An Analysis of Factors Influencing Parenting Stress in Children with Epilepsy

Purpose: This study was done to explore disease factors in children with epilepsy, parental factors and resource factors that are related to parenting stress and identify effects of each factor on parenting stress. Methods: Participants were 131 parents who had children who visited a hospital or were hospitalized due to epilepsy. Data collection was done between September 17 and November 17, 2012, and self-report surveys were used. Results: In Stepwise multiple regression analysis, factors influencing parenting stress in children with epilepsy were marital communication, educational background of parents, parenting efficacy, children’s development delay, drug treatment and surgical treatment as a method of epilepsy treatment. These factors explained 34.6% (F = 13.22, p < .001) of the variance in parenting stress. Conclusion: The findings indicate that parental factors (educational background of parents and parenting efficacy) and resource factors (marital communication) have higher explanatory power than disease factors of the children. Thus, it is importance to assess the capacity of parents through self-evaluation, and to assess barriers to marital communication when developing parenting stress intervention programs. Furthermore, both parents should be involved in interventions for parenting stress.ope

The Academic Persistence Intention and its Influencing Factors among Korean Nursing Students

The purpose of this study is to identify academic persistence intention and its influencing factors related to among Korean nursing students. Methods: Students in 4-year nursing colleges were recruited to participate in a self-reported survey (n=283). The questionnaire consists of academic integrity, social integrity, institute satisfaction, family support, and nursing professional identity. Data were analyzed using descriptive statistics, t-test, and point-biserial correlation. A logistic regression analysis was used to uncover associations among general characteristics, academic persistence related factors and academic persistence intention. Results: Eleven percent of participants showed plan for taking off or drop-out, labeled as possible attrition group. There were statistically significant differences of academic integrity, social integrity, institute satisfaction and family support. No statistical difference of nursing professional identity was found between attrition and persistence group. Academic attrition intention was lower in students registered in private school, age ≥21, and 4th grade. Academic persistence intention was higher in students with higher satisfaction in nursing as a major and higher academic integrity. Conclusion: The study revealed not only personal factors but also institute related factors were associated with nursing students`` academic persistence intention. Therefore, institute related factors need to be reflected in curriculum development and operation for securing nursing students and nursing workforce.ope

에릭 반 영,『18세기 멕시코의 아시엔다와 시장』

이 책의 초판이 출간된 것은 1981년이며 2006년에 초판 발행 25주년 기념으로 2판이 출간되었다. 코츠워스(Coatsworth)가 2판에 대한 서문을 썼으며 저자도 2판에 관한 비교적 긴 서문을 덧붙였다. 저자인 영(Young)은 캘리포니아주립대학 샌디에고 캠퍼스(UC San Diego)의 라틴아메리카 역사학 교수로 재직하고 있으며 식민시기 및 독립시기의 누에바에스파냐, 멕시코의 농업 및 사회 등에 관하여 저술한 역사 전공의 멕시코 지역연구자이다

《라틴아메리카 지리》를 통하여 본 지리학계의 라틴아메리카 연구

미국의 지리학은 해외지역연구의 초창기부터 지역연구의 기본 학문으로서 다양한 지역에 대한 방대한 양의 연구물을 축적해 왔다. 지리학 내의 한 계통학문을 전공하고 특정 지역을 자신의 필드로 삼는 지리학의 전통에 따라 다수의 지리학자들이 해외지역, 특히 라틴아메리카 지역을 자신의 필드로 삼아 왔다. 따라서 라틴아메리카 지역에 관한 연구를 별도의 해외지역연구로 다루지 않고 지리학의 한 부분으로, 라틴아메리카를 지리학자가 연구하는 필드 중의 하나로 다루어 온 경향이 강하다. 특히 유럽과는 다른 미국 특유의 문화지리학적 전통을 세운 사우어(Carl O. Sauer, 1889~1975)가 라틴아메리카 지역을 필드로 삼은 것은 미국 지리학자들의 라틴아메리카 지역에 대한 자연스러운 관심을 유발하였다

IIRSA의 브라질 중심 경향

고대 잉카제국을 지배한 세력은 안데스 산맥을 따라 난 도로를 통제함으로써, 남북으로 5,000km에 이르는 거대한 제국을 다스릴 수 있었다. 도로 및 철로, 항구, 공항 등의 교통 부문의 사회 기반 시설은 단순히 물자와 사람이 오가는 것이 아니라 도시 및 국토의 발전에 매우 큰 영향을 미친다. 스페인의 식민 지배 시기 라틴아메리카의 모든 물자는 지역 내의 순환이 아니라 스페인을 중심으로 하는 외부로 반출되어야 했기에 항구의 입지가 매우 중요했다. 따라서 주요 도시는 항구 또는 항구와 인접하여 발달하였으며, 라틴아메리카의 도시 시스템 역시 항구를 중심으로 발달하였다. 이러한 항구를 통한 외부로의 도시 시스템에서 라틴아메리카 내부의 연결도는 매우 낮게 나타난다. 이에 남미 대륙의 척량산맥이라 할 수 있는 안데스 산맥의 고도가 매우 높고, 아마존을 비롯한 열대 우림 지역이 넓게 분포하며, 아마존이나 오리노코 강 등 주요 하계망은 가항하천으로서의 이용 가능성이 낮아 남미의 내부 연결도는 더욱 낮아졌다. 효율적인 교통 및 통신 시스템의 구축은 생산, 유통, 소비를 촉진시켜 경제 발전을 이루는 기본이다. 특히 수출지향적인 발전 정책을 추구하는 국가에서는 효율적인 교통 인프라가 없으면 매우 곤란하다. 수입 및 수출품의 가격에서 높은 교통비는 높은 관세나 마찬가지다. 세계 무역의 자유화 경향에 따라 관세가 낮아지고 있으며, 상대적으로 교통비의 중요성이 높아지고 있다.이 저서는 2008년 정부(교육부)의 재원으로 한국연구재단의 지원을 받아 수행된 연구임(NRF-2008-362-B00015

Eating Attitudes, Depression, Parent-child Interaction, and Family Function of Adolescent Girls

Purpose: The purpose of the study was to investigate the prevalence of abnormal eating attitudes and to identify possible risk factors associated with these attitudes among Korean adolescent girls. Methods: A convenience sample of 1,126 girls aged 15 to 19 years was recruited from thirteen high schools. A self-report survey was conducted including Eating Attitude Test for diagnosing abnormal eating attitudes. Data were analyzed using descriptive statistics and multiple logistic regression with PASW statistics 18.0. Results: Of the participants, 8.3% met the criteria for abnormal eating attitudes. Misperception of body image, depression, and high or low economical status were significantly associated with abnormal eating attitudes (OR=3.50, 95% CI=1.95~6.28; OR=5.47, 95% CI=3.17~9.44; OR=2.26, 95% CI=1.14~4.47; OR=2.41, 95% CI=1.25~4.66). Conclusion: The current study identified the family factors as well as internal ones related to abnormal eating attitudes of Korean adolescent girls. The results indicate that the most effective prevention strategies for this population would be to correct their misperception of body image and control depression. Results also suggest that further studies are necessary to develop a predictive model that could explain the influence of family factors including parent-child interaction and family function to abnormal eating attitudes.ope

Home Visitation Screening for Child Abuse Assessment in Korea

Purpose : The purpose of this study was to facilitate home visits to assess the current rate of child abuse in order to provide an agenda for the early detection and prevention of child abuse and neglect in Korea. Methods : For this retrospective descriptive research, 20 public health centers were selected, 1,991 families were visited and 2,680 children were assessed. Results : We found 415 cases (15.5%) of potential abuse and 7 cases (0.3%) of actual abuse. The greatest risk group was to children age 4 to 6 years. According to the HOME Inventory, there were 17 infants (5.8%) presenting a potential risk for child abuse and neglect. Conclusion : Visitation screening is highly recommended for prevention in the high-risk preschool age group.ope

An Emotional Self-Regulation Program for Obese Children: Pilot Study Using Mixed Methods

Purpose The purpose of the study was to develop an emotional self-regulation program for obese children and to examine the program's effectiveness on depression, eating habits, and body mass index. Methods The emotional self-regulation program was developed from theory-based strategies and a pre-post pilot study was conducted with 46 children (19: intervention, 27: control). The program included 6 weekly group sessions over 2 months. The embedded experimental model of concurrent mixed methods was used to better understand research outcomes by converging both quantitative and qualitative data. Anthropometric measurements and surveys were performed before and after the intervention. Three focus group interviews were conducted with all participants after intervention to explore their experiences. Results The intervention group displayed decreased depression levels in the quantitative outcomes. The participants also expressed positive outcomes such as improvements in confidence, impulse management, intimacy, happiness, and losing weight. Conclusion These findings suggest that emotional self-regulation skills are crucial factors for obese children not only to manage their emotional problems but also to control their weight. Further research is needed with a larger sample size and randomized controlled trials.ope

Factors Influencing Readmission of Home Ventilator-Assisted Children

Purpose: This study was conducted to analyze factors affecting readmission of children with home ventilator care. Methods: To collect patient data, a retrospective chart review was done of medical records of children admitted between June 1, 2007 and May 31, 2010 at one children’s hospital located in Seoul. During that period 30 children were discharged with a home ventilator. Results: Twenty-one of these children had a total of 63 readmissions during the study period, averaging 2.1 readmissions per child with a mean duration of hospitalization of 7.4 days. Children with nasogastric tubes were more frequently readmitted (t=7.232, p=.012) and duration of hospitalization was significantly longer (t=4.761, p=.038). Children who had cardio-pulmonary comorbidity were more frequently readmitted and had longer hospitalization than children without comorbidity (t= 5.444, p=.027). When home ventilator assisted children were admitted via emergency room, they were hospitalized longer (t=14.686, p<.001). Cardio-pulmonary morbidity and readmission via ER explained 38.1% of variation for readmission. Feeding method explained 15.0% of variation in length of hospitalization. Conclusion: The results suggest that health care providers must give individualized education on home ventilator care to parents with children who are at risk for readmission due to cardio-pulmonary comorbidities, nasogastric tube, or readmission via ER.ope

카리브 해의 해적과 해류

1. 들어가며 최근 몇 년 사이 우리나라 선박들에 대한 에티오피아 해적들의 공격 이 초미의 관심사가 되었다. 우리 국민이 위험에 처하였다는 사실과 함께 영화나 동화책 속에서나 나올 법한 해적들이 현재에도 존재한다는 것이 새삼 놀랍기도 한 사건들이었다. 국사 시간에 배운 왜구가 떠오르기도 하 는 해적은 오늘날에도 여전히 존재하고 있으며 특히 동아프리카와 동남아 시아 해역에서 출몰하고 있다. 그러나 해적하면 가장 먼저 떠오르는 것은 지난 여름에도 그 시리즈 가 개봉한 일 것이다. 또한 소설 속이나 영화 속 인물 이기도 하고 실제 인물이기도 한 키다리 존 실버(Long John Silver)1), 후크 선장(Captain Hook)2), 잭스패로우 선장(Captain Jack Sparrow, 영화 카리브 해 해적의 주인공), 키드 선장(Captain Kidd), 블랙비어드 (Blackbeard), 앤보니(Anne Bonny) 등등은 그 이름만으로도 흥미진진하다. 많은 이야기들에서 주인공은 과거 해적들이 남긴 보물지도를 찾거나 숨겨진 보물을 찾기 위해 고군분투한다. 과연 그 보물들은 어디서 난 것 이며, 왜 그들은 하필 카리브 해에서 주로 활약한 것일까