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.
Aorta, Thoracic* ; Blood Flow Velocity* ; Pregnancy*

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

The purpose of this study were to examine the construct validation and internal reliability of the SHEQ(School Health Efficacy Questionnaire)and to establish concurrent validity for the instrument among Korean adolescents by relationship found among SHEQ and the self-reported health status. The sample was consisted 393 high school students, aged with average of 17.40( +/- 0.59) years. According to the criteria used in this validating study, a four-factor structure, which consisted of 31-items, resulting from a principal components analysis with an varimax rotation, best represented the multidimensionality of the SHEQ of adolescents in Korea. Internal consistency estimated for the four factor on the SHEQ subscales range from .68 to .83. Evidence in support of concurrent validity for both 31-item and 38-item of SHEQ was provided by statistically significant correlations found between the two scales and self-reported health. With the findings of this study, the 31-item Korean version of the SHEQ can be used in practice as a reliable and valid instrument measuring perceived self-efficacy in physical and mental health for adolescents in Korea.
Adolescent ; Humans ; Korea ; Mental Health* ; Weights and Measures ; Child Health

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

No abstract available.
Blood Flow Velocity* ; Pregnancy* ; Umbilical Arteries*

The purpose of this study was to identify of parent-child relationship, perceived social support and coping of female in late adolescents and its relationships. The underlying assumption is that parent-child relationship based on internal working cognition affects on perceived social support and coping. The sample was consisted of 277 female students of college. The instruments used in this study were Parental bonding instrument (PBI)(Parker, Tupling & Brown, 1979), Personal resources questionnaire : PRQ-part II (Weinert & Brant, 1987), and Way of coping (Folkman & Lazarus, 1985). The data was analyzed using frequencies, correlation coefficient, ANOVA, and t-test. As a result, perceived social support correlated positively with parental care and negatively with parental overprotection. Perceived social support showed positive relationship with coping. Perceived social support differed according to parent-child relationship type. The group of "affectionate constraint", high care and high overprotection, reported high perceived social support, but "affectionless control"(low care and high overprotection) reported low perceived social support. The group of high perceived social support showed higher parental care and higher coping than low one. The group of high coping showed higher parental care, lower parental overprotection and higher perceived social support than low one. Findings from this study linking retrospective accounts of early parental relationships to current working models concerning the nature of supportive relationships are consistent with attachment theory that individual who, as children, experienced relationships with their parents that were independent-encourage, affectionate, and not overprotective developed working models of others as available to provide social support. This study confirmed that perceived social support significantly related to coping in dealing with stress.
Adolescent* ; Child ; Cognition ; Female ; Humans ; Parent-Child Relations* ; Parents ; Retrospective Studies ; Child Health ; Surveys and Questionnaires