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m
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ly
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[
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m
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ly
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Evaluation Warning : The document was created with Spire.PDF for Python.
I
S
S
N:
2252
-
8806
In
t
.
J
.
P
ubl
i
c
He
a
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c
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Vo
l
.
8,
N
o
.
2
,
J
un
e
2019
:
26
3
–
27
6
266
3.
RE
S
U
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ND
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HC
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/pr
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s
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a
m
o
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g
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ll
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,
100%
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m
e
n
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he
y
a
r
e
a
l
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c
t
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n
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n
t
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h
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l
d
by
va
r
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us
pa
r
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i
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s
(
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n
gka
h
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H
C
,
Dr
.
S
o
e
to
m
o
P
ubl
i
c
Ho
s
p
i
t
a
l
,
t
h
e
c
i
t
y
go
v
e
r
nm
e
n
t
,
e
t
c
.
)
.
On
e
o
f
t
h
e
pa
r
t
i
c
i
p
a
n
t
s
a
c
ted
a
s
t
h
e
v
o
l
u
n
t
e
e
r
c
oor
di
n
a
t
o
r
.
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a
bl
e
1
e
x
p
l
a
i
ns
t
h
e
de
m
o
gr
a
phi
c
c
h
a
r
a
c
t
e
r
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s
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c
o
f
pa
r
t
i
c
i
pa
n
t
s
i
n
de
t
a
i
l
s
.
T
a
bl
e
1.
De
m
o
gr
a
phy
c
h
a
r
a
c
t
e
r
i
s
t
i
c
(
n=
13)
C
h
ar
ac
t
e
r
is
t
ic
F
r
e
q
u
e
n
c
y
%
1. A
ge
(
y
e
a
r
s
o
ld
)
a
. <
30
b. >
30
–
40
c
. >
40
–
50
d. >
50
–
60
e
. >
60
0
2
6
2
3
0
15.38
46.15
15.38
23.08
2. M
a
r
it
a
l
s
ta
tu
s
a
. M
a
r
r
ie
d
b. W
id
o
w
e
d
12
1
92.31
7.69
3.
E
duc
a
ti
o
na
l
ba
c
kgr
o
und
a
. E
le
m
e
nt
a
r
y
s
c
h
ool
b. S
e
c
o
nda
r
y
s
c
h
oo
l
c
.
H
ig
h s
c
h
oo
l
d. U
ni
ve
r
s
it
y
gr
a
dua
t
e
s
2
2
8
1
15.38
15.38
61.54
7.69
4. O
c
c
upa
ti
o
n
a
. R
e
ti
r
e
b. H
o
us
e
w
i
f
e
3
10
23.08
76.92
5. P
a
ti
e
nt
i
n
c
ha
r
g
e
a
. <
5
b. 5
–
8
c
. 9
-
12
3
7
3
23.08
53.85
23.08
T
h
e
r
e
s
u
l
t
s
s
h
o
we
d
t
h
a
t
t
h
e
m
a
j
o
r
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t
y
w
e
r
e
>
40
-
50
y
e
a
r
s
o
l
d
(
46.
15%
)
,
m
a
r
r
i
e
d
(
92.
31%
)
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hi
g
h
s
c
h
o
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l
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a
dua
t
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s
(
61.
54%
)
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h
o
us
e
wi
f
e
(
76.
92%
)
,
a
n
d
man
a
g
e
5
-
8
pa
t
i
e
n
t
s
(
53.
85%
)
.
B
a
s
e
d
o
n
i
n
t
e
r
vi
e
w
r
e
s
u
l
t
,
t
h
e
m
a
j
o
r
i
t
y
f
i
r
s
t
l
y
he
a
r
d
t
h
e
t
e
r
m
o
f
pa
ll
i
a
t
i
v
e
v
o
l
u
n
t
e
e
r
wa
s
i
n
2008
(
30.
77%
)
,
2013
-
2016
(
30.
77%
)
,
a
n
d
30.
77%
a
dm
i
t
t
e
d
f
o
r
g
ot
.
T
hi
s
t
e
r
m
wa
s
f
i
r
s
t
h
e
a
r
d
a
t
a
v
o
l
u
n
t
e
e
r
r
e
c
r
ui
t
m
e
n
t
e
v
e
n
t
or
ga
ni
z
e
d
by
R
a
n
gka
h
P
HC
(
53.
85%
)
,
v
o
l
un
t
e
e
r
t
r
a
i
ni
n
g
(
30.
77%
)
,
s
e
m
i
na
r
a
n
d
r
e
uni
o
n
e
v
e
n
t
s
(
@
7.
69%
)
.
T
h
e
ge
n
e
r
a
t
e
d
t
h
e
m
e
wa
s
c
a
t
e
gor
i
z
e
d
b
a
s
e
d
o
n
s
e
v
e
n
va
r
i
a
bl
e
s
o
f
t
hi
s
s
t
ud
y
f
o
c
us
.
3.
1.
I
n
i
t
ial
p
e
r
c
e
p
t
ion
T
h
e
r
e
a
r
e
s
i
x
t
h
e
m
e
s
ge
n
e
r
a
t
e
d
r
e
ga
r
di
n
g
t
h
e
i
n
i
t
i
a
l
pe
r
c
e
pt
i
o
n
o
f
v
o
l
u
n
t
e
e
r
s
a
f
t
e
r
h
e
a
r
i
n
g
t
h
e
t
e
r
m
o
f
pa
ll
i
a
t
i
v
e
v
o
l
u
n
t
e
e
r
,
c
o
n
s
i
s
t
o
f
:
a
)
T
h
e
dut
y
is
t
o
a
s
s
i
s
t
t
h
e
pa
t
i
e
n
t
s
.
b
)
A
s
o
c
i
a
l
wo
r
k
.
c
)
M
us
t
j
o
i
n
a
t
r
a
i
ni
ng,
d
)
F
r
e
que
n
t
i
n
t
e
r
a
c
t
i
o
n
w
i
t
h
c
a
n
c
e
r
pa
t
i
e
n
t
s
,
e
)
H
a
v
e
m
a
ny
dut
i
e
s
,
a
n
d
f
)
H
i
g
h
e
x
po
s
ur
e
s
to
ot
h
e
r
’
s
s
u
f
f
e
r
i
n
g
s
.
B
e
l
o
w
a
r
e
f
e
w
s
t
a
t
e
m
e
n
t
s
s
uppo
r
t
i
n
g
t
he
s
t
udy
f
i
nd
i
ngs
.
W
hat
is
on
my
mind
is
a
pe
r
s
on
w
ho
is
w
il
li
ng
to
s
e
r
v
e
the
s
ick
(
I
.
03)
W
hat
I
thought
is
I
w
ant
to
he
lp
other
s
w
ho
hav
e
c
anc
e
r
(
I
.
08)
M
y
pe
r
c
e
pti
on
is
a
pe
r
s
on
w
ho
is
w
il
li
ng
to
he
lp
th
e
pati
e
nts
w
ho
r
e
all
y
ne
e
d
he
lps
(
I
.
09)
Ot
h
e
r
t
h
a
n
t
ha
t
,
r
e
s
e
a
r
c
h
e
r
a
l
s
o
a
s
ke
d
a
b
o
ut
t
h
e
i
r
i
n
i
t
i
a
l
pe
r
c
e
pt
i
o
n
a
b
o
ut
t
h
e
dut
i
e
s
a
n
d
o
bli
ga
t
i
o
n
s
by
be
i
ng
a
pa
ll
i
a
t
i
ve
v
o
l
u
n
t
e
e
r
:
11
t
h
e
m
e
s
we
r
e
ge
n
e
r
a
t
e
d,
n
a
m
e
ly
:
a
)
A
s
s
i
s
t
t
h
e
pa
t
i
e
n
t
s
.
b
)
M
o
ti
va
t
e
t
h
e
pa
t
i
e
n
t
s
.
c
)
H
o
m
e
vi
s
i
t
.
d
)
G
i
v
e
s
im
p
l
e
c
a
r
e
.
e
)
A
c
c
o
m
pa
ny
t
he
pa
t
i
e
n
t
s
.
f
)
B
e
i
ng
t
h
e
s
o
ur
c
e
o
f
i
nf
o
r
m
a
t
i
o
n
.
g
)
E
n
t
e
r
t
a
i
ni
ng
t
h
e
pa
t
i
e
n
t
s
.
h
)
B
e
i
n
g
a
s
upe
r
vi
s
o
r
i
n
dr
ug
a
d
mi
n
i
s
t
r
a
t
i
o
n
.
i
W
o
r
k
un
c
o
n
d
it
i
o
n
a
ll
y
,
Evaluation Warning : The document was created with Spire.PDF for Python.
In
t
.
J
.
P
ubl
i
c
He
a
l
t
h
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c
i
.
I
S
S
N:
2252
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8806
T
he
de
c
is
ion
mak
ing
pr
oc
e
s
s
of
be
ing
pa
ll
iat
ive
v
o
lunt
e
e
r
(
N
i
P
utu
W
ulan
P
ur
na
ma
Sar
i
)
267
j
)
B
r
i
dg
i
ng
t
h
e
pa
t
i
e
n
t
s
a
n
d
h
e
a
l
t
h
pr
o
f
e
s
s
i
o
n
a
l
s
r
e
l
a
t
i
o
ns
hi
p,
a
n
d
k
)
R
e
g
i
s
t
e
r
t
h
e
pa
t
i
e
n
t
.
B
e
l
o
w
a
r
e
f
e
w
s
t
a
t
e
m
e
n
t
s
s
uppo
r
t
i
n
g
t
h
e
s
t
ud
y
f
i
nd
i
ngs
.
I
n
my
mind,
the
duty
and
obli
ga
ti
on
is
not
o
nly
doing
home
v
is
it
but
als
o
giving
s
imple
c
ar
e
and
motivating
them
(
I
.
04)
T
he
duti
e
s
ar
e
:
a
)
H
ome
v
is
it
.
b
)
A
c
c
ompany
in
g
and
motivating
the
pati
e
nts
by
e
nter
tai
ning
t
he
m
f
or
r
e
duc
ing
the
pain
.
c
)
R
e
mind
the
pati
e
nts
to
c
ons
ume
me
dication,
e
at
nutr
it
ious
f
ood,
and
dr
ink
the
milk
gained
f
r
om
the
P
HC
(
I
.
05)
I
n
my
mind,
the
duti
e
s
ar
e
:
a
)
R
e
gis
ter
the
pati
e
nts
in
my
ar
e
a
.
2)
G
ive
the
e
x
ac
t
and
r
e
s
pon
s
ibl
e
i
nf
o
r
mation
to
them
and
their
f
amili
e
s
about
the
dis
e
as
e
,
e
s
pe
c
ial
ly
the
pr
e
v
e
nti
on
and
manag
e
me
nt
of
c
anc
e
r
,
and
c
)
M
oti
v
ate
the
pati
e
nts
s
o
they
be
c
ome
obe
dient
t
o
the
me
dication
r
e
gime
nt
(
I
.
13)
I
n
a
dd
i
t
i
o
n
,
r
e
s
e
a
r
c
he
r
a
s
ke
d
a
b
o
ut
t
h
e
f
i
r
s
t
i
m
pr
e
s
s
i
o
n
w
h
e
n
f
i
r
s
t
t
i
m
e
s
e
r
v
e
d
a
s
a
p
a
l
li
a
t
i
ve
v
o
l
u
n
t
e
e
r
.
T
h
e
r
e
a
r
e
s
e
v
e
n
t
h
e
m
e
s
ge
ne
r
a
t
e
d,
n
a
m
e
ly
:
a
)
F
e
e
l
i
ng
p
i
t
i
f
u
l
t
o
wa
r
ds
t
h
e
pa
t
i
e
n
t
s
.
b
)
F
e
e
li
ng
h
a
pp
y
b
e
c
a
us
e
c
a
n
h
e
l
p
t
h
e
pa
t
i
e
n
t
s
.
c
)
F
e
e
li
ng
r
e
l
i
e
ve
d
a
f
t
e
r
a
ll
e
vi
a
t
i
n
g
ot
h
e
r
’
s
s
u
f
f
e
r
i
ng
.
d
)
F
e
e
l
i
ng
s
c
a
r
e
d
a
f
t
e
r
s
e
e
i
n
g
t
h
e
pa
t
i
e
n
t
’
s
c
o
n
d
i
t
i
o
n
.
e
)
F
e
e
l
i
ng
pr
o
ud
b
e
c
a
us
e
m
a
n
a
ge
to
h
e
l
p
t
h
e
pa
t
i
e
n
t
s
.
f
)
F
e
e
l
i
ng
m
o
v
e
d
w
h
e
n
s
e
e
i
ng
t
h
e
pa
t
i
e
n
t
’
s
s
u
f
f
e
r
i
n
g,
a
n
d
g
)
N
o
i
m
pr
e
s
s
i
o
n
.
B
e
l
o
w
a
r
e
f
e
w
s
t
a
t
e
m
e
n
t
s
s
uppo
r
t
i
n
g
t
h
e
s
t
udy
f
i
nd
i
ng
s
.
F
ir
s
t
ti
m
e
I
f
e
lt
s
o
s
c
a
r
e
d,
e
s
pe
c
ial
ly
w
he
n
I
s
a
w
t
he
br
e
a
s
t
c
anc
e
r
pati
e
nt
w
it
h
a
w
ound
that
al
r
e
ad
y
holl
o
w
and
pur
ulent,
I
f
e
lt
pit
i
f
ul
on
he
r
,
I
s
ugge
s
ted
he
r
to
joi
n
the
legio
and
s
he
ag
r
e
e
d,
then
s
h
e
be
c
ame
a
v
olunt
e
e
r
als
o.
She
w
a
s
a
nur
s
e
f
r
om
a
pr
ivate
hos
pit
al
in
Sur
aba
y
a.
I
ac
c
ompanie
d
he
r
,
doing
h
ome
v
is
it
,
unti
l
then
s
he
died
pe
ac
e
f
ull
y
(
I
.
03)
I
f
e
lt
v
e
r
y
s
c
ar
e
d
and
pit
i
f
ul
w
he
n
I
s
a
w
s
uc
h
pati
e
nt’
s
c
ondit
ion
(
I
.
06)
T
he
unf
or
gott
e
n
impr
e
s
s
ion
I
had
w
he
n
I
v
is
it
e
d
the
pati
e
nt
f
or
the
f
ir
s
t
ti
me
is
s
he
thought
that
I
w
a
s
a
phy
s
ician.
I
f
e
lt
s
o
pit
if
ul
to
w
a
r
d
he
r
w
he
n
I
ac
c
ompanie
d
he
r
to
the
P
H
C
and
s
he
s
aid
that
s
he
c
ould
not
go
w
it
h
me
be
c
aus
e
s
h
e
had
no
mone
y
,
e
v
e
n
n
ot
a
s
ingl
e
R
upiah
f
or
took
the
t
r
is
ha
w
,
I
paid
f
or
it
and
f
or
the
me
dicine
als
o.
I
s
ti
ll
f
e
e
l
li
k
e
I
w
an
t
to
c
r
y
e
v
e
r
y
ti
me
I
r
e
c
all
thi
s
me
mor
y
(
I
.
13)
P
e
r
c
e
pt
i
o
n
i
s
t
h
e
e
x
pe
r
i
e
n
c
e
o
f
t
h
e
o
bj
e
c
t
o
r
r
e
l
a
t
i
o
n
s
hi
p
o
b
t
a
i
n
e
d
by
s
u
mm
i
ng
up
i
n
f
o
r
m
a
t
i
o
n
a
n
d
s
e
n
d
i
ng
m
e
s
s
a
ge
s
[
20]
.
P
e
r
c
e
pt
i
o
n
g
i
v
e
s
m
e
a
ni
ng
to
s
e
n
s
o
r
y
s
t
i
m
u
li
.
C
o
gni
t
i
ve
pe
r
c
e
pt
ua
l
f
i
e
l
d
s
a
r
e
a
l
wa
ys
o
r
g
a
ni
z
e
d
a
n
d
g
i
ve
n
m
e
a
ni
ng
by
t
h
e
i
nd
i
v
i
dua
l.
P
e
r
c
e
p
t
i
o
n
i
s
n
o
t
de
t
e
r
m
i
ne
d
by
t
h
e
t
y
pe
/
f
o
r
m
o
f
t
h
e
s
t
i
m
u
l
us
,
b
ut
by
i
nd
i
v
i
dua
l
c
h
a
r
a
c
t
e
r
i
s
t
i
c
s
t
h
a
t
r
e
s
po
n
d
t
o
t
h
e
s
t
i
m
u
l
u
s
.
T
h
e
r
e
a
r
e
t
wo
m
a
i
n
f
a
c
to
r
s
t
h
a
t
de
t
e
r
m
i
ne
i
n
d
i
v
i
dua
l
pe
r
c
e
pt
i
o
n
s
,
na
m
e
ly
f
u
n
c
t
i
o
n
a
l
f
a
c
to
r
s
(
o
f
t
e
n
c
a
l
l
e
d
o
bj
e
c
t
i
v
e
f
r
a
m
e
wo
r
ks
)
a
n
d
s
t
r
uc
t
ur
a
l
f
a
c
t
or
s
[
21]
.
F
un
c
t
i
o
n
a
l
f
a
c
t
or
s
de
r
i
v
e
d
f
r
o
m
t
h
e
n
e
e
d
s
(
m
o
m
e
n
t
a
r
i
ly
)
,
m
e
n
t
a
l
r
e
a
d
i
ne
s
s
,
e
m
o
t
i
o
n
a
l
a
t
m
o
s
phe
r
e
,
c
u
l
t
ur
a
l
b
a
c
kgr
o
un
d,
pa
s
t
e
x
pe
r
i
e
n
c
e
,
i
n
c
l
ud
i
ng
pe
r
s
o
n
a
l
f
a
c
t
or
s
.
S
t
r
uc
t
ur
a
l
f
a
c
t
or
s
de
r
i
v
e
d
f
r
o
m
t
h
e
phy
s
i
c
a
l
s
t
i
m
u
l
a
t
i
o
n
a
n
d
n
e
r
v
e
e
f
f
e
c
t
s
t
h
a
t
a
r
e
ge
n
e
r
a
t
e
d
o
n
t
h
e
i
n
d
i
v
i
dua
l
n
e
r
v
o
us
s
y
s
t
e
m
.
B
ot
h
o
f
t
h
e
s
e
f
a
c
t
o
r
s
a
r
e
m
o
r
e
d
i
r
e
c
t
e
d
to
t
h
e
n
e
e
ds
a
n
d
e
x
pe
r
i
e
n
c
e
s
e
x
pe
r
i
e
n
c
e
d
by
t
h
e
p
e
r
c
e
i
ve
d
i
nd
i
v
i
dua
l
t
h
r
o
ugh
phy
s
i
c
a
l
s
t
i
m
u
li
o
r
s
e
n
s
e
s
t
o
wa
r
ds
a
pa
r
t
i
c
u
l
a
r
o
bj
e
c
t
.
T
hi
s
s
t
udy
f
i
nd
i
ng
w
a
s
s
uppo
r
t
e
d
by
a
s
t
ud
y
to
wa
r
ds
10
h
o
s
p
i
c
e
v
o
l
u
n
t
e
e
r
s
i
n
S
we
de
n
[
9]
.
T
h
e
y
f
o
u
n
d
t
h
a
t
i
n
t
h
e
b
e
g
i
nn
i
ng
pa
r
t
i
c
i
pa
n
t
s
r
e
a
l
i
z
e
d
t
h
a
t
a
h
o
s
p
i
c
e
v
o
l
u
n
t
e
e
r
i
s
s
o
m
e
o
n
e
w
h
o
b
e
i
ng
a
s
s
i
g
n
e
d
a
c
o
ns
t
r
uc
t
i
v
e
t
a
s
k
a
n
d
e
x
pe
c
t
e
d
to
h
a
v
e
m
o
r
e
c
o
n
t
a
c
t
w
i
t
h
t
h
e
pa
t
i
e
n
t
s
.
Vo
l
u
n
t
e
e
r
s
c
o
n
t
r
i
b
ut
e
d
by
p
e
r
f
o
r
m
i
ng
a
v
a
r
i
e
t
y
o
f
t
a
s
ks
t
h
a
t
we
r
e
a
dd
i
t
i
o
n
a
l
t
o
or
a
n
e
nh
a
n
c
e
m
e
n
t
o
f
t
h
e
wor
k
pe
r
f
o
r
m
e
d
by
t
h
e
r
e
gu
l
a
r
s
t
a
f
f
,
i
nc
l
ud
in
g
t
h
e
i
n
t
e
r
-
pr
o
f
e
s
s
i
o
n
a
l
h
e
a
l
t
hc
a
r
e
t
e
a
m
.
T
h
e
pa
ll
i
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v
o
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u
n
t
e
e
r
s
.
3.
2.
I
n
t
e
r
n
a
l
m
ot
ivat
ion
C
o
n
s
i
s
t
e
n
t
w
i
t
h
f
u
n
c
t
i
o
n
a
l
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he
o
r
i
z
i
ng,
m
o
s
t
o
f
t
h
e
pa
r
t
i
c
i
pa
n
t
s
r
e
por
t
e
d
h
a
vi
ng
m
o
r
e
t
h
a
n
o
n
e
m
o
t
i
v
e
f
o
r
e
n
r
o
l
li
ng
a
s
pa
ll
i
a
t
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ve
v
o
l
u
n
t
e
e
r
s
.
T
h
e
r
e
a
r
e
s
e
v
e
n
t
h
e
m
e
s
r
e
ga
r
d
i
ng
t
h
e
pe
r
s
o
n
a
l
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e
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s
t
to
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o
m
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v
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r
,
n
a
m
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ly
:
a
)
C
l
o
s
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pe
r
s
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h
a
s
a
c
a
n
c
e
r
.
b
)
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e
a
r
t
c
a
l
li
ng
.
c
)
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w
il
li
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o
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l
p
ot
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e
r
s
.
d
)
S
e
l
f
a
c
t
ua
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t
i
o
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.
e
)
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h
e
w
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li
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to
i
n
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a
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k
n
o
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dge
.
f
)
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o
v
e
t
o
j
o
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n
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o
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i
a
l
w
o
r
k
,
a
n
d
g
)
C
h
o
s
e
n
by
h
e
a
l
t
h
pr
o
f
e
s
s
i
o
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uppo
r
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g
t
h
e
s
t
ud
y
f
i
nd
i
n
g
s
.
I
w
ant
to
b
e
c
ome
a
v
olunt
e
e
r
be
c
aus
e
one
of
my
f
amili
e
s
had
li
v
e
r
c
anc
e
r
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and
I
w
ant
to
he
lp
he
r
s
o
bad.
I
me
t
a
f
r
iend
w
ho
alr
e
ady
be
c
ame
a
v
olunt
e
e
r
f
or
y
e
ar
s
,
s
he
in
v
it
e
d
me
to
joi
n
the
as
s
oc
iat
ion,
I
a
gr
e
e
d
and
I
be
c
ome
a
v
olunt
e
e
r
unti
l
now
(
I
.
09)
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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2252
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8806
In
t
.
J
.
P
ubl
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c
He
a
l
t
h
S
c
i
.
Vo
l
.
8,
N
o
.
2
,
J
un
e
2019
:
26
3
–
27
6
268
I
w
ant
to
k
no
w
f
ur
ther
about
c
anc
e
r
,
and
my
he
ar
t
is
c
all
ing
me
to
do
thi
s
s
oc
ial
w
or
k
to
be
abl
e
to
he
lp
other
s
(
I
.
05)
A
f
ter
I
e
x
pe
r
ienc
e
d
3
-
day
s
-
tr
aini
ng
of
pall
iat
ive
v
olunt
e
e
r
,
I
f
e
lt
my
he
ar
t
c
all
ing
me
to
be
c
ome
a
v
olunt
e
e
r
.
Othe
r
than
that
,
I
als
o
be
c
ome
a
c
adr
e
o
f
pall
iat
iv
e
gy
mnas
ti
c
(
I
.
11)
A
c
c
o
r
d
i
n
g
t
o
S
e
m
i
a
wa
n
,
i
n
t
e
r
e
s
t
i
s
a
m
e
n
t
a
l
s
t
a
t
e
t
h
a
t
pr
o
duc
e
s
a
di
r
e
c
t
e
d
r
e
s
po
n
s
e
to
a
pa
r
t
i
c
u
l
a
r
s
i
t
ua
t
i
o
n
o
r
o
bj
e
c
t
t
h
a
t
pl
e
a
s
e
s
a
n
d
g
i
ve
s
i
nd
i
v
i
dua
l
s
a
t
i
s
f
a
c
t
i
o
n
.
I
n
t
e
r
e
s
t
s
e
r
v
e
s
a
s
a
dr
i
v
i
ng
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o
r
c
e
o
r
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i
v
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t
i
o
n
t
h
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t
di
r
e
c
t
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pe
r
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n
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o
pe
r
f
o
r
m
a
s
pe
c
i
f
i
c
a
c
t
i
vi
t
y
[
22]
.
S
t
i
gg
i
ns
s
t
a
t
e
s
t
h
a
t
t
h
e
i
ni
t
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i
r
e
o
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i
n
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e
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e
s
t
i
s
o
ne
d
i
m
e
ns
i
o
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o
f
t
h
e
a
f
f
e
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t
i
v
e
a
s
pe
c
t
t
h
a
t
pl
a
y
s
a
r
o
l
e
i
n
o
n
e
's
li
f
e
[
23]
.
T
h
e
a
f
f
e
c
t
i
v
e
a
s
p
e
c
t
i
s
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h
e
a
s
pe
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t
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h
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t
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de
n
t
i
f
i
e
s
t
h
e
e
m
o
t
i
o
n
a
l
d
im
e
ns
i
o
n
s
o
f
e
m
o
t
i
o
n
a
l
a
wa
r
e
n
e
s
s
,
d
i
s
po
s
i
t
i
o
n
,
a
n
d
w
il
l
t
h
a
t
a
f
f
e
c
t
o
n
e
's
t
h
o
ugh
t
s
a
n
d
a
c
t
i
o
n
s
.
R
e
s
e
a
r
c
h
e
r
a
l
s
o
a
s
ke
d
a
b
o
ut
t
h
e
f
a
c
t
o
r
s
i
nf
l
ue
n
c
in
g
t
h
e
de
c
i
s
i
o
n
to
b
e
c
o
m
e
a
pa
ll
i
a
t
i
v
e
v
o
l
u
n
t
e
e
r
.
N
i
n
e
t
h
e
m
e
s
we
r
e
ge
n
e
r
a
t
e
d
r
e
ga
r
di
n
g
t
hi
s
.
B
e
l
o
w
a
r
e
f
e
w
s
t
a
t
e
m
e
n
t
s
s
uppo
r
t
i
n
g
t
h
e
s
t
udy
f
i
nd
i
ng
s
.
T
he
mos
t
inf
luenc
ing
f
ac
tor
of
me
be
c
oming
a
v
ol
untee
r
w
a
s
the
e
me
r
g
e
f
e
e
li
ng
to
he
lp
other
s
in
s
uff
e
r
ing
.
T
he
mos
t
inner
de
s
i
r
e
w
as
all
e
v
iat
ing
the
pati
e
nt’
s
s
uff
e
r
ing,
alt
hough
I
e
nter
tai
ne
d
only,
motivating
them
,
gav
e
the
s
pir
it
and
alw
a
y
s
pr
ay
f
or
them
(
I
.
0
1)
T
he
mos
t
in
f
luenc
ing
f
ac
tor
f
or
me
w
as
the
w
il
li
ng
to
he
lp
o
ther
s
,
and
be
c
aus
e
I
hav
e
joi
ne
d
M
ar
ia
L
e
gio
f
or
almos
t
2
5
y
e
ar
s
s
o
I
had
no
doubt
w
he
n
I
took
the
de
c
is
ion
(
I
.
01)
T
he
mos
t
inf
luenc
ing
f
ac
tor
f
or
me
i
s
the
w
il
l
ing
to
k
no
w
ho
w
v
olunt
e
e
r
w
o
r
k
s
;
a
s
t
r
ong
d
e
s
ir
e
to
s
oc
ial
iz
e
(
I
.
06)
M
ot
i
v
a
t
i
o
n
i
s
t
h
e
dr
i
v
i
ng
f
o
r
c
e
w
i
t
hi
n
t
h
e
i
nd
i
v
idua
l
t
h
a
t
i
m
pe
l
s
him
t
o
a
c
t
whi
c
h
r
e
s
u
l
t
s
f
r
o
m
unf
u
l
f
il
l
e
d
n
e
e
d
[
24]
.
T
h
e
r
e
a
r
e
t
wo
t
y
pe
s
o
f
m
o
t
i
v
a
t
i
o
n
:
i
n
t
r
i
n
s
i
c
a
n
d
e
x
t
r
i
n
s
i
c
m
o
t
i
v
a
t
i
o
n
[
25]
.
I
n
t
r
i
ns
i
c
m
o
t
i
va
t
i
o
n
i
s
a
n
a
c
t
i
ve
m
o
t
i
v
e
t
h
a
t
do
e
s
n
o
t
n
e
e
d
to
b
e
s
t
i
m
u
l
a
t
e
d
f
r
o
m
t
he
o
ut
s
i
de
/e
nvir
o
nm
e
n
t
b
e
c
a
us
e
i
n
e
a
c
h
i
nd
i
vi
du
a
l
t
h
e
r
e
i
s
a
dr
i
v
e
/go
a
l
t
o
ge
t
s
o
m
e
t
hi
ng.
E
x
t
r
i
ns
i
c
m
o
t
i
v
a
t
i
o
n
i
s
a
n
a
c
t
i
v
e
mot
i
v
e
t
h
a
t
f
u
n
c
t
i
o
n
s
b
e
c
a
u
s
e
o
f
t
h
e
o
u
t
s
i
de
s
t
i
m
u
l
a
t
i
o
n
.
T
hi
s
s
t
ud
y
f
i
nd
i
ng
wa
s
s
uppo
r
t
e
d
by
a
s
t
ud
y
towa
r
ds
57
pa
l
li
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t
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s
,
e
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pe
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ll
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t
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to
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r
.
Of
t
h
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11
c
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m
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o
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h
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f
r
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que
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t
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i
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d
[
26]
.
Vo
l
u
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t
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e
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s
a
l
s
o
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a
w
v
o
l
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g
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s
a
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ppo
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uni
t
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t
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g
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pe
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f
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c
us
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de
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ly
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t
s
h
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we
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t
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m
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v
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gr
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d
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r
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l
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to
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wo
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n
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be
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li
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j
o
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a
nd
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a
pp
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ne
s
s
f
r
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m
t
h
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l
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g
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x
pe
r
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n
c
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s
[
27]
.
A
c
o
m
bi
ne
d
l
i
t
e
r
a
t
ur
e
r
e
vi
e
w
s
h
o
we
d
t
h
a
t
“
to
h
e
l
p
e
a
s
e
t
h
e
pa
i
n
o
f
t
h
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s
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l
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v
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w
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l
if
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-
t
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ni
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il
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ne
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wa
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h
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m
o
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t
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nf
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ue
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t
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a
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g
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pa
ll
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t
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v
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n
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r
[
28]
.
I
n
t
hi
s
s
t
ud
y
,
t
h
e
i
n
t
e
r
n
a
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r
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n
M
a
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w's
hi
e
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hy
o
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ds
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w
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t
hi
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d
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nl
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if
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pe
s
o
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d
s
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a
t
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a
r
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m
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t
.
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a
s
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n
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ge
o
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pa
r
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pa
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ppe
a
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t
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a
t
a
ge
h
a
s
be
gu
n
t
o
t
a
ke
pl
a
c
e
;
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t
i
s
ge
t
t
i
n
g
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l
o
s
e
r
to
Go
d
o
r
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r
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a
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r
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a
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x
pr
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h
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f
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l
if
e
.
3.
3.
Vis
ion
an
d
m
is
s
ion
T
h
e
r
e
a
r
e
s
e
ve
n
t
h
e
m
e
s
ge
ne
r
a
t
e
d
r
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ga
r
di
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s
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o
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a
n
d
m
i
s
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i
o
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c
o
m
m
o
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pe
o
pl
e
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o
m
i
ng
a
pa
l
li
a
t
i
v
e
v
o
l
u
n
t
e
e
r
,
n
a
m
e
l
y
:
a
)
T
o
h
e
l
p
ot
h
e
r
s
.
b
)
T
o
m
o
t
i
v
a
t
e
t
h
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pa
t
i
e
n
t
s
.
c
)
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o
a
l
l
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vi
a
t
e
t
h
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i
e
n
t
’
s
s
u
f
f
e
r
i
n
g,
d
)
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n
do
n
e
s
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a
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r
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e
f
r
o
m
c
a
n
c
e
r
.
e
)
T
o
a
c
c
o
m
pa
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t
h
e
pa
t
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e
n
t
s
.
f
)
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o
gi
v
e
c
o
m
f
o
r
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to
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h
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pa
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n
t
s
.
a
n
d
g
)
T
o
b
r
i
dge
t
h
e
r
e
l
a
t
i
o
n
s
hi
p
b
e
t
we
e
n
t
h
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pa
t
i
e
n
t
s
a
n
d
h
e
a
l
t
h
pr
o
f
e
s
s
i
o
n
a
l
s
.
B
e
l
o
w
a
r
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f
e
w
s
t
a
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m
e
n
t
s
s
uppo
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t
i
n
g
t
h
e
s
t
udy
f
i
nd
i
ng
s
.
M
y
v
is
ion
and
mis
s
ion
is
to
he
lp
othe
r
s
,
to
all
e
v
iat
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their
s
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r
ings
,
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s
pe
c
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ly
in
c
anc
e
r
pati
e
nts
i
s
t
o
r
e
duc
e
the
pain
(
I
.
02
)
M
y
v
is
ion
is
to
pleas
e
s
the
pati
e
nts
,
my
mi
s
s
ion
is
I
do
r
e
all
y
w
ant
to
pleas
e
s
the
pati
e
nt
s
,
give
them
the
s
pir
it
,
s
o
they
c
ould
f
e
e
l
s
ince
r
e
w
it
h
God’
s
w
il
l
and
they
hav
e
gr
e
at
hope
to
be
he
aled
(
I
.
04
)
I
w
ant
to
he
lp
other
s
,
e
s
pe
c
ial
ly
c
anc
e
r
pati
e
nts
,
and
as
a
v
olunt
e
e
r
I
w
ant
our
c
ount
r
y
to
be
f
r
e
e
f
r
om
c
anc
e
r
(
I
.
08)
V
i
s
i
o
n
i
s
a
s
e
r
i
e
s
o
f
s
e
n
t
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t
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a
t
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x
pr
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l
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/dr
e
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m
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v
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dua
l
s
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r
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ni
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t
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s
/co
m
p
a
ni
e
s
to
b
e
a
c
hi
e
ve
d
i
n
t
he
f
ut
ur
e
[
29]
.
Vi
s
i
o
n
is
a
p
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c
t
ur
e
t
h
a
t
c
h
a
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s
t
h
e
d
e
s
i
r
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d
f
ut
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e
s
t
a
t
e
.
Evaluation Warning : The document was created with Spire.PDF for Python.
In
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269
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s
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tt
i
n
g
s
:
pa
l
li
a
t
i
v
e
c
a
r
e
u
ni
t
s
,
m
o
bil
e
pa
ll
i
a
t
i
v
e
c
a
r
e
t
e
a
m
s
,
a
n
d
t
r
a
d
i
t
i
o
n
a
l
s
e
r
vi
c
e
s
.
T
h
e
y
f
o
un
d
t
h
a
t
v
o
l
u
n
t
e
e
r
s
e
x
p
l
a
i
ne
d
t
h
e
y
“
a
r
e
t
h
e
r
e
”
n
o
t
“
to
do
”
,
b
ut
j
u
s
t
“
t
o
b
e
t
h
e
r
e
o
ut
o
f
h
u
m
a
n
s
o
li
da
r
i
t
y
”
.
T
h
e
v
o
l
u
n
t
e
e
r
s
’
vi
e
wpo
i
n
t
wa
s
“
b
e
i
ng
t
h
e
r
e
t
o
b
e
th
e
r
e
”
.
I
n
d
e
e
d,
t
h
e
y
de
s
c
r
i
be
d
t
h
e
p
a
l
li
a
t
i
v
e
c
a
r
e
mo
de
l
a
n
d
t
h
e
i
r
mi
s
s
i
o
ns
i
n
qu
i
t
e
s
i
mi
l
a
r
t
e
r
m
s
:
“
r
e
pr
e
s
e
nt
c
iv
il
s
oc
iety
to
s
ho
w
the
s
e
pe
ople
that
w
e
ar
e
not
abandoning
them
”
,
“
e
ns
u
r
e
a
p
r
e
s
e
nc
e
and
a
w
i
ll
ingnes
s
to
li
s
t
e
n
”
,
“
mak
e
one
s
e
lf
us
e
f
ul
”
,
“
do
t
hings
in
a
humane
w
ay
f
or
the
pe
r
s
on
”
,
a
n
d
“
be
ther
e
to
be
ther
e
”
[
30]
.
I
n
t
hi
s
s
t
ud
y
,
t
h
e
vi
s
i
o
n
a
n
d
mi
s
s
i
o
n
o
f
t
h
e
pa
r
t
i
c
i
pa
n
t
s
w
h
e
n
t
h
e
y
p
l
a
y
a
r
o
l
e
a
s
pa
ll
i
a
t
i
v
e
v
o
l
u
n
t
e
e
r
wa
s
r
e
l
a
t
e
d
to
t
h
e
i
r
r
o
u
t
i
ne
t
a
s
ks
a
n
d
o
bli
ga
t
i
o
ns
.
T
h
e
r
e
we
r
e
o
nl
y
t
wo
pa
r
t
i
c
i
pa
n
t
s
(
15.
38%
)
w
h
o
h
a
v
e
a
vi
s
i
o
n
c
o
n
c
e
pt
ua
l
ly
;
i
t
i
s
I
n
do
n
e
s
i
a
f
r
e
e
f
r
o
m
c
a
n
c
e
r
.
I
t
s
e
e
m
e
d
t
h
a
t
t
h
e
m
a
j
o
r
i
t
y
h
a
ve
n
o
t
un
de
r
s
too
d
t
h
e
vi
s
i
o
n
a
n
d
m
i
s
s
i
o
n
a
s
v
o
l
u
n
t
e
e
r
.
P
a
r
t
i
c
i
pa
n
t
s
n
e
e
d
to
s
h
a
r
e
t
h
e
i
r
pe
r
s
o
na
l
vi
s
i
o
n
a
n
d
mi
s
s
i
o
n
a
n
d
t
he
n
c
r
e
a
t
e
a
n
o
r
ga
ni
z
a
t
i
o
na
l
vi
s
i
o
n
a
n
d
mi
s
s
i
o
n
,
s
o
t
h
a
t
t
h
e
y
c
o
ul
d
u
l
t
i
m
a
t
e
l
y
a
c
hi
e
v
e
t
h
e
i
r
go
a
l
s
.
R
e
s
u
l
t
s
s
h
o
we
d
t
h
a
t
53.
85%
pa
r
t
i
c
i
p
a
n
t
s
pe
r
s
i
s
t
e
n
t
l
y
b
e
c
o
m
e
a
pa
ll
i
a
t
i
ve
v
o
l
u
n
t
e
e
r
b
e
c
a
us
e
o
f
t
h
e
go
o
d
w
i
l
l
t
o
h
e
l
p
o
t
h
e
r
s
i
n
n
e
e
d.
B
e
l
o
w
a
r
e
f
e
w
s
t
a
t
e
m
e
n
t
s
s
uppo
r
t
i
n
g
t
h
e
s
t
u
d
y
f
i
nd
i
ngs
.
T
he
r
e
as
on
is
s
imple,
I
jus
t
w
ant
to
he
lp.
A
s
long
a
s
I
f
e
e
l
phy
s
ically
s
tr
ong,
I
w
il
l
s
ti
ll
be
a
v
olun
tee
r
.
A
s
long
as
ther
e
ar
e
pe
ople
li
k
e
the
c
anc
e
r
pati
e
nts
w
ho
ne
e
d
he
lp,
then
I
w
il
l
be
ther
e
to
he
lp.
(
I
.
02)
I
jus
t
w
ant
to
he
lp
other
s
w
ho
in
ne
e
d
of
i
t.
(
I
.
08)
I
w
ant
to
he
lp
the
pall
iat
ive
pati
e
nts
and
give
them
motivation
s
o
that
nobody
f
e
e
ls
hope
les
s
.
(
I
.
09)
T
h
e
s
t
a
g
n
a
n
t
b
e
h
a
vi
o
r
o
f
t
h
e
pa
r
t
i
c
i
pa
n
t
s
i
s
s
h
o
wn
by
s
t
a
y
i
ng
a
c
t
i
ve
a
s
a
v
o
l
u
n
t
e
e
r
un
t
i
l
n
o
w
de
s
p
i
t
e
o
f
a
ll
t
h
e
e
xi
s
t
i
n
g
li
m
i
t
a
t
i
o
ns
(
n
o
t
pa
i
d,
n
o
tr
a
n
s
po
r
t
m
o
n
e
y
,
hi
g
h
r
e
li
a
n
c
e
o
f
t
h
e
pa
t
i
e
n
t
s
/
f
a
mi
ly
,
hi
g
h
de
m
a
nd
f
r
o
m
t
h
e
r
e
l
a
t
e
d
to
i
m
p
l
e
m
e
n
t
a
t
i
o
n
o
f
wo
r
k
p
r
o
gr
a
m
a
n
d
r
e
po
r
t,
m
u
l
t
i
-
t
a
s
k
i
n
t
h
e
h
o
us
e
h
o
l
d,
e
t
c
.
)
pot
e
n
t
i
a
l
c
a
us
e
d
by
b
e
h
a
vi
o
r
a
l
r
e
s
i
s
t
a
n
c
e
.
B
e
f
o
r
e
a
pe
r
s
o
n
a
do
p
t
s
a
n
e
w
be
h
a
vi
o
r
,
i
n
t
h
a
t
pe
r
s
o
n
w
i
ll
o
c
c
ur
s
e
que
n
t
i
a
l
pr
o
c
e
s
s
s
t
a
r
t
i
n
g
f
r
o
m
a
)
A
wa
r
e
n
e
s
s
,
t
h
e
s
u
bj
e
c
t
i
s
a
wa
r
e
o
f
t
h
e
e
xi
s
t
e
n
c
e
o
f
t
h
e
s
t
i
m
u
l
us
.
b
)
I
n
t
e
r
e
s
t,
s
ubj
e
c
t
i
n
t
e
r
e
s
t
e
d
i
n
s
t
i
m
u
l
us
.
c
)
E
v
a
l
ua
t
i
o
n
,
s
u
bj
e
c
t
s
we
i
g
hi
ng
e
i
t
h
e
r
goo
d
o
r
b
a
d
s
t
i
m
u
l
us
.
d
)
T
r
i
a
l
,
s
u
bj
e
c
t
s
tr
y
n
e
w
b
e
h
a
vi
o
r
a
n
d
e
)
A
do
pt
i
o
n
,
n
e
w
b
e
h
a
ve
d
s
u
bj
e
c
t
s
a
c
c
o
r
di
n
g
t
o
kn
o
wl
e
dge
,
a
wa
r
e
n
e
s
s
,
a
n
d
a
tt
i
t
ude
s
to
wa
r
d
s
t
i
m
u
l
us
[
31]
.
T
h
e
pr
o
c
e
s
s
o
f
a
c
hi
e
vi
ng
t
h
e
a
do
pti
o
n
o
f
ne
w
b
e
h
a
vi
o
r
de
pe
n
ds
o
n
t
h
e
pr
o
c
e
s
s
o
f
be
h
a
vi
o
r
a
l
c
h
a
n
g
e
b
e
i
ng
a
t
t
e
m
pt
e
d,
a
n
d
i
t
c
a
n
t
a
ke
p
l
a
c
e
s
o
on
e
r
o
r
l
a
t
e
r
.
I
f
t
h
e
pr
o
c
e
s
s
t
h
r
o
ugh
c
o
e
r
c
i
o
n
,
t
h
e
a
do
p
t
i
o
n
i
s
us
ua
l
ly
f
a
s
t
;
b
ut
i
f
t
h
e
pr
o
c
e
s
s
t
h
r
o
ugh
e
duc
a
t
i
o
n
(
l
e
a
r
ni
n
g)
o
r
pe
r
s
ua
s
i
v
e
,
t
h
e
n
t
h
e
a
do
p
t
i
o
n
w
il
l
be
s
l
o
w
l
y
b
ut
i
t
i
s
us
ua
ll
y
m
o
r
e
d
if
f
i
c
u
l
t
t
o
c
h
a
n
ge
(
r
e
s
i
s
t
a
n
t
)
[
32]
.
I
n
tr
o
duc
e
s
ne
w
de
t
e
r
m
i
na
n
t
s
o
f
t
h
e
p
a
c
e
o
f
a
do
p
t
i
o
n
o
f
n
e
w
b
e
h
a
vi
o
r
s
,
na
m
e
ly
:
a
)
T
h
e
n
a
t
ur
e
o
f
b
e
ha
vi
o
r
a
l
i
nn
o
v
a
t
i
o
n
.
b
)
P
r
o
m
o
t
i
o
n
a
l
a
c
t
i
vi
t
i
e
s
un
d
e
r
t
a
ke
n
,
c
)
T
h
e
c
h
a
r
a
c
t
e
r
i
s
t
i
c
o
f
t
h
e
s
o
c
i
a
l
s
y
s
t
e
m
i
n
t
h
e
s
o
c
i
e
t
y
,
a
n
d
d
)
T
h
e
t
y
pe
o
f
de
c
i
s
i
o
n
-
m
a
k
i
ng
[
31]
.
P
a
r
t
i
c
i
pa
n
t
’
s
be
h
a
vi
o
r
a
l
r
e
s
i
s
t
a
n
c
e
t
o
r
e
m
a
i
n
a
s
a
pa
l
li
a
t
i
v
e
v
o
l
u
n
t
e
e
r
s
t
r
o
n
g
l
y
r
e
f
l
e
c
t
s
t
h
e
i
r
s
e
l
f
-
i
n
t
e
gr
i
t
y
a
n
d
t
h
e
s
t
a
bil
i
t
y
o
f
e
a
r
ly
de
c
i
s
i
o
n
m
a
k
i
n
g.
T
hi
s
ha
ppe
n
s
c
a
nn
o
t
b
e
s
e
pa
r
a
t
e
d
f
r
o
m
t
h
e
f
o
r
m
a
t
i
o
n
o
f
a
v
e
r
y
po
s
i
t
i
v
e
a
t
t
i
t
ude
a
m
o
n
g
v
o
l
u
n
t
e
e
r
s
a
b
o
ut
t
h
e
pr
o
f
e
s
s
i
o
n
i
t
s
e
l
f
,
e
s
pe
c
i
a
l
ly
r
e
l
a
t
e
d
to
t
h
e
dut
i
e
s
a
n
d
o
bl
i
ga
t
i
o
n
s
.
A
t
t
i
t
ude
s
i
nc
l
ude
t
h
r
e
e
m
a
i
n
e
l
e
m
e
nt
s
,
n
a
m
e
ly
:
a
)
T
h
e
o
bj
e
c
t
o
f
a
t
t
i
t
ude
(
s
e
l
f
-
de
f
i
ne
d
by
t
he
i
nd
i
v
i
dua
l
)
.
b
)
A
s
e
t
o
f
v
a
l
ue
s
o
r
b
e
l
i
e
f
s
h
e
ld
by
t
h
e
i
n
d
i
v
i
dua
l
t
o
wa
r
d
t
h
e
o
bj
e
c
t
o
f
a
t
t
i
t
ude
,
a
n
d
c
)
T
h
e
t
e
n
de
n
c
y
t
o
a
c
t.
A
n
o
t
h
e
r
i
m
po
r
t
a
n
t
di
m
e
ns
i
o
n
o
f
a
t
t
i
t
ude
i
s
t
h
e
l
e
v
e
l
o
f
k
n
o
w
l
e
dge
a
n
d
s
t
r
e
n
gt
h
o
f
a
tt
i
t
ude
s
o
r
r
e
s
i
s
t
a
nc
e
to
c
h
a
n
g
e
.
I
f
t
h
e
i
n
t
e
n
s
i
t
y
o
f
a
tt
i
t
ude
i
s
hi
g
h
t
h
e
n
t
h
e
a
t
t
i
t
ude
s
tr
e
n
gt
h
i
s
a
l
s
o
e
x
pe
c
t
e
d
to
b
e
hi
g
h
.
T
he
s
t
r
e
n
gt
h
o
f
a
t
t
i
t
ude
s
c
a
n
b
e
hi
g
h
if
t
h
e
l
e
ve
l
o
f
k
n
o
w
l
e
dge
i
s
hi
g
h
.
I
n
s
o
m
e
pe
o
p
l
e
i
t
a
l
s
o
c
a
n
b
e
f
o
u
n
d
t
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I
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8806
In
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Vo
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8,
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2
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J
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2019
:
26
3
–
27
6
270
I
am
my
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f
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my
hus
band
and
c
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gav
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(
I
.
05)
S
o
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d
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m
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[
33
]
.
S
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t
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[
34]
.
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[
35
]
.
A
s
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79
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c
t
or
s
i
nf
l
ue
n
c
i
ng
he
r
de
c
i
s
i
o
n
t
o
b
e
c
o
m
e
a
pa
l
li
a
t
i
v
e
v
o
l
u
n
t
e
e
r
.
3.
5.
I
n
f
l
u
e
n
c
in
g
f
ac
t
or
s
an
d
d
e
c
is
ion
-
m
ak
in
g
s
t
e
p
s
R
e
s
u
l
t
s
s
h
o
we
d
t
h
a
t
t
h
e
r
e
we
r
e
e
i
g
h
t
e
n
t
r
y
po
i
n
t
s
a
c
t
i
n
g
a
s
t
h
e
s
t
i
m
u
l
us
t
o
t
h
e
pa
r
t
i
c
i
pa
n
t
s
b
e
f
o
r
e
t
h
e
y
m
a
de
t
h
e
de
c
i
s
i
o
n
t
o
b
e
a
pa
l
li
a
t
i
v
e
v
o
l
u
n
t
e
e
r
,
n
a
m
e
ly
:
a
)
P
HC
a
ut
h
o
r
i
t
y
.
b
)
H
e
a
l
t
h
c
a
r
e
pr
o
f
e
s
s
i
o
n
a
l
s
.
c
)
P
a
l
li
a
t
i
v
e
e
v
e
n
t
s
.
d
)
C
o
m
m
u
ni
t
y
c
a
dr
e
.
e
)
V
o
l
u
n
t
e
e
r
l
e
a
de
r
.
f
)
P
a
l
li
a
t
i
v
e
pa
t
i
e
n
t
s
.
g
)
F
r
i
e
n
ds
,
a
n
d
h
)
G
o
v
e
r
nm
e
n
t
o
f
f
i
c
e
r
.
B
e
l
o
w
a
r
e
f
e
w
s
t
a
t
e
m
e
n
t
s
r
e
ga
r
d
i
n
g
t
h
e
pr
o
c
e
s
s
o
f
b
e
c
o
m
i
ng
a
pa
l
li
a
t
i
ve
v
o
l
un
t
e
e
r
in
t
hi
s
s
t
ud
y
c
o
n
t
e
x
t
.
I
t
s
tar
ted
f
r
om
M
ay
11,
2008
in
A
di
Guna
M
a
ter
nit
y
Hos
pit
al.
A
t
that
ti
me
,
I
got
an
invitat
ion
in
w
hi
c
h
it
w
a
s
only
one
invitat
ion
f
or
e
a
c
h
dis
t
r
ict.
I
f
e
lt
it
w
as
u
nbe
li
e
v
able,
w
hy
me
?
I
s
it
not
w
r
ong
name
on
it
?
I
did
not
unde
r
s
tand
about
the
invitat
ion
f
or
be
ing
a
p
all
iat
ive
v
olunt
e
e
r
.
B
as
ically
in
the
dis
tr
ict
lev
e
l
I
w
a
s
jus
t
a
c
omm
unit
y
c
adr
e
f
or
c
hil
dr
e
n
c
ar
e
.
A
f
ter
I
j
oined
th
e
pall
iat
ive
tr
aini
ng
I
be
gan
to
unde
r
s
tand
the
c
onc
e
pt
of
pall
iat
ive
c
ar
e
and
w
hat
is
a
v
olunt
e
e
r
ne
e
de
d
by
the
c
omm
unit
y
,
I
s
tar
ted
to
thi
nk
ho
w
gr
e
at
pall
iat
ive
v
olunt
e
e
r
is
,
and
I
w
a
s
ble
s
s
e
d
if
I
c
ould
joi
n
the
gr
oup
of
v
olunt
e
e
r
w
it
h
a
v
e
r
y
noble
ta
s
k
.
(
I
.
02)
I
got
an
invitat
ion
to
joi
n
pa
ll
iat
ive
v
olunt
e
e
r
,
the
r
e
w
as
an
e
v
e
nt
in
A
di
guna
M
ater
nit
y
Hos
pit
al.
I
hav
e
no
idea
at
all
,
s
o
I
as
k
a
doc
tor
,
the
he
ad
o
f
P
ac
ar
K
e
li
ng
P
HC
.
He
ans
w
e
r
e
d
that
in
that
e
v
e
nt
I
w
i
ll
ge
t
tr
aini
ng
about
ter
minall
y
il
l
c
anc
e
r
pati
e
nt
s
.
So
my
job
is
to
motivate
the
pati
e
nts
s
o
that
they
c
an
a
c
c
e
pt
their
c
ondit
ion,
they
do
not
f
e
e
l
ali
e
nated.
I
s
hould
happil
y
li
s
ten
to
w
hat
they
f
e
lt
,
I
w
il
l
b
e
the
r
e
pr
e
s
e
ntat
ive
of
P
ac
a
r
K
e
li
ng
P
HC
of
f
ice
r
in
P
ac
ar
K
e
mbang
Dis
tr
i
c
t.
T
he
n
he
s
aid
if
the
di
s
tr
ict
author
it
y
agr
e
e
d
in
the
ne
x
t
t
w
o
month
the
r
e
w
il
l
be
pall
iat
ive
c
ar
e
tr
aini
ng,
then
P
H
C
w
il
l
s
e
nd
me
as
par
ti
c
ipant
.
F
inal
ly
P
HC
and
the
dis
tr
i
c
t
author
it
y
agr
e
e
d
to
c
hos
e
m
e
,
then
I
joi
ne
d
the
tr
aini
ng
in
M
ay
2008.
A
t
the
e
v
e
nt
f
i
nall
y
I
unde
r
s
tand
ab
out
pall
iat
e
c
ar
e
.
Since
that
,
I
be
c
ome
a
me
mbe
r
of
pall
iat
ive
v
olunt
e
e
r
.
(
I
.
10)
T
hi
s
s
t
ud
y
f
i
nd
i
ng
wa
s
s
uppo
r
t
e
d
by
a
s
t
ud
y
t
o
wa
r
ds
ni
ne
v
o
l
u
n
t
e
e
r
s
i
n
E
n
g
l
a
n
d
w
hi
c
h
s
h
o
we
d
t
h
a
t
h
o
w
e
v
e
n
t
s
c
a
n
be
u
s
e
d
a
s
n
e
t
wo
r
ki
n
g
a
n
d
d
i
s
c
u
s
s
i
o
n
b
e
t
we
e
n
v
o
l
u
n
t
e
e
r
s
t
h
a
t
m
a
y
n
o
t
us
ua
ll
y
h
a
v
e
s
uc
h
o
pp
o
r
t
un
i
t
i
e
s
t
o
c
o
m
m
u
ni
c
a
t
e
wi
t
h
o
n
e
a
n
o
t
h
e
r
[
38]
.
H
o
s
pi
c
e
v
o
l
u
n
t
e
e
r
c
o
ul
d
b
e
a
ke
y
f
a
c
il
i
t
a
t
or
o
f
publi
c
e
n
ga
g
e
m
e
n
t
i
n
pa
ll
i
a
t
i
v
e
c
a
r
e
s
e
r
vi
c
e
s
,
b
ut
a
ppr
o
a
c
h
e
s
t
o
t
h
e
i
r
i
nv
o
l
ve
m
e
n
t
r
e
qu
i
r
e
f
u
r
t
h
e
r
de
ve
l
o
p
m
e
n
t
.
T
a
bl
e
2
e
x
p
l
a
i
ns
t
h
e
j
o
i
ni
ng
pr
o
c
e
s
s
o
f
b
e
c
o
m
i
n
g
a
pa
l
l
i
a
t
i
ve
v
o
l
u
n
t
e
e
r
f
r
o
m
e
a
c
h
pa
r
t
i
c
i
pa
n
t
.
An
i
n
t
e
gr
a
t
e
d
r
e
vi
e
w
s
t
ud
y
a
b
o
ut
f
a
c
t
or
s
a
f
f
e
c
ti
ng
v
o
l
u
n
t
e
e
r
i
n
g
i
n
pa
ll
i
a
t
i
v
e
c
a
r
e
s
h
o
we
d
t
h
a
t
s
e
v
e
r
a
l
i
n
t
e
r
r
e
l
a
t
e
d
f
a
c
t
or
s
p
l
a
y
im
po
r
t
a
n
t
r
o
l
e
,
i
n
pa
r
t
i
c
u
l
a
r
a
n
i
nc
r
e
a
s
i
ng
ly
a
g
i
ng
po
pu
l
a
t
i
o
n
w
hi
c
h
i
nc
l
ude
s
a
n
a
g
i
ng
v
o
l
u
n
t
e
e
r
a
n
d
he
a
l
t
h
pr
o
f
e
s
s
i
o
n
a
l
wo
r
k
f
o
r
c
e
,
di
s
t
a
n
c
e
(
ge
o
gr
a
phy
)
,
i
s
o
l
a
t
i
o
n
,
l
a
c
k
o
f
pr
i
v
a
c
y
,
li
mi
t
e
d
h
e
a
l
t
h
c
a
r
e
s
e
r
vi
c
e
s
a
n
d
i
nf
r
a
s
t
r
uc
t
ur
e
,
w
o
r
kf
o
r
c
e
s
h
o
r
t
a
ge
s
,
a
n
d
p
s
y
c
h
o
s
o
c
i
a
l
i
m
p
a
c
t
o
f
e
n
d
o
f
li
f
e
Evaluation Warning : The document was created with Spire.PDF for Python.
In
t
.
J
.
P
ubl
i
c
He
a
l
t
h
S
c
i
.
I
S
S
N:
2252
-
8806
T
he
de
c
is
ion
mak
ing
pr
oc
e
s
s
of
be
ing
pa
ll
iat
ive
v
o
lunt
e
e
r
(
N
i
P
utu
W
ulan
P
ur
na
ma
Sar
i
)
271
c
a
r
e
i
n
t
h
e
c
o
m
m
u
ni
t
y
[
39]
.
An
o
t
h
e
r
s
t
udy
to
wa
r
d
s
200
a
du
l
t
s
a
b
o
ut
de
c
i
s
i
o
n
m
a
k
i
ng
i
n
u
n
c
e
r
t
a
i
n
c
o
n
d
i
t
i
o
n
s
s
h
o
we
d
t
h
a
t
n
o
a
ge
di
f
f
e
r
e
nc
e
s
i
n
c
h
o
i
c
e
b
e
h
a
vi
o
r
un
d
e
r
r
i
s
k
w
i
t
h
a
pr
i
o
r
i
pr
o
b
a
bil
i
t
i
e
s
;
i
f
f
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db
a
c
k
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pr
o
vi
de
d,
o
l
de
r
a
du
l
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a
r
e
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s
a
m
b
i
gu
i
t
y
a
v
e
r
s
e
t
h
a
n
y
o
u
n
g
a
du
l
t
s
,
e
s
p
e
c
i
a
ll
y
w
h
e
n
f
e
e
d
b
a
c
k
g
i
ve
s
po
s
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f
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t
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m
bl
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nc
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r
t
a
i
n
c
o
nd
i
t
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o
n
s
[
40]
.
T
a
bl
e
2.
J
o
i
ni
ng
pr
o
c
e
s
s
o
f
b
e
c
o
m
i
ng
a
pa
l
li
a
t
i
v
e
vo
l
u
n
t
e
e
r
P
a
r
ti
c
ip
a
nt
C
o
d
e
J
o
in
in
g P
r
oc
e
s
s
01
P
a
r
ti
c
ip
a
t
e
d i
n a
t
r
a
in
in
g
j
o
in
e
d
th
e
vo
lu
n
te
e
r
g
r
o
up
02
G
o
t
in
v
it
a
ti
o
n
pa
r
ti
c
ip
a
te
d i
n a
t
r
a
in
in
g
j
o
in
e
d t
h
e
vo
lu
nt
e
e
r
gr
o
up
03
H
e
a
lt
h c
a
r
e
p
r
of
e
s
s
io
na
l
a
ppr
o
a
c
h
e
d t
h
e
r
e
li
gi
o
us
l
e
a
de
r
th
e
r
e
li
gi
o
us
l
e
a
de
r
pe
r
s
ua
de
d t
h
e
m
e
mb
e
r
of
s
pi
r
it
ua
l
gr
o
up
a
c
c
e
pt
e
d t
h
e
of
f
e
r
jo
in
e
d t
h
e
vo
lu
nt
e
e
r
gr
o
up
04
A
ppo
in
t
e
d b
y
l
oc
a
l
c
a
dr
e
a
c
c
e
pt
e
d t
h
e
of
f
e
r
j
o
in
e
d t
h
e
vol
unt
e
e
r
gr
o
up
05
P
a
r
ti
c
ip
a
t
e
d i
n a
pa
ll
ia
ti
ve
e
ve
nt
g
o
t
a
n of
f
e
r
a
c
c
e
pt
e
d t
h
e
of
f
e
r
j
o
in
e
d t
h
e
vo
lu
nt
e
e
r
gr
o
up
06
T
h
e
vo
lu
nt
e
e
r
l
e
a
d
e
r
p
e
r
s
ua
de
d
a
c
c
e
pt
e
d t
h
e
of
f
e
r
j
o
in
e
d
th
e
vo
lu
nt
e
e
r
gr
o
up
07
H
e
a
lt
h c
a
r
e
p
r
of
e
s
s
io
na
l
in
v
it
e
d t
o
j
o
in
a
h
o
m
e
v
is
it
pa
r
ti
c
ip
a
te
d i
n s
o
m
e
h
o
m
e
v
is
it
s
r
e
c
r
ui
t
e
d b
y
t
h
e
P
H
C
j
o
in
e
d t
he
vol
unt
e
e
r
gr
o
up
08
S
a
w
t
he
pa
ti
e
n
t’
s
c
o
ndi
t
i
o
n a
nd s
uf
f
e
r
in
gs
th
e
h
e
a
r
t
c
a
ll
e
d
mo
t
i
v
a
te
d t
o
j
o
in
jo
in
e
d t
h
e
vo
lu
nt
e
e
r
gr
o
up
09
I
nv
i
te
d b
y
a
f
r
i
e
nd
a
c
c
e
pt
e
d t
he
of
f
e
r
j
o
in
e
d t
h
e
vo
lu
nt
e
e
r
gr
o
up
10
r
e
c
r
ui
t
e
d b
y
t
h
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e
n
t
to
r
e
s
po
n
d.
I
n
t
h
e
e
n
d,
h
e
/s
h
e
m
a
k
e
a
de
c
i
s
i
o
n
us
e
f
u
l
f
o
r
t
a
ki
n
g
a
c
t
i
o
n
.
F
i
gur
e
2.
T
h
e
de
c
i
s
i
o
n
m
a
k
i
ng
pr
o
c
e
s
s
o
f
be
i
ng
a
pa
l
li
a
t
i
v
e
v
o
l
u
n
t
e
e
r
3.
6.
Vol
u
n
t
e
e
r
e
d
u
c
at
ion
p
r
ogr
a
m
/
t
r
ain
in
g
R
e
s
u
l
t
s
s
h
o
we
d
t
h
a
t
46.
1
5%
pa
r
t
i
c
i
p
a
n
t
s
r
e
po
r
t
e
d
th
e
k
n
o
w
l
e
dge
e
nh
a
n
c
e
m
e
n
t
t
h
e
y
go
t
a
f
t
e
r
j
o
i
ni
ng
a
v
o
l
u
n
t
e
e
r
tr
a
i
ni
ng
wa
s
h
o
w
to
d
o
a
pr
o
pe
r
h
om
e
vi
s
i
t
.
Ot
h
e
r
t
h
a
n
t
h
a
t
we
r
e
h
o
w
to
i
n
t
e
r
a
c
t
w
i
t
h
o
t
h
e
r
v
o
l
u
n
t
e
e
r
,
h
o
w
to
i
n
t
e
r
a
c
t
wi
t
h
t
h
e
pa
t
i
e
n
t
s
,
d
i
s
e
a
s
e
c
o
n
c
e
pt
,
pa
l
li
a
t
i
v
e
c
o
n
c
e
pt
,
pa
t
i
e
n
t
’
s
c
o
n
d
i
t
i
o
n
,
a
n
d
c
a
n
c
e
r
wo
un
d.
B
e
l
o
w
a
r
e
f
e
w
s
t
a
t
e
m
e
n
t
s
s
upp
o
r
t
i
n
g
t
h
e
s
t
ud
y
f
i
nd
i
ngs
.
W
he
n
I
joi
ne
d
the
v
olunt
e
e
r
tr
aini
ng
I
got
k
no
w
le
dge
about
ho
w
to
v
is
it
a
pati
e
nt
at
hom
e
or
hos
pit
al.
I
got
v
ar
ious
e
x
pe
r
ienc
e
s
be
c
au
s
e
I
v
is
it
e
d
pati
e
nt
s
w
it
h
di
ff
e
r
e
nt
type
s
of
c
anc
e
r
.
(
I
.
01)
W
he
n
I
joi
ne
d
the
v
olunt
e
e
r
t
r
aini
ng,
I
w
as
dir
e
c
tl
y
as
k
e
d
f
or
pr
ac
ti
c
e
in
the
f
ield
by
the
ins
tr
u
c
tor
.
I
n
gr
oup,
I
v
is
it
e
d
a
pati
e
nt
w
it
h
adv
an
c
e
d
s
tage
of
c
anc
e
r
at
home
.
I
w
as
s
o
s
ho
c
k
and
te
r
r
if
ied
w
he
n
I
s
a
w
th
e
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