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      • KCI등재후보

        Cervical screening among Chinese females in the era of HPV vaccination: a population-based survey on screening uptake and regular screening following an 18-year organized screening program

        Horace CW Choi,Kathy Leung,Joseph T Wu 대한부인종양학회 2024 Journal of Gynecologic Oncology Vol.35 No.2

        Objective: China has a substantial disease burden of cer vical cancer. To further understandpreventive measures for reducing cer vical cancer in China, this study aimed to correlatescreening attendance and regular screening with human papillomavirus (HPV) vaccinationamong Chinese females. Methods: This prospective questionnaire-based sur vey recruited Chinese females aged 25or above in Hong Kong by random digit dialing telephone inter views in 2022. The sur veystudied women’s practice of cer vical screening and adherence to regular screening. Variablesincluding HPV vaccination status and attendance of physical check-ups were involved inthe questionnaire. Screening uptake and screening adherence were the main outcomes,which were measured as the proportion of women who reported having attended a cer vicalscreening and screened regularly, respectively. Results: Out of 906 valid respondents, the reported cer vical screening uptake was over70% among females aged 30 or above and particularly over 80% among women aged 35–59;however, the uptake was only 46% among those aged 25–29. Adherence to regular screeningwas 50%–60% across ages 25–59 years and dropped to approximately 40% for women olderthan 60 years. Both screening uptake and adherence were associated with HPV vaccination,with adjusted odds ratios of 2.37 and 2.23, respectively. A large proportion of regularlyscreened women may be overscreened for screening more frequently than recommended. Conclusion: Responded Chinese females showed good cer vical screening uptake but weremoderately adherent to regular screening. Policymakers should emphasize the importance ofregular screening and the recommended screening frequency by HPV vaccination status forbetter healthcare resource use.

      • KCI등재

        자연조기파막 482예

        박채원(CW Park),이영희(YH Lee),변명현(MH Byun),안정자(JJ Ahn),강신명(SM Kang) 대한산부인과학회 1978 Obstetrics & Gynecology Science Vol.21 No.6

        1972년 1월 1일부터 1975년 12월 31일까지 만 4년간 이화대학병원 산부인과에서 분만한 총수 6290예중 자연조기파막 482예를 임상적으로 분석 관찰하여 다음과 같은 결론을 얻었다. 1) 자연조기파막의 발생빈도는 7.7%였다. 2) 조산의 빈도는 17.6%로서 경산부에서 많았으며(26.5%) 초산부(12.3%)보다 약 2배로 높았다. 3) 모체측에 합병된 질환은 23.6%로서 이중 임신중독증이 13%로 약 반수를 차지했다. 4) 파막후 24시간 이상을 초과한 환자는 산모측의 산후발열이 시간에 정비례하여 높았다. 동시에 신생아의 이환율도 높았으므로 가급적 조기파막된 임부는 24시간내에 분만시키는 것이 좋다. 5) 신생아의 이환율 및 주산기 사망율(교정사율(corrected death rate)은 4.6%)은 분만전 항생제치료로서는 개선시킬 수 없었다. 6) 그러나 파막직후 또는 입원즉시에 투여하기 시작한 예방적 항생제치료는 산모의 이환율 및 재원치료소요기간을 현저히 감소시켰다. The management of spontaneous premature rupture of membranes is still remain controversial as far as the use of prophylactic antibiotics or timing of delivery is concern. The data presented here are based on the 482 cases of premature rupture of membranes among 6290 deliveries at the Department of Obstetrics and Gynecology, Ewha Womans University Hospital from January 1, 1972 to December 31, 1975. The policy of delivery, maternal and newborn morbidity and the effect of prophylactic antibiotics treatment were discussed. The results obtained as follows; 1) The incidence of premature rupture of membranes was 7.7% or 482 cases of 6290 deliveries. 2) The incidence of prematurity was 17.6% and it was figured that twice in the multiparas(26.5%) than in the primiparas(12.3%). 3) The associated maternal disease was 23.6% of the cases in the premature rupture of membranes and the main maternal disease was toxemia of pregnancy(13%). 4) Postpartum maternal fever and newborn morbidity were increased in proportion to the duration of the premature rupture of membranes, particularly when it exceeded over 24 hours. It is our experienced that the optimal delivery should be accomplished within 24 hours after premature rupture of membranes as possible. 5) Even with regular antepartum antibiotic treatments in the cases of premature rupture of membranes, any changes or reduction of the newborn morbidity or perinatal mortality could not be expected. 6) When prophylactic antibiotics treatment was used, the maternal morbidity and duration of antibiotics treatment needed in postparum were reduced markedly.

      • SCIESCOPUS

        Treatment of lipomas assisted with tumescent liposuction

        Choi, CW,Kim, BJ,Moon, SE,Youn, SW,Park, KC,Huh, CH Elsevier 2007 Journal of the European Academy of Dermatology and Vol.21 No.2

        <P>Abstract</P><P>Background </P><P>Lipoma is a common soft-tissue tumour of mature fat cells. Although surgical excision is effective, treatments that are less invasive and not associated with disfigurement of scar would be ideal for the treatment of lipomas. Recently, tumescent liposuction has been used for the treatment of lipomas.</P><P>Objective </P><P>To evaluate the efficacy of tumescent liposuction in lipoma treatment, we reviewed our experience of lipoma treatment by tumescent liposuction.</P><P>Methods </P><P>A total of 21 patients presenting with 31 lipomas were treated with tumescent liposuction. After liposuction, remaining stromas were removed by a haemostat through the small incision. Tumour size and post-operative complications were recorded before and after treatment.</P><P>Results </P><P>A total of 31 lipomas of 21 patients were treated by tumescent liposuction. The size of lipomas ranged between 1.2 and 11 cm (mean size, 4.1 cm). In 23 cases, there were no complications. However, remnant lipomas, bruise, haematoma and immediate dimpling were found as complications.</P><P>Conclusion </P><P>Tumescent liposuctions with extracting remnant fat tissue and fibrous tissue through the opening for liposuction can be an effective treatment technique in lipoma treatment in the efficacy and cosmetic outcomes and this method can be a substitute for excision in treating large lipomas.</P>

      • KCI등재

        Contact Tools in Japanese Acupuncture: An Ethnography of Acupuncture Practitioners in Japan

        Benjamin CW. Chant,Jeanne Madison,Paul Coop,Gudrun Dieberg 사단법인약침학회 2017 Journal of Acupuncture & Meridian Studies Vol.10 No.5

        This study aimed to identify procedural elements of Japanese acupuncture, describe these elements in detail, and explain them in terms of the key thematic category of treatment principles. Between August 2012 and December 2016, ethnographic fieldwork was conducted in Japan. In total, 38 participants were recruited by chain referral and emergent sampling. Data was collected through participant observation, interviews, and by analyzing documents. A total of 22 participants agreed to clinical observation; 221 treatments were observed with 172 patients. Seventeen consented to formal interviews and 28 to informal interviews. Thematic analysis was used to critically evaluate data. One especially interesting theme was interpreted from the data: a variety of contact tools were applied in treatment and these were manipulated by adjusting elements of form, speed, repetition, and pressure. Tapping, holding, pressing/pushing, and stroking were the most important ways contact tools were used on patients. Contact tools are noninvasive, painless, can be applied in almost any environment, and may be easily accepted by patients worldwide. Contact tool theory and practice may be successfully integrated into acupuncture curricula outside of Japan, used to inform clinical trials, and contribute to an expanded repertoire of methods for practitioners to benefit individual patients in international contexts.

      • KCI등재

        Sandopart 의 분만유도효과에 관한 임상적 연구

        김종우(CW Kim),김승욱(SW Kim) 대한산부인과학회 1978 Obstetrics & Gynecology Science Vol.21 No.12

        Most studies report it to be a safe, simple, rapid, and convenient method. Desamino-oxytocin, which was synthesized by Du Vigneaud and regarded as biologically 1.5-2 times more active than oxytocin, was chosen as buccal tablet to induce labor. In the present study Sandopart linguet, containing 50 IU desamino-oxytocin, was administered in the buccal space and the dosage was increased by adding 50 IU every 30 minutes until optimum uterine response was obtained. The results were as follows: 1) Transbuccal Sandopart was administered to 42 patients for the induction of labor. 2) The induction was successful in 29 patients(79%). 3) Mean induction-delivery time in primigravida was 8 hours and that in multigravida was 6 hours and mean induction-onset of delivery time was 3 hours. 4) Uterine hyperactivity and fetal heart tone anomaly were found in 2 patients(4.8%) and 3 patients(7.0%) respectively. Transient asphyxia of newborn infant was observed in 2 patients(4.8%). 5) Uterine hypertonus, postpartum hemorrhage, and lochimetra, were observed in 8 patients.

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