• Title/Summary/Keyword: Early Adult

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Comparison of Clinical Characteristics between Patients with Early-Onset and Adult-Onset Schizophrenia : A Retrospective Study (조기 발병 조현병과 성인기 발병 조현병의 임상적 특성의 비교 : 후향적 연구)

  • Kim, Pyung-Soon;Shin, Jae-Ho;Lee, Chang-Hwa
    • Korean Journal of Biological Psychiatry
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    • v.20 no.4
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    • pp.179-186
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    • 2013
  • Objectives This study is designed to compare the clinical characteristics of patients with early onset schizophrenia to those of adult onset schizophrenia patients in first episode. Methods Authors reviewed medical records of 16 early-onset schizophrenia patients and 22 adult-onset schizophrenia patients who had been admitted in the psychiatric ward and diagnosed as schizophrenia according to Diagnostic and Statistical Manual of Mental Disorders, fourth Edition (DSM-IV) at Eulji University Hospital during 2004-2008. Socio-demographic data and clinical characteristics such as duration between onset and active phase, number of significant positive and negative symptoms, positive and negative symptom scores of Positive and Negative Syndrome Scale (PANSS), Clinical Global Impression-Severity (CGI-S) scores, duration from onset to admission, duration of admission, and equivalent dose of antipsychotics were reviewed. These clinical characteristics of early-onset group were compared to those of adult-onset group. Correlation between age of onset and other clinical characteristics was also analyzed. Results Early-onset group showed more insidious onset pattern and had longer duration of hospitalization than adult-onset group. Early onset group also exhibited more negative symptoms, higher negative symptom scores, and higher CGI-S scores than adult-onset group after treatment. However, there were no significant differences in family history of psychosis, positive symptom frequency at discharge and equivalent dose of antipsychotics between two groups. Conclusions This study revealed that patients with early-onset schizophrenia exhibited more insidious onset, more negative symptoms, and more severe symptoms than those with adult-onset schizophrenia after treatment.

Dynamics of Family of Origin That Affect the Level of Support for the Elderly Parent Provided by the Family of Adult Children : Analysis and Intervention (가족(성인자녀)에 의한 노인부양의 종류와 정도에 영향을 미치는 이전(원) 가족관계 양상 분석 및 개입전략의 제시)

  • Um, Myung-Yong
    • Korean Journal of Social Welfare
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    • v.47
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    • pp.206-242
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    • 2001
  • A survey research was conducted for a sample of 306 adult children who have an elderly parent or both parents alive. The purpose of the research was to test a structural equation model which specified the effects of early family relationships on comtemporary relationships and assistance patterns between adult children and their parents. The data were analyzed using EQS for Windows 5.7, utilizing maximum likelihood method. The results showed that early family relationships affected filial concern first, which in turn affected the level of assistance provided by adult children for elderly parents. No direct effect has been found between early family relationships and the level of assistance by adult children for elderly parents. Filial concern was played as an intervening variable. Early family relationships gave no direct effects to adult children's intention to assist their parents. Here again, filial concern was played as an intervening factor. Adult children's intention to assist their parents had not been led directly to provision of actual support to parents by their adult children. Thus, it was identified that intention to support is one thing, and the actual support is another. Controlling for the effects of filial concern, overall, early family relationship patterns gave no differential effects to the different aspects of support provided to parents by their adult children. On the basis of these results, this paper provided both discussions and suggestions for some strategies of intervention in the present family relationships in order for the inter-generational exchange of supports to happen in the future.

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DIMENSIONAL CHANCES OF THE DENTAL ARCHES STUDIED FROM 10 YEARS OF AGE TO YOUNG ADULT IN NORMAL OCCLUSION (정상교합을 가진 청소년의 치궁 및 구개에 관한 연구)

  • Yoon, Hieu Jung;Ryu, Young Kyu
    • The korean journal of orthodontics
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    • v.13 no.1
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    • pp.73-82
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    • 1983
  • The author studied on the dental arch widths and lengths and height of palates at 3 groups of dentition: mixed dentition, early permanent dentition, young adult, having normal occlusion and dentition. The models of the 336 maxillary and mandibular case, made from alginate-base hydrocolloid impressions were measured and analyzed statistically. The result as follows; 1. The upper intercanine width increased between the mixed dentition group and early permanent dentition group but there was no change in the young adult group in both sexes. The lower intercanine width increased between the mixed dentition group and early permanent dention group in the male. 2. The upper and lower 1st bimolar width increased slightly with age in the male but there was no change in the female. 3, The sex difference found in this study was one of absolute size, the female being slightly smaller than the male in the early permanent dentition group and young adult. 4. The arch length had no notable sexual differences and decreased between the mixed dentition group and early permanent dentition group. There was no change in the arch length in the young adult. 5. The height of palate increased gradually with age.

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Pediatric Inflammatory Bowel Disease (IBD): Phenotypic, Genetic and Therapeutic Differences between Early-Onset and Adult-Onset IBD (소아기에 발병하는 염증성장질환(IBD)은 성인 IBD와 다른 질환인가? - 조기발병 소아 IBD의 역학적, 임상적, 유전학적 특성 및 치료 시 고려 사항-)

  • Seo, Jeong-Kee
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.14 no.1
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    • pp.1-25
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    • 2011
  • Inflammatory bowel disease (IBD) develops during childhood or adolescence in approximately 25% of patients with IBD. Recent studies on pediatric IBD have revealed that early-onset IBD has distinct phenotype differences compared to adult onset IBD. Pediatric early-onset IBD differs in many aspects including disease type, location of the lesions, disease behavior, gender preponderance and genetically attributable risks. This review examines the currently published data on the clinical, epidemiological and genetic differences between early-onset and adult-onset IBD. And finally, therapeutic considerations in the management of pediatric-onset IBD are also discussed.

Interpersonal Relations, Hope, Professional Self-concept and Turnover Intention according to Adult Attachment Styles in Early Stage Nurses (초보간호사의 성인애착유형에 따른 대인관계능력, 희망감, 전문직자아개념 및 이직의도)

  • Oh, Eun Jin;Lee, Se Young;Sung, Kyung Mi
    • Journal of Korean Academy of Nursing Administration
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    • v.19 no.4
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    • pp.491-500
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    • 2013
  • Purpose: This study was done to examine interpersonal relations, hope, professional self-concept and turnover intention according to adult attachment styles in early stage nurses. Methods: A survey using a structured questionnaire was conducted with 245 nurses who work in one of six general hospitals. Additionally, a qualitative method was used to obtain data on experiences in interpersonal relations. Data were analyzed using SPSS/WINdows 14.0 and qualitative data from open question in the survey questionnaire were analyzed using content analysis. Results: There was a significant difference in interpersonal relations, hope, and professional self-concept according to adult attachment styles. In the interpersonal relation of early stage nurses, 8 themes were identified, of which the most frequent were: a comfortable relationship with my co-workers (43%) and stress from the relationship (34%). Conclusion: Findings from this study should be useful in the development of programs to promote adult attachment and professional self-concept for early stage nurses.

Nutritional Intake and Timing of Initial Enteral Nutrition in Intensive Care Patients: A Pilot Study (중환자실 환자의 경관영양 공급시기에 따른 영양섭취양상: 예비연구)

  • Kim, Hyunjung
    • Korean Journal of Adult Nursing
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    • v.25 no.4
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    • pp.444-453
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    • 2013
  • Purpose: The purpose of this study was to describe the differences between early and delayed enteral nutrition on nutritional intake. Methods: A pilot cohort study was conducted with 45 critically ill adult patients who had a primary medical diagnosis. Energy prescribed and received were collected during the four days after initiation of enteral nutrition. Adequate feeding was defined as the energy intake more than 90% of required energy. Results: A total of 23 patients (52%) were received early enteral nutrition (within 48 hours of admission). Energy intake of early enteral nutrition was less than intake of delayed enteral nutrition during the four days of the study. Although the difference on day one was significantly greater than the differences on day two, the differences on day two were not different from days three or four. No statistical differences in the adequacy of nutritional intake were found between patients in the early and the delayed group. Conclusion: In critically ill patients receiving early enteral nutrition, more aggressive administration from the beginning will improve the nutritional intake. Additional studies including a large multi-centre, randomized clinical trial are recommended.

Early Preterm Infant Feeding Behaviors in Adolescent and Adult Mothers

  • Kanhadilok, Supannee;Brown, Lisa
    • Asian Journal for Public Opinion Research
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    • v.4 no.1
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    • pp.51-72
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    • 2016
  • Background: Adolescent mothers may find the transition to motherhood to be overwhelming when compared to adult mothers. The adaptiveness of mother and infant feeding behaviors may greatly influence the quality of adolescent mothers' feeding interactions when compared to adult mothers. Purpose: To examine the adaptiveness of early maternal and infant feeding behavior between adolescent mothers and adult mothers. Method: In this secondary analysis, six adolescent mothers (< 20 years old) and six adult mothers were videotaped while feeding. The mothers were observed 3 times: when the infants were in the hospital, 1 month old, and 4 months old. The videotapes were coded using four scales of the Parent-Child Early Relational Assessment (PCERA). The two maternal scales were Positive Affective Involvement and Sensitivity/Responsiveness (PAISR) and Regulation of Affect and Behavior (RAB). The two infant scales were Infant Positive Affect, Communication, and Social Skills (IPACS) and Infant Regulation of Affect and Behavior (IRAB). The dyads were videotaped just before hospital discharge and at one and four months corrected age. The Wilcoxon signed-rank test was used to examine the difference in the PCERA between the two groups. Results: Adolescent mothers had a significantly lower score on the PAISR before hospital discharge (p-value 0.005) and at one month corrected age (p-value 0.008) than adult mothers. Adolescent mothers also had a significantly lower score on the RAB before hospital discharge, 1 and 4 months corrected age than adult mothers. There were no significant differences in IPACS and IRAB of infants of adolescent and adult mothers. Conclusion: Clinicians need to be aware of the differences in sensitivity that occur.

Effects of early menarche on physical and psychosocial health problems in adolescent girls and adult women

  • Yoo, Jae-Ho
    • Clinical and Experimental Pediatrics
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    • v.59 no.9
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    • pp.355-361
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    • 2016
  • The menarcheal age of Korean women has been rapidly decreasing for the last 50 years, and the average menarcheal age of women born in the 1990s is approaching 12.6 years. In addition, interest in early puberty has been increasing recently owing to the rapid increase in precocious puberty. Generally, out of concern for short stature and early menarche, idiopathic central precocious puberty in female adolescents is treated with gonadotropin-releasing hormone analogs. Studies to date have described the association between early menarche and psychosocial problems such as delinquency and risky sexual behavior, as well as physical health problems such as obesity, diabetes, cardiovascular diseases, and breast cancer throughout the lifespan of women. However, the pathophysiological mechanism underlying this association has not been clarified thus far. In this article, we review and discuss the existing literature to describe the current understanding of the effects of early menarche on the physical and psychosocial health of adolescent girls and adult women.

The Effects of Pre-service Early Childhood Teacher's Adult-Attachment, Mental-Health and Resilience on Smartphone Addiction Tendency (예비유아교사의 성인애착, 정신건강, 회복탄력성이 스마트폰 중독경향성에 미치는 영향)

  • Kim, Min Seok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.5
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    • pp.353-361
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    • 2020
  • This study examined the effects of pre-service early childhood teacher's adult-attachment, mental-health and resilience on smartphone addiction tendency. The participants were 283 pre-service early childhood teachers in Seoul and Kyungkido. Collected self-report data were analyzed by correlation analysis and hierarchical regression analysis. The results were as follows. First, there were 228 people (81 percent) in the regular user group and 55 people(19 percent) in the risk user group. Second, there were significant differences in adult-attachment, mental-health and resilience according to smartphone addiction tendency. Third, anxiety(adult-attachment) and mental-health had a positive correlation, and control and affirmation(resilience) had a negative correlation with pre-service early childhood teachers' smartphone addiction tendency. Fourth, all variables influenced pre-service early childhood teachers' smartphone addiction tendency. This study provides practical suggestions for smartphone usage and preventive measures for pre-service early childhood teachers' smartphone addiction.