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Clustered Microcysts Detected on Breast US in Asymptomatic Women (무증상 여성의 유방초음파에서 발견된 군집 미세낭종)

  • Hyun Jin Kim;Jin Hwa Lee;Young Mi Park;Kyungjae Lim
    • Journal of the Korean Society of Radiology
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    • v.84 no.3
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    • pp.676-685
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    • 2023
  • Purpose To investigate the incidence, outcomes, and imaging characteristics of clustered microcysts detected on breast US in asymptomatic women, and suggest appropriate management guidelines. Materials and Methods We identified and reviewed the lesions recorded as "clustered microcysts" on breast US performed in asymptomatic women between August 2014 and December 2019. The final diagnosis was based on pathology and imaging follow-up results for at least 12 months. Results The incidence was 1.5% and 100 patients with 117 lesions were included. Among 117 lesions, 3 (2.6%), 2 (1.7%), and 112 (95.7%) were malignant, high-risk benign, and benign lesions, respectively. The malignant lesions included two cases of ductal carcinoma in situ and one invasive ductal carcinoma. Two of them were assessed as category 4, showing mammographic suspicious microcalcifications and internal vascularity on Doppler US. The remainder was a false negative case and showed echo pattern change on the 12-month follow-up US. Conclusion The incidence of clustered microcysts on breast US in asymptomatic women was 1.5% and malignancy rate was 2.6% (3 of 117). Knowledge of outcomes and imaging features of benign and malignant clustered microcysts may be helpful for radiologists, thereby aiding categorization and management recommendations.

The Effects of Baby Carrier and Sling in Muscle Activation of Trunk, Low Extremity and Foot Pressure (아기띠와 슬링 착용이 체간과 하지의 근활성 및 족저압에 미치는 영향)

  • Yuk, Goon-Chang;Park, Rae-Joon;Lee, Hyun-Young;Lee, Myoung-Hee;Lee, Jeon-Hyeong;Kuk, Jung-Seok;Jang, Jong-Sung
    • Journal of the Korean Society of Physical Medicine
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    • v.5 no.2
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    • pp.223-231
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    • 2010
  • Purpose : The Purpose of this study was to compare muscle activation and foot pressure on baby carrier and sling for baby care. Methods : Thirty one women subjects (mean age 23.2 years) participated in four static conditions : unloaded quite standing, carrying an anterior baby carrier, carrying a posterior baby carrier, and sling. The baby carrier and sling were loaded with baby model that filled 7.6kg loads. Surface electromyography was used to measure activity in the internal oblique, T4, L3, L5 paraspinal muscle, vastus medialis, biceps femoris, tibialis anterior, and gastrocnemius for four conditions. And foot pressure was measured by using MatScan system(Tekscan, USA). Results : The activation of Biceps femoris, T4, L3, and L5 paraspinal muscle were significant differences(p<.05), but other muscles were no significant differences in four conditions(p>.05). Right foot contact area and peak pressure of right mid foot area were significant differences in four conditions(p<.05). Conclusion : The results of this study indicate that the use of baby carrier of sling for baby care were influenced postural responses of young women. Further work is recommended to find out the influences of various assistive devices for baby care.

Effects of Workplace Bullying, Nursing Work Environment, and Reality Shock on Turnover Intention of Clinical Nurses (임상 간호사의 괴롭힘, 간호근무환경, 현실 충격이 이직 의도에 미치는 영향)

  • Kim, Sookyoung;Park, Youngwoo;Kim, Kyunghee;Hong, Eunhee
    • Journal of the Korea Safety Management & Science
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    • v.22 no.3
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    • pp.31-41
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    • 2020
  • The purpose of this study was to identify the relationship between bullying, nursing work environment, reality shock and factors of influence on turnover intension. Data were collected from 381 nurses who were under the charge nurse at a hospital with more than 600 beds in Seoul. The collected data were analyzed using the SPSS24.0 program. The mean score for turnover intension was 3.61 ± 0.89. The intension of turnover was correlated with bullying in the workplace (r=0.197, ⍴=.001), the nursing work environment (r=-.409, p=.001), and reality shock (r=.572, p=.001). Variables affecting turnover intension were the work department(β=-0.018, ⍴=.049), working environment(β=-0.424, ⍴<.000), and reality shock(β=0.654, ⍴<.000). The total amount of explanation for turnover intension was 37.3%. The degree of turnover intension of nurses was affected by work in general wards, the experience of workplace bullying and the nursing work environment. To reduce turnover intension, nursing work needs to be analyzed and efforts are needed to establish an effective communication system.

Salt Preference and Sodium Intake among Pregnant Women (임부의 염분 기호도와 식이섭취, 소디움 섭취 실태)

  • Im, Mi Jeung;Cho, Dong Sook
    • Women's Health Nursing
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    • v.22 no.4
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    • pp.297-307
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    • 2016
  • Purpose: This study was to estimate salt preference and sodium intake of pregnant women, and identify the relationship between salt preference and sodium intake. Methods: Research design was a cross sectional correlational survey with 197 pregnant women who visited outpatient clinics for antenatal care. The sodium intake levels were estimated by the amounts of sodium intake using the 24-hour recall method and sodium concentration in spot urine. The data were analyzed using descriptive statistics, t-test, ANOVA and Pearson's correlation. Results: Sodium intake using 24-hour recall method was $3,504{\pm}1,359mg$. Sodium intake levels had statistically significant differences depending on income. The average amount of sodium in spot urine was $2,882{\pm}878mg/day$. Sodium excretion levels had statistically significant differences depending on whether participants had preexisting hypertension in their family history and Body Mass Index (BMI) pre-conception. Salt preference was $62.61{\pm}20.96$ out of 180 points. Salt preference had significant differences depending on income, parity, gestational age, BMI pre-conception and showed negative correlation with sodium quantity in spot urine. Conclusion: Sodium intake in pregnant women recommended by World Health Organization recommended is 175%. Salt preference was not significantly different between sodium intake levels, however it was negatively correlated with sodium quantity in spot urine among pregnant women.

Gender Differences in Delay Seeking Treatment and Related Experiences in Patients with Acute Myocardial Infarction (급성심근경색증 환자의 성별에 따른 치료추구지연과 관련 경험의 비교)

  • Won, Mi-Suk;Shin, Nah-Mee;Kim, Eunsook
    • Korean Journal of Adult Nursing
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    • v.28 no.4
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    • pp.459-469
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    • 2016
  • Purpose: This comparative descriptive study was to identify gender differences in delay seeking treatment and related experiences in patients with acute myocardial infarction (AMI). Methods: Ninety-seven participants were recruited from a tertiary hospital. Results: Mean age of 47 women was $71.5{\pm}13.3$ while that of men was $55.0{\pm}10.9$ (p<.001). More women lived alone and were jobless, less educated, and poorer than men. Men were likely to be 'current smokers' and drink alcohol, however viewed themselves healthier than women (p=.030). Women's hospital stay was $9.23{\pm}21.04$ days while men's was $4.86{\pm}2.72$ days (p=.014). More women had been diagnosed with hypertension (p=.040). Women appeared to report significantly less pain ($6.46{\pm}3.1$) than men ($8.44{\pm}1.8$). More men described their pain as sudden onset (p=.015) and chest pain as major symptom (p=.034) than women. More women were found alone upon onset of symptoms (p=.023) and had important reasons for delay seeking treatment (p=.021) than men. Median time from onset of symptoms to seeking medical service was 1.5 hours for men and 5.1 hours for women (p=.003). Median time taken from onset of symptoms to hospital for therapy was 3.5 hours for men and 9.1 hours for women (p=.019). Conclusion: This study findings that women reported less pain and delayed in seeking treatment, suggest needs for strategies targeting women at risk of AMI.

The Clinical Study of Delayed Growth(I) (성장장애(成長障碍)에 관(關)한 임상적(臨床的) 연구(硏究)(I))

  • Kim Jang-Hyun
    • The Journal of Pediatrics of Korean Medicine
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    • v.12 no.1
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    • pp.95-110
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    • 1998
  • I intended to be helpful to understand significant cause for treated patients comed to Dept of Pediatrics growth clinic in short stature of delayed growth and effect of oriental medical therapy. I studied at first 54 patients(36 men and 18 women) comed to Dept. of Pediatrics growth clinic of Dongguk Pundang Oriental Hospital and investigated characteristics, remidial value and side effect which 20 patients(1l men and 9 women) treated oriental medical therapy in short stature of delayed growth between June 1997 and October 1998. First study resulted the average was 8.37 year(chronological age), 6.96 year(bone age), 15.43 (height percentile by age), 164.2 cm(mid parental height) and the ratio of using the prescription was Bojunggunatang-derivative at first. second study resulted the distribusions of remedial values were improved(55.0%) and no improved(45.0%) patients. remedial values was affected by appetite.

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Health-care Needs of High-risk Pregnant Women Hospitalized in Maternal-Fetal Intensive Care Units: A Mixed-methods Design (산모 집중치료실에 입원한 고위험 임부의 건강관리 요구: 혼합적 연구방법 적용)

  • Kim, Hyunjin;Park, Horan
    • Women's Health Nursing
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    • v.24 no.2
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    • pp.196-208
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    • 2018
  • Purpose: To identify the characteristics and health-care needs of high-risk pregnant women in maternal-fetal intensive care units (MFICU). Methods: A mixed-methods design was adopted. Data were collected from 78 high-risk pregnant women admitted to the MFICU. Qualitative data included ten participants' experiences with hospitalization and childbirth, which were analyzed using mixed content analysis. Quantitative data were analyzed using at-test and one-way ANOVA testing. Results: The average score for pregnancy and childbirth health-care needs was 3.54 points. Average score by area was before-admission health care (3.70), health care of baby (3.67), health of childbirth (3.61), postpartum health (3.51), and pregnancy health care during hospitalization (3.48). Qualitative results showed diverse feelings and experiences of high-risk pregnant women and their need for health care, which was expressed in three themes and 11 sub-themes. Conclusion: Nurses should recognize high-risk mothers' feelings and needs for pregnancy and childbirth-focused health care to help patients accept their vulnerability and cope positively.

Cultural Competence, Health Promotion Behavior, and Quality of Life in Married Immigrant Women in Korea (결혼이주 여성의 문화적 역량, 건강증진 생활양식 및 삶의 질)

  • Chung, Myung Sill
    • The Journal of Korean Academic Society of Nursing Education
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    • v.21 no.1
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    • pp.36-45
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    • 2015
  • Purpose: The purpose of this study was to identify the correlation coefficient cultural competence, health promotion behavior, and quality of life of married immigrant women in Korea. Methods: The participants included 88 married immigrant women who applied to educational programs for medical tour coordinators and agreed to participate in the study. Data were collected through self-report questionnaires that were constructed to include scales to measure cultural competence, health promotion behavior, and quality of life. Data were analyzed using ANOVA, Pearson correlation coefficients with SPSS/WIN 19.0. Results: Both cultural competence and health promotion behavior were different according to the husband's occupation. There was a positive correlation between cultural competence and quality of life, a positive correlation between health promotion behavior and quality of life, and a positive correlation between health promotion behavior and cultural competence. Conclusion: From a long-term point of view, various programs for married immigrant women should greatly strengthen their cultural competence and help them become genuine members of our society and live an independent life. Developing detailed and active programs for nursing intervention to constitute a healthy lifestyle and improve the quality of life is recommended.

Dienogest in endometriosis treatment: A narrative literature review

  • Joowon Lee;Hyeon Ji Park;Kyong Wook Yi
    • Clinical and Experimental Reproductive Medicine
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    • v.50 no.4
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    • pp.223-229
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    • 2023
  • Endometriosis is characterized by the implantation of endometrial cells outside the uterus. This hormone-dependent disease is highly prevalent among women of reproductive age. Clinical symptoms of endometriosis include dysmenorrhea, pelvic pain, and infertility, which can negatively impact the overall quality of life of those affected. The medical treatment of endometriosis serves as an important therapeutic option, aimed at alleviating pain associated with the condition and suppressing the growth of endometriotic lesions. As such, it is employed as an adjuvant therapy following surgery or an empirical treatment after the clinical diagnosis of endometriosis. Dienogest, a fourth-generation progestin, has received approval for the treatment of endometriosis in many countries. A growing body of evidence has demonstrated its efficacy in managing endometriosis-associated pain, preventing symptoms, and reducing lesion recurrence. In this review, we examine the clinical efficacy, safety, and tolerability of dienogest in treating endometriosis. We also provide updated findings, drawing from clinical studies that focus on the long-term use of this medication in patients with endometriosis.

The Depression in Middle-aged Women in Kwangwondo (일부지역 중년여성의 우울 정도와 영향 요인에 관한 연구)

  • Lee, Kyu-Eun;Choi, Euy-Soon
    • Women's Health Nursing
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    • v.5 no.3
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    • pp.299-312
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    • 1999
  • The purpose of this study was to analyze the depression in middle-aged women. The subjects for this study were 246 middle-aged women in Kangwondo, the northeastern part of Korea. Data were collected from February 22 to April 24, 1999 by a structured questionnaire. The instruments for this study were CES-D (Radloff, 1977), somatic discomfort scale (Wittenborn, 1979), self-esteem scale (Rosenburg, 1971) and life satisfaction Index-Z (Wood et al. 1969). The data were analyzed by SAS/PC+ program using ANOVA, Pearson Correlation Coefficient. The results of the study were as follows : 1. Of 246 middle-aged women, 91 women (37%) revealed depression. The percentage of mild, moderate, severe depression were 17.78%, 11.28%, 7.72% respectively. 2. The statistically significant difference in the score of the depression according to the age (F=3.46, p=.0001)was obtained. 3. There were significant differences between depression and somatic discomfort (F=15.71, p=.0001). 4. The significant differences between depression and life satisfaction (F=23.89, p=.0001) was obtained. 5. The data shows the positive correlations between depression and somatic discomfort (r=.4856, p=.0001), between self-esteem and life-satisfaction(r=.2727, p=.0001), but we found negative correlations between depression and self-esteem(r=-4200, p=.0001), between depression and life-satisfaction(r=-.4409, p=.0001), between somatic discomfort and self-esteem(r=-.2275, p=.0015), between somatic discomfort and life-satisfaction(r=-.2695, p=.0002).

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