• Archives of Plastic Surgery
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• 제36권4호
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• pp.437-444
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• 2009

Purpose: Transgender is a disorder of gender identity, who have appropriate chromosomal, hormonal and anatomical characteristics corresponding to their sexual phenotype but feel strongly with respect to their sexual identity, that they belong to the opposite sex. There is a persistence discomfort and sense of inappropriateness about one's assigned sex in a person who has reached puberty. Transgender is a psychiatric problem, but surgical method provides more satisfactory adjustment for patients. In gender reassignment surgery for female to male transgender, mastectomy, nipple reduction, hysterectomy, oophorectomy and phalloplasty are included. And as the final operation, recommended for scrotoplasty and artificial testes insertion. So we investigated the necessity and method of scrotoplasty in the final operation of female to male transgender. Method: The authors have long term follow-up of 75 cases female to male transgender during January, 1991 to February, 2008. Among them, 13 cases were evaluated in this study. During phalloplasty, the labium major skin preserved. And this labium majoral skin flap was made for the neoscrotum. At least six months later, artificial testes were inserted in neoscrotum with local anesthesia. Middle sized (3 cm diameter) artificial testes(silicon gel or carving soft silicone implant) were used because of the limitation of the neoscrotum. We evaluated the questionnaire and interview about the postoperative satisfaction in configuration of reconstructed scrotum, and the necessity of operation, the postoperative psychosocioeconomic improvement and limitation of body exposure activities such as swimming, public bathing. Results: Based on this study, satisfaction of reconstructed scrotum after scrotoplasty was improved(92%). The necessity of scrotoplasty was in 92.3% and the postoperative psychosocioeconomic well - being improvement was 77% in answers. Less limitation of activities requiring body exposure was 54% in answers. Most of the patients were satisfied with the results of surgical operation inspite of the operative procedure had some postoperative complications. Conclusion: This study was reported that the scrotoplasty in female to male transgender is not only a conversion of external genitalia but also an improvement of psychosocial state. Most patients sincerely hope to this operation, so we improve our surgical method for more good results.

• 한국전문물리치료학회지
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• 제26권3호
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• pp.67-75
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• 2019

Background: Stress urinary incontinence (SUI) is an involuntary leakage of urine from the urethra when intra-abdominal pressure increases, such as from sneezing, coughing, or physical exertion. It is caused by insufficient strength of the pelvic floor and sphincter muscles, resulting from vaginal delivery, obesity, hard physical work, or aging. The pelvic floor electrical stimulator is a conservative treatment generally used to relieve the symptoms of urinary incontinence. it recommended to applied before surgery is performed. Objects: The purpose of this study was to determine if the transcutaneous electrical stimulation (TCES) would be effective for the physiological symptoms and psychological satisfaction of women with SUI for an 8-weeks intervention. Methods: Easy-K is a specially designed user-friendly TCES. Five female who were diagnosed with SUI by a gynecologist but who did not require surgical intervention were included in this study. Intervention was implemented over an 8-week period. Outcome measures included vaginal ultrasonography, Levator ani muscle (LAM) contraction strength, incontinence quality of life (I-QOL), and female sexual function index (FSFI) questionnaires. Results: The bladder neck position significantly decreased across assessment time. Funneling index and urethral width significantly decreased after 8 weeks of intervention (p<.05). The bladder necksymphyseal distance and posterior rhabdosphincter thickness statistically increased and the anterior rhabdosphincter thickness showed a tendency to increase. All participants demonstrated a significant increase in the LAM contraction score across three assessment times (p<.05). Although the total score of the I-QOL did not show significant improvement, it steadily increased and among I-QOL subscales, only the "avoidance" subscale showed statistical improvements (p<.05). The total score of the FSFI statistically improved and the "desire" score significantly changed (p<.05). Conclusion: The TCES is recommended for women who want to apply conservative treatments before surgery and who have suffered from SUI in aspects of sexual function and quality of life.

• 한국콘텐츠학회논문지
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• 제15권1호
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• pp.159-170
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• 2015

본 연구는 충북 지역에 거주하는 남성 384명을 조사대상자로 하여 그들의 성매매 태도에 영향을 미치는 요인을 분석하였다. 조사대상자는 3개의 연령군으로 나누어 분석하였고, 자료분석을 위하여 PASW Statistics 18.0을 이용하였다. 본 연구의 주요결과는 다음과 같다. 첫째, '30세 이상~45세 미만' 집단과 '45세 이상~60세 미만' 집단은 '65세 이상' 집단보다 성매매에 대해 좀 더 긍정적으로 인식하는 것으로 나타났다. 둘째, 성매매 태도에 영향을 미치는 요인은 각 집단별로 다른 것으로 나타났다. '30세 이상~45세 미만' 집단과 '45세 이상~60세 미만' 집단은 성 대처행동에서의 표현적 대처행동, 범죄 억제에서의 공식적 억제, 남녀평등의식, 근로활동 여부, 교육수준이 성매매 태도에 영향을 미치는 것으로 나타났다. 반면에 '60세 이상' 집단은 성 대처행동에서의 통제적 대처행동, 범죄 억제에서의 비공식적 억제, 부부관계만족도, 남녀평등의식, 건강상태가 성매매 태도에 영향을 미치는 것으로 나타났다. 이러한 실증적 분석결과를 토대로 성매매를 방지할 수 있는 방안을 제시하였고, 이 과정에서 남성의 연령군에 따른 기초자료를 처음으로 제시했다는 점에서 본 연구의 의의가 있다.

• 디지털융복합연구
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• 제20권4호
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• pp.449-457
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• 2022

의료기관 내 진료실에서 성희롱 문제 해결을 위해 샤프롱 제도를 적용하고 있다. 이에 방사선 업무 특성을 고려하여 방사선 업무에서의 샤프롱 제도 적용을 고려하여 방사선사들의 샤프롱 제도 적용의 요구도와 직무에서 발생할 수 있는 영향을 분석하고자 한다. 2021년 말부터 2022년 초까지 대구 경북지역 방사선사를 대상으로 설문조사를 하였으며, 약 52.9%의 회수된 설문을 통해 분석하였다. 분석 결과 샤프롱 제도 적용을 요구하는 경우는 남성보다는 여성이, 연령이 낮을수록, 학위 수준이 높을수록, 그리고 연차가 낮을수록 높았다. 그리고 샤프롱 제도의 적용에 따른 직무 영향은 요구도가 높을수록 성희롱 감소 및 신뢰도는 향상되지만 직무의 효율성, 전문성, 편의성, 소속감 및 복지는 부정적으로 변화될 것으로 생각하고 있다. 즉, 낮은 연령 및 학식이 높아질수록 샤프롱 제도의 필요성이 높지만 적용하기 전 직무의 보장 및 고용의 안정성을 정책적으로 보완하여야 할 필요가 있다고 생각하고 있다는 것이다. 따라서 향후 방사선 업무에서 샤프롱 제도의 적용을 고려한다면 해당 직종의 직무 보장을 위한 사전 의견 수렴을 충분히 수행할 필요가 있을 것으로 판단된다.

• 대한간호학회지
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• 제31권1호
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• pp.126-138
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• 2001

The purpose of this study is to act nursing intervention strategies to promote quality of life (QOL) in Spinal Cord Injury patients. Therefore, the study is designed to evaluate religion, marital status, educational background economic status, level of injury, voiding pattern, transportation by driving, rehabilitation education, self-concept, sexual status, perceived barrier, powerlessness, depression, hope, social support, self-efficacy, anxiety, ADL, perceived hopelessness, personality and pain for QOL at the same time. It was gathered empirical data was collected using a self report questionnaire from 61 patients during a six month period after SCI at 5 general hospitals, at 2 rehabilitation centers and at 2 rehabilitation schools province from Jun. 18, 1999 through Sep. 28, 1999. The reliability of the 19 instruments was tested with Cronbach's alpha which ranged from .6319 to .9769. For the data analysis a SAS program was used for Pearson correlation coefficients, and stepwise multiple regression. The results were as follows; 1. The mean of total item score in the QOL scale was 2.814, which showed a much lower score than the cancer points. 2. There was a significant correlation between self concept, transportation by driving, perceived barrier, powerlessness, depression, hope, social support, self-efficacy, anxiety, ADL and QOL.(${\gamma}$= .27~-.79, p< .05) 3. Stepwise multiple regression analysis showed that; a) Depression was the main predictor of QOL and account for 53.7% of the variance in QOL. b) Hope, ecomic status and body satisfaction accounted for 8%, 4%, 3.4% respectively and these variables combined accounted for 69.2% of the variance in QOL. In conclusion, to begin with, it is important to reduce depression and to help for SCI points to inspire hope, economic status and body satisfaction. That will be short cut for nursing strategies to enhance QOL.

• 한국콘텐츠학회논문지
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• 제20권6호
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• pp.682-694
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• 2020

본 연구의 목적은 본인 및 배우자의 혼외관계에 대한 개인의 인식을 파악하고, 관련 요인들을 밝히는 것이다. 기혼자(402명)를 대상으로 설문조사를 실시하여 얻은 자료를 분석한 결과는 다음과 같다. 첫째, '배우자의 혼외관계에 대한 인식은 '본인의 혼외관계에 대한 인식에 비해 훨씬 더 부정적인 것으로 밝혀져, 내로남불 현상이 발견되었다. 둘째, 혼외관계에 대해서 남성들은 여성들보다 훨씬 더 수용적이었다. 셋째, 본인의 혼외관계인식에 영향을 미치는 요인들은 성별(-.161), 연령(.144), 취업활동유무(.107), 신체적 매력(.087), 자율성(.120), 정서적 소외감(.105), 개방성(.124), 주변 혼외관계 만연성(.303), 성생활 만족도(-.131)등이다. 배우자의 혼외관계 대한 인식에 영향을 미치는 요인은 정서적 성숙성(-.127), 주변의 혼외관계 만연성(.113), 성생활 만족도(1.131)등으로 밝혀졌다. 주요 발견점을 토대로, 혼외관계 문제 대처에 활용해 볼 수 있는 다양한 형태의 실천 개입들을 모색하면서 논의하였다.

• 대한간호학회지
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• 제25권1호
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• pp.141-155
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• 1995

The objective of this study was to develop a scale to measure stress in infertile couples and to test its reliability and validity. Prior to item generation, a basic decision was made to conceptualize stress in infertile couples as including two dimensions and four subdimensions. The dimensions were, intrapersonal stress including cognitive and affective stress, and interpersonal stress including marital and social stress. Initially 95 items were generated from the inter-view data of 31 primary or secondary infertile women and from a literature review. These items were analyzed through the Index of Content Validity(CVI) and 69 items were selected which met 70% or more of the CVI. This preliminary Infertility Stress Scale were analyzed for reliability and construct validity. Item analysis and factor analysis were applied for construct validity. Forty items were selected through item analysis. This procedure was based on the inter-item correlation matrix, a corrected average inter-item correlation coefficient(.30~.70), a corrected item to total correlation coefficient (.03 or more) and information about the alpha estimate if this item was dropped from the scale. The result of the initial factor analysis including varimax rotation produced eight factors. Five items deleted because of factor complexity(indiscriminate factor loadings). The secondary factor analysis including varimax rotation produced seven factors that coincided with the conceptual framework posed for the scale developed. The seven factors were labeled as ‘meaning of children’,‘worthiness’,‘tenacious linking’,‘marital satisfaction’,‘sexual satisfaction’,‘familial adjustment’ and ‘social adjustment’. The alpha coefficient relating to internal consistency was .93 for reliability The results of this study suggest that the measurement derived from the Infertility Stress Scale is useful in assessing the stress of infertile couples.

• 대한가정학회지
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• 제18권4호
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• pp.47-63
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• 1980

In order to investigate the current curriculum activities of home economics education secondary schools and the satisfaction and consciousness of teachers in home economic education, 158 teachers I Youngnam district were randomly selected for a series of questionnaire concerning home economics education in the secondary schools. The conclusion obtained from the data based on the questionnaire are; (1) Most of the teachers were considering that the subjects of home economics education are essential parts in developing the fundamental ability of human beings and that the subjects, therefor, should be extended to boy students as well as girls students; (2) Most of the subjects in home economics education were controlled and taught by a teacher on the school-year basis and very few subject were taught by specialists having majored in the university; (3) One of the most prominent difficulties in teaching career was lack of facilities followed by lack of the most prominent difficulties in teaching career was lack of facilities followed by lack of finances, lack of understanding of principals' with the subjects; Lack of students(interest to the subject due to the current entrance examination system for colleges/universities, excessive number of students in class, and inability of student sand teachers for the subjects concerned about; (4) Most secondary school teachers of home economics education were comprehensively taking part in the education of sexual morality of students; (5) Most teachers of home economics education in secondary schools had the satisfaction of being successful in life due to the fitness of their interest, the contribution to the society with their ability and the economic independence resulted form the improved relationships of human beings and the better visions; (6) Teaching careers of housewives were considered a pride of the family and supported by their children and husbands; (7) The most concerned problem for the women in teaching careers was an educational work for their children and lastly (8) The women in teaching careers were considered to be respectable in the comprehensive society being included by children, senior staffs and colleagues.

• 복식
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• 제54권7호
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• pp.151-164
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• 2004

This Studies on 20th century fashion was carried out according to the classification of the times as made up Belle Epoque, New Look, Big Look, and Body-Consciousness. Aside from research in literatures, research into 20th fashion also include the analysis of photo had been taken from various collection. The enlargement beauty of costume had been place under the aesthetic category and, by interpreting the analogies of presented in aesthetic consciousness. the true nature of the voluminous enlargement in costume had been traced. To conclude, this study finds there are between the aesthetic characteristic differences in the aesthetic consciousness of the costumes in history and the present-day fashion. The aesthetic consciousness of the voluminous enlargement of the present-day was found to have the following characteristic ; (1) History-oriented tradition (2) Metaphorica autonomous (3) Freedom of breaking with restriction (4) Dismantling the irregularity (5) Hedonistic play instinct (6) Psychological compensation (7) Sexual sensuality (8) Ideal of the times (9) Aesthetic ornament (10) Feeling of satisfaction through self-enlargement. From list above. metaphorical sensuality, aesthetic ornament and the feeling of satisfaction driven by Self-Enlargement are the same characteristics found in the aesthetics consciousness of the voluminous enlargement of the costume In history in that they are the aesthetic consciousness above time and space. It is metaphorical sensuality which transform woman's body in to distorted images as influenced by both capitalism and materialism in the last 20 years. These are represented by the sadomasochistic and fetish images as the woman's metaphorical voluminous enlargement is apparently becoming more positive, radical and obscene especially in terms of expression.

• Asian Pacific Journal of Cancer Prevention
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• 제13권5호
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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.