• Title/Summary/Keyword: neglected child

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A multidisciplinary approach for the treatment of child abuse in Korea (병원 기반 학대아동보호팀의 20년간의 활동 경험)

  • Song, Bong Kyu;Kim, Do Kyun;Park, Hye Young;Hwang, Jun Won;Kwak, Young Ho
    • Clinical and Experimental Pediatrics
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    • v.52 no.11
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    • pp.1207-1215
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    • 2009
  • Purpose:To review and determine the complications in 76 child abuse cases recorded by a multidisciplinary hospital-based child protection team between 1987 and 2007. Methods:We retrospectively reviewed the reports and medical records of child abuse cases maintained by a university hospital-based child protection team. We devised a questionnaire for standardized interviews with the victims' guardians to determine the current physical and mental status of the children; questionnaires were answered by social workers of the child protection team who interviewed the present fosterers of 24 (35.8%) children. Results:Of the 76 children, 6 were infants, 10 were 1-3 years old, were 3-10 years old, and 19 were over 10 years old. Seven children (9.2%) were neglected and 27 (35.5%) and 44 (57.9%) were sexually and physically abused, respectively. In more than half of the cases, the perpetrators were the father or mother of the children. Most children (41 cases, 53.9%) were abused at their homes. The mean follow-up duration from the time of abuse infliction was $54.3{\pm}49.2$ months, and the current mean age of the children was $8.3{\pm}6.4$ years. Moderate and severe developmental delay and physical disability were observed in 6 (25.0%) and 3 (12.5%) cases, respectively. In 13 children (54.2%), the Global Assessment of Functioning Scale (GAF) score was less than 60, which indicates mild mental disability. Conclusion:A hospital-based child protection team may witness the different proportion of abuse types and patterns by conducting a nation-wide survey of child abuse cases.

Survey on Children Toothbrushing Teaching Guidance with Child Care Center Teachers (일부 보육교사의 유아 칫솔질 지도에 관한 실태조사)

  • Choi, Yong-Keum;Kim, Hee-Kyoung;Kim, Eun-Ju
    • Journal of dental hygiene science
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    • v.11 no.4
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    • pp.319-324
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    • 2011
  • This study aimed to investigate the current situation of toothbrushing guidance with child care teachers in day care facilities caring and managing infants and young children and to grasp problems neglected in using toothpaste and guiding toothbrushing to provide basic data for measures to cope with them. This study included 165 child care teachers or teachers of the kindergartens who agreed with its purpose. By excluding 10 questionnaires with omitted or conflicting answers, 156 ones were finally analyzed in this study. The correlation between education about oral health and toothbrushing guidance, the subjects with and without the experience of the education did not show any significant difference in time to encourage toothbrushing, behaviors of toothbrushing guidance, guidance on prevention of toothpaste intake and perception of an appropriate amount of toothpaste (p>0.05) while perception of the importance of oral health was significantly related with the education on oral health (p<0.05). Therefore, education system for specialists in oral health to offer a specific and systemic education and oral health education programs for child care teacher, are considered to be necessary.

Effects of Abusive Experiences on Adolescent's Suicidal Ideation : Focusing on Mediating Effects of Shame-proneness and Friendships (아동기 학대경험과 청소년의 자살생각 간의 관계 : 수치심과 친구관계의 매개효과를 중심으로)

  • Kim, Eun-Kyung;Lee, Jung-Sook
    • Journal of Families and Better Life
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    • v.26 no.6
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    • pp.123-134
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    • 2008
  • This study aimed to assess the roll of various abusive factors on suicide thoughts. In particular, the effects of negligence, physical and emotional abuse, as the subordinate variables of abuse, were examined on suicide ideation. In addition, the mediation effects of shame-proneness and friendships were also investigated. To achieve these specific objectives, subordinate dimensions of abuse such as negligence, physical abuse and emotional abuse were measured for 277 male and 275 female students from Seoul middle schools using a measurement tool. Specifically, experiences of being abused and neglected, the level of suicide thoughts using scale for suicidal ideation (SSI), the level of shame-proneness and friendships using personal feelings questionnaire-2(PFQ-2), and schoolmate relationships were measured using a questionnaire. Analysis of collected data revealed that while suicide thoughts showed significant positive relationship with abuse and shame-proneness, there was a significant negative relationship between suicide thoughts and friendships. In particular, negligence, physical abuse and emotional abuse had significant effects on suicide ideation, while emotional abuse had the greatest effect on suicide ideation. Shame-proneness and friendships partially mediated abuse and suicide thoughts. The findings of this study have contributed to understanding of factors related to suicide thoughts. In particular, the mediation effects of shame-proneness and friendships have been highlighted.

Awareness of Adulterated Food and Its Management Beliefs and Capabilities among Teenagers' Parents

  • Kim, Yunhwa
    • Culinary science and hospitality research
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    • v.24 no.2
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    • pp.23-33
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    • 2018
  • Food adulteration and food fraud should not be neglected. The present study aimed to investigate the awareness of adulterated food and its management beliefs and capabilities among teenagers' parents. Data were collected from 425 adolescents' parents having different levels of income and education. The results of factor analysis indicated that adulterated food management beliefs was classified into attitude, necessity, and anxiety. The adulterated food management capability was sub-grouped into hygiene and nutrition, knowledge, citizen action and environmental grasp. The adulterated food management capabilities were significantly different according child's school, education level and monthly income (p<0.05). The attitude factor of adulterated food management beliefs appeared to have a significant (p<0.05) impact on all factors of adulterated food management capabilities, however the necessity factor had a significant (p<0.001) impact only on factor of hygiene and nutrition. The results of the present study suggested that parents need to be aware themselves as well as to teach their children about right food selection and consumption. The findings of the study might be useful in government policy planning regarding the public health issues and dietary education of adolescents and parents.

Exploring Four-Year-Old Children's Peer Culture Patterns (만4세 자유선택놀이에서 나타나는 또래문화의 특성)

  • Choi, Hyun Ju;Choi, Youn Chul
    • Korean Journal of Childcare and Education
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    • v.9 no.1
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    • pp.241-262
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    • 2013
  • The purpose of this study is to explore four-year old children's peer culture. During free choice play time, various activities and interaction patterns were observed and analyzed to understand the characteristics of peer culture. The results of this study showed two main peer culture patterns. First of all, peaceful peer culture in which children maintained close relationships based on mutual respect were found. Also conflictive peer culture in which children had negative relationships with other children, such as vertical, discriminative and neglected relationships were observed.

A Study on Children's Poetry Activity through Integrative Music Appreciation Program in A Small Group (통합적 음악 감상을 통한 유아 소그룹 동시짓기 활동의 효과)

  • Park, Boo Sook;Lim, Myeung Hee;Park, Yoon Joe
    • Korean Journal of Child Education & Care
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    • v.17 no.4
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    • pp.233-258
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    • 2017
  • Although listening to music is the most basic musical experience that is ahead of all the other musical activities, it tends to be neglected due to lack of awareness and difficult teaching methods. This study is to compose integrative music appreciation by reflecting thoughts of children, draw children's attention to listening to music, and let them to discover and create musical concept and structures by themselves, accompanied by related activities through which children can express their thoughts and feelings with children's poem. Considering the peculiarities of three-four year-olds, it may be difficult for them to create poems individually, so we let them to write poems through small group discussion in which they can share their opinions and observe their peers' reaction. We provided a teaching method to teachers who find activities of listening to music and writing poems difficult, then we analyzed the effect. When children finished writing poems in small groups through integrative music appreciation reflecting their thoughts, they placed greater weight on preparing to listen to music at first, but going through the program, they discovered musical concepts and became active in music appreciation. In the related activity, writing poems inspired them to think creatively, listening to their peer's stories. Even children who were not interested in children's poem showed higher participation. Teachers found children's creative words to be interesting, discovering the joy of creation.

CLINICAL STUDY OF THE ABUSE IN PSYCHIATRICALLY HOSPITALIZED CHILDREN AND ADOLESCENTS (소아청소년 정신과병동 입원아동의 학대에 대한 임상 연구)

  • Lee, Soo-Kyung;Hong, Kang-E
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.10 no.2
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    • pp.145-157
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    • 1999
  • This study was performed by the children and adolescents who were abused or neglected physically, emotionally that were selected in child & adolescents psychiatric ward. We investigated the number of these case in admitted children & adolescents, and also observed characteristics of symptoms, developmental history, characteristics of abuse style, characteristics of abusers, family dynamics and psychopathology. We hypothesized that all kinds of abuse will influnced to emotional, behavioral problems, developmental courses on victims, interactive effects on family dynamics and psychopathology. That subjects were 22 persons of victims who be determined by clinical observation and clinical note. The results of the study were as follows:1) Demographic characteristics of victims:ratio of sex was 1:6.3(male:female), mean age was $11.1{\pm}2.5$. According to birth order, lst was 12(54.5%), 2nd was 5(23%), 3rd was 2(9%) and only child was 3(13.5%). 2) Characteristics of family:According to socioeconomic status, middle to high class was 3(13.5%), middle one was 9(41.% ), middle to low one was 9(41%), low one was 1(0.5%). according to number of family, under the 3 person was 3(13.5%), 4-5 was 17(77.5%), 6-7 was 2(9%). according to marital status of parents, divorce or seperation were 5(23%), remarriage 2(9%), severe marital discord was 19(86.5%). In father, antisocial behavior was 7(32%), alcohol dependence was 10(45.5%). In mother, alcohol abuse was 5(23%), depression was 17(77.3%), history of psychiatric management was 6(27%). 3) Characteristics of abuse:Physical abuse was 18(81.8%), physical and emotional abuse and neglect were 4(18.2%). according to onset of abuse, before 3 years was 15(54.5%), 3-6 years was 5(27.5%), schooler was 1(15%). Only father offender was 2(19%), only mother offender was 8(35.4%), both offender was 8(35.4%), accompaning with spouse abuse was 7(27%), and accompaning with other sibling abuse was 4(18.2%). 4) General characteristics and developmental history of victims:Unwanted baby was 12(54.5%), developmental delay before abuse was9(41%), comorbid developmental disorder was 15(68%). there were 6(27.5%) who didn‘t show definite sign of developmental delay before abuse. 5) Main diagnosis and comorbid diagnosis:According to main diagnosis, conduct disorder 6(27.3%), borderline child 5(23%), depression4(18%), attention deficit hyperactivity disorder(ADHD) 4(18%), pervasive developmental disorder not otherwise specified 2(9%), selective mutism 1(5%). According to comorbid diagnosis, ADHD, borderline intelligence, mental retardation, learning disorder, developmental language disorder, oppositional defiant disorder, chronic tic disorder, functional enuresis and encoporesis, anxiety disorder, dissociative disorder, personality disorder due to medical condition. 5) Course of treatment:A mean duration of admission was $2.4{\pm}1.5$ months. 11(15%) showed improvement of symtoms, however 11(50%) was not changed of symtoms.

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Finnish National Curriculum Reform as the Realization of Democracy: Lessons for Nuri Curriculum Reform (민주주의 실현으로서 핀란드 교육과정개편이 주는 교훈: 누리과정 개편을 위한 논의)

  • Yun, Eunju
    • Korean Journal of Childcare and Education
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    • v.11 no.1
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    • pp.373-393
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    • 2015
  • This study aimed to investigate the process of the national curriculum reforms in Finland since 1968. The history of Finnish educational system reform was firstly discussed in order to provide the background and context of the curriculum reforms from 1968 to the present for a deeper understanding of the Finnish curriculum reform processes. Secondly, I provided a contour of the history of Finnish curriculum reform, focusing on the development and revision of early childhood curriculum since the 2000s. Finally, the current Finnish national curriculum reform named the "2012-2016/7 National Core Curriculum Reform" was depicted in details: processes, participants, principles etc. In conclusion, the Finnish national curriculum reform processes provide lessons: long-term reform design, open reform process, and a variety of reform participants including beneficiaries of education and students, which were the ones who have been neglected so far in Korea. In short, the Finnish curriculum reform process can be considered a realization of democracy.

Analysis of clinical characteristics and causes of chest pain in children and adolescents

  • Chun, Ji Hye;Kim, Tae Hyeong;Han, Mi Young;Kim, Na Yeon;Yoon, Kyung Lim
    • Clinical and Experimental Pediatrics
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    • v.58 no.11
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    • pp.440-445
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    • 2015
  • Purpose: Chest pain is common in children and adolescents and is a reason for referral to pediatric cardiologists. Although most cases of chest pain in these age groups are benign and do not require treatment, timely diagnosis is important not to miss life-threatening diseases requiring prompt treatment. We investigated certain clinical characteristics that may be useful in the diagnosis of such critical diseases. Methods: Patient medical records between July 2006 and September 2013 were retrospectively examined. We included 517 patients who presented with chest pain to the Department of Pediatrics at Kyung Hee University Hospital in Gangdong. Results: Most cases of chest pain were idiopathic in origin (73.6%), followed by cases with respiratory (9.3%), musculoskeletal (8.8%), cardiac (3.8%), gastrointestinal (2.9%), and psychiatric (1.4%) causes. In 6 patients (1.2%) with air-leak syndrome including pneumothorax or pneumomediastinum, the pain was abrupt, continuous, and lasted for a short period of 1-2 days after onset in the older adolescents. Of the patients with cardiac pain, 13 had cardiac arrhythmias (65.0%), 6 had congenital heart diseases (30%), and 1 had coronary aneurysms caused by Kawasaki disease (5.0%). One patient with atrial flutter had only symptoms of syncope and chest pain. Conclusion: The abrupt, continuous chest pain of a short duration in the older children was characteristic of air-leak syndrome. In patients with pneumomediastinum, radiological diagnosis was difficult without careful examination. Combined syncope should not be neglected and further cardiac workup is essential in such patients.

A Comparison of Adjustment and Family Environment of Adolescents from Different Family Structures (양친, 한부, 한모가족 청소년의 적응과 가족환경특성 비교)

  • Lee, Meery;Park, Ju Hee;Chung, Hyunsook
    • Journal of Families and Better Life
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    • v.33 no.4
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    • pp.147-160
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    • 2015
  • This study analyzed the differences in adjustment and family environments of adolescents from three different family structures, using the KCYPS panel 4th wave data from first graders in middle schools. The participants of the study consisted of 1,715 adolescents in two-parent families, 79 adolescents in single-father families, and 113 adolescents in single-mother families. The data were analyzed by means of descriptive statistics and ANCOVAs. The findings of this study indicated that adolescents in two-parent families showed a lower level of physical symptoms than those in single-mother families and a lower level of participation in classwork than those in single-father families whereas adolescents in single-father families were more likely to be involved in delinquency than those from the other two family structures. In addition, significant differences were found in family environments including parents' physical health and life satisfaction, family economic status, parenting behaviors, and parents' absence at home after school. Parents in single-mother and single-father families were less healthy physically, showed lower levels of life satisfaction, reported less income, and spent less money for their children, compared to those in two-parent families. With regard to parenting behaviors, single fathers tended to be less warm toward and neglected their children more than single mothers and parents in two-parent families. Adolescents in single-father families were most likely to be left alone at home after school, followed by those in single-mother and two-parent families. The results suggested that specific attention needs to be paid to adolescents from single-father families in order to support their adjustment.