• 제목/요약/키워드: Reasons

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Reasons for Patient's Delay in Diagnosis of Breast Carcinoma in Pakistan

  • Memon, Zahid Ali;Shaikh, Anum Nizamuddin;Rizwan, Sundus;Sardar, Maimoona Batool
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권12호
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    • pp.7409-7414
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    • 2013
  • Background: Delay in diagnosis of breast cancer is associated with a poorer survival and a pivotal contribution to this delayed diagnosis comes from patient delay in presenting at a clinic. Reasons involved must be evaluated in order to decrease this reducible delay. Objectives: i) To evaluate the reasons for patient delay in diagnosis of breast cancer; ii) to investigate any association with other variables. Materials and Methods: A 6 month cross sectional study (from July 2012 to Dec 2012), was carried out in Surgical and Oncology Units of Civil Hospital, Karachi. A total of 100 females diagnosed with breast cancer of any histological type were interviewed after informed consent and relevant data were collected. Due ethical clearance was obtained. Results: Mean age was $47.5{\pm}12.1$ years with a range from 25-77 years. Mean duration of delay was $5.13{\pm}4.8$ months, from shortest 1 month to longest 36 months. Duration of delay was observed to be no delay (<1 month) in 28%, short delay (1-3 months) in 30% and long delay (>3 months) in 42% of patients. Considering the symptoms as "harmless" (39%) was the most frequent reason of delay followed by "temporary" (20%) and the "use of traditional methods" (12%). Most common reason for later approaches was an increase in the size of the lump (41%). Statistically significant association (p-value <0.05) of longer patient delay was obtained with being single, being illiterate, painless breast lump as the first symptom, negative family history of breast cancer and vague attribution of the symptoms. Conclusions: Significant delay in approach to health care facility was observed in our study due to variable reasons given by women. Sufficient awareness regarding breast cancer, its symptoms and favorable effects of a timely diagnosis on prognosis must be imparted to our general population.

비구, 비체(鼻涕), 비색(鼻塞), 비연(鼻淵)의 침구치료(鍼灸治療)에 관(關)한 문헌적(文獻的) 고찰(考察) (The study of literature review on acupuncture & moxibustion treatment for allergic rhnitis, nasal diacharge(鼻涕), stuffy nose(鼻塞), and rhinorrlea with turbid discharge(鼻淵))

  • 김영화;이병렬
    • 혜화의학회지
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    • 제8권2호
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    • pp.259-272
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    • 2000
  • About the acupuncture & moxibustion therapy of allergic rhnitis, nasal discharge(鼻涕), stuffy nose(鼻塞), and rhinorrlea with turbid discharge(鼻淵), the results are obtained as follows: 1. It appeared that the reasons for allergic rhnitis are the lung's contacting to Wind-Coid(風寒), Damhwa(痰火), and accumulated fever of stomach, the reasons for nasal discharge(鼻涕) is the Cold-Hot of a lung. the reasons for stuffy nose(鼻塞) is the harmonization of the Lung(肺氣), the reasons for the rhinorrlea with turbid discharge(鼻淵) are the heat of the Brain(腦熱), heat of the Gallbladder(膽熱), most probably. 2. When we do a acupuncture & moxibustion therapy for the allergic rhnitis, we used P'ungmun(風門), Shinjong(神庭), mostly. For the nasal diacharge(鼻涕) ; Yonghyang(迎香), P'ungmun(風門), Sangsong(上星) and Sugu(水溝) were the most useful acupuncture point. For the stuffy nose(鼻塞) ; Sangsong(上星), Yonghyang(迎香), Hapkok(合谷), and Sugu(水溝) were used most frequently. For the rhinorrlea with turbid discharge(鼻淵); Sangsong(上星), Hapkok(合谷), Yonghyang(迎香), and P'ungji(風池) were the best acupuncture point. 3. Concerning the frequencies of the acupuncture & moxibustion therapy for these four symptoms, Bladder Meridian(膀胱經) and Governor Vessel Meridian(督脈) were the most useful ones. As to the acupuncture point, Sangsong(上星), Yonghyang(迎香), Sugu(水溝) and Hapkok(合谷) were used most repeatedly.

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여고생의 화장행동과 화장품 구매불안에 관한 연구 (A Study of the Make-up Behaviors and Consumers Anxiety in Purchasing Cosmetics of the Female High School Student)

  • 김현희;유태순
    • 한국의류학회지
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    • 제26권2호
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    • pp.251-262
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    • 2002
  • The purpose of this study is understanding female high school student's make-up culture by developing the recognition criteria for their make-up behavior and anxiety in purchasing cosmetics. This study targeted 524 female high school students who attended vocational and academic high school located in Daegu, Korea. SPSS WIN package was used fur statistics and MANOVA, ANOVA, LSD post-verification was conducted for data analysis. The conclusion of this study is as fellowed ; (1) Academic groups showed statistically different tendency to 6 reasons of make-up behavior ; interest in make-up was chosen most for the reason and etiquette, make-up satisfaction, aesthetics, fashion, synchronism comes next in the order. (2) In case of vocational group, it also showed different tendency to 6 reasons of make-up behavior ; interest in make-up was also most highly chosen reason as the academic group and etiquette was next and then make-up satisfaction, aesthetics, fashion were same level and synchronism was shown to be the lowest chosen reason in the order. (3) Academic group showed different level of anxiety from the 11 reasons of anxiety in purchasing cosmetics ; also anxiety of material was highly chosen reason and then fitness, price, color, quality, utility, purchasing, after service, fashion, label-trust, other people's comments comes next for the reason. (4) Vocational group also showed different level of anxiety from 11 reasons of anxiety in purchasing cosmetics; also anxiety of material was highest reason (same as the academic group) and then fitness, color, quality, price, utility, after service, label-trust, fashion, buying, other people's comments comes next for the reason.

치과위생사의 이직결정에 영향을 미치는 요인에 관한 연구 (The study on determinants for changing employment positions among dental hygienists)

  • 정연화
    • 한국치위생학회지
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    • 제3권2호
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    • pp.183-196
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    • 2003
  • Purpose: This study sought to identify factors associated with dental hygienists' decisions to leave one dental office and commence practice in another. In addition to, the reasons dental hygienists stay in the profession were investigated. Demographic descriptors, including education level, marital status and age, and employment setting were also examined. Methods: Currently practicing dental hygienists in Korea were surveyed from March to May 2003. Data were collected through a questionnaire. The survey collected information concerning the 461 respondents' personal characteristics and reasons associated with changing positions and staying. Data were analyzed using frequency distributions, independent t-tests and chi-square analyses. All statistical analyses were conducted using the Statistical Package for Social Scientists(SPSS v.10, Chicago, Illinois). Results: The primary reasons for taking up another employment were found to be better offer, inadequate salary and personal conflict with dentist. Secondary reasons stated for changing their job revealed additional factors including inadequate salary, better offer, and lack of benefits. The primary influence in deciding to remaining in the practice of dental hygiene was self-development. Family responsibility, safe environment and professional collaboration were also important factors in deciding to remain in workforce. Conclusion: The position changes of dental hygienists are primarily influenced by better offer. Inadequate salary and conflict with dentist were also important factors in deciding to change employment positions. The findings suggest that dental hygienists who remain in the workforce are positively influenced mainly by self-development. Employers of dental hygienists should be aware of these factors in employing process. If more hygienists could remain longer in their positions, the manpower situation would be affected positively.

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정기선해운의 성공적인 제휴관리에 관한 실증연구 (An Empirical Analysis of Successful Alliance Management in Liner Shipping)

  • 류동근;장영준;조삼현
    • 한국항해항만학회지
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    • 제26권4호
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    • pp.391-398
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    • 2002
  • 전략적 제휴는 기업의 경쟁우위를 확보하기 위한 중요한 경영전략으로 이용되며 많은 기업들이 경쟁기업과 다양한 형태의 제휴를 맺고 있다. 본 연구에서는 정기선해운에서 제휴유형간의 만족도에 차이가 있는지, 제휴유형별 성공요인의 중요도에 차이가 있는지, 제휴 유형간 성공요인의 중요도에 차이가 있는지 등에 대하여 실증분석을 하였다. 연구의 곁과 정기선사들은 제휴의 성과에 대하여 대체로 만족하고 있으며 제휴의 성공여부는 다양한 요인에 의하여 결정되며, 제휴의 유형에 따라 성공요인의 중요도에 차이가 있는 것으로 나타났다.

부산지역 남녀 대학생의 음주태도 및 음주행태 비교분석 (A Comparative Analysis of Drinking Attitudes and Behavior among College Students in Busan)

  • 강지은;최한석;최지호;여수환;정석태;김미향
    • 한국지역사회생활과학회지
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    • 제25권1호
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    • pp.19-27
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    • 2014
  • This study investigates drinking attitudes and behaviors of university students. The sample included 355 students living in Busan, Korea. The questionnaire addressed general background information (gender, age, grade and monthly pocket money), drinking attitudes (understanding the effects of alcohol on the body, stereotype of drink, age at the first drink, the drinking companion at the first drink, reasons for starting to drink, main drinking companions, major reasons for drinking, the history of drinking alone, and reasons for drinking alone), drinking behaviors (the cost of each drinking occasion, drinking amounts, the frequency of drinking, the frequency of heavy drinking, the type of alcoholic beverage, and the places of drinking). A few respondents (both male and female students) started drinking while in high school (p<0.05), and most respondents drank with friends (males: 91.0%, female: 92.2%). The main reasons for drinking were the mood for male student (46.3%) and relationships for female student (49.1%) (p<0.05). Male respondents consumed more than seven glasses of soju (39.9%), whereas female respondents, five to seven glasses (49.7%) (p<0.05). On average, the respondents drank one to two times a week (males: 47.9%, females: 51.5%) and experienced heavy drinking one to three times every three months (males: 19.1%, females: 21.0%) (p<.05). The results suggest that students with frequent alcohol consumption and heavy alcohol dependence are likely to face problems and thus require aggressive intervention strategies that target them specifically.

관절염 환자의 자기효능, 집단응집력, 가족지지가 수중운동프로그램 지속에 미치는 영향 (The Effect of the Self-efficacy, Group Cohesion, Family Support on Adherence of Aquatic Exercise in Arthritis Patients)

  • 김정연;김종임
    • 근관절건강학회지
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    • 제10권1호
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    • pp.19-31
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    • 2003
  • Purpose : The purpose of this study was to examine the effect of the self- efficacy, group cohesion and family support on adherence of aquatic exercise in arthritis patients. Method : The Subjects were 30 patients with arthritis who had participated in the 6-week aquatic exercise programs of Korean Rheumatology Health Professionals Society. All subjects were interviewed from November to December, 2001(1st) and Feburary, 2002(2nd) using a structured questionnaire which was composed of 42 items. SPSS Win 10.0 was used for data analysis. Results : Ten out of thirty were adherer who were keeping aquatic exercise for three months since they completed 6-week aquatic exercise program. The major reasons of adherence were affectional reasons and general condition improvement on the first month. The reasons of 3-month adherence were improvement of arthritis symptoms, affectional improvement, expectations, general condition improvement and group activity. The major reasons of drop out were environment factors and physical factors. The environmental reason were time shortage, economic problem and long distance. And the physical factor were cold, pain and other health problem. The scores of self-efficacy were decreased from 528.00 to 476.00 within 3 months after compeleting aquatic exercise program and that was statistically significant(p=.029). But there were no statistically differences in group cohesion and family support. There was a significant positive correlation between exercise adherence and self-efficacy. Factors influencing the exercise adherence was self-efficacy which accounted for 23% of the variance in the exercise adherence. Conclusion : In conclusion, self-efficacy is a significant variable in the exercise adherence and changes within 3 month after completing aquatic exercise program. The results of this study suggested that the strategy for maintaining self-efficacy should be developed.

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도시지역 의료요구와 의료이용에 미친 제요인 분석 (Factors Affecting the Need for and Utilization of Medical Care In Urban Areas)

  • 송건용;김홍숙
    • 한국인구학
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    • 제5권1호
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    • pp.167-186
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    • 1982
  • Financial barrier is well known as a determinant of the perceived need for and utilization of medical care in urban areas. This study aims to; a) estimate the levels of the perceived need for and utilization of medical care, b) analyze the reasons for not receiving medical care, and c) determine factors affecting the levels of need and utilization, and major reasons for not receiving medical care. The data of household interview survey in urban areas collected for a National Survey on Reorganization of Nationwide Health Care Delivery Network is used. An interview was conducted with a total of 2, 538 households in urban areas during a 28 day period of October through November, 1981, giving an overall response rate of 99 percent. The results show a factor of third-party payer is most influential to utilization (physician visits by patient), and living standard is a determinant to explain the variance of major reasons for not receiving medical care. Therefore, financial burden is still a major determent in utilization of medical care in urban areas. Improved level of living standard and expanded coverage of the third-party payer such as health insurance and public medical assistance will increase both an overall levels of utilization of and the need for medical care in urban areas in the future. The major statistics are as follows; a) rate of the need for medical care during a 15 day period per 100 persons was 33 percent: the differential rates appeared in sex, age, living standard, and third- party payer variables, b) percent of treatment employed per 100 persons who are wanting medical care was 82: the percents were high in young ages, high levels of living standard and education, and persons covered by third-party payer, and c) economic reasons for not receiving medical care per 100 persons who are wanting medical care were occupied with 60 percent: the rates are high in old ages, low levels of living standard and persons not covered by third-party payer.

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노인복지시설 영양·급식관리자의 교육 참여동기 및 저해 요인 분석 (Analysis of the Participation Reasons and Deterrents on Welfare Facility Dietitians for the Elderly)

  • 김수진;이민아;조우균;이영미;최지영;박은주
    • 대한지역사회영양학회지
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    • 제24권2호
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    • pp.127-136
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    • 2019
  • Objectives: This study analyzed the education participation reasons and deterrents of dietitians who work in welfare facilities for the elderly. Methods: The survey was completed by 144 dietitians working at welfare facilities for the elderly in Korea. The survey was conducted in October, 2018, both on-line and off-line, based on the demographic characteristics, work status on welfare facilities for the elderly, Participation Reasons Scale (PRS) and Deterrents to Participation Scale (DPS-G). The data were analyzed using frequency analysis, descriptive analysis, factor analysis, reliability analysis, regressive analysis using SPSS ver. 25.0. Results: The reason for participation were divided into three factors: 'Responsibility of professional and self-development ($5.76{\pm}1.04$)', 'Job stability and personal benefits ($4.98{\pm}1.28$)', and 'Interaction and development of professional competencies ($5.85{\pm}1.00$)'. 'Interaction and development of professional competencies' was the highest motivation factor. Also, the deterrents for participation were divided into four factors: 'Dispositional barrier ($2.70{\pm}1.29$)', 'Dissatisfaction of education usability ($3.39{\pm}1.38$)', 'Institutional barrier ($4.21{\pm}1.45$)', and 'Situational barrier ($2.36{\pm}1.30$)'. 'Institutional barrier' showed the highest deterrents factor. In addition, 'Responsibility of professional and self-development' and 'Interaction and development of professional competencies' were negative attributes for 'Dispositional barrier' (p<0.001). Conclusions: These results provide basic data to promote participation in education and contribute to the improvement of their job ability and education capacity of the food and nutrition management of welfare facilities for the elderly.

프로축구 관중의 집합행동 사례연구 (A case study on the Collective activities of Spectators of Professional soccer games)

  • 주일엽
    • 시큐리티연구
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    • 제6호
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    • pp.195-213
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    • 2003
  • This is a case study on the violent collective activities of spectators in professional soccer games. The purpose of this study is to examine the reasons and the processes of the activities. In order to achieve the purpose well, I analyzed two cases of violent collective activities in spectators of professional soccer games that were held on June 24 and July 28 in 2001. The data for this study was collected from 14 kinds of daily newspapers from June 10 to August 20 in 2001 to maintain the objective validity of the outline, the reasons, and the processes of the violent collective activities of spectators in two cases. The data was collected from Korea Integrated News Database System(KINDS) of Korea Press Foundation, and Chollian, on-line service of DACOM, for its efficiency, accuracy and promptness. On the basis of the above-mentioned method as well as the consequences of data analysis, I've reached to a conclusion as follows. The reasons of the violent collective activities of spectators in professional soccer games were the mass effect, the activities of players, umpires and the results of games, etc. The violent collective activities of spectators in professional soccer games need pre-requirements and have relationships with special affairs that are developed in a regular sequence. In other words, a collective activity gives an effect on another one directly or indirectly. Therefore, this study shows that we can reduce or prevent the damages by the violent collective activities of spectators in sport games when we analyze the processes of collective activities and make a previous counter-measure for that.

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