• 제목/요약/키워드: immaturity

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Maternal Overprotection and Young Children's Interactions with Peers During Play: The Mediating Roles of Social Immaturity and Withdrawal of Children (어머니의 과보호와 유아의 놀이 중 또래상호작용: 사회적 미성숙과 위축의 매개역할을 중심으로)

  • Byoun, Soo Bin;Shin, Nary
    • Korean Journal of Childcare and Education
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    • v.17 no.1
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    • pp.105-124
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    • 2021
  • Objective: The purpose of this study was to explore the pathway from mothers' overprotective parenting to their child's peer play interactions mediated by internalizing problems, that is, social immaturity and withdrawal. Methods: Surveys were conducted on mothers and teachers of 341 children aged three to five. SPSS 22.0 was used to analyze the data using descriptive statistics. Structural modeling analysis was also implemented to test theoretical model using AMOS 21.0. Results: Maternal overprotective parenting, which increased social immaturity of their child, indirectly reduced the child's positive interactions with peers during play. Mothers' overprotection led to a higher level of withdrawal of their child while the effect of children's withdrawal on their peer play interaction was not significant. Because overactive parenting of mothers had no direct effect on peer play interaction, the complete mediation model representing a path from maternal overprotection to children's peer play interaction via their internalizing problems was partially supported. Conclusion/Implications: This study shows that overprotective mothers hinder their child to experience confident and mature manners, and eventually lead their child to be socially unskillful and incompetent. It was suggested to explore more individual characteristics of mothers and children to help overprotective mothers to take a step back.

Oocyte maturity in repeated ovarian stimulation

  • Lee, Jae-Eun;Kim, Sang-Don;Jee, Byung-Chul;Suh, Chang-Suk;Kim, Seok-Hyun
    • Clinical and Experimental Reproductive Medicine
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    • v.38 no.4
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    • pp.234-237
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    • 2011
  • Objective: During stimulated IVF cycles, up to 15% of oocytes are recovered as immature. The purpose of this study was to investigate the trend of oocyte maturity in repeated ovarian stimulation for IVF. Methods: One hundred forty-eight patients were selected who underwent two consecutive IVF cycles using same stimulation protocol during 2008 to 2010. Ovarian stimulation was performed with FSH and human menopausal gonadotropin and flexible GnRH antagonist protocol in both cycles. Oocyte maturity was assessed according to presence of germinal vesicle (GV) and the first polar body. Immature oocyte was defined as GV stage or metaphase I oocyte (GV breakdown with no visible polar body) and cultured up to 48 hours. If matured, they were fertilized with ICSI. Results: Percentages of immature oocytes were 30.8% and 32.9% ($p$=0.466) and IVM rates of immature oocytes were 36.2% and 25.7% ($p$=0.077), respectively. A significant correlation was noted between percentage of immature oocytes in the two cycles (R=0.178, $p$=0.03). Women with >40% immaturity in both cycles (n=21) showed lower fertilization rate of $in$ $vivo$ matured oocytes (56.4% vs. 72.0%, $p$=0.005) and lower pregnancy rate (19.0% vs. 27.1%, $p$=0.454) after the second cycle when compared with women with <40% immaturity (n=70). In both groups, female age, number of total retrieved oocyte and embryos transferred were similar. Conclusion: In repeated ovarian stimulation cycles for IVF, the immature oocyte tended to be retrieved repetitively in consecutive IVF cycles.

Outcome of the Teratoma in Pediatric Surgical Patients (소아외과 환자에서 기형종의 치료 결과)

  • Lee, Ho-Kyun;Park, Kyung-Sub;Choi, Soo-Jin-Na;Kim, Shin-Kon;Chung, Sang-Young
    • Advances in pediatric surgery
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    • v.9 no.2
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    • pp.94-97
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    • 2003
  • The teratoma is a unique complex neoplasm and is one of the most frequent pediatric tumors originated from the extragonadal germ cells. Mature teratoma is composed of mature differentiated tissues, while immature teratoma always contains embryonic tissues of variable degrees of immaturity, especially in the neuroepithelial elements. Diagnosis of teratoma is relatively easy by conventional radiologic study, but the immaturity can be identified only by histopathological examination. Between January 1993 to December 2002, 63 cases of teratoma were operated and analysed retrospectively at the Chonnam University Hospital Female to male ratio was about 3:1 and age distribution was relatively even. Among 63 cases, gonadal teratoma was the most common (52.4%), followed by sacrococcygeal (25.4%), retroperitoneal (9.5%) and mediastinal teratoma (9.5%). Fifty-six cases were mature teratomas and seven were immature teratomas. Alpha-fetoprotein (AFP) was elevated in 4 of 6 immature cases, but in 2 of 51 mature ones Elevated AFP progressively returned to normal range by 1 month after operation in all. Complete excision of the mass was performed, and major complication was not noticed. In five immature cases, PEB chemotherapy (Cisplatin, Etoposide, Bleomycin) was performed. Two of 2 cases in histological grade II were well tolerated to the aggressive chemotherapy. One of three cases in grade III expired due to severe bone marrow depression, and two of them expired by tumor recurrences. In conclusion, immature teratoma in histological grade III showed high potentiality of recurrence. Therefore, postoperative chemotherapy has to be applied to the high graded immature tumors.

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Management of a 25-day-old Male Presenting with a First Episode of Acute Pyelonephritis, and Persistent Hyperkalemia with Normal Serum Aldosterone (급성신우신염으로 입원 후 지속적인 고칼륨혈증과 정상 혈중 알도스테론 수치를 보인 25일 영아 1례)

  • Kang, Yu Sun;Choi, Ji Yeon;Lee, Jun Ho
    • Childhood Kidney Diseases
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    • v.18 no.2
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    • pp.111-115
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    • 2014
  • Hyperkalemia is often detected in young infants, particularly in association with acute pyelonephritis or a urinary tract anomaly. Cases of hyperkalemia in this population may also be due to transient pseudohypoaldosteronism, or immaturity of renal tubules in handling potassium excretion. Symptoms of hyperkalemia are non-specific, but are predominantly related to skeletal or cardiac muscle dysfunction, and can be fatal. Therefore, treatment has to be initiated immediately. Administration of fludrocortisone for hyperkalemia is appropriate in cases with hypoaldosteronism, but is challenging in young infants with hyperkalemia due to renal tubular immaturity, without pseudohypoaldosteronism. We report the case of a 25-day-old male presenting with persistent hyperkalemia with normal serum aldosterone, who was admitted with a first episode of pyelonephritis and unilateral high-grade vesicoureteral reflux. The patient was treated successfully with fludrocortisone.

Adrenal and thyroid function in the fetus and preterm infant

  • Chung, Hye Rim
    • Clinical and Experimental Pediatrics
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    • v.57 no.10
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    • pp.425-433
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    • 2014
  • Adrenal and thyroid hormones are essential for the regulation of intrauterine homeostasis, and for the timely differentiation and maturation of fetal organs. These hormones play complex roles during fetal life, and are believed to underlie the cellular communication that coordinates maternal-fetal interactions. They serve to modulate the functional adaptation for extrauterine life during the perinatal period. The pathophysiology of systemic vasopressor-resistant hypotension is associated with low levels of circulating cortisol, a result of immaturity of hypothalamic-pituitary-adrenal axis in preterm infants under stress. Over the past few decades, studies in preterm infants have shown abnormal clinical findings that suggest adrenal or thyroid dysfunction, yet the criteria used to diagnose adrenal insufficiency in preterm infants continue to be arbitrary. In addition, although hypothyroidism is frequently observed in extremely low gestational age infants, the benefits of thyroid hormone replacement therapy remain controversial. Screening methods for congenital hypothyroidism or congenital adrenal hyperplasia in the preterm neonate are inconclusive. Thus, further understanding of fetal and perinatal adrenal and thyroid function will provide an insight into the management of adrenal and thyroid function in the preterm infant.

Evolutionary Developmental Perspectives on Child Development (아동발달에 대한 진화 발달적 관점)

  • Shin, HyeEun;Choi, Kyoung-Sook
    • Korean Journal of Child Studies
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    • v.26 no.5
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    • pp.185-204
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    • 2005
  • This paper demonstrated how application of evolutionary knowledge to developmental perspectives enhances understanding of human ontogeny. Evolutionary Developmental Psychology (EDP) explains human behavior through evolutionary principles and focuses on ontogeny rather than phylogeny. In this paper, the authors review concepts of evolution, adaptations, and the processes of evolution from EDP perspectives. The definition and basic assumptions of EDP are introduced, followed by explanations of how evolution happens in ontogeny by looking at developmental systems approaches, concepts of ontogenetic and deferred adaptations, evolution of childhood, and brain plasticity. Possible pathways of evolution in ontogeny are also discussed. Finally, some research methodology for applying EDP to child development is suggested with specific hypotheses and studies.

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Personality and Environmental Characteristics of Children who are Bullies and/or Victims (아동의 개인적·환경적 특성과 또래괴롭힘)

  • Seo, Mi Jeong;Kim, Kyong Yeon
    • Korean Journal of Child Studies
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    • v.25 no.2
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    • pp.93-108
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    • 2004
  • This study investigated personality and environmental variables influencing peer bullying by sex and by differences between bullies, victims, bully-victims, and normal children. Findings were that the proportion of the total sample involved in peer bullying was 47.88%. Of the bullying children, 38.15% were bully-victims, followed by victims and bullies. The bullying of both boys and girls was influenced by exposure to violence, delinquent friends, and peer support. Bullies had higher levels of aggression and exposure to violence than normal children and higher levels of peer support than victims. Victims had higher levels of delinquent friends and exposure to violence than normal children. Bully-victims showed higher levels of aggression, immaturity, delinquent friends, exposure to violence and lower levels of peer support than normal children.

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A Case Analysis on marital Conflict Problem and Coping Behavior -Focused on the Telephone Counsdlling- (전화 상담사례에 나타난 부부갈등문제와 대응행동)

  • 이미영
    • Journal of the Korean Home Economics Association
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    • v.33 no.1
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    • pp.141-154
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    • 1995
  • The purpose of this paper is to investigate the marital conflict problem and coping behavior. The methods of this study are quantitative and qualitative method. For the data, 1069 counselling case of the married people were collected on S counselling center in Daegu, from January to May, 1994. The results of this study are as follows: 1. The main problems are marital debauchery affairs and then the value orientation, character and communication problem in turn. 2. Most clients used the complain type as the coping gehavior. 3. Recognized problem of oneself is debauchery problem and the self-damage and immaturity. Recognized problem of spouse is husband's incapacity, debauchery and violence. alcohol problem in wife case. Recognized problem of couple is a sexual problem for the most case.

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Institutionalized Children′s Behavior Problems Depending on Their Cognitive Abilities (시설보호 아동의 인지능력에 따른 행동문제)

  • 이강이;성미영;이순형
    • Journal of the Korean Home Economics Association
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    • v.40 no.2
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    • pp.57-66
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    • 2002
  • This study investigated institutionalized children's behavior problems depending on their cognitive abilities. Subjects were 185 institutionalized children in 15 child-welfare facilities in Seoul (132 preschooler and 153 primary schoolers; 106 boys and 79 girls). Institutionalized children's cognitive abilities were measured using the Comprehension and Picture Completion Assessment, two subsets of K-WPPSI (Park et al., 1996) Comprehension and Picture Completion Assessment belong to verbal and performance scale, respectively. Measures of behavior problems included anxiety, immaturity, social withdrawal, physical symptom, hyperactivity, and aggression. Data were analyzed with mean, standard deviation, and t-test. Results showed that institutionalized children had higher scores in Picture Completion Assessment than Comprehension Assessment. Furthermore, institutionalized children with low scores in Comprehension Assessment were higher in anxiety and social withdrawal than children with high scores in Comprehension Assessment.