• Journal of Genetic Medicine
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• v.7 no.1
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• pp.24-36
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• 2010

Colorectal cancer is one of the most steeply increasing malignancies in Korea. Among 398,824 new patients recorded by the Korea Central Cancer Registry between 2003 and 2005, 47,915 cases involved colorectal cancers, accounting for 12.0 % of all malignancies. In 2002, total number of colorectal cancer cases had accounted for 11.2 % of all malignancies. Hereditary syndromes are the source of approximately 5% to 15% of overall colorectal cancer cases. Hereditary colorectal cancers are divided into two types: hereditary nonpolyposis colorectal cancer (HNPCC), and cancers associated with hereditary colorectal polyposis, including familial adenomatous polyposis (FAP), Peutz-Jeghers syndrome, juvenile polyposis, and the recently reported hMutYH (MYH)-associated polyposis (MAP). Hereditary colorectal cancers have unique clinical features distinct from sporadic cancer because these are due to germline mutations of the causative genes; (i) early age-of-onset of cancer, (ii) frequent association with synchronous or metachronous tumors, (iii) frequent association with extracolonic manifestations. The management strategy for patients with hereditary colorectal cancer is quite different from that for sporadic cancer. Furthermore, screening, genetic counseling, and surveillance for at-risk familial member are also important. A well-organized registry can plays a central role in the surveillance and management of families affected by hereditary colorectal cancers. Here, we discuss each type of hereditary colorectal cancer, focusing on the clinical and genetic characteristics, management, genetic screening, and surveillance.

• Research in Community and Public Health Nursing
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• v.15 no.1
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• pp.155-164
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• 2004

Purpose: The purpose of this study was to identify factors affecting early detection behaviors of breast cancer such as breast self examination(BSE), breast physical examination, mammography. Method: The subjects were 141 women on an island and materials were collected through an organized questionnaire from March, to August 2002. The data were analyzed by using descriptive statistics, $x^2$ and logistic analysis by SAS program. Results: 52.7% of the subjects performed breast self examination, 67.2% did breast physical examination and 67.7% did mammography. That is, about 60% of the subjects performed early detection behavior to find the breast cancer. Practice of breast self examination was significantly correlated with experience of physician examination and mammography. The most significant factor on BSE was a normal salted diet, and the most significant factor on physical examination and mammography was the high education level of subjects. Conclusions: According to the results of this study, it suggests that intensive education and information strategies for breast cancer early detection need to be developed. In particular, early detection programs for lower educated women should be activated.

• Proceedings of the Korean Operations and Management Science Society Conference
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• 2004.05a
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• pp.599-602
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• 2004

최근 국내 여성의 유방암 발생율은 1위를 차지하며 그 비율 또한 나날이 늘어가고 있는 추세이다. 하지만 유방암은 다른 암에 비해 5년간 관찰 생존율이 약 76%로 갑상선에 이어 두 번째의 생존율을 보이며, 이는 조기발견의 중요성을 다시 한번 상기시키게 한다. 하지만 국내에서 사용되는 유방암 조기검진 방법에는 Mammography(유방촬영술)와 초음파 진단 두 가지가 주를 이루고 있으나 촬영과정 및 장비에 따른 오차로 인한 객관화된 정보생성 부족 및 전달의 부족으로 문제점이 대두되고 있다. 본 연구에서는 Mamography 및 초음파 유방 진단술을 이용하여 전문의의 의사결정에 도움을 줄 수 있는 CAD(Computer Aided Diagnosis) 시스템의 유방암 진단의 특징을 이용, 전문의 관점의 모델링을 기술해보고자 한다.

• Proceedings of the Korean Magnestics Society Conference
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• 2011.12a
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• pp.122-122
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• 2011

• 대한예방의학회:학술대회논문집
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• 1998.10b
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• pp.99-100
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• 1998

• 건강소식
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• v.11 no.11 s.108
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• pp.2-7
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• 1987

언제 더웠냐 싶게 꽤나 썰렁한 바람이 부는 날이다. 추수를 하고 있는 농부의 모습이 차창을 스치고 지나간다. 수건을 쓴 어느 아주머니가 허리를 펴고 하늘을 한번 쳐다본다. 무슨 재미있는 얘기를 주고받았을까. 커다란 웃음소리가 크게 들렸다가 서서히 사라져간다. 기자는 건강검진차를 찾아, 자궁암검사를 받았다가 병을 조기발견하고 두 달에 걸친 치료 끝에 건강을 되찾아 행복한 생활을 하고 있는 정부영씨(경기도 수원시 세곡2동 537-19)를 만나러 갔다. 자신이 당한 일을, 슬퍼하기 보다는 좋은 경험이라고 얘기하는 그녀를 만나면서, 기자는 많은 것을 생각하고 배울 수 있었다.

• Research in Community and Public Health Nursing
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• v.21 no.1
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• pp.43-52
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• 2010

Purpose: The aim of this study was to compare health promotion behavior in middle-aged rural residents by cancer screening participation. Methods: Data were collected from 508 rural residents during the period from April 6 to June 6, 2009 using structured questionnaires, and analyzed using SPSS/WIN 12.0. Results: The cancer screening rate was 50.2%. The rate was significantly different according to sex, educational level, marital status, private insurance, family cancer history, smoking, drinking, perceived health status, and health concern. Men showed the highest screening rate in gastroscopy for stomach cancer, and women in pap smear test for cervical cancer. Pap smear test for cervical cancer showed the highest regular screening rate (4.3%). The average score of health promotion behavior was $2.65{\pm}0.35$. Health promotion behavior was significantly different according to cancer screening participation, health responsibility, stress management, and self actualization. Conclusions: These results suggested that there may be differences in health promotion behavior among middle-aged rural residents according to their cancer screening participation. A further study is necessary to find effective interventions for the non-cancer screening group.

• Journal of Korean Academy of Nursing
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• v.34 no.5
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• pp.791-800
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• 2004

Purpose: This study was to investigate the characteristics and related factors of breast cancer screening and repeat screening, and to propose nursing interventions to increase the rate of breast cancer screening and repeat screening. Method: Study subjects was 236 women residing in the community, teachers and nurses who were older than 45 were recruited. Data was collected with self administered questionnaires from July 1st to August 31st, 2003 and analysed using SPSS/WIN 10.0 with $X^2$test, t-test, and stepwise multiple logistic regression at a significant level of =.05. Result: The breast cancer screening rate was 57.2%, and repeat screening rate was 15.3%. With the multiple logistic regression analysis, factors associated with mammography screening were age and perceived barriers of action, and factors related to the repeat mammography screening were education level and other cancer screening experience. Conclusion: Based on the results, we recommend the development of anintervention program to decrease the perceived barrier of action, to regard mammography as an essential test in regular check-up, and to give active advertisement and education to the public to improve the rates of breast cancer screening and repeat screening.

• Research in Community and Public Health Nursing
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• v.16 no.1
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• pp.68-76
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• 2005

Purpose: The aims of this study were to evaluate early breast cancer screening rate of occupational health nurses and to analyze factors affecting their behavior. Method: We reviewed and analyzed the structured questionnaires of III respondents from 230 participants in continuing education of occupational health nurses. Result: Breast self examination was performed in 72.1%, clinical breast examination was received in 30.6% and mammography was received in 40.5% significant factors affecting breast self examination were age and the age of menarche. significant factors affecting clinical breast examinations for breast cancers were age and the place of residence, and factors affecting mammography were age, monthly income, alcohol intake, the age of menarche, and attitude about early screening for breast cancers. Conclusion: Early breast cancer screening rate of occupational health nurses was higher than that of general population of women. But the rate of clinical breast examination and mammogaphy were lower of less than 50% of respondents. Therefore occupational health nurses who are responsible for health management of working women need more education for themselves to promote the motivation and to increase the rate of participation in early breast cancer screening.

• Women's Health Nursing
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• v.9 no.1
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• pp.18-27
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• 2003

Purpose : Cancer is th e most frequent cause of death in Korea. Cancer screening can save lives through early detection. This study was to investigate major cancer screening rates and the reasons for not having been screening. Method : 210 participants of registered nurses from 5 general hospitals in Busan, Korea were completed a structured self-administered questionnaire. Data were analyzed using descriptive statistics with SPSS WIN 10.0. Results : The cancer screening rates of the subjects were 53.8% in Pap smear test for cervical cancer, 41.0% in gastroendoscopy for stomach cancer, 15.7% in mammograpy for breast cancer, and 3.8% in colonoscopy. And the higher proportions of having regular screening were 9, 5% in Pap smear test and 2.9% in gastroendoscopy. The primary reason related to not having a screening test was 'seems to be healthy'. Conclusion : The findings showed the necessity of recognizing and educating Korean nurses to have a regular cancer screening for their health management.