• Asian Pacific Journal of Cancer Prevention
• /
• v.15 no.3
• /
• pp.1357-1362
• /
• 2014

Background: Vitamin D deficiency is a potentially modifiable risk factor that may be targeted for breast cancer (BC) prevention. It may also be related to prognosis after diagnosis and treatment. The aim of our study was to determine the prevalence of vitamin D deficiency as measured by serum 25-hydroxy vitamin D (25-OHD) levels in patients with BC and to evaluate its correlations with life-style and treatments. Materials and Methods: This study included 186 patients with stage 0-III BC treated in our breast center between 2010-2013. The correlation between serum baseline 25-OHD levels and supplement usage, age, menopausal status, diabetes mellitus, usage of bisphosphonates, body-mass index (BMI), season, dressing style, administration of systemic treatments and radiotherapy were investigated. The distribution of serum 25-OHD levels was categorized as deficient (<10ng/ml), insufficient (10-24 ng/ml), and sufficient (25-80 ng/ml). Results: The median age of the patients was 51 years (range: 27-79 years) and 70% of them had deficient/insufficient 25-OHD levels. On univariate analysis, vitamin D deficiency/insufficiency was more common in patients with none or low dose vitamin D supplementation at the baseline, high BMI (${\geq}25$), no bisphosphonate usage, and a conservative dressing style. On multivariate analysis, none or low dose vitamin D supplementation, and decreased sun-exposure due to a conservative dressing style were found as independent factors increasing risk of vitamin D deficiency/insufficiency 28.7 (p=0.002) and 13.4 (p=0.003) fold, respectively. Conclusions: The prevalence of serum 25-OHD deficiency/insufficiency is high in our BC survivors. Vitamin D status should be routinely evaluated for all women, especially those with a conservative dressing style, as part of regular preventive care, and they should take supplemental vitamin D.

• Asian Pacific Journal of Cancer Prevention
• /
• v.15 no.13
• /
• pp.5171-5174
• /
• 2014

Background: The increase in breast cancer awareness and widespread use of mammographic screening has led to an increased detection of (non-palpable) breast cancers that cannot be discovered through physical examination. One of the methods used in the diagnosis of these cancers is vacuum-assisted core biopsy, which prevents a considerable number of patients from undergoing surgical procedures. The aim of this study was to present the results of stereotactic vacuum-assisted core biopsy for suspicious breast lesions. Materials and Methods: Files were retrospectively scanned and data on demographic, radiological and pathological findings were recorded for patients who underwent stereotactic vacuum-assisted core biopsy due to suspicious mammographic findings at the Interventional Radiology Centre of the Florence Nightingale Hospital between January 2010, and April 2013. Statistical analysis was carried out using Pearson's Chi-square, continuity correction, and Fisher's exact tests. Results: The mean age of the patients was 47 years (range: 36-70). Biopsies were performed due to BIRADS 3 lesions in 8 patients, BIRADS 4 lesions in 77 patients, and BIRADS 5 lesions in 3 patients. Mammography elucidated clusters of microcalcifications in 73 patients (83%) and focal lesions (asymmetrical density, distortion) in 15 patients (17%). In terms of complications, 1 patient had a hematoma, and 2 patients had ecchymoses (3/88; 3.3%). The histopathologic results revealed benign lesions in 63 patients (71.6%) and malignant lesions in 25 patients (28.4%). The mean duration of the procedure was 37 minutes (range: 18-55). Although all of the BIRADS 3 lesions were benign, 22 (28.6%) of the BIRADS 4 lesions and all of the BIRADS 5 lesions were malignant. Among the malignant cases, 80% were in situ, and 20% were invasive carcinomas. These patients underwent surgery. Conclusions: In cases where non-palpable breast lesions are considered to be suspicious in mammography scans, the vacuum-assisted core biopsy method provides an accurate histopathologic diagnosis thus preventing a significant number of patients undergoing unnecessary surgical procedures.

• Journal of muscle and joint health
• /
• v.28 no.3
• /
• pp.217-222
• /
• 2021

Background: The reaction of nurses to the advent of artificial intelligence (AI) during the fourth industrial revolution era remains questionable. Understanding Florence Nightingale's achievements may provide valuable lessons that will be helpful to contemporary nurses. Aims: To understand Nightingale's nursing philosophy and methods and provide suggestions for future nursing practice, education, research, and health policy. Source of evidence: Literature. Discussion/Conclusion: Just as Nightingale captured the situation of her time and introduced latest scientific methods, modern nurses need to learn from Nightingale's drastic actions to meet social needs. Nursing can regain a solid humanistic foundation by returning to core values of nursing and humanities, while simultaneously adopting state-of-the-art technologies. Implications for Nursing Policy: AI-driven technologies will advance nursing services and provide greater human-centered and personalized care by eliminating iterative and labor-intensive tasks. Nursing educational policy should support the advancement of nursing curricula to develop AI competencies and specialists within the nursing field.

• Journal of English Language & Literature
• /
• v.58 no.6
• /
• pp.1063-1083
• /
• 2012

Florence Nightingale is best remembered today as the Lady with the Lamp, but modern research on the English nurse primarily addresses her popular iconography as a historical misrepresentation of her character and career. This scholarly reluctance to analyze critically Nightingalean iconography, however, has obscured important cultural work performed by the popular tropes. This article argues that the proliferation of Nightingale's iconic image as a symbol of Christian womanhood in transatlantic periodical poetry, when examined separately from biographical considerations, reveals important insights into the complex relationship between form and affect in mid-nineteenth periodicals. Popular representations of Nightingale give form to the disorienting effects produced on newspaper readers by the nascent field of international journalism and reflect a key generic paradox at the heart of the Victorian periodical: the simultaneous aim to report news objectively and to move readers affectively in response to events beyond national contexts and interests. Focusing on Lewis Carroll's "The Path of Roses" and Henry Wadsworth Longfellow's "Santa Filomena," this article contends that Nightingalean periodical poetry mirrors back to readers their own affective response to modern media and functions as a new technology for managing an increasingly acute awareness of events and ethical responsibilities beyond the nation.

• The Korean Nurse
• /
• v.3 no.4 s.12
• /
• pp.94-101
• /
• 1964

• The Korean Nurse
• /
• v.8 no.6 s.44
• /
• pp.74-76
• /
• 1969

• The Korean Nurse
• /
• v.19 no.3 s.106
• /
• pp.25-29
• /
• 1980

• The Korean Nurse
• /
• v.19 no.3 s.106
• /
• pp.30-33
• /
• 1980

• The Korean Nurse
• /
• v.19 no.3 s.106
• /
• pp.34-36
• /
• 1980

• The Korean Nurse
• /
• v.19 no.3 s.106
• /
• pp.37-40
• /
• 1980