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    Lived Experiences of People Drinking... 2

    " nt to disco'er the %i'ed e;#eriences o$ #eo#%e "ho drin8 $ermented # %m "ine

    "ith red m n&ro'e t n! r8(

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    their !ody "ei&ht in contr st to those "ho h 'e not recei'ed the dru&s "hich

    h d decre se in !ody "ei&ht(/ The study su&&ests th t these d t scienti$ic %%y

    #ro'es the ntidi !etic e$$ects o$ the #% nt? nd th t its $o%8%oric use " s @usti$ied(

    :ut #er$usion studies on Lon& E' ns r ts %so re'e %ed the ntidi !etic

    e$$ect o$ Rhizophora mucronata ( Accordin& to :uru!eed n *1 / nd H 7ue,

    Ahmed, 6h mem , ) h!udur, R isu55 m n *12/, the mode o$ ction o$

    Rhizophora mucronata’s %e 'es resu%ts to hy#o&%ycemic conditions(

    Rese rch on the meth no%ic %e $ e;tr ct o$ Rhizophora mucronata on

    4ister r tsre'e %ed n incre se in A% nine minotr ns$er se ALT/ nd

    As# rt te minotr ns$er se A6T/ t hi&h doses "hich su&&ests #otenti % $or

    he# toto;icity( urthermore, histo# tho%o&ic % $indin&s re'e %ed th t the

    su!st nce is neuroto;ic t hi&h doses( Ho"e'er, the su!st nce neither %tered

    the !ody "ei&ht nd !eh 'ior % # r meters( Co%%ecti'e%y, the d t demonstr te

    th t consum#tion o$ the su!st nce $or ' rious medicin % #ur#ose is s $e(

    6u& nthy, *1+/

    Rese rch on crude e;tr cts o$ Rhizophora mangle $ruit "ere m de "hich

    re'e %ed the cytoto;ic nd nti! cteri % e$$ects o$ the #% nt( It s 7ueous e;tr ct

    sho"ed cytoto;ic cti'ity & inst hum n $i!ros rcom ce%%s nd n nti! cteri %

    e$$ect & inst Staphylococcus aureus , &r m ne& ti'e ! cteri ( Hic8s,*11/

    Accordin& to study !y 6u& nthy ,et( % *1+/, Rhi5o#hor % m rc8ii,

    nother su! s#ecies o$ red m n&ro'e t n! r8s cont in cho%inester se inhi!itors(

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    es#eci %%y the 'irus s !sor#tion to the ce%%(

    Accordin& to R 'i8um r *1 /, o;id ti'e stress #% ys n im#ort nt ro%e in

    m ny dise ses inc%udin& %i'er dise ses( The #roduction o$ o;id ti'e stress c n

    !e contro%%ed !y the ntio;id nt systems in %i'in& or& nisms( Ho"e'er, the o'er

    #roduction o$ o;id ti'e stress c n %e d to d m &e in DNA, ce%% mem!r ne,

    #rotein nd ce%%u% r mem!r nes nd conse7uent%y induces de&ener tion,

    destruction nd to;icity o$ ' rious mo%ecu%es nd c uses muscu% r dystro#hy,

    c ncer, s "e%% s %i'er dise ses( Current%y, m ny synthetic ntio;id nt dru&s

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    %so 8no"n s 8 %%u in 6outh Indi /, # %m toddy, or sim#%y toddy t di in North

    Indi /( Th roor, *11/

    The drin8 is common in ' rious # rts o$ Asi nd A$ric , nd &oes !y

    ' rious n mes, such s emu nd o&oro in Ni&eri ? ns m! in the Democr tic

    Re#u!%ic o$ Con&o? ns $u$uo in :h n , 8 %%u in 6outh Indi ? m t n&o in

    C meroon? tu 8 in North 6um tr , Indonesi ? mn 5i in the )i@i8en nd % n&u &e

    o$ >eny ? &ori!on Run&us/ in 6 ! h,

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    m 8in& n incision in the $%o"erin& st %8, under "hich ! m!oo 'esse%, c %%ed

    !om!on is hun& to recei'e the s #( This %i7uid, 8no"n s tuba , is $ 'ourite

    !e'er &e mon& the n ti'es( As m ny s $our st %8s o$ the s me trun8 c n !e so

    dr ined simu%t neous%y "ithout in@ury to the tree( In the !ottom o$ the bombon is

    #% ced !out s much s desert s#oon$u% o$ #u%'eri5ed Ton&o ! r8Rhizophora

    longissima) to &i'e stron&er t ste nd !ri&ht co%or to the tu! ( orem n, 19 2/

    I$ the tuba is %%o"ed to $erment, it is not so # % t !%e nd !ecomes n

    into;ic tin& drin8( rom the $ermented @uice the disti%%eries m nu$ cture

    s#irituous %i7uour, 8no"n %oc %%y s coco -"ine(

    A rese rch on the micro!io%o&ic % nd !iochemic % contents

    o$ # %m "ine " s conducted, nd re'e %ed th t ye sts such s the % ctic cid

    nd cetic cid ! cteri re im#ort nt in the $erment tion o$ the # %m "ine nd

    in$%uence the com#osition o$ the #roduct( Amo -A"u , 4(>(, 6 m#son, E(, T no-

    De!r h, >(, ** /(

    Accordin& to the N tion % Institute on A%coho% A!use nd A%coho%ism

    *1+/, drin8in& too much on sin&%e occ sion or o'er time c n t 8e serious

    to%% on one s he %th( A%coho% inter$eres "ith the !r in s communic tion # th" ys,

    nd c n $$ect the " y the !r in %oo8s nd "or8s( These disru#tions c n ch n&e

    mood nd !eh 'ior, nd m 8e it h rder to thin8 c%e r%y nd mo'e "ith

    coordin tion( In ddition, drin8in& %ot or o'er %on& time c n d m &e the he rt?

    c usin& #ro!%ems "hich inc%udeF c rdiomyo# thy, rrhythmi s, stro8e nd hi&h

    !%ood #ressure( urthermore, he 'y drin8ers t 8es to%% on the %i'er, nd c n

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    %e d to ' riety o$ #ro!%ems nd %i'er in$% mm tions inc%udin&F ste tosis or $ tty

    %i'er, %coho%ic he# titis, $i!rosis, nd cirrhosis( A%coho% %so c uses d m &e to

    the # ncre s "hich c uses it to #roduce to;ic su!st nces th t c n e'entu %%y

    %e d to # ncre titis? d n&erous in$% mm tion nd s"e%%in& o$ the !%ood 'esse%s

    in the # ncre s th t #re'ents #ro#er di&estion( It m y %so contri!ute to c ncer

    s too much o$ the drin8 m y resu%t to c ncers o$ the mouth, eso#h &us, thro t,

    %i'er, !re st( )oreo'er, drin8in& too much c n "e 8en one s immune system,

    m 8in& one s !ody much e sier t r&et $or dise se( Chronic drin8ers re more

    %i !%e to cont ct dise ses %i8e #neumoni nd tu!ercu%osis th n #eo#%e "ho do

    not drin8 too much( Drin8in& %ot on sin&%e occ sion s%o"s your !ody s !i%ity

    to " rd o$$ in$ections B e'en u# to + hours $ter &ettin& drun8( Rese rch

    demonstr tes th t 0%o" ris8 drin8in& %e'e%s $or men re no more th n + drin8s on

    ny sin&%e d y AND no more th n 1+ drin8s #er "ee8( or "omen, 0%o" ris8

    drin8in& %e'e%s re no more th n three drin8s on ny sin&%e d yAND no more

    th n se'en drin8s #er "ee8( To st y %o"-ris8, you must 8ee# "ithin !oth the

    sin&%e-d y nd "ee8%y %imits( E'en "ithin these %imits, you c n h 'e #ro!%ems i$

    you drin8 too 7uic8%y, h 'e he %th conditions or o'er &e .G( O%der du%ts shou%d

    h 'e no more th n se'en drin8s #er "ee8(

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    CHAPTER II

    )ETHOD

    Desi&n

    This study " s # tterned on u %it ti'e Phenomo%o&ic % Rese rch

    desi&n, "here %i'ed e;#eriences o$ cert in #eo#%e re descri!ed( In this study,

    %i'ed e;#eriences o$ #eo#%e "ho drin8 $ermented # %m "ine "ith red m n&ro'e

    t n! r8 "i%% !e descri!ed(

    6ettin&

    The study " s conducted in 6 turn 6treet, :o'ernmetnt 6er'ices

    Insur nce 6ystem :6I6/ Hei&hts t < r n& y +-A, ) tin , D ' o City( The

    'i%% &e is com#osed o$ !out ,.1* #eo#%e "ith round 1, + o$ them re "or8in&

    &e( The re c n !e ccessed 'i #u!%ic uti%ity 'ehic%e such s @ee#s, t ;is nd

    tricyc%es

    P rtici# ntsThe res#ondents o$ this study re m %es "ho h 'e e;#erienced drin8in&

    $ermented # %m "ine "ith red m n&ro'e t n! r8( 4ithin the &e r n&e o$ 1 to

    .G( 4ith t %e st 1 ye r o$ drin8in& $ermented # %m "ine(the rese rchers

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    & thered the 1* res#ondents re& rd%ess o$ their he %th st tus, nd s %on& s

    they $it the criteri o$ &e nd ye rs o$ drin8in&(

    )e sure

    This study m de use o$ n inter'ie" s d t & therin& instrument(

    Initi %%y, the res#ondents "i%% !e s8ed !out "h t they h 'e e;#erienced $ter

    drin8in& $ermented "ine "ith red m n&ro'e t n! r8( The rese rchers conducted

    n In- de#th inter'ie" "hich in'o%'e not on%y s8in& 7uestions, !ut system tic %%y

    record nd document the res#onses to #ro!e $or !etter me nin& nd

    Underst ndin& !out the res#ondents e;#eriences( The rese rchers used 1 t #e

    recorder on the other h nd 1 "i%%

    ct s documenter nd nother mem!er s the inter'ie"er

    Procedure

    The study st rted "ith the conce#tu %i5 tion o$ to#ic, the rese rchers

    then "rote %etter to the De n o$ Nursin& De# rtment(, e nnie Ho > nd to the o"ner o$ the Escu dr s ! 8ery "ith

    "hich the #% n to & ther the in$orm tion( A$ter !ein& &r nted #ermission, the

    rese rchers $ound $or 1* # rtici# nts nd #resent

    them "ith the in$ormed consent nd e;#% in ho" the study "i%% !e

    conducted nd ssure them th t con$identi %ity "i%% !e o!ser'ed( Then $ter the

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    res#ondents h 'e &reed to # rtici# te, the rese rchers h 'e instructed the

    res#ondents to & ther t Escu dr s ! 8ery inside :6I6 hei&hts 6u!di'ision,

    ) tin ( The res#ondents h 'e #ro'ided "ith sn c8s nd " s s8ed to

    " it t the !%e chers( The res#ondents " s then inter'ie"ed one usin& sur'ey

    too% $e" meters " y $rom the rest o$ the &rou# to ensure th t the rese rchers

    "i%% h 'e n ccur te de#iction o$ the res#ondent s non-'er! % cues(

    urthermore, they "i%% %so !e in$ormed th t one rese rcher "i%% si&n % them i$ it

    is their turn to !e inter'ie"ed( The s me #rocess "i%% !e ##%ied unti% %%

    res#ondents h 'e !een inter'ie"ed( One rese rcher "i%% !e ssi&ned to s8 the

    &ener % 7uestion, nother rese rcher "i%% s8 the #ro!in& 7uestions, one "i%%

    o!ser'e the non'er! % cues, one rese rcher "i%% document the res#onses in

    note!oo8 nd record the res#ondent s 'er! %i5 tions "ith 'oice recorder( A$ter

    the inter'ie"s, the to8en "i%% !e &i'en nd the rese rchers "i%% then h 'e their

    c%osin& rem r8s nd #r yer

    D t An %ysis

    The study m de use o$ :ior&i s Descri#ti'e Phenomo%o&ic % )ethod( The

    #henomeno%o&ic % #sycho%o&ic % ttitude is to !e ssumed "hi%e n %y5in& the

    d t in order to ensure th t the resu%ts re$%ect c re$u% descri#tion o$ #recise%y

    the $e tures o$ the e;#erienced #henomenon s they #resent themse%'es to the

    consciousness o$ the rese rcher :ior&i, **9/

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    CHAPTER III

    RE6ULT6

    Inc%uded in this ch #ter re the $indin&s o$ the study

    ermented "ine "ith red m n&ro'e t n! r8 c n #ro'ide more ener&y

    4hen the res#ondents "ere s8ed !out their e;#eriences o$ drin8in&

    $ermented # %m "ine "ith red m n&ro'e t n! r8, G out o$ the 1* res#ondents

    st ted th t the drin8 #ro'ided them "ith more ener&y, s one o$ the res#ondents

    st ted0) o m n &ud n siy n& n & h t & u& 8uso& s mo It is the one

    th t #ro'ides us ener&y/( urthermore, nother res#ondent %so st ted 0Oo,

    m % 8 s n& 8 t " n mo, ! st t m n& t m % n& n& imnon( Jes, it

    stren&thens your !ody, so %on& s you drin8 moder te%y/( Ho"e'er, he %so

    st ted 0#ero 8 n #ud n& m 8 h n& 8 s mo (

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    E;#erienced di$$icu%ty o$ !re thin&

    4hen the res#ondents "ere s8ed !out their e;#eriences o$ drin8in& $ermented

    # %m "ine "ith red m n&ro'e t n! r8, G out o$ the 1* res#ondents st ted th t

    they $e%t di$$icu%ty in !re thin& $ter drin8in& , one o$ the res#ondents st ted

    0) hir # m & hin& , t #os # r n& m y % &in& n 8 ! r s % % mun n mo( It is

    di$$icu%t to !re the, nd it $ee%s %i8e there s n o!struction in your thro t/( Another

    %so st ted 0< st m so!r n& inom, h n& 8 8 ( 4hen you drin8 too much,

    you %% h 'e di$$icu%ty in !re thin&/(

    Re% ;in& e$$ect $ter drin8in&

    4hen s8ed !out ho" their !odies $e%t $ter drin8in& su!st nti % mount o$ the

    "ine, + out o$ the 1* res#ondents st ted th t they $e%t more re% ;ed nd s%e#t

    !etter, one o$ the res#ndents st ted 0) s r # n& tu%o&, m 8 # " % n& stress

    s%ee# is nice nd it is 'ery re% ;in&/( Another st ted 0Un n& un , m 8 tu%on&

    m 8 %is n& 8 # &ur n n min n& tu! ( ) # &od 8 #ero m " % n& # &od

    mo 8 si m 8 tu%o& 8 m " % n& # &od mo, di mo n m r md m n( irst o$

    %%, it he%#s remo'e $ ti&ue( Jou &et tired !ut it 7uic8%y "e rs o$$ !ec use you &et

    to s%ee# nd you $ee% rested( Jou don t &et to $ee% it nymore/(Ho"e'er,

    res#ondents s id th t they "ere h 'in& di$$icu%ty in s%ee#in&, one o$ them st ted

    0)ur & di%i 8 8 tu%o& 8 y imon& tiy n #uno 8 yo(Pun& ( It s %i8e you c n t s%ee# !ec use your stom ch is so $u%%? you c n t

    !re the #ro#er%y/(

    On the other h nd, the rese rchers de%'ed into ho" their !ody $ee%s $ter

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    drin8in& $ermented # %m "ine( A res#ondent then st ted 0>in um & h n # & %i&o

    mo, #res8on& #res8o n& 8 t " n mo( The ne;t d y, "hen you t 8e ! th,

    your !ody $ee%s so $resh/( )oreo'er, nother st ted 0L mi n& 8 on nd

    m 8 re% ; siy ( It is so ##e %in& to e t %ot, nd it m 8es you re% ;ed/( In

    ddition, res#ondent st ted 0An& m 8uh mo s tu! # r n& no y n eh # r

    din y n& 'it mins s iyon& 8 t " n, 8 si m y m 8uh n& iyon& 8 t " n n

    # r n& #rotin n %um % 8 s n& %u8so n& du&o t # & n 8 inom 8 m % 8 s

    n& rot tion( 4h t you &et $rom tu! is some sort o$ su!st nce, c n !e

    'it min or #rotein, th t im#ro'es one s !%ood circu% tion(/(

    E;#erienced $ee%in& o$ he d ches $ter "hi%e

    4hen s8ed i$ they $e%t ny !norm %ities ssoci ted "ith drin8in& $ermented

    # %m "ine, 2 out o$ the 1* res#ondents st ted they $e%t he d ches s one o$

    them then st ted 0L ! d s u%o( > n n& % mi 8 yo itu%o& 8 y 8 #oy( )y he d

    hurts so much th t I "ou%d #re$er to s%ee# !ec use it is so tirin&(/ In ddtition,

    res#ondent + st ted 06 ! y( Hi%o # ti re% ; 8 si hindi mom r md m n n&

    # &od # &8 t #os n& tr ! ho(

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    # %m "ine/( Res#ondent $urther st ted 0# & n 8 s n&& ! uny n u% n n n&

    sud% n n s tu! , # it d " siy u& m & resu%t #ud s di rrhe ( 6 8it s tiy n(

    D %i % n& 8 m hu!o&( 4hene'er the cont iner o$ the "ine &ets cont min ted

    "ith r in " ter durin& the co%%ection #rocess, it c uses it to h 'e !itter t ste nd

    it %so resu%ts to di rrhe ( Jour stom ch hurts( Jou &et drun8 $ st(/ In ddition, he

    st ted 0)ur & m & c use @ud siy u& 8 %i! n& nimo( L

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    E;#erienced di&esti'e #ro!%ems

    4hen s8ed i$ they $e%t ny !norm %ities ssoci ted "ith drin8in& $ermented

    # %m "ine, 1 out o$ the 1* res#ondents s id they h d unusu % e;#eriences in

    their stom ch $ter drin8in&, one o$ them st ted 0)ins n # & m so!r h n s 8it

    s 8uto-8uto( 6ometimes "hen you &et to drin8 too much, you &et to h 'e # in

    @ust !e%o" the ;i#hoid #rocess(/( He %so st ted 0An& m $ee% % n& n 8o # &

    d &h n 8o m inom 8 y n& 8on& tiy n & hi 8 yo, #uno 8 yo(

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    CHAPTER I=

    DI6CU66ION

    Inc%uded in this ch #ter re the themes cre ted ! sed on the $indin&s o$

    o$ the study(

    Theme 1F Drin8in& $ermented # %m "ine "ith red m n&ro'e t n! r8

    #ro'ides more ener&y(

    It is re'e %ed in the inter'ie" th t more ener&y is $e%t !y those drin8in&

    $ermented # %m "ine "ith red m n&ro'e t n8! r8( Accordin& to Lon&o et( %

    *12/, "hen %coho% is met !o%i5ed in the %i'er, it #roduces !y #roduct c %%ed

    cet te, "hich is chemic % th t our tissues c n re di%y uti%i5e $or ener&y( In

    ddition, ccordin& to A%i8unhi *1 /, red m n&ro'e t n! r8 nd %coho% !oth

    h 'e insu%in %i8e #ro#erties "hich resu%t to incre sed u#t 8e o$ &%ucose !y the

    !odyMs tissues( This resu%ts to n incre se in ener&y %e'e%s !ut resu%ts to %o"

    circu% tin& !%ood &%ucose %e'e%s(

    Theme F Drin8in& $ermented # %m "ine "ith red m n&ro'e t n! r8

    c uses di$$icu%ty in !re thin&(

    Ho"e'er, it is %so re'e %ed th t drin8in& it c uses di$$icu%ty in !re thin&(

    Accordin& to De

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    incre sin& their #erme !i%ity, nd inter$eres "ith the ctions o$ ce%% mem!r ne

    #roteins( Under cert in conditions, %coho% e;#osure c n induce ce%% de th( A

    met !o%ite o$ %coho%, cet %dehyde, c uses numerous d'erse e$$ects? it !inds

    to #roteins nd inter$eres "ith their $unctions, #re'ents $orm tion o$ microtu!u%es

    "ithin ce%%s, %ters immune $unction, inhi!its DNA re# ir, nd c uses o;id ti'e

    d m &e( As such, the medu%% ry corte;, the !odyMs res#ir tory contro% center,

    sh %% !sor! the incre sed %e'e%s o$ cet %dehyde in the cere!r % circu% tion( This

    resu%ts to the disru#tion o$ ce%%u% r $unction "hich $$ects res#ir tion, "hich m y

    %e d to di$$icu%ty in !re thin&( In ddition, %coho% is CN6 de#ress nt "hich

    resu%ts to de#ression o$ %% !r in cti'ities( This inc%udes the de#ression o$

    medu%% ry $unction "hich contro%s res#ir tion nd c rdi c $unction(

    Theme 2F Drin8in& $ermented # %m "ine "ith red m n&ro'e t n! r8

    c uses he d ches(

    Another $indin& re'e %ed !y the intern'ie" is th t drin8in& the su!st nce

    c uses he d ches(Accordin& to the N tion % He d che ound tion *1+/, the

    eth no% com#onent o$ %coho%ic !e'er &es m y c use the !ody to %ose $%uid(

    Dehydr tion, ch n&e in the ! % nce o$ !ody " ter nd essenti % nutrients,

    resu%ts( This $$ects the $%uids surroundin& the !r in nd decre ses the !%ood

    #ressure nd !%ood $%o" to the !r in( In ddition, %coho%-cont inin& drin8s c n

    decre se !%ood #ressure in the !r in !y "idenin& the !%ood 'esse%s th t su##%y

    the !r in( These ch n&es c n #roduce # in nd sensiti'ity, resu%tin& in

    he d che(

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    Theme +F Drin8in& $ermented # %m "ine "ith red m n&ro'e t n! r8

    c uses one to $ %% s%ee#(

    urthermore, the inter'ie" $urther re'e %ed th t it c n !e used s stress

    re%ie'er s it c n #romote s%ee#( Accordin& to Lon&o et( % *12/ the most

    #rominent ctions o$ %coho% is !oostin& : mm Amino

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    ther r ncisco-Co%in? the esuit Chronic%er s idF 0

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    Lived Experiences of People Drinking... 21

    h ##enin& t "or8, in the ro d or t home( or the community, the #eo#%e "ho

    re 'ery $ond o$ s#endin& their $ree time drin8in& %coho%, to t 8e in moder tion or

    to s#end it in other cti'ities( or the &o'ernment o$$ici %s, the nursin&

    #r ctitioners nd students(, they shou%d do their # rt to educ te the #eo#%e

    to" rds the e$$ect o$ %coho% in their he %th( or the $uture rese rchers "e

    recommend th t this rese rch "i%% !e ste##in& stone $or $uture rese rches

    !out the $ermented "ine nd the re$ m n&ro'e t n! r8(

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    RE ERENCE6F

    4hite, L(, Dunc n, :(, < um%e, 4( *12/( )edic %-6ur&ic % Nursin& An

    Inte&r ted A##ro ch( De%m r Cen& &e Le rnin&(6in& #ore

    De, Pinn , >(, 4hitney, E( **K/( Nutrition nd Diet Ther #y

    Princi#%es nd Pr ctice( 4 ds"oorth Thomson Le rnin& 1* D 'is Dri'e(

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    Lived Experiences of People Drinking... 23

    nd community # rtici# nts( *12/ Retri'ed on ) rch 1 , *1+ t

    htt#F """(m n&ro'e" tch(or&( u

    :o'ind s my, C(, > nn n, R( *1 /( Ph rm co&nosy o$ m n&ro'e #% nts in the

    system o$ un ni medicine( Retrie'ed on ) rch 1 , *1+ t

    htt#F """( #@tcm(com

    6u& nthy, N(, > rthi8ey n, >(, Archun n, :(, > ruth P ndi n, 6(, P ndim

    De'i, >( *1+/( 6 $ety nd To;ico%o&ic % e' %u tion o$ Rhi5o#hor

    mucron t m n&ro'e $rom =e%% r estu ry, Indi /F ssessment o$

    mut &enicity, &enoto;icity, nd in 'i'o cute to;icity( Retrie'ed om A#ri% G,

    *1+ $rom htt#F %in8(s#rin&er(com

    A%i8unhi, N(, > nd s my, >(, ) noh r n, C(, 6u!r m ni n, )( *1 /( Insu%in-

    %i8e nti&en o$ m n&ro'e %e 'es nd its nti-di !etic cti'ity in %%o; n induced

    di !etic r ts( Retrie'ed on A#ri% G, *1+ $rom

    htt#F """(nc!i(n%m(nih(&o'

    H 7ue, )(, Ahmed, A(, 6h mem , N(, ) h!udur, R(, R isu55 m n, 6( *12/(

    Re'e% tion o$ )ech nism o$ Action o$ Rhi5o#hor )ucron t Poir( < r8

    e;tr ct $or its Antidi !etic Acti'ity !y :ut Per$usion nd 6i; 6e&ment )ethod

    in Lon& E' ns R ts( Retrie'ed on A#ri% G, *1+ $rom

    htt#F """(rese rch& te(net

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    Lived Experiences of People Drinking... 24

    Ri55o, A( *1*/( = tic nF 6cientists shou%dn t #% y :od( Retrie'ed on A#ri% +,

    *1+ $rom htt#F """(n!cne"s(com

    ) tteuci, E(, :i m#etro, O( **9/( Di#e#tidy% #e#tid se-+ CD ./F >no"in& the

    $unction !e$ore inhi!itin& the en5yme( Retrie'ed on A#ri% G, *1+ $rom

    htt#F """(nc!i(n%m(nih(&o'

    Liu( L(, Liu, (, 4on&, 4T(, Ti n, J(, L u, C4(, 4 n&, J , u, :(, Pu, J(, hu,

    (, u, A(, L m, >6(, N&, C (, J o, (, Hu n&, J( *1 /( Di#e#tidy%

    #e#tid se + inhi!itor sit &%i#tin #rotects endothe%i % $unction in hy#ertension

    throu&h &%uc &on-%i8e-#e#tide-1-de#endent mech nism( Retrie'ed on A#ri%

    G, *1+ $rom htt#F """(nc!i(n%m(nih(&o'

    Coconut-Archi#e% &o :o%d *1+/( L m! no& Phi%i##ine Coconut 4ine(

    Retrie'ed on A#ir% G, *1+ $rom % m! no&(or& coconut-"ine-m 8in&

    UR)C He %th Encyc%o#edi *1+/( T"o-Hour Post#r ndi % :%ucose(

    Retrie'ed on A#ri% G, *1+ $rom htt#F """(urmc(rochester(edu

    =ir&ini , )( *1+/( 4h t re norm % !%ood &%ucose %e'e%s Retrie'ed on A#ri% .,*1+ $rom htt#sF """('ir&ini m son(or&

    Druc8er D , N uc8 )A No'em!er **./( The incretin systemF &%uc &on-%i8e

    #e#tide-1 rece#tor &onists nd di#e#tidy% #e#tid se-+ inhi!itors in ty#e

    di !etes ( L ncet2.K 9G+K/F 1.9.B *G

    http://www.ncbi.nlm.nih.gov/pubmed/22868389https://www.virginiamason.org/WhatareNormalBloodGlucoseLevelshttp://www.ncbi.nlm.nih.gov/pubmed/22868389https://www.virginiamason.org/WhatareNormalBloodGlucoseLevels

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    Amori RE, L u , Pitt s A: u%y ** /( E$$ic cy nd s $ety o$ incretin ther #y inty#e di !etesF system tic re'ie" nd met - n %ysis ( A)A 9K /F 19+B

    *.(

    P ndey, A(, :u#t , P(, L %, =( *1+/( Hy#o&%ycemic e$$ect o$ Rhi5o#hor

    mucron t in stre#to5otocin induced di !etic r ts( Retrie'ed on u%y 12, *1+

    $rom htt#F """(nc!i(n%m(nih(&o'

    To$t-Nie%sen ), ) ds! d 6, Ho%st **1/( Determin nts o$ the e$$ecti'eness o$

    &%uc &on-%i8e #e#tide-1 in ty#e di !etes ( C%in Endocrino% )et !K. K/F

    2KG2B.*

    )eier , 4eyhe D, )ich e%y ), 6en8 % ), umto!e% =, N uc8 ), Ho%st ,

    6chmidt 4, : %%"it5 < **+/( Intr 'enous &%uc &on-%i8e #e#tide 1

    norm %i5es !%ood &%ucose $ter m @or sur&ery in # tients "ith ty#e

    di !etes ( Crit C re )ed2 2/F K+KBG1(

    N nni#ieri ), :u rino D, C m str 6, )oriconi D,

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    )eier , N uc8 )A **G/( :%uc &on-%i8e #e#tide 1 :LP-1/ in !io%o&y nd

    # tho%o&y ( Di !etes )et !( Res( Re'( 1 /F 91B11 ( doi F1*(1** dmrr(G2K (

    P)ID 1G G9 K (

    E$endic 6, Port"ood N **+/( O'er'ie" o$ incretin hormones ( Horm( )et !(

    Res(2. 11B1 /F + B.

    4 %ter (

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    APPENDI ALETTER O RE UE6T TO THE DEAN O NUR6IN:

    6e#tem!er, *1+e nnie H(

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    APPENDI <

    LETTER O RE UE6T TO THE ER)ENTEDPAL) 4INE 4ITH RED )AN:RO=E TAN( In %ine "ith this, "e re s8in&$or your #ermission to %%o" us to conduct the s id study( 4e "i%% in'ite 1* cyc%eric8sh " %so 8no"n s 0trisi8 d / dri'ers s our # rtici# nts(

    4e re ho#in& $or your $ 'our !%e consider tion( :od

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    APPENDI D

    LETTER O RE UE6T TO THE O4NER O THE =ENUE OR DATA:ATHERIN:

    6e#tem!er, *1+)s( Escu drO"ner o$ Escu dr s < 8ery6 turn 6t( :6I6 Hei&hts) tin , D ' o City

    De r )s( Escu dr F

    :reetin&s o$ Pe ce nd oy

    4e, the students o$

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    APPENDI E

    IN OR)ED CON6ENT

    4e, the nursin& students o$

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    APPENDI

    6UR=EJ TOOL

    1( 4h t re your e;#eriences in drin8in& $ermented # %m "ine "ith redm n&ro'e t n! r8

    ( 4h t " s in the "ine th t m de you " nt to drin8 it more

    2( Ho" o$ten do you drin8 the "ine

    +( Ho" does your !ody $ee% $ter drin8in& su!st nti % mount o$ the "ine

    G( Ho" "e%% do you re% te "ith others $ter drin8in& the "ine

    .( Ho" "e%% do you #er$orm t "or8 $ter drin8in& $ermented "ine

    ( Did you $ee% ny !norm %ities ssoci ted "ith drin8in& $ermented # %m"ine

    K( Ho" "e%% do you re% te "ith your $ mi%y $ter drin8in& the "ine

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    Lived Experiences of People Drinking... 34

    APPENDI :

    RA4 DATA

    =er! %i5 tion Theme 6umm ry

    Res#ondent 1F ) sm &isin& mi t #os &" #on n& us # n

    Res#ondent 2F)ud n% n& m n, mech ni5in&8 d %i

    Res#ondent .F ) o m n&ud n& n & h t & u&8uso& s mo

    Res#ondent KF o8 r m#uyo % n& 8o, m &-init % n&8un& 8 du& y n

    Res#ondent 1*F Oo,m % 8 s n& 8 t " n mo,! st t m n& t m % n&

    n& imnon

    ermented "ine "ithred m n&ro'e t n! r8

    c n #ro'ide moreener&y

    G

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    Lived Experiences of People Drinking... 35

    Res#ondent +F ) hir #m & hin& , t #os # r n&m y % &in& n 8 ! r s% % mun n mo

    Res#ondent GF < st mso!r n& inom, h n& 88

    Res#ondent .F # &m so!r h n s 8it s8 sin&-8 sin&( 6 8it #ud

    s u%o # &8 !unt &(> #oy 8 yo n& % " s(

    Res#ondent 9FL in % n&# mins n 8 y m !u&- t

    n& # &hin&

    Res#ondent 1*F nun& !t # mi 8 y %isod # 8 ymuh n& 8

    E;#erienced di$$icu%tyin !re thin&

    G

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    Lived Experiences of People Drinking... 36

    Res#ondent 2F ) s r #n& tu%o&, m 8 # " %

    n& stress

    Res#ondent +F 6 ! yHi%o # ti re% ;

    Res#ondent GFm 8 tu%on& m 8 %is n&8 # &ur n n min& n&tu!

    Res#ondent 9Fo8 y% n& muinom 8o mure% ;8o

    Re% ;in& E$$ect $terdrin8in&

    +

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    Lived Experiences of People Drinking... 37

    Res#ondent +F L ! ds u%o 8 n n& % mi8 yo itu%o& 8 y 8 #oy

    Res#ondent GF6 ! y,Hi%o # ti re% ; 8 si hindimo m r md m n n&# &od # &8 t #os n&tr ! h o

    Res#ondent .F #ud su%o # &8 !unt &

    Res#ondent FN t t m n o n& L

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    Lived Experiences of People Drinking... 38

    Res#ondent .F:uot sdu&h n( )ur & mu #iti8

    n& 8 sin& 8 sin&

    E;#erienced chestti&htness

    1

    Res#ondent 1F)ins n

    # & m so!r h n s 8its 8uto-8uto

    E;#erienced di&esti'e

    #ro!%ems

    1

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    CURRICULU) =ITAE

    N meF y#ee 4endy% 6( orm cion

    A&eF 19 ye rs o%d

    AddressF Pi #i oron d % Centr % E%ement ry 6choo% 1

    Hi&h schoo%F >oron d % N tion % Com#rehensi'e Hi&h 6choo%

    Co%%e&eF 6 n Pedro Co%%e&e

    )ottoF 0I didnMt choose to !e : mer, The : min& Li$e Chose )e

    CURRICULU) =ITAE

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    N meF oshu Rey A( L o

    A&eF *

    AddressF C ! &uio A'enue D ' o City

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    CURRICULU) =ITAE

    N meF R che%%e oy A( 6ori%%

    A&eF

    AddressF K Li!en%y Com#ound, > " y n Dri'e, ) tin , D ' o City

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    CURRICULU) =ITAE

    N meF ohn )ich e% L( Dum nhu&

    A&eF * ye rs o%d

    AddressF 1.K inni Dri'e L dis% " 'i%% &e,

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    CURRICULU) =ITAE

    N meF Rom n D( :uerrero III

    A&eF 1

    AddressF K1 6 turn 6t( :6I6( H&ts( ) tin , D ' o City

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    A

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    AC>NO4LED:E)ENT

    As "ith ny m @or thesis, n end 'or %i8e this "ou%d h 'e !een im#ossi!%e

    "ithout the su##ort o$ m ny indi'idu %s( The rese rchers "ou%d %i8e to e;tend t

    heir &r titude to the $o%%o"in&F

    )rs( Nin$ L( : %ende5, RN, )AN, their mentor, $or her unendin& su##ort

    nd # tience in entert inin& their 7uestions nd $or &uidin& them throu&hout the

    "ho%e dur tion o$ the thesis "ritin&?

    )rs(