• 제목/요약/키워드: scale-model

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Reliability and Validity of an Iranian Version of the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire for Patients with Multiple Myeloma: the EORTC QLQ-MY20

  • Ahmadzadeh, Ahmad;Yekaninejad, Mir Saeed;Saffari, Mohsen;Pakpour, Amir H;Aaronson, Neil K
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.1
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    • pp.255-259
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    • 2016
  • Background: Reliable and validated instruments are needed in order to study the quality of life in myeloma patients. This study aimed to translate and explore the psychometric properties of the European Organisation for Research and Treatment of Cancer (EORTC) myeloma module (QLQ-MY20) in Iranian patients. Materials and Methods: Two hundred and fifteen patients with multiple myeloma (MM) were recruited from Imam Khomeini Hospital, Tehran. A standard forward-backward translation procedure was implemented. Participating patients were asked to complete the EORTC QLQ-C30 and the QLQ-MY20 three times, at study entry, after two weeks, and again after three months. Data were tested for the range of measurement, internal consistency, test-retest reliability, known group comparison, responsiveness and factor structure. Results: Mean age of the patients was 60.7 years. No floor and ceiling effects were seen for the QLQ-MY20. Cronbach's ${\alpha}$ was greater than 0.80 for all three multi-item scales (ranging from 0.82 to 0.93). All four scales had test-retest reliability of 0.85 or greater. Results of the confirmatory factor analysis that the hypothesized 3-scale measurement model of the QLQ-MY20. Moreover, the Persian version for the QLQ-MY20 differentiated between subgroups of the patients in terms of beta-2 microglobulin, fracture and performance status. The responsiveness of the QLQ-MY20 to change over time was confirmed within 3 months. Conclusions: the results of our study indicate that our Iranian version of the QLQ-MY20 is a feasible, reliable and valid questionnaire for assessing the condition-specific quality of life of patients with MM.

Effectiveness of Online Education in Teaching Breast Self-Examination

  • Tuna, Arzu;Avdal, Elif Unsal;Yucel, Sebnem Cinar;Dal, Nursel Alp;Dicle, Aklime;Ozkan, Arife;Sezgin, Handan;Gumus, Aysun Babacan;Turgay, Ayse San;Degirmenci, Mustafa
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.7
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    • pp.3227-3231
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    • 2014
  • Background: This research evaluated the effectiveness of an online education model in teaching breast self-examination to university staff and students. Materials and Methods: 1,679 women participated in a breast self-examination online training program. Breast self-examination knowledge evaluation forms developed by Maurer (1997) were used in the research and were evaluated on a 100 point scale. Paired t-test and McNemar's Test statistics were employed. Results: The participants scored an average of 46.5 (14.0%) on knowledge on breast self-examination before training, but 77.4 (11.0%) one month after education and 76.7 (9.52%) after six months. There was a clear significant difference between these knowledge levels (p<0.05). Similarly, while the rate for systematic practice of breast self-examination among women was 30.8% before training it increased to 47.8% afterwards. Again the difference was significant (p<0.05). Conclusions: Online education is an effective method for teaching breast self-examination to women.

Dynamic Characteristics and Power Generation Performance Evaluation of Customized Energy Block Structures (시설물 맞춤형 에너지 블록 구조의 동적 특성 및 발전 성능 평가)

  • Noh, Myung-Hyun;Kim, Hyo-Jin;Parl, Ji-Young;Lee, Sang-Youl
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.36 no.2
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    • pp.197-206
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    • 2016
  • This study carried out structural behaviors and power generation performances of customized energy harvesting block structures, especially for infrastructures such as parking facility. The improved energy block structures described in this study were represented by using numerical and experimental models. In particular, the composite-PZT hybrid energy blocks are tentatively proposed for better structural durability and power generation effects. The finite element model using ABAQUS program is used for studying static and dynamic characteristics of block structures made of composite materials. In addition, we evaluated the various power generation capacities of advanced energy block structures through laboratory-scale and field experiments.

A study on detailing gusset plate and bracing members in concentrically braced frame structures

  • Hassan, M.S.;Salawdeh, S.;Hunt, A.;Broderick, B.M.;Goggins, J.
    • Advances in Computational Design
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    • v.3 no.3
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    • pp.233-267
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    • 2018
  • Conventional seismic design of concentrically braced frame (CBF) structures suggests that the gusset plate connecting a steel brace to beams and/or columns should be designed as non-dissipative in earthquakes, while the steel brace members should be designed as dissipative elements. These design intentions lead to thicker and larger gusset plates in design on one hand and a potentially under-rated contribution of gusset plates in design, on the other hand. In contrast, research has shown that compact and thinner gusset plates designed in accordance with the elliptical clearance method rather than the conventional standard linear clearance method can enhance system ductility and energy dissipation capacity in concentrically braced steel frames. In order to assess the two design methods, six cyclic push-over tests on full scale models of concentric braced steel frame structures were conducted. Furthermore, a 3D finite element (FE) shell model, incorporating state-of-the-art tools and techniques in numerical simulation, was developed that successfully replicates the response of gusset plate and bracing members under fully reversed cyclic axial loading. Direct measurements from strain gauges applied to the physical models were used primarily to validate FE models, while comparisons of hysteresis load-displacement loops from physical and numerical models were used to highlight the overall performance of the FE models. The study shows the two design methods attain structural response as per the design intentions; however, the elliptical clearance method has a superiority over the standard linear method as a fact of improving detailing of the gusset plates, enhancing resisting capacity and improving deformability of a CBF structure. Considerations were proposed for improvement of guidelines for detailing gusset plates and bracing members in CBF structures.

Investigation of influence of homogenization models on stability and dynamic of FGM plates on elastic foundations

  • Mehala, Tewfik;Belabed, Zakaria;Tounsi, Abdelouahed;Beg, O. Anwar
    • Geomechanics and Engineering
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    • v.16 no.3
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    • pp.257-271
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    • 2018
  • In this paper, the effect of the homogenization models on buckling and free vibration is presented for simply supported functionally graded plates (FGM) resting on elastic foundation. The majority of investigations developed in the last decade, explored the Voigt homogenization model to predict the effective proprieties of functionally graded materials at the macroscopic-scale for FGM mechanical behavior. For this reason, various models have been used to derive the effective proprieties of FGMs and simulate thereby their effects on the buckling and free vibration of FGM plates based on comparative studies that may differ in terms of several parameters. The refined plate theory, as used in this paper, is based on dividing the transverse displacement into both bending and shear components. This leads to a reduction in the number of unknowns and governing equations. Furthermore the present formulation utilizes a sinusoidal variation of displacement field across the thickness, and satisfies the stress-free boundary conditions on the upper and lower surfaces of the plate without requiring any shear correction factor. Equations of motion are derived from Hamilton's principle. Analytical solutions for the buckling and free vibration analysis are obtained for simply supported plates. The obtained results are compared with those predicted by other plate theories. This study shows the sensitivity of the obtained results to different homogenization models and that the results generated may vary considerably from one theory to another. Comprehensive visualization of results is provided. The analysis is relevant to aerospace, nuclear, civil and other structures.

Impact of Interactions Between Self-Reported Psychological Stress and Habitual Exercise on the Dietary Intake of Japanese Men and Women: a Large-Scale Cross-Sectional Study

  • Endoh, Kaori;Kuriki, Kiyonori;Kasezawa, Nobuhiko;Tohyama, Kazushige;Goda, Toshinao
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.4
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    • pp.2007-2017
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    • 2016
  • Background: Modifying lifestyle factors such as diet and exercise can reduce the risk of cancer. Psychological stress (PS) might be indirectly associated with cancer because it alters lifestyle factors. However, the relationship among these variables has not been fully investigated. Thus, we examined interactions between self-reported PS (SRPS) and habitual exercise on diet. Materials and Methods: In all, 5,587 men and 2,718 women were divided into "exerciser" and :non-exerciser" groips, based on whether they exercised reguarly, and classified into three SRPS levels: low, moderate and high. Diet was estimated using a validated food frequency questionnaire. Using a general linear model, food and nutrient consumption was estimated for each SRPS level in the 2 exercise groups, and the interactions between SRPS levels and exercise were calculated. Results: In women, the intake of pork and beef, low fat milk and yogurt, natto (fermented soybean), carrots and squash, other root vegetables, mushrooms, seaweeds, and wine along with the nutrients vegetable protein, soluble, insoluble and total dietary fiber, daidzein, genistein, carotene, retinol equivalents, vitamin B2, pantothenic acid, potassium, calcium, magnesium, phosphorus and iron demonstrated significant interaction with SRPS and habitual exercise (p for interaction <0.05). In men, raw and green leafy vegetable and fruit and vegetable juice significantly interacted with SRPS and habitual exercise (p for interaction <0.05). Conclusions: We suggest that certain foods and nutrients, which are thought to have a protective effect against cancer, interact with SRPS and habitual exercise, especially in women. This information is valuable for understanding and improving interventions for cancer prevention.

Financial Distress and its Predicting Factors among Iranian Cancer Patients

  • Fathollahzade, Abazar;Rahmani, Azad;Dadashzadeh, Abbas;Gahramanian, Akram;Esfahani, Ali;Javanganji, Leila;Nabiolahi, Leila
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.4
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    • pp.1621-1625
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    • 2015
  • Background: Financial distress due to the cost of cancer treatments is prevalent among cancer patients. Identifying the level of financial distress and its affecting factors has an important role in providing supportive services. Accordingly, the aims of this study were to determine these parameters among Iranian cancer patients. Materials and Methods: This descriptive-correlational study was undertaken among 262 cancer patients admitted to both private and public hospitals in East Azerbaijan province, Iran. The financial distress/financial well being scale was used to determine financial distress. The data were analyzed using SPSS software using descriptive and inferential statistics (multiple linear regression). Results: Among the 262 cancer patients, 57.3% were male and their mean age was 47.0 years. The mean score for financial distress was 4.12 (2.01). The final regression model demonstrated that the independent variables (predictors) of income less than living expenses, income equal to living expenses, having an employed spouse in governmental job and living with parents, with regression coefficients of -1.029, -0.515, 0.198, and 0.096, respectively, were predictors of financial distress among cancer patients. These variables accounted for 50% of changes in variance of financial distress. Conclusions: Iranian cancer patients have moderate to high levels of financial distress. Considering policies for managing direct and indirect costs of cancer treatments must be followed.

Effects of Breast Cancer Fatalism on Breast Cancer Awareness among Nursing Students in Turkey

  • Kulakci, Hulya;Ayyildiz, Tulay Kuzlu;Yildirim, Nuriye;Ozturk, Ozlem;Topan, Aysel Kose;Tasdemir, Nurten
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.8
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    • pp.3565-3572
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    • 2015
  • Background: Breast cancer is the most common cancer among women and leading cause of death worldwide, including in Turkey. High perceptions of cancer fatalism are associated with lower rates of participation in screening for breast cancer. This study was conducted to evaluate the effect of breast cancer fatalism and other factors on breast cancer awareness among nursing students in Turkey. Materials and Methods: This cross-sectional descriptive study was conducted at three universities in the Western Black Sea region. The sample was composed of 838 nursing students. Data were collected by Personal Information Form, Powe Fatalism Inventory (PFI) and Champion's Health Belief Model Scale (CHBMS). Results: Breast cancer fatalism perception of the students was at a low level. It was determined that students; seriousness perception was moderate, health motivation, BSE benefits and BSE self-efficacy perceptions were high, and BSE barriers and sensitivity perceptions were low. In addition, it was determined that students awareness of breast cancer was affected by breast cancer fatalism, class level, family history of breast cancer, knowledge on BSE, source of information on BSE, frequency of BSE performing, having breast examination by a healthcare professional within the last year and their health beliefs. Conclusions: In promoting breast cancer early diagnosis behaviour, it is recommended to evaluate fatalism perceptions and health beliefs of the students and to arrange training programs for this purpose.

Roles of Illness Attributions and Cultural Views of Cancer in Determining Participation in Cancer-Smart Lifestyle among Chinese and Western Youth in Australia

  • Wei, Celine;Wilson, Carlene;Knott, Vikki
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.5
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    • pp.3293-3298
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    • 2013
  • Background: The study investigated the influence of culturally-based health beliefs on engagement in healthy lifestyle behaviour. Specifically, the study compared levels of engagement between Western and Chinese youth in Australia and assessed the extent to which culture-specific attributions about the causes of illness, and health beliefs, predict engagement in healthy lifestyle behaviour. Materials and Methods: Ninety-four Western and 95 Chinese (N=189; Mean Age=20.8 years, SD=3 years) young adults completed an online questionnaire. Predictor variables were cultural health beliefs measured by the Chinese Cultural Views on Health and Illness scale (CCVH, Liang et al., 2008), and illness attributions beliefs measured by the Cause of Illness Questionnaire (CIQ, Armstrong and Swartzman, 1999). Outcomes variables were levels of engagement in healthy lifestyle behaviour. Results: Results indicated that Chinese participants have a significantly lower exercising rate and healthy dietary habits compared to the Western sample. Moreover, Chinese participants were found to believe more strongly than Westerners that cancer was associated with factors measured by the Traditional-Chinese-Model (TCM). Finally, the observed relationship between cultural health beliefs and physical inactivity was mediated by attributions of illness, in particular to the supernatural subscale, with the Sobel Test showing a significant mediation (z=-2.63, p=0.004). Conclusions: Mainstream approaches to encourage healthy lifestyles are unlikely to be effective when educating Chinese youth. Instead, health promotion programs should attempt to address the illness attribution beliefs and educate Chinese youth about the role of diet and exercise in prevention of diseases such as cancer.

Optimum Scale Evaluation of Sedment Basin Design by Soil Erosion Estimation at Small Basin (소유역의 토사유실량에 따른 유사저류지 설계적정성 검토)

  • Lee, Sang-Jin;Choi, Hyun;Kwak, Young-Joo;Lee, Bae-Sung
    • Journal of Korean Society for Geospatial Information Science
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    • v.15 no.2 s.40
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    • pp.25-31
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    • 2007
  • The recent frequent heavy rainfall has caused an increased in soil erosion and the soil drain which drained soil has caused decreased in channel radius and environmental problems by turbidity. In this study, the optimum size of the sediment basin was tested with soil erosion estimated from the Universal Soil Loss Equation (USLE) in the basin using by GIS data. The results show that the estimated soil erosion and the designed soil deposit are $72.1\;m^3$ and $85.0\;m^3$ respectively and the size of sediment basin is proper. In this study the water depth was calculated from the Hec-Ras model to test the stability of the bank and to prove submersion of the inside fields from stream overflow.

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