• Asian Pacific Journal of Cancer Prevention
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• v.14 no.12
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• pp.7445-7449
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• 2013

Background: Breast cancer (BC) is the one of the most common cancers in women. It is also a leading cause of death. Unfortunately, some patients initially present with distant metastases and are diagnosed with stage IV disease that is nearly always, by then, incurable. This retrospective analysis investigated the risk factors for stage IV BC that may underlie such late presentation. Materials and Methods: In all, 916 patients with BC who visited the medical oncology polyclinic of eight different centres in Turkeybetween December 2011 and January 2013 were analysed. Results: A total of 115 patients (12.6%) presented with stage IV disease. In univariate analysis; to comparing these with patients at other stages, no statistical difference was found for median diagnosis age or age at menarche (p=0.611 and p=0.820), whereas age at menopause and age at first live birth were significant (p=0.018 and p=0.003). No difference was detected in terms of accompanying diseases, use of oral contraceptives and hormone replacement therapy, smoking, alcohol consumption and the rate of family history of BC between the patients (p=0.655, p=0.389, p=0.762, p=0.813, p=0.229, p=0.737). However, screening methods were employed less often, the rate of illiteracy was higher, and the rate of other cancers was higher in patients with stage IV BC (p=0.022, p=0.022, p=0.018). No statistical difference was observed between the patients in terms of tumour histopathology, and status of oestrogen receptor, progesterone receptor, or human epidermal growth factor-2 receptor (p=0.389, p=0.326, p=0.949, p=0.326). Grade 3 tumours were more frequent in patients with stage IV disease (p<0.001). On multivariate analysis, risk factors for stage IV breast cancer at the time of presentation were found to be age at first live birth and educational level (p=0.003 and p=0.047). Conclusions: Efforts should be made to perform mammography scans, in particular, at regular intervals through national training programs for all women, particularly those with family histories of breast and other types of cancer, and to establish early diagnosis of BC long before it proceeds to stage IV. Additionally, women's education had better be upgraded. In order to make women aware of BC, national education-programmes must be organised.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.14
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• pp.5721-5726
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• 2015

Lung cancer is the leading contributor to cancer deaths in the developing world. Within countries, significant variability exists in the prevalence of lung cancer risk, yet limited information is available whether some of the observed variability is associated with differences in the consumption pattern of local tobacco products with differing potency. We recruited 606 lung cancer cases and 606 controls from the B.P. Koirala Memorial Cancer Hospital in Nepal from 2009-2012. We estimated odds ratios (ORs) and 95% confidence intervals (CI) for lung cancer risk associated with different tobacco products, using unconditional logistic regression. Unfiltered cigarettes tended to be the most frequently used products across ethnic subgroup with about 53.7% of Brahmins, 60.1% of Chettris, and 52.3% of Rai/Limbu/Magar/others. In contrast, about 39.9% of Madishe/Tharu smokers reported using bidi compared with only 27.7% who smoked unfiltered cigarettes. Among those who only smoked one type of product, choor/kankat smokers had the highest lung cancer risk (OR 10.2; 95% CI 6.2-16.6), followed by bidi smokers (OR 5.6; 95% CI 3.6-8.7), unfiltered cigarettes (OR 4.9; 95% CI 3.4-7.2), and filtered cigarettes (OR 3.4; 95% CI 2.2-5.3). A clear dose-response relationship was observed between increased frequency of smoking and lung cancer risk across all ethnic subgroups. These results highlight the important role of traditional tobacco products on lung cancer risk in the low income countries.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.13
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• pp.5401-5406
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• 2014

Background: Cancer is the leading cause of mortality around the world. However, the majority of cancers occur as a result of modifiable risk factors; hence public awareness of cancer risk factors is crucial to reduce the incidence. The objective of this study was to identify the level of public awareness of cancer risk factors among the adult Omani population. Materials and Methods: A community based survey using the Cancer Awareness Measure (CAM) questionnaire was conducted in three areas of Oman to measure public awareness of cancer risk factors. Omani adults aged 18 years and above were invited to participate in the study. SPPSS (ver.20) was used to analyse the data. Results: A total of 384 participated from 500 invited individuals (response rate =77%). The majority of respondents agreed that smoking cigarettes (320, 83.3%), passive smoking (279, 72.7%) and excessive drinking of alcohol (265, 69%) are risks factors for cancer. However, fewer respondents agreed that eating less fruit and vegetables (83, 21.6%), eating more red or processed meat (116, 30.2%), being overweight (BMI> 25) (123, 32%), doing less physical exercise (119, 31%), being over 70 years old (72, 18.8%), having a close relative with cancer (134, 34.9%), infection with human papilloma virus (HPV) (117, 30.5%) and getting frequent sunburn during childhood (149, 38.8%) are risk factors for cancer. A significant association was found between participant responses and their educational level. The higher the educational level, the more likely that respondents identified cancer risk factors including smoking (p<0.0005), passive smoking (p= 0.007), excessive drinking of alcohol (p<0.0005), eating less fruit and vegetables (p= 0.001) and infection with HPV (p<0.0005). Conclusions: The majority of respondents in this study in Oman were not aware of the common risk factors for cancer. It may be possible to reduce the incidence of cancers in Oman by developing strategies to educate the public about these risk factors.

• Journal of Korean Home Economics Education Association
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• v.18 no.4 s.42
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• pp.143-156
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• 2006

The aim of this study was to examine the need for healthy families education in home economics subject. This study also purposed to find new education direction of healthy families education in home economics subjects helpful in leading healthy family life and provide basic data for organizing curriculum suitable to the purpose. The subject of this survey was targeted for 550 girl and boy juniors of high schools located in Seoul and the Capital area, and data were collected through questionnaire survey. The result of this survey is summarized as the following: First, Boy students need for healthy families education in home economics subject of high school students was 3.63, Girl students need for healthy families education in home economics subject of high school students was 3.66. Boy students needed was 'marriage and becoming parents', the highest need, followed by 'methods to talk with families', 'management of nutrition', 'household economy', 'management of clothes and residence', and 'home culture', Girl students needed was 'marriage and becoming parents', the highest need, followed by 'methods to talk with families', 'management of nutrition' 'home culture', 'household economy' and 'management of clothes and residence'. The need for healthy families education in home economics subject of high school students was 3.64, over the middle level. The area students needed was 'marriage and becoming parents', the highest need, followed by 'methods to talk with families', 'management of nutrition', 'household economy', 'management of clothes and residence' and 'home culture'. Second, the need for healthy families education in home economics subjects of high school students based on family background showed significant difference depending on department of school, family type, parents' academic background, parents' occupation and monthly household income.

• Journal of Family Resource Management and Policy Review
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• v.14 no.2
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• pp.127-152
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• 2010

This study examined the satisfaction of the married women from aged 20s through 50s with well-being oriented foods, considering the importance of each subordinate field and verifying the differences between the groups according to socio-demographic factors, purchase behavior factors, and well-being oriented dietary life factors, followed by an analysis of the relative influence of those relevant factors. A preliminary survey was conducted from January 4th-11th, 2009 to check if there were any problems or misunderstood parts before the main survey. After the preliminary study was conducted, certain problems were adjusted and supplemented, and then the main survey was conducted for twenty-three days, from January 4th to February 5th, 2009. The summaries of this study are as follows: First, in the view of the purchase behavior, the mainly purchased well-being oriented foods were farm products, and the leading purpose of the purchase was for the parents and the children. It was shown that 30% or more of the information sources on well-being oriented foods were families, relatives and neighbors. More than 66% of the purchasing was done at wholesale marts and the topped purchasing frequency was from 5 to 6 per month. More than 71% of payments for well-being oriented foods were \50,000~100,000 per month. More than 51% of the respondents answered that the proper price of well-being oriented foods was 1.2 times to 1.5 times of that of other foods. Second, the satisfaction of the well-being oriented foods was ranked as 3.21 to 3.28 out of 5, and varied with the usages and the methods of weights. Investigating the satisfaction with each subordinate field, the satisfaction with price was shown to be low. The satisfaction with the assortments of foods and the satisfaction with the therapeutic degree by thorough investigation and management of foods were also relatively low. Third, well-being oriented dietary behavior was shown to be characterized by two factors, through factor analysis in this study. One was an eco-friendly oriented behavioral factor and the other was a health oriented selective factor. Fourth, the stepwise multiple regression analysis results investigating the relative influence of the factors effecting satisfaction with well-being oriented foods showed that the top ranked factor affecting total satisfaction was eco-friendly oriented behavioral factor, followed by education level and purchasing sites, especially of consumer groups.

• Korean Journal of Heritage: History & Science
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• v.38
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• pp.223-284
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• 2005

Gwaebul, created during late Joseon dynasty, especially from 1885 to 1926, now exist 18 ones. And 12 of them are owned by Buddhist temples located in Seoul city and Gyeonggido province. Royal Tomb praised and Royal household praised Buddhist temples in early Joseon dynasty were supported by Royal Family. As a renovation of Buddhist temples by king Taejong's reign(1400-1418), they became impoverished with reduced Buddhist ceremony. But they maintained their lives in intimate connection with royal family, and went prosperous from late 18th century. At that times, a new trend in Gwaebul appeared, which have popular idea for wishing peace of the dead, the nation and the royal family. The new composition of painting expressed in Gwaebul starts in Amitabha-Triad paintings which carved in first volume of ${\ll}$Amita-yohaegyeong${\gg}$ made of wooden plate. And Gi-heoh(A.D. 1820-1872) carved it in 1853 at Naewonam Buddhist hermitage of Samgaksan mountain And a return of Suwolgwaneumdo which had been popularized in late Goryo dynasty is worth noticing as a new issue of late Joseon dynasty. It is related with a composition of Gwaebul that expressed 'a leading the dead to the good', a Buddhist consciousness of falsehood and fancy. The saturated and blurred style of painting, the fact that centralization-powered lineage of painter who used composition of multi-used basic pattern, are characteristics of this period.

• 한국노년학
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• v.32 no.2
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• pp.487-499
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• 2012

The purpose of this study is to find out the degree of powerlessness factors among elderly and by examining the variables(perceived health status, ability of daily living activity, self-esteem, depression, family support, loneliness) which affect such factors. By searching for methods to improve the quality of life for the elderly, efficient nursing procedures can be developed, thereby leading to successful aging. For the study, we purposively collected 300 elderly above the age of 65, residing in the areas of Seoul, Inchon, and Daejeon. 266 samples, survived the data screening, were analyzed by reliability analysis, Spearman correlation, and a multiple regression. As the results, first, the correlated factors of the elderly's powerlessness included depression(r=.597, p<.01), loneliness (r=.423, p<.01), ability of daily living activity(r=.374, p<.01), perceived health status(r=-.304, p<.01), family support(r=-.384, p<.01), and self-esteem(r=-.420, p<.01). Second, factors influencing of powerlessness of them were to show in order of depression(β=.373), loneliness(β=.265), spouse(β=.099), family support(β=.090), monthly allowances(β=.013), these variables accounted for 45.7% of the variance of the elderly's powerlessness. Depression showed to be the most important of the powerlessness factors for the elderly. These findings suggest that nursing researchers need to consider important factors affecting the elderly's powerlessness and nursing interventions focusing on the issues need to be developed.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.15
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• pp.6311-6316
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• 2015

Background: In mainland China, awareness of disease of elderly cancer patients largely relies on the patients' families. We developed a staged procedure to improve their awareness of disease. Materials and Methods: Participants were 224 elderly cancer patients from 9 leading hospitals across Southern China. A questionnaire was given to the oncologists in charge of each patient to evaluate the interaction between family and patients, patient awareness of their disease and participation in medical decision-making. After first cycles of treatment, increased information of disease was given to patients with cooperation of the family. Then patient awareness of their disease and participation in medical decision-making was documented. Results: Among the 224 cancer elderly patients, 26 (11.6%) made decisions by themselves and 125 (55.8%) delegated their rights of decision-making to their family. Subordinate family members tended to play a passive role in decision-making significantly. Patients participating more in medical decision-making tended to know more about their disease. However, in contrast to the awareness of disease, patient awareness of violation of medical recommendations was reversely associated with their participation in medical decision-making. Improvement in awareness of diagnosis, stages and prognosis was achieved in about 20% elderly cancer patients. About 5% participated more actively in medical decision-making. Conclusions: Chinese elderly cancer patient awareness of disease and participation in medical decision-making is limited and relies on their family status. The staged procedure we developed to improve patient awareness of disease proved effective.

• 한국노년학
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• v.36 no.3
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• pp.525-540
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• 2016

The purpose of this study was to investigate what kind of experiences the deaf elderly would have in the course of life. It also aimed to promote the understanding of their living difficulties and culture among people with normal hearing and provide basic data to help them live with others as members of the community. Phenomenological qualitative research was conducted as part of the methodology. The subjects include seven deaf old people. Based on the results of in-depth interview and analysis, the life experiences of the deaf elderly were categorized into "unforgettable wounds," "life in the community," "life with the family," "marriage of the deaf elderly", and "living by adjusting to reality." First, the subcategories of "unforgettable wounds" include "receiving no treatment for fever," "damage by the Korean War," "alienation from the family," and "people's cold eyes." It turned out that the deaf elderly had led a life, suffering from the heart wounds that they could not forget. Second, the subcategories of "life in the community" include "inconvenience in life," "disadvantages in life," and "severed life." The deaf elderly were not only subjected to inconvenience and disadvantages in life, but also suffered loneliness, being cut off from the community. Third, the subcategories of "life with the family" include "not communicating with children," "being abandoned again," "being used by the family," "being lonely even with the family," and "wishing to live independently from the family." The deaf elderly were not supported by their families and were abandoned or used by them, leading a solitary life. Fourth, the subcategories of "marriage of the deaf elderly" include"send as a surrogate mother," "frequent remarriage and divorce," "lean on as a married couple." Deaf elderly form their own culture of the marriage and lean on each other. Finally, the subcategories of "living by adjusting to reality" include "getting help from neighbors," "behaving oneself right in life," "learning Hangul," "living by working," "living freely," "living by missing," and "controlling the impulse to end life," "resorting to religion." The deaf elderly made the most alienated and vulnerable group with no access to benefits due to their limitations as a linguistic and social minority, but they made efforts to form their own culture and adjust to reality for themselves. Based on those findings, the study made the following proposals: first, there is a need for practical approaches to heal the ineffaceable wounds in the hearts of deaf elderly. Second, there is a need for policies to help them experience no inconvenience and disadvantages as members of community and communicate with people with normal hearing. Third, there should be practical approaches to enable them to get recognition and support from their families and share love with them. Finally, there should be practical policy approaches to help people with normal hearing understand the culture of deaf elderly and assist the deaf elderly to receive supports from the community and live with others within the community.

• Journal of Korean Home Economics Education Association
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• v.22 no.3
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• pp.37-54
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• 2010

In this work, we investigated the images of (unmarried) single women as seen from the viewpoint of married men and women. In-depth interviews were conducted with twenty-seven (married) men and women of ages from twenties to sixties. By carrying out a content-analysis on the interview results, we could extract three different thematic types of images on single women, which are (1) single women seeking some outlet of their passion instead of forming a family, (2) single women who are enjoying a life of unbound liberty, unlike married men and women, and (3) single women who have distinct personalities from married men and women. Each of these three thematic types could be further classified into narrower themes of specific images. From the first theme of single women who are looking for some outlet of their passion instead of forming a family, one could extract two specific image types in which the single women choose their work as the main outlet of their passion, or else they choose self-development. From the second theme of single women who are leading a life of unbound liberty, four different specific types were found, which are single women with sexual freedom, single women enjoying liberty from the bondage of a family, single women who can freely choose men to go out with, single women who have privileges to enjoy consumption and leisure life only for themselves. From the third theme of single women who have distinct personalities from married men and women, four different types of images were found, that are single women who want to avoid the hard reality of marriage life, single women who are selfish and self-assertive and leading a life that is self-centered or one that is centered around communities of only singles, single women who have secret feelings of emptiness and loneliness, and finally single women who can not find satisfaction in their life style. The images of married men and women on (unmarried) single women are based on the perception that 'those single women are different from us because they are not married'. That is, married men and women look upon the life of single women from the perspective of marriage life that they are experiencing.