The objectives of this study are to investigate the prevalence of occupation related carpal tunnel syndrome(CTS) among workers in a condom industry : to analyse the sensitivity and specificity of clinical signs or symptoms such as hand diagram, Tinel's sign and Phalen's sign in carpal tunnel syndrome : and to test vibration threshold test using audiometry as a technically easy and noninvasive method in the diagnosis of carpal tunnel syndrome in stead of nerve conduction velocity (NCV). The study group was divided into exposed group(39 cases) and non-exposed group(48 cases) based on whether or not excessive use of wrist movements exsist. 1. There are stastically significant differences in symptoms and signs of carpal tunnel syndrome such as hand diagram, Tinel's sign and Phalen's sign between exposed and non-exposed group(p<0.05). 2. Six cases(9 hands) were comfirmed as carpal tunnel syndrome by NCV. Five cases(7 hands) belonged to exposed group, 1 case(2 hands) to nonexposed group. As there are significant differences in prevalence of carpal tunnel syndrome between two groups(p<0.05), excessive use of wrist in occupation is a risk factor of carpal tunnel syndrome. 3. When we use NCV as a gold standard in the diagnosis of carpal tunnel syndrome, sensitivity and specificity of hand diagram, Tinel's sign and Phalen's sign is as followed; hand diagram , sensitivity 88.9%, specificity 84.2% Tinel's sign ; sensitivity 55.6%, specificity 72.8% Phalen's sign ; sensitivity 14.3%, specificity 88.4%. Among above clinical signs and symptoms, hand diagram is the best clinical screening test. 4. The differences of vibration threshold between median and ulnar nerve at the same time are useful in the diagnosis of carpal tunnel syndrome but the time change of vibration threshold of median nerve over time are not sensitive enough. It is concluded that vibration threshold between median and ulnar nerve at the same time can be used as a supplementary or alternative criterion to indicate that the nerve dysfunction is located in the carpal tunnel.
This study was conducted to investigate changes of knowledge and attitude toward AIDS of soldier through health education. The sample was selected with and experimental group(160 persons who were received health education group) and control group(160 persons who were not received), 20-21 years of age from 320 persons(soldier) who were between in a certain base located in Kyung Gi province. The data was collected from 24th Feb. to 21st April 1993. By questionnaires before and post test for education process about 4 weeks(pre and post test). The results of this study were as follows ; Of 320 soldiers 66.6% had received health education on sex before attending in base, 58.8%(94 persons) of experimental group and 58.1%(93 persons) had experience with sexual intercourse. In characteristics related to sexual intercourse experience, age of first sexual intercourse for experimental group was 19 in highest percentage as 30.0%, 18 in control group, 64.9% of experimental group and 61.4% of control group answered no use condom during sexual intercourse. About the reasons why use condom 51.5% of experimental group answered to prevention of VD and 44.4% of control group answered to prevention of partner's pregnancy in the highest percentage. There was no significant difference between mean score of knowledge level of experimental group and mean score of control group in pre-test. There was significant difference between mean score(15.23) of experimental group and mean score(12.98) of control group(p<0.01) in post-test. The attitude level in pre, post education was mean score 11. There was significant difference between mean score(9.04) of experimental group in pre-test and mean score(9.39) in post education(p<0.05), There was also significant difference between mean score(9.16) of control group in pre-test and mean score(9.60) in post-test(p<0.05), Mean score of perceived susceptability level of experimental group decreased from mean score 2.84 in pre-test to 2.66 in post-test, there was no significant difference between mean score of pre-test and that of post-test in 2 group. There was no significant difference between mean scores of perceived severity of experimental group in pre-test and that in post-test and there was no significant difference between mean score of perceived severity of control group in pre-test and post-test. There was no significant differences between mean scores of perceived benefits to act health behavior of experimental group or control group and pre-test and post-test.
Purpose: This study was designed to identify nurses' perceptions and educational intentions regarding natural childbirth control (NCC) methods. Method: The participants were 313 nurses working at three general hospitals in Seoul. They were asked to complete a questionnaire composed of scales measuring knowledge and perceptions childbirth control methods, awareness of bodily changes in ovulation phase, perceptions of fetal life, which were developed by the author. Also, Chang's (2002) Sexual Autonomy Inventory was utilized. The data were analyzed by the SAS program. Results : Methods of condom and rhythm were considered to be more useful for childbirth control than other methods. Only 34-54% of them knew exactly about the NCC methods using menstrual cycle, body temperature, and mucus. The mean scores of sexual autonomy and awareness of bodily changes in ovulation phase were 3.8 and 3.4 out of 5, in respect. Educational intention was different statistically by the age, marital status, future intention to use NCC methods, and perception of educational need for NCC methods. Conclusion : Nurses' perceptions and educational intentions regarding NCC were low, especially in nurses who were married. It is recommended to encourage nurses to learn NCC methods for clients education.
Purpose: The purpose of this study was to identify health promotion behavior and contraception in married immigrant women. Method: Seventy-three immigrant women who were married with Korean men were recruited in October 2008. Data was collected by using questionnaires through a personal interview. The collected data was analyzed by descriptive statistics, Pearson's correlation, t-test, and ANOVA. Result: The lowest scoring part among health promotion behaviors was exercise. Stress management, eating habits and personal relationships followed. Health promotion behaviors were influenced by the age at marriage, frequency of going out, and health education experiences. Only 35.6% of subjects used contraception. The popular contraceptive methods were IUD, condom, and coitus interruptus. Most subjects got information about contraception from family and friends. 18.1% of subjects had no source of information. The women's education level had a significant influence on their contraceptive knowledge. Conclusion: Programs for exercise and contraception are needed to improve health promotion behaviors in married immigrant women. Nurses are an important part in health promotion. The role of nurses must be expanded in all communities through various intervention programs.
Purpose: This study aims to examine the factors influencing sexually transmitted infection (STI) in Korean adolescents 12 to 18 years. Methods: Using statistics from 10-11th Korea Youth Risk Behavior Web-based Survey, secondary analysis was conducted. The study sample consisted of 4,886 boys and 1,998 girls who had reported initiating sexual intercourse. Results: The proportion of adolescents who had a sexually transmitted infection was 8.8% of boys and 11.0% of girls. In multiple regression analysis, grade, smoking, first intercourse before middle school, intercourse after drinking alcohol, living without family, large amounts of pocket money were factors associated with sexually transmitted infection for both boys and girls. Use of condom is related to STI contraction of boys only. Formal sex education was not associated with reducing risk of STI. Conclusion: The results of this study show the factors associated with STI among Korean adolescents. Gender-related effective interventions should be taken into consideration in school-based sex education programs.
Background: This cross-sectional observational study was undertaken to identify the epidemiological characteristics of patients with gynecological malignancies in India, in relation to gynecological cancer risk. Methods: In the gynecology out-patient clinic of a tertiary care hospital in Kolkata, India, the patients with suggestive symptoms of gynecological malignancies were screened. One hundred thirteen patients with histopathologically confirmed gynecological malignancies were interviewed. Results: More than two-thirds of the cases (69.0%) occurred in the age range of 35-64 years and the same proportion of patients was from rural areas. Almost all the patients were "ever-married" (96.5%). More than half (54.9%) were illiterate/just literate. Nearly two-thirds (64.6%) were parity 3 or higher. Among the 18 patients with history of multiple sexual partners of the husband, 94.4% (17) were suffering from cervical malignancy, along with all the 3 patients with history of STD syndromes (sexually transmitted diseases) of their husbands. No one had given a history of condom use by her husband. Most of the patients (91.1%) used old / reused cloth pieces during menstruation. Conclusions: There is a need to increase awareness among women and the broader community about different epidemiological factors that may be responsible for increased risk of gynecological malignancies.
Purpose: This study was done to explore the rates and methods of contraception among Korean adolescents from 2007 to 2009. Methods: The study was a descriptive study. The data were taken from a web-based survey on risk behavior of Korean youth that was conducted between 2007 and 2009 by the Korea Centers for Disease Control and Prevention. Results: Among adolescents, 4.7% in 2007, 4.6% in 2008, and 4.7% in 2009 reported having had sexual intercourse. In those who had sexual experiences, less than 30% reported consistent use of contraception, whereas more than 45% report no contraceptive use at all. A condom was the most frequently used contraceptive method and its use has increased continuously among contraceptive users. Some of the adolescents were, nevertheless, using unreliable methods such as withdrawal or the rhythm method. Conclusion: The results of this study indicate that most adolescents are not using contraception consistently and some were relying on unreliable contraceptive methods. Efforts to raise awareness about consistent and correct contraceptive use and the importance of dual protection are essential.
During the past decade great advance has been made in contraceptive technology. The development and subsequent modification of oral steroid contraceptive together with the improved design of other contraceptives have tremendously altered the contraceptive practise of complete throughout the world. At the present time one of most complex issue is the population explosion. In Korea the population growth rate is remarkably decreased from 3% in 1960s to 1.7% in 1984. Increasing proportion of women practising family planning and improved contraceptive methods have contributed on remarkable reduction of fertility rate. But still about half of married women not involved in family planning practise. One of the reasons why that so many women haven't participated in family planning should be undesirable side effects or inconvenience of currently available contraceptives. So we need more research to develop newer, safer and more effective contraceptive to solve the problems. According to recent report on the family planning program achievement in Korea, sterilization (male and female) is most popular, leading contraceptive method (330 cases/1000 fertile persons) and the I.U.D. (167.5/1000), condom (132.9/1000) and oral pill (61.1/1000) were followed by in the order of favorite choice of contraceptive (KIPH, Family planning evaluation report, 1984; KIPH Family plan Service Statistics, 1981-1984). In present paper the present status and knowledge of contraceptives will be summarized.
Korean family planning program has been adopted as a part of the Economic Development Plan with strong national government backup. After initiation of family planning program, the increase rate of total population declined from 2.6 percent during 1955-1960, to 2.1 percent in 1960-1975, and 1.6 percent in 1979. Of course, we do not ascribe this population increase rate decline to the national family planning program alone. Other contributing factors have been changes such as growing numbers of induced absortions, a rising marriage age and economic development. Currently, 2,600 family planning workers are assigned in all myun of the country. 21 percent of the works are registered nurse, 9 percent are midwife and aid nurses occupy 70 percent (Table 1). Authorized clinics are 2,329 which composed 1,765 IUD clinics, 1,070 vasectomy clinics and 1,150 Fimale sterilization clinics (Table 2). Cumulative contraceptive services provided by government program, 1962-1974 is illustrated in Table 3. After government program in family planning has been initiated (1962-1978), estimated number of births averted by each methods was measured (Table 4). From 1962 to 1978, tendency of contraceptive acceptors is illustrated in Table 5 showed that IUD, oral pill and condom program is decreasing and in other hand, sterilization program is increasing very much. Attitude change toward family size (1965-1978), contraceptive practice and son preference are showed in Table 7, 8, respectively. Auther concluded that future program in family planning should target to the point, that smaller family size norm for maternal health should be emphasized rather than smaller size family for national development.
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