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유방암 생존자의 애착손상과 부부만족도 및 정신건강 간의 상관관계
서미아 ( Seo Mia ),민준원 ( Min Jun-won ),노동영 ( Roh Dong-young ) 한국보건사회연구원 2015 保健社會硏究 Vol.35 No.3
본 연구는 유방암 생존자의 애착손상과 부부만족도에 따라 정신건강에 어떠한 차이가 있는지를 규명하기 위하여 수행되었다. 자료 수집은 두 개의 대학병원 부설 유방암 클리닉에서 이루어졌으며 연구 대상자는 유방암 진단을 받고 치료중인 성인생존자로 총 203명이었다. 대상자의 애착손상과 부부만족도, 정신건강을 측정하는 구조화 된 질문지를 사용하여 2014년 3월에서 5월까지 일대일 면접을 통하여 자료를 수집 하였다. 수집된 자료는 SPSS 21.0 프로그램을 사용하여 분석하였으며 변인간의 상관관 계는 pearson correlation을, 애착손상여부 및 애착손상시기, 부부만족도에 따른 정신 건강의 차이는 t-test로 분석하였다. 연구결과 애착손상과 부부만족도는 정신건강과 유의한 상관을 나타냈다. 또한 대상자의 애착손상의 유무와 부부만족도 수준에 따라 신체화, 강박, 대인 예민, 우울, 불안, 적대, 공포, 편집증, 정신증의 9개 정신건강 영역 모두에 유의한 차이를 나타냈다. 즉, 애착손상이 있는 경우와 부부만족도가 낮은 경우 9개 정신건강 영역의 문제가 더 높았다. 이러한 결과는 유방암 생존자의 부부관계 문제에 대한 전문적 개입의 필요성을 시사하는 결과이며 본 연구 결과를 토대로 유방 암 생존자의 부부관계를 증진시킬 수 있는 부부 상담이나 교육 프로그램을 개발할 것을 제언한다. The purpose of this study was to verify differences of mental health related to attachment injury and marital satisfaction. Data was collected from two breast cancer clinics at university hospitals; a total of 203 breast cancer survivors participated in the study. Data was collected by a structured questionnaire which consisted of one-to-one questions concerning attachment injury, marital satisfaction, and mental health. The result showed that mental health in terms of somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, and psychoticism varied significantly according to the different levels of attachment injury and marital satisfaction. High metal health problems were presented as having attachment injury and low marital satisfaction. This study suggests the development of counseling strategies and education programs to improve marital relationships of breast cancer survivors.
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여성형탈모에서 저용량 경구 미녹시딜의 효과 및 안정성: 44명의 환자를 대상으로 한 단일기관 연구
김영범 ( Youngbeom Kim ),이기욱 ( Giwook Lee ),신준오 ( Jun-oh Shin ),노동영 ( Dong Young Roh ),김연아 ( Yeona Kim ),원상현 ( Sang-hyeon Won ),이정수 ( Jungsoo Lee ),신기혁 ( Kihyuk Shin ),김훈수 ( Hoonsoo Kim ),고현창 ( Hyun-chan 대한피부과학회 2024 대한피부과학회지 Vol.62 No.3
Background: Female-pattern hair loss (FPHL) is characterized by diffuse hair thinning in the mid-frontal scalp and increased hair shedding. Although the use of low-dose oral minoxidil (LDOM) is increasing significantly in Korea, data on its use are limited. Objective: To determine the efficacy and safety of LDOM in Korean patients with FPHL. Methods: This retrospective, single-center study was conducted at Pusan National University Hospital. The study included female patients with pattern hair loss who received treatment with LDOM at 1.25 mg/d for a minimum of 6 months in combination with other treatments. Patients were eligible for LDOM addition if their previous treatments showed a limited response and the previous treatment regimen remained unchanged throughout the evaluation period. Clinical response to treatment was evaluated using the Sinclair hair loss severity scale. Results: The study included 44 females with FPHL. Before treatment, the mean Sinclair scale score was 2.77, which decreased to 2.27 after treatment. By the 3rd month, one patient (2.3%) experienced worsening, while seven patients (15.9%) showed slight improvement. By the 6th month, the treatment response was as follows: stabilization in 30 patients (68.2%), slight improvement in 13 patients (29.5%), and substantial improvement in one patient (2.3%). Adverse effects, predominantly hypertrichosis, were observed in nine patients. All adverse effects improved upon discontinuation of LDOM and no life-threatening adverse effects were observed during the study. Conclusion: This study provides evidence that LDOM can be an effective therapeutic option with a good safety profile for FPHL. (Korean J Dermatol 2024;62(3):136∼142)
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김종욱 ( Jongwook Kim ),이기욱 ( Giwook Lee ),신준오 ( Jun-oh Shin ),노동영 ( Dong Young Roh ),김연아 ( Yeona Kim ),원상현 ( Sang-hyeon Won ),이정수 ( Jungsoo Lee ),신기혁 ( Kihyuk Shin ),김훈수 ( Hoonsoo Kim ),고현창 ( Hyun-chang 대한피부과학회 2024 대한피부과학회지 Vol.62 No.3
Congenital smooth muscle hamartoma is a benign proliferation of smooth muscles within the dermis. The classic form presents as well-defined, skin-colored, or hyperpigmented plaques associated with hypertrichosis. However, there have been reports of atypical forms, including a follicular spotted appearance, linear atrophic plaques, and morphea-like forms. In such cases, distinguishing congenital smooth muscle hamartomas from other cutaneous diseases can be challenging. Herein, we report on a 16-month-old boy who presented with a hypopigmented patch and hypertrichosis on his back since birth. Histopathological examination revealed mild acanthosis and well-defined smooth muscle bundles haphazardly oriented in the dermis. These bundles stained positively with Masson’s trichrome stain. Based on these findings, a definitive diagnosis of congenital smooth muscle hamartoma was established. In conclusion, an exceptionally rare case of congenital smooth muscle hamartoma with a hypopigmented appearance is reported. (Korean J Dermatol 2024;62(3):165∼168)
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