• 한국학교보건학회지
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• 제9권1호
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• pp.77-98
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• 1996

This studies designed to work out a theoretical framework on the experience of sexual abuse from the perspective of grounded theory in an effort to provide more practical and efficient nursing intervention for female victims. The subcategories identified were "sexual abuse", "threatening", "absent mindness", "embarrassment", "horripilation", "dizziness", "wondrousness", "filthiness", "sexual curiosity", "violence level", "victim's age", "neighbors response", "victims personality", "common experience", "sexual abuse information", "family relations", "level of familiarity", "hiding", "suppression", "self-torture", "self-protection", "avoidance", "asking aid", "withdrawal", "hatred", "confusion", "dodging, "remmant", and "pursuing". The 29 subcategories given above were further integrated into 16 categories such as "victimizedness", "being astounded", "filthiness", "degree", "developmental stage", "response pattern", "personality", "rarity", "information availability", "family support", "cover-up", "escaping", "informing", "negative internalization", and "positive pursuit of change". The core categories linked to all the other categories turned out to be "being taken aback" and "filthiness" incorporating the relevant subcategories. A total of 23 theoretical hypothesis emerged in the process of analyzing data. 1. the grater sexual curiosity, the weaker the senses of being taken aback and filthiness. 2. The weaker sexual curiosity, the stronger the senses of being taken aback and filthiness. 3. The stronger the level of violence, The more violent the senses of being taken aback and filthiness. 4. The lower the level of violence, the weaker the senses of being taken aback and filthiness. 5. The younger the victims, the stronger the senses of being taken aback and filthiness. 6. The older the victims, The weaker the senses of being taken aback and filthiness. 7. 'Escaping' will transpire regardless of the given circumstances. 8. The weaker the senses of being taken aback and filthiness, the more probable 'informing' and 'escaping' transpire. 9. The stronger the senses of being taken aback and filthiness, the more probable 'informing' and 'escaping' transpire. 10. The more protective the response from 'informing' and 'escaping' transpire around, the more likely the response to being taken aback' and 'filthiness' will be 'informing' and 'escaping'. 11. The more repelling the response from around, the more likely the response to 'being taken aback' and 'filthiness' will be 'covering-up' and 'escaping'. 12. The more open minded the personality of the subject, the more likely the response to 'being taken aback' and 'filthiness' will be 'informing' and 'escaping'. 13. The more closed the personality of tile subject, the more likely the response to 'being taken aback' and 'filthiness' will be 'covering-up' and 'escaping'. 14. The more frequent the experience of sexual abuse, the more likely the response to 'being taken aback' and 'filthiness' will be 'informing' and 'escaping'. 15. The less frequent the experience of sexual abuse, the more lilely the response to 'being taken aback' and 'filthiness' will be 'covering-up' and 'escaping'. 16. The more available information concerning sexual abuses, the more likely response to 'being taken aback' and 'filthiness' will be 'informing' and 'escaping. 17. The less available information concerning sexual abuses, the more likely the response to 'being taken aback' and 'filthiness' will be 'covering-up' and 'escaping'. 18. The more cohesive the family of the subject, the more likely the response to 'being taken aback' and 'filthiness' will be 'informing' and 'escaping'. 19. The less cohesive the family of the subject, the more likely the response to 'being taken aback' and 'filthiness' will be 'covering-up' and 'escaping'. 20. The less familiar the subject is with the abuser, the more likely the response to 'being taken aback' and 'filthiness' will be 'informing' and 'escaping'. 21. The less familiar the subject is with the abuser, the more likely the response to 'being taken aback' and 'filthiness' will be 'covering-up' and 'escaping. 22. The more likely the response to 'being taken aback' and 'filthiness' is 'informing and 'escaping', the more positive changes the subject will pursue. 23. The more likely the response to 'being taken aback' and 'filthiness' is 'covering-up' and 'escaping', the more negative changes the subject will pursue. The following four hypotheses were conformed in the process of data analysis. 1) In case the level of violence is strong but 'being taken aback' and 'filthiness' in weak because of strong sexual curiosity and also if information concerning sexual abuse is not readily available and the frequency is low, negative internationalization marked by 'covering-up' and 'escaping' will take place despite the fact the subject is open-minded, the family is cohesive and the abuser is unfamiliar. 2) In case the level of violence is weak but 'being taken aback' and 'filthiness' is weak combined with weak sexual curiosity and also if information concerning sexual abuse is readily available and the response from around is protective and the frequency is high, the subject will pursue positive changes to 'being taken aback' and 'filthiness', further aided by the fact that the subject is open-minded, the family is cohesive and the abuser is unfamiliar. 3) In case the level of violence is strong and 'being taken abuse' and 'filthiness' is strong because of weak sexual curiosity and also if information concerning sexual abuse is reading available and the response from around is readily available and the response from around is protective and the frequency is low, the subject will persue positive changes marked by 'informing' and 'escaping' despite the fact that the family cohesion is weak and the abuser is familiar. 4) In case the level of violence is strong and 'being taken aback' and 'filthiness' is strong because of weak sexual curiosity and also if information concerning sexual abuse is not readily available and the response from around is respelling and the frequency is low negative internalization like 'covering-up' and 'escaping' will take place, further aggravated by the fact that the subject's personality is closed, family cohesion is weak, and subject is familiar. On the basis of the above finding, it is recommended that nursing intervention should focus on promoting the milieu conductive to the victims pursuing positive changes along with the adequate aids from protection facilities as well as from the people around them.

• Journal of Chest Surgery
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• 제12권4호
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• pp.418-423
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• 1979

Chest injuries due to blunt trauma often result in severe derangements that lead to death. And we have to diagnose and treat the patients who have blunt chest trauma immediately and appropriately. A clinical analysis was made on 324 cases of chest injury due to blunt trauma experienced at department of Thoracic and Cardiovascular Surgery, College of Medicine, Kyung Hee University during 8-year period from 1972 to 1979. Of 324 patients of blunt chest injuries, there were 189 cases of rib fracture, 121 of hemothorax or/and pneumothorax, 108 of soft tissue injury of the chest wall only, 41 of lung contusion, 24 of flail chest, 13 of scapular fracture, 7 of diaphragmatic rupture and others. The majority of blunt chest injury patients were traffic accident victims and falls accounted for the next largest group of accidents. Chest injuries were frequently encountered in the age group between 3rd decade and 4th decade [60%] and 238 patients were male comparing to 86 of female [Male: Female = 3:1 ]. In the patients who have the more number of fractured ribs, the more incidence of intrathoracic injury and intraabdominal organ damage were found. The principal associated injuries were head injury on 58 cases, long bone fractures on 37, skull fractures on 12, pelvic fractures on 10, renal injuries on 6 and intraabdominal organ injuries on 5 patients. The principle of early treatment of chest injury due to blunt trauma were rapid reexpansion of the lung by closed thoracotomy which was indicated on 96 cases, but open thoractomy was necessary on 14 cases because massive bleeding, intrapleural hematoma and/or fibrothorax, or diaphragmatic laceration-On 15 cases who were young and have multiple rib fracture with severe dislocation delayed elective open reduction of the fractured ribs with wire was done on the purpose of preserving normal active life. The over all mortality was 2.8% [9 of 324 cases] due to head injury on 3 cases, massive bleeding on 2,wet lung syndrome, acute renal failure on 1 and septicemia on 1 patient.

• 비교문화연구
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• 제44권
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• pp.191-209
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• 2016

조선족에 대한 한국 대중의 시선을 분석한 본 연구는 2000년대 이후 한국 영화에 등장하는 조선족을 여성인물과 남성인물로 나눠 고찰하였다. 조선족 여성 인물들은 이주와 정착 과정에서 벌어지는 고난을 겪으며 관객의 연민과 동정을 유발한다. 인물의 이주 서사를 통해 한국 대중은 국외자로서의 조선족 여성이 연변을 떠나 한국에 이주하기까지의 어려움을 목도하며 조선족의 이주를 용인한다. 한편 조선족 남성 인물들은 범죄영화에서 관객들에게 야성과 공포의 감정을 느끼게 한다. 한국 대중은 조선족 남성에 대해 혐오감을 가지고 그들을 잠재적 범죄자로서 받아들이기 때문에 그들의 이주가 한국 사회를 위협하고 불안하게 만든다고 여긴다. 한국 대중에게 조선족 여성과 조선족 남성은 각각 순수한 존재와 불결한 존재, 연약한 존재와 강력한 존재로 인식하고 이 과정에서 조선족은 한국인과의 경제-문화적 위계 속에서 타자화되고 있는 것이다. 한편 <해무>는 한국의 노동자와 이주민 조선족이 모두 신자유주의적 경제 질서의 재편과정에서 희생될 수밖에 없는 경제적 약자임을 암시하며 조선족을 대하는 한국인의 윤리적 갈등을 다루었다는 점에서 21세기 이주민에 대한 진일보한 인식을 보여주었다.

• Archives of Plastic Surgery
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• 제45권1호
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• pp.80-84
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• 2018

Although uncommon, shark attacks can lead to devastating outcomes for victims. Surgeons also face unique challenges during operative management such as exsanguination, shock, specific injury patterns and infections. This case report presents the management of a 39-year-old previously healthy female attacked by a shark while on vacation in Mexico. The patient sustained severe injuries to her left arm and her left thigh. She was transferred to a Canadian institution after ambiguous operative management in Mexico and presented with no clear antibiotic coverage and a Volkman's contracture of the left upper extremity. In total, the patient underwent four washouts of wounds, two split-thickness skin grafts, one free anterolateral thigh flap, and one free transverse rectus abdominus myocutaneous flap for the reconstruction and salvage of the left lower extremity. This article highlights the specifics of this case and describes important points in managing these devastating injuries.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제32권1호
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• pp.3-9
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• 2021

Objectives: It is hard to accumulate research data on adolescents' suicide, because friends and family of the suicide completers might be reluctant to share the experience. To overcome the lack of information on adolescent suicide victims, the authors examined the risk and protective factors for adolescents' suicide from a character in a novel. Methods: Krystal, an adolescent female in the novel The Casual Vacancy by Joanne Rowling, failed to overcome her unfortunate circumstances and committed suicide. The authors analysed Krystal's case based on the guideline for patients with suicidal behaviours to address the complicated situation of her death. Results: Krystal grew up in a poor and dangerous environment. Despite the environmental hardships, she developed ego maturation with affectionate help from Mr Fairbrother, an assistant coach of the Girls' Rowing Team and a parish councillor. The sudden passing away of Mr Fairbrother brought on a crisis of identity for Krystal. In addition, a villainous character raped her and her brother drowned to death, which brought her great sorrow. She felt helpless and committed suicide. Conclusion: In spite of many risk factors for suicide, Krystal was able to keep her life with a few protective factors, a younger brother in the home, and a sense of responsibility for the family. After the loss of her brother, however, she collapsed in a moment. Krystal's suicide might not only be a personal choice but a breakdown of the social protection system for the youth.

• 한국사회복지학
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• 제61권3호
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• pp.205-228
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• 2009

근친성학대는 외부에 드러나지 않고 가족의 비밀로 유지되는 경향이 있다. 그리고 어머니는 근친성학대 드러냄을 결정하는 중요한 사람으로 인식되어 왔으며 때로는 묵인한 사람으로 간주되어 비난을 받았다. 따라서 본 연구의 목적은 자녀의 근친성학대 피해에 대한 어머니의 드러냄 경험의 본질과 의미를 탐구하고 이해하고자 하는 것이다. 이를 위하여 딸이 근친성학대 피해를 경험한 7명의 어머니들에게 심층면접을 진행하였으며 해석학적 현상학적 연구방법으로 분석하였다. 연구 결과, 어머니들의 드러냄 경험의 본질적 주제는 "고통을 관통함으로써 고통을 극복함"으로 나타났다. 하위주제로는 '가슴속의 응어리를 풀어냄', '차가운 외면 속에서 또다시 상처받음', '곪은 상처를 터트리고 치료함'이 도출되었다. 어머니에게 드러냄 경험은 상처를 건드림으로써 치유의 기반을 마련하고 드러냄의 방법과 의미를 찾아나가는 과정으로 경험되었다. 특히 근친성학대의 드러냄 경험은 어머니의 인식과 의지, 타인의 반응과 사회문화적 맥락과의 상호작용을 통해 계속 재구성되는 과정으로 나타났다. 본 연구 결과를 바탕으로 어머니들의 드러냄에 보다 전문적이고 민감하게 대응할 수 있는 사회복지실천방법을 제언하였다.

• 한국언론정보학보
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• 제27권
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• pp.63-91
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• 2004

이 연구는 한국 언론의 젠더담론을 살펴보기 위해 ${\ll}$조선일보${\gg}$ ${\ll}$한겨레신문${\gg}$을 사회면에 실린 여성관련 범죄뉴스의 프레임을 분석하였다. 스트레이트 기사형식을 선호하는 사회면의 범죄기사는 대부분 일화 중심적 뉴스 프레임을 취하고 있었다. 일화 중심 프레임의 기사들이 피해 여성의 이미지를 형성하는 프레이밍 기제들은 가해자 중심의 서술 및 여성 피해자의 타자화, 남성필자의 가부장적인 시선, 선정적 묘사, 여성의 신체적 취약성과 수동성 강조, 피해자 여성 비난하기 등이었다. 주제 중심적 프레임 기사의 특성은 선정성 부각과 함께 사회구조 탓하기와 구체적 대안의 부재로 분석되었다. 후속보도가 이어진 하양피살사건에 대한 사례분석의 결과에 의하면, 사건의 내용이 바뀌었음에도 불구하고 사건발생 초기에 설정된 흥미위주의 여성에 대한 선정적 프레임은 지속되었으며, 이는 한국언론의 내재된 여성관을 확인시켜주는 대표적 사례였다. 이러한 결과는 선정성을 강조하는 언론의 상업주의적인 태도와 경직된 취재보도체제에 비롯되며, 특히 남성편향적인 프레임들은 경찰발표를 그대로 받아쓰는 관행적인 뉴스제작 관습과, 남성기자와 남성적인 뉴스조직의 가치판단에 의해서 형성된다. 두 신문은 정치적 노선의 차이에도 불구하고 여성을 다루는 방식에서 여성문제에 대한 무관심을 드러내는 동시에 가부장적인 여성관을 보여준다. 이는 우리사회의 보수세력과 진보세력의 담론 모두가 남성적 담론으로서 여성은 담론상의 위치에서 사회적 약자로서 소외되고 있음을 반증한다.

• Journal of Trauma and Injury
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• 제23권2호
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• pp.63-67
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• 2010

Purpose: A tension pneumothorax is a fatal condition that requires immediate intervention. Although a definitive treatment for a tension pneumothorax is a tube thoracostomy, needle decompression can provide temporary relief, that is lifesaving. The traditional procedure for needle decompression involves inserting a needle or catheter at the second intercostal space, the midclavicular line. Recent evidence suggests that the commonly used catheters do not have sufficiently penetrate the chest wall. There are also claims that a lateral approach to needle decompression is easier and safer than the traditional anterior approach. The purpose of this study is to evaluate the optimal approach for needle decompression for the Korean population by measuring chest wall thicknesses at the points used for both the anterior and the lateral approaches. Methods: The chest wall thickness (CWT) of trauma victims who visited the Emergency Center of Pusan National University Hospital was measured by computed tomography (CT) images. The CWT was measured at the points used for the anterior and the lateral methods and was compared with the length of commonly used catheters, which is 45 mm. Results: The mean CWT at the second intercostal space, the midclavicular line, was shorter than the CWT at the 5th intercostal space, the anterior axillary line. However, the percentage of patients whose CWT was greater than 45 mm was larger when measured anteriorly (8.2%) that when measure laterally (5.7%). Female patients and those older than 60 were more likely to have an anterior CWT greater than 45 mm (28.2% for females and 15.5% for those older than 60). Conclusion: The percentage of trauma victims in Korea whose CWT is greater than 45 mm is lower than the values previously reported by other countries. However, females and older patients tend to have thicker chest walls, so the lateral approach would be suggested when performing needle decompression for such patients with suspected tension pneumothoraces.

• 한국환경보건학회지
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• 제45권1호
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• pp.71-81
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• 2019

Objectives: The lung injuries by exposure to the humidifier disinfectants (HDs) were reported in 2011, Korea. For the HD victims, environmental exposure level and clinical diagnosis were conducted to determine the levels of damage by HDs. Methods: The exposure assessment to the HDs from 1st to 4th questionnaire surveys were carried out for 5,245 victims. And the affecting factors of exposure levels were analyzed by characterizing exposure and demographic information. By using of exposure concentration and cumulative time, exposure levels were classified and compared by percentage of clinical diagnosis classes. The high exposure and low clinical diagnosis rating groups, and low exposure and high clinical diagnosis rating groups were analyzed to overcome the limitation of past exposure assessment such as recall bias. Results: Among the all applicants damaged by the humidifier disinfectants, survivors were 4,028 and the dead were 1,217. And male and female were 2,675, and 2,547, respectively. In case of occurrence age of lung disease, under 10 years was majority age group (1,536) and followed by thirties (917). Pregnant women and fetuses were 339 and 439, respectively. And the damages by exposure to the HDs were concentrated on these susceptible populations in groups with low exposure and high clinical diagnosis rating. On the other hand, the groups classified by high exposure and low clinical diagnosis rating were shown different characterization. Conclusions: The questionnaire survey on past exposure may be uncertain due to recall bias. However, the relationship between classified exposure levels and clinical diagnosis ratings might be shown positive correlation if the exposure assessment errors were analyzed and controlled.

• 한국심리학회지:법
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• 제11권3호
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• pp.287-307
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• 2020

지난 10년간 13세 미만의 아동을 대상으로 한 성폭력 범죄는 증가 추세를 보여 왔으나, 성폭력 가해자나 피해자에 대한 인식에 관한 연구는 대부분 성인을 대상으로 한 성폭력 범죄에 집중되어 있어 아동 성폭력 사건 관련 연구는 여전히 부족하다. 본 연구는 가해자의 연령을 아동과 청소년, 성인으로 구분하여 가해자 연령에 따라 가해자 및 피해자에 대한 인식에 차이가 있는지 살펴보고, 아동 성폭력에 대한 인식에 성차가 존재하는지 알아보며, 성폭력 통념과 권위주의가 아동 성폭력 관련 인식에 어떻게 영향을 미치는지 조사하였다. 20대부터 60대까지 성인 총 210명을 대상으로 아동 성폭력에 대한 인식(가해자 비난, 가해자 처벌, 피해자 책임, 피해자 고통)을 조사하고, 성폭력 통념 수용도와 권위주의 성격을 평가하였다. 이를 상관분석, 일원분산분석, 독립표본 t 검정, 매개분석 등을 통해 분석하였다. 그 결과, 가해자의 연령에 따라 가해자 처벌에 대한 인식에 차이가 있었는데, 가해자가 아동일 때 청소년인 가해자보다 더 가벼운 처벌을 받아야 한다고 생각하는 것으로 드러났다. 연구 참여자의 성별에 따른 차이가 나타났는데, 남성들은 여성보다 성폭력 피해자의 책임을 더 높게 인식하였으며, 성폭력 통념 수용도가 높았고, 권위주의 성격도 더 높게 나타났다. 연구 참여자의 성별이 피해자 책임 인식에 미치는 영향을 성폭력 통념이 매개하며, 이 매개효과를 권위주의가 조절하였다. 마지막으로 본 연구의 한계점과 의의에 대해 논의하였다.