• Title/Summary/Keyword: 비순응

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Analysis of Factors Affecting Medication Adherence to Improve Life Care in Patients with Hypertension (고혈압 환자의 라이프케어 증진을 위한 약물 순응도 영향요인 분석)

  • Gil, Eun-Ha
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.2
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    • pp.213-224
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    • 2020
  • Purpose: This study is a descriptive and secondary analytical study that uses panel data to identify the factors of medication adherence to improve life care of hypertensive patients. Methods: The subjects of this study were 2,484 patients who were taking medication after hypertension using Korea Medical Panel 2015 data (β-version 1.0). Data analysis was performed using Chi-Square, Scheffe's test, and logistic regression using SPSS/win 22.0. Results: The level of medication adherence in patients with hypertension was 94.2%. The factors of medication adherence were gender and age in Model I of demographic factors, and the presence of disability, smoking, and drinking in Model II. Model III, which added drug use factors, was identified as drinking, drug duration, side effects, drug satisfaction, and payment of drug costs. Conclusion: In order to improve life care for hypertension patients, education and interventions on the importance of take medication and side effects of medications and how to take them will be needed in the early stages of diagnosis.

Pseudo-Resistant Schizophrenia: Non-Adherence to Treatment (치료 위저항성 조현병: 치료 비순응을 중심으로)

  • Kim, Hyerim;Lee, Seung Jae
    • Korean Journal of Schizophrenia Research
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    • v.23 no.2
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    • pp.51-57
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    • 2020
  • Treatment-resistant schizophrenia (TRS) has been defined as the persistence of positive symptoms despite two or more trials of antipsychotic medication of adequate dose and duration. TRS is a serious clinical problem and occurs in approximately 30% of patients with schizophrenia. It is important that patients who do not adequately respond to antipsychotics be reevaluated to exclude or address causes other than non-responsiveness to medication, that is, the possibility of pseudo-resistance. In particular, non-adherence to oral antipsychotic treatment should be monitored to rule out pseudo-resistant cases of TRS. Moreover, patients with TRS who take their medication as required may have subtherapeutic antipsychotic plasma levels, secondary to pharmacokinetic factors. In this paper, we review the concept and exclusion of pseudo-resistance, especially owing to non-adherence or pharmacokinetic factors, and present methods to enhance drug adherence.

Color Reproduction in Television Receiver Based on Chromatic Adaptation of Human Visual System (시각계 색 순응을 고려한 텔레비전 수상기에서의 색 재현)

  • Choi, Duk-Kyu;Han, Chan-Ho;Lee, Kuhn-Il;Sohng, Kyu-Ik
    • Journal of the Korean Institute of Telematics and Electronics S
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    • v.35S no.11
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    • pp.133-143
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    • 1998
  • The viewers primarily watch a television under the surround light source of an incandescent or a fluorescent light. When human visual system has been adapted chromtically under the different surround light, the same chromaticities elicit quite different color appearnaces. Therefore, the corresponding color reproduction is the most suitable objective of a color television system. In this paper, an efficient corresponding color reproduction method based on the chromatic adaptation of human visual system is proposed in which colors in the display have the same appearance as the colors in the original would have had if they had been illuminated by standard illuminant ($D_{65}$). The chromaticities that appeared neutral in human visual system were determined by the Hunt's experimental results of the color adaptation in picture viewing situations and the corresponding chromaticity coordinates of stimuli in chromatic adaptation were obtained by the Bartleson's theory. Also, the corresponding color reproduction is realized by changing the phase and the gain of the demodulation axes in television receiver. Experimental results show that the proposed corresponding color displayed on the television is better than that of the conventional colorimetric color reproduction under the surround light sources.

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An Exploratory Study Regarding the Effects of Corporate Resources and Perceptions toward Environmental Regulations on Willingness to Accept Self-regulation Programs: From Strategic Views (전략적 관점에서 본 기업 자원과 역량이 자율규제 순응에 미치는 영향에 관한 연구)

  • Cho, Chun Han;Kim, Jae Geun;Rhee, Tae Sik
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.8 no.4
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    • pp.81-93
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    • 2013
  • The study attempted to explain the differences among the willingness of companies to accept the self-regulation. The study exemplified the $CO_2$ emissions record labelling program, as a self-regulation program which is considered as a concrete action for corporate social responsibility and substantiality management movement. The study investigated how companies respond to the request from a government to accept the program, which may be potentially contributed to both higher social and financial performance. It is hypothesized that first the company may decide whether the acceptance decision is strategic or non-strategic issues. when considered as non-strategic, the decision will be made on the basis of short term expected returns and costs comparison. It is hypothesized that when considered as strategic, the decision will be strongly influenced by the type of corporate perceptions toward environmental regulations, which has been accumulated by past experiences. Also, the study investigated the good management theory and the slack resources theory which differently predict the direction between social performances and financial performances. The results identified the significant relationships among most variables and supported the slack resources theory. Further, the ethical perception positively influenced the willingness to accept the self-regulation.

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A Study on the Relationship between Individual Patient Behavior, Medical Care Level and Therapeutic Compliance: Community Health Survey (개인 건강행태 및 지역보건의료 수준과 치료순응의 관계: 지역사회 건강조사 바탕으로)

  • Kim, Young-Ran;Lee, Tae-Yong;Park, Chang-Soo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.5
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    • pp.104-115
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    • 2016
  • Objective: This study was conducted in order to investigate the effects of individual patient behavior regarding the health and medical care level on their therapeutic compliance for people diagnosed with high blood pressure by a physician, in order to evaluate the impact of treatment compliance. In this study, the therapeutic compliance was defined as the hypertension drug cure rate. The current blood pressure controls were persons about 30 years of age diagnosed with high blood pressure by their doctor one month fraction of the people who take more than 20 days (30 days). Methods: The data was analyzed by using the X2-test for different comparisons of the therapeutic compliance in the individual characteristics and using a two-stage multilevel logistic regression to identify the community variance of the related index of high blood pressure therapeutic compliance using the data from 229 adults over the age of 19 in a community health survey conducted in 2010. The Spss 18.0 statistical program was used with HLM 7 (hierarchical linear model) Results: It was found that the rate of therapeutic compliance was affected by the individual health behavior and health and medical care levels. Conclusion: In this study, although the odds ratio of the variable region of the high level of health care, I was able Unlike previous studies and focuses on the personal level of variation found variations in the local health care level was a significant. More studies on multilevel analysis are needed in the future considering regional level data.

Locomotion of Biped Robots on Irregular Surface Based on Pseudo-Impedance Model (의사-임피던스 모델을 이용한 비평탄면에서의 2족보행로봇의 보행)

  • Shin, Hyeon-Sik;Park, Jong-Hyeon;Kwon, O-Hung
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.34 no.6
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    • pp.667-673
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    • 2010
  • This paper proposes a control method based on a pseudo-impedance model to control the motion of biped robots walking on an uneven surface. The pseudo-impedance model simulates the action of the ankle of a foot landing on the ground when a human walks. When the foot is in contact with the ground, the human ankle goes through two different phases. In the first phase, the human exerts little or no effort and applies no torque on the ankle so that the orientation of the foot is effortlessly and passively adjusted with respect to the ground. In the second phase of landing, the ankle generates a significant amount of torque in order to rotate and move the main part of the human body forward and to support the weight of the human; this phase is called the weight acceptance phase. Computer simulations of a 12-DOF biped robot with a 6-DOF environment model were performed to determine the effectiveness of the proposed pseudo-impedance control. The simulation results show that stable locomotion can be achieved on an irregular surface by using the proposed model.

Probabilistic Reservoir Inflow Forecast Using Nonparametric Methods (비모수적 기법에 의한 확률론적 저수지 유입량 예측)

  • Lee, Han-Goo;Kim, Sun-Gi;Cho, Yong-Hyon;Chong, Koo-Yol
    • Proceedings of the Korea Water Resources Association Conference
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    • 2008.05a
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    • pp.184-188
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    • 2008
  • 추계학적 시계열 분석은 크게 수문자료의 장기간 합성과 실시간 예측으로 구분해 볼 수 있다. 장기간 합성은 주로 수문자료의 추계적 특성을 반영한 수자원 시스템의 운영율 개발에 이용되어 왔다. 반면에 실시간 예측은 수자원 시스템의 순응적(adaptive) 관리에 적용되고 있다. 두 개념의 차이로 전자는 시계열 자료를 합성하여 발생 가능한 모든 수문조합을 얻고자 하는 것이라면 후자는 전 시간의 수문량을 조건으로 하는 다음 시간의 값을 순응적으로 예측하는 것이라 할 수 있다. 수문자료의 합성과 예측에는 크게 결정론적, 확률론적 방법의 두 가지 대별될 수 있다. 결정론적 모델링 방법에는 인공신경망이나 Fuzzy 기법 등을 이용할 수 있으며, 확률론적 방법에는 ARMAX 등의 모수적 기법과 k-NN(k-nearest neighbor bootstrap resampling), KDE(kernel density estimates), 추계학적 인공신경망 등의 비모수적 기법으로 분류할 수 있다. 본 연구에서는 대표적 비모수적 기법인 k-NN를 이용하여 충주댐을 대상으로 월 및 일 유입량 자료의 예측 정도를 살펴보았다. 전 시간 관측치를 조건으로 하는 다음 시간의 조건부 확률분포를 구하여 평균값을 계산한 후 관측치와 비교함으로써 모형의 정도를 살펴보았다. 그리고 실시간 저수지 운영에 이 기법의 활용성과 장단점도 살펴보았다. 모형개발 절차로 모형의 보정을 거쳐 검증을 실시하였다. 결론적으로 월 및 일 유입량 예측에 k-NN 기법이 실무적으로 적용될 수 있었으며, 장점으로는 k-NN 기법이 다른 기법보다 모델링 절차가 비교적 쉬워 저수지 운영 최적화 등 타 시스템과의 연계에 수월함이 인식되었다.

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Meta-Analysis on Effectiveness of Intervention to Improve Patient Compliance in Korean (한국인 치료순응도 향상을 위한 개입 효과에 대한 메타분석)

  • 김춘배;조희숙;현숙정;박애화
    • Health Policy and Management
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    • v.12 no.2
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    • pp.23-42
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    • 2002
  • The purpose of this study was to analyze the results of 133 studies related to patient compliance published between 1980 and 2001 and to assess the effectiveness of intervention on compliance by using meta-analysis. We collected the existing literatures by using web and manual search 'patient compliance', 'sick role behavior', 'major clinical disease', and 'intervention' as key words and by reviewing content of journals related to medicine, nursing and public health. The compliance interventions were classified by theoretical focus into educational, behavioral, and affective categories within which specific intervention strategies were further distinguished. The compliance indicators broadly represent five classes of compliance-related assessments: (1) health outcomes (eg, blood pressure and hospitalization), (2) direct indicators (eg, urine and blood tracers and weight change), (3) indirect indicators (eg, pill count and refill records), (4) subjective report (eg, patients' or others' reports), (5) utilization (appointment making and keeping, use of preventive services). Quantitative meta-analysis was performed by MetaKorea program which was developed for meta-analysis in Korea. Among the 133 articles, 10 studies were selected through the qualitative meta-analysis process, and then only 6 studies were selected for the quantitative meta-analysis finally. The interventions produced significant effects for all the compliance indicators with the magnitude of common effect size (4.1192) than the non-intervention group in a random effect model. The largest effects were each study for patient of hypertension using health outcome such as blood pressure (0.4679) and diabetes mellitus using direct indicator such as glucose level in blood and urine (0.7753). These results suggest that strategic interventions showed clear advantage for improvement of patient compliance compared with non-intervention group.

Factors Influencing the Therapeutic Compliance of Patients with Lung Cancer (폐암환자의 치료순응도에 영향을 미치는 요인)

  • Chae, Sang-Chul;Park, Jae-Yong;Kim, Jeong-Suk;Bae, Moon-Seob;Shin, Moo-Chul;Kim, Keon-Yeob;Kim, Chang-Ho;Shon, Sang-Kyun;Kam, Sin;Jung, Tae-Hoon
    • Tuberculosis and Respiratory Diseases
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    • v.45 no.5
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    • pp.953-961
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    • 1998
  • Background : In recent years, lung cancer has been one of most common cause of death in Korea. Despite many physician's high degree of pessimism about the gains made in treatment, progressive improvement in the survival of lung cancer by treatment has occurred, particulary in the early stages of the disease. However, a lot of patients refuse treatment or give up in the fight against the disease. This study was done to evaluate factors influencing the compliance to therapy and to lead in the establishment of special programs to enhance compliance in patients with lung cancer. Methods: The medical records of 903 patients, whose ECOG(Eastern Cooperative Oncology Group) performance status was 3 or less and whose medical record was relatively satisfactory, among 1141 patients diagnosed with lung cancer between January 1989 and December 1996 were reviewed retrospectively. Compliance was classified into three groups based on the degree of compliance with physicians practice guideline: (a) compliants; (b) patients who initially complied but gave up of themselves midway during the course of treatment; (c) noncompliants who refused the treatment. Results: The overall compliance rate was 63.9%, which was progressively increased from 57.3-61.3% in 1989 and 1990 to 64.2-67.5% in 1995 and 1996. Age, education level and occupation of patients bore statistically significant relationship with the compliance but sex, marital status and smoking history did not. The compliance was significantly higher in patients without symptoms than with, and was also significantly higher in patients with good performance status. The compliance was significantly high in patients with NSCLC(non-small cell lung cancer) compared to SCLC(small cell lung cancer), but after exclusion of stage I and II, among NSCLC, which had higher compliance to surgery there was no significant difference of compliance by histology. The compliance was significantly lower in advanced stage. Conclusion: To enhance the compliance, special care including education programs about therapy including complication and prognosis are necessary, especially for educationally and economically disadvantaged patients.

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Korean Women's Response Type and Characteristics on Unwanted Sexual Request (원하지 않은 성관계 요구에 대한 한국 여대생의 반응 유형 및 특성)

  • Cho, Jung-Hwa;Song, Wonyoung
    • Journal of Digital Convergence
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    • v.15 no.2
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    • pp.511-518
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    • 2017
  • The purpose of this study was to investigate the typology of response to unwanted sexual request, and find the characteristics according to the types. For this purpose, 332 college female students were surveyed. As a results, two group were identified through cluster analysis: assertive type and compliant type. Compliant type had more sexual experiences, consensual unwanted sex, reasons for sexual compliance. Furthermore, compliant type had more unstable attachment, rejection sensitivity, and loneliness. Implications related with prevention and education program for the high risk compliant group were discussed and ideas for health, education, psychological experts were suggested.