• 제목/요약/키워드: Compliance Pattern

검색결과 77건 처리시간 0.023초

농촌지역 60세 이상 노인인구의 고혈압 유병율 및 관리형태 (Prevalence Rate of Hypertension and Cared Pattern in Rural Aged over Sixty Years Old)

  • 임송;천병렬;예민해
    • 농촌의학ㆍ지역보건
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    • 제19권2호
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    • pp.129-140
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    • 1994
  • 경상남도 울산군 삼남면에 거주하는 894명의 60세 이상 노인인구를 대상으로 제요인별 고혈압의 상명상태 및 관리양상을 비교 분석한 결과는 다음과 같다. 1. 조사된 노인 894명중 고혈압 유병률 27.5%였으며 남자에서는 26.0%, 여자에서는 28.6%로 나타났다. 2. 남자에서 제요인별 고혈압 유병률은 연령, 고혈압 가족력, 음주유무, 식염섭취량이 통계적으로 유의하였다. 3. 여자에서 제요인별 고혈압 유병률은 식염 섭취량 및 비만도가 통계적으로 유의하였다. 4. 고혈압의 진단동기에 관한 설문조사에서 증상이 있어 직접 진찰을 받아 전달 받은 경우 및 정기 신체검진에 진단 받은 경우는 각각 25.0%, 9.1%에 불과했고 나머지 65.9%는 다른 질병으로 병원에 갔다가 우연히 발견한 경우였다. 5. 과거 고혈압에 대한 치료 받은 경험율은 사회경제수준이 중류층 이상에서 통계적으로 유의하게 높았으며 제요인별 치료장소는 전반적으로 과반수 이상이 병원을 선호하였으나 통계적 유의성을 인정할 수 없었다. 6. 고혈압에 대한 치료를 받지 않는 이유 및 치료중단 이유를 면접조사한 결과 각각 일상생활에 지장이 없기 때문이라고 응답한 경우가 45.5%, 지리적 여건이 완만치 못하기 때문이라고 응답한 경우가 47.6%로 가장 높았다. 7. 제요인별 고혈압에 대한 예방행동유무는 통계적으로 유의하지 않았다. 8. 제요인별 향후 치료유무에서는 연령, 사회 경제수준, 고혈압가족적이 통계적으로 유의하였고 향후 치료장소는 전반적으로 병원을 선호하는 경향이 뚜렷하였으나 제요인별 향후치료장소는 통계적으로 유의하지는 않았다. 9. 고혈압에 대한 치료를 받지 않을 것이라고 응답한 이유중 가장 높은 빈도를 차지하는 것은 46.8%로 일상생활에 지장이 없기 때문이라고 응답한 경우였다. 10. 제요인별 향후 예방행동유무는 연령, 교육수준, 사회경제수준, 고혈압 가족력이 통계적으로 유의하였다.

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Evolutionary Optimization of Neurocontroller for Physically Simulated Compliant-Wing Ornithopter

  • Shim, Yoonsik
    • 한국컴퓨터정보학회논문지
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    • 제24권12호
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    • pp.25-33
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    • 2019
  • 본 논문은 목표한 방향으로 자유롭게 기동할 수 있는 새 크기의 물리기반 날갯짓 비행로봇 시뮬레이션을 위한 동역학적 신경망 컨트롤러를 생성하는 통합적인 진화연산 방법을 제시한다. 제안된 진화로봇 시스템은 날갯짓 비행의 추가적인 민첩성과 안정성을 위하여 Morphological Computation 개념을 응용한 간단한 날개 순응성 모델과 그와 통합된 Mechanosensory 정보를 활용한다. 역학적으로 불안정한 날갯짓 기동의 안정성 개선을 위해 로봇의 날개는 회전스프링으로 팔의 골격에 연결된 여러개의 패널들로 모델링되어, 새의 깃털에서 영감을 받은 단순한 형태의 날개 유연성을 시뮬레이션 하도록 설계되었다. 신경망 컨트롤러 역시 생물학적으로 의미있는 좌우대칭적 연결구조를 가짐과 동시에 최대의 진화연산 탐색 가능성을 위해 두 개의 fully-connected 신경망 모듈로 이루어지며, 이를 위한 센서정보로서 항법센서와 더불어 각 날개패널의 움직임 보들이 입력되어진다. 이러한 설계는 각 패널센서로 하여금 잠재적으로 신경망의 날갯짓 패턴 생성에 관여하게 함과 동시에, 날개에 가해지는 힘의 감지와 패널의 굽어짐으로 인한 날개 순응성으로부터 얻을 수 있는 비행의 민첩성과 안정성 향상을 동시에 유도할 수 있다. 본 시스템으로 진화된 날갯짓 로봇은 실시간으로 주어지는 목표방향으로의 효과적인 기동과 함께, 외부의 공기역학적 섭동에 대하여도 더욱 안정적인 비행을 유지함을 보여준다.

중년 여성의 유방암 예방을 위한 통합적 유방건강 프로그램 개발 (Development of an Integrated Breast Health Program for Prevention of Breast Cancer among Middle-aged Women)

  • 허혜경;박소미;김창희;박종구;고상백;김기연
    • 여성건강간호학회지
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    • 제15권1호
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    • pp.54-63
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    • 2009
  • Purpose: This study was done to develop an integrated breast health program for prevention and early detection of breast cancer, integrating primary and secondary prevention factors using cognitive-behavioral strategies. Method: This methodological study conducted as follows; Selection of components for the program through a literature review, survey to identify women's knowledge and risk perception of breast cancer and diet, and building prototype for the program using discussion based on findings. Using structured questionnaires, interviews were done with 130 women aged 40-59 who lived in a rural area. Result: Primary prevention (diet pattern, knowledge about breast cancer, and risk perception) and secondary prevention (early detection behaviors) factors were identified through the literature review. The survey showed that women lack knowledge and awareness about the risks of breast cancer, and have a low compliance rate for early detection behavior. Based on these results, a program was developed utilizing counseling and models to provide education and practice related to diet, breast cancer, and early detection behaviors. Conclusion: Use of this integrated and tailored breast health program with women at risk will contribute to better breast health, but further study is needed to verify the effects.

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Epidemiology of Primary CNS Tumors in Iran: A Systematic Review

  • Jazayeri, Seyed Behzad;Rahimi-Movaghar, Vafa;Shokraneh, Farhad;Saadat, Soheil;Ramezani, Rashid
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권6호
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    • pp.3979-3985
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    • 2013
  • Background: Although primary malignant CNS tumors are registered in the national cancer registry (NCR) of Iran, there are no available data on the incidence of the primary malignant or benign CNS tumors and their common histopathologies in the country. This study analyzed the 10-year data of the Iranian NCR from March 21, 2000 to March 20, 2010, including a systematic review. Materials and Methods: The international and national scientific databases were searched using the search keywords CNS, tumor, malignancy, brain, spine, neoplasm and Iran. Results: Of the 1,086 primary results, 9 papers were selected and reviewed, along with analysis of 10-year NCR data. The results showed that primary malignant brain tumors have an overall incidence of 2.74 per 100,000 person-years. The analysis of the papers revealed a benign to malignant ratio of 1.07. The most common histopathologies are meningioma, astrocytoma, glioblastoma and ependymoma. These tumors are more common in men (M/F=1.48). Primary malignant spinal cord tumors constitute 7.1% of the primary malignant CNS tumors with incidence of 0.21/100,000. Conclusions: This study shows that CNS tumors in Iran are in compliance with the pattern of CNS tumors in developing countries. The NCR must include benign lesions to understand the definitive epidemiology of primary CNS tumors in Iran.

Mobi-Kids Study: 휴대전화의 전자파 노출량 평가 -II. 머리 SAR 및 누적노출 평가 방법 (Mobi-Kids Study: Exposure Assessment of Electromagnetic Radiation from Mobile Phones -II. Evaluation Method of Head SAR and Cumulative Dose)

  • 이애경;홍선의;최경화;하미나;최형도
    • 한국전자파학회논문지
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    • 제24권12호
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    • pp.1158-1166
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    • 2013
  • 본 논문은 Mobi-Kids 연구의 노출량 평가를 위해 휴대전화 대표 모델에 대해 연구 프로토콜에 따른 SAR 계산방법을 분석하고, 역학조사 대상자가 사용한 휴대전화의 무선주파수 누적 노출량을 평가하는 방법을 제안한다. 휴대전화 대표 모델의 출력을 동일하게 가정하고, 서로 다른 연령의 4개 머리 모델에서의 SAR 분포를 계산하여 데이터베이스를 구축한다. 역학조사 대상자가 사용한 특정 휴대전화 모델의 머리 SAR은 SAR 적합성 시험결과를 활용하여 보정 인자를 적용함으로써 구한다. 그리고 휴대전화 특성과 함께 사용 시간, 좌 우측 비율 같은 대상자의 휴대전화 사용 패턴에 대한 인자를 고려하여 누적 에너지를 산출하게 된다.

심혈관 노화가 맥상(脈象)에 미치는 영향 (A Study of the Cardiovascular Aging Effect on the Pulse Shape)

  • 신상훈;임혜원;박영재;박영배
    • 대한한의진단학회지
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    • 제9권1호
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    • pp.59-68
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    • 2005
  • Background and purpose: Cardiovascular disease will undoubtedly rise along with the aging of the 'baby-boom' generation. The purpose of this study is to find the new index of the cardiovascular aging. Methods: The effects of aging on the heart and the arterial system are surveyed in the point of structure and function. Results: Arterial stiffening is due to the fatiguing effects of periodic stress on the arterial wall and is the main reason for increasing pulse wave velocity. The systolic hypertension is caused by the early return of wave reflection. The increased after-load by the arterial change leads to the development of left ventricular hypertrophy. The reduction in left ventricular compliance cause the impairments of the diastolic function. In contrast to the lower limb, aging effect in the upper limb are almost due to the ascending aortic pressure wave and the reflected wave from the lower limb. Conclusion: We have the following points. (1) The change of physiological pulse pattern by age can be explained by the early returning of reflected wave. (2) The atrial pulse in old age are generated by the left ventricular hypertrophy.

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건강통제위 개념의 국내 간호연구 분석 (Health Locus of control : A Review of the Nursing Research in Korea)

  • 이은희;임숙빈;김인자;이은옥
    • 대한간호학회지
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    • 제23권4호
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    • pp.694-712
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    • 1993
  • A number of nursing researchers have used the concept of health locus of control over the past decade in Korea. This article reviewed 92 nursing research papers on health locus of control conducted since 1982, and examined type of subjects, design, measurement instruments, the scores of each dimension of the HLOC, and significant variables. Most of the research were correlational in design, used an 18-item 6-point score instrument and studied the relationship between HLOC, health re-lated variables, and cognitive-emotional variables, The health related variables included health behavior, health management, preventive health behavior, compliance to treatment regimen and self care behavior The cognitive-emotional variables included depression, anxiety, stress and self- esteem. Some consistent findings are beginning to emerge. The concept of internal HLOC was positively correlated with the health related variables. But few studies found any significant correlation between powerful others HLOC and health related variables. In the case of chance HLOC, few studies reported a significant relationship. Many of the articles reported significant relationships between internal HLOC and cognitive-emotional variables, but few reported a significant relationship between powerful others or chance HLOC and cognitive -emotional variables. all experimental studies but one found that only internal HLOC was significantly changed following experimental manipulation. When the different groups of subjects such as normal persons, chronic patients, acute patients were compared in terms of mean scores, it was found that the HLOC appeared to change depending on the status of the patients. Recommendations for future research include modification of the instrument to increase the reliability and validity, study about the pattern of response suggested by Wallston and Wallston(1982) and further experimental study on changing the belief of subjects to internal HLOC.

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아주대학교병원 소아치과에서 시행된 전신마취 하 치과치료에 관한 실태조사 (A Survey of Dental Treatment under General Anesthesia in Division of Pediatric Dentistry, Ajou University Hospital)

  • 최수연;공은경;백광우
    • 대한치과마취과학회지
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    • 제14권4호
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    • pp.205-211
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    • 2014
  • Background: General anesthesia is a necessary method for successful dental treatment for children, compromised patients and the disabled who have difficulty in cooperation. The aim of this study was to assess dental treatment under general anesthesia at the department of pediatric dentistry, Ajou university hospital on children and the disabled. Methods: 217 general anesthesia from June 2010 to June 2014 were assessed for this study. Patient's distribution, treatment pattern, reasons for general anesthesia, distribution of combined operation, duration of anesthesia, treatment, frequency of general anesthesia and agents for general anesthesia were examined. Results: The proportion of male, the disabled were higher and above 19 years age group was the highest. Combined operation with otolaryngology was highest. Main reasons for general anesthesia were mental retardation for the disabled and uncooperative behavior for the non-disabled. Percentage of restorative treatment was the highest. Average anesthesia duration was 186 minutes and average treatment time was 143 minutes. Most of the airway was maintained by nasotracheal intubation and induction was done by sevoflurane. Conclusions: General anesthesia for dental treatment has been increasing for children, the disabled who have a difficulty of cooperation. The demand for dental treatment under general anesthesia is expected to continuously increase. Therefore, continuous research and studies should be done to establish efficiency and safety of general anesthesia and provide an enhanced environment for treatment.

대형삼축압축시험을 이용한 상사입도 조정 재료의 탄성계수 산정시험 (Test method for Young's Modulus of Parallel Graded Coarse Granular Materials by Large Triaxial Test)

  • 이성진;추연욱;황수범;김기재
    • 대한토목학회논문집
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    • 제32권5C호
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    • pp.211-220
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    • 2012
  • 쇄석, 자갈 등과 같은 대입경의 조립지반재료들은 철도, 도로, 댐 등과 같은 지반구조물의 주요한 성토재료로 사용되고 있다. 따라서 합리적인 설계와 시공을 위해서 이들 재료의 물성을 정확하게 평가하는 것은 필수적이다. 본 연구에 앞서 대형 삼축압축시험장비를 구축하고 미소변형 수준에서의 물성산정을 위한 시스템 검증을 수행하여, 시험장비의 신뢰성을 확보할 수 있었다. 본 연구에서는 대입경의 조립지반재료의 다양한 실험 조건들을 고려하여 반복삼축압축시험이 수행되었다. 특히 상사입도 조립재료 시편들에 대해 입자크기, 하중패턴, 하중 주파수, 세립분 함유 조건 등이 탄성계수 결과에 미치는 영향에 대해 검토, 분석하였다.

Breast Cancer Scenario in a Regional Cancer Centre in Eastern India over Eight Years - Still a Major Public Health Problem

  • Datta, Karabi;Choudhuri, Maitrayee;Guha, Subhas;Biswas, Jaydip
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권3호
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    • pp.809-813
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    • 2012
  • In spite of screening and early diagnostic tests, the upward trend of breast cancer has become a matter of great concern in both developed and developing countries. The data collected by Population Based Cancer Registry in Chittaranjan National Cancer Institute, a regional cancer centre in Kolkata, from 1997 to 2004 gives an insight about the scenario of Breast Cancer in this part of Eastern India.The total no of female breast cancer cases were steadily increasing from 1997 to 2001 and only slightly lower from 2002 to 2004. and majority were in the 40-49 year old age group during this period. The next most commonly affected age group was 50-59 years. Regarding the distribution according to treatment, the main modality was surgery and radiotherapy followed by combined surgery, chemotherapy and radiotherapy and then combined surgery and chemotherapy. The commonest type was ductal followed by lobular cancer. In this eight year study in CNCI, status of patients on last day of the respective year was assessed. Number of patients alive was 43.5% in 1997. The percentage gradually increased up to 2000 and then gradually decreased to 47.4% in 2004. Also with every passing year, percentage mortality gradually decreased from 25.7% in 1997 to 16.8% in 2004. Better pattern of care (diagnosis and treatment) was reflected in this picture. However, lost to follow up, which also implies non compliance to treatment, increased to 30.8% in 1997 to 35.8% in 2004. Due to the small number of male breast cancers, only female cases were considered. In conclusion, breast cancer continues to be a major problem in Kolkata, India.