• Asian Pacific Journal of Cancer Prevention
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• 제17권3호
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• pp.1469-1472
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• 2016

Cancer pathology reports play an important role in choice of patient care. They provide crucial information concerning diagnosis, therapy options, and prognosis. Professional pathology institutions, such as the College of American Pathologists (CAP), have developed checklists to ensure the presence of all the required elements in reports. In this study, 438 surgical pathology reports of patients with breast (148), colon (147), and stomach cancer (143) were evaluated with respect to the presence of mandated elements according to CAP checklists. The most common missing element in all the three types of cancer was 'staging' (73.6, 53.1, and 56.6% in breast, colon, and stomach cancer reports missed 'staging', respectively). The second most missing element was 'tumor site' in breast (64.2%) and stomach cancer (30.1%), and 'procedure' in colon cancer (29.3%). 'Perineural invasion' was the third most missing element in the three types of cancer (25.7, 17.0, and 22.4% in breast, colon, and stomach cancer, respectively). Only 11.4% of reports included all key elements required by CAP. The use of checklists was associated with higher rate of completeness. This study demonstrates that the key elements requiring the information on the requisition forms from the clinicians are commonly missed, leading to ambiguity.

• Asian Pacific Journal of Cancer Prevention
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• 제15권19호
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• pp.8395-8400
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• 2014

In Saudi Arabia, cancer of breast is ranked the most frequent neoplasm and second source of cancer death in the female population. Breast cancer (BC) fast diagnosis, prognosis and medication management necessitate, these days, immunohistochemistry (IHC) assessment of hormone receptors and HER2 expression profile. The present report defines the IHC profile of ER, PR and HER2 in Saudi female breast neoplasms of ductal and lobular types and associations ER, PR and HER2 expression patterns with various clinicopathological factors (age, type of tumor, size, laterality, histological grade, and involvement of axillaries lymph nodes). Ninety nine cases of breast tumors were recruited from the pathology department archive of King Abdulaziz University Hospital, Kingdom of Saudi Arabia. ER, PR and HER2 expression was assessed using IHC staining. Ductal carcinomas with a variety of histological grades constituted 88 (88.8%) of total cases. Seventy four (77.8%), 59 (62.1%), and 35 (36.8%) of ductal carcinomas showed positive staining for ER, PR and HER2, in that order. Remaining breast cancer cases were four (4%) lobular carcinomas and two (2%) mixed form of ductal and lobular types, which were ER+, PR+, and HER2-. Breast cancer expression pattern of ER, PR and HER2 in Saudi female is different from that of Tunisian and Jordanian female populations and closer to the expression pattern of Egyptian, Lebanese, Iraqi and western country females. Furthermore, the present study found two IHC patterns of breast cancer ER+/PR-/HER2+ (5%) and ER+/PR-/HER2- (11.1%), which had not been reported in other Arabic studies. Thus the rates of IHC expression patterns in breast cancer show some variation among Arabic female populations.

• 복식문화연구
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• 제8권2호
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• pp.282-292
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• 2000

The purpose of this study is to provide for some basic data useful to the development of the brassieres comfortable and more suitable for obese women. The results of this study can be summarized as follows ; 1. Obese women were categorized using Rohrer index into three groups, and thereupon, their breast forms were analyzed. As a result, it was found that group 1 and 2 had similar small breasts, while group 3 had the largest size of breasts. 2. The forms of obese women's breast split, protrusion and volume, factors related with breast area and drooping, factor affecting the breast protrusion and factor defining the lower form of breast. 3. The actual breast types of obese women could be classified into cone type, protrusion type, drooping type Ⅰ and Ⅱ. The more obese a woman was, her breast tended more to droop.

• Asian Pacific Journal of Cancer Prevention
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• 제16권7호
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• pp.2857-2870
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• 2015

Although the incidence of breast cancer in Asia remains lower than in North America, Western Europe, and Oceania, rates have been increasing rapidly during the past few decades, and Asian countries now account for 40% of breast cancer cases diagnosed worldwide. Breast cancer mortality has also increased among Asian women, in contrast to decreased mortality in Northern America, Western Europe, and Oceania. These increased rates are associated with higher prevalence of breast cancer risk factors (e.g., reduced parity, delayed childbirth, increased obesity) that have accompanied economic development throughout the region. However, Asian regions (western, south-central, south-eastern, and eastern) and countries differ in the types and magnitude of changes in breast cancer risk factors, and cannot be viewed as a single homogeneous group. The objective of this paper was to contrast the heterogeneous epidemiology of breast cancer by Asian regions and countries, and to suggest potential avenues for future research.

• 여성건강간호학회지
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• 제13권3호
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• pp.149-156
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• 2007

Purpose: This study aimed to elucidate the prevalence of breast feeding and maternal psychosocial predictors affecting the breast feeding practice at six months postpartum. Method: One hundred and sixty one mothers at six months postpartum were conveniently recruited in two public health center in Jeju-city. Subjects completed a well-structured questionnaire regarding the feeding types of the child, maternal self-esteem, the Edinburgh Postnatal Depression Scale (EPDS), husband support, and marital adjustment scale. The data was analyzed using the $X^2-test$, t-test, Pearson correlation coefficients, and logistic regression. Result: The prevalence of breast feeding at six months postpartum was 29.9%. Predictors of breast feeding practice identified by the logistic regression analysis include first feeding type after delivery, marital adjustment, readiness for maternal role and work state. Conclusion: The prevalence of breast feeding practice was lower than WHO desired at six months postpartum. Therefore, the findings support the need for breast feeding education including interventions focused on improving readiness for maternal role and marital adjustment.

• 대한한방부인과학회지
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• 제25권3호
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• pp.103-116
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• 2012

Objectives: The aim of this study is to differentiate women from men on breast diseases. Methods: We have searched antique books, texts and references of oriental obstetric & gynecology and checked into present conditions of oriental medicine hospitals in republic of Korea. Results: In physiological, pathological and epidemiological viewpoint of both oriental and western medicine, it was accepted that women were different with men on breast disease. Among references published in the Journal of Oriental Obstetrics and Gynecology from 1987, the number of references concerned breast disease was fifty divided into 29 original articles(58%) in types and 26 breast cancer(52%), 13 postpartum lactation(26%) in categorizations. and woman's breast disease and cancer taken charge on oriental obstetrics and gynecology in oriental medicine hospitals were 25(86%) and 19(66%) respectively. Conclusions: We could not realize that woman's breast disease already were accepted woman's particularity in various aspects until conducting our study. Accordingly, it is suggested that more researches would be conducted on the needs of female patients with breast disease through questionnaire or research and on the association reproductive factor and breast disease of women.

• 여성건강간호학회지
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• 제18권2호
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• pp.75-84
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• 2012

Purpose: This study was done to identify the effects of individual postpartum breast-feeding education on adaptation, attitude and practice of breast-feeding in primiparas. Methods: A quasi-experimental nonequivalent design was used to examine the effects of individual postpartum breast-feeding education among primiparas. The data were analyzed using $x^2$-test, Fisher's exact test and paired t-test. Results: There was a significant difference in breast-feeding adaptation (t=-12.94, p<.001), breast-feeding attitude (t=-2.71, p=.011) and breast-feeding practice ($x^2$=16.47, p<.001) between the group education (experimental group I) and individual education after group education (experimental group II). Conclusion: The results indicate that individual education on breast-feeding compared to group education has more positive effects on increasing breast-feeding adaptation, attitude and practice in primiparas. This result also indicates that many primiparas should be given opportunities of various types of education to improve breast-feeding practice such as individual approaches and postpartum breast-feeding education programs.

• 한국전자파학회논문지
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• 제27권7호
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• pp.646-652
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• 2016

본 논문에서는 전자파를 이용한 유방암 진단에서 유방의 조직형태에 따른 2차원 영상복원 결과를 논의하고 있다. 유방의 영상복원에 사용한 시스템은 16개의 송신/수신 안테나로 구성되어 있으며, 1,700 MHz를 사용하여 4가지의 유방조직형태(ED-, HD-, SC-, FT-type)에 대하여 영상복원을 수행하였다. 순방향 문제의 해석에는 모멘트법을 적용하였으며, 역문제 해석을 위한 최적화 알고리즘은 simplex 법을 사용하였다. 영상복원의 결과, ED형 및 HD형은 영상복원이 용이하지만, SC형 및 FT형의 영상복원에는 오차가 많이 포함되어 있어 복원이 쉽지 않음을 확인할 수 있었다.

• 성인간호학회지
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• 제19권3호
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• pp.447-458
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• 2007

Purpose: This exploratory study was to identify the use of complementary and alternative medicine(CAM) in women with breast cancer and to analyze which factor influence CAM use. Methods: 114 patients with breast cancer were identified and approached. The instrument used to gather data were the common types, main reasons and effects as well as stress, mood states and fatigue. Results: 42.7% of all participants reported the use of CAM. The most common types of CAM used were Phellinus linteus, elm tree, and vitamin C. The main reasons for CAM use were to boost the immune system and to prevent recurrence. Prayer, massage, Shitake mushroom, and Ganoderma lucidum were, identified as being more effective than others. 93.6% of the respondents informed their physicians of their use of CAM. Logistic regression analysis determined that stress, mood states, and duration after diagnosis were factors significantly associated with CAM use. Conclusion: CAM use is increasing among patients with breast cancer. Health care professionals are in the main position to identify what treatments patients are using and implement CAM therapies that can be helpful to relieve patient symptoms related to treatment and psychological distress.

• 대한방사선기술학회지:방사선기술과학
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• 제35권3호
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• pp.227-235
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• 2012

유방영상은 유방 전체의 재현 가능한 영상을 만들며, 만져지지 않는 조기 유방암의 가장 중요한 소견인 미세석회화와 종괴를 발견할 수 있어 유방 질환의 일차적인 선별검사로 이용되고 있다. 유방 병변의 미세석회화는 조기 유방암의 진단에 있어서 중요한 병변으로 보고되고 있지만 유방초음파 검사에서 검출이 어렵다. 본 연구에서는 유방초음파 영상에서 미세석회화 검출을 위해 6가지의 질감분석 파라미터를 이용하였으며, 정상 초음파영상과 미세석회화가 보이는 초음파 영상 간의 병변인식률을 알아보았다. 실험결과로는 유방촬영영상과 유방 초음파영상에서 병변을 구별하는 컴퓨터자동진단 인식률은 70~98%로 상당히 높은 결과를 나타내었다. ROC 분석에서도 평균대조도와 엔트로피 파라미터의 특이도는 다소 낮게 나타났으나, 나머지 4개 파라미터의 민감도와 특이도는 90% 이상을 나타내어 초음파영상에서 미세석회화 검출의 가능성을 보였다. 향후 6가지 질감분석 알고리즘들 외에 추가적인 파라미터 알고리즘의 연구가 계속 진행되어 컴퓨터자동진단의 실용화기반을 마련한다면 전문의 진단의 예비단계로서 더욱 중요한 의미를 가질 것이며, 유방암의 조기진단에 매우 유용할 것으로 사료된다.