procedures to provide a chance of long-term survival in highly selected patients. Therefore this unique subset of pancreatic cancer has a controversial issue with regard to their treatment policy. This review address recent treatment trend for patients with borderline advanced pancreatic cancer.

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