• Title/Summary/Keyword: Early medical intervention

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Effects of Group Training Based on the Health Belief Model on Knowledge and Behavior Regarding the Pap Smear Test in Iranian Women: a Quasi-Experimental Study

  • Shobeiri, Fatemeh;Javad, Masoumeh Taravati;Parsa, Parisa;Roshanaei, Ghodratollah
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.6
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    • pp.2871-2876
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    • 2016
  • The Pap smear test is recommended for early diagnosis of cervical cancer. The aim of this study was to assess knowledge and behavior regarding the Pap smear test based on the Health Belief Model (HBM) in women referred to premarital counseling classes, Hamadan, Iran. This quasi-experimental study was conducted on 330 women, who were allocated randomly to two case and control groups (n=165). Two educational session classes were performed in the case group. Two stages in before and after intervention groups were evaluated. Analysis of data was performed by SPSS/16.0, using t-test, $x^2$, and McNemar's test. P-values <0.05 were regarded as significant. There was no significant difference between the mean scores of the various structures of this model in two groups before the intervention. However, after the intervention there were significant increase in mean score of knowledge and all variables of HBM in the intervention group(P<0.001). The findings of this study highlight the important role of education about cervical cancer on changing women's beliefs about cervical screening.

Effect of Neonatal Developmental Intervention Program (NDT) on Motor Development and Growth in Premature Infants

  • Park, Geun-Hwa;Choi, Sang-Youn;Kim, Sung-Mi;Kim, Mi-Ae;Lee, Eun-Ju
    • Neonatal Medicine
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    • v.17 no.2
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    • pp.207-216
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    • 2010
  • Purpose: The aim of this study was to identify the effects of neonatal developmental intervention program (NDT) in promoting motor development and growth and to determine the usefulness of Hammersmith Neonatal Neurological Examination (HNNE) and Neonatal Behavioral Assessment Scale (NBAS) in premature infants. Methods: We performed NDT on selected premature infants (PI, n=42) and compared them with the full term control group (FC, n=20). NDT protocol and development assessment (HNNE, NBAS) were manipulated by the physical therapist in the neonatal intensive care unit. The data of this study were collected prospectively. Results: The PI with GA <34 weeks (VPI) subgroup showed a more use of mechanical ventilator and surfactant, severe bronchopulmonary dysplasia and intraventricular hemorrhage, and patent ductus arteriosus treated surgically than the PI with GA $\geq$34 weeks but less than 37 weeks (LPI) subgroup. The average scores improved significantly in the PI group between the 1st, 2nd, and 3rd assessment by repeated measure (P=0.000). Also, the PI group showed significantly higher total scores and average score at 40 weeks postmenstrual age, P=0.000, respectively than in the FC group. The LPI subgroup showed more weight gain and change in the head circumference between the 1st and 3rd assessment by repeated measure, respectively, P<0.05. The PI group showed no apnea, bradycardia and late sepsis associated with intervention and assessment. Conclusion: The NDT might be a safe and useful intervention to promote motor and growth outcomes in premature infants. Also, the HNNE and NBAS might be safe and useful tools for assessing neurodevelopment in premature infants.

An Improved Musculoskeletal Discomfort Assessment Questionnaire (근골격계 장애 분석을 위한 설문지 조사에 관한 연구)

  • 장성록
    • Journal of the Korean Society of Safety
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    • v.14 no.2
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    • pp.148-154
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    • 1999
  • A self-report musculoskeletal assessment tool was adapted following field use by ergonomic analysis teams and was administrated to 100 employees of ChangWon techno-complex. Results were analyzed to determine of the self-report could adequately predict whether or not an employee reportedly sought medical treatment for a work-related discomfort. It is anticipated this tool can be utilized as an easily administrated, proactive surveillance instrument to assist in early identification of ergonomic concerns and to help prioritize jobs for intervention.

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Optimizing Nutrition Support in Cancer Care

  • Menon, Kavitha Chandrasekhara
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.6
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    • pp.2933-2934
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    • 2014
  • Involvement of a multidisciplinary team in cancer care may have added benefits over the existing system of patient management. A paradigm shift in the current patient management would allow more focus on nutritional support, in addition to clinical care. Malnutrition, a common problem in cancer patients, needs special attention from the early days of cancer care to improve quality of life and treatment outcomes. Patient management teams with trained oncology dietitians may provide quality personalized nutritional care to cancer patients.

Serum Copeptin Levels Predict Clinical Outcomes After Successful Percutaneous Coronary Intervention in Patients With Acute Myocardial Infarction

  • Choi, Hyun-Jung;Kim, Min Chul;Sim, Doo Sun;Hong, Young Joon;Kim, Ju Han;Jeong, Myung Ho;Kim, Soo-Hyun;Shin, Myung-Geun;Ahn, Youngkeun
    • Annals of Laboratory Medicine
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    • v.38 no.6
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    • pp.538-544
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    • 2018
  • Background: Serum copeptin has been demonstrated to be useful in early risk stratification and prognostication of patients with acute myocardial infarction (AMI). However, the prognostic value of copeptin after percutaneous coronary intervention (PCI) for clinical outcomes remains uncertain. We investigated the prognostic role of serum copeptin levels immediately after successful PCI as a prognostic marker for major adverse cardiac events (MACE; comprising death, repeat PCI, recurrent MI, or coronary artery bypass grafting) in patients with AMI. Methods: A retrospective study was performed in 149 patients with AMI who successfully received PCI. Serum copeptin levels were analyzed in blood samples collected immediately after PCI. The association between copeptin levels and MACE during the follow-up period was evaluated. Results: MACE occurred in 34 (22.8%) patients during a median follow-up of 30.1 months. MACE patients had higher copeptin levels than non-MACE patients did. Multiple logistic regression analysis showed that the increase in serum copeptin levels was associated with increased MACE incidence (odds ratio=1.6, P =0.005). Conclusions: A high level of serum copeptin measured immediately after PCI was associated with MACE in patients with AMI during long-term follow-up. Serum copeptin levels can serve as a prognostic marker in patients with AMI after successful PCI.

Influence of an Early Latching-on Program on the Breastfeeding Rate (빠른 젖물리기 프로그램이 모유수유 실천율에 미치는 영향)

  • Kim, Boyeoul;Kim, Jinhyun
    • Perspectives in Nursing Science
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    • v.10 no.2
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    • pp.97-110
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    • 2013
  • Purpose: This study sought to identify how initiating breastfeeding soon after birth affected breastfeeding practice. Methods: The subjects were mothers and newborns in Seoul's S. University Hospital maternity unit who elected to breastfeed. They were divided into an experimental group, which practiced an "early latching-on program" (latching-on within 30 minutes after birth), and a control group, which did not. Both groups' daily frequencies of breastfeeding and supplementary-glucose or bottle feeding were recorded. Results: The correlation between socio-demographic and medical characteristics and the breastfeeding rate was examined; 3 variables showed statistical significance: neonatal health anomaly, Apgar score after 1 minute, and Apgar score after 5 minutes. The difference in breastfeeding rates between the two groups was clear: the experimental group's rate was 1.93, while the control group's was 3.76 (t-statistic difference: 14.865), with the experimental group's rate during hospitalization being twice that of the control group (73.3% and 32.6%, respectively). Multiple regression analysis assessing the influence of the latching-on program yielded a t-statistic of -4.735 and a p-value of .000, indicating statistical significance. Conclusion: An early latching-on program's positive effect on the breastfeeding practice of mother's of newborns was demonstrated. Therefore, an early latching-on program could be a practical and effective nursing intervention for after mothers give birth.

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Giant Duplication Cyst Presenting as a Discharging Umbilicus

  • Garg, Ravi Kumar;Bawa, Monika;Rao, Katragadda Lakshmi Narasimha
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.20 no.3
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    • pp.194-197
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    • 2017
  • Alimentary tract duplication cysts are rare congenital anomalies, most commonly located in the ileum, but may present anywhere from mouth to anus.Clinically, they may be asymptomatic, incidentally diagnosed or may present with obstruction, volvulus, intussusception or gastrointestinal bleed. Here we report a case of a one year old male child presenting in gasping state and shock. Despite the initial strong suspicion of Meckel's diverticulum and tubercular abdomen, the final diagnosis remained elusive till exploratory laparotomy was performed which revealed a duplication cyst of ileum with perforation into the umbilicus. Duplication cyst should always be kept as a differential diagnosis so that early intervention can help in better management.

Risk Factors for the Progression of Chronic Kidney Disease in Children

  • Ahn, Yo Han;Kang, Hee Gyung;Ha, Il-Soo
    • Childhood Kidney Diseases
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    • v.25 no.1
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    • pp.1-7
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    • 2021
  • Chronic kidney disease (CKD) in children is associated with various complications, including poor growth and development, mineral bone disorder, cardiovascular disease, kidney failure, and mortality. Slowing down the progression of CKD is important since CKD is often not curable. Prospective cohort studies have been conducted to understand the progression and outcomes of CKD in children, and these studies have identified non-modifiable and modifiable risk factors. Recognition of known risk factors and early intervention are important to delay the progression of kidney function decline in children.

Intracoronary Radiation Therapy (관동맥혈관 내 방사선 근접 치료)

  • Moon, Dae-Hyuk;Park, Seong-Wook;Hong, Myeong-Ki;Oh, Seung-Jun;Bom, Hee-Seung;Lee, Hee-Kyung
    • 대한핵의학회:학술대회논문집
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    • 2001.05a
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    • pp.24-34
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    • 2001
  • Restenosis remains a major limitation of percutaneous coronary interventions. Numerous studios including pharmacological approaches and new devices failed to reduce the restenosis rate except coronary stenting. Since the results of $BENESTENT^{1)}\;and\;STRESS^{2)}$ studies came out, coronary stenting has been the most popular interventional strategy in the various kinds of coronary stenotic lesions, although the efficacy of stenting was shown only in the discrete lesion of the large coronary artery. The widespread use of coronary stenting has improved the early and late outcomes after coronary intervention, but it has also led to a new and serious problem, e.g., in-stent restenosis. Intravascular radiation for prevention of restenosis is a new technology in the field of percutaneous coronary intervention. Recent animal experiments and human trials have demonstrated that local irradiation, in conjunction with coronary interventions, substantially diminished the rate of restenosis. This paper reviews basic radiation biology of intracoronary radiation and its role in the inhibition of restenosis. The current status of intracoronary radiation therapy using Re-188 liquid balloon is also discussed.

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The Effect of Depression, Anxiety, and Stress on International Students' Adjustment to College Life in the Context of the COVID-19 Pandemics

  • kim, Jin-young;Park, Jung-Hee;Moise, Muhire;Yoon, Byoung-Gil;Kim, Yong-Seok
    • International Journal of Advanced Culture Technology
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    • v.10 no.3
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    • pp.1-10
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    • 2022
  • This study examined the relationship between depression, anxiety, stress, and adaptation to college life of international students living in South Korea during the COVID-19 pandemic and the factors affecting the adaptation to college life. This study was carried out between December 3, 2021, to January 25, 2022, on international students living in South Korea. The questionnaires were composed of self-reported questionnaires, and the survey URL was sent as text messages to international students who understood the purpose and rationale of this study and consented to participate in the survey. The data were analyzed using SPSS WIN 22.0, and t-test, ANOVA, Pearson's Correlation Coefficient, and hierarchical regression were performed. As a result of the study, the average score of the study subjects was 8.44 points for depression, 8.28 points for anxiety, and 9. 28 points for stress. factors with significant differences in adaptation to college life according to general characteristics were living means and smoking. The relationship between the main variables, it was significant with depression (r=-.785, p<.001), anxiety (r=-.593, p<.001), and stress (r=-.726, p<.001). There was one negative correlation. It was found that the higher the depression, anxiety, and stress, the lower the college life adaptation. Lastly, depression (β=-.666, p<.001) was the factor affecting foreign students' adaptation to college life, and the explanatory power was 62%. Therefore, for international students to adapt to college life, it is necessary to establish an institutional strategy to detect depression, a negative psychological emotion, at an early stage and to systematically manage it. Also, it is necessary to find an intervention plan to relieve depression that can be applied in social isolation situations due to the spread of infectious diseases. Research confirming the intervention effect should be upgraded.