• 제목/요약/키워드: early intervention

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청소년의 학대경험이 자살생각에 미치는 영향: 자아존중감에 의해 조절된 우울 및 불안의 매개효과 분석 (Effect of Adolescents' Abuse Experience on Suicidal Ideation: Focused on Moderated Mediation Effect of Self-esteem on Depression and Anxiety)

  • 김지영;이경희
    • 대한간호학회지
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    • 제45권5호
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    • pp.752-760
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    • 2015
  • Purpose: The purpose of this study was to examine the moderating mediation effect of self-esteem on the relations among adolescents' abuse experiences, depression and anxiety, and suicidal ideation. Methods: The participants were selected using secondary data from a population in the 2012 Korea Welfare Panel Survey (KOWEPS). Data were analyzed using SPSS 15.0 and SPSS Macro, and bootstrapping and hierarchical regression analysis were performed to analyze multilevel models. Results: First, analysis of the mediating effect of the adolescents' abuse showed that there was significant mediating influence between suicidal ideation and depression and anxiety. Second, hierarchical regression analysis showed that self-esteem had significant mediation effect on depression and anxiety in adolescents' suicidal ideation. Third, SPSS Macro showed that self-esteem also significantly moderated the mediating effect of adolescents' abuse experiences on suicidal ideation through depression and anxiety. Conclusion: The study results suggest that in future research on adolescent's abuse experience, the risk of suicide in depression and anxiety scores should be selected through evaluation of each individual's self-esteem scale. Coping strategies with immediate early intervention should be suggested.

잠재성장모형을 활용한 청소년 전환기 내면화 및 외현화 문제행동과 관련변인에 관한 연구 (A Study on Adolescents' Internalizing and Externalizing Problem Behaviors and Related Variables in Transition with Latent Growth Model)

  • 김연주;이지민
    • 가정과삶의질연구
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    • 제33권1호
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    • pp.1-17
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    • 2015
  • This study investigated how variables of internalizing and externalizing problematic behaviors change according to gender and as time passes by and how the variables influence adolescent problematic behaviors. The variables selected for the analysis are personal variables, parent variables, peer and school variables, and community variables. longitudinal data collected for 4 years from the Korea Youth Panel Survey(KYPS) were utilized for the analysis. Data were collected initially from 2,707 fifth grade elementary students in 2005 and they were traced until 2008. The final respondents were 2,448 students. The findings are as follows. Frist, the statistical significance was found in changes of problematic behavioral variables in terms of the gender difference. Second, variables, such as self-esteem and self-control are negatively correlated to the problematic behaviors and stress level is strongly positively correlated to the behaviors. Third, the study pressure and peer attachment level are correlated to the initial value of internalizing problematic behaviors. In conclusion, given that more statistical significances were found at initial values than the change rates among variables, early intervention is important in addressing adolescent problematic behaviors.

Magnetic Resonance Imaging as a Biomarker for Duchenne Muscular Dystrophy

  • Lim, Woo-taek
    • 한국전문물리치료학회지
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    • 제22권3호
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    • pp.98-105
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    • 2015
  • Muscular dystrophy is a hereditary musculoskeletal disorder caused by a mutation in the dystrophin gene. Duchenne muscular dystrophy (DMD) is one of the most common, and progresses relatively faster than other muscular dystrophies. It is characterized by progressive myofiber degeneration, muscle weakness and ultimately ambulatory loss. Since it is an X-linked recessive inheritance, DMD is mostly expressed in males and rarely expressed or less severe in females. The most effective measurement tool for DMD is magnetic resonance imaging (MRI), which allows non-invasive examination of longitudinal measurement. It can detect progressive decline of skeletal muscle size by measuring a maximal cross-sectional area of skeletal muscle. Additionally, other techniques in MRI, like $T_2$-weighted imaging, assess muscle damage, including inflammation, by detecting changes in $T_2$ relaxation time. Current MRI techniques even allow quantification of metabolic differences between affected and non-affected muscles in DMD. There is no current cure, but physical therapist can improve their quality of life by maintaining muscle strength and function, especially if treatment (and other forms of medical intervention) begins in the early stages of the disease.

청소년의 술, 담배, 기타 약물남용 예방을 위한 적극적인 부모역할 모델 (An Appropriate Parent Role Model for Alcohol, Tobacco and Other Drug Abuse Prevention in Adolescence)

  • 범진필
    • 한국임상약학회지
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    • 제13권1호
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    • pp.18-28
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    • 2003
  • An appropriate parent role model for alcohol, tobacco and other drug abuse prevention in adolescence was designed as part of a comprehensive effort to reduce the use of alcohol, tobacco and other drugs by underage youth. The content of the model offers a new and positive chemical health model. The model calls for development of a set of guidelines that can provide the framework for examining alcohol, tobacco and other drug use. The actions of adults in the community, especially parents, are very important factors in whether or not youth use chemicals. So these guidelines can be used to assist parents and other adults with questions such as, what can we say to young people about using alcohol, tobacco or other drugs except that it's against the law? At what age and times are discussions appropriate? What can we do to make our community a healthier place in which young people can make better decisions about alcohol, tobacco and other drug use? The model acknowledges and affirms the legal and appropriate use of alcohol and other drugs as well as supports the decision not to drink. It encourages participants to consider their own guidelines for using and not using alcohol and other drugs. The guidelines can also be used as the basis for early intervention when use is illegal, unhealthy or risky. It is important to note that the model affirms healthy and appropriate use as well as nonuse.

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HIV 감염인의 진단 후 치료 시작에 영향을 미치는 요인 (Factors Influencing the Initiation of Treatment after the Diagnosis of Korean Patients with HIV)

  • 심미소;김광숙;박창기
    • 지역사회간호학회지
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    • 제29권3호
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    • pp.279-289
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    • 2018
  • Purpose: This study has been conducted to identify factors that influence the initiation of treatment after the diagnosis of Korean patients with HIV. Methods: A cross-sectional study design was used, and 290 patients with HIV from outpatient departments of 7 hospitals participated. Self-report questionnaires included items on the days from the primary diagnosis to the initiation of treatment, and the patients' demographic and disease related characteristics. Negative binomial regression model (NBR) was utilized to determine risk factors influencing the initiation of treatment after the diagnosis of the patients with HIV. Results: The skewness of days was 6.62, and the degree of asymmetry of distribution was severe. In NBR, patients who were in their 40s and 50s, female, unmarried and living with their family, jobless, in a middle or high level of economic status, and diagnosed before 2014 showed a higher risk of delayed treatment than patients who were younger, male, married and living with family, in a low level of economic status, and diagnosed in 2014 or afterwards. Conclusion: The findings suggest the necessity of intervention to promote HIV patients' early entry into treatment based on the participants' characteristics.

유아의 행동규제 및 정서규제 능력이 또래 놀이행동에 미치는 영향: 성별에 따른 차이를 중심으로 (Effects of Behavioral and Emotional Regulation on Preschool Children's Peer Play Behavior: Focusing on Gender Differences)

  • 성미영
    • Human Ecology Research
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    • 제52권5호
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    • pp.541-549
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    • 2014
  • The purpose of this study was to analyze the effects of preschool children's behavioral and emotional regulation on their peer play behavior, focusing on gender differences. A total of 214 4- and 5-year-old children attending a child care center in South Korea participated in this study. The instruments used in this study were the Child Behavior Rating Scale, Emotion Regulation Checklist, and Penn Interactive Peer Play Scale. The collected data were analyzed using a Student's t -test, Pearson's partial correlation, and multiple regressions with the SPSS software ver. 16.0. The main results of this study are as follows: first, there was a significant gender difference in preschool children's behavioral regulation, emotional control, play interaction, and play disruption. However, there was no gender difference in preschool children's play disconnection. Second, preschool children's emotional control and behavioral regulation had positive effects on their play interaction irrespective of gender. Third, preschool children's emotional instability and emotional control had a positive influence on their play disruption irrespective of gender. Finally, the factors of behavioral regulation and emotional instability significantly predicted the boys' play disconnection, while for the girls, the significant predictor was emotional control. Further, implications for the use of early intervention targeting specific behavioral and emotional regulation problems have been discussed.

초등학교 저학년 아동에 대한 과보호 행동 탐색 연구: 양육자의 인식을 중심으로 (Childrearing Practices Perceived as Overprotective Behaviors for First to Third Grade Levels of Elementary School: Focused on Cognition of the Guardians)

  • 신수희;이완정
    • Human Ecology Research
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    • 제54권5호
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    • pp.475-485
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    • 2016
  • This study explored mothers' and grandmothers' perception regarding child rearing practices as overprotective behaviors for first to third grade levels of elementary school. The study was conducted on 202 mothers and grandmothers of first to third grade elementary school students. Questionnaires were made with 40 questions on overprotection behaviors selected from the existing questions for preschooler, high grade elementary students, and youth. The questionnaires were distributed to target subjects to answer how they would perceive when each of question is applied to their lower grade elementary students. Based on the collected responses and the factor analysis, it was found out that the overprotective behaviors were classified into four factors such as "reduction in independence," "over-sensitiveness to safety," "interference in daily life," and "health anxiety." There were significant differences in the perception of the overprotective behavior by the subjects depending on the generations, features of children and mothers. This study focused on the lower grade elementary school students who have been removed from studies due to the lack of intervention measures. It has the implication in that the findings of the study can give the basic data for the development of the scale on overprotective behaviors in lower grade elementary school students.

어머니의 우울과 학령전기 유아의 정서 문제 간의 상호적 관계에 대한 단기 종단연구 (A Short-Term Longitudinal Study on the Reciprocal Relations between Mothers' Depression and Their Preschoolers' Emotional Problems)

  • 장영은;한효정
    • Human Ecology Research
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    • 제54권5호
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    • pp.551-564
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    • 2016
  • This study examined the causal relationship between a mothers' depression and the emotional problems of their preschool-aged children as indicated by anxiety, depression and emotional reactivity. We analyzed data from 1,528 mothers and their children from the Panel Study of Korean Children (PSKC) collected when the children were 4 years old and 5 years old. Autoregressive cross-lagged modeling was conducted using AMOS ver. 23.0 to investigate the longitudinal reciprocal effects between mothers' depression and children's emotional problems. The results indicated that both mothers' depression and children's emotional problems were relatively stable between the ages of 4 to 5. There were significant cross-lagged effects from the mothers' depression to children's emotional problems and from children's emotional problems to mothers' depression. Mothers reported higher levels of depression when the children were 4 years old and the children showed more anxiety, depression and emotional reactivity when they were 5 years old. Emotional problems when the children were 4 predicted greater depression among mothers 1 year later. We also examined the group difference (between boys and girls) in the study model. Gender differences were not statistically supported. The results suggested that early assessment and intervention for mothers' depression and children's emotional problems are essential for a healthy mother-child relationship and later child outcomes.

만프레도 타푸리의 이데올로기 비판 독해를 위한 이중의 문맥 (Doble Contexts for Reading Manfredo Tafuri's Criticism of Ideology)

  • 박정현
    • 건축역사연구
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    • 제25권2호
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    • pp.21-30
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    • 2016
  • Autonomia movement that emerged in Italy in the 1960s from workerist (operaismo) communism gives historical and discursive context to Manfredo Tafuri's famous criticism of ideology. His thesis on the death of architecture was a radical criticism of Keynesian intervention which was a strategy to cope with the Great Depression. For him, this capitalist development had taken away ideological prefiguration from architecture. At least Tafuri's this early intellectual phase was formed in the wake of magazine Contrapiano and Antonio Negri's influence. Tafuri almost entirely adapted Negri's thought on the importance of capitalist innovation that was uncovered by Keynes, Schumpeter, and Manheim and the periodization in modern history. When we read Tafuri's text with this concrete context, we can avoid being plunged into his abstruseness. On the other hand, 1980's Korea cannot understand Tafuri comprehensibly. 1980's situation to struggle to acquire democracy prescribed only one mode of reception of Tafuri's historiography in Korea. Tafuri's so-called pessimist view point could not satisfy student activists. They want to take intellectual means to sustain student movement and to secure political dynamics of protest. But at the same time they have anxiety to understand tafuri's thesis that they consider ad a critical theory for Korean Architecture. Double contexts of Tafuri's criticism of ideology bring to light to historicize both Tafuri's historiography itself and reception of his text in Korea.

Temporal Changes in the Hepatic Fatty Liver in Mice Receiving Standard Lieber-DeCarli Diet

  • Yin, Hu-Quan;Lee, Byung-Hoon
    • Toxicological Research
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    • 제24권2호
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    • pp.113-117
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    • 2008
  • Chronic exposure to ethanol induces cumulative damage to the liver starting from fatty infiltration to cirrhosis depending on the dose and duration of exposure. The whole process leading to the development of alcoholic liver disease is very complex and the mechanisms involved are not fully understood. Among many experimental animal models, Lieber-DeCarli liquid diet provides moderate to severe pathophysiological outcome depending on the compositional changes. In the present study, we investigated the temporal changes in the early phase hepatic disease in rats fed with standard Lieber-DeCarli diet. Male Wistar rats were fed with Lieber-Decarli ethanol diet for 6 weeks and the liver samples were obtained after 2, 4 and 6 weeks. Mild fatty infiltration was observed in 2 weeks of feeding and it became evident in 4 and 6 week samples. The level of hepatic triglyceride showed a good agreement with the data obtained in the pathological analysis. Feeding mice with ethanol diet resulted in the maturation and translocation of SREBP-1 to nucleus in the liver. Western blot analysis of the pooled liver sample of control and ethanol fed animals showed a clear-cut time-dependent increase in the expression of nSREBP-1. These data provide important information for selecting proper time point in experimental intervention study in the field of drug development for alcoholic liver disease.