• Title/Summary/Keyword: sub-health center

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Breast Cancer Knowledge, Perception and Breast Self-Examination Practices among Yemeni Women: an Application of the Health Belief Model

  • Al-Sakkaf, Khaled Abdulla;Basaleem, Huda Omer
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.3
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    • pp.1463-1467
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    • 2016
  • Background: The incidence of breast cancer is rapidly increasing in Yemen with recent indications of constituting one-third of female cancers. The main problem in Yemen remains very late presentation of breast cancer, most of which should have been easily recognisable. Since stage of disease at diagnosis is the most important prognostic variable, early diagnosis is an important option to be considered for control of breast cancer in low resourced settings like Yemen. In the present study, we aimed at describing breast cancer knowledge, perceptions and breast self-examination (BSE) practices among a sample of Yemeni women. Materials and Methods: This cross-sectional study covered 400 women attending four reproductive health centres in Aden, Yemen through face-to-face interview using a structured questionnaire during April - July 2014. We collected data on sociodemographic characteristics, knowledge about breast cancer, and screening practices as well as respondents' perceptions based on the five sub scales of the Health Belief Model (HBM): perceived susceptibility; perceived severity; perceived barriers; perceived benefits; and self-efficacy. The response format was a five-point Likert scale. Statistical Package for Social Sciences (SPSS 20) was used for statistical analysis. Statistical significance was set at p<0.05. Logistic regression analysis was conducted with BSE as a dependent variable. Results: The mean age of women was 26.5 (S.D=5.6) years. The majority (89.0%) had never ever performed any screening. Two-thirds of respondents had poor knowledge. Perceived BSE benefits and self-efficacy and lower BSE barriers perception were significant independent predictors of BSE practice. Conclusions: Poor knowledge and inadequate BSE practices are prevailing in Yemen. The need for implementing culturally sensitive targeted education measures is mandatory in the effort to improve early detection and reduce the burden of breast cancer.

Development of a public health care linkage model within the community care system in Daejeon City (대전광역시 지역사회 통합돌봄 체계내에서 공공보건의료 연계 모델 개발)

  • Lim, Ji-Yeon;Ahn, Na-Na;Lee, Seok-Goo;Ahn, Soon-Ki
    • Journal of agricultural medicine and community health
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    • v.47 no.1
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    • pp.1-13
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    • 2022
  • Objectives: This study aimed to establish a linkage model involving regional responsible medical institutions after analyzing the existing conditions and deriving problems through qualitative analysis within the community care system. Methods: A total of 14 participants of this study were selected through the snowball sampling method, including 7 community care service providers and 7 service users. As for the research data, primary data were collected through interviews, and as a result of analyzing according to Aday&Anderson' model, a total of 5 catergories, 8 topics, and 22 sub theme were derived. Results: The problem derived from the interview is that division services are provided for each institution due to the absence of a key central institution of community care system, and users' commercial institutions is unclear. The second is the inconsistency between the needs and supply for community care, resulting in a possibility of delay in returning to the community after discharge. Based on these problems, it is necessary to unify it as an community care window of the Dong-community center. In addition, there is a need for public health centers to play an active role, and to establish a public-private joint system with the Health and Living Support Center to establish a model that can play a certain role. Conclusions: Therefore, based on the results of this study, it can be used as basic data when constructing community care model and applying it as an expanded model in the future.

Estimating genetic diversity and population structure of 22 chicken breeds in Asia using microsatellite markers

  • Roh, Hee-Jong;Kim, Seung-Chang;Cho, Chang-Yeon;Lee, Jinwook;Jeon, Dayeon;Kim, Dong-kyo;Kim, Kwan-Woo;Afrin, Fahmida;Ko, Yeoung-Gyu;Lee, Jun-Heon;Batsaikhan, Solongo;Susanti, Triana;Hegay, Sergey;Kongvongxay, Siton;Gorkhali, Neena Amatya;Thi, Lan Anh Nguyen;Thao, Trinh Thi Thu;Manikku, Lakmalie
    • Asian-Australasian Journal of Animal Sciences
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    • v.33 no.12
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    • pp.1896-1904
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    • 2020
  • Objective: Estimating the genetic diversity and structures, both within and among chicken breeds, is critical for the identification and conservation of valuable genetic resources. In chickens, microsatellite (MS) marker polymorphisms have previously been widely used to evaluate these distinctions. Our objective was to analyze the genetic diversity and relationships among 22 chicken breeds in Asia based on allelic frequencies. Methods: We used 469 genomic DNA samples from 22 chicken breeds from eight Asian countries (South Korea, KNG, KNB, KNR, KNW, KNY, KNO; Laos, LYO, LCH, LBB, LOU; Indonesia, INK, INS, ING; Vietnam, VTN, VNH; Mongolia, MGN; Kyrgyzstan, KGPS; Nepal, NPS; Sri Lanka, SBC) and three imported breeds (RIR, Rhode Island Red; WLG, White Leghorn; CON, Cornish). Their genetic diversity and phylogenetic relationships were analyzed using 20 MS markers. Results: In total, 193 alleles were observed across all 20 MS markers, and the number of alleles ranged from 3 (MCW0103) to 20 (LEI0192) with a mean of 9.7 overall. The NPS breed had the highest expected heterozygosity (Hexp, 0.718±0.027) and polymorphism information content (PIC, 0.663±0.030). Additionally, the observed heterozygosity (Hobs) was highest in LCH (0.690±0.039), whereas WLG showed the lowest Hexp (0.372±0.055), Hobs (0.384±0.019), and PIC (0.325±0.049). Nei's DA genetic distance was the closest between VTN and VNH (0.086), and farthest between KNG and MGN (0.503). Principal coordinate analysis showed similar results to the phylogenetic analysis, and three axes explained 56.2% of the variance (axis 1, 19.17%; 2, 18.92%; 3, 18.11%). STRUCTURE analysis revealed that the 22 chicken breeds should be divided into 20 clusters, based on the highest ΔK value (46.92). Conclusion: This study provides a basis for future genetic variation studies and the development of conservation strategies for 22 chicken breeds in Asia.

Characteristics of Wind Speed and PM10 Concentration underneath Railway Trains (도시철도 차량 하부의 풍속 및 미세먼지 농도 특징)

  • Kim, Jong Bum;Woo, Sang Hee;Jang, Hong-Ryang;Chou, Jin-Won;Hwang, Moon Se;Park, Hyung-Koo;Yoon, Hwa Hyeon;Jung, Joon-Sig;Bae, Gwi-Nam
    • Journal of the Korean Society for Railway
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    • v.20 no.1
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    • pp.11-19
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    • 2017
  • Since operation of railway trains is a major source of particle pollution in tunnel air, a particle removal device can be an effective measure to remove wear particles. To obtain design conditions of the particle removal device that will be installed underneath the railway trains, the wind speed and particle concentration underneath the trains were investigated using a three-dimensional ultrasonic anemometer and a DustTrak aerosol monitor, respectively. The measurements were made for the trains running on Seoul Metropolitan Subway Line 5 on February 10, 2015. The data were analyzed according to the track geometry (straight, curved) and train speed pattern (acceleration, cruising, and deceleration) between stations. Train speed was also analyzed. The average wind speed and $PM_{10}$ concentration underneath the trains were ~30% of the train speed and ${\sim}200{\mu}g/m^3$ for both straight and curved sections. Average $PM_{10}$ concentration for deceleration sections was higher than that for acceleration sections.

Factors for the Development of the Gangwon's Health-Plus Community Program into the Health Community Organization (강원도 건강플러스 마을사업의 건강주민운동으로의 발전요인)

  • Woong-Sub Park;Joon-Hyeong Kim;Nam-Jun Kim;Soo-Hyeong Kim
    • Journal of agricultural medicine and community health
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    • v.48 no.3
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    • pp.205-217
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    • 2023
  • Objectives: This study aimed to examine the factors for the development of the Gangwon's Health-Plus Community Program into the health community organization. Methods: Participants of the study consisted of a total of 8 individuals, including trainers, residents, and public health center officials. Data were collected through in-depth interviews from August to October 2022. The data were analyzed using the thematic analysis method. Results: According to the results, the factors that enabled the Gangwon's Health-Plus Community Program to develop into a health community organization are as follows. First, participants believed that residents could do well by themselves, Second, participants met with residents rather than existing leaders. Third, education that encouraged residents to speak and positive assessment was implemented. Fourth, projects were started based on what residents wanted to do. Fifth, participants waited for residents to take action. Sixth, participants engaged with residents instead of just observing. Seventh, participants did not demand short-term outcomes. Conclusions: This study will contribute to the progression of community participatory health promotion programs towards a health community organization aimed at community empowerment.

Difficulties and Coping Experienced by Advanced Practice Nurses in Home Health Nursing Field (가정전문간호사가 실무에서 경험한 어려움과 대처)

  • Hwang, Moon-Sook;Park, Hak Young;Chang, Soo Jung
    • Research in Community and Public Health Nursing
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    • v.31 no.2
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    • pp.143-155
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    • 2020
  • Purpose: This study aimed to explore the difficulties and coping that advanced practice nurses (APNs) experience in home health nursing field. Methods: The participants were 12 APNs who had experience in home health nursing for over 5 years. Data were collected through two focus group interviews between August and September, 2017. The results were analyzed using a qualitative content analysis. Results: Out of 10 sub-categories and 29 codes, 4 categories emerged: "crushed by the responsibilities as the only healthcare professional", "worn out by family who interfere with work", "anxiety about my safety being threatened" and "using self-learned know-hows". Conclusion: APNs face difficulties due to the environmental characteristics of the homes, the characteristics of chronically critically ill (CCI) patients and their families, and legal or systematical limitations when dealing with problems based on their personal competence. In order to ensure that professional nursing care is more readily provided to CCI patients through home health nursing services in local communities, it is imperative that support systems at the organizational and institutional levels be established in a systematic way to resolve the issues faced by APNs.

The Relation between Interpersonal Attitude and Communication Competence of New Visiting Nurses in Community Health Center (보건소 신규방문간호사의 대인태도와 의사소통능력)

  • Lim, Seung Joo;Park, Eun A
    • Korean Journal of Occupational Health Nursing
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    • v.23 no.2
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    • pp.115-122
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    • 2014
  • Purpose: This study was to identify the relations of interpersonal attitude and communication competence of new community health nurses. Methods: The research design was a correlational study. The data were collected from 136 visiting nurses using a structured questionnaire and analyzed using independent t-test, Pearson's correlation coefficient, and multiple regression with the SPSS/WIN 20.0 program. Results: The type of interpersonal attitude in subjects was I+U+ and the score of communication competence was 3.6. Among 15 sub-dimensions, the highest score was responsiveness and the lowest was assertiveness. There were no significant differences in communication competence by general characteristics. Factors influencing on communication competence in new visiting nurses were interpersonal attitude I+(I am OK) (${\beta}$=.34) and I-(I am not OK) (${\beta}$=-.28). Conclusion: Education program, stressing the self-awareness, is necessary to increase positive interpersonal attitude and communication competence for reemployment of community health nurses. Furthermore, in order to reinforce assertiveness, institutional support should be accompanied with the efforts of individual level.

Ginsenoside Rg3 promotes inflammation resolution through M2 macrophage polarization

  • Kang, Saeromi;Park, Soo-Jin;Lee, Ae-Yeon;Huang, Jin;Chung, Hae-Young;Im, Dong-Soon
    • Journal of Ginseng Research
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    • v.42 no.1
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    • pp.68-74
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    • 2018
  • Background: Ginsenosides have been reported to have many health benefits, including anti-inflammatory effects, and the resolution of inflammation is now considered to be an active process driven by M2-type macrophages. In order to determine whether ginsenosides modulate macrophage phenotypes to reduce inflammation, 11 ginsenosides were studied with respect to macrophage polarization and the resolution of inflammation. Methods: Mouse peritoneal macrophages were polarized into M1 or M2 phenotypes. Reverse transcription-polymerase chain reaction, Western blotting, and measurement of nitric oxide (NO) and prostaglandin $E_2$ levels were performed in vitro and in a zymosan-induced peritonitis C57BL/6 mouse model. Results: Ginsenoside $Rg_3$ was identified as a proresolving ginseng compound based on the induction of M2 macrophage polarization. Ginsenoside $Rg_3$ not only induced the expression of arginase-1 (a representative M2 marker gene), but also suppressed M1 marker genes, such as inducible NO synthase, and NO levels. The proresolving activity of ginsenoside $Rg_3$ was also observed in vivo in a zymosan-induced peritonitis model. Ginsenoside $Rg_3$ accelerated the resolution process when administered at peak inflammatory response into the peritoneal cavity. Conclusion: These results suggest that ginsenoside $Rg_3$ induces the M2 polarization of macrophages and accelerates the resolution of inflammation. This finding opens a new avenue in ginseng pharmacology.

Electrochemical determination of chloramphenicol using a glassy carbon electrode modified with dendrite-like Fe3O4 nanoparticles

  • Giribabu, Krishnan;Jang, Sung-Chan;Haldorai, Yuvaraj;Rethinasabapathy, Muruganantham;Oh, Seo Yeong;Rengaraj, Arunkumar;Han, Young-Kyu;Cho, Wan-Seob;Roh, Changhyun;Huh, Yun Suk
    • Carbon letters
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    • v.23
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    • pp.38-47
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    • 2017
  • In this study, magnetite ($Fe_3O_4$) nanoparticles were electrochemically synthesized in an aqueous electrolyte at a given potential of -1.3 V for 180 s. Scanning electron microscopy revealed that dendrite-like $Fe_3O_4$ nanoparticles with a mean size of < 80 nm were electrodeposited on a glassy carbon electrode (GCE). The $Fe_3O_4/GCE$ was utilized for sensing chloramphenicol (CAP) by cyclic voltammetry and square wave voltammetry. A reduction peak of CAP at the $Fe_3O_4/GCE$ was observed at 0.62 V, whereas the uncoated GCE exhibited a very small response compared to that of the $Fe_3O_4/GCE$. The electrocatalytic ability of $Fe_3O_4$ was mainly attributed to the formation of Fe(VI) during the anodic scan, and its reduction to Fe(III) on the cathodic scan facilitated the sensing of CAP. The effects of pH and scan rate were measured to determine the optimum conditions at which the $Fe_3O_4/GCE$ exhibited the highest sensitivity with a lower detection limit. The reduction current for CAP was proportional to its concentration under optimized conditions in a range of $0.09-47{\mu}M$ with a correlation coefficient of 0.9919 and a limit of detection of $0.09{\mu}M$ (S/N=3). Moreover, the fabricated sensor exhibited anti-interference ability towards 4-nitrophenol, thiamphenicol, and 4-nitrobenzamide. The developed electrochemical sensor is a cost effective, reliable, and straightforward approach for the electrochemical determination of CAP in real time applications.

Study of 25-Hydroxyvitamin D3 concentration according to the Hepatitis B virus (Hepatitis B virus에 따른 25-Hydroxyvitamin D3 농도 영향 연구)

  • Kim, Jean-Soo;Lee, Dong-Yeop
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.6
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    • pp.2743-2748
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    • 2013
  • The vitamin gets through food and the sun. But there is case that density alters by certain factor in vitamin. So this research analyzed effect of the liver function factor and change of $25OH-VIT.D_3$ density. Research target is a person who undergo health medical examination in the certain university hospital medical examination center from August, 2012 to December, 2012. Comparison classified to experiment group and control group. As a result, variable that influence in $25OH-VIT.D_3$ density showed by age and B type inflammation of the liver titer. Specially, B type inflammation of the liver titer displayed reverse corelation ($R^2$=0.40). Therefore, inflammation of the liver carrier must manage liver fuction test and density of $25OH-VIT.D_3$.