1.Effectiveness of breast self-examination education among korean women.
Ho Cheol SHIN ; Whan Seok CHOI
Journal of the Korean Academy of Family Medicine 1998;19(6):467-480
BACKGROUND: Breast cancer is increasing cause of cancer-related mortality among Korean women. Early detection and treatment are the most important strategy for reducing breast cancer mortality. Despite of its importance as a early detection method, a low percentage of women practice breast self-examination(BSE) regularly. The aim of this study was to describe the effectiveness of patient education on performing BSE regularly and to identify predisposing factors associated with these activities. METHODS: Sixty-six women who did not have experience in BSE in the past were randomly assigned to the experimental group and the control group. We taught BSE knowledge and skill about BSE using breast models and audiovisual equipment for experimental group in patient education class. Women in control group, however, were simply educated by their physician about BSE knowledge and skill with only educational booklet during their outpatient visits. We observed the difference in regular BSE performance proportion between two groups 6, 12 months later and analyzed the predisposing factors affecting on the education effect. Direct and telephone interview methods were used to gather the information. Data were analyzed with t-test, x2analysis and logistic regression using SAS 6.10, EGRET program. RESULTS: There were no differences in sociodemographic characteristics between study groups. They were followed for 12 months. At follow-up after 6 months 44.1% of women performed BSE regularly among experimental group and 18.8% of women did it among control group(OR=3.4, 95% Cl 1.1-10.4, p<0.05). At follow-up after 12 months proportion of women performed BSE regularly in experimental group(28.6%) was slightly higher than that of control group(22.2%), but that difference was not statistically significant. The prevalence of performing BSE regularly was higher among women who had experience in periodic health examination(OR =6.0, 95% Cl 1.9-18.8, p<0.01), who had experience in mammography(OR =4.0, 95% Cl 1.0-15.6, p<0.05). And the prevalence of performing BSE regularly also was higher among women who were older than 40 years old, married, had experience in cervical Pap. smear, had knowledge about BSE before education, have done exercise regularly, had less number of health risk factors, but without statistical significance. CONCLUSIONS: These results showed that of effectiveness of patient education on BSE, if we determine the effectiveness of BSE education with regular performance of BSE, is relatively low among Korean women. We could see, however, that if we use breast models for demonstration in addition to usual educational material, the effectiveness of BSE education can be more effective. We also recognized that effectiveness of BSE education will not be continued for long time without any maintenance strategy. There were lots of predisposing factors which could affect the effectiveness of BSE education positively or negatively. So, family physicians who plan BSE patient education at their clinics must consider these factors.
Adult
;
Breast Neoplasms
;
Breast Self-Examination*
;
Breast*
;
Causality
;
Education*
;
Female
;
Follow-Up Studies
;
Humans
;
Interviews as Topic
;
Logistic Models
;
Mortality
;
Outpatients
;
Pamphlets
;
Patient Education as Topic
;
Physicians, Family
;
Prevalence
;
Risk Factors
2.Embryonic Stem Cell.
Berm Seok OH ; Dong Ho CHOI ; Seung Hyun JEE
Journal of Korean Society of Endocrinology 2001;16(6):584-595
No abstract available.
Embryonic Stem Cells*
3.A Case of Acute Rhenmatic Fever Associated with Acute Poststreptococcal Glomerulonepheitis.
Ho Kyung CHOI ; Dong Seok CHOI ; Jae Ho LEE ; Young Hun CHUNG ; Hyon Soon LEE
Journal of the Korean Pediatric Society 1989;32(12):1744-1748
No abstract available.
Fever*
4.Erratum: Author Correction.
So Mi CHOI ; Min Youp CHOI ; Woo Dae KANG ; Ho Sun CHOI ; Seok Mo KIM
Obstetrics & Gynecology Science 2014;57(5):424-424
The author list should be corrected.
5.A Case of Semicircular Lipoatrophy.
Sook Hyun KONG ; Jun Young SEONG ; Seok Hyun HAN ; Yu Sung CHOI ; Ho Seok SUH
Korean Journal of Dermatology 2017;55(1):70-71
No abstract available.
6.A Case of Coexistence of Disseminated Superficial Porokeratosis with Porokeratosis of Mibelli.
Ji Hyun KIM ; Seok Hyun HAN ; Ho Seok SUH ; Yu Sung CHOI
Korean Journal of Dermatology 2018;56(3):220-221
No abstract available.
Porokeratosis*
7.A Case of Varicella in Pregnancy by Using Polymerase Chain Reaction
Seok Hyun HAN ; Ji Hyun KIM ; Ho Seok SUH ; Yu Sung CHOI
Korean Journal of Dermatology 2018;56(1):72-73
No abstract available.
Chickenpox
;
Polymerase Chain Reaction
;
Pregnancy
8.Spectral Analysis of Polysomnography in Narcolepsy.
Seok Ho YUN ; Ho Dong CHOI ; Wan Seok SEO
Psychiatry Investigation 2017;14(2):193-197
OBJECTIVE: This study was conducted to identify differences between people with narcolepsy and the normal control of delta and theta activity using electroencephalogram (EEG) spectrum analysis of nocturnal polysomnography (PSG). METHODS: Seven narcolepsy patients and seven age-sex matched normal controls underwent PSG and multiple sleep latency tests. Participants' non-rapid eye movement (NREM) sleep EEGs in PSG was analyzed using a Fast Fourier Transform technique. RESULTS: While NREM delta activity of people with narcolepsy declined during the first three periods of NREM, there was no change during the 4th period of NREM. The increase in NREM theta activity also lasted until the 3rd period of NREM but did not occur during the 4th period of NREM. In comparing sleep parameters, REM sleep latency in the narcolepsy group was significantly shorter than in controls. CONCLUSION: These results suggest that people with narcolepsy are likely to have a delta and theta activity-related sleep disturbance mechanism in NREM sleep.
Electroencephalography
;
Eye Movements
;
Fourier Analysis
;
Humans
;
Narcolepsy*
;
Polysomnography*
;
Sleep, REM
;
Spectrum Analysis
9.A Case of Acquired Digital Fibrokeratoma: Immunohistochemical Stain with Anti - factor XIIIa antibody.
Ho Seok SUH ; byung Jick RYU ; Jee Ho CHOI ; Kyung Jeh SUNG ; Jai Kyoung KOH
Korean Journal of Dermatology 1994;32(6):1131-1135
In normal hurnan dermis, factor XIIIa positive dermal dendrocyte are located in the papillary areas closely associated with blood vessels and the upper reticular dem These cells represent a specific type of bone marrow derived dermal cells, distinct from Langerhans cells having some features in common with rnonocyte/macrophage lineage and with potential antier presenting activity. Although the significance of these cells has not yet been fully established, it been suggested that they play a major role in skin immune iesponses, in collagen synsthesis regultic and in wound repair. We report a case of acaqired fibrokeratoma which is studiec conventional histopathology and immunohistochemistry. Histopathologic findings of this case showed ovascular proliferation and the increased presence of fibroblast like cells as a common fe;ture of these benign tumors. Immunohistochemical staining with anti factor XIIIa antibody deiaoi strates increased numbera of positive dendritic cells in the upper dermis. There finding supports the fat that some fibroblagt like cells in the upper dermis of acquireid fibrokeratoma may be factor XIIIa positive dermal dendritic cells.
Blood Vessels
;
Bone Marrow
;
Collagen
;
Dendritic Cells
;
Dermis
;
Factor XIIIa*
;
Fibroblasts
;
Immunohistochemistry
;
Langerhans Cells
;
Skin
;
Wounds and Injuries
10.Three Cases of Neutrophilic Eccrine Hidradenitis.
Ho Seok SUH ; Moon Soo YOON ; Jee Ho CHOI ; Kyung Jeh SUNG ; Jai Kyoung KOH
Annals of Dermatology 1995;7(2):200-205
Neutrophilic eccrine hidradenitis(NEH) was originally described in 1982 by Harrist et al. in a patient with myelogenous leukemia receiving chemotherapy. Clinically NEH represents various cutaneous manifestations with or without tenderness and pruritus. Histologic examination demonstrates a neutrophilic infiltrate within and around the eccrine gland and degeneration of the eccrine gland structures. Although the pathogenesis and possible cause of NEH remain unknown, it is probably an unusual cutaneous reaction to chemotherapeutic agents. A few cases of infection associated eccrine hidradenitis are found in the literature. We report three cases of neutrophilic eccrine hidradenitis. Two cases were associated with hematologic malignancy. The third case was associated with an infection of Vibrio vulnificus.
Drug Therapy
;
Eccrine Glands
;
Hematologic Neoplasms
;
Hidradenitis*
;
Humans
;
Leukemia, Myeloid
;
Neutrophils*
;
Pruritus
;
Vibrio vulnificus