• 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.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.26 no.4
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• pp.582-590
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• 2022

As security threats caused by cyber attacks continue, security control is mainly operated in the form of a service business with expertise for rapid detection and response. Accordingly, a number of studies have been conducted on the operation of security control services. However, due to the research on the resulting management, indicators, and measurements, the work process has not been studied in detail, causing confusion in the field, making it difficult to respond to security accidents. This paper presents ISMS-P-based service management methods and proposes an easy outsourcing service management method for client by checklisting each item derived from the mapping of 64 items of ISMS-P protection requirements through business relevance analysis. In addition, it is expected to help implement periodic security compliance and acquire and renew ISMS-P in the mid- to long-term, and to contribute to enhancing security awareness of related personnel.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.7
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• pp.466-475
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• 2017

The purpose of this study was to investigate the status of infection control in long term care hospitals. Data were gathered from 156 long term care hospitals that received certification evaluation from May 1, 2016 to July 31, 2016. We used a questionnaire consisting of 85 items regarding the status and perceived importance of infection control. The data were analyzed using the SPSS / WIN 21.0 program. All of the hospitals have infection control regulations, 80.4% of them have an infection control committee and 86.0% of them employ an ICP(infection control practitioner) who holds this position in addition to another. Hand hygiene showed the highest score at 4.47 in the perceived importance of infection control. Employee education and compliance with the validity period of sterilized products showed the highest frequency and perceived importance among the infection control activities. The above results show that almost all of the long term care hospitals have infection control regulations, but that these regulations are not properly implemented, because of the lack of applicable regulations on the policy level. Therefore, it is necessary to develop infection monitoring standards and infection control guidelines for long term care hospitals and provide the infection control practitioners with training in how to apply them.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.9
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• pp.4009-4017
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• 2012

This study was conducted to test the effects of participation in 12-week program of boxing aerobics by obese middle-aged women on their body composition, blood constituents, and vascular compliance The samples are the middle-aged women in their forties or more, who has 30% or more body fat percentage, but has no medical history in cardiovascular disorders or metabolic diseases. The samples are divided into 8 of exercising group, and 8 of control group by random assignment. The intensity of boxing aerobics was HRmax 50% for the initial 4 weeks, HRmax 60% for the 5th to 8th week, and HRmax 70% for the 9th to 12th week. Each session took 60 minutes. The result is as follows. First, as a result of participating in the boxing aerobics program, body weight, body fat percentage, and muscle showed significant differences depending on the measuring period and the interacting term of the group and measuring period(p<.001), and the result of t-test on the sample matched to each group's measuring time also showed the significant increase or decrease in the exercising group(p<.001). Second, as a result of participating in the boxing aerobics program, the exercising group's TC, TG, HDL-C, and LDL-C, all showed significant differences in accordance with each group, measuring time, and the interaction term between groups and measuring time(p<.01, p<.001), and the result of t-test on each group's samples matched to the measuring time also shows significant increase or decrease in the exercising group(p<.01). Third, as a result of participating in the boxing aerobics programs, the vascular compliance of right hand, left hand, right hand, and left hand showed significant differences in accordance with each group, measuring time, and the interacting term between the measuring time and the group(p<.001), the t-test results of the samples matched to the each group's measuring time also showed significant differences in the exercising group(p<.001). To summarize the results above, it is suggested that the 12-week boxing aerobics program can improve body composition, blood constituents, and the blood circulation, which may prevent or enhance relevant diseases such as cardiovascular disorders.

• Journal of Preventive Medicine and Public Health
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• v.29 no.1 s.52
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• pp.79-90
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• 1996

The purpose of the study was to determine factors influencing compliance with anti-tuberculosis therapy. The study subjects were 104 tuberculosis patients who have received the initial treatment in 3 health centers of Kyongju-City, Dalseong-Gun in Teagu and Kumi-City. Data were collected between September and October 1995. The patients were classified into the improved group and the non-improved group according to outcomes of 3 month treatment with short-term therapeutic regimen. To find factors influencing compliance with anti-tuberculosis therapy, multiple logistic regression was made. There was no significant differences between the improved group and the non-improved group in sex, age, education level, occupation, family pattern, and habitual change regarding smoking and drinking. The level of knowledge about anti-tuberculosis therapy in the improved group was significantly higher than the non-improved group(p<0.01). Multiple logistic regression analysis revealed that family support for not forgetting medication (p<0.05) wis a predictor of improvement and knowledge about anti-tuberculosis therapy(p=0.054), regularity of medication(p=0.062), and consultation to family, doctor and nurse(p=0.075) were marginal predictors of improvement. Treatment must be given to every patient confirmed as having tuberculosis and must be given free of charge to the patients. The requirements for adequate chemotherapy are prescribed in the correct dosage and taken regularly by the patient for a sufficient period to prevent relapse of the disease after cure. It is suggested that education to the patients should be reinforced and connectedness between patients and tuberculosis control workers and family should be solidated.

• Tuberculosis and Respiratory Diseases
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• v.44 no.3
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• pp.493-504
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• 1997

Background : Non-small cell lung cancer is one of the most frequent cause of death due to cancer in men, and its incidence among women is rapidly increasing. Although there has been a recent surge of interest in combined modality therapy for stageIII non-small cell lung cancer(NSCLC), the optimal treatment is still not well established. Thoracic irradiation has long been the gold standard for locally advanced unresectable NSCLC. However, although conventional radiotherapy(XRT) can palliate symptom and improve local control of disease, it has at most only a modest effect on survival. Recently, cisplatin(cis-diamminedichloroplatinum) has been reported to enhance the cell-killing effect of radiation For patients with unresectable NSCLC, cisplatin-based concurrent chemoradiotherapy(CCRT) had the advantage of therapeutic response over XRT alone and therapeutic side effect more commonly occurred in CCRT group in EORTC(European Organization for Research and Treatment of Cancer) and other trials. Objectives : We compared therapeutic response, compliance, and side effects between CCRT and XRT in patients with advanced NSCLC. Patients and Method : Thirty patients with biopsy-proven inoperable NSCLC were randomized to one of two treatment arms. Arm A consisted of XRT, radiotherapy for 4~6 weeks(1.8 Gy given 20~33 times, in five fractions a week), and arm B consisted of CCRT, radiotherapy for 2 weeks(3 Gy given to times, in five fractions a week), followed by 3 week rest period and then radiotherapy 2 more weeks(2.5 Gy given 10 times, in five fractions a week), combined with 6mg cisplatin per square meter, given daily before radiotherapy. We evaluate therapeutic response, compliance, change of performance status, side effects, and radiation pneumonitis by using the author's made scoring system. Results : There was no significant difference in therapeutic response and compliance. But there was a significantly lower laboratory complication and radiation pneumonitis in CCRT group (p < 0.05). There's significant negative correlation between stage and therapeutic response score in both groups(R=0.353, p < 0.05) In both groups, patients with squamous cell carcinoma had a tendency to higher therapeutic response score than those with adenocarcinoma. Conclusion : There was no difference between CCRT and XRT in respect to therapeutic response and compliance. But CCRT had a advantage of decreased side effects.

• Journal of the Institute of Convergence Signal Processing
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• v.4 no.2
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• pp.53-60
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• 2003

For the high center of gravity vehicles the roll stiffness of their suspensions is arranged to be very high because such vehicles are in some danger of tipping over in cornering. In some cases, the effective roll stiffness is determined significantly by the compliance of the tires because of the very stiff anti-roll members incorporated in the suspension. In such cases, it is clear that the shock absorbers which may be effective in damping heave oscillations have little effect on roll oscillations. Therefore, wind gusts and roadway unevenness may cause large swaying oscillations. In this paper, to improve the stability for the high center of gravity vehicles a control scheme to augment the damping of the roll mode is proposed. As the feedback signals needed to provide damping of the roll motion, the front or rear steer angles or both are chosen because they are very related to roll motion. The scheme is effective from moderate to high speeds and stabilizes the roll mode without introducing disturbance moments from roadway unevenness as shock absorbers do. The validity on the proposed method is verified through the computer simulation.

• Journal of the Korean Dietetic Association
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• v.19 no.3
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• pp.287-297
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• 2013

This study examined the effectiveness of nutrition education and program using the diet rice bowl during a four-week diet program. Thirty-eight female college students were randomly assigned to a nutrition education (NE) group or a nutrition education and diet rice bowl (ND) group. The mean energy intake of the NE and ND group during the program was 1,130.8 kcal and 1,287.4 kcal, respectively. The total energy intake of both groups were significantly decreased during the program. In addition, the change of body weight and fat in both groups significantly decreased during the program. The NE group lost 2.8 kg of body weight and 1.4% of body fat, while the ND group lost 2.5 kg of body weight and 1.2% of body fat. The changes in total cholesterol and LDL-cholesterol in both groups also significantly decreased during the program. However, there were no significant differences in the changes of body weight, body fat mass, the total cholesterol and LDL-cholesterol between the two groups. This study could not identify a weight reduction effect of the diet rice bowl, however, this may be due to subjects' infrequent use of the diet rice bowl by their frequent meal skipping and eating-out in our study. Therefore, further studies regarding the compliance to the diet rice bowl should be conducted to examine its effectiveness on weight control.

• Journal of Korean Academy of Nursing
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• v.48 no.3
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• pp.266-278
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• 2018

Purpose: The aim of this study was to develop a substantive theory on self-management conducted by the adolescents with chronic kidney disease from their lived experience. Methods: Data was collected through in-depth interviews from May to December in 2015 with thirteen adolescents with chronic kidney disease. The data collected were analyzed on the basis of Strauss and Corbin's grounded theory. Results: The core of the category found in this study was "overcoming the unstable sense of self- control and integrating disease experience into their life". The causal conditions triggering the central phenomenon were "restriction in daily life" and "manifestation and aggravation of symptom". The central phenomenon in the experience of self-management within the adolescents with chronic kidney disease was "unstable sense of self control". The intervening condition for unstable self control were "micro system support" and "motivational resources". This study found that the adolescents with chronic kidney disease followed a series of strategies when they faced the central phenomenon, including; passive coping, reappraisal of illness, active coping, compliance with treatment, controlling physical activity, and adjusting school life. With these strategic approaches, the adolescents with chronic kidney disease could maintain their active lifestyles and achieve their health behaviors. The process of self-management by these adolescents passed through four phases; limited experience caused by diseases, effort for normalization, reorganizing their daily lives, and integration with daily lives and self-management. Conclusion: This Study explored the process and experience of self-management of adolescents with chronic kidney disease. These findings can be used for basis for developing substantive theory and nursing intervention strategy for adolescents with chronic kidney diseases.

• Journal of Korean Academy of Nursing
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• v.23 no.4
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• pp.694-712
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• 1993

A number of nursing researchers have used the concept of health locus of control over the past decade in Korea. This article reviewed 92 nursing research papers on health locus of control conducted since 1982, and examined type of subjects, design, measurement instruments, the scores of each dimension of the HLOC, and significant variables. Most of the research were correlational in design, used an 18-item 6-point score instrument and studied the relationship between HLOC, health re-lated variables, and cognitive-emotional variables, The health related variables included health behavior, health management, preventive health behavior, compliance to treatment regimen and self care behavior The cognitive-emotional variables included depression, anxiety, stress and self- esteem. Some consistent findings are beginning to emerge. The concept of internal HLOC was positively correlated with the health related variables. But few studies found any significant correlation between powerful others HLOC and health related variables. In the case of chance HLOC, few studies reported a significant relationship. Many of the articles reported significant relationships between internal HLOC and cognitive-emotional variables, but few reported a significant relationship between powerful others or chance HLOC and cognitive -emotional variables. all experimental studies but one found that only internal HLOC was significantly changed following experimental manipulation. When the different groups of subjects such as normal persons, chronic patients, acute patients were compared in terms of mean scores, it was found that the HLOC appeared to change depending on the status of the patients. Recommendations for future research include modification of the instrument to increase the reliability and validity, study about the pattern of response suggested by Wallston and Wallston(1982) and further experimental study on changing the belief of subjects to internal HLOC.