• Title/Summary/Keyword: breast self

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Development of an Exercise Program for Postmastectomy Patient (유방절제술 환자를 위한 운동프로그램 개발)

  • Lee, Ja-Hyung;Cho, Jae-Kyung;Oh, Ji-Na;Kim, Sung-Hee;Ahn, Hye-Im
    • Women's Health Nursing
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    • v.10 no.4
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    • pp.301-310
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    • 2004
  • Purpose: The purpose of this study was to develop an exercise program for postmastectomy patients. Method: This study was conducted from October, 2003 to June, 2004. The exercise program was developed based on literature review and needs assessment using focus group interviews. The subjects for the focus group interview consisted of 11 patients, 13 recovering patients, and 20 nurses from 3 hospitals. Development of the program was proceeded with analysusm design and development steps. Result: The results of the needs assessment using the focus group interview showed that the exercise program was imperative for postmastectomy patients. Based on the results, a home video tape containing 3 steps, was developed. Each step includes warming-up, stretching, the main exercise, and cool-down. Steps 2 and 3 include exercises with an elastic band, and an elastic ball. The program was modified after conducting a pre-test. A self-checklist including shoulder mobility, hand strength, arm volume and subjective comments on how they feel will be used before and after the exercise program. Conclusion: The exercise program will improve breast cancer patients' quality of life and their physical well-being. Further studies are recommended to test the effectiveness of the exercise program.

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A Validity Study for Linkage of Nursing diagnosis and Nursing Interventions Classification (NANDA간호진단과 간호중재분류(NIC)의 연계에 관한 타당성 연구)

  • Park, Sung-Ae;Park, Jung-Ho;Jung, Myun-Suk;Joo, Mi-Kyoung;Kim, Bog-Ja;Lee, Eun-Suk;Park, Sung-Hee;Yoo, Mi
    • Journal of Korean Academy of Nursing Administration
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    • v.7 no.2
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    • pp.315-347
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    • 2001
  • The purpose of this study was to validate the linkage of nursing diagnosis(NANDA) and Nursing Interventions Classification(NIC) for implementing the Nursing Diagnosis and Nursing interventions in Korea. 36 nurse experts with over the bacculate degree and over 15 years experiences working in tertiary hospitals participated in this study. 5 point Likert scales on each NIC linked 136 NANDA diagnoses were adopted. The results were as follows: 1. In a validity of linkage of nursing diagnosis and nursing interventions classification, the highest score is in 'Chronic low self esteem'(4.66), the lowest score is in 'sensory/Perceptual alterations; Auditory'(3.34) and the average validity score of the total items is 4.27. 2. There was significant differences by educational level and experience in validity score. 3. The nurses who have master degree have higher score than bachelor degree in the diagnoses; 'fatigue', 'health seeking behaviors', 'nutrition: potential for more than body requirements, altered', 'powerlessness'. 4. The nurses with experience over 20 years have higher validity score than less 15 years in 'breast-feeding, effective'. In conclusion, this research indicates that the linkage of NANDA diagnoses and NIC with high validity score can be applied to nursing practice in Korea. And further studies of nursing intervention are needed in Korean culture.

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Cancer stem cell theory and update in oral squamous cell carcinoma (구강 편평세포암종에서의 암줄기세포 이론과 최신 지견)

  • Kim, Deok-Hun;Yun, Jun-Yong;Lee, Ju-Hyun;Kim, Soung-Min;Myoung, Hoon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.37 no.2
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    • pp.97-108
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    • 2011
  • Cancer stem cells have stem cell-like features, such as the ability for self-renewal and differentiation but show unlimited growth because they have the lost normal regulation of cell growth. Cancer stem cells and normal stem cells have similar features. They show high motility, diversity of progeny, robust proliferative potential, association with blood vessels, immature expression profiles, nestin expression, epidermal growth factor (EGF)-receptor expression, phosphatase and tensin homolog (PTEN) expression, hedgehog pathway activity, telomerase activity, and Wnt pathway activity. On the other hand, with cancer cells, some of these signaling pathways are abnormally modified. In 1875, Cohnheim suggested the concept of cancer stem cells. Recently, evidence for the existence of cancer stem cells was identified. In 1994, the cancer stem cells' specific cell surface marker for leukemia was identified. Since then, other specific cell surface markers for cancer stem cells in solid tumors (e.g. breast and colon cancer) have been identified. In oral cancer, studies on cancer stem cells have been performed mainly with squamous cell carcinomas. Oral cancer specific cell surface markers, which are genes strongly expressed in oral cancer and cancer stem cell specific side populations, have been identified. Cancer stem cells are resistant to radiotherapy and chemotherapy. Therefore, to eliminate malignant tumors efficiently and reduce the recurrence rate, therapy targeting cancer stem cells needs to be performed. Currently, studies targeting the cancer stem cells' specific signaling pathways, telomerase and tumor vasculatures are being done.

A Case of Drug Induced Interstitial Pneumonitis by Gemcitabine (Gemcitabine에 의한 약물 유발성 간질성 폐렴 1예)

  • Lee, Sung Soon;Ham, Cho Rom;Chin, Jae-Yong;Lee, Hye Ran;Kim, Su Young;Kim, Mi-young;Lee, Hyun-Kyung;Lee, Hyuk Pyo;Yum, Ho-Kee;Choi, Soo Jeon
    • Tuberculosis and Respiratory Diseases
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    • v.56 no.3
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    • pp.315-320
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    • 2004
  • Gemcitabine is an effective newly developed chemotherapeutic agent, which is increasingly being used to treat non-small cell lung, ovarian and breast cancers. Pulmonary toxicity is usually self-limiting mild dyspnea, bronchospasm, but severe pulmonary toxicity is rarely reported. Herein, we report drug induced interstitial lung disease associated with gemcitabine treatment. High resolution computerized tomogram (HRCT) showed an increased ground glass opacity and thickened septal lines. The patient showed a rapid good response with prednisolone treatment.

Factors Affecting the Frequency of Breast self-examination in Korean Immigrant Middle-aged Women in the U.S. (미국 이민 한국 중년 여성의 유방자가검진 빈도에 영향을 미치는 요인)

  • Choi, Yeon-Hee
    • Research in Community and Public Health Nursing
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    • v.11 no.2
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    • pp.606-612
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    • 2000
  • 본 연구의 목적은 유방자가검진(BSE)의 지식정도, 훈련도, 숙련도 및 빈도와의 관계를 파악하고, BSE 빈도를 가장 잘 예측하는 변수를 결정하기 위함이다. 연구대상자는 미국에 이민 온 40세-60세 사이의 중년 여성 58명으로 와싱톤주의 시애틀과 타코마 지역에 거주하고 있었다. 연구도구는 미국암협회의 BSE 안내책자를 기초로 하여 개발하였다. 자료는 자가보고형 질문지를 이용하여 한국교회 4곳으로부터 연구의 취지를 설명하고 연구대상자들의 연구동의를 얻은 후 우편으로 질문지를 회수하였다. 자료수집 기간은 2000년 3월 6일부터 2000년 5월13일이었으며. 질문지 회수율은 77%이었다. 수집된 자료는 SPSS를 이용하여 Frequency, Percentage, Pearson correlation, Regression analysis로 분석하였다. 연구 결과는 주요 변수사이의 관련성에서 그 이전연구 결과와 대개 일치하였다. 대상자의 BSE 빈도는 년간 10회-12회 실행이 21.08%이였고, 전혀 실행하지 않는 정도가 4.80%를 차지했다. BSE 빈도와 관련변수와의 상관관계에서 나이는 BSE 빈도와 역상관 관계(r=-.289, p=.038)를 나타냈고, BSE 훈련에 대한 지도(r=0521, p=.000). BSE 지식에 대한 기술(r=.573, p=.000) 및 BSE 숙련도(R=.694 P=.000)는 BSE 빈도와 정상관 관계를 보였다. 회귀분석 결과는 BSE 빈도의 가장 유의한 예측변수로서 BSE 지식에 대한 기술(beta=.5813. p=.003)로 지지되었다. 이 연구의 의의는 지역사회간호사가 이민 온 한국 중년여성들의 BSE실행에 대한 이해를 높임으로 유방암의 조기발견에 대한 예방적 행위를 증진시키는 데 유용한 기초 자료로 제공될 것이다.

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A Survey on Cancer Screening Among Nurses at General Hospital in Busan (일 지역 종합병원 간호사의 암 조기검진 수검실태에 관한 조사연구)

  • Ju, Hyun-Ok;Kim, Ju-Sung;Cho, Young-Sook;Park, Nam-Hee;Eo, Yong-Sook;Cho, Young-Ran;Jeong, Ihn-Sook
    • 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.

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Use of Weight-control or Health Functional Foods, Associated Weight-control Behavior and Perception among University Students in Cheongju (청주지역 일부 대학생의 체중조절 식품 및 건강기능식품 사용 실태와 관련 인식 연구)

  • Kim, Gayong;Pae, Munkyong
    • Korean Journal of Community Nutrition
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    • v.26 no.1
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    • pp.23-36
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    • 2021
  • Objectives: This study sought to assess the prevalence and duration of weight-control or health functional food use, associated weight-control behavior, perception, and knowledge among university students. Methods: The subjects were 442 university students in Cheonju, Korea, and data was collected by a self-administered questionnaire. Both χ2 and t-tests were conducted for categorical and mean comparisons. Results: An estimated 62.7% (female 69.0%, male 54.8%) had ever attempted weight-control. Among these, an estimated 59.2% of females and 38.9% of males had used weight-control or health functional foods with significant gender difference. The weight-control foods commonly used included chicken breast, protein powder, low-fat milk and soymilk, and meal replacement drinks, while garcinia cambogia extract and green tea extract were frequently used as health functional foods. One of 10 (10.3%) consumers of weight-control foods reported ≥ 7 months use, with less frequent long-term consumption of health functional foods (4.2%). The average degree of satisfaction was 3.24 ± 0.92 for weight-control foods and 2.72 ± 0.97 for health functional foods on a 5-point scale, meaning 'slightly satisfied' and 'slightly dissatisfied', respectively. Females or students with an experience of weight-control reported poorer perceptions of their health and body image as well as a higher need for weight control. Besides, both male and female subjects felt a high need for correct information regarding weight-control methods. Conclusions: Our results provide a better understanding of the characteristics associated with the use of weight-control or health functional foods among university students and will be useful in developing a nutrition education program by incorporating correct body image, knowledge, and practical yet desirable practices for weight control.

Effect of Cordyceps ochraceostromat, Silkworm Cocoon, and Conjugated Linoleic Acid (CLA) on the Quality Characteristics of Pork Sausage Manufactured with Protein Recovered from Breast of Spent Laying Hen (폐계가슴살 회수단백질을 활용한 돈육소시지의 품질 특성에 영향하는 동충하초, 누에고치 및 Conjugated Linoleic Acid (CLA) 첨가 효과)

  • Jin, Sang-Keun;Kim, Il-Suk;Kang, Suk-Nam;Choi, Seung-Yun;Hur, In-Chul;Lee, Jung-Guen;Yang, Han-Sul
    • Journal of Animal Science and Technology
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    • v.52 no.2
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    • pp.131-140
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    • 2010
  • This study was conducted to investigate the effects of Cordyceps ochraceostromat, silkworm cocoon, and conjugated linoleic acid (CLA) on the quality and storage properties of pork sausage manufactured with protein recovered from breast of spent laying hen during 4 wks of storage at $4^{\circ}C$. Pork sausages were prepared using 100% ham (control) and 40% recovered protein from breast of spent laying hen to replace pork (T1), and with added different sources to final concentrations of 0.1% Cordyceps ochraceostromat powder (T2), 0.1% silkworm cocoon powder (T3), 0.1% CLA (T4), 0.05% Cordyceps ochraceostromat + 0.05% silkworm cocoon (T5), 0.05% Cordyceps ochraceostromat + 0.05% CLA (T6), and 0.05% silkworm cocoon + 0.05% CLA (T7). The treatments T5 and T7 had higher (p<0.05) protein content than control, but control had lower fat content than other samples during 4 wks of storage at $4^{\circ}C$. Lightness was significantly lower in the treatment samples than control. However, there was no significant difference in water holding capacity between the sausage samples, whereas, cohesiveness and chewiness were significantly higher (p<0.05) in the control than other treatments. All sausage samples showed a significant increase in volatile basic nitrogen (VBN) and total plate counts with extending storage time (p<0.05), and VBN values of treatments were lower than the control. However, the treatment samples showed a significant decrease (p<0.05) in thiobarbituric acid reactive substances over the increasing storage time. Therefore, our results suggested that the 40% recovered protein to replace pork and with added different sources decreased lipid oxidation and protein denaturation of pork sausages, thereby enhancing self-life, compared to normal pork sausage (control).

Effect of Different Packaging Methods on the Quality and Storage Characteristics of Domestic Broiler Breast Meat during Cold Storage (포장 방법의 차이가 냉장 저장 중 국내산 닭가슴육의 품질 및 저장 특성에 미치는 영향)

  • Yang, H.S.;Jeong, J.Y.;Choi, Y.H.;Joo, S.T.;Park, G.B.
    • Korean Journal of Poultry Science
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    • v.36 no.1
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    • pp.69-75
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    • 2009
  • The effects of different packaging methods such as aerobic, vacuum, and wrap packaging, on quality characteristics of fresh chicken breast meat during cold storage were investigated. The results show that crude fat content in aerobic packaging method was significantly (P<0.05) higher compared to the others, whereas moisture, protein and ash contents were not significantly different. pH in wrap packaging was increased with storage time and reached the highest values at 10 days. Both lightness and redness of the meat were increased with storage time, but lightness was significantly (P<0.05) higher in wrap packaging than in the others. Thiobarbituric acid (TBA) and volatile basic nitrogen (VBN) values were increased in all treatments at 10 days. VBN at 5 days were over 20 mg%, and TBA values at 10 days were between 0.82~1.05 mg malondialdehyde/kg meat. TBA showed significantly (P<0.05) lower in vacuum packaging compared to the other methods. Therefore, our results suggested that vacuum packaging decreases lipid oxidation of chicken breast meat, thereby enhancing the shelf life, compared to aerobic and wrap packaging methods.

A Comparative Study on the Level of Postpartum Women's Fatigue between Rooming-in and Non Rooming-in Groups (모자동실군과 모자별실군 질식분만 산모의 피로도 비교)

  • Song, Ju-Eun
    • Women's Health Nursing
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    • v.7 no.3
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    • pp.241-255
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    • 2001
  • This is a cross-sectional descriptive study which compares the level of postpartum women's physical, phychological, neurosensory fatigue between rooming-in and non rooming-in groups. The data were collected by using self-report questionnaire from April 1 to May 31, 2001. Subjects were 68 mothers who opted the rooming-in choice and 98 mothers who did not choose the rooming-in at one hospital in Seoul, Korea. They all had NSVD. The research questionnaire consisted of 36 items on general chracteristics and 30 items on postpartum fatigue developed by Pugh (1993). The data were analyzed by using the SPSS 10.0 window program. The results of this study were as follow: 1. There was significant statistical difference in general characteristics between rooming-in and non rooming-in groups in prenatal class attendance ($x^2$=3.935, p=0.047), maternal fetal attachment score (t=2.130, p=0.035), husband attendance during the labor and delivery ($x^2$=9.147, p=0.002), breast feeding ($x^2$=12.503, p=0.000), and self feeding time including bottle feeding (t=4.588, p=0.000). 2. There was no significant statistical difference in the level of total fatigue score between two groups (t=0.282, p=0.780). 3. The physical and neurosensory fatigue scores were slightly higher in rooming-in group ($21.63{\pm}4.92$, $18.53{\pm}4.60$) than those ($20.71{\pm}5.78$, $18.23{\pm}5.39$) of non rooming-in group. And the phychological fatigue score was slightly higher in non rooming-in group ($17.67{\pm}4.95$) than that ($17.04{\pm}4.63$) of rooming-in group. However, there was no significant statistical difference in the level of three sub-dimension fatigue between two groups (t=1.068, p=0.287; t=-0.827, p=0.410; t=0.368, p=0.714). 4. Even after controlling characteristics showed significant differences between two groups, there was no significant statistical difference in the level of fatigue between two groups (F=0.135, p=0.714). According to this study, there was no significant statistical difference in the level of postpartum fatigue whether they were rooming-in or not. Based on this result, the common notion of rooming-in mothers will be more fatigue than non rooming-in mothers is proved to be false. However, it is necessary to develop appropriate nursing interventions to meet the need of mothers who decide to rooming-in.

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