• Title/Summary/Keyword: Family Report

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Cowden Disease: Case Report and Review of the Literature

  • Jee Hee Son;Bo Young Chung;Min Je Jung;Yong Won Choi;Hye One Kim;Chun Wook Park
    • Annals of dermatology
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    • v.31 no.3
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    • pp.325-330
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    • 2019
  • Cowden's disease is a rare autosomal dominant, multiple hamartoma syndrome with characteristic mucocutaneous lesions. It is associated with abnormalities of the breast, thyroid, and gastrointestinal tract; and is characterized by multiple hamartomas in the gastrointestinal tract and mucocutaneous lesions such as trichilemmomas, oral papillomatosis, facial papules, and acral keratosis. A 21-year-old male patient presented with erythematous facial papules, oral mucosal papillomatosis, and punctate palmoplantar hyperkeratosis indicating a definite case of Cowden's disease. This disease derives from variable expression resulting from a mutation in the PTEN gene. Gastrointestinal endoscopy and colonoscopy revealed multiple hamartomas in the stomach and colon. On thyroid ultrasonography, several probable benign nodules were noted in the right thyroid gland. He had no pertinent family history and no other systemic findings. Further regular laboratory and image studies will be planned for our patient, as well as his family members. Sporadic Cowden's disease is rarely observed. Herein, we report a case of Cowden's disease without known family history. Dermatologists should be aware of the possibility of Cowden syndrome based on its several dermatologic findings.

The Influence of Adolescents' Self-Esteem on Life Satisfaction: Verifying Moderated Mediation of Peer Relations Mediated by Altruism and Self-Regulation (청소년의 자아존중감이 삶의 만족도에 미치는 영향: 이타심과 자기통제에 의한 또래관계의 조절된 매개효과 검증)

  • Heo, Mi Jeong;Noh, Mi Wha;Choi, Youn Shil
    • Journal of Family Relations
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    • v.21 no.1
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    • pp.29-49
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    • 2016
  • Objectives: The purpose of this study was aimed to examine the effect of self-esteem on life satisfaction and happiness among adolescents, and to verify moderated mediation of peer relations mediated by altruism and self-regulation. Method: The study referred to the 2015 Annual Report of the Korean Children and Youth Panel Survey. More precisely, report on the fourth year research process of the study cohort comprising 2,091 subjects was used to verify the research model. Overall data were analyzed by using SPSS 18.0 program and specifically, moderated mediation were verified by using SPSS Macro, as suggested by Preacher, etc. (2008). Results: As a result, firstly, the peer relations mediated the relationship between life satisfaction and self-esteem among adolescents. Secondly, altruism and self-regulation had moderated mediation effects between self-esteem and peer relations among adolescents. Conclusion: These results suggest that self-esteem affects on life satisfaction and happiness by mediation of peer relations among adolescents and altruism and self-regulation agent is applied positive adjustment to further promote the peer relations and increase life satisfaction among adolescents. Through these study results, the implications for counseling and suggestions for future research were discussed.

Analyzing Co-Occurrence of Non-Suicidal Self-Injury With Suicidal Ideation and Related Factors Among Adolescents in Jeju Island

  • Duk-Soo Moon;Un-Sun Chung;Young Sook Kwack;Bung-Nyun Kim;Na Ri Kang
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.35 no.2
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    • pp.119-126
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    • 2024
  • Objectives: Non-suicidal self-injury (NSSI) and suicidal behavior, including suicidal ideation (SI) and suicide attempts, are important predictors of suicide in adolescents. This study aimed to investigate the associations between NSSI, SI, NSSI+SI, mental health problems, and family factors in Korean adolescents in Jeju Island, with an emphasis on key findings. Methods: A total of 561 adolescents completed self-report questionnaires regarding demographics, NSSI, SI, suicidal behavior, perceived family functioning, and mental health problems, which were assessed using Center for Epidemiological Studies Depression Scale for Children, Screen for Children Anxiety-Related Disorders (SCARED), and Youth Self-Report (YSR). Data were analyzed using descriptive statistics, one-way analysis of variance, chi-square test, post-hoc analyses, and multivariate logistic regression. Results: In this study, 22.3% of adolescents reported either NSSI or SI, with 5.5% reporting NSSI and 20.7% reporting SI. Combined (NSSI+SI) group showed a significantly higher SCARED score, anxiety/depression, thought problems, attention problem, and rule breaking on YSR than did the SI only group. Higher level of depression and anxiety were significantly associated with NSSI and SI. Female sex and perceived family dissatisfaction were significantly associated factors for SI, but not for NSSI in multivariate logistic regression. Conclusion: This study provides insights into the clinical characteristics and associated factors among adolescents with NSSI, SI, and NSSI+SI in Jeju Island. Identifying these results can inform the development of targeted prevention and intervention strategies to mitigate the negative consequences of these behaviors and contribute to a better understanding of the role of family in this context.

Kartagener's Syndrome: A Report of 2 Cases (Review of the literature and report of two cases in same family) (남매에서 발생한 Kartagener씨 증후군 - 2례 보고 -)

  • 정수상
    • Journal of Chest Surgery
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    • v.15 no.1
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    • pp.67-72
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    • 1982
  • Kartagener`s syndrome is a clinical entity composed of situs inversus, bronchiectasis and chronic sinusitis. This syndrome is rare and is usually detected in childhood. Whether the bronchiectasis in Kartagener`s syndrome is congenital or acquired is still controversial. Some familial cases of this syndrome have been reported, and in these cases the genetic pattern is compatible with an autosomal recessive inheritance with some degree of pleotropism. The authors experienced having 2 cases of Kartagener`s syndrome among 6 siblings in a family. The case No. 1 have had bilateral Caldwell Luc operation, posterior ethmoidectomy, left upper Iobec-tomy with excellent result. The case No. 2 denied to have surgical management.

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Expression of galectin-3 in rat brain (랫트 뇌에서의 galectin-3의 검출)

  • Lee, Yoo-Kyoung;Kang, Hae Eun;Woo, Hee Jong
    • Korean Journal of Veterinary Research
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    • v.44 no.1
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    • pp.83-88
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    • 2004
  • Galectin family, endogenous ${\beta}$-galactoside-binding animal lectins, is known for the role in cell differentiation, morphogenesis, apoptosis and tumorigenesis. Galectin-3, one of family member, has been studied for its role in cell differentiation and tumor metastasis, and for its expression on epithelial cells of colon and mast cells but not in brain. Several reports, however, suggest its expression in brain including as a prion binding protein. In this report we explored possibility of galectin-3 expression in brain tissue. With Western blot and RT-PCR with rat brain tissues, we could detect galectin-3 that was not shown by conventional immunohistochemistry. Our results indicated galectin-3 was expressed in brain, and substantiate the previous report on galecin-3 as a prion-related protein in brain.

Characterization and Evaluation of a Distinct Fusion Ability in the functionally Related Cyclic Amidohydrolase Family Enzymes

  • Kim, Hak-Sung;Lee, Dong-Eun;Kim, Geun-Joong
    • Biotechnology and Bioprocess Engineering:BBE
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    • v.7 no.3
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    • pp.155-162
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    • 2002
  • The cyclic amidohydrolase family enzymes, which include allantoinase, dihydroorotase, dihydropyrimidinase and (phenyl)hydantoinase, are metal-dependent hydrolases and play a crucial role in the metabolism of purine and pyrimidine in vivo. Each enzyme has been independently characterized, and thus well documented, but studies on the higher structural traits shared by members of this enzyme family are rare due to the lack of comparative study. Here, we report upon the expression in E. coli cells of maltose-binding protein (MBP)- and glutathione S-transferase (GST)-fused cyclic amidohydrolase family enzymes, facilitating also for both simple purification and high-level expression. Interestingly, the native quaternary structure of each enzyme was maintained even when fused with MBP and GST. We also found that in fusion proteins the favorable biochemical properties of family enzymes such as, their optimal pHs, specific activities and kinetic properties were conserved compared to the native enzymes. In addition, MBP-fused enzymes showed remarkable folding ability in-vitro. Our findings, therefore, suggest that a previously unrecognized trait of this family, namely the ability to functional fusion with some other protein but yet to retain innate properties, is conserved. We described here the structural and evolutionary implications of the properties in this family enzyme.

Structural Relationship of Burnout and Related Variables among Family Caregivers of Cancer Patients (암 환자 가족원의 소진 관련 변인들 간의 관계 구조)

  • Hong, Min Joo;Tae, Young Sook
    • Journal of Korean Academy of Nursing
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    • v.43 no.6
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    • pp.812-820
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    • 2013
  • Purpose: The purpose of this study was to construct a structural equational model to explain and predict burnout in family caregivers of patients with cancer. The study was based on the Stress-Appraisal-Coping Model of Lazarus and Folkman (1984) and Family Stress Theory (Hill, 1958). Methods: Data were collected from July 10 to September 30, 2012 through direct interviews and a self -report questionnaire survey. Participants in this study were 206 family caregivers providing care for patients with cancer in In-patient or Out-patient departments of three different general hospitals located in Busan. Measured variables were exogenous variables (social support and perceived health status) and endogenous variables (perceived stress, hope and burnout). Results: Goodness of fit in the hypothetical model was ${\chi}^2=174.07$, TLI=.95, CFI=.97, RMSEA=.08. Perceived health status, perceived stress, and hope showed statistically significant direct effects on burnout of family caregivers. Social support affected burnout of family caregivers indirectly. These variables explained 68.5% of total variance in burnout. Conclusion: The results from this study suggest that perceived stress, perceived health status, and hope should be considered as major influential factors when developing nursing interventions to control burnout of family caregivers (of patients with cancer).

Levels of and Predictors of Satisfaction with Life in Korean Adolescent (일부 지역 청소년의 삶의 만족에 영향을 미치는 요인)

  • Koo, Hyun-Young;Park, Hyun-Sook
    • Child Health Nursing Research
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    • v.11 no.3
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    • pp.322-329
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    • 2005
  • Purpose: This study was done to investigate satisfaction with life in adolescents, and to identify factors affecting satisfaction with lift for adolescents. Method: The participants were 540 adolescents. Data were collected through self-report questionnaires which were constructed to include satisfaction with life, mental health, family adaptability and cohesion, and school adjustment. The data were analyzed using the SPSS program. Results: Satisfaction with life in adolescents correlated with mental health, family adaptability and cohesion, and school adjustment. Satisfaction with lift in adolescents was significantly different according to scholastic achievement, parents being alive, economic level of family, and types of family cohesion and adaptability. Significant predictors influencing satisfaction with life in adolescents were school adjustment, family cohesion, mental health, and economic level of family, and these predictors accounted for $28.3\%$ of the variance in satisfaction with lift. Conclusion: The above findings indicate that satisfaction with life in adolescents is influenced by mental health, family function, and school adjustment. Therefore when nursing interventions are developed to improve satisfaction with life in adolescents, these factors need to be considered.

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The Relationships among Resilience, Family Support, and Diabetes Adaptation in Children with Diabetes Mellitus (당뇨 환아의 극복력, 가족지지와 질병적응의 관련성)

  • Kim, Yongmi;Bang, Kyung-Sook
    • Perspectives in Nursing Science
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    • v.14 no.1
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    • pp.21-31
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    • 2017
  • Purpose: This study was conducted to identify the disease adaptation and related factors for the pediatric patients with diabetes mellitus. Methods: Participants in this study were 75 diabetic children or adolescent whose age were 10 to 18 years old visited the out-patient clinic in one general hospital located in Seoul. Data were collected using self-report questionnaires. Research tools measuring resilience, family support, psychological adaptation, Hemoglobin A1c (HbA1c) protein were used. Results: Resilience showed significant differences according to the age, gender, academic achievement, and hospitalization experience of the children. Family support was significantly different according to the age, religion, academic achievement, fathers' education level, and hospitalization experience of the children. Psychological adaptation to diabetes showed significant differences according to academic achievement. HbA1c was shown to be significant difference according to fathers' education level and hospitalization experience of the children. Positive correlations were identified among resilience, family support, and psychosocial adaptation, while negative correlations were found between HbA1c and all others including resilience, family support, and psychosocial adaptation. Conclusion: This study suggests that the educational programs as nursing intervention needs to be developed to enhance the resilience and family support for the pediatric diabetic patients.

A Study on the Relationship among Family Functioning, Empathy, and Aggression by High School Students (일 지역 고등학생의 가족기능, 공감능력과 공격성간의 관계에 대한 연구)

  • Choi, Hee Jung;Lim, Eun Sun;Yoo, Jang Hak
    • Research in Community and Public Health Nursing
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    • v.24 no.4
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    • pp.480-487
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    • 2013
  • Purpose: The purpose of this study was to investigate the relationship among family functioning, empathy and aggression by high school students. Methods: This was a descriptive study. The survey participants were 467 high school students from M city. Data were collected from November 29 to December 7, 2012 and self-report questionnaires including a Family Adaptability Cohesion Evaluation Scale, Interpersonal Reactivity Indexes, and an Aggression Questionnaire. The collected data were analyzed by descriptive statistics, independent-samples t-test, ANOVA, stepwise multiple regression. Results: The majority of the subjects were 2nd graders (42.0%) and female (57.2%). 59.7% of the subjects had religion, 84.8% were living together with parents. The mean ages of their fathers and mothers were $49.90{\pm}0.20$ and $46.85{\pm}0.19$ respectively. Aggression was found to have a statistically negative correlation with family functioning and empathy. Stepwise multiple regression analysis revealed that the most powerful predictor of aggression was empathic concern. Empathic concern, family cohesiveness, perspective taking, personal distress and gender accounted for 16.7% of the variances. Conclusion: It is necessary to provide aggressiveness reduction programs for high school students that consider their family functioning and empathy.