OBJECTIVE: To determine a guideline on the cytologic diagnosis of ASCUS and to develope the relationship between cervical ASCUS and the eating habits in asymptomatic women. STUDY DESIGN: A total of 222 women with a cytologic diagnosis of ASCUS favoring either reactive change or squamous intraepithelial lesion(SIL) were evaluated by repeated Pap smear and colposcopy directed biopsy respectively. At the same time, eating habits of them were obtained by the questionnaire. RESULTS: Among the 157 women who had a cervical cytologic diagnosis of ASCUS favoring reactive change, 133 women(84.7%) were normal by repeated smear and/or cervical tissue biopsy. Twenty four(15.3%) of 157 women had squamous intraepithelial lesion. Among the 65 women who had a cervical cytologic diagnosis of ASCUS favoring SIL, 26(40%)were normal by repeated smear and/or cervical tissue biopsy. Thirty nine(60%) of 65 women had SIL. The confirmed SIL group showed the eatig habits of increased intake of processed food(6.67%).The other reactive group was lower(2.56%). CONCLUSION: A cytologic diagnosis of ASCUS favoring reactive change was associated with a very low risk of haboring SIL. But the woman whose initial smear showed ASCUS favoring SIL was associated with a relatively high risk of harboring SIL(p<0.001). Therefore, the woman whose smear showed ASCUS favoring SIL requires further active management even in the presence of a normal repeated pap smear. The ASCUS group favoring SIL showed the habits of increased dietary intake of processed food(P<0.05). Further study with large number of patients seems warranted.
Biopsy ; Colposcopy ; Diagnosis ; Eating* ; Female ; Humans ; Surveys and Questionnaires

No abstract available.
Education* ; Humans ; Intention ; Smoke* ; Smoking*

No abstract available.
Humans ; Patient Education as Topic*

Compared to urban communities, rural districts are in lack of medical service. With an increasing population of old aged people and low economical income, the demand for reinforcing health organizations is growing. Woman's health is expecially an important source of their family members' lives. Public health policies and studies for women's health, however, have emphasized only child-maternal health to want general covering and studies of health and wellness. Particularly study of women's health in rural area is almost rare that personal, material benefits in this area lack quantity, amount of women's labor is big, and basic elements of living such as diet and elimination are irregular, due to the range of the tide thus has many potential health problems. In this regard, this study attempted to grasp the health problems of adult women in rural area and to provide bases for developing health promotion and health education programs. In collecting data for this study, face to face interviews were made through a structured questionnaire from January to April 1 in 1998. And collected data were analyzed with SAS statistics program, descriptive statistics, t-test and ANOVA. Subjects' health status were examined by classifying into such as their health perception, complained health problem, smoking, alcohol intake, substance abuse, health behavior, comprehensive medical testing, muscle strength and stretching, and the result of examination is follows : 1. As for subjects' health perception, 1.47% of the subject answered that 'not sick but not so healthy' 27.94% thought they were healthy, while 69.7% answered they were not healthy. 2. As for the complained health problem, many complained pains in the muscle and skeletal system, especially back pain, finger joint and knee joint pain. Women's health problems related with the breast and reproductive system include case of 52.26% of receiving the breast self examination while 56.55% of receiving the cervical cancer screening test. 3. As for the rate of smoking, 1.47% used to smoke while 40.30% used to intake alcohol. 4. Rate of substance abuse was 46.03% of the subject. 5. Rate of subjects receiving the comprehensive medical testing was 36.76% while 63.24% did afterward managing behaviors. 6. 47% of subjects' muscle strength and 13% of stretching were not good enough to need the health education on physical exercises. Therefore, based on this result, appropriate health education programs require to be developed to promote the adult women's health in rural area.
Adult* ; Back Pain ; Breast ; Breast Self-Examination ; Diet ; Exercise ; Female ; Finger Joint ; Hand Strength ; Health Behavior ; Health Education ; Health Promotion ; Humans ; Knee Joint ; Mass Screening ; Muscle Strength ; Maternal Health ; Public Health ; Rural Population ; Smoke ; Smoking ; Substance-Related Disorders ; Uterine Cervical Neoplasms ; Women's Health ; Surveys and Questionnaires

During the past 10 years, concern for women's health has increased together with the social changes. Public health policies and studies for women's health, however, have emphasized only child-maternal health to want general covering and studies of health and wellness. Particularly study of women's health in island area is almost rare personal, material benefits in this area lack quantity, amount of women's labor is big, and basic elements of living such as diet and elimination are irregular, due to the range of the tide thus has many potential health problems. In this regard, this study attempted to grasp the health problems of adult women island and to provide bases for developing health promotion and health problems of adult women island and to provide bases for developing health promotion and health education programs. In collecting data for this study, face to face interviews were made through a structured questionnaire from August 1 to November 1 in 1996. And collected data were analyzed with SAS statistics program, descriptive statistics, t-test and ANOVA. Subjects' health status were examined by classifying into such as their health perception, complained health problem, smoking, alcohol intake, substance abuse, health behavior, comprehensive medical testing, nutritional status, muscle strength, and stretching, and the result of examination is as follows ; 1. As for subjects' health perception, 29.8% of the subject answered that 'not sick but not so healthy' 33.11% thought they were healthy, while 36.82% answered they were not healthy. 2. As for the complained health problem, many complained pains in the muscle and skeletal system, especially back pain and knee joint pain. Women's health problems related with the breast and reproductive system included case of 52.26% of receiving the breast self examination while 56.55% of receiving the cerivcal cancer screening test. 3. As for the rate of smoking, 16.77% used to smoke while 12.74% used to intake alcohol. 4. Rate of substance abuse was 48.39% of the subject. 5. Subjects' health behaviors included most of the acupuncture(60.64%) and fomentation therapy(33.36%) in the order. 6. Rate of subjects receiving the comprehensive medical testing was 34.36% while 34.78% did after ward managing behaviors. 7. As for the nutrition status, 57.63% illy balanced to need the intervention of nutritional education. 8. 87.1% of subjects' muscle strength and 55.48% of stretching were not good enough to need the health education on physical exercises. Therefore, based on this result, appropriate health education programs require to be developed to promote the adult women's health in island.
Adult* ; Back Pain ; Breast ; Breast Self-Examination ; Diet ; Early Detection of Cancer ; Education ; Exercise ; Female ; Hand Strength ; Health Behavior ; Health Education ; Health Promotion ; Humans ; Knee Joint ; Maternal Health ; Muscle Strength ; Nutritional Status ; Public Health ; Smoke ; Smoking ; Social Change ; Substance-Related Disorders ; Women's Health ; Surveys and Questionnaires

No abstract available.
Urinary Bladder* ; Vasoactive Intestinal Peptide*

A new species of Acanthamoeba was isolated from a freshwater fish in Korea and tentatively named Acanthamoeba sp. YM-4 (Korean isolate YM-4). The trophozoites were 11.0-23.0 micrometer in length and had hyaline filamentous projections. Cysts were similar to those of A. culbertsoni and A. royreba, which were previously designated as Acanthamoeba group III. Acanthamoeba YM-4 can survive at 40 degrees C, and its generation time was 19.6 hr, which was longer than that of A. culbertsoni. In terms of the in vitro cytotoxicity of lysates, Acanthamoeba YM-4 was weaker than A. culbertsoni, but stronger than A. polyphaga. On the basis of the mortality of experimentally infected mice, Acanthamoeba YM-4 was found to be highly virulent. The isoenzymes profile of Acanthamoeba YM-4 was similar to that of A. royreba. An anti-Acanthamoeba YM-4 monoclonal antibody, McAY7, was found to react only with Acanthamoeba YM-4, and not with A. culbertsoni. Random amplified polymorphic DNA marker analysis and RFLP analysis of mitochondrial DNA and of 18S small subunit ribosomal RNA, placed Acanthamoeba YM-4 in a separate cluster on the basis of phylogenetic distances. Thus the Acanthamoeba Korean isolate YM-4 was identified as a new species, and assigned as Acanthamoeba sohi.
Acanthamoeba/*classification/genetics/isolation & purification/*pathogenicity ; Amebiasis/parasitology/*veterinary ; Animals ; DNA, Mitochondrial/analysis ; DNA, Protozoan/analysis ; Fish Diseases/*parasitology ; Gills/parasitology ; Goldfish/*parasitology ; Korea ; Mice ; Phylogeny ; Polymorphism, Restriction Fragment Length ; RNA, Ribosomal, 18S/genetics ; Random Amplified Polymorphic DNA Technique ; Virulence

This erratum is being published to correct of Table 3 and page 1149.

No Abstract available.
Diagnosis* ; Sleep Apnea, Obstructive*

The purpose of this study was to identify the relationships between self-efficacy, self-esteem, health locus of control and sick-role behavioral compliance in diabetic patients and to identify the influencing factors for sick-role behavioral compliance. The subjects for study were 244 NIDDM patients from 2 hospitals, who were visiting the outpatient clinic in Taegu. Data were collected from Sep. 18.th to Oct. 5th 1996. In data analysis, SPSS/PC+ programs were utilized for descriptives, as well as Pearson correlation coefficient, t-test, ANOVA and stepwise multiple regression. The results were as follows : 1. The average score for the sick-role behavioral compliance was 50.38, for the self-efficacy was 1337.17, for the self-esteem was 27.81, for the internal health locus of control was 28.79, for the chance health locus of control was 20.55, for the powerful others health locus of control was 28.70. 2. The relationships between self-efficacy, self-esteem, health locus of control and sick-role behavioral compliance were significant. Sick-role behavioral compliance were significantly related to self-efficacy(r=0.36, 0.000), to self-esteem (r=0.19, p=0.001), to internal health locus of control(r=0.28, p=0.000), to powerful others health locus of control (r=0.28, p=0.000). 3. In the relationship between general characteristics and sick-role behavioral compliance there were significant differences in a job (t=-2.01, p=0.045), experience of diabetic education(t=2.32, p=0.022). 4. Stepwise multiple regression analysis was performed to identify the influencing factors for sick-role behavioral compliance. Self-efficacy, self-esteem, internal health locus of control, having or not having a job and experience of diabetic education accounted for 24% of the variance in sick-role behavioral compliance. The self-efficacy was the most predictive factor (R2=13%) followed by internal health locus of control, job, self-esteem and experience of diabetic education. The results suggest that self-efficacy is an important variable in the compliance of diabetic patients. For improvement in sick-role behavioral compliance nursing intervention needs to be directed at promoting self-efficacy.
Ambulatory Care Facilities ; Compliance* ; Daegu ; Diabetes Mellitus, Type 2 ; Education ; Humans ; Internal-External Control ; Nursing ; Statistics as Topic