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An Analytic Study on Influencing Factors for Sexual Satisfaction in Women Who have had a Hysterectomy (자궁절제술 부인의 성생활 만족에 관한 요인 분석)

  • 장순복
    • Journal of Korean Academy of Nursing
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    • v.19 no.2
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    • pp.160-172
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    • 1989
  • This research was done to clarify the factors related to sexual satifaction in women who have had a hysterectomy, and to idenify which factors had statistically significant influence of sexual satisfaction of the subjacts. The objective of this study was to identify the variables related to sexual adaptation which might be changed by nursing intervention. This was a cross-sectional descriptive correlation study. There were 230 subjects in the study, and they were selected by a convenient sampling method. The tool. for this study was developed by the researcher through modification of the Dergatis Sexual Function Inventory(DSFI). A pilot study was done to determine the necessary modifications. Data collection was done between Sept. 1987 and Du. 1987 using a mailed questionnaire. The characteristics of the subjects were as follows : The mean age of the subjects was 42.3 years and 204(87.4%) of the subjects had nine or more years of education. The mean income of the subjects was 85.8870 won / month, and 179(77%) of them were housewives. The mean number of pregnancies and children were 4.9 and 2.5 respectively. Oophorectomies were included in the surgery for 66(28.7%) of the subjects. Only 12(5.2%) were planning to have more children. Only 88(38.3%) of the subjects had received information prior to the surgery regarding health problems related to the operation and less than half, 111 (48.3%), had received this kind of information before discharge. Lay persons were the source of information about the post-operation status for 196 (85.2%) of the subjects, but the content of the information did not significantly influence the sexual satisfaction score. Only 16(7.0%) of the subjects said they regretted having a hysterctomy while 102(44.3%) said they were pleased to have had a hysterectomy. Ninety (39.1 %) of the subjects reported that their husbands had “stress” and 164(71.3%) of the subjects reported “stress”. The results of this study are summarized as follows : 1. The mean score for sexual satisfaction of the subjects was 34.24 with a possible maximum score of 50.00. Eighty two(35.8%) were responded that they were satisfied with their sexual life but 61 (26.5%) were responded that they were dissatisfied with their sexual life 2. The following 15 factors extracted from the results of the data analysis were significantly related to sexual satisfaction(p<.05) ; support of husband, body image, emotion, knowledge of sex, menopausal symptoms, sexual behavior, the feelings the subjects had about the hysterectomy, stress for both subject and husband, the number of children, health information given before operation, job, age, level of education and income. The five most important factors influencing sexual satisfaction were identified by using stepwise multiple regression analysis. The most important factor was support of husband, which explained 17.83% of the total variance. The remaining factors in order of significance were : Knowledge of sex, income, job, and emotional status. Those five factors explained 35.16% of the sexual satisfaction. In conclusion, for the care of women who are going to be discharged from hospital after having had a hysterctomy, nurses have to work with the husbands to help them to understand the importance of their support. Nurses also need to make sure that the subjects have an adequeate knowledge of sexual life after a hysterectomy. Also nursing interventions should focus on subjects who do not have a job, who are of low economic status, and the subjects who are under the unpleasant mood.

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A Study of Development and Implementation of Problem-based Learning Program in Communication Curriculum of Nursing Education (문제중심 학습방법을 적용한 의사소통론 교과목 개발 및 적용)

  • Hyun, Myung-Sun;Kang, In-Ae;Kong, Seong-Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.9 no.1
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    • pp.144-154
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    • 2003
  • Recently, in the academic disciplines critical thinking has been emphasized as the new evolution in education. Problem-based learning is suggested as the evolutionary learning method in developing critical thinking. In the nursing education, PBL is offered as an appropriate teaching method to prepare nurse student for professional. PBL is a student-centered learning strategy aimed at developing critical thinking, motivating self-directed study and attaining autonomy. The purpose of this study was to develop the communication curriculum of nursing education based on PBL and implementing of it. PBL module was developed focused on five communication situations. And learning strategies to facilitate the learning process and the guided questions to stimulate student inquiry were also developed. This PBL education was conducted for six students in the master's course during the 14 weeks from March, 2000 to June, 2000. The outcomes of the PBL education were examined based on the content analysis of the students reflective journal. As a result, it was found that students experienced the effect of it focused on self-oriented, group-oriented, and practice-oriented domain. In the self-oriented domain, the findings indicate that there were 5 kinds of concepts including 'motivation for self-directed study', 'transition toward certainty in knowledge acquisition', 'attempt to apply their prior knowledge into new situation', 'enhancement of self-image in real situation', 'self-growth with self reflection'. In the group-oriented domain, there were 3 kinds of concepts including 'cognitive work in group', 'perception of co-responsibility in attaining learning objectives', 'socialization with group members'. In the practice-oriented domain, there were 3 kinds of concepts including 'linkage theoretical knowledge with real situation', 'attempt to apply in real situation', 'development problem solving skill in real situation'. In conclusion, PBL had a significant effect on self, group, and clinical domain. And assessing PBL outcomes is challenging because standardized instrument do not develop yet. So the findings of this study can suggest the basic data for examining the PBL outcome.

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Impacting Student Confidence : The effects of using virtual manipulatives and increasing fraction understanding. (수학에 대한 자신감 증진: 가상학습교구를 통한 분수 개념 이해의 결과)

  • ;Jenifer Suh;Patricia S. Moyer
    • Journal of Educational Research in Mathematics
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    • v.14 no.2
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    • pp.207-219
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    • 2004
  • There have been studies reporting the increase in student confidence in mathematics when using technology. However, past studies indicating a positive correlation between technology and confidence in mathematics do not explain why they see this positive outcome. With increased availability and easy access to the Internet in schools and the development of free online virtual manipulatives, this research was interested in how the use of virtual manipulatives in mathematics can affect students confidence in their mathematical abilities. Our hypothesis was that the classes using virtual manipulatives which allows students to connecting dynamic visual image with abstract symbols will help students gain a deeper conceptual understanding of math concept thus increasing their confidence and ability in mathematics. The participants in this study were 46 fifth-grade students in three ability groups: one high, one middle and one low. During a two-week unit on fractions, students in three groups interacted with several virtual manipulative applets in a computer lab. Data sources in the project included a pre and posttest of students mathematics content knowledge, Confidence in Learning Mathematics Scale, field notes and student interviews, and classroom videotapes. Our aim was to find evidence for increased level of confidence in mathematics as students strengthened their understanding of fraction concepts. Results from the achievement score indicated an overall main effect showing significant improvement for all ability groups following the treatment and an increase in the confidence level from the preassessment of the Confidence in Learning Mathematics Scale in the middle and high ability groups. An interesting finding was that the confidence level for the low ability group students who had the highest confidence level in the beginning did not change much in the final confidence scale assessment. In the middle and high ability groups, the confidence level did increase according to the improvement of the contest posttest. Through interviews, students expressed how the virtual manipulatives assisted their understanding by verifying their answers as they worked and facilitated their ability to figure out math concept in their mind and visually.

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Design of EPG Information Player System using DCT based Blind Watermark (DCT기반의 블라인드 워터마크를 이용한 EPG 정보 재생기 설계)

  • Kim, Dae-Jin;Choi, Hong-Sub
    • The Journal of the Korea Contents Association
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    • v.11 no.4
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    • pp.1-10
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    • 2011
  • While the broadband network and multimedia technologies have been developing, the commercial market of digital contents has also been widely spreading with recently starting IPTV. Generally, PC player can display digital contents obtained through middleware like a settop box and can only bring the informations about contents like CODEC, bitrate etc. useful for only experts. But general users want to know more optional informations like content's subject, description etc. So unlike previous PC player, we proposed a player system that can get inserted informations, namely EPG(Electronic Program Guide), without database after bringing contents to PC through settop box. In addition, we also proposed DCT(Discrete Cosine Transform) based blind watermark generating method to insert EPG informations. We can extract watermark without original image and insert robust watermark in proportion to coefficients in frequency domain. And we analyzed and parsed PSI data from MPEG-TS. So we could insert wanted information using watermark from EPG. And we composed UI by extracting EPG information from watermark interted contents. Finally we modularized whole system into the watermark insert/extract application and directshow filter based player. So we tried to design this system so that the general developer can do in a way that is easier and faster.

Relationships between Gas Hydrate Occurrence Types and Sediment Characteristics in the Ulleung Basin, East Sea (동해 울릉분지의 가스 하이드레이트 산출형태와 퇴적물 특성의 관계)

  • Kim, Dae-Ha;Bahk, Jang-Jun;Lee, Jin-Heuck;Ryu, Byong-Jae;Kim, Ji-Hoon;Chun, Jong-Hwa;Torres, Marta E.;Chang, Chan-Dong
    • Economic and Environmental Geology
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    • v.45 no.4
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    • pp.397-406
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    • 2012
  • During the 2nd Ulleung Basin Gas Hydrate Drilling Expedition (UBGH2) in 2010, gas-hydrate-bearing sediment cores were recovered at 10 drill sites. Base, on Infrared (IR) thermal image and grain-size analysis of the cores, three distinct types of gas hydrate are classified: Type I (fracture-filling in mud layers), Type II (disseminated in mud layers), and Type III (pore-filling in sand layers). Types I and II gas hydrates occur in mud as discrete veins, nodules or disseminated particles. Type III fills the pore spaces of the sand layers encased in mud layers. In this case, the sand content of hosting sediments shows a general linear relationship with gas hydrate saturation. The degrees of temperature anomalies (${\Delta}T$) from IR images generally increase with gas hydrate saturation regardless of gas hydrate occurrence types. Type I is dominantly found in the sites where seismic profiles delineate chimney structures, whereas Type II where the drill cores are composed almost of mud layers. Type III was mainly recovered from the sites where hemipelagic muds are frequently intercalated with turbidite sand layers. Our results indicate that gas hydrate occurrence is closely related to sedimentological characteristic of gas hydrate-bearing sediments, that is, grain size distribution.

Preparation of Novel PS-zeolite Beads Immobilized Zeolite with Polysulfone for Radioactive Materials (Polysulfone으로 제올라이트 A를 고정화한 방사성 물질제거용 PS-zeolite 비드 제조)

  • Lee, Chang-Han;Park, Jeong-Min;Kam, Sang-Kyu;Lee, Min-Gyu
    • Journal of Korean Society of Environmental Engineers
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    • v.37 no.3
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    • pp.145-151
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    • 2015
  • In order to remove Sr ions and Cs ions from aqueous solution, PS-zeolite beads were prepared by immobilizing zeolite with polysulfone (PS). The prepared PS-zeolite beads were characterized by SEM, XRD, FT-IR, and TGA. The optimum condition to prepare PS-zeolite beads was 1.25 g of PS content and 2 g of zeolite A. The removal efficiencies of Sr and Cs ions by the PS-zeolite beads increased as the solution pH increases and nearly reached a plateau at pH 4. The PS-zeolite beads prepared in this study showed a remarkably high selectivity for Sr ion and Cs ion under the coexistence of ions such as $Na^+$, $K^+$, $Mg^{2+}$, and $Ca^{2+}$. Zeolite particles detached from the PS-zeolite beads were not observed on this experiments, and also the PS-zeolite beads maintained the morphological structure on a SEM image. The removal efficiencies of Sr ions and Cs ions by PS-zeolite beads were maintained over 90% even after five adsorption-desorption cycles. These results implied that the prepared PS-zeolite beads could be an available adsorbent for the adsorption of Sr and Cs ions. These results suggest that the PS-zeolite can potentially be used as an adsorbent in radioactive ions removal for the treatment of industrial wastewater.

Research on Types of Visual Rhythmic Sense in Typography (타이포그래피의 시각적 리듬감 유형 연구)

  • Jung, Yu-Kyung
    • Archives of design research
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    • v.18 no.2 s.60
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    • pp.143-154
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    • 2005
  • Typography in visual communication design is 'potential form' hidden within a space. Showing rhythm in typography is making 'aesthetic sense' in a graphic which has formative characteristics, the way of expression is very important. When the rhythm is recognized through visual stream, Rhythmic Sense is formed. The research will present a new form of the Visual Rhythmic Sense by analyzing typography works out positively. First of all, I researched works done by Fillippo Marinetti, Robert Massin, Wolfgang Weingart, and David Carson for their vigorous experimentalism in typography in forming visual rhythm. I used S.D. Scale method to analyze characteristics of visual image and VARIMAX for factor analysis reaching types of visual rhythm, which could be classified as following. (1) Synesthesia Rhythmic Sense (R-synesthesia) means that the senses are conveyed through 'visualization of auditory sense' and 'visualization of touch' (2) Simultaneous Rhythmic Sense (R-simultaneity) means that the time and space co-exist in one plane. (3) Connective Rhythmic Sense(R-connection) means that different factors (Within one plane) co-exist interacting with one another and creating a unified impression through such a process. (4) Artist Oriented Rhythmic Sense ($-artist) means that the artist interprets the content subjectively and expresses his/her impression, thereby, attracting a gaze of audience systematically and arbitrarily. (5) Reader Oriented Rhythmic Sense(R-reader) avoids the existing legibility formed through aggressive engagement of the reader.

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Application of Texture Features algorithm using Computer Aided Diagnosis of Papillary Thyroid Cancer in the Ultrasonography (초음파영상에서 갑상선 결절의 컴퓨터자동진단을 위한 Texture Features 알고리즘 응용)

  • Ko, Seong-Jin;Lee, Jin-Soo;Ye, Soo-Young;Kim, Changsoo
    • The Journal of the Korea Contents Association
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    • v.13 no.5
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    • pp.303-310
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    • 2013
  • Thyroid nodular disease is the most frequently appeared in thyroid disease. Thyroid ultrasonography offers location of nodules, size, the number, information of internal echo characteristic. Thus, it makes possible to sort high-risk nodule containing high possibility about thyroid cancer and to induct precisely when take a Fine Needle Biopsy Aspiration. On thyroid nodule, the case which is diagnosed as malignant is less than 5% but screening test is very important on ultrasound and also must be reduced unnecessary procedure. Therefore, in this study an approach for describing a region is to quantity its texture content. We applied TFA algorithm on case which has been pathologically diagnosed as papillary thyroid cancer. we obtained experiment image which set the ROI on ultrasound and cut the $50{\times}50$ pixel size, histogram equalization. Consequently, Disease recognition detection efficiency of GLavg, SKEW, UN, ENT parameter were high as 91~100%. It is suggestion about possibility on CAD which distinguishes thyroid nodule. In addition, it will be helpful to differential diagnosis of thyroid nodule. If the study on additional parameter algorithm is continuously progressed from now on, it is able to arrange practical base on CAD and it is possible to apply various disease in the thyroid US.

The Research on Japanese Independent Animator Koji Yamamura's works (일본의 인디펜던트 애니메이션 작가 야마무라 코지의 작품 분석)

  • Park, Gi-Ryung
    • Cartoon and Animation Studies
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    • s.21
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    • pp.19-32
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    • 2010
  • In this essay, Japanese independent animator Koji Yamamura's works were analyzed. As understood from etymology of 'anima', animation is the expression media in which creation of moving image is assumed to be essence. In the independent animation, possibility of animation to the essence shows by the most original and experimental method. And it contributes to diversification of the animation style. Yamamura keeps producing animation independently from the 1980's, and he designed and tried technique and theme of new ideas. Here, on Yamamura's early and after works, his animation method considered by analisis of experimental attempt in technique and theme. In the case of Yamamura, he variously experimented technique on his early works and it was made foundation. And, after , Yamamura searched by the method to harmonize form of animation with content treating drawing animation technique with allegorical theme. Especially, independent animation in Japan has developed growing spontaneously. Therefore the individual aesthetics of Japanese independent animators can be discovered indeed variously intheir creation activity and work. So the importance of independent animation is recognized by concretely analyzing the case of Japanese independent animator. In addition, the way used on the side of possibility of animation expression tries to be considered individual case.

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Testicular Cancer and Testicular Self-Examination; Knowledge, Attitudes and Practice in Final Year Medical Students in Nigeria

  • Ugwumba, Fred O;Ekwueme, Osa Eloka C;Okoh, Agharighom D
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.11
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    • pp.4999-5003
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    • 2016
  • The testicular cancer (TCa) incidence is increasing in many countries, with age-standardized incidence rates up to 7.8/100,000 men in the Western world, although reductions in mortality and increasingly high cure rates are being witnessed at the same time. In Africa, where rates are lower, presentation is often late and morbidity and mortality high. Given this scenario, awareness of testicular cancer and practice of testicular self-examination among future first response doctors is very important. This study was conducted to determine knowledge and attitude to testicular cancer, and practice of testicular self-examination (TSE) among final (6th) year medical students. In addition, the effect of an intervention in the form of a single PowerPoint(R) lecture, lasting 40 minutes with image content on testicular cancer and testicular self examination was assessed. Pre and post intervention administration of a self-administered structured pre tested questionnaire was performed on 151 medical students, 101 of whom returned answers (response rate of 66.8%). In the TC domain, there was a high level of awareness of testicular cancer, but poor knowledge of the age group most affected, with significant improvement post intervention (p<0.001). Notable also was the poor awareness of the potential curability of TC, this also being improved following the intervention (p<0.001). A poor level of awareness and practice of testicular self-examination pre-intervention was found considering the nature of the study group..Respondents had surprisingly weak/poor responses to the question "How important to men's health is regular testicular self-examination?" Answers to the questions "Do you think it is worthwhile to examine your testis regularly?" and "Would you be interested in more information on testicular cancer and testicular self-examination?" were also suboptimal, but improved post intervention p<0.001, p<0.001 and p=0.037. Age, gender and marital status were without specific influence. In conclusion, this study showed poor levels of knowledge regarding epidemiology of TCa and its potential curability when detected early. There was also a poor awareness of, practice of, and poor attitudes to TSE. The significant improvement in these parameters post intervention indicates value in educational intervention. We recommend inclusion of TCa coverage and TSE teaching in the secondary school curriculum (targeting adolescents). Greater emphasis should also be given to testicular cancer in the curricula of medical schools and other training institutions for health care personnel.