• Asian Pacific Journal of Cancer Prevention
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• 제16권3호
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• pp.1225-1233
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• 2015

This study aims to clarify the psychosocial reactions of female patients with gynecological cancer undergoing chemotherapy and in the process of suffering from alopecia and to examine their nursing support. The target group comprised female patients who had received two or more cycles of chemotherapy, were suffering from alopecia, and were aged 30-65. Data were collected from semi-structured interviews, conducted from the time the patients were informed by their doctors that they might experience alopecia due to chemotherapy to the time they actually experienced alopecia and until they were able to accept the change. Inductive qualitative analysis was employed to close in on the subjective experiences of the cancer patients. The results showed the existence of six phases in the psychosocial reactions in the process of alopecia: phase one was the reaction after the doctor's explanation; phase two was the reaction when the hair starts to fall out; phase three was the reaction when the hair starts to intensely fall out; phase four was the reaction when the hair has completely fallen out; phase five was the reaction to behavior for coping with alopecia; and phase six was the reaction to change in interpersonal human relationships. The results also made it clear that there are five types of reaction patterns as follows: 1) treatment priority interpersonal relationship maintenance type; 2) alopecia agitated interpersonal relationship maintenance type; 3) alopecia agitated interpersonal relationship reduction type; 4) alopecia denial interpersonal relationship reduction type; and 5) alopecia denial treatment interruption type. It is important to find out which of the five types the patients belong to early during treatment and provide support so that nursing intervention that suits each individual can be practiced. The purpose of this study is to make clear the process in which patients receiving chemotherapy come to accept alopecia and to examine evidence-based nursing care on patients with strong mental distress from alopecia.

• Asian Pacific Journal of Cancer Prevention
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• 제13권10호
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• pp.5245-5249
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• 2012

Background: Opisthorchis viverrini infection is a serious public-health problem in Southeast Asia especially in Lao PDR and Thailand. It is associated with a number of hepatobiliary diseases and the evidence strongly indicates that liver fluke infection is the major etiology of cholangiocarcinoma. Objectives: This study aimed to determine actual levels of Opisthorchis viverrini infection in Nakhon Ratchasima province, Northeast Thailand. Methods: A cross-sectional survey was conducted during a one year period from October 2010 to September 2011. O. viverrini infection was determined using a modified Kato's thick smear technique and socio-demographic data were collected using predesigned semi-structured questionnaires. Results: A total of 1,168 stool samples were obtained from 516 males and 652 females, aged 5-90 years. Stool examination showed that 2.48% were infected with O. viverrini. Males were slightly more likely to be infected than females, but the different was not statistically significant. O. viverrini infection was most frequent in the 51-60 year age group and was found to be positively associated with education and occupation. Positive results were evident in 16 of 32 districts, the highest prevalence being found in Non Daeng with 16.7%, followed by Pra Thai with 11.1%, Kaeng Sanam Nang with 8.33%, and Lam Ta Men Chai (8.33%) districts. Conclusion: This study indicates that O viverrini is still a problem in some areas of Nakhon Ratchasima, the patients in this study bing suitable for the purpose of monitoring projects.

• Asian Pacific Journal of Cancer Prevention
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• 제14권5호
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• pp.3143-3149
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• 2013

Background: Breast cancer is the most common type of cancer among women in Turkey and around the world. Treatment adversely affects women's physical, psychological, and social conditions. The purpose of this study was to identify the experiences of Turkish women with breast cancer and the facilitating coping factors when they receive chemotherapy. Methods: A phenomenological approach was used to explain the experiences and facilitating factors of breast cancer patients during the treatment period. Data were collected through individual semi-structured interviews. The sample comprised 11 women with breast cancer receiving treatment. Results: At the end of the interviews conducted with women with breast cancer, two main themes were identified: adjustment and facilitating coping factors. The adjustment main theme had two sub-themes: strains and coping. Women with breast cancer suffer physical and psychological strains as well as stress related to social and health systems. While coping with these situations, they receive social support, turn to spirituality and make new senses of their lives. The facilitating coping factors main theme had four sub-themes: social support, disease-related factors, treatment-related factors and relationships with nurses. It has been determined that women receiving good social support, having undergone preventive breast surgery and/or getting attention and affection from nurses can cope with breast cancer more easily. Conclusions: Women with breast cancer have difficulty in all areas of their lives in the course of the disease and during the treatment process. Therefore, nurses should provide holistic care, teaching patients how to cope with the new situation and supporting them spiritually. Since family support is very important in Turkish culture, patients' relatives should be informed and supported at every stage of the treatment.

• The Journal of Asian Finance, Economics and Business
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• 제7권4호
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• pp.299-307
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• 2020

Inter vivos in the context of wealth and estate planning can be generally defined as a transfer that takes place between the livings. Parents are motivated to transfer for altruisme and exchange. In this context, this study aims to explore another potential motives of inter vivos, which is 'affection'. Data is collected through semi-structured interviews with inter vivos experts who have published articles in this area. The interview is encoded and thematic analysis is carried out to classify themes and subthemes that exist in the inter vivos transfers. This study discovers four main themes, which indicate that inter vivos transfers based on affection can be enlightened by the relationship between parents and children, responsibility for children, types of inter vivos, and effects to other heirs. Relationship between parents and children can be explained as parents transfer their wealth to the closest children, children who care for them and to family members only. Parents also are responsible to protect their children after they die and assist them who are in need. Types of inter vivos are considered as boundless inter vivos and without any material return. Inter vivos based on affection also aims not to abuse other heirs.

• Asian Pacific Journal of Cancer Prevention
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• 제15권14호
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• pp.5611-5615
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• 2014

Context: Tobacco is the single largest cause of preventable death among adults globally, as it is in India. Despite this alarming situation, there is very minimal inclusion of tobacco in formal education systems, including the medical discipline, in India. Aims: The present study analyzed the extent of integration of tobacco control related content in Masters of Public Health (MPH) curricula of various institutes in India. Materials and Methods: This cross-sectional study was conducted during January 2011 to May 2011 in all colleges of the country offering a MPH course. The colleges were enlisted using various internet search engines (Google Scholar, Pubmed, Medline), other published literature and snowball technique. A 50 items semi-structured questionnaire was designed, posted and e-mailed (followed by hard copy) to the Person-In-Charge of the MPH program. Statistical Analysis: Descriptive statistics were used to profile the tobacco control content in respective institutions. All data entry and analysis was conducted using SPSS (version 16) for windows. Results: The duration of the MPH course was two years in all institutes and had accreditation with some affiliated body. Tobacco related diseases were covered under 'non communicable diseases' section by every institute. However, a mere 41.4% of institute's had faculty who had received specialized training in tobacco control. More coverage was given to health risks and effects of smoking as compared to cessation interventions (5 A's), symptoms of withdrawal and pharmacological treatments. Only 25% of institutes were in process of introducing tobacco courses into their curricula. Lack of expertise and administrative barriers were cited as perceived major problems in inclusion of tobacco control in MPH curricula. Conclusions: It can be concluded that tobacco control is not receiving adequate attention in public health curricula in India. There is a need for coordinated efforts in the area of tobacco control so as to reduce morbidity and mortality from tobacco induced diseases.

• 정보과학회 컴퓨팅의 실제 논문지
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• 제22권2호
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• pp.77-82
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• 2016

증상 진단 시스템이라 함은 환자가 자신의 증상을 설명하고, 한의사가 증상에 맞는 질병 진단을 내리는 것을 말한다. 증상 진단 시스템을 자동화하기 위해서는 환자의 자연어로 이루어진 증상 설명에 대한 분석이 필요하다. 이에 본 논문에서는 증상 설명에 대하여 형태소 분석을 수행하고 한의학 병증 데이터와 비교하여 적합한 진단을 내리도록 증상 진단 시스템을 개발하였다. 증상 진단 검색의 효율을 높이기 위해서 Document형 NoSQL인 MongoDB를 이용하여 각각의 병증 데이터를 하나의 도큐먼트로 하고, 그 안의 필드값을 유연하게 관리할 수 있도록 데이터베이스를 구축하였다. 또한, 진단의 근거가 되는 한의사의 병증 설명과 환자의 증상 설명에서 사용되는 용어의 차이를 줄일 수 있도록 환자의 증상 설명을 축적하고 정제하여 일반인에게 친숙한 단어로 구성된 설명데이터를 제공할 수 있게 하였다.

• 한국산학기술학회논문지
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• 제18권12호
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• pp.359-371
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• 2017

본 연구에서는 교원임용 시험을 준비하고 있는 기간제 교사들의 교직생활과 삶을 탐색하였다. 이를 위해 10명의 기간제 교사들을 대상으로 반구조화된, 일대일 면담을 진행하였고, 합의적 질적 연구 방법을 사용하여 자료를 분석하였다. 연구결과, 대부분의 참여자들은 경제적 필요를 충족시키고 자신의 꿈인 교사생활의 기쁨과 보람을 맛보며, 임용 시험에 실질적인 도움을 얻고자 기간제 교사직을 선택한 것으로 나타났다. 기간제 교사생활에서 경험하는 어려움으로는 학교 관리자로부터의 차별 대우가 가장 두드러졌으며, 이로 인한 자존감의 저하와 정체성의 혼란을 겪고 있는 것으로 파악되었다. 이러한 차별이 오히려 임용 시험 준비에 대한 강한 의지로 전환되어 참여자들은 안정되고 당당한 교사 신분을 얻기 위해 임용시험준비에 전념하고 있다고 진술하였다. 하지만, 시험준비 과정에서 부족한 공부시간, 끝없는 공부양, 다양한 삶의 역할 수행, 체력 저하, 난해한 시험 유형, 이전 실패경험에서 오는 불안감 등으로 상당한 스트레스를 경험하는 것으로 확인되었다. 연구결과를 토대로 향후 연구의 방향에 대해 제언하였다.

• Journal of Community Nutrition
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• 제8권4호
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• pp.171-176
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• 2006

The study aims to evaluate the nutritional status and influence of school meal intakes on RDA of primary school children in Akure community, Ondo State, Nigeria. A cross-sectional study was conducted among 728 primary school children aged between 6 and 15 years. Data were collected using interviewer-administered semi-structured questionnaires. The questionnaires collect information on demographic characteristics and home dietary intake of the subjects. The heights and weights of the children were measured using a standard procedure and height-far-age and weight-far-height z-score were determined. The children's school meal intakes were weighed for 4 days and samples were collected for chemical analysis. The results showed that 37.8% of the children were not wasted, 35.7% mildly wasted, 18.7% moderately wasted and 7.8% severely wasted. Also, 57.8% were not stunted, 29.3% mildly stunted, 11.0% moderately stunted and 1.9% were severely stunted. The subjects' home dietary intakes showed that 73.6% ate starchy food only, 19.9% ate protein based food, while 11.6% and 11.5% consumed fruits/vegetables and snacks to complement home meals respectively. The chemical composition of school meal was energy 379 - 413kcal, moisture content 5.9 -7.3g, carbohydrate 56.5 - 69.4g, fat 4.6 - 12.7g, crude fiber 0.1 - 2.4g, ash content 3.6 - 8.5g and protein 14.9 - 22.3g. The mineral contents were calcium 45.9 - 59.2mg, sodium 5004 - 59.6mg, zinc 2.3 - 3.1mg, magnesium 55.0 - 61.6mg, potassium 55.3 - 69.3mg, copper 0.2 - 0.3 mg, while others 1.3 - 1.9mg, 243 - 659mg and 831 - 9,510mg were iron, phosphorous and vitamin-A respectively. The contribution of school meals to subjects' RDA was within 2.9% and 1540%. In summary, school meal intake contributed positively to the RDA and nutritional status of the school children.

• 대한지구과학교육학회지
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• 제8권1호
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• pp.66-75
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• 2015

This study is to investigate an argumentation level for elementary school students after analysing an argumentation structure about a socio scientific issue(SSI), and inquire a change of the decision-making according to the refutation materials and empathic situation. This data was collected from the semi-structured interview with the 14 students, grade 6th. For this, the first stage is to present the reading materials about the SSI to the students, let them decision-making and make them argue pro and con about the SSI during the interview. After that, facing with the refutation materials against the existing contention and the empathic situation, the change of the decision-making of the students was conducted. After the research, the level of the argumentation of the students was low, and the students who didn't have the background knowledge about the theme made the decisions according to the values, emotions or intuitions of their own. And the decision-making of the students changed more when presented with the refutation materials and the empathic situation, they were difficult to make the decision because of new information and various stances. Besides, they lacked in the ability that recognize the situation related with their own life, just used the fragmentary knowledge associated with value of life respect. Through these result, it is necessary to produce the refutation materials and empathic materials about the SSI to the students for improving the level of argumentation.

• 한국간호교육학회지
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• 제8권1호
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• pp.84-94
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• 2002

The purpose of this descriptive study was to identify problems and solving strategies on student evaluation of clinical nursing education. Subjects were 239 nurses in 18 hospitals from February to July, 1999. Content analysis using qualitative research method was used to analyze data taking into account the semi-structured questionnaire. The results of this study were as follows: Four categories about problems and solving strategies on the evaluation of clinical nursing education were identified: 'The environment of the clinical nursing education'; 'contents and items of evaluation tool'; 'criteria of evaluation tool'; and 'problems with evaluators in clinical settings'. The problems of the environment of the clinical nursing education were due to the lack of co-ordination between nursing schools and hospitals. In order to solve these problems, the following strategies were suggested: 'initiate a joint meeting between nursing schools and hospitals'; 'do not change the clinical settings frequently'; 'evaluate students after being familiar with them'; and 'evaluate them immediately after clinical practice was ended'. In the problems of contents and items of the evaluation tool, the contents of the tool were very abstract and general. The strategies for treating these problems were to evaluate student using the concrete evaluation items'; refrain from evaluation of nursing knowledge', develop the evaluation tools that are fit for a specific clinical setting'; develop the evaluation tools in line with students' knowledge level; and 'carry out evaluation using the proper contents of tool. The problems of criteria of the evaluation tools were the results of the lack of the clear criteria. The strategies for treating these problems were 'develop the criteria of the evaluation tool'; simplify the range of the cores or evaluate students using check-list'; to evaluate students in objective manner'. The problem of evaluators in clinical settings was due to the failure by evaluators who were not prepared for the task. The strategies were 'to educate and prepare the evaluators before evaluation'.