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Juan Luis Alcazar,Laura Pineda,Txanton Martinez-Astorquiza Corral,Rodrigo Orozco,Jesús Utrilla-Layna,Leire Juez,Matías Jurado 대한부인종양학회 2015 Journal of Gynecologic Oncology Vol.26 No.3
Objective: To compare the diagnostic performance of six different approaches for assessing myometrial infiltration using ultrasound in women with carcinoma of the corpus uteri. Methods: Myometrial infiltration was assessed by two-dimensional (2D) transvaginal or transrectal ultrasound in 169 consecutive women with well (G1) or moderately (G2) differentiated endometrioid type endometrial carcinoma. In 74 of these women three-dimensional (3D) ultrasound was also performed. Six different techniques for myometrial infiltration assessment were evaluated. The impression of examiner and Karlsson’s criteria were assessed prospectively. Endometrial thickness, tumor/ uterine 3D volume ratio, tumor distance to myometrial serosa (TDS), and van Holsbeke’s subjective model were assessed retrospectively. All subjects underwent surgical staging within 1 week after ultrasound evaluation. Definitive histopathological data regarding myometrial infiltration was used as gold standard. Sensitivity and specificity for all approaches were calculated and compared using McNemar test. Results: The impression of examiner and subjective model performed similarly (sensitivity 79.5% and 80.5%, respectively; specificity 89.6% and 90.3%, respectively). Both methods had significantly better sensitivity than Karlsson's criteria (sensitivity 31.8%, p<0.05) and endometrial thickness (sensitivity 47.7%, p<0.05), and better specificity than tumor/uterine volume ratio (specificity 28.3%, p<0.05) and TDS (specificity 41.5%, p<0.05). Conclusion: Subjective impression seems to be the best approach for assessing myometrial infiltration in G1 or G2 endometrioid type endometrial cancer by transvaginal or transrectal ultrasound. The use of mathematical models and other objective 2D and 3D measurement techniques do not improve diagnostic performance.
Health Related Quality of Life in Migrant and Biracial Children
Bejerano. Ivy Lynne Alcazar 계명대학교 간호과학연구소 2015 계명간호과학 Vol.19 No.1
Purpose: This review article aimed to provide comprehensive understanding on HRQOL of migrant and biracial children specifically on physical, social, emotional and mental wellbeing. Method: Published articles from 1995 - 2014 were searched using databases such as PubMED, MEDLINE, PsycINFO, Science Direct and Social Sciences showing abstracts, full texts and reports on the health - related status of migrant and biracial children. Based on the inclusion and exclusion criteria, a total of 40 qualified articles were included in the review process. Results: Articles were quantitative studies, written in English and migrant children without acute or chronic illness. Health Related Quality of Life in migrant and biracial children showed the high incidence of malnutrition affecting physical wellbeing; social functioning including poor school performance and experience of racial discrimination; emotional and mental health showed high incidence of depression, suicidal attempts and violent behaviors. Conclusion: Through the assessment of HRQOL in migrant and biracial children, it will assist the health care provider in identifying the developmental needs of children and prevent future problems resulting from ineffective cognitive, emotional and psychosocial development of biracial children.
Bejerano,Ivy Lynne Alcazar 계명대학교 간호과학연구소 2016 계명간호과학 Vol.20 No.1
Purpose: This paper presents an integrative review aimed at examining the findings of existing research studies (2000-2014) on physical and psychosocial outcomes affecting quality of life of children with chronic kidney disease. Methods: Systematic computer searches were conducted using PubMed, PsycINFO, Science Direct and CINAHL databases covering the period January 2000 to December 2014. Data were analyzed and the results are presented using the conceptual model of Health Related Quality of Life by Wilson and Cleary. Results: The review found information on factors affecting overall quality of life of children with CKD receiving hemodialysis categorized as biological factors, symptoms experience, functional status and general health perception. The socio-demographic characteristics and environmental factors contributed to the quality of life of children diagnosed with CKD. Conclusion: The results will provide an important insight in optimizing the assessment of factors affecting overall quality of life of children with CKD. Furthermore, it will assist in providing an individualized and effective nursing care specifically tailored to the physical, emotional, psychosocial and developmental needs of vulnerable pediatric population.
Predictors for acceptability and barriers to human papilloma virus vaccination among young women
Bejerano,Ivy Lynne Alcazar 계명대학교 간호과학연구소 2015 계명간호과학 Vol.19 No.2
Purpose: This article reviewed the predictors of acceptability and barriers that prevent women from receiving HPV vaccination. Methods: Published articles from 2006 – 2014 were searched using database such as PubMed, CINAHL, MEDLINE and Science Direct showing abstracts and full texts on factors affecting HPV vaccination. Results: 32 articles were included. Participants are from diverse racial and ethnic backgrounds involving parents with daughters and/or young women less than 20 years old. Five relevant themes were used as framework: knowledge and awareness on HPV infection and cervical cancer; pragmatic sexual behavior concerns; perceived risk of infection; the safety, efficacy and cost effectiveness of HPV vaccines, and perceived clinicians and peer support. Conclusion: The results will bring further awareness to practitioners in providing client-centered approach of addressing the common barriers affecting their intention to receive HPV vaccines. This information will also provide an avenue to further improve and strengthen the campaign against cervical cancer.
김규연 ( Marc Miravitlles ),( Pawel Sliwinski ),( Richard Costello ),( Victoria Carter ),( Jessica Tan ),( Therese Laperre ),( Bernardino Alcazar ),( Caroline Gouder ),( Cristina Esquinas ),( Juan Luis G 대한결핵 및 호흡기학회 2017 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.124 No.-
Background/Aim: Chronic obstructive pulmonary disease (COPD) is a heterogeneous condition requiring therapeutic management to be tailored to the clinical characteristics and disease severity of the individual patient. Due to scarcity of studies about racial differences in COPD patients, in this study, we compared clinical characteristics between Asian and other patients of COPD. Method: This was an international, multicenter, prospective study of a cohort of patients with COPD aimed to validate the concept of clinical control in COPD. We compared two subgroups (Asian versus others) by using clinical criteria, questionnaires (COPD Assessment Test -CAT- or Clinical COPD Questionnaire -CCQ-) and recent concept of control. Results: A total of 349 patients were analysed, 110 (32%) patients were Asian and 239 (68%) patients were others. There was a significant difference at sex, smoking status and BMI between Asian and others. Among clinical characteristics, there was a significant difference at median FEV1 (mL), and percentage of patients who have emphysema between two subgroups. Also, number of exacerbation and hospital admission, median CCQ score and recent concept of Impact (Clinical approach by mMRC, rescue medication, time walked/day and sputum color) were the characteristics which show significant disparities between two subgroups. Conclusion: This study showed significant differences in various factors between Asian and other patients of COPD. These results suggest that therapeutic management of COPD should be tailored to the ethnic group of the individual patients