• Clinical and Experimental Pediatrics
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• v.50 no.1
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• pp.20-27
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• 2007

Purpose : Child sexual abuse is a significant and serious problem that affects public health and society. Pediatricians are responsible for preventing and detecting sexual abuse of children. The aim of this study was to examine clinical findings of child sexual abuse. Methods : The authors retrospectively studied 292 patients between the ages of 0 and 18 who were referred for evaluation of sexual abuse to the Emergency Department of the National Police Hospital from Oct 1, 2001 to May 5, 2005. Results : Sixty three (21.6 percent) of sexual abuse victims were younger than 6 years of age; 89 (30.5 percent) were 6-12 years of age; and 104 (47.9 percent) were 12-18 years of age. Attack time was the most common between noon and 6 pm. Victims were attacked in their home or nearby (51.4 percent). One hundred fifty six (53.6 percent) offenders were accquaitances, thirty nine (13.4 percent) of whom were family members. The disclosure of attack by parents with abnormal physical symptoms was more common in younger children than in adolescence. Eighty nine (30.5 percent) victims had no specific physical findings, 51 percent had injury to the hymen, 37.3% had injury to external genitalia, and 4 percent had anal injury. One case of gonorrhea and thirteen cases of chlamydia were found. Sperm was found in 19 cases and acid phosphatase was positive in 28 cases. The absence of physical findings and laboratory findings was more common in younger children than in those in adolescence. The time interval from attacks to hospital visits had a significant negative correlation with age. Conclusion : For younger victims, the time interval from attack to hospital visitis was more prolonged. Victims may have no physical evidence of sexual abuse. Therefore, a careful history should be obtained and a through physical examination should be performed. Pediatricians must play a leading role in evaluation and treatment of sexually abused children, considering children,s growth and development. Coordination with other professionals is necessary to provide consultation, medical treatment, and legal assistance for the sexually abused children and families.

• Journal of Preventive Medicine and Public Health
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• v.10 no.1
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• pp.125-133
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• 1977

The author have performed, from June to July 1976, a sociomedical study on the 314 prostitutes which was engaged in tourism in Dongrae, Busan. The obtained results were as follows: 1. Age distribution was from 20 years old to 34 years old and the highest as 36.6% was 23-25 years old group. Most of the respondents as 95.2% were under 31 years old group. 2. Distribution of respondents by educational level showed that the group below the graduated primary school was 47.2%, middle school 29.3% and high school 57.0% in that order. 5. By the occupation before be ruined, none was 34.5%, waitress at saloon 24.2%, hostess 14.3%. 4. By distribution of birth place, most of the respondents as 64.0% were Gyeongsang Do(37.9%) and Busan City (26.1%). 5. Distribution of respondents by family status showed that only mother was highest as 43.9% and 82.2% of respondents have been supported their family. 6. Monthly incomes of respondents were distributed from 50,000 Won to 250,000 Won, and 50,000-100,000 Won group was the highest as 46.2%. In monthly sundry expenses, 20,000-30,000 Won group was the highest as 27.1%. 7. Monthly supporting expenses to their family were distributed from 10,000 Won to 50,000 Won and the highest as 26.7% was 10,000-20,000 Won group. Savings per month were distributed from 10,000 Won to 60,000 Won and 50,000-60,000 Won group was the highest as 22.3%. 8. Distribution of respondents by status of luxury showed that experiences of drinking was 20.4% and smoking was 55.7%. 9. By motive of falling into the ruin, economical causes was 41.7%. Most of the respondents as 95.0% expected under 3 years in prearranged period of their occupation. 10. By number of monthly entertainment, 5-10 persons as 58.0% was the highest. 11, Distribution of respondents by status of venereal disease and pulmonary tuberculosis showed that positive of gonorrhea was 8.0%, syphilis 1.6%, and pulmonary tuberculosis was 1.6%.

• Journal of Preventive Medicine and Public Health
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• v.16 no.1
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• pp.41-50
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• 1983

The incidence of sexually transmitted disease, especially gonorrhoea has risen despite the progress in its diagnosis and treatment. For the effective control programs of sexually transmitted disease, it should be required socio-medical approaches. A study on gonorrhoea and penicillinase-producing Neisseria gonorrhoeae(PPNG) was conducted in Jeonju and Kunsan area from March, 1982 through August, 1982. The 221 entertrainers were studied in order to determine the prevalences of gonorhoea and PPNG. Socio-demographic informations of the entertainers were obtained by interviewing them. Gonococci were cultured on Thayer-Martin enrichment media for isolation, and PPNG was confirmed using beta-lactamase reagent ($PADAC^{tm}$ Beta-Lactamase Test Strips, Galbiochem-Behring). The results of the study are summarized as follows; 1. The average age of the entertainers studied was $26.1{\pm}4.7$ years. 2. The average years of working in entertaining business was $2.4{\pm}1.4$ years, and the average income per month was $239,592{\pm}90,480$ won. On the education level, 70.6% of the entertainers were middle or high school graduates 3. 47.5% of the entertainers were using contraceptives. 90.5% have experienced artificial abortion. 4. 37(16.7%) out of 221 entertainers were revealed to gonorrhoea, and 13 (35.1%) of gonorrhoea patients were by PPNG. 5. The prevalence rates of gonorrhoea and the proportion of PPNG by age were not significant statistically. Meanwhile, the colelations between the rates of gonorrhoea and education, frequency of love-making with customers and type of sexual partner were highly significant statistically. 6. 37 strains of gonococci isolated were almostly resistant to several antimicrobial agents, especially amikacin, clindamycin and chloramphenicol. Furthermore PPNG strains were completely resistant to not only above drugs but also penicillin.