This study prospective randomized controlled trial aims to test the impact of adding health education, awareness of some contributing factors and clinical guidance to therapeutic cabergoline given to infertile women with unexplained resistant hyperprolactinemia. It comprised 120 infertile women with unexplained persistent hyperprolactinemia not responding to therapeutic doses of cabergoline 1.5-2 mg/week who were subjected to proper history taking to exclude concomitant drug intake or possible brain problems in all cases. They were classified into group A (60 cases) who received health education and clinical guidance to search for possible contributing factors and were instructed to avoid them in addition to proper therapeutic doses of cabergoline, while group B (60 cases) received proper therapeutic doses of cabergoline only without clinical guidance. After 1 month, serum prolactin (PRL) was measured for all cases. All cases had high PRL level at the start of the study (79.9±28.4 [39-195] and 78.2±19.9 [42-189] in group A and B, respectively) without any significant difference. Pretreatment counselling revealed that lifestyle factors, sexual behaviors or feeding habits may contribute to resistant hyperprolactinemia in all cases without a significant difference between both groups. Serum PRL dropped significantly more in group A (20.14±10.31 [11-45] vs. 49.32±37.03 [12-100]) after combined health education, clinical guidance of the couple and proper treatment. It is concluded that lifestyle factors, sexual behaviors, and feeding habits would affect the response of hyperprolactinemia to treatment. Health education and clinical guidance with some advice to avoid them, would concomitantly improve the response of resistant hyperprolactinemia to therapeutic doses of dopamine agonists.
The purpose of this study was to survey the degree of awareness and practice concerning prenatal care among Korean women. In this study, 626women in Seoul, Sungnam City, and Yangju Kun were randomly selected to be given a questionare that was formulated by the researcher. The statistical analysis of the data was obtained by percentage scores and $X^2$ scores on each item by age, educational background, and regional areas. The general out come of the study were as follows. A. The Practice of Prenatal Care 1. Physical Activities: Concerning the hard work, about a half of the women took care of it by themselves, and the others treated it with help. Also it was found that they tried to reduce the amount of travel as much as possible during pregnancy. 2. Dietary Intake: It was revealed that no significant change were observed before and during pregnancy. 3. Drugs: It was revealed that they tried to avoid drugs as much as possible during pregnancy. 4. Emotion: About a half of the women said that the family atmosphere did not change before and during pregnancy. The others said it had improved after pregnancy. In their spare time, most pregnant women rested in bed, read books, and listened to music. 5. Husband's Support: Most of the women expressed that they needed thief-husband's support absolutely, especially with hard work. They moderated the sexual activities when they found that they were pregnant. B. Degree of awareness for Prenatal Care 1. Perception of Prenatal Care: Most women heard about prenatal care at least one time through family, friend, or mass-media. 2. Necessity of Prenatal Care: Most women recognized the necessity of prenatal care, and they thought that the relaxation of body and mind was important during pregnancy. 3. Influence of Prenatal Care: It was revealed that most women recognized the positive influence of prenatal care to the neonate. 4. Practice of Prenatal Care: It shown that the most of pregnant women took serious interest in prenatal care and they tended to be careful during pregnancy. Generally speaking, the difference in educational background seemed to affect most to the pregnant women's awareness and practice of prenatal care: the higher the educational achievement, the more cautious about the prenatal care. The difference in region seemed to affect considerably in most aspects of practice: women in urban areas preceeded the rural women in prenatal care. The age difference seemed to affect least in their prenatal care except the younger generation took more care in avoiding the use of drugs.
Background: In Iran, there are high rates of breast cancer. It is among the five most common cancers, the first among cancers diagnosed, and is the leading cause of cancer deaths among Iranian women. Objectives: The purpose of this qualitative study was to explore perception of breast cancer screening among Iranian women who have never had a mammograph. Materials and Methods: The current study was part of a qualitative research conducted by means of content analysis method and purposive sampling of 16 women over the age of 30 years who had not undergone mammography using individual semi-structured interviews. Interviews were recorded and transcribed verbatim. The data were under continuous consideration and comparative analysis in order to achieve data saturation. Results: After codification of data, three concept categories were achieved including: i) low awareness, ii) worries, and iii) lack of motivation. Conclusions: Although there is a tendency among Iranian women to participate in breast cancer screening, there is a powerful cultural belief that breasts are sexual organs that should not be discussed publicly. Due to the incidence of breast cancer in Iranian women, it is critical that breast awareness education be performed by health care experts to explore the concepts of breast cancer and breast cancer screening.
The purpose of this study was to investigate the influences of variables related to family and employment on work family spillover in working wives with children. Korean Longitudinal Survey of Women & Families(KLoWF; 2008) of Korea Women's Development Institute was used in this study. The subjects of this study were 733 working wives with children. For data analysis Cronbach ${\alpha}$, and multiple regression were performed. The results show that, first, among variables related to family, family role awareness and marital satisfaction influence on work-family negative spillover, and values on familism and husband's weekends housework hour influence on family-work negative spillover in working wives with children. Second, among variables related to employment, career satisfaction, wife's weekly working hour, husband's perception on employment of wife and sexual discrimination influence on work-family negative spillover, and career satisfaction, husband's perception on employment of wife, employment stability, husband's monthly income and husband's weekly working hour influence on family-work negative spillover in working wives with children. Third, among variables related to family and employment, wife's weekly working hour, family role awareness, marital satisfaction husband's perception on employment of wive, husband's weekly working hour, and career satisfaction influence on work-family negative spillover, and values on familism and wife's weekly working hour influence on family-work negative spillover in working wives with children.
The purpose of this study is to classify men in their 20s by their sex role attitudes, and to study their appearance management behavior and inner characteristic variables such as socio-cultural attitudes on appearance and bodily image, which are expected to influence the appearance management behavior of each classified group. For this, a survey of 393 males in the 20s in Seoul and metropolitan areas was conducted. Factor analysis, Cronbach's alpha coefficient, and F-test were conducted on the data. First, as a result of analysis on sex role attitudes, four groups were categorized: Masculinity, Femininity, Androgyny and Undifferentiation. Second, the analysis of individual variables resulted in appearance management behavior being separated into five categories: Interests in fashion, Proper choice of clothing, Importance of bodily attractiveness, Pursuit for personality and Complementation of physical weaknesses. The socio-cultural attitude on 'appearance' was sub-categorized into Internalization, and Awareness, while 'body image' was divided into Cognitive behavioral and Affective aspects. Regarding differences in socio-cultural attitudes for appearance, body image and metro-sexual lifestyle attitudes, the androgyny group produced the highest scores. Based on these results, it can be concluded that people who take care of their physical appearance, cope effectively with social and circumstantial requirements for happiness and success, and respond flexibly and affirmatively.
Cervical cancer resulting from prior infection with human papillomavirus (HPV) is a significant public health threat against young Japanese women. A national immunization plan to vaccinate 13~16 year old female students against HPV infection has been started in Japan since 2010, and may reach almost full coverage by the end of 2012. Older age females who may already be sexually active are not targeted by this plan but should follow safer sex practices as well as periodic screening of the cervix cytology to reduce their risk of developing cervical cancer. HPV vaccination alone does not offer full protection either, because only some HPV types are covered by the vaccines and the long-term efficacy of the vaccines has not been determined yet. Therefore, we did a survey at an international university in Japan to study the knowledge and attitude of female college students towards prevention of cervical cancer, to examine the age when they start sexual activity and other related attributes that may influence the risk of cervical cancer. We discuss the results of our survey and what they imply for the possible impact of an HPV immunization plan on the risk of cervical cancer in Japan, and conclude by an emphasis on the need to increase awareness among Japanese female adolescents and to enhance the cervical screening rates among older females who are already sexually active.
Journal of the Korean Society of Clothing and Textiles
/
v.41
no.4
/
pp.741-751
/
2017
Adolescent girls experience significant breast growth is a significant secondary sexual characteristic development; their breasts are clearly different from adults' in volume, location and shape. This study was designed to understand brassiere wearing conditions and practices of adolescent girls aged between 15 and 18, as well as to identify problems and solutions so that it can serve as basic guidelines to develop patterns and sizes for adolescent brassieres. This researcher first studied brassiere wearing conditions and size fitness of adolescent girls. We analyzed the 439 collected responses from an online survey. The survey questionnaires encompassed brassiere wearing conditions and practices, brassiere size awareness, brassiere design preference, and brassiere purchase behavior. The survey found that 55.8% of the responders did not accurately understand their brassiere sizes, and those who understood their size showed a higher satisfaction and less discomfort than those who did not. This study found a requirement to educate adolescent girls on how to select and wear the right-sized brassieres. It is also necessary to promote different brassiere designs for adolescent girls' size and body shape.
Objective: This study aims to examine the factors associated with teacher intention to report child abuse in child care centers. Methods: Data were collected from teachers at child care centers in the Jeonbuk region, using a self-administered questionnaire. In this study, 186 completed questionnaires were used to analyze the data. Results: The respondents reported their intention to report child abuse as follows: physical abuse(49.5%), emotional abuse(16.1%), sexual abuse(12.9%), and neglect(15.6%). The multiple hierarchical regression analyses revealed that participation at child abuse prevention training programs and awareness of reporting procedures were significantly associated with teacher intention to report child abuse at child care centers in Model 2. Also, attitudes towards reporting child abuse were significantly associated with teacher intention to report child abuse in Model 3. Conclusion/Implications: This study suggests evaluating chid abuse prevention training programs more accurately because the respondents who did not participate in the programs showed statistically significant higher mean scores of intention to report child abuse than who participated(1.83 vs .85). In addition, educational programs about child abuse for teachers in child care centers need to focus on changes in attitudes towards reporting child abuse, which in turn can change behavior.
The death scenes are the culmination of both Doris Lessing's "To Room Nineteen" and Toni Morrison's Sula. Lessing's Susan, an intelligent white English woman, gradually loses the meaning of life as awealthy housewife in the patriarchal society and commits suicide as her solution in Room Nineteen of Fred's Hotel. Morrison's Sula, an African-American woman, grows up without having the normal ego under Eva's matriarchy in a black community named the Bottom. Sula, after Nel's marriage, becomes a symbol of evil to her community and drifts down to death in Eva's bed. Reading these two death stories from the perspective of Jung's archetypal psychology, Susan is not able to continue to live a meaningful life because her life energy is cut off from its source which is in the unconscious. According to Jung, the symbol is the medium of the psychic energy from the unconscious to consciousness. In modern society which is represented by intelligence, the religious and mythical symbols are removed by rationalism, which means disconnection of the flow of life energy from the unconscious. Susan's death can be read as a kind of creating symbol to connect the modern people to the source of life energy. Sula's case is the opposite of Susan's. She remains in the unconscious world without having the proper ego in the absurd reality of racial and sexual problems. Sula finally rises again in Nel's awareness, becoming a symbol of the feminine goddess like goddess Inanna.
Purpose: This study was conducted to develop a cultural competence scale for nurses regarding the lesbian, gay, bisexual, and transgender (LGBT) community and to test its validity and reliability. Methods: The study adhered to the 8-step process outlined by DeVellis, with an initial set of 25 items derived through a literature review and individual interviews. Following an expert validity assessment, 24 items were validated. Subsequently, a preliminary survey was conducted among 23 nurses with experience caring for LGBT patients. Data were then collected from a final sample of 322 nurses using the 24 items. Item analysis, item-total score correlation, examination of construct and convergent validity, and reliability testing were performed. Results: The item-level content validity index exceeded .80, and the explanatory power of the construct validity was 63.63%. The factor loadings varied between 0.57 and 0.80. The scale comprised five factors: cultural skills, with seven items; cultural awareness, with five items; cultural encounters, with three items; cultural pursuit, with three items; and cultural knowledge, with three items; totaling 21 items. Convergent validity demonstrated a high correlation, affirming the scale's validity. Internal consistency analysis yielded an overall reliability coefficient of 0.97, signifying very high reliability. Each item is scored from 1 to 6 (total score range, 21-126), with higher scores reflecting greater cultural competence in LGBT care. Conclusion: This scale facilitates the measurement of LGBT cultural competence among nurses. Therefore, its use should provide foundational data to support LGBT-focused nursing education programs.
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