No abstract available.
DNA*

PURPOSE: The anterior vaginal wall sling (AVWS) was introduced to be a simpler and less morbid procedure than the fascial or synthetic slings. However, the long-term outcome of the AVWS has not been fully assessed. In this study, the long-term outcomes of AVWS in female stress urinary incontinence were determined. MATERIALS AND METHODS: A total of 54 patients, followed-up postoperatively for at least five years, were surveyed. The surgical outcome was evaluated by pre- and post-operative SEAPI scores, subjective satisfaction and complications. The preoperative clinical parameters were analyzed using a multivariate analysis to determine the factors influencing the success. RESULTS: After a follow-up period of at least 60 months (mean 72.3 months), 63% were cured, 24% showed improvement and 13% had unsuccessful outcomes. The multivariate analysis demonstrated no preoperative factors for the prediction of the outcome of the AVWS. In a subjective satisfaction assessment, 40.8% were extremely satisfied, 40.8% were satisfied, 9.3% felt fair, and 9.3% were dissatisfied. The short-term complications were; UTI (1 case) and operation related transfusion (1 case). The long-term complications were; de novo urge incontinence (3 cases), removal of suture material due to extra-vaginal protrusion (3 cases) and chronic pelvic pain (1 case), but there was no chronic retention. CONCLUSIONS: An AVWS has many benefits, such as low morbidity, easiness of familiarization and can be performed on patients with anatomical incontinence and internal sphincter deficiency. Nevertheless, the complete dry rate of AVWS is 63% for a follow-up of over 5-years. With regard to its long-term durability, this procedure is considered a less effective treatment modality for female stress urinary incontinence.
Female* ; Follow-Up Studies* ; Humans ; Multivariate Analysis ; Pelvic Pain ; Surgical Procedures, Operative ; Sutures ; Urinary Incontinence* ; Urinary Incontinence, Stress ; Urinary Incontinence, Urge

No abstract available.
Aorta* ; Pregnancy* ; Umbilical Arteries*

Uterine sarcoma whieh is originated from uterine muscle and/or connective tissues, is very rare malignant tumor and is the most lethel of all primary uterine tumors. This study was undertaken to correlate the clinieal findings, diagnoses, managements and ultimate outcome of each particluar grouy of uterine sarcoma at Depart,ment of Obstetrics and Gynecology in Korea University Hospital. The reaults were as follows, 1. The distribution of uterinesarcomaby histologic type was 5 cases (35.7%) for leiomyosarcoma, 5 cases (35.7%) for endometrial strornal sarcoma and 4 eases (28.6%) for mixed Mullerian tumor, 2. The mean age and yarity were 50.8 years and 3.1. 3. The most common syrrlptorn was irregular vaginal bleeding (64.3%), and lower abdominal pain (21.4%), abdominal palpable mass (14.3%) in order of frequency. 4. The distribution by YIGO clinical atage was 35.7% for stage I, 35.7% for stage II, 7.2% for stage IE and 21.4% for stage lV. The average survival time of each stage of disease was decreased with increasing stage. 5. The mean survival time was decreased with inereasing numbers of mitotic figure per 10 high power fields. 6. The mean survival time according to histologc type was 14.5 months for leiomyoaarcoma, 21.5 months for endometrial stromal marcoma, 5.8 months for malignant mixed Mullerian tumor, respectively.
Abdominal Pain ; Animals ; Connective Tissue ; Diagnosis ; Female ; Gynecology ; Korea ; Leiomyosarcoma ; Mice ; Myometrium ; Obstetrics ; Sarcoma* ; Survival Rate ; Uterine Hemorrhage ; Uterus*

No abstract available.
Carcinoma, Squamous Cell* ; Female ; Ovary*

No abstract available.
Aorta, Thoracic* ; Blood Flow Velocity* ; Pregnancy*

PURPOSE: The purpose of the present study was to analyze and evaluate prior studies published in Korea on the cardiovascular disease-related quality of life, in order to make recommendations for further research. METHODS: A total of 15 studies were selected from four databases(Digital library of Research Information Center for Health, Korea Medical Database, MedRic, and National Assembly Library). The selected studies were analyzed according to criteria, such as diagnosis/operation, used instrument, generic/specific instrument, dimension of quality of life, translation/ back-translation, sample size, reliability, validity, responsiveness, number of items, type of scale, time required, and independent variables. RESULTS: Of the 15 cardiovascular disease-related quality of life studies, approximately half of them were conducted with hypertension or ischemic heart disease patients. All studies asserted that the concept of quality of life had multidimensional attributes. With respect to the questionnaire used for measuring the quality of life, only one study used a cardiovascular disease specific- instrument and most studies did not consider whether or not the validity of their instrument had been established. In addition, when using questionnaires developed in other languages, only one study employed a translation/ back-translation technique. The types of variables tested for their influence on quality of life were quite limited. CONCLUSION: It is recommended to develop a reliability and validity established cardiovascular disease specific- quality of life for Korean patients and to identify associated new variables.
Cardiovascular Diseases ; Humans ; Hypertension ; Information Centers ; Korea* ; Myocardial Ischemia ; Quality of Life* ; Reproducibility of Results ; Sample Size ; Surveys and Questionnaires

PURPOSE: Adolescence is viewed as a critical period in the formation of health behavior and many health behaviors developed during this era persist into adulthood. Social-cognitive theory, self-efficacy as a central construct, has been used to predict and intervene the health behavioral patterns in adolescent. Previous research demonstrated that the attachment in childhood and self-esteem as psychosocial factors are predictors of the health efficacy in adolescent and it is viewed as solely an antecedent for the lifelong health behavior. METHOD: To investigate the path pattern of attachment in childhood, self-esteem and health efficacy in adolescents, 381 adolescents in high school from two urban cities in Korea were recruited for cross-sectional sample. Attachment in childhood was measured using Mother-Father-Peer Scale. Self esteem was measured with Hare self esteem. Perceived self efficacy in Health was measured by the School Health Efficacy Questionnaire. The path analysis revealed a significant relationship between attachment in childhood and self-esteem, self-esteem and health efficacy in adolescents. Self esteem was the strongest contributing factor for health efficacy in adolescent. The results suggest that attachment in childhood may aid in formulating positive self -esteem in adolescents and self-esteem played a major role in predicting health efficacy in adolescents. CONCLUSION: Therefore, self-esteem enrichment should be incorporated with adolescent health promotion and certainly should be a component in any health education program in school health program and interventions. These results have implications of psychosocial and family related factors on health promotion and health education for the health care provider with regard to primary and secondary prevention in adolescent population.
Adolescent* ; Critical Period (Psychology) ; Hares ; Health Behavior ; Health Education ; Health Personnel ; Health Promotion ; Humans ; Korea ; Psychology ; School Health Services ; Secondary Prevention ; Self Concept* ; Self Efficacy ; Child Health ; Surveys and Questionnaires

The purpose of this study was to investigate the gender difference of relationships between the self-esteem and physical and mental health of adolescents. The sample were consisted of 410 adolescents, 202 boys and 208 girls in two urban city of Korea and the mean age was 17.4 years old. The instruments used in this study were Hare Self-Esteem Scale(Hare, 1985) and School Health Efficacy Questionnaire(Froman & Owen, 1991) which is consisted of both physical and mental health. The results showed that there was no gender difference in self-esteem of adolescents. However, the school domain of self-esteem was related to physical health of boys, and both the family domain and the school domain of self-esteem were related to physical health of girls. And both the school domain and the peer domain of self-esteem were positively related to mental health of boys, and all domains of self-esteem(peer, school, and family) were positively related to mental health of girls. In conclusion, there was not gender difference in degree of self-esteem, but there were gender difference in specific domains of self-esteem related with physical and mental health in adolescents.
Adolescent* ; Female ; Hares ; Humans ; Korea ; Mental Health* ; School Health Services ; Child Health

The purpose of this study was to investigate the gender difference of relationships between the self-esteem and physical and mental health of adolescents. The sample were consisted of 410 adolescents, 202 boys and 208 girls in two urban city of Korea and the mean age was 17.4 years old. The instruments used in this study were Hare Self-Esteem Scale(Hare, 1985) and School Health Efficacy Questionnaire(Froman & Owen, 1991) which is consisted of both physical and mental health. The results showed that there was no gender difference in self-esteem of adolescents. However, the school domain of self-esteem was related to physical health of boys, and both the family domain and the school domain of self-esteem were related to physical health of girls. And both the school domain and the peer domain of self-esteem were positively related to mental health of boys, and all domains of self-esteem(peer, school, and family) were positively related to mental health of girls. In conclusion, there was not gender difference in degree of self-esteem, but there were gender difference in specific domains of self-esteem related with physical and mental health in adolescents.
Adolescent* ; Female ; Hares ; Humans ; Korea ; Mental Health* ; School Health Services ; Child Health