• Title/Summary/Keyword: 여성병원

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Ovarian Artery Rupture Presenting with a Spontaneous Retroperitoneal Hemorrhage of an Anticoagulated Patient: A Successful Treatment with Embolization (항응고치료 환자에서 자발성 후복막강 출혈로 나타난 난소동맥 파열: 색전술을 이용한 성공적 치료)

  • So Jeong Lee;Min Jeong Choi;Bong Man Kim;Sang Yoon Kim
    • Journal of the Korean Society of Radiology
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    • v.81 no.6
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    • pp.1453-1458
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    • 2020
  • Retroperitoneal hemorrhage is a potentially lethal complication in patients on anticoagulant therapy and can be caused by ovarian artery bleeding, regardless of the patients' age and obstetric history. This case illustrates the clinical presentation of ovarian artery bleeding in a postmenopausal female on anticoagulant therapy, the diagnostic utility of transcatheter angiography, and successful embolization.

Factors influencing quality of life in post-menopausal women (폐경 여성의 삶의 질 영향요인)

  • Shin, Hyunsook;Lee, Eunjoo
    • Women's Health Nursing
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    • v.26 no.4
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    • pp.336-345
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    • 2020
  • Purpose: This study aimed to identify factors influencing quality of life in post-menopausal women. Methods: The participants were 194 post-menopausal women who visited a women's clinic in Changwon, Korea from July 1 to August 31, 2018, and completed questionnaires containing items on menopausal symptoms, marital intimacy, current menopausal hormone therapy (MHT), and quality of life. Collected data were analyzed by descriptive statistics, the independent t-test, Pearson correlation coefficients, and multiple regression using SPSS for Windows version 23.0. Results: Quality of life had a significant negative correlation with menopausal symptoms (r=-.40, p<.001), and a significant positive correlation with marital intimacy (r=.54, p<.001). The factors influencing the quality of life of post-menopausal women were current MHT (t=6.32, p<.001), marital intimacy (t=4.94, p<.001), monthly family income (t=4.78, p<.001), menopausal symptoms (t=-4.37, p<.001), and education level (t=3.66, p<.001). These variables had an explanatory power of 59.2% for quality of life in post-menopausal women. Conclusion: In order to improve the quality of life of post-menopausal women, nursing interventions are needed to help menopausal women choose appropriate MHT, alleviate menopausal symptoms, and increase marital intimacy. Interventions should also be prioritized for women of a low educational level and with a low income in consideration of their health problems.

Correlation between Visceral Adipose Tissue and Stagnation of the Liver Qi (gan-yu, 肝鬱) in Korean Perimenopausal Women (한국 갱년기 여성의 간울과 내장비만의 상관성)

  • Hwang, Mi-Ja;Chung, Seok-Hee;Hwang, Deok-Sang;Song, Mi-Yeon
    • Journal of Korean Medicine Rehabilitation
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    • v.18 no.2
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    • pp.143-156
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    • 2008
  • 목적 : 갱년기 여성은 내장비만의 위험이 높으며 또한 심리적 변화를 겪는 시기이다. 갱년기 여성의 복부지방, 내장지방, 피하지방 및 이와 관련된 단순비만지표, 간울증, 스트레스, 우울, 자존감 등을 조사하여 갱년기 건강의 위협이 되는 신체 심리 인자를 알아보고자 이 연구를 시행하였다. 방법 : 병원공고를 통해 체질량지수 $23kg/m^2$ 이상 비흡연자인 만 45세 이상 55세 이하의 폐경 전후의 갱년기 여성 환자를 모집하여 2007년 8월 20일부터 24일까지 47명이 모집되었으며 이중 체질량지수 $25kg/m^2$ 이상이면서 복부 전산화 단층촬영 상 내장지방이 $100cm^2$ 이상인 20명의 단순비만지표, 체성분검사, 혈액검사, 복부 전산화 단층촬영 및 한방비만변증 (간울) 및 스트레스, 우울, 자존감 설문검사 결과의 상관성을 분석하였다. 본 연구는 경희대학교 동서신의학병원의 임상연구심사위원회의 승인을 받았다. 결과 : 1. 갱년기 비만여성에서 복부지방 면적, 피하지방 면적은 체질량지수, 체지방률, 허리둘레/신장비 등의 단순비만지표와 유의한 상관성을 보인 반면 (p < 0.01), 내장지방 면적은 단순비만지표와 상관성을 보이지 않았다. 2. 내장지방 면적은 사회 재적응 평가척도 (${\gamma}=0.577$, p < 0.01)와 유의한 상관성이 있었고, 선형회귀분석에서 유의한 결과를 나타냈다. $VAT(cm^2)=116.1+0.101{\times}(SRRS\;score)$ (${\gamma}^2=0.332$) 3. 피하지방은 식이태도 점수와, 총복부지방은 식이태도 점수 및 갱년기지수 중 혈관운동증상과 상관성이 있었다. 4. 간울증은 스트레스 반응척도, 우울지수, 갱년기지수 및 그 하부항목 중 혈관운동, 정신, 운동, 소화, 전신증상과 양의 상관성을, 자존감척도와는 음의 상관성을 나타냈으며, 내장지방과 직접적인 상관성을 보이지 않았다. 결론 : 간울증은 높은 스트레스, 우울, 갱년기 증상 및 낮은 자존감과 관련되는 것으로 나타났다. 폐경전후 비만여성에서 내장지방 면적은 간울증과 유의한 상관성을 보이지 않았으나, 생활 스트레스 사건이 많을수록 높아지는 것으로 나타나 갱년기 여성 내장비만에서 스트레스에 대한 대처가 중요할 것으로 사료된다. 추후 임상적 연계성 및 설문 보완에 대한 연구가 필요하리라 생각된다.

Staffs' Attitudes and Opinions toward Psychiatry in a Psychiatric Hospital (일 정신병원 직원의 정신과에 대한 인식과 태도)

  • Ryu, Seuk-Hwan
    • Korean Journal of Psychosomatic Medicine
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    • v.13 no.1
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    • pp.60-66
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    • 2005
  • Objectives : The aim of this study was to investigate the staffs' attitudes and opinions toward psychiatry in a hospital. The results of the investigation were taken as a basic data of the education programs of persons who worked in a hospital and community residents. Methods : The subjects of this study were persons who worked in a hospital. The tool used in this study was Attitudes and Opinions toward Psychiatry. Sixty-one persons were studied. Statistically one-way ANOVA or t-test were used. Results : Internal consistency was high, measuring 0.80 for the 26 items. Generally, hospital staffs have positive attitude toward psychiatry. Direct patient contact group scored more higher than indirect contact group, except 'overall merits of the field of psychiatry' and 'efficacy' factor. In factor 'overall merits of the field of psychiatry', and factor 'efficacy' female scored more higher than male averagely. In factor 'role definition and functioning of psychiatrists', 'possible abuses and social criticisms', and 'career and personal reward', direct patient contact group scored more higher than indirect contact group averagely. Conclusion This study results support the hypothesis that the direct patient contact group have more positive attitude toward psychiatry than the other group. It will be necessary to educate for a psychiatric hospital staffs and community residents on psychiatry.

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Osteoporotic Vertebral Compression Fracture Associated with Pregnancy and Lactation in Young Women (젊은 여성에서 임신 및 수유와 연관된 골다공증성 척추 압박골절)

  • Shin, Woo-Jin;Suh, Seung-Pyo;Yeom, Ji-Ung;Kim, Yun-Seong
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.3
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    • pp.266-271
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    • 2021
  • Osteoporosis associated with pregnancy and lactation is a rare disease that can cause osteoporotic vertebral compression fracture (OVCF). Patients usually complain of severe back pain, which is easily mistaken for pain due to pregnancy, childbirth, and lactation, making a rapid diagnosis and treatment difficult. The authors diagnosed OVCF related to pregnancy and lactation through a physical examination, simple radiography, whole-body bone scan, magnetic resonance image, bone marrow density, and blood tests in a 29-year-old female patient and a 31-year-old female patient who presented with low back pain. This paper reports two cases of symptom improvement through a teriparatide injection, wearing thoracic lumbar sacral orthosis and taking calcium and vitamin D with a review of the literature.

Effects of Abdominal Drawing-in using Pressure Biofeedback Training on Pain, Performance of Transverse Abdominis, Oswestry Disability Index, and Quality of Life in Postpartum Women: Targeted at Women in their 30s Less than One Year Postpartum (압력 생체 되먹임 훈련을 이용한 복부 드로잉 운동이 산후 여성에서 통증, 배가로근 수행력, 요통장애지수, 삶의 질에 미치는 효과: 출산 후 1년 미만의 30대 여성을 대상으로)

  • Hyoung-bong Song;Geun-hong Park;Eun-bi Kim;Tae-won Kim;Sung-doo Park
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.30 no.1
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    • pp.1-13
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    • 2024
  • Background: The purpose of this study was to investigate the effects of stabilization exercise performed after abdominal drawing exercise using pressure biofeedback for 8 weeks on pain level, performance of transverse abdominis, back pain disability index, and quality of life in women in their 30s less than one year after giving birth. Methods: A total of 20 women who voluntarily participated less than one year after giving birth were randomly divided into a control group and an experimental group. The control group was subjected to abdominal drawing exercise before lumbar stabilization exercise, and the experimental group was subjected to abdominal drawing exercise using pressure biofeedback before lumbar stabilization exercise thrice a week for eight weeks. The quadruple visual analog scale (QVAS), the performance of transverse abdominis, the Korean version of the Oswestry disability index (KDOI), the inventory of functional status after childbirth (IFSAC), and the Short Form-12 item (SF-12) were evaluated before and after the intervention. Results: Except for the Physical Components Summary Scale of SF-12, after the intervention, the experimental group showed significant improvement in QVAS, performance of Transverse abdominis , KDOI, and Mental Components Summary Scale of SF-12 compared to the control group. Conclusion: Selective deep muscle activation through abdominal drawing exercises using pressure biofeedback can help rehabilitation for women after postpartum.

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Factors affecting maternal functioning among early postpartum women (산후 초기여성의 모성기능에 미치는 영향요인)

  • Ban, Min-Kyung;Yeo, Jung-Hee
    • Journal of the Korea Convergence Society
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    • v.12 no.9
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    • pp.323-330
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    • 2021
  • Purpose: This study aimed to identify the maternal functioning and related factors among early postpartum women. Methods: In this cross-sectional study, 243 women recruited from three women's hospitals. Participants completed a structured questionnaire in on-line or off-line between 6 and 12 weeks postpartum. Data were analyzed using descriptive statistics, the t-test, analysis of variance, Pearson correlation coefficients, and stepwise multiple regression with SPSS for Windows ver. 25.0. Results: The mean score for the maternal functioning was 73.28±16.78 out of 120 points. Maternal functioning was associated with postpartum depression (r=-.57 p<.001), and spousal and family support (r=.54, p<.001). According to the stepwise multiple regression, postpartum depression (β=-0.43, p<.001), spouse and family support (β=0.39, p<.001), employment (β=0.12, p=.012) and delivery method (β=-0.10 p=.026) had a significant relationship with the maternal functioning among postpartum women. These variables had an explanatory power of 49.0% for maternal functioning. Conclusion: It is necessary to develop and implement a maternal intervention program focused on alleviating postpartum depression and improving spouse and family support. This study will be the starting point for various studies by identifying the maternal functioning of postpartum women for the first time in Korea.

Imaging Findings of Primary Acinic Cell Carcinoma of the Breast: A Case Report (유방에서 발생한 선방세포암의 영상 소견: 증례 보고)

  • Eui Hyun Yu;Kyounglan Ko;Joon Yeun Park;Yoon Yang Jung;Hyuk Jai Shin;Hyun Jung Choi
    • Journal of the Korean Society of Radiology
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    • v.85 no.3
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    • pp.643-648
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    • 2024
  • Acinic cell carcinoma is a rare malignant tumor that accounts for 2%-3% of salivary gland tumors. Acinic cell carcinoma arising from the breast is extremely rare, with only approximately 70 cases reported to date. Owing to its rarity, previous studies have primarily focused on pathological findings. Herein, we present the clinical and radiological features of acinic cell carcinoma of the breast in a 33-year-old woman.

Clear Cell Borderline Tumor of the Ovary: A Case Report (난소에 발생한 경계성 투명세포종: 증례 보고)

  • Ha Jung Kim;Kyeong Ah Kim;Yikyeong Chun;Yang Shin Park;Mi Jin Song;Jae Woong Choi
    • Journal of the Korean Society of Radiology
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    • v.84 no.3
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    • pp.692-697
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    • 2023
  • Clear cell borderline ovarian tumor (CCBOT) is quite rare, and only a few cases of CCBOT have been reported. Unlike most borderline ovarian tumors, CCBOTs appear solid because they are almost always pathologically adenofibromatous. Herein, we report the MRI findings of a CCBOT discovered in a 22-year-old female.

The effects of music therapy on labor pain, childbirth experience, and self-esteem during epidural labor analgesia in primiparas: a non-randomized experimental study (음악요법이 초산부의 경막하 무통 분만 중 분만통증, 분만경험, 자아존중감에 미치는 효과: 유사실험 연구)

  • Seong Yeon An;Eun Ji Park;Yu Ri Moon;Bo Young Lee;Eunbyul Lee;Dong Yeon Kim;Seong Hee Jeong;Jin Kyung Kim
    • Women's Health Nursing
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    • v.29 no.2
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    • pp.137-145
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    • 2023
  • Purpose: This non-randomized study was performed to evaluate the effects of music therapy on labor pain, the childbirth experience, and self-esteem in women during vaginal delivery. Methods: In total, 136 primiparous women over 37 weeks of gestation receiving epidural analgesia during vaginal delivery were recruited via convenience sampling. To minimize diffusion effects, data from the control group (n=71) were collected first (April 2020 to March 2021), followed by data from the music group (n=65; April 2021 to May 2022). Participants in the music group listened to classical music during labor, while the control group was offered usual care (no music). Labor pain was measured using a numeric rating scale (NRS), and self-esteem and childbirth experience were collected using self-report questionnaires. Data were analyzed using the independent t-test, chi-square test and Cronbach's α coefficients. Results: The overall pain level (NRS) at baseline was 0 in both groups. Mothers in the music therapy group had lower levels of latent pain (t=1.95, p=.005), active pain (t=3.69, p<.001) and transition-phase pain (t=7.07, p<.001) than the control group. A significant difference was observed between the two groups, and the music therapy group expressed more positive perceptions of the childbirth experience (t=-1.36, p=.018). For self-esteem, the experimental group's score was slightly higher, but without a statistically significant difference from the control group. Conclusion: Using music therapy during labor decreased labor pain and improved the childbirth experience. Music therapy can be clinically recommended as a non-pharmacological, safe, and easy method for nursing care in labor.