• Title/Summary/Keyword: Method of Compliance

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Factors Predicting Medication Compliance among Elderly Visitors of Public Health Centers (보건소 방문보건 대상 노인들의 투약 지시이행에 미치는 영향요인 분석)

  • Kim, Hyeon-Suk;Kim, Hee-Young
    • Research in Community and Public Health Nursing
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    • v.18 no.1
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    • pp.5-13
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    • 2007
  • Purpose: The purpose of this study is to investigate compliance with prescribed medication in the elderly visiting public health centers. Method: Data were collected from 665 elders living in Seoul and the Gyeonggi Province during the period from February 21 to June 30 in 2006. The data were collected through individual interviews and were analyzed using correlation and multiple regression analysis with the SAS 9.1 program. Results: The mean of medication compliance was 2.97(${\pm}.68$) on a 5-point Likert scale. Specifically, compliance 3.14(${\pm}.70$) for medication dose, 2.94(${\pm}.77$) for medication frequency, and 2.84(${\pm}.79$) for medication time. The elderly with a higher level of education (${\beta}=.095$, p<.001), with health insurance (${\beta}=.208$, p=.0009) and with a higher level of family support (${\beta}=.040$, p=.0306) showed a higher level of mediation compliance. Female elders (${\beta}=.142$, p<.001) kept higher medication compliance than male ones. Conclusion: These findings suggest that people with low education, low socioeconomic status and less family support need more education before medication. The evaluation of medication compliance needs to be encouraged before starting medication to distinguish those who may not comply with medical prescription. Predictive factors identified in this study must be considered when designing interventions, program development and education for appropriate medication management for the elderly.

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Analysis of Compliance of Planetary Gears based on Floating Intermediate Rings (유성 기어 유동 중개륜의 컴플라이언스 해석)

  • Cho, Ihnsung
    • Tribology and Lubricants
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    • v.29 no.6
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    • pp.378-385
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    • 2013
  • An epicyclic gearing system is compact and lightweight. However, it is difficult to share the driving force equally because the system has closed gear trains with multiple driving points, and it always has geometrical errors in the elements. Thus, in the case of planetary gears, the first problem is how to distribute the load evenly to the numerous planets. The method widely used abroad for this purpose is to utilize the elastic deformation of the components of the structure. However, the deflection is very complicated, and it is very easy for vibration problems to occur because of the decrease in the natural frequencies. Therefore, to equalize the load on the planets, this paper discusses the principle and theory behind the functioning of a floating intermediate ring. This magnifies the displacement of a planet's center arising from the equilibrium of the load and the lubricating film pressure, which improves the compliance of the planets. The results show that load equalization of the planets is possible through this improvement in their compliance.

Nonlinear Analysis of End-to-End Anastomosis Using Sub-modeling (Sub-modeling을 이용한 end-to-end 문합의 비선형 해석)

  • Han, Geun-Jo;Kim, Tae-Hyung;Ahn, Sung-Chan;Shim, Jae-Joon
    • Proceedings of the KSME Conference
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    • 2001.06a
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    • pp.877-882
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    • 2001
  • A finite element analysis of end-to-end artery/PTFE anastomosis has been presented in this study to evaluate the distribution of compliance and stresses in the vicinity of the anastomosis due to any mismatch in compliance characteristics. The artery wall was assumed to be made of linear isotropic material in this simplified model and a nonlinear analysis and convergency study with respect to increasing meshed element numbers were performed with a mean artery pressure loading of the artery-PTFE model. Also, sub-modeling method was introduced to progress the accuracy of the finite element analysis. The results are as follow : 1. A hypercompliant zone on the artery side was observed around 4.0mm from the anastomosis and a high hoop stresses in the wall of artery and PTFE was dominent. 2. An artery displays large deformation so that nonlinear analysis and sub-modeling method was used. 3. An anastomosis with the thinner thickness and larger diameter PTFE (C type) could reduce the compliance disagreement.

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Compliance Control of DD Manipulator using Ultrasonic Motor (초음파 모터를 사용한 DD 매니퓰레이터의 컴플라이언스 제어)

  • Kim, Dong-Ok;Sin, Duck;Kim, Won-Bae;Sung, Do-Saing;Kim, Young-Dong
    • Proceedings of the KIPE Conference
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    • 1996.06a
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    • pp.47-51
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    • 1996
  • In this paper, we propose a method for compliance control of a SCARA type 2-freedom direct drive(DD) manipulator. Each joint of the manipulator is driven by a travelling ultrasonic motor(USM). The travelling USM has good some characteristics over conventional servo motors such as compact size, light weight, silent motion, high torque and high speed response. By controlling the elasticity and viscosity of robot joints, a robot can work in compliance with external environment. we control the elastic coefficient and the viscous coefficient of joint by adjusting the phase difference of the motor power. And we contemplate transient response of USM with adjusting the elastic coefficient and the viscous coefficient. To use the result, we can control the robot to reach its goal with compliance motion. It remains for further research to develop the impedance control of USM.

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Shock-Absorbing Safety Mechanism Based on Transmission Angle of a 4-Bar Linkage (4절링크의 전달각에 기초한 충격흡수식 안전기구)

  • Park, Jung-Jun;Kim, Byeong-Sang;Song, Jae-Bok
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.29 no.11 s.242
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    • pp.1534-1541
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    • 2005
  • Unlike industrial manipulators, the manipulators mounted on service robots are interacting with humans in various aspects. Therefore, safety has been one of the most important design issues. Many compliant robot arms have been introduced for safety. It is known that passive compliance method has faster response and higher reliability than active ones. In this paper, a new safety mechanism based on passive compliance is proposed. Passive mechanical elements, specifically transmission angle of the 4-bar linkage, springs and shock absorbing modules are incorporated into this safety mechanism. This mechanism works only when the robot arm exerts contact force much more than the human pain tolerance. Validity of this mechanism is verified by simulations and experiments. It is shown that the manipulator using this mechanism provides higher performance and safety than those using other passive compliance mechanisms or active methods.

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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Shock Absorbing Safe Mechanism Based on Transmission Angle of a 4-bar Linkage (4절링크의 전달각에 기초한 충격흡수식 안전 메커니즘)

  • 박정준;김병상;송재복
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2004.10a
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    • pp.180-185
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    • 2004
  • Unlike industrial manipulators, the manipulators mounted on the service robots are interacting with humans in various aspects. Therefore, safety has been the important design issue. Many compliant robot arm designs have been introduced for safety. It is known that passive compliance method has faster response and higher reliability than active ones. In this paper, a new safe mechanism based on passive compliance has been proposed. Passive mechanical elements, specifically transmission angle of the 4-bar linkage, springs and shock absorbing modules are incorporated into this safe mechanism. This mechanism works only when the robot arm exerts contact force much more than the human pain tolerance. Validity of the safe mechanism is verified by simulations and experiments. In this research, it is shown that the manipulator using this mechanism provides higher performance and safety than those using other passive compliance mechanisms.

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Measurement of Fracture Toughness JC Under Mixed Mode Loading Using Unloading Compliance Method (혼합모드 하중하에서 제하 컴플라이언스법에 의한 파괴 인성 측정)

  • Sim, Jae-Ryong;Lee, Yeong-Suk;Kim, Do-Hyeong;Beom, Hyeon-Gyu;Gang, Gi-Chu
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.26 no.1
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    • pp.113-120
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    • 2002
  • Experimental procedure to measure fracture toughness (J$_{c}$) under mixed mode loading using CTS(Compact Tension-Shear) specimens is described. It\`s loading angle ranges from 0$^{\circ}$ to 45$^{\circ}$ with interval of 157. The general outline of experimental procedure is similar to that of ASTM E8l3-89 fur mode I fracture. Equations fur determining J-integral is quoted from the authors' previous works. The relation between unloading compliance and physical crack size was calibrated. As an example, fracture toughness of aluminum alloy 2024p-7361 was measured and some reasonable results of J$_{c}$ with various loading angles were obtained.

A Study on the Dynamic Fracture Toughness of Welding Structural Steels by Instrumented Impact Testing (계장화 충격시험법에 의한 구조용강 용접부의 동적 파괴인성에 관한 연구)

  • 김헌주;김경민;윤의박
    • Journal of Welding and Joining
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    • v.11 no.1
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    • pp.42-51
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    • 1993
  • In this study, investigations were conducted in calculating parameters of elastic-plastic fracture mechanics using single specimen. The validity of these testing methods was judged by the confirmation of multiple specimen method of stop block test. The results were as follows: In order to measure a fracture toughness using the instrumented impact test, two general requirement must be considered; One, setting up proper impact velocity considered the effect of loading and the other, the necessity of low blow test for obtaining true energy by the compliance correction. It was possible to detect a crack initiation point by calculating the compliance changing rate from a load-defection curve. Criterion of a stable crack growth, $T_{mat}$ could be estimated by using key-curve method for a base metal. and combining Kaiser's rebound compliance with Paris-Hutchison's $T_{appl}$ equation for the brittled zone of welding heat affected.at affected.d.

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Effect of Health Education Method for Korean Patients with Essential Hypertension on Their Compliance with Health Behaviors (보건교육방법이 본태성 고혈압 환자의 건강행위 이행에 미치는 효과)

  • 손경욱;유왕근
    • Korean Journal of Health Education and Promotion
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    • v.21 no.2
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    • pp.215-231
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    • 2004
  • The purpose of this study was to examine what factors affected patients who suffered from essential hypertension compliance with health behaviors, to help build a successful strategy to step up their compliance with health behaviors, and to seek effective ways to implement health education programs for patients with chronic disease. The subjects in this study were 60 people selected from among the patients who were diagnosed by physicians as having essential hypertension in S General Hospital in the city of P from April 10 through July 30, 2000, after health education was provided four times a month. The quasi- experimental design based on a control group pretest-posttest design was employed. The subjects were divided into three groups of 20 patients each: one was an experimental group to receive education in one-to-one interview, another was an experimental group to receive education as a group, and the third was a control group. The two experimental groups learned the same material through different methods, and the control group was given the same teaching materials and asked to comply with health behaviors on their own without instruction. After the three-week education was implemented in different ways, their compliance with health behaviors was measured. Collected data was analyzed by t-test, paired test, one-way analysis of variance, correlation analysis and regression analysis procedures. The findings of this study were as follows: 1. Concerning the effective type of health education, the group education produced the best results, followed by the one-to-one interviews and the sole use of print media. 2. Regarding the effect of compliance with health behaviors, the group- educated group got the highest score in compliance with health behaviors, but blood pressure lowered more significantly in the individual interview group. And the compliance with health behaviors had a significant negative correlational relationship with both systolic and diastolic blood pressure. 3. Parameter that had most significant correlational relationship with compliance with health behaviors was health locus of control, followed by self-efficacy and health perception. But there was no significant correlational relationship between compliance with health behaviors and knowledge of hypertension. 4. As a result of analyzing the impact of knowledge of hypertension, health locus of control, self-efficacy and health perception on compliance with health behaviors, self-efficacy was found to exercise most influence. Above-mentioned findings suggested that group education or one- to-one discussion would be more effective for health care for hypertension in koreans, as they could serve to have patients realize their own responsibility for health and to motivate their compliance with health behaviors, and there was a need to more positively utilize educational intervention for patients with chronic diseases, which could elevate not only compliance with health behaviors but self-efficacy.