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부모의 정신건강 프로파일 유형 분류 및 아동의 내재화⋅외현화 문제행동 차이 비교
나우열(Wooyoul Na), 김민정(Minjung Kim) 학습자중심교과교육학회 2023 학습자중심교과교육연구 Vol.23 No.9
목적 본 연구는 부모 단위에서 정신건강 관련 변인들의 응답에 기초한 다양한 프로파일 유형을 분류하고, 이러한 부모의 정신건강 프로파일 유형별 아동의 내재화⋅외현화 문제행동에 있어 어떠한 차이가 나타나는가를 파악하고자 하였다. 방법 이를 위하여 본 연구에서는 한국아동패널 12차(2019년) 자료 내 1,071명의 아동과 그 부모의 응답 자료를 활용하여, 이자 잠재프로파일분석(dyadic latent profile analysis)을 통해 부모의 정신건강 프로파일 유형을 분류하였으며, 3단계 접근법(three-step approach)을 통해 부모의 정신건강 프로파일 유형별 아동의 내재화⋅외현화 문제행동의 차이를 검증하였다. 결과 첫째, 이자 잠재프로파일분석을 통해 부모의 정신건강 프로파일 유형을 분류한 결과, 총 4가지의 유형(부부 패턴 불일치-모 취약형, 부부 패턴 일치-부모 취약형, 부부 패턴 불일치-부 취약형, 부부 패턴 일치-부모 안정형)이 도출되었다. 둘째, 부모의 정신건강 프로파일 유형별 아동의 내재화 문제행동에는 유의미한 차이가 있었으며, 부부 패턴 불일치-모 취약형과 부부 패턴 일치-부모 취약형의 아동은 타 유형에 비해 내재화 문제행동 수준이 높은 것으로 나타났다. 셋째, 부모의 정신건강 프로파일 유형별 아동의 외현화 문제행동에는 유의미한 차이가 있었으며, 부부 패턴 일치-부모 취약형의 아동은 외현화 문제행동 수준이 가장 높은 것으로 나타났다. 결론 본 연구는 부모의 정신건강 프로파일 유형을 다면적으로 파악하여 부모의 정신건강이 아동의 문제행동 간 관련성에 대해 규명하였으며, 이를 통해 아동의 문제행동 완화를 위한 부모의 정신건강 증진 개입 방안에 대한 시사점을 제시하였다. Objectives The purpose of this study was to classify different profiles based on the indicators of mental health at parental level and find out differences in children's internalizing/externalizing behavior problems by subtypes of parental mental health profile. Methods Survey data of 1,071 children and parents from the 12th Panel Study on Korean Children(PSKC) in 2019 were used for the analyses. Dyadic latent profile analysis was used for classifying subtypes of parental mental health profiles, and Three-step approach was used for testing differences in children's internalizing/externalizing behavior problems by subtypes of parental mental health profiles. Results First, Four subtypes(‘pattern mismatch-vulnerable mother’, ‘pattern match-vulnerable parents’, ‘pattern mismatch-vulnerable father’, ‘pattern match-stable parents’) were classified according to the indicators of parental mental health. Second, There were significant differences in children's internalizing behavior problems, ‘pattern mismatch-vulnerable mother’ and ‘pattern match-vulnerable parents’ were higher than others. Third, There were significant differences in children's externalizing behavior problem, ‘pattern match-vulnerable parents’ was the highest in externalizing behavior. Conclusions This study showed implications in identifying the relationships between parental mental health and children's behavior problem by exploring subtypes of parental mental health profiles in a multifaceted manner and suggested implications for improving parental mental health to attenuate children's behavior problems.
( Yousang Ko ),( Wooyoul Kim ),( Beom Su Shin ),( Hongseok Yoo ),( Jung Seop Eom ),( Ji Hyun Lee ),( Byung Woo Jhun ),( Su Young Kim ),( Go Eun Choi ),( Sung Jae Shin ),( Won Jung Koh ) 대한결핵 및 호흡기학회 2013 Tuberculosis and Respiratory Diseases Vol.74 No.4
Mycobacterium chelonae lung disease is very rare. We report a case of lung disease caused by M. chelonae in a previously healthy woman. A 69-year-old woman was referred to our hospital because of hemoptysis. A computed tomography (CT) scan of the chest revealed bronchiolitis associated with bronchiectasis in the lingular division of the left upper lobe. Nontuberculous mycobacteria were isolated three times from sputum specimens. All isolates were identified as M. chelonae by various molecular methods that characterized rpoB and hsp65 gene sequences. Although some new lesions including bronchiolitis in the superior segment of the left lower lobe developed on the chest CT scan 35 months after diagnosis, she has been followed up without antibiotic therapy because of her mild symptoms. To the best of our knowledge, this is the first case of M. chelonae lung disease in Korea in which the etiologic organisms were confirmed using molecular techniques.
Nontuberculous Mycobacterial Lung Disease Caused by Mycobacterium chelonae: A Case Report
Ko, Yousang,Kim, Wooyoul,Shin, Beom Su,Yoo, Hongseok,Eom, Jung Seop,Lee, Ji Hyun,Jhun, Byung Woo,Kim, Su-Young,Choi, Go-Eun,Shin, Sung Jae,Koh, Won-Jung The Korean Academy of Tuberculosis and Respiratory 2013 Tuberculosis and Respiratory Diseases Vol.74 No.4
Mycobacterium chelonae lung disease is very rare. We report a case of lung disease caused by M. chelonae in a previously healthy woman. A 69-year-old woman was referred to our hospital because of hemoptysis. A computed tomography (CT) scan of the chest revealed bronchiolitis associated with bronchiectasis in the lingular division of the left upper lobe. Nontuberculous mycobacteria were isolated three times from sputum specimens. All isolates were identified as M. chelonae by various molecular methods that characterized rpoB and hsp65 gene sequences. Although some new lesions including bronchiolitis in the superior segment of the left lower lobe developed on the chest CT scan 35 months after diagnosis, she has been followed up without antibiotic therapy because of her mild symptoms. To the best of our knowledge, this is the first case of M. chelonae lung disease in Korea in which the etiologic organisms were confirmed using molecular techniques.
Jinbum Kang,Yeajin Kim,Wooyoul Lee,Yangmo Yoo IEEE 2017 and Frequency Control Vol.64 No.11
<P>Chirp-coded excitation can increase the signal-to-noise ratio (SNR) without degrading the axial resolution. Effective pulse compression (PC) is important to maintain the axial resolution and can be achieved with radio frequency (RF) and complex baseband (CBB) data (i.e., PCRF and PCCBB, respectively). PCCBB can further reduce the computational complexity compared to PCRF; however, PCCBB suffers from a degraded SNR due to tissue attenuation. In this paper, we propose a new dynamic CBB PC method (PCCBB-Dynamic) that can improve the SNR while compensating for tissue attenuation. The compression filter coefficients in the PCCBB-Dynamic method are generated by dynamically changing the demodulation frequencies along with the depth. For PC, the obtained PCCBB-Dynamic coefficients are independently applied to the in-phase and quadrature components of the CBB data. To evaluate the performance of the proposed method, simulation, phantom, and in vivo studies were conducted, and all three studies showed improved SNR, i.e., maximally 3.87, 7.41, and 5.75 dB, respectively. In addition, the measured peak range sidelobe level of the proposed method yielded lower values than the PCRF and PCCBB, and it also derived a suitable target location, i.e., a <0.07-mm target location error, while maintaining the axial resolution. In an in vivo abdominal experiment, the PCCBB-Dynamic method depicted brighter and clearer features in the hyperechoic region because highly correlated signals were produced by compensating for tissue attenuation. These results demonstrated that the proposed method can improve the SNR of chirp-coded excitation while preserving the axial resolution and the target location and reducing the computational complexity.</P>
( Byeong Ho Jeong ),( Jae Uk Song ),( Wooyoul Kim ),( Seo Goo Han ),( Yousang Ko ),( Junwhi Song ),( Boksoon Chang ),( Goohyeon Hong ),( Su Young Kim ),( Go Eun Choi ),( Sung Jae Shin ),( Won Jung Koh 대한결핵 및 호흡기학회 2013 Tuberculosis and Respiratory Diseases Vol.74 No.4
We report a rare case of lung disease caused by Mycobacterium lentiflavum in a previously healthy woman. A 54-year-old woman was referred to our hospital due to chronic cough and sputum. A computed tomography scan of the chest revealed bilateral bronchiectasis with bronchiolitis in the right middle lobe and the lingular division of the left upper lobe. Nontuberculous mycobacteria were isolated twice from three expectorated sputum specimens. All isolates were identified as M. lentiflavum by multilocus sequence analysis based on rpoB, hsp65, and 16S rRNA fragments. To the best of our knowledge, this is the first documented case of M. lentiflavum lung disease in an immunocompetent adult in Korea.
Chang, Boksoon,Han, Seo Goo,Kim, Wooyoul,Ko, Yousang,Song, Junwhi,Hong, Goohyeon,Eom, Jung Seop,Lee, Ji Hyun,Jhun, Byung Woo,Koh, Won-Jung The Korean Academy of Tuberculosis and Respiratory 2013 Tuberculosis and Respiratory Diseases Vol.75 No.1
Carbohydrate antigen 19-9 (CA 19-9) is a widely-used tumor marker in patients with pancreatic cancer. However, some patients with respiratory disease also exhibit elevated serum CA 19-9 levels. We report a case of normalization of elevated serum CA 19-9 levels after treatment of the nodular bronchiectatic form of Mycobacterium abscessus lung disease. A 40-year-old man visited our hospital because of chronic cough and sputum. A computed tomography scan revealed severe bronchiectasis in the right upper and right middle lobes. Nontuberculous mycobacteria were repeatedly isolated and identified as M. abscessus. The serum CA 19-9 level was elevated to 142.35 U/mL (normal range, <37 U/mL). Surgical resection was performed because of failure of sputum conversion after antibiotic treatment. The serum CA 19-9 level returned to the normal range after surgery. This case suggested that serum CA 19-9 levels could be elevated in patients with the nodular bronchiectatic form of M. abscessus lung disease.
A Case of Pleural Paragonimiasis Confused with Tuberculous Pleurisy
Song, Junwhi,Hong, Goohyeon,Song, Jae-Uk,Kim, Wooyoul,Han, Seo Goo,Ko, Yousang,Chang, Boksoon,Jeong, Byeong-Ho,Eom, Jung Seop,Lee, Ji Hyun,Jhun, Byung Woo,Jeon, Kyeongman,Kim, Hong Kwan,Koh, Won-Jung The Korean Academy of Tuberculosis and Respiratory 2014 Tuberculosis and Respiratory Diseases Vol.76 No.4
Here, we report a case of pleural paragonimiasis that was confused with tuberculous pleurisy. A 38-year-old man complained of a mild febrile sensation and pleuritic chest pain. Radiologic findings showed right pleural effusion with pleural thickening and subpleural consolidation. Adenosine deaminase (ADA) activity in the pleural effusion was elevated (85.3 IU/L), whereas other examinations for tuberculosis were negative. At this time, the patient started empirical anti-tuberculous treatment. Despite 2 months of treatment, the pleural effusion persisted, and video-assisted thoracoscopic surgery was performed. Finally, the patient was diagnosed with pleural paragonimiasis based on the pathologic findings of chronic granulomatous inflammation containing Paragonimus eggs. This case suggested that pleural paragonimiasis should be considered when pleural effusion and elevated ADA levels are observed.