• Title/Summary/Keyword: 조기 개입

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Estimating the Socioeconomic Costs of Child Poverty (아동 빈곤의 사회경제적 비용 추계)

  • Kim, Soo Jung;Chung, Ick-Joong
    • Korean Journal of Social Welfare
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    • v.69 no.3
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    • pp.9-33
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    • 2017
  • This study estimated the socioeconomic costs of child poverty. Based on previous studies, the present study organized component categories for direct and indirect costs of child poverty, and estimated the cost of each category in 2015 through the collection of existing data and Delphi survey techniques among experts. The total socioeconomic costs of child poverty were compared to Korea's GDP. The results of this study were as follows. First, the socioeconomic costs of child poverty in Korea in 2015 ranged from 55 trillion KW(3.5% of GDP) to 99 trillion KW(6.5% of GDP). Second, the indirect socioeconomic costs of child poverty are much higher than the direct costs. Third, among the total cost categories, costs related to productivity loss and unemployment accounted for the largest portion of both the socioeconomic costs based upon absolute poverty and relative poverty. Crime costs are the second largest. Based on these results, we discussed the importance of early intervention for children in poverty; implementation of two-generation program that intervenes simultaneously with parents and children; and long-term, continuous and integrated intervention for high-risk groups such as poor children.

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A Qualitative Study on Intervening Work Experiences of Hospital-Based Child Protection Team on Child Abuse Death Cases (병원 학대피해아동보호팀의 아동학대 사망사건 개입경험 연구)

  • Kim, Kyunghee;Lee, Heeyoun;Chung, Ickjoong;Kim, Jihae;Kim, Sewon
    • Korean Journal of Social Welfare
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    • v.65 no.4
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    • pp.61-88
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    • 2013
  • The aim of this study was to explore the work experiences of hospital-based child protection team staffs who had intervened the child abuse cases resulting in death. In order to gather the relevant data, all 62 child protection teams registered nationwide were contacted and 5 teams which had actually experienced at least one child abuse deaths were found. The staffs (hospital social workers and doctors) who belonged to these teams were intensively interviewed, and the interviewed materials were thoroughly analyzed by qualitative research methodology. The result showed that treatment delay was the most important obstacle to prevent unnecessary deaths of the victims. Some abused victims were sent to the hospital only after their physical condition had so gravely deteriorated. In other cases, custodians' bland denial or refusal to treatment made impossible the timely intervention to save the child lives. Nevertheless, child protection team staffs' reasonable suspicion and active intervention could sometimes uncover the hidden truth that child abuse was the actual cause of death. These incidents were regarded as a team's meaningful accomplishments by team members. Meanwhile, lack of awareness and excessive burden about the role and responsibility of mandated reporter precluded medical staffs' active involvement. Also, substantiating the abuse suspicion by securing positive evidences was found to be a facilitatory factor for the rapid public intervention. On the basis of these results, several practice and policy implications were discussed to improve the early detection process, securing evidence and uncovering the actual cause of death in child abuse deaths.

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Diagnosis and Evaluation for the Early Detection of Delirium (섬망의 조기 발견을 위한 진단 및 평가 방법)

  • Chon, Young-Hoon;Lee, Sang-Yeol
    • Korean Journal of Psychosomatic Medicine
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    • v.19 no.1
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    • pp.3-14
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    • 2011
  • Delirium is a common psychiatric disorder and occurs in many hospitalized older patients and has serious consequences including increased mortality rate. Despite its importance, health care clinicians often fail to recognize delirium or misdiagnosed as other psychiatric illness. Awareness of the etiologies and risk factors of delirium should enable clinicians to focus on patients at risk and to recognize delirium symptoms early. To improve early recognition of delirium, emphasis should be given to terminology, psychopathology and knowledge regarding clinical rating scale for delirium in the specific medical and surgical clinical settings. In this study, authors introduce rating scales for delirium and knowledge of clinical diagnostic process for delirium and give rise to appropriate assessment of delirium in the clinical situation.

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Analysis of Child protection system from a preventive Perspective : Focusing on the German case (예방적 관점에서 살펴 본 아동학대 대응체계 분석 - 독일 사례를 중심으로 -)

  • Hong, Moonki
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.6
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    • pp.515-522
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    • 2022
  • This study analyzed the child protection system in Germany from a preventive perspective and attempts to find the applicable implications to Korea. The research method was analyzed in terms of legal, policy and professionalism. The result is as follows. First, Child and Youth Support Act in Germany stipulated a preventive support system to restore the function of the family. Second, according to the Civil Act, it was stipulated that the family court could intervene early. Third, the federal Child Protection Act stipulated community cooperation for thd child protection system. Fourth, the Youth Agency as the general authority made it possible to provide preventive support and intervention at the same time. Firth, qualification standards were specified in the Child and Youth Support Act. Child protection specialists are granted to public officials who have worked for more than three years. The implications are as follows. First, the child protection system, which operates as a child abuse reporting system, should be expanded to a preventive support system. Second, it is necessary to expand monitoring by establishing an early warning system between networks in order to establish a support system for potentially at-risk children. Third, local governments should support children and parents flexibly and comprehensively for dysfunction caused by difficulties at home. Fourth, it is necessary to enact the Child Protection System Cooperation Act for a network cooperation system.

Factors affecting the ability of older adults to identify symptoms of depression (노인의 우울증상 식별력에 영향을 미치는 요인)

  • Lee, Sun Hae;Ko, Jung Eun
    • 한국노년학
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    • v.29 no.2
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    • pp.529-546
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    • 2009
  • Depression in old age not only is prevalent but also causes a considerable amount of burden in physical, psychosocial, and economic terms. Intervention, however, is often delayed due to the understanding that considers depressive symptoms as a normal process of aging or signs of physical illnesses. Since the recognition of symptoms often initiate one's help seeking process, a correct identification of symptoms can contribute to early detection and intervention to depression in oneself as well as in others. This study interviewed 104 older adults living in an urban area, and explored their ability to correctly identify depressive symptoms and factors related to identification. The study results show that respondents who were able to correctly identify symptoms of depression were only 14%, and the rest defined the symptoms as social, economic, and other psychological issues. Of the factors in the logistic regression model, age being 75 and over and mass media as source of mental health information affected negatively their ability to correctly identify symptoms; mental health education programs affected positively their ability. Based on these results, it is suggested that such strategies as employing a face-to-face provision of concrete information and counseling can be more effective than delivering information via large-scale lectures. Additionally, a future research deems necessary to conduct an in-depth examination of mental health/illness-related contents on mass media.

A prospective study on early English education and Korean children's English proficiency: When cognitive, personality and parental factors are controlled (조기영어학습이 유아의 영어능력에 미치는 영향: 인지, 성격, 부모요인을 통제한 전향적 연구)

  • Kim, Geunyoung;Kim, Yoo Ree;Park, Hyekyung;Kim, Gahee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.11
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    • pp.552-562
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    • 2016
  • Although a number of studies have been conducted in Korea since 2000 on the impact of early English education, their interpretation is still not conclusive, due to their lack of control groups and failure to control for third factors and use valid measurements. The present study was designed to examine the effect of an English education program on young children's English proficiency after 8 months using the most well-known official English proficiency measure, the WIDA for kindergarteners. In addition, the children's Korean language proficiency, cognitive abilities, personality, parents' SES, and parents' attitudinal variables before the education were measured and controlled. The results indicated that the intervention group performed better than the control group in both listening and speaking skills, even when all relevant factors were considered. This effect, however, was only found in the item-level analyses.

Study on revise the border for subbasin considering urban drainage system (내배수시설을 고려한 유역 경계 재설정 기법 연구)

  • Song, Yang Ho;Park, Moo Jong;Lee, Jung Ho
    • Proceedings of the Korea Water Resources Association Conference
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    • 2016.05a
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    • pp.604-604
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    • 2016
  • 본 연구에서는 내배수시설 기준 배수구역 경계 재설정 기법을 제안하고자 한다. 내배수시설 경계 재설정 기법이란 경계 재설정에 따른 침수저감 효과를 보다 명확히 나타냄으로써 시스템의 유출량 분산을 통한 침수발생 저감을 목적으로 한다. 기존의 유역 경계 설정이 설계자의 임의성이 개입되어지는 것에 비하여 침수저감 이라는 구체적이고 객관적인 판단 근거에 유역 경계를 설정하는 판단기준을 제공하는 것을 목적으로 한다. 내수침수에 대한 피해 저감을 목표로 하며, 개선된 내배수시스템 구성을 바탕으로 경계 재설정 기법을 실유역에 적용하였다. 경계 재설정을 통한 침수 저감효과 검토는 지리적으로 연속된 인접한 내배수시설 유역을 대상으로 한 기법에 해당하며, 해당 유역간의 효율적인 내배수시설 운영을 포함한 분석을 통해 내수배제 능력을 확보하도록 하는데 의미가 있다. 즉, 빗물펌프장을 이용한 펌프 조기가동 효과를 토대로 침수저감 효과를 검토하고 소화하지 못하는 유출량에 따른 월류발생을 저감하기 위한 경계 재설정 기법에 해당한다. 향후 최적화 기법을 해당 기법에 적용하기 위한 다양한 분석 결과들을 바탕으로 내배수시설 경계 재설정 모형 개발을 위한 사전 검토단계에 해당한다.

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Dental Erosion (치아침식증)

  • Kim, Jiyeon;Kim, Shin;Jeong, Taesung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.43 no.2
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    • pp.213-220
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    • 2016
  • In recent decades, dental erosion has received a considerable amount of attention with a steady increase of the prevalence. However, the awareness of this matter in our society, including dentistry is still lacking. Dental erosion is an irreversible loss of dental hard tissue leading to a complex condition. To prevent detrimental effects, it is important to detect conditions as early as possible and inhibit progression. In children and adolescents, early intervention is more important than in adults. As dental erosion is a multifactorial condition, dentists need to fully understand the phenomena and do systematic oral examination with thorough history taking for early diagnosis. When the main etiological factor is detected, it is necessary to make an effort to eliminate it and stop progression of the lesions with preventive measures. Restorative treatment should not be started unless substance loss reaches a certain level. Once the decision is made for treatment, care must be taken to choose the least invasive method.

Effectiveness of Early Cognitive Training and Tailored Telephone Coaching Program for Ischemic Stroke (허혈성 뇌졸중 환자를 위한 조기 인지훈련과 맞춤형 전화코칭 프로그램의 효과)

  • Oh, Eun-Young
    • Journal of Digital Convergence
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    • v.18 no.3
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    • pp.195-205
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    • 2020
  • The purpose of this study was to investigate the effects of early cognitive training and tailored telephone coaching program for ischemic stroke. Among 28 participants, assigned into the experimental(n=15) and control group(n=13). Only the experimental group was received a 4-week cognitive training and 11 session of tailored telephone coaching. The effect ot the program was evaluated four times(baseline, 4weeks, 8weeks, 12months) using the tool on Depression, Mini Mental State Examination(MMSE), Neuropsychological battery, Activities of Daily Living(ADL). The repeated measures ANOVA showed that the experimental group showed improvement in MMSE, verbal memory and executive function compared to the control group. Especially, the improvement of executive function which is related to ADL was a remarkable result. This suggests that early intervention is very important for recovery cognitive function and independent daliy life after stroke, and periodic telephone coaching should be done together for mid-to long term effects.

At Risk State for Psychosis : Related Issues and Future Directions (정신병 위험상태 : 관련된 문제와 향후 전망)

  • Roh, Dae-Young;Kim, Chan-Hyung
    • Korean Journal of Biological Psychiatry
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    • v.18 no.4
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    • pp.203-209
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    • 2011
  • In medicine, general clinical practice moves in the direction of early detection and intervention for the prevention of progressive disease. In psychiatry, research in subjects with the risk syndrome for psychosis, has been conducted for the prevention of schizophrenia, known as a devastating chronic disease. The inclusion of 'attenuated psychosis syndrome', based on the results of early intervention studies, is one of the major issues in the upcoming DSM-V. Further investigations are needed to find biological markers and endophenotypes to supplement the diagnostic criteria. In the future, adoption of clinical staging is promising to overcome the shortcoming of current diagnosis of schizophrenia. In clinical practice, more concerns are needed about attenuated psychotic symptoms which might be risk signals for the transition to psychosis.