The Influence of Importance and Performance of Nursing Activities, and Professional Self-Concept on Ambulatory Care Nurses’ Job Satisfaction / 간호행정학회지

Purpose@#The purpose of this study was to identify factors influencing job satisfaction among ambulatory care nurses. @*Methods@#Data were collected through a self-evaluation survey of 129 nurses in one tertiary hospital. Data were analyzed using paired t-test, independent t-test, one-way ANOVA, Importance-Performance Analysis, Pearson correlation coefficients, and multiple regression analysis. @*Results@#The mean scores were: for importance, 3.18 out of 4, for performance, 2.24 out of 4, for professional self-concept, 2.92 out of 4, and for job satisfaction 2.77 out of 5. There were statistically significant positive correlations between professional self-concept and job satisfaction (r=.37, p<.001). Stepwise multiple regression analysis showed that satisfaction with professional self-concept, clinical career, and age explained 47.0% of the job satisfaction of ambulatory care nurses (F=37.51, p<.001). Satisfaction with professional self-concept, clinical career, and age were statistically significant predictors of job satisfaction. @*Conclusion@#Findings indicate motivation programs according to clinical career would be useful to improve job satisfaction of ambulatory care nurses. Additionally, continuous education should be provided to strengthen the professional self-concept of nursing professionals in both undergraduate curricula and clinical fields.

A case of non-gestational choriocarcinoma arising in the ovary of a postmenopausal woman / 부인종양

Primary ovarian choriocarcinoma arising from a germ cell is an extremely rare occurrence, especially in postmenopausal women, and the prognosis is poor. Non-gestational choriocarcinoma of the ovary (NGCO) accounts for 0.6% or less of all ovarian neoplasms. It is important to distinguish gestational choriocarcinomas of the ovary (GCO) from other carcinomas because of the poor prognosis of NGCO. We describe a case of NGCO with lung metastasis in a 55 year old woman, which we present together with a brief review of the literature.

Two cases of primary serous surface papillary carcinoma of ovary / 대한산부인과학회지

Serous surface papillary carcinoma (SSPC) of ovary is a rare malignant epithelial tumor that is histologically indistinguishable from serous ovarian papillary carcinoma. SSPC is defined as an exophytic papillary tumor originating from the surface epithelium of the ovary. It has been included in the World Health Organization classification of ovarian tumors. SSPC is believed to be a distinct subtype of serous papillary carcinoma of the ovary, and the prognosis is worse than that for serous ovarian papillary carcinoma. Clinically, SSPC usually presents with rapidly progressive intraperitoneal spread at the time of diagnosis. One woman with SSPC and malignant pleural effusion was 56 years old and presented with coughing and dyspnea. The other women was 61 years old and presented with abdominal distension. Their preoperative serum CA 125 level were 982.7 IU/mL and 4387 IU/mL. We experienced two cases of SSPC. In this case report, we present histologic findings, therapeutic modalities of SSPC with a brief review of literatures.

A case of pelvic and abdominal actinomycosis after hysterectomy / 대한산부인과학회지

Pelvic and abdominal actinomycosis is a chronic granulomatous supurative disease usually caused by an anaerobic Gram positive organism Actinomyces israelii. Its presentation is usually considered to be malignancy rather than an infective process and was once described as 'the most misdiagnosed disease'. They are normal commensal inhabitants of the human bronchial and gastrointestinal tracts and seem to only cause pathological infection after preceding mucosal breakdown. Infection spreads by direct extension. Hematogenous spread can occur but lymphatic spread is unknown. We experienced a pelvic and abdominal actinomycosis after total abdominal hysterectomy. This case illustrates the importance of considering the possibility of actinomycosis when we met a vague abdominal pain and mass after hysterectomy.