• 제목/요약/키워드: Screening factor

검색결과 653건 처리시간 0.025초

Analysis of Mammographic Breast Density in a Group of Screening Chinese Women and Breast Cancer Patients

  • Liu, Jing;Liu, Pei-Fang;Li, Jun-Nan;Qing, Chun;Ji, Yu;Hao, Xi-Shan;Zhang, Xue-Ning
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권15호
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    • pp.6411-6414
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    • 2014
  • Background: A dense breast not only reduces the sensitivity of mammography but also is a moderate independent risk factor for breast cancer. The percentage of Western women with fat breast tissue is higher aged 40 years or older. To a certain extent, mammography as a first choice of screening imaging method for Western women of this group is reasonable. Hitherto, the frequency and age distribution of mammographic breast density patterns among Chinese women had not been characterized. The purpose of this study was to investigate the frequency and age distribution of mammographic breast density patterns among a group of Chinese screening women and breast cancer patients in order to provide useful information for age-specific guidelines for breast cancer screening in Chinese women. Methods: A retrospective review of a total of 3,394 screening women between August and December 2009 and 2,527 breast cancer patients between July 2011 and June 2012 was conducted. Descriptive analyses were used to examine the association between age and breast density. The significance of differences of breast density between the screening women and the breast cancer patients was examined using nonparametric tests. Results: There was a significant inverse relationship between age and breast density overall (r=-0.37, p< 0.01). Breast density of the breast cancer patients in the subgroups of 40-49 years old was greater compared with that of the screening women, the same in those aged 50-54 years and in those 55 years old or older, less than in the screening group. Conclusions: With regard to the Chinese women younger than 55 years old, the diagnostic efficiency of breast cancer screening imaging examinations may be potentially improved by combining screening mammography with ultrasound.

비사무직 근로자의 대장암 검진 현황 및 예측요인 (Factors Associated with Colorectal Cancer Screening of Blue-Color Workers)

  • 박수호;김광숙;원종욱;박창기
    • 종양간호연구
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    • 제12권2호
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    • pp.166-174
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    • 2012
  • Purpose: Even though the incidence of colorectal cancer (CRC) has increased in Korea, the colorectal cancer screening (CRCS) is lower than that of other cancer screenings. The purpose of this study was to identify CRCS rate and to predict factors in blue-color workers. Methods: A descriptive survey design was employed. Data were collected with 327 workers, recruited from 32 companies, aged 40 and over using questionnaire from August 2010 to January 2011. Collected information included CRCS, demographic characteristics, job characteristics, health behaviors, and interpersonal relationship. The definition of CRCS included fecal occult blood test (FOBT), colonoscopy, or double contrast barium enema (DCBE). Results: Among 94 workers receiving CRCS, workers having FOBT were 37, colonoscopy were 28, and DCBE was 6 in the past. Workers who aged over 50 (OR=2.30, 95% CI=1.11-4.77), middle school educated (OR=0.30, 95% CI=0.14-0.65), less working hours (OR=0.98, 95% CI=0.96- 0.99), and had family members who carried out regular cancer screening (OR=1.89, 95% CI=1.01-3.55) were more likely to perform CRCS. Conclusion: The findings suggest that the information and notice about CRCS to increase screening uptake, providing the accessible screening method, and involving company administrators or health managers might be useful to increase the CRCS rate in workers.

Effect of Screening on Variation in Cervical Cancer Survival by Socioeconomic Determinants - a Study from Rural South India

  • Thulaseedharan, Jissa Vinoda;Malila, Nea;Swaminathan, Rajaraman;Esmy, Pulikottil Okuru;Cherian, Mary;Hakama, Matti;Muwonge, Richard;Sankaranarayanan, Rengaswamy
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권13호
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    • pp.5237-5242
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    • 2015
  • Background: Socioeconomic factors are associated with screening in terms of reducing the risk of cervical cancer. This study aimed to clearly establish the effect of screening on variation in socio-economic factor-specific survival estimates. Materials and Methods: Survival estimates were calculated using the life table method for 165 women from the routine care control arm and 67 from the visual inspection with acetic acid screening arm diagnosed with cervical cancer during 2000-2006 in rural south India. Kaplan-Meier survival curves were plotted to compare the variation in survival by socioeconomic factors. Results: Whereas there was a significant variation in survival estimates of the different categories of age at diagnosis among the screen-detected cancers with women aged<50 years having an improved survival, no significant variation was noted among women diagnosed with cervical cancer from the control arm. Compared to the variation among the cancer cases detected in the unscreened control group, screening widened the variation in survival estimates by age and type of house, and reduced the variation by education. The direction of the magnitude of the survival estimates was reversed within the different categories of occupation, marital status and household income in the screen-detected cancer cases compared to control group cancer cases. Also, women diagnosed with stage 1 disease had a very good survival. Conclusions: Screening changed the pattern of survival by socio-economic factors. We found improved survival rates in screened women aged <50 years, with no formal education, manual workers and married women.

디지털 유방촬영술을 이용한 선별적 유방암 검진의 효용성에 대한 연구(2차 병원을 중심으로) (A Study on the Effectiveness of Screening for Selective Breast Cancer Using Digital Mammography Centered on General Hospital)

  • 김현진
    • 한국방사선학회논문지
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    • 제15권2호
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    • pp.147-152
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    • 2021
  • 본 연구에서는 선별적 유방촬영술 방법의 하나인 디지털 유방촬영술을 시행한 5320명의 유방암검진 결과를 후향적으로 분석하여 디지털 유방촬영술을 통한 유방암검진의 효용성을 살펴보았다. 유방암 검진을 시행한 환자들의 평균 나이는 57.7세(범위 30~87세)이며 암 발견율은 26건으로 1000명당 4.6건에서 유방암이 발견 되었다. 유방암 검진을 실시한 환자들의 위험인자별 암 발견율을 살펴보면 대부분 아무런 기저질환이나 기왕력이 없는 환자에서 유방암이 발견되는 비율이 높았다. 추가적인 초음파 검사등을 통해 확인된 위음성율은 3.6 %로 Film-Screen system의 위음성율에 비해 상대적으로 매우 낮은 것을 확인할 수 있다.

Spinosin Inhibits Aβ1-42 Production and Aggregation via Activating Nrf2/HO-1 Pathway

  • Zhang, Xiaoying;Wang, Jinyu;Gong, Guowei;Ma, Ruixin;Xu, Fanxing;Yan, Tingxu;Wu, Bo;Jia, Ying
    • Biomolecules & Therapeutics
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    • 제28권3호
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    • pp.259-266
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    • 2020
  • The present research work primarily investigated whether spinosin has the potential of improving the pathogenesis of Alzheimer's disease (AD) driven by β-amyloid (Aβ) overproduction through impacting the procession of amyloid precursor protein (APP). Wild type mouse Neuro-2a cells (N2a/WT) and N2a stably expressing human APP695 (N2a/APP695) cells were treated with spinosin for 24 h. The levels of APP protein and secreted enzymes closely related to APP procession were examined by western blot analysis. Oxidative stress related proteins, such as nuclear factor-erythroid 2-related factor 2 (Nrf2), and heme oxygenase-1 (HO-1) were detected by immunofluorescence assay and western blot analysis, respectively. The intracellular reactive oxygen species (ROS) level was analyzed by flow cytometry, the levels of Aβ1-42 were determined by ELISA kit, and Thioflavin T (ThT) assay was used to detect the effect of spinosin on Aβ1-42 aggregation. The results showed that ROS induced the expression of ADAM10 and reduced the expression of BACE1, while spinosin inhibited ROS production by activating Nrf2 and up-regulating the expression of HO-1. Additionally, spinosin reduced Aβ1-42 production by impacting the procession of APP. In addition, spinosin inhibited the aggregation of Aβ1-42. In conclusion, spinosin reduced Aβ1-42 production by activating the Nrf2/HO-1 pathway in N2a/WT and N2a/APP695 cells. Therefore, spinosin is expected to be a promising treatment of AD.

Colon Cancer among Older Saudis: Awareness of Risk Factors and Early Signs, and Perceived Barriers to Screening

  • Galal, Yasmine Samir;Amin, Tarek Tawfik;Alarfaj, Abdulelah Khalid;Almulhim, Abdulaziz Abdullah;Aljughaiman, Abdullah Abdulmohsen;Almulla, Abdulrhaman Khaled;Abdelhai, Rehab Ahmed
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권4호
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    • pp.1837-1846
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    • 2016
  • Background: Colon cancer screening (CRCS) uptake is markedly affected by public awareness of the disease. This study was conducted to assess levels of knowledge of CRC, to explore the pattern of CRCS uptake and identify possible barriers to screening among Saudis older than 50 years of age and primary care providers (PCPs) in Al Hassa region, Saudi Arabia. Materials and Methods: This cross-sectional study was conducted in randomly selected primary health care (PHC) centers, 884 Saudis and 39 PCPs being enrolled for data collection. Structured interviews were conducted to obtain information regarding socio-demographic characteristics, personal information relevant to CRC, awareness about early signs/symptoms and risk factors, and barriers to CRCS. Also, a self- administered data collection form was used to assess barriers to CRCS from the physicians' perspectives. Results: More than 66% of participants were lacking knowledge about CRC. Participants with higher educational levels, having ever heard about CRC, and having relatives with CRC had a significantly higher awareness of the disease. The rate of reported CRCS was low (8.6%). After conducting a logistic regression analysis, it was observed that female gender (OR=0.28; 95% CI=0.14-0.57; P=0.001), being unmarried (OR=0.11; 95% CI=0.10-0.23; P=0.001), lower levels of education (OR=0.36; 95% CI=0.16-0.82; P=0.015), and having no relatives with CRC (OR=0.30; 95% CI=0.17-0.56; P=0.001) were significantly associated with a lower CRCS uptake. There was a significant difference between most of the perceived barriers to CRCS and gender. Exploratory factor analysis showed that personal fear (especially fear of the screening results and shyness) was the major factor that hindered CRCS with high loading Eigen value of 2.951, explaining 34.8% of the barriers of the included sample toward utilization of CRCS, followed by lack of awareness of both person and providers (high Eigen value of 2.132, and explaining 23.7% of the barriers). The most frequently cited barriers to CRCS from the physicians' perspectives were lack of public awareness, lack of symptoms and signs, and fear of painful procedures. Conclusions: Poor levels of knowledge about CRC were found among older Saudis attending PHC centers in Al Hassa, Saudi Arabia. It is crucial to implement an organized national screening program in Saudi Arabia to increase public awareness.

생약 물 추출물의 혈소판 활성화 인자결합 억제효과 검색 : 민간약정보에 근거하여 선택한 35종 생약 (Screening of the Inhibitory Effect of Herbal Medicines on the Platelet Activating Factor(PAF) Binding: 35 Selected Herbal Medicines Based on folk Medicinal Informations)

  • 한병훈;양현옥;강영화;한용남
    • 약학회지
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    • 제39권1호
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    • pp.10-13
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    • 1995
  • As a continuation of the previous studies, a third group of thirty five hot aqueous extracts from natural products were screened for platelet activating factor(PAF) receptor binding antagonistic acitivities using rabbit platelet. The results demonstrate that Arctium lappa is potential source of PAF antagonist.

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Screening of High-Productivity Cell Lines and Investigation of Their Physiology in Chinese Hamster Ovary (CHO) Cell Cultures for Transforming Growth $Factor-{\beta}1$ Production

  • Chun, Gin-Taek;Lee, Joo-Buom;Nam, Sang-Uk;Lee, Se-Won;Jeong, Yeon-Ho;Choi, Eui-Yul;Kim, Ik-Hwan;Jeong, Yong-Seob;Kim, Pyeong-Hyeun
    • Journal of Microbiology and Biotechnology
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    • 제12권1호
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    • pp.121-129
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    • 2002
  • Using recombinant Chinese hamster ovary (CHO) cells, strategies for developing high producers for the recombinant human Transforming Growth $Factor-{\beta}1$ ($TGF-{\beta}1$) protein are proposed and their physiological characteristics in cell cultures were investigated. $TGF-{\beta}1$ is a pleiotrophic polypeptide involved in various biological activities, including cell growth, differentiation, and deposition of extracellular matrix proteins. The CHO cells included human $TGF-{\beta}1$ cDNA in conjunction with a dihydrofolate reductase (DHFR) gene, which was cotransfected into the cells to amplify the transfected $TGF-{\beta}1$ cDNA. As a first-round screening of the transfected cells, a relatively high $TGF-{\beta}1$-producing cell line was selected, and then, it acquired a resistance to increasing concentrations of methotrexate (MTX) up to $60{\mu}M$,resulting in a significant improvement in its $TGF-{\beta}1$ biosynthetic ability. After applying a monoclonal selection strategy to the MTX-resistant cells, more productive cells were screened, including the APP-3, App-5, and App-8 cell lines. These high producers were compared with two other cell lines (AP-l cell line without amplification of transfected $TGF-{\beta}1$ cDNA and nontransfectant of $TGF-{\beta}1$ cDNA) in terms of cell growth, $TGF-{\beta}1$ productivity, sugar uptake, and byproduct formation, in the presence or absence of MTX in the culture medium. Consequently, both monoclonal selection as well as an investigation of the physiological characteristics were found to be needed for the efficient screening of higher $TGF-{\beta}1$ producers, even after the transfection and amplification of the transfected gene.

인터넷, 게임, 스마트폰 과사용 선별 질문지의 청소년 대상 타당화 연구 (Validation of the Internet, Game, and Smartphone Overuse Screening Questionnaires on Adolescent Sample)

  • 박경우;장혜인;전홍진
    • 한국심리학회지:학교
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    • 제18권3호
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    • pp.317-349
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    • 2021
  • 본 연구에서는 디지털 미디어 과사용 여부를 측정하는 인터넷(IOS-Q), 게임(GOS-Q), 스마트폰(SOS-Q) 과사용 선별 질문지를 대규모 일반 청소년 집단을 대상으로 타당화하여, 선별검사 장면에서 활용할 수 있는 유용한 검사 도구를 제시하고자 하였다. 이를 위해 총 9,336명의 중학생(남 4,796명, 여 4,540명)을 두 개 집단으로 구분하고 확인적 요인분석과 탐색적 요인분석을 각각 실시하였으며, 타 지역에서 모집된 초등학생 4,536명(남 2,260명, 여 2,276명) 및 중학생 6,551명(남 3,013명, 여 3,538명)을 대상으로 한 번 더 확인적 요인분석을 실시하였다. 세척도 모두 네 개 하위요인으로 구분되었으며 IOS-Q는 17문항, GOS-Q는 19문항, SOS-Q는 18문항을 포함하였다. IOS-Q와 GOS-Q의 하위요인은 심리적 의존, 문제를 인식함에도 조절실패, 위험한 사용, 다른 영역에의 흥미 감소로 명명되었고, SOS-Q의 경우 위험하고 강박적인 사용, 문제를 인식함에도 조절실패, 다른 영역에의 흥미 감소, 금단/내성으로 명명되었다. 이들은 모두 행동중독이나 충동조절장애의 주요 특징들을 잘 반영하는 것으로 보이며, 내적 합치도 역시 .880-.915로 우수한 편이었다. 이어서 고위험군을 선별하기 위한 절단점을 탐색하고자 잠재프로파일분석과 ROC 분석을 실시하였고, IOS-Q 30.5점, GOS-Q 31.5점, SOS-Q는 36.5점이 최적 절단점으로 제안되었다. 끝으로 연구 의의와 한계점을 논하고 후속연구를 제언하였다.

A STATISTICAL APPROACH FOR DERIVING KEY NFC EVALUATION CRITERIA

  • Kim, S.K.;Kang, G.B.;Ko, W.I.;Youn, S.R.;Gao, R.X.
    • Nuclear Engineering and Technology
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    • 제46권1호
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    • pp.81-92
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    • 2014
  • This study suggests 5 evaluation criteria (safety and technology, environmental impact, economic feasibility, social factors, and institutional factors) and 24 evaluation indicators for a NFC (nuclear fuel cycle) derived using factor analysis. To do so, a survey using 1 on 1 interview was given to nuclear energy experts and local residents who live near nuclear power plants. In addition, by conducting a factor analysis, homogeneous evaluation indicators were grouped with the same evaluation criteria, and unnecessary evaluation criteria and evaluation indicators were dropped out. As a result of analyzing the weight of evaluation criteria with the sample of nuclear power experts and the general public, both sides recognized safety as the most important evaluation criterion, and the social factors such as public acceptance appeared to be ranked as more important evaluation criteria by the nuclear energy experts than the general public.