• Biomolecules & Therapeutics
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• 제4권3호
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• pp.232-238
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• 1996

The physical dependence potency of DA-5018, a non-narcotic analgesic agent, was tested in mice dosed with 0.5 and 4 mg/kg/day for 2 months and daily increasing doses of 1, 2, 4, 6, 8 and 10 mg/kg over 10 days. Physical dependence was assessed taking natural withdrawal induced morphine-type abstinence (jumping, falling, biting or backward locomotion, rearing etc.) as well as barbiturates-type abstinence (body weight reduction, convulsion, ataxia etc.) into consideration. The results were compared with those after the same daily increasing doses of morphine. DA-5018 did not show evidence of physical dependence liability or abuse potential as measured by morphine-type or barbiturate-type abstinence signs following daily increasing or 2-month repeated administration. On the other hand, daily increasing doses of morphine produced physical dependence and the dependent state disappeared about 6 hours after the start of withdrawal signs. In the single dose suppression test, a single dose of morphine completely suppressed natural withdrawal signs that appeared in morphine-dependent animals. Therefore, these results indicate that DA-5018 does not have abuse potential and physical dependence liability.

• 한국지역사회생활과학회지
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• 제22권3호
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• pp.341-349
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• 2011

As elder abuse has become a social problem, it has drawn a great deal of attention from researchers and policy-planers. While there have been a number of studies addressing various issues related to elder abuse, the present study aims to explain whether and how the perception of elder abuse would differ among the elderly themselves. In particular, the study focuses on the differences between urban and rural areas. Family-centered culture is believed to have a stronger influence in rural areas compared to urban areas. This cultural tradition highlights the importancy of the family compared to the individuals. Thus, the elderly who experience abuse would take it as personal matter rather than publicizing it. In addition, the information and campaigns on preventing elder abuse are less prevalent in rural areas than in urban areas due to limited communication networks. For these reasons, the study suggests a hypothesis that the elderly in rural areas are less perceptive to elder abuse. Using 6,709 persons aged 65 and over from a nationwide survey conducted by the Korean Institute for Health and Social Affairs in 2009, the study ran regression analysis on 4 types of elder abuse including psychological, financial, physical and neglect. The results show that regardless of types of abuse, the elderly in rural areas have lower levels of perception than the elderly in urban areas do. In addition, the frequency of social activities is positively related to the perception of elderly abuse. This is also true for the different types of elder abuse. The findings suggest that social effort to prevent elder abuse consider the urban-rural differences and their sources.

• 한국지능시스템학회논문지
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• 제26권6호
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• pp.458-463
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• 2016

본 논문에서는 노인학대 발생요인에 대한 사회복지사의 의식구조에 관해 퍼지구조모델을 도출하고 이를 분석하여 다음과 같은 결과를 얻었다. 첫째, 최상층의 노인학대행위는 중간층의 노인에 대한 태도, 업무과중과 연결되어 있는 것으로 나타났다. 둘째, 중간층의 노인에 대한 태도, 업무과중은 하층의 사회복지사의 성격, 클라이언트의 신체적 정신적 의존성, 클라이언트의 성격과 관련되는 것으로 나타났다. 셋째, 하층의 사회복지사의 성격, 노인에 대한 지식, 클라이언트의 성격, 클라이언트의 신체적 정신적 의존성은 중간층을 거치지 않고 최상층의 노인학대행위에 관여하는 것으로 나타났다. 넷째, 업무과중과 노인에 대한 태도는 같은 중간층에 위치하지만 업무과중이 노인에 대한 태도에 영향을 미치는 것으로 나타났다. 마지막으로, 사회복지사의 연령, 직업이미지, 교육, 처벌규정은 독립층으로 존재하여 노인학대행위 및 관련요인 간에 연관성이 없는 것으로 나타났다.

• 한국치위생학회지
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• 제23권5호
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• pp.403-410
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• 2023

Objectives: To confirm the awareness of child abuse and attitudes toward mandatory reporting among dental hygiene students in the Gwangju and Jeonnam regions. Methods: The level of awareness of child abuse according to general characteristics, attitudes toward reporting obligation, and awareness of the mandatory reporting system were analyzed using t-test or one-way analysis of variance (ANOVA) analysis, and correlation was analyzed using Pearson correlation coefficient. Results: Awareness of child abuse was 3.76, 3.68, 3.67, and 3.18 points for neglect, sexual abuse, physical, and emotional abuse, respectively. The attitude toward reporting obligation were 3.60 and 2.62 points for positive and negative reporting attitudes, respectively. Regarding awareness of child abuse, a significant positive correlation was observed between positive reporting attitude (r=0.326, p<0.01) and awareness of mandatory reporting system (r=0.272, p<0.01). Conclusions: To increase the reporting rate among dental hygienists, awareness should be improved starting from the undergraduate level, perceptions of prospective dental hygienists should be reflected in the development and direction of educational programs, and it is necessary to increase accessibility to educational opportunities and continuously seek institutional and policy measures.

• 한국산학기술학회논문지
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• 제17권4호
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• pp.638-645
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• 2016

본 논문은 재가시설 방문요양보호사들의 노인학대와 관련한 인식정도를 학대신고 및 관련 교육경험을 중심으로 조사한 서술적 조사연구이다. 자료수집은 2014년 1월 13일부터 2월 10일까지 방문요양보호사 249명을 대상으로 자기기입식 설문을 통해 이루어졌다. 전체적인 노인학대 인식은 높았으며, 학대 유형 중 신체적 학대에 대한 인식이 가장 높고, 재정적, 언어적, 방임 그리고 정서적 학대 순으로 나타났다. 대부분의 방문요양보호사들은 노인학대 예방을 위한 신고의무가 중요하다고 인식했으나, 다수의 경우가 신고경험이 없고, 알고 있는 신고기관 종류가 대부분 경찰로 다소 제한적이었다. 관련 교육에 있어서는 다수의 방문요양보호사들이 노인학대 예방 및 신고에 대한 교육프로그램의 학습요구도가 매우 높았으며, 노인학대의 사례와 대처방법, 가족에 대한 상담과 교육방법 등 재가 현장에 필요한 구체적이고 실제적인 내용을 주로 희망하였다. 이에 재가시설 방문요양보호사들을 위한 노인학대 예방교육 프로그램 개발 시 유형별 노인학대의 인식, 신고의무 및 신고체계에 대한 정확한 이해 그리고 구체적인 학대사례와 대처방법이 중심이 되어야 하며, 재가의 특성 상 가족들의 상담과 교육 또한 중요내용으로 포함될 필요가 있다.

• 대한간호학회지
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• 제37권5호
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• pp.715-723
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• 2007

Purpose: The purposes of this study were 1) to compare the contribution of demographic-behavioral variables and psychological variables in explaining the variance of depression, 2) identify the most important predictors of depression for Korean female adolescents. Method: The participants were 840 female adolescents. Data was collected through self-report questionnaires, which were constructed to include demographic-behavioral factors, self-esteem, hostility, hopelessness, and depression. Data was analyzed using the SPSS program. Result: Female adolescents' demographic-behavioral variables explained 17% of the variance in depression, and perceived physical health status, history of physical abuse, smoking, satisfaction of body weight, parental alcohol abuse, parental divorce, and history of suicidal attempt were the significant predictors of depression for female adolescents. Psychological variables explained 50% of the variance in depression, and self-esteem, hostility, and hopelessness were the significant predictors of depression for female adolescents. The significant predictors of depression among female adolescents' demographic-behavioral variables and psychological variables were self-esteem, hostility, hopelessness, perceived physical health status, parental alcohol problem, and history of physical abuse, explaining 52% of the variance in depression. Conclusion: In order to reduce depression in female adolescents, it is necessary to design an intervention program that emphasizes improving self-esteem while reducing hostility and hopelessness.

• Journal of Korean Neurosurgical Society
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• 제65권3호
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• pp.370-379
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• 2022

Abusive head trauma (AHT) is the most severe form of physical abuse in children. Such injury involves traumatic damage to the head and/or spine of infants and young children. The term AHT was introduced to include a wider range of injury mechanisms, such as intentional direct blow, throw, and even penetrating trauma by perpetuator(s). Currently, it is recommended to replace the former term, shaken baby syndrome, which implicates shaking as the only mechanism, with AHT to include diverse clinical and radiological manifestations. The consequences of AHT cause devastating medical, social and financial burdens on families, communities, and victims. The potential harm of AHT to the developing brain and spinal cord of the victims is tremendous. Many studies have reported that the adverse effects of AHT are various and serious, such as blindness, mental retardation, physical limitation of daily activities and even psychological problems. Therefore, appropriate vigilance for the early recognition and diagnosis of AHT is highly recommended to stop and prevent further injuries. The aim of this review is to summarize the relevant evidence concerning the early recognition and diagnosis of AHT. To recognize this severe type of child abuse early, all health care providers maintain a high index of suspicion and vigilance. Such suspicion can be initiated with careful and thorough history taking and physical examinations. Previously developed clinical prediction rules can be helpful for decision-making regarding starting an investigation when considering meaningful findings. Even the combination of biochemical markers may be useful to predict AHT. For a more confirmative evaluation, neuroradiological imaging is required to find AHT-specific findings. Moreover, timely consultation with ophthalmologists is needed to find a very specific finding, retinal hemorrhage.

• 대한불안의학회지
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• 제10권2호
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• pp.95-102
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• 2014

Objective : Previous research showed that childhood trauma or domestic violence resulted in difficulties in controlling emotion and problem solving and vulnerability to psychiatric disorders. To understand the long term effect of childhood trauma, this study investigated their influences on cognitive processing of anger-evoking event and anger behavior among prisoners. Methods : All data were collected from 198 prisoners off our districts in Korea. After they consented to participate, prison officer distributed a questionnaire that included scales to demographic measure, childhood abuse (emotional abuse, physical abuse, and neglect), cognitive response of anger (attentional focus, suspicion, rumination, and hostile attitude) and behavior of anger (impulsive reaction, verbal aggression, physical confrontation, and indirect expression). For statistical analyses, SPSS 18.0 were used and path coefficients were evaluated from the structural equational modeling using LISREL 8.52. Results : Almost 50% of prisoners of our sample experienced one or more trauma during childhood. Then we tested the long term effect of childhood trauma on anger response by structural equation modeling. As expected, childhood trauma was associated with cognitive processing of anger-evoking event and anger behavior. More specifically, emotional abuse (${\beta}$=0.21, p<0.01) predicted suspicion which in turn associated with impulsive reaction (${\beta}$=0.73, p<0.001) and verbal aggression (${\beta}$=0.87, p<0.001). Emotional abuse (${\beta}$=0.24, p<0.01) also predicted hostile attitude which associated with physical confrontation (${\beta}$=0.80, p<0.001) and indirect expression (${\beta}$=0.80, p<0.001). Interestingly, physical abuse associated directly with impulsive reaction (${\beta}$=0.23, p<0.01) and indirect expression (${\beta}$=0.17, p<0.05). Neglect predicted rumination (${\beta}$=0.15, p <0.05) which associated with indirect expression marginally (${\beta}$=0.11, P<0.10). Conclusion : The results of this study, suggest longitudinal and harmful effect of childhood trauma on difficulties in controlling anger. Especially, it was revealed that childhood abuse related with processing anger evoking events more suspicious and hostile and then various anger-expressing behaviors.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제17권2호
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• pp.149-162
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• 2006

Objectives : This study examined psychopathology, abuse history and the relation of them in sheltered runaway adolescents. The purpose is to investigate characteristics of adolescents who are in shelters according to abuse type and then to offer basic data which are needed in establishing comprehensive protection policy for runaway adolescents. Methods : One hundred twenty eighty adolescents who stay in the runaway shelters were asked to complete self-report questionnaires including basic sociodemographic data, Korean Youth Self Report (K-YSR), Minnestota Multiphasic Personality Inventory (MMPI), and Symptom Checklist-90-Revised (SCL-90-R) and then examined the correlation of psychopathology and abuse in runaway adolescents. Results : In abused runaway adolescents, social performance scale of K-YSR was higher than school performance sealer and among scales of behavioral problem syndrome delinquent scale was highest. Scales of behavioral problem syndrome showed relatively significant correlation with abuse history. In MMPI scale of psychopathic deviate scale was highest, social introversion showed significant correlation with emotional abuse, and psychopathic deviate and hypomania showed significant correlation with physical abuse, neglect and sexual abuse. In SCL-90-R somatization scale was highest. Scales of somatization, hostility, and paranoid ideation scale were significantly high in adolescents with emotional abuse and neglect history, and scores of anxiety and depression scale were significantly high in sexually abused adolescents. Conclusion : Runaway adolescents who had abuse experience showed significantly higher level of psychopathology than general adolescents and there were various interrelations between them according to the presence and the type of abuse. More precise psychiatric evaluation and detailed treatment intervention for runaway adolescents are needed.

• 한국컴퓨터정보학회논문지
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• 제20권11호
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• pp.169-174
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• 2015

The study is to clarify the relationship among the positive and negative recognition of stress and physical and psychological abuse and neglect aiming at getting the material. They are to prevent elder abuse at the main care worker for frail and dementia elderly. The degree of fitness to the data where positive and negative recognition of main care worker was located as dependent variable. The casual model in which main care worker was located as independent variable. The degree of fitness of casual model was GFI=0.772, CFI=0.795, RESEA=0.067. Among path coefficient included in the previous model, three of figures going toward three of abuse to the elder were statistically significant.