• 제목/요약/키워드: school guardian

검색결과 43건 처리시간 0.024초

정신건강의학과 입원 환자를 위한 낙상 위험 사정도구 (Edmonson Psychiatric Fall Risk Assessment Tool)의 타당도 평가: 후향적 연구 (Validation of the Edmonson Psychiatric Fall Risk Assessment Tool for Psychiatric Inpatients: A Retrospective Study)

  • 김경영;손영선;이유지;김지은;김미경;이영희
    • 임상간호연구
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    • 제28권3호
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    • pp.270-276
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    • 2022
  • Purpose: The purpose of this study was to validate the Edmonson psychiatric fall risk assessment tool (EPFRAT) for psychiatric inpatients. Methods: Data from retrospective study were collected from 670 adult inpatients in two departments of mental health medicine of a tertiary general hospital by reviewing their electronic medical records. There were 41 patients who experienced falls and 629 patients who did not experience falls during the period from January to December 2019. Data were analyzed by sensitivity, specificity, positive predictive value, negative predictive value, and a receiver-operating characteristic curve (ROC) for validity assessment using the IBM SPSS/WIN 26.0 program. Results: Factors affecting falls were the participant's age, guardian's residence, high-risk determination at the time of admission, and comorbidity. At the 85 points where the point of sum of the sensitivity and specificity was largest, the sensitivity, specificity, positive predictive value, and negative predictive value of EPFRAT were 92.7%, 79.7%, 22.9%, and 99.4%, respectively. The area under the ROC to assess the overall validity of the tool was .92 (95% CI 0.89~0.94). Conclusion: The EPFRAT was proved to be valid and reasonable for predicting falls in psychiatric inpatients. Based on the results of this study, it could be used for the assessment of high-risk patients for falls in psychiatric units.

Development and usability test of transfer device with customized sling lifts

  • SeYeon Jeong;KiHun Cho;SoungKyun Hong;WonJae Choi;Kwangkook Lee;Kyeongbong Lee;GyuChang Lee
    • 대한물리치료과학회지
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    • 제30권4호
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    • pp.9-16
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    • 2023
  • Background: Bedridden patients and disabled persons need help from a guardian or caregiver even in performing simple activities of daily living. In particular, for body transfer of them, the use of a transfer lift has been recommended. However, the devices currently in use have limitations in terms of support according to the individual's characteristics. This study aimed to develop a transfer lift device utilizing the patients' body-fitting sling equipped with an air tube inside the sling. In addition, we have conducted usability tests to examine the safety, effectiveness, and satisfaction with this device. Design: This study conducted usability tests with 10 healthy adults. Methods: Customized sling lifts are generally floor-based devices that consisted of a sling that holds the patient's body and a lift that moves the sling to the desired position. One characteristic feature of the device is an air tube, which is used on the sling to allow the patient's body can be adjusted. A usability test was performed in terms of the operators, who operated the device to transfer the patients. Ten operators tried the device and tested its usability. Results: The mean of 10 question for Questions was 4.18. Conclusion: The device can be useful in the advance- ment and commercialization of customized sling lifts, to ensure the safe and efficient transfer of persons with disabilities.

미디어 산업 AI 활용성에 관한 고찰 : 저널리즘 분야 적용의 주요 쟁점을 중심으로 (Research on Utilization of AI in the Media Industry: Focusing on Social Consensus of Pros and Cons in the Journalism Sector)

  • 한정현;유하진;강민준;이한진
    • 문화기술의 융합
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    • 제10권3호
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    • pp.713-722
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    • 2024
  • 본 연구는 인공지능(AI) 기술의 발전이 저널리즘 분야에 가져온 혁신과 변화를 조명하고, 이로 인해 발생하는 주요 윤리적 쟁점들을 검토하여, 저널리즘 분야에서 AI의 활용성을 논의한다. 블룸버그, 가디언, 월스트리트저널(WSJ), 워싱턴포스트(WP), 뉴욕타임즈(NYT) 등 전 세계 언론 및 방송사들은 취재 데이터 분석, 기사문장 생성, 뉴스제작에 이르기까지 다양한 방면에서 AI를 적극 활용 중이다. 이에 본 논문은 국내외 주요 미디어AI 서비스 유형과 특징을 속도와 규모, 다양성, 가치향상, 정확성 측면에서 종합적으로 분석하여 AI 저널리즘의 영향력과 발전 가능성을 평가한다. 나아가 균형 잡힌 시각을 유지하며 AI 도입의 기술적, 경영적, 법적 주요 쟁점들을 파악하고, 알고리즘 편향과 필터버블 등 첨단기술의 발전이 저널리즘 영역에 가져오는 도전을 체계적으로 준비하고자 한다. 마지막으로 AI와 미디어 산업의 상호지향적인 발전 방향을 모색하기 위해 사회적 합의를 통한 전향적 AI리터러시 원칙과 윤리적 가이드라인 개선의 필요성을 제언하며, 저널리즘의 본질적 가치와 임무를 조망한다.

Predictors and Prevalence of Alcohol and Cannabis Co-use Among Filipino Adolescents: Evidence From a School-based Student Health Survey

  • Yusuff Adebayo Adebisi;Don Eliseo Lucero-Prisno III;Jerico B. Ogaya;Victor C. Canezo Jr.;Roland A. Niez;Florante E. Delos Santos;Melchor M. Magramo;Ann Rosanie Yap-Tan;Francis Ann R. Sy;Omar Kasimieh
    • Journal of Preventive Medicine and Public Health
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    • 제57권3호
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    • pp.288-297
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    • 2024
  • Objectives: This study explored the prevalence and predictors of alcohol and cannabis co-use among 9263 Filipino adolescents, using data from the 2019 Global School-based Student Health Survey (GSHS). Methods: We conducted a cross-sectional secondary analysis of the GSHS, targeting adolescents aged 13-17 years and excluding cases with incomplete data on alcohol and cannabis use. Our analysis employed the bivariate chi-square test of independence and multivariable logistic regression using Stata version 18 to identify significant predictors of co-use, with a p-value threshold set at 0.05. Results: The weighted prevalence of co-users was 4.2% (95% confidence interval [CI], 3.4 to 5.3). Significant predictors included male sex (adjusted odds ratio [aOR], 4.50; 95% CI, 3.31 to 6.10; p<0.001) and being in a lower academic year, specifically grade 7 (aOR, 4.08; 95% CI, 2.39 to 6.99; p<0.001) and grade 8 (aOR, 2.20; 95% CI, 1.30 to 3.72; p=0.003). Poor sleep quality was also a significant predictor (aOR, 1.77; 95% CI, 1.29 to 2.44; p<0.001), as was a history of attempted suicide (aOR, 5.31; 95% CI, 4.00 to 7.06; p<0.001). Physical inactivity was associated with lower odds of co-use (aOR, 0.45; 95% CI, 0.33 to 0.62; p<0.001). Additionally, non-attendance of physical education classes (aOR, 1.48; 95% CI, 1.06 to 2.05; p=0.021), infrequent unapproved parental checks (aOR, 1.37; 95% CI, 1.04 to 1.80; p=0.024), and lower parental awareness of free-time activities (aOR, 0.63; 95% CI, 0.45 to 0.87; p=0.005) were associated with higher odds of co-use. Factors not significantly linked to co-use included age group, being in grade 9, always feeling lonely, having no close friends, being bullied outside school, and whether a parent or guardian understood the adolescent's worries. Conclusions: The findings highlight the critical need for comprehensive interventions in the Philippines, addressing not only physical inactivity and parental monitoring but also focusing on sex, academic grade, participation in physical education classes, sleep quality, and suicide attempt history, to effectively reduce alcohol and cannabis co-use among adolescents.

Emergency response team activation in the outpatient clinic of a single dental teaching hospital in Korea: a retrospective study of 10 years' records

  • Ha, Sang Woon;Choi, Yoon Ji;Lee, Soo Eon;Chi, Seong In;Kim, Hye-Jung;Han, Jin-Hee;Han, Hee-Jeong;Lee, Eun-Hee;Kim, Hyun Jeong;Seo, Kwang-Suk
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제15권2호
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    • pp.77-83
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    • 2015
  • Background: To prepare for possible emergency situations during dental treatment, it is helpful to know how often and what kinds of emergencies may arise. This study set out to evaluate the incidences, causes, treatments, and outcomes of emergency situations in the outpatient clinic of a dental teaching hospital in Korea. Methods: We retrospectively reviewed the records of patients who had experienced an emergency situation and emergency response team activated in a selected outpatient clinic between November 2004 and November 2013. Specific information about the emergency cases was collected, including the patient characteristics and the frequency, types, treatments, and outcomes of the emergency situations. Results: We identified 35 instances of emergency situations in 2,890,424 patients (incidence = 0.012 per 10,000 outpatients). The number of cases was as follows: 10 (28.6%) in the Department of Periodontics, 10 (28.6%) in the Department of Oral and Maxillofacial Surgery, 6 (17.1%) in the Department of Oral and Maxillofacial Radiology, 4 (11.4%) in the Department of Prosthodontics, 2 (5.7%) in the Department of Conservative Dentistry, 2 (5.7%) in the Department of Pediatric Dentistry, and 1 (2.9%) in the Department of Orthodontics. Three (8.6%) of the emergency situations arose before treatment, 22 (62.9%) during treatment, 7 (20.0%) after treatment, and 2 (5.7%) in a patient's guardian. Conclusions: In accordance with the growing elderly population and more aggressive dental procedures, the number of emergency situations may increase in the future. We recommend that clinicians keep in mind airway management and the active control of emergency situations.

중학생의 인터넷음란물 접속과 성 의식의 관계 (Relationship between Access to Lewd Internet Contents by Middle School Students and Their Awareness of Sex)

  • 임종인;최인숙
    • 한국학교ㆍ지역보건교육학회지
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    • 제4권
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    • pp.117-139
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    • 2003
  • The purpose of this research lies in presenting logical viability for the measures that curtail access to lewd Internet contents by middle school students amidst the reality in which lewd contents are circulated freely through the Internet, a medium that the middle school students find most easy to access. In order to establish right form of awareness towards sex, this research identified the ways they access the lewd Internet contents, their reaction after the exposure to those contents, their knowledge of sex, their concerns regarding sex and their accessibility to sexual activities in order to conduct a comparative analysis on the relationship between lewd Internet contents and their awareness of sex. First, realities of accessing lewd Internet contents and reactions according to the demographics of middle school students There isa significant difference in the experience of accessing lewd Internet contents in terms of gender. Mostly, male students tend to access the contents more. As for the way they access the lewd Internet contents, both male and female students replied that they access through spam mail of lewd nature. Thus, measures to address this problem are needed urgently. As to when they first accessed the lewd contents, most of the research subjects replied that they accessed either in elementary school period or in the early middle school period. This shows that most of the students got exposed to lewd contents even before they could establish positive, correct awareness of sex. Thus, there is a risk that they may formulate wrong kind of sexual awareness. Accordingly, it is necessary to develop measures through focused sex education. Students are divided into two groups according to the time they spend on the contents averagely: those who spend over one hour and those who spend less than an hour on the lewd contents. If the students spending longer hours are not to be checked and properly guided, it may lead to increasing cases of sexual delinquencies due to their wrongly formed awareness of sex. When the question of existence(non-existence) of guardian was addressed, students with both parents tend to access the lewd Internet contents in a more diverse manner and tend to access more compared to those students from single parent or no-parent families. Accordingly, guardians need to pay attention to how their children are using the Internet. Second, awareness of sex depending on the middle school students' demographics In case of sexual knowledge, middle school students shows relatively high level of knowledge. In particular, female students are found more knowledgeable than male students, and the students in upper years are more knowledgeable as well. As a result, this research recommends that the students in lower years should be guided with more basc and detailed information, while those in upper years need to be taught to form and express their own thoughts and attitudes and to build up independence on this matter. In case of worries about sex, both male and female students don't worry too much about it. However, male students are more concerned about sex than female students in a more diverse ways. As for the differences by academic year, concerns for sex increase, as students get older. Accordingly, sex education that helps establish sound perception of the opposite sex and that focuses on the etiquettes that one must adhere to at the presence of the opposite sex need to be conducted against middle school students. In case of accessibility to sex, male students manifest higher tendency than female students. As for the differences by academic year, those in the first and second years show higher accessibility than those in their third year. In general, younger students tend to be more open-minded toward sex. Accordingly, students in lower academic years need to undergo basic knowledge oriented sex education, whereas those in upper academic years need to undergo discussion centered sex education where they subject to questions regarding their attitude and opinion. Third, relationship between the reactions after the exposure to the lewd Internet contents and their awareness of sex As the frequency of contact with lewd Internet contents increases, awareness of sex increases as well. Thus, the lewd Internet contents contribute to the increase in students' concern for sex as well as increase in accessibility to sex, which eventually become barriers to students' establishment of a healthy perception of sex. Reactions to sex after the exposure to lewd Internet contents and awareness of sex indicate a significant correlation. However, negative correlation is manifested with knowledge of sex. Thus, it is possible to know that the greater access to lewd Internet contents does not necessarily translate into increase in knowledge of sex. However, the study showed there is a correlation between concerns for sex and the level of accessibility to sex. In more detail, the more reactions to the contents they show, the more concerns for sex they have and the more positively they take acceptability to sex. Moreover, it is necessary to develop necessary measures since textbooks today do not include measures needed to address the lewd Internet contents. Given the above findings, it is necessary to continue to complement structural measures in order to prevent easy access of lewd Internet contents by middle school students. Moreover, it is necessary to be considerate of the students so that they themselves can form a healthy Internet culture and grow up within positive framework for the sex education.

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안전한 진료환경 구축을 위한 정책 개선과제 (A Review of Improvements for Providing Safe and Secure Environments for Medical Treatment)

  • 최아름;김성은;백경희
    • 보건행정학회지
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    • 제29권2호
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    • pp.105-111
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    • 2019
  • On December 31, 2018, an incident occurred where a doctor was attacked and killed by a patient carrying a lethal weapon in the outpatients' clinic of the psychiatric department of a tertiary general hospital. The suspect was diagnosed with bipolar affective disorder (manic depressive disorder) and has been hospitalized and cared for in the psychiatric ward of this hospital. This incident illustrates the necessity of more active cures and therapeutic intervention for mental patients with intellectual developmental disorders who require treatment considering the fact that a radical outcome has been caused by such a patient. However, on the other hand, there is also a need for an approach and analysis from the perspective of crime prevention for all medical departments. The reason for this is that even a tertiary general hospital equipped with the largest human resources, medical devices, facilities, and so forth, is susceptible to violence. As for illegal actions perpetrated against health and medical service personnel in medical institutions, such as verbal abuse, assault, injury, etc. there have neither been understanding shown for the current extent of damage in detail, nor discussions of active institutional improvement related to the seriousness of the act. It can be said that violence in the field of medical treatment is a realm requiring serious discussion and appropriate remedial actions. This is because when such incidents take place, if a patient who is supposed to get treatment from the damaged health care provider is in an urgent situation or on the waiting list of serious cases, he or she could suffer serious damage caused by deprivation of treatment opportunity, or secondary damage might be caused to the patient and/or a guardian who can hardly have an opportunity to take action. Accordingly, in this review, we would like to help create the necessary conditions for both health and medical service personnel and patients/guardians, respectively, to provide and receive medical treatment in a more secure environment. Therefore, objective assessment of the institution and issues relating to this aforementioned incident and general cases of violence occurring in medical institutions, and by suggesting legal and institutional improvements and solutions.

오픈소스 하드웨어를 이용한 IoT 미아찾기 시스템 (Development of IoT Searching System Missing Children by utilizing Open Source Hardware)

  • 허성무;김차종
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2016년도 추계학술대회
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    • pp.277-280
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    • 2016
  • 현재 미아 찾기 시스템들은 QR코드와 RFID칩, 스마트 폰 간의 통신을 이용한 미아 찾기 시스템들로 이루어져 있다. 그러나 현재의 미아 찾기 시스템은 주변에 사람이 있어야 찾을 수 있고, 아이들에게 스마트폰을 사줘야하는 부모들의 경제적인 부담과 제한적인 배터리로 인해 납치와 같은 극한상황이나 주변 사람 도움없이 미아를 찾기 힘들다는 한계점이 있다. 이러한 문제점을 해결하기 위해서는 사람이 주변에 있을 때와 없을 때 두가지 측면에서 접근해야 한다. 본 논문에서는 IoT(Internet of Things) 기술로 각광 받고 있는 비콘과 오픈소스 하드웨어를 이용하여 AP(Access Point)가 설치된 한정된 공간에서 주변에 보호자 없이 미아를 찾을 수 방법과 각각 개개인의 스마트폰 어플리케이션이 AP가 되어 미아를 찾을 수 있는 방법 두 가지를 결합한 IoT 미아 찾기 시스템을 개발하였다. 두 가지 상황에 대한 미아의 위치 정보를 상황인식을 통해 정확하게 제공하는 것이 주된 목적이며 스마트 폰 APP은 87.7%, 감시용 디바이스 AP는 91.1%의 정확도 결과를 얻을 수 있었다.

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명주지역 나말여초 불교조각과 굴산선문 (Buddhist Sculpture of Late Silla and Early Goryeo Period at Myeongju and the Gulsan School of Seon Buddhism)

  • 최성은
    • 헤리티지:역사와 과학
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    • 제45권2호
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    • pp.54-71
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    • 2012
  • 굴산사(?山寺)는 신라하대에 통효대사 범일(梵日, 810~889)에 의해 개창된 이래 구산선문(九山禪門) 가운데 하나인 사굴산파(??山派)의 본산으로서 크게 융성하였다. 강릉시 구정면 학산리에 위치한 굴산사지에는 거대한 당간지주를 비롯해서 고려시대 석조부도와 석조비로자나불좌상이 2구 전해오고 있으나, 범일과 그의 제자인 개청(開淸, 854~930), 행적(行寂, 832~916)이 활동했던 나말여초기 굴산사를 알려주는 불교조각은 전하지 않는다. 이 글에서는 나말여초기 굴산선문의 불교미술을 살펴보기 위한 시도로서 굴산선문의 영역권이었을 것으로 추정되는 지금의 강릉, 오대산, 동해시 등지로 범위를 넓혀 나말여초기 명주지역 불교미술을 파악하고 이를 통해서 간접적으로 범일과 그의 제자들이 활동하던 시기 굴산선문의 불교미술을 유추해 보았다. 강릉지역의 석조물 가운데 강릉시 오죽헌박물관에 옮겨진 무진사지(無盡寺址) 석탑의 부조 사방불상과 사천왕상은 신라 중앙이나 양양 진전사지, 선림원지 석조미술과 양식적으로 밀접하게 연결되어 나말여초기 명주지역 불교미술이 당시 상당한 수준이었음을 말해준다. 범일의 제자인 개청이 주석했던 보현산 지장선원[普賢寺]에 전해오는 석조대좌의 부재(部材)는 팔각연화대좌의 하대 복련좌(覆蓮座)를 받치고 있던 팔각의 받침석으로 안상(眼象)에 사자(獅子)가 새겨져 있어 나말여초기 광범위하게 유행하였던 지권인 비로자나불좌상의 대좌일 가능성을 시사한다. 한편, 국립춘천박물관과 강릉 오죽헌시립박물관에 각각 소장되어 있는 한송사지(寒松寺址) 석조보살좌상 2구는 대리석이라는 재료를 비롯해서 머리 위에 쓴 원통형의 고관(高冠), 양손의 검지를 곧게 뻗은 수인(手印), 다리를 편히 놓은 서상(舒相)의 좌세 등, 독특한 밀교계 요소를 보여준다. 이러한 밀교계(密敎系) 도상(圖像)은 굴산선문 승려들의 당 유학(遊學)을 통해 명주지역에 전해졌을 가능성이 크다. 당시 활발했던 굴산선문 승려들의 국제적 활동은 지역 미술에 큰 영향을 주면서, 선진성을 고양하였을 것이다. 동해시 삼화사 철조비로자나불좌상의 시무외 여원인의 수인을 결(結)한 화엄계 노사나불상 표현은 당시로서는 예외적인 도상으로서 명주지역 미술이 전통성을 고수했던 면도 있었음에 주목하게 한다. 굴산선문 불교미술은 중앙지역과 같이 하는 양식 수준, 활발한 대당(對唐) 교류의 결과로 나타나는 선진문화의 수용으로 요약될 수 있으며, 선진성과 국제성은 나말여초기 굴산선문 불교미술의 기본 성격으로 생각된다.

친족에 의한 아동 성폭력 실태 - 영남권역 해바라기 아동센터의 경험 - (The Child Sexual Assaults by Kin -The Experience of YoungNam District Sunflower Center for Prevention of Child Sexual Assaults-)

  • 서순기;이상한
    • 대한수사과학회지
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    • 제2권2호
    • /
    • pp.21-29
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    • 2007
  • 아동 성폭력 중에서도 친족에 의한 성폭력은 어린 시절부터 시작되어 청소년기를 거쳐 성인에 이르기까지 지속되는 경향이 있고, 가장 신뢰하는 사람으로부터 피해를 입기 때문에 신체적, 심리적, 사회적으로 심각한 후유증을 겪는다. 영남권역 해바라기 센터는 13세 미만의 성폭력 피해아동을 위해 법의학적 증거물 채취에서부터 신체적, 정신적, 심리적 치료를 원스톱으로 할 수 있는 성폭력 전문센터로 2005년 6월 대구에 개소되었다. 본 연구는 영남권 역 해바라기 아동센터 개소 이래 2006년 12월까지 상담한 사례 180건 중 친족에 의한 아동성폭력 사례 36건을 대상으로 하여 그 특성을 분석하였다. 피해 아동은 여아가 32건 (88.9%), 남아가 4건(11.1%)이었고, 연령별로는 7세 이하의 유아 20건(5.6%), 어린이 16건(44.4%)이었다. 피해 유형으로는 성추행이 28건(78%), 강간이 8건(22%)이었다. 가해자는 친부가 58.3%(21건)으로 가장 많았고, 조부(3건), 사촌오빠(3건), 의부(2건)의 순이었다. 가해자의 연령별로는 성인이 32건(88.9%), 청소년 2건(5.5%), 어린이 2건(5.5%)이었다. 피해 장소는 피해자의 집이 31건(86.1%)으로 대부분을 차지하였고, 피해기간별로는 지속적인 피해가 25건(69.4%), 1회가 6건(16.6%), 모름(3건), 3-4회(2건)의 순이었다. 피해사실에 대해 신고나 처벌을 원치 않는 경우가 22건(61.1%), 경찰에 신고(7건), 고려 중(6건)의 순이었고, 실제 고소 고발된 사례는 1건이었다. 이상의 결과를 바탕으로 단일 기관의 통계라는 한계는 있지만 친족에 의한 아동 성폭력은 주로 친부에 의해 피해자의 집에서 이루어지며, 단회에 그치기보다는 지속적으로 피해가 발생하며, 유아기부터 일찍 발생하는 것으로 나타났다. 친족에 의한 성폭력을 예방하기 위해서는 사회 전반에 걸친 지속적인 홍보와 교육이 절실하며, 피해자 치료 외에도 단순한 가정내 문제라는 잘못된 인식을 과감히 버리고 피해 사실에 대한 경찰 신고를 의무화하고 해바라기 아동센터와 같은 전문 센터의 확충이 요구된다고 생각한다.

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