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RISS 인기검색어
- 검색키워드
- 저자 : Gangane, Nitin (검색결과 5 건)
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Women's Knowledge, Attitudes, and Practices about Breast Cancer in a Rural District of Central India
Gangane, Nitin,Ng, Nawi,Sebastian, Miguel San Asian Pacific Journal of Cancer Prevention 2015 Asian Pacific journal of cancer prevention Vol.16 No.16
Background: Breast cancer accounted for almost 25% of all cancers in women globally in 2012. Although breast cancer is the most prevalent cancer in India, there is no organised national breast cancer screening programme. Local studies on the burden of breast cancer are essential to develop effective context-specific strategies for an early detection breast cancer programme, considering the cultural and ethnic heterogeneity in India. This study examined the knowledge, attitudes, and practices about breast cancer in rural women in Central India. Materials and Methods: This community-based cross sectional study was conducted in Wardha district, located in Maharashtra state in Central India in 2013. The sample included 1000 women (609 rural, 391 urban) aged 13-50 years, selected as representative from each of the eight development blocks in the district, using stratified cluster sampling. Trained social workers interviewed women and collected demographic and socio-economic data. The instrument also assessed respondents' knowledge about breast cancer and its symptoms, risks, methods of screening, diagnosis and treatment, as well as their attitudes towards breast cancer and selfreported practices of breast cancer screening. Chi-square and t-test were applied to assess differences in the levels of knowledge, attitude, and practice (the outcome variables) between urban and rural respondents. Multivariable linear regression was conducted to analyse the relationship between socio-demographic factors and the outcome variables. Results: While about two-thirds of rural and urban women were aware of breast cancer, less than 7% in rural and urban areas had heard about breast self-examination. Knowledge about breast cancer, its symptoms, risk factors, diagnostic modalities, and treatment was similarly poor in both rural and urban women. Urban women demonstrated more positive attitudes towards breast cancer screening practices than their rural counterparts. Better knowledge of breast cancer symptoms, risk factors, diagnosis, and treatment correlated significantly with older age, higher levels of education, and being office workers or in business. Conclusions: Women in rural Central India have poor knowledge about breast cancer, its symptoms and risk factors. Breast self-examination is hardly practiced, though the willingness to learn is high. Positive attitudes towards screening provide an opportunity to promote breast self-examination.
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Case Report : Sclerosing stromal tumor of the ovary
( Manisha Atram ),( Anshu ),( Satish Sharma ),( Nitin Gangane ) 대한산부인과학회 2014 Obstetrics & Gynecology Science Vol.57 No.5
Sclerosing stromal tumor is a rare ovarian tumor, occurring in young adults in the second and third decade of life. We report clinical and histopathological features of three cases of sclerosing stromal tumor of the ovary with a review of literature. The tumor has distinct histological features and is easily recognizable when a high index of suspicion is maintained in young patients presenting with an ovarian mass. These tumors are benign and can be treated successfully by enucleation or unilateral ovariotomy.
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A field-consistency approach to plate elements
Prathap, Gangan Techno-Press 1997 Structural Engineering and Mechanics, An Int'l Jou Vol.5 No.6
The design of robust plate and shell elements has been a very challenging area for several decades. The main difficulty has been the shear locking phenomenon in plate elements and the shear and membrane locking phenomena together in the shell elements. Among the various artifices or devices which are used to develop elements free of these problems is the field-consistency approach. In this paper this approach is reviewed, It turns out that not only Mindlin type elements but also elements based on higher-order theories could be developed using the technique.
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A function space approach to study rank deficiency and spurious modes in finite elements
Sangeeta, K.,Mukherjee, Somenath,Prathap, Gangan Techno-Press 2005 Structural Engineering and Mechanics, An Int'l Jou Vol.21 No.5
Finite elements based on isoparametric formulation are known to suffer spurious stiffness properties and corresponding stress oscillations, even when care is taken to ensure that completeness and continuity requirements are enforced. This occurs frequently when the physics of the problem requires multiple strain components to be defined. This kind of error, commonly known as locking, can be circumvented by using reduced integration techniques to evaluate the element stiffness matrices instead of the full integration that is mathematically prescribed. However, the reduced integration technique itself can have a further drawback - rank deficiency, which physically implies that spurious energy modes (e.g., hourglass modes) are introduced because of reduced integration. Such instability in an existing stiffness matrix is generally detected by means of an eigenvalue test. In this paper we show that a knowledge of the dimension of the solution space spanned by the column vectors of the strain-displacement matrix can be used to identify the instabilities arising in an element due to reduced/selective integration techniques a priori, without having to complete the element stiffness matrix formulation and then test for zero eigenvalues.
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