• Journal of the Korean Society of Child Welfare
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• no.32
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• pp.129-160
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• 2010

This paper provides a review of research in the area of child(hood) sexual abuse. Particularly, the paper focuses on understanding the direction of research trends in Korea on this topic by evaluating the methodological changes, diversity of topics, and factors associated with research participants. The systemic, comprehensive review includes 28 articles in 14 primary Korean Journals and 261 articles in "Child Abuse and Neglect" and "Child Maltreatment" published from 2000 to 2008. Foci of the reviewing process were; (1) Do the transition of research methods follow scientific saturation? (2) What are the main subject areas of the field? (3)Who are the research participants and from where were they recruited? The review finds that overall, the number of CSA studies fluctuated in early 2000, but remained stable which means that academic interests have remained along with the social concern. The Korean CSA studies are imbalanced in terms of scientific saturation. Studies with theoretical methods are short in numbers, but there is a rapidly growing number of research using qualitative approaches. The review also highlights that most quantitative research utilized cross-sectional survey methodology. The major research themes that were most frequently found were studies on factors associated with CSA and evaluation of treatment modalities. However, research on perpetrators and measurement scale development were rather rare. In the CA&N and CM articles, study participants are frequently recruited from mental health clinics or related social agencies. Korean samples usually come from schools than communities and young children and their mothers seem to be excessively represented. Balanced research efforts are strongly suggested.

• Clinical and Experimental Pediatrics
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• v.46 no.11
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• pp.1073-1079
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• 2003

Purpose : Recently there has been a decrease in ventilator care rate and duration of very low birth weight infants(VLBWI) in Fatima Hospital. The aims of this study were to survey the frequency and duration of ventilation in VLBWI and to develop a non-invasive neonatal intensive care unit (NICU) policy. Methods : We performed a retrospective study of 284 newborn of infants less than 1,500 gm admitted to NICU and discharged from January 1998 to December 2001. Patients were intubated or applied continuous positive airway pressure(CPAP) via nasal prong immediately after presenting signs of respiratory distress. We analyzed epidemiologic data to study the changes in ventilator care rate, duration and outcome of ventilator care groups. Results : Of 284 newborn infants, 146 required invasive management, such as endotracheal intubation and assisted ventilation. The characteristics, the severity of clinical symptoms and laboratory findings in ventilator care groups at birth showed no significant differences. The annual proportion of infants requiring assisted ventilation decreased according to increasing gestational age. The median duration of ventilation decreased markedly from 6.0 days in 1998 to 2.7 days in 2001. Final complications and outcomes in ventilator care groups showed no significant differences. Conclusion : Our study shows a significant reduction in the invasiveness of the treatment of VLBW infants, which was not associated with an increased mortality or morbidity. A non-invasive strategy for the VLBW infant with minimal to moderate respiratory distress after birth in NICU is better than immediate invasive management. Non-invasive nasal CPAP is a simpler and safer method than invasive assisted ventilation.

• The Korean Journal of Nuclear Medicine
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• v.38 no.4
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• pp.288-293
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• 2004

Purpose: increased uptake of wrist and hand joints in three phase bone scintigraphy (TPBS) have been used in the detection of reflex sympathetic dystrophy syndrome (RSDS). TPBS frequently shows increased shoulder uptake in the hemiplegic RSDS patients. We investigated the significance of the shoulder uptake in the detection of these patients. Materials and Methods: Twenty three patients who had hemiplegia due to brain stroke and diagnosed as RSD were enrolled in this study (M:F=16:7, R:L=11:12). The mean age was $63{\pm}10$ yrs. Ter normal volunteer (mean age: $60{\pm}5$, M:F=1:9) data was used as control group. TPBS was performed $59{\pm}32$ days after stoke (acute stage). We obtained the count ratios of bilateral hands by drawing a region of interest (ROI) in three phase images and compared to the count ratios of shoulders in the delayed image. Hand ROI included an ipsilateral wrist. Sensitivity of detecting the affected limb was defined using the right/left count ratio of normal control. Results: Sensitivities using count ratios of hand blood flow, blood pool and delayed image were 45%, 76% and 78%, respectively. Sensitivity of shoulder count ratio was 74%. Log of right/left counts of hand delayed image and that of shoulder delayed image were correlated well with statistical significance (Spearman's R=0.824, p<0.001). Conclusion: Shoulder uptake showed good correlation with hand uptake in the delayed image of TPBS. Shoulder uptake maybe helpful in the diagnosis of reflex sympathetic dystrophy syndrome in patients with hemiplegia.