• Title/Summary/Keyword: CBE

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Evaluation of Breast Self-Examination (BSE) Application in First and Second Degree Relatives of Patients with Breast Cancer

  • Bebis, Hatice;Altunkurek, Serife Zehra;Acikel, Cengizhan;Akar, Ilker;Altunkurek, Serife Zehra
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.8
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    • pp.4925-4930
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    • 2013
  • Background: The aim of this study was to determine beliefs concerning breast self-examination in first- and second-degree relatives of patients with breast cancer and evaluate their breast self-examination (BSE) application. Materials and Methods: A survey study was conducted in an oncology polyclinic and general surgery clinic of a hospital in Ankara, the capital of Turkey with a sample of 140 women. Results: It was determined that 60.7% of the participants had conducted BSE and 48.1% had undergone a clinical breast examination. Perceived selfefficacy of the women who performed BSE were significantly higher compared with women who did not practice BSE (p<0.001) Furthermore, perceived barriers were lower among those who had performed BSE (p<0.001). Logistic regression analysis indicated that women who perceived higher self-efficacy (OR: 1.119, 95% CI: 1.056-1.185, p<0.001) and had regular CBE (OR: 8.250, 95% CI: 3.140-21.884, p<0.001) and educational status (OR: 5.287, 95% CI: 1.480-18.880, p<0.01) were more likely to perform BSE. Conclusions: Findings from this study indicated that perceived barriers, perceived self-efficacy, and educational status could be predictors of BSE behavior among the first- and second-degree relatives of patients with breast cancer. Therefore, BSE training programs that emphasize self-efficacy and address perceived barriers are recommended.

Assessment of the Effects of Breast Cancer Training on Women Between the Ages of 50 and 70 in Kemalpasa, Turkey

  • Mermer, Gulengul;Turk, Meral
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.24
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    • pp.10749-10755
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    • 2015
  • Background: In both developed and developing countries; breast cancer is the major cancer observed in women. The aim of this study was to assess the effect of nursing and mammographic intervention on women with breast cancer between the ages of 50 and 70. Materials and Methods: A training program, which was quasi-experimental and had a pretest-protest design, was applied in Kemalpaaa district of Izmir, between October 2008 and August 2010. The target population was women between the ages of 50 and 70, who were registered in the list of 3rd Family Medicine Unit in Izmir's Kemalpasa metropolis. A total of 106 women who were in conformity with the study criteria participated in the study. Research data were collected through home visits that included face-to-face interviews; Ministry of Health education material and video films were modified and used for the training. Data analysis was performed through 82 women who were paired at the first and the second phase. Results: It was observed that although the rate of breast self examination significantly increased after the training (p=0.022), the rate of clinical breast examination (p=0.122) and mammographic screening (p=0.523) did not. Differences in the stages of change after training were found to be statistically significant (p<0.001) and the group showed a progression in the stages of change in general (46.3%). In women mean scores of breast cancer awareness (p<0.000), severity (p<0.000), health motivation (p<0.000) and perception of the benefits of mammography (p<0.000) increased significantly and mean score of perception of mammography barriers decreased significantly (p<0.000) after the training. Conclusions: After the training on breast cancer and mammography it was determined that nursing interventions provided positive progression of stages of change of women, affected health beliefs positively and significantly increased BSE incidences. However, it did not have a significant effect on CBE and mammographic screening.

Studies on the Development of Cocoa Butter Equivalent Fat by Reverse - Micelle Enzyme Reaction System (역마이셀-효소반응계에 의한 코코아 버터 대용지 개발에 관한 연구)

  • Yoon, Seung-Heon;Shin, Woong-Kyu;Lee, Yoon-Hyung;Rhee, Kyu-Soon
    • Korean Journal of Food Science and Technology
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    • v.24 no.2
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    • pp.111-116
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    • 1992
  • Production of cocoa butter equivalent fat (CBE) from palm oil and stearic acid by reverse micelle lipase reaction system was studied. Qualitative and quantitative analyses of triglycerides were performed by HPLC. The reaction conditions for maximum conversion from triolein and stearic acid to 1-stearoyl-2,3-dioleoyl glycerol(SOO) and 1,3-distearoyl-2-oleoyl glycerol(SOS) were as follows: a molar ratio of water/Aerosol OT, 10; triolein, 30 mM; stearic acid, 90 mM; pH, 7.5; and temperature, $50^{\circ}C$. By lipase in reverse micellar system containing palm oil and stearic acid, 1,3-dipalmitoyl-2-oleoyl glycerol(POP), 1-palmitoyl-2,3-dioleoyl glycerol(POO) and SOO decreased, but large amounts of 1-palmitoyl-2-oleoyl-3-stearoyl glycerol(POS) and SOS was formed.

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$SiN_x$ 덮개층의 성장조건이 InGaAs/InGaAsP 양자우물 무질서화에 미치는 영향

  • 최원준;이희택;우덕하;김선호;김광남;조재원
    • Proceedings of the Korean Vacuum Society Conference
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    • 1999.07a
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    • pp.92-92
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    • 1999
  • 양자우물 무질서화 기술은 양자우물구조의 성장후 그 구조의 밴드갭을 국부적으로 변화시킬 수 있는 기술적 특성으로 인해 기존의 광기능 소자 제작을 위한 결정재성장방법을 대체 혹은 보완할 수 있는 장점이 있기 때문에 최근 활발히 연구되고 있다. 여러 가지 양자우물 무질서화공정중 유전체 박막을 사용하는 impurity free vacancy disordering (IFVD) 공정은 불순물이 개입하지 않는 공정으로 공정후 양질의 반도체 표면을 유지할 수 있는 장점이 있으며 고아소자 제작시 광손실의 증가를 초래하지 않는다. 이 공정은 vacancy의 source로 작용하는 유전체박막의 특성에 크게 의존하며 GaAs/AlGaAs 계열의 양자우물에서는 많은 연구가 진행되었으나, 광통신용 광소자의 제작에 사용되는 InGaAs/InGaAsP 계열의 양자우물에 대한 연구는 충분하지 않다. 그림 1은 IFVD를 위해 본 연구에서 사용된 CBE로 성장한 InGaAs/InGaAsP SQW 구조이다. 성장된 구조는 상온에서의 QW peak, λpl=1550nm 이었다. IFVD를 위한 유전체 덮개층으로는 PECVD로 성장 조정하여 박막성장시의 조건을 변화시킴으로써 유전체 덮개층 박막의 특성을 변화시켰다. 그림 2는 질소 분위기의 furnace에서 75$0^{\circ}C$로 8분간 IFVD를 수행한후 측정한 무질서화된 양자우물의 상온 PL spectrum을 보여준다. 그림에서 보는바와 같이 동일한 SiNx 덮개층을 사용하는 경우에도 적어도 24meV의 bandgap차를 갖는 양자우물을 영역을 동일한 기판상에 제작할 수 있음을 알 수 있다. 일반적으로 IFVD 방법으로 국부적으로 양자우물을 무질서화 하기 위해서는 SiNx/SiO2와 같은 강이한 박막을 사용하였지만 이 방법을 사용하는 경우 상이한 박막을 사용하는 데서 야기되는 제반 문제를 해결할 수 있을 것으로 판단된다. 따라서 이 기술은 기존의 광소자 제작을 위한 IFVD 방법의 문제점을 해결할 뿐만 아니라 결정 재성장 없이 도일한 기판상에 국부적으로 상이한 bandgap 영역을 만들 수 있기 때문에 광소자 제작에 적극 이용될 수 있다.

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Analysis of Factors Affecting Occupational Health Nurses' Early Breast Cancer Screening (산업간호사의 유방암 조기검진행위에 영향을 미치는 요인 분석)

  • Lee, Chang-Hyun;Jung, Hye-Sun;Kim, Ji-Yoon;Kim, Young-Im
    • Research in Community and Public Health Nursing
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    • v.16 no.1
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    • pp.68-76
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    • 2005
  • Purpose: The aims of this study were to evaluate early breast cancer screening rate of occupational health nurses and to analyze factors affecting their behavior. Method: We reviewed and analyzed the structured questionnaires of III respondents from 230 participants in continuing education of occupational health nurses. Result: Breast self examination was performed in 72.1%, clinical breast examination was received in 30.6% and mammography was received in 40.5% significant factors affecting breast self examination were age and the age of menarche. significant factors affecting clinical breast examinations for breast cancers were age and the place of residence, and factors affecting mammography were age, monthly income, alcohol intake, the age of menarche, and attitude about early screening for breast cancers. Conclusion: Early breast cancer screening rate of occupational health nurses was higher than that of general population of women. But the rate of clinical breast examination and mammogaphy were lower of less than 50% of respondents. Therefore occupational health nurses who are responsible for health management of working women need more education for themselves to promote the motivation and to increase the rate of participation in early breast cancer screening.

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Developing a Competency-based Dental Curriculum in Korea

  • Ji, Young-A;Lee, Jaeil;Baek, Seungho
    • The Journal of the Korean dental association
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    • v.57 no.8
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    • pp.437-447
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    • 2019
  • Purpose: In recent years, efforts to improve the dental curriculum in South Korea have focused on a shift to outcome-based dental education based on core competencies in dentistry. So far, the field has seen various studies on the development of competencies, performance evaluation, and the importance of outcome-based education, but few studies have documented the development of such an education model. Therefore, this study develops an OBE curriculum for dentistry education and describes the development procedures and then finally this study intends to share our experience to other dental schools. Methods: This study introduces the development procedure and details of an outcome-based education model for dental education and presents the five stages of an outcome-based education model. In this study, 3 educational experts and 2 dental professor composed the TFT and developed the research method according to the ADDIE model. Step 1 is to conduct quantitative / qualitative research analysis through some survey and interview, Step 2 is to do a survey to revise competency, Step 3 is to develop a materials through consensus and participation of our professors of the dental school, Step 4 is to do some workshops, Step 5 is to prepare and conduct a outcome evaluation. Results: Step 1 is a required process for developing an educational model: the Job Analysis & Need Analysis stage. Step 2 is the Development of Outcome and Competency stage, which involves revising the competencies that are the basis of the curriculum. Step 3 is developing competency descriptions, competency levels, and evaluation criteria?the Development of Outcomes and Evaluation Standards. Step 4 is the Development of Milestones for Curriculum and Instructional Strategy, which examines the curriculum's problems and analyzes the improvements of each course. Step 5 is the Evaluating Outcomes stage, conducted based on the competencies specified by the target dental school. Conclustion: The model presented here can serve as a foundation for outcome-based education in other dental schools.

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Experimental study on Thermal Comfort of Electric Vehicle Occupants Using Local Proximity Heating Module (국부 근접 난방 모듈을 이용한 전기차 탑승자의 열쾌적성에 대한 실험적 연구)

  • Chae-Yeol Lee;Jong-Han Im;Jae-Wook Lee;Sang-Hee Park
    • Journal of the Korean Society of Industry Convergence
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    • v.27 no.3
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    • pp.655-663
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    • 2024
  • In order to meet the technological demand for indoor heating systems that ensure winter thermal comfort during the transition from internal combustion engines to electrification, a localized proximity heating module using surface heating elements was developed. The operational performance of heating module was tested in the low temperature chamber. The experiment conditions were varied by changing the chamber temperature (-10, 0℃), the air flow rate (6.2, 6.0, 4.2m3/h), the heater power (100, 80, 60, 40W). Thermal comfort model was confirmed using the CBE Thermal Comfort Tool applying ASHRAE standard 55. Under -10℃ condition, thermal comfort was satisfied at 23.4, 23.2℃ at power of 100W and air flow rate 6.0, 4.6m3/h. Under 0℃ condition, at power of 80W, air flow rate 6.2, 6.0m3/h, and at power of 60W, air flow rate 4.6m3/h showed results of 25.7, 26.1, 23.0℃, respectively, satisfying thermal comfort. This study analyzed the operating performance of the local proximity heating module in the low temperature chamber and applied thermal comfort model to prove applicability of local proximity heating module using surface heating elements and how to utilize the thermal comfort model.

Prediction of Infarction in Acute Cerebral Ischemic Stroke by Using Perfusion MR Imaging and $^{99m}Tc-HMPAO$ SPECT (급성 허혈성 뇌졸중에서 관류 자기공명영상과 99mTC-HMPAO 단광자방출단층촬영술을 이용한 뇌경색의 예측)

  • Ho Cheol Choe;Sun Joo Lee;Jae Hyoung Kim
    • Investigative Magnetic Resonance Imaging
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    • v.6 no.1
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    • pp.55-63
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    • 2002
  • Purpose : We investigated the predictive values of relative CBV measured with perfusion MR imaging, and relative CBF measured with SPECT for tissue outcome in acute ischemic stroke. Material and Methods : Thirteen patients, who had acute unilateral middle cerebral artery occlusion, underwent perfusion MR imaging, and $^{99m}Tc-HMPAO$ SPECT within 6 hours after the onset of symptoms. Lesion-to-contralateral ratios of perfusion parameters were measured, and best cut-off values of both parameter ratios with their accuracy to discriminate between regions with and without evolving infarction were calculated. Results : Mean relative CBV ratios in regions with evolving infarction and without evolving infarction were $0.58{\pm}0.27$ and $0.9{\pm}0.17$ (p < 0.001), and mean relative CBF ratios in those regions were $0.41{\pm}0.22$ and $0.71{\pm}0.14$ (p < 0.001). The best cutoff values to discriminate between regions with and without evolving infarction were estimated to be 0.80 for relative CBV ratio and 0.56 for relative CBF ratio. The sensitivity, specificity and efficiency of each cutoff value were 80.6, 87.5, 82.7% for relative CBV ratio, and 72.2, 75.0, 73.0% for relative CBF ratio (p > 0.05 between two parameters). Conclusion Measurement of relative CBV and relative CBE may be useful in predicting tissue outcome in acute ischemic stroke.

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Factors that Influence Awareness of Breast Cancer Screening among Arab Women in Qatar: Results from a Cross Sectional Survey

  • Donnelly, Tam Truong;Al Khater, Al-Hareth;Al-Bader, Salha Bujassoum;Al Kuwari, Mohammed Ghaith;Malik, Mariam;Al-Meer, Nabila;Singh, Rajvir;Fung, Tak
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.23
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    • pp.10157-10164
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    • 2015
  • Background: Breast cancer is the most common cancer among women in the State of Qatar. Due to low participation in breast cancer screening (BCS) activities, women in Qatar are often diagnosed with breast cancer at advanced stages of the disease. Findings indicate that low participation rates in BCS activities are significantly related to women's low level of awareness of breast cancer screening. The objectives of this study were to: (1) determine the factors that influence Qatari women's awareness of breast cancer and its screening activities: and (2) to find ways to effectively promote breast cancer screening activities among Arabic speaking women in Qatar. Materials and Methods: A multicenter, cross-sectional quantitative survey of 1,063 (87.5% response rate) female Qatari citizens and non-Qatari Arabic-speaking residents, 35 years of age or older, was conducted in Qatar from March 2011 to July 2011. Outcome measures included participant awareness levels of the most recent national recommended guidelines of BCS, participation rates in BCS activities, and factors related to awareness of BCS activities. Results: While most participants (90.7%) were aware of breast cancer, less than half had awareness of BCS practices (28.9% were aware of breast self-examination and 41.8% of clinical breast exams, while 26.4% knew that mammography was recommended by national screening guidelines. Only 7.6% had knowledge of all three BCS activities). Regarding BCS practice, less than one-third practiced BCS appropriately (13.9% of participants performed breast self-examination (BSE) monthly, 31.3% had a clinical breast exam (CBE) once a year or once every two years, and 26.9% of women 40 years of age or older had a mammogram once every year or two years). Awareness of BCS was significantly related to BCS practice, education level, and receipt of information about breast cancer and/or BCS from a variety of sources, particularly doctors and the media. Conclusions: The low levels of participation rates in BCS among Arab women in this study indicate a strong need to increase awareness of the importance of breast cancer screening in Qatari women. Without this awareness, compliance with the most recent breast cancer screening recommendations in Qatar will remain low. An increased effort to implement mass media and public health campaigns regarding the impact of breast cancer on women's health and the benefits of early detection of breast cancer must be coupled with an enhanced participation of health care providers in delivering this message to Qatar population.

Optimization of Acetone-Fractionation for 1-Palmitoyl-2-Oleoyl-3-Oleoyl Glycerol and 1-Palmitoyl-2-Oleoyl-3-Palmitoyl Glycerol by Response Surface Methodology (반응표면분석법에 의한 1-Palmitoyl-2-Oleoyl-3-Oleoyl Glycerol과 1-Palmitoyl-2-Oleoyl-3-Palmitoyl Glycerol의 아세톤 분별 공정 최적화)

  • Shin, Jung-Ah;Sung, Min-Hye;Lee, Sun-Mo;Son, Jeoung-Mae;Lee, Jeung-Hee;Hong, Soon-Taek;Lee, Ki-Teak
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.40 no.7
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    • pp.975-980
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    • 2011
  • 1-Palmitoyl-2-oleoyl-3-oleoyl glycerol (POO) and 1-palmitoyl-2-oleoyl-3-palmitoyl glycerol (POP) were enriched from palm stearin using an acetone fractionation process. Response surface methodology was employed to optimize the purity of POO ($Y_1$, %) and POP ($Y_2$, %) along with POO+POP content ($Y_3$, g) based on independent variables such as fractionation temperature ($X_1$, 25, 30, and $35^{\circ}C$) and the ratio of palm stearin to acetone ($X_2$, 1:3, 1:6 and 1:9, w/v). Fractionation conditions were optimized to maximize $Y_1$, $Y_2$, and $Y_3$, in which fractionation temperature was $29.3^{\circ}C$ with a 1:5.7 acetone ratio. With such parameters, 60.9% of POP and 23.8% of POO purity were expected with a 75% yield (3.0 g) of POO and POP.