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Burden and Satisfaction of Family Caregivers under Home Health Nursing Care (가정간호 환자 가족의 부담감과 간호만족도)

  • Woo Kyong-Sook
    • Journal of Korean Public Health Nursing
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    • v.13 no.2
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    • pp.202-214
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    • 1999
  • This study was conducted to provide the data for the improvement of home health nursing services through the investigation of burden and satisfaction felt by family caregivers under home health nursing care. The study subjects consisted of 200 family caregivers who were enrolled m six university hospital home care services. Data were collected by using constructed questionnaires through mail from March to April of 1999. and analyzed by using t-test. ANOVA, Duncan-test. and Pearson Correlation Coefficients. The results were as follows: 1. The mean score of burden was 2.24. Among the SIX burden dimensions. the highest score was marked in time-dependence dimension. Caregivers were found to have greater burden in the low income families living in flats. In relation to the characteristics of patients. higher scores were shown in the male patients with cerebrospinal diseases. who also revealed higher score of dependency in the Activities of Daily Living. As a whole. there was no significant difference between home nursing care and clinical nursing care in terms of family caregivers' burden. The burden of time-dependence dimension in home nursing care was significantly higher than that of clinical nursing care while the burdens of physical. social. and financial dimensions were significantly lower than those of the clinical nursing care. 2. The mean score of satisfaction was 3.14. Among the six items. the highest score was marked in the nursing care and treatment skill. while the lowest score was marked in the cost containment. Family caregivers with higher academic background and higher income showed higher satisfaction score. The mean score of home care nursmg was significantly higher than that of clinical nursing care.

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Relationship between intra-household food distribution and coexistence of dual forms of malnutrition

  • Wibowo, Yulianti;Sutrisna, Bambang;Hardinsyah, Hardinsyah;Djuwita, Ratna;Mondastri, Korib M.;Syafiq, Ahmad;Tilden, Atmarita;Najib, Mardiati
    • Nutrition Research and Practice
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    • v.9 no.2
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    • pp.174-179
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    • 2015
  • BACKGROUND/OBJECTIVES: The relationship between food intake and nutritional status has been clearly established. Yet, there are only limited studies on food intake among family members and their nutritional status. The study examined the relationship between intra-household food distribution and coexistence of dual forms of malnutrition (DFM) in the same household. SUBJECTS/METHODS: Households with a malnourished child and overweight mother were categorized as DFM. Intra-household food distribution among family members was reported using ratios, which are a measure of individual intakes as compared to all household member intakes adjusted to RDA. RESULTS: A1,899 families were included in the study. The prevalence of DFM was 29.8% (95%CI 26.5-31.2). Children consumed lower amounts of energy (OR 1.34; 95%CI 1.06-1.69, P = 0.011), carbohydrates (OR 1.2; 95%CI1.03-1.61, P = 0.022), protein (OR 1.3; 95%CI 1.03-1.64, P = 0.026), and fat (OR 1.3; 95%CI 1.05-1.66, P = 0.016) than their mothers and other family members. In contrast, mothers consumed more carbohydrates than children and other family members (OR1.24; 95%CI 1.02-1.51, P = 0.03). CONCLUSIONS: This study is the first to report on the food distribution among family members and its relationship with occurrence of DFM in Indonesia. The results confirm the occurrence of an unequal food distribution between children and mothers, which increases risk of DFM in the household. The results also demonstrate that nutritional education at the household level is important to increase awareness of the impact of DFM.

The Effects of Participation in Family Leisure Activity on School Adjustment of Middle School Students (가족스포츠여가활동 참여가 중학생들의 학교생활적응에 미치는 영향)

  • Lee, Jung-Joo;Ko, Wi-Sug;Han, Gun-Soo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.6
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    • pp.2690-2696
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    • 2012
  • The purpose of this research was to investigate effects of participation in family leisure activity on school adjustment of middle school students. A total of six hundred questionnaires were distributed to the subjects, but only 587 questionnaires were collected. After excluding 12 questionnaires, 575 questionnaires were used for the analysis. An analysis of variance and independent t test were conducted using SPSS 18.0 for Windows and all comparisons were made at the p<.05 level of significance. The results showed that gender did not affect on school adjustment. There were significant differences in school adjustment by academic grades and family leisure activity participation(p<.05). It was concluded that participating in family leisure activity may be beneficial for middle school students to adapt their school life better.

Molecular Cloning of Cytochrome P450 Family Gene Fragment from Midgut of the Beet Armyworm, Spodoptera exigua

  • Moon, Jae-Yu;Lee, Pyeongjae;Cho, Il-Je;Kim, Iksoo;Lee, Heui-Sam
    • International Journal of Industrial Entomology and Biomaterials
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    • v.4 no.2
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    • pp.155-162
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    • 2002
  • Cytochrome P45O (CYP) gene has been known to play one of the most important roles in metabolizing the exogenous materials. In insect, CYP is particularly known to detoxify toxic materials by adding oxygen molecule to the hydrophobic region of the materials. Thus, CYP-dependent metabolism is associated with the adaptation of insect to host plant chemicals. This in turn is known to be one of the driving forces for CYP diversification. In the present study, we cloned seven gene fragments of CYP 4 (CYP4) family from the midgut of the beet armyworm, Spodoptera exigua, through RT.PCT, Sequence analysis of the product showed the gene fragment to contain an open reading frame of ~150 amino acids, consisted of ~450 bp. The cloned gene fragments contained typical, conserved regions found in CYP4 family. Pairwise comparison of the deduced amino acid sequences among seven clones ranged in divergence from 0% to 52.86% and resulted in five distinct clones. The other two clones were identical or differ by one amino acid respectively to the corresponding clone, although each differed by ten nucleotides. Analysis of correlation between GenBank-registered, full length CYP4 and the cloned fragments resulted in statistically significant relationship ($r^{2}$ = 0.96085; p < 0.001), suggesting utility of the partial sequences as such full-length sequences. Phylogenetic analysis of the clones with GenBank-registered insect and mammal CYP4 family sequences by parsimony and several distance methods subdivided the clones into two groups: tones belonging to CYP4S and the others to CYP4M families.

Breaking Bad News: Patient Preferences and the Role of Family Members when Delivering a Cancer Diagnosis

  • Rao, Abha;Sunil, Bhuvana;Ekstrand, Maria;Heylen, Elsa;Raju, Girish;Shet, Arun
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.4
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    • pp.1779-1784
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    • 2016
  • Background: Western physicians tend to favour complete disclosure of a cancer diagnosis to the patient, while non-Western physicians tend to limit disclosure and include families in the process; the latter approach is prevalent in clinical oncology practice in India. Few studies, however, have examined patient preferences with respect to disclosure or the role of family members in the process. Materials and Methods: Structured interviews were conducted with patients (N=127) in the medical oncology clinic of a tertiary referral hospital in Bangalore, India. Results: Patients ranged in age from 18-88 (M=52) and were mostly male (59%). Most patients (72%) wanted disclosure of the diagnosis cancer, a preference significantly associated with higher education and English proficiency. A majority wanted their families to be involved in the process. Patients who had wanted and not wanted disclosure differed with respect to their preferences regarding the particulars of disclosure (timing, approach, individuals involved, role of family members). Almost all patients wanted more information concerning their condition, about immediate medical issues such as treatments or side effects, rather than long-term or non-medical issues. Conclusions: While most cancer patients wanted disclosure of their disease, a smaller group wished that their cancer diagnosis had not been disclosed to them. Regardless of this difference in desire for disclosure, both groups sought similar specific information regarding their cancer and largely favoured involvement of close family in decision making. Additional studies evaluating the influence of factors such as disease stage or family relationships could help guide physicians when breaking bad news.

Unlocking the Therapeutic Potential of BCL-2 Associated Protein Family: Exploring BCL-2 Inhibitors in Cancer Therapy

  • Bisan El Dakkak;Jalal Taneera;Waseem El-Huneidi;Eman Abu-Gharbieh;Rifat Hamoudi;Mohammad H. Semreen;Nelson C. Soares;Eman Y. Abu-Rish;Mahmoud Y. Alkawareek;Alaaldin M. Alkilany;Yasser Bustanji
    • Biomolecules & Therapeutics
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    • v.32 no.3
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    • pp.267-280
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    • 2024
  • Apoptosis, programmed cell death pathway, is a vital physiological mechanism that ensures cellular homeostasis and overall cellular well-being. In the context of cancer, where evasion of apoptosis is a hallmark, the overexpression of anti-apoptotic proteins like Bcl2, Bcl-xL and Mcl-1 has been documented. Consequently, these proteins have emerged as promising targets for therapeutic interventions. The BCL-2 protein family is central to apoptosis and plays a significant importance in determining cellular fate serving as a critical determinant in this biological process. This review offers a comprehensive exploration of the BCL-2 protein family, emphasizing its dual nature. Specifically, certain members of this family promote cell survival (known as anti-apoptotic proteins), while others are involved in facilitating cell death (referred to as pro-apoptotic and BH3-only proteins). The potential of directly targeting these proteins is examined, particularly due to their involvement in conferring resistance to traditional cancer therapies. The effectiveness of such targeting strategies is also discussed, considering the tumor's propensity for anti-apoptotic pathways. Furthermore, the review highlights emerging research on combination therapies, where BCL-2 inhibitors are used synergistically with other treatments to enhance therapeutic outcomes. By understanding and manipulating the BCL-2 family and its associated pathways, we open doors to innovative and more effective cancer treatments, offering hope for resistant and aggressive cases.

MATHIEU GROUP COVERINGS AND GOLAY CODES

  • Yie, Ik-Kwon
    • Journal of the Korean Mathematical Society
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    • v.39 no.2
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    • pp.289-317
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    • 2002
  • We associate binary codes to polynomials over fields of characteristic two and show that the binary Golay codes are associated to the Mathieu group polynomials in characteristics two. We give two more polynomials whose Galois group in $M_{12}$ but different self-orthogonal binary codes are associated. Also, we find a family of $M_{24}$-coverings which includes previous ones.

ERROR ANALYSIS OF THE hp-VERSION UNDER NUMERICAL INTEGRATIONS FOR NON-CONSTANT COEFFICIENTS

  • KIM, IK-SUNG
    • Honam Mathematical Journal
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    • v.27 no.2
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    • pp.317-332
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    • 2005
  • In this paper we consider the hp-version to solve non-constant coefficients elliptic equations on a bounded, convex polygonal domain ${\Omega}$ in $R^2$. A family $G_p=\{I_m\}$ of numerical quadrature rules satisfying certain properties can be used for calculating the integrals. When the numerical quadrature rules $I_m{\in}G_p$ are used for computing the integrals in the stiffness matrix of the variational form we will give its variational form and derive an error estimate of ${\parallel}u-{\widetilde{u}}^h_p{\parallel}_{1,{\Omega}$.

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HARMONIC KAHLER FORMS ON HYPERKAHLER MANIFOLDS

  • Park, Kwang-Soon
    • Communications of the Korean Mathematical Society
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    • v.18 no.3
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    • pp.515-519
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    • 2003
  • Let M be a hyperkahler manifold with the hyperkahler structure (g, I, J, K). In [5], D. Huybrechts suggests that it is an open and interesting question whether any Kahler class that stays Kahler in the twister family can actually be represented by an harmonic Kahler form. In this paper we will consider both this problem and the set of all the primitive harmonic Kahler forms on M.