• Title/Summary/Keyword: Tool Setting

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Oncology Nurses Knowledge and Attitudes Regarding Cancer Pain Management

  • Shahriary, Shahdad;Shiryazdi, Seyed Mostafa;Shiryazdi, Seyed Ali;Arjomandi, Amir;Haghighi, Fatemeh;Vakili, Fariba Mir;Mostafaie, Naiemeh
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.17
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    • pp.7501-7506
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    • 2015
  • Background: Oncology nurses play a crucial role in cancer pain management and must be highly informed to ensure their effective practice in the cancer setting. The aim of this study was to determine the baseline level of knowledge and attitudes of oncology nurses regarding cancer pain management. Materials and Methods: A cross-sectional survey research design was employed. The sample comprised 58 cancer nurses working in Shahid Sadoughi hospital, Yazd, Iran. The "Nurses Knowledge and Attitudes Survey Regarding Pain" (NKAS) tool and a demographic form were utilized to ascertain the knowledge and attitudes of oncology nurses working in oncology settings. Results: The average correct response rate for oncology nurses was 66.6%, ranging from 12.1% to 94.8%. The nurses mean score on the knowledge and attitudes survey regarding pain management was 28.5%. Results revealed that the mean percentage score overall was 65.7%. Only 8.6% of nurse participants obtained a passing score of 75% or greater. Widespread knowledge deficits and poor attitudes were noted in this study, particularly regard pharmacological management of pain. Conclusions: The present study provides important information about knowledge deficits in pain management among oncology nurses and limited training regarding pain management. Our results support the universal concern of inadequate knowledge and attitudes of nurses regarding cancer pain. It is suggested educational and quality improvement initiatives in pain management could enhance nurses knowledge in the area of pain and possibly improve practice.

Profile of Lymphadenopathy in Kashmir Valley: a Cytological Study

  • Qadri, Sumyra Khurshid;Hamdani, Nissar Hussain;Shah, Parveen;Lone, Mohammad Iqbal;Baba, Khalil Mohammad
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.8
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    • pp.3621-3625
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    • 2012
  • Lymphadenopathy is one of the commonest and significant manifestations of local as well as systemic ailments, especially malignancies. Fine needle aspiration cytology (FNAC) helps in diagnosing the disease itself, in general, but more importantly ruling out malignancy, in particular. Hence it saves much of the cost and use of resources incurred with excision biopsy of such lymph nodes. This prompted us to study the cytologic patterns of lymphadenopathy in our setting and the diagnostic utility of FNAC in the evaluation of lymphadenopathy. In this retrospective observational study, 1,579 patients (953 males and 626 females) with lymphadenopathy who were subjected to FNAC over a period of three years (January 2009 to December 2011) were studied. The cervical region was involved in most of the cases (76%) followed by the axillary region (17.5%). Metastatic malignancy (38.2%) was the commonest cause of lymphadenopathy followed by reactive lymphoid hyperplasia (36.9%), tuberculosis (9.1%) and lymphomas (8.6%). Squamous cell carcinoma (32.2%) followed by adenocarcinoma (21.9%) were the most frequent metastatic tumors. FNAC is a useful diagnostic tool in the management of patients presenting with lymphadenopathy and should be considered before more invasive and costly procedures are performed, particularly in developing countries.

An Internet Stopper Using ARP Spoofing with Automatic Node Identification (자동 노드 인식 기능을 갖는 ARP 스푸핑을 이용한 인터넷 차단기)

  • Jung, In-Hwan
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.11 no.6
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    • pp.93-106
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    • 2011
  • In this paper we describe an efficient and easy to use internet stopper, which is called AINS (Automatic Internet Stopper), which uses ARP spoofing scheme. Instead of forwarding packets to router for the case of hacking, in ARP spoofing, the AINS ignores all the packets so that internet stopping operates. The AINS program needs to be installed only in manager computer that does not require additional agent program. In addition to setting manually the stopping computer list, it is able to indentify network nodes automatically by analyzing broadcasting packets. The experimental results show that less than 4 secs for spoofing interval is enough for blocking internet usage regardless the number of computers and therefore network overhead is negligible. The AINS can indentify and control network nodes not only on same subnet but also on different subnet only if they are connected onto same ethernet switch physically. It is being used for an efficient tool for controling internet usage of university computer laboratory and also for an efficient network management.

The study on Mibyeong and Quality of life according to Sasang constitution (사상체질(四象體質)에 따른 미병(未病)과 삶의 질에 관한 연구)

  • Kim, Su-Jung;Bae, Kwang-Ho;Lee, Eun-Young;Lee, Si-Woo
    • Journal of Sasang Constitutional Medicine
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    • v.29 no.1
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    • pp.21-28
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    • 2017
  • Objectives The purpose of this study was to investigate of Quality of life and Mibyeong index of abnormal symptoms by Sasang constitution. Methods A total of 1,100 people were recruited into this study and were collected by Gallup Korea. Sasang constitutions were diagnosed based on KS-15 (Korean sasang constitutional diagnostic questionnaire) Questionnaire which comprised body type, personality and symptom. In addition, SF-12 (Shot form-12) questionnaire was used to evaluate the quality of life status. Mibyeong status was categorized through Mibyeong tool. Data were analyzed through one-way ANOVA to investigate the difference between quality of life and Mibyeong index on Sasang constitution. Results The PCS (physical component scale) which represents the physical health index and MCS (mental component scale) which represents mental health index showed significant differences among Sasang constitution (p<.001). In addition, The Mibyeong Index (p<.001) which represents abnormal symptom type showed significant difference for Sasang constitution. As for the Mibyeong, only pain (p=0.047) and fatigue (p=0.021) had changes for the Sasang constitution. Conclusions Quality of life and Mibyeong index vary significantly according to Sasang constitution. This results suggest the analysis of Mibyeong index by Sasang constitution could provide the setting of direction to promote public health depending on Sasang constitution.

Correlations Among the Berg Balance Scale, Gait Parameters, and Falling in the Elderly (노인에서 Berg 균형 척도, 보행 변수, 그리고 넘어짐과의 관계)

  • Lee, Hyun-Ju;Yi, Chung-Hwi;Yoo, Eun-Young
    • Physical Therapy Korea
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    • v.9 no.3
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    • pp.47-65
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    • 2002
  • This study examined the correlations among the Berg Balance Scale, which is a clinical tool used to evaluate balance ability, spatiotemporal parameters of gait, and falling; determined the parameters most closely related to falling; and identified a discriminatory parameter and its predictability. Thirty-four subjects aged 72 to 92 years participated in this study. Following a questionnaire survey about falling, the Berg Balance Scale and spatiotemporal parameters of gait were measured. The results revealed that the incidence of falls increased with aging and an accompanying reduction in the flexion range of motion of the hip joint. The gait characteristics of elderly people who fell easily included a slower walking speed, shorter stride, and longer stance time than other elderly. When the cutoff score was set at 45, the Berg Balance Scale was able to identify correctly those individuals who truly have experience of falling than when the cutoff score was set at 39. But when the cutoff score was set at 39, the scale's specificity identifying correctly those individuals who truly have not experience of falling was higher than at the cutoff score of 45. Therefore, the Berg Balance Scale is an appropriate screening method in a clinical setting for the early detection of elderly people at risk of falling. In conclusion, elderly people with a Berg Balance Scale score. below 45 are the most likely to fall owing to their decreased balance ability.

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A Preliminary Study for the Standardization of Korean Version of the Remission from Depression Questionnaire (K-RDQ) (한글판 우울증 관해 질문지의 표준화 예비 연구)

  • Synn, Yeni;Kim, Hee-Cheol;Cho, Hyun-Ju;Kim, Min-Kyung;Kim, Jung-Bum
    • Anxiety and mood
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    • v.10 no.2
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    • pp.115-127
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    • 2014
  • Objective : Existing depression rating scales do not fully reflect depressed patients' perspective of remission, which goes beyond symptom resolution. The Remission from Depression Questionnaire (RDQ) captures a broader array of domains, and the present study examines the reliability and validity of the Korean Version of the RDQ (K-RDQ). Methods : The test-retest reliability of the K-RDQ was studied in 60 depressed patients and 30 normal subjects working at a university hospital. Subjects were evaluated at baseline and again 1-2 weeks later. The validity of the K-RDQ was studied in 200 depressed patients who were rated on the 17-item HDRS and the CGI-S ; each patient also completed the QIDS-SR, STAI-S, GHQ/QL-12, and SDS. Results : The K-RDQ demonstrated excellent internal consistency, with a Cronbach's ${\alpha}$ of 0.965 for the total scale and above 0.80 for each of the 7 subscales. The test-retest reliability of the total scale was 0.951. Mean K-RDQ scores ($45.79{\pm}18.65$) of the depressed patients were significantly higher than those ($15.87{\pm}10.60$) of the mentally healthy subjects (t=12.8, p<0.001). Five factors from the K-RDQ were extracted by principal axis factoring with equimax rotation. Conclusion : These results indicate that the K-RDQ is a reliable and valid measure that evaluates multiple domains that depressed patients consider important in determining remission. Thus, the K-RDQ maybe considered an appropriate tool for use in the clinical setting.

Diagnostic Value of Protein Ki67 (MIB-1) in Atypical Pap Smears of Postmenopausal Women

  • Fakhrjou, Ashraf;Dastranj-Tabrizi, Ali;Ghojazadeh, Morteza;Ghorashi, Sona;Velayati, Atefeh;Piri, Reza;Vahedi, Amir;Sayyah-Melli, Manizhe;Smaeili, Heydar-Ali;Bonakdari, Amir;Halimi, Monireh;Naghavi-Behzad, Mohammad
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.8
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    • pp.4815-4818
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    • 2013
  • Background: Atrophic epithelium of cervix sampled from postmenopausal women may mimic high-grade cervical intraepithelial neoplasia in Papanicolaou-stained (Pap) smears. Ki-67 (MIB-1) protein presents on proliferating cells, and percentage of cells with positive nuclei provides a reliable tool for rapid evaluation of the growth fraction. The aim of this study was to determine the diagnostic value of protein Ki67 staining in atypical pap smears of postmenopausal women. Methods: In a case-control setting, pap smears of 75 women with an atypical pap smear (case group) and 75 with normal pap smears (controls) were obtained before and after estrogen treatment. Afterward, samples were exposed to the monoclonal antibody Ki-67 (MIB-1) and the immunohistochemically demonstrated Ki-67+ cells were compared. Results: Mean ages of cases and controls were $60.4{\pm}4.5$ and $59.9{\pm}4.3$ years respectively (P=0.50). There was one (2.7%) positive Ki-67 specimen in the case group, without any positive Ki-67 specimen in the control group (P=0.50). Conclusions: Measurement of proliferative activity index in Pap smears restrained with MIB1 is a simple, reliable, and cost-effective method for excluding negatives. This would imply that it might allow a substantial reduction of diagnostic estrogen courses and subsequent Pap smears in postmenopausal women with atypical findings.

Visual Cues As a Predictor for Better Design: An Integrated Approach to Observers' Evaluation of Aesthetic Beauty

  • Lee, Do Young
    • Architectural research
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    • v.4 no.1
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    • pp.7-16
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    • 2002
  • In order to examine theoretical underpinnings of preference for built forms, 129 subjects are asked to rate a series of 9 slides of residential houses depicting a wide range of architectural styles on a 5 point scale, for coherence, complexity, excitement, familiarity, and natural harmony, respectively. Based on Lee's (2002a, 2002b) two previous studies addressing the issue of aesthetic beauty evaluation for man-made creatures (e.g., residential housing scenes), this study summarizes several meaningful findings. As reported by all the subjects, first, both "desire to visit" and "desire to live in" turned out to be a good predictor of preference as the two measures are highly correlated in statistically significant levels (99.9%). People who desire to visit a spot are more likely to desire to live in it. Second, Pearson's correlations showed that coherence is the opposite end of complexity. The more likely a housing setting is hanging together, the less likely it looks to be complex. Overall, though, it is not clear that the two variables work directly in that way, as weighted on preference ratings. That is, coherence and complexity are likely to be totally two independent systems that affect the ratings of preference. Third, both excitement and environmental sensitivity (e.g., harmony of a house with its surrounding nature) most highly account for the preference for various housing scenes, while familiarity has only a little effect on preference ratings. Possibly, people like or dislike a visual thing, no matter how much they are familiar with it. Finally, this study suggested that design professionals could communicate effectively with their clients if sets of visual standards as an appropriate communication tool for better design are properly established.

Fast, ethical and sustainable - The challenge for twenty-first century fashion producers -

  • Hann, Michael;Wang, Chaoran
    • The Research Journal of the Costume Culture
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    • v.24 no.1
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    • pp.114-117
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    • 2016
  • It is recognized that the global apparel market of the twenty-first century is largely profit driven, and that the majority of producers and retailers have sourced products from the lowest cost locations. Purchase tickets of fashion goods available from 'fast' fashion retailers (at least within the UK) refrain from providing the consumer with details of the full circumstances of production. It seems that the majority of major retailers and producers are not willing to engage in levels of self-regulation which could ensure that the products offered to consumers are ethically produced and offer acceptable levels of sustainability. Meanwhile many fashion consumers have the desire to purchase sustainable products, produced ethically by workers paid fair wages in safe working environments. Consumer demand could be a powerful tool to adjust the behaviour of manufacturers and buyers. This paper proposes the introduction of international legislation demanding greater degrees of transparency than exist currently and that the full sourcing and production details of fashion products are stated clearly on the product's purchase ticket within its retail setting. With the introduction of such legislation, consumers could thus be given the opportunity of purchasing goods which they feel accommodate their own views on ethical manufacture and sustainable products. In turn, consumer pressure could ensure indirectly that retail buyers consider all ethical and sustainable aspects of production when negotiating with garment producers/suppliers. Further to this, such a negotiating stance could ensure the improvement of the terms and conditions of employment of the numerous garment workers worldwide.

Reducing the frequency of processor thrashing using guarantee/reservation in process migration (작업 이주시 보장/예약 기법을 이용한 프로세서 쓰레싱 빈도 감소)

  • Lee, Jun-Yeon;Im, Jae-Hyeon
    • The KIPS Transactions:PartA
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    • v.8A no.2
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    • pp.133-146
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    • 2001
  • In a dynamic load distribution policies, each node gathers the current system sates information before making a decision on load balancing. Load balancing policies based on this strategy can suffer from processor thrashing. In this paper, we propose a new algorithm which attempts to decrease the frequency of the processor thrashing, the algorithm is based on the integration of three components. The first, the algorithm of which determine the size of jobs be transferred. The second, negotiation protocol with obtains a mutual agreement between a sender and a receiver on the transferring job size. And the third, a symmetrically-initiated location policy. The algorithm proposed in this paper used Siman IV as simulation tool to prove the improvement of performance. I analyzed the result of simulation, and compared with related works. The mean response time shows that there are no difference with existing policy, but appear a outstanding improvement in high load. The thrashing coefficient that shows the average response time, CPU overhead and the thrashing ratio at both the receiving and sending node has been used in the analysis. A significant improvement in the average response time and the CPU overhead ratio was detected using our algorithm when an overhead occurred in the system over other algorithm. The thrashing coefficient differed in the sending node and the receiving node of the system. Using our algorithm, the thrashing coefficient at the sending node showed more improvement when there was an overhead in the system, proving to be more useful. Therefore, it can be concluded that the thrashing ratio can be reduce by properly setting the maximum and minimum value of the system’s threshold queue.

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