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( Eun Bi Jang ),( Su Hyun Chae ),( Seung-hyuk Shim ),( Sun Joo Lee ),( Ji Young Lee ),( Soo-nyung Kim ),( Soon-beom Kang ) 대한산부인과학회 2019 대한산부인과학회 학술대회 Vol.105 No.-
Objective: Hormonal management is an alternative treatment for preserving fertility in patients with early stage endometrioid endometrial cancer (EC). The safety and clinical outcome in longer treatment more than 9 months has controversial. This study aimed to define the oncologic outcomes after hormone therapy more than 9 months for endometrioid EC. Methods: We retrospectively analyzed patients presumed to have stage IA, grade 1-2 endometrioid EC who underwent fertility-sparing treatment. Concurrent medroxyprogesterone (MPA) and levonorgestrel-release intrauterine devices were used for treatment. The remission rate and progression free survival were analysed of whom had treatment under 9 months (group A) and had treatment over 9 months (group B). Results: One hundred twenty patients presumed to have stage IA, grade 1 endometrioid EC had treated with hormonal medication for fertility sparing. The median age was 33.5 (range 22-43) years old and the median treatment duration was 10.7 (3-102) months. The Complete remission (CR) rate was 84.2% (101/120) and the median time interval to CR was 9.3 (2-84) months. The median follow-up time was 32.9 (1-130) months. The recurrence rate was 31.7% (38/120) and the median time to recurrence was 11 (1-92) months. The cumulative CR rate by 3, 6, 9, 12, 15, 18, 24 months was 21.7%, 36.7%, 50.8%, 61.7%, 70.8%, 74.2%, and 78.3% respectively. The CR rates in group A and B were 86.7% and 82.7% in group A and B. The recurrence rates in two group were 35.6% and 29.3%, respectively. Conclusion: Fertility sparing treatment with high dose progestin over 9 months in early stage endometrioid EC has showed high rate of CR. However, medical treatment over 9 months should counsel with patients in detail and oncologists should make careful decision.
이은비 ( Eun Bi Lee ),장은영 ( Eun Young Jang ),이선미 ( Soun Mee Lee ) 한국보건정보통계학회 2015 보건정보통계학회지 Vol.40 No.2
Objectives: Considering the importance of emotional distress and mental health among nurses in clinical practice, this study focused to anger expression of nursing students. Specifically, the present study explored the relation between childhood trauma and anger expression of nursing students and the mediational role of emotional regulation. Methods: Participants (122 nursing students; 138 students of other majors) indicated their gender, age and year, major, and then responded to the questionnaire including the childhood abuse, anger expression, and emotional intelligence. Results: Nursing students showed higher level of emotional intelligence and lower level of physical abuse during childhood than students of other majors. SEM showed direct link between neglect and physical confrontation, physical abuse and impulsive reaction, emotional abuse and verbal aggression. Also, emotional abuse associated with emotional intelligence, which related to four types of anger expression in turn. Conclusions: The results of this study suggest harmful effect of childhood trauma on difficulties in controlling anger in youths including nursing students. However, it was revealed that emotional intelligence had potential mediator which could relieve childhood abuse experience.
치과 종사자의 감염성 폐기물관리 실천에 영향을 미치는 요인
이은비 ( Eun-bi Lee ),장종화 ( Jong-hwa Jang ) 대한예방치과·구강보건학회 2018 大韓口腔保健學會誌 Vol.42 No.4
Objectives: This study aimed to evaluate the relationship between oral health professionals’ knowledge, attitude, and practice with regard to infectious waste management and to identify related factors influencing it. Methods: The study comprised of 219 oral health professionals from select dental clinics and public health centers recruited between August 25, 2016 and September 5, 2016, who agreed to participate in the study with full understanding of the study objectives. A self-reported questionnaire was administered, which consisted of 22 items on knowledge of infectious waste management, 9 items on attitude, and 16 items on practice. Data were analyzed using Pearson’s correlation coefficient and stepwise multiple regression analyses. Results: The age, knowledge, and clinical attitude of oral health professionals significantly correlated with waste management practice. Specifically, infectious waste management practice improved with increasing age, a greater level of knowledge, and a more positive clinical attitude. Additionally, the standardized regression coefficient demonstrated that, of these three factors, clinical attitude more strongly correlated with effective waste management practice, followed by age and level of knowledge. Conclusions: These results indicated that oral health professionals had a low level of knowledge regarding infectious waste management, and a more positive clinical attitude resulted in better practices. Therefore, the development of detailed and active education guidelines and strategies are needed to enhance the attitude, knowledge, and practice of oral health professionals with regard to infectious waste management.
자궁내막암 환자의 외과적 수술 이후 발생한 후유증에 대한 한방치험 1례
고은비 ( Eun-bi Ko ),장권준 ( Kwon-jun Jang ),윤민지 ( Min-ji Yoon ),이지윤 ( Ji-yoon Lee ),양정민 ( Jung-min Yang ),오재성 ( Jae-sung Oh ) 대한한방부인과학회 2021 大韓韓方婦人科學會誌 Vol.34 No.4
Objectives: The purpose of this study is to report the effect of Korean medicine on endometrial cancer patient after laparotomy. Methods: The patient with endometrial cancer who underwent Total Abdominal Hysterectomy (TAH), Bilateral Salpingo Oophorectomy (BSO), Bilateral Paraaortic Lymph Node Dissection (BPLND) was treated by Korean medicine such as herbal medicine, acupuncture, moxibustion. To evaluate the patient, symptoms were measured by Numeric Rating Scale (NRS) and Eastern Cooperative Oncology Group (ECOG). Blood tests including cancer biomarker were conducted during treatment. Results: After treatment, postoperative pain and general weakness were gradually relieved. Conclusions: This case provides us treatment with Korean medicine have substantial benefit on postoperative complications after laparotomy.