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The Association Between Long Working Hours and Infertility

  • Ahn, Joonho;Lee, Sang Ha;Park, Min Young;Oh, Soo Hyun;Lee, Wanhyung
    • Safety and Health at Work
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    • v.12 no.4
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    • pp.517-521
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    • 2021
  • Background: This study aimed to investigate whether working long hours was related to infertility among female Korean workers, while taking age into consideration. Methods: We used data from the 2018 National Survey on Fertility and Family Health and Welfare in Korea that is a cross-sectional, nationally representative, and population-based survey. Infertility was defined as women who were not pregnant after regular unprotected intercourse for a year. Working long hours was classified as ≥52 hours, and subgroups as per age were classified on the basis of being younger or older than 40 years of age. Differences in infertility risk between the long working hour group and none were estimated in crude and fully adjusted logistic regression models with age-group stratification. Results: Of 5,909 Korean female workers, the crude and adjusted odds ratios (95% confidence intervals) of infertility for working long hours were 1.295 (0.948-1.737) and 1.303 (0.921-1.809), respectively. In the subgroup of patients below 40 years of age, the crude and adjusted odds ratios (95% confidence interval) were 1.957 (1.216-3.039) and 1.921 (1.144-3.120), whereas those aged 40 years or older had 0.994 (0.647-1.471) and 0.939 (0.560-1.501), respectively. The weighted prevalence of infertility increased as weekly working hours increased only for the younger than 40-year subgroup. Conclusions: Infertility is associated with working long hours, especially in young-aged workers. Thus, the working schedule must be structured to better suit young female workers.

Clinical Trial to Evaluate the Hot Flush Relief Efficacy and Safety of Yiseontang-gami in Climacteric Women with Hot Flushes (갱년기 여성의 안면홍조에 대한 이선탕가미방(二仙湯加味方)의 증상 완화 효과 및 안전성 평가를 위한 임상연구)

  • Jung, Su-Kyoung;Kim, Dong-Il
    • Journal of Oriental Medical Thermology
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    • v.7 no.1
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    • pp.1-13
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    • 2009
  • Purpose: To evaluate the hot flush relief efficacy of Yiseontang-gami in climacteric women with hot flushes, a vasomotor symptom. Methods: The 20 subjects who signing on the clinical trial written consent by self-will is registered this clinical trial after decided suitable by selection and exception standard, after take a medical experiment and checkup according to clinical trial plan. Registered subject should valuated by settled schedule after take the testing medicine(Yiseontang-gami)during thirty-day. The evaluating indexes of this trial are hot flush VAS, hot flush frequency, hot flush consistence time, sweating VAS, palpitation VAS, sleep disturbance VAS, MRS, MENQOL, PGA. Results: The results were as follows 1. 4 subjects dropped out of the clinical trial and 16 subjects completed it. 2. After Yiseontang-gami treatment, hot flush VAS, hot flush frequent, sweating VAS, Palpitation VAS, sleep disturbance VAS improved significantly. 3. After Yiseontang-gami treatment, hot flush consistence time was not improved significantly. 4. After Yiseontang-gami treatment, blood test value were not different significantly. Conclusion: In this clinical trial we consider that Yiseontang-gami is suitable treatment for the hot flushes and related symptoms.

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A Retrospective Study on the Yeosu-si Postpartum Health Care Support Project and New Policy Support to Encourage Childbirth (여수시 산후건강관리지원사업과 출산장려 신규정책지원에 대한 후향적 연구)

  • Seung-Jeong Yang;Young-Tae Kim;Su-Kyung Kim;Seong-Hee Cho
    • The Journal of Korean Obstetrics and Gynecology
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    • v.37 no.1
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    • pp.89-103
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    • 2024
  • Objectives: This study analyzed an online survey targeting women and Korean medicine doctors who participated in the Yeosu City Postpartum Health Center Support Project. Through this, we would like to discuss the direction of support for postpartum health care support projects and new policies to encourage childbirth. Methods: In this study, we examined the results of an online survey from 73 women and 29 Korean medicine doctors. We examined 39 items, including basic information, childbirth-related items, Korean medicine treatment-related items, business satisfaction, and policies, answered by 73 women and 29 Korean medicine doctors who responded to the online survey. Results: The average age of women was 33.62±4.19 years, and the average age of Korean medicine doctors was 49.82±8.60 years. Musculoskeletal pain appeared most commonly in both maternal and Korean medicine doctors' online surveys. The visit date from the date of delivery was 36.87±27.06 days. Gungguijohyeol-um and Boheo-tang were widely used. The survey score of women whose main symptoms improved after taking herbal medicine was 3.04±1.15 points, and the survey score of Korean medical doctors was 4.13±0.74 points. The positive response to the policy was 73.7% for satisfaction with the overall policy to encourage childbirth, 54.8% for perceived support, and 65.7% for reduction of economic burden. Conclusions: Women who participated in the postpartum health care support project and received Korean medicine treatment and Korean medicine doctors who performed Korean medicine treatment were very satisfied. The most frequent postpartum symptom was musculoskeletal pain. The degree of improvement in main symptoms after taking herbal medicine was higher among Korean medicine doctors than among women. Among childbirth policies, the areas that should be prioritized are childbirth support projects and postpartum care projects.

Analysis of Nursing Interventions Performed by Gynecological Nursing Unit Nurses Using the Nursing Interventions Classification (간호중재분류 (NIC)에 근거한 부인과 간호단위의 간호중재 분석)

  • Hong, Sung-Jung;Lee, Sung-Hee;Kim, Hwa-Sun
    • Women's Health Nursing
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    • v.17 no.3
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    • pp.275-284
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    • 2011
  • Purpose: The purpose of this study was to identify nursing intervention performed by nurses on gynecological nursing units. Methods: The instrument in this study is based on the fifth edition of Nursing Interventions Classification (NIC) (2008). Data was collected by Electronic Medical record from August, 2010 to October, 2010 at one hospital and analyzed by using frequencies in the Microsoft Excel 2010 program. Results: Of a total of 82 NIC, domains of the nursing interventions showed higher percentages for physiological: basic (36.3%) and physiological: complex (34.5%). The classes of nursing interventions showed higher percentage for health system medication (12.1%), perioperative care (10.0%), and drug management (8.6%). The most frequently used top interventions were Discharge Planning. The thirty least used interventions was environmental management. Top thirty most frequently used interventions belonged to the domain of physiological: basic (37.9%), physiological: complex (31.1%), and behavioral (5.4%). Conclusion: These findings will help in the establishment of a standardized language for gynecological nursing units and enhance the quality of nursing care.

Human Papillomavirus Prevalence and Distribution according to Age among Korean and Chinese Women (중국과 한국여성에서 나이에 따른 인유두종바이러스의 유병률과 분포)

  • Kim, Geehyuk;Kim, Sunghyun;Park, Sunyoung;Park, Sangjung;Lin, Han;Ren, Yubo;Li, Yingxue;Lee, In Soo;Lee, Jae Dal;Lee, Dongsup
    • Korean Journal of Clinical Laboratory Science
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    • v.47 no.4
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    • pp.259-266
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    • 2015
  • Cervical cancer is the third most common cancer among women worldwide. Cervical cancer is significantly associated with human papillomavirus (HPV) infection. The prevalence of HPV infection is influenced by geography, immune status, sexual history and genetic factors. For example, geographically, HPV prevalence varies from 1.5% to 39%. However, little is known about the relationship between HPV prevalence and age. An analysis of HPV prevalence by age will help determine when high-risk groups are exposed to HPV. Such an analysis could also demonstrate a correlation between specific HPV genotypes and age. In addition, the analysis might clarify the optimum age for using vaccines. In this study, HPV prevalence and genotype distribution among Korean and Chinese women are analyzed by age. The REBA HPV-ID$^{(R)}$ assay (YD diagnostics, Yong-in, Republic of Korea) was used for detecting HPV genotypes in uterine cervical liquid-based cytology samples from 533 women from Korea and 324 from East China (Western Shandong province. Women with severe dysplasia such as SCC (Squamous cell carcinoma) and HSIL (High-grade squamous intraepithelial lesion) groups were primarily in their 40s and 50s, whereas women with mild and moderate dysplasia (ASCUS and LSIL groups) were primarily in their 30s and 40s. Women with HPV genotype 16 and 18 infections were primarily in their 40s. The results suggest that HPV infection is associated with certain age groups in the Korean population.

Relationship Analysis of Osteoporosis and Body Mass Index(BMI) in the Middle-Aged Women (중년여성 골다공증과 체질량지수와의 관계 분석)

  • Lim, Jong-Duek;Jung, Jae-Eun;Park, Cheol-Woo;Dong, Kyung-Rae;Kim, Ho-Sung;Kim, Sun-Geun
    • Journal of the Korean Society of Radiology
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    • v.5 no.6
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    • pp.363-367
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    • 2011
  • Generally, the osteoporosis of a middle-aged women have been reported that was a high risk in underweight, but the obese women have feasible osteoporosis. Therefor, the subjects were 120 middle-aged women that were diagnosed with osteoporosis in the bone mineral densitometer (BMD), this study was done for the purpose of analyzing the relationship between osteoporosis and body mass index (BMI) of the middle-aged women. We were determined BMI which was less than 18.5 underweight, 18.5 to 22.9 normal, 23.0 to 24.9 overweight, 25.0 to 29.9 obesity and extremely obesity were more than 30. When we examined the BMI distribution of the subjects, it was 2 women (1.7%) for underweight, 18 women (15.0%) for normal, 19 women (15.8%) for overweight, 75 women (62.5%) for obesity and 6 women (5.0%) for extremely obesity. Also, the relationship between osteoporosis and BMI of the subjects, it was the osteoporosis in 13 cases out of 18 (72.2%) with normal, in 14 case out of 19 (73.7%) with overweight, in 63 case out of 75 (84%) with obesity, in 5 case out of 6 (83.3%) with extremely obesity, besides, the osteoporosis usually marks the highest in a BMI with obesity. In conclusion, the result of analyzing the relationship between osteoporosis and BMI, we found out that the osteoporosis of the middle-aged women was high risk with obesity, and that was mostly higher the osteopenia rather than osteoporosis.

Effects of Aroma Hand Massage On Sleep, Depression and Quality of Life in the Institutionalized Elderly Women (아로마 손 마사지가 시설노인 여성의 수면, 우울 및 삶의 질에 미치는 효과)

  • Seo, Soon-Yi;Chang, So-Young
    • Women's Health Nursing
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    • v.15 no.4
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    • pp.372-380
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    • 2009
  • Purpose: The purpose of this study was to examine the effects of aroma hand massage on Sleep, depression and quality of life in the institutionalized elderly women. Methods: This study was a nonequivalent control group pretest-posttest design. The data was collected from June 23 to August 10 of 2009. Fifty - Six elderly women were divided into two groups, 27 institutionalized elderly women for the experimental group and 29 institutionalized elderly women for the control group. As for experimental treatment, the experimental group went through aroma hand massage with blended oil-a mixture of Lavender, Bergamot, Chamomile Roman in the ratio of 1 : 1 : 1, which was diluted 2.0% with jojoba carrier oil 20mL-on each hand for 5 minutes, three times a week during two weeks. Control group went non-treatment. Results: The aroma hand massage experimental group showed more significant differences in the charge of sleep score (t=3.83, p=.00) and depression (t=-3.54, p=.00). Conclusion: Aroma hand massage had a positive effect on sleep and depression in Institutionalized elderly women.

Survey on the undergraduate curriculum in clinical pharmacology and interns' prescribing ability in South Korea

  • Gu, Namyi;Kim, Kyong-Jee;Lim, Chi-Yeon;Lee, Jun Kyu;Rhee, Moo-Yong;Shin, Kwang-Hee;Lee, Seung-Hwan;Ahn, Sangzin
    • Translational and Clinical Pharmacology
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    • v.26 no.3
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    • pp.128-133
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    • 2018
  • Appropriate prescription writing is one of the critical medical processes affecting the quality of public health care. However, this is a complex task for newly qualified intern doctors because of its complex characteristics requiring sufficient knowledge of medications and principles of clinical pharmacology, skills of diagnosis and communication, and critical judgment. This study aims to gather data on the current status of undergraduate prescribing education in South Korea. Two surveys were administered in this study: survey A to 26 medical schools in South Korea to gather information on the status of undergraduate education in clinical pharmacology; and survey B to 244 intern doctors in large hospitals to gather their opinions regarding prescribing education and ability. In survey A, half of the responding institutions provided prescribing education via various formats of classes over two curriculums including lecture, applied practice, group discussions, computer-utilized training, and workshops. In survey B, we found that intern doctors have the least confidence when prescribing drugs for special patient populations, especially pregnant women. These intern doctors believed that a case-based practical training or group discussion class would be an effective approach to supplement their prescribing education concurrently or after the clerkship in medical schools or right before starting intern training with a core drug list. The results of the present study may help instructors in charge of prescribing education when communicating and cooperating with each other to improve undergraduate prescribing education and the quality of national medical care.

Effect of Tai Chi Exercise Program on Anxiety, Powerlessness, and Self-esteem in Elderly Women (타이치운동이 여성노인의 불안, 무력감 및 자아존중감에 미치는 효과)

  • Park, Young-Ju;Kim, Mi-Sun
    • Journal of muscle and joint health
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    • v.18 no.2
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    • pp.147-157
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    • 2011
  • Purpose: The purpose of this study was to determine the effect of Tai Chi exercise program (Sun style 12 forms) on anxiety, powerlessness, self-esteem in community-dwelling elderly women. Methods: With a quasi-experimental design, a nonequivalent control group pretest-post test was used. Elderly women who agreed to participate in the study were assigned into an experimental group (n=23), or a control group (n=23). The experimental group participated in Tai Chi exercise program for 50 minutes per session, 2 times a week for 11 weeks. Tai Chi exercise program consisted of 10 minutes for warm-up, 35 minutes for main session, and 5 minutes for cooling down exercises. Anxiety, powerlessness, and self-esteem were measured with questionnaires to evaluate the effect of Tai Chi exercise program. The data were analyzed by using Chi-square test, Fisher's exact test, and Mann-Whitney test by a SPSS WIN 12.0 program. Results: The experimental group showed significant improvement for self-esteem (z=-3.130, p=.002), powerlessness(z=-3.267, p=.001), and anxiety (z=-2.932, p=.003) when compared to control group, Conclusions: Tai chi exercise program may be an effective nursing intervention to improve self-esteem and to reduce powerlessness and anxiety in community-dwelling elderly women.

Identification of specifically activated angiogenic molecules in HMGB-1-induced angiogenesis

  • Kim, Won Kyu;Kwon, Yujin;Park, Minhee;Yun, Seongju;Kwon, Ja-Young;Kim, Hoguen
    • BMB Reports
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    • v.50 no.11
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    • pp.590-595
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    • 2017
  • High-mobility group box-1 (HMGB-1) is expressed in almost all cells, and its dysregulated expression correlates with inflammatory diseases, ischemia, and cancer. Some of these conditions accompany HMGB-1-mediated abnormal angiogenesis. Thus far, the mechanism of HMGB-1-induced angiogenesis remains largely unknown. In this study, we performed time-dependent DNA microarray analysis of endothelial cells (ECs) after HMGB-1 or VEGF treatment. The pathway analysis of each gene set upregulated by HMGB-1 or VEGF showed that most HMGB-1-induced angiogenic pathways were also activated by VEGF, although the activation time and gene sets belonging to the pathways differed. In addition, HMGB-1 upregulated some VEGFR signaling-related angiogenic factors including EGR1 and, importantly, novel angiogenic factors, such as ABL2, CEACAM1, KIT, and VIPR1, which are reported to independently promote angiogenesis under physiological and pathological conditions. Our findings suggest that HMGB-1 independently induces angiogenesis by activating HMGB-1-specific angiogenic factors and also functions as an accelerator for VEGF-mediated conventional angiogenesis.