• Title/Summary/Keyword: self-developing

Search Result 1,877, Processing Time 0.155 seconds

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
    • /
    • 제14권5호
    • /
    • pp.3029-3035
    • /
    • 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.

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

  • 양진향
    • 기본간호학회지
    • /
    • 제18권4호
    • /
    • pp.520-528
    • /
    • 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.

자가 면역 (Autoimmunity)

  • 김중곤
    • Clinical and Experimental Pediatrics
    • /
    • 제50권12호
    • /
    • pp.1165-1172
    • /
    • 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.

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

  • 김성희;김송이
    • 한국도서관정보학회지
    • /
    • 제39권2호
    • /
    • pp.213-226
    • /
    • 2008
  • 본 연구에서는 독서치료가 아동의 사회성 발달에 어떠한 영향을 미치는 지를 연구하였다. 구체적으로 초등학교 6학년을 대상으로 독서치료가 자아존중감과, 자기조절능력, 교우관계 등 사회성의 발달에 유의미한 효과가 있는지를 분석하였다. 그 결과 독서치료와 아동의 사회성 향상에는 밀접한 관련이 있는 것으로 나타났다. 이러한 연구결과는 독서치료를 통해 아동들에게 다른 사람과 원만한 관계를 맺기 위해 필요한 바람직한 사회적 기술을 습득하고 발달시키는데 도움이 될 것이라 기대한다.

  • PDF

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
    • /
    • 제22권11호
    • /
    • pp.149-156
    • /
    • 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.

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

  • 이중권
    • 한국수학교육학회지시리즈A:수학교육
    • /
    • 제44권3호
    • /
    • pp.397-408
    • /
    • 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.

  • PDF

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

  • 이은옥;서문자;김금순;강현숙;임난영;김종임;송경애;한상숙;이경숙;이인옥
    • 근관절건강학회지
    • /
    • 제8권2호
    • /
    • pp.217-229
    • /
    • 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.

  • PDF

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

  • 박주영;손정태
    • 근관절건강학회지
    • /
    • 제27권3호
    • /
    • pp.211-218
    • /
    • 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.

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

  • 이지혜;허난
    • East Asian mathematical journal
    • /
    • 제36권2호
    • /
    • pp.273-289
    • /
    • 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.