• 보건교육건강증진학회지
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• 제5권2호
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• pp.90-109
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• 1988

This study was carried out to find the influencing factors on the acceptance of vaccination of viral hepatitis type B. Two groups of students, 362 undergraduates of Korea University were surveyed for research. The compliant group was 156 students who were inoculated with viral hepatitis type B shot more than one time. The non-compliant group was 206 students who were not inoculated. The measures used for this study were Multidimensional Health Locus of Control Scales and the one developed by the researcher on the basis of literature review about Health Belief Model. The results of this stuby were as follows. The awareness on health of the compliant group was higher than that of the non-compliant group(t=0.39, P<0.05), And perceived barrier of the compliant group was lower than that of the non-compliant group(t=0.35, P<0.05). But the knowledge about the viral hepatitis type B of the compliant group was lower than that of the non-compliant group(t=2.49, P<0.05). There were no differences between two groups in the perceived susceptibility of the hepatitis and the perceived benifit of the hepatitis vaccination. There was no difference between two groups in terms of the Inner Health Locus of Control (HLOC) and Chance HLOC. On the other hand Powerful-Others HLOC of the compliant group was higher than that of the non-compliant group(t=3.67, P<0.05). 'Parent's advice' was found to be the major answer to the motive of being vaccinated in the compliant group. This explains that the most influencial factor in determining one's health behavior is the parent's opinion. Answers to the question of the reason of not being vaccinated were, 'did not want to bother' and 'did not care yet' in order. As a whole, except for the awareness on health and the perceived barrier of the hepatitis vaccination, this study result shows disagreement with the past investigations on the inter-relationship between one's health belief or Health Locus of Control and the health behavior. The author of this study believes this was due to the limitation in the survey group's particular homogenity.

• Journal of Periodontal and Implant Science
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• 제39권2호
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• pp.193-198
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• 2009

Purpose: The purpose of this study was to evaluate the compliance to maintenance schedules recommended supportive periodontal therapy(SPT) and to determine differences in the characteristics of compliant and non-compliant patients. Methods: 414 patients commencing SPT after active periodontal treatment from 2003 to 2005 were included in this study. Based on their compliance with the suggested maintenance schedule, patients were classified as compliant and non-compliant groups. Also patients classified by gender, age, degree of alveolar bone loss and treatment rendered. The association between compliance and patient characteristics was assessed by odds ratio in logistic regression analyses. Results: Only 47% of the initial patient was found to be compliant at the end of August 2008 and 20.8% patients were lost in the first year of SPT. There were significant differences between compliant and non-compliant regard to age, degree of alveolar bone loss and treatment rendered. Conclusions: In conclusion, compliance with SPT generally poor and patients who were older, treated surgical therapy and with mild alveolar bone loss are more compliant to SPT.

• Journal of Periodontal and Implant Science
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• 제39권1호
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• pp.59-70
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• 2009

Purpose: The purpose of this study was to investigate the degree of compliance with supportive periodontal therapy(SPT), to determine if any significant differences existed in the characteristics of compliant, erratically compliant and non-compliant patients and to identify reasons for poor compliance. Materials and methods: Four hundred five patients who initially visited between July 2003 and December 2004 and were treated until June 2005 were retrospectively evaluated for their compliance with SPT in terms of attendance for a recommended schedule of visits. Patients' compliance was classified as complete compliance(attended more than 80% of the recommended appointments), erratic compliance(attended less than 80% of the recommended appointments or discontinued) and non-compliance(did not return for SPT). Analysis was made for each group to correlate the degree of compliance with gender, age, smoking, distance between their houses and the hospital, disease severity, type of therapy, implant, plaque control instruction and systemic diseases. Tele research of erratically compliant and non-compliant patients was carried out to identify reasons for their poor compliance. Results: Only 24.7% of the patients were in complete compliance. The highest drop-out rate(32.4%) occurred in the first year. A significantly greater percentage of non-smokers and patients who finished plaque control instruction were in complete compliance. A significantly greater percentage of patients without implant and patients who had been treated by only scaling and root planing were in non-compliance. More males were found to be compliant with SPT, although this was marginally significant. There were no significant differences between compliant, erratically compliant and non-compliant patients with regard to age, distance, disease severity and systemic disease. The survey revealed that the main reasons for poor compliance with SPT were inconvenient location and insufficient time. Conclusion: Patients' compliance with SPT was poor and the highest drop-out rate(32.4%) occurred in the first year. Significant relationships were found between the degree of compliance and smoking, type of therapy, implant, plaque control instruction and gender.

• International Journal of CAD/CAM
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• 제8권1호
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• pp.1-10
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• 2009

This paper presents a topology optimization approach using element-free Galerkin method (EFGM) for the optimal design of compliant mechanisms with geometrically non-linearity. Meshless method has an advantage over the finite element method(FEM) because it is more capable of handling large deformation resulted from geometrical nonlinearity. Therefore, in this paper, EFGM is employed to discretize the governing equations and the bulk density field. The sensitivity analysis of the optimization problem is performed by incorporating the adjoint approach with the meshless method. The Lagrange multipliers method adjusted for imposition of both the concentrated and continuous essential boundary conditions in the EFGM is proposed in details. The optimization mathematical formulation is developed to convert the multi-criteria problem to an equivalent single-objective problem. The popularly applied interpolation scheme, solid isotropic material with penalization (SIMP), is used to indicate the dependence of material property upon on pseudo densities discretized to the integration points. A well studied numerical example has been applied to demonstrate the proposed approach works very well and the non-linear EFGM can obtain the better topologies than the linear EFGM to design large-displacement compliant mechanisms.

• 임상간호연구
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• 제15권3호
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• pp.5-16
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• 2009

Purpose: This study was done to provide effective nursing interventions using an individualized educational program designed to contribute to the knowledge, compliance and physiologic parameters (serum potassium, phosphorus and interdialytic weight gain) of non-compliant hemodialysis patients. Methods: There were 22 participants in the experimental group and 19 in the control group. Nurses with rapport with patients provided education to non-compliant hemodialysis patients for 20 minutes three times a week for six weeks. This education program consisted of individual consulting, telephones conversations regarding hemodialysis, and requests for patient support from patients' families and colleagues. Results: Hypothesis 1; "Knowledge about hemodialysis in the experimental group will be higher than the control. group" was not supported. Hypothesis 2; "Compliance will be higher in the experimental group than in the control group", and Hypothesis 3; "Physiologic parameters of experimental group will improve" were supported as serum potassium and interdialytic weight gain decreased, but results were not consistent for phosphorous. Conclusion: This program for non-compliant patients increased compliance and improved physiologic parameters. Therefore, this educational program should be effective as a nursing intervention.

• 대한전기학회:학술대회논문집
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• 대한전기학회 1990년도 하계학술대회 논문집
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• pp.514-517
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• 1990

In this paper, compliant motion control of a manipualator in manipulator is proposed by using the self-tuning adaptive controller. Compliant motion is needed in order to applicated to complicated and accurate fields such as assembly operation in which several parts are matched. For a control method of compliant motion hybrid control is used so forces and position control are proposed selectively through a closed feedback loop. By contacting with environment, the uncertainties higher. Self-tuning controller which adapts to variable dynamic response is applied to compliant motion control in order to satisfy the desired operation. The applicability of the suggested algorithm was confined by simulation of the contour tracking task of four joint manipulator.

• Structural Engineering and Mechanics
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• 제44권3호
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• pp.405-416
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• 2012

In this study the investigation of large deflections subject in compliant mechanisms is presented using homotopy perturbation method (HPM). The main purpose is to propose a convenient method of solution for the large deflection problem in compliant mechanisms in order to overcome the difficulty and complexity of conventional methods, as well as for the purpose of mathematical modeling and optimization. For simplicity, a cantilever beam of linear elastic material under horizontal, vertical and bending moment end point load is considered. The results show that the applied method is very accurate and capable for cantilever beams and can be used for a large category of practical problems for the aim of optimization. Also the consequence of effective parameters on the large deflection is analyzed and presented.

• 한국CDE학회논문집
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• 제12권4호
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• pp.263-273
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• 2007

All manufactured parts and tooling have unavoidable variations from their nominal shapes. During assembly, compliant parts are further deformed by relatively rigid assembly tooling. Lack of Knowledge regarding variations and deformations often results in expensive problems. Most current computer-aided design systems are based on ideally sized, ideally located and rigid geometry. This paper proposes a model for the assembly of compliant, non-ideal part. We start by defining tolerance analysis as the process of simulation the variation of a product or a subassembly when given the tolerance of required parts. Analysis is then done by finite element analysis and using the material properties of the actual parts to be assembled. Using the result, estimate the weld process.

• Radiation Oncology Journal
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• 제37권2호
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• pp.143-148
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• 2019

Although surgery is the mainstay of local treatment for skin cancer, definitive radiation therapy (RT) has been also applied for patients who are unable to tolerate surgery. Definitive RT regimens usually consist of daily treatment for 4-7 weeks. Such protracted daily RT regimens, however, would not be feasible for non-compliant patients or patients who are unable to make multiple daily trips for weeks. Without treatment, however, skin cancers can continuously progress and cause distressing symptoms. A cyclical hypofractionated RT (QUAD Shot: 14 Gy in 4 fractions, twice-daily treatments with 6 hours interval on 2 consecutive days) can be a practical RT regimen for those patients. In this report, we present the successful treatment course of repeated QUAD Shots in a 79-year-old patient with neglected skin cancer that was disfiguring his face yet declined definitive surgery and protracted RT. We also evaluated and compared biologically equivalent doses between QUAD Shots and conventionally fractionated protracted RT regimens.

• 대한한방소아과학회지
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• 제24권3호
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• pp.16-25
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• 2010

Objectives: Compliance of herbal medicine is extremely important in Korean oriental medicine, since herbal medicine is main approach to the most of outpatients in Korean pediatrics. The more compliant to the medication, the more effective care is given to children. Thus, we conducted this research to evaluate the compliance of herbal medicine, and factors associated with compliance in children. Methods: 61 children (men 28, women 33) were participated who visited the Korean Oriental Medicine Department in university hospital for two weeks. We used Morisky's self-reported questionnaire which is consisted of four questions. Also, we checked medical records and researched respondent to acquire more factors. We defined as a "full compliant" if answers were 'No' to all of the questions. We analyzed the compliance and associated factors with Pearson's $x^2$-test and Fisher's exact test, and Spearman correlation coefficient. Compliance and associated factors were analyzed with linear regression. Results: Compliance of herbal medicine was not related to respondent, and 34 children (55.7%) were non-compliant. The best compliant type of herbal medicine was granule medication (p=0.046). However, there was no relationship between compliance and age, sex, sibling, purpose of medication, period of disease, frequency of medication, and medication duration. The age, frequency of medication, medication duration, and purpose of medications(period of disease) had correlation(p<0.01). Also, older children tended to forget to take herbal medicine(p=0.004). Conclusions: Over an half of the total subjects (55.7%) were non-compliant, so we should improve compliance of herbal medicine. Since granule form of medication was shown to have the best compliance, we should try to use granule form of medication instead of liquid medications. Also, we can also improve compliance with giving attention to the patients, especially older children in order to improve their compliance.