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대장암환자 배우자의 성별에 따른 돌봄 부담감, 부부 친밀감 및 성생활 정보요구도 차이
김슬아,서은영 대한종양간호학회 2024 Asian Oncology Nursing Vol.24 No.4
Purpose: Colon cancer patients and their spouses face significant physical and emotional challenges. This study aimed to compare caregiver burden, marital intimacy, and sexuality information needs between male and female spouses of colon cancer patients and to explore correlations among these variables. Methods: A survey was conducted with 131 spouses from a tertiary care hospital in Seoul. There were 65 male respondents and 66 female respondents. Data collected from January to September 2018 used tools such as caregiver burden, marital intimacy, and sexual information needs and were analyzed using SPSS 25.0. Results: Key findings include significant gender differences: female spouses were found to have a higher caregiver burden, especially in physical and emotional domains, while male spouses reported higher marital intimacy, including emotional and sexual intimacy. Sexual information needs showed no major gender differences, though male spouses had higher sexual satisfaction. Both male and female spouses demonstrated a negative correlation between caregiver burden and marital intimacy, while female spouses notably showed a positive correlation between marital intimacy and sexual information needs. Conclusion: This study indicates that female spouses need nursing interventions to alleviate physical and emotional stress, possibly through support systems such as volunteer programs. Meanwhile, male spouses require education and communication programs to improve marital intimacy.
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미국의 디지털 성범죄 피해자에 대한 경제적 지원 법제 연구 -미국 연방의 아동성착취물 피해자에 대한 배상 및 경제적 지원을 중심으로-
김슬아 한국법학원 2025 저스티스 Vol.210 No.-
In Korea, support for victims of digital sexual crime has primarily focused on the removal of illicit videos. However, given the challenges in removing videos hosted on overseas servers and the fact that removal alone cannot fully restore a victim’s losses, the necessity of providing monetary assistance cannot be overlooked. In the United States, reforms to the relevant institutional framework have focused on civil remedies and restitution. Title 18 of the United States Code - Crimes and Criminal Procedure - contains a provision for civil remedies(18 U.S.C. § 2255) and a provision for mandatory restitution orders (18 U.S.C. § 2259). Section 2255, which had been amended over time to recognize broad exceptions to the statute of limitations, ultimately abolished the limitations in 2022. As for Section 2259, a major point of contention had been the amount of restitution that specific distributors or possessors should pay to a victim. Finally, through the 2018 amendment, criteria for determining the scope of restitution were established, and victims can choose to receive defined monetary assistance from the fund. The amendment was grounded in the recognition that child pornography and digital sexual crimes are characterized by additional harm can occur through further distribution long after the initial production; that when material is distributed by numerous individuals, it is difficult to calculate the scope of one distributor’s or possessor’s liability; and that the restoration of a victim’s losses should not depend on the offender’s financial means. Considering this U.S. relevant institutional framework, and the recent amendment to ‘Act on Special Cases Concerning the Punishment of Sexual Crimes’ —which now requires mandatory forfeiture of criminal proceeds from digital sexual crimes— it would be reasonable to use criminal proceeds as a financial resource to provide monetary assistance to victims. At the same time, it would be necessary to establish guidelines for monetary assistance that take into account the unique characteristics of digital sexual crimes. Current guidelines impose strict limitations on the period of coverage and the requirements for covering treatment costs. These guidelines should be amended to allow exceptions in light of the nature of digital sexual crimes. On the other hand, as in the United States, the amount of monetary assistance could be predetermined, but a cautious approach would be advisable.
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