• Title/Summary/Keyword: cervical region

검색결과 287건 처리시간 0.022초

Situation Analysis of Existing Facilities for Screening, Treatment and Prevention of Cervical Cancer in Hospitals/Primary health Centers of Delhi-NCR Region, India

  • Chawla, P. Cheena;Chawla, Anil Kumar;Shrivastava, Richa;Shrivastava, Anju;Chaudhary, Seema
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권13호
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    • pp.5475-5482
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    • 2014
  • Cervical cancer, the second most common malignancy all over the world, is associated with HPV infection. In a developing country like India, lack of early detection and treatment facilities is the main cause for its high burden. Therefore, through our study we e tried to present the current scenario of existing facilities for the detection and treatment of cervical cancer in hospitals and primary health centers (PHCs) of Delhi-NCR region. Data were collected from 312 healthcare facilities including public and private hospitals and PHCs of all nine districts from Delhi-NCR region. Healthcare providers including gynecologists, medical officers, women health care providers and paramedical staff were interviewed, using a questionnaire; the facilities for screening, diagnosing, and treating cervical cancer in each institution were recorded, using a previously designed checklist. Our study has shown that the basic facilities for the detection and treatment of cervical cancer are abhorrently lacking in Public hospitals and PHCs as compared to the Private hospitals in Delhi-NCR region. This study demonstrates that there is an urgent need for more investment in the diagnosis and treatment of cervical cancer facilities in public and rural healthcare facilities of Delhi-NCR region.

Nucleus Recognition of Uterine Cervical Pap-Smears using FCM Clustering Algorithm

  • Kim, Kwang-Baek
    • Journal of information and communication convergence engineering
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    • 제6권1호
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    • pp.94-99
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    • 2008
  • Segmentation for the region of nucleus in the image of uterine cervical cytodiagnosis is known as the most difficult and important part in the automatic cervical cancer recognition system. In this paper, the region of nucleus is extracted from an image of uterine cervical cytodiagnosis using the HSI model. The characteristics of the nucleus are extracted from the analysis of morphemetric features, densitometric features, colormetric features, and textural features based on the detected region of nucleus area. The classification criterion of a nucleus is defined according to the standard categories of the Bethesda system. The fuzzy C-means clustering algorithm is employed to the extracted nucleus and the results show that the proposed method is efficient in nucleus recognition and uterine cervical Pap-Smears extraction.

A Systematic Review of Cervical Cancer Incidence and Mortality in the Pacific Region

  • Obel, J.;Souares, Y.;Hoy, D.;Baravilala, W.;Garland, S.M.;Kjaer, S.K.;Roth, A.
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권21호
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    • pp.9433-9437
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    • 2014
  • This study provides the first systematic literature review of cervical cancer incidence and mortality as well as human papillomavirus (HPV) genotype prevalence among women with cervical cancer in the Pacific Island countries and territories. The cervical cancer burden in the Pacific Region is substantial, with age standardized incidence rates ranging from 8.2 to 50.7 and age standardized mortality rate from 2.7 to 23.9 per 100,000 women per year. The HPV genotype distribution suggests that 70-80% of these cancers could be preventable by the currently available bi- or quadrivalent HPV vaccines. There are only few comprehensive studies examining the epidemiology of cervical cancer in this region and no published data have hitherto described the current cervical cancer prevention initiatives in this region.

Miniscalpel acupuncture points of the cervical region: A review

  • Kim, Ju-ran;Lee, Jung Hee;Gong, Han Mi;Jun, Seungah;Chung, Yeon-Joong;Park, Chung A;Choi, Seong Hun;Lee, Geon-Mok;Lee, Hyun-Jong;Kim, Jae Soo
    • Journal of Acupuncture Research
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    • 제34권3호
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    • pp.91-100
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    • 2017
  • Objectives : We conducted a literature search to identify trends with respect to miniscalpel acupuncture points (MAPs) of the cervical region with the aim of providing guidance regarding miniscalpel acupuncture (MA) in the cervical region. Methods : We searched 2 overseas sites (PubMed and Google Scholar) and 5 domestic sites (NDSL, RISS, KISS, OASIS and Korean Traditional Knowledge Portal) for clinical trials of MA of the cervical region. The search terms used were "acupotomy or miniscalpel acupuncture or miniscalpel" and "cervical." Of 73 studies found, 11 were included in this review, 6 of which presented exact MAPs. Owing to the lack of data, we refer to 1 Korean and 4 Chinese articles to analyze the exact location and meaning of the MAPs used in the published studies and to propose other clinically applicable MAPs. Results : We identified 10 of the most commonly used MAPs in the published studies, including those located below the external occipital protuberance, 2-2.5 cm both side down of the external occipital protuberance, 4.5-5 cm both side down of the external occipital protuberance and C3-7 spinous process. Furthermore, we proposed 13 additional MAPs that can be used clinically. Conclusion : We hope that this study will form a basis for the development of MA and hope to improve the safety and reproducibility in future MA studies of the cervical region.

두부, 경부, 견부의 근육불균형에 관한 연구 (A Study of Muscle Imbalance of Head, Cervical and Shoulder Region)

  • 배성수;김병조;이근희
    • The Journal of Korean Physical Therapy
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    • 제13권3호
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    • pp.769-776
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    • 2001
  • This study were to review of muscle imbalance of head, cervical and shoulder region. Head, cervical and shoulder region is a complicated mechanical unit. interconnected by numerous soft tissue links. These links, or articulation are functionaly and reflexly interdependent on one another. The line of gravity falls anterior to the transverse axis of rotation for flexion and extension of the head and creates a flexion moment. which tends to tut the head forward, is counteracted by tension in the tectorial membrane, and ligamentum nuchae, and by activity of the neck extensors. Therefore, the flexion moment equilibrate with the extension moment. Changing of the equilibrium will make mid cervical straight. It will make forward head posture(FHP) also. FHP makes imbalance of suboccipital muscles, suprahyoid muscles and infrahyoid muscles. It has some relationship with temporomandibular joint, spine and equilibrium of pelvis.

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경추의 전신조정술 관절치료가 관절가동범위에 미치는 영향 (The effect of motion according to general coordination manipulation treatment on cervical)

  • 김형수;김은영;구봉오;배성수
    • The Journal of Korean Physical Therapy
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    • 제15권4호
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    • pp.90-102
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    • 2003
  • Purpose: The purpose of this study is to search effect that GCM joint treatment gets to range of motion of cervical, lumbar, trunk and anke. And cervical gets in ankle joint. Methods: Estimated body deformity using GCM body type assesment chart then measured range of motion of each region. After control group did as act freely after do experiment pre measurement control group did post measurement. After control group did as act freely after do experiment premeasurement, control group did postmeasurement. Each region was measured by measurer who each subject person differs. Experimental group did GCM joint treatment and all measurements each region by measurer who each subject person differs three times measure postmeasurement after premeasurement. When measure with each measurement, measured after leave and walk time interval for 10 minutes. Result: For the analysis of the result of experiment, the results is change amount comparison increased to keep in mind except cervical flexion and both ankle joint's dorsiflexion after experiment of experimental group. In experimental group, cervical, lumber and ankle joint of range of motion was significantly increased(p<.05).

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개선된 퍼지 ART 알고리즘을 이용한 자궁 경부 세포진 핵 분할 및 인식 (Nucleus Segmentation and Recognition of Uterine Cervical Pap-Smears using Enhanced Fuzzy ART Algorithm)

  • 김광백
    • 한국지능시스템학회논문지
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    • 제16권5호
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    • pp.519-524
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    • 2006
  • 자궁 경부암 세포진 영상의 영역 분할은 슬라이드의 상태나 정상 및 비정상에 따라 많은 차이를 보여 자궁경부암 세포진 인식 시스템의 가장 어렵고도 중요한 분야로 알려져 있다. 본 논문에서는 자궁 경부 세포진 영상에서 퍼지 그레이 모폴로지 연산을 이용하여 핵을 추출하고, 추출된 세포진 핵 영역은 형태학적 정보와 명암 정보, 색상 정보 및 질감 정보를 분석하여 핵의 특징을 추출한다. 또한 Bethesda System에서의 분류 기준에 따라 핵의 분류 기준을 정하고 추출된 핵의 특징들을 개선된 퍼지 ART 알고리즘에 적용하여 실험한 결과, 제안된 방법이 자궁 세포진 핵의 추출과 인식에 있어서 효율적임을 확인하였다.

척추 관절 질환 치료에 응용되는 추나.약물요법 중 용각교탕을 중심으로 한 임상적 고찰 (Clinical study on Chiropract-Drug treatment, Yongkakkyo-tang which is used for the treatment of arthrosis, vertebra disease)

  • 신준식
    • 한국한의학연구원논문집
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    • 제1권1호
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    • pp.289-319
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    • 1995
  • The clinical studies were performed on 301 cases who took Yongkakkyo-tang from June 1993 to December 1994 The results were as follows: 1. About 80%(239 cases) patients who took Yongkakkyo-tang were improved. 2. The ratio of male to female patients was 106:133. In the age distribution, it was found that under 20's were 8%(24/301), 30's and 40's were 33%(98/301), and over 50's was 39%(117/301). 3. In the regional distribution, it was found that Cervical region was 22 cases, thoracic region was 12 cases, cervical & lumbar region complex was 50 cases, upper limbs region was 6 cases, lower limbs region was 12 cases, and lumbar region was 153 cases(64%). 4. Among improved cases, the cases treated only with Yongkakkyo-tang were 16(5%), the cases treated with Yongkakkyo-tang, and treated with Chiropractic were 19(6%), the cases treated with Yongkakkyo-tang and Yanggun-tang chiropratic were 133(44%). 5. Among improved cases, the number of Chiropractic treatment, less then 15 teimes were 69 cases, 15 to 30 times were 91cases. Basedon these results, it was shown that Yongkakkyo-tang could be used for the treatment of degenerative disease of vertebra, and the treatment with Yongkakkyo-tang, Yanggun-tang and Chiropratic is more effective.

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Whole Genome Analysis of Human Papillomavirus Type 16 Multiple Infection in Cervical Cancer Patients

  • Chansaenroj, Jira;Theamboonlers, Apiradee;Junyangdikul, Pairoj;Swangvaree, Sukumarn;Karalak, Anant;Poovorawan, Yong
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권2호
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    • pp.599-606
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    • 2012
  • The characterization of the whole genome of human papillomavirus type 16 (HPV16) from cervical cancer specimens with multiple infections in comparison with single infection samples as the oncogenic potential of the virus may differ. Cervical carcinoma specimens positive for HPV16 by PCR and INNO-LiPA were randomly selected for whole genome characterization. Two HPV16 single infection and six HPV16 multiple infection specimens were subjected to whole genome analysis by using conserved primers and subsequent sequencing. All HPV16 whole genomes from single infection samples clustered in the European (E) lineage while all multiple infection specimens belonged to the non-European lineage. The variations in nucleotide sequences in E6, E7, E2, L1 and Long control region (LCR) were evaluated. In the E6 region, amino acid changes at L83V were related to increased cancer progression. An amino acid variation N29S within the E7 oncoprotein significantly associated with severity of lesion was also discovered. In all three domains of the E2 gene non synonymous mutations were found. The L1 region showed various mutations which may be related to conformation changes of viral epitopes. Some transcription factor binding sites in the LCR region correlated to virulence were shown on GRE/1, TEF-1, YY14 and Oct-1. HPV16 European variant prone to single infection may harbor a major variation at L83V which significantly increases the risk for developing cervical carcinoma. HPV16 non-European variants prone to multiple infections may require many polymorphisms to enhance the risk of cervical cancer development.

한의 치료로 호전된 경추성 현훈 환자 치험 3예 (Three Cases of Cervical Vertigo Improved by Traditional Korean Medicine Treatment)

  • 최성환;강신우;박현선;박서현;금동호
    • 한방재활의학과학회지
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    • 제32권1호
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    • pp.145-155
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    • 2022
  • The purpose of this study is to evaluate the effectiveness of traditional Korean medicine treatment of cervical vertigo. Three patients were diagnosed as cervical vertigo with correlating symptoms of imbalance and dizziness with neck pain. The diagnosis of cervical vertigo is also dependent on excluding other vestibular disorders on the basis of history, examination, and vestibular function tests. They were treated by acupuncture, transcutaneous electrical nerve stimulation therapy and low-intensity pulsed ultrasound at acupoints and sympathetic ganglion chain of their cervical and upper thoracic region. The evaluation of clinical outcome was done by numeric rating scale (NRS), dizziness handicap inventory (DHI) and neck disability index (NDI), EuroQol-five dimensions questionnaire (EQ-5D) index. After the treatment, the value of their NRS, NDI, DHI was significantly decreased and their EQ-5D index was significantly increased. The traditional Korean medicine treatment at cervical and upper thoracic region could be an effective way to treat cervical vertigo.