• Title/Summary/Keyword: Trans-theoretical Model

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Wave Deformation Model in Orthogonal Curvilinear Coordinate System around the Coastal Structure (파향선 좌표계에 의한 해암구조물 주변에서의 파랑변형 모형)

  • 이동수;이종섭;장선덕
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.1 no.1
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    • pp.22-30
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    • 1989
  • Wave propagation is changed by the effect of shoaling, current-depth refraction and shelter-ing etc. To solve these problems. numerous models have been developed. In the present study, a coordinate system is proposed based on the wave ray equation with the wave number equation including diffraction effects . The governing equation for the study was derived from the mild slope wave equation in non-steady state, including current effects (Kirby, 1986a) and trans-formed into an orthogonal curvilinear coordinate system on the basis of the wave ray equation. To obtain a numerical solution, an explicit finite difference scheme was used, and solved by the relaxation method. This model was tested for various cases: Firstly a submersed circular shoal and a constant unit depth. Secondly a submerged elliptic shoal on a slope, and finally a breakwater harbour with obliquely incident waves on a slope. The model was found to simulate the experimental results and other theoretical results in wave height and wave angle fairy well, and the applicability of the model around an arbitrary shaped coastal structure was also verified. To demonstrate the general usefullness of the present approach , the model is to be applied to a field situation with a complex bed topography.

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The Development and Effects of a Medication Adherence Intervention Program for Hypertensive Patients (범이론 모형을 적용한 고혈압 환자 약물순응 중재 프로그램 개발 및 적용 효과)

  • Kim, Soon-Ock
    • Research in Community and Public Health Nursing
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    • v.22 no.3
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    • pp.342-354
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    • 2011
  • Purpose: This study was to estimate the effectiveness of an intervention program using the trans-theoretical model on the stages of change, the process of change, decisional balance, self-efficacy, the levels of medication adherence, and blood pressure difference. Methods: A similar experiment was conducted using a nonequivalent control group pre- and post-test design. The study subjects were 108 hypertensive patients. The program was administered to the experimental group while educational materials were given to the control group. Descriptive analysis, 2-test, t-test, and repeated measures ANOVA were used with SPSS 17.0 to analyze collected data. Results: After treatment with this program, the experimental group showed stage of change ($x^2=52.917$, p<.001), cognitive (F=13,528, p<.001), behavioral process of change (F=10.808, p<.001), benefits (F=5.569, p=.012), loss of medication adherence (F=15.661, p<.001), self-efficacy (F=5.407, p=.011), levels of medication adherence (F=51.442, p<.001). Conclusion: There was a significant improvement in the experimental group who participated in the TTM medication adherence intervention program. Given that this intervention program motivated and stimulated hypertensive patients to adhere to the prescribed medications, the TTM medication adherence intervention program is expected to be an effective and practical intervention method for health improvement.

Design and Implementation of Flux-Driven Waveguide Ferrite Phase Shifters (자속밀도 제어형 페라이트 도파관 변위기 설계 및 제작)

  • 김동석;박동철;이용희;김윤명
    • The Proceeding of the Korean Institute of Electromagnetic Engineering and Science
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    • v.3 no.1
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    • pp.3-10
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    • 1992
  • Flux-drive waveguide phase shifter is designed by twin-slab model. Measured differential phase shifts are smaller than the theoretical values by 8-9 percents. Measured insertion loss and VSWR of the phase shifter using TT73-2200 ferite are less than 0.45dB and 1.25 respectively, within pass band. The phase shifter using double-setup transformer shows wider bandwidth characteristics. Finally the reduced-height waveguide phase shifter using TT3-2900 ferrite shows very efficient suppression of higher-oreder modes.

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Determinants of Intra-Industry Trade between Vietnam and Countries in TPP

  • NGUYEN, Ha Minh;QUAN, Binh Quoc Minh;LE, Huong Van;TRAN, Thinh Van
    • The Journal of Asian Finance, Economics and Business
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    • v.7 no.1
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    • pp.123-129
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    • 2020
  • Intra-industry trade (IIT) has played an important role in international trade of Vietnam as a result of rapid growth of the country. This article investigates the level of IIT between Vietnam and 11 trading partners in Trans-Pacific Partnership (TPP) over the period 2000-2014. Although there have been a large number of empirical researches contributed to the determinants of IIT, most of them only pay attention on developed countries where the trade flows are similar due to similar demand structure and production technology. Until now, there is no study on intra-industry trade between Vietnam and countries in TPP that Vietnam recently signed a trade agreement in early 2016. IIT is measured by the Grubel-Lloyd index. The index shows that the extent of intra-industry trade between Vietnam and the trading countries is not high due to the level of economic development and the market size. The determinants of IIT are examined using a panel regression model. In the empirical analysis, the results indicate that Vietnam's intra-industry trade is positively correlated with country size, while it is negatively correlated with income dissimilarity, the trade openness, and geographical distance. This study contributes to the new theoretical trade theory on the evidence of developing country's IIT.

The Characteristics of Smoking Cessation Behavior by the Stage of Change in Industrial Workers (산업장 남성 근로자의 금연행위 변화단계별 특성)

  • Kim, Hye-Rim;Park, In-Hyae;Kang, Seo-Young
    • Research in Community and Public Health Nursing
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    • v.21 no.1
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    • pp.63-70
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    • 2010
  • Purpose: This study was to identify the stages of change in smoking cessation behavior and factors associated with the stages of smoking cessation behavior according to the trans-theoretical model. Methods: The subjects were 154 industrial workers working at H Industry in N City, Chonnam Province who were currently smoking and had smoked in the past. Data were analyzed by descriptive statistics, ANOVA, and Duncan's multiple comparison test using SAS Version 10.0. Results: The subjects were distributed among the stages of change in smoking cessation behavior: there were 28 subjects (18.2%) in the precontemplation stage, 71 (46.1%) in the contemplation stage, 21 (13.6%) in the preparation stage, 8 (5.2%) in the action stage, and 26 (16.9%) in the maintenance stage. The amount of smoking per day, self-efficacy, and advantages (pros) of smoking were significantly associated with the stage of change in smoking cessation behavior. Conclusion: This study suggested that the stage of change in smoking cessation behavior of the subject should be identified prior to the application of intervention programs, nursing intervention strategies should be considered to reduce the amount of smoking per day, and the disadvantages of smoking should be perceived.

Relating Factors in Pap Smears by Stages of Change among Married Nurses (기혼간호사 대상 자궁경부세포 검진의 변화 단계에 따른 관련요인)

  • Kim, Hae-Won;Jung, Yeon-Yi
    • Women's Health Nursing
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    • v.16 no.4
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    • pp.317-325
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    • 2010
  • Purpose: This study was to examine the differences in health belief variables and HPV (Human Papillomavirus) knowledge in Pap smears according to the stages of change using Trans-theoretical Model (TTM) among married nurses. Methods: The research design was a cross sectional survey. Participants were 387 married nurses working in general hospital located metropolitan city. Measurement variables were perceived threatening, perceived severity, benefits of Pap, HPV knowledge and stages of the change in Pap smear. Results: Classified stages were pre-contemplation 3.9%, contemplation 17.8%, relapsing 29.5%, action 31.0%, and maintenance 17.8%. Accuracy rate of HPV knowledge were low ranging from 15% to 45%. Among the variables, perceived threatening (F=3.56, p=.007), perceived severity (F=9.73, p<.001) and HPV knowledge (F=7.52, p<.001) were significantly different by stages of change. Conclusion: Application of TTM to Pap smears was efficient to know the nurse's level of health behaviors, Health belief variables and HPV knowledge were main factors to identify the stages of change. The continuation of Pap smears and the education in relation to HPV knowledge should be encouraged for married nurses.

Types of Smoking in Adult Smokers and Influential Variables Related to Smoking (성인기 흡연유형과 흡연영향변인)

  • Chang, Sung-Ok;Song, Jun-Ah;Lee, Su-Jung
    • Korean Journal of Adult Nursing
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    • v.20 no.1
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    • pp.77-90
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    • 2008
  • Purpose: This study attempted to identify influential variables on types of smoking in adult smokers, which have been derived from Q-study. Methods: A survey was conducted with 328 adult smokers at community settings in Seoul, South Korea from April 2006 to July 2006. To identify the influential variables related to smoking, variables from the Trans-theoretical model(i.e., self-efficacy for smoking abstinence, smoking temptation, process of change, decisional balance(pros and cons)) and nicotine dependency were analysed by ANOVA. Post-comparison tests were also done. Results: The scores of nicotine dependency and smoking temptation were higher in habitual craving types than any other types, while the scores of self-liberation and self-efficacy for smoking abstinence were higher in self control types than any other types. Conclusion: Specific smoking intervention methods for each of the smoking types needs to be developed, based on how different groups of individuals gets into a decisions to quit smoking within their contexts.

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Study on Factors Contributing to the Use of Smoking Cessation Service for Male Adult Smokers

  • Choi, Eun-Jin;Lee, Jung-Hwa
    • Korean Journal of Health Education and Promotion
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    • v.22 no.3
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    • pp.1-12
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    • 2005
  • Objectives: The purpose of this study was to investigate the factors contributing to intentions of quitting smoking, and use of smoking cessation services for daily smokers, and willingness of using smoking cessation services by the public health centers. Method: A total of 1,403 cases of male smokers were collected by a telephone survey. The age of smokers in the study ranged from 20 to 59. Socio-demographic variables, cigarette consumption behaviors, quit attempts and intentions of quitting smoking, and use of clinical services provided by the local public health centers were analysed using SPSS program. Result: About 77.8% of the smokers consumed a pack of cigarettes or less per day. About 20% of the smokers have used quit aides such as nicotine patch, gum, quit cigarettes, and acupuncture. These variables were associated with prior quit attempts in the past 1 year. Older age, degree of addiction(less time spent without smoking after a smoker gets up in the morning), prior quit attempts, panning to quit in one month, doctor's advice to quit were the major predictors of using the smoking cessation services provided by the public health centers. Conclusion: Health educators have to entice physicians to give smoking cessation advice to smokers, and have to provide many different types of educational programs to help quitting smoking.

Evaluation of a theory-based community intervention to increase fruit and vegetable intakes of women with limited incomes

  • Chung, Sang-Jin;Hoerr, Sharon L.
    • Nutrition Research and Practice
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    • v.1 no.1
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    • pp.46-51
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    • 2007
  • The study objectives were to increase both the stage of readiness to eat fruit and vegetables as well as the intakes of women who participated in the Expanded Food and Nutrition Education Program (EFNEP) for families with limited incomes. The intervention was to enhance the currently used curriculum, Eating Right Is Basic III (ERIB3), with stage-specific processes based on the Trans-Theoretical Model of readiness to change. Trained EFNEP community workers taught the enhanced curriculum to 90 mothers in the experimental county and to 53 mothers in the control county. Pre- and post-intervention measures included stages of readiness to eat fruit and vegetables and to intake as assessed by 24-hour dietary recalls and staging questions. Most women recruited into EFNEP were in Action and Preparation Stages (53.5%). Fruit and vegetable intakes showed a linear trend along with the Stage of Change for fruit and vegetable. After intervention, some combination of the ERIB3 and the fruit and vegetables-enhanced ERIB3 resulted in a reported 1/2 servings/day increase in fruits and vegetables in both the control and the experimental counties, although changes were not significant. EFNEP women also moved along the Stage of Change Continuum for fruits and vegetables in both counties. The percentage of people who ate 5 or more servings of fruit and vegetables was significant, however, only in the experimental group. We encourage health professionals to apply lessons learned from this intervention and to continue to pursue theoretically based interventions to change dietary behaviors.

Nutritional education for management of osteodystrophy (NEMO) trial: Design and patient characteristics, Lebanon

  • Karavetian, Mirey;Abboud, Saade;Elzein, Hafez;Haydar, Sarah;de Vries, Nanne
    • Nutrition Research and Practice
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    • v.8 no.1
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    • pp.103-111
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    • 2014
  • This study aims to determine the effect of a trained dedicated dietitian on clinical outcomes among Lebanese hemodialysis (HD) patients: and thus demonstrate a viable developing country model. This paper describes the study protocol and baseline data. The study was a multicenter randomized controlled trial with parallel-group design involving 12 HD units: assigned to cluster A (n = 6) or B (n = 6). A total of 570 patients met the inclusion criteria. Patients in cluster A were randomly assigned as per dialysis shift to the following: Dedicated Dietitian (DD) (n = 133) and Existing Practice (EP) (n = 138) protocols. Cluster B patients (n = 299) received Trained Hospital Dietitian (THD) protocol. Dietitians of the DD and THD groups were trained by the research team on Kidney Disease Outcomes Quality Initiative nutrition guidelines. DD protocol included: individualized nutrition education for 2 hours/month/HD patient for 6 months focusing on renal osteodystrophy and using the Trans-theoretical theory for behavioral change. EP protocol included nutrition education given to patients by hospital dietitians who were blinded to the study. The THD protocol included nutrition education to patients given by hospital dietitian as per the training received but within hospital responsibilities, with no set educational protocol or tools. Baseline data revealed that 40% of patients were hyperphosphatemics (> 5.5 mg/dl) with low dietary adherence and knowledge of dietary P restriction in addition to inadequate daily protein intake ($58.86%{\pm}33.87%$ of needs) yet adequate dietary P intake ($795.52{\pm}366.94$ mg/day). Quality of life (QOL) ranged from 48-75% of full health. Baseline differences between the 3 groups revealed significant differences in serum P, malnutrition status, adherence to diet and P chelators and in 2 factors of the QOL: physical and social functioning. The data show room for improvement in the nutritional status of the patients. The NEMO trial may be able to demonstrate a better nutritional management of HD patients.