Purpose: The purpose of this study was to investigate the factors related to the problem drinking in young adult women who lived and drank alone.
Methods: This online survey (N=291) was conducted using a questionnaire from February to April 2020. Data were analyzed using SPSS/WIN 25.0 program for the descriptive analysis, independent t-tests, one-way ANOVA, and a binary logistic regression.
Results: In this study, the problem drinking group was identified as 72.9%. In logistic regression, the significant factors of problem drinking were women who had: (1) experience of drinking alone were high socioeconomic status (OR=3.90, 95% CI: 1.04~14.58, p=.043); (2) negative alcohol expectancy (OR=1.03, 95% CI: 1.00~1.06, p=.028); (3) significant depression (OR=2.40, 95% CI: 1.04~5.54, p=.041); and (4) 3-5 standard drinks per drink (OR=6.58, 95% CI: 2.06~21.06, p=.001), once or twice a week (OR=4.55, 95% CI: 1.71~12.09, p=.002).
Conclusion Our study findings suggest that mental health interventions should be developed to help one-person household women with problem drinking considering comprehensively integrating mental health factors, residential and lifestyle characteristics, and drinking context.

Purpose: The purpose of this study was to investigate the factors related to the problem drinking in young adult women who lived and drank alone.
Methods: This online survey (N=291) was conducted using a questionnaire from February to April 2020. Data were analyzed using SPSS/WIN 25.0 program for the descriptive analysis, independent t-tests, one-way ANOVA, and a binary logistic regression.
Results: In this study, the problem drinking group was identified as 72.9%. In logistic regression, the significant factors of problem drinking were women who had: (1) experience of drinking alone were high socioeconomic status (OR=3.90, 95% CI: 1.04~14.58, p=.043); (2) negative alcohol expectancy (OR=1.03, 95% CI: 1.00~1.06, p=.028); (3) significant depression (OR=2.40, 95% CI: 1.04~5.54, p=.041); and (4) 3-5 standard drinks per drink (OR=6.58, 95% CI: 2.06~21.06, p=.001), once or twice a week (OR=4.55, 95% CI: 1.71~12.09, p=.002).
Conclusion Our study findings suggest that mental health interventions should be developed to help one-person household women with problem drinking considering comprehensively integrating mental health factors, residential and lifestyle characteristics, and drinking context.

BACKGROUND/OBJECTIVES: This study aimed to investigate the association of dietary patterns with overweight risk and all-cause mortality in pediatric cancer patients. SUBJECTS/METHODS: Prospective cohort study was undertaken; 83 cancer patients admitted to the pediatric cancer ward at a university hospital in Seoul were included and followed for obesity and death over 24 months. Food consumption data were collected from patients using validated meal order sheets for breakfast, lunch, and dinner at the pediatric cancer ward over 3 days. Using principal component analysis, three dietary patterns were derived from 29 food groups. RESULTS: Eighteen deaths occurred among the patient cohort during the follow-up period. The “spicy & fried meat and fish” dietary pattern was positively associated with overweight risk at both baseline [odds ratio (OR) = 4.396, 95% confidence interval (CI) = 1.111-17.385, P for trend = 0.023] and after 6 months (OR = 4.088, 95% CI = 1.122-14.896, P for trend = 0.025) as well as all-cause mortality (hazard ratios = 5.124, 95% CI = 1.080-24.320, P for trend = 0.042), when comparing the highest and lowest tertiles after adjusting for covariates. The “fish, egg, meat, and fruits & vegetables” dietary pattern was associated with lower overweight risk after 24 months (OR = 0.157, 95% CI = 0.046-0.982, P for trend = 0.084). CONCLUSION: The results imply that dietary patterns might be associated with weight gain and premature death among pediatric cancer patients.
Breakfast ; Child* ; Cohort Studies ; Diet ; Follow-Up Studies ; Fruit ; Humans ; Lunch ; Meals ; Meat ; Mortality* ; Mortality, Premature ; Obesity ; Overweight* ; Ovum ; Principal Component Analysis ; Prospective Studies ; Seoul ; Weight Gain

In the bilateral axillo-breast approach (BABA), the camera is inserted through the areolar incision, and this raises the concern it might be difficult to identify the lymph nodes (LN). The purpose of this study is to evaluate the feasibility of the Firefly for central lymph node dissection (CLND) in robotic thyroidectomy using the BABA. This study evaluated 18 patients who underwent robotic surgery using Firefly between December 2015 and March 2016. For LN mapping, 0.05 ml of ICG was injected into the thyroid 3~4 minutes before CLND. Green-stained LN could be detected easily through a near-infrared camera. The number of retrieved LNs was 7.8±3.0 after CLND using the Firefly, which was higher than the 6.7±0.2 reported in previous surgeries. In addition, it helped to distinguish between the parathyroid and the LNs. The Firefly technology was helpful in identifying the LNs, guiding the CLND and performing a complete CLND.
Fireflies* ; Humans ; Indocyanine Green ; Lymph Node Excision* ; Lymph Nodes* ; Thyroid Gland ; Thyroidectomy*

In recent da Vinci robot systems (Intuitive Surgical), near-infrared f luorescence imaging (Firef ly technology) has been used. With this technique, it is possible for surgeons to see important structures well beyond the limits of their eyes; hence, surgeons can safely operate and make critical decisions accurately using image-guided surgery. Because parathyroid glands (PTGs) are small and embedded in the surrounding tissues, such as lymph nodes and fat, it is often very hard for surgeons to identify PTGs. To preserve PTGs well, the surgeon must be able to accurately identify PTGs, preserve the vasculature surrounding, and maintain the perfusion to PTGs. Herein, we report an assessment of PTG perfusion using indocyanine green angiography in transoral robotic thyroidectomy.

This study was performed to investigate the changes of oral diet intake during the admission period and identify the factors related with nutritional status in discharging of leukemia patients. This is a retrospective cross sectional study on 46 leukemia patients receiving chemotherapy at the Catholic University of Korea Seoul St. Mary's Hospital from July to September 2009. The patients' charts were surveyed on the general characteristics and factors relating chemotherapy. The calorie count method was used to investigate diet intake during admission period. Multivariate logistic regression analysis was used to identify possible confounding factors. A p < 0.05 was considered statistically significant. The mean age was 42.8 +/- 14.6 years and the average length of stay was 30.4 +/- 7.0 days. The incidence of malnourished patients was 60.9% in discharging. There was a significant difference in chemotherapy sessions and chemotherapy period between well-nourished and malnourished patients. The average energy intake was 1,525.9 kcal in well-nourished patients and 1,143 kcal in malnourished patients, which was significant different. From repeated measures ANOVA test, the changes of oral intake during admission period were significant by groups. In addition, there were significant differences in oral intake according to each period between well-nourished and malnourished patients. In multivariate logistic regression analysis, both the ratio of total oral energy intake to recommended energy intake and chemotherapy sessions were significantly associated with nutritional status in discharging. The results of this study could be used to establish a protocol of nutritional management for leukemia patients receiving chemotherapy.
Diet ; Energy Intake ; Humans ; Incidence ; Korea ; Length of Stay ; Leukemia ; Logistic Models ; Nutritional Status ; Retrospective Studies

Syringomatous adenoma of the nipples, first reported in 1983, is an extremely rare benign tumor extending to the subareolar area and, pathologically, has a shape similar to that of sweat gland tumors. Radiologically, infiltrating patterns and calcifications can cause misdiagnosis of malignant tumors. The authors report a case of syringomatous adenoma that shows only calcifications of the nipple in a screening mammography.

Background: This study evaluated the usefulness of judgment of central lymph node (LN) metastasis by surgeon’s palpation in papillary thyroid cancer. Methods: This study included 127 patients who underwent thyroidectomy and central compartment node dissection between October 2014 and February 2015. The criterion for suspicious LNs was hardness. Results: Of the 20.5% (28/127) of suspicious for metastatic LNs according to surgeon determination, 92.8% (26/28) were confirmed to be metastatic in the final pathological examinations. Metastatic LNs were found in 38 (38.3%) of 99 patients without suspicious LNs, 29 of whom (76.3%) had micrometastases. The sensitivity, specificity, and positive and negative predictive values for the determination of LN metastasis by a surgeon were 40.6%, 96.8%, 92.9%, and 61.6%, respectively. Conclusion Determination of central LN metastasis by a surgeon’s palpation may be useful to evaluate LNs owing to the high specificity and positive predictive values, especially in macrometastasis or high-risk LN disease.

Background/Aims: We aimed to evaluate associations between comorbidities, peripheral neuropathy, and spontaneous internal anal sphincter relaxation (SAR) in patients with defecatory disorders. Methods: A patient was considered to exhibit SAR during high-resolution anorectal manometry (HR-ARM) when the nadir pressure is < 15 mmHg and the time from onset to relaxation was ≥ 15 seconds in the resting pressure frame. A case-control study was performed using HR-ARM data collected from 880 patients from January 2010 to May 2015. We identified 23 cases with SAR (median age 75 years; 15 females; 12 fecal incontinence and 11 constipation). We compared HR-ARM values, Charlson index comorbidity scores, neuropathy, and the prevalence of diseases that potentially cause neuropathy between controls and SAR patients. Each SAR case was compared to 3 controls. Controls were selected to match the age, gender, and examination year of each SAR case. Results: Compared to controls (26.1%), SAR patients (52.2%) exhibited a significantly higher frequency of fecal incontinence. SAR patients also had higher Charlson index scores (5 vs 4, P = 0.028). Nine of 23 SAR patients (39.1%) exhibited peripheral neuropathy— this frequency was higher than that for the control group (11.6%; P = 0.003). Diseases that potentially cause neuropathy were observed in 17 of 23 SAR cases and 32 of 69 controls (P = 0.022). Conclusions SAR develops in patients with constipation and fecal incontinence but is more common in patients with fecal incontinence. Our controlled observational study implies that SAR is associated with peripheral neuropathy and more severe comorbidities.