• Title/Summary/Keyword: proper education

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폐기능 장애와 대사 증후군 관련성: 2008-2013 국민건강 영양조사 자료 사용 단면연구 (Associations between pulmonary function disorders & Metabolic Syndrome: A Cross-Sectional Study Using Data from KNHANES 2008-2013)

  • 강선희;부유경;안병기
    • 한국산학기술학회논문지
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    • 제18권11호
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    • pp.433-444
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    • 2017
  • 본 연구는 심혈관 질환을 공통적으로 동반하는 폐기능 장애와 대사증후군 관계에 대한 연구이다. 이들 질환이 상호 관련성이 있다는 가정 하에 폐기능 장애와 대사증후군간의 상호 관련성 여부를 확인하여 올바른 질환 관리를 위한 초석을 마련하고자 하였다. 자료는 국민건강 영양조사 자료중 2008년부터 2013년까지 6년간 자료를 통합한 53,829건에서, 폐기능 검사를 시행한 만 40세 이상으로 모든 혼란 변수를 통제한 정제된 자료 8,137명(남자, 3,951명, 여자 4,186명)의 자료를 사용하였다. 폐기능 장애는 GOLD(Global Initiative for Chronic Obstructive Lung Disease)기준에 따라 폐쇄성, 제한성으로 구분하였고, 대사증후군은 개정된 NCEP-ATPIII(National Cholesterol Education Program-Expert Panel-Adult Treatment Panel III)기준을 사용하였다. 연관성 분석은 로지스틱 회귀분석을, 유병률은 교차 분석을 시행하였다. 연구 결과, 연관성 분석에서 폐쇄성 폐질환은 대사증후군과 직접적인 관련성을 보이지 않았으며 제한성 폐질환은 대사증후군과 직접적인 관련성을 보였다. 유병률 분석에서는 폐쇄성 폐질환과 제한성 폐질환 모두 대조군보다 높은 대사증후군 유병률을 보였다. 그러나 제한성 폐질환의 대사증후군 유병률이 폐쇄성 폐질환의 대사증후군 유병률보다 더 높았다. 결론적으로 폐쇄성이 아니라 제한성 폐질환이 대사증후군과 유의한 연관성을 보였고 대사증후군 유병률도 더 높았다.

국민영양조사를 이용한 지방에너지 섭취비율에 따른 식품섭취패턴과 식이관련인자의 비교연구 (Food Consumption Patterns and Other Diet Related Factors Among Three Groups of Households with Different Fat Energy Intakes)

  • 문현경
    • Journal of Nutrition and Health
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    • 제29권3호
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    • pp.321-330
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    • 1996
  • With changing socio-economic environments, there have been some changes in the Korean diet. One of major changes is the increasing fat intake. Based on the current trend of increase, it is important to understand factors related to fat intake levels. Objective of this study was to find out the differences in food consumption patterns, demographic characteristics, and other socio-economic factors among three groups of households. The households were devided into three groups by percentage of fat energy intake to total energy intake such as less than 15%(Group 1), from 15% to 25%(Group 2), and more than 25% (Group 3). Among 1, 987 households, the numbers in Group 1, Group 2 and Group 3 were 792(39.6%), 902(45.4%), and 293(15.1%), respectively. The mean size of family was 3.44 person per households for total survey household, 3.42 for Group 1, 3.54 for Group 2, and 3.21 for Group 3. More than 60% of families living in the rural area belonged to Group 1(p<0.05). Group 3 had most educated food preparers and more income than other groups(p<0.05). Group 3 showed higher intake of all nutrient analyzed except carbohydrate (p<0.05). Other than calcium and vitamin A for Group 1, and vitamin A for Group 1, and vitamin A for Group 2, all nutrient intake analyzed for three groups were more than 75% of Korean recommended dietary alowances. Mean fat intakes for Group 1, Group 2, and group 3 had highest amount of intake for all food groups. According to food group analysis, Group 3 had highest amount of intake for all food groups except vegetables. Group 3 consumed more than 10 times of meats compared to Group 1. Group 3 had more dishes prepared by baking, deep-fryng, stir-frying, and pan-frying other two groups. Processed foods were used most frequently in Group 3. Other diet and related factors were analyzed also. These results showed that the amount of fat consumed by Korean households varies widely. Households with high fat energy intake had tendency to reside in the largy city, and to have heigher education level and more income than other groups. They eat less vegetables, use more cooking methods using oils, and use more processed foods. To ensure a proper intake of fat, there should be two separate ways of approach for high fat energy group and low fat energy group, since they are different in many ways.

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A study on blood lipid profiles, aluminum and mercury levels in college students

  • Jung, Eunim;Hyun, Whajin;Ro, Yoona;Lee, Hongmie;Song, Kyunghee
    • Nutrition Research and Practice
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    • 제10권4호
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    • pp.442-447
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    • 2016
  • BACKGROUND/OBJECTIVES: College students are in a period of transition from adolescence to adulthood, in which proper dietary habits and balanced nutritional intake are very important. However, improper dietary habits and lifestyles can bring several health problems. This study was performed to investigate blood lipid profiles, blood aluminum and mercury in college students and the relationships among them. SUBJECTS/METHODS: The subjects were 80 college students (43 males and 37 females) in Gyeonggi-do. General characteristics, anthropometric measurements, blood pressure, blood lipids, SGOT, SGPT, and blood aluminum and mercury of the subjects were measured and analyzed, and their relationship was studied. RESULTS: The BMI was significantly higher in males, $23.69{\pm}3.20kg/m^2$, than in females, $20.38{\pm}2.37kg/m^2$ (P < 0.001). The blood pressure was significantly higher in males with $128.93{\pm}12.92mmHg$ systolic pressure and $77.14{\pm}10.31mmHg$ diastolic pressure compared to females with $109.78{\pm}11.97mmHg$ and $65.95{\pm}6.92mmHg$, respectively (P < 0.001). HDL cholesterol in males, $61.88{\pm}13.06mg/dl$, was lower than $64.73{\pm}12.16mg/dl$ in females, but other blood lipid levels were higher in males. Blood aluminum was significantly higher in males, $9.12{\pm}2.11{\mu}g/L$, than in females, $8.03{\pm}2.14{\mu}g/L$ (P < 0.05), and blood mercury was higher in males, $3.08{\pm}1.55{\mu}g/L$, than in females, $2.64{\pm}1.49{\mu}g/L$. The blood lipids showed positive correlation with obesity and blood pressure. CONCLUSIONS: The degree of obesity, blood pressure, triglycerides, and LDL cholesterol were higher in males, suggesting possible association with chronic disease incidence such as hyperlipidemia and hypertension. Thus, it is considered that a systematic health education is needed for college students, especially for males.

일부 대학의 구강건강관리용품 사용과 구강위생에 관한 연구 (A Study on the Use of Oral Health Care Devices and the Oral Hygiene in Some Colleges)

  • 이선희;박일순
    • 한국산학기술학회논문지
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    • 제12권6호
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    • pp.2629-2635
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    • 2011
  • 본 연구는 2010년 11월 08일부터 11월 26일까지 일부 대학의 치위생과 1, 2학년 재학생 40명을 대상으로 구강건강관리용품의 사용실태와 세치제 사용량에 따른 구강위생효과에 관한 설문조사와 실험을 실시하였다. 수집된 자료는 SPSS WIN 15.0프로그램을 이용하여 분석하였으며 다음과 같은 결론을 얻었다. 1. 잇솔질 �疽쨈� 평상시 매식사 후 잇솔질 시행여부는 보통이다가 47.5%로 가장 많았으며 잠자기 전 잇솔질을 시행하는 경우가 47.5%로 가장 많았다. 일일 평균 잇솔질 횟수는 3회, 평상시 잇솔질 방법은 회전법이 대부분을 차지하였으며 지난 1년간 잇솔 교환횟수는 3회가 45.0%로 가장 많았다. 2. 구강위생보조용품 사용실태는 치실을 제외한 전동잇솔, 치간 칫솔, 구강양치액은 사용하지 않는 경우가 대부분을 차지하였다. 따라서 개개인의 구강환경에 적합한 구강건강관리 용품을 선택 사용하여 구강병을 예방할 수 있도록 하여야 할 것이다. 또한 세치제의 사용량에 따른 구강위생효과에는 큰 차이가 없는 것으로 나타났으므로 세치제의 낭비를 줄이기 위하여 잇솔질 시 0.3 g 이하의 세치제를 사용하도록 교육 및 홍보하여야 한다.

일개 대학병원 신경외과중환자실에서 Clostridium difficile 관련 설사 감소를 위한 CQI활동 (CQI Activities for the Reduction of Clostridium difficile Associated Diarrhea in NCU of a University Hospital)

  • 박은숙;장경희;윤영옥;이정신;김태곤;여한승;김선호;신정원;이경원;김준명
    • 한국의료질향상학회지
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    • 제8권1호
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    • pp.10-21
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    • 2001
  • Background : The Clostridium difficile is the most important identifiable cause of nosocomial infectious diarrhea and colitis, which lengthens hospital stay. Recently incidence of C. difficile has been increasing in an university hospital, and an intervention for prevention and control of C. difficile associated diarrhea (CDAD) was in prompt need. Methods : Subjects were the patients in the neurosurgical intensive care unit(NCU) where C. difficile was most frequently isolated. To increase participation of various departments, we used the CQI method, because management of CDAD requires a wholistic approach including control of antibiotics, barrier precaution and environmental cleaning and disinfection. Duration of the CQI activities was 9 months from April to December 1999. Results : The identified problems were misuse and overuse of antibiotics, lack of consciousness of medical personnels and the possibility of transmission from the contaminated environment and tube feeding. Education for proper use of antibiotics and management of C. difficile infection, use of precaution stickers, supplement of handwashing equipments, emphasis on environmental disinfection, and the change of the process of tube feeding were done. The CDAD rate in NCU was significantly decreased after the CQI program (8.6 case per 1,000 patient days from January to April 1999 vs 4.8 from May to December 1999). The distribution of neurosurgical wards including NCU among the total number of isolated C. difficile from the clinical specimens dropped from 49.4% in January to April to 33,7% in May to December. The average hospital stay of the neurosurgical department changed from 19.6 days to 15.2 days. Also, the effect of the CQI activities for C. difficile may have affected the incidence of vancomycin resistant enterococci (VRE). Duration and dosage of certain antibiotics used in the NS department were decreased. The distribution of neurosurgical department in the number of VRE isolated patients declined from 18.4% to 11.1%. Conclusion : Infection control of resistant organisms such as C. difficile is likely to be successful when management of environmental contamination an collaborative efforts of decreasing the patients' risk factors such as antibiotics management and decreasing the length of hospital stay come simultaneously. For this work, related departments need to actively participate in the entire process under a common target through discussions for identifying problems and bringing up solutions. In this respect, making use of a CQI team is an efficient method of infection control for gathering participation and cooperation of related departments.

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자궁양성종양 환자의 고강도 초음파 집속술(HIFU) 치료 경험 (Experiences of High Intensity Focused Ultrasound (HIFU) Treatment in Benign Uterus Neoplasms)

  • 박서아;김혜영
    • 한국산학기술학회논문지
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    • 제19권4호
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    • pp.403-411
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    • 2018
  • 본 연구의 목적은 현상학적 접근을 통하여 고강도 초음파 치료를 받은 자궁양성종양 환자에 대한 경험의 본질을 심도 있게 파악하기 위해 이루어졌다. 연구 대상자는 자궁양성종양을 진단받고 고강도 초음파 집속술 치료를 받은 5명의 환자였다. 본 연구의 자료 수집은 2018년 2월부터 3월까지 이루어졌으며, 고강도 초음파 집속술을 시술하고 있는 D시 여성전문병원에서 시행되었다. 연구방법은 일대일 심층 면담을 통해 이루어졌으며, 자료는 비구조적이고 개방된 질문형태를 사용하여 자신의 의견과 경험을 자유롭고 유연하게 표현할 수 있도록 하였다. 인터뷰 자료는 Colaizzi의 현상학적 분석 방법을 사용하였다. 연구결과 5명의 대상자로부터 얻은 고강도 초음파 집속술 치료에 따른 건강문제는 총 3개의 범주로 구성되었고, 각각의 범주는 다시 하부 요인으로 구성되었다. 3개의 범주로는 '불편감', '양가감정', '의지와 요구' 로 나타났다. 본 연구는 고강도 초음파 치료를 받은 자궁양성종양 환자들의 경험을 이해하는데 도움을 줄 것이다. 나아가 본 결과는 향후 여성건강을 위한 새로운 치료법의 개발과 발전에 따라 올바른 간호학적 이해 및 고강도 초음파 치료를 받는 환자에 대한 지속적인 연구와 효과적인 간호 교육프로그램 개발이 이어져야 할 것이다.

서울지하철 범죄 실태에 대한 범죄심리학적 연구 (Study on the Realities in Seoul Subway Crimes: Criminal Psychology)

  • 임상곤
    • 시큐리티연구
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    • 제7호
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    • pp.233-285
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    • 2004
  • ‘Defined legally as a violation of law' (Sutherland, E. H. Principles of Criminology, Lippincott, Chicago, 1939) Crime within the group is essentially and primarily antisocial in that the criminal who is welfare of his group acts instead against it and breaks the principles of social solidarity not merely by not doing what these principles prescribe, but by doing something exactly opposites. Any program set up to attack crime and delinquent behavior at their sources. A program of his nature needs the constant and comprehensive collaboration of psychiatrists, social works, educations, lawmakers, and public officials, since crime is a social problem and it should be treated as such. Some crime preventives which should be mentioned are as follows, (1) The insurance that every child will be decently born and that his home life be socially and economically adequate; without socially mature parents the chid is handicapped at the start; thus parental education, integrated with the public school system, should be developed now. (2) A more meaningful educational program which would emphasize ideals of citizenship, moral integrity, and respect for the law and the police. (3) A periodic check made for potential delinquents throughout the public schools and treatment provided if possible; and if not, proper segregation in institutions. (4) Careful attention paid to press, movies, and radio so that crime may no longer appear to be glamorous. This can be done by women's clubs, civic bodies, and other educational groups exerting pressure on the movie syndicates and broadcasting companies to free their productions of the tawdry and lurid characteristics of crime and criminals. Aggression associated with the phallic stage of development, The child ordinarily comprehends sexual intercourse as an aggressive and sadistic act on the part of the male, and specifically on the part of the penis. Evidence that the penis is phantasied as a weapon of violence and destruction come from unconscious productions of normal adults. Limerick, for instance, often refer to the penis as square, or too large, etc., so that intercourse is dangerous and painful for the partner, This may wall be a projection of the male's own fear of coitus. A certain portion of the death-instinct always remains within the person; it is called 'primal sadism' and according to Freud is identical with masochism. 'After the chief part of it(the death instinct) has been directed outwards towards objects, there remains as a residuum within the organism the true erotogenic masochism, which on the one hand becomes a component of the libido and on the other still has the subject itself for a object.' Criminalism, compulsive-neurotic frequent repetition of criminal acts in a compulsive manner. Like most symptoms of the compulsive-neurotic, such antisocial act are closely rated to feelings of hostility and aggression, often against the father. Because these acts are symptomatic, they afford only temporary relief and are therefore repeated. One patient with compulsive-neurotic criminalism was apprehended after breaking into hardware store and stealing money. He later confessed to many similar incidents over the preceding two years. At the same time it was apparent that he stole only for the sake of stealing. He did not need the money he thus obtained and had no special plans for using it.

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사상체질 분류에 의한 브레인스토밍 집단 구성 연구 (Group Brainstorming Activity according to Sasang Constitutional Medicine)

  • 전경원
    • 사상체질의학회지
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    • 제12권1호
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    • pp.48-62
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    • 2000
  • 1950년 Guilford가 창의성의 중요성을 강조한 이후 창의성 계발에 대한 관심은 교육계에서 지속되어 왔다. 최근 들어 창의성은 더욱 강조되어 기업체는 물론 학교 현장에서도 창의력을 신장하기 위해 다양한 교수학습 방법을 모색하고 있다. 이 중에서 Osborn에 의해 개발된 집단 브레인스토밍은 어떤 구체적인 문제를 해결하기 위한 자유연상 기법의 한 가지로 전세계적으로 널리 적용되고 있다. 브레인스토밍의 원칙은 주어진 시간 안에 많은 아이디어를 내야 하기 때문에 평가를 유보해야 하고, 타인의 아이디어로부터 히치하이킹이 가능해야 하고 우스꽝스러운 아이디어도 받아들여야 한다. 그런데 유교문화권의 한국인들은 발표력이 부족하고, 타인의 시선을 의식하기 때문에 브레인스토밍이 효과를 제대로 거두지 못하고 있다. 또한 집단 BS에서 발생하는 아이디어 생산 차단현상, 획일적인 사고, 평가불안, 사회적인 태만성과 같은 문제로 인하여 아이디어의 양과 질이 감소하기도 한다. 그래서 본 연구에서는 1894년 이제마에 의해 창안된 사상체질 분류(태양인, 태음인, 소양인, 소음인)를 토대로 하여 어떠한 방식으로 집단을 형성할 때 아이디어가 많이 나올 수 있는가에 대한 문헌 분석을 하고자 한다. 또한 본 연구에서는 예비관찰을 실시한 내용을 근거로 하여 창의적인 잠재능력이 최대한 발휘될 수 있는 집단 형성과 이에 적절한 교수 학습 방법을 제안하고 있다. 이러한 연구를 하기 위해 태양인과 소양인으로 구성된 양의 집단과 소음인과 태음인으로 구성된 음의 집단 학생들의 집단을 관찰하여 양과 음의 집단을 혼합하여 집단을 형성하였을 때를 비교하여 각기 브레인스토밍의 참여도를 분석하였다. 이를 근간으로 하여 교육 현장에서 집단 브레인스토밍을 실시할 때 고려해야 할 몇 가지 유의사항을 제안하고 있다.

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GIS 기법을 이용한 폐석면 광산의 위해성 평가 (Health Risk Assessments using GIS Method for the Abandoned Asbestos Mines)

  • 최진범;손일;노진환
    • 한국광물학회지
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    • 제24권1호
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    • pp.43-53
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    • 2011
  • 폐석면 광산의 위해성 평가는 통상 ABS 방식에 의해 이루어지지만, 조사지역 전반에 관한 위해성 경향을 파악하는 데 그치는 한계를 지닌다. 이 연구에서는 새로운 평가방식으로 잠재적 위해지수(PIHR)라는 개념을 도입하여 석면 위해도를 계랑화하였다. PIHR 값에 대해 석면이 인체에 위해를 주는 요인들을 고려하여 적절한 가중치를 부여한 후, 토양 내 석면 농도 값을 적용하여 지리정보시스템(GIS)의 적지선정기법을 활용하여 위해성 평가를 실시하였다. 충청남도 보령시에 위치한 어느 폐석면 광산에 적용한 결과, 잠재적 위해 지수가 매우 높은 지역은 전체 면적의 7.8%에 해당되는 27.3 ha이며, 위해성 평가는 미국 환경보호청의 종합위해정보시스템(IRIS) 모델을 적용하여 각각 만 명당 1명(석면농도 0.36% 이상), 3만 명당 1명(석면농도 0.1% 이상), 10만 명당 1명(석면농도 0.04% 이상) 평생초과 발암 위험도 기준으로 관리할 경우 3.0, 12.9, 19.5 ha로 면적이 증가한다. 이러한 결과는 향후 광해 복원범위 선정에 효과적으로 적용할 수 있다.

Cancer Screening Knowledge and Attitudes of Under- and Post-Graduate Students at Kasr Al Ainy School of Medicine, Cairo University, Egypt

  • Sedrak, Amal Samir;Galal, Yasmine Samir;Amin, Tarek Tawfik
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권8호
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    • pp.3809-3816
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    • 2016
  • Background: Increasing knowledge and awareness of cancer screening significantly influence health promotion behavior which could markedly reduce incidence rates. In many countries, health care providers are the principal source of information concerning cancer screening. This study was carried out to assess the level of knowledge concerning cancer screening among medical students, house officers and residents and to explore their attitude towards cancer screening practices. Materials and Methods: This cross-sectional study was conducted in Kasr Al Ainy Medical School at Cairo University in Egypt, with 300 undergraduate medical students and 150 postgraduates (interns and residents) enrolled. A pre-tested self-administered questionnaire was used to collect data from the study participants regarding personal and education-related information, knowledge about cancer screening and its sources, and attitude towards cancer screening. Results: More than 64% of participants had knowledge scores of ${\leq}10$ points (out of 24). The total knowledge score (out of 6 points) for breast cancer screening increased from $1.9{\pm}1.0$ to $2.3{\pm}1.2$ and $2.4{\pm}1.1$ for $4^{th}$, $5^{th}$ and $6^{th}$ year respectively, interns showed the highest score of $2.6{\pm}1.1$, P= 0.001. Year of enrollment at medical school was a significant positive predictor of acquiring knowledge about cancer screening (post graduate vs. undergraduate students) (OR= 1.30, C.I =1.01-1.63), lack of or none receiving of orientation/training about cancer screening was the sole negative significant predictor for proper knowledge about cancer screening (OR=0.50, C.I=0.31-0.82). Over 92% of students agreed that they had insufficient knowledge about cancer screening, 88.2% appraised the need to have enough knowledge in order to direct/advice patients, relatives and friends, and 93.7% required that the faculty should emphasize the importance of cancer screening in the delivered curricula at medical school. Conclusions: A relatively low to moderate level of knowledge about cancer screening was detected among the selected medical students regardless of their year of enrollment at medical school or their graduation status, which may implicate a negative impact on early cancer detection especially in a low resource country like Egypt.