• Asian Pacific Journal of Cancer Prevention
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• 제17권8호
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• pp.3897-3901
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• 2016

Background: Breast cancer is by far the most frequent cancer of women (23% of all cancers), ranking second overall when both sexes are considered together. Since there has been change in clinico-pathological factors and treatment profiles for breast cancer patients over the years, the present study to evaluate the change trends in India. Materials and Methods: A detailed analysis was carried out with respect to age, menopausal status, family history, disease stage, surgery performed, histopathology, hormone receptor status, and use of chemotherapy or hormonal therapy. Change in various clinico-pathological factors and treatments of breast cancer cases was recorded and analysed. Results: Mean age at presentation was found to be earlier in 2005-2006 compared with 1997-98 (p value: 0.046). More premenopausal women were diagnosed with breast cancer in 2005-2006 when this was compared with initial years of assessment (p value ${\leq}0.001$). When change in the receptor status was evaluated, we observed that there was a decrease in cases of ER and PR receptor positivity which was significant (p value: 0.007). Over the period of time, more f patients were not offered surgery initially in view of advanced disease when the two time periods were compared (p value: ${\leq}0.001$). There was a significant increase in patients who were initially offered neo-adjuvant chemotherapy in view of advanced disease at presentation (p value: ${\leq}0.001$). There was increasing number of patients who received palliative treatment for symptoms in 2005-2006 when compared to patients treated in 1997-98((p value: ${\leq}0.001$). Conclusions: Changes in mean age at presentation, premenopausal status, and stage at presentation have occurred over the years. More aggressive patterns of disease have become more common with early age at presentation and aggressive biological behaviour with receptor negative tumours.

• 대한간호학회지
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• 제4권1호
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• pp.151-161
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• 1974

Home visiting as a Public Health Horsing function is believed to be of therapeutic value to, the patient. However, home visiting is time consuming and expensive. Is the gain in knowledge and treatment for patients with Tuberculosis in Korea enough to make the necessary outlay in finances and personnel worthwhile\ulcorner While this study does not attempt to completely answer this question it does, under the following objectives, attempt to answer part of the question. The objectives of the study were to l) ascertain if there is a difference between patients, who receive home visits from the public Health Nurse and those who do not, in the following areas: a) their compliance with medical regimen, b) their ability to answer general questions about Tuberculosis, and c) their compliance with medical advice concerning prevention (B.C.G. immunization) and early diagnosis (contact X-rays), and 2) to determine if there is any correlation between the patient's answers to questions about Tuberculosis and his action both in the areas of treatment and prevention. The patients participating in the study were all newly diagnosed patients at Kwangju Christian Hospital. A control group and an experimental group were selected. The patients in the control group were seen according to the regular schedule at the Kwangju Christian Hospital except that they received no home visits from the Public Health Nurses. The patients in the experimental group were visited on an average of three times during the first two months of their treatment by the investigator, a Public Health Nurse. At the end of two months the patients in the two groups were compared as to compliance both in the treatment and preventive areas. They were also compared according to their answers to a questionnaire regarding both the prevention and treatment of Tuberculosis. The following results were obtained : 1. Patients in the experimental group (68.2%) showed a significantly higher compliance rate for medical treatment than patients in the control group (43.2%). 2. Patients in the experimental group (87.5%) showed a higher compliance rate for B.C.G. immunization than those in the control group (40%). 3. Women patients in the experimental group showed a higher mean score (7.2$\pm$2.6) on the questionnaire than did women in the control group (6.2$\pm$3.4). The results of this study seem to indicate that while home visiting is beneficial to the patient with Tuberculosis as far as treatment is concerned, something more concrete needs to be done if home visiting is to help the patient learn more about Tuberculosis and its prevention. Further study is indicated in the following areas: 1) A similar type of study over a longer period of time involving more subjects and using Korean Public Health Nurses to make the home visits. 2) Study to develop an adequate approach to education considering the problems unique to patients with Tuberculosis living in Korea.

• Asian Pacific Journal of Cancer Prevention
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• 제16권14호
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• pp.5715-5719
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• 2015

Background: Breast cancer is the most common malignancy of women in the world. The disease is caused by infectious and non-infectious, environmental and lifestyle factors. Tobacco smoke has been one of the most widely studied environmental factors wiith possible relevance to breast cancer. The purpose of this study was to assess the impact of tobacco smoking in breast cancer patients in a hospital based cohort and to establish prognostic implications if any. Materials and Methods: A retrospective audit of 100 women with pathological diagnosis of invasive breast cancer was included in this study. The verbal questionnaire elicited information on current and previous history of exposure to smoking in addition to active smoking. All analyses were adjusted for potential confounders, including stage at presentation, alcohol intake, hormonal replacement therapy, oral contraceptive intake, obesity and menopausal status. Results: The mean age at presentation of breast cancer was $51.4{\pm}10.86$ years. Mean age of presentation was $53.1{\pm}11.5$ and $45.7{\pm}11.9$ years in never smokers and passive smokers, respectively. Age at presentation varied widely in patients exposed to tobacco smoke for >10 years in childhood from $40.3{\pm}12.0$ years to $47.7{\pm}13.9$ in patients exposed for > 20years as adults. Among passive smokers, 60.9% were premenopausal and 39.1% of patients were postmenopausal. In never smokers, 71.4% were post menopausal. Expression of receptors in non-smokers vs passive smokers was comparable with no significant differences. Metastatic potential in lung parenchyma was slightlyelevated in passive smokers as compared to never smokers although statistically non-significant. Conclusions: An inverse relationship exists between the intensity and duration of smoking and the age at presentation and poor prognostic factors. The results strongly suggest efforts should be taken to prevent smoking, encourage quitting and restrict exposure to second hand smoke in India.

• 여성건강간호학회지
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• 제8권2호
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• pp.232-243
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• 2002

The purpose of this study was to examine factors influencing the meaning of life for middle-aged women. The subjects for the study were 190 middle-aged women who live in Busan. Data were collected from May 25 to June 20, 1999. The instruments for this study were as follows : the meaning of life scale developed by Jung D. R(1978) ; the self-esteem scale developed by Ro, E. Y, Kwon, J. H.(1997) ; the volunteer activity scale developed by Park G. J.(1999), the marital satisfaction scale developed by Choi G. Y.(1999) ; and the health status scale developed by Kim S. Y. (1991). SPSS PC+ was utilized for data analysis. Data were analysed according to frequency and percentage, mean and standard deviation, t-test, ANOVA, Sheffe' s test and Pearson' s correlation coefficients and stepwise multiple regression. The reliability of the tools was tested by Cronbach's $\alpha$ : and it showed reliability scores of 0.88(for the meaning of life tool), 0.81(for the self-esteem tool), 0.94(for the marital satisfaction tool) and 0.78(for the health status tool). The results were as follows: 1) The scores showed that middle-aged women had a moderate level of meaning of life, with a mean of 30.31 and standard deviation of 6.24 (with values ranging from 12.00 to 48.00). The scores showed that middle-aged women had a moderate levels of self-esteem, with a mean of 28.92 and standard deviation of 4.67 (with values ranging from 10.00 to 40.00). The scores showed that middle-aged women had a very low level of volunteer activity, with a mean of 0.87 and standard deviation of 0.93(with values ranging from 0.00 to 1.00). The scores showed that middle-aged women had a moderate level of satisfaction in their marriages, with a mean of 31.99 and standard deviation of 7.84(with values ranging from 12.00 to 48.00). The scores showed that middle-aged women had a moderate level of health status, with a mean of 6.63 and standard deviation of 1.57(with values ranging from 3.00 to 9.00). 2) There was a statistically significant difference of the meaning of life of middle-aged women according to their religion(F=8.930, p=.000), christian ($31.94{\pm}5.96$) had more meaning th life than buddhists ($28.40{\pm}6.23$). 3) There was a statistically significant correlations between the subject' s self-esteem and the her meaning of life(r=0.477, p=0.000), the subject' s level of volunteer activity and meaning of life(r=.428, p=.000), her level of marital satisfaction and meaning of life(r=.417, p=.000), and her level of health status and meaning of life(r=.261, p=.000) among these middle-aged women. 4) Self- esteem was the highest factor influencing the level of meaning of life in middle-aged women. 40.0% of the total variance of levels of meaning of life by was dependent on self-esteem, volunteer activity, marital satisfaction and health status. In conclusion, the higher the self-esteem and levels of volunteer activity, marital satisfaction, and health status of middle-aged women, the higher the meaning of life for them. Therefore, it is necessary to elevate levels of the self-esteem and volunteer activity, marital satisfaction and health status in order to help middle-aged women have more meaning of life.

• 대한방사선기술학회지:방사선기술과학
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• 제40권2호
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• pp.219-228
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• 2017

폐경 후 여성에서 골다공증과 비만은 삶의 질적인 면에서 많은 영향을 미친다. 폐경 후 여성은 호르몬의 변화로 골다공증과 비만의 위험이 높아진다. 골다공증과 체중과의 관련성이 알려져 있고 특히 체지방량과의 관련성이 논의되고 있다. 본 연구에서는 폐경 후 여성에서 골밀도 수치에 따라 체지방 중 심장외막지방과 복부피하지방과 비교하여 골밀도 수치 변화가 지방조직과 관련이 있는지 알아보고자 하였다. 내과 및 검진센터를 방문한 폐경 후 여성 중 골밀도검사와 심장초음파를 실시한 160명이 연구대상이었다. 심장외막지방두께는 세 단면의 측정값을 평균하였으며, 골밀도 수치는 L-spine과 대퇴골 경부의 T값을 사용하여 분석하였다. 및 골밀도검사는 진단기준에 맞게 측정하여 연구결과 나이가 증가할수록 골다공증의 위험이 높아지고 체중은 감소할수록 골다공증의 위험이 높아지는 것으로 나타났다(p<0.05). 폐경 후 여성에서 지방조직과 골밀도 수치변화의 연관성을 보기 위한 연구결과에서는 심장외막지방두께의 증가는 골밀도 수치에 음의 상관관계를 보였고(p<0.05), 복부피하지방두께의 증가는 골밀도 수치에 양의 상관관계가 있는 것으로 분석되었다(p<0.05). 즉 지방조직의 침착위치에 따라 골밀도 수치가 미치는 영향이 서로 다른 것으로 나타났다. 폐경기 여성에서 심장외막지방조직의 두께 변화를 정기적으로 검사한다면 골다공증을 미리 예방할 수 있을 것으로 생각된다.

• 한국학교보건학회지
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• 제12권2호
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• pp.339-356
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• 1999

The purpose of this study is to analyze the factors which influence the college student sex behavior. The results can be used as the basis to establish health polices and a health promotion program to reduce the risks of sexual behavior of college students. The study subjects were random selected from college students in Kyonggido. The 335 subjects were selected from 4 schools including three colleges and one university. The self-administered questionnaires were distributed to 350 students, 335 of which were analyzed (after excluding the 15 incomplete or inaccurate data). The study took place between December 7-19, 1998. Regarding the analysis method, the SPSS program was used. The relationship between social and demographic characteristics and relevant factors was identified through Chi-squared test. The major findings of the study were follows: 1. Of the 335 respondents, thirty seven percent of men and ten percent of women had already experienced sexual intercourse. Significantly more males had experienced sexual experience than women. The majority of students, living with both their parents had less sexually experience than that living without their parents. There were religious differences, that students who believed in buddhism had more sexual experience than christian or catholic students. Students who reported drinking alcohol frequently had more sexual experience than those who didn't and it was statistically significant (${\chi}^2=47.6$ df=4 p=0.000). 2. Sexual awareness was relatively low. High level group of sex knowledge were less sexual experience than middle or low level group (${\chi}^2=6.038$ df=2 p=0.049). Women were more sexually aware than men (${\chi}^2=20.814$ df=2 p=0.000). Groups who had sisters and brothers were more sexually aware than those who few sisters and brothers. 3. Sixty one percent of respondents said that chastity before marriage should be kept but twenty four percent of them felt that it was unnecessary. Opponents to chastity before marriage had more sex experience than those for. It was statistically significant (${\chi}^2=48.967$ df=2 p=0.000). Those who agreed with the questionnaire point 'Even if people are not married, if they love each other, they can have sexual intercourse.' had more sexual intercourse than those who didn't agree. Those who agreed with the questionnaire point 'Even though people doesn't like, they can still have sexual intercourse.' had more sexual intercourse than those who disagree. On this point, men were three times higher of the opinion than women. So we can see the difference in the perception between men and women. As a result of this study, sexual awareness influences sexual attitudes and sexual attitudes influence sexual awareness influences sexual activity includes poor knowledge and uninformed attitudes about sex. Therefore sex education is needed and it is very important to reestablish concepts about sex.

• 대한간호학회지
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• 제48권1호
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• pp.38-49
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• 2018

Purpose: This study aimed to develop an instrument to assess the quality of childbirth care from the perspective of a mother after delivery. Methods: The instrument was developed from a literature review, interviews, and item validation. Thirty-eight items were compiled for the instrument. The data for validity and reliability testing were collected using a questionnaire survey conducted on 270 women who had undergone normal vaginal delivery in Korea and analyzed with descriptive statistics, exploratory factor analysis, and reliability coefficients. Results: The exploratory factor analysis reduced the number of items in the instrument to 28 items that were factored into four subscales: family-centered care, personal care, emotional empowerment, and information provision. With respect to convergence validation, there was positive correlation between this instrument and birth satisfaction scale (r=.34, p<.001). The internal consistency reliability was acceptable (Cronbach's alpha =.96). Conclusion: This instrument could be used as a measure of the quality of nursing care for women who have a normal vaginal delivery.

• 대한간호학회지
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• 제14권1호
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• pp.1-20
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• 1984

This study was attempted to evaluate and explain the correlation between stress and utilization of Dispensary, Frequency of absence, Frequency of accident as the health condition of bluecollared workers. The subjects for this study were 260 workers selected conveniently from 360 workers working at one chemical manufacturer located in Seoul. The dataas measure the Stress was collected through SRRS (The Social Readjustment Rating Scale) which is developed by Holmes ＆ Rahe (1976) from 27th July to 10th August, 1983. The data of Utilization of Dispensary and Frequency of Accident were brought out from the record of Dispensary during past 8 months. The Frequency of Abscence from January to August were collected through diligence and indolence cards of each department. All collected data were analysed based on the SPSS (Statistical Package for the Social Science) program. The results of the study are as follows: 1. The average of Utilization of Dispensary was 7.4, Frequency of abscence 14.6, frequency of Accident 0.4. 2. The average score of Stress was 134 (minimum : 0, maximum : 593, Standard deviation : 109. 3) It can be considered as a slight stressed group by the requlations of Holmes and Rahe. 3. According to the analysed results of correlation between Stress and the Utilization of Dispensary, Frequency of Absence, frequency of Accident, the Utilization of dispensary and stress were significantly related (r= .1955, p<.001), the Frequency of Absence (r=.0284, p >, 05), and the Frequency of Absence (r=.0284, p>.05), and the Frequency of Accident (r= .0831, p>.05) were not significantly related with Stress. 4. In the relation between general characters of subjects and the Utilization of Dispensary, 20 to 25 aged group, women, single, christian, lent-house dwelling, 1 to 5 years employed group used at a high ratio. 5. In the relation between general character of subjects and the Frequency of Absence, men, 51 to 55 aged group, 21 to 25 years employed group indicated high Frequency, and other char-noters were not significantly related. 6. In the relation between general characters of subjects and the Frequency of Accident, women. single, 20 to 25 aged group, catholic, lent-house dwelling, below 1 year employed group showed high frequency. 7. Stress showed a significant difference only with a religion. Catholic group represented mode-rate stressed scored 209.67, and not significantly related with other general characters.

• 한국의상디자인학회지
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• 제10권1호
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• pp.135-144
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• 2008

The reason that we are familiar with fashion from the 1950s is because of the work such as New Look done by a french fashion designer, Christian Dior who had taken on an almost mythical significance by his name. Moreover, in the sense of popularity, the appearance of Marilyn Monroe and Audrey Hepburn, two typical Hollywood actresses who each has directly-opposed image, is the symbol of youthful America of the 1950s and represents the remarkable start of the American fashion. Still, these days designers and mass medias recall the fashion from the 50s remaking and parodying it to suit public's taste. Being due to the World War II, Europe suffered not only the loss of its national tradition and reputation but also got a fatal blow politically and economically. On the other hand, the United States of America occupied a primary position in the world and outstandingly became the most powerful country. The American fashion of the 1950s represents youth and newness and rejects outdated and outmoded style. In this period, appears the indication which announces previously the youth culture. Poodle skirt is the fashion item that acquired popularity among young american women and girls in the late 1950s. In effect, it is the fashion as American as apple pie. A costly A-line skirt had been transformed into a cheap felt skirt. Instead of a real poodle dog which was carried by French women like an accessory, they embroidered a poodle dog on the lower edge of their skirt. As deriding the snobbish gait, they swayed themselves frantically to the rhythm of Rock n' Roll which swept those days. This was an attitude of young Americans against the existing trend of Europe. Poodle skirt showed the free spirit and intention of young people unbound to custom and established vogue. In addition, in the aspect of comprising the American spirit of independent, pioneer, and subjective American people, it goes beyond the bounds of common concept of fad. Poodle skirt is an unique symbol of the 1950s' American fashion which prognosticates the advent of the United States and the success in modern fashion world which was changing after 1950s.

• 대한가정학회지
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• 제44권10호
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• pp.21-34
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• 2006

The purpose of this study is to define the roles of the central, district, and municipal Healthy Family Support Centers in order to establish their individual identities. Two hundred twenty-five 225 subjects were surveyed with a questionnaire about the role of each Healthy Family Support Center. The subjects of this study were professors, public officials and staff who were in charged of the Healthy Family Support Centers. This study revealed the following results. First, the central Healthy Family Support Center should playa supportive role to develop and propagate a variety of programs which can be used for the clients in the district and municipal Healthy Family Support Centers. Second, roles of the district Healthy Family Support Center are highly recognized not only for their supportive role in activating municipal Healthy Family Centers but also for their publicity role in them. Finally, the most necessary role of the municipal Healthy Family Support Center is to manage family counseling and family education. In order to accomplish the roles of each Healthy Family Support Center, the mutual relationship among central, district, and municipal Healthy Family Support Centers should be horizontal. Moreover, district Healthy Family Support Centers should be promptly established in order to enable for the central Center to play its roles properly.