• Title/Summary/Keyword: young adult

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Development of the Korean Practice Parameter for Adult Attention-Deficit/Hyperactivity Disorder

  • Bahn, Geon Ho;Lee, Young Sik;Yoo, Hanik K.;Kim, Eui-Jung;Park, Subin;Han, Doug Hyun;Hong, Minha;Kim, Bongseog;Lee, Soyoung Irene;Bhang, Soo Young;Lee, Seung Yup;Hong, Jin Pyo;Joung, Yoo-Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.31 no.1
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    • pp.5-25
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    • 2020
  • Objectives: Adult attention-deficit/hyperactivity disorder (ADHD) is an important mental health problem that needs resolution, especially considering the high rates of ADHD continuation from childhood to adolescence/adulthood and the high prevalence of ADHD in adults. Adults with ADHD have lifelong negative impacts and require close monitoring with long-term follow-up. Hence, the establishment of a Korean practice parameter for adult ADHD is necessary to minimize discontinuation of treatment and enable information sharing among Korean mental health professionals. Methods: The Korean practice parameter was developed using an evidence-based approach consisting of expert consensus survey coupled with literature review. Results: According to the expert consensus survey, the most commonly used diagnostic methods were clinical psychiatric interview (20.66%) and self-report scales (19.25%) followed by attention (14.71%) and psychological tests (14.24%). Key evaluation instruments currently available in Korea are the World Health Organization Adult ADHD Self-Report Rating Scale, Korean Adult ADHD Rating Scale, Diagnostic Interview for ADHD in Adults, Barkley Deficits in Executive Functioning Scale for adults, Comprehensive Attention Test, Conners' Continuous Performance Test, and the subtests of Wechsler Adult Intelligence Scale, Digit Span and Letter-Number Sequencing. Although pharmacotherapy is recommended as the first-line of treatment for adult ADHD, we recommend that it be followed by a multimodal and multidisciplinary approach including psychoeducation, pharmacotherapy, cognitive behavior therapy and coaching. Conclusion: The Korean practice parameter introduces not only general information for the diagnosis and treatment of adult ADHD on a global scale, but also the process of diagnosis and treatment options tailored to the Korean population.

The Adult Attachment Interview and Childhood Experience of Low Income Married and Divorced Women (저소득층 이혼 여성의 성인애착과 아동기 경험비교 : 이혼 경험을 중심으로)

  • Lee, Kyung Sook;Jin, Mi Kyoung;Jung, Young Suk
    • Korean Journal of Child Studies
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    • v.28 no.2
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    • pp.137-153
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    • 2007
  • This research studied differences in the distribution of maternal attachment representation between divorced and non-divorced low income mothers, associations between their divorce and childhood experiences, and associations between maternal attachment representation and childhood experiences. Subjects were twenty each divorced and still-married women with low socioeconomic status. The Adult Attachment Interview was used to assess their attachment representation resulting in classification by four types; autonomous (F), dismissing (Ds), preoccupied (E), or unresolved/disorganized (Ud). The divorced women had more childhood experiences of being rejected and neglected by their mothers than the non-divorced women. This indicates that maternal childhood experiences were related to maternal attachment representation and divorce.

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Prediction of Thoracic Injury of Older Occupant from Belt Loading (벨트 하중에 따른 고령운전자의 흉곽 상해 예측)

  • Han, In-Seok;Kim, Young-Eun
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.33 no.8
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    • pp.799-806
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    • 2009
  • Thoracic injury from restraint loading is the principle causative factor of death, which was shown to be particularly significant for older drivers. To characterize thoracic response to belt loading of older drivers, detailed finite element models of the adult and aged thorax were developed. The geometry of the 50th percentile adult male was chosen for the adult FE model. The thoracic FE model was validated against data obtained from results of PMHS pendulum impact tests. The quantified patterns of age-related shape and well-established material changes were applied to the adult model to develop the aged model. Belt force and chest deflection were applied to the developed two types of models. Rib and clavicle fracture risk obviously increased in the aged model. This finding showed that larger rib angle and reduced material properties of the ribcage produced more higher risk of injury in the older driver.

A STUDY OF VERTICAL HARMONY OF ADULT CRANIOFACIAL SKELETON WITH NORMAL OCCLUTION (정상교합((정상교합) 성인(成人)의 악안면(顎顔面) 두개골격(두개골격)의 수직적(수직적) 조화(調和)에 관(關)한 연구(硏究))

  • Ahn, Eui-Young;Lee, Ki-Soo
    • The korean journal of orthodontics
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    • v.12 no.2
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    • pp.127-138
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    • 1982
  • The present study was performed to establish the cephalometric norms and to study characteristics of craniofacial skeleton of Korean male and female with normal occlusion. The author studied and analyzed statistically vertical cephalometric measurements of the 52 adult male ranging in age from 18 to 26 years and 43 adult female ranging in age from 16 to 30 years with normal occlusion and acceptable profile. The results were as follows; 1. Cephalometric craniofacial norms and standard deviation chart were abtained about adult Korean male and female with normal occlusion. 2. Vertical dimensions of the craniofacial skeleton were larger in male than in female. 3. Lower face was more divergent in female than in male. 4. In simple correlation coefficients between vertical linear mesurements in male and female, high correlation were shown between ATFH and ALFH, PTFH and PLFH, ALFH and ALDH, PLFH and PLDH.

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A Study on the Method of Legislation on Withholding or Withdrawing of LST -In relation to the introduction of adult guardianship- (연명치료 중단의 입법화 방안에 관한 연구 - 성년후견제도의 도입과 관련하여 -)

  • Lee, Eun-Young
    • The Korean Society of Law and Medicine
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    • v.10 no.2
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    • pp.203-249
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    • 2009
  • It is the so-called Shinchon Severance Hospital Case brought to an end by the decision of the Supreme Court that opened the real discourse of withholding or withdrawing of LST (Life-Sustaining Treatment) in the legal profession as well as medical profession in Korea. Everyone has sympathy with the validity and necessity of legal regulation on withdrawing-including withholding-of LST save the requirements & procedure of withdrawing of LST. In this situation, the legislative bill of amendment to the Korean Civil Law introducing of adult guardianship was pre-announced by the Ministry of Justice on September 18th 2009. The adult guardianship is a guardianship system that supports an mentally handicapped adult to deal with his affairs by support of a guardian. The object of adult guardianship includes affairs of body or well-being as well as property of adult wards. In particular, affairs of medical matters are of importance in the duty and authority of adult guardians. So, the introduction of adult guardianship is of much importance de lege lata as well as de lege ferena in the discussion of withdrawing of LST as a medical treatment. Since the legislation on withdrawing of LST intents to protect the right of death with dignity on the basis of patients' autonomy, the ratio legis of withdrawing of LST is variant from that of adult guardianship. In this context, it seems reasonable to legislate the withdrawing of LST separately from the adultguardianship. In the meantime, the adult guardianship of the legislative bill of amendment to the Korean Civil Law is related to the withdrawing of LST, since the main purpose of adult guardianship is to protect patients' quality of lives and to regulate guardianship contracts based on patients' autonomy. In that context, it seems reasonable to incorporate the legislation of withdrawing of LST into the adult guardianship system. In the latter case, it is not easy to adopt the withdrawing of LST into the legislative bill of the Korean Civil Law for the bill is pre-announced already as previously stated. However, the legislation of withdrawing of LST is not inferior to the legislation of adult guardianship as a matter of urgency. Moreover, it is likely that the legislative bill of Amendment to the Korean Civil Law generates discrepancies in interpretation of the requirements & procedure of withdrawing of LST as the amended German Civil Law did. In short, it is desirable for the legislator to revise the legislative bill despite delay.

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A study of adult learners in the Lifelong Learning happiness (성인학습자의 평생학습 행복지수에 관한 연구)

  • Kim, Mi-Young;Kang, Hun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.4
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    • pp.138-146
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    • 2016
  • This study examined the mediating effects of the adult educator's characteristics on the relationship between the characteristics of the participants attending adult continuing education and the happiness index of lifelong learning, the motivation of participating in learning and the institution characteristics. The research results showed that there is no difference in the happiness index of lifelong learning according to the sex of the adult learners, education level, age, residence, participation experience of lifelong learning, occupation, and type of lifelong programming being participated. The characteristics of adult learners do not have a direct impact on the happiness index of lifelong learning. The characteristics of adult learners affect the characteristics of adult educators, motivation of participating in learning and institution characteristics. Although the characteristics of educators do not affect the happiness index of lifelong learning, the motivation of participating in learning and institution characteristics have a positive impact on the happiness index of lifelong learning. While the characteristics of adult educators do not have a mediating role for the characteristics of adult learners and happiness index of lifelong learning, the motivation of participating in learning and institution characteristics have shown a complete mediation for the characteristics of adult learners and the happiness index of lifelong learning. These findings suggest that the participating motivation of adult learners, adult educator's improved understanding on adult learners and education quality of education institution are very important for increasing the happiness index through a lifelong learning experience.

AN EXPERIMENTAL STUDY ON THE EFFECT OF POSTERIOR DISPLACEMENT OF THE MANDIBLE ON THE TEMPOROMANDIBULAR JOINT IN RATS (백서 하악골의 후방 이동이 과두에 미치는 영향에 관한 실험적 연구)

  • Park, Kyung Jin
    • The korean journal of orthodontics
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    • v.10 no.1
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    • pp.29-36
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    • 1980
  • Inclined plane, one of frequently used orthodontic appliances, may cause posterior displacement of mandible and injure the normal growth of temporomandibular joint. So author carried out the mandibular posterior displacement experimentally induced by inserting inclined plane in the rat incisors in order to investigate the histological reactions occuring in the temporomandibular joint of experimental animals. Following results were obtained. 1. The posterior displacement of condyle resulted in the widening of anterior synovial space with anterior condylar hyperplasia and posterior condylar atrophy. In addition, tissue changes were more severe in young rats than in adult rats. 2. The tissue reactions were localized only to condylar head ana there were no evidence of traumatic features in young rats. In adult rats, hemorrhage was an additional finding 1 week after experiment. 3. The remodelling processes were accompanied by the increasing or reduction of fibrous layer and subsequent replacement by cartilage layer occured massively and abruptly in young rats, it occured slightly and slowly in adult rats. 4. The remodelling process of injured condyle occured from 1 week to 4 weeks after experiment and completed between 8 weeks after experiment.

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A Study on the Effective Operation of Reading Camp for Children: in the Case of 'the Reading with Library Program' in the National Library for Children and Young Adult (어린이 독서캠프의 효과적 운영 방안에 대한 연구 - 국립어린이청소년도서관의 "도서관과 함께 책읽기" 사업을 중심으로 -)

  • Cho, Mi-Ah
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.22 no.2
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    • pp.41-62
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    • 2011
  • This research intends to identity problem and to suggest improvement through examples of the children for Reading Camp connected on Reading with Library Program for Children of Alienation in the National Library for Children and Young Adult and to investigate the way of effective the reading camp. The study investigated the operational practices of reading camp programs in 6 areas in the country. Further, it conducted a survey with children and librarians participated in the reading camp program. Based on the results, effective reading camp operation has been suggested and some suggestions have been made to improve administration strategies for reading camp.

Difference of Bone Density and Risk Factors Related to Osteopenia of Young Women in Their Twenties (20대 여성의 골밀도와 골감소증의 위험요인 비교)

  • Byeon, Young Soon
    • Korean Journal of Adult Nursing
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    • v.18 no.5
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    • pp.790-797
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    • 2006
  • Purpose: The purpose of this study was to investigate bone density and risk factors related to osteopenia to unmarried young adult women. Methods: The subjects consisted of 125 female college students. SPSS 12.0 program was used for the data analysis with t-test, ${\chi}^2-test$. The BMD of the calcaneus and body mass index (BMI) were measured with peripheral dual energy X-ray absorptionmetry. Other physical characteristics were measured with a scale and questionnaires. Results: The general characteristics of these people showed that the average age was 22.1 years old and that the average BMI was 20.8. The mean of BMD was normal, but 24.8% were osteopenia, 75.2% were normal. In the normal and osteopenia groups, there were significant differences in the status of the BMD according to age, height, weight, BMI, regular exercise, house chores, and the experiences of being on a diet. Conclusion: Women in their twenties had some osteoporosis risk, but they can change their BMD by doing regular exercise and by eating food to peak bone mass. For building peak bone mass, they need take exercise programs and education programs to prevent osteoporosis and follow-up care.

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Shigella flexneri Inhibits Intestinal Inflammation by Modulation of Host Sphingosine-1-Phosphate in Mice

  • Kim, Young-In;Yang, Jin-Young;Ko, Hyun-Jeong;Kweon, Mi-Na;Chang, Sun-Young
    • IMMUNE NETWORK
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    • v.14 no.2
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    • pp.100-106
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    • 2014
  • Infection with invasive Shigella species results in intestinal inflammation in humans but no symptoms in adult mice. To investigate why adult mice are resistant to invasive shigellae, 6~8-week-old mice were infected orally with S. flexneri 5a. Shigellae successfully colonized the small and large intestines. Mild cell death was seen but no inflammation. The infected bacteria were cleared 24 hours later. Microarray analysis of infected intestinal tissue showed that several genes that are involved with the sphingosine-1-phosphate (S1P) signaling pathway, a lipid mediator which mediates immune responses, were altered significantly. Shigella infection of a human intestinal cell line modulated host S1P-related genes to reduce S1P levels. In addition, co-administration of S1P with shigellae could induce inflammatory responses in the gut. Here we propose that Shigella species have evasion mechanisms that dampen host inflammatory responses by lowering host S1P levels in the gut of adult mice.