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Purpose To evaluate the safety and efficacy of ultrasound-guided percutaneous core needle biopsy (USPCB) of pancreatic and peripancreatic lesions adjacent to critical vessels. Materials and Methods Data were collected retrospectively from 162 patients who underwent USPCB of the pancreas (n = 98), the peripancreatic area adjacent to the portal vein, the paraaortic area adjacent to pancreatic uncinate (n = 34), and lesions on the third duodenal portion (n = 30) during a 10-year period. An automated biopsy gun with an 18-gauge needle was used for biopsies under US guidance. The USPCB results were compared with those of the final follow- up imaging performed postoperatively. The diagnostic accuracy and major complication rate of the USPCB were calculated. Multiple factors were evaluated for the prediction of successful biopsies using univariate and multivariate analyses. Results The histopathologic diagnosis from USPCB was correct in 149 (92%) patients. The major complication rate was 3%. Four cases of mesenteric hematomas and one intramural hematoma of the duodenum occurred during the study period. The following factors were significantly associated with successful biopsies: a transmesenteric biopsy route rather than a transgastric or transenteric route; good visualization of targets; and evaluation of the entire US pathway. In addition, the number of biopsies required was less when the biopsy was successful. Conclusion USPCB demonstrated high diagnostic accuracy and a low complication rate for the histopathologic diagnosis of pancreatic and peripancreatic lesions adjacent to critical vessels. [ABSTRACT FROM AUTHOR]

Objectives: The purpose of this study was to construct and validate a questionnaire to assess emotion coaching of mothers with school-age children in Korea. Methods: A total of 573 mothers of children in the 1st~4th grade in elementary school in Seoul and Gyeonggi area participated in the study. Maternal emotion coaching, meta-emotion, and emotional intelligence were assessed by self-report. Data from sample 1 (n=349) were used to extract factors and items with exploratory factor analyses, and then data from sample 2 (n =244) were used to confirm factor structures with confirmatory factor analysis and estimate reliability statistics as well as validity coefficients. Results: First, the Maternal Emotion Coaching Questionnaire (MECQ) consisted of 26 items with five factors including maternal awareness, guidance, attention, acceptance, and empathy. Second, the MECQ demonstrated adequate internal consistency, split-half reliability and retest reliabilty. Third, maternal emotion coaching was strongly related to maternal empathic acceptance and sensitivity of awareness as well as emotional intelligence, which supported the construct validity. Conclusions: The results indicate that the MECQ is a valid and reliable scale to assess the level of maternal emotion coaching. The MECQ can be a useful tool in parent education to assess the strengths and weaknesses of specific components of maternal emotion coaching. [ABSTRACT FROM AUTHOR]