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Comparison of Blood Glucose Levels from the Fingertips of Both Patients with and without Diabetes Who are Receiving Dextrose Fluid Therapy (포도당 수액요법을 받는 당뇨병 환자와 비당뇨병 환자의 양쪽 손가락 끝 혈당치 비교)

  • Park, Suk Hyun;Lee, Chang Kwan;Kim, Yeon Woo;Kwon, Chi Hye
    • Korean Journal of Adult Nursing
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    • v.28 no.2
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    • pp.127-135
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    • 2016
  • Purpose: The aim of this study was to identify the effect of dextrose intravenous fluid (IVF) on the blood glucose levels taken from both fingertips of patients with diabetes mellitus (DM) and those without DM. Methods: From October 2012 to February 2013, 21 DM and 25 non-DM patients were recruited. Blood glucose levels taken from the both fingertips of patients at 7AM while IVF was not infusing and at 11AM, 5PM, and 9PM while IVF was infusing. Results: The differences between the mean values of blood glucose from the fingertips at four different times was not statistically significant in DM patients as well as non-DM patients. Also intra-class correlation for blood glucose levels from the fingertips with and without IVF infusion in both groups was shown over about 0.95 at each time (p<.001). Conclusion: Blood glucose levels measured in the same fingertips of both arms were the same regardless of dextrose IVF infusion. The results indicated that IVF with dextrose may not have any significant effect on the fingertip results of blood glucose level. This study may suggest that patients' both arms and any fingertips can be used for blood glucose monitoring even when the patients are on dextrose IVF infusion.

Beyond Limitations: Practical Strategies for Improving Cancer Care in Nigeria

  • Eguzo, Kelechi;Camazine, Brian
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.5
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    • pp.3363-3368
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    • 2013
  • Background: The burden due to cancers is an emerging public health concern especially in resource-limited countries like Nigeria. The WHO estimates that cancer kills more people than tuberculosis, HIV/AIDS and malaria combined. As people in Nigeria and other developing countries are beginning to survive infectious diseases, there is an observed epidemiologic transition to chronic diseases, such as cancers. In 2008, 75 out of 1,000 Nigerians died of cancer. Despite the rising incidence and public health importance, Nigeria lacks an organized and comprehensive strategy to deal with cancers. Materials and Methods: This article reviewed 30 peer-reviewed manuscripts on cancer care in four countries. It highlights the limitations to cancer care in Nigeria; due to lack of awareness, low health literacy, absence of organized screening programs, inadequate manpower (in terms of quality and quantity) as well as limited treatment options. Results: This review led to the formulation of a proposal for Nigerian National Cancer Policy, mainly drawn from effective strategies used in Canada, Brazil and Kenya. This is a vertical cancer program that is patient-centered with an emphasis on tobacco control and cancer disease screening (similar to Canada and Brazil). Additionally, it emphasizes primary cancer prevention (similar to Kenya). Its horizontal integration with other disease programs like HIV/AIDS will improve affordability in a poor resourced country like Nigeria. Capacity building for health professionals, hub-and-spoke implementation of screening services, as well as investment in effective treatment options and increased research in cancer care are essential. International 'twinning collaborations' between institutions in richer countries and Nigeria will enhance effective knowledge translation and improve the quality of patient care. Conclusions: A national cancer policy must be developed and implemented in Nigeria in order to overcome the present limitations which help contribute to the observed increases in cancer morbidity and mortality rates. Cancer control is feasible in Nigeria if the nation was to consider and employ some of the cost-effective strategies proposed here.

Comparisons of Quality of Life, Sexual Function, and Depression in Sexually Active or Inactive Groups of Women with Mastectomy (유방암 생존자의 삶의 질, 성기능 및 우울: 성생활 집단과 비성생활 집단 간의 비교)

  • Kim, Hae-Young;So, Hyang-Sook;Chae, Myeong-Jeong;Kim, Kyoung-Mi
    • Asian Oncology Nursing
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    • v.8 no.2
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    • pp.77-85
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    • 2008
  • Purpose: This study was to compare quality of life, sexual function, and depression between a group with sexually active women and the other with sexually inactive women who undertaken mastectomy. Methods: Participants were 106 breast cancer patients who had spouse and participated in self-help group in Gwangju, Korea. The questionnaires were consisted of Quality of Life Index-Cancer Version (Q.L.I.-C), self-rating depression scale, and Female Sexual Function Index (FSFI). Data were analyzed using the SPSS Win 14.0 K+ for descriptive statistics, t-test, ANCOVA, and MANOVA. Results: There were no homogeneity at age, job, educational years between sexually active vs. inactive groups. In sexually active group, mean age was 46.1, having job 34.5%, bachelor's degree 38.2%, and pre-menopause 79.2%; for the inactive group 49.6, 10.4%, 12.5%, and 52.7% seperately. There were significant differences in quality of life, sexual function, and depression between two groups when four covariates were controlled. The quality of life and sexual function in sexually active group were significantly higher than inactive group(p<0.001). The depression in sexually active group was significantly lower than inactive group(p<0.001). Conclusion: This study indicates that nurses are needed to counsel and intervene psychosexual approach especially sexually inactive women with breast cancer during the recovery period.

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Figuring the Social Condition: The Role of Allegory (사회적 상황의 표상: 알레고리의 역할)

  • Flores, Patrick D.
    • The Journal of Art Theory & Practice
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    • no.7
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    • pp.89-123
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    • 2009
  • The Philippines was colonized by Spain for about centuries, from 1521 to 1898, and ruled by America for around four decades, from 1899 to 1946. After recovering from the Second World War, the government started to harness human labor as export itself. In the present time the overseas Filipinos keep the economy afloat with their steady transfer of money to relatives and dependents. Through the art works, the issue which Filipinos were exploited and exported by its government has been reflected as the various allegories. As Filipinos traditionally follow and keep Catholic belief, themes of Christ's sacrifice has allegorically been represented as salvation, struggle, suppression, and emancipation of people. Through the allegory, we can interpret both the intrinsic and superficial texts. Also we can identity certain modes of the visuality of allegory in selected works from Philippine art history that in their complex mediations materialize the people and dignity of their predicament and their prevailing. Philippine art can be divided as three different features: passion, vagrancy, and mass formation. The passion stage was depicted as deep structure of Christian thought and devotional feeling, harsh capitalist system. In the pictures of vagrancy, under the regime of Ferdinand Marcos, the themes of drift, deprivation, and homelessness are reckoned through the images of pictures. The stories represented with allegory have been played an important role to bring local issues up as national ones. Those stages take us to the processes of mass formation or the depiction of the people as a moment in the totality of force. The allegorical sign refers to another sign that precedes it, but with which it will never able to coincide reach back to a previous stage and in this constant attempt at return incorporates a structural distance from its origin. The true people's art is one that radically generates transformative technologies and techniques so that it irrevocably breaks the plane of "art". In the painting, the truth is represented by functioning as foundation of a rhetoric of the image. And at this axis, the passional, the vagrant, and the mass formation tend to come together because they render the form of contingency that must be suffered and hopefully surpassed, a Filipino subjectivity that must be stitched in time.

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Evaluating the Effectiveness of Nielsen's Usability Heuristics for Computer Engineers and Designers without Human Computer Interaction Background (비 HCI 전공자들을 대상으로 한 Nielsen의 Usability Heuristics에 대한 이해 정도 평가)

  • Jeong, YoungJoo;Sim, InSook;Jeong, GooCheol
    • The Journal of Korean Institute for Practical Engineering Education
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    • v.2 no.2
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    • pp.165-171
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    • 2010
  • Usability heuristics("heuristics") are general principles for usability evaluation during user interface design. Our ultimate goal is to extend the practice of usability evaluation methods to a wider audience(e.g. user interface designers and engineers) than Human Computer Interaction(HCI) professionals. To this end, we explored the degree to which Jakob Nielsen's ten usability heuristics are understood by professors and students in design and computer engineering. None of the subjects received formal training in HCI, though some may have had an awareness of some HCI principles. The study identified easy-to-understand heuristics, examined the reasons for the ambiguities in others, and discovered differences between the responses of professors and students to the heuristics. In the course of the study, the subjects showed an increased tendency to think in terms of user-centric design. Furthermore, the findings in this study offer suggestions for improving these heuristics to resolve ambiguities and to extend their practice for user interface designers and engineers.

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Effect of Social-Economic Factors and Related factors of Health and Life-Style on Health Foods Intakes among the Middle Aged in the Jeonbuk Region (전북 일부지역 중년의 사회 경제적 요인, 건강 및 생활 관련인자가 건강식품 섭취에 미치는 영향)

  • 장혜순;김미라
    • Korean Journal of Community Nutrition
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    • v.6 no.4
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    • pp.617-627
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    • 2001
  • This study examined health foods intakes and related variables among the middle aged(150 men and 159 women) in the Jeonbuk region. Health foods were classified into 4 groups including Chinese medicine(CM), toner foods(TF), vitamin or mineral supplements(VMS), and other manufactured health food supplements(MHFS). The number of people taking health foods were higher for those in their 50's than in their 40's. The consumption rate of TF in men was the highest among health foods, this result had significance. The reasons for taking health foods were recovery from fatigue, supplement of nutrients and making smooth body activity in general, but TF was used to increase of vigor. The consumption rate of health foods was a little different according to social-economic factors, namely, the consumption rate of CM was higher in people in rural than urban areas, those who graduated from middle school than university, blue color & self-employed as opposed to housewives and service workers, low level income than high level income, and Buddhism and no religion than Christian. The consumption rate had a correlation with the habits of smoking, alcohol drinking and exercise ; namely, the consumption rate of CM was higher than VMS and MHFS on smokers and alcohol drinkers. The more the frequency of exercise, the higher the consumption rate of TF, but the duration of the exercise was not correlated. This study suggests that middle aged people need nutritional education for the right recognition and selection of health foods and to consider the nature of each type of health foods.

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A Study of the Effects of Keller's ARCS Motivational Model on Learning Motivation and Academic Achievement in Business Major English Class (Keller의 ARCS 동기모델이 비즈니스 전공영어 수업에서 학습동기와 학업성취도에 미치는 영향)

  • Kim, Bu-Ja
    • Journal of Digital Convergence
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    • v.18 no.2
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    • pp.213-221
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    • 2020
  • The purpose of this study was to apply Keller's ARCS motivational model to the business major English class and to investigate the effects of ARCS model on learning motivation and academic achievement. The subject for this study was 27 junior students majoring in business administration who took the business major English class. As a means of measurement, questionnaires and the results of written tests were used. The analysis on the results of the two groups, the experimental group applying ARCS model and the comparison group using the traditional lecture method, showed that the teaching-learning method applying ARCS model for the business major English class was effective in improving all elements of learning motivation such as attention, relevance, confidence and satisfaction, and in improving academic achievement in business English and business-related content.

Beyond SARS-CoV-2: Lessons That African Governments Can Apply in Preparation for Possible Future Epidemics

  • Oboh, Mary Aigbiremo;Omoleke, Semeeh Akinwale;Imafidon, Christian Eseigbe;Ajibola, Olumide;Oriero, Eniyou Cheryll;Amambua-Ngwa, Alfred
    • Journal of Preventive Medicine and Public Health
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    • v.53 no.5
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    • pp.307-310
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    • 2020
  • Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has placed unprecedented pressure on healthcare systems, even in advanced economies. While the number of cases of SARS-CoV-2 in Africa compared to other continents has so far been low, there are concerns about under-reporting, inadequate diagnostic tools, and insufficient treatment facilities. Moreover, proactiveness on the part of African governments has been under scrutiny. For instance, issues have emerged regarding the responsiveness of African countries in closing international borders to limit trans-continental transmission of the virus. Overdependence on imported products and outsourced services could have contributed to African governments' hesitation to shut down international air and seaports. In this era of emerging and re-emerging pathogens, we recommend that African nations should consider self-sufficiency in the health sector as an urgent priority, as this will not be the last outbreak to occur. In addition to the Regional Disease Surveillance Systems Enhancement fund (US$600 million) provided by the World Bank for strengthening health systems and disease surveillance, each country should further establish an epidemic emergency fund for epidemic preparedness and response. We also recommend that epidemic surveillance units should create a secure database of previous and ongoing pandemics in terms of aetiology, spread, and treatment, as well as financial management records. Strategic collection and analysis of data should also be a central focus of these units to facilitate studies of disease trends and to estimate the scale of requirements in preparation and response to any future pandemic or epidemic.

Initial development of wireless acoustic emission sensor Motes for civil infrastructure state monitoring

  • Grosse, Christian U.;Glaser, Steven D.;Kruger, Markus
    • Smart Structures and Systems
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    • v.6 no.3
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    • pp.197-209
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    • 2010
  • The structural state of a bridge is currently examined by visual inspection or by wired sensor techniques, which are relatively expensive, vulnerable to inclement conditions, and time consuming to undertake. In contrast, wireless sensor networks are easy to deploy and flexible in application so that the network can adjust to the individual structure. Different sensing techniques have been used with such networks, but the acoustic emission technique has rarely been utilized. With the use of acoustic emission (AE) techniques it is possible to detect internal structural damage, from cracks propagating during the routine use of a structure, e.g. breakage of prestressing wires. To date, AE data analysis techniques are not appropriate for the requirements of a wireless network due to the very exact time synchronization needed between multiple sensors, and power consumption issues. To unleash the power of the acoustic emission technique on large, extended structures, recording and local analysis techniques need better algorithms to handle and reduce the immense amount of data generated. Preliminary results from utilizing a new concept called Acoustic Emission Array Processing to locally reduce data to information are presented. Results show that the azimuthal location of a seismic source can be successfully identified, using an array of six to eight poor-quality AE sensors arranged in a circular array approximately 200 mm in diameter. AE beamforming only requires very fine time synchronization of the sensors within a single array, relative timing between sensors of $1{\mu}s$ can easily be performed by a single Mote servicing the array. The method concentrates the essence of six to eight extended waveforms into a single value to be sent through the wireless network, resulting in power savings by avoiding extended radio transmission.

Different Distribution of the ${alpha}_{2},Na^+,K^+-ATPase lsoform between Rat Atria and Ventricles$

  • Lee, Jeung-Soo;Lee, Shin-Woong;Wallick, Earl-T
    • Archives of Pharmacal Research
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    • v.19 no.5
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    • pp.381-385
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    • 1996
  • Rat ventricles respond with a biphasic positive inotropic effect to ouabain, low-dose and high-dose effects but rat atria with only a monophasic high dose effect. In an effect to understand the difference in response to ouabain of two tissues between rat atria and ventricles the levels of the $a_{2}$ -isoform of the $Na^{+}$, $K^{+}$-ATPase which has higher affinity for ouabain than the $a_{1}$-iso-form were determined by a $[^{3}H]$ouabain binding assay. The yield of protein per gram wet weight was about 47 mg for atria and 100 mg for ventricles. The $K_{d}$ values of ouabain for the high-affinity ouabain binding site $(a_{2} -isoform)$ were nearly the same (230 nM) in the atria and ventricles. However, the numbers of the $a_{2}$-isoform $(B_{max})$ per mg protein were approximately half in the atria. When the binding data were expressed in unit per gram tissue wet weight, the numbers of $a_{2}$ -isoform in the atria was about 25% of that in the ventricles. THese results demonstrate that the $a_{2}$ -isoform of the $Na^{+}$, $K^{+}$-ATPase in the rat atria could be detected by $[^{3}H]$ouabain binding assay and the levels of this isoform are too low to show the low-dose effect of ouabain.

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