• 제목/요약/키워드: Parity

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Risk of Breast Cancer in Relation to Reproductive Factors in North-west of Iran, 2013-2014

  • Veisy, Afsaneh;Lotfinejad, Shirin;Salehi, Kamal;Zhian, Faegh
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권2호
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    • pp.451-455
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    • 2015
  • More than one million new patients suffer from breast cancer annually in the world. In developed countries, breast cancer is the most common malignancy diagnosed among women, and in developing regions, it often ranks second to cervical cancer. This study aimed to investigate the relationship between incidence of breast cancer and reproductive factors in North-West of Iran. This retrospective analytical control-case study was conducted with 235 breast cancer patients and 235 women in the control group. Data collection tools included a set of questions with interviews and patient medical records. Data were analyzed using statistical tests: t-test, Chi-square, Fisher, and Pearson correlation coefficient. Significantly increased risks were associated between breast cancer and older age at first pregnancy, age at menopause and history of contraceptive use. A trend for decreasing risk were observed with increasing parity. Findings of this study showed no association between breast cancer and age at menarche. The study results suggested that physiological and reproductive factors may play important roles in the development breast cancer among Iranian women.

Proximity of Health Care Center and Cervical Cancer Screening Uptake in Thailand

  • Polrit, Kornnika;Kamsa-ard, Siriporn;Jirapornkul, Chananya;Promthet, Supannee
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권7호
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    • pp.2899-2902
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    • 2015
  • Background: Cervical cancer is one of the most common cancers among women worldwide, and in Thailand is the second most common cancer among women. In 2008, a national cervical cancer screening programme was implemented in Thailand, but coverage remains relatively low. Objectives: The purpose of the study was to investigate whether cervical cancer screening uptake is associated with the area of residency in Thailand. Materials and Methods: A case-control study was carried out in women aged 30 to 60 year-old, who live in Sikhiu district, Nakhon Ratchasima province, Thailand. Structured-questionnaires were used to interview 226 women (cases) who had attended cervical cancer screening in the last five years and 226 women (controls) who had not. Multiple logistic regression was used to investigate the association between the area of residency and cervical cancer screening uptake. Results: After controlling for parity, marital status and duration of hormonal contraceptive use, an association between the area of residence and cervical cancer screening uptake could not demonstrated ($OR_{adj}$ 1.27, 95%CI: 0.79, 2.04). Conclusions: We found no evidence to suggest remoteness to health care center led to lower cervical cancer screening uptake.

Cytohistologic Discrepancy of High-Grade Squamous Intraepithelial Lesions in Papanicolaou Smears

  • Poomtavorn, Yenrudee;Himakhun, Wanwisa;Suwannarurk, Komsun;Thaweekul, Yuthadej;Maireang, Karicha
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권1호
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    • pp.599-602
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    • 2013
  • Objectives: To evaluate the frequency of cytohistologic discrepancy of high-grade squamous intraepithelial lesions (HSILs) in Pap smears and associated factors. Methods: Medical records of 223 women with HSIL Pap smears who were treated at Thammasat University Hospital were reviewed. Data on age, parity, menopausal status, contraceptive use and colposcopic directed biopsy and loop electrosurgical excision procedure (LEEP) pathology results were recorded. Results: Mean (SD) age of patients was 38.0 (9.4) years. The majority were premenopausal (86.5%) and multiparous (83.9%). Cytohistologic discrepancy between the Pap test and colposcopic-directed biopsy histology was 45.7% and that between the Pap test and LEEP histology was 29.5%. Fifty-four (24.2%) women had no high-grade CIN on both colposcopic directed biopsy and LEEP. Nulliparity, postmenopausal status and having no oral contraceptive pills use were factors associated with cytohistologic discrepancy. Conclusion: The exact cytohistologic discrepancy rate was relatively high (24.2%). Factors associated with cytohistologic discrepancy were nulliparity and postmenopausal status and having no oral contraceptive pill use.

Breast Cancer Risk Based on the Gail Model and its Predictors in Iranian Women

  • Mirghafourvand, Mojgan;Mohammad-Alizadeh-Charandabi, Sakineh;Ahmadpour, Parivash;Rahi, Pari
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권8호
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    • pp.3741-3745
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    • 2016
  • Background: This study was carried out to examine breast cancer risk and its fertility predictors in women aged ${\geq}35$. Materials and Methods: This cross-sectional study was conducted on 560 healthy women referred to health centers of Tabriz-Iran, 2013-2014. Five-year and lifetime risk of developing breast cancer were determined using the Gail model. General linear modeling was applied to determine breast cancer predictors. Results: The mean age of the subjects was 42.7 (SD: 7.7) years. Mean 5-year and lifetime risks of developing breast cancer were determined to be 0.6% (SD: 0.2%) and 8.9% (SD: 2.5%), respectively. Variables of family history of breast cancer, age, age at menarche, parity, age at first childbirth, breastfeeding history, frequency of breastfeeding, method of contraception, marital status and education were all found to be predictors of breast cancer risk. Conclusions: According to the results of this study, screening programs based on the Gail model should be implemented for Iranian people who have a high risk for breast cancer in order to facilitate early detection and better plan for possible malignancies.

부호율 적응적 분산 소스 부호화를 위한 극부호의 설계 (On the Construction of Polar Codes for Rate Adaptive Distributed Source Coding)

  • 김재열;김종환;;김상효
    • 전자공학회논문지
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    • 제52권10호
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    • pp.3-10
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    • 2015
  • 본 논문에서는 비대칭 Slepian-Wolf 부호화에 극부호를 적용하는 방법을 고려하며, 부호율 적응성을 갖도록 극부호를 설계하는 방법을 제시한다. 제안된 극부호 기반 분산 소스 부호화에 연속제거 리스트 복호 기법을 적용하는 경우에 Slepian-Wolf의 한계에 매우 근접함을 확인하였으며, 이는 기존의 저밀도 패리티 검사 부호를 이용한 구현보다 현저하게 향상된 것이다.

진통 분만, 질출혈과 성폭행 환자에 대한 119구급대원의 병원전 응급처치 분석 (Analysis on prehospital care of emergency labor pain, vaginal bleeding and sexual assault patients by 119 emergency medical technicians)

  • 백미례
    • 한국응급구조학회지
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    • 제17권2호
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    • pp.9-20
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    • 2013
  • Purpose: The purpose of this study is to provide basic data to improve prehospital emergency care for patients with labor pain, vaginal bleeding and rape experience by analyzing the reports of 119 emergency medical technicians. Methods: Data were prehospital reports of 190 patients having chief complaints of labor pain, vaginal bleeding and rape in Chungcheongnam-do from January 1, 2012 to December 31, 2012. Data were analyzed using SPSS 21.0 descriptive statistics and $x^2$-test. Results: From the 190 cases of labor pain, vaginal bleeding and rape, labor pain accounted for 57.9% including 75.5% of normal delivery; vaginal bleeding accounted for 35.8% including 26.5% of postpartum hemorrhage; and rape victims accounted for 6.3%. Cases with more than one vital sign accounted for 94.2%, but cases without primary assessment of the obstetrics and gynaecology accounted for 38.4% from gestation weeks, 78.0% from parity, and 87.4% from history taking relating to event. Patient care including emotional support was the first priority care accounted for 78.4% and 60% of care was keeping the patients warm. Conclusion : In order to handle various emergency situations properly, the records must be supplemented by obstetrical and gynaecological rape checklist and rape victims supporting system should be established.

어머니의 모유수유 적응에 영향을 미치는 요인 (Factors Affecting Mother's Adaptation to Breastfeeding)

  • 김선희
    • 대한간호학회지
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    • 제40권2호
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    • pp.225-235
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    • 2010
  • Purpose: The aim of this study was to identify factors which influence breastfeeding adaptation from among the following: parity and feeding behavior, social support, psychological, and demographic factors. Methods: The respondents were 179 breastfeeding mothers. Data were collected from June 2 to 19, 2009 at two community health centers and one pediatric outpatient department. Data were analyzed using the SPSS program and included descriptive statistics, t-test, ANOVA, correlation, and multiple regression. Results: The major findings of this study were: 1) Significant differences in the level of breastfeeding adaptation were related to number of children, current problems related to breastfeeding, and lay supporters. 2) Level of breastfeeding adaptation was significantly related to marriage satisfaction, proportion of breastfeeding, length of previous breastfeeding, planned length of breastfeeding, parenting stress, and encouragement to breastfeed given by medical personnel. 3) Regression analysis showed that parenting stress, marriage satisfaction, current problems related to breastfeeding, and proportion of breastfeeding explained 44.3% of variance for breastfeeding adaptation. Length of previous breastfeeding also explained 9.7% of breastfeeding adaptation among mothers who had breastfed an elder child. Conclusion: Mothers with lower marriage satisfaction, breastfeeding problems, and higher parenting stress require more help from their family and nurses for breastfeeding adaptation. Future research should include variables, such as mother's and baby's behavior related to breastfeeding, knowledge about breastfeeding, and attitude toward breastfeeding.

페이딩과 재밍 환경에서 LDPC 부호화된 OFDM/DS 시스템의 성능 (Performance of LDPC Coded OFDM/DS Under Fading and Jamming Environment)

  • 서동철;이우찬;김종훈
    • 한국군사과학기술학회지
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    • 제11권5호
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    • pp.23-33
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    • 2008
  • In this paper, we verify the performance of LDPC coded OFDM/DS system by Monte-Carlo simulation of BER on Eb/No. The simulation results show that LDPC coded OFDM/DS has a strong anti-jamming characteristic over pulse-noise jammer and partial-band noise jammer. The performance of LDPC coded OFDM/DS system is evaluated on both faded waveforms and non-faded waveforms. For non-faded waveforms, high coding gain is attained due to LDPC, even when waveforms have short PN sequence and JSR is only 5dB. Especially, the increase in the repeated number of LDPC decoding enhances coding gain. However, faded waveforms cannot achieve sufficient average effect when PN sequence is short. High coding gain of faded waveforms can be achieved by extending length of PN sequence. In addition, we compare LDPC coded OFDM/DS system with Convolutional coded OFDM/DS system. The simulation results illustrate that when LDPC coded OFDM/DS system with short PN sequence has sufficient average effects, the system shows lower BER than Convolutional coded OFDM/DS system with long PN sequence.

"기문비록(岐門秘錄)" 에 대(對)한 고찰(考察) (하(下)) (A Review on "Kimoonbirok" II)

  • 최경석;김상운;송지청;이시형
    • 대한한의정보학회지
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    • 제16권2호
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    • pp.51-88
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    • 2010
  • An empirical formula that has been empirically shown to be effective for a particular condition can be said to add medical materials to an exciting formula or to make a new prescription by Korean medical doctors' empirical clinic. This dissertation aims to study the prescriptions according to A Confidential Document of A Distinguished Medical Family and to contribute to the development of Korean medicine. A Confidential Document of A Distinguished Medical Family is a medicinal recipe that is an heirloom of the Gyeongju Kim family for the eighth generation. And the date and the writer of the book are unknown. The contents of the book consist of 18 parts and are made up of about 300 medical recipes. Of these, 153 formulas and indications of roundworm, cholera, puffy swelling, abdominal distension, phlegm-rheum, woman, child, summerheat, dryness-heat, eye, and blood are found in the book. From among these, 26 formulas are directly quoted out of The Precious Mirror of Oriental Medicine, 93 formulas are adjusted in proportion or combined and 34 formulas are empirical ones. By the parity of reasoning of the above, I think that this book was published after The Precious Mirror of Oriental Medicine.

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SNR 예측 정보 기반 적응형 Modified UMP-BP LDPC 복호기 설계 (A Novel LDPC Decoder with Adaptive Modified Min-Sum Algorithm Based on SNR Estimation)

  • 박주열;조걸;정기석
    • 대한임베디드공학회논문지
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    • 제4권4호
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    • pp.195-200
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    • 2009
  • As 4G mobile communication systems require high transmission rates with reliability, the need for efficient error correcting code is increasing. In this paper, a novel LDPC (Low Density Parity Check) decoder is introduced. The LDPC code is one of the most popular error correcting codes. In order to improve performance of the LDPC decoder, we use SNR (Signal-to-Noise Ratio) estimation results to adjust coefficients of modified UMP-BP (Uniformly Most Probable Belief Propagation) algorithm which is one of widely-used LDPC decoding algorithms. An advantage of Modified UMP-BP is that it is amenable to implement in hardware. We generate the optimal values by simulation for various SNRs and coefficients, and the values are stored in a look-up table. The proposed decoder decides coefficients of the modified UMP-BP based on SNR information. The simulation results show that the BER (Bit Error Rate) performance of the proposed LDPC decoder is better than an LDPC decoder using a conventional modified UMP-BP.

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