• Title, Summary, Keyword: delayed presentation

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Non-Practice of Breast Self Examination and Marital Status are Associated with Delayed Presentation with Breast Cancer

  • Ghazali, Sumarni Mohd;Othman, Zabedah;Cheong, Kee Chee;Lim, Kuang Hock;Wan Mahiyuddin, Wan Rozita;Kamaluddin, Muhammad Amir;Yusoff, Ahmad Faudzi;Mustafa, Amal Nasir
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.2
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    • pp.1141-1145
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    • 2013
  • Delay in seeking treatment for breast cancer is a barrier to the early diagnosis and management of the disease, resulting in a poorer prognosis. We here estimated the prevalence of delayed presentation for breast cancer and identified possible influential sociodemographic factors in a cross-sectional study of 250 patients diagnosed with primary breast cancer at the Radiotherapy and Oncology Clinic in Kuala Lumpur Hospital. Data were collected by face-to-face interview using a structured questionnaire and from medical records. We examined associations between delayed presentation (presenting to a physician more than 3 months after self-discovery of a symptom) and sociodemographic characteristics, practice of breast self examination (BSE), history of benign breast disease, family history of breast cancer and type of symptom, symptom disclosure and advice from others to seek treatment using multiple logistic regression. Time from self-discovery of symptom to presentation ranged from tghe same day to 5 years. Prevalence of delayed presentation was 33.1% (95%CI: 27.4, 39.3). A significantly higher proportion of delayers presented with late stages (stage III/IV) (58.3% vs. 26.9%, p<0.001). Divorced or widowed women (OR: 2.23, 95% CI: 1.11, 4.47) had a higher risk of delayed presentation than married women and women who never performed breast self examination were more likely to delay presentation compared to those who regularly performed BSE (OR: 2.74, 95% CI: 1.33, 5.64). Our findings indicate that delayed presentation for breast cancer symptoms among Malaysian women is high and that marital status and breast self examination play major roles in treatment-seeking for breast cancer symptoms.

Presentation Delay in Breast Cancer Patients, Identifying the Barriers in North Pakistan

  • Khan, Muhammad Aleem;Shafique, Sehrish;Khan, Muhammad Taha;Shahzad, Muhammad Faheem;Iqbal, Sundas
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.1
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    • pp.377-380
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    • 2015
  • Background: There is strong evidence that delayed diagnosis of breast cancer is associated with poor survival. Our objectives were to determine the frequency of breast cancer patients with delayed presentation, the reasons of delay and its association with different socio-demographic variables in our North Pakistan setting. Materials and Methods: We interviewed 315 histologically confirmed breast cancer patients. Delay was defined as more than 3 months from appearance of symptoms to consultation with a doctor. Questions were asked from each patient which could reflect their understanding about the disease and which could be the likely reasons for their delayed presentation. Results: 39.0 % (n=123) of patients presented late and out of those, 40.7% wasted time using alternative medicines; 25.2 % did not having enough resources; 17.1 % presented late due to painless lump; 10.6% felt shyness and 6.5% presented late due to other reasons. Higher age, negative family history, < 8 school years of education and low to middle socio-economic status were significantly associated with delayed presentation (p< 0.05). Education and socioeconomic status were two independent variables related to the delayed presentation after adjustment for others (OR of 2.26, 2.29 and 95%CI was 1.25-4.10, 1.06-4.94 respectively). Conclusions: Significant numbers of women with breast cancer in North Pakistan experience presentation delay due to their misconceptions about the disease. Coordinated efforts with public health departments are needed to educate the focused groups and removing the barriers identified in the study. Long term impact will be reduced overall burden of the disease in the region.

Delayed Presentarion of Traumatic Diaphragmatic Rupture (외상성 횡격막 파열의 지연성 발현)

  • Sul, Young Hoon;Moon, Jae Young;Lee, Kyung Ha;Lee, Sang Il;Cheon, Kwang Sik;Lee, Jun Wan;Song, In Sang
    • Journal of Trauma and Injury
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    • v.27 no.2
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    • pp.38-42
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    • 2014
  • Traumatic diaphragmatic rupture is quite uncommon and rarely lethal injury. However, delayed presentation between the injury and the diagnosis can cause a life-threatening condition with various complications such as intestinal hernia, obstruction, strangulation, respiratory distress. Here, we present a case of delayed presentation of traumatic diaphragmatic rupture in a 51-year-old man, and then discuss about the clinical implication of delayed presentation of diaphragmatic rupture with a review.

Radiculopathy as Delayed Presentations of Retained Spinal Bullet

  • Ryu, Bang;Kim, Sung Bum;Choi, Man Kyu;Kim, Kee D
    • Journal of Korean Neurosurgical Society
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    • v.58 no.4
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    • pp.393-396
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    • 2015
  • Bullet injuries to the spine may cause injury to the anatomical structures with or without neurologic deterioration. Most bullet injuries are acute, resulting from direct injury. However, in rare cases, delayed injury may occur, resulting in claudication. We report a case of intradural bullet at the L3-4 level with radiculopathy in a 30-year-old male. After surgical removal, radicular and claudicating pain were improved significantly, and motor power of the right leg also improved. We report the case of intradural bullet, which resulted in delayed radiculopathy.

The Development of Delay of Gratification by Cognitive Style and Reward Presentation (인지양식 유형과 보상의 제시형태에 따른 아동의 만족지연능력 발달)

  • Heo, Soo Kyung;Lee, Kyung Nim
    • Korean Journal of Child Studies
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    • v.17 no.2
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    • pp.221-233
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    • 1996
  • The purpose of the present study was to investigate the effects of age, sex, cognitive style and reward presentation on delay of gratification. The subjects of this study were 120 children 4, 6 and 8 years of age attending preschool and an elementary school in Pusan. They were identified as impulsive or reflective according to their performance on Kagan's Matching Familiar Figures Test. The levels of reward presentation consisted of the reward which was presented physically and the reward which wasn't presented physically. Length of waiting time was recorded as the measure of maintenance of delay of gratification. The data of this study were analyzed with Two-way ANOVA, Duncan's Multiple Range Test. The major finding were as follows: (1) Delay time increased with age. (2) No sex difference is found in delay time. (3) Reflective children delayed longer than impulsive children in all age groups. (4) The reward which wasn't physically presented produced loner delay time than the reward which was physically presented in all age groups.

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Vocabulary Acquisition of Korean Learners for Academic Purposes -Focusing on the Effects of Instruction Introductory Methods of Context Inference and Activation of Background Knowledge (학문목적 한국어 학습자의 어휘 습득 연구 -문맥 추론과 배경지식 활성화를 통한 수업 도입을 중심으로-)

  • Lee, MinWoo
    • Journal of Korean language education
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    • v.29 no.4
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    • pp.93-112
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    • 2018
  • The purpose of this study is to deal with vocabulary in KFL. As a result of this study, learners learned vocabulary on average 43 points through contextual inference and introduction of the class to activate background knowledge. In particular, the implicit method showed the highest learning rate of 52 points, and the thematic method had a 41 point-learning rate. In contrast, the semantic method was the lowest with a 25 point-learning rate. There was no significant difference in the improvement rate of upper vocabulary learners, but in the case of the lower learner, there was significant difference in the improvement rate. The difference was not significant in the post-test relative gain rate of upper learners, but there was significant in lower learners. In the delayed test relative gain rate, the difference was significant in all groups. There was correlation between vocabulary difficulty and score, but there was no correlation with the thematic method. And there was no correlation between vocabulary difficulty, improvement rate and relative gain rate in all three classes. However, content understanding, lexical grade, improvement rate, and relative gain rate showed a significant correlation.

Delayed radiation-induced inflammation accompanying a marked carbohydrate antigen 19-9 elevation in a patient with resected pancreatic cancer

  • Mattes, Malcolm D.;Cardinal, Jon S.;Jacobson, Geraldine M.
    • Radiation Oncology Journal
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    • v.34 no.2
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    • pp.156-159
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    • 2016
  • Although carbohydrate antigen (CA) 19-9 is a useful tumor marker for pancreatic cancer, it can also become elevated from a variety of benign and malignant conditions. Herein we describe an unusual presentation of elevated CA 19-9 in an asymptomatic patient who had previously undergone adjuvant chemotherapy and radiation therapy for resected early stage pancreatic cancer. The rise in CA 19-9 might be due to delayed radiation-induced inflammation related to previous intra-abdominal radiation therapy with or without radiation recall induced by gemcitabine. After treatment with corticosteroids the CA 19-9 level decreased to normal, and the patient has not developed any evidence of recurrent cancer to date.

Intracranial anaplastic oligodendroglioma concurrent with hydrocephalus and syringomyelia in a Boston terrier dog

  • Park, Chul;Kang, Byeong-Teck;Yoo, Jong-Hyun;Kim, Ha-Jung;Jung, Dong-In;Lim, Chae-Young;Kim, Jae-Hoon;Woo, Eung-Je;Kang, Sang-Chul;Park, Hee-Myung
    • Korean Journal of Veterinary Research
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    • v.48 no.1
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    • pp.93-98
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    • 2008
  • A 6-year-old female Boston terrier dog was presented with seizure episode, forelimb paraparesis, excessive panting, and ataxia. On physical and neurological examination, episcleral vessel engorgement, delayed postural reaction, delayed pupillary light reflex (both direct and consensual), and crossed forelimb were noted. Serum biochemical profiles were not remarkable other than mildly elevated hepatic enzymes. On cerebrospinal fluid analysis, elevated protein concentration was observed. In magnetic resonance imaging scans, the left frontal brain lesion with ring enhancement strongly suggested the presence of intracranial tumor. Concurrently, secondary hydrocephalus and syringomyelia were also observed. The dog was euthanized at 4 months after initial presentation because of aggravated neurological signs. This case was definitely diagnosed as an intracranial anaplastic oligodendroglioma based on postmortem histopathologic examination.

Traumatic Intracranial Aneurysm Presenting with Delayed Subarachnoid Hemorrhage

  • Kim, Jae-Hoon;Kim, Jae-Min;Cheong, Jin-Hwan;Kim, Choong-Hyun
    • Journal of Korean Neurosurgical Society
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    • v.41 no.5
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    • pp.336-339
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    • 2007
  • Traumatic intracranial aneurysm rarely occurs after a head injury. The authors report a case of a 51-year-old man in whom subarachnoid hemorrhage was developed as a result of delayed traumatic aneurysmal rupture of the distal portion of the middle cerebral artery following a minor, closed-head injury. The unruptured aneurysm had been evident on the magnetic resonance image taken two days prior to onset of the subarachnoid hemorrhage. The clinical presentation and possible underlying mechanism are discussed with a review of pertinent literature.

Delayed Subclavian Vein Stenosis without Thrombosis Following Clavicle Fracture

  • Kim, Do Wan;Jeong, In Seok;Na, Kook Joo
    • Journal of Trauma and Injury
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    • v.32 no.4
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    • pp.243-247
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    • 2019
  • Subclavian vein injuries occasionally occur as a sequela of penetrating trauma or vascular access, but have rarely been reported to occur after clavicle fracture. The subclavian vessels are mainly enclosed by the subclavius muscle, the first rib, and the costocoracoid ligament. Therefore, in such cases, subclavian vein injury is rare because of the strcutures surrounding the subclavian vessels. Nevertheless, subclavian vein injuries occasionally show thrombotic manifestations, and thrombosis of the upper limbs constitutes 1-4% of cases of total deep vein thrombosis. Furthermore, to the best of the authors' knowledge, although vessel injuries have been reported after clavicle or rib fractures and nerve injuries to regions such as the brachial plexus, no case involving delayed presentation of isolated subclavian vein stenosis after clavicle fracture due to blunt trauma has yet been reported.