• Title/Summary/Keyword: compliance characteristics

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A Meta-Analysis on Factors Related to Quality of Life in Heart Transplant Recipients (심장이식 수혜자의 삶의 질 관련 요인에 대한 메타분석)

  • Jang, Mi Ra;Im, Se Rah;Choi, Mona
    • Journal of Korean Clinical Nursing Research
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    • v.25 no.3
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    • pp.251-264
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    • 2019
  • Purpose: This study was a systematic review and meta-analysis to explore the factors related to quality of life in heart transplant recipients. Methods: To identify studies that suggested the factors related to the quality of life in heart transplant recipients, we searched the articles published from 1974 to November 2018 using Six databases, PubMed, CINAHL, EMBASE, Cochrane, KMBASE and RISS. A total of 22 studies were selected out of 5,234 for the systematic review and meta-analysis on the basis of the PRISMA flow. The quality of study was assessed by assessment tool form the NIH and meta-analysis was performed using the 'R 3.5.2' version to analyze the correlated effect sizes. Results: Factors related to quality of life in heart transplant recipients were categorized into six domains based on the health-related quality of life model introduced by Ferrans: individual, environmental, biological function, symptoms, functional status, and general health perception. In the meta-analysis, 34 factors were used and 17 factors having significant effect sizes were as follows: self-efficacy, demoralization, perceived control, current occupational status, age, marital status, health promotion life style in the individual characteristics; stress in environmental characteristics; physical function status, creatinine level, left ventricular ejection fraction (LVEF) in biological function; anxiety, depression, symptom frequency and distress in symptoms domain; coping, self-care compliance in functional status. Conclusion: The findings indicate that the multi-dimensional factors influencing the quality of life in heart transplant recipients and provide the evidence for developing effective interventions for improving the quality of life of recipients.

Tensile Bond Characteristics between Underwater Coating Materials and Concrete Substrate (수중코팅제와 콘크리트 모재 간의 인장 부착 특성)

  • Kim, Min Ook;Jeong, Yeonung;Kang, Sung-Hoon;Moon, Juhyuk;Yi, Jin-Hak
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.30 no.6
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    • pp.298-305
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    • 2018
  • In this study, we investigated the tensile bond characteristics of underwater coating materials, in order to obtain useful information in support of repair work for marine and coastal concrete structures. Test variables included type of underwater coating, surface conditions of the concrete substrate, and environmental conditions. Pull-off tensile bond strength was measured at 24 h after applying underwater coatings to concrete substrates, in compliance with the procedures specified in ASTM C1583. Failure modes (coating, interface, and parent concrete) for each coating were identified through visual inspection, and comparisons were made based on measured bond strength. The tensile bond strength decreased underwater compared to that under dry conditions, while no significant effect of surface roughness on the measured bond strength was observed in underwater tests. Key aspects that need to be considered regarding selection and use of underwater coating materials for marine and coastal concrete structures were discussed.

Medication Adherence for Hypertensive Patients in Korea (우리나라 고혈압 환자의 투약 순응도 연구)

  • Hong, Jae-Seok
    • Health Policy and Management
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    • v.31 no.3
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    • pp.292-300
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    • 2021
  • Background: Medication adherence in hypertension is the most important to control blood pressure and prevent major complications. The purpose of this study was to identify factors affecting medication adherence and to examine the relationship between medication adherence and blood pressure control in Korea. Methods: This study used data from the 7th Korea national health and nutrition examination survey (2016-2018) of the Korea Disease Control and Prevention Agency. We selected 4,063 hypertensive patients from the data. And we choose socio-demographic, health behavior, healthcare utilization, and severity characteristics as hypertensive patient characteristics. Results: Of the patients with hypertension, 92.3% had shown adherence to medication as of 2016-2018 and shows variation according to the characteristic of patients. The cases with male, under 50 years old, urban area, single household, unmet medical services, less than 5 years of hypertension duration, no comorbidities (diabetes mellitus, myocardial infarction) showed significantly low medication adherence. After adjusting for confounders, adherent patients tended to have lower current systolic blood pressure (β=-10.846, p<0.001) and diastolic blood pressure (β=-5.018, p<0.001) than nonadherent patients. And, adherent patients increased the control odds of blood pressure compared with nonadherent patients (odds ratio, 3.02; 95% confidence interval, 2.21-4.12). Conclusion: This study confirmed that adherence to antihypertensive drugs was effective in controlling blood pressure. In order to more actively manage hypertensive patients at the national level, it is necessary to make an effort to improve the medication compliance of nonadherent groups, such as early-diagnosis patients, young patients under 50 years of age, and patients living alone.

Personal Dosimeters Worn by Radiation Workers in Korea: Actual Condition and Consideration of Their Proper Application for Radiation Protection

  • Eunbi Noh;Dalnim Lee;Sunhoo Park;Songwon Seo
    • Journal of Radiation Protection and Research
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    • v.48 no.3
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    • pp.162-166
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    • 2023
  • Background: Assessment of the radiation doses to which workers are exposed can differ depending on the placement of dosimeters on the body. In addition, it is affected by whether the placement is under or over a shielding apron. This study aimed to evaluate the actual positioning of personal dosimeters on the body, with or without shielding aprons, among radiation workers in Korea. Materials and Methods: We analyzed the survey data, which included demographic characteristics, such as sex, age, occupation, work history, and placement of the personal dosimeter being worn, from a cohort study of Korean radiation workers. We assessed the use of personal dosimeters among workers, stratified by sex, age, working period, starting year of work, and occupation. Results and Discussion: Overall, high compliance (89.1% to 99.0%) with the wearing of dosimeters on the chest was observed regardless of workers' characteristics, such as age, sex, occupation, and work history. However, the placement of dosimeters, either under or over the shielding aprons, was inconsistent. Overall, 40.1% of workers wore dosimeters under their aprons, while the others wore dosimeters over their aprons. This inconsistency indicates that radiation doses are possibly measured differently under the same exposure conditions solely owing to variations in the placement of worn dosimeters. Conclusion: Although a lack of uniformity in dosimeter placement when wearing a shielding apron may not cause serious harm in radiation dose management for workers, the development of detailed guidelines for dosimeter placement may improve the accuracy of dose assessment.

The Study of quality measurement plan for software reliability (소프트웨어 신뢰도 품질측정 방안에 관한 연구)

  • Lim, Kwang-Hyeon;Ryu, Kwang-Sun;Shon, Ho-Sun;Ryu, Keun-Ho
    • Journal of the Korea Society of Computer and Information
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    • v.17 no.12
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    • pp.187-198
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    • 2012
  • International standard for software quality evaluation, ISO/IEC 9126 defines the quality characteristics and sub-characteristics consisting of quality of the software. Also, in this standard, the quality assessment items are presented in metrics based on maturity, fault tolerance, recoverability and compliance which are sub-characteristics of reliability. However, this reliability assessment items which are presented are not applied now due to the mathematical difficulties and the problems caused by collection of data. In order to resolve these problems, this study introduces measures to develop a specific test technique by quality attributes and to measure the quality. In other words, the detailed guidelines are presented to be utilized as a standard by summarizing test activities and techniques by each development life the most commonly used. The SW quality results are derived by assigning weights to software in order of the most important quality characteristics of respective software using checklist that can be easily utilized and applying test technique that can be utilized for detailed evaluation items and checklist. This improves problems that include reliability assessment item of ISO/IEC 9126 as the measures to measure new reliability quality of software.

Radwaste characteristics and Disposal Facility Waste Acceptance Criteria (국내 방사성폐기물 특성과 방사성폐기물 처분시설 폐기물인수기준)

  • Sung, Suk-Hyun;Jeong, Yi-Yeong;Kim, Ki-Hong
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.6 no.4
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    • pp.347-356
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    • 2008
  • The purpose of Radioactive Waste Acceptance Criteria(WAC) is to verify a radioactive waste compliance with radioactive disposal facility requirements in order to maintain a disposal facility's performance objectives and to ensure its safety. To develop WAC which is conformable with domestic disposal site conditions, we furthermore analysed the WAC of foreign disposal sites similar to the Kyung-Ju disposal site and the characteristics of various wastes which are being generated from Korea nuclear facilities. Radioactive WAC was developed in the technical cooperation with the Korea Atomic Energy Research Institute in consideration of characteristics of the wastes which are being generated from various facilities, waste generators' opinions and other conditions. The established criteria was also discussed and verified at an advisory committee which was comprised of some experts from universities, institutes and the industry. So radioactive WAC was developed to accept all wastes which are being generated from various nuclear facilities as much as possible, ensuring the safety of a disposal facility. But this developed waste acceptance criteria is not a criteria to accept all the present wastes generated from various nuclear facilities, so waste generators must seek an alternative treatment method for wastes which were not worth disposing of, and then they must treat the wastes more to be acceptable at a disposal site. The radioactive disposal facility WAC will continuously complement certain criteria related to a disposal concentration limit for individual radionuclide in order to ensure a long-term safety.

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Uncertainty, Anxiety and Coping with Mastectomy for Breast Cancer (유방절제술 환자의 불확실성, 불안 및 대처방식)

  • Cho, Ok-Hee
    • Journal of Korean Academy of Nursing
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    • v.30 no.4
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    • pp.1006-1017
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    • 2000
  • The purpose of this study was to provide basic information for developing a nursing intervention that helps patients learn how to acquire coping to reduce post operation uncertainty and anxiety by investigating the level of uncertainty and anxiety experienced by mastectomy patients. The subjects were 134 patients selected from St. Mary's Kangnam and St. Mary's hospital, and the data collection period was from October to December of 1998. Uncertainty was measured by using Mishel Uncertainty in Illness Scale (MUIS), anxiety measured by using State-Trait Anxiety Inventory(STAI), and coping by using a questionnaire developed by Kim & Yoo (1996). Data were analyzed with SAS program by t-test, ANOVA, Duncan's multiple range test, Pearson correlation coefficients, and stepwise multiple regression. The results were as follows : 1. The mean uncertainty score was 57.6. The results of the correlation between the compliance of medical regimen and demographic characteristics were as follows ; Those who monthly income over 2,010,000 won had lower than above 1,000,000 won, and those with the experience of chemotherapy had higher than those without, and the patient who has 7∼12 months(1 yr.) post operation period had higher than the one below 6months, 25∼36 months(3 yrs.), 37∼60 months(5 yrs.), and over 61 months. 2. The mean anxiety score was 45.9. Anxiety tended to be increased slightly in subjects with low educational background, poor monthly income, experience of chemotherapy, and 7∼12 months(1 yr.) post operation period, but there was no significant difference by general characteristics 3. The mean value of the coping score was 100.7. The study revealed higher score in problem-focused coping than emotion-focused coping. In regard to coping by demographic characteristics were as follows ; those who had monthly income over 2,010,000 won had higher level of coping than those whose monthly income was between 1,010,000 and 2,000,000 won. In terms of problem- focused coping, those who had 25∼36 months of post operation period showed significantly lower level of coping than those below 6 months or 37∼60 months(5 yrs.) or over 61 months of post operation period. Regarding the emotion-focused coping, those with the christianity had significantly lower level of coping than those without it. Also, those whose monthly income over 2,010,000 won had significantly higher coping level than those with income of between 1,010,000 and 2,000,000 won. 4. A positive relationship was found between uncertainty and anxiety. Patients who experienced more uncertainty also showed more anxiety. Problem-focused coping was inversely related to uncertainty and anxiety. 5. The major variable that affected uncertainty was anxiety, explaining 63.3% of the uncertainty. In addition to this, it would explain 66.4% in total when experience of chemotherapy was added.

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Financial Products Recommendation System Using Customer Behavior Information (고객의 투자상품 선호도를 활용한 금융상품 추천시스템 개발)

  • Hyojoong Kim;SeongBeom Kim;Hee-Woong Kim
    • Information Systems Review
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    • v.25 no.1
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    • pp.111-128
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    • 2023
  • With the development of artificial intelligence technology, interest in data-based product preference estimation and personalized recommender systems is increasing. However, if the recommendation is not suitable, there is a risk that it may reduce the purchase intention of the customer and even extend to a huge financial loss due to the characteristics of the financial product. Therefore, developing a recommender system that comprehensively reflects customer characteristics and product preferences is very important for business performance creation and response to compliance issues. In the case of financial products, product preference is clearly divided according to individual investment propensity and risk aversion, so it is necessary to provide customized recommendation service by utilizing accumulated customer data. In addition to using these customer behavioral characteristics and transaction history data, we intend to solve the cold-start problem of the recommender system, including customer demographic information, asset information, and stock holding information. Therefore, this study found that the model proposed deep learning-based collaborative filtering by deriving customer latent preferences through characteristic information such as customer investment propensity, transaction history, and financial product information based on customer transaction log records was the best. Based on the customer's financial investment mechanism, this study is meaningful in developing a service that recommends a high-priority group by establishing a recommendation model that derives expected preferences for untraded financial products through financial product transaction data.

Effect of the type of sand on the fracture and mechanical properties of sand concrete

  • Belhadj, Belkacem;Bederina, Madani;Benguettache, Khadra;Queneudec, Michele
    • Advances in concrete construction
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    • v.2 no.1
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    • pp.13-27
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    • 2014
  • The principal objective of this study is to deepen the characterization studies already led on sand concretes in previous works. Indeed, it consists in studying the effect of the sand type on the main properties of sand concrete: fracture and mechanical properties. We particularly insist on the determination of the fracture characteristics of this material which apparently have not been studied. To carry out this study, four different types of sand have been used: dune sand (DS), river sand (RS), crushed sand (CS) and river-dune sand (RDS). These sands differ in mineralogical nature, grain shape, angularity, particle size, proportion of fine elements, etc. The obtained results show that the particle size distribution of sand has marked its influence in all the studied properties of sand concrete since the sand having the highest diameter and the best particle size distribution has given the best fracture and mechanical properties. The grain shape, the angularity and the nature of sand have also marked their influence: thanks to its angularity and its limestone nature, crushed sand yielded good results compared to river and dune sands which are characterized by rounded shape and siliceous nature. Finally, it should further be noted that the sand concrete presents values of fracture and mechanical properties slightly lower than those of ordinary concrete. Compared to mortar, although the mechanical strength is lower, the fracture parameters are almost comparable. In all cases, the sand grains are debonded from the paste cement during the fracture which means that the crack goes through the paste-aggregate interface.

Derivation of Methodology Tailoring Rules in Healthcare Industry (의료업에 있어서 방법론 테일러링 규칙의 도출)

  • Choi, Won-Young;Kim, Soon-Gohn
    • Journal of Digital Contents Society
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    • v.12 no.4
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    • pp.593-600
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    • 2011
  • In the case of the domestic medical industry, work is conducting according to the convenience of the developer without guiding principles regarding tailoring and a number of processes and products that should not have been omitted considering the characteristics of corresponding sites were discovered. As a result of this omission, it was found that the delivery period was not met and problems arose for an extensive period of time after the activation of the system. The lack of critical processes and products had a negative impact on the productivity and quality of the software. This paper defines the processes that need to be followed as a basis and the products that need to be prepared during the development of a medical information system. Also, additional processes and products are presented depending upon the condition of the project. Especially, the step-by-step assessment processes and products to manage the assessment results were seriously dealt with in this study to strengthen the compliance of processes and the product quality.