Child abuse and neglect are also becoming a serious threat to the health of children in Korea. Physicians are in a unique position to detect the injuries and behavioral problems resulting from child abuse or neglect. Physicians and other professionals providing services to children are required by Child Welfare Law to report suspected incidents of child abuse or neglect. Every Province now has a Child Abuse Hotline to make a report by telephone ; the hotline in Korea in area code+1361 (toll free). It is crucial that physicians define their role and develop the appropriate clinical skills to manage child abuse or neglect effectively. The role of physician in the prevention and treatment of child abuse or neglect traditionally has been one of detection, medical diagnosis, and treatment or referral. However, the role can be greatly expanded. They may serve on hospital child protection teams, provide medical services to private service agencies, participate in community multidisciplinary review boards and advisory boards of voluntary agencies, or testify as an expert witness. This article defines the emerging role of physicians in prevention and treatment of child abuse. It reflects the strategic agenda of the Korean Medical Association for promotion of optimal child health and development.
Child ; Child Abuse* ; Child Health ; Child Welfare ; Child* ; Clinical Competence ; Diagnosis ; Expert Testimony ; Hotlines ; Humans ; Jurisprudence ; Korea ; Physician's Role* ; Problem Behavior ; Referral and Consultation ; Telephone

No abstract available.
Adolescent* ; Erotica* ; Humans

No abstract available.

No abstract available.
Hepatitis* ; Humans

No abstract available.
Clonidine* ; Depression* ; Growth Hormone* ; Humans ; Panic Disorder* ; Panic*

No abstract available.

No abstract available.

The purpose of this study is to compare the physical health, anxiety and depression of the Dan-Jeon Breathing trained group with those of a non-trained group and to analyze the relationship between the training period of Dan-Jeon Bre athing method and physical health, anxiety, and depression. The number of people in the Dan-Jeon Breathing trained group over 3 months was 149 and in the non-trained group 142. Data were collected from August to October 1999. As tools, 35 physical symptom questions were chosen from The Cornell Medical Index modified by Nam(1965) and from the Symptom Checklist-90-Revision(SCL-90-R) by Kim(1984); 10 questions on anxiety and 13 questions on depression were used in the study. The statistics of the study were gathered by using SPSS Window; the analysis was made by applying x(2)-test, t-test, Pearson correlation, ANOVA and Scheffe tests. The results were as follows. 1. The Dan-Jeon Breathing trained group had lower physical symptom score and showed less anxiety and depression than the non-trained group, which supported the 1st, 2nd, 3rd hypotheses. 2. The longer the training period of Dan-Jeon Breathing, the lower the physical symptom score, which supports the 4th hypothesis, but the 5th and, 6th hypotheses were not supported because anxiety and depression did not get lower as the training period of Dan-Jeon Breathing got longer. 3. The physical symptom score, anxiety and depression that were made by the general characteristics of Dan-Jeon Breathing trained group were analyzed. As a result, the physical symptom score of women was greater than that of men. Physical symptoms score and the rate of anxiety and depression were different by education levels. The degree of anxiety was different by age. Those who have a religion have a higher physical symtoms score than people who have no religion. There was no difference in physical health score, anxiety and depression according to marital status, economic status and occupations. The results suggest that the physical and mental health status of Dan-Jeon Breathing trained group is better than that of the non-trained group. Physical symptoms scores gets lower as the training period of Dan-Jeon Breathing gets longer which results in the improvement of physical health status.
Anxiety* ; Cornell Medical Index ; Depression* ; Education ; Female ; Humans ; Male ; Marital Status ; Mental Health ; Occupations ; Respiration*

81 spinal cord injury Patients divided to 4 groups; The 1st. group was 12 patients with vesicostomy, the 2nd. group was 27 Patients with urethral indwelling catheterization, the 3fd. group was 15 Patients with intermittent catheterization and the 4th. group was 27 Patients with self voiding state. In 81 spinal cord injury Patients of 4 groups, urine culture, colony count and drug susceptible test were done from the department of Urology, Veterans Hospital during the period from Mar. 1983 up to Jun. 1983. 1. The incidence of bacteriuria was totally 54 cases (66.7%) among 81 cases, 10 cases (83.3%) among 27 cases in 2rid. group, 8 cases (53.3%) among 15 cases in 3rd. group and 12 cases (44.4%) among 27 cases in 4th. group. 2. The frequency of isolate organisms by culture were as followings; Pseudomonas: 34.8%, Proteus: 17.4%, Serratia: 14.5%, Providence: 13.0%, Acinetobacter: 5.8%, E. coli. 4.3% Alkaligenes: 2.9%. 3. Mixed infection of 2 different organisms was 12 cases (30.8%)among 39cases in 1st. and 2nd. groups and 2 cases (4.8%) among 42 cases in 3rd. and 4th. groups. 4. On the whole, all isolated organisms showed considerable susceptibility to Amikacin (73.9%) and then frequency of susceptible drugs were Tobramycin and Velocef. The incidence of resistance for all drugs was 13 cases (18.8%) among 69 cases.
Acinetobacter ; Amikacin ; Bacteriuria ; Catheterization ; Catheters ; Catheters, Indwelling ; Cephradine ; Coinfection ; Cystostomy ; Hospitals, Veterans ; Humans ; Incidence ; Proteus ; Pseudomonas ; Serratia ; Spinal Cord Injuries* ; Spinal Cord* ; Tobramycin ; Urinary Tract Infections* ; Urinary Tract* ; Urology

The incidence of multifetal pregnancies has significantly increased because of progress of assisted reproductive technologies. Preterm delivery is the most common and significant obstetrical problem in multifetal pregnancies. When the first twin of mutifetal pregnancy is prematurely delivered at previable gestational age, the success of delayed interval delivery of the second twin can improve the neonatal outcome for the remaining fetus. The optimal management of delayed interval delivery is not defined. Tocolysis, prophylactic antibiotics, and cervical cerclage are generally used. I present a case of delayed interval delivery in twin pregnancy with an interval of 89 days. The first twin was delivered at 21.3 weeks of gestation and delayed delivery of the second twin was succeeded by conservative treatment without cervical cerclage. This case is the longest interval case in Korea.
Anti-Bacterial Agents ; Cerclage, Cervical ; Fetus ; Gestational Age ; Humans ; Incidence ; Korea ; Pregnancy ; Pregnancy, Twin ; Reproductive Techniques, Assisted ; Tocolysis