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        Prevalence and risk factors of low back and pelvic pain in women with rectus abdominis diastasis: a multicenter retrospective cohort study

        Sue Yuan,Honghong Wang,Jie Zhou 대한통증학회 2022 The Korean Journal of Pain Vol.35 No.1

        Background: To explore the association between low back pain (LBP) and pelvic pain (PP) and rectus abdominis diastasis (RAD) in postpartum women and identify the characteristics and risk factors. Methods: Women diagnosed with RAD and a history of labor and delivery, between 2009 and 2018, were identified from six hospitals within the Partners Healthcare System. Univariate and multivariable binary logistic regression analyses were used to identify the risk factors associated with pain. Results: Age at onset of RAD in the non-cesarean delivery group was earlier than those in cesarean delivery (CD) group (P = 0.017). Women who underwent CD demonstrated 4.5 times greater risk of RAD than those who had no CD exposure. The cumulative composition ratio of LBP at every age stage of the period from 8 years pre-first delivery to 8 years post-first delivery was significantly higher than the other five conditions (RAD, umbilical hernia, PP, depressive disorder [DD], and strain of muscle, fascia, and tendon [SMFT]) (P for trend < 0.001). Women with DD, SMFT, and PP were more likely to have LBP (odds ratio [OR] = 1.91, 95% confidence interval [CI] 1.06 to 3.47, P = 0.032; OR = 4.50, 95% CI 1.64 to 12.36, P = 0.003; OR = 2.14, 95% CI 1.17 to 3.89, P = 0.013; respectively). Conclusions: In postpartum women with RAD, DD, SMFT, and PP were found to be risk factors contributing to the development of LBP. Race and LBP also played roles in the development of PP.

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      • KCI등재

        Taiwan’s ‘Internet Enko’ Behavior and Adolescent Girls

        YAO Chung-Yuan,CHANG Sue-Chung 이화여자대학교 아시아여성학센터 2012 Asian Journal of Women's Studies(AJWS) Vol.9 No.4

        The term, ‘Internet enko’ is derived from ‘enjokosai,’ which means assisted dating in Japan, where teenage girl students consider it as part-time work to make money. In Taiwan, use of the Internet for deception, exploitation, and malicious behavior has affected society negatively. Many teenagers now believe that “Internet enko,” which is a type of sexual transaction undertaken via the Internet, is a matter of individual choice and an acceptable way to make money. These young people feel no shame in mentioning to others their intention to enroll in ‘Internet enko’ lists. Unfortunately, the negative consequences of such activities can have grave consequences for those involved and society as a whole. In this article we seek to identify the fundamental causes of Internet enko, why it is prevalent in Taiwan, and suggest preventive measures to reduce or eliminate it. We analyze four spheres that this problem impacts–family, school, society, and the government–in the hope of providing some solutions to deal with it.

      • KCI등재

        Taiwan's 'Internet Enko' Behavior and Adolescent Girls

        YAO, Chung-Yuan,CHANG, Sue-Chung 이화여자대학교 아시아여성학센터 2012 Asian Journal of Women's Studies(AJWS) Vol.18 No.2

        The term, “Internet Enko” is derived from 'enjokosai', which means assisted dating in Japan, where teenage girl students consider it as part-time work to make money. In Taiwan, use of the Internet for deception, exploitation, and malicious behavior has affected society negatively. Many teenagers now believe that “Internet Enko”, which is a type of sexual transaction undertaken via the Internet, is a matter of individual choice and an acceptable way to make money. These young people feel no shame in mentioning to others their intention to enroll in “Internet Enko” lists. Unfortunately, the negative consequences of such activities can have grave consequences for those involved and society as a whole. In this article we seek to identify the fundamental causes of Internet enko, why it is prevalent in Taiwan, and suggest preventive measures to reduce or eliminate it. We analyze four spheres that this problem impacts-family, school, society, and the government-in the hope of providing some solutions to deal with it.

      • KCI등재

        Follicular Dendritic Cell Sarcoma of the Inflammatory Pseudotumor-like Variant Presenting as a Colonic Polyp

        Shien-Tung Pan,Shih-Sung Chuang,Chih-Yuan Cheng,Nie-Sue Lee,Peir-In Liang 대한병리학회 2014 Journal of Pathology and Translational Medicine Vol.48 No.2

        Follicular dendritic cell (FDC) sarcoma is rare and is classified either as conventional type or inflammatory pseudotumor (IPT)-like variant. Extranodal presentation is uncommon and nearly all gastrointestinal FDC tumors are of the conventional type. IPT-like variant tumors occur almost exclusively in the liver and spleen and are consistently associated with Epstein-Barr virus (EBV). Here we report the case of a 78-year-old woman with an IPT-like FDC sarcoma presenting as a pedunculated colonic polyp. Histologically, scanty atypical ovoid to spindle cells were mixed with a background of florid lymphoplasmacytic infiltrate, which led to an initial misdiagnosis of pseudolymphoma. These atypical cells expressed CD21, CD23, CD35, and D2-40, and were positive for EBV by in situ hybridization, confirming the diagnosis. The patient was free of disease five months after polypectomy without adjuvant therapy. Although extremely rare, the differential diagnosis for colonic polyp should include FDC sarcoma to avoid an erroneous diagnosis. A review of the 24 cases of IPT-like FDC sarcoma reported in the literature reveal that this tumor occurs predominantly in females with a predilection for liver and spleen, and has a strong association with EBV.

      • DNA Methylation in Peripheral Blood: A Potential Biomarker for Cancer Molecular Epidemiology

        Li, Lian,Choi, Ji-Yeob,Lee, Kyoung-Mu,Sung, Hyuna,Park, Sue K.,Oze, Isao,Pan, Kai-Feng,You, Wei-Cheng,Chen, Ying-Xuan,Fang, Jing-Yuan,Matsuo, Keitaro,Kim, Woo Ho,Yuasa, Yasuhito,Kang, Daehee Japan Epidemiological Association 2012 Journal of epidemiology Vol.22 No.5

        <P>Aberrant DNA methylation is associated with cancer development and progression. There are several types of specimens from which DNA methylation pattern can be measured and evaluated as an indicator of disease status (from normal biological process to pathologic condition) and even of pharmacologic response to therapy. Blood-based specimens such as cell-free circulating nucleic acid and DNA extracted from leukocytes in peripheral blood may be a potential source of noninvasive cancer biomarkers. In this article, we describe the characteristics of blood-based DNA methylation from different biological sources, detection methods, and the factors affecting DNA methylation. We provide a comprehensive literature review of blood-based DNA methylation as a cancer biomarker and focus on the study of DNA methylation using peripheral blood leukocytes. Although DNA methylation patterns measured in peripheral blood have great potential to be useful and informative biomarkers of cancer risk and prognosis, large systematic and unbiased prospective studies that consider biological plausibility and data analysis issues will be needed in order to develop a clinically feasible blood-based assay.</P>

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