• Asian Pacific Journal of Cancer Prevention
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• v.14 no.7
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• pp.4373-4377
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• 2013

Background: The majority of cervical cancers, the most prevalent cancer among Nepali women, are diagnosed in advanced stage leading to high mortality in Nepal. The present study explored factors associated with late diagnosis. Materials and Methods: A cross-sectional study was carried out in two specialized cancer hospitals of Nepal from August 12 to October 12, 2012. Randomly selected 110 cervical cancer patients were interviewed and their medical records were reviewed. Multivariate logistic regression analysis was performed to predict associations. Results: Mean age of patients was 52.7years (SD=10.6), 66% were illiterate and 77% were rural inhabitants. Medical shops (33.6%) and private hospitals (31%) were major first contact points of patients with health care providers (HCP). There was no cervical/per-speculum examination (78.2%) and symptoms misinterpretation (90%) of patients occurred in initial consultation with HCP. Four in every five cases (80.9%) of cervical cancer had late diagnosis. Literate women (adjusted OR=0.121, CI: 0.030-0.482) and women having abnormal vaginal bleeding as early symptom (adjusted OR=0.160, CI: 0.035-0.741) were less likely to suffer late diagnosis. Women who shared their symptoms late (adjusted OR=4.272, CI: 1.110-16.440) and did so with people other than their husband (adjusted OR=12.701, CI: 1.132-142.55) were more likely for late diagnosis. Conclusions: High level of illiteracy among women and their problematic health seeking behavior for gynecological symptoms are responsible for late diagnosis of cervical cancer in Nepal. In the absence of a routine screening program, prevention interventions should be focused on raising awareness of gynecological symptoms and improving health seeking behavior of women for such symptoms.

• Childhood Kidney Diseases
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• v.20 no.2
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• pp.69-73
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• 2016

Purpose: The aim of this study was to compare the clinical and laboratory features of infants with roseola infantum due to human herpesvirus 6 (HHV6) infection and those with urinary tract infection (UTI). Methods: We retrospectively reviewed the medical records of children who were hospitalized at Cheil General Hospital and Women's Health Care Center, College of Medicine, Dankook University, and diagnosed as having HHV6 infection or UTI. Results: Among the infants admitted between September 2014 and May 2016, 92 (male, 45 and female, 47) were included in the study and divided into a HHV6 infection group (n=50) and a UTI group (n=42). The relative risk of UTI compared with that of HHV6 infection increased with pyuria (P<0.001), increased with leukocytosis (mean white blood cell [WBC] count, $15,048{\pm}5,756/mm^3$ vs $87,916{\pm}54,056/mm^3$; P<0.001), increased with C-reactive protein (CRP) level ($4.89{\pm}4.85 mg/dL$ vs $1.04{\pm}1.76mg/dL$; P<0.001), and younger age ($6.3{\pm}3.2months$ vs $18.3{\pm}12.6months$; P<0.001). The relative risk of HHV6 infection compared with that of UTI increased with fever duration ($4.3{\pm}1.7days$ vs $2.8{\pm}1.7days$; P<0.001) and decreased with platelet (PLT) count ($373{\pm}94{\times}10^3/mm^3$ vs $229{\pm}90{\times}10^3/mm^3$; P<0.001). No significant differences were found between the HHV6 groups according to the presence or absence of pyuria. Conclusion: Pyuria, age, fever duration, WBC count, CRP level, and PLT count were the differentiating factors of HHV6 infection from UTI. However, sterile pyuria can occur in children with HHV6 infection. In the presence of pyuria, CRP level and PLT count were the strong predictors of UTI compared with HHV6.

• Journal of agricultural medicine and community health
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• v.19 no.2
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• pp.97-106
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• 1994

In order to estimate the utilization pattern of a rural health subcenter, and to identify the recognition for it among the inhabitants in Kogsung district, a questionnaire survey was carried out for objects of 708 population. The results observed were as follows; 1. The annual utilization rate of a rural health subcenter for a basic health service unit was 27.5 per 100 persons, and annual mean visiting times was 1.43 times. 2. The most frequent disease by, annual health subcenter utilization illness was respiratory disease(26.5%), and the next was musculoskeletal disease(23.9%), gastrointestinal disease(15.9%) by order. 3. Favorite reasons for community health subcenter utilization were lower medical cost(23.4%), near distance from living place(20.7%) and lower disease severity(19.5%) by order. But disfavorite reasons for it were non effective treatment(26.2%), insufficient equipment(25.4%) and absence of specialist(17.4%) by order. 4. Insufficient items about community health subcenter utilization were restriction of treatment limit(47.1%), lower reliance(22.4%) and not punctral(21.8%) by order. 5. The results of logistic regression analysis suggested that statistically significant factors in health subcenter utilization were age, educational level and the nearest medical facility class. 6. There was no difference between recognition for a community health subcenter's work and actual utilizing service, and desirable works for it were disease preventing service, disease control of elderly and sanitation control by order. These results suggested that to increase the utilization of rural health subcenter and to promote the accessibility of rural residents to primary health care, there must be considered public relation about health subcenter, expansion of health equipment and recognition about access time.

• Korean Journal of Family Social Work
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• no.60
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• pp.31-71
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• 2018

This study focused on analysis of experience for adults' reunion with original family members who had lived in child care facilities during the childhood and adolescence. It was researched based on the grounded theory from nineteen participants have interacted with their own separated family members for more than ten years after had been reunited with them. As written in the result section of the study using the paradigm model analysis showed that it was caused by feel regret by reunion, absence of belonging and repeated abandoned wound. The contextual condition appeared as sensitive memories as wounded and frustration of compensation mentality. The centralization phenomenon came in a whirlpool of emotion. The intervention condition appeared as recognition of filial piety, support system for parents and healing their parents mind. The action-interaction showed up as revenge with good will, setting own boding free, inspire of own pride, family reconciliation. The consequence appeared as family sublimation, successful execution of life task and getting living foundation. This research made practical and political proposals based on above result and described the limitations of the study and the proposals for the latter study.

• Journal of Creative Information Culture
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• v.5 no.3
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• pp.319-328
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• 2019

This study aims to deeply understand the possible difficulties faced by a single-parent family raising a gifted child, based on the case of an Information Science gifted child raised under a single-parent family. For this purpose, there had been three interviews with the single mother who raises an elementary school gifted child on her own. As a result, it was discovered that a single mother raising an Information Science gifted child faces three difficulties that are the lack of educational support due to financial problems, deficiency in the absence of father, and facing social prejudice against a single-parent family. These three problems were similar to those faced by a single-parent raising an ordinary child, but there were slight differences due to the unique characteristics of an Information Science gifted child. Additionally, through the mentoring with the researcher, it was identified that in order to help these families, they need to be given personalized support for their specific defects.

• Clinical and Experimental Pediatrics
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• v.63 no.12
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• pp.454-462
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• 2020

The Committee on Dyslipidemia of Korean Pediatric and Adolescents of the Korean Society of Pediatric Endocrinology has newly developed evidence-based clinical practice guidelines for dyslipidemia in Korean children and adolescents. These guidelines were formulated with the Grading of Recommendations, which include both the strength of recommendations and the quality of evidence. In the absence of sufficient evidence, conclusions were based on expert opinion. These guidelines are based on the 2011 National Heart, Lung, and Blood Institute Guidelines, which focus on the prevention of cardiovascular disease in children and draw from a comprehensive review of evidence. These guidelines contain the definition of and screening process for dyslipidemia and introduce new dietary methods: the Cardiovascular Health Integrated Lifestyle Diet (CHILD)-1, the CHILD-2-low-density lipoprotein cholesterol, and the CHILD-2-triglyceride. Potential drug therapies for dyslipidemia along with their main effects and doses were also included.

• Journal of Physiology & Pathology in Korean Medicine
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• v.29 no.3
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• pp.256-266
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• 2015

Apparently, in the field of Traditional Korean Medicine(TKM), lots of papers have been published and they have helped TKM grow quantitatively. But from the inside, there has been a lot of problems like the gap of theory and practice, doubts about necessity of basic theory, and lack of internal communication. There could be many reasons for it, but it could be considered due to the lack of ideal talent that should be goal of teaching and performing TKM. In the field of TKM, the absence of ideal talent of Korean medical doctors(KMD) and inferior social position of KMD than Medical Doctors(MD) has beeb derived from the laws promulgated in Japanese Occupation. These days, KMD should have ability for diagnosis of diseases as primary care and capability for diagnosis and treatment based on TKM theory, therefore careful study of basic theory of TKM is necessary.

• Journal of Veterinary Clinics
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• v.40 no.5
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• pp.360-364
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• 2023

A 7-year-old castrated male Yorkshire Terrier presented for a palpable mass of the right neck with ophthalmic signs of conjunctival hyperemia and anisocoria with fixed mydriatic pupil of the right eye. Clinical examination findings included the absence of direct and consensual pupillary light reflexes, external and internal ophthalmoplegia, and corneal hypoesthesia with incomplete blinking of the right eye. Magnetic resonance imaging and computed tomography revealed a mass extending from the right cavernous sinus to the orbital fissure with neighboring bone lysis. Cytological examination of fine-needle aspiration samples of the mass revealed a neuroendocrine tumor. The owner declined further diagnosis and did not wish to care for the dog receiving chemotherapy. This study describes the importance of investigating neuro-ophthalmic findings, which might provide clues for the localization of lesions, including tumors, to aid in diagnosis.

• Korean Journal of Childcare and Education
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• v.12 no.4
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• pp.41-69
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• 2016

The purpose of this study is to promote the use of cultural facilities of North Korean refugee mothers with young children by finding out their past experience of cultural facility use. The subjects of this study were 183 North Korean refugee mothers with young children and a total of four research participants. A survey and in-depth interviews were used to draw reliable research results. The research results are as follows: First, as to uses of cultural facilities, North Korean refugee mothers with young children got information about cultural facilities through the Internet community such as Internet cafes and blogs. Their considerations for using cultural facilities were diversity of activity programs and subdivision of performances and arts activities. Over 50% of mothers responded that cultural facilities were needed to enhance the creativity of their children. Second, concerning difficulties of cultural facility use, the most difficulty was high costs, and the second most difficulty was absence of cultural facilities nearby their residence. Third, as to the needs of cultural facility use, a children's library was needed the most for children's development. They responded that the most necessary policy for cultural facility use was to increase cultural vouchers for low-income households and to expand recipients of these vouchers.

• Journal of Korean Academy of Nursing
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• v.44 no.1
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• pp.1-12
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• 2014

Purpose: This study was done to explore and understand acculturation focusing on reproductive health of immigrant women. Methods: For the research sixteen immigrant women were selected by snowball sampling. Qualitative data were accumulated by in-depth interviews and private document collection. Raw data was analyzed following Mandelbaum's conceptual framework. Results: The dimensions of immigrant women consisted of existence: emerging from the new environment in which it was hard to communicate and to get acquainted with others, reproduction: in the absence of learning and experience, reproductive health crisis, parenting: unmanageable burden. Turnings of life involved 'Inconvenience in one's eyes, vent for conflict and tension: pregnancy', 'strange medical care: accoucheur, rapid medical service', 'pain of morning sickness: poor maternal nutrition', 'manifestation of protective instinct for life'. In adaptations, content was as follows. 1) Standing alone as a Korean housewife, 2) Becoming aware of Korean maternal instinct: thirst for education supporting, 3) Rediscovery of family: growing maternal sense of existence. Conclusion: The results of this study show the acculturation process and the meaning of events related to reproductive health in current lives and can contribute to an integrated understanding of married immigrant women in Korean culture.