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An experimental Study on the Development of a Program for the Promotion of the Compliance with Sick Role Behavior in the Hypertensives (고혈압자의 환자역할행위 이행증진을 위한 프로그램개발에 관한 연구)

  • 최부옥;차영남;장효순;김영희
    • Journal of Korean Academy of Nursing
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    • v.19 no.1
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    • pp.5-23
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    • 1989
  • This experimental study was undertaken to gauge the possibility of application and extension of a program for hypertension care to be operated by Community Health Practitioners. Four community health posts were selected. Two places were experimental groups and the other two control groups. The study was carried out from April 1987 to March 1988. In this study the hypertensives were screened form a group of adults who were over 20 years old. The rate of prevalence was 10.7% in the experimental group, and 11.1% in the control group. The hypertension care program was composed of three parts : regular care by CHPs, reinforcement of education and family support for the changing of health beliefs. The data for this analysis is based on 109 the hypertensives, with 78 from the experimental group and 31 from the control group. After the program was completed, the results obtained were as follows ; 1) Sick role behavior compliance in the experimental group were significantly higher than the control group. 2) Blood pressures were decreased in both systolic and diastolic in the experimental group. Diastolic pressure was strikingly decreased from those of the control group and showed statistical significance (p<0.05). 3) In the experimental group, benefits, perceived family support and family support behavior were high, out benefits was significantly higher than those of the control group(p=0.000). Sensitivity, seriousness and barriers were high in the control group, but not statistically significant. 4) In conclusion, it is revealed that hypertension care program developed in this study has an effect of decreasing blood pressure and promoting sick role behavior compliance.

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What Do Web Users Know about Skin Self-Examination and Melanoma Symptoms?

  • Kaminska-Winciorek, Grazyna;Gajda, Maksymilian;Wydmanski, Jerzy;Tukiendorf, Andrzej
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.7
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    • pp.3051-3056
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    • 2015
  • Background: Skin self-examination (SSE) may facilitate early diagnosis of melanoma at a potentially curable stage. Little data are available concerning the SSE frequency and knowledge about the symptoms of melanoma in non-patient populations. The aim of our study was to assess the performance of skin self-examination, recognition of potential melanoma symptoms as well as behavior related to sun exposure among web users in Poland. Materials and Methods: A cross-sectional study was conducted among readers of a scientific portal. Invited respondents were asked to complete an online questionnaire. Finally, statistical analysis was conducted on 4,919 surveys towards potential clinical signs of melanoma and SSE performance. Results: Approximately 60% of respondents had ever performed SSE in their life. Only 18.4 % declared performance on a regular, monthly, basis. Factors promoting this activity were established to be bigger place of residence, higher education and sensitive skin phototype, higher level of knowledge concerning melanoma, safe tanning rules and, especially, past surgical excision of naevi. Declared longer use of tanning beds was linked to understanding better the importance of clinical features of melanoma. Awareness of hazardous behavior during sunbathing is associated with the attempts to change them. Conclusions: Regular SSE is not a common practice, whilst the knowledge about the clinical features of melanoma is varied. Therefore, constant pressure should be put on promotion of regular skin self-examination and teaching its proper techniques, including familiarity with the ABCD (asymmetry; border; color; diameter) rule and its extension of "EFG" (elevated, firm, progressive growth) criteria.

Roles of Combined Glypican-3 and Glutamine Synthetase in Differential Diagnosis of Hepatocellular Lesions

  • Wasfy, Rania Elsayed;Eldeen, Aliaa Atef Shams
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.11
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    • pp.4769-4775
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    • 2015
  • Background: Hepatocellular carcinoma (HCC) is the fifth most prevalent cancer and thirdly leading cause of cancer-related death worldwide. The estimated risk of hepatocellular carcinoma is 15 to 20 times as high among persons infected with HCV as it is among those who are not infected, with most of the excess risk limited to those with advanced hepatic fibrosis or cirrhosis. Glypican3 (GPC3) plays a key role in relation to signaling with growth factors, regulating the proliferative activity of cancer cells. Glutamine synthetase (GS) catalyzes the synthesis of glutamine from glutamate and ammonia in the mammalian liver. GS was suggested as a specific marker for tracing cell lineage relationships during hepatocarcinogenesis. In normal liver, GS expression is seen in pericentral hepatocytes, but not by midzonal or periportal hepatocytes. In HCC, strong and diffuse GS expression in seen in tumor cells. Results: Glypican3 immunopositvity was highly specific and sensitive indicator for hepatocellular carcinoma as well as glutamine synthetase which was found to be a sensitive and specific indicator for development of hepatocellular carcinoma when compared to cirrhosis, liver cell dyspalsia and metastatic carcinomas. Statistical analysis revealed a significant association between GPC3 and GS with tumor size (P=0.003, p=0.006, respectively). Diffuse staining significantly associated with large tumor size while, focal and mixed staining was detected more with small tumor size. Studying the relation with tumor grade also revealed significant association between diffuse GPC3 and GS staining with high tumor grade. Diffuse staining was detected in 91.7% and 100% respectively of poorly differentiated specimens and only in 33.3% and 22.2% of well differentiated specimens. Conclusions: While using GPC3 and GS to screen for premalignant hepatic lesions remains controversial, our data suggest that GPC3 and GS may be a reliable diagnostic immunomarkers to distinguish HCC from benign hepatocellular lesions. However, negative immunostaining should not exclude the diagnosis of HCC.

Significance of HCG to Distinguish Parathyroid Carcinoma from Benign Disease and in Adding Prognostic Information: A Hospital Based Study from Nepal

  • Gupta, Satrudhan Pd.;Mittal, Ankush;Sathian, Brijesh
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.1
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    • pp.325-327
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    • 2013
  • Objective: To differentiate between benign and malignant hyperparathyroidism on the basis of excretion of HCG and its malignant isoforms in urine. Materials and Methods: This hospital based study was carried out using data retrieved from the register maintained in Manipal Teaching Hospital from $1^{st}$ January, 2008 and $31^{st}$ August, 2012. The variables collected were urinary HCG and HCG malignant isoform, calcium and parathyroid hormone. Preceding the study, approval was obtained from the institutional research ethical committee. Analysis was by descriptive statistics and testing of hypothesis. A p-value of <0.05 (two-tailed) was used to establish statistical significance. Results: Out of the 20 cases, 10 were primary hyperparathyroidism and the remainder were parathyroid carcinomas. The urinary HCG $6.1{\pm}0.6$ fmol/mgCr was with in normal range in benign hyperthyroidism but was markedly elevated in three cases of malignant hyperparathyroidism (maximum value of excretion in urine for HCG was 2323 fmol/mgCr). The excretion of malignant isoform of HCG in urine was 0 in benign hyperparathyroidsm and in four cases of malignant hyperparathyroidism which fell into the category of persistantly low HCG. The maximum excretion of the malignant isoform of HCG in urine was 1.8, in the category of very high HCG. Calcium and parathyroid hormone were mildly raised in benign parathyroidism, while parathyroid hormone was markedly elevated in cases of malignant hyperparathyroidism falling into the category of very high HCG. Conclusions: The excretion of urinary HCG in urine has the ability to distinguish between parathyroid adenomas and carcinomas and thus has potential to become a marker of disease progression in malignant parathyroid disease.

Patient and Clinical Variables Account for Changes in Health-related Quality of Life and Symptom Burden as Treatment Outcomes in Colorectal Cancer: A Longitudinal Study

  • Hung, Hsiu-Chi;Chien, Tsui-Wei;Tsay, Shiow-Luan;Hang, Hewi-Ming;Liang, Shu-Yuan
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.3
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    • pp.1905-1909
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    • 2013
  • Objective: The aim of the current study was to evaluate changes in treatment outcomes in terms of health-related quality of life (HRQoL) and symptom burden at zero, one, three, and six months after an initial diagnosis of colorectal cancer. The demographic and clinical characteristics that account for outcome changes in patients were investigated using a repeated measures framework. Methods and Materials: A cohort study was performed of 134 colorectal cancer patients followed from diagnosis to 6 months post-treatment in Central Taiwan. HRQoL and symptoms were assessed at diagnosis and one, three, and six months thereafter. The Functional Assessment of Cancer Therapy-Colon (FACT-C) questionnaire, VAS pain, and the Memorial Symptom Assessment Scale (MSAS) were used for data collection. A generalized estimating equation (GEE) was applied for statistical analysis. Results: The majority of the patients were male (55%) and married (91.5%). The mean age was 60.4 years (SD = 11.71). Most were diagnosed stage III and IV colorectal cancer (54.5%). All underwent surgery; some also received chemotherapy (CT) or concurrent chemoradiation therapy (CCRT). The results of the GEE showed that overall, the HRQoL, pain, and symptoms of the patients significantly improved over the treatment period. Patients with stage IV disease who had received surgery and CCRT showed the worst HRQoL. Females, patients with comorbidity, and stage IV patients had higher pain scores over time. Female and stage IV patients had more severe physical symptoms, whereas stage II and IV patients had worse psychological symptoms over time. Conclusion: The patients' HRQoL, pain, and symptoms significantly improved over the 6-month treatment period. Certain patient and clinical variables accounted for changes in treatment outcomes regarding HRQoL and symptom burden in colorectal cancer patients.

A Study on Korean Women's Bedding Consumption Status, Purchase Behavior and Degree of Satisfaction (여성의 침구 구매 행동 및 만족도에 관한 연구)

  • Cho, Chu-Hee;Kim, Chil-Soon
    • The Research Journal of the Costume Culture
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    • v.18 no.3
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    • pp.423-435
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    • 2010
  • The purpose of this study was to observe the current consumption of bedding products, purchase behavior, and to compare between purchase criteria and degree of satisfaction after the purchase. Independent variables are age, consumer's knowledge and involvement about the bedding materials. This study can contribute for bedding product marketing strategies and design development. We used questionnaires that were distributed to 500 females aged in 20s to 50s, using stratified sampling method. Only 457 reliable questionnaires were selected for statistical analysis. Data were analyzed statistically through frequencies, paired t-test, ANOVA, Dunnett T3, Chi-test, using SPSS (Version 12.0). The results of this study are as follows. The types of bedroom was significantly associated with age variables. Women in 20's to 30's were using the mixture of Ondol and bed(chimdaie), while 40's to 50's women were using bed for all their rooms. The usage of filling material for the comforter(ibul) was significantly associated with the age group. 20's to 30's age group preferred synthetic fibers for the filling, while 40 to 50's women preferred cotton fibers. Generally, the most of people used quilted comforter and they used cotton material as filling materials of comforters. As to purchase behavior, the most frequent place of purchase was specialty store of bedding products, and the highest percentage of motivation for purchase was "deformation after the use/throwing away". Purchase motivation for bedding was related with the age variable and the clusters based on the knowledge of bedding materials. We analysed the comparison test purchase criteria and satisfaction. In all attributes except brand image, people evaluated lower in satisfaction after purchase than in criteria before purchase.

A Study On the Effect of Parent's Rearing Attitudes, Social Support On the Children's Emotional Intelligence (부모의 양육태도와 사회적 지지가 아동의 정서지능에 미치는 영향)

  • Kil, Kyung Suk
    • Korean Journal of Childcare and Education
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    • v.2 no.2
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    • pp.147-164
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    • 2006
  • The purpose of this study was to investigated, On the Effect of Parent's Rearing Attitudes, Social Support On the Children's Emotional Intelligence. 243 Children were surveyed for this study. Spss/pc was run for statistical data analysis. This study abstracted that the most important factors Parent's Rearing Attitudes, Social support, Emotional Intelligence. In conclusion, this study implies that retraining and teaching programs for teachers need to be accessed variably, considered with the results of this paper.

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Self-Regulation of the Child During Mother-Child Interaction (모-자(母-子) 상호작용에 있어서 아동의 자기-조정에 관한 연구)

  • Park, Chan Hwa
    • Korean Journal of Child Studies
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    • v.8 no.1
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    • pp.1-14
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    • 1987
  • The purpose of the present research was to study the self-regulation of the child during mother child interaction. That is. this study focused on how mothers regulated children's problem solving efforts before children began to function as independent agents capable of self-regulation. The emphasis was on the "regulation-by-others" that preceded "self-regulation". The subjects of this study were 30 mother-child dyads. The dyads were divided into 3 groups of 10 dyads each on the basis of the child's age (2, 3, and 4 years of age). The instrument used for this study was the "truck puzzle" devised by Wertsch, McNamee, Mclane and Budwig (1980). The problem solving task in this study required the dyad to make a puzzle in accordance with the model puzzle. The interaction of 30 mother-child dyads was observed and analyzed flH verbal and non-verbal behavior used by the mother to regulate the child's behavior. One-way ANOVA, Scheffe post hoc comparision and Spearman's rank-difference correlation were used for the statistical analysis of the data. The results revealed that there were significant age trends in regulation-by-others and self regulation in joint cognitive activity; that is, there were developmental transitions from regulation by-others to self-regulation in connection with crucial strategic behavior (looking at the model). Significant differences were found in mothers' interventions after children's gaze at the model in joint cognitive activity; that is, the mean proportion of mothers' intervention for the 2-year-old group was the highest and that of the 4-year-old group was the lowest. There were no significant age-related differences in mothers' use of referential perspectives in joint cognitive activity. Children's regulation- by-others increased and children's self-regulation decreased in proportion to mothers' use of referential perspectives.

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An Analysis of Emergency Transport Proportional Population (인구비례 응급출동 현황 분석)

  • Kim, Chul-Tae
    • Journal of Digital Convergence
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    • v.12 no.12
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    • pp.449-456
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    • 2014
  • This study aimed to reveal the statistical correlation between the distribution of jurisdictional population and the incidence of mobilization, which consisted with cases of patient transfer and non-transfer to hospital. For this study, we collected and analysed the data for populational status, area, and cases of patient transfer and non-transfer to hospital from 5 fire stations in D city, from January 2010 to December 2012. Total numbers of mobilization were highest in J fire station and this supreme tendency were also seen in both cases (transfer and non-transfer). On the contrary, those of B fire station were lowest. In case of populational status of specific jurisdiction, S fire station was identified to possess the highest while D fire station showed the lowest. However, influences of jurisdictional population on occurrence of patient transfer and / or non-transfer to hospital were not seemed to be shown.

Asthma Worsening factors of Adolescent Asthma Patients in Korea -Associated with Intake of Antioxidant Food- (청소년 천식 환자의 천식 악화의 영향 요인 -항산화식이 섭취와 관련하여-)

  • Park, In Sook;Yun, Hee Kyung
    • Journal of Digital Convergence
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    • v.15 no.6
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    • pp.297-304
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    • 2017
  • The purpose of this study was to investigate the association between antioxidant food intake pattern and asthma control status in Korean adolescents. This study was conducted using data from 1,578 patients diagnosed with asthma among the participants in the 11th online health behavior survey. Statistical analyses were performed for sociodemographic variables, known risk factors for asthma worsening, and all variables which were related to food intake pattern. For final decision, logistic regression analysis was used to estimate the associations between antioxidant food intake and asthma worsening. Male gender and smoking experiences were associated with asthma exacerbation. Low intake of antioxidant foods status also significantly increased asthma exacerbations. Antioxidant food intake and smoking prevention education is important for adolescent asthma patients. It is highly needed to recommend taking fruits and vegetables properly.