• Health Policy and Management
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• v.33 no.1
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• pp.75-84
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• 2023

Background: The purpose of this study was to identify the factors affecting social discrimination experience on depression in the early and late elderly by region. Methods: This study used data from the National Survey of Older Koreans 2020. The subject of the study was the elderly aged 65 or older, and it was analyzed as those who responded. In order to analyze the effect of social discrimination experiences on depression, it was analyzed through binary logistic regression analysis. Results: The results of this study showed that the elderly who experienced social discrimination had a significant effect on depression. In addition, when four groups experienced social discrimination when using restaurants or coffee shops, depression was commonly affected. In addition, when both city and rural areas experience social discrimination when using sales facilities in social discrimination in the elderly, city areas are 2.21 times more likely to experience depression and 3.52 times more likely to experience depression in rural areas. The late elderly are more likely to experience 3.04 times more likely to experience social discrimination when using restaurants or coffee shops in city areas, and 3.03 times more likely to experience depression when experiencing social discrimination to make major decisions in the family in rural areas. Conclusion: In conclusion, it is necessary to prepare alternatives to prevent depression and improve mental health suitable for the characteristics of age and residential area. In addition, it suggests that personal and social efforts are needed to solve the problem of social discrimination in order to reduce depression in the elderly.

• Clinical Endoscopy
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• v.55 no.3
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• pp.401-407
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• 2022

Background/Aims: Surgeons and endoscopists have started to use endoscopically inserted double pigtail stents (DPTs) in the management of upper gastrointestinal (UGI) leaks, including UGI anastomotic leaks. We investigated our own experiences in this patient population. Methods: From March 2017 to June 2020, 12 patients had endoscopic internal drainage of a radiologically proven anastomotic leak after UGI surgery in two tertiary UGI centers. The primary outcome measure was the time to removal of the DPTs after anastomotic healing. The secondary outcome measure was early oral feeding after DPT insertion. Results: Eight of the 12 patients (67%) required only one DPT, whereas four (33%) required two DPTs. The median duration of drainage was 42 days. Two patients required surgery due to inadequate control of sepsis. Of the remaining 10 patients, nine did not require a change in DPT before anastomotic healing. Nine patients were allowed oral fluids within the 1st week and a soft diet in the 2nd week. One patient was allowed clear oral feeds on the 8th day after DPT insertion. Conclusions: Endoscopic internal drainage is becoming an established minimally invasive technique for controlling anastomotic leak after UGI surgery. It allows for early oral nutritional feeding and minimizes discomfort from conventional external drainage.

• Women's Health Nursing
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• v.15 no.1
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• pp.64-72
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• 2009

Purpose: The purposes of this study were to identify Korean primary school students' knowledge of menstruation, their emotional reaction to menarche, the attitude toward menstruation and coping behaviors. Method: A cross-sectional survey design was employed in this study. The subjects were 200 female students who were recruited from 5th and 6th grade in five primary schools in J city, Korea. Data was collected by a structured questionnaire. Result: About forty-four percent of the subjects had experiences with menarche. The mean age of menarche was 12.4. The mean score of the students' knowledge of menstruation was 2.26 on a seven point scale. The mean scores of the emotional reaction to menarche and the attitude toward menstruation were 3.20 and 3.74 on a five point scale, respectively. Knowledge of menstruation was significantly related with a positive emotional reaction to menarche and a positive attitude toward menstruation. Also, there were significant differences in the knowledge of menstruation, the emotional reaction to menarche and attitude of menstruation among female students with positive coping behaviors and those without positive coping behaviors. Conclusion: Beyond the simple transference of knowledge, girls need to also be given mental and emotional support in order to minimize emotional and socio-psychological problems caused by early menarche.

• International Journal of Naval Architecture and Ocean Engineering
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• v.6 no.2
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• pp.392-405
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• 2014

SSPA experiences a growing interest in twin skeg ships as one attractive green ship solution. The twin skeg concept is well proven with obvious advantages for the design of ships with full hull forms, restricted draft or highly loaded propellers. SSPA has conducted extensive hull optimizations studies of LNG ships of different size based on an extensive hull data base with over 7,000 models tested, including over 400 twin skeg hull forms. Main hull dimensions and different hull concepts such as twin skeg and single screw were of main interest in the studies. In the present paper, one twin skeg and one single screw 170 K LNG ship were designed for optimally selected main dimension parameters. The twin skeg hull was further optimized and evaluated using SHIPFLOW FRIENDSHIP design package by performing parameter variation in order to modify the shape and positions of the skegs. The finally optimized models were then built and tested in order to confirm the lower power demand of twin skeg designed compaed with the signle screw design. This paper is a full description of one of the design developments of a LNG twin skeg hull, from early dimensional parameter study, through design optimization phase towards the confirmation by model tests.

• Journal of the Korea Furniture Society
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• v.23 no.2
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• pp.185-194
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• 2012

Contemporary society maintains mass-product system that keeps endless cycle of making and consuming. In this vein, everyday life becomes to be under the control of function and efficiency. On the contrary, the people are getting to have a desire of escaping from this everydayness, that is, the desire for non-everydayness. British architect, Nigel Coates understood the potentiality of contemporary metropolis which produce new experiences through their heterogeneities. During 1980s, Japanese economic bubble provided rich nourishment to the desire for non-everydayness based on consumers' tastes. Nigel Coates snatched this phenomena and designed commercial spaces aligned to the non-everydayness. He shows very eloquent version of escaping sense. We can find the exquisite quality of non-everydayness through design vocabulary of object's form and arrangement. In the viewpoint of object form, Coates adopted classical statues of Greek, that is antique, and modern gadgets such as airplane wings and seats. Also, we can find abundant gestures of curvilineal contours throughout the objects he designed. As for the objects' arrangement, he introduced repetition and curved composition that can stimulate human interaction with interior scape.

• Journal of Korean Academy of Nursing
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• v.35 no.2
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• pp.407-418
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• 2005

Some fifty survivors participated in the narrative therapy sessions from March 2003 to December 2004, and thirty cases were analyzed using the transcripts. Each participant's surviving story was summarized, and then interpreted and reinterpreted by the survivors themselves in collaboration with the researcher. The two main principles in narrative analysis were hermeneutical distanciation and hermeneutical circulation. Result and Conclusion: First, nursing involvement should play active roles from the early stages of disaster incidents. Specifically, emergency nursing and flexible coping plans are to be available according to the specific properties of each case. Secondly, it is necessary to try to understand the extreme emotional experiences of disaster survival. The horror and pain people feel at an incident cannot simply be generalized, and it requires that each case be approached individually to help stop social alienation. Thirdly, more constant and long-term studies are required to set up nursing strategies for disaster survivors. Forming a trusting relationship with survivors is basic, and formally registering as participants is necessary for continuous interventions. Fourthly, we should deeply appreciate the danger and complexity of modern society and understand the complex nature of disaster. Fifthly, interdisciplinary activities and studies are necessary in combination with various other fields to establish a framework of total nursing care for disaster incidents. Lastly, it is urgently necessary to educate families and friends of the survivors and the society as a whole about life after a disaster.

• Journal of Korean Academy of Nursing
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• v.31 no.1
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• pp.55-67
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• 2001

A phenomenological study was conducted to investigate the experiences of mothers pregnant via in vitro fertilization (IVF). Sample of nine mothers participated. Ten theme clusters emerged when the formulated meanings were organized into categories. During the infertility period, the participants were subject to self- depreciation, envy, anxiety, and depression. It changed their priorities in life from a job-oriented life to one where having a baby was the most important thing. After trying numerous alternative therapies, IVF became their last hope in having a baby. Since the success rate for IVF is low (only 20-30%), the participants for the treatment were overwhelmed with uncertainty, and it led to further anxiety, depression and despair. Success of pregnancy gave them extreme satisfaction, but they became very cautious in their day-to-day life because of their fear of abortion and early delivery. Some were even worried about the side effect of IVF during the pregnancy. Finally, the delivery of the baby gave them relief from the obligation of having a baby. Women did not have any difficulties in rearing a "test tube baby" except in the case of twins. Most women had no ethical difficulty in having a baby by IVF. However they did not wish this information to be revealed to other people. They again turned to IVF to have a son(s) when the resultory child(s) was a daughter(s). This is because of the strong preference for sons in Korean society.

• Journal of Korean Academy of Nursing
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• v.33 no.2
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• pp.189-199
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• 2003

Purpose: The purposes of this study is to develop an educational program to prevent sexual abuse of children and to improve the physical and mental health of children by providing a rape-free environment and safety education. This program will provide parents and children with information on how to prevent sexual abuse in children. Children learn specific methods to avoid being victimized both at home and outside the home through a learning game and simulation, which is based on problem solving. Method: This program was developed based on a literature reviews, surveys and negotiation process. School- aged-children, parents, and teachers were interviewed to reveal their educational needs based on their experiences related to sexual abuse. Result: This program includes useful subjects such as safety education, early detection of sexual abuse, crisis management, resource persons, and phone numbers of available hospital. Counseling is provided by researcher or by a pediatric psychiatrist if needed. Conclusion: This program could be adequately utilized for prevention of sexual abuse of children. It also will provide an intervention strategy for abused children. This educational program was distributed to all of the elementary school through the Ministry of Education and Human Resources Development.

• Asian Pacific Journal of Cancer Prevention
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• v.13 no.11
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• pp.5687-5690
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• 2012

Objective: The study was planned with the purpose of examining the attitude of women who have pap-smear test for the early diagnosis of cervical cancer, factors affecting their decisions and their feelings and experiences during this period. Materials and Methods: A phenomenological method was used. Data were collected between March 2012 and April 2012 using standard and purposive samplings from 17 women. A detailed interview with women were held in their houses and recorded. The data collection tool consisted of two parts, one of which is information form with 17 questions identifying sociodemographic and cervical cancer risk factors of women and the second part is made up of semi-structured interview form with 15 alternative questions taking literature and the pap-smear test into consideration. Collected data were put into a written document. Content analysis was held by loading the documents into NVIVO 8 Statistical Programme. Results: The study comprised themes such as cervical risk factor, decision of taking pap-smear test, taking pap-smear test, knowledge about pap-smear test, relieving factors during pap-smear test, obstructive factors during pap-smear test, gynecological examination and feelings of women during and after pap-smear test while waiting for the results. Conclusions: As women perceive gynaecological examinations differently from other examinations, they have different feelings in each process of the Pap smear test. Medical staff should advise women more clearly on the nature and advantages of the Pap-smear test.

• The Journal of Korean Medical History
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• v.30 no.2
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• pp.119-131
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• 2017

GogeumGyeongheomHwalyubang [古今經驗活幼方] is a medical book dedicated to Smallpox, written by YU Sang [柳瑺] in the Joseon Dynasty (late 17th century to the early 18th century). As a smallpox specialist for the Joseon royal family, YU Sang was well-reputed after successfully treating smallpox of three of the 27 Joseon kings. There are four features of this book. First, the causes for smallpox are roughly recorded. Second, YU Sang emphasized the distinction between patients who could or could not be cured. Third, the herbs related to the treatment of smallpox are selected and organized separately. Fourth, YU Sang discusses the contents of diverse medical books and his own experiences. Conclusion : YU Sang's significant knowledge of smallpox treatment is well presented in his book, GogeumGyeongheomHwalyubang and this wealth of experience would have an important role in understanding the development of smallpox treatment in the late Joseon Dynasty.