Background: This descriptive study was performed in order to assess health perspectives of women, who applied to Yildirim Beyazit University Ataturk Education and Research Hospital, Outpatient Clinic of Obstetrics and Gynecology for cervical cancer scans and were in the reproductive years. Factors influencing their perspectives were also assessed. Materials and Methods: In this study, a simple random sampling formula was adopted to calculate the volume (300) of the targeted sample. Results of the research were obtained through individual diagnosis form and cervical cancer and the Pap smear test health belief model scale (HBMS). Results: It was found that 75.0% of the women heard of the Pap smear test before, and 48.7% had undertaken one. Some 51.4% of the women who had Pap smear test expressed that they had the test at irregular periods. Most of the women stated that they heard about the smear test from the health staff (51.7%). Lack of any health complaints (28.3%) and not having adequate information about the test (21.0%) were among the reasons for not undergoing a Pap smear test. It was found that lower dimension average scores of the women obtained from the cervical cancer and Pap smear test HBMS varied from $7.7{\pm}2.3$ to $33.5{\pm}9.3$. When the lower dimension average scores of women from the HBMS were examined, the perception of usefulness was high but the susceptibility and health motivations were low. Conclusions: In this study, it was determined that the awareness of women about cervical cancer and the Pap smear test was insufficient, and susceptibility and motivation perception towards having a Pap smear test were low.
Background: Worldwide, over half a million women died of breast cancer in 2011 alone. Mammography screening is associated with a reduction of 20 to 35% in breast cancer mortality. The aim of this study was to determine the awareness and practice of mammography screening and predictors of its uptake in Malaysian women attending a primary care clinic. Materials and Methods: A cross-sectional study was carried out among women aged 40 to 74 years attending a primary care clinic in Selangor, Malaysia. An assisted structured questionnaire included questions on socio-demography, source of information and level of knowledge. An adapted version of the revised Champion Health Belief Model Scale plus other associated factors for mammography screening up-take were also included as part of the questionnaire. Predictors for mammography screening uptake were only determined in those who were aware about mammography screening. Significant predictors were determined by logistic regression. Results: 447 women were recruited for this study; 99.1% of them (n: 411) were aware about breast cancer. Only 50.1% (n: 206) had knowledge about mammography screening. Prevalence of clinical breast-examination (CBE) was 23.3% (n: 104) and mammography screening up-take was 13.2% (n: 59). The predictors for the latter were those who have had clinical breast-examination (aOR=17.58, 95%CI: 7.68-39.82) and those aged between 50 to 59 years (aOR=3.94, 95%CI: 1.61-9.66) as well as those aged 60 years and above (aOR=6.91, 95%CI: 2.28-20.94). Good knowledge and positive beliefs about mammography screening were not associated with mammography screening uptake. Conclusions: Half of our Malaysian women were aware about mammography screening. However, the uptake of mammography was low. Previous CBE and older age were significant predictors of mammography screening uptake. Increasing CBE services may increase compliance with guidelines.
Ahn, Suh Young;Yoon, Seung Won;Lee, Mi Ah;Koh, Ae-Ran
Journal of the Korean Society of Clothing and Textiles
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v.37
no.4
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pp.565-576
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2013
This study investigated 1) the effects of mountain climbing motivation on the desired mountain climbing wear benefits, and 2) the desired effects of mountain climbing wear benefits on clothing usage behavior. Data were collected via a questionnaire administered to 498 consumers who make at least one mountain climbing wear purchase for personal use. All items were evaluated on a 5-point Likert scale, and SPSS 20.0 and Amos 7.0 were used for data analysis. Confirmatory factor analysis for the research variables were performed and three factors of mountain climbing motivation (social interaction, health improvement, and mental rejuvenation), four factors of mountain climbing wear benefits sought (ostentation, ideal healthy figure, conformity, and functions), and two factors regarding clothing usage behavior (sportswear usage and daily wear usage) were identified. The results from the model test were as follows: 1) Mountain climbing motivation was found to vary depending on the mountain climbing wear benefits sought. Social interaction had a positive effect on all 4 factors of mountain climbing wear benefits sought. Health improvement was the only motivating factor for consumers who sought the benefit of functions; however, the functions benefit was not found to be a consideration for consumers who climbed for mental rejuvenation. 2) Mountain climbing wear usage was affected by mountain climbing wear benefits sought. The benefits for conformity and functions had a positive effect on sportswear usage and daily wear usage; however, the ideal healthy figure only affected daily wear usage. The twofold usage of mountain climbing wear reflects a cultural trend toward the usage of mountain climbing wear as daily wear; however, consumers show this twofold usage to conform successfully to mainstream society and not to pursue the ideal healthy figure.
For proton pencil beam scanning (PBS) technology, the accuracy of the dose distribution in a patient is sensitive to the properties of the incident beam. However, mechanical deformation of the proton therapy facility may occur, and this could be an important factor affecting the proton dose distribution in patients. In this paper, we investigated the effect of deformation on an SC200 proton facility's beam isocenter properties. First, mechanical deformation of the PBS nozzle, L-shape plate, and gantry were simulated using a Finite Element code, ANSYS. Then, the impact of the mechanical deformation on the beam's isocenter properties was evaluated using empirical formulas. In addition, we considered the simplest case that could affect the properties of the incident beam (i.e. if only the bending magnet (BG3) has an error in its mounting alignment), and the effect of the beam optics offset on the isocenter characteristics was evaluated. The results showed that the deformation of the beam position in the X and Y direction was less than 0.27 mm, which meets the structural design requirements. Compared to the mechanical deformation of the L-shape plate, the deformation of the gantry had more influence on the beam's isocenter properties. When the error in the mounting alignment of the BG3 is equal to or more than 0.3 mm, the beam deformation at the isocenter exceeds the maximum accepted deformation limits. Generally speaking, for the current design of the SC200 scanning beam delivery system, the effects of mechanical deformation meet the maximum accepted beam deformation limits. In order to further study the effect of the incident beam optics on the isocenter properties, a fine-scale Monte Carlo model including factors relating to the PBS nozzle and the BG3 should be developed in future research.
GIAO, Ha Nam Khanh;NGAN, Nguyen Thi Kim;PHUC, Nguyen Pham Hanh;TUAN, Huynh Quoc;HONG, Ha Kim;ANH, Huynh Diep Tram;NHU, Duong Thi Huynh;LAN, NgoThi
The Journal of Asian Finance, Economics and Business
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v.7
no.6
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pp.209-220
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2020
This research examines the affect of destination image factors on revisit intention of domestic tourists at Ba Ria Vung-Tau (BRVT), by questioning directly 510 domestic tourists. The convenient sampling method is used in dividing the crowds into four groups; the four main surveyed areas in BRVT are: Vung Tau, Long Hai-Phuoc Hai, Xuyen Moc and Con Dao. A combination of qualitative and quantitative methodologies were utilized.A focus group of 10 domestic tourists wasset up to review and explore the variousfactors as well as the conceptual model. An in-depth interview with 12 participants was developed to fine-tune measurement items. The questionnaire applied a 5-point Likert scale. Checking the reliability by Cronbach's Alpha, exploratory factor analyzing and linear multiple regression were used with the SPSS program. The results show that there are eight main destination image factors affecting domestic tourists revisit intention to BRVT using linear regression and arranged by decreasing importance: Infrastructure, Variety Seeking, Accessibility, Local food, Atmosphere, Environment, Price Value, Leisure and Entertainment. From that, the research offers some suggestions and policy recommendations for the tourism business and provincial policy-makers to identify the main issues and develop better customer services to increase domestic tourists'revisit intention.
A unique lightweight string truss deployable bridge assembled by thin-walled fiber reinforced polymer (FRP) and metal profiles was designed for emergency applications. As a new structure, investigations into the static structural performance under the serviceability limit state are desired for examining the structural integrity of the developed bridge when subjected to unsymmetrical loadings characterized by combined torsion and bending. In this study, a full-scale experimental inspection was conducted on a fabricated bridge, and the combined flexural-torsional behavior was examined in terms of displacement and strains. The experimental structure showed favorable strength and rigidity performances to function as deployable bridge under unsymmetrical loading conditions and should be designed in accordance with the stiffness criterion, the same as that under symmetrical loads. In addition, a finite element model (FEM) with a simple modeling process, which considered the multi segments of the FRP members and realistic nodal stiffness of the complex unique hybrid nodal joints, was constructed and compared against experiments, demonstrating good agreement. A FEM-based numerical analysis was thereafter performed to explore the effect of the change in elastic modulus of different FRP elements on the static deformation of the bridge. The results confirmed that the change in elastic modulus of different types of FRP element members caused remarkable differences on the bending and torsional stiffness of the hybrid bridge. The global stiffness of such a unique bridge can be significantly enhanced by redesigning the critical lower string pull bars using designable FRP profiles with high elastic modulus.
Journal of the Korean Society of Environmental Restoration Technology
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v.22
no.6
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pp.1-14
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2019
Carbon storage is one of the regulating ecosystem services provided by urban street trees. It is important that evaluating the economic value of ecosystem services accurately. The carbon storage of street trees was calculated by measuring the morphological parameter on the field. As the method is labor-intensive and time-consuming for the macro-scale research, remote sensing has been more widely used. The airborne Light Detection And Ranging (LiDAR) is used in obtaining the point clouds data of a densely planted area and extracting individual trees for the carbon storage estimation. However, the LiDAR has limitations such as high cost and complicated operations. In addition, trees change over time they need to be frequently. Therefore, Structure from Motion (SfM) photogrammetry with unmanned Aerial Vehicle (UAV) is a more suitable method for obtaining point clouds data. In this paper, a UAV loaded with a digital camera was employed to take oblique aerial images for generating point cloud of street trees. We extracted the diameter of breast height (DBH) from generated point cloud data to calculate the carbon storage. We compared DBH calculated from UAV data and measured data from the field in the selected area. The calculated DBH was used to estimate the carbon storage of street trees in the study area using a regression model. The results demonstrate the feasibility and effectiveness of applying UAV imagery and SfM technique to the carbon storage estimation of street trees. The technique can contribute to efficiently building inventories of the carbon storage of street trees in urban areas.
Huang, Mingfeng;Li, Qiang;Xu, Haiwei;Lou, Wenjuan;Lin, Ning
Wind and Structures
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v.26
no.3
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pp.129-146
/
2018
Extreme wind speed analysis has been carried out conventionally by assuming the extreme series data is stationary. However, time-varying trends of the extreme wind speed series could be detected at many surface meteorological stations in China. Two main reasons, exposure change and climate change, were provided to explain the temporal trends of daily maximum wind speed and annual maximum wind speed series data, recorded at Hangzhou (China) meteorological station. After making a correction on wind speed series for time varying exposure, it is necessary to perform non-stationary statistical modeling on the corrected extreme wind speed data series in addition to the classical extreme value analysis. The generalized extreme value (GEV) distribution with time-dependent location and scale parameters was selected as a non-stationary model to describe the corrected extreme wind speed series. The obtained non-stationary extreme value models were then used to estimate the non-stationary extreme wind speed quantiles with various mean recurrence intervals (MRIs) considering changing climate, and compared to the corresponding stationary ones with various MRIs for the Hangzhou area in China. The results indicate that the non-stationary property or dependence of extreme wind speed data should be carefully evaluated and reflected in the determination of design wind speeds.
To develop highly dependable CPS, M&S(modeling and simulation) is very important. It is not easy to model any CPS whole system in a single simulation tool because each simulation tool is optimized for modeling each different part of the CPS. The FMI is the standard for M&S between different simulation tools. The DDS is a communication middleware suitable for large-scale real-time data transmission. In this paper, we proposed FMI based CPS real-time distributed simulaton framework using DDS. To evaluate the performance of the proposed framework, we performed distributed simulation using IEEE HLA/RTI and OMG DDS middleware and measured and compared the execution time of the entire simulation. From the simulation results, we can confirm that the simulation execution time using DDS is at least 1.14 times faster compared to execution time using HLA/RTI.
Objectives: The study was a cross-sectional research to examine dental hygiene students' multi-cultural experiences, emotional intelligence and cultural competency and to understand the correlations among them. Methods: The study was conducted from September $1^{st}$ to October $31^{st}$ 2016, based on the survey of 449 students in the department of dental hygiene at 7 Universities. The questionnaire consisted of 57 questions including general characteristics (n=7), multi-cultural experiences (n=7), emotional intelligence (n=16) and cultural competency (n=27). Results: Each score of students' emotional intelligence and cultural competency is 3.43 and 3.01 respectively in 5-point scale. An analysis of correlations between emotional intelligence and cultural competency shows that the higher the emotional intelligence, the higher the cultural competency (r=0.342). The factors affecting the cultural competency include use of emotions (${\beta}=0.327$, p<0.001), control of emotions (${\beta}=0.254$, p=0.001), frequency of multi-cultural media (${\beta}=0.221$, p<0.001) and experience of multi-cultural class (${\beta}=0.221$, p=0.002). The modified explanatory power in this model is 28.2% (F=10.856, p<0.001). Conclusions: There was a positive correlation between emotional intelligence and cultural competency, and the contacts with multi-culture and experience of class are identified as the affecting factors. Dental hygiene students should acquire theoretical experiences regarding the multi-culture through curriculum or continuous educations and it is necessary to promote such educations in order to develop and apply the programs for the enhancement of emotional intelligence.
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