A Comparative Study Measuring Surface Pressure Among Variation of Adhesive Dressing Methods.

Abstract A Comparative Study Measuring Surface Pressure Among Variation of Adhesive Dressing Methods.   Suphakan      Techapongsatorn      MD.,* Anan               Manomaipiboon         MD., MSc (Clinical Epidemiology)* Cherdchai      Kittipovanon               MD.,* Satit                Srimontayamas         MD.,* Pong               Kanchanasuttirak      MD.*   *Department of Surgery, Bangkok Metropolitan Administration Medical College and Vajira Hospital   Objective: To compare the surface pressure of various adhesive dressing after mastectomy. Study design: Experimental study in thoracic and breast model. Intervention: Four types of adhesive dressing, including 1)         adhesive dressing with fixumull® 2)         adhesive dressing with OCL elastic bandage BPC 3)         adhesive dressing with tensoplast®  EAB 4)         adhesive dressing with compressive brassiere, were applies to the model. Surface pressure was measures at 0, 1, 6, 24 hours. The experiment was repeated for 6 times. Data were analysed by using ANCOVA and repeated measure analysis. Results: The surface pressure of adhesive dressing with fixumull®, OCL elastic bandage BPC®  , tensoplast®  EAB and compressive brassiere were not different. The surface pressure of adhesive dressing from compressive brassiere was the most sustainable during the first 24 hours. Conclusion: Each kinds of adhesive dressing produced different pressure. the adhesive dressing from compressive brassiere was the most sustainable of the surface pressure than others. Vajira Med J 2005 ; 49 : 117 - 122

Knowledge, Attitude and Behavior of Women towards Breast Cancer Screening

Abstract Knowledge, Attitude and Behavior of Women towards Breast Cancer Screening Cherdchai             Kittipovanon                  MD* Suphakarn           Techapongsatorn          MD, MSc (Health Development), FICS** * Somdej Prayuparaj Kranuan Hospital, Khon Kaen ** Department of Surgery, BMA Medical College and Vajira hospital Objective: To study the knowledge, attitude and behavior of Thai women towards breast cancer screening. Study design: Descriptive study. Subjects: Two hundred women attending out-patient clinic of the Department of Surgery or visitors of in-patients in the surgical wards at BMA Medical College and Vajira hospital or Somdej Prayuparaj Kranuan Hospital, Khon Kaen during August - December 2007 were enrolled into the study. Methods: Self-administered questionnaires about knowledge, attitude and behavior towards breast cancer screening were distributed to the subjects. Data were collected and analysed. Main outcome measures: Knowledge, attitude, and behavior towards breast cancer screening. Results: Seventy-five percent of subjects had knowledge towards breast cancer screening by self examination and 70% had knowledge towards breast cancer screening by the physicians. Regarding the attitude towards breast cancer screening, 93% had good attitude to self-breast examination, 70% to the physicians' breast examination, and 95% to mammography. However, only 70% had ever performed the breast-self examination and only 30% ever sought for medical consultation for breast examination and mammography. Conclusion: Majority of subjects had good knowledge and attitude towards breast cancer screening, but only 30% went for medical breast examination and mammography. Vajira Med J 2009 ; 53 : 261-266