• Childhood Kidney Diseases
• /
• 제21권2호
• /
• pp.61-68
• /
• 2017

Purpose: To investigate differences in clinical features, blood/urinary findings, and prognosis in different age groups of patients with Henoch-$Sch{\ddot{o}}nlein$ purpura (HSP). Methods: A total of 469 patients with HSP were analyzed retrospectively from June 2003 to February 2016. We classified patients into child or adult groups based on their age. Results: The adult group had more patients with anemia (child vs. adult; 7.5% vs. 16.4%), and higher immunoglobulin A (IgA) (30.0% vs. 50.0%) levels, C-reactive protein (34.2% vs. 54.0%) and uric acid (3.1% vs. 12.1%) levels than the child group. The child group was highly positive for Mycoplasma pneumoniae immunoglobulin M (IgM) (34.4%). More patients in the child group presented with high levels of antistreptolysin O (24.7% vs. 2.9%) and high C4 (11.5% vs. 4.2%). Low C3 (1.1% vs. 10.2%) levels, and renal involvement with gross hematuria (8.6% vs. 21.5 %), nonnephrotic proteinuria (1.1% vs. 11.2%), and nephrotic syndrome (1.1% vs. 6.0%) were common in the adult group. Adults also had poorer renal outcomes [persistent hematuria/proteinuria (10.5% vs. 32.8%), and chronic kidney disease (0% vs. 11.2%)] than the child group. Risk factors for renal involvement such as older age and higher level of uric acid were only found in the child group. The risk factors for poor renal outcome were nephrotic syndrome in the child group and gross hematuria in the adult group. Conclusion: In this study, child and adult groups presented with different clinical manifestations of HSP. We found that risk factors for renal involvement included age and high uric acid level in the child group. Moreover, nephrotic syndrome in the child group and gross hematuria in the adult group increased the risk of poor renal outcome.

• 가정과삶의질연구
• /
• 제31권1호
• /
• pp.129-147
• /
• 2013

The primary focus of the study assesses how individual spouses' and their partners' marital adjustment influence their own and their mental health. The study also examines whether this influence was mediated by the relationship with their adult-children. Data were collected from 271 dyads of elderly couples by using a self-report questionnaire. Marital adjustment was measured in terms of intimacy and comparison level of marriage. Mental health was measured in terms of depressive mood, anxiety, and somatization. The Actor-Partner Interdependence Model (APIM) analysis revealed that marital adjustment was positively associated with one's own mental health and with one's own relationship with their adult-children, but not with their partner's. On the other hand, the relationship with adult-children was positively associated with one's own and with their partner's mental health. Furthermore, analysis of the mediating model using APIM indicated that marital adjustment through one's own adult-children relationship had direct and indirect effects on one's own mental health. It is interesting to note that the wives' mental health were directly influenced by their partners' relationship with adult-children. However, the effect of the husbands' mental health was not significant. These findings highlight dyadic interdependence among spouses' perceptions of marital and adult-children relationship with their mental health. The results suggest implications for educators and clinicians working with elderly couples to improve their psychological and relational health.

• Parasites, Hosts and Diseases
• /
• 제55권5호
• /
• pp.533-540
• /
• 2017

Schistosoma mansoni is highly endemic in Tanzania and affects all age groups at different degrees. However, its control approach does not include adult individuals who are equally at risk and infected. To justify the inclusion of adult individuals in MDA programs in Tanzania, the present study focused on determining the prevalence of S. mansoni infection and its related morbidities among adult individuals. This was a cross sectional study conducted among 412 adult individuals aged 18-89 years living in selected villages of Rorya and Butiama districts located along the shoreline of the Lake Victoria. A pretested questionnaire was used to collect socio-demographic and socio-economic information of participants. Ultrasonographic examinations were conducted for all study participants using the Niamey protocol. A single stool sample was obtained from all study participants and examined for S. mansoni using the Kato-Katz technique. The study revealed a high prevalence of S. mansoni (56.3%), and the majority of infected individuals had a light intensity of infection. Ultrasonographic findings revealed that 22.4% of adult individuals had periportal fibrosis (PPF) (grade C-F), with 18.4% having grade C and D and 4% having grade E and F. Males had the highest prevalence of PPF (31.7% vs 10.8%, P<0.001). Organomegaly was common with 28.5% and 29.6% having splenomegaly and hepatomegaly, respectively. S. mansoni infection and its related morbidities included PPF, hepatomegaly, and splenomegaly were common among adult individuals. To reduce the level of transmission of S. mansoni infection, planned mass drug administration campaigns should include adult individuals living in these villages.

• 한국융합학회논문지
• /
• 제11권5호
• /
• pp.183-189
• /
• 2020

본 연구는 성인 학습자의 영어 패턴 연습에 대한 측정 시기별 습득 효과를 알아보고자 40대와 65세 이상의 성인 기초 영어 학습자 집단과 유사한 영어 수준에 있는 8세 아동 집단을 대조군으로 하여 패턴 연습으로 학습한 내용을 측정 시기를 달리하여 진단하였다. 먼저, 연구 참여자를 대상으로 사전 테스트 실시 후 유사한 영어 수준에 있는 학습자를 선정하여 인칭 일치와 시제의 학습 내용을 패턴 연습으로 지도 한 후 사후 테스트를 하였고, 4주 후 다시 지연 테스트를 실시하였다. 그 결과 성인 학습자의 경우 사후 테스트에서는 40대 학습자가 가장 높은 상승폭을 보여주었고, 65세 이상의 성인 학습자도 아동과 비교하면 더 우수한 습득 효과를 보여주었지만, 지연 테스트에서는 타 연령에 비해 가장 큰 하락폭이 나타났다. 이러한 결과를 바탕으로 성인 학습자의 특성을 이해하고 약점을 보완한 교수법 연구가 필요하다.

• 한국콘텐츠학회논문지
• /
• 제13권8호
• /
• pp.141-151
• /
• 2013

2013년 7월부터 성년후견제도가 시행된다. 제도의 시행을 1개월 앞둔 시점에서, 한국에서 최적의 제도를 실현할 수 있는 구체적인 대응방안을 마련해야 한다. 이 제도를 시행하고 있는 국가 중에서 일본은 한국과 사회 문화적 유사성이 높고, 성년후견제도의 도입 배경과 전반적인 제도의 운용방식이 유사하다는 평가를 받는다. 일본에서 발생한 여러 문제 중에서 성년후견인에 의한 부정행위는 제도에 대한 신뢰 저하를 초래하고, 제도 정착을 지연시키므로 이에 대한 대응책이 준비되어야 한다. 따라서 본 연구는 일본에서 성년후견제도 시행과정에서 나타난 성년후견인의 부정행위에 대하여 살펴보고, 이를 통해서 한국에서 부정행위 방지를 위한 가정법원의 조직 인력 확충, 이중적 감독체제 및 긴급선임제도 도입 등의 몇 가지 방안을 제시하였다.

• 한국응급구조학회지
• /
• 제8권1호
• /
• pp.33-45
• /
• 2004

The study is designed to develop an educational CD-Title for Basic Life Support. The study is conducted from July to December, 2002, Based on the course of program development suggested by Dick and Cray. the study followed the planning, development, education and evaluation of a program. The developed CD-Title consists of 8 parts. 1. Intro include Introduction, Adult CPR, Child CPR, Infant CPR, Adult Foreign-Body Airway Obstruction, Infant Foreign-Body Airway Obstruction, and Exercise in Menu at Right of screen. 2. Introduction consist of death process at cardiac arresst, chain of survival, introduction of CPR, respiratory & ciculatory anatomy and physiology. 3. Adult CPR consist of assessment responsiveness, activating EMS system, position victim, opening a airway, checking for breathing, rescue breathing, checking for sign of circulation, chest compression, 1 person & 2 persion adult CPR video. 4. Child & Infant CPR consist of, causes, assessment responsiveness, position victim, opening the airway, checking for breathing, rescue breathing, checking for sign of circulation, chest compression, activating EMS system, child & infant CPR video. 5. Adult Foreign-Body Airway Obstruction include assessment responsiveness, activating EMS system, position victim, opening a airway, checking for breathing, 2 rescue breathing, reopening the airway, 2 rescue breathing, finger sweep, 5 abdominal thrusts, unresponsiveness adult Foreign-Body Airway Obstruction video. 6. Infant Foreign-Body Airway Obstruction consist of, causes, assessment responsiveness, position victim, opening the airway, checking for breathing, 2 rescue breathing, reopening the airway, 2 rescue breathing, checking foreign-body object in oral cavity of victim, 5 back blow, 5 chest thsusts, activating EMS system, video. 7. 32 exercise consist of 8 Adult CPR, 12 Child & Infant CPR, 5 Adult Foreign-Body Airway Obstruction, 7 Infant Foreign-Body Airway Obstruction. Every part consist of animations to trigger students interests. This CD-Title will be useful education for first responders and lay rescuers.

• 성인간호학회지
• /
• 제17권5호
• /
• pp.831-843
• /
• 2005

Objective: The study was conducted by the Association of Korean College of Nursing in order to survey and analyze the current state of clinical practicum for adult health nursing at four-year nursing college in Korea and to suggest improvements in the contents and methods of clinical practicum and its future direction. Method: Data were collected using a survey by mail from July to November 2004 using a structured questionnaire on the general state of clinical practicum for adult health nursing. The questionnaires were sent to 53 nursing colleges throughout the country, and 47 recovered questionnaires were analyzed. Results: The number of credits for adult health nursing practicum was 7~10(average range), and various nursing fields were used in clinical practicum. The number of students per team was 5~6 at general wards and 3~4 at intensive care units. Students also experienced practicum during daytime and in the evening. Clinical practicum for adult health nursing was led by full-time professors and field practicum directors. In clinical practicum for adult health nursing, almost every college evaluated students' attitude, skills, leadership, etc. in various forms. Conclusions: It is urgent to develope a standardized evaluation tool for clinical practicum.

• Human Ecology Research
• /
• 제54권2호
• /
• pp.181-195
• /
• 2016

This study use the influences of parenting style as perceived by and adult child and recognizes gender roles for the purpose of marriage perspectives. I provided a general tendency of parenting style as perceived by and adult child, recognize gender roles, and perspective of marriage to achieve the established goals. We analyzed the relative influence of socio-demographic characteristics, parenting style as perceived by and adult child and recognize gender roles for marriage perspectives. Finally, parenting style as perceived by and adult child are recognized gender roles mediated by the investigated influence of marriage perspectives. We used a structured questionnaire that targeted unmarried men and women 20 to 30 years of age to verify the this study. Data analysis used SPSS ver. 19.0; in addition, we performed reliability, frequency analysis, t-test, hierarchical regression analysis, multiple regression analysis, and variance inflation factor. Looking at these results, both adult children had a higher perception of rearing parents with the usual recognition of gender roles. The analysis indicated a conservative perspective of marriage. Adult children of mothers rearing and recognize gender roles sub-area of masculinity and femininity are perceived to be a significant change observed in marriage perspectives in addition to socio-demographic characteristics of gender and education. However, the relationship between parenting style, as perceived by adult child and marriage perspectives and as analyzed by recognize gender roles, did not have a mediating effect.

• 대한감각통합치료학회지
• /
• 제10권2호
• /
• pp.1-9
• /
• 2012

목적 : 감각처리기능은 지각 및 인지기능 뿐만 아니라 작업수행을 위해서 가장 기본적으로 요구되는 능력이다. 아동의 경우 감각처리 문제로 인해 두드러지는 기능장애를 나타내지만 성인의 경우 살아가면서 감각에 적응하거나 그냥 무시한 채 지내기 때문에 흔히 감각처리기능을 간과하게 된다. 하지만 감각에 대한 생리적 특질은 변하지 않는 것이며 외부로부터 들어오는 불편한 감각자극으로 인해 우리는 무의식적으로 영향을 받고 있기 때문에 이를 조절하기 위해 본인의 감각처리특성을 파악하는 것이 무엇보다 중요하다. Adolescent/Adult Sensory Profile은 일상생활에 기반을 둔 감각처리기능을 설문형식으로 평가한다. 하지만 이런 설문형식의 평가는 응답자의 주관이나 그 외 다양한 요인들로 인해 결과의 타당도가 낮은 편이다. 따라서 본 연구는 Adolescent/Adult Sensory Profile의 촉각 처리영역 점수와 촉각탐지과제를 통해 측정한 촉각역치간의 상관관계를 알아봄으로써 이 평가도구의 일부 영역 (촉각 처리영역)의 타당도를 검증하고자 한다. 연구방법 : 본 연구에서는 Adolescent/Adult Sensory Profile의 촉각처리영역의 네 가지 항목(저등록, 감각민감, 감각추구, 감각회피)의 점수를 촉각탐지과제를 통해 얻어진 개인의 촉각역치 값과 비교하여 상관분석을 실시하였다. 연구결과 : Adolescent/Adult Sensory Profile의 촉각처리영역 중 저등록 및 감각추구 항목은 촉각역치 값과 양의 상관관계를 보였으며, 반면 감각민감 및 감각회피 항목의 경우 촉각역치 값과 음의 상관관계를 나타냈다. 특히나 촉각의 역치가 높을수록 저등록 항목의 점수가 높게 나타났으며 통계적으로 유의미하였다. 결론 : 촉각의 촉각역치가 높을수록 감각등록이 적으며 Adolescent/Adult Sensory Profile의 촉각처리영역의 저등록 관련된 설문문항이 촉각탐지과제를 통한 촉각역치 측정값과 상관관계가 높은 것으로 나타나 설문문항의 타당도가 높음을 보여주었다.

• 한국산학기술학회논문지
• /
• 제19권7호
• /
• pp.354-361
• /
• 2018

이 연구는 평생학습에 참여하는 성인학습자의 참여동기, 프로그램 만족도, 사회적 자본의 구조적 인과관계를 분석하는 것을 목적으로 수행하였다. 또한 성인학습자의 참여동기와 사회적 자본과의 관계에서 프로그램 만족도 변인이 어떻게 매개역할을 하는지 역시 살펴보았다. 연구대상은 평생교육에 참여하는 성인학습자 425명에게 설문을 실시하고 구조방정식모형 분석을 통해 연구가설을 검증하였으며 연구 결과는 다음과 같다. 첫째, 성인학습자의 참여동기는 사회적 자본에 정(+)적으로 유의한 결과를 얻었다. 둘째, 성인학습자의 참여동기는 프로그램 만족도에 정(+)적으로 유의한 결과를 얻었다. 셋째, 프로그램 만족도는 사회적 자본에 정(+)적으로 유의한 결과를 얻었다. 넷째, 참여동기와 사회적 자본과의 관계에서 프로그램 만족도는 부분매개 하였으며 유의한 간접효과가 있는 것으로 나타났다. 사회적 자본의 향상을 위해서 참여동기를 끌어올리는 방안뿐 아니라 평생교육기관에서 제공하는 프로그램 만족도를 통해서 더 향상될 수 있는 만큼 학습자가 만족할 수 있는 다양한 프로그램 개발과 운영, 제도개선이 필요함을 시사한다. 이러한 결과를 바탕으로 평생교육현장에서 성인학습자의 사회적 자본을 높이기 위한 방안과 평생교육기관의 역할을 제언하였다.