• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.9 no.2
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• pp.138-147
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• 1998

Authors surveyed intrafamilial child sexual abuse in the children under 15years old in clinical. We sent the semi-structured child sexual abuse questionnaires to 7055 board certified pediatrics, obstetrics and gynecology, family medicine and emergency medicine. Total respondents were 1205. The results from these respondents were as follows. 1) The numbers of respondents who have had the experience of treating victims of intrafamilial child sexual abuses were 157(13.0% of total respondents). 2) Among the perpetrators, 58(36.9%) were siblings and 32(20.4%) 26(16.6%) were step-fathers, and respectively. The most common age bracket was 10s(39.5%), and the next was 40s and 50s (33.7%) Almost all(98.7%) of the perpetrators were male. 3) The mean age of victims was $12.1{\pm}3.3$ years old, and all of the victims were female, and the number of victims who had previous mental or physical handicaps and behavior problems were 5(3.2%) and 8(5.1%) respectively. 4) The ways by which intrafamilial child sexual abuses were found were abnormal behaviors 45(28.7%), victim's own report 40(25.5%), pregnancy 18(11.5%), pain complaint 13(8.3%), other person's report 13(8.3%), and detection during examination 12(7.6%). 5) Time lags between intrafamilial child sexual abuses and hospital visits were after 1 month 97(61.8%), from 1 day to 1 week 29(18.5%), within 1 day 21(13.4%), and from 1 week to 1 month 10(6.4%). 6) Physical complications were perineal wound 93(59.2%), hymen rupture 90(57.3%), pregnancy 68(43.3%), wound of other part of body 11(7.0%), and sexually transmitted disease 4(4.5%). 7) Treatment for victims were discharge 92(58.6%), admission, operation or transfer to a bigger hospital 25(15.9%), psychiatry consult 19(12.1%), report to police(10.9%) and social work consult 3(1.9%). These results suggest that considerable numbers of physicians have had the experience of treating victims of intrafamilial child sexual abuses, and intrafamilial child sexual abuses are the major medical as well as social issue in children in Korea.

• Korean Journal of Psychosomatic Medicine
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• v.29 no.2
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• pp.77-85
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• 2021

Breast cancer is the most prevalent oncological disease among women. Various psychosocial distress is common at the diagnosis, treatment, and posttreatment phase of breast cancer. For the treatment of breast cancer, not only medical treatment but also psychosomatic integrative care will be needed. Patients with breast cancer may lead to increased vulnerability to stress, adjustment disorder, anxiety disorder, and depressive disorder, and these psychiatric diseases and conditions are associated with recurrence or exacerbation of breast cancer. Psychosocial treatment of anxiety and depression could increase the quality of life of patients and decrease the recurrence and progression of breast cancer. In this article, we reviewed 5 clinical breast cancer survivorship guidelines focused on psychosomatic integrative care including psychosocial treatment and alternative treatment for psychosocial distress. Because 5 treatment guidelines were using various definitions of evidence, we confirmed evidence of various psychosocial treatments for patients with breast cancer based on the definition of evidence by the US Preventive Service Task Force (USPSTF) guideline. We also reviewed the effect size of psychosocial treatment for anxiety, depression, mood, and quality of life in patients with breast cancer. This article discusses the barrier to the delivery of psychosomatic integrative care and suggests integrative care planning for breast cancer. Multi-disciplinary teams, patient's needs assessment, information technology support, patient and caregiver engagement, planned periodic monitoring of psychosocial distress by a psychosomatic specialist or consultation-liaison psychiatrist are recommended as key features of a psychosomatic integrated care plan.

• Proceedings of the Korean Society of Computer Information Conference
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• 2013.01a
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• pp.91-93
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• 2013

성폭력은 강간, 강제 추행, 성희롱, 도촬 등 상대방의 의사에 반하여 성적 자기 결정권을 침해하는 모든 신체적 정신적 폭력을 말한다. 남성이 가해자이고 여성이 피해자인 경우가 많은 범죄 행위 중 하나이다. 그 중에서 성폭력의 하나인 성추행은 강제추행을 뜻한다. 강제추행이 성희롱과 다른 것은 '폭행이나 협박'을 수단으로 '추행'하는 것이다. 성추행은 성욕의 자극, 흥분을 목적으로 일반인의 성적 수치, 혐오의 감정을 느끼게 하는 일체의 행위(키스를 하거나 상대의 성기를 만지는 행위 등)로, 강제추행은 이러한 추행 행위 시 폭행 또는 협박과 같은 강제력이 사용되는 경우를 말한다. 본 논문에서는 엘리베이터 내에서 이러한 여성의 성 추행 사건을 컬러 히스토그램을 통하여 추출하도록 한다.

• The Journal of the Korea Contents Association
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• v.14 no.11
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• pp.328-336
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• 2014

This work has performed to find what activities of daily living are required for the intensive interests when inpatient elderly more than 3 months has been supported and convalescent care, where the inpatient elderly were judged by the inpatient assessment report in the time of December, 2013. According to the estimation with logistic function of the relationship between the state of decision making recognition technology and the Activities of Daily Living(ADL), the intensive cares for the elderly are required in the parameters of 'Having meal' and 'transferring sitting' when they are severed and convalescently cared as the degree of functional independence for ADL are severly proceeded. In addition, the senescence and disease the activities except 'Having meal' and 'transferring sitting' seem to be influenced by the decline of body function more than the state of decision making recognition technology for daily living.

• Phonetics and Speech Sciences
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• v.15 no.4
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• pp.35-43
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• 2023

This study aimed to investigate the relationship between overt and covert characteristics of stuttering. This study included 10 adult participants who stutter. To analyze the overt characteristics, stuttering frequency, duration of stuttering moments, concomitant behaviors, and total score were scored based on the Stuttering Severity Instrument-Fourth Edition (SSI-4). Additionally, the modified Erickson scale of communication attitudes (S-24) and the Overall Assessment of the Speaker's Experience of Stuttering for Adults (OASES-A; general information, reactions to stuttering, communication in daily situations, quality of life, and total score) were used to determine the covert characteristics. Correlation analyses showed no significant association between the overt and covert variables. However, there were significant correlations between the scores on the S-24 and the OASES-A. These findings support the perspective that the overt characteristics of stuttering do not predict the covert characteristics, and vice versa. Therefore, when evaluating and intervening with adults who stutter, it is important to consider these characteristics separately.

• Korean Journal of Social Welfare
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• v.56 no.4
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• pp.5-34
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• 2004

This study aims to find out the determinants of burnout in order to better understand the burnout process among social workers. For this purpose, a hypothetical model which explains the relationships among 8 job-related stressors (role ambiguity, role overload, difficulties in solving problems of clients, conflict with the clients, lack of support from the supervisor, closed communication pattern, bureaucracy, and lack of accountability), 4 mediators (job-stress, professional role performance, abiding by the agency policy and partiality in service delivery), and 4 dimensions of burnout (physical exhaustion, psychological exhaustion, depersonalization and personal accomplishment) was developed. Using the data collected from 207 social workers, the hypothetical model was tested. For data analysis, a path analysis was used, and the best-fitting model was found(df=66, $x^2$=63.250, GFI=0.962, CFI=1.00). As a result of this study, the following results were found. Burnout among social workers was increased by the 6 job-related stressors(role ambiguity, role overload, difficulties in solving problems of clients, conflict with the clients, lack of support from the supervisor, closed communication pattern). Job-stress, the mediating variable of the emotional path to burnout, increased professional role performance and the abiding by agency policy, and finally increased burnout. On the other hand, professional self-efficacy (which consists of professional role performance, abiding by agency policy and partiality in service delivery), the mediationg variable of the cognitive path to burnout, reduced burnout when the professional role performance was high, and abiding by agency policy and partiality in service delivery were low.

• Korean Journal of Psychosomatic Medicine
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• v.17 no.2
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• pp.45-51
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• 2009

Pulmonary diseases distress millions of people worldwide. Numerous studies have shown an association between pulmonary disease and psychiatric disorders. Despite this, little is known about the treatment of psychiatric disorder in patients with pulmonary disease. The three main goals of this article are 1) to discuss the major disorders such as asthma, chronic obstructive pulmonary disease, hyperventilation, tuberculosis, lung cancer that most clinicians see in practice, 2) to provide an information about psychiatric treatment such as anxiety, depression, psychosis in pulmonary disease, and 3) to provide some clinically relevant suggestions about pharmacologic interactions between pulmonary and psychotropic drugs.

• The Journal of the Institute of Internet, Broadcasting and Communication
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• v.12 no.4
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• pp.23-29
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• 2012

Injured peoples usually care their body at medical institutions. But if they need some more rehabilitation to the affected area thus exist. These medical institutions according to the scale there are significant differences in rehabilitation programs, most of the small-scale rehabilitation program for medical doctors and patients to be progression of the conversation is an issue. In this paper, in a small medical facility rehabilitation to assist in the accuracy and reliability, physical contact and force sensors that can measure a combination of substitution and the tactile sensor and tactile sensor alternative with a similar function is proposed. Perceptron neural networks by applying the contact evaluation according to the algorithm to determine the pattern is applied.

• 한국노년학
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• v.30 no.1
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• pp.221-240
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• 2010

Despite a growing trend in elder mistreatment, research about the problem and its effects on the victims has been sparse. Notably missing are the perspectives of older adults themselves, whose perceptions and responses to elder mistreatment are greatly affected by social and cultural context. The purpose of this study is to examine factors associated with older persons' perceptions of elder mistreatment and subsequent help-seeking behaviors. Six hypothetical scenarios featuring elders were the basis of interviews with 124 older persons, drawn by a quota sampling strategy. Findings indicated that older persons perceived situations of physical abuse (87.9%), financial abuse (86.3%), and psychological abuse (66.1%) to be elder mistreatment, yet respondents showed less sensitivity to elder mistreatment that took the form of physical mistreatment within a couple (47.6%), neglect (40.3%), and self-neglect (16.9%). Certain scenarios yielded less intention to seek help: namely, physical mistreatment within a couple, neglect, and self-neglect. Older persons' personal characteristics, social factors, and cultural factors exerted significant influence on both perception and help-seeking behavior. Perception was identified as a key factor that significantly influenced help-seeking behavior. Findings point to awareness of cultural and social context for success in elder mistreatment prevention, intervention, and policy design for this population.

• Korean Journal of Psychosomatic Medicine
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• v.24 no.1
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• pp.3-8
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• 2016

Functional dyspepsia is one of the most common bowel disorders as prevalent of 7.7% Korean population. The cardinal manifestations include bothersome postprandial fullness, early satiation, epigastric burning or pain. These features are chronic and should be presented recurrently with no other compatible organic disease to explain the symptoms. Even though it is not life-shortening, functional dyspepsia usually make the health-related quality of life worse especially if other functional bowel disorder coexist. The coexistence of functional bowel disorders is called as 'overlap syndrome'. Anxiety, somatization and insomnia is more prevalent in overlap syndrome compared with sole functional bowel disorder. Therefore, it is worthwhile that physician interviews and elucidates whether the dyspeptic patient had other kinds of functional bowel disorders, and manages the underlying psychotic pathology. Placebo effect is large in functional dyspepsia, and there is only four kinds of prokinetics that is proven to be superior to placebo. Adverse events relating prolonged administration of prokinetics sometimes fatal or irreversible, physician willing to describe prokinetics should be familiar to the possible adverse effects and the relating risk factors. Pathologic acid reflux is not uncommon in functional dyspepsia, and acid-suppressant is equivalent to the prokientics in most of dyspeptic patients.