• Archives of Plastic Surgery
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• 제49권3호
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• pp.352-359
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• 2022

Background Breast augmentation with implants is the most commonly performed cosmetic plastic surgery in Brazil and worldwide. The aim of this study was to assess patient satisfaction and quality of life following subpectoral breast augmentation with either microtextured or macrotextured implants, using the BREAST-Q. Methods A prospective study was conducted with 40 women with hypomastia undergoing subpectoral breast augmentation. The patients were randomly allocated to two groups to receive either microtextured or macrotextured breast implants. All participants were assessed preoperatively (baseline) and after 2 and 4 months of surgery for quality of life and patient satisfaction with the surgical results, using the BREAST-Q augmentation module, a patient-reported outcome measure. Results The patients had a mean age of 28.9 ± 6.45 years. The microtextured (n = 20) and macrotextured (n = 20) groups were homogeneous for sex, age, education level, marital status, and number of children (p > 0.05). Both groups showed significant improvement in satisfaction with breasts (p < 0.001), psychosocial well-being (p < 0.001), and sexual well-being (p < 0.001) at the 2- and 4-month follow-up visits compared with baseline. The observed improvements were associated with high effect size values of 5.09, 3.44, and 3.90, respectively. In contrast, significant decreases from baseline in physical well-being scores (p = 0.001) were found 2 and 4 weeks after surgery in both groups. Conclusion Subpectoral breast augmentation with either microtextured or macrotextured breast implants improved satisfaction with breasts and quality of life in patients with hypomastia.

• Archives of Plastic Surgery
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• 제49권4호
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• pp.488-493
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• 2022

Background Currently, the BREAST-Q can effectively measure patient's satisfaction on the quality of life from the patient's perspective in relation to different type of breast reconstruction. However, evaluation of patient satisfaction and cosmetic outcomes in breast reconstruction may have potential to led bias. Methods To maximize the benefits of using BREAST-Q to evaluate clinical outcome, we performed comparative study focused on the correlation between postoperative BREAST-Q and cosmetic outcomes assessed by medical professionals. For the current analysis, we used three postoperative BREAST-Q scales (satisfaction with breast, psychosocial well-being, and sexual well-being). The Ten-Point Scale by Visser et al was applied to provide reproducible grading of the postoperative cosmetic outcomes of the breast. The system includes six subscales that measured overall aesthetic outcome, volume, shape, symmetry, scarring, and nipple-areolar complex. The photographic assessments were made by five medical professionals who were shown photographs on a computer screen in a random order. Obtained data were stored in Excel and evaluated by Spearman's correlations using SPSS Statistics. Results We enrolled 92 women in this study, 10 did not respond to all scales of postoperative BREAST-Q, the remaining 82 women had undergone breast reconstruction. The correlation between BREAST-Q score and aesthetic score measured by Ten-Point Scale for the three BREAST-Q scales all show positive values in Spearman's correlation coefficient. Conclusion A significant correlation without any bias observed was found between the patient's satisfaction measured by BREAST-Q after breast reconstruction and the medical expert's aesthetic evaluation.

• 한국간호교육학회지
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• 제27권3호
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• pp.321-332
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• 2021

Purpose: The purpose of this study is to determine the influence of the learning environment on nursing students' clinical practice education and the violence experienced during clinical practice on vocational identity. Methods: The design of the study was a descriptive survey, and data were collected from November 15 to November 27, 2019. The data of the study were obtained from 515 nursing students attending three universities using self-administered questionnaires. Data were analyzed using the SPSS 25.0 program. Results: For the experience of violence, verbal violence (98.3%) was the type most commonly experienced, and patients (97.7%) were the most frequent perpetrators. The clinical learning environment was perceived differently according to gender, personality, interpersonal relationship, satisfaction with nursing, clinical practice satisfaction, violence prevention education, the need for violence prevention education, sexual violence experiences, and violent perpetrators. The most influential factor on vocational identity was satisfaction with the nursing major (β=0.24, p<.001), followed by extroverted personality (β=0.18, p<.001), clinical learning environment (β=0.15, p=.001), satisfaction with clinical practice (β=0.15, p=.002), and the experience of violence by patients (β=-0.10, p=.016), which together explained 24.1% of the variance in the model. Conclusion: It is necessary to make efforts to ensure that students do not experience violence during clinical practice, to maintain a close cooperative relationship between university and clinical institutions to improve the learning environment for clinical practice, and to make the clinical field an educational learning environment.

• 여성건강간호학회지
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• 제24권3호
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• pp.265-275
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• 2018

Purpose: The purpose of this study was to investigate the status of use of menstrual hygiene products and genital organ hygiene management in unmarried women. Methods: Data from 161 unmarried women were used for analysis. The instruments consisted of self-reported questionnaires that included 40 items: 20 on General Characteristics & Sexual Health Related Characteristics, 8 on Using Status of Menstrual Hygiene Products, 12 on Genital Organ Hygiene Management. Results: The subjects used disposable sanitary napkin as the most frequently but the satisfaction was low, while the use of reusable sanitary napkin and tampons were few, but satisfaction was high. Sixty-seven percent of the unmarried women had sex experience, and more than 60% experienced abnormal symptoms in the genital organ. There was a significant difference in genital organ hygiene management according to sex experience. Among subjects of this study, 44.1% wanted to use menstrual cup, and 98.8% wanted to have education for their menstrual hygiene products. Conclusion: Based on results of this study, a nationwide survey of the demand for menstrual hygiene products used by Korean women is needed, it is necessary to educate about the proper use of menstrual hygiene products and genital organ hygiene management.

• 여성건강간호학회지
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• 제16권2호
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• pp.95-104
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• 2010

Purpose: This study examined the influencing factors on antenatal depression among pregnant women. Methods: This was a cross sectional descriptive study with 255 pregnant women who visited a general hospital in a metropolitan city for their regularly scheduled check-up. Measurement tools employed were the Korean version of Beck Depression Inventory (BDI), the food habits, and the Pittsburg Sleep Quality Index (PSQI). Socio-demographic variables and the status of high risk pregnancy were identified. Influencing factors on antenatal depression were identified using a stepwise multiple regression analysis. Results: The mean score of antenatal depression was $7.2{\pm}5.0$; 18.4% with mild depression, 5.9% had moderate depression, with 0.8% identified with severe depression on BDI scale. Influencing factors on antenatal depression accounted for 47.8% of the total variance which consisted of quality of sleep, marital satisfaction, food habits, gestation periods, sexual satisfaction, high risk pregnancy, and age. Conclusion: Findings show that antenatal depression should be monitored on a regular basis during early pregnancy and in high risk pregnancy if possible, and quality of sleep and food habits should be incorporated in the management of antenatal depression.

• 한국학교보건학회지
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• 제33권3호
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• pp.139-147
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• 2020

Purpose: The study aimed to identify factors affecting unintentional injuries at school focusing on violent experiences in adolescents. Methods: The study used the raw data of the Korea Youth Risk Behavior Web-based Survey (2019). A total of 60,040 students were included in the analysis. Descriptive statistics, χ2 test, and multiple logistic regression were performed, using SPSS version 25.0. General characteristics, gender, school, academic achievement, living with family, socioeconomic status, vigorous physical activity, perceived stress, sleep satisfaction, high caffeine drinking, risky alcohol drinking, smoking, sexual experience, drug use, and safety education, were adjusted for and the relationship between unintentional injuries and violence was analyzed. Results: The results showed 2.4% of the adolescents had experienced violence and 24.7% had suffered unintentional injuries. Violent experiences had a significant effect on unintentional injuries among adolescents. Injuries were 1.93 times higher among adolescents who had experienced violence. Gender, school levels, high-intensity physical activity, stress, sleep satisfaction, high caffeine drinks, dangerous drinking, drug use, and safety education were associated with unintentional injuries among adolescents. Conclusion: Adolescents at high risk of suffering violence and injuries should be identified and assessed preemptively. In addition, it is necessary to implement systematic school health-centered safety education programs in order to prevent violence and injuries.

• 해양환경안전학회지
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• 제24권6호
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• pp.709-716
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• 2018

2017년 승선실습 중이던 위탁실습생이 사망하는 사고가 있었다. 이 실습생은 1일 12시간씩 작업을 했다고 한다. 실습생에 대한 업무시간과 휴식시간을 규정하는 법령은 아직까지 없다. 이 연구는 상선에서 승선실습을 하는 위탁실습생의 업무실태 파악과 위탁실습생의 처우 개선을 위해 설문조사와 통계분석을 수행했다. 설문은 상선에서 위탁실습을 다녀온 학생을 대상으로 진행했다. 설문결과는 다음과 같다. 첫째, 선종에 관계없이 1일 평균 10시간씩 업무했다는 의견이 43.0 %를 차지했고, 휴식시간은 평균 8시간이었다는 의견이 35.2 %를 차지했다. 응답자의 15.6 %가 12시간 이상 업무한 경험이 있다고 했다. 라면 끓이기, 휴식 중에 작업, 사적인 심부름 등 부당한 지시 사례가 있었다. 둘째, 선종별 교육만족도에 대해 LNG운반선에서 실습한 학생들의 만족도가 높았던 반면, 산적화물선과 컨테이너운반선의 교육만족도는 낮았다. 선박의 크기와 선령, 업무시간, 휴식시간, 실습지원비가 교육만족도에 미치는 영향은 미약함을 확인했다. 끝으로, 위탁실습생의 근로자성 판단에 대해 56.8 %가 '근로에 해당된다'고 응답했다. 설문결과를 통해 위탁실습의 열악성과 위탁실습생이 근로와 휴식에 대한 법령의 사각지대에 있음을 확인했다. 이를 위해 업무시간과 휴식시간의 법령 마련, 폭력 및 성희롱에 피해방지시스템 구축 등을 개선방안으로 제시했다. 이 연구는 위탁실습생의 업무와 휴식에 논문의 초점을 맞춰 선박의 종류와 크기, 선령별로 실습만족도를 분석했다는 것에 의의가 있다.

• 품질경영학회지
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• 제27권4호
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• pp.1-19
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• 1999

This study examines the service quality management and the use of women employees for the productivity improvement in Korean service industry. Five service industries, bank, hotel, PCS(Personal Communication Service), department store, and hospital industry were chosen for this study. The results indicate that the five industries show different characteristics. It was found that department stores made the most effort to improve service quality among the five industries and that hospitals did the least effort. In the use of women employees, the proportion of women in service industry is much higher than that in the manufacturing industry, but the proportion of women in management level is still very low. Women employees do not feel high degree of sexual discrimination. But they feel unfairness in promotion and payment, and low degree of job satisfaction.

• 한국가정과교육학회지
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• 제11권1호
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• pp.13-24
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• 1999

The purpose of this study was to investigate the differences in the perception of Home Economics between female and male among high school students who have learned Home Economics and who have never learned. The number of 400 samples were analyzed with frequencies, percentages, t-test, regressions and $\chi$(sup)2 analyses by SPSS/Win. The results showed that the male students who have taken Home Economics were more likely than those who have never taken perceived Home Economics as a living science and to be interested in the subject. There were sexual differences among high school students who have learned the subject in favorite units, increases in interests, satisfaction with the contents, etc. Sex and the level of participating household works were the most influential factors on the perception of the subject of high school students.

• 대한가정학회지
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• 제44권4호
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• pp.87-99
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• 2006

This study focused on the validity of Imago couple therapy's contents and the effects of application of the Imago couple therapy model. The participated subjects were 38 graduate students and their spouses. The major findings of this study were as follows. First, the types of couple relations that formed and sustained marital relations after growth could be predicted by the early childhood relationships between the subjects when they were children and their parents. Second, the marital conflicts and frustrations could be healed by the 'parent-child dialogue' and 'guided imagery'. Third, Imago couple therapy was effective for couple counseling to improve the areas of marital relationships, especially marital intimacy, marital communication, communication skills for marital conflicts, mutual respect, gender role, sexual satisfaction, time together, and decision-making. Fourth, Couple's Dialogue was a powerful tool for couple and parent-child relationships as well as general counseling practices.