• Title/Summary/Keyword: Method of Compliance

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Comparison of Compliance, Time Required for Diagnosis and Pain of Patients with Finger Tendon Injury Between Gross and Ultrasonographic Confirmation (손가락 힘줄 손상환자에서 육안 검사와 초음파 검사의 순응도, 시간, 통증의 비교)

  • Lee, Seo-Woo;Park, Hyun-Jae;Lee, Jung-Won;Park, Sae-Hoon;Kim, Jae-Woo
    • Journal of Trauma and Injury
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    • v.23 no.2
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    • pp.83-88
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    • 2010
  • Purpose: It is not always easy to determine the existence of tendon injuries when it comes to patients with finger lacerations. Thus, we tried to find the difference in effectiveness and in compliance of patients when we employed two different types of diagnosis, conventional gross confirmation and ultrasonographic confirmation. Methods: From December 2009 to March 2010, we enrolled 14 patients with finger tendon injury at Soonchunhyang University Cheonan Hospital. The median age of the patients was $35.9{\pm}14.4$, and the ratio of females to males was 1:2.5 We evaluated the compliance of each patient by measuring four different categories (level of cooperativeness in showing their wound and in following the instructions, level of movement of their fingers during the diagnosis and total number of attempts to diagnose) by using a score from 1 to 3 for each category, for a total possible score of 12 for each patient. We also measured the painfulness of each patient by using a score of 1 to 10 and the time required for each diagnosis. Results: The levels of patients' compliance was $8.9{\pm}2.1$ when diagnosed with gross confirmation and $9.8{\pm}2.1$ when diagnosed with ultrasonographic confirmation (p value=0.042). The pain score of the patients was $3.7{\pm}1.7$ with gross confirmation and $2.9{\pm}1.2$ with ultrasonographic confirmation (p value=0.020). The median duration of time in each test was $6.7{\pm}4.8$ minutes with gross confirmation and $10.5{\pm}4.2$ minutes with ultrasonography (p value=0.006). Conclusion: Comparing gross confirmation and ultrasonographic confirmation, gross confirmation is a better method than ultrasonography because of time efficiency. However, ultrasonographic confirmation has advantages over gross confirmation in pain scale and better compliance of patients. Emergency physicians generally employ gross confirmation rather than ultrasonography in determining the existence of tendon injury in patients. In patients with finger lacerations without bone injury, ultrasonography can be considered as a secondary diagnostic tool, especially when patients have much pain.

Assessment of the Utility of Remote Sensing Techniques for Monitoring Compliance with Direct Payment Programs (직불제 이행점검 모니터링을 위한 원격탐사 기법 활용성 평가)

  • Hoyong Ahn;Jae-Hyun Ryu;Kyungdo Lee
    • Korean Journal of Remote Sensing
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    • v.39 no.6_1
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    • pp.1467-1475
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    • 2023
  • The public-interest direct payment program involves providing direct payments to agricultural producers and rural residents through public funds, premised on performing public functions such as environmental conservation, stable food supply, and maintaining rural communities via agricultural activities. Scientific estimation of crop cultivation areas and production levels is crucial for formulating agricultural policies linked to regulating food supply, which increasingly impacts the national economy. Conducting comprehensive on-site inspections for compliance monitoring of direct payment programs has shown very low efficiency in relation to budget and time. The expansion of areas subject to compliance monitoring and various challenges in on-site inspections necessitate streamlining current monitoring methods and devising effective strategies. As a solution, the application of Remote Sensing technology and spatial information utilization, allowing swift acquisition of necessary information for policies without overall on-site visits, is being discussed as an efficient compliance monitoring method. Therefore, this study evaluated the potential use of remote sensing for improving operational efficiency in monitoring compliance with public-interest direct payment programs. Using satellite images during farming seasons in Gimje and Hapcheon, vegetation indices and spatial variations were utilized to identify cultivated areas, presence of mixed crops, validated against on-site inspection data.

Analysis of Static Crack Growth in Asphalt Concrete using the Extended Finite Element Method (확장유한요소법을 이용한 아스팔트의 정적균열 성장 분석)

  • Zi, Goangseup;Yu, Sungmun;Thanh, Chau-Dinh;Mun, Sungho
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.30 no.4D
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    • pp.387-393
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    • 2010
  • This paper studies static crack growth of asphalt pavement using the extended finite element method (XFEM). To consider nonlinear characteristics of asphalt concrete, a viscoelastic constitutive equation using the Maxwell chain is used. And a linear cohesive crack model is used to regularize the crack. Instead of constructing the viscoelastic constitutive law from the Prony approximation of compliance and retardation time measured experimentally, we use a smooth log-power function which optimally fits experimental data and is infinitely differentiable. The partial moduli of the Maxwell chain from the log-power function make analysis easy because they change more smoothly in a more stable way than the ordinary method such as the least square method. Using the developed method, we can simulates the static crack growth test results satisfactorily.

A Study on the Effect of Crack Retardation due to Cover Plate (보강덮판으로 인한 균열진전지연 효과에 관한 연구)

  • Sang-Chul,Kim;Moon-Ho,Park;Moon-Sik,Han
    • Bulletin of the Society of Naval Architects of Korea
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    • v.25 no.3
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    • pp.26-34
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    • 1988
  • A study of the fatigue fracture accompanied with crack propagation should be investigated systematically by the behavior of the crack propagation. In this study, the effect of crack retardation due to cover plate is investigated by analytical and experimental method. Through the analytical and experimental works, it is confirmed that the retardation of fatigue crack propagation is properly controlled by cove plate and the retardation effects may be estimated exactly by the compliance method.

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A Comparative Study on Flexural Toughness of Steel Fiber Reinforced Concrete (강섬유 보강 콘크리트의 휨파괴 인성지수의 결정에 관한 비교 연구)

  • 구봉근;정경섭;김태봉;박종인
    • Proceedings of the Korea Concrete Institute Conference
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    • 1991.04a
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    • pp.69-74
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    • 1991
  • This paper reviewed various methods of evaluating the toughness of fiber reinforced concrete materials by means of toughness indices and discussed the use of various multiples of first-crack deflection or first-crack secant compliance to define toughness indices. And a new method what is called effective toughness used to evaluate the toughness of steel fiber reinforced concrete. The proposed method determinded from the area below the load-deflection curve until deflection at the loading point becoms 1/150 of the span devided by the ligament area.

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The Performance Estimation of Turbo internal Interleaver Using Weight Distribution of Codewords (부호어의 무게 분포를 통한 터보 인터리버의 성능 분석)

  • 고태환;김주민;이원철;정덕진
    • Proceedings of the IEEK Conference
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    • 2001.06a
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    • pp.105-108
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    • 2001
  • In this paper, we suggest more precise performance analysis method of turbo interleavers based on two criteria; performance bounds like Union Bound and weight frequency of codewords. In order to present our new method, we employ block, pseudo random, and so-called prime interleavers in compliance of 3GPP standard, respectively. 3GPP complied turbo encoder, decoder, and AWGN channel are implemented by using MATLAB for our performance analysis. According to our analysis, both criteria should be taken into account coincidently to predict the performance of newly designed interleavers.

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Correlations among Family Support, Self-Esteem and Compliance with Preventive Health. Behavior in Elderly People (노인이 지각한 가족지지와 자아존중감 및 예방적 건강행위 이행과의 관계)

  • Choi Young-A;Park Jum-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.6 no.1
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    • pp.141-152
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    • 1999
  • The purpose of this study was to identify correlations among family support, self-esteem and compliance in preventive health behavior in elderly people. The results will provide valuable data for nursing interventions towards help the elderly lead better lives. Those who lived with elderly people in Kimchun were interviewed by the researcher and an assistant. The subjects were 191 elderly people over the age of 65. The study method used was a structured questionnaire and the data were collected from September 17th to September 31th in 1998. The tools for this study were the family support scale designed by Gang Hyun Sook, the self-esteem scale designed by Rosenberg and the preventive health behavior scale designed by Gang Yune Sook. The data were analyzed by the SAS program, Mean, SD, T-test, ANOVA, Pearson Correlation Coefficients. The results of this study are as follows : 1. The mean score for family support was 40.49. The score of family support of the elderly showed significant differences according to age(F=2.66, P<.05), spouse presence(t=4.20, P<.001), family pattern(F=4.56, P<.01), economic status (F=10.47, P<.001) and pocket money(F=10.46, P<.001). 2. The mean score for self-esteem was 29.01. The score of self-esteem of the elderly showed significant differences according to educational level(F=3.47, P<.01), spouse presence(t=2.49, P<.05), family pattern(F=3.79, P<.01), economic staus(F=15.65, P<.001) and pocket money(F=14.04, P<.001). 3. The mean score for compliance with preventive health behavior was 53.15. The score of compliance of preventive health behavior of the elderly showed significant differences according to economic status(F=9.34, P<.001) and pocket money(F=8.13, P<.001). 4. The relation between family support and self-esteem was significantly different(r=.57, P<.001). The relation between family support and compliance with preventive health behavior was significantly different(r=.44, P<.001). The relation between self-esteem and compliance with proventive health behavior was significantey different(r=.51, P<.001), In conclusion, the correlations among lamily support, self-esteem and compliance with preventive health behavior in elderly people showed significant differences.

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Qualification of J-R (J-T) Curve from 1/2T Compact-Tension Specimen (1/2T Compact-Tension Type 시편으로 구한 J-R (J-T) 곡선의 타당성 검토.)

  • Jee, Sae-Hwan;Park, Sun-Pil
    • Nuclear Engineering and Technology
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    • v.19 no.3
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    • pp.169-179
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    • 1987
  • The change of material J-R (J-T) curve with crack extension and J-calculation method was investigated to give experimental and analytical method for reliable J-R (J-T) curve, which was adapted recently as a tool for instability analysis of Nuclear Pressure Vessel. Experiments were carried out by Single Specimen Unloading Compliance Method using 1/2"T, Compact-Tension Type fracture mechanic specimens which were the same size and material as domestic nuclear pressure vessel material surveillance specimens. The results revealed that crack extension up to 25~30% of initial uncracked ligament and JD (Deformation theory J) calculation method, currently being used in NUREG-0744, could give rather reliable material J-R (J-T) curve than the small crack extension and JM (Modified J) calculation method. But as JM results more or less higher J at instability, the application of JM should be considered regarding to the problem of power plant availability.lity.

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Predicting patient experience of Invisalign treatment: An analysis using artificial neural network

  • Xu, Lin;Mei, Li;Lu, Ruiqi;Li, Yuan;Li, Hanshi;Li, Yu
    • The korean journal of orthodontics
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    • v.52 no.4
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    • pp.268-277
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    • 2022
  • Objective: Poor experience with Invisalign treatment affects patient compliance and, thus, treatment outcome. Knowing the potential discomfort level in advance can help orthodontists better prepare the patient to overcome the difficult stage. This study aimed to construct artificial neural networks (ANNs) to predict patient experience in the early stages of Invisalign treatment. Methods: In total, 196 patients were enrolled. Data collection included questionnaires on pain, anxiety, and quality of life (QoL). A four-layer fully connected multilayer perception with three backpropagations was constructed to predict patient experience of the treatment. The input data comprised 17 clinical features. The partial derivative method was used to calculate the relative contributions of each input in the ANNs. Results: The predictive success rates for pain, anxiety, and QoL were 87.7%, 93.4%, and 92.4%, respectively. ANNs for predicting pain, anxiety, and QoL yielded areas under the curve of 0.963, 0.992, and 0.982, respectively. The number of teeth with lingual attachments was the most important factor affecting the outcome of negative experience, followed by the number of lingual buttons and upper incisors with attachments. Conclusions: The constructed ANNs in this preliminary study show good accuracy in predicting patient experience (i.e., pain, anxiety, and QoL) of Invisalign treatment. Artificial intelligence system developed for predicting patient comfort has potential for clinical application to enhance patient compliance.

Outcome of Childhood Acute Lymphoblastic Leukemia Treated Using the Thai National Protocols

  • Seksarn, Panya;Wiangnon, Surapon;Veerakul, Gavivann;Chotsampancharoen, Thirachit;Kanjanapongkul, Somjai;Chainansamit, Su-On
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.11
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    • pp.4609-4614
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    • 2015
  • Background: In recent decades, the prognosis for childhood leukemia has improved, especially for acute lymphoblastic leukemia (ALL). In Thailand, though, the survival rate for ALL is unimpressive. In 2006, standard national protocols for childhood leukemia treatment were implemented. We herein report the outcome of the ALL national protocols and explanations behind discrepancies in outcomes between institutions. Materials and Methods: Between March 2006 and February 2008, 486 children with ALL from 12 institutions were enrolled in the Thai national protocols. There were 3 different protocols based on specific criteria: one each for standard risk, high risk and Burkitt's ALL. We classified participating centers into 4 groups of institutions, namely: medical schools in Bangkok, provincial medical schools, hospitals in Bangkok and provincial hospitals. We also evaluated supportive care, laboratory facilities in participating centers, socioeconomics, and patient compliance. Overall and event-free survival were determined for each group using the Kaplan Meier method. Statistical differences were determined using the log-rank test. Previous outcomes of Thai childhood ALL treatment between 2003 and 2005 served as the historic control. Results: Five-year overall survival of ALL treated using the Thai national protocol was 67.2%; an improvement from the 63.7% of the 12-institute historical control (p-value=0.06). There were discrepancies in event-free survival of ALL between centers in Bangkok and up-country provinces (69.9% vs 51.2%, p-value <0.01). Socioeconomics and patient compliance were key elements in determining the outcome (65.5% vs 47.5%, 59.4% vs 42.9%) (p-value < 0.02). Conclusions: Implementation of standard national protocols for childhood leukemia in Thailand did not significantly improve the outcome of ALL. Factors leading to better outcomes included (a) improvement of treatment compliance (b) prevention of treatment abandonment and (c) financial support to the family.