A Case of Intestinal Type Mucinous Adenocarcinoma and Strumal Carcinoid Tumor arising in One of Bilateral Mature Cystic Teratoma of the Ovary / 대한산부인과학회잡지

Malignant transformation of mature cystic teratoma (MCT) is an uncommon complication occuring in approximately 1-3%. Any of the constituent tissues of a teratoma has the potential to undergo malignant transformation; squamous cell carcinoma is the most commonly associated cancer, however, adenocarcinomas or carcinoid tumors arising in mature cystic teratoma are uncommon, especially simultaneously. We present an unusual case of postmenopausal women having mucinous adenocarcinoma and strumal carcinoid tumor simultaneously arising in one of bilateral mature cystic teratoma of the ovary. We suggest malignant transformation of MCT should be treated according to the management of the worst histologic diagnosis of the transformations if there are 2 or more malignancies are arised in MCT of the ovary.

The Prognosis of Resectoscopic Myomectomy of Submucosal Myomas / 대한산부인과학회잡지

OBJECTIVES: To examine the outcome after operative resectoscopic resection of submucosal myomas in symptomatic women. METHODS: Forty eight symptomatic women with submucosal myomas underwent operative resectoscopy for resection of the submucosal myomas. A few months after the myomectomy, I compared postoperaive status of the patients to preoperative status of the patients. RESULTS: No operative or postoperative complications occurred and all patients were discharged within 4 days. The follow-up period was 11.12+/-6.44 months(mean+/-SD). The age of the patients was 37.69+/-9.22 years(mean+/-SD) at the time of the operation. Twelve women out of 16 conceived(pregnancy rate of 75%)and all of them subsequently delivered at term. Thirty two women(menorrhagia of 28 and backache of 4) had been rid of their chief complaints that they had suffered from preoperatively. CONCLUSION: The results of this study indicate that operative resectoscopy achieved a pregnancy rate 75%. These results suggest that operative resectoscopy is an effective procedure to resect submucosal myomas in infertile symptomatic women.

Umbilical Venous Blood Gases, Middle Cerebral, and Renal Arterial Blood Flow Velocity Waveforms in Intrauterine Growth Restriction Fetuses / 대한주산의학회잡지

No abstract available.

A Study of Environmental Factors and Self-efficacy in Female College Student Smokers / 기본간호학회지

For the past 10 years, the number of male smokers has dwindled. On the other hand, the number of female smokers has increased abruptly. Cigarette smoking is more hazardous to a woman than to a man because it can affect her health and her fetus during pregnancy. Many studies show that cigarette smoking is one of the most important risk factors determining the mortality and the morbidity of various kinds of diseases such as lung cancer and pharyngeal cancer. But, it is also known to one of the risk factors we can handle and prevent easily. The subjects of this study consisted of 263 female nursing students in Seoul and Chonbuk Province. Using questionnaires, we were collected data from December 1 to December 10, 1998. The questionnaire included 24 questions related to environmental factors and 14 questions related with self-efficacy. The statistical analysis was done with SPSS ver. 8.0(SPSS Inc. U.S.). The results of this study are as follows. 1) Cigarette smoking in women was influenced by her family or friends. That is to say, the higher number of her friends or family members who smoked cigarettes, the more likely a woman was to become a smoker. Economic status and knowledge level about the risks of cigarette smoking were also related to women smoking. So, women with lower levels of economic status and less knowledge about the risks of cigarette smoking were the more likely to become smokers. 2) Woman with higher levels of self-efficacy were less likely to become smokers. 3) The factors influencing a woman's smoking were whether her friends smoked, whether her mother smoked and her self-efficacy in that order. Environmental factors, self-efficacy were found to be important factors influencing smoking in women. It is suggested a quit-smoking program for women college students, be based on consideration of these environmental factors and self-efficacy.

A Study on Discomfort of Daily Life and Self-Esteem of Urinary Incontinence in Middle-Aged Women / 기본간호학회지

The purpose of this study was to find out the prevalence of urinary incontinence, it's relating factors and the level of self-esteem in women. Subject of this study consisted of 153 in the age of 30-55 years old living in around Iksan. The date were collected from March, 1998 to June, 1998 with interview using structured questionnaire and were analysed with SPSS program. The results were as follows : 1) The prevalence of urinary incontinence is 85%. The most common amount of urinary incontinence was somewhat small expressed as 'wetting their panty'. 2) The common factors related to the urinary incontinence were coughing, sneezing, laughing loudly, the activities of need for hurry and constipation. The older, the more incidence of urinary incontinence were reported. 3) Only 50% of epsodic urinary incontinence were treated and they wanted to try the herb medicine(64%), taking medicine(8%) and exercise(3%). 4) There was significant between self-esteem and urinary incontinence(T=13.83, p=.000), but between degree of urinary incontinence and self-esteem were not significant(F=.71, p=.55). In conclusion, urinary incontinence will be very serious health problem as aging so that it's important to provide nursing intervention to prevent and be well. It need to support psychological care, too.