• The Journal of Korean Academic Society of Nursing Education
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• v.8 no.1
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• pp.131-144
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• 2002

The purpose of this study was to measure the knowledge, attitude, experience in sex and the needs of sex education for college students in order to provide basix sex education information for this study, the questionnaires were given to 1,210 women's students in K college of Inchon and collected during the period from June to July, 2001. These results were analyzed statistically by means of frequency, percentage, t-test, ANOVA and regression test. The results of this analysis are as follows: 1. The level of knowledge related to sex was relatively low. The difference of grade was 2nd. grade somewhat higher than 1st. grade and major of public science higher than literature. The scores related to sexual attitude, 45.7% of the respondent answered 'strongly agree' and 'agree' with abortion before marriage, 31.5% of the respondent answered 'strongly agree' or 'agree' with male's responsibility for premarital pregnancy. 2. To solve sexual problems, 48.0% of the respondents intended to consult their friends, 8.5% of the respondents intended to consult expert. 3. The sequence of sexual experience were 7.1% genital coitus, 5.4% masturbation, 4.5% contraceptive, 0.4% veneral disease, 2.6% rape, 2.1% pregnancy. 4. 98.4% of the respondents agreed there was a need for sex education in the college and wanted to acquire information through 45.5% special lecture, 18.0% regular curriculum, within the content of sex education, needs in order to priority are; contraceptive, sexual psychology, pregnancy, veneral disease, sexual morality etc. 5. Regarding sexual knowledge, there were no significant difference grade or major and relationship between sexual attitude and knowledge, respondents who answered 'agree' with premarital coitus had more knowledge of sexual physiology & psychology. 6. Regarding relationships between sexual experiences and knowledge, respondents who had experienced veneral disease.

• Journal of the Korean Society of Radiology
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• v.15 no.2
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• pp.131-137
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• 2021

The purpose of this study was to present the reference value of the intracranial translucency(IT) of the fetus using the mid sagittal plane of the post brain in the early pregnancy ultrasound screening test and to find the clinical significance. From August 2018 to February 2020, the IT of 1529 singleton fetus whose crown lump length were 40.6 mm to 78.3 mm in length among the mothers undergoing regular checkups at Hospital I were measured and analyzed retrospectively. As the crown lump length increased, the IT showed a 54.3% explanatory power and tended to increase(p<0.001). In addition, through frequency analysis, the standard value for the percentile of the IT by gestational weeks was calculated. As a result, it was possible to establish a standard value for Koreans with an IT, and it will be usefully applied as an auxiliary screening test for spina bifida in the evaluation of fetal post brain in early pregnancy.

• Clinical and Experimental Reproductive Medicine
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• v.43 no.3
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• pp.157-163
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• 2016

Objective: The decision to use in vitro fertilization (IVF), intracytoplasmic sperm injection (ICSI), or split insemination (IVF-ICSI) in the first cycle is based on the number of motile sperm. Hence, total fertilization failure (TFF) often occurs during IVF cycles, despite normozoospermia. To investigate whether the cumulative motile swim-up spermatozoa percentage at 22 hours post-insemination (MSPPI) is an indicator for ICSI, we analyzed TFF, fertilization, blastocyst development, chemical pregnancy, clinical pregnancy, and live birth rates. Methods: This prospective study was performed using data obtained from 260 IVF cycles. At 22 hours after insemination, the remaining swim-up spermatozoa were observed and divided into six groups according to MSPPI (<10%, 10% to <30%, 30% to <50%, 50% to <70%, 70% to <90%, and 90% to 100%). Results: Regardless of the ejaculated motile sperm concentration ($0.6-280{\times}10^6/mL$ motile spermatozoa), the incidence of TFF significantly increased when MSPPI was <10%, and the fertilization rate significantly decreased when MSPPI was <30%. We found that cumulative MSPPI correlated with the cumulative fertilization rate (Spearman correlation, 0.508, p<0.001). Regarding embryo development, we observed no significant differences in the rates of blastocyst development, chemical pregnancy, clinical pregnancy, or live birth among all groups. Conclusion: Our findings suggest that MSPPI is a viable indicator for split IVF-ICSI and ICSI. Taken together, by employing the MSPPI test in advance before IVF, ICSI, or split IVF-ICSI cycles, unnecessary split IVF-ICSI and ICSI may be avoided.

• Journal of Korean Academy of Nursing
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• v.50 no.3
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• pp.459-473
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• 2020

Purpose: This study was conducted to identify the effects of a lifestyle intervention program on weight gain, dietary habits, fatigue and pregnancy stress, blood pressure, and neonatal birth weight, using Cox's interaction model of client health behavior for overweight and obese women. Methods: This was a quasi-experimental research with a non-equivalent control group pre-post test design. A total of 52 patients who met the selection criteria, including 25 in the experimental group and 27 in the control group, were the subjects of the study; they comprised overweight and obese pregnant women who were receiving prenatal care at A and B women's hospital in J province. The lifestyle intervention program ran for 12 weeks in total and consisted of interactions involving affective support, health information, and professional/technical competencies. The data collection period was from February 1, 2017 to August 31, 2017. Results: This study showed differences in the appropriate weight gain rate (χ²=6.17, p=.013), suppression of an increase in fatigue (t=-2.32, p=.012), and an increase in pregnancy stress (t=-1.87, p=.034). Yet, no differences in physical activity, dietary habits change, blood pressure, and neonatal birth weight (p>.05) were found. Conclusion: The study findings indicate that this program could be an effective intervention for the control of appropriate weight gain, fatigue, and pregnancy stress. Therefore, a lifestyle intervention program based on Cox's interaction model of client health behavior could be an efficient strategy for a positive health outcome of overweight and obesity pregnant women.

• Clinical and Experimental Reproductive Medicine
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• v.30 no.1
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• pp.57-64
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• 2003

Objective : We investigate the effects of multiple attempts of embryo transfer because of retained embryos in the catheter and of contaminated mucus on the transferred catheter. Materials and Methods: We respectively analysed data between November 1998 and August 2002 from 305 patients of 369 cycles who underwent IVF-ET. Of these patients, 47 patients of 50 cycles (Group 2) were required multiple trial of embryo transfer. They were compared with an age-matched control groups (Group 1) with female factor infertility. Pearson's $?^2$ and Fisher's tests were used to compare proportions between discrete variables. Noncategorical data were compared using t-test. Statistical significance was set at p<0.05. Results: Embryos were significantly more likely to be retained when catheter was contaminated with mucus (Group 1: 22.4%; Group 2: 44.0%). The clinical pregnancy rates, however, for the contaminated mucus or not, were 46.8%, 43.5% respectively. There was no significant difference clinical pregnancy rate between those who had all their embryos transferred at the first attempt (45.4%) and those who required more than one attempt (48.0%). Conclusions: Contaminated mucus in the catheter is associated with failed embryo transferred at the first attempt. Embryo transfers, however, that are repeated attempts do not adversely affect pregnancy rates following IVF-ET.

• Women's Health Nursing
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• v.8 no.3
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• pp.446-458
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• 2002

목적: 현 연구는 6-12주된 첫 아기를 둔 여성 152명을 대상으로 첫 임신기간 동안 참여했던 정규와 비정규 학습활동의 정도와 범위를 알아보기 위해 시행된 것이다. 설계와 방법: 연구를 위한 정보수집을 위해 다측면의 자가선택 연구도구를 사용하였고 4가지 구성개념을 측정하였다: 독립변수로 학습에 대한 성향, 학습을 위한 사회적 지지, 임신에 대한 기대, 그리고 종속변수로서 첫 임신 동안 정규와 비정규 학습활동의 참여정도. 또한 일반적 특성으로는 6가지 변수(연령, 인종, 결혼상태, 교육정도, 직업유무, 가족의 수입)를 측정하였다. 3개의 독립변수와 1개의 종속변수사이의 이변량관계를 측정하기 위해 단순회귀분석을 시행하였다. 일반적 특성과 종속변수와의 관계는 t-Test, Point Biserial, Spearman Correlation Coefficients를 이용해 조사하였고 임신 중 학습을 위한 설명적 모델을 유도하기 위해 다중회귀분석을 사용하였다. 결과: 연구결과 3가지 이변량관계가 모두 통계적으로 유의한 것으로 나타났다: 학습에 대한 성향($r^2$=.17, p=.001), 사회적 지지($r^2$=.27, p=.0001), 그리고 기대($r^2$=.17, p=.0001). 교육정도와 결혼상태는 강한 설명력을 가졌고 연령, 인종, 직업유무와 가족의 수입은 통계적으로 유의하였으나 설명력이 약한 변수들이었다. 임상과의 관계: 이러한 결과는 임신 동안 여성의 학습욕구를 만족시키기를 바라는 성인대상의 교육자들 만큼이나 건강관리제공자들을 위한 실제적인 관련성을 보여주고 있으며 또한 중요한 생활사인 임신 동안 자발적인 학습을 하려는 성인을 이해하기 위한 이론적으로 유용한 모델을 제공한다.

• Clinical and Experimental Reproductive Medicine
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• v.39 no.4
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• pp.161-165
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• 2012

Objective: To evaluate the effect of hysterosalpingo-contrast sonography (HyCoSy) on natural conception in the infertile patient. Methods: We conducted a prospective observational study recruiting 180 patients admitted to Infertility Center of Ferrara University from January 2010 to February 2012. The essential inclusion criteria was the couple's desire to perform only diagnostic evaluation on infertility causes and to wait for natural conception before proceeding with further management. Couples were investigated with hormonal profile, semen analysis and HyCoSy. Expected time for spontaneous pregnancy was 180 days from HyCoSy. First datation sonography of pregnancy was used calculating time elapsed from HyCoSy at conception. Results: Forty patients (22.2%) obtained spontaneous pregnancy within 6 months after HyCoSy. The mean of "conception time" was 75 days. The pregnancy rate was significantly higher in the first 30 days (45%) compared to other the months of observation (p<0.0005). Multiple linear regression analysis showed that maternal age and sterility duration proved independent variables in detecting the "conception time" after HyCoSy (t=3.742, p=0.001, t=2.371, p=0.02, respectively). Conclusion: A possible beneficial effect of HyCoSy is feasible especially in the days following its execution. This temporal correlation supports its therapeutic use.

• Toxicological Research
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• v.20 no.2
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• pp.131-136
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• 2004

3-Monochloro-1,2-propanediol(3-MCPD) is a toxic compound, often present in different foods containing acid hydrolyzed(AH) protein, like seasonings and savory food products. The purpose of the present study was to investigate the effects of 3-MCPD on male fertility, sperm and testosterone secretion. In vivo male fertility test was performed for observing the adverse effects of 3-MCPD on the function of male reproductive system and pregnancy outcome. 0.01, 0.05, 0.25, 1 and 5 mg/kg b.w. of 3-MCPD was given daily by gavage to groups of 15 adult male SD rats for 4 weeks. At the end of pre-treatment period, males were mated overnight with normal females. Following morning, males demonstrating successful induction of pregnancy were sacrificed on that day to assess sperm parameters and histopathology of reproductive organs. The resulting pregnant females were sacrificed on day 20 of gestation to evaluate pregnancy outcome. As a result, four-week paternal administration with 3-MCPD resulted in adverse effects on male fertility and pregnancy outcome without remarkable histopathological changes in testes and epididymides; sperm motility, copulation index and fertility index were markedly decreased in the treated group and numbers of live fetuses showed steep dose-response curves. Also, spermatogenesis was investigated in this experiment. However, no effect was observed on production of sperm in testes treated with 3-MCPD for 4 weeks. Hormone assay was performed for observing the effects of 3-MCPD on testosterone and luteinizing hormone (LH) in blood and testes of male SD rats and cultured primary Leydig cell. In result, significant changes of related hormones did not observed by treatment of 3-MCPD. These results indicated that paternal treatment with 3-MCPD induced spermatotoxic effect, which caused an antifertility on male.

• Clinical and Experimental Reproductive Medicine
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• v.43 no.2
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• pp.106-111
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• 2016

Objective: To study the clinical outcomes of single frozen-thawed blastocyst transfer cycles according to the hatching status of frozen-thawed blastocysts. Methods: Frozen-thawed blastocysts were divided into three groups according to their hatching status as follows: less-than-expanded blastocyst (${\leq}EdB$), hatching blastocyst (HgB), and hatched blastocyst (HdB). The female age and infertility factors of each group were evaluated. The quality of the single frozen-thawed blastocyst was also graded as grade A, tightly packed inner cell mass (ICM) and many cells organized in the trophectoderm epithelium (TE); grade B, several and loose ICM and TE; and grade C, very few ICM and a few cells in the TE. The clinical pregnancy and implantation rate were compared between each group. The data were analyzed by either t-test or chi-square analysis. Results: There were no statistically significant differences in average female ages, infertility factors, or the distribution of blastocyst grades A, B, and C in each group. There was no significant difference in the clinical pregnancy and implantation rate of each group according to their blastocyst grade. However, there was a significant difference in the clinical pregnancy and implantation rate between each group. In the HdB group, the clinical pregnancy and implantation rate were similar regardless of the blastocyst quality. Conclusion: There was an effect on the clinical outcomes depending on whether the blastocyst hatched during single frozen-thawed blastocyst transfer. When performing single frozen-thawed blastocyst transfer, the hatching status of the frozen-thawed blastocyst may be a more important parameter for clinical outcomes than the quality of the frozen-thawed blastocyst.

• The Journal of Korean Academic Society of Nursing Education
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• v.24 no.4
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• pp.463-477
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• 2018

Purpose: This study identifies correlations among information needs and knowledge about prenatal genetic screening and diagnosis (I-PGSD & K-PGSD), and attitude toward terminating pregnancy (ATP) among pregnant women in South Korea. Methods: A descriptive survey was conducted from January 2013 to April 2014 in South Korea. 222 pregnant women responded to three questionnaires developed by the authors. The questionnaire for I-PGSD consisted of 19 questions; 18 questions for K-PGSD; and 10 questions for ATP. Results: Mean scores were $80.46{\pm}11.73$ for I-PGSD; $14.86{\pm}3.74$ for K-PGSD; and $33.71{\pm}6.13$ for ATP. The ATP score was positively correlated with the I-PGSD and K-PGSD scores, but statistically significant with only I-PGSD (p=.006). I-PGSD scores were higher than average on three genetic syndromes (Down, Patau, and Edwards syndrome), on management after the diagnosis of positive fetal aneuploidy, and on test result interpretation after the amniocentesis and level II fetal ultrasonogram. Conclusions: In light of current legal and moral controversy regarding terminating pregnancy and rapidly advancing prenatal genetic testing technology, more prenatal genetic education for nurses and nursing students who teach pregnant women is needed. In addition, more professional counseling services provided by trained nurses are also required.