• Title/Summary/Keyword: noncompliance

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A Study on the mother's attribution and behavioral reaction to behavior problem of child. (아동의 문제행동에 대한 어머니의 귀인과 행동반응의 관계)

  • 이은희
    • Journal of the Korean Home Economics Association
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    • v.34 no.2
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    • pp.31-42
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    • 1996
  • The purpose of this study was to examine the mother's perception on the concrete pattern of such behavior problems as noncompliance, jealousy, dependency, hyperactivity and stealing, by analyzing the difference between two cases of her own child and another mother's child relating to her attribution to the behavior problem of the child and the relationship between her attribution and behavioral reaction. This study was carried out by using 515 questionnaires answered by 1000 mothers of children of 7 kindergartens in Ulsan and Taegu, using Melissa Sweitzer's method (1986). The data was subjected to t-test, Pearson's correlation coefficient. T-test was applied to test the difference between two cases of her own child and another mother's child relating to her attribution to the behavior problem of the child and Person's correlation coefficient was estimated to test the relationship between her attribution and behavioral reaction. The result of this study is sumarized as follows : 1. It was shown that the mother's attribution to the behavior problem of the child is less serious when her child showed the behavior problem than when another child dose the problem while her attribution has an affective reaction to the behavior problem of the child. 2. The relationship between the mother's attribution and behavior reaction to the behavior problem of the child appeared variously in accordance with the attribution factor and behavior problem. Then the mother showed more attribution to stability while frequently ignoring the child.

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Cognitive Function and Self-care in Patients with Heart Failure: A Pilot Study from Korean Patients

  • Kim, Jin Shil;Shin, Joon-Han
    • Perspectives in Nursing Science
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    • v.9 no.1
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    • pp.45-50
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    • 2012
  • Purpose: Despite poor cognitive function in heart failure (HF), few studies have examined cognition and its probable implication in self-care among Korean HF patients. The purposes of this study were (1) to describe cognition in the domains of global, memory, and executive functions, (2) to explore the relationship between cognition and self-care, and (3) to determine the amount of dietary sodium intake among Korean HF patients. Methods: A pilot study was conducted: 7 HF patients (3 men, mean age 68 years) completed face-to-face interviews for neuropsychological tests of cognition and self-care including dietary sodium intake. Results: More than half of the patients had impaired global cognition, memory, or executive function; patients with more severe HF were at higher risk of poor cognitive function. Korean HF patients exhibited poor self-care, with a high dietary sodium intake (5.6 g/day), approximately twice more than the suggested guideline of 2~3 g/day for patients with stable HF. Conclusion: Cognitive dysfunction and inadequate self-care with noncompliance with dietary sodium restriction were evident in Korean HF patients. More studies are warranted that examine the prevalence of cognitive impairment and areas of deficit using neuropsychological tests in a larger sample and that examine how cognition affects self-care and compliance in salt-intake.

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Costs Stemming from Tax Systems: Tax Compliance Costs

  • Mehmet, NAR
    • The Journal of Asian Finance, Economics and Business
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    • v.10 no.2
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    • pp.267-280
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    • 2023
  • The relationship between the state and taxation starts from the establishment of the state. The most important element is the concept of "tax compliance". Tax compliance can be considered as the harmony of state-society relations. However, the concept of tax non-compliance occurs when taxpayers do not fulfill their tax-related tasks as required. Tax noncompliance is just one of the costs that occur in tax systems, and is named "tax compliance cost" in the literature. This study focuses on tax compliance costs because tax compliance costs are the ones taxpayers are personally obliged to deal with. For this purpose, the study investigates costs accruing from tax systems, including efficiency, planning, application, and compliance costs. According to the analysis results, it was concluded that the main reason for fraud in the tax systems is high compliance costs and that tax compliance directly impacts social wealth. Besides, the existence of conditions conducive to tax evasion and tax avoidance in a country, short-term tax policies, belief in the unfairness and inequality of tax systems, inadequacy of audits conducted by tax authorities, insufficiency of pressure and deterrence mechanisms, constantly changing legislation, and the attitudes and perceptions regarding the illegitimacy of the government determine tax compliance.

Influences and Barriers in the Kingdom of Saudi Arabia Affecting Technology Adoption in Healthcare: A Review Paper

  • Abdulaziz Alomari;Ben Soh
    • International Journal of Computer Science & Network Security
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    • v.23 no.6
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    • pp.59-67
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    • 2023
  • The healthcare industry continues to adopt and integrate smart technology in its operations, from medical devices to managing operations. However, the adoption curve has not been smooth, and the historical record of technology adoption in the Kingdom of Saudi Arabia reveals the existence of both known and unknown issues. This review paper is aimed to explain the influences and barriers present in the Saudi healthcare sector affecting IoT technology adoption. A comprehensive discussion of the literature illustrated that Vision 2030, the privatisation trend, transformation in disease patterns and ageing, issues in management and increasing public awareness are the key drivers that may influence the need for the medical Internet of Things (mIoT) in Saudi healthcare. However, based on the past trend, the introduction and adoption of mIoT will likely experience issues such as noncompliance from doctors and nurses due to negative beliefs, lack of knowledge and inadequate perception of effort requirements. Thus, in-depth research of the factors associated with mIoT technology adoption is suggested for a smooth transition.

Comparison of Healthy Life Style and Chronic Disease Management between Urban and Rural Older Adults (도시와 농촌노인의 건강생활습관과 만성질환관리 실태비교)

  • Lee, Jia;Lee, Yena
    • The Korean Journal of Rehabilitation Nursing
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    • v.15 no.2
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    • pp.100-108
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    • 2012
  • Purpose: The purpose of this study was to compare healthy life style and chronic disease management between urban and rural older adults. Methods: The study employed a comparative and descriptive survey design. Data were collected from 154 older adults living independently in communities (79 from urban and 75 from rural areas) using structured questionaries from 24 July, 2010 to 14 August, 2011. Results: Perceived health status was significantly lower in urban older adults than those in rural areas ($x^2$=13.27, p = .001). Frequency of regular health examination was better in the urban group than the rural group ($x^2$=4.71, p = .030). Among older adults with hypertension, medication noncompliance was higher, and participation rate in disease management education was lower in the rural group than the urban group ($x^2$=6.43, p = .040; $x^2$=23.51, p<.001, respectively) and the same as arthritis. Conclusion: Rural older adults had more problems with health and disease management in this study, might be, due to difficulties in access to health care services than urban residents. More tailored programs of disease management as well as health service programs and staffing should be developed in rural areas. For urban older adults, meal preparation program and more opportunities producing income may be needed.

Mistakes Made, Lessons Learned: The Eulsukdo Wetland Restoration Program

  • Lineman, Maurice J.M.;Do, Yuno;Kim, Ji-Yoon;Joo, Gea-Jae
    • Journal of Environmental Science International
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    • v.23 no.8
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    • pp.1523-1536
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    • 2014
  • Restoration is the process of reducing or reversing damage to an ecosystem so that it can function in its original manner. However, many restoration programs do not achieve this. In the Nakdong Estuary, the largest migratory nesting site in the center of the East Asian-Australasian flyway, an estuarine barrage was constructed in the 1980s that required site restoration following its completion in 1987 and the expansion of several large industrial complexes(Noksan and Jangrim) and a residential development(Myeongji). The goal of the restoration was to restore the function of the wetland to its pre-disturbance state. To achieve this, a restoration program was designed consisting of three stages. The first stage(1993-1995), saw the construction of three artificial wetlands(Shinhori, Daemadeung, and Eulsuk), the second(2003-2005) involved the dredging and returning of farmed lands to their natural state, and the third(2008-2012) focused on the rehabilitation and vegetation development of the wetlands. However, the project has not achieved all of the desired goals, and it is an example of the lapses in ecological restoration following anthropogenic disturbance. Issues that resulted in an incomplete restoration included the timing of the stages, noncompliance with the restoration plan, not directly monitoring the restoration or continuing the monitoring following completion of the development project, and the political subversion of the restoration plan. For the success of the restoration plan, it is necessary to avoid mistakes such as inconsistent monitoring, unequal levels of stakeholder involvement, and political interference.

A Clinical Analysis of Surgical Treatment for Spontaneous Spinal Infection

  • Lee, Dong-Geun;Park, Kyung-Bum;Kang, Dong-Ho;Hwang, Soo-Hyun;Jung, Jin-Myung;Han, Jong-Woo
    • Journal of Korean Neurosurgical Society
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    • v.42 no.4
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    • pp.317-325
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    • 2007
  • Objective : The purpose of the study was to determine the clinical effects of anterior radical debridement on a series of patients with spontaneous spinal infection. Methods : We retrospectively analyzed the clinical characteristics of 32 patients who underwent surgical treatment from January 2000 to December 2005 in our department. The average follow-up Period was 33.4 months (range, 6 to 87 months). Thirty-two patients presented with the following : 23 cases with pyogenic spondylitis, eight with tuberculous spondylitis and one with fungal spondylitis. The indications for surgery were intractable pain, failure of medical management, neurological impairment with or without an associated abscess, vertebral destruction causing spinal instability and/or segmental kyphosis. Results : The study included 15 (46.9%) males and 17 (53.1%) females ranging in age from 26 to 75 years (mean, 53.1 years). Diabetes mellitus (DM) and pulmonary Tbc were the most common predisposing factors for pyogenic spondylitis and tuberculous spondylitis. Staphylococcus aureus (13%) was the main organism isolated. The most prevalent location was the lumbar spine (75%). Changes in the pain score, Frankel's classification, and laboratory parameters demonstrated a significant clinical improvement in all patients. However, there were recurrent infections in two patients with tuberculous spondylitis and inappropriate debridement and intolerance of medication and noncompliance. Autologous rib, iliac bone and allograft(fibular) were performed in most patients. However, 10 patients were grafted using a titanium mesh cage after anterior radical debridement. There were no recurrent infections in the 10 cases using the mesh cage with radical debridement. Conclusion : The findings of this study indicate that surgery based on appropriate surgical indications is effective for the control of spinal infection and prevention of recurrence with anterior radical debridement, proper drug use and abscess drainage.

Hospital Nurses' Knowledge and Compliance on Multidrug-resistant Organism Infection Control Guideline (일 대학병원 간호사의 다약제 내성균 감염관리지침에 대한 지식과 수행정도)

  • Kang, Ji-Yeon;Cho, Jin-Wan;Kim, Yu-Jung;Kim, Dong-Hee;Lee, Ji-Young;Park, Hey-Kyung;Jung, Sung-Hee;Lee, Eun-Nam
    • Journal of Korean Academy of Nursing
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    • v.39 no.2
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    • pp.186-197
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    • 2009
  • Purpose: This study was done to investigate nurses' knowledge of, and compliance with the multidrug-resistant organism (MDRO) infection control guidelines. Methods: A survey questionnaire was developed based on the institutional and national guidelines and was administered to a convenience sample of 306 nurses in a university hospital. Results: The mean score for knowledge was 33.87 (percentage of correct answers: 82.61%). The percentages of correct answers for basic concepts, route of transmission, hand washing/protective devices and environment management were 74.27%, 94.29%, 92.90% and 75.54% respectively. The mean compliance score was 4.15 (range: 1-5). The compliance scores for education, communication, contact precaution, disinfection, surveillance culture, and hand washing were 3.29, 4.05, 4.20, 4.50, 4.40 and 4.48 respectively. Nurses indicated "lack of time (30.06%)", "lack of means (10.78%)" and "lack of knowledge (9.48%)" as reasons for noncompliance. Conclusion: While most educational programs have focused on hand washing or use of protective devices to prevent transmission of MDRO in acute care settings, hospital nurses' knowledge of the basic concepts of MDRO and environmental management has remained insufficient. Nurses are relatively non-compliant to the guidelines in the areas of education (staff, patient, family) and communication. Comprehensive educational programs are needed to decrease hospital infection rates and to improve the health of patients.

Effect of supportive periodontal therapy on the prevention of tooth loss in Korean adults

  • Kim, Sang-Yul;Lee, Jae-Kwan;Chang, Beom-Seok;Um, Heung-Sik
    • Journal of Periodontal and Implant Science
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    • v.44 no.2
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    • pp.65-70
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    • 2014
  • Purpose: The purpose of this retrospective study was to evaluate the effect of patient compliance with supportive periodontal therapy (SPT) on tooth loss in Korean adults. Methods: The periodontal records of 134 patients were reviewed for this study. They completed active periodontal treatment from 1999 to 2001 and were placed on a schedule of periodic follow-up visits for SPT. Patient compliance was classified into complete compliance (CC), erratic compliance (EC), and noncompliance (NC) groups. Re-examinations were carried out $11.0{{\pm}}0.8$ years after the active periodontal treatment. The prognosis for each tooth was determined as good, questionable, or hopeless according to the bone loss observed in pretreatment radiographs. Results: The rate of tooth loss of the CC group was significantly lower than that of the NC group. The tooth loss/patient and the tooth loss/patient/year were not significantly different between the three groups. The rates of tooth loss in the good, questionable, and hopeless prognosis groups were 6.7%, 9.5%, and 13.2%, respectively. For the teeth with a good prognosis, the rate of tooth loss of the CC group was significantly lower than that of the NC group (0.4% vs. 5.1%). For the teeth with a questionable prognosis, the CC group showed a significantly lower rate of tooth loss than did the EC group (4.1% vs. 30.7%) or the NC group (4.1% vs. 25.6%). For the teeth with a hopeless prognosis, the rates of tooth loss were not significantly different among the three groups. Conclusions: Within the limits of this study, the patients who showed a poor compliance with SPT were more likely to lose teeth than were the regularly compliant patients. However, the risk of tooth loss with a hopeless prognosis was high irrespective of the compliance.

Risk Factors Affecting the Graft and Patient Survival in Kidney Transplant Patients (신이식환자에서 이식과 환자의 생존에 영향을 끼치는 위험요인 분석)

  • Kim, Joo-Young;Han, Duck-Jong;Shin, Hae-Young;Shin, Whan-Gyun;Oh, Jung-Mi
    • Korean Journal of Clinical Pharmacy
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    • v.16 no.1
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    • pp.14-22
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    • 2006
  • Purpose: To determine the short (1 year of transplant) and long-term (1-5 years of transplantation) risk factors affecting the graft and patient survival in kidney transplantation recipients. Methods: Records of 149 patients who received kidney transplantation in 1996 from Asan Medical Center were followed for 5 years retrospectively. Results: All patients initiated triple immunosuppressive therapy with cyclosporine, prednisone and azathioprine. One, two, three, four, five year patient and graft survival rates were 98.7%, 98.0%, 98.0%, 97.3%, 97.3%, and 96.6%, 95.2%, 94.6%, 92.5%, 91.8%, respectively. There were 30 cases of acute rejection (AR) and 6 cases of chronic rejection (CR) within $2.1{\pm}3.2$ months and $42.1{\pm}13.2$ months of transplantation, respectively. The risk factors for AR were donor's age older than 30 years (p=0.02) and cardiovascular disease (p=0.05). The risk factors for CR were AR (p=0.0169) and episode of complications (p=0.0330). Increasing period of dialysis (p=0.0473), episodes of AR (p<0.0001) and complication (p=0.0317) were significant factors for graft loss. Seven grafts were lost from noncompliance during 1-5 year period. The most com- mon cause of the graft loss for both periods was the graft rejection. The graft survival rate was significantly lower in patients with than without rejection episodes (77.4% vs. 90.0%, p=0.002). Conclusions: Survival rate of the graft with rejection was significantly lower. The risk factors affecting AR were donor's age older than 30years and CVD. AR and episode of complications within 1year were the risk factors for CR and graft loss.

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