• Title/Summary/Keyword: The cancer check inspection

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Study on Factors that Influence Cancer Screening Rate in Urban and Rural Areas (도.농촌지역 암 검진 수검률 영향 요인 연구)

  • Lee, Jin-Woo;Ahn, Sang-Yoon;Kim, Kwang-Hwan
    • Journal of Digital Convergence
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    • v.10 no.2
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    • pp.269-278
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    • 2012
  • In this research, the factor having an effect on the cancer check inspection through the cancer check service and process, of desiring against the cancer check examinee living in the illustration and rural area environment, and analysis about the result tries to be sought for. This research performed the frequency analysis, cross analysis, t-test, ANOVA, and multiple regression analysis and came to the conclusion. The examination reservation procedure, medical team professionalism, examination contents of notice, result of medical examination explanation, examination notification date, and examination duration of subscription was analyzed as the significance factor as the factor reached to the urban district inspection. And the examination contents of notice, total examination time, result of medical examination explanation, medical team professionalism, examination duration of subscription, and process of the medical examination explanation as to rural area, was analyzed as the significance factor. The cancer check was inspected according to the illustration and farming village and there was no big difference in the significance factor having an effect on the inspection. However, the Profiling about the examination procedure and service has to be continuously performed. And the differentiation strategy and policy considering the illustration and fairness between rural areas are required.

Reasons for Variation in Sensitivity and Specificity of Visual Inspection with Acetic Acid (VIA) for the Detection of Pre-Cancer and Cancer Lesions of Uterine Cervix

  • Parashari, Aditya;Singh, Veena
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.12
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    • pp.7761-7762
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    • 2013
  • Alternative strategies such as visual inspection of cervix with acetic acid, are real time, economical and easily implemented methods for cervical cancer screening. However, variable sensitivity and specificity have been observed in various community based studies. The possible reasons could include variation in man power training, light source used for visualization, and preparation of diluted (4-5%) acetic acid and its storage. A standardized protocol for training, teaching material (easy to understand in the local language) for trainees, supervision and reinforcement by intermittent and supplementary training to check the quality of their observation, a standard protocol for preparation dilute acetic acid and its storage and a standard good light source (equivalent to day light) are needed to minimize the variation in sensitivity and specificity of VIA in community settings.

An Average Shape Model for Segmenting Prostate Boundary of TRUS Prostate Image (초음파 전립선 영상에서 전립선 경계 분할을 위한 평균 형상 모델)

  • Kim, Sang Bog;Chung, Joo Young;Seo, Yeong Geon
    • KIPS Transactions on Software and Data Engineering
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    • v.3 no.5
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    • pp.187-194
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    • 2014
  • Prostate cancer is a malignant tumor occurring in the prostate. Recently, the repetition rate is increasing. Image inspection method which we can check the prostate structure the most correctly is MRI(Magnetic Resonance Imaging), but it is hard to apply it to all the patients because of the cost. So, they use mostly TRUS(Transrectal Ultrasound) images acquired from prostate ultrasound inspection and which are cheap and easy to inspect the prostate in the process of treating and diagnosing the prostate cancer. Traditionally, in the hospital the doctors saw the TRUS images by their eyes and manually segmented the boundary between the prostate and nonprostate. But the manually segmenting process not only needed too much time but also had different boundaries according to the doctor. To cope the problems, some automatic segmentations of the prostate have been studied to generate the constant segmentation results and get the belief from patients. In this study, we propose an average shape model to segment the prostate boundary in TRUS prostate image. The method has 3 steps. First, it finds the probe using edge distribution. Next, it finds two straight lines connected with the probe. Finally it puts the shape model to the image using the position of the probe and straight lines.

Circular Stapled Gastrojejunostomy after Radical Subtotal Gastrectomy - Anastomotic Bleeding and Prevention - (근치적 위아전절제술 후 원형문합기를 이용한 위공장문합술 - 문합부 출혈과 예방 -)

  • Ihn, Myung-Hoon;Kang, Gil-Ho;Cho, Gyu-Seok;Kim, Yong-Jin;Kim, Hyung-Soo;Han, Sun-Uk;Bae, Sang-Ho;Kim, Sung-Yong;Baek, Moo-Joon;Lee, Moon-Soo
    • Journal of Gastric Cancer
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    • v.9 no.4
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    • pp.223-230
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    • 2009
  • Purpose: Circular stapled gastrectomy has been the favored procedure with its feasibility and the shortened operative time, but anastomotic leakage, stenosis and bleeding have been reported as problems. The aim of this study was to identify what can be done to supplement the safety of this technique by examining the potential complications of performing circular stapled gastrojejunosomy after radical subtotal gastrectomy. Materials and Methods: As subjects, this study selected 1,391 patients who underwent gastrojejunostomy after radical subtotal gastrectomy because of gastric cancer at our Department of Surgery from Jan. 1998 to Dec. 2007. The patients were divided into Group I (n=479) who underwent hand-sewn gastrojejunostomy, Group II (n=48) who underwent linear stapled gastrojejunostomy and Group III (n=864) who underwent circular stapled gastrojejunostomy. Group III was re-divided into two subgroups on the basis of the point of time that a visual check was intraoperatively performed at the anastomotic site: Group III-A (n=198) before and Group III-B (n=666) after. The characteristics and complications of the patients were then compared. Results: For the comparison of the complications between Group I, Group II and Group III, anastomotic leakage was found in 7 cases (1.5%) in Group I, in 1 case (2.0%) in Group II and in 10 case (1.2%) in Group III, and anastomotic stenosis were found in 4 cases (0.8%) in Group I, 1 case (2.0%) in Group II and 5 case (0.6%) in Group III. Anastomotic bleeding was found in 32 cases (6.7%) in Group I, in 5 cases (10.4%) in Group II and in 67 cases (7.7%) in Group III. For the comparison of complications between Group III-A and Group III-B, anastomotic bleeding was found in 57 cases (28.8%) in Group III-A and 10 cases (1.5%) in Group III-B and the difference was statistically significant (P=0.037). Conclusion: Circular stapled gastrojejunostomy after radical subtotal gastrectomy is recommended because of the safety and feasibility of this technique, but bleeding at the anastomotic site may be the critical issue. In conclusion, direct inspection for bleeding at the anastomotic site during the operation will improve the safety of performing circular stapler anastomosis.

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