Effects of Irrational Parenthood Cognition, Family Support, and Resilience on Depression of Infertile Women

PURPOSE: To determine effects of irrational parenthood cognition, family support, and resilience on depression in infertile women. METHODS: Subjects were 118 infertile women who agreed to participate in this study. Data were collected from April 16 to July 31, 2018. Collected data were analyzed using descriptive statistics, t-test, analysis of variance (ANOVA), Pearson's correlation and multiple regression with SPSS WIN 23.0 program. RESULTS: Depression significantly differed according to the burden of treatment cost and presence of people giving stress. Depression showed significantly positive correlation with irrational parenthood cognition and significantly negative correlations with family support and resilience. Factors affecting depression were irrational parenthood cognition, family support, and resilience. Irrational parenthood cognition had the greatest effect on depression. These three variables explained 35.8% of total variance. CONCLUSION: Irrational parenthood cognition, family support, and resilience affected depression of infertile women, with irrational parenthood cognition having the greatest effect. Therefore, it is important to develop and implement programs that can reduce irrational parenthood cognition and increase family support and resilience in order to lower depression of infertile women. The authors declared no conflict of interest

EFFECTS OF LANDING HEIGHT ON LOWER EXTREMITY JOINT BIOMECHANICS DURING UNILATERAL AND BILATERAL LANDINGS

The aim of this study was to examine the lower extremity kinematics and kinetics during landing phase, in response to the effects of landing height during unilateral and bilateral landing. Ten young healthy male subjects (age: 26.1±1.8yr, height: 183.2±4.4cm, weight: 76.1±6.9kg) participated in this study. Each subject performed the unilateral and bilateral landing from a 30cm and 45cm wooden platform. The results showed the peak vertical ground reaction force (PVGRF) was increased during unilateral landing and at greater landing height (

Swiss Cheese Heart: A Tale of Multiple Valve Perforations

Gerbode defect, an anomalous connection between the left ventricle and right atrium, is often congenital but can be acquired or iatrogenically formed. We present an exceedingly rare case of this defect associated with multiple valve perforation in an otherwise healthy patient with bicuspid aortic valve and endocarditis

The efficacy of preoperative PET/CT for prediction of curability in surgery for locally advanced gastric carcinoma

<p>Abstract</p> <p>Background</p> <p>The benefits of preoperative ¹⁸FDG-PET/CT for gastric cancer remain uncertain. The aim of this study was to investigate the effects of preoperative ¹⁸FDG-PET/CT on the surgical strategy for locally advanced gastric cancer retrospectively.</p> <p>Methods</p> <p>From January 2007 to November 2008, ¹⁸FDG-PET/CT was performed in 142 patients who had been diagnosed with advanced gastric cancer by computed tomography or gastrofiberscope findings.</p> <p>Results</p> <p>Detection rates were 88.7% (126/142) for primary tumors and 24.6% (35/142) for local lymph nodes (LN). Nine patients with metastatic lesions underwent induction chemotherapy without operation. Of 133 patients subjected to operation, positive FDG uptake in primary tumors (<it>p </it>= 0.047) and local lymph nodes (<it>p </it>< 0.001) was related to non-curable operations. The mean standard uptake value (SUV) of primary tumors of patients who underwent non-curable operations was significantly higher than that of patients with curable operations (<it>p </it>= 0.001). When the SUV was greater than 5 and FDG uptake of LN was positive, non-curable operations were predicted with a sensitivity of 35.2%, a specificity of 91.0% and an accuracy of 76.7%.</p> <p>Conclusions</p> <p>High SUV of the primary tumor and positive FDG uptake in local lymph nodes at PET/CT could predict non-curative resection in locally advanced gastric cancer. Therefore, information from preoperative PET/CT can help physician decisions regarding other modalities without laparotomy.</p

Predictors of Successful Trial without Catheter for Postoperative Urinary Retention Following Non-Urological Surgery

Purpose To investigate the success rate of trial without catheter (TWOC) for postoperative urinary retention (POUR) after non-urological surgery and to determine predictors of successful TWOC. Methods A total of 104 patients who underwent non-urological surgery and were referred to the department of urology for POUR were included in this retrospective study. All eligible patients underwent indwelling catheterization as an initial treatment and then TWOC was performed 3 to 7 days later. POUR was defined as micturition difficulty with greater than 400 mL of postvoid residual (PVR) urine volume measured by catheterization after non-urological surgery. Successful TWOC was defined as voiding with less than 100 mL of PVR urine volume. Predictive factors were identified by multivariate regression analysis. All definitions corresponded to recommendations of the International Continence Society. Results The mean age of the patients was 65.2 (range, 23 to 92) years. There were 45 male and 59 female patients. Intraoperative indwelling catheterization was performed in 69 (66.3%) patients. Mean duration of indwelling catheterization for POUR was 5.0 (range, 3.0 to 7.0) days and 83 (79.8%) patients received medication with an alpha-blocker. A successful TWOC was observed in 70 (67.4%) patients. The mean age of the patients with failure of TWOC was significantly higher than that of the patients with successful TWOC. The percentages of female patients, spinal surgery, and prone position during surgery in patients with unsuccessful TWOC were higher than in those with successful TWOC. In the multivariate logistic regression analysis, age and location of surgery (spine vs. non-spine) were the independent predictors of successful TWOC for POUR. Conclusions Our data suggest that older age and spinal surgery may be important risk factors for failure of TWOC for POUR after non-urological surgery. Thus, adequate prevention measures may be necessary for POUR after non-urological surgery, especially in patients with these risk factors

A case of idiopathic isolated hypoglossal nerve palsy in a Korean child

Hypoglossal nerve palsy (HNP) is an uncommon neurological abnormality that can provoke characteristic clinical signs, including unilateral atrophy of the tongue musculature. We present the case of a healthy 11-year-old Korean male who was admitted to the outpatient department of our institution with acute onset dysarthria, tongue fasciculations, and right-sided tongue weakness upon awakening. His evaluation included a virology work-up, neck magnetic resonance imaging (MRI), brain MRI, and otorhinolaryngological physical examination; all tests were normal and showed no evidence of inflammation. Fifteen days after the onset of symptoms, the patient recovered completely. Herein, we report a case of idiopathic isolated HNP in a Korean male

Data-driven risk assessment of the incursion of African swine fever virus via pig products brought illegally into South Korea by travelers based on the temporal relationship between outbreaks in China

Since 2018, Asian countries have been affected by the African swine fever (ASF) virus, with major socioeconomic consequences. Moreover, the number of people traveling in Asian countries has been increasing, leading to an inevitable increase in the risk of ASF spread through livestock products carried by travelers. China and South Korea have close geo-economic ties and numerous international travelers. After the ASF outbreak in China in 2018, many illegally imported pig products (IIPPs) that were confiscated from travelers from China at the port of entry in South Korea tested positive for ASF. The detection of ASF virus (ASFV)-positive IIPPs highlights the need to further assess the risk of incursion by travelers and review the existing prevention strategies. Here, we investigated the temporal relationship between ASF outbreaks in China and the detection of ASFV-positive IIPPs in randomly confiscated samples from all ports of entry, such as flights and ships to South Korea, from 2018 to 2019 using a cross-correlation analysis. Based on the significantly correlated temporal lags between the bivariate time-series data, a risk assessment model, using the Bayesian framework, was built to estimate the distribution of the parameters for the risk assessment model and the monthly probability of ASF being introduced via IIPPs from China to South Korea. ASF outbreaks in China were significantly associated with the detection of ASFV-positive IIPPs in South Korea 5 months later. Hence, the monthly probability of ASFV-infected pig products imported from China via a traveler to South Korea was estimated to be 2.00 × 10−5, corresponding to a 0.98 mean monthly probability of at least one ASF-infected pig product arriving at ports of entry via travelers, from 2018 to 2019. To our knowledge, this study is the first attempt to estimate the risk of ASF introduction via pig products carried by international travelers to all ports from neighboring countries in the Asian region using commonly exchanged observed data. The data presented in this study can be used to refine the intervention strategies to combat the spread of transboundary animal diseases

Characterization and source of fluorescent dissolved organic matter in the Western Arctic Ocean: new insights from the 2019 summer study

Increase in river discharge and seasonal primary production and decline in sea ice coverage in the Arctic Ocean in summer can significantly affect the distribution and composition of dissolved organic matter (DOM). This study aimed to enhance the current available knowledge about the impacts of environmental changes on the characteristics of DOM in the rapidly changing Arctic Ocean. Seawater samples were collected from the western Arctic Ocean during the summer of 2019 and analyzed for fluorescent DOM (FDOM), dissolved organic carbon (DOC), and stable oxygen isotope (δ18O) content in conjunction with biophysical properties. We identified two humic-like (C1 and C2) and one protein-like (C3) components using fluorescence excitation-emission matrix coupled with parallel factor (EEM–PARAFAC) analysis. Remarkably high intensities of humic-like FDOM were found in the upper halocline layer (32 &lt; salinity &lt; 33.5 psu, at depths between 50–200 m) with high inorganic nutrient concentrations and low N* values, indicating that the humic-like FDOM was supplied from the shelf sediment. Furthermore, shoaling of the upper halocline layer brought high levels of humic-like FDOM to the euphotic zone, resulting in an increased probability of photodegradation of humic-like FDOM due to exposure to solar radiation in the surface layer. Tryptophan-like FDOM was positively correlated with river water fraction (friver) and riverine DOC but not with chlorophyll-a (Chl-a) and heterotrophic bacterial abundance, indicating river discharge as a potential additional source of tryptophan-like FDOM. The correlation coefficients between tryptophan-like FDOM and river water parameters (friver and riverine DOC) differed across the Chukchi Sea, Chukchi Borderland, and East Siberian Sea, implying that the influence of river discharge on tryptophan-like FDOM is region-dependent. An increase in river discharge in future might lead to a greater supply of tryptophan-like FDOM, impacting the dynamics of DOM cycling in the western Arctic Ocean