• Title/Summary/Keyword: Counselling

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Oral Cancer Awareness of the General Public in Gorakhpur City, India

  • Agrawal, Mamta;Pandey, Sushma;Jain, Shikha;Maitin, Shipra
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.10
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    • pp.5195-5199
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    • 2012
  • Objectives: Global cancer statistical data show that India has one of the highest incidence rates of oral cancer worldwide. Early detection is extremely important as it results in lower morbidity and death rates. The present study was undertaken to assess awareness of oral cancer and knowledge of its early signs and risk factors in the general public of the semi-urban Gorakhpur area of Uttar Pradesh (India). It was also intended to educate the same population for early detection by increasing their ability to recognize signs and risk factors. Method: A questionnaire-based household survey was conducted over a period of one month in different parts of Gorakhpur district, a region where tobacco use is apparently very high. A total of 2,093 persons participated in the survey. The collected data were analyzed using SPSS software to assess and associate oral cancer awareness with the prevalence, and abstract risk factors, as well as other confounding variables. Results: The general awareness, knowledge of signs and risk factors of oral cancer were found to be proportionate to the literacy level with the highest rate of awareness being among high school and graduates and lowest among illiterates. It was also observed that on most of these dimensions the younger age groups (<30 years) were significantly more knowledgeable. Conclusion: Overall, the awareness of oral cancer in the high-risk population of Gorakhpur was not satisfactory, pointing to a need for further dissemination of information on this issue and its associated risks. This is especially important for the youngsters, as this may possibly help them keep away from the deleterious habit of tobacco indulgence in any form. If necessary risk factor cessation counselling should be provided.

Linkages of Financial Efficacy, Demographics, Risks Preference and Consumption Behavior in Malaysia

  • KUSAIRI, Suhal;SANUSI, Nur Azura;MUHAMAD, Suriyani;SHUKRI, Madihah;ZAMRI, Nadia
    • The Journal of Asian Finance, Economics and Business
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    • v.7 no.9
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    • pp.673-685
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    • 2020
  • Financial literacy is one of the sustainable development goals of huge concern of governments. Governments explore solutions addressing policies to improve financial literacy. Nevertheless, financial management has such a broad scope and is not just limited to knowledge. As human nature, individuals are born with different confidence levels that include various financial abilities. This study aims to investigate the household-financial efficacy through the application of psychometric instruments, risk preference, and demographic characteristics toward consumption decision behavior. The research is based on a survey 479 households in the peninsular Malaysia, and utilizes the structural equation model, cluster proportional and systematic random sampling, and two measurements - composite reliability and average variance extracted. Results show that households' financial efficacy is one of the critical factors that explain the households' consumption decision behavior. Also, risk preference, gender and area location (rural or urban) of the household determined the consumption decision behavior of the household. The effectiveness of consumption decision is not only determined by financial literacy, but also financial efficacy. The implications of this paper may help to design policies in narrowing the broad gap between the rural and urban level of financial efficacy. The government needs to take appropriate actions to fix it.

Musical Actor's Projection Pattern and Treatment System (뮤지컬 배우의 배역 투사 양태와 치유 시스템)

  • Kim, Jeong-Seob;Lee, Eun-Hye
    • The Journal of the Korea Contents Association
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    • v.16 no.7
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    • pp.504-512
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    • 2016
  • This study was performed to explore the institutional treatment system by analyzing the pattern of musical actor's projection and aftereffect subsequent to the completion of performance. In-depth interviews were conducted with 22 top-class musical actors and actresses of the Republic of Korea. The result of the survey indicated that most actors and actresses suffer from projection and it's aftereffect such as depression for more than one month after performance, and that they tend to rely on self-healing based on self-diagnosis rather than seeking for professional counselling. The symptoms of projection were shown more strongly when the actors or actresses were taking on the role of main character, or acting as a negative or realistic character, or when expressing strong and extreme emotions. In this era of Korean culture, the result of this study implies that our country have to establish the actor's mental caring-related new law and private care centers supported enough funds to encourage the actors to receive more effective actor-friendly treatment service before and after the performance.

A Study on the Characteristics of DAMA(Discharge Against Medical Advice) Case and Causal Factors of DAMA - Perspective of Medical Social Worker's Role and Intervention - (의학적 충고에 반한 퇴원의 특성과 퇴원결정 요인에 관한 연구 - 사회사업가의 개입사례와 역할을 중심으로 -)

  • Kang, Heung Gu;Lee, Sang Jin;Cho, Kyung Gi
    • Journal of Korean Neurosurgical Society
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    • v.29 no.12
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    • pp.1620-1627
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    • 2000
  • Objectives : DAMA cases were analyzed to examine what the main casual factors of DAMA were and how to deal with these cases effectively in hospital with the DAMA interdisciplinary team including medical social worker whose role is to perform psycho-social assessment, family counsel, to evaluate family's DAMA need. Patients and Methods : The content analysis of medical record and social work record were reviewed in 37 cases referred by medical doctor to DAMA team. These cases were reported by patients' self discharge request or family's request for discharge from September 1998 to February 2000. The DAMA team consists of Assistant Director of Hospital as team leader, medical staff in-charge, social worker, QI nurse, other staff members who are not involved in direct treatment for patient, and administrative clerk. Results : The results of content analysis are as follows : 1) The most causal factors of DAMA consist of combination of more than 2 factors. 2) The major decision-maker is revealed to be son and daughter of patient. 3) In 59.4% of cases, family was not informed of patients' prognosis, alternatives, the consequence of DAMA at all. 4) In cases of DAMA report, the rapid intervention of social worker is carried out. Conclusion : In this study, we propose the interdisciplinary team approach to make decision legitimately and ethically for DAMA. The suggestions from this study are as follows : 1) To deal with DAMA case properly, the interdisciplinary team approach should be considered. 2) The criteria for DAMA case should be formed carefully. For the explicit selection of DAMA case, preliminary system for high-risk patient screening is recommended. 3) The medical social worker is available for the psycho-social problems of the patient once family members. For the effective family counselling, discharge planning and nursing home placement, the participation of medical social worker should be mandatory.

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Development of Mobile-application based Cognitive Training Program for Cancer Survivors with Cognitive Complaints (암 환자를 위한 앱 기반의 인지건강훈련 프로그램의 개발)

  • Oh, Pok Ja;Youn, Jung-Hae;Kim, Ji Hyun
    • Korean Journal of Adult Nursing
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    • v.29 no.3
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    • pp.266-277
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    • 2017
  • Purpose: The purpose of this study was to design a mobile-application of a cognitive training program for people who have chemo-related cognitive complaints. Methods: The program was developed based on the network-based instructional system design proposed by Jung. The program consisted of several tasks centered on four cognitive domains: learning, memory, working memory, and attention. For memory learning, a target-image and all its elements (color, position, and number) were presented on the screen that had to be recognized among a number of distractor-figures. In working memory training, the previous learned target-figure according to the level of difficulty had to be remembered among many different figures. In attention training named "Find the same figure," two identical symbols in a grid-pattern filled with different images were presented on the screen, and these had to be simultaneously touched. In attention training named "Find the different figure," a different symbol in a grid pattern filled with same figures had to be selected. This program was developed to train for a minimum of 20 min/day, four days/week for six weeks. Results: This cognitive training revealed statistically significant improvement in subjective cognitive impairments (t=3.88, p=.006) at six weeks in eight cancer survivors. Conclusion: This cognitive training program is expected to offer individualized training opportunities for improving cognitive function and further research is needed to test the effect in various settings.

Knowledge, Attitude and Practice of the Pap Smear as a Screening Procedure Among Nurses in a Tertiary Hospital in North Eastern India

  • Thippeveeranna, Chamaraja;Mohan, Surekha Sadhana;Singh, Laiphrakpam Ranjit;Singh, Naorem Nabakishore
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.2
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    • pp.849-852
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    • 2013
  • Background: Cancer of the uterine cervix is one of the most common cancers among women worldwide. Industrialized countries have dramatically reduced the incidence of mortality from cervical carcinoma in the last 50 years through aggressive screening programs utilizing pelvic examinations and Papanicolaou (Pap) smears but it still remains a major problem in the developing world. Objectives: This study was performed to determine knowledge, attitude and practice of Pap smear as a screening procedure among nurses in a tertiary hospital in north eastern India. Material and Methods: This cross sectional study was carried out with a questionnaire survey covering the socio demographic factors, knowledge, attitude and practices about Pap smear screening among 224 nurses in Regional Institute of Medical Sciences, Imphal, Manipur, India during December 2011. Results: Two hundred and twenty one participants (98.6%) had heard about cervical carcinoma but 18.3% lacked adequate knowledge regarding risk factors. Knowledge about the Pap smear was adequate in 88.8% of the respondents. Out of these, only 11.6% had Pap smear at least once previously. The most common reasons for non-participation in screening were lack of any symptoms (58.4%), lack of counselling (42.8%), physician does not request (29.9%) and fear of vaginal examination (20.5%). Conclusion: Although knowledge of Pap smear as a screening procedure for cervical cancer is high, practice is still low. The nurses who should be responsible for opportunistic screening of women they care for are not keen on getting screened themselves. If we can improve the practice of Pap smear screening in such experts, they should be able to readily provide appropriate and accurate information and motivate the general population to join screening programs.

Low Level of Consanguinity in Moroccan Families at High Risk of Breast Cancer

  • Elalaoui, Siham Chafai;Jaouad, Imane Cherkaoui;Laarabi, Fatima Zahra;Elgueddari, Brahim El Khalil;Benjaafar, Noureddine;Sefiani, Abdelaziz
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.2
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    • pp.723-726
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    • 2013
  • Background: Breast cancer is worldwide the most common cancer in women and is a major public health problem. Genes with high or low penetrance are now clearly implicated in the onset of breast cancer, mostly the BRCA genes. All women in families at high risk of breast cancer do not develop tumours, even when they carry the familial mutation, suggesting the existence of genetic and environmental protective factors. Several studies have shown that consanguinity is linked to a decreased or an increased risk of breast cancer, but to the best of our knowledge, there is no study concerning the association between consanguinity and the occurrence of tumours in women with high risk of breast cancer. The objective of this study was to examine whether parental consanguinity in families with genetic predisposition to breast cancer affect the risk of siblings for having this cancer. Materials and Methods: Over a six-year period, 72 different patients with a histological diagnosis of breast or ovarian cancer from 42 families were recruited for genetic counselling to the Department of Medical Genetics, Rabat. Consanguinity rate was determined in cases and compared to the consanguinity rate in the Moroccan general population. Results: Consanguinity rates were 9.72% in patients and 15.3% in controls, but the difference was statistically not significant (p>0.001) and the mean coefficient of consanguinity was lower in breast cancer patients (0.0034) than in controls (0.0065). Conclusions: Despite the relatively small sample size of the current study, our results suggest that parental consanguinity in Moroccan women might not be associated with an altered risk of breast cancer. Large scale studies should be carried out to confirm our results and to develop public health programs.

An Analysis of the Job and Competency of the Healthy Family Supporter as a Middle Manager on the Healthy Family Support Center (건강가정지원센터 중간관리자급 건강가정사의 직무현황과 역량분석)

  • Lee, Yoon-Jung
    • Korean Journal of Human Ecology
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    • v.18 no.4
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    • pp.809-824
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    • 2009
  • The purpose of this study is to examine the contents and concept of program for healthy family and provide job opportunity and competency of healthy family supporter. For this research, participants are 51 healthy family supporters as a middle manager. Data were obtained through the survey using a questionnaire developed by the ministry of women and family and headquarter of healthy family support centers in 2007. The research process consists of two parts. One is to suggest their jobs and requirements, the other is to offer their core competency and area for improvement. First, the jobs of healthy family supporters as a middle manager are the generalization of team's work including the planning, management and coordination, training for the staff, and network of social resources. They recognized the planning and management of healthy family support center's goal and course as a strategic job. The requirements for the performance of their duties are having a bachelor's or a master's degree, career more than for 3 years, and a certificate of qualification of healthy family supporters, social worker and family counselor. Second, their competencies are the understanding of education of family life, theory of family counselling, the planning and valuation of program for healthy family, understanding for the variegated family, management of organization, networking with resources, ability of documentation, ability of persuasion and negotiation, management of time, sociality, communication skill, solving the problem, positiveness, cooperative spirit and so on.

The Effect of Motivation for Major Choice and Satisfaction in Major on the Adaption of university Life among university students (대학생의 전공선택 동기 및 전공만족도가 대학생활 적응에 미치는 영향)

  • Park, An-Sook;Kim, Hey-Kyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.2
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    • pp.511-519
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    • 2016
  • The purpose of this study was to examine the effects of motivation for the selection of major and satisfaction in the major on the adaption of university life among university students and to present basic data to assist in the healthy adaption of university life. A survey was given to university students in Seoul and Chungcheong cities from October 13 to October 27, 2015 of 250 copies of the questionnaire distributed, a total of 242 copies were in the final analysis. For data analysis, SPSS 21.0 for Windows was used. As a result, there were correlations among the variables, the adaption of University life of university students was affected by the personal motivation, social motivation for the selection of major with the largest effect being class satisfaction. The explanatory power was 38%. In conclusion, it is important to develop teaching and learning programs and counselling students considering class satisfaction for improving the adaption to university life.

Perceptions of Successful Aging and The Influencing Factors in Middle-aged Women (중년여성의 성공적 노화에 대한 인식과 영향요인)

  • Kim, Bomi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.9
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    • pp.91-99
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    • 2018
  • This research was conducted to examine successful aging and influencing factors in middle aged women. Data were collected from 189 middle-aged women in two cities. Data were collected from July to August 2017 using structured questionnaires. Data collected were analyzed by descriptive statistics, t-test, ANOVA, Pearson correlations, and multiple regression analysis. The results indicate that the perception of successful aging mean was 128.49 points (range: 33-165). Depression (r=-.20, p=.005) had a significant negative association with perception of successful aging. Family resilience (r=.49, p<.001) and life satisfaction (r=.54, p<.001) were positively correlated with perception of successful aging. The significant predictors of successful aging were age (${\ss}=-.15$, p=.013), family resilience (${\ss}=.24$, p=.002), and life satisfaction (${\ss}=.37$, p<.001), explaining 33.9% of the variance. Based on the study results, we suggest that it is necessary to develop and apply educational strategy to improve perception of successful aging.