• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제22권1호
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• pp.28-40
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• 2019

The incidence of pediatric-onset inflammatory bowel disease (IBD) is on the rise, accounting for up to 25% of IBD cases. Pediatric IBD often has extensive bowel involvement with aggressive and rapidly progressing behavior compared to adult IBD. Because IBD has a high morbidity rate and can have a lifelong impact, successful transition from pediatric to adult care is important to maintain the continuity of care. Furthermore, successful transition facilitates appropriate development and psychosocial well-being among patients, as well as comprehensive and harmonious healthcare delivery amongst stakeholders. However, there are various obstacles related to patients, family, providers, and organizations that interfere with successful transition. Successful transition requires a flexible and tailored plan that is made according to the patient's developmental abilities and situation. This plan should be established through periodic interviews with the patient and family and through close collaboration with other care providers. Through a stepwise approach to the transition process, patients' knowledge and self-management skills can be improved. After preparation for the transition is completed and the obstacles are overcome, patients can be gradually moved to adult care. Finally, successful transition can increase patients' adherence to therapy, maintain the appropriate health status, improve patients' self-management, and promote self-reliance among patients.

• 가족자원경영과 정책
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• 제25권1호
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• pp.77-89
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• 2021

본 연구의 목적은 라이프코스 관점을 적용하여 배우자를 돌보는 노인의 돌봄전이유형이 건강에 미치는 영향을 분석하는 것이다. 구체적으로 돌봄전이유형은 ①비돌봄→비돌봄, ②비돌봄→돌봄, ③돌봄→돌봄, ④돌봄→비돌봄으로 구분하였고 건강은 신체적 건강과 우울로 살펴보았다. 한국고용정보원의 고령화연구패널(KLoSA) 2-6차 자료(2008-2016년)를 재구성한 후 총 3,987명으로부터 10,199건의 관찰값을 도출하였다. STATA 16.0프로그램을 활용해 패널분석모형으로 분석하였다. 분석결과, 신체적으로는 '비돌봄→비돌봄'일 때 보다 '비돌봄→돌봄'과 '돌봄→비돌봄'에서 건강이 낮아졌다. 정신적으로는 '비돌봄→돌봄'과 '돌봄→돌봄'에서 우울이 높아지는 것으로 나타났다. 이러한 결과를 토대로 노년기 배우자돌봄제공자가 신체적 건강과 우울을 증진할 수 있는 방안을 제언하였다.

• Childhood Kidney Diseases
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• 제22권1호
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• pp.7-11
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• 2018

Significant advances in the diagnosis and medical care of children with chronic kidney disease (CKD) are major reasons for the better survival rates of children and adolescents with CKD than the survival rates reported in previous decades. These patients are reaching adulthood, and therefore require a transition to adult medical care. This transition phase is well-recognized to be associated with considerably increased morbidities and medical problems, such as non-adherence, graft loss after transplantation, and loss to follow-up. Low adherence increases morbidity and medical complications and contributes to poorer qualities of life and an overuse of the health care system. However, these tragic outcomes may be avoidable through a structured and well-defined transition program. In the last decade, there has been increasing interest to resolve these medical and psychological problems that occur during the transfer of young adult patients from pediatric to adult renal units. The aims of a successful transition from pediatric to adult medical care include enhancing the individual development of better health-competence and stabilizing, or even improving, the state of health. This review will focus on various aspects of the transition phase of adolescents who have CKD or who underwent kidney transplantation from pediatric to adult nephrology care.

• 대한간호학회지
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• 제45권6호
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• pp.919-927
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• 2015

Purpose: Effective transitional care is needed to improve the quality of life in older adult patients with chronic illness and avoid discontinuity of care and adverse events. The aim of this article is to provide an overview of the key features, broader implications, and the utility of Meleis' transition theory intended for the transitional care of older adults with chronic illnesses. We present the role of nurse in the context of transitional care and propose future directions to increase the quality of nursing care. Methods: The online databases Cumulative Index of Nursing and Allied Health Literature, MEDLINE, and Science Direct were searched for relevant literature published since 1970 along with textbooks regarding nursing theory. Results: An evaluation of the usefulness of transition theory based on transitional care in older adult patients with chronic illnesses is provided. Healthy transition should be the expected standard of nursing care for older adults across all healthcare settings. Conclusion: Nurses need to contribute to the development of transitional care for vulnerable populations; however, transition theory needs to be enhanced through additional theoretical work and repeated evaluations of the applicability in areas of transitional care.

• Clinical and Experimental Pediatrics
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• 제60권2호
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• pp.31-37
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• 2017

Steroid 21-hydroxylase deficiency is the most prevalent form of congenital adrenal hyperplasia (CAH), accounting for approximately 95% of cases. With the advent of newborn screening and hormone replacement therapy, most children with CAH survive into adulthood. Adolescents and adults with CAH experience a number of complications, including short stature, obesity, infertility, tumor, osteoporosis, and reduced quality of life. Transition from pediatric to adult care and management of long-term complications are challenging for both patients and health-care providers. Psychosocial issues frequently affect adherence to glucocorticoid treatment. Therefore, the safe transition of adolescents to adult care requires regular follow-up of patients by a multidisciplinary team including pediatric and adult endocrinologists. The major goals for management of adults with 21-hydroxylase deficiency are to minimize the long-term complications of glucocorticoid therapy, reduce hyperandrogenism, prevent adrenal or testicular adrenal rest tumors, maintain fertility, and improve quality of life. Optimized medical or surgical treatment strategies should be developed through coordinated care, both during transition periods and throughout patients' lifetimes. This review will summarize current knowledge on the management of adults with CAH, and suggested appropriate approaches to the transition from pediatric to adult care.

• 가족자원경영과 정책
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• 제19권1호
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• pp.111-138
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• 2015

The purpose of this study was to understand the lived experiences of grandmothers and family in transition. Grandmothers in transition means grandmothers who had married children at least one even if there are no grandchildren yet. The data for this study came from 20 grandmothers in transition of 5 focus group(each 4 persons) interview. 9 of them was pre-grandmother without grandchildren yet, 11 was grandmother who had grandchildren. The result of this study revealed that the meaning of grandmotherhood. Dynamics of family in transition around supporting child care represent change of family relations. It didn't means 'empty-nest' model of foreign theory. The Absolute quantity of intergeneral exchange and conflict extended as three generational families.

• 대한간호학회지
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• 제40권4호
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• pp.599-609
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• 2010

Purpose: The purpose of this study was to develop and evaluate a transitional care program for patients discharged from military hospitals. The study consists of two phases: developing the program and evaluating its effectiveness. Methods: The conceptual framework used to guide the development of the program was Meleis's transition theory. A quasiexperimental design was employed for this study. Participants were recruited from patients discharged from one military hospital, 72 in the control group and 56 in the experiment group. Data were analyzed using SPSS WIN 12.0 program with chi-square, Fisher's exact test, independent t-test, and mixed model. Results: Participants in the transitional care program reported promoting a positive personal condition, and more healthy patterns of response in the first week after being discharged and a smoother discharge transition. Conclusion: The transitional care program developed for discharge patients from military hospital promoted discharge readiness and promoted smooth discharge transition.

• 대한화장품학회지
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• 제31권2호
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• pp.135-140
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• 2005

본 연구는 고형상 에멀젼의 표면에서 일어나는 물리적 특성을 레올로지를 이용해 관찰해 보았다. 고형상 에멀젼이 전단변형에 따라 고상에서 액상으로의 전이시 전단속도가 큰 고형상 에멀젼의 경우 낮은 전단변형과 높은 전단변형에서 두 번의 전이구간을 보여주는 반면에 전단속도가 작은 고형상 에멀젼의 경우 높은 전단변형에서 전이구간이 한 번만 나타내는 것을 볼 수 있었다. 이는 고형상 에멀젼의 전단변형에 따른 표면의 물리적 특성이 중요한 요소로서 고형상 에멀젼의 구성요소에 따라 변화하게 된다. 유상과 수상으로 구성되어진 고형상 에멀젼에서 수상의 함량이 증가하게 되면 표면전이(surface transition) 구간이 점점줄어들다가 사라지는 것을 볼 수 있었으며, 유상과 분체로 구성되어진 고형상 에멀젼에서는 분체의 함량이 증가함에 따라 표면전이 구간이 점점 증가하는 것을 볼 수 있었다. 그리고 유상, 수상 그리고 분체로 이루어진 고형상 에멀젼에서는 분체의 함량이 증가함에 따라 표면전이 구간이 점점 줄어들다가 사라지는 것을 볼 수 있었다.

• 대한가정학회지
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• 제32권5호
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• pp.83-96
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• 1994

The purpose of this study was to investigate parental strain satisfaction and division of child-care tasks after the transition to parenthood. For this purpose, the empirical sample testing was conducted using structured questionnaires with 62 couples who had a 3-month-old baby. The major findings 1) In general wive's child-care task was higher than husbands' 2) Wives experienced more parental strain and less satisfaction than husbands. 3) Parental strain satisfaction and division of child-care tasks were found independent of the wife's employment status. 4) For wives marital adjustment after the transition to parenthood was associated with satisfaction and division of child-care tasks.

• 한국보육지원학회지
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• 제15권4호
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• pp.21-36
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• 2019

Objective: Using data from the Panel Study on Korean Children, this study investigated the influence of teacher'thoughts about the transition from ECEC to primary school in relation to learner-centered teaching methods and children's school adjustment. Methods: We analyzed the longitudinal data of 658 seven-year-olds from the 8th and 9th waves of the panel study of Korean children collected by the Korea Institute of Child Care and Education in 2015 and 2016. The main analysis method was Structural Equation Modeling(SEM). Results: First, theachers' thoughts about the transition from ECEC to primary school was noteworthy. Second, the more concern a theacher' had about transition, the higher their learner-centered teaching method. Third, teacher' concern about transition influenced children's school adjustment. Fourth, a teacher's learner-centered teaching method mediated concern about children's transition and school adjustment in the first year and the second year. Conclusion/Implications: According to the results of this study, 1st grade teachers' concern about the transition from ECEC to primary school has been found to be predictors of children's school adjustment.