• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.22 no.1
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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.

• Journal of Family Resource Management and Policy Review
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• v.25 no.1
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• pp.77-89
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• 2021

This study uses the life course perspective to analyze the health effects of care transition types on elderly persons who care for their spouses. To this end, the care transition types were divided into ① non-care→non-care, ② non-care→care, ③ care→care, and ④ care→non-care, and health was defined as physical health and the absence of depression. The study used the second through sixth datasets(2008-2016) from the Korea Longitudinal Study of Aging. This resulted in 10,199 observations from 3,987 persons, which were analyzed as a panel analysis model using the STATA16.0 program. The analysis found that physical health was lower in the non-care→care and care→non-care transition types than in the non-care→non-care type. Depression increased in the non-care→care and care→care types. These results suggest that practical and social measures are needed to improve physical health and depression in the elderly who are providing care for their spouses.

• Childhood Kidney Diseases
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• v.22 no.1
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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.

• Journal of Korean Academy of Nursing
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• v.45 no.6
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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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• v.60 no.2
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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.

• Journal of Family Resource Management and Policy Review
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• v.19 no.1
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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.

• Journal of Korean Academy of Nursing
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• v.40 no.4
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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.

• Journal of the Society of Cosmetic Scientists of Korea
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• v.31 no.2 s.51
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• pp.135-140
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• 2005

A solid state emulsion haying high velocity gradient shows two important transition ranges in the plot of storage modulus(G') as a function of shear strain, when the state is changed from solid to liquid. However, a solid state emulsion having low velocity gradient shows only one apparent transition range when the change from solid to liquid state takes place. The result implies the importance of the surface properties in the solid state emulsion. The addition of water phase in the solid state emulsion reduces the modulus in the modulus in the surface transition range by increasing interfacial friction and weakening the matrix. The addition of pigments increases the modulus in the modulus in the surface transition range by reinforcing the matrix, when there is no wafer phase in the solid state emulsion. When the solid state emulsion has water phase, however, the addition of pigments decreases the modulus in the modulus in the surface transition range.

• Journal of the Korean Home Economics Association
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• v.32 no.5
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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.

• Korean Journal of Childcare and Education
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• v.15 no.4
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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.