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Lay perceptions of breast cancer in Western Kenya

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World Journal of Clinical Oncology 2015年第5期6卷 147-155页

作者： Violet Naanyu Chite Fredrick Asirwa Juddy Wachira Naftali Busakhala Job Kisuya Grieven Otieno Alfred Keter Anne Mwangi Orango Elkanah Omenge Thomas inui Academic Model Providing Access to Healthcare (AMPATH) Department of Behavioral Sciences School of MedicineCollege of Health SciencesMoi University Department of Medicine School of MedicineIndiana University Department of Pharmacology School of MedicineCollege of Health SciencesMoi University Department of Reproductive Health School of MedicineCollege of Health SciencesMoi University Regenstrief Institute Inc.

AIM: To explore lay perceptions of causes, severity, presenting symptoms and treatment of breast cancer. METHODS: In October-November 2012, we recruited men and women(18 years and older) from households and health facilities in three different parts of Western Kenya, chosen for variations in their documented burdens of breast cancer. A standardized and validated tool,the breast cancer awareness measure(BCAM), was administered in face-to-face interviews. Survey domains covered included socio-demographics, opinions about causes, symptoms, severity, and treatment of breast cancer. Descriptive analyses were done on quantitative data while open-ended answers were coded, and emerging themes were integrated into larger categories in a qualitative analysis. The open-ended questions had been added to the standard BCAM for the purposes of learning as much as the investigators could about underlying lay beliefs and perceptions. RESULTS: Most respondents were female, middle-aged(mean age 36.9 years), married, and poorly educated. Misconceptions and lack of knowledge about causes of breast cancer were reported. The following(in order of higher to lower prevalence) were cited as potential causes of the condition: Genetic factors or heredity(n = 193, 12.3%); types of food consumed(n = 187, 11.9%); witchcraft and curses(n = 108, 6.9%); some family planning methods(n = 56, 3.6%); and use of alcohol and tobacco(n = 46, 2.9%). When asked what they thought of breast cancer's severity, the most popular response was "it is a killer disease"(n = 266, 19.7%) a lethal condition about which little or nothing can be done. While opinions about presenting symptoms and signs of breast cancer were able to be elicited, such as an increase in breast size and painful breasts, earlystage symptoms and signs were not widely recognized. Some respondents(14%) were ignorant of available treatment altogether while others felt breast cancer treatment is both dangerous and expensive. A minority reported alte

关键词： Breast cancer Health education Cancer control Lay health beliefs

VR-2332菌株猪繁殖与呼吸综合征病毒活疫苗功效的相关研究

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猪业科学 2017年第8期34卷 38-39页

作者：张玲妮李岑岑(译) iseki h kawashima k tung n inui k ikezawa m shibahara t yamakawa m 华中农业大学湖北武汉430070 不详

自20世纪80年代后期出现以来,猪繁殖与呼吸综合征（PRRS）已经在大多数养猪国家流行起来.PRRS的病原体是PRRS病毒（PRRSV）,它是单股正链RNA病毒.2006年,中国出现了导致所有年龄的猪高热和死亡的高致病性PRRS（HP-PRRS）.高毒性2型PRRS... 详细信息

自20世纪80年代后期出现以来,猪繁殖与呼吸综合征（PRRS）已经在大多数养猪国家流行起来.PRRS的病原体是PRRS病毒（PRRSV）,它是单股正链RNA病毒.2006年,中国出现了导致所有年龄的猪高热和死亡的高致病性PRRS（HP-PRRS）.高毒性2型PRRSV已被检测到,并鉴定了非结构蛋白2（nsp2）中常见的缺失位点.HP-PRRS由具有共同遗传特征的病毒引起,现在已经迅速蔓延到东南亚各国.在这里,我们以无特定病原体（SPF）仔猪作为试验对象,通过评估临床特征,血清、唾液和器官中的病毒载体及肉眼和微观病变来评估越南2010年分离株的体内致病力和毒力以及Ingel-vacPRRS MLV的有效性.

关键词：猪繁殖与呼吸综合征病毒活疫苗无特定病原体正链RNA病毒功效菌株 PRRS病毒 PRRSV

Evidence Based Physical Therapy in Child Rehabilitation

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Evidence Based Physical Therapy in Child Rehabilitation

ZEffects of Prolonged Muscle Stretching Both Studiesin vivo and in Vitro

中国康复医学会首届儿童康复学术会议暨中国残疾人康复协会第八届小儿脑瘫学术会议

作者： Kozuka NaokiR.R.T.Ph.D Tachi NobutadaM.D.Ph.D. Kikuchi ShinR.P.T.M.S. Horimoto YoshitakaR.P.T.M.S inui KimiharuR.P.T Ph.D School of Health Sciences Sapporo Medical UniversitySapporoJapan Graduate School of Health Sciences Sapporo Medical UniversitySapporoJapan

This report provides additional information as to the current condition of pediatric physical therapy in Japan. Previously it was thought that evidence based physical therapy (EBPT) has generally been directed at the research of PT only. Recently, a number of PT in Japan was found that EBPT must be considered in both experimental PT and clinical PT.

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ZEffects of Prolonged Muscle Stretching Both Studiesin vivo ...

中国康复医学会首届儿童康复学术会议暨中国残疾人康复协会第八届小儿脑瘫学术会议

作者： inui KimiharulR.P.Ph.DT Mukai KoujiR.P.T.M.S. Ohta MakotoR.P.M.S. THayase TakahideR.P.T. Hayashi MasanoriR.P.T. Nakazawa KazuyaR.P.T. Ido HisanoriR.P.T. Matsuura ShihoR.P.T. Uchida AyakoR.P.T. Kozuka NaokilR.P.T.Ph.D. School of Health Sciences Sapporo Medical UniversitySapporoJapan Depatment of Physical Therapy Nippon Welfare & Rehabilitation SchoolEniwaJapan Division of Rehabilitation Hakodate Goryoukaku HospitalHakodateJapan Division of Rehabilitation Shin-Sapporo Brain Surgery HospitalSapporoJapan Division of Rehabilitation Maruyama Orthopedic HospitalSapporoJapan

[Previous Study] There are many studies about effects of muscle stretching and the results are improvement of R.O.M., circulation and performance, prevention of muscle contracture and muscle or tendon injury during performance and recovery from fatigue. We also studied the effects of prolonged muscle stretching both of in vivo and in vitro since 1996. [Method & Results in vivo] The photo-stimulation response time of knee extension has been measured before and after 60sec quadriceps femoris stretching. The result was that only motion time was significantly delayed. The study of a-motor neuron excitation has been done on soleus muscle for different stretching time. The result was that H-wave amplitudes after 30 and 60sec stretching were smaller than its of control and 5 sec stretching. There are two EMG studies of effects of muscle stretching. After muscle stretching for 60sec, the latency of knee extension reflex was significantly delayed comparative to the value of control and the duration time of muscle activity after 30sec stretching was significantly shorter than it of control. The study of stretching on fatigue muscle has been done using surface EMG power spectral analysis. The results were that the beginning of low frequency appearance was delayed and mean integrative value increasing timing was delayed. [Conclusion in vivo study] These results from in vivo studies suggest that prolonged stretching inhibits muscle excitability and contribute the recovery from fatigue. [Method & Results in vitro] On the other hand, muscle force, miniature end plate potential (MEPP) and end plate potential (EPP) were studied in vitro before and after prolonged muscle stretching. On soleus muscle of rat, muscle force significantly increased after stretching but EDL (extensor digitorum longus) force did not change. Two minutes stretching to fatigued rat soleus muscle was effectiveness for recovery. The values of amplitude and frequency of MEPP were no-significant difference between

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肩袖撕裂与肩峰骨棘之间关系的临床研究

中华关节外科杂志（电子版） 2010年第1期4卷 3-7页

作者：张耀南乾皓明驹井正彦桥本淳金谷整亮信原克哉卫生部北京医院骨科 100730 信原病院暨生物力学研究所整形外科

目的回顾性分析肩袖撕裂患者术前肩关节X线片显示的肩峰骨棘的形态学变化,探讨与其合并肩袖撕裂的关系。方法依据1970年5月至1998年3月间,日本信原病院1068例肩袖撕裂患者的1121个肩关节正位X线片和其临床患者资料。分别测量X线片上超过... 详细信息

目的回顾性分析肩袖撕裂患者术前肩关节X线片显示的肩峰骨棘的形态学变化,探讨与其合并肩袖撕裂的关系。方法依据1970年5月至1998年3月间,日本信原病院1068例肩袖撕裂患者的1121个肩关节正位X线片和其临床患者资料。分别测量X线片上超过1mm的肩峰骨棘大小(A级为≥1～5mm,B级为≥5～10mm,C级为≥10mm)及肩峰下间隙(又称作肩峰与肱骨头间距离,AHI)。临床患者资料分析包括患者的年龄、性别、肩关节疾病史及既往病史,治疗、手术经过等。结果根据肩峰骨棘的形态学变化,本文将肩峰形态分为六型,Ⅰ型(正常肩峰47.6%),Ⅱ型(肩峰下平面的骨棘16.5%),Ⅲ型(外侧肩峰的骨棘3.3%),Ⅳ型(喙肩韧带方向的骨棘11.9%),Ⅴ型(肩锁关节的退变20.4%),Ⅵ型(肩峰的双边征象17.8%);其中534肩(47.6%)无肩峰骨棘(12～87岁,平均54.1岁);587肩(52.4%)有肩峰骨棘(17～83岁,平均59.4岁);肩峰骨棘的患者中467个肩(41.7%)的骨棘为A级,112个肩(10%)为B级,8个肩(0.7%)为C级。801个肩(71.5%)的肩袖撕裂是由创伤所致;不明原因的肩袖撕裂有201个肩(17.9%);过度使用、积累性劳损的是119个肩(10.6%)。AHI的平均值为(8.7±2.6)mm,男性患者为(8.8±2.6)mm,女性患者为(8.4±2.7)mm,在有肩峰骨棘患者群中AHI为(8.4±2.7)mm,无肩峰骨棘患者群中AHI为(9.1±2.5)mm(t=2.93,P0.05)。肩峰骨棘患者群中51～60岁年龄组与61岁以上各年龄组间都有统计学差异(2=64.64,P<0.05)。结论肩关节X线片上肩峰骨棘的形态学分类,有助于医师认识和确诊患者患有肩峰骨棘。本研究认为肩峰骨棘与肩袖撕裂有明确相关性。随着患者年龄的增大,肩袖肌腱和肩峰骨质退行性变的发生,轻微的创伤都有可能导致肩袖撕裂。50岁以上的肩关节患者合并有肩峰骨棘,都应考虑其有肩袖撕裂的可能。

关键词：肩峰肩袖撕裂放射摄影术

γ-TiAl单晶中〈011]超点阵位错的分解及其核心结构

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电子显微学报 1999年第2期18卷 194-199页

作者：吴东海胡赓祥乾晴行山口正治上海交通大学材料科学系上海宝钢集团公司京都大学工学部材料工学教室

［１５２］取向的γ－ＴｉＡｌ单晶（Ｔｉ－５６ａｔ．％Ａｌ）在屈服强度的峰温以下的主要形变方式是（１１１）［０１１］超点阵位错滑移。［０１１］超点阵位错具有不对称的分解方式：［０１１］→１２［０１１］＋（ＡＰＢ）＋１６... 详细信息

［１５２］取向的γ－ＴｉＡｌ单晶（Ｔｉ－５６ａｔ．％Ａｌ）在屈服强度的峰温以下的主要形变方式是（１１１）［０１１］超点阵位错滑移。［０１１］超点阵位错具有不对称的分解方式：［０１１］→１２［０１１］＋（ＡＰＢ）＋１６［１２１］＋（ＳＩＳＦ）＋１６［１１２］；在低温，［０１１］位错大多在（１１１）滑移面上呈平面型核心结构，而在呈现反常屈服现象的温度区域内，１２［０１１］ＡＰＢ不全位错大多交滑移至（１００）面，然后在（１１１）面上分解成ＳＩＳＦ，构成Ｋ－Ｗ钉扎结构。

关键词： γ-TiAl单晶超点阵位错位错分解核心结构

肺恶性病变不用表观系数定量扩散加权成像的高敏感性高特异性诊断

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国际医学放射学杂志 2009年第5期32卷 491-491页

作者： T.Uto Y.Takehara Y.Nakamura T.Naito D.Hashimoto N.inui 王鹤 Department of Internal Medicine Hamamatsu University School of Medicine

目的对照研究高b值扩散加权（DW）MRI表观扩散系数（ADC）与病灶-脊髓信号强度比（LSR）对肺癌与良性病变鉴别。材料与方法本研究经学术审核委员会批准．所有病人都签署了知情同意书。前瞻性复习28例（女6例，男22例；平均年龄64．2岁... 详细信息

目的对照研究高b值扩散加权（DW）MRI表观扩散系数（ADC）与病灶-脊髓信号强度比（LSR）对肺癌与良性病变鉴别。材料与方法本研究经学术审核委员会批准．所有病人都签署了知情同意书。前瞻性复习28例（女6例，男22例；平均年龄64．2岁）胸部CT发现肺结节病人的影像。通过测量病灶与脊髓的信号强度半定量分析2种不同运动探测梯度强度（bh=1000s／mm2与b1=0s／mm2）的DWI。

关键词：扩散加权成像特异性诊断高敏感性恶性病变肺癌信号强度比表观扩散系数知情同意书