• Title/Summary/Keyword: Clinical Practices

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Breast Cancer Knowledge and Screening Behavior among Female School Teachers in Gaza City

  • Abu-Shammala, Bissan Ismail;Abed, Yehia
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.17
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    • pp.7707-7711
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    • 2015
  • A cross-sectional survey of 370 female teachers working at Governmental schools in Gaza city was conducted. Twenty four schools were selected randomly of all female schools of the city that included primary, preparatory and secondary. In each school all-female teachers aged 35-45 year were invited to fill out a self-administered questionnaire to investigate knowledge and behavior toward breast cancer screening. The survey revealed that more than 75% of women had never undergone clinical breast examination and 60% had never undergone mammography, whereas 62% performed breast self-examination (BSE). Women who performed BSE had significantly higher knowledge about breast cancer screening (P=0.001). Women attending CBE and mammography screening also had significantly higher knowledge (P=0.001). There were significant associations between the practices and presence of positive breast cancer family history (P=0.002) and the level of education of husbands (P=0.024). The oldest women demonstrated higher performance rates of screening methods than the youngest (P=0.001). Lack of breast screening knowledge was identified among more than one third of the women, and 24.6% of women did not know any screening method. About a half of women harboured misconceptions about breast cancer screening, including the belief that breast cancer not treatable. Women residing in Gaza city (P=0.00) and with husbands less educated were more likely to have a high level of misconceptions (P=0.01).

Breast Self-examination Practices and the Effect of a Planned Training Program in Western Turkey

  • Donmez, Yelda Candan;Dolgun, Eda;Yavuz, Meryem
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.12
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    • pp.6159-6161
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    • 2012
  • This cross-sectional and descriptive study was aimed to evaluate women breast self-examination (BSE) practice and effects of a planned educational programme for breast cancer and BSE. The samples of the study consisted 266 women. The study data were collected by a questionnaire in six months periods as two times in a month in which the periods were defined and announced to all women. After that all the women were informed about BSE. The statue of performing BSE of women (n=146) was evaluated. They were interviewed on phone after 6 months. The collected data were analyzed by using statistical SPSS program. The average age of women was $35.68{\pm}7.54$. It is also determined that (61.3%) had no knowledge about BSE, (87.6%) had examined clinical breast examination (CBE) in a year and half of them (50.8%) never practiced BSE, (29.0%) had BSE regularly every month. Concerning the status of BSE practice before the education and after the education significant difference is found statistically (p<0.00). The significance of this study is that it is to give education about breast cancer and BSE for raising awareness among women.

The Efficacy and Safety of Platelet-Rich Plasma and Adipose-Derived Stem Cells: An Update

  • Choi, Jaehoon;Minn, Kyung Won;Chang, Hak
    • Archives of Plastic Surgery
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    • v.39 no.6
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    • pp.585-592
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    • 2012
  • During the past decade, many studies using platelet-rich plasma (PRP) or adipose-derived stem cells (ASCs) have been conducted in various medical fields, from cardiovascular research to applications for corneal diseases. Nonetheless, there are several limitations of practical applications of PRP and ASCs. Most reports of PRP are anecdotal and few include controls to determine the specific role of PRP. There is little consensus regarding PRP production and characterization. Some have reported the development of an antibody to bovine thrombin, which was the initiator of platelet activation. In the case of ASCs, good manufacturing practices are needed for the production of clinical-grade human stem cells, and in vitro expansion of ASCs requires approval of the Korea Food and Drug Administration, such that considerable expense and time are required. Additionally, some have reported that ASCs could have a potential risk of transformation to malignant cells. Therefore, the authors tried to investigate the latest research on the efficacy and safety of PRP and ASCs and report on the current state and regulation of these stem cell-based therapies.

A Study on the Clinical Feature and Treatment Outcome of Patients with Trigeminal Neuralgia (삼차신경통의 임상양태와 보존적 치료결과에 관한 연구)

  • Nam, Chang-Ok;Park, June-Sang;Ko, Myung-Yun
    • Journal of Oral Medicine and Pain
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    • v.24 no.3
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    • pp.315-323
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    • 1999
  • The 63 patients(20 males, 43 females) were treated for their trigeminal neuralgia at the Department. of Oral Medicine, Pusan National University Hospital from 1993 to 1998. All the patients were treated for their trigeminal neuralgia by conservative methods such as medication, and Electric Acupuncture Stimulation Therapy The obtained results were as follows: 1. Trigeminal neuralgia was mainly involved in the patients of past forties, women and acute group. 2. 50.8% of patients were related to maxillary branches of trigeminal nerves. The trigger points were on gingivae, cheeks, teeth, lips in order. 3. 55.6% of patients with trigeminal neuralgia had systemic diseases and 39.7% were related to dental practices. 4. Success rate of the treatments was 71.4% and the recurrence rate was 26.3%. 5. The refractory factors in improving symptoms were chronic history, involvement of complex branches, and experience of prosthodontic treatments.

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Automated Diagnosis of Disease in Medical Information Management System (의료용 정보처리시스템에서 질환해석)

  • Kim, Hie-Sik;Choi, Gi-Sang;Kim, Gyu-Sik;Choi, Jin-Uk;Park, Jong-Sung;Lee, Pyong-Won;Kim, Eul-Sik;SeoMun, Jun
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.11
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    • pp.193-196
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    • 1997
  • This paper proposes a new medical information management system to be used or small to medium sized clinics and hospitals. The system is designed to process, analyze and manage each patient's clinical record using database technique. The structure of the database was determined and implemented through careful and rigorous study of medical practices in Korea and, therefore, reflects the needs of information management in Korean medical community. Furthermore, a sophisticated inference engine that can deduce possible disease from the result of medical examination is added to the system to provide doctors with a guideline in medical diagnoses.

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Herbal Medicine Treatment of Tic Disorder in Traditional Chinese Medicine : A Review Study (틱장애에 대한 한약 대조군 연구의 최근 동향;2007년 중국 임상 논문에서)

  • Kang, Mun-Su;Cho, Yi-Hyun;Kim, Lak-Hyung
    • Journal of Oriental Neuropsychiatry
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    • v.19 no.2
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    • pp.141-149
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    • 2008
  • Objective : This study was designed to analyze the herbal medicine case-control studies of tic disorder in traditional chinese medicine. Method : For this study, we searched the studies on tic disorder, which had been published 2007, through web-site CNKI(中國知識基魔設施工程) http://www.cnki.net). There were 15 herbal medicine case-control studies and we focused on those studies. Results: 1. DSM-IV(7 studies), CCMD(5 studies) and ICD-10(3 studies) were frequently used in the diagnosis of tic disorder. 2. Paeonia radix alba, Uncariae ramulus et uncus and Glycyrrhizae radix were frequently used in treatment. Moreover Scorpio, Gastrodiae rhizoma, Pinelliae rhizoma and so on were used. 3. Treatment results were assessed by improvement of symptom, YGTSS and so on. 4. Herbal medicine treatment was more effective than western medicine treatment in most studies, and side effects of herbal medicine were far less than those of western medicine. Conclusion : There have been reported many herbal medicine treatment studies of tic disorder in traditional chinese medicine. We believe that these studies can be applied to the clinical practices in Korean medicine.

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Isolation of methicillin-resistant Staphylococcus aureus from a Shih-Tzu dog with canine distemper virus infection

  • Pak, Son-il;Hwang, Cheol-yong;Youn, Hwa-young;Han, Hong-ryul
    • Korean Journal of Veterinary Research
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    • v.39 no.2
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    • pp.376-382
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    • 1999
  • A methicillin-resistant Staphylococcus aureus (MRSA) isolate was recovered from a 9-month-old female Shih-Tzu dog with canine distemper virus infection. We performed in vitro antimicrobial susceptibility test to determine the most effective antimicrobial drug against the isolate and thus, to emphasize its potential clinical importance in animal practices. Isolate was confirmed MRSA by oxacillin agar screening test. The isolate was fully resistant to all $\beta$-lactam antibiotics and was susceptible to glycopeptides. Of the other antibiotics, mupirocin, TMP/SMZ (trimethoprim-sulfamethoxazole), and chloramphenicol showed inhibitory effect at the concentration of 4x MIC. The MICs ranged 0.25->$128{\mu}g/ml$, and MBCs ranged 0.5->$128{\mu}g/ml$. The combined TMP/SMZ with cefamandole or novobiocin showed synergistic effect, whereas the combination of novobiocin plus cefamandole or teicoplanin resulted in antagonistic effects. Although MRSA in animals so far has been reported in the geographically limited countries, at least theoretically, it could be occurred in the future more frequently through either human or animal origin. The use of this combination may be of value in this situation. As with all antimicrobial agents, inappropriate or unnecessarily prolonged therapy may contribute to the emergence of resistance strains and loss of efficacy.

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Experiences of Breast Cancer Women Undertaking Genetic Test (국내 고위험 유전성 유방암 환자의 유전자검사 경험)

  • Jun, Myung-Hee;Choi, Kyung-Sook;Ahn, Sei-Hyun;Gu, Bo-Kyung
    • Asian Oncology Nursing
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    • v.5 no.2
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    • pp.146-158
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    • 2005
  • Purpose: This study was to obtain a understanding of breast cancer women with high risk for hereditary cancer syndrome. Method: A micro-ethnography was used, including participation observation, open-ended in-depth interviews. Results: Two major arguments were derived. First, When Korean women at high risk to hereditary breast cancer make a decision about whether to take a genetic test, they are strongly motivated by a desire to preserve close kinship bonds and "family love" among their siblings, parents and children. Second, Even after genetic risk assessment and counseling services, Korean women at high-risk for developing a hereditary breast cancer who have been informed that they are mutation carriers, still hold onto previous beliefs about cancer causation. Their cancer prevention strategies are constructed according to their unchanged perceptions and beliefs about cancer causation. Conclusion: More sensitive genetic counseling program needs to be developed. Referral programs and clinical services must be attentive to cultural values and beliefs otherwise cultural attitudes and practices toward genetic counseling will not change.

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Design and Implementation of Real-time Blood Pressure Measuring System using Smartphone (스마트폰을 이용한 실시간 혈압측정 시스템의 설계 및 구현)

  • Gil, Yeongjoon;Lee, Jungtae
    • KIISE Transactions on Computing Practices
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    • v.21 no.3
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    • pp.192-214
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    • 2015
  • Blood pressure may be measured using physiological signals, such as ECG, PTT, and $SpO_2$. In this study, we designed and implemented a portable real-time blood pressure measuring system, which can access the Internet simultaneously using the IPv4 / IPv6 protocol. In addition, we presented a model for the calculation of systolic and diastolic blood pressure in a real-time environment. Through clinical experiments on 28 subjects, the blood pressure measuring system was shown to satisfy the requirements of Grade B level of the BHS (British Hypertension Society) certification.

Review on Teaching Traditional Korean Medical Student with English Medical Journals (한의과대학 학부생을 대상으로 한 영문 의학논문 교육의 효과 고찰)

  • Lee, Soo-Jin;Jang, Jung-Hee;Shin, Sang-Woo;Chae, Han
    • The Journal of Korean Medicine
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    • v.28 no.1 s.69
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    • pp.94-104
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    • 2007
  • Objectives : This study investigated the effects of teaching English medical journals to traditional Korean medical students as a way of integrated curriculum, focusing on evidence-based traditional Korean medicine (EBKM) in the light of globalization of traditional Korean Medicine. Methods : 232 students (l16 1st year and t 16 2nd year) were asked to complete a questionnaire at the end of the course in order to validate the course's efficacy on acquisition and utilization of the latest medical knowledge as well as change of attitude toward English itself. Results : The courses were very useful in reducing discomfort toward English journals and to applying the latest medical knowledge to academic reports, clinical practices, and finally to establish abilities for EBKM. The 1st year students who took the courses for two semesters consecutively showed more significant satisfaction than the 2nd year students with only one semester. Conclusion : The findings suggest that English medical journals are an essential curriculum f3r the advance of EBKM and globalization of traditional Korean Medicine and therefore developing adequate textbooks, teaching methods, and quality of instructors should be considered for successful achievements.

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