• Title/Summary/Keyword: self-prevention

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Self-Sampling Versus Physicians' Sampling for Cervical Cancer Screening - Agreement of Cytological Diagnoses

  • Othman, Nor Hayati;Zaki, Fatma Hariati Mohamad;Hussain, Nik Hazlina Nik;Yusoff, Wan Zahanim Wan;Ismail, Pazuddin
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.7
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    • pp.3489-3494
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    • 2016
  • Background: A major problem with cervical cancer screening in countries which have no organized national screening program for cervical cancer is sub-optimal participation. Implementation of self-sampling method may increase the coverage. Objective: We determined the agreement of cytological diagnoses made on samples collected by women themselves (self-sampling) versus samples collected by physicians (Physician sampling). Materials and Methods: We invited women volunteers to undergo two procedures; cervical self-sampling using the Evalyn brush and physician sampling using a Cervex brush. The women were shown a video presentation on how to take their own cervical samples before the procedure. The samples taken by physicians were taken as per routine testing (Gold Standard). All samples were subjected to Thin Prep monolayer smears. The diagnoses made were according to the Bethesda classification. The results from these two sampling methods were analysed and compared. Results: A total of 367 women were recruited into the study, ranging from 22 to 65 years age. There was a significant good agreement of the cytological diagnoses made on the samples from the two sampling methods with the Kappa value of 0.568 (p=0.040). Using the cytological smears taken by physicians as the gold standard, the sensitivity of self-sampling was 71.9% (95% CI:70.9-72.8), the specificity was 86.6% (95% CI:85.7-87.5), the positive predictive value was 74.2% (95% CI:73.3-75.1) and the negative predictive value was 85.1% (95% CI: 84.2-86.0). Self-sampling smears (22.9%) allowed detection of micro-organisms better than physicians samples (18.5%). Conclusions: This study shows that samples taken by women themselves (self-sampling) and physicians have good diagnostic agreement. Self-sampling could be the method of choice in countries in which the coverage of women attending clinics for screening for cervical cancer is poor.

The subjective recognition of oral malodor and oral malodor self test (일부지역의 주관적인 구취에 대한 인식 및 구취 자가진단에 관한 연구)

  • Chun, Ju-Yeon;Lee, Kyeong-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.6
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    • pp.871-879
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    • 2014
  • Objectives: The purpose of the study was to investigate the appropriate management and implementation of the oral malodor prevention for the general people. Methods: A self-reported questionnaire was filled out by 420 subjects in Seoul and Gyeonggi Province from March to October, 2013. Except 19 copies, 401 copies were analyzed. The instrument of subjective oral malodor awareness and status was adapted from Yoon and Youn and partly modified. The questionnaire consisted of general characteristics(4 questions), oral malodor awareness(3 questions), oral malodor related characteristics(3 questions), self-diagnostic test of oral malodor(5 questions), and subjective oral malodor and health status(3 questions). Self-diagnostic test of oral malodor was score as yes(1 point) and no(0 point). The subjective oral malodor and health status scoring was done by Likert 5 scale. Cronbach alpha was 0.713 in the self-diagnostic test of oral malodor. Results: The self-recognition rate of oral malodor was 0.8%. When the level of oral malodor increased to 1 point, the self-test of oral malodor increased as the rate of 0.033(p<0.05). Conclusions: There existed no close correlation between subjective recognition of oral malodor and oral malodor self-test. Therefore, oral malodor should be measured by an expert counseling to make an accurate diagnosis. It is important to establish the appropriate oral malodor prevention program for the general people.

Development of Roadway-Departure Prevention System and HiLS (차선이탈방지 알고리듬 및 HiLS 개발)

  • 장승호;최두진;고정완;김상우;박부견
    • 제어로봇시스템학회:학술대회논문집
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    • 2000.10a
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    • pp.216-216
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    • 2000
  • In this paper, we introduce a new roadway-departure prevention algorithm and the developed Hardware-in-the-Loop-Simulator (HiLS) for applying the new algorithm. A sliding-mode controller is used for lateral position control. And, the HiLS consists of real car elements, a micro-control board, and a self-aligning torque generator Finally from the display module, the perspective view and bird view of the animated vehicle can be seen simultaneously.

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Effects of Health Belief of Falling on Fall Prevention Activities of Nursing Students (간호대학생의 낙상에 대한 건강신념이 낙상예방행위에 미치는 영향)

  • Ko, Young Ji;Uhm, Ju-Yeon
    • Journal of muscle and joint health
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    • v.26 no.1
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    • pp.54-61
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    • 2019
  • Purpose: This study was performed to identify nursing students' fall prevention activities, health beliefs of falling and factors associated with fall prevention activities among nursing students. Methods: 149 nursing students from a university completed self-administered questionnaires including participants' characteristics, fall prevention activities, and health belief of falling. Hierarchical multiple regression analysis was used to determine significant independent factors of fall prevention activities. Results: The score for fall prevention activities was $62.40{\pm}9.78$, which was relatively high. The regression model had an adjusted $R^2$ of .16, which indicated that perceived susceptibility was a factor affecting fall prevention activities of nursing students. Conclusion: To increase perceived susceptibility, repetitive fall prevention education including various examples of falls could help nursing students to promote fall prevention activities. Nursing faculty should develop contents to increase recognition of obligation and responsibility regarding fall prevention in curriculum for nursing students.

Turkish Female Academician Self-Esteem and Health Beliefs for Breast Cancer Screening

  • Avci, Ilknur Aydin;Kumcagiz, Hatice;Altinel, Busra;Caloglu, Ayse
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.1
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    • pp.155-160
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    • 2014
  • Purpose: This study aimed to analyse female academician health beliefs for breast cancer screening and levels of self-esteem. Materials and Methods: This cross-sectional study was conducted between October 2010 and March 2011, covering female academicians working in all faculties and vocational schools at Ondokuz Mayis University, except for the ones in the field of health (n=141). Data was collected using a questionnaire developed by researchers in the light of the related literature, the Champion's Health Belief Model Scale for Breast Cancer, and the Coopersmith Self-Esteem Inventory. Descriptive statistics, the t-test, Mann-Whitney U and correlation analysis were used to analyze the data with the SPSS 13.0 statistical package. Results: 53.8% of the participants were single, 58.6% did not have children, 80.7% had regular menstrual cycles, 28.3% was taking birth control pills, 17.9% were undergoing hormone therapy, 11% suffered breast problems, 8.3% had relatives with breast cancer, 78,6% knew about breast self-examination (BSE), 68.3% was performing BSE, 16.2% were performing BSE monthly, 17.9% had had mammograms, and 30.3% had undergone breast examinations conductedby physicians. The women who had breast physical examinations done by physicians had higher susceptibility, self-efficacy and health motivation, and fewer barriers to mammography than those who did not have breast physical examinations. Conclusions: There was a relationship between the female academician self-esteem and their perceived seriousness of breast cancer, perceived barriers to BSE and health motivation. Our Turksih female academicians had medium levels of self-esteem.

Effects of Self-Concept Levels and Perceived Academic Achievements of Turkish Students on Smoking Perceptions

  • Sert, Hilal Parlak;Bektas, Murat;Ozturk, Candan
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.3
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    • pp.1307-1312
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    • 2014
  • Background: The objective of this study was to examine the effect of self-concept levels and perceived academic achievements of sixth, seventh and eighth grade primary school students upon their perceptions about smoking. Method: The data were collected with the Socio-Demographic Data Collection Form, Pier-Herris Self-Concept scale and Children's Decision Balance Scale. The study sample consisted of 374 students receiving education in the sixth, seventh and eighth grades of three primary schools, which were selected among primary schools of Izmir Provincial Directorate for National Education representing three socio-economic groups with a simple random sampling method. The data were collected in December 2012-January 2013. Percentages and the t test were used in the evaluation of the data. Results: While students with a positive self-concept had score averages of $7.12{\pm}2.18$ regarding the lower dimension of smoking pros and $29.0{\pm}2.47$ regarding the lower dimension of smoking cons, their counterparts with a negative self-concept had score averages of $8.61{\pm}3.76$ (p=0.000) and $28.1{\pm}3.49$ (p=0.004), respectively. According to self-perception, there was statistical difference between perceptions of students regarding smoking (p<0.01). While students perceiving themselves successful had score averages of $7.81{\pm}3.13$ and $28.5{\pm}3.19$ regarding the lower dimension of smoking benefit and harm, students perceiving themselves unsuccessful had score averages of $8.27{\pm}3.39$ (p=0.333) and $29.01{\pm}2.05$ (p=0.235), with no difference determined. Conclusion: Students with a positive self-perception had a low perception of smoking pros and a high perception of smoking cons. Perception of academic achievement did not affect the pros and cons perceptions of children regarding smoking.

Meta Analysis of Studies about Breast Self Examination between 2000-2009 in Turkey

  • Ergin, Ayla Berkiten;Sahin, Nevin Hotun;Sahin, Fezan Mutlu;Yaban, Zuleyha Simsek;Acar, Zeynep;Bektas, Hatice
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.7
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    • pp.3389-3397
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    • 2012
  • Aim: The aim of this study was to analyze studies in Turkey about self-breast examination and produce conclusive, reliable and detailed basis for future studies. Methods: Studies performed between 2000 and 2009 (until the end of September) were retrieved from databases using breast cancer, breast examination, breast cancer screening and risk factors as key words. Fifty-nine studies were identified and 18 of them (15 journal articles and three theses) were used for the meta-analysis. Results: Married women and women with a family history of breast cancer were found to perform self-breast examination more frequently than single women and women without a family history of breast cancer, respectively (OR=1.02 %CI 0.82-1.63; OR=1.16 %CI 0.82-1.63). According to the health belief model scales, women performing self-breast examination were determined to have 1.7 times higher susceptibility (OR=1.70), 1.34 times higher seriousness perception (OR=1.34), 3.32 times higher health motivation (OR=3.32), 5.21 times more self-efficacy/confidence (OR=5.21) and 2.56 times higher self-breast examination benefit perception (OR=2.56). Conclusion: Nursing care models caused an increase in self-breast examination by women, and thus, it may be useful to organize and evaluate such health-related programs and consider women health perceptions.

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.

Self-Care Education Programs Based on a Trans-Theoretical Model in Women Referring to Health Centers: Breast Self-Examination Behavior in Iran

  • Ghahremani, Leila;Mousavi, Zakiyeh;Kaveh, Mohammad Hossein;Ghaem, Haleh
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.12
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    • pp.5133-5138
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    • 2016
  • Background: Breast cancer is one of the most common cancers and a major public health problem in developing countries. However, early detection and treatment may be achieved by breast self-examination (BSE). Despite the importance of BSE in reducing the incidence of breast cancer and esultant deaths, the disease continues to be the most common cause of cancer death among women in Iran.This study aimed to determine the effects of self-care education on performance of BSE among women referring to health centers in our country. Materials and Methods: This quasi-experimental interventional study with pretest/posttest control group design was conducted on 168 women referred to health centers. The data were collected using a validated researcher-made questionnaire including demographic variables and trans-theoretical model constructs as well as a checklist assessing BSE behavior. The instruments were administered to groups with and without self-care education before, a week after, and 10 weeks after the intervention. Then, the data were entered into the SPSS statistical software (version 19) and analyzed using independent sample t-tests, paired sample t-test, repeated measures ANOVA, Chi-square, and Friedman tests (p<0.05). Results: The results showed an increase in the intervention group's mean scores of trans-theoretical model constructs (stages of change, self-efficacy, decisional balance, and processes of change) and BSE behavior compared to the control group (p<0.001). Conclusion: The study confirmed the effectiveness of aneducational intervention based ona trans-theoretical model in performing BSE. Therefore, designing educational interventions based on this model is recommended to improve women's health and reduce deaths due to breast cancer.

A Structural Equation Model of Fall Prevention Behavior among Community-dwelling Older Adults with Osteoarthritis (재가 관절염 노인의 낙상 예방행위 예측모형 구축)

  • Jang, Keong Sook;Song, Rhayun
    • Korean Journal of Adult Nursing
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    • v.27 no.6
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    • pp.684-694
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    • 2015
  • Purpose: The purpose of this study was to explain fall prevention behaviors of community-dwelling elderly with osteoarthritis based on the Health Belief Model. Methods: A total of 200 older adults with osteoarthritis residing in community was recruited from July 10 to August 30, 2013. The direct and indirect effects of perceived fall risk, perceived benefits and barriers, and self efficacy of fall prevention were examined on fall prevention behaviors. Data were collected with structured questionnaires and analyzed using SPSS/WIN 20.0 and AMOS 20.0 program. Results: The hypothetical model was a good fit for the data based on the model fit indices. Among socio-demographic variables, age and fall knowledge showed significant direct effects on fall prevention behaviors. The constructed model explained 34.2% of the variance of fall prevention behaviors, including perceived fall risk and efficacy of fall prevention behaviors as significant predictors. Conclusion: The findings revealed the need to develop an effective nursing intervention to promote fall prevention behaviors of community-dwelling elderly with osteoarthritis by focusing on perceived fall risk and efficacy of fall prevention behaviors. Knowledge about fall can also be increased by an age-based education program.