• Asian Pacific Journal of Cancer Prevention
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• v.13 no.5
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• pp.2241-2247
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• 2012

Objective: This qualitative study retrospectively examined the experience and psychological impact of contralateral prophylactic mastectomy (CPM) among Southern Chinese females with unilateral breast cancer history who underwent BRCA1/2 genetic testing. Limited knowledge is available on this topic especially among Asians; therefore, the aim of this study was to acquire insight from Chinese females' subjective perspectives. Methods: A total of 12 semi-structured in-depth interviews, with 11 female BRCA1/BRCA 2 mutated gene carriers and 1 non-carrier with a history of one-sided breast cancer and genetic testing performed by the Hong Kong Hereditary Breast Cancer Family Registry, who subsequently underwent CPM, were assessed using thematic analysis and a Stage Conceptual Model. Breast cancer history, procedures conducted, cosmetic satisfaction, pain, body image and sexuality issues, and cancer risk perception were discussed. Retrieval of medical records using a prospective database was also performed. Results: All participants opted for prophylaxis due to their reservations concerning the efficacy of surveillance and worries of recurrent breast cancer risk. Most participants were satisfied with the overall results and their decision. One-fourth expressed different extents of regrets. Psychological relief and decreased breast cancer risk were stated as major benefits. Spouses' reactions and support were crucial for post-surgery sexual satisfaction and long-term adjustment. Conclusions: Our findings indicate that thorough education on cancer risk and realistic expectations of surgery outcomes are crucial for positive adjustment after CPM. Appropriate genetic counseling and pre-and post-surgery psychological counseling were necessary. This study adds valuable contextual insights into the experiences of living with breast cancer fear and the importance of involving spouses when counseling these patients.

• The Journal of the Korea Contents Association
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• v.20 no.2
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• pp.499-510
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• 2020

This study aims to analyze the causes of Internet hate speech, which has recently been emerging as a serious social problem and to seek for countermeasures. The experiences of hate speech are examined through the analysis of college students' essays and the causes and solutions of hate speech are suggested through the in-depth interviews with the experts. College students experience hate speech on the Internet on the basis of attributes such as age, gender, sexual orientation, and regionalism. Online comments on news, social media and online games are the main sources in spreading hate speech. On a personal level the lack of awareness of human dignity and the absence of media education are diagnosed as the reasons for online hate speech. The social reasons for online hate speech lie in the lack of human rights education and the problems of the media. In order to improve the problems of Internet hate speech, various suggestions are proposed on the legal, social and educational levels.

• Archives of Plastic Surgery
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• v.41 no.4
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• pp.379-386
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• 2014

Background Vulvar defects result chiefly from oncologic resection of vulvar tumors. Reconstruction of vulvar defects restores form and function for the purpose of coitus, micturition, and defecation. Many surgical options exist for vulvar reconstruction. The purpose of this article is to present our experience with vulvar reconstruction. Methods From 2007 to 2013, 43 women presented to us with vulvar defects for reconstruction. Their mean age at the time of reconstruction was 61.1 years. The most common cause of vulvar defect was from resection of vulvar carcinoma and extramammary Paget's disease of the vulva. Method s of reconstruction ranged from primary closure to skin grafting to the use of pedicled flaps. Results The main complications were that of long term hypertrophic and/or unaesthetic scarring of the donor site in 4 patients. Twenty-two patients (51%) were able to resume sexual intercourse. There were no complications of flap loss, wound dehiscence, and urethral stenosis. Conclusions We present a subunit algorithmic approach to vulvar reconstruction based on defect location within the vulva, dimension of the defect, and patient age and comorbidity. The gracilis and gluteal fold flaps are particularly versatile and aesthetically suited for reconstruction of a variety of vulvar defects. From an aesthetic viewpoint the gluteal fold flap was superior because of the well-concealed donor scar. We advocate the routine use of these 2 flaps for vulvar reconstruction.

• Journal of the Korean Home Economics Association
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• v.48 no.2
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• pp.135-144
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• 2010

This study explores whether or not marriage and other family values operate as factors that influence the willingness of women to voluntarily remain ever-single. The study includes as variables the sub-fields of marriage and family values that consist of traditional gender role awareness, freedom in sexual attitude, open outlook on marriage, familism, an acceptance of diverse families, fear of marriage, and assignment of value to extramarital factors. Participants of this study were 259 women in their twenties to forties with no experience of marriage, which were selected from the data used in the Korean Women's Development Institute's Investigation of Single Households(2007). Upon inserting value-related variables and sociodemographic variables into a binomial logistic model for analysis, age, open outlook on marriage, assigned value on extramarital factors, and an acceptance of diverse families were shown to be factors influencing the willingness of women to remain ever-single. That is, as the age spectrum is lower, outlook on marriage is open, more values are granted on the extramarital factors, and the degree of an acceptance of diverse views on family is higher, the chances that women would remain ever-single voluntarily were shown to increase.

• Journal of Digital Convergence
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• v.17 no.12
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• pp.261-270
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• 2019

The purpose of this study was to identify the factors affecting on contraception behavior among health and non-health university students. Data were collected from April to Jun 2017 from 138 of health and 128 of non-health. The results of multiple regression analysis showed that influencing factors were different by department major. The factors affecting on contraception behavior of health department were sexual experience(ß=0.33), and explanatory power was 23.7%, non-health department was pocket money of over 410,000 won, knowledge acquisition through internet or TV, contraceptive self-efficacy(ß=0.29, 0.24, 0.18), and explanatory power was 22.8%. This study suggests reflecting university students majors when developing educational programs of contraceptive behavior.

• Journal of the Korea Convergence Society
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• v.11 no.3
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• pp.333-340
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• 2020

This study was a descriptive research to identify the health behavior and mental health and the influence of parental attitudes according to smoking in out-of-school youths. The study subjects were 282 enrolled in youth support center located in Seoul and Chungnam areaa, x²-test, t-test, multiple logistic regression were used for analysis. The results of this study, sex, father's education level, drinking, sexual experience, and parental attitude had a significant effect on smoking in out-of-school youths. And, it is higher possibility to smoke a group with a high score in parental attitudes. Based of this study's findings, it is necessary to develop specific smoking prevention and smoking cessation program for out-of-school youths according to parental attitude.

• Journal of Korean Elementary Science Education
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• v.24 no.2
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• pp.145-159
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• 2005

Students' alternative concepts of evolution are similar to misconcepts and disputes which scientists had in science history. The aims of this study are to analyze the elementary children's concept in evolution based on science history. Lee (2004)'s two tests were applied to 6th grade to investigate the children's evolution concepts and genetic concepts related to the historical development of the evolution concepts. The test results were analyzed in accordance with 4 stages of science history based on Lee (2004)'s method. These stages are divided to stage 1 (Before Lamarck), stage 2 (Lamarck), stage 3 (Darwin), stage 4 (After Darwin). The major results are as follows. Most of elementary school children are fixed to the stage 2. They usually do not show the consistency of evolution concepts in the three dimensional aspects such as mechanism, time, and subjects. Many children do not have concrete meaning of gene, inheritance, sexual reproduction, mutation and could not connect these concetps and process of evolution. Also, they believe the inheritance of acquired traits and spontaneous generation. Therefore it is confirmed that they still have similar misconcepts and disputes which scientists had in transition time between stage 2 and 3 and most of children already have strong Lamarckian thought acquired from daily life experience before learning about natural selection and evolution.

• Journal of Korean Elementary Science Education
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• v.17 no.1
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• pp.33-46
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• 1998

This study researched the concepts that elementary school students have after having learned volcano and earthquake. The reacher collected and adjusted the journals related to this study, and sampled the concepts included in Chap. One "Moving Earth", the first term of the elementary school sixth year. The students' descriptive responses were analyzed after subjective questions on the basis of above were developed and put into. After the contents described in the answer sheets were categorized by key words and the types of concept were made out by qualitative analysis, it was showed what was differences between the sexual, regional and achievement levels. The results of this study were as follows; first, though the types of concept about volcano and earthquake were found variably, it was showed that wrong preconception was not corrected, especially the exact understanding about terms not attained to, which led to the trouble in conceptual readjustment of students. Second, though the response rate about the types of scientific concept was found high that volcano was made out of explosion and eruption of magma and lava, there were also children who described not the interior factor of globe but the surface factor. Third, according to the results divided into the interior factor of globe and the surface factor and analyzed about earthquake, there were a great number of children who responded as the surface factor though most of the students responded to the interior factor of globe. Fourth, through some types of concept, it was found that the formation of concept was much influenced by experience of children's life, curriculum, and the method of study. Fifth, In the most test question, the scientific concept was found that boys were higher than girls in the distinction of sex, the children of cities than those of town and island, and the upper group than the lower group in the achievement levels.

• Journal of Genetic Medicine
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• v.16 no.1
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• pp.10-14
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• 2019

Purpose: The aim of this study was to investigate the clinicopathological features of premature ovarian insufficiency (POI) associated with chromosomal abnormalities. Materials and Methods: This was a retrospective study of POI patients with chromosomal abnormalities diagnosed between January 2009 and December 2017. The definition of POI is based on hypergonadotropinism of 40 or greater in follicle stimulating hormone (FSH) measurements at age 40 years or less. FSH was measured twice at least 4 weeks apart. Karyotyping using peripheral blood for chromosomal testing was conducted in all patients diagnosed with POI. We analyzed the clinical characteristics and genetic causes of patients who were diagnosed with POI. Results: Forty patients were diagnosed with POI including 9 (22.5%) with identified chromosomal abnormalities. The mean age at diagnosis was $23.1{\pm}7.8years$ (ranging between 14 and 39). Three patients did not experience menarche. The presenting complaints were short stature in one case, one case of amenorrhea with ambiguous external genitals, one case of infertility, and six related to menstruation such as oligomenorrhea or irregular rhythm. Turner syndrome was diagnosed in four cases, Xq deletion in one case, trisomy X in two cases, and 46,XY disorder of sexual development in two other patients. Conclusion: Patients diagnosed with POI carrying the same type of chromosomal abnormality manifest different phenotypes. The management protocol also needs to be changed depending on the diagnosis. A karyotype is indicated for accurate diagnosis and proper management of POI in patients, with or without stigmata of chromosomal abnormalities.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.32 no.4
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• pp.144-153
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• 2021

Objectives: Anxiety disorders are the most common psychiatric disorders in adolescents and seem to occur the earliest among all forms of psychopathology. The aim of this study was to investigate the association of anxiety severity with health risk behaviors and mental health in adolescents. Methods: Data from the 2020 Korean Youth Risk Behavior Web-Based Survey were analyzed. A total of 54948 adolescents responded to the 7-item Generalized Anxiety Disorder Scale (GAD-7) for the assessment of their anxiety severity as well as to the mental health and health risk behavior survey. Logistic regression analysis, t tests, and variance analysis of a complex sample general linear model were used to examine the association of anxiety severity with health behaviors and mental health. Results: After statistical adjustment for sociodemographic characteristics, the subjects in the severe anxiety group were significantly more likely to be current smokers (odds ratio [OR]: 2.08, 95% confidence interval [CI]: 1.72-2.50), current drinkers (OR: 1.91, 95% CI: 1.67-2.19), experience habitual substance use (OR: 10.89, 95% CI: 8.22-14.42), have sexual intercourse (OR: 2.10, 95% CI: 1.76-2.51), and have unprotected intercourse (OR: 2.21, 95% CI: 1.67-2.92) than those in the normal group. Anxiety severity negatively correlated with sleep satisfaction and happiness, but positively correlated with stress perception, loneliness, depressive symptoms, and suicidality. Conclusion: Adolescent anxiety is associated with health risk behaviors and poor mental health. Thus, early screening and intervention for anxiety in adolescents could contribute to the management and coping of youth health risk behaviors in the community.