• Title/Summary/Keyword: Hindering factors

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Meta-synthesis Exploring Barriers to Health Seeking Behaviour among Malaysian Breast Cancer Patients

  • Yu, Foo Qing;Murugiah, Muthu Kumar;Khan, Amer Hayat;Mehmood, Tahir
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.1
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    • pp.145-152
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    • 2015
  • Barriers to health seeking constitute a challenging issue in the treatment of breast cancer. The current meta-synthesis aimed to explore common barriers to health seeking among Malaysian breast cancer patients. From the systematic search, nine studies were found meeting the inclusion criteria. Data extraction revealed that health behavior towards breast cancer among Malaysia women was influenced by knowledge, psychological, sociocultural and medical system factors. In terms of knowledge, most of the Malaysian patients were observed to have cursory information and the reliance on the information provided by media was limiting. Among psychological factors, stress and sense of denial were some of the common factors leading to delay in treatment seeking. Family member's advice, cultural beliefs towards traditional care were some of the common sociocultural factors hindering immediate access to advanced medical diagnosis and care. Lastly, the delay in referral was one of the most common health system-related problems highlighted in most of the studies. In conclusion, there is an immediate need to improve the knowledge and understanding of Malaysian women towards breast cancer. Mass media should liaise with the cancer specialists to disseminate accurate and up-to-date information for the readers and audience, helping in modification of cultural beliefs that hinder timing health seeking. However, such intervention will not improve or rectify the health system related barriers to treatment seeking. Therefore, there is an immediate need for resource adjustment and training programs among health professional to improve their competency and professionalism required to develop an efficient health system.

Physically Disabled Persons' Motives of Participation in the Wheelchair Basketball Club and the Hindrance Factors of Participation (지체장애인의 휠체어농구 동호회 참여 동기 및 저해 요인)

  • Jang, Chul Seung;Kim, Doo Young
    • 재활복지
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    • v.21 no.1
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    • pp.279-299
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    • 2017
  • This study is to investigate what the factors motivating the wheelchair basketball club members to participate in the wheelchair basketball club are and what the factors hindering the members from participating in the wheelchair basketball club are, based on which it has been conducted to explore the effective direction of the management of the wheelchair basketball club for the physically disabled persons in the future. For this study, a survey targeting 180 members currently participating in the wheelchair basketball clubs in Seoul, Gyeonggi, Chungcheong, Gyeongnam, Jeju areas has been conducted and the data gained from 144 respondents of them have been analyzed and its key results of this study are as follows. Firstly, the results of analyzing the physically disabled persons' motives of participation in the wheelchair basketball club show that the respondents have most frequently participated in the wheelchair basketball club by their motives of the pastime-oriented type, which was followed by the health-oriented one, then by the home-oriented one. The results of examining the difference in the motivations for participation based on the degree of participation in the wheelchair basketball club and on the social demographic characteristics of the club members show that there was a significant difference depending on the group by residence, the subjective health condition in the light of the pastime-oriented motives and there was significant difference depending on the age, the occupation, the group by residence, the frequency of participation. Secondly, according to the results of investigating and analyzing the factors hindering the members of the club from participating in the wheelchair basketball club for the physically disabled persons, the structural factors are found to have been the biggest hindrance factor of participation and there was a significant difference depending on the age, the highest level of education, the occupation, the frequency of participation in the club in verifying the difference in the hindrance factors of participation in the club in accordance with the social demographic characteristics of the club members and the frequency of participation in terms of internal factors. Based on the abovementioned research results, some future effective management strategies of the wheelchair basketball club for the physically disabled persons have been discussed.

A study of the role of environmental influences in talent development of the Korean Math and Science Olympians. (국제과학올림피아드에 참가한 과학영재의 재능 발달에 끼친 촉진 요인과 방해요인에 관한 연구)

  • 윤여홍;김언주;문정화;김명환
    • Journal of Gifted/Talented Education
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    • v.11 no.3
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    • pp.245-270
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    • 2001
  • Math and Science Olympians participated in a study of the role of environmental influences in their talent development. The questions they got was about family and school factors contribute / or hinder to the development of their scientific talents, and the parents' child rearing styles. The questionnaires were originally developed by Campbell(1996) for cross-cultural studies. The major findings were as follows: ⑴ The professional job of the Olympians'father, the high SES, Their parents'discovering their child's talents were positive factors, ⑵ Their family support and learning environment were reported strong and positive, especially books and reading atmosphere, ⑶ The Olympians participated in the accelerated and enriched educational programs, ⑷ The quality of the class and the rigidity of the curriculum were hindering factors, ⑸ Their parents'rearing style were permissive, affective, and supportive.

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Early dropout predictive factors in obesity treatment

  • Michelini, Ilaria;Falchi, Anna Giulia;Muggia, Chiara;Grecchi, Ilaria;Montagna, Elisabetta;De Silvestri, Annalisa;Tinelli, Carmine
    • Nutrition Research and Practice
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    • v.8 no.1
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    • pp.94-102
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    • 2014
  • Diet attrition and failure of long term treatment are very frequent in obese patients. This study aimed to identify pre-treatment variables determining dropout and to customise the characteristics of those most likely to abandon the program before treatment, thus making it possible to modify the therapy to increase compliance. A total of 146 outpatients were consecutively enrolled; 73 patients followed a prescriptive diet while 73 followed a novel brief group Cognitive Behavioural Treatment (CBT) in addition to prescriptive diet. The two interventions lasted for six months. Anthropometric, demographic, psychological parameters and feeding behaviour were assessed, the last two with the Italian instrument VCAO Ansisa; than, a semi-structured interview was performed on motivation to lose weight. To identify the baseline dropout risk factors among these parameters, univariate and multivariate logistic models were used. Comparison of the results in the two different treatments showed a higher attrition rate in CBT group, despite no statistically significant difference between the two treatment arms (P = 0.127). Dropout patients did not differ significantly from those who did not dropout with regards to sex, age, Body Mass Index (BMI), history of cycling, education, work and marriage. Regardless of weight loss, the most important factor that determines the dropout appears to be a high level of stress revealed by General Health Questionnaire-28 items (GHQ-28) score within VCAO test. The identification of hindering factors during the assessment is fundamental to reduce the dropout risk. For subjects at risk, it would be useful to dedicate a stress management program before beginning a dietary restriction.

Inhibition of COX-2 Impairs Colon Cancer Liver Metastasis through Reduced Stromal Cell Reaction

  • Herrero, Alba;Benedicto, Aitor;Romayor, Irene;Olaso, Elvira;Arteta, Beatriz
    • Biomolecules & Therapeutics
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    • v.29 no.3
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    • pp.342-351
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    • 2021
  • Liver colonization is initiated through the interplay between tumor cells and adhesion molecules present in liver sinusoidal endothelial cells (LSECs). This crosstalk stimulates tumor COX-2 upregulation and PGE2 secretion. To elucidate the role of the LSEC intercellular adhesion molecule-1 (ICAM-1) in the prometastatic response exerted by tumor and stromal COX-2, we utilized celecoxib (CLX) as a COX-2 inhibitory agent. We analyzed the in vitro proliferative and secretory responses of murine C26 colorectal cancer (CRC) cells to soluble ICAM-1 (sICAM-1), cultured alone or with LSECs, and their effect on LSEC and hepatic stellate cell (HSC) migration and in vivo liver metastasis. CLX reduced sICAM-1-stimulated COX-2 activation and PGE2 secretion in C26 cells cultured alone or cocultured with LSECs. Moreover, CLX abrogated sICAM-1-induced C26 cell proliferation and C26 secretion of promigratory factors for LSECs and HSCs. Interestingly, CLX reduced the protumoral response of HSC, reducing their migratory potential when stimulated with C26 secretomes and impairing their secretion of chemotactic factors for LSECs and C26 cells and proliferative factors for C26 cells. In vivo, CLX abrogated the prometastatic ability of sICAM-1-activated C26 cells while reducing liver metastasis. COX-2 inhibition blocked the creation of a favorable tumor microenvironment (TME) by hindering the intratumoral recruitment of activated HSCs and macrophages in addition to the accumulation of fibrillar collagen. These results point to COX-2 being a key modulator of processes initiated by host ICAM-1 during tumor cell/LSEC/HSC crosstalk, leading to the creation of a prometastatic TME in the liver.

Perception Related to Recycling Clothing and Analysis of the Actual Conditions for the Unused Clothing (의복 재활용에 대한 인식 및 사장의복 실태 분석)

  • Park, Younghee
    • Journal of Fashion Business
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    • v.24 no.5
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    • pp.1-20
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    • 2020
  • This study analyzed the perceptions related to recycling clothing and the actual conditions of unused clothing based on demographic characteristics to help reduce environmental pollution. A total of 833 questionnaires were used in data analysis for this survey study. The subjects consisted of men and women in their 20s to 50s who resided in Gyeongnam and Ulsan, Korea. The data were analyzed by χ2-test using SPSS. The results obtained were as follows. The intention to recycle others' clothing was significantly different for all the demographic characteristics. Overall, the response "I have an intention to recycle others' clothing" was reported by a relatively high proportion of the respondents. The analysis of the motivation to others' clothing showed a significant difference in all demographic characteristics except gender. The main motivation for recycling clothing was because "I wanted to recycle the clothing". The factors hindering recycling others' clothing showed significant differences according to gender, marital status, and occupation. The main hindrance factor was reported as "feeling uncomfortable". The causes of occurrence of unused T-shirts significantly different for all demographic characteristics. The causes of occurrence of unused trousers and skirts was significantly different for all demographic characteristics except monthly income. The cause of undisposed, unused clothing was related to all demographic characteristics Overall, the response "reluctant to dispose of" was reported by a relatively high proportion of the respondents.

An Exploratory Study on Development of Information Security Manpower (정보보안 인력양성을 위한 탐색적 연구: 정부, 기업, 학계, 인력 관점 기반)

  • Seo, Kyung-Jin;Choi, Jee-Eun;Kim, Hee-Woong
    • The Journal of Information Systems
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    • v.24 no.2
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    • pp.73-96
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    • 2015
  • Purpose Information security industry is rapidly growing, but has been confronted with many challenges in a business environment. One of them is the imbalance between supply and demand of information security manpower, which has caused an insecure market situation. Therefore, this study has derived factors of promoting and hindering information security manpower from governance, academics, corporations, and workforce perspectives, and has analyzed a sequence of cause and effect of each factor. Design/methodology/approach This study is an exploratory research based on the interviews. The causal loop diagram (CLD) was developed to deduce key issues and propose alternatives. Findings The result of this study is expected to help the development of information security manpower in Korea, by minimizing the potential negative effects as well as maximizing the positive effects. This study found out the dynamic causes and effects of the security manpower system in each stakeholder's perspective. The cause-and-effect relationships between the stakeholders will be able to contribute to solve the imbalance of supply and demand in security manpower system.

Directions of the Activation of the Development of a Small Innovative Enterprise

  • Antypenko, Nadiia;Dongcheng, Wang;Lysenko, Zhanna;Krasnonosova, Olena;Grynevych, Liudmyla
    • International Journal of Computer Science & Network Security
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    • v.21 no.12spc
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    • pp.495-502
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    • 2021
  • The study is devoted to substantiation of directions of intensification of development of small innovative enterprise, which has a significant impact on the overall innovation activity of the country and promotes innovative development, transition to more advanced technological systems. The outlined role of small business in innovative development in the direction of intensifying innovation in the economy, improving organization and production, as well as in the form of direct participation in the innovation process, production of science-intensive products, stimulating demand for innovation. A group of factors hindering the development of small innovative entrepreneurship was identified, including: financial aspects of the activity, shortcomings of organizational and communicative nature, underdeveloped technology market, information plan problems, internal production problems of small business, market problems. The directions of intensification of the development of small innovative entrepreneurship are substantiated, namely: financial and credit support of small innovative entrepreneurship; introduction of tax incentives; material and technical support; nationwide intensification of innovation activity; information support; development of innovation infrastructure. The involvement of the outlined directions of intensification of small innovative entrepreneurship will help to obtain a synergistic effect of innovative development of both small innovative business structures and the economy as a whole.

The Relationship between Foreign Direct Investment and Local Economic Growth: A Case Study of Binh Dinh Province, Vietnam

  • LE, Bao;NGO, Thi Thanh Thuy;NGUYEN, Ngoc Tien;NGUYEN, Duy Thuc
    • The Journal of Asian Finance, Economics and Business
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    • v.8 no.4
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    • pp.33-42
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    • 2021
  • This study aims to investigate the relationship between foreign direct investment (FDI) and economic growth at the provincial level by using time-series data in Binh Dinh from 1997 to 2019. We applied the quantitative approaches Vector Autoregression (VAR) and Autoregressive Distributed Lags (ARDL) in the model, which includes economic growth, real foreign direct investment capital, ratio of trained workers, and infrastructure. The results show that all these variables are stationary at the first difference. In ARDL analysis, we found that the economic growth positively affects FDI attraction. However, there is no evidence of the effect of FDI on economic growth in the condition of low capital implemented. Moreover, findings also show that the impact of FDI on economic growth is influenced by two factors: infrastructure and human capital. The lack of human capital, which is trained personnel and infrastructure, is the main barrier hindering and inhibiting FDI's contribution to local economic growth. In order to improve the efficiency of FDI on economic growth in the future, it is suggested that the Binh Dinh government should have proper policies in terms of the infrastructure, the human capital investment. They would allow Binh Dinh to enhance the capital absorptive capacity and capital efficiency.

Factors Influencing Vaccination in Korea: Findings From Focus Group Interviews

  • Park, Bomi;Choi, Eun Jeong;Park, Bohyun;Han, Hyejin;Cho, Su Jin;Choi, Hee Jung;Lee, Seonhwa;Park, Hyesook
    • Journal of Preventive Medicine and Public Health
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    • v.51 no.4
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    • pp.173-180
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    • 2018
  • Objectives: Immunization is considered one of the most successful and cost-effective public health interventions protecting communities from preventable infectious diseases. The Korean government set up a dedicated workforce for national immunization in 2003, and since then has made strides in improving vaccination coverage across the nation. However, some groups remain relatively vulnerable and require intervention, and it is necessary to address unmet needs to prevent outbreaks of communicable diseases. This study was conducted to characterize persistent challenges to vaccination. Methods: The study adopted a qualitative method in accordance with the Consolidated Criteria for Reporting Qualitative Research checklist. Three focus group interviews were conducted with 15 professionals in charge of vaccination-related duties. The interviews were conducted according to a semi-structured guideline, and thematic analysis was carried out. Data saturation was confirmed when the researchers agreed that no more new codes could be found. Results: A total of 4 main topics and 11 subtopics were introduced regarding barriers to vaccination. The main topics were vaccine hesitancy, personal circumstances, lack of information, and misclassification. Among them, vaccine hesitancy was confirmed to be the most significant factor impeding vaccination. It was also found that the factors hindering vaccination had changed over time and disproportionately affected certain groups. Conclusions: The study identified ongoing unmet needs and barriers to vaccination despite the accomplishments of the National Immunization Program. The results have implications for establishing tailored interventions that target context- and group-specific barriers to improve timely and complete vaccination coverage.