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Mental health and nutritional intake according to sleep duration in adolescents - Based on the 2007-2016 Korea National Health and Nutrition Examination Survey - (청소년들의 수면시간에 따른 정신건강 및 영양섭취 상태 - 국민건강영양조사(2007-2016년)자료를 이용하여 -)

  • Ki, Ye Jin;Kim, Yookyung;Shin, Woo-Kyoung
    • Journal of Korean Home Economics Education Association
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    • v.30 no.4
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    • pp.1-14
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    • 2018
  • The purpose of this study was to examine the relevance of mental health and nutritional intake according to the sleep duration of Korean adolescents. This study was based on data from the 2007-2016 Korea National Health and Nutrition Examination Survey(KNHNES), including 5,489 total subjects (2,795 middle school students, 2,694 high school students). The association between sleep duration and mental health was analyzed using a logistic regression analysis, and the link between sleep duration and nutritional intake was analyzed via a generalized linear model. An analysis of sleep duration showed that middle school students had a higher average sleep duration than high school students (P<0.0001). An analysis of the relationship between sleep duration and mental health showed that middle school students had lower rates of stress perception (P<0.0001) and suicidal ideation (P=0.0005) as their sleep duration increased. High school students had 53% less suicidal ideation in the group getting 6-7 hours compared to the group getting less than 6 hours, and 37% less suicidal ideation than the group getting 7-8 hours. The link between sleep duration and stress perception was statistically significant among both middle and high school students (P for interaction=0.02). An analysis of the daily intake of major nutrients according to sleep hours found high intake of vitamin C in groups where high school students slept more than nine hours (P=0.003). The state of nutritional intake according to higher sleep duration showed statistically significant differences between higher intake of phosphorus, riboflavin, niacin, and vitamin C in Nutrient Adequacy Ratio for high school students. In conclusion, adolescents' sleep duration is associated with stress perception, suicidal ideation and nutritional intake. Therefore, this study emphasizes the mental importance of adolescent sleep and can be used as a basis for nutrition education.

The Effects of Pet Dog-Assisted Activities on Self-Esteem, Depression and Cognitive Function among Elderly People (애완견 매개활동이 노인의 자기존중감, 우울 및 인지기능에 미치는 효과)

  • Shin, Esther;Lee, Sung-Kook
    • Journal of agricultural medicine and community health
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    • v.35 no.3
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    • pp.314-325
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    • 2010
  • Objectives: The purpose of this study was to investigate the effects of pet dog-assisted activities on self-esteem, depression and cognitive function of elderly people Method: The experimental group(pet dog-assisted group) consisted of 22 people over 65 years old out of about 90 elderly people registered with a home for the aged and the control group(non-pet dog assisted group) consisted of 22 people over 65 years old out of about 90 elderly people registered with another home for the aged in Daegu. Both groups had similar general characteristics, state of health, conduct on health and self-esteem, depression and cognitive abilities. Nineteen people who participated in the program at least 10 times out of 12, were chosen for the final analysis from the experimental group. For the control group, 20 people who responded to all three tests, which had been conducted before, 1 week after, and four week after the experiment, were analyzed. Result: Mean(${\pm}SD$) differences between before and 1 week after the experiment for self-esteem, depression, and cognitive function were 5.84(${\pm}3.06$), -3.26(${\pm}1.76$), 1.47(${\pm}1.26$), respectively. Those between before the experiment and 4 weeks after the experiment was 5.68(${\pm}3.64$), -3.94(${\pm}2.32$), 1.63(${\pm}0.96$), respectively. Those for control group between before and after the experiment were -0.40(${\pm}1.27$), 0.00(${\pm}0.92$), 0.15(${\pm}0.93$), respectively. Those for control group between before and 4 weeks after the experiment were -0.45(${\pm}2.24$), 0.25(${\pm}1.68$), 0.15(${\pm}0.93$), respectively. All the differences between experiment and control group in mean differences between before and 1 week after experiment, between before and 4 weeks after experiment were statistically significant(p<0.05). Conclusion: This study suggests that the pet-assisted activities can be useful solution for elderly people who have psychological and emotional problems caused by retrogression of physical, mental and social ability.

Optimization of Conditions for the Microencapsulation of ${\alpha}-Tocopherol$ and Its Storage Stability (${\alpha}-Tocopherol$ 미세캡슐화의 최적화 및 저장안정성 규명)

  • Chang, Pahn-Shick;Ha, Jae-Seok;Roh, Hoe-Jin;Choi, Jin-Hwan
    • Korean Journal of Food Science and Technology
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    • v.32 no.4
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    • pp.843-850
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    • 2000
  • We have produced the microcapsule composed of ${\alpha}-tocopherol$ as a core material (Cm) and the gelatinized polysaccharide as a wall material (Wm). Firstly, we have developed a simple, sensitive, and quantitative analysis method of the microencapsulation product using 5% cupric acetate pyridine solution. We could then optimize all the conditions for the microencapsulation process such as the ratio of [Cm] to [Wm], the temperature of dispersion fluid, and the emulsifier concentration using response surface methodology (RSM). As for the microencapsulation of ${\alpha}-tocopherol$, the regression model equation for the yield of microencapsulation (YM, %) to the change of an independent variable could be predicted as follows : YM=99.77-1.76([Cm]:[Wm])-1.72$([Cm]\;:\;[Wm])^2$. From the ridge of maximum response, the optimum conditions for the microencapsulation of ${\alpha}-tocopherol$ were able to be determined as the ratio of [Cm] to [Wm] of 4.6:5.4(w/w), the emulsifier concentration of 0.49%, and dispersion fluid temperature of $25.5^{\circ}C$, respectively. Finally, the microcapsules produced under the optimal conditions were applied for the analysis of storage stability. The optimal conditions for the storage were found to be the values of pH 9.0 and $25{\sim}35^{\circ}C$. And the storage stability of the microcapsules containing ${\alpha}-tocopherol$ were higher than 99% for a week at pH 9.0 and $25^{\circ}C$.

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Personality Characteristics and Those Influences on the Outcome of Cognitive Behavioral Therapy in Patients with Panic Disorder (공황장애 환자의 성격 특성과 인지행동치료의 결과에 미치는 영향)

  • Choi, Young-Hee;Lee, Dong-Hyun;Park, Kee-Hwan;Yoon, Haye-Young;Woo, Jong-Min
    • Korean Journal of Psychosomatic Medicine
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    • v.10 no.2
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    • pp.142-153
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    • 2002
  • The authors intended to investigate personality characteristics and those influence on the outcome of cognitive behavioral therapy in patients with panic disorder. 167 patients who met DSM-IV criteria for panic disorder were assessed by the PDQ-R(Personality Disorder Questionnaire-Revision) and various self-report tools for assessing symptoms of panic disorder. The effect of therapy was measured by the changes of scores and the end state functioning before and after 12-sessions of CBT. The patients with panic disorder were more likely showed obsessive-compulsive, avoidant and paranoid personality disorder and also Cluster C. If is needed when patients were divided into two groups according to total scores of PDQ-R(high or low personality disorder groups), high personality disorder group showed many evidences for increased psychopathology at the start of treatments, this suggested the close linkage between panic disorder and personality disorder. Interestingly, there were no significant differences between both groups in scores of clinical variables and the end state functioning. In conclusion, although patients with high tendency of personality disorder had more generalized problems at the beginning of treatments, they could improve as much as the patients with low tendency of personality disorder. They can be helped by cognitive behavioral therapy for panic disorder and seem to profit as much as patients with low tendency of personality disorder. If is needed to seek other factors in poor responders for cognitive behavioral therapy.

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Changing Trends in the Occurrence and Management of Delirium for 5 Years in a University Hospital (일 대학병원에서 5개년간 섬망의 발생 및 치료 경향의 변화)

  • Bae, Jae Ho;Kang, Won Sub;Paik, Jong Woo;Kim, Jong Woo
    • Korean Journal of Psychosomatic Medicine
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    • v.20 no.2
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    • pp.112-119
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    • 2012
  • Objectives : Delirium is a disorder defined as a sudden disturbance in thinking, speaking, acting and sleep pattern due to altered level of consciousness and cognitive function. The objective of this study is to analyze characteristics and therapeutic methods of the delirious patients during the recent 5 years, and provide basic data for further studies and investigation regarding delirium in the occurrence and treatment. Methods : We retrospectively reviewed medical records of 475 patients who were consulted for delirium in Kyunghee University Medical Center from January 2007 to December 2011. Results : During the 5 years, among the 475 patients who were diagnosed as delirium, men were more common(61.7%). The most commonly consulted reason and cause were sleep disturbance(80.8%) and post-operational delirium(30.9%), respectively. The medication prescription percentage was 76.6% and was significantly increased year after year. Ratio of using antipsychotics were 76.4% among prescribed medication and the most frequently prescribed antipsychotic drug was quetiapine(46.8%). Other specialists commonly misdiagnosed delirium when the patient was previously diagnosed as dementia(6.8%). Conclusions : In our study, post-operational delirium was the most commonly referred reason and the percentage of medication prescription tended to increase. Patients with history of dementia were more easily misdiagnosed as diseases other than delirium. Our study suggests that we should evaluate symptoms, causes, reasons of consultation, management tendency of delirium. We should also closely observe changes in sleep patterns and establish the prevention strategies for post-operational delirium and therapeutic bases for pharmacotherapy.

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TREATMENT OF ECHOLALIA IN CHILDREN WITH AUTISM (자폐아동의 반향어 치료)

  • Chung, Bo-In
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.9 no.1
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    • pp.47-53
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    • 1998
  • The purpose of this study was to investigate the possibility of providing familiar tasks as a treatment option to decrease echolalia. Two comparisons were made:One was to compare ‘conversation condition’ and ‘task performance condition.’ and the other was to compare ‘task performance alone condition’ and ‘task performance along with contingency of reinforcement condition.’ Two echolalic children aged 12 and 13 years participated in the experiment and A-B-A-B-BC-B-BC design was used, in which A was conversation only, B was task performance, and C was task performance along with contingency of reinforcement. In the A condition, the therapist asked easy and short questions to the child;in the B condition the child was given familiar tasks with short instruction, and in BC condition, each child was reinforced for his performance on given tasks, in which immediate echolalia was controlled through his hands being held down for 5 seconds. Delayed echolalia was recorded without any intervention being given. Each child was put into each of the 7 treatment conditions. With a 15 minutes session, each child went through 5 to 6 sessions per day for 2 weeks. The mean echolalia(immediate) rates across the 7 treatment conditions were:For child 1, A(99%)-B(65%)-A(95%)-B(10%)-BC(7%)-B(6%)- BC(7%) and for child 2, A(67%)-B(62%)-A(63%)-B(35%)-BC(8%)-B(4%)-BC(0%). As to the generalization of the treatment effect of immediate echolalia to the untreated delayed echolalia, there was shown a drastic reduction of delayed echolalia in child 2:A(35%)-B(57%)-A(56%)-B(40%)-BC(8%)-B(5%)-BC(9%). Child l’s delayed echolalia was negligible(mean=3%) pre-and post treatments. In conclusion, the results of this study clearly show that providing a task performance setting with familiar tasks can certainly be helpful for minimizing echolalic response, and along with the use of the contingency of reinforcement technique it can further not only correct echolalic behavior to a negligible degree but also help the echolalic child generalize its treatment effect to the child’ overall language improvement.

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Prediction of Intubation after Bronchoscopy with Non-invasive Positive Pressure Ventilation Support in Patients with Acute Hypoxemic Respiratory Failure (급성 저산소혈증 환자에서 비침습적 양압환기 적용 하 기관지경 검사 후 기관 삽관의 예측 인자)

  • Song, Jae-Uk;Kim, Su-A;Choi, E Ryoung;Kim, Soo Min;Choi, Hee Jung;Lim, So Yeon;Park, So Young;Suh, Gee Young;Jeon, Kyeongman
    • Tuberculosis and Respiratory Diseases
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    • v.67 no.1
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    • pp.21-26
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    • 2009
  • Background: Non-invasive positive pressure ventilation (NPPV) ensures adequate gas exchange during bronchoscopy in spontaneously breathing, hypoxemic patients, thus avoiding endotracheal intubation. However, in some patients, endotracheal intubation is eventually required after bronchoscopy. This study investigated the incidence of intubation and predictors of a need for emergency intubation prior to NPPV bronchoscopy initiation. Methods: On a retrospective basis, we reviewed the medical records of 36 patients (median age, 55 years; interquartile range [IQR], 43~65 years) with acute hypoxemic respiratory failure who required NPPV during bronchoscopy between January 2005 and October 2007. Results: All patients were hypoxemic (median $PaO_2/FiO_2$ ratio 155; IQR 90~190), but tolerated bronchoscopy with NPPV support. SOFA score and SAPS II score immediately before NPPV initiation were 4 (3~7) and 36 (30~42), respectively. Seventeen (47%) patients needed endotracheal intubation at a median time of 22 (2~50) hours after bronchoscopy. Patients who needed intubation after bronchoscopy had a higher in-hospital mortality (11 [65%] vs. 4 [21%], p=0.017). Upon multiple logistic regression analysis, the need for intubation after bronchoscopy was independently associated with a $P_aO_2/FiO_2$ ratio (OR, 0.961; 95% CI, 0.924~0.999; p=0.047) immediately before NPPV initiation for bronchoscopy. Conclusion: The severity of the hypoxemia immediately prior to NPPV initiation for bronchoscopy was associated with the need for intubation after bronchoscopy in patients with hypoxemic respiratory failure.

A Study on the Effects of Reading & Discussion Activities on Children's Self-Esteem in Social Welfare Center Named 'Gongbubang' (사회복지관 '공부방' 아동의 자아존중감 증진을 위한 독서토론활동 효과 검증 연구)

  • Kim, Ji Young
    • Korean Journal of Childcare and Education
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    • v.5 no.2
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    • pp.21-42
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    • 2009
  • The purpose of this study was to examine the effects of reading and discussion activities on children's self-esteem in a social welfare center called 'Gongbubang.' A reading/discussion program was constructed to serve the purpose of the study and suit the selected children by referring to earlier studies that found reading programs were effective at boosting the self-esteem of elementary schoolers. The subjects in this study were 21 children in 'HaedamGongbubang', a general social welfare center located in an urban region in South Gyeongsang Province. Out of them, 12 children who involved four boys and eight girls were selected as an experimental group, and nine who included five boys and four girls were grouped into a control group. The reading/discussion program was implemented in eight sessions during a four-week period of time from September 23 to October 15, 2009, twice a week, 50 to 55 minutes each. The instrument used in this study was Yoon Hyang-mi(2008)'s Self-Esteem Inventory, and the collected data were analyzed with a SPSS 12.0 program. The major findings of the study were as follows: First, the reading and discussion activities had an effect on bolstering the general self, social self and academic self of the children in the Gongbubang, a social welfare center. Second, the reading and discussion activities were effective at improving the general self and academic self of the school boys in the Gongbubang, a social welfare center. Third, the reading and discussion activities had an effect on fostering the social self and academic self of the school girls in the Gongbubang, a social welfare center. The findings of the study illustrated that the reading and discussion activities had an effect on furthering the self-esteem of the children in the Gongbubang, a social welfare center, and those activities are expected to be conducive to the self-esteem of children in Gongbubangs, which are social welfare centers.

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The Effect of the Death Education Program on the Death Anxiety and Attitudes toward Nursing Care of the Dying Patients of Nursing Student (죽음교육 프로그램이 간호 대학생의 죽음불안과 임종간호태도에 미치는 영향)

  • Cho, Hea-Jin;Kim, Eun-Sim
    • Journal of Hospice and Palliative Care
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    • v.8 no.2
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    • pp.163-172
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    • 2005
  • Purpose: This study is to identify the effect of a death education program to the nursing students on their anxiety of death and attitudes toward nursing care of the dying. Methods: The design of this study is nonequivalent control group pretest-posttest design. The subjects of experimental group 20 and control group 16 in senior grade of department of Nursing G university in J city. The experimental group had Death education Program, which was a three days per week program, for 2 weeks. And post-test was carried out in the same way as the pre-test. Data analysis was done using frequency, percentage, mean, standard deviation, Chi-square test, t-test, paired Sample t-test using with SPSS win 10.0. Results: the experimental group was decreased in degree of anxiety of death and was improved in degree of positive attitudes toward nursing care of the dying. Conclusion: The death Education Program can be an effective nursing education program for their Nursing students to decrease their death anxiety and to prepare care of the dying.

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A Study on Science Gifted Students' Perceived Parental Behavior, Self-Esteem, and Emotional Intelligence (과학영재학생들이 지각하는 부모의 양육행동, 자아존중감 및 정서지능에 관한 연구)

  • Chae, Yoojung;Lee, Young Ju
    • Journal of The Korean Association For Science Education
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    • v.33 no.4
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    • pp.695-707
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    • 2013
  • The purpose of this study is to investigate relationships among gifted students' perceived parental behavior of their parents, self-esteem, and emotional intelligence. The sample includes 91 6th-11th grade gifted students enrolled at a gifted program in a University. The surveys, administered in March, 2012, assess self-esteem, emotional intelligence, and the parental behavior of the parents of gifted students. Data were collected and analyzed by the researchers, using SPSS 18.0. The results are as follows: 1) Each of the 10 item's mean score is over 4.0, and the total mean scores on self-esteem is 4.36 out of 5 (SD=.546), showing positive responses. 2) The mean scores of two aspects of emotional intelligence were close to 4, showing positive perception. 3) The mean scores on perception of a father's and a mother's behavior are at 3.89 and 4.10, respectively; the three factors of perception among fathers (care, trust, and respect) are close to 4.0, while care (3.57) was somewhat low; the perception among mothers is at 4.31 (care), 4.20 (lesson), 4.01 (respect), and 3.96 (trust), showing statistical differences between fathers and mothers. 4) The correlation existed between self-esteem and emotional intelligence, between self-esteem and the four aspects of parental behavior, and between emotional intelligence and parental behavior. 5) Regression analyses showed that respect (${\beta}$=.422, p<.001) among fathers, and trust (${\beta}$=.450, p<.001) among mothers affected students' self-esteem; lessons (${\beta}$=.414, p<.001) and trust (${\beta}$=.280, p<.01) among fathers and lessons (${\beta}$=.450, p<.001) and respect (${\beta}$=.331, p<.01) among mothers affected students' emotional intelligence. The implication of this study, limitation, and future study ideas are suggested at the end of this paper.