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.
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.
Journal of the Korean Institute of Intelligent Systems
/
v.26
no.6
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pp.458-463
/
2016
In this paper, the fuzzy structure model for the consciousness structure of social workers related to the elder abuse factors was derived and analyzed. The characteristics of the model was obtained as follows. First, the elder abuse behavior at the top layer was related to the attitude of the elderly and the work overload of social workers. Second, the attitude of the elderly and the work overload of social workers at the middle layer were related to the personality of social worker, the physical and mental dependency of client, and the personality of client. Third, the personality of social worker, the knowledge of the elderly, the personality of client, and the physical and psychological dependence of the client affected directly the elder abuse behavior without going through the middle layer. Fourth, the work overload of social workers at the middle layer was affected the attitude of the elderly. Finally, the age of social workers, the working image, the job training, and provision of punishment to the social workers were the isolated layer, in which the relationship between the elder abuse behavior and related factors was not found.
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.
Journal of the Korea Academia-Industrial cooperation Society
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v.17
no.4
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pp.638-645
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2016
This study describes visiting caregivers' perceptions and reporting of elder abuse. From January 13 to February 10, 2014, data were collected from 249 visiting caregivers working at homes by using a structured questionnaire. The caregivers' perceptions of abuse were high overall. Physical abuse was the most common type, followed by financial, verbal, negligence, and emotional abuse. Most visitors recognized that it is important to require reporting for the prevention of elder abuse, but most of them had no experience with reporting abuse, and the agencies that they knew were mostly the police. A majority of the visiting caregivers had attended an elder abuse program and recognized the importance of such programs. The caregivers hoped that the programs would have specific examples of how to deal with elder abuse and family counseling methods, and other practical content for their work. Programs should focus on coping with individual cases, proper counseling methods, and awareness of elder abuse.
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.
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.
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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v.17
no.2
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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.
Journal of the Korea Society of Computer and Information
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v.20
no.11
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pp.169-174
/
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.
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