• Title/Summary/Keyword: intervention of state

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Psychosocial Response and Symptom Burden for Male Smokers with Lung Cancer

  • Niu, Zhi-Min;Liang, Chun-Shui;Yu, Min;Wang, Yong-Sheng;Yu, Hai-Xia;Zhang, Qiong-Wen;Wei, Yu-Quan
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.1
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    • pp.309-314
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    • 2014
  • Purpose: Cigarette smoking causes many kinds of cancer, and it is more closely related with lung cancer, rather than other cancers. Smoking is the leading cause of lung cancer and ninety percent of the smokers are male in China, but there is little published data concerning the psychological responses in the male smokers with lung cancer and its influence on the symptom burden. The aim of the study was to verify the hypothesis that male smokers with lung cancer have more positive attitude and less symptom burden, comparing to male non-smokers. Methods: A total of 194 men with cancer in West China Hospital, Sichuan, China, were assessed by self-administered questionnaire. Psychological response was measured by the Chinese version of Mini-Mental Adjustment to Cancer scale (Mini-MAC), and symptom burden was measured by the physical symptom distress scale from the Rotterdam Symptom Checklist (RSCL). Results: We found that smokers with lung cancer got higher scores in positive attitude and a smaller symptom burden than non-smokers. Patients with education lower than high school got higher scores of positive attitude compared to college graduate patients (p=0.038). Smokers with lung cancer who knew the potential carcinogenicity of cigarette showed less negative emotions (p=0.011). The psychological response was not affected by age, clinical stage, cell type, smoking duration and amount. Conclusions: Male smokers with lung cancer have a more positive attitude and fewer symptoms, comparing to male non-smokers. Appropriate psychological intervention for non-smokers with lung cancer deserves more attention.

Effect of Pre-Procedural State-Trait Anxiety on Pain Perception and Discomfort in Women Undergoing Colposcopy for Cervical Cytological Abnormalities

  • Baser, Eralp;Togrul, Cihan;Ozgu, Emre;Esercan, Alev;Caglar, Mete;Gungor, Tayfun
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.7
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    • pp.4053-4056
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    • 2013
  • Background: Colposcopy is the gold standard procedure for evaluating cervical cytological abnormalities. Although it is essentially a minimally invasive intervention, referral for colposcopy may cause significant distress on patients. In this study, we aimed to determine if pre-procedural anxiety levels have a significant association with procedure related pain and discomfort in women undergoing colposcopy for evaluation of abnormal cervical cytology. We also assessed the impact of various clinical factors on anxiety, pain and discomfort in these patients. Materials and Methods: This prospective study was performed at the gynecologic oncology department of Zekai Tahir Burak Women's Health Education and Research Hospital in Ankara, Turkey between January and June 2013. After taking informed consent, State-Trait Anxiety Inventory (STAI) form and a 14-item questionnaire were filled for women who were admitted to our outpatient colposcopy unit for evaluation of abnormal cervical cytology. STAI scores were calculated for each participant. Immediately after the procedure, visual analog scale (VAS) scores for procedure-related pain and discomfort were obtained. Associations between STAI and VAS scores were investigated using correlation analyses. The effect of various contributing factors on anxiety, pain and discomfort were evaluated with linear regression analysis. The p values less than 0.05 were considered statistically significant. Results: A total of 222 women met the inclusion criteria within the study period. Mean patient age was $38.5{\pm}9.6$. Median state and trait anxiety scores were 47 and 46, respectively. Median VAS scores for pain and discomfort were 4 for both variables. State anxiety had a significant correlation with procedure related discomfort (p=0.02). Colposcopy related pain VAS scores were significantly affected by state anxiety level, marital status and prior gynecological examination (p<0.05). Colposcopy related discomfort VAS scores were significantly affected by state anxiety level, marital status, prior gynecological examination and educational status. Conclusions: Additional measures should be implemented in women that carry higher risk for experiencing pain and discomfort. Social, cultural and lifestyle issues may also affect women's experiences during colposcopy, therefore further studies are needed to define specific determining factors in various populations.

Constipation anti-aging effects by dairy-based lactic acid bacteria

  • Mohamad Hafis Jaafar;Pei Xu;Uma-Mageswary Mageswaran;Shandra-Devi Balasubramaniam;Maheswaran Solayappan;Jia-Jie Woon;Cindy Shuan-Ju Teh;Svetoslav Dimitrov Todorov;Yong-Ha Park;Guoxia Liu;Min-Tze Liong
    • Journal of Animal Science and Technology
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    • v.66 no.1
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    • pp.178-203
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    • 2024
  • Constipation, which refers to difficulties in defecation and infrequent bowel movement in emptying the gastrointestinal system that ultimately produces hardened fecal matters, is a health concern in livestock and aging animals. The present study aimed to evaluate the potential effects of dairy-isolated lactic acid bacteria (LAB) strains to alleviate constipation as an alternative therapeutic intervention for constipation treatment in the aging model. Rats were aged via daily subcutaneous injection of D-galactose (600 mg/body weight [kg]), prior to induction of constipation via oral administration of loperamide hydrochloride (5 mg/body weight [kg]). LAB strains (L. fermentum USM 4189 or L. plantarum USM 4187) were administered daily via oral gavage (1 × 10 Log CFU/day) while the control group received sterile saline. Aged rats as shown with shorter telomere lengths exhibited increased fecal bulk and soften fecal upon administration of LAB strains amid constipation as observed using the Bristol Stool Chart, accompanied by a higher fecal moisture content as compared to the control (p < 0.05). Fecal water-soluble metabolite profiles showed a reduced concentration of threonine upon administration of LAB strains compared to the control (p < 0.05). Histopathological analysis also showed that the administration of LAB strains contributed to a higher colonic goblet cell count as compared to the control (p < 0.05). The present study illustrates the potential of dairy-sourced LAB strains as probiotics to ameliorate the adverse effect of constipation amid aging, and as a potential dietary intervention strategy for dairy foods including yogurt and cheese.

Effects of Extracts from the Mushroom Keumsa Sangwhang (Phellinus linteus) on Fasting Blood Glucose and Cholesterol Levels in Human (금사상황버섯 추출물 복용이 공복혈당 및 혈중지질농도에 미치는 효과)

  • Kim, Yong-Dae;Kim, Nam-Sik;Eom, Sang-Yong;Kim, Sung-Hoon;Kang, Jong-Won;Lee, Sang-Won;Park, Soon-Young;Kim, Jeong-Su;Kim, Heon;Hong, Jang-Soo
    • Journal of the Korean Society of Food Culture
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    • v.23 no.1
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    • pp.68-72
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    • 2008
  • This study demonstrated the effects of extracts from the mushroom Keumsa sangwhang(Phellinus linteus) (KPLE) on fasting glucose and cholesterol levels in human blood. In this double-blind, placebo-controlled human intervention study, healthy volunteers were randomized to receive 3.3 g of KPLE (n=31) or placebo (n=31) per day by oral administration for 8 weeks. The cholesterol and fasting serum glucose levels were evaluated before and after treatment. The fasting serum glucose level was significantly decreased by KPLE administration (p<0.01), but the total cholesterol, triglyceride, HDLcholesterol and LDL-cholesterol concentrations did not change. This study suggests a possibility that KPLE may be useful as a functional food for the prevention of diabetes mellitus.

The effect of the hand massage on anxiety of the cancer patients receiving radiation treatment (손맛사지가 방사선요법을 받는 암환자의 불안에 미치는 영향)

  • 박미성;서문자
    • Journal of Korean Academy of Nursing
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    • v.25 no.2
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    • pp.316-329
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    • 1995
  • The purpose of this study was to exame the effectiveness of the hand massage as an independent nursing intervention for the cancer patients undergoing radiation therapy. The data were collected with quasiexperimental research design from 40 subjects-20 for experimental group and 20 for control group-of the radiation oncology department of one university hospital in Seoul from January 10th to March 29th, 1994. Subjects agreed to participate in this study and ranged in age from 18 to 82 years with mean age of 52.63. They had insight of their disease and had undergone radiotherapy at least twice. The hand massage developed by Mariah Snyder (1993) based on the Swedish Massage was administered to the experimental group prior to having radiation therapy at the waiting place of radiotherapy room. Hand massage was given to each hand of patient for five minutes once a day. Measurement of the patient's blood pressure, pulse rate, state anxiety and mood were done before and after the administration of hand massage for 5 days. The data were analyzed with paired t-test, t-test an4 the results were summarized as follows ; 1. After administration of the hand massage, the diastolic blood pressure of experimental group was decreased significantly, while the systolic blood pressure and the pulse rate were decreased, but not significantaly. 2. In the experimental group, the level of anxiety was significantaly lower than control group. The mean scores of the difference of the anxiety level after having hand massage was 8.60 in the experimental group and 0.75 in the control group. 3. The difference of the mood scores before and after the massage in the experimental group was decreased significantly. The mean mood score was decreased 4.80 in the experimental group as compared with 2.02 in the control group. 4. The patients after having the hand massage expressed subjectively their feeling of relaxation, well - being and being enjoyable, the significant decreased of physical symptoms and anxiety. The findings summarized that the use of the hand massage for the cancer patient undergoing radiation therapy Produced significant changes in the level of anxiety and relaxation. Therefore it is recommended to use the hand massage as an intervention for the patients.

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The Effects of Online Home Learning in Connection with Extracurricular Activities for Lifelong Education for the Disabled at University on Cafeterias Cooking Assistance Skills of Job Search Persons with Developmental Disabilities

  • Kim, Young-Jun;Park, Jae-Kook;Kwon, Ryang-Hee
    • International Journal of Advanced Culture Technology
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    • v.9 no.3
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    • pp.188-201
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    • 2021
  • The purpose of this study is to analyze the effects of online home learning in connection with extracurricular activities for lifelong education for the disabled in university on the cooking aids skills of cafeterias for the job search persons with developmental disabilities. Three people with job search developmental disabilities who have been in a state of unemployment for three years after graduating from a special high school course participated in the experiment. In order to verify the meaningful functional relationship between independent variables and dependent variables, multiple probe design across subjects, one of the main techniques of a single object study, was used. The experimental conditions according to the research design consisted of the steps of baseline, intervention, maintenance, and generalization. The dependent variable of this study is the restaurant cooking aid skills in the cafeteria, and three subskills such as side dish arrangement, sink arrangement, and dish washing were combined by task analysis. And the independent variable of this study was composed of procedures and methods to teach the environment, tools and materials related to the performance of dependent variables to the developmental disabled people at home by using real-time image technique through zoom service, and the contents of the performance by stages of task analysis. In addition, independent variables were applied to the subjects in the course of the extracurricular activities with the theme and contents of lifelong education for the disabled at university. Students who completed the above extracurricular activities practiced the intervention scene of the researcher through the screen sharing of zoom service. As a result, the subjects with developmental disabilities effectively acquired and maintained the positive response performance of dependent variables through independent variables. The subjects also showed high positive responses to generalization tests conducted in kitchens in cafeterias located elsewhere in the same university.

Muscle Mass Changes After Daily Consumption of Protein Mix Supplemented With Vitamin D in Adults Over 50 Years of Age: Subgroup Analysis According to the Serum 25(OH)D Levels of a Randomized Controlled Trial

  • Yeji Kang;Namhee Kim;Yunhwan Lee;Xiangxue An;Yoon-Sok Chung;Yoo Kyoung Park
    • Clinical Nutrition Research
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    • v.12 no.3
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    • pp.184-198
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    • 2023
  • Early prevention of sarcopenia can be an important strategy for muscle maintenance, but most studies target subjects at slightly pre-sarcopenic state. Our previous paper describes the effect of protein supplements rich in leucine and vitamin D on muscle condition, and in this paper, we performed a sub-analysis to evaluate who benefitted the most in terms of improvement in muscle health. A 12-week randomized clinical trial of 120 healthy adults (aged 50 to 80) assigned to an intervention group (n = 60) or control group (n = 60) were analyzed. Subjects in the intervention group received, twice per day, a protein supplement containing (per serving) 800 IU of vitamin D, 20 g of protein (3 g of total leucine), 300 mg of calcium, 1.1 g of fat, and 2.5 g of carbohydrate. The subjects were classified into 'insufficient' and 'sufficient' groups at 25-hydroxyvitamin D (25[OH]D) value of 30 ng/mL. The skeletal muscle mass index normalized to the square of the skeletal muscle mass (SMM) height (kg/m2) increased significantly in the 'insufficient group' difference value of change between weeks 0 and 12 (Δ1.07 ± 2.20; p = 0.037). The SMM normalized by body weight (kg/kg, %) was higher, but not significantly, in the insufficient group (Δ0.38 ± 0.69; p = 0.050). For people with insufficient (serum 25[OH]D), supplemental intake of protein and vitamin D, calcium, and leucine and adequate energy intake increases muscle mass in middle-aged and older adults and would be likely to exert a beneficial effect on muscle health.

The Effects of Guided Imagery on the Stress and Anxiety of Nursing Students in Clinical Practice (지시적 심상요법이 임상 실습시 간호학생의 스트레스와 불안에 미치는 효과)

  • Ha, Na-Sun;Choi, Jung;Park, Hyo-Mi
    • Journal of Korean Academy of Nursing Administration
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    • v.10 no.3
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    • pp.311-316
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    • 2004
  • Purpose: The purpose of this study was to identify the effects of Guided Imagery on the stress and anxiety of nursing students in clinical practice. Method: The research design was a nonequivalent control group pretest-posttest design. The data were collected from the 20th of June to the 11th of July 2003. The objects of this study were 32 nursing students of college(16 for the experimental group, 16 for the control group). The instruments used in this study were State Trait Anxiety Inventory, the stress scale developed by Choi(1991). The guided imagery was provided through audiotapes to the subjects for 8 minutes, a time for 5 days. The pretest was given before the therapy to measure variables for both groups and the posttest was performed after intervention. The data were analyzed by the SAS program using t-test. Result: The results of this study are as follows. The stress scores of students were decreased in the experimental group, but were not significantly different between the experimental group and the control group after the guided imagery. The anxiety scores of students were significantly different between the experimental group and the control group after the guided imagery. Conclusion: The guided imagery can be suggested as an effective nursing intervention to reduce the anxiety. Further studies to identify the effects of stress reduction according to the frequency of the guided imagery can be needed.

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Factors Related to Diabetic Patients' Quality of Life: The 8th Korean National Health and Nutrition Examination (1st Year, 2019) (당뇨 환자의 삶의 질 관련 요인: 제 8기 1차년도(2019년) 국민건강영양조사)

  • Woo, Sang Jun;Kim, Eun A
    • The Journal of Korean Society for School & Community Health Education
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    • v.23 no.2
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    • pp.51-64
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    • 2022
  • Objectives: This study aims to examine diabetic patients' quality of life by using the data of the 8th Korea National Health and Nutrition Examination Survey (1st year, 2019), identify the factors related to this, and utilize the results as basic data for intervention that can improve diabetic patients' quality of life. Methods: For the research subjects, this study extracted 624 patients who were diagnosed with Diabetes by a doctor from the total sample of 8,110 participants of the 8th Korea National Health and Nutrition Examination Survey. The SPSS(version25.0) program was used for the analysis of the collected data. Then, this study used a backward elimination multiple regression analysis method that applied complex sample, to examine the factors related with the finally estimated quality of life. Results: The results of this study revealed that diabetic patients' quality of life was related with gender, age, occupation, restriction of activity, subjected health status. The final model explained 35.7% of the variance (Wald F=28.210, p<.001). Conclusions: In order to improve the quality of life of diabetic patients, it would be desirable to provide differentiated management by developing a customized intervention strategy that takes into account gender, age, and occupation. When managing diabetic patients, the state, local governments, and hospitals should include content that prevents and copes with restrictions on activities that may occur due to disease. In addition, it is required to prepare a strategy to induce positive perception of the subject's own health status.

Educational Activities for Rural and Urban Students to Prevent Skin Cancer in Rio Grande do Sul, Brazil

  • Velasques, Kelle;Michels, Luana Roberta;Colome, Leticia Marques;Haas, Sandra Elisa
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.3
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    • pp.1201-1207
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    • 2016
  • Background: Excessive exposure to the sun during childhood is strongly associated with the development of skin cancer in the future. The only way to prevent the development of skin cancer is to protect against ultraviolet radiation, which can be achieved through strategic awareness during childhood and adolescence. Objective. The aim of this work was to evaluate the impact of educational activities for rural and urban students to promote the use of sunscreens and prevent skin cancer. Materials and Methods: This study was carried out with students (9-12 years) of rural (n=70) and urban (n=70) schools in Rio Grande do Sul state, Brazil. The educational interventions were lectures and games. The impact of this strategy was evaluated through the application of a questionnaire before and after the interventions. Results: Before the intervention, it was found around 50% of rural and urban students were not aware of the damage caused by sun exposure, often exposing themselves to UV radiation without use sunscreen ( ~ 25 %) and at the most critical times of the day/year. After the lectures we observed an improvement in the behavior of the students with regard to sun exposure and knowledge about skin cancer. Conclusions: The results of this study emphasize the importance of prevention strategies for skin cancer and promoting the use of sunscreens based educational strategies. The interventions were of great value in relation to disseminating knowledge on the subject.