• Title/Summary/Keyword: Compliance monitoring

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Monitoring Compliance and Examining Challenges of a Smoke-free Policy in Jayapura, Indonesia

  • Wahyuti, Wahyuti;Hasairin, Suci K.;Mamoribo, Sherly N.;Ahsan, Abdillah;Kusuma, Dian
    • Journal of Preventive Medicine and Public Health
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    • v.52 no.6
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    • pp.427-432
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    • 2019
  • Objectives: In Indonesia, 61 million adults smoked in 2018, and 59 million were exposed to secondhand smoke at offices or restaurants in 2011. The Presidential Decree 109/2012 encouraged local governments to implement a smoke-free policy (SFP), and the city of Jayapura enacted a local bill (1/2015) to that effect in 2015. This study aimed to evaluate compliance with this bill and to explore challenges in implementing it. Methods: We conducted a mixed-methods study. Quantitatively, we assessed compliance of facilities with 6 criteria (per the bill): the presence of signage, the lack of smoking activity, the lack of sale of tobacco, the lack of tobacco advertisements, the lack of cigarette smoke, and the lack of ashtrays. We surveyed 192 facilities, including health facilities, educational facilities, places of worship, government offices, and indoor and outdoor public facilities. Qualitatively, we explored challenges in implementation by interviewing 19 informants (government officers, students, and community members). Results: The rate of compliance with all 6 criteria was 17% overall, ranging from 0% at outdoor public facilities to 50% at health facilities. Spatial patterning was absent, as shown by similar compliance rates for SFP facilities within a 1-km boundary around the provincial and city health offices compared to those outside the boundary. Implementation challenges included (1) a limited budget for enforcement, (2) a lack of support from local non-governmental organizations and universities, (3) a lack of public awareness at the facilities themselves, and (4) a lack of examples set by local leaders. Conclusions: Overall compliance was low in Jayapura due to many challenges. This information provides lessons regarding tobacco control policy in underdeveloped areas far from the central government.

Evaluation of an Individualized Education before Discharge and Follow-up Telephone Consultation on Self-efficacy for Kidney Transplant Patients (신장이식환자의 자기효능전략을 이용한 퇴원 시 개별교육과 추후 전화상담의 효과)

  • Hwang, Young-hui;Yi, Myungsun
    • Journal of Korean Biological Nursing Science
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    • v.17 no.4
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    • pp.331-340
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    • 2015
  • Purpose: This study was to develop and evaluate an individualized education program based on self-efficacy for patients with kidney transplantation in Korea. Methods: A nonequivalent control group pretest-posttest design was used. The participants consisted of 43 patients who underwent kidney transplants at one hospital in Seoul, from July 2012 to April 2013. The experimental group received an individualized education based on self-efficacy in the hospital and follow-up telephone consultation in the 2nd and 3rd week after discharge. The control group received a routine discharge education. Knowledge, self-efficacy, and compliance related to kidney transplant were measured and analyzed by frequency, average, Mann-Whitney U test, Fisher's exact test, independent t-test, and ${\chi}^2$-test using SPSS WIN 20.0. Results: Significant differences were found in self-efficacy between the experimental group and the control group. But no significant differences were found in knowledge and compliance between two groups. The scores of several items on monitoring health status in compliance were higher in the experimental group than those of the control group. Conclusion: The results of this study demonstrate the fact that an education program based in self-efficacy for patients with kidney transplant would be effective in improving self-efficacy and the ability to monitor their health status.

Qualitative Study of Compliance with Nutritional Management in Colorectal Cancer Patient Undergoing Chemotherapy (수술 후 보조적 항암화학요법을 받는 대장암 환자의 일상영양관리 순응도에 대한 질적 연구)

  • Park, Heejung;Kil, Hyonson;Cho, Wookyoun
    • Korean Journal of Community Nutrition
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    • v.25 no.4
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    • pp.303-316
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    • 2020
  • Objectives: The nutritional status of cancer patients undergoing chemotherapy is closely related to the compliance of nutrition education. However, as chemotherapy is conducted repeatedly, compliance with nutrition management is lowered, leading to malnutrition. Malnutrition is related directly to the quality of life after surgery in cancer patients. Therefore, this study examined the factors related to compliance with nutrition management during chemotherapy. Methods: In this study, five subjects with colorectal cancer undergoing adjuvant chemotherapy were interviewed in-depth using the Giorgi study method. The contents of the nutrition education visits and in-depth interviews were transcribed in the language of the subject after recording, and the appropriateness of the data was improved by reflecting the subject's actions and facial expressions. Results: After conducting the in-depth interviews for each subject, the experience of the subject's diet and adjuvant chemotherapy was drawn into two domains, six elements, and 26 sub-elements. In the cognitive domain, the patients experienced physical and psychological changes, and the need for nutrition management was recognized by analyzing the dietary causes of the diseases. In the domain of practice, a knowing-doing gap was formed, unlike the patient's will. Factors that inhibited compliance with nutritional management included digestive problems, sensory changes, loss of appetite, and social interaction stress. Conclusions: Dietary management is very important for patients receiving periodic anticancer therapy, and step-by-step training and personal monitoring based on the chemotherapy order is necessary to maintain the patient's will and social and environmental support.

Factors Influencing Compliance on the Use of Personal Protective Equipment during Cleaning of Medical Device Reprocessing Staffs (의료기기 재처리 세척 직원의 개인보호구 착용 이행의 영향요인)

  • Park, Hyun Hee;Hong, Jung Hwa;Jeong, Gye Seon;Lee, Kwang Ok
    • Journal of muscle and joint health
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    • v.31 no.1
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    • pp.42-52
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    • 2024
  • Purpose: This study aimed to identify the factors affecting compliance with personal protective equipment (PPE) use among medical device reprocessing staff. Methods: This descriptive cross-sectional study included 163 cleaning staff members from ten general hospitals in Seoul and Gyeonggi. Data were collected using self-report questionnaires administered between July and September 2023. Analysis included t-tests, ANOVA, Pearson's correlation coefficient, Bonferroni correction, and multiple regression, conducted using SAS ver.9.4. Results: Statistically significant differences in compliance with PPE were found based on department and exposure to contamination within six months (t=-2.82, p=.007). Attitudes toward PPE (r=.22, p=.006) and awareness of the safety climate (r=.22, p=.006) showed a statistically significant positive correlation with PPE compliance. Factors influencing use of personal protective equipment by cleaning staff during medical device reprocessing were department, compliance with PPE, and awareness of the safety climate. The explanatory power of these factors was 58.0%. Conclusion: Improving PPE compliance and creating a safe cleaning environment entails fostering a supportive safety climate. Additionally, regular training that takes into consideration the characteristics of the cleaning staff, alongside continuous monitoring, is required.

Literature Review of Machine Condition Monitoring with Oil Sensors -Types of Sensors and Their Functions (윤활유 분석 센서를 통한 기계상태진단의 문헌적 고찰 (윤활유 센서의 종류와 기능))

  • Hong, Sung-Ho
    • Tribology and Lubricants
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    • v.36 no.6
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    • pp.297-306
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    • 2020
  • This paper reviews studies on the types and functions of oil sensors used for machine condition monitoring. Machine condition monitoring is essential for maintaining the reliability of machines and can help avoid catastrophic failures while ensuring the safety and longevity of operation. Machine condition monitoring involves several components, such as compliance monitoring, structural monitoring, thermography, non-destructive testing, and noise and vibration monitoring. Real-time monitoring with oil analysis is also utilized in various industries, such as manufacturing, aerospace, and power plants. The three main methods of oil analysis are off-line, in-line, and on-line techniques. The on-line method is the most popular among these three because it reduces human error during oil sampling, prevents incipient machine failure, reduces the total maintenance cost, and does not need complicated setup or skilled analysts. This method has two advantages over the other two monitoring methods. First, fault conditions can be noticed at the early stages via detection of wear particles using wear particle sensors; therefore, it provides early warning in the failure process. Second, it is convenient and effective for diagnosing data regardless of the measurement time. Real-time condition monitoring with oil analysis uses various oil sensors to diagnose the machine and oil statuses; further, integrated oil sensors can be used to measure several properties simultaneously.

Non-Intrusive Healthcare System for Estimation of Vascular Condition in IP-Enabled Wireless Network (IP 기반 무선네트워크에서의 혈관상태 평가를 위한 무구속 헬스케어 시스템)

  • Jung, Sang-Joong;Kwon, Tae-Ha;Chung, Wan-Young
    • Journal of Sensor Science and Technology
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    • v.22 no.1
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    • pp.76-83
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    • 2013
  • A real-time wireless monitoring and analysis methods using the wearable PPG sensor to estimate cardiovascular condition is studied for ubiquitous healthcare service. A small size and low-power consuming wearable photoplethysmogram (PPG) sensor is designed as a wrist type device and connected with the IP node assigned its own IPv6 address. The measured PPG waveform in the IP node is collected and transferred to a central server PC through the IP-enabled wireless network for storage and analysis purposes. A monitoring and analysis program is designed to process the accelerated plethysmogram (APG) waveform by applying the second order derivatives to analyze systolic waves as well as heart rate variability analysis from the measured PPG waveform. From our results, the features of cardiovascular condition from individual's PPG waveform and estimation of vascular compliance by the comparison of APG-aging index (AI) and ratio of LF/HF are demonstrated.

New Zealand's Catch Balancing Regime: A Model of Enforcement Strategies (뉴질랜드 어획량 균형 제도: 시행전략모델)

  • Nam, Jongoh;Dobrot, Gabriela
    • Environmental and Resource Economics Review
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    • v.17 no.4
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    • pp.775-812
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    • 2008
  • This paper provides a theoretical approach to the New Zealand's Catch-Balancing Regime (CBR) with a reporting requirement under the Individual Transferable Quota (ITQ) system. The enforcement strategy depicted draws on recent literature regarding practical applications of the Revelation Principle. New Zealand's use of CBR-specific instruments such as deemed values, remains to be improved. However, some of its features can constitute a valuable example for regulators seeking to improve their methods of dealing with issues as bycatch or overfishing in order to maintain Total Allowable Catch (TAC) levels under emerging ITQ systems. The enforcement strategy analyzed has the potential to provide a more sustainable and efficient management of the fish stock, reduce discarding and stabilize monitoring costs, while improving the level of reporting compliance.

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Assessment of Korean Water Quality Standards for Effluent Discharged from the Dye Industry Based on Acute Aquatic Toxicity Tests Using Microbes and Macroinvertebrates (염색폐수의 수질독성시험을 이용한 한국의 수질배출허용기준 평가연구)

  • Kim, Young-Hee;Lee, Min-Jung;Choi, Kyung-Ho;Eo, Soo-Mi;Lee, Hong-Keun
    • Journal of Environmental Health Sciences
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    • v.30 no.3
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    • pp.185-190
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    • 2004
  • Acute aquatic toxicity of effluents discharged from five dyeing plants in Gyeong-gi province were evaluated to assess whether the current Korean water quality standards(KWQS) could protect aquatic life. Chemical analyses of all parameters regulated under KWQS, except for E-coli, were also carried out to determine regulation compliance of the samples. All the effluent samples were satisfied with KWQS except for the color in only one sample. In acute Daphnia magna toxicity tests, significant mortality was observed in one of five samples and EC50 was 12.1%(95% confidence interval 9.1-16.2), which was in compliance with KWQS. The result of the Microtox assay indicated that acute microbial toxicity existed in effluents from three out of five plants, two of which were in compliance with KWQS. The agreement between regulation compliance of chemical concentrations of effluent and observed toxicity from various biological toxicity tests was very poor to fair (kappa = 0.194~0.250). The data presented suggest that exposure to dyeing wastewater which were in compliance with Korean water quality standards may not be safe to aquatic biota, and multiple tropical levels should be considered in aquatic toxicity monitoring of dyeing industry.

Effect of a Telephone Monitoring on Self-management & Symptom Experiences in Patients With Heart Failure (전화모니터링이 심부전 환자의 증상경험과 자기관리 이행정도에 미치는 효과)

  • Song, Eun-Kyeung
    • Korean Journal of Adult Nursing
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    • v.17 no.1
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    • pp.56-67
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    • 2005
  • Purpose: The main purpose of this study was to examine the effectiveness of a standardized telephone monitoring intervention in addressing the symptom experience and improving self-management ability in patients with heart failure. Methods: A non-equivalent control group pre-post test design was used. There were 17 patients in the experimental group, and 16 in the control group. According to the protocol, patients in the experimental group received 15 to 30 minute-telephone monitoring four times, once a week for 4 weeks. Data were analyzed by ${\chi}^2$-test, Mann-Whitney U test. Results: 1) The experimental group showed a significant increase in compliance with self-management compared to the control group. 2) There was a significant decrease in degree for 3 symptoms(DOE, PND, & continuing fatigue) in the experimental group, after telephone monitoring. However, the experimental group did not show significant decrease in the degree of the total symptom experiences. Conclusions: The results of this study provide evidence that standardized telephone monitoring is effective in relieving symptom experience and improving self-management in patients with heart failure over the course of telephone monitoring.

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Development of an Intelligent Control System to Integrate Computer Vision Technology and Big Data of Safety Accidents in Korea

  • KANG, Sung Won;PARK, Sung Yong;SHIN, Jae Kwon;YOO, Wi Sung;SHIN, Yoonseok
    • International conference on construction engineering and project management
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    • 2022.06a
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    • pp.721-727
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    • 2022
  • Construction safety remains an ongoing concern, and project managers have been increasingly forced to cope with myriad uncertainties related to human operations on construction sites and the lack of a skilled workforce in hazardous circumstances. Various construction fatality monitoring systems have been widely proposed as alternatives to overcome these difficulties and to improve safety management performance. In this study, we propose an intelligent, automatic control system that can proactively protect workers using both the analysis of big data of past safety accidents, as well as the real-time detection of worker non-compliance in using personal protective equipment (PPE) on a construction site. These data are obtained using computer vision technology and data analytics, which are integrated and reinforced by lessons learned from the analysis of big data of safety accidents that occurred in the last 10 years. The system offers data-informed recommendations for high-risk workers, and proactively eliminates the possibility of safety accidents. As an illustrative case, we selected a pilot project and applied the proposed system to workers in uncontrolled environments. Decreases in workers PPE non-compliance rates, improvements in variable compliance rates, reductions in severe fatalities through guidelines that are customized according to the worker, and accelerations in safety performance achievements are expected.

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