• 제목/요약/키워드: Method of Compliance

검색결과 893건 처리시간 0.028초

Impulse Oscillometry(IOS)를 이용한 흡연자에서의 조기 기도폐쇄의 연구 (The Application of Impulse Oscillometry(IOS) in the Detection of Smoking Induced Early Airway Obstruction)

  • 김윤섭;권숙희;송미영;유선미;박재석;지영구;이계영;김건열
    • Tuberculosis and Respiratory Diseases
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    • 제44권5호
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    • pp.1030-1039
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    • 1997
  • 연구배경 : IOS 혹은 FOT는 외부의 loudspeaker에서 발생하는 기류의 진동을 자발호흡에 부가시킴으로써 발생하는 압력의 변화를 분석하여 폐기능을 평가하는 방법으로, 일반적인 폐기능검사 방법들과는 달리 노력성 호기방법이 필요치 않고 자발성 상시호흡에서 검사가 가능하다는 장점이 있다. 또한 microprocessor 의 도입으로 Fourier 변환법에 의한 복잡한 신호 분석이 가능해 지면서 주파수에 따른 호흡기계의 impedance를 실측부분 (Rrs : resistance) 과 추정부분 (Xrs : reactance)의 두요소로 보다 깊이 파악할 수 있게 되었다. IOS의 임상적 이용은 소아의 폐기능검사, 역학적 연구, 소기도질환의 확인, 유발검사 등에 장점이 있다고 알려져 있다. 그러나 흡연자에서 발생하는 소기도 폐쇄 또는 조기 기도폐쇄를 확인하는데 있어서 IOS의 역할에 대한 연구 보고는 논란이 있어 왔다. 이에 본 연구에서는 흡연자에서의 조기 기도폐쇄를 측정하는 방법으로서의 IOS가 갖는 임상적 유용성을 검증해보고자 하였다. 방 법 : 종합검진센타를 방문한 남자중에서 노력성 호기성 폐활량 측정 검사상 정상 소견을 보인 356명($40.6{\pm}9.7$세)을 대상으로 IOS(Jaeger company : Version 4.1)을 시행하여 흡연자군 (234명 : $40.2{\pm}9.3$세)과 비흡연자군(122명 : $41.5{\pm}10.6$세)으로 구분하여 양군간에 두가지 검사볍 지표들에 대한 유의성을 검증하였다. 결 과 : Spirometry 지표인 FVC, FVC%pred, FEV1, FEV1%pred, FEV1/FVC, PEF, PEF%pred, FEF25~75%, FEF25~75%pred, FEF50%, FEF50%pred 등은 모두 흡연자군과 비흡연자군간에 유의한 차이가 관찰되지 않았다. IOS 지표중 total resistance(흡연자군 : 비 흡연자군=$2.58{\pm}1.71$ : $2.22{\pm}1.20$), peripheral resistance($1.47{\pm}0.10$ : $1.25{\pm}0.62$), bronchial compliance($0.47{\pm}0.16$ : $0.44{\pm}0.12$) 등은 양군간에 유의한(p<0.05) 차이가 관찰되었으나 central resistance와 lung compliance는 유의한 차이가 관찰되지 않았다(단위는 resistance=hPa/l/s ; compliance=1/hPa). 주파수에 따른(5, 10, 15, 20, 25, 30, 35Hz) Rrs은 양군간에 유의한 차이를 관찰할 수 없었고, Xrs는 낮은 주파수, 즉 X5($-0.76{\pm}0.48$ : $-0.62{\pm}0.28$) 와X10($-0.15{\pm}0.33$ : $-0.06{\pm}0.19$)에서 유의한 차이를 관찰할 수 있었다(단위는 hPa/l/s). 결론 : IOS은 흉연자와 비흡연자의 조기폐쇄를 확인할 수 있는 검사법이라고 판단되며, total resistance, peripheral resistance, bronchial compliance, 그리고 5Hz와 10Hz 의 낮은 주파수에서의 Xrs가 유용한 지표라고 판단된다.

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병원 종사자의 DISC 행동유형 및 스트레스 대처유형과 직무만족, 직무몰입 간의 관계 (Relation between the DISC Behavior, Coping Type and Level of Stress and Job Satisfaction, Organizational Committment of Hospital Employees)

  • 방기현;장효강;정용모
    • 한국병원경영학회지
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    • 제15권3호
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    • pp.17-32
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    • 2010
  • The purpose of this study is to analyze the influence of DISC behavior pattern, stress-managing method, and the stress level on job attitude of hospital Employees, and to provide suggestions for effective human resources management in hospital settings. First, the research suggested emotional or aversive stress-managing method had significant influence to the stress level, whereas DISC behavior patterns did not. Second, to the job satisfaction, Influence, Compliance and Steadiness of DISC behavior patterns, challenging or aversive stress-managing method, and the stress level showed immediate meaningful effect. Third, for the system immersion, challenging or emotional ress-managing method as well as the job satisfaction showed direct influence. Especially, the challenging method had not only a direct but an indirect effect through mediating job satisfaction.

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초음파 탐상법을 이용한 접착이음에 대한 계면균열의 검출 (Detection of Interface Crack Using Ultrasonic Method in Adhesively Bonded Joints)

  • 정남용;이명대;박성일
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2000년도 춘계학술대회논문집A
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    • pp.97-102
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    • 2000
  • It is well recognized that the ultrasonic methods is one of the most common and reliable nondestructive testing(NDT) methods for the quantitative estimation of defects in welded structures. However, NDT techniques applying for adhesively bonded joints have not been clearly established yet. In this paper, the detection of interface crack by the ultrasonic method was applied for the measurement of interfacial crack length in the adhesively bonded joints of double-cantilever beam(DCB). The optimum condition of transmission coefficients in the adhesively bonded joints and it's experimental accuracy by the ultrasonic method have been investigated. The experimental values are in good agreement with the computed results by boundary element method(BEM) and Ripling's equation.

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레이저 스페클 간섭을 이용한 균열 길이 측정에 관한 연구 (A Study on Measurement of Crack Length by using Laser Speckle Interferometry)

  • 강영준;배진길;유원재;박난규
    • 한국정밀공학회지
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    • 제18권5호
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    • pp.34-41
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    • 2001
  • More accurate and fast inspection method for mechanical parts and structure is required to guarantee the safety. Conventional methods using compliance method, eddy current method, ultrasonic wave, acoustic emission for non-destructive testing in mechanical parts and structure have been performed as the method of contact with objects to be inspected. With this reason these methods have been taken relatively much time, money, and manpower. In this study, in order to overcome these shortcomings, we used In-plane Electronic Speckle pattern Interferometry(In-plane ESPI) that was full-field measurement and noncontact method. We detected the cracks of the specimen at a real time and measured the length of the crack by using In-place ESPI system. Finally, we compared this results with conventional microscope method.

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Perceptions of the Self-regulation in Patients with Diabetes Mellitus

  • Han, Hye-Sook;Bae, Sun-Hee;Park, Young-Sun
    • 한국컴퓨터정보학회논문지
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    • 제26권4호
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    • pp.169-179
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    • 2021
  • 본 연구의 목적은 당뇨병 문제를 관리하는데 있어서 개인이 어떻게 행동과정에 대해 결정을 내리는지를 설명하는 자기조절의 인식유형과 특성을 탐색하고, 이를 근거로 당뇨병 환자의 관리방법을 제시하고자 시도되었다. 총 40개의 Q-표본과 38명의 P-표본이 본 연구에 사용되었으며 응답자의 반응은 Q방법론에 기초한 요인분석을 통해 5개의 유형이 도출되었다. 각 유형의 특성은 근거기반 순응형(evidence-based compliance), 위기대응 거부반응(crisis responding denial reaction), 정보기반 관계지향형(information-based orientation to relationship), 독립적 실천형(independent practice), 의지결핍 충동반응형(willingness deficit impulse reaction)으로 명명되었다. 5개 유형으로 분류된 응답자의 특성을 자기조절 속성에 따라 포지셔닝 시킴으로써 당뇨병 관리의 전략적 함의를 도출하였다.

Accounting Information System, Internal Control System, Human Resource Competency and Quality of Local Government Financial Statements in Indonesia

  • SUMARYATI, Anna;PRAPTIKA NOVITASARI, Eka;MACHMUDDAH, Zaky
    • The Journal of Asian Finance, Economics and Business
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    • 제7권10호
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    • pp.795-802
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    • 2020
  • This study seeks to determine the effect of the application of accounting information system (AIS), internal control system, and human resource (HR) competency on the quality of local government financial statements (FS). This study uses agency theory and compliance theory. Agency theory is used to explain that there is a link between the society as the principal and the government as the agent. Compliance theory is a theory, which states that every agency is obliged to comply with regulations because the law-drafting authority has the right to dictate behavior. The population in this study were employees of the financial division of local government organizations in one of the districts in Central Java, Indonesia. The total samples in this study was 106 respondents. The data used are primary data taken from distributing questionnaires to respondents. The method of analysis used to test the hypothesis was multiple linear regression analysis. The results of hypothesis testing indicate that HR competency has an effect on the quality of FS; however, the application of AIS and internal control system has no effect on the quality of FS. The implication of this research underlines the importance of HR competency to improve the quality of local government FS.

규칙적 유방자가검진 이행 증진 프로그램 개발을 위한 조사연구 (A Descriptive Study for Developing a Program to Promote Compliance with Regular Breast Self-Examination(BSE))

  • 박소미;허혜경;김기연;송희영
    • 여성건강간호학회지
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    • 제13권2호
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    • pp.88-97
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    • 2007
  • Purpose: The purpose of this study was to identify knowledge, facilitators, and barriers of breast self-examination(BSE) in Korean couples for developing a continuous regular BSE promotion program. Method: This descriptive study was undertaken with a focus group methodology including 27 couples of husbands and wives recruited by convenience-sampling. Data transcribed from audiotapes was analyzed to identify common themes. Results: Knowledge of breast cancer and BSE included 'the risk factors of breast cancer', 'prevention of breast cancer', and 'how to do BSE'. Facilitators to BSE included 'self, health professional, and spouse-facilitating factors'. Barriers to BSE included 'cognitive, psychological, informational, and physical barriers'. Conclusion: To promote compliance with BSE among women, tailored programs according to the stage of change of BSE adoption are crucial, not only reflecting the specific needs of the individual by the stage of change, but also utilizing husbands as facilitators.

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의료급여 수급자의 건강관리 및 의료이용에 대한 텔레케어 사례관리의 효과 (Comparison of Case Management between Tele Care Regions and General Care Regions in Korean Medicaid)

  • 이현주;오진주;최정명
    • 간호행정학회지
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    • 제16권4호
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    • pp.381-388
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    • 2010
  • Purpose: The purpose of the study was to compare recipients' health behavior, attitude to using medicaid, medication compliance, and the changes in hospital cost and visit-day of in-patient and out-patient care between tele-care regions (TCR) and general care regions (GCR) in Korean medicaid. Method: The design of the study was ex-post facto comparing recipients in TCR and GCR. The sample included 625 persons in TCR and 410 persons in GCR. To collect materials, the case manager interviewed recipients of medicaid and filled out questionnaires which were analyzed through SAS/PC 9.1. Results: In studying health behavior and medication, compliance was not significant. However, the attitude to using medicaid was significantly more positive in TCR than in GCR. In out-patients, the change of hospital visit-day was not significant between TCR and GCR, but TCR showed a reduction in hospital cost compared to GCR. For in-patient recipients, GCR showed a greater reduction in changes in hospital cost and visit-day compared to TCR. Conclusions: The results of the study show that attitudes to using medicaid via telephone are positive and results are more effective than hospital visit consultation, and the cost of out-patient care could be reduced.

관상동맥질환자의 건강행위이행에 영향을 미치는 요인 : 건강신념 변수를 중심으로 (The Influencing Factors on Health Behavior of Patients with Coronary Artery Disease)

  • 이영휘;김화순;조의영
    • 대한간호학회지
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    • 제32권1호
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    • pp.40-49
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    • 2002
  • The purpose of this study was to investigate the influencing factors on health behavior among patients with coronary artery disease. Method: The subjects were 95 patients who visited the out-patient department of a university hospital for follow-up. The four health belief concepts (motivation, benefit, barrier, seriousness), general self-efficacy, health behaviors on medication, diet, exercise, stress management, smoking, and drinking were measured. Result: There were significant differences in the health behavior scores of subjects according to family support and the experience of surgical procedure. Subjects were found to have a high degree of compliance in taking medication. However subjects reported the lowest degree of compliance in regular exercise. In the multiple regression analysis, surgical procedure and motivation were significant predictors to explain diet. Motivation and barrier were significant predictors to explain exercise. Self-efficacy, motivation and family support were significant predictors to explain stress management. Family support and seriousness explained 16% of variance in drinking. Also, family support explained 30% of variance in smoking. Conclusion: Since predicting factors on each health behavior indicator were different, then nurses should consider these differences to construct strategy enhancing patient's recovery.

기지국용 판넬 안테나(4 X 2 Dipole Array)의 근역장 분석 (Analysis of Near Field for Base Station Panel Antenna(4 X 2 Dipole Array))

  • 이덕로;박주덕;최재익;김남
    • 한국전자파학회논문지
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    • 제15권5호
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    • pp.473-479
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    • 2004
  • 본 논문에서는 cellular 이동통신용 기지국 안테나와 같이 사용되는 파장에 비해 비교적 부피가 큰 해석 대상 체의 근거리장에서 전력 밀도를 계산한 내용을 다루었다. 현재 국내에서 cellular 이동통신 기지국용 안테나로 널리 사용되는 판넬형 섹터 안테나를 모델링하고 FDTD 계산법으로 reactive 근거리장의 전자계 분포를 계산하였으며 near to far 변환 통하여 원거리장의 안테나 이득을 구하였다. 그리고 radiating 근거리장의 전력밀도를 계산하기 위하여 원거리장의 이득을 이용하여 gain-based 모델을 적용하였다. 끝으로 radiating 근거리장의 전력밀도 계산 결과와 ICNIRP guideline의 전력밀도에 대한 일반인 및 직업인의 노출 제한 값을 고려하여 인증 거리(compliance distance)를 산출하였다. Gain based 모델을 이용한 계산 결과를 표면주사(surface scanning) 방식을 이용한 전력밀도의 측정 결과와 비교한 결과 주방사 방향의 중심 위치에서 계산된 값은 gain based model을 이용할 경우 -14.55 ㏈m이고, 측정된 값은 -15.75 ㏈m으로 케이블 및 커넥터의 손실을 감안하면 매우 정확한 것으로 나타났다.