• Title/Summary/Keyword: survivorship

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Understanding the Breast Cancer Experience: a Qualitative Study of Malaysian Women

  • Yusuf, Azlina;Ab Hadi, Imi Sairi;Mahamood, Zainal;Ahmad, Zulkifli;Keng, Soon Lean
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.6
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    • pp.3689-3698
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    • 2013
  • Breast cancer is the most common and leading cause of cancer mortality among Malaysian women. Despite good survival rates, the diagnosis of cancer still invokes the feeling of stress, fear and uncertainty. Because very little is known about the experiences of Malaysian women with breast cancer, a qualitative study using semi-structured interviews to explore the lived experience of newly diagnosed breast cancer. Using a purposive sampling method, 20 Malaysian women newly diagnosed with breast cancer, including Malays (n=10) and Chinese (n=10) were recruited in two main public hospitals in Kelantan. Similarities and divergence in women's experience were identified through thematic analysis of interview transcripts. Three themes emerged from the data: uncertainty experience of the illness, transition process and fatalistic view of breast cancer. In many ways, these findings were parallel with previous studies, suggesting that the experience of breast cancer is to a certain extent similar among women newly diagnosed with breast cancer. This study adds to the sparse literature concerning the experience of illness following breast cancer diagnosis among the Malays and Chinese. More importantly, this study addressed areas that were previously lacking, specifically in depth information on breast cancer experience from a developing country with a multi-ethnic population. The results of this investigation provide preliminary information to healthcare professionals on the impact of illness and cultural influence on survivorship to plan for appropriate education and supportive programme in order to meet the needs of breast cancer women more effectively.

Analysis of mortality after death of spouse in relation to duration of bereavement and dependence relation between married couple -using married couples data from survivor's pension of National Pension Service- (부부의 사망시차 및 생존기간의 종속관계 분석 -국민연금의 유족연금 데이터를 이용한 연구-)

  • Baek, HyeYoun;Han, Jeonglim;Lee, Hangsuck
    • Journal of the Korean Data and Information Science Society
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    • v.26 no.4
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    • pp.931-946
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    • 2015
  • Many multiple life insurance products consider benefits that are contingent on the combined survival status of two lives. To value premiums of the insurance products accurately, we need to consider the impact of the survivorship of one life on another. To show a dependence relation between married couple, we calculate correlation coefficients by using married couples data from National Pension Service and the results show some positive dependence between them. Moreover, by analyzing the death after bereavement, we find a evidence that mortality rates increase after the death of a spouse and, in addition, that this phenomenon, the broken-heart syndrome, diminishes over time. The results of this study can support the method to calculate the premium of multiple life insurance reflecting more realistic joint mortality rates.

Clonal Growth and Shoot Modules Dynamics of Phragmites longivalvis in a Reclaimed Land (간척지 갈대의 영양생장과 지상부 모듈의 개체군 동태)

  • Choung, Yeon-Sook;Kim, Joon-Ho
    • The Korean Journal of Ecology
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    • v.12 no.3
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    • pp.171-182
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    • 1989
  • The structure, clonal grwoth, shoot modules dynamics and rhizome respiratory rate of the Phragmites longivalvis circular patch were studied in a 15-year-old reclaimed land on Mado of the western Korea for two growing seasons. Clonal growth by P. longivalvis resulted in subpopulations of shoot modules which may be separated into pioneer, mature and senile growth phase. The radial growth of circular patch was 208 cm per a year. The shoot phytomass, shoot height and spike frequency were the lowest in the senile phase, and were the highest in the mature phase. The maximum shoot phytomass of pioneer, mature and senile phase in August was 347, 536 and 195g/$\m^2$ for the first year, and 609, 748 and 248g/$\m^2$ for the second year, respectively. The birth rates of shoot modules were the highest during the early spring. Of all modules, the percemtage of spring cohort of pioneer, mature and senile growth phase were 52, 82 and 70% for the first year, and 83, 88 and 85% for the second year, respectively. The flowering shoots were only derived from spring cohorts. The death rates of shoot modules of the pioneer and mature phase were the highest in October. The module is an annual semelparous plant though the genet is a perennial iteroparous plant. Their survivorship curve was negatively (Deevey type I). The density of shoot modules of the pioneer, mature and senile growth phase increased as much as 4.0, 1.6 and 2.3 times for one year, respectively. The respiratory rate was the highest in the lowest in the senile growth phase.

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Change of Tibio-Talar Motion After Total Ankle Replacement (족관절 인공관절 치환술 후 족관절 운동범위의 변화)

  • Suh, Jin-Soo;Saltzman, Charles L.
    • Journal of Korean Foot and Ankle Society
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    • v.10 no.1
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    • pp.92-95
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    • 2006
  • Purpose: Ankle fusion that is operated on severe ankle arthritis has its weakness in that normal walking is impossible, even though the result is pretty good. As a alternative choice, total ankle replacement pursues the longer survivorship with material improvement. However, it is not yet known how much range of motion is possible after the replacement, or how it has changed overtime. Therefore, we need an analyzation for that. Materials and Methods: A retrospective review of sixty-seven patients undergoing STAR total ankle replacement at our institution between 1998 and 2002 was conducted. Of those, twenty-six (39%) had complete sets of full dorsiflexion and plantar flexion lateral radiographs both between "immediate" postop and at a minimum of 2-years follow-up and no revision procedure during that time. The mean age of these patients was 63.2 years when the surgery was done; the etiology of arthrosis was 21(81%) post-traumatic/degenerative, 4 rheumatoid and 1 psoriatic. Results: Average "immediate" ankle range of motion was $15.9^{\circ}$, and total foot (non-ankle) motion was $20.6^{\circ}$. At one, two, and three years the average ankle and total foot ranges of motion were $17.4^{\circ}$, $17.6^{\circ}$, $15.6^{\circ}$ and $21.0^{\circ}$, $22.0^{\circ}$, $21.2^{\circ}$ respectively. Statistically there was no significant difference between "immediate" postop motion and one to three years postop (all p>0.05). Conclusion: The range of motion after the STAR total ankle replacement is maintained from the "immediate" postoperative range of motion, but not increased, in the 1-3 year post replacement period.

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Leiomyosarcoma of the Bronchus -A case report with long-term follow-up - (기관지에서 기원한 평활근육종 -1예 보고 -)

  • Kim, Hyung-Tae;Lee, Cheol-Joo;Yoon, You-Sang;Choi, Ho;Kang, Joon-Kyu;Kim, Jung-Tae
    • Journal of Chest Surgery
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    • v.36 no.12
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    • pp.991-994
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    • 2003
  • Primary leiomyosarcomas are rare tumors of the lungs. No typical roentgenographic findings of unusual complex of symptoms distinguish this tumor. The most common therapy is surgical resection. Prognosis and significant survivorship are related to the size, grade, metastasis of the lesion. A 25-year-old female patient with chest pain and cough was admitted. In chest X-ray and CT scan, there was a pulmonary nodule in left upper lung field, She was taken a percutaneous needle aspiration biopsy. The result was a spindle cell tumor. Left upper lobe lobectomy was done, and pathologic diagnosis was a low grade leiomyosarcoma arising from left bronchus. During 5 years of follow-up period, she has not shown any metastasis or local recurrence.

Survivorships of Gammarus sobaegensis (Amphipoda: Gammaridae) in Different Medium and Temperature Conditions (보통옆새우 (Gammarus sobaegensis : 옆새우과, 단각목)의 서로 다른 배양액 및 온도에 대한 생존율)

  • Hwang, Jeong-Mi;Lee, Sung-Jin;Cho, Ki-Jong;Kim, Yong-Gyun;Bae, Yeon-Jae
    • Korean Journal of Ecology and Environment
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    • v.39 no.3 s.117
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    • pp.413-417
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    • 2006
  • Gammarus sobaegensis, a common amphipod crustacean in Korean mountain streams, was experimented in the laboratory in terms of two environmental factors, medium and temperature conditions, which are essential in laboratory rearing. Individuals of G. sobaegensis were collected from a small spring outlet beside Gapyeong stream in Gyeonggi-do, Korea, in December 2003. Survivorships of G. sobaegensis were evaluated from the effect on rearing media (distilled water: DW, tap water: TW, chironomid rearing medium: CM, and stream water: SW) and temperatures (10, 15, 20, and $25^{\circ}C$). As a result, G. sobaegensis was higher in survivorships at TW followed by SW, CM, and DW and at $10^{\circ}C$ followed by 15, 20 and $25^{\circ}C$.

Growth and Physiological Responses of Two Pine Species Grown under Polluted Ansan Industrial Region (안산 공단지역에 식재된 소나무류 2종의 생장과 생리학적 반응)

  • Jin, Hyun-O;Choi, Dong-Su;Lee, Choong-Hwa;Jeong, Yong-Ho;Koike, Takayoshi
    • The Korean Journal of Ecology
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    • v.28 no.5
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    • pp.321-326
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    • 2005
  • We investigated the effects of pollutants on two pine species (Pinus koraiensis and Pinus rigida) in an industrial region, using a physiological approach. We measured the growth and physiological parameters (photosynthetic activity and chemical contents) of the pine trees in relation to environmental pollutants. The concentrations of manganese (Mn), fluorine (F) and chlorine (CI) in needles of two pine species at the damaged site were significantly higher than those at the control site, and concentrations of essential elements (P) and chlorophyll in needles at the damaged site were significantly lower than at the control site. The light-saturated net photosynthesis $(P_{sat})$, apparent quantum yield $(\Phi)$, carboxylation efficiency (CE) of both pines at the damaged site were significantly lower than those at the control site. The length of shoots and survivorship of needles of two pines at the damaged site were significantly lower than those at the control site. Especially, at damaged site, growth of shoots and needle longevity of P. koraiensis are larger than those of P. rigida.

Effects of Temperature and Diet on the Development of the Water Strider , Gerris paludum insularis ( Hemiptera , Gerridae ) (溫度와 食餌가 소금쟁이 (Gerris paludum insularis)의 發育에 미치는 影響)

  • Park, Sang Ock;Jin Kyung Hwng;Eun Yung Joo
    • The Korean Journal of Ecology
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    • v.14 no.4
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    • pp.449-455
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    • 1991
  • The water striders, gerris paludum insularis larvae which were fed with the drosophila melanogaster cultured on the appli diet and artificial diet, were reared in the growth cabinet controlled as the two constant temperature regimes of 25 c and 30 c under the condition of photoperiod 16l : 8d, light intensity 510 240 lux, relative humidity 65 3%, and in the natural state. The effects of temperature and diet on the devolopment of g. paludum insularis were analyzed and the results were summarized as follows. 1. The total developmental period of the water strider larvae fed with the d. melanogaster reared on the apple diet at the natural stste was the longest 40 days, and the total devopmental periods at 25 c and 30 c were 35 days and 27 days respectively. The tolal developmental period of larvae fed with d. melanogaster reared on the artifical diet at 25 c was the longest 42 dats, and the total developmental periods at natural stste and 30 c were 32 days and 27 days, respectively. 2. In the larval developmental stages, the fifth stage was longer than that of any stage. The duration of egg stage which was not influenced by diet at 25 c was the longest. 3. The water strider larvae fed which the d. melanogaster reared on the artificial diet at 25 c did not complete their devolopment. 4. No significant difference was odserved in the developmentperiod for diet at 30 c. but, there were significant differences in developmental periods for diet at 25 c and natural state. 5. The rate of adult emergence on the apple diet was higher than that of the artificial diet was higher than of the artificial diet. 6. The shapes of the survivorship curve were convex-curve. 7. The development periods of the larval stages of water striders might be affected to temperature and diet dependently.

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Experiences of Korean-American Women with High Risk Hereditary Breast Cancer (고위험 유전성 유방암을 지닌 한국계 미국 여성의 질병경험)

  • Choi, Kyung-Sook;Jun, Myung-Hee;Anderson, Gwen
    • Asian Oncology Nursing
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    • v.12 no.2
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    • pp.175-185
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    • 2012
  • Purpose: This micro-ethnographic study aimed to understand coping experiences of Korean-American (K-A) women after diagnosis with breast cancer due to a hereditary gene mutation. Methods: Participatory observation and in-depth interviews were performed at one breast cancer screening center in Southern California, in 2005 with eleven first generation K-A immigrant women. All transcribed interviews and field notes were analyzed using ethnographic methodology. Results: K-A women's experience varied based on acculturation risk factors including: limited English speaking ability; disrupted family relationships, individualistic family values, or intergenerational communication barriers; lack of Korean speaking nurses; and Korean physicians' who lacked knowledge about hereditary breast cancer risk. These risk factors led to isolation, loneliness, lack of emotional and social support. In comparison to Korean homeland women in a similar medical situation, these K-A immigrants felt disconnected from the healthcare system, family support and social resources which increased their struggling and impeded coping during their survivorship journey. These women were not able to access self-support groups, nor the valuable resources of nurse navigator programs. Conclusion: Professional oncology associations for nurses and physicians have a moral obligation to support and promote knowledge of hereditary cancer risk and self-help groups for non-native speaking immigrants.

Effect of femoral mechanical properties on primary stability of cementless total hip arthroplasty: a finite element analysis

  • Reimeringer, Michael;Nuno, Natalia
    • Advances in biomechanics and applications
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    • v.1 no.3
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    • pp.187-210
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    • 2014
  • With the goal of increasing the survivorship of the prosthesis and anticipating primary stability problems of new prosthetic implants, finite element evaluation of the micromotion, at an early stage of the development, is mandatory. This allows assessing and optimizing different designs without manufacturing prostheses. This study aimed at investigating, using finite element analysis (FEA), the difference in the prediction of the primary stability of cementless hip prostheses implanted into a $Sawbones^{(R)}$ 4th generation, using the manufacturer's mechanical properties and using mechanical properties close to that of human bone provided by the literature (39 papers). FEA was carried out on the composite $Sawbones^{(R)}$ implanted with a straight taper femoral stem subjected to a loading condition simulating normal walking. Our results show that micromotion increases with a reduction of the bone material properties and decreases with the augmentation of the bone material properties at the stem-bone interface. Indeed, a decrease of the cancellous Young modulus from 155MPa to 50MPa increased the average micromotion from $29{\mu}m$ up to $41{\mu}m$ (+42%), whereas an increase of the cancellous Young modulus from 155MPa to 1000MPa decreased the average micromotion from $29{\mu}m$ to $5{\mu}m$ (-83%). A decrease of cortical Young modulus from 16.7GPa to 9GPa increase the average global micromotion from $29{\mu}m$ to $35{\mu}m$ (+33%), whereas an increase of the cortical Young modulus from 16.7GPa to 21GPa decreased the average global micromotion from $29{\mu}m$ to $27{\mu}m$ (-7%). It can also be seen that the material properties of the cancellous structure had a greater influence on the micromotion than the material properties of the cortical structure. The present study shows that micromotion predicted at the stem-bone interface with material properties of the $Sawbones^{(R)}$ 4th generation is close to that predicted with mechanical properties of human femur.