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| 1 | Perceived risk as a barrier to appropriate diagnosis of irritable bowel syndrome显示文摘AIM:To evaluate perceived risk,diagnostic testing,and acceptance of a diagnosis of irritable bowel syndrome(IBS)among the Korean laypersons.METHODS:We designed a conceptual framework to evaluate the health-seeking behavior of subjects based on a knowledge,attitude,and practice model.We developed a vignette-based questionnaire about IBS based on a literature review and focused group interviews.The vignette described a 40-year-old woman who meets the RomeⅢcriteria for IBS without red-flag signs.It was followed by questions about demographic characteristics,health behaviors,IBS symptoms,risk perception,perceived need for diagnostic tests,and acceptance of a positive diagnosis of IBS.Weplanned a nationwide survey targeting laypersons without IBS and between the ages of 20 and 69 years.Survey participants were selected by quota sampling stratified by gender,age,and nationwide location.A multivariate logistic model was constructed based on literature reviews,univariate analysis,and a stepwise selection method to investigate correlations between the perceived risk,need for diagnostic tests,and acceptance of a positive diagnosis.RESULTS:Of 2354 eligible households,1000 subjects completed the survey and 983 subjects were analyzed,excluding those who met symptom criteria for IBS.After reading the IBS vignette,the majority of subjects(86.8%)responded that the patient was at increased risk of severe disease.The most frequent concern was colon cancer(59.8%),followed by surgical condition(51.5%).Most subjects responded the patient needs diagnostic tests(97.2%).Colonoscopy was the most commonly required test(79.5%).Less than half of the respondents requested a stool examination(45.0%),blood test(40.7%),abdominal ultrasound(36.0%),or computed tomography(20.2%).The subjects who felt increased risk were more likely to see a need for colonoscopy[adjusted odds ratio(a OR)=2.10,95%CI:1.38-3.18].When asked about the positive diagnosis,the most frequent response was that'the patient would not be reassured'(65.7%).The increased risk perception group was less likely to be reassured by a positive diagnosis of IBS,compared to the other respondents(a OR=0.52,95%CI:0.34-0.78).CONCLUSION:For IBS diagnosis,increased risk perception is a possible barrier to the appropriate use of diagnostic tests and to the patient’s acceptance of a positive diagnosis. | Eunmi Ahn Ki Young Son Dong Wook Shin Min Kyu Han Hyejin Lee Ah Reum An Eun Ho Kim Be Long Cho | 2014 | World Journal of Gastroenterology2014，20，48： | 2 |
| 2 | Factors associated with use of gastric cancer screening services in Korea显示文摘AIM: To identify the factors associated with participation in gastric cancer screening programs. METHODS: Using data from the Korea National Health and Nutrition Examination Survey 2005 (KNHANES Ⅲ), a nationwide health-related surveyin Korea, a cross-sectional study was performed to investigate the multiple factors associated with gastric cancer screening attendance among persons aged at least 40 years. The study population included 4593 individuals who completed a gastric cancer screening questionnaire and had no previous cancer history. Four groups ofindividual-level or environmental level covariates were considered as potential associated factors.RESULTS: Using KNHANES Ⅲdata, an estimated31.71% of Korean individuals aged at least 40 years adhered to gastric cancer screening recommendations. Subjects who graduated from elementary school[adjusted odds ratio (aOR), 1.66; 95% CI: 1.21-2.26], middle/high school (aOR, 1.38; 95% CI: 1.01-1.89), and university or higher (aOR, 1.64; 95% CI: 1.13-2.37) were more likely to undergo gastric cancer screening than those who received no formal education at all. The population with the highest income tertile had more attendance at gastric screening compared to those with the lowest income tertile (aOR, 1.36; 95% CI: 1.06-1.73). Gastric screening was also negatively associated with excessive alcohol consumption (aOR, 0.71; 95% CI: 0.53-0.96). A positive attitude to preventive medical evaluation was significantly associated with better participation in gastric cancer screening programs (aOR, 5.26; 95% CI: 4.35-6.35). CONCLUSION: Targeted interventions for vulnerable populations and public campaigns about preventive medical evaluation are needed to increase gastric cancer screening participation and reduce gastric cancer mortality. | Young Min Kwon Hyung Taek Lim Kiheon Lee Be Long Cho Min Sun Park Ki Young Son Sang Min Park | 2009 | World Journal of Gastroenterology2009，15，29： | 2 |
| 3 | A meta-analytic examination of the correlaes of three dimensions of job burnout显示文摘 | LEE RT Ashforth BE | 1996 | Journal of Applied Psychology1996，81，： | 1 |
| 4 | Channel-mediated tonic GABArelease from glia显示文摘 | Lee S Yoon BE Berglund K | 2010 | Science2010，330，6005： | 1 |
| 5 | Laparoscopic nephroureterctomy with bladder-cuff resection techniques and outcomes显示文摘 | Tan BJ Ost MC Lee BE | 2005 | Endourol2005，19，6： | 1 |
| 6 | Air pollution exposure and health effects in fetus 显示文摘 | Lee BE Park HS Kim YJ | 2004 | J Prev Med Public Health2004，37，4： | 1 |
| 7 | Components of the metabolic syndrome and risk of cardiovascular disease and diabetes in Beaver Dam显示文摘 | Klein BE Klein R Lee KE | 2002 | Diabetes Care2002，25，10： | 1 |
| 8 | Vascular evaluation and arterial reconstruction of the diabetic foot显示文摘 | Sumpio BE Lee T Blume PA | 2003 | Clin Podiatr Med Surg2003，20，4： | 1 |
| 9 | Components of the metabolic syndrome and risk of cardiovascular disease and diabetes in Beaver Dam 显示文摘 | Klein BE Klein R Lee KE | 2002 | Diabetes Care2002，25，： | 1 |
| 10 | Association of polymorphisms in microRNA machinery genes (DROSHA, DICER1, RAN, and XPO5) with risk of idiopathic primary ovarian insufficiency in Korean women显示文摘 | Rah H Jeon Y J Lee BE | 2013 | Menopause2013，20，10： | 1 |
| 11 | Gastric glomus tumor: analysis of endosonographic characteristics and computed tomographic findings 显示文摘 | Baek YH Choi SR Lee BE | 2013 | Dig Endosc2013，25，1： | 1 |
| 12 | Vascular evaluation and arterial reconstruction of the diabetic foot显示文摘 | Sumpio BE Lee T Blume PA | 2003 | Clinlcs in Podiatric Med Surg2003，20，4： | 1 |
| 13 | Recent clinical overview of renal and perirenal abscesses in 56 consecutive cases显示文摘 | Lee BE Seol HY Kim TK | 2008 | Kore- an J Intern Med2008，23，3： | 1 |
| 14 | Tumor necrosis factor gone polymor- phisms in Korean patients with recurrent spontaneous abortion显示文摘 | Lee BE Jeon YJ Shin JE | 2013 | Re- prod Sci2013，20，4： | 1 |
| 15 | Genomic organization of the human p57KIP2 gene and its analysis in the G401 Wilms tumor assay显示文摘 | Reid LH Crider-Miller SJ West A Lee MH Massague J Weiss- man BE | 1996 | Cancer Res1996，56，6： | 1 |
| 16 | Congenital cytomegalovirus infection in high-risk Canadian infants: Report of a pilot screening study显示文摘 | Vaudry W Rosychuk ILl Lee BE | 2010 | Can J Infect Dis Med Microbiol2010，21，1： | 1 |
| 17 | Epidemiology andgenotype analysis of sapovirus associated with gastroenteritisoutbreaks in Alberta, Canada: 2004-2007显示文摘 | PANG XL LEE BE TYRRELL GJ | 2009 | J InfectDis2009，199，4： | 1 |
| 18 | Vascular evaluation andarterial reconstruction of the diabetic foot显示文摘 | Sumpio BE Lee T Blume PA | 2003 | Clin Podiatr MedSurg2003，20，4： | 1 |
| 19 | In vivo requirement for Atg5 in antigen presentation by dendritic ceils显示文摘 | Lee HK Matthei LM Steinberg BE | 2010 | Immunity2010，32，2： | 1 |
| 20 | Vascular evaluation and arterial reconstruction of the diabetic foot显示文摘 | Sumpio BE Lee T Blume PA | 2003 | Clin Podiatr Med Surg2003，20，： | 1 |
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