• 제목/요약/키워드: normal adolescents

검색결과 259건 처리시간 0.022초

소아 ${\cdot}$ 청소년 우울장애의 생물학적 연구 (BIOLOGICAL STUDIES IN CHILD AND ADOLESCENT DEPRESSION)

  • 조수철
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제5권1호
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    • pp.28-35
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    • 1994
  • 성인기 우울증의 생물학적인 연구는 25년 이상의 역사를 가지고 있으나, 소아 또는 청소년기 우울증에 있어서의 생물학적인 연구는 아직 초보 단계이다. 그러나 현재까지 연구된 바에 의하면, 결론을 내리기는 시기 상조이나, 소아 또는 청소년기의 우울증에 있어서도 생물학적인 이상소견이 원인의 일부로 작용할 가능성은 크다고 할 수 있다. 이러한 생물학적 소견은 연령이나 사춘기의 변화가 소아 또는 청년기의 우울증의 생물학적인 이상 소견과 관계가 있을 가능성이 크다. 성인기내에서도 나이에 따라서 생물학적인 이상 소견이 다르게 나타날 수 있기 때문에 성인의 연령도 구분하여야 할 필요성이 강조된다. 따라서 성인기에서의 연구가 소아 또는 청소년기의 생물학적인 소견을 이해하는데 있어서 도움이 되기는 하지만, 소아 또는 청소년기의 생물학적인 소견을 해석할 때에는 반드시 성장, 발달, 연령 및 사춘기의 변화를 고려하여야 한다. 이러한 소견을 이해하는데 있어서는 정상 아동에 있어서의 신경전달물질계 및 수용체의 개체발생적인 과정이 반드시 밝혀져야 한다. 발달학적인 측면에서의 신경생물학적인 연구, 이와 행동상의 특징과의 상호관계가 규명되어야 하며, 이에는 동물실험 모델의 개발이 필수적이다. 왜냐 하면, 윤리적인 문제로 아동들을 연구하는데 있어서 많은 제한점이 있기 때문이다.

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악골에 발생한 법랑아세포종의 임상적 연구 (CLINICAL STUDY OF AMELOBLASTOMA ON THE JAW)

  • 김현섭;류재영;유민기;서일영;;국민석;박홍주;유선열;최홍란;오희균
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제33권5호
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    • pp.535-542
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    • 2007
  • Ameloblastoma, a benign tumor of odontogenic type, represents 10% of all tumors of the jaw. It is localized in the mandible(80%) and in the maxilla(20%). In every case, the selection of the surgical treatment must consider some fundamental elements, including the age and general state of health the clinicopathological variant, and the localization and extent of the tumor. This study was invested the clinicopathological findings of 23 patients with ameloblastoma which had been diagnosed by biopsy during the period of 1987 to 2005 at Chonnam National University Hospital. And it contained the statistical analysis according to the treatment methods and the clinicopathological findings such as sex, age, location, chief complaints, duration, radiographic findings, histologic findings, treatment methods. The results obtained are were follows. The age of patient ranged from 10 to 91 years(means, 35.9 years) at biopsy. Thirteen(57%) of the 23 subjects were males, and 10(43%) were females. Twenty(87%) of the 23 ameloblastomas were located in the mandible. Swelling was the most common symptom and was experienced by 20(87%) patients. Radiographically, 11(48%) of the 23 tumors were unilocular with a well-demarcated border and 12(52%) were multilocular. The most common histologic pattern was plexiform and acanthomatous rather then follicular. Conservative treatment was performed 7 cases(30%), radical treatment 11 cases(48%), and combined treatment 5 cases(22%). Follow-up period ranged from 2.1 years to 22 years(mean 5.1 years). Based on the above results, surgical excision after marsupialization was found to be useful as a preliminary treatment of the large cystic ameloblastoma in children and adolescents. On the contrary, the lesion with a soap bubble appearance, the one with ineffective marsupialization was subjected to extensive excision of the tumor with a wide margin of normal bone.

주의력결핍 과잉행동장애와 스마트폰 중독, 우울, 불안, 자존감 (Smart-Phone Addiction, Depression/Anxiety, and Self-Esteem with Attention-Deficit Hyperactivity Disorder in Korean Children)

  • 이효철;홍민하;오창근;심세훈;전연주;이석범;이경규;백기청;백혜순;임명호
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제26권3호
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    • pp.159-164
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    • 2015
  • Objectives : The current study investigated the risk of smartphone addiction among children and adolescents with or without attention-deficit hyperactivity disorder (ADHD), risk of depression, anxiety, and self-esteem using the Smartphone Addiction Scale Proneness, Kovac's Children's Depression Inventory, State-Trait Anxiety Inventory, and Rosenberg Self-Esteem Scale, commonly used in clinical medicine. Methods : Ninety five students with ADHD who visited psychiatry outpatient clinics completed the questionnaire. At the same time, 592 middle and high school students living in a similar area regardless of ADHD diagnosis, completed the questionnaire as control subjects. Results : Overall, 40.0% of 95 ADHD and 12.8% of 592 control subjects were classified as the smartphone addiction proneness group, 26.3% of the ADHD subjects and 8.3% of the control group were classified as the depression group, and 32.6% of the ADHD subjects and 16.2% of the control group were classified as the anxiety group. Significant differences were observed between the two groups. Conclusion : The results of this study suggest that ADHD subjects are more prone to smartphone addiction, becoming depressed or anxious than those in the control group. From this study, we could suggest that students with ADHD are more easily affected by smartphone addiction than normal control subjects. In addition, we might understand how some psychiatric problems like depression, anxiety, and low self-esteem are related to ADHD and smartphone addiction.

도시지역 일부 여자고등학생들의 월경통과 관련요인 (Dysmenorrhea and Its Related Factors among Women's High School Srudents in an Urban Area)

  • 신수희;양혜경;조영채
    • 한국학교보건학회지
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    • 제20권1호
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    • pp.91-101
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    • 2007
  • Purpose: The present study intended to reveal the association between the physique of adolescent women and dysmenorrhea, and the factors related to the frequency of dysmenorrhea. Methods: The study subjects included 511 girls of a women's high school in Daejeon city and they were, during the period of March 1st through April 30th, 2005, given self-administered questionnaires about frequency of menstruation, age, physique, exercise, and such menstruation-related items as age of menarche, menstrual period and days, and amount. Results: As with the frequency of dysmenorrhea, 38.4% experienced it 「always」, 44.6% 「occasionally」, and 17.0% 「almost scarcely」, and those with dysmenorrhea accounted for 83.0% of the subjects. The frequency of dysmenorrhea was not significant difference according to the BMI and HPI. However, the lower the age of menarche and the greater the amount of menstrual flow, the more frequent dysmenorrhea. The symptoms of dysmenorrhea included the highest frequency of low back pain(68.5%) and it was followed by abdominal pain(65.9%), sensibility(54.0%), fatigue(51.7%), and nervousness(49.5%). These accompanied symptoms tended to be worse as the frequency of dysmenorrhea increased. The multiple logistic regression analysis revealed that the relative risk of frequency of dysmenorrhea is 2.2 times in age of 14, by a standard age of 15 as menarchial age, 2.2 in 13, and 3.1 in below 12. The menstrual days was 3.0 times in both below 2 days and over 8 days with the standard days of 3-7 days. The menstrual amount was 1.9 times in the group with a greater amount of menstrual bleeding and 1.5 times in the group with a less amount than the normal group, respectively. Conclusion: The above results suggest that the rate of experiencing dysmenorrhea was up to 83.0% and 38.4% from these had dysmenorrhea upon every menstruation. It is thought that dysmenorrhea could be a great disadvantage sufficient to impair optimal health to a larger body of school girls. Further, for quality of life, it is required that more fundamental strategies instead of pain killers or others for palliation of dysmenorrhea would be established among adolescents.

체질량지수와 치아우식증의 상관관계 : 한국 국민건강영양조사 자료(2013 - 2015) 활용 (Association between Body Mass Index and Dental Caries : Based on the Korea National Health and Nutrition Examination Survey 2013 - 2015)

  • 장지혜;이미소;김재곤;양연미;이대우
    • 대한소아치과학회지
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    • 제46권3호
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    • pp.283-292
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    • 2019
  • 2013년부터 2015년까지의 국민건강영양조사 6기의 자료 중 신체계측, 구강검사, 건강 설문조사를 시행한 2 - 18세의 소아청소년 2,874명을 2017 소아청소년 성장도표의 기준을 사용하여 체질량지수(Body mass index, BMI) 따른 4그룹으로 나누었다 : 비만그룹, 과체중그룹, 정상체중그룹, 저체중그룹. 각 그룹 간 우식치아수(dt, DT), 우식경험치아수(dft, DMFT)의 평균을 비교한 결과 비만그룹과 저체중그룹은 정상체중그룹보다 우식치아수와 우식경험치아수 모두에서 평균이 높았다. 과체중그룹은 우식치아수와 우식경험치아수의 평균값이 가장 낮았으며 다른 그룹과 유의한 차이를 보였다.

종아리 강화 운동이 중년여성의 보행메커니즘에 미치는 영향 (Effect of calf strengthening exercise on walking mechanism in middle-aged women)

  • 김종근;조경희
    • 문화기술의 융합
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    • 제10권4호
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    • pp.235-240
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    • 2024
  • 건강한 노년을 위해 중년부터 건강 관리를 해나가야 한다. 본 연구의 목적은 중년여성들이 시간과 장소에 구애 받지 않고 간단한 운동을 통해 최대 효과를 볼 수 있는 운동 프로그램을 적용하여 보행메커니즘에 미치는 영향을 확인하고자 시행되었다. 연구대상자는 45세 이상 중년 여성을 대상으로 종아리 강화 운동 그룹 10명, 대조군 10명으로 총 20명을 선정하였다. 종아리 강화 운동군의 운동 전후를 비교한 결과 step length 좌측과 우측 그리고 double support, step time(좌), speed가 향상되었다. 운동 후 종아리 강화 운동군과 비운동 그룹의 보행메커니즘을 비교한 결과 step length 좌측과 우측, step time 좌측과 우측이 향상되었다. 시간 및 장소에 특별히 구애 받지 않는 종아리 강화 운동을 통해 보행메커니즘의 긍정적 효과를 보였다. 특히 보폭은 넓어져 하지의 힘이 생기고 한발 지지구간은 짧아져 보행의 속도는 증가한 것으로 나타나 의미 있는 결과를 도출했다고 판단한다. 향후 연구에서는 청소년, 노년 층 등 전 연령에 걸쳐 평가하여 생애주기 별 측정데이터를 제시하고 평상시 운동 부족으로 사회적 문제를 야기하는데 있어 기초자료로 제공하는 것이 바람직할 것으로 사료된다.

청소년 석고 모형 분석에 의한 하악절치 형태와 치아밀집의 상관관계에 관한 연구 (A STUDY OF DENTAL CROWDING AND ITS RELATIONSHIP TO MANDIBULAR INCISOR SHAPE BY MODEL ANALYSIS IN ADOLESCENTS)

  • 서정은;백형선
    • 대한치과교정학회지
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    • 제25권5호
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    • pp.593-604
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    • 1995
  • 하악 전치의 밀집은 가장 흔히 볼 수 있는 부정교합의 특징중의 하나이며 교정치료후의 안정성과 재발 측면에서도 중요 관심의 대상이다. 이를 유발시킬 수 있는 원인으로 그동안 많은 요소가 연구되어 왔으며 치아의 크기도 그 중의 하나이다. 현재 교정치료의 진단과 치료에 사용되고 있는 치아 크기 측정에서는 순설측 폭경의 의미가 간과되어 왔는데 Peck과 Peck이 이상적인 하악 전치부 배열을 가진 경우 절치의 근원심 폭경은 평균보다 작고 순설측 폭경은 평균보다 크다는 통계학적 수치를 발표하고 MD/FL index가 하악 전치부 밀집과 높은 상관관계를 가진다고 주장하였다. 본 연구는 한국인에 있어서 하악 절치의 형태 및 크기와 하악 전치부 밀집간의 상관관계, 그들과 전악궁의 치아 밀집간의 연관성을 알아보기 위해 시행되었다. 11세에서 17세에 이르는 154명의 석고 모형을 채득하여 Irregularity index 1 미만인 35명의 정상군과 Irregularity index 1 이상인 119명의 밀집군으로 분류하고 석고모형상에서 연관성 있다고 추정되는 계측항목을 측정한 후 통계처리하여 다음과 같은 결론을 얻었다. 1. 하악 절치의 근원심 폭경은 밀집군에서 큰 값을 보였으나 중절치에서만 유의성을 보였고, 순설측 폭경과 MD/FL index는 유의차가 없게 나타났다. 2. Irregularity index는 밀집군의 하악 절치의 근원심 폭경, MD/FL index와 유의성있는 상관관계를 나타냈으나 순설측 폭경과는 상관관계를 보이지 않았다. 또한 상하악의 Arch length discrepancy, 치관 근원심 폭경 총화와는 순상관 관계를, 하악 견치간 폭경과 제 1 소구치간 폭경과는 역상관관계를 나타내었다. 3. 상하악의 arch length discrepancy는 하악 절치의 근원심 폭경, overbite과 유의성 있는 상관관계를 나타내었고 순설측 폭경과는 상관관계가 나타나지 않았다. 하악의 arch length discrepancy는 하악 절치의 MD/FL index와, 상악의 arch length discrepancy는 측절치의 MD/FL index에서 상관관계를 나타내었다. 4. 정상군과 밀집군의 각 계측항목의 t-검정 결과 하악의 arch length discrepancy, overbite에서만 유의차를 나타내었다.

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Helicobacter pylori 감염과 관련된 철 결핍성 빈혈에서 Lactoferrin Sequestration의 역할 (Lactoferrin Sequestration and Its Contribution to Iron Deficiency Anemia in Helicobacter pylori Infected Gastric Mucosa)

  • 문광빈;강창규;최연호;한혜승;송순욱
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제5권1호
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    • pp.11-18
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    • 2002
  • 배경: Lactoferrin은 위장 점막에서 H. pylori의 철분의 공급원으로 알려져 있다. 본 연구는 H. pylori에 감염된 위장 점막의 조직검체에서 lactoferrin 값을 측정하고 철 결핍성 빈혈의 유무에 따라 lactoferrin 발현의 주요 위치를 정하는 방법을 이용하여 lactoferrin과 철 결핍성 빈혈을 동반한 H. pylori감염 사이의 연관성을 밝히기 위해 시행하였다. 방법: 상부 위장관 내시경을 시행한 55명의 환아를 세 군으로 분류하였다: 정상군(NL, n=19), H. pylori 감염군(HP, n=15), H. pylori 감염이 동반된 철 결핍성 빈혈군(IDA, n=21). 조직 병리학 소견은 Updated Sydney System을 이용하여 정도를 나누었다. 위장 점막의 lactoferrin 값은 면역 측정법으로 측정하였다. lactoferrin의 발현 위치와 양을 측정하는 것은 면역조직화학적 염색방법을 이용하였다. 결과: 위 전정부에서의 lactoferrin의 값은 조직 검체의 H. pylori 밀도나 다형핵세포의 침습정도, 만성 염증에 비례하여 의미있게 증가되었다. HP와 IDA군에서는 정상군에 비하여 lactoferrin의 수치가 통계학적으로 유의하게 증가되었다(p=0.0001). IDA군은 HP군에 비하여 lactoferrin의 수치가 높은 경향이 있었다(p=0.2614). 면역조직화학적 방법에 의한 lactoferrin 발현의 주요부위는 상피세포내의 분비샘과 호중구에 있었다. Lactoferrin은 정상군에서는 약하게 염색되었고 HP와 IDA군에서는 강하게 염색되었다. 결론: IDA군에서 위장 점막내 lactoferrin 격리가 현저하였으며 이 소견은 H. pylori 감염이 철 결핍성 빈혈에 영향을 미치는 기전을 밝히는데 중요한 단서로 작용할 것이다.

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일부(一部) 중학생(中學生)의 성(性)에 대한 의식행태조사(意識行態調査) (A study on the Awareness and Behavior about Sex of Middle School Students -from middle school students in Taegu area-)

  • 김상옥;남철현
    • 한국학교보건학회지
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    • 제5권2호
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    • pp.42-65
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    • 1992
  • A survey was made of 976 students who were selected among students of 5 middle schools at Taegu so that it could furnish basic knowledge about sex education of adolescents by analyzing students recognition of sex, acquaintance with the opposite-sex, sex-education, The survery took a month from Nov. 1, to Nov 30, 1991. The results of this study are summarized as follows. 1. The general characteristics of the surveyed students. The survey consisted of 332 boys middle school student & 325 girls middle school students, 157 male & 162 female students of coeducational middle schools. 32.9% of them were from the first grade, 33.2% from the second grade & 33.9% from the third grade. 35.7% of them believed in Buddhism, 19% Christianism and the mode of their living standard, 86.7%, fell on 34.7% of their parents engaged in commerce and they were followed by salary man and public officals, 93.1 % of the students, parents were alive. 44.9% of their fathers were graduates of high school and 42.2% of their mothers middle school. 2. Sexual maturity 89.1 % of the surveyed girls had experienced menstruation. The mode of first menstruation, 48.2%, was at the age of 13 and the mean of it was 12.9, 3.7% the surveyed boys had exprienced a wet drem before. The mode of the first wet dream, 40.0%, was at the age of 14 and the mean was 13.4. 21.3% of surveyed students had the experience of masturbation but the number of girls fell far short of that boys. The mode of the first masturbation, 37.0%, was at the age of 14 and the mean was 13.4. 3. The acquaintance and sexual relations with the opposite sex 1) Analyzing the students actual conditions with the opposite, I found out that 52.3% of them wanted to have any kind of relations with the opposite and that 30.25 had already had some kind of relations. 73.2% of the students having relations with the opposite thought the other sex merely as a friend and the number of students who were thinking that way was distributed evenly among schools. 28.8% of the students had got acquainted with the other sex through their frieds and there were not much difference between boys and girls in the method of getting acquainated with the opposite. About 35.2% of the students having relations with the opposite came from the third grade. 47.8% of them answered that the meeting place was not fixed and 26.4% answered that they were meeting their parthers outdoors. 60.7% replyed that they were not disturbed in their studies by the relations with the other sex. 2) Most of the students 79.4%, answered that they had never had sexual relations and 16.3% of the rest said that thery were expressing their feelings by grasping each other's hand. 3) 16.6% of the surveyed students asid that they had the exprience of smoking, 1.1 % of an illusion caused by inhaling chemical addhesives, 44.0% of drinking and 41.4% of warching pornographic films. 4. The knowledge and attitude about the sex 1) The distribution and analysis according to schools and grades : 64.8% of the surveyed students answered correctly to the questions about mensturation, 49.3 % did so about wet dreams, 94.3 % did so about conception, 60.6% did so about child birth, 73.9% did so about AIDS and 50.1 % did so about sexual diseases. Roughly speaking, they had not much knowledge of sexual diseases. 2) The recognition of sex according to schools and grades : 39.0% of the students said that they had worries about sex. 33.1 % of what they worried was concerned with their bodies and 26.8% was about the acqaintance and relationship with the opposite sex. The girls were much more concerned about the former and the boys the latter. 51.1 % of the students asid that they had no specific opinion of masturbation but 19.2% said that's alright if self-restrained. About the sexual intercourse before marriage, 75.7% said negatively. 5. The need for sex education most of the students, 99.4% said they needed sex education and there was not much difference in that thought among schools. And 49.7% answered that schools, families, and societies were equlally important in sex education. About half of the students, exactly 50.2%. considered it as the main reason of sex education to prevent accidents cauesd by ignorance of sex. 81.4% said that they had had some kind of sex education. Most of the educations, 87.0%, had taken place at schools but 5.2% said they were getting most of the knowledge about sex from therir friednds, juniors and seniors. 59.5% of the students who had ever had a sex education said "Just so, so" when asked of the level of their contentment but the number of students who said "satisfied" was only a few, 16.1 %. 20.7% of the survered answered that thery wanted sex education to be made in the course of home life, and 26.6 % of the students most wanted to know about the acquaintance and relationship with the oppostie sex, 29.0% preferred nurse teachers as proper councellors of sex education. The mode of their present councellors, 42.0%, was friends but only 7.6% answered they dicussed with teachers. 6. The correlation analysis between general characteristcs and sexual behaviors of the surveyed students revealed that sex had a signigicant(P<0.001) positive correlation with parents' love toward students(P<0.01), the experience of masturbation, smoking, an illusion caused by inhaling chemical adhesives and the experience of watching pornographic films. And the standard of living had a significant(P<0.01) positive correlation(P<0.01) with grade point average, parents' existence(P<0.01) and parents' love, but a significant(P<0.01) negative correlation with sexual worries. grade point average had a significant(P<0.01)negative correlation with the experience of an illusion caused by chemical adhesives(P<0.01) and smoking. Parents' existence had significant(P<0.01) positive correlations with parents' love and smoking but a significant(P<0.01) negative correlation with the experience of an illusion by chemical adhesives. There was a significant(P<0.01) negative correlations between parents' love and the experience of an illusion by chemical adhesives, and a significant(P<0.001) positive correlation among masturbation and sexual worries, smoking, an illusion by chemical adhesives and the experience of watching pornographic films. There was a significant(P<0.001) positive correlation among acquaintance with the opposite sex, smoking, the experience of an illusion by chemical adhesives and watching pornographic films. Sexual worries had significant(P<0.01) positive correlations with smoking, the experience of an illusion by chemical adhesives and watching pornographic films. smoking had a significant positive correlation with drinking the experirence of, an illusion by chemical adhesives and watching pornographic films. Finally, there was a significant(P<0.01) positive correlation between the drinking experience and the illusion experience by chemical adhesives. According to the results mentioned above, the fact is certain that there is a great need for sex education of adolescents. Therefore, it is desirable that the schools teach sexual physiology and normal positively and that sex education including hygien education be an independant course in the curriculums. Furthermore, it is essential that the schools should have enough nurse teachers to take up sex education, expand training opportunities for them and that they develop educational materials. Considering the unbalance of the level of sex educations between boys and girls, I want to suggest that all boys and girls have sex education evenly and lead happy lives by correction irrational thought about sex, that is to say, sex discrimination, Sex education programs, especially of middle school students, should be reexamined if it is to give the students effective and profitable knowledge about sex. In addition, the government should establish a policy of adolescents' sex education to have healthy opinions of sex settled nationwide.

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중학생의 비만율 변화 및 대사증후군 발생 위험요소와의 상관관계 (Relationships between the Change in Obesity Rate and Risk Factors of Metabolic Syndrome among Middle School Students in Ulsan)

  • 최순호;신송우;유철인
    • 한국산학기술학회논문지
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    • 제13권11호
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    • pp.5271-5283
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    • 2012
  • 본 연구는 최근 울산 지역 중학생의 비만율 변화와 대사증후군 발생위험 요소들의 상관관계를 파악하여 학교건강증진사업의 기초자료를 제공하기 위하여 수행되었다. 연구를 위하여 2007년부터 2011년까지 '인구보건복지협회 울산지회'에서 실시한 울산시 관내 중학교 2학년생에 대한 건강검진에 참여한 58,298명의 자료를 수집 분석하였다. 울산지역 중학교 2학년생의 비만율의 변화는 조사 대상 전체와 여학생에 있어서는 2007년부터 2010년까지 줄고 있다가 2011년 다시 증가하였다. 남학생은 2008년에 비만율이 가장 높았고 2010년에 가장 낮았다. 모든 연도에서 남학생에서 여학생보다 과체중과 비만 유병률이 모두 통계적으로 유의하게 높았다. 혈압 항목을 제외한 4개 항목 만으로서의 판정에서 전체 학생의 대사증후군 유병률은 0.58%였으며 저체중군은 0%, 정상군은 0.01%, 과체중군은 0.31%, 비만군에서는 4.53%로 비만도가 증가할수록 대사증후군 유병률은 급격히 증가하였다. 전체 학생 중 대사증후군 진단항목별 유병률은 고중성지방혈증이 36.58%로 가장 높았고 다음이 저HDL 6.47%, 복부비만 3.72%, 고혈당 0.47% 순으로 나타났다. 비만군의 경우 대사증후군 진단항목 모두에 있어 타군에 비해 통계적으로 유의하게 높았다(P<0.05). 본 연구에서 나타난 2007년부터의 비만율의 감소추세를 이어가기 위해서는 학교에서 학생들을 대상으로 보다 다양한 비만예방 프로그램을 개발하여 지속적으로 실시해 나가는 것이 필요하다고 생각된다. 2011년의 비만도 증가에 대한 추가적인 원인 분석이 이루어진다면 보다 체계적인 학교보건정책 수립에 도움이 될 것이다.