• Title/Summary/Keyword: Compliant control

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A Study of the Effects of Health Contracting on Compliance with Health Behaviors in Clients with Hypertension (자가간호증진을 위한 건강계약이 고혈압자의 건강행위 이행에 미치는 영향)

  • 이향련
    • Journal of Korean Academy of Nursing
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    • v.17 no.3
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    • pp.204-217
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    • 1987
  • It is generally accepted that the delivery of health care is undergoing many changes specially those related to acute, contagious disease care and to the increase of chronic illnesses which can not be cured but are controlable. The health care practitioner can not be soley responsible for the control of their clients' care. Because the clients will play a vital role in controlling their illnesses, long term participation by both the health care provider and the client is necessary. Since most individuals with hypertension do not experience signs or symptoms, the disease is difficult to detect and even when diagnosed, clients do not comply well with their hypertension regimens. The noncompliant client is at increased risk for compliants involving the heart, brain, kidney and other organs. In an effort to explore methods of increasing patient participation in and adherence to treatment programs for hypertension, the researcher used health contracting to promote self care. The research questions are; 1) Will the health contracting increase compliance in health behavior and reduce the blood pressure\ulcorner 2) If clients comply with their regimens will this reduce their blood pressure\ulcorner The research design utilized in this study was a quasi-experimental design. A purposive sample, was abtained from two churches in the 1. area, consisting of 64 clients with hypertension. The data was collected from the middle of January to the 1st of September 1985. Randomization was only of the two church groups into experimental and control groups. Compliance with health behavior related to the hypertensive regimen, blood pressure and body weight were measured, compared and analyzed. In the experimental group measurements were made 6 times; one month before the education program after education program when health contracting was done and 4 more times once a month for 4 months. In the control group measurements were made 3 times; one month before the education program after the education program, and once 4 months later. There was no health contracting. The data were analyzed by t-test, Pearson correlation and ANOVA according to purpose of the study. The result of this study may be summarized as follows: The result related to the hypothesis on the effect of health contracting are as follows: H$_1$; “The hypothesis that the experimental group, with a health contractual agreement will demonstrate increased compliance levels for health behavior than the control group” was supported(t=-5.29, df=62, p=.000). H$_2$; “The hypothesis that the experimental group, with a health contractual agreement, will demonstrate a greater reduction in blood pressure than the control group” was supported (for systolic blood pressure t=2.72, df=62, p=.009, for diastolic blood pressure t=1.95, df=62, p=.050). H$_3$; The hypothesis that the greater the compliance of the client with health behavior the lower the client's blood pressure will be was partially supported (for systolic pressure r=-.2981, p=.008, for diastolic pressure r=-.1720, p=.087). From the examination of the results of this study it can be concluded that the interaction between the nurse and the client, contracting to define goals and reinforcing compliant behavior, leads to improved compliance with health care behaviors and thus to an increase in the effectiveness of nursing care. Further consideration need to be given to the inclusion of the concept of health contracting in primary nursing and to further research in this area.

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A Study on Hypertensive Patients Compliance to Medical Recommendations (고혈압 환자의 치료지시 이행에 관한 연구)

  • 최영희
    • Journal of Korean Academy of Nursing
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    • v.10 no.2
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    • pp.73-85
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    • 1980
  • The purpose of this study was to investigate the compliance behavior of hypertensive patients in light of their health belief model that explains an individual's compliance with health maintenance or getting well. Although there are many effective regimens and treatments for hypertension nowadays. the most important point to be taken to consideration in their behavioral aspect is their compliance with regard to the control of body weight. eating habits as to salt and cholesterol intake. stresses. activity patterns and smoking as related to their life style. The important reasons for the failure in the control of hypertensive patients are the complexity of regimens to be complied to. irregular medication and the life long restrictions in their own life style. The compliance of patients to medical regimens and rocommendations or failure to do so is an essential factor. Accordingly. the degree of the patient's compliance is an important determinant as to the success or failure of hypertension control. The subjects for this study were 187 hypertensive patients selected from admitted and out patients of the medical department at seven University Hospitals in Seoul. Data was collected from Dec. 1, 1979 to Feb. 15, 1980 using the questionaire method and was analysed by the use of means. standard deviations, coefficient of correlations, analysis of variance and multiple regression analysis. The results obtained are as follows A. Of the seven independent variables in light of health belief model. benefit. barrier and severity are closely related to patient's compliance behavior. Therefore these variables could be used as determinants to predict and modify the hypertensive behavior. 1. Benefit is the most important and significant of the variables for explaining the dependent variables. It accounts for the highest variance of patient's compliance. (23.62%) 2. Then taking the former together with barrier. the variance of compliance showed on increase. (26.59%) 3. And with the addition of severity to the first two. the variance of compliance was also increased. (28.l2 %) B. Except for susceptibility all the independent variables such as severity. benefit, knowledge. motivation and barrier are correlated to dependent variable compliance. C. Sex. marital status and religion appeared to have significant influence on the dependent variables. Therefore one could conclude that the more the patients are aware that hypertension is a threat to health. the more they understand the benefit of taking actions to prevent such a threat. and the less they perceive any barrier when taking action. the more compliant they become in following medical regimens and recommendations. Age. marital status and religion played a significant influence to their compliance. Accordingly. the selected structural variables and demographic variables which have influenced sick role behavior of the hypertensive patient must be integrated to teaching and counselling programs for better hypertension control.

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Development of ISO14649 Compliant CNC Milling Machine Operated by STEP-NC in XML Format

    • International Journal of Precision Engineering and Manufacturing
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    • v.4 no.5
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    • pp.27-33
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    • 2003
  • G-code, another name of ISO6983, has been a popular commanding language for operating machine tools. This G-code, however, limits the usage of today's fast evolving high-performance hardware. For intelligent machines, the communications between machine and CAD/CAM departments become important, but the loss of information during generating G-code makes the production department isolated. The new standard for operating machine tools, named STEP-NC is just about to be standardized as ISO14649. As this new standard stores CAD/CAM information as well as operation commands of CNC machines, and this characteristic makes this machine able to exchange information with other departments. In this research, the new CNC machine operated by STEP-NC was built and tested. Unlike other prototypes of STEP-NC milling machines, this system uses the STEP-NC file in XML file form as data input. This machine loads information from XML file and deals with XML file structure. It is possible for this machine to exchange information to other databases using XML. The STEP-NC milling machines in this research loads information from the XML file, makes tool paths for two5D features with information of STEP-NC, and machines automatically without making G-code. All software is programmed with Visual $C^{++}$, and the milling machine is built with table milling machine, step motors, and motion control board for PC that can be directly controlled by Visual $C^{++}$ commands. All software and hardware modules are independent from each other; it allows convenient substitution and expansion of the milling machine. Example 1 in ISO14649-11 having the full geometry and machining information and example 2 having only the geometry and tool information were used to test the automatic machining capability of this system.

Implementation and Analysis of IEEE 802.15.4 Compliant Software based on a Vertically Decomposed Task Model (수직 분할 태스크 모델 기반의 IEEE 802.15.4 소프트웨어 구현과 성능평가)

  • Kim, Hie Cheol;Yoo, Seong Eun
    • Journal of Korea Society of Industrial Information Systems
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    • v.19 no.1
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    • pp.53-60
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    • 2014
  • IEEE 802.15.4 is one of the most widely adopted physical layer standards in the area of LR-WPAN(Low-Rate Wireless Personal Area Network). Numerous previous researches have contributed to deep insights on energy efficiency, transmission throughput, and reliability that IEEE 802.15.4 delivers to the LR-WPAN. As a research that is orthogonal and complementary to previous researches, we explore the implementation and practical performance evaluation of IEEE 802.15.4 MAC software. We implement the MAC software from the perspective of the networking stack, exploring the issues raised when the MAC software serves as a functional component in a complete networking stack consisting of MAC, network as well as well as application support layers. The performance is evaluated on a realistic experimental software environment integrated with operating system, networking stack, and applications.

Design and Performance Analysis of Exclusive-OR Based FEC Coding System for Error Resilient SVC Video Transmission (오류 강인 SVC 비디오 전송을 위한 Exclusive-OR 기반의 FEC 부호화 시스템 설계 및 성능 분석)

  • Lee, Hong-Rae;Jung, Tae-Jun;Shim, Sang-Woo;Kim, Jin-Soo;Seo, Kwang-Deok
    • Journal of Broadcast Engineering
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    • v.18 no.6
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    • pp.872-883
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    • 2013
  • In this paper, we design and analyze performance of Exclusive-OR based FEC (Forward error correction) system to deploy SVC video transmission service over packet-loss prone IP network. In the designed system, we adopt standard compliant Exclusive-OR based FEC scheme and apply it to be appropriate to the hierarchical layer structure of SVC video. To verify the performance of the designed Exclusive-OR based FEC system for SVC video transmission, we employ NIST-NET based transport simulator. By the SVC video transmission using the NIST-NET based simulator, we confirm the error resilient transmission performance of the designed Exclusive-OR based FEC system.

Design and Verification of IEEE 802.11a Baseband Processor (IEEE 802.11a 기저대역 프로세서의 설계 및 검증)

  • Kim, Sang-In;Kim, Su-Young;Seo, Jung-Hyun;Yun, Tae-Il;Lee, Je-Hoon;Cho, Kyoung-Rok
    • Journal of the Institute of Electronics Engineers of Korea TC
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    • v.44 no.6 s.360
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    • pp.9-17
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    • 2007
  • This paper shows an implementation of the baseband processor compliant with the IEEE 802.11a standard. Some innovative techniques are proposed to fulfill the mandatory requirements of the standard. For verification and analysis of this design, we use a Platform-based SoC (system on chip) environment. The entire system consists of test-board for the baseband processor chip and the SoC platform for implementing MAC (medium access control).

Development of Board for EMI on Dash Camera with 360° Omnidirectional Angle (360° 전방위 화각을 가진 Dash Camera의 EMI 대응을 위한 Board 개발)

  • Lee, Hee-Yeol;Lee, Sun-Gu;Lee, Seung-Ho
    • Journal of IKEEE
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    • v.21 no.3
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    • pp.248-251
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    • 2017
  • In this paper, The proposed board is developed by EMI compliant Dash Camera with $360^{\circ}$ omni angle. The proposed board is designed by designing DM and CM input noise reduction circuit and applying active EMI filter coupling circuit. The DM and CM input noise reduction circuit design uses a differential op amp circuit to obtain the DM noise coupled to the input signal via the parasitic capacitance(CP). In order to simplify the circuit by applying the active EMI filter coupling circuit, a noise separator is installed to compensate the noise of the EMI source to compensate the CM and DM active filter simultaneously. In order to evaluate the performance of the board for the proposed EMI response, an authorized accreditation body has confirmed that the electromagnetic certification standard for each frequency band is satisfied.

The Effect of a Group Program Using Theraplay on Prosocial Behavior of 2-year-old Infants and Process of Infants' Prosocial Behavior Change (치료놀이를 활용한 집단프로그램이 만 2세 영아의 친사회적 행동에 미치는 영향과 영아의 친사회적 행동 변화 과정)

  • Kim, Tae Eun;Jeon, A Jeong
    • Korean Journal of Child Education & Care
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    • v.19 no.3
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    • pp.183-197
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    • 2019
  • Objective: The purpose of this study was to examine the effect of a group program using theraplay on 2-year-olds' prosocial behavior. The changes of prosocial behavior in the process of program were also examined. Methods: Subjects were 12 infants who attended a child care center in W city. Subjects were attached to the experimental or control group. The experimental group participated in 11 group theraplay sessions twice a week. The adaptive social behavior inventory (Hogan et al., 1992) was used for pre and post tests. Wilcoxon rank-sum test was performed to verify the effectiveness of a group theraplay program. Every sessions was video-taped and recorded verbatim. The verbatim were analyzed using the Padgett (2001)'s qualitative data analysis method. Results: Infants who assigned to the experimental group demonstrated significant improvement in prosocial behavior. Their expressive behavior and compliant behavior gradually increased over the sessions. Conclusion/Implications: The present study showed that the use of group program utilizing theraplay was an effective strategy for improving prosocial behavior of 2-year-old infants.

A Methodology on System Implementation for Road Monitoring and Management Based on Automated Driving Hazard Levels (위험도 기반 도로 모니터링 및 관리 시스템 구축 방안)

  • Kyuok Kim;Sang Soo Lee;SunA Cho
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.21 no.6
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    • pp.299-310
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    • 2022
  • The ability of an automated driving system is based on vehicle sensors, judgment and control algorithms, etc. The safety of automated driving system is highly related to the operational status of the road network and compliant road infrastructure. The safe operation of automated driving necessitates continuous monitoring to determine if the road and traffic conditions are suitable and safe. This paper presents a node and link system to build a road monitoring system by considering the ODD(Operational Design Domain) characteristics. Considering scalability, the design is based on the existing ITS standard node-link system, and a method for expressing the monitoring target as a node and a link is presented. We further present a technique to classify and manage hazard risk into five levels, and a method to utilize node and link information when searching for and controlling the optimal route. Furthermore, we introduce an example of system implementation based on the proposed node and link system for Sejong City.

Seismic Performance Evaluation of Dry Precast Concrete Beam-Column Connections With Intermediate Moment Frame Details (중간모멘트골조 상세를 갖는 건식 프리캐스트 콘크리트 보-기둥 접합부의 내진성능평가)

  • Kim, Seon Hoon;Cho, Jong;Oh, Hyo Keun;Choi, Seok Dong;Yeo, Un Yong;Lee, Deuck Hang
    • Journal of the Earthquake Engineering Society of Korea
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    • v.27 no.3
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    • pp.129-137
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    • 2023
  • This study presents a dry precast concrete (PC) beam-column connection, and its target seismic performance level is set to be emulative to the reinforced concrete (RC) intermediate moment resisting frame system specified in ACI 318 and ASCE 7. The key features include self-sustaining ability during construction with the dry mechanical splicing method, enabling emulative connection performances and better constructability. Test specimens with code-compliant seismic details were fabricated and tested under reversed cyclic loading, which included a PC beam-column connection specimen with dry connections and an RC control specimen. The test results showed that all the specimens failed in a similar failure mode due to plastic deformations in beam members, while the hysteretic response curve of the PC specimen showed comparable and emulative performances compared to the RC specimen. Seismic performance evaluation was quantitatively addressed, and on this basis, it confirmed that the presented system can fully satisfy all the required performance for the intermediate RC moment resisting frame.