• Title/Summary/Keyword: Treatment Adherence

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Factors Affecting the Life Satisfaction of Hemodialysis Patients by Gender (성별에 따른 혈액투석 환자의 삶의 만족도에 미치는 영향요인)

  • Cho, Yun-Hee;Park, Yeon-Suk
    • The Journal of the Korea Contents Association
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    • v.17 no.8
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    • pp.631-643
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    • 2017
  • The purpose of this study is to examine factors affecting the life satisfaction of patients with hemodialysis in order to improve the quality of life for patients with hemodialysis. The subjects of this study are 168 patients who have undergone hemodialysis treatment in the hemodialysis rooms in D-city and C-providence. The data are collected between August 20th to September 5th, 2015. By using SAS 9.3 statistics program for data analysis, frequency, ${\chi}^2$-test, variance analysis and multiple regression analysis are conducted. Based on the analysis, it is found that family support(t=5.33, p<.001) and self-efficacy(t=3.52, p<.001) are statistically significant to the quality of life for male patients. Family support(t=2.58, p<.012) and adherence to self-care(t=4.08, p<.001) are statistically significant to the quality of life for female patients. With the study results, it suggests that nurses can help improve the affective and psychological stability of patients with hemodialysis by recognizing the factors affecting the life satisfaction of patients with hemodialysis by gender, developing and utilizing a nursing intervention.

Knowledge about Gastric Carcinoma in North of Iran, A High Prevalent Region for Gastric Carcinoma: A Population-Based Telephone Survey

  • Mansour-Ghanaei, Fariborz;Joukar, Farahnaz;Soati, Fatemeh;Mansour-Ghanaei, Alireza;Naserani, Sara Bakhshizadeh
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.7
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    • pp.3361-3366
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    • 2012
  • Background & Objectives: The most northern and northwestern regions of Iran are at a high risk for gastric cancer. The aim of this study was to assess the general population's awareness about risk factors, symptoms and signs, preventive methods and management of gastric carcinoma in a high prevalence city in the North of Iran. Methods: A cross-sectional population-based telephone survey which was conducted on 3,457 residents of Rasht, the capital city of Guilan Province, to assess their awareness regarding gastric carcinoma. The questionnaires contained demographic data and statements on respondents' knowledge about risk factors, symptoms and signs, prevention and management of gastric cancer which were filled by general practitioners after asking the subjects. Data were analyzed in SPSS14. P<0.05 was considered significant. Results: The mean knowledge score of the respondents was $5.05{\pm}1.37$ regarding risk factors of gastric carcinoma, $4.39{\pm}1.99$ regarding symptoms and signs, $6.0{\pm}1.22$ regarding preventive strategies, and $1.6{\pm}1.16$ regarding management. Totally the mean knowledge level of the respondents toward gastric carcinoma would be $17.1{\pm}3.97$ from the maximum grade of 29. The age group of 45-55 y/o, bachelor degree and higher, physicians and nurses, those who had cancer history in friends or had the history of gastrointestinal diseases showed significantly higher knowledge scores (P=0.001). Conclusion: There is a general lack of awareness of cancer risk factors, symptoms and signs, methods of prevention, and importance of early diagnosis and treatment. Educational programs should be developed to promote adherence to recommended screening guidelines.

Self-checking Type, Repetitive, Education Efficacy for Temporomandibular Disorder Patients

  • Ok, Soo-Min;Kim, Kyung-Hee;Heo, Jun-Young;Ahn, Yong-Woo;Jeong, Sung-Hee
    • Journal of Oral Medicine and Pain
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    • v.40 no.2
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    • pp.72-78
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    • 2015
  • Purpose: The purpose of this research was twofold: to compare the short-term efficacy of once-off education versus repetitive education (RE) of patients suffering from temporomandibular disorders (TMDs) and to determine whether there was any correlation amongst patient demographics, recommendation adherence degree and pain levels. Methods: A total of 848 patients with TMDs were enrolled. The control group consisted of patients who received a standard conservative treatment (STD) over at least 6 visits with education provided only during the first visit. The experimental group consisted of patients who received STD but had also been given RE (STD+RE). The RE was delivered through a standardized self-assessment questionnaire (SAQ) that was completed by the patient during each visit. Pain, which included maximum comfortable opening (MCO) of the mouth and limitation of mouth opening (LOM), was compared between the two groups. Behavior pattern and reported pain level changes in the group who used the SAQ were also analyzed. Results: The LOM was significantly improved in all of the experimental group patients (especially in females under 30 years of age, p<0.05). The MCO was significantly higher in females (p=0.029). All of the patients displayed improvements in their habits following RE, which resulted in a strong correlation with pain reduction. Adhering to the recommendations regarding questions 14 and 15 of the SAQ appeared to have the greatest effect on pain reduction. Conclusions: These results clearly demonstrate that RE is more effective than once-off education for TMD patients who are female or under 30 years of age.

Needs of Instructors for Developing Self-Help and Aquatic Exercise Programs of Korean Rheumatology Health Professionals Society (관절염 자조관리 및 수중운동 프로그램 운영에 대한 평가 연구)

  • Lee, Eun-Ok;Suh, Moon-Ja;Kim, Keum-Soon;Kang, Hyun-Sook;Lim, Nan-Young;Kim, Jong-Im;Sohng, Kyeong-Yae;Han, Sang-Sook;Lee, Kyung-Sook;Lee, In-Ock
    • Journal of muscle and joint health
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    • v.8 no.2
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    • pp.217-229
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    • 2001
  • The purpose of this study is to analyze the needs of instructors for developing self-help and aquatic exercise programs of Korean Rheumatology Health Professionals Society (KRHPS). Data were collected by self-administered questionnaires via mail for 63 out of 248 certified instructors from KRHPS. Authors analyzed the data based upon following 3 criteria, 1) demographical data of the instructors, 2) content of the programs, 3) evaluation of arthritis self-help and aquatic exercise program. As a result, most of respondents satisfied with the two programs in general, but they need some modification of the program in partly. They need more information about practical method of exercise, complementary theray, and treatment of arthritis. Also they proposed developing more interesting exercise program which can be learn with ease and enjoyable. It is also suggested that developing new exercise program would be needed to improve adherence of exercise.

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Latent Infection and Reactivation of Human Cytomegalovirus from Human Monocyte THP-1 Cells (인체단핵세포주 THP-1세포에서 Human Cytomegalovirus의 잠복감염과 재활성화)

  • 윤상임;문명숙;이찬희
    • Korean Journal of Microbiology
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    • v.37 no.2
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    • pp.145-150
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    • 2001
  • Reactivation of human cytomegalovirus (HCMV) from latency is often fatal to immunocompromised individuals. To understand the effect of HCMV on human monocytes where HCMV establishes latency, two human monocyte cell lines at different stages in differentiation, THP-1 and HL-60 were infected with HCMV. While the viability and morphology of HL-60 cells were not significantly affected by HCMV, the viability of THP-1 cells was dramatically decreased by HCMV infection. THP-1 cells infected with HCMV became aggregated and adhered to the surface of culture dishes, probably due to the increased expression of adherence molecules CD11b on the infected THP-1 cells. THP-1 cells established a latent HCMV infection were induced to differentiate by treatment with TPA and hydrocortisone. Recovery of infectious HCMV from the culture supernatant of differentiated THP-1 cells was dependent on the time of induction of differentiation after HCMV infection. Thus, in vitro model of reactivation of HCMV from latently infected monocytes was established.

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Relative Risk of Virulence Factors in Candida-Infected Mouse (캔디다균 감염 마우스 모델에서 병독인자의 비교위험도)

  • Kim, Dong-Hwa;Shin, Woon-Seob;Lee, Kyoung-Ho;Kim, Kyung-Hoon;Park, Yoon-Sun;Park, Joo-Young;Koh, Choon-Myung
    • The Journal of the Korean Society for Microbiology
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    • v.35 no.4
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    • pp.317-324
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    • 2000
  • Candida albicans is one of the most frequently isolated fungal pathogens in human. Recently, the prevalence of candida infection has markedly increased, partially due to the increase of immunocompromised hosts. Proposed virulence factors of the pathogenic Candida are the ability to form hyphae to adhere to epithelial cell surfaces, and to secrete acid proteinases and phospholipases. We measured the relative cell surface hydrophobicity (CSH) and the ability of proteinase production (PROT), phospholipase production (PLase), adherence to host epithelium (ADH), and hyphal transition (Germ). The relative risk of virulence factors was analyzed by lethality test in murine model of hematogeneously disseminated candidal infection. According to Cox's proportional hazard analysis, the statistically significant virulence factors were PROT, ADH, and CSH. PROT was the highest risk factor of them. To evaluate the applicability for the diagnosis and treatment of Candidiasis, we examined the protective effect of the active and passive immunizations with the materials purified from virulence factors and antibodies to them in Candia-infected mice model. The mean survival times of active and passive immunized groups were slightly longer than those of non-immunized groups.

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Surface Characteristics of Fouling Resistant Low-Pressure RO Membranes (상업용 내오염성 저압 RO막의 표면 특성 분석)

  • Hong, Seungkwan;Taylor, James;Norberg, David;Lee, Jinwoo;Park, Chanhyuk;Kim, Hana
    • Journal of Korean Society on Water Environment
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    • v.22 no.1
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    • pp.1-6
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    • 2006
  • In this study, five commercially available fouling resistant low-pressure RO membranes were investigated for the treatment of seasonally brackish surface water with high organic content (${\approx}24mg/L$). The membranes investigated are LFC-1 (Hydranautics), X20 (Trisep), BW30FR1 (FilmTec), SG (Osmonics), and BE-FR (Saehan). The results of surface characterization revealed that each of these membranes has one or two unique surface characteristics to minimize the adherence of the fouling materials to the membrane. Specifically, the LFC1 membrane features a neutral or low negative surface to minimize electrostatic interactions with charged foulants. The X20, on the other hand, shows a highly negatively charged surface, and thus, is expected to perform well with feed waters containing negatively charged organics and colloids. The BW30FR1 exhibits a relatively neutral and hydrophilic surface, which could be beneficial for lessening organic and/or biofouling. The SG membrane has a smooth surface that makes it quite resistant to fouling, particularly for colloidal deposition. Lastly, BE-FR membrane demonstrated a medium surface charge and a slightly higher hydrophobicity. In the pilot study, all of the four membranes experienced a gradual increase in MTC (water mass transfer coefficient or specific flux) over time, indicating no fouling occurred during the pilot study. The deterioration of permeate water quality such as TDS was also observed over time, suggesting that the integrity of the membranes was compromised by the monochloramine used for biofouling control.

Up-regulation of Matrix Metalloproteinase-9 in Smooth Muscle Cell Undergoing Death (사멸세포에서의 metalloproteinase-9의 작용)

  • Lee, Kyeong-Ah;Kim, Sun-Mi;Kim, Koan-Hoi
    • Journal of Life Science
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    • v.16 no.7 s.80
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    • pp.1229-1234
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    • 2006
  • This study investigated whether matrix metalloproteinases (MMPs) can be modified in apoptotic smooth muscle cell (SMC) using the SMC that undergoes apoptotic death by expressing Fas-associated death domain containing protein (FADD) when they are grown without tetracycline in culture medium. In the absence of tetracycline, FADD-SMC lost adherence and showed the fragmentation of the nuclei. In proportion to duration of tetracycline removal, phosphorylated form of p38 MAPK and of ERK increased, whereas phosphorylation of protein kinase B (PKB) was not changed very much in response to tetracycline The levels of cyclin A and cyclin D were also decreased in a time dependent manner. Up-regulation of MMP-9 expression and activity was observed when the SMC were grown without tetracycline. Immunoreactivity of MMP-9 was detected from both attached and floating FADD-SMCs grown without tetracycline. An inhibitor of MAPK kinase, PD098059, and an inhibitor of p38 MAPK, SB203580, inhibited the up-regulation of MMP-9. Treatment of the SMC with a synthetic MMP inhibitor, BB94, attenuated death occurring in the absence of tetracycline. These results indicate that SMC undergoing death is able to up-regulate MMP-9 and that the enzyme can affect cell viability.

Characterization and In Vitro Differentiation of Korean Ring-Necked Pheasant (Phasianus colchicus) Male Germ Cells

  • Jeong, Dong Kee;Sharma, Neelesh;Nguyen, Thanh Luan;Kim, Jong Hyun;Oh, Sung Jong
    • Journal of Embryo Transfer
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    • v.29 no.4
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    • pp.351-359
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    • 2014
  • Phasianus colchicus is not only a beautiful bird but also a great value in science and under the threat of endanger. Hence, the aim of this study was to isolate the pheasant male germ cells (mGCs) and then induce them into elongated sperm-like cells in vitro. The mGCs were purified and enriched by a two-step plating method based on the different adherence velocities of mGCs and somatic cells. The percentage of the c-kit positive cells and c-kit negative cells examined by flow cytometry analysis (FCA) was 92.87% and 2.57%, respectively. Subsequently, the mGCs were induced for 48h in DMEM/F12 medium supplemented factors such as retinol acid, testosterone and bovine FSH, followed by 5 weeks in culture. We found that some elongated sperm-like cells appeared initially in vitro under inducement of stimulated factors. The elongated sperm-like cells showed in the expression of changed morphology and post-transcriptional marker such as spermatid associated (SPERT), spermatid perinuclear RNA binding protein (STRBP), round spermatid basic protein 1 (RSBN1) and SPER1L. Moreover, in DNA content identified assay, induced cells showed that the 1C DNA population markedly increased in differentiated group but it was not change in undifferentiated group. Successful in vitro differentiation of pheasant testicular germline cells into spermatids appears to offer extremely attractive potential for the conservation of endangered birds and treatment of male infertility.

"A La Recherche" of Functions for the Spore Protein SASP-E from Bacillus subtilis

  • Ruzal, Sandra M.;Bustos, Patricia L.;Sanchez-Rivas, Carmen
    • Journal of Microbiology and Biotechnology
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    • v.23 no.1
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    • pp.15-21
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    • 2013
  • We previously observed that Bacillus subtilis spores from sspE mutants presented a lower germination capacity in media containing high salt concentrations (0.9M NaCl). This deficiency was attributed to the absence of SASP-E (gamma-type small-acid-soluble protein), rich in osmocompatible amino acids released by degradation. Herein we observed that, in addition, this mutant spore presented a reduced capacity to use L-alanine as germinant (L-ala pathway), required longer times to germinate in calcium dipicolinate ($Ca^{2+}$-DPA), but germinated well in asparagine, glucose, fructose, and potassium chloride (AGFK pathway). Moreover, mild sonic treatment of mutant spores partially recovered their germination capacity in L-ala. Spore qualities were also altered, since sporulating colonies from the sspE mutant showed a pale brownish color, a higher adherence to agar plates, and lower autofluorescence, properties related to their spore coat content. Furthermore, biochemical analysis showed a reduced partition in hexadecane and a higher content of $Ca^{2+}$-DPA when compared with its isogenic wild-type control. Coat protein preparations showed a different electrophoretic pattern, in particular when detected with antibodies against CotG and CotE. The complementation with a wild-type sspE gene in a plasmid allowed for recovering the wild-type coat phenotype. This is the first report of a direct involvement of SASP-E in the spore coat assembly during the differentiation program of sporulation.