• Title/Summary/Keyword: self-developing

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Primary Study on Providing a Basic System for Uterine Cervical Screening in a Developing Country: Analysis of Acceptability of Self-sampling in Lao PDR

  • Yoshida, Tomomi;Nishijima, Yoshimi;Hando, Kiyomi;Vilayvong, Soulideth;Arounlangsy, Petsamone;Fukuda, Toshio
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.5
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    • pp.3029-3035
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    • 2013
  • Background: Most developing countries have been unable to implement well-organized health care systems, especially comprehensive Pap smear screening-based programs. One of the reasons for this is regional differences in medical services, and a low-cost portable cervical screening system is necessary. To improve regional discrepancies in cervical screening systems, we investigated the usefulness and acceptability of cervical selfsampling by liquid-based cytology (LBC) for 290 volunteers in the Lao PDR. Materials and Methods: Following health education with comprehensive documents, cervical self-sampling kits by LBC were distributed in three provincial, district, and village areas to a total of 290 volunteers, who were asked to take cytology samples by themselves. Subsequently, the acceptability of self-sampling was evaluated using a questionnaire. Results: The documents were well understood in all three regions. Regarding the acceptability of self-sampling, the selections for subsequent screening were 62% self-sampling, 36% gynecologist-sampling, 1% either method, and 1% other methods. The acceptability rates were higher in the district and the village than in the province. For the relationship between acceptability and pregnancy, the self-sampling selection rate was higher in the pregnancy-experienced group (75%) than in the pregnancy-inexperienced group (60%). For the relationship between selection of self-sampling and experience of screening, the self-sampling selection rate was higher in the screening-inexperienced group (62%) than in the screening-experienced group (52%). Conclusions: Our data show that this new way forward, involving a combination of self-sampling and LBC, is highly acceptable regardless of age, educational background, and residence in rural areas in a developing country.

Factors Influencing Self-Management Compliance of Patients with Chronic Hepatitis B (만성B형간염 환자의 자가관리이행에 대한 영향요인)

  • Yang, Jin-Hyang
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.18 no.4
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    • pp.520-528
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    • 2011
  • Purpose: Patients with chronic hepatitis B need lifelong health care because of progressive liver damage. The purpose of this study was to identify factors associated with self-management compliance among patients with chronic hepatitis B. Methods: The research was a cross-sectional, descriptive design using questionnaires. The participants were 118 patients with chronic hepatitis B from outpatient department in a tertiary hospital. Their ages ranged from 20 to 64. Data were analyzed using descriptive statistics, t-test, ANOVA and multiple regression with PASW statistics 19.0 program. Results: There were statistically significant differences in self management compliance by gender, age, job, alcohol consumption, and smoking. A positive correlation existed between self-management compliance, awareness of the importance of management, and self efficacy. Stepwise multiple regression analysis for self-management compliance revealed that the most powerful predictor was self efficacy. Self efficacy, age, and alcohol consumption explained 37.5% of the variance. Conclusion: The results indicate a need to promote self-management compliance with these participants. The findings also suggest that consideration be given to characteristics of age and alcohol consumption in developing strategies for enhancing self efficacy and developing programs to promote self-management for patients with chronic hepatitis B.

Autoimmunity (자가 면역)

  • Kim, Joong Gon
    • Clinical and Experimental Pediatrics
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    • v.50 no.12
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    • pp.1165-1172
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    • 2007
  • Self/non-self discrimination and unresponsiveness to self is the fundamental properties of the immune system. Self-tolerance is a state in which the individual is incapable of developing an immune response to an individual's own antigens and it underlies the ability to remain tolerant of individual's own tissue components. Several mechanisms have been postulated to explain the tolerant state. They can be broadly classified into two groups: central tolerance and peripheral tolerance. Several mechanisms exist, some of which are shared between T cells and B cells. In central tolerance, the recognition of self-antigen by lymphocytes in bone marrow or thymus during development is required, resulting in receptor editing (revision), clonal deletion, anergy or generation of regulatory T cells. Not all self-reactive B or T cells are centrally purged from the repertoire. Additional mechanisms of peripheral tolerance are required, such as anergy, suppression, deletion or clonal ignorance. Tolerance is antigen specific. Generating and maintaining the self-tolerance for T cells and B cells are complex. Failure of self-tolerance results in immune responses against self-antigens. Such reactions are called autoimmunity and may give rise to autoimmune diseases. Development of autoimmune disease is affected by properties of the genes of the individual and the environment, both infectious and non-infectious. The host's genes affect its susceptibility to autoimmunity and the environmental factors promote the activation of self-reactive lymphocytes, developing the autoimmunity. The changes in participating antigens (epitope spreading), cells, cytokines or other inflammatory mediators contribute to the progress from initial activation to a chronic state of autoimmune diseases.

A Study on the Bibliotherapy for Developing Children's Social Competence (독서치료가 초등학생의 사회성 발달에 미치는 영향)

  • Kim, Seong-Hee;Kim, Song-I
    • Journal of Korean Library and Information Science Society
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    • v.39 no.2
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    • pp.213-226
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    • 2008
  • The purpose of this study was to analyze the effect of bibliotherapy for developing children's social competence. Specifically, this study investigated the relationship between bibliotherapy and social competence for elementary school children. In this study, social competence includes self-esteem, self-control, peer-relationship. As a result, bibliotherapy was significantly to related to self-control, self-esteem, peer-relationship. These results will be contributed to learn and develop social competence through bibliotherapy.

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The Effectiveness of a Training Program based on the Social Story Strategy for Developing Self-Determination Skills among Students with Autism Spectrum Disorder

  • AL haosawi, Amal H.;Sharadqah, Maher T.
    • International Journal of Computer Science & Network Security
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    • v.22 no.11
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    • pp.149-156
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    • 2022
  • The study aimed to identify the effectiveness of the training program based on the social story strategy for developing self-determination skills among students with autism spectrum disorder. The population of the study consisted of all students with autism spectrum disorder in the Desired Hope Association for People with Disabilities in Makkah Al-Mukarramah and the sample of the study consisted of (6) students. The study used the quasi-experimental approach with one group. To achieve the objectives of the study, the ARCS scale for self-determination skills was used, Hassan Al-Masry (2018). The results of the study revealed, through comparing the students' performances in their pre and post-tests regarding to the ARKS scale and through their answers on the scale, the effectiveness of the training program based on the social story for developing the skills of self-determination among students with autism spectrum disorder. The results also showed that there were statistically significant differences after applying the program when significance level was (0.001). The result came in favor of the post-test.

A Developing of Self-directed Learning Program to Improve Abilities for Learning Mathematics (수학 학습 능력 향상을 위한 자기 주도적 학습 프로그램 개발)

  • Lee, Joong-Kwoen
    • The Mathematical Education
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    • v.44 no.3 s.110
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    • pp.397-408
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    • 2005
  • This research developed self-directed teaming program for students who learn mathematics to improve their abilities for learning mathematics. A small-group cooperative teaming model was based on the self-directed loaming program which this research developed. The main target of this program was the second grade students of middle school. The program was consisted with three developing parts. The part 1 of program developing was consisted with analyzing and reconstructing mathematics curriculum, devising small-group cooperative learning program, and structuring teaching and teaming plans. The part 2 included the management of small-group cooperative Loaming and how to use the materials which this research developed. The part 3 provided various cooperative learning opportunities for students to improve their abilities for loaming mathematics.

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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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A Survey on the Need for Mobile Application Content for Self-Management of Patients with Osteoarthritis (골관절염 대상자의 자기관리 모바일앱 개발을 위한 콘텐츠 요구도 조사)

  • Park, Ju-Young;Son, Jung Tae
    • Journal of muscle and joint health
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    • v.27 no.3
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    • pp.211-218
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    • 2020
  • Purpose: This study aimed to identify and prioritize the content needs of patients with osteoarthritis (OA) for developing self-management mobile applications. Methods: A total of 126 participants with OA were recruited from two orthopedic hospitals. They completed the self-report questionnaires after providing written informed consent. The Borich needs assessment model was used to assess the perceived level of competence and perceived level of importance regarding 21 items for self-management of OA. The collected data were weighted and ranked in order of priority. Results: The top five content items needed by OA patients were 'How to avoid excessive use of the joints' (15.03); 'Lifestyle tips on the prevention and management of arthritis' (13.69); 'Exercise types and procedures for OA' (12.54); 'Good and bad exercises for the joints' (9.80); and 'Precautions for exercise (duration, frequency, safety)' (8.88). Need rankings related to causes and treatment of OA were relatively low. Conclusion: OA patients requested self-management competencies that should be practiced in daily activities to reduce the discomfort. The results of this study have practical implications for defining the content of self-management applications for patients with OA. Based on the results, developing a self-management intervention program for OA patients using a mobile is recommended.

Developing Adaptive Math Learning Program Using Artificial Intelligence (인공지능을 활용한 맞춤형 수학학습 프로그램 개발)

  • Ee, Ji Hye;Huh, Nan
    • East Asian mathematical journal
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    • v.36 no.2
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    • pp.273-289
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    • 2020
  • This study introduces the process and results of developing an adaptive math learning program for self-directed learning. It presented the process and results of developing an adaptive math learning program that takes into account the level of learners using artificial intelligence. We wanted to get some suggestions on developing programs for artificial intelligence-based mathematics. The program was developed as Math4U, an application based on smart devices in the "character and expression" area for 7th grade. The Application Math4U may be used differently depending on its purpose. It is also expected to be a useful tool for providing self-directed learning to students as the basis for educational research using smart devices in a changing educational environment.