Objective : Traumatic brain injury (TBI) in children under age 24 months has characteristic features because the brain at this age is rapidly growing and sutures are opened. Moreover, children this age are completely dependent on their parents. We analyzed the demographic data and risk factors for outcomes in TBI patients in this age group to elucidate their clinical characteristics. Methods : We retrospectively reviewed the medical records and radiological films of children under 24 months who were admitted to Kyungpook National University Hospital from January 2004 to December 2013 for TBI. Specifically, we analyzed age, cause of injury, initial Glasgow coma scale (GCS) score, radiological diagnosis, seizure, hydrocephalus, subdural hygroma, and Glasgow outcome scale (GOS) score, and we divided outcomes into good (GOS 4-5) or poor (GOS 1-3). We identified the risk factors for post-traumatic seizure (PTS) and outcomes using univariate and multivariate analyses. Results : The total number of patients was 60, 39 males and 21 females. Most common age group was between 0 to 5 months, and the median age was 6 months. Falls were the most common cause of injury (n=29, 48.3%); among them, 15 were falls from household furniture such as beds and chairs. Ten patients (16.7%) developed PTS, nine in one week; thirty-seven patients (61.7%) had skull fractures. Forty-eight patients had initial GCS scores of 13-15, 8 had scores of 12-8, and 4 had scored 3-7. The diagnoses were as follows : 26 acute subdural hematomas, 8 acute epidural hematomas, 7 focal contusional hemorrhages, 13 subdural hygromas, and 4 traumatic intracerebral hematomas larger than 2 cm in diameter. Among them, two patients underwent craniotomy for hematoma removal. Four patients were victims of child abuse, and all of them had PTS. Fifty-five patients improved to good-to-moderate disability. Child abuse, acute subdural hematoma, and subdural hygroma were risk factors for PTS in univariate analyses. Multivariate analysis found that the salient risk factor for a poor outcome was initial GCS on admission. Conclusion : The most common cause of traumatic head injury in individuals aged less than 24 months was falls, especially from household furniture. Child abuse, moderate to severe TBI, acute subdural hematoma, and subdural hygroma were risk factors for PTS. Most of the patients recovered with good outcomes, and the risk factor for a poor outcome was initial mental status.
Objectives: This study investigated the average number of drinkers in Korea, the number of high-risk drinkers, the average amount of alcohol consumed by high-risk drinkers, and the types of alcohol consumed according to the characteristics of the group of dependent drinkers. Methods: The results were obtained by analyzing the following data: The Global Status Report on Alcohol and Health; Country Profile 2014; WHO Country Profile 2014; Korea National Health and Nutrition Examination Survey 2014, Korean Statistical Information Service; National Tax Statistics-Liquor Tax; Gallup Drinking Frequency Survey 2015 Results: This study found that a large proportion of drinkers in Korea are already high-risk drinkers, and even among drinkers, alcohol consumption was highly biased. It was reported that 49.8% of men in the problem, abuse, and dependence groups accounted for 92.4% of total alcohol consumption among the male population. Notably, the 9.6% of men making up the dependent group consumed more than 30% of the alcohol ingested among males. Women had significant variations within groups that were considered high-risk and exhibited a large share of alcohol consumption in the problem (10.0% of the female population), abuse (1.8% of the female population), and dependence (1.5% of the female population) groups, constituting 72.8% of total alcohol consumption. The average amount of alcohol consumed by drinkers in Korea seems to have exceeded the level of intake by high-risk groups. Alcohol-dependent groups consumed 900.7 mL of soju, 405.2 mL of table wine, and 2,043.8 mL of beer, which is very similar to the consumption average of 2,031 mL of beer and 895.2 mL of soju in the drinking group. Conclusion: It has been shown that men's dependence on alcohol is serious, and it is possible to infer that alcohol consumption in some vulnerable groups is very high. As the average alcohol intake among alcohol-dependent groups and ordinary drinkers is very similar, it is highly likely that the drinker is an alcohol-dependent consumer in Korea.
This article reports on the analysis of the patterns and frequency of recurrences of substantiated instances of maltreatment in the Child Protective System (CPS). The data was collected from 2012 to 2014 by the CPS. Five-thousand-five-hundred-forty-two cases were substantiated in 2012 and then 323 cases were exposed recurrence during that time. Most recurrence families experienced only one recurrence. Results from survival analyses instances indicated that risk of recurrence was greatest during the first one month following a report. The prior CPS report, multiple type of abuse, physical abuse, and services type was linked the pattern of recurrence of maltreatment. Also, victim's age and the number of problematic behavior, perpetrator's stress and social isolation, intra family member as perpetrator, prior CPS report, and the number of reports was linked recurrence.
Animation is a popular art in the form of enlightenment that intimately approaches people of various ages and makes them reconsider the social problems they have ignored. Therefore, this paper analyzes how the character setting and formative symbolism in "The Willoughbys" raise awareness of social agendas. The previous studies found that the modern society needs to be aware of child abuse and various types of family, and examined that color and formativeness of animation induce psychological and behavior change from the audience. The work shows emotional abuse and neglect as characters, and presents the subdivided form of the family. The rainbow symbolizes diverse family members. The agents with visual characteristics express the modern principle-based secondary perpetrator along with apathetic neighbors to urge a change in audience perception. This paper insists the value of animation when it is essential to raise public awareness prior to the construction of a welfare society and support system.
To validate the effects of students' individual factor, school organizational factor, and teacher factor on violent behavior toward peers in school, this study applied Hierarchical Linear Modeling and analyzed it using the HLM 7 program. To this end, it used survey data of students from 50 middle schools in Seoul and Gyeonggi province. A total of 1,777 cases from 50 middle schools were used for individual student-level analysis (Level 1), and used for school-level analysis (Level-2). According to the results of the analysis, student-level variables such as attitude toward violence, experience of child abuse at home, and delinquent peers had significant effects on school violence. The effects of violent discipline by teacher, which are used as a school-level variable, was statistically significant. Based on the result of the study, action plans and policies to resolve school violence were discussed.
The Journal of Korean Society for School & Community Health Education
/
v.12
no.2
/
pp.1-12
/
2011
Objectives: This study was carried out to investigate parent behavioral factors associated with perceived family support of college fresh-woman, in part to find the way of successful college life. Methods: Self-administered questionnaires were given to 256 freshman enrolled in college, between 2weeks may and June 2009. The questionnaire items general characteristics included religion, college entry form(high school graduation/other college expierence), allowance, college life satisfaction, self rated health and family support, parenting behaviors. Parenting behavior consists of affection, reasonable explanation, abuse, excessive interference, supervision, negligence, inconsistencies. The dependent variable is perceived family support, independent variable mother and father behaviors that consisted of above 8 spheres. Results: For the statistical analysis, the t-test was used for the family support and parenting behaviors according to the general characteristics. The influence elicited by the instrument of parenting behavior was determined using multiple regression under the control of general characteristics. The influencing factors are mothers's affection and father's supervision, neglection and affection. Conclusion: Based on the study results, it is important father's behavior to their children especially they are regarded as father's neglect is not support them. We suggest that, for father's behavior strategies should be developed to perceive their family support.
The purpose of this study was to identify the need for sex education in middle school students Research subjects were 194 students who attended at I seminary in B city. The period of data collection was from July to August, 2001. Research instrument was composed of 61 structured items 17 items related to demographics and sex, 44 items related to the need of sex education. Data were collected through the self-report method by the researcher and one trained assistant. The instrument developed by the researchers was employed to measure the need of sex education and it's Cronbach's $\alpha$ = 0.9349 in this research. Data were analyzed by frequency, percentage factor analysis and t-test using SPSS WIN Program. The findings of this study are summarized as follows : 1. The highest score among characteristics of sex was 'less interest about sex(42.6%)', 39.0% of subjects got information about sex from friends or elders. 52.3% of subjects consulted friends or elders about sex problems. The number of sex education lessons was 1-2 times in school during last semester (61.0%). Education by the school nurse was 35.9% to students. 43.1% of subjects announced moderate satisfaction on sex education. 2. The mean score of the need for sex education was $2.88{\pm}0.47$ (lowest value 1, highest 4). The most wanted sex education factor was 'chastity and sexual responsibility($3.33{\pm}0.67$)' and followed by 'family and marriage ($3.26{\pm}0.62$)' and 'considerations of sex($3.07{\pm}0.69$)'. Meanwhile, the lowest wanted sex education factor is 'physiological characteristics of male ($2.47{\pm}0.72$)', followed by 'sexual behavior ($2.49{\pm}0.75$)'. The most wanted sex education item was 'the meaning of family ($3.54{\pm}0.75$)' and followed by 'the cautions to prevention from sexual abuse ($3.49{\pm}0.78$)' and sexual activity and responsibility($3.43{\pm}0.77$)'. Meanwhile, the lowest wanted sex education item is 'masturbation ($2.16{\pm}0.97$)', followed by 'circumcision($2.32{\pm}0.97$)'. 3. There is no significant difference between boys and girls in mean score about the need for sex education(t=-.715, p=.476). Sex education factor that girl-students wanted was 'physiological characteristics of female'. Sex education factor that boy-students wanted was 'family and marriage'. Sex education items that girl-students wanted were 'cautions during menstruation', the relation of ovulation and pregnancy', caution to prevention from sexual abuse' and sexual behavior and responsibility'. Sex education items that boy-students wanted were 'the meaning of family', 'the importance of marriage', 'male's sex organs', 'a wet dream', 'the method to resolve sexual curiosity', 'sexual intercourse' and 'the connection with the other sex'. In conclusion, the mean score of the need for sex education is medium. The route to attain knowledge about sex and sexual problem is through consulting friends and elders. Therefore, it is necessary to give sex education that is suitable to the subject's needs and methods. Also, it is necessary to give differently strong point about sex education between female and male students.
Relations of factors associated with burnout were investigated among 124 child protective service workers currently working in Korean Child Abuse Prevention Centers nationwide. Three categories of factors associated with burnout were examined; (1) individual characteristics, (2) job-related characteristics, and (3) job-satisfaction. Social survey method using questionnaires by mail was employed. MBI(Maslach Burnout Inventory) for measuring burnout, a part of Smith, Kendal & Hulin's JDI(Job Description Index) for job-satisfaction, and a scale measuring the special characteristics of job developed by researchers were used. Mann-Whitney test and Kruskal-Wallis test were employed to analyze the data. Across all burnout sub-scales(emotional depletion, dehumanization of clients, lack of feelings of achievement), subjects reported a high degree(above the cutting point) of burnout. Several factors were identified as associated with burnout. Child protective service workers who are young, single with front line worker status reported higher burnout. Lack of education and training before the job location were another factors which contributed to worker burnout. Lack of proper supervision stood out as another burnout provoking factor. Job-satisfaction was negatively correlated with all three burnout sub-scales, which meant the lower the job-satisfaction, the higher the burnout of service workers. The findings implicate that the administrators of Child Abuse Prevention Centers should pay close attention to their workers' sign of burnout and develop carefully designed support system which include provision of excellent supervision, proper education and training opportunities and organizational effort to strengthen employees' overall job-satisfaction to secure their quality of services toward abused children and their family.
This study reviewed the important preceding studies of prevention and treatment of the crimes and therapies on the characteristics of mental illness, trying to investigate and identify more effective ways to prevent, decrease the crimes of the mentally ill and treat them. The main results were as follows. First, relationships between mental illness and crimes have been inconsistently reported, to investigate environmental stresses and triggers of the mentally ill additionally. Second, the term 'mentally illness' was to be defined more specifically, such as severe psychiatric disabled, antisocial personality disorder, intellectual disability, anger·impulse control disorder, and drug abuse. If medication and psychosocial treatments were properly treated to the severe psychiatric disabled, their crime incidence and recidivism will be decrease enough to live with their neighbors in community. But the ways and processes of treating antisocial personality disorder, intellectual disability, anger·impulse control disorder, and drug abuse were very different from it, requiring more intense psychological, medical and biological interventions and social seclusion. The national campaigns and projects for their human rights and community care will be needed to promote the therapeutic effects for them. The limitation and future tasks were discussed.
This study examined the co-occurrence of child maltreatment and domestic violence in South Korea, using the administrative data from Korean Child Protection Services. Existing literature showed that the co-occurrence rate was high and that the co-occurrence was important in prevention and intervention for child maltreatment. However, few studies have investigated the co-occurrence of child maltreament and domestic violence in South Korea. None of the studies have examined the co-occurrence from the perspective of child protective services. This study analyzed the rate of co-occurrence among abusive families involved with Korean Child Protective Services and examined the relationship between domestic violence and child maltreatment. Results showed that 21.4% of the abusive families had also experienced domestic violence. Various characteristics(i.e., detailed abuse characteristics, psychosocial characteristics of perpetrators) differed between co-occurrence families and maltreatment-only families. Domestic violence was a significant predictor of child maltreatment, but the detailed relationships differed according subtypes of maltreatment. Based on the results, implications for theory and service integration between services for domestic violence victims and child protective services were discussed.
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