• 제목/요약/키워드: Quasi-experimental Approach

검색결과 97건 처리시간 0.024초

Community-Based Health Education and Communication Model Development for Opisthorchiasis Prevention in a High Risk Area, Khon Kaen Province, Thailand

  • Promthet, Paitoon;Kessomboon, Pattapong;Promthet, Supannee
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권17호
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    • pp.7789-7794
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    • 2015
  • Background: This study aimed to evaluate the impact of a community-based health education and communication programme on reducing liver fluke infections caused by the consumption of uncooked fish among people in a high-risk area of Thailand. Materials and Methods: The study was quasi-experimental in nature, with three-stages. Stage 1 involved a situational and capacity analysis of designated communities in Khon Kaen province. This was followed by the development of a model for community-based health education and communication to prevent liver fluke infections among high-risk people, and, lastly, implementation and evaluation of the model were performed. Data were collected using both qualitative and quantitative methods. In total, 390 people were surveyed, and quasi-experimental and comparison groups, each with 90 people, were assessed between May 2011 and April 2012. Analysis was using statistical OR, 95 % CI, the Willcoxon matched pairs signed ranks test, the chi-square test, and the Mann-Whitney U test. Results: The findings showed that most respondents had a high level of knowledge and understanding of liver fluke disease (89.5%, 95% CI:86.0-92.4), and positive attitudes toward the prevention of the disease (94.4%, 95% CI:91.6-96.4). However, with regard to changes in consumption of uncooked fish, most respondents were still in the pre-contemplation phase (55.1%, 95% CI:50.0-60.1), followed by the contemplation phase, 22.6%. Furthermore, four factors were found to be associated with the consumption of uncooked fish - the consumption of alcohol (OR 4.16, 95% CI:1.79-9.65), gender (OR 3.17, 95% CI:1.53-6.54), smoking (OR 3.03, 95% CI:1.31-7.05), and age 40 years and above (OR 2.68, 95% CI:1.02-7.05). After nine months of the health education and communication programme using local media based on local wisdom, culture and persons, the results showed that, compared to the control group, members of the experimental group had a higher level of knowledge, a better attitude and lower levels of ill-advised consumption behaviour. Also, it was found that consumption of uncooked fish, by an assessment of the level of stage of change, was reduced. (p-value 0.002). Conclusions: The health education and communication programme developed as part of the study was effective in changing the consumption of uncooked fish. Therefore, this approach should be promoted in other high-risk areas in Thailand in the future.

Experimental research on the propagation of plastic hinge length for multi-scale reinforced concrete columns under cyclic loading

  • Tang, Zhenyun;Ma, Hua;Guo, Jun;Xie, Yongping;Li, Zhenbao
    • Earthquakes and Structures
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    • 제11권5호
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    • pp.823-840
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    • 2016
  • The plastic hinge lengths of beams and columns are a critical demand parameter in the nonlinear analysis of structures using the finite element method. The numerical model of a plastic hinge plays an important role in evaluating the response and damage of a structure to earthquakes or other loads causing the formation of plastic hinges. Previous research demonstrates that the plastic hinge length of reinforced concrete (RC) columns is closely related to section size, reinforcement ratio, reinforcement strength, concrete strength, axial compression ratio, and so on. However, because of the limitations of testing facilities, there is a lack of experimental data on columns with large section sizes and high axial compression ratios. In this work, we conducted a series of quasi-static tests for columns with large section sizes (up to 700 mm) and high axial compression ratios (up to 0.6) to explore the propagation of plastic hinge length during the whole loading process. The experimental results show that besides these parameters mentioned in previous work, the plastic hinge of RC columns is also affected by loading amplitude and size effect. Therefore, an approach toward considering the effect of these two parameters is discussed in this work.

근거기반의 수술 후 오심·구토 관리 프로토콜의 개발 및 임상적 평가 (Development and Evaluation of an Evidence-based Nursing Protocol for Postoperative Nausea and Vomiting)

  • 오인옥;유재용;오의금
    • Journal of Korean Biological Nursing Science
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    • 제19권2호
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    • pp.86-97
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    • 2017
  • Purpose: Postoperative nausea and vomiting (PONV) is very common among postoperative orthopedic surgical patients with patient-controlled analgesia (PCA), especially for narcotics. Therefore, the purpose of this study was to investigate the effects of an evidence-based PONV management protocol on nursing and patient outcomes. Methods: A methodological study was conducted to develop PONV protocol and a quasi-experimental study to evaluate the effectiveness of protocol. The preliminary PONV protocol was drawn by conducting a systematic review and by reviewing clinical guidelines and best practice recommendations. Validation of the content was done by expert clinicians, and the clinical applicability was evaluated by staff nurses and patients. The effect was evaluated in clinical outcomes associated with PONV and nursing outcomes. Results: In the experimental group, the occurrence of vomiting (z= 2.147) was significantly decreased, the maintenance PCA (${\chi}^2=4.212$) and the satisfaction of patients (z= 5.007) were significantly higher. In the outcomes of nurses, the PONV knowledge of nursing care (z = 3.791), awareness (z = 2.982) and self-efficacy (z= 2.745) were higher in the experimental group. The attitude towards evidence-based nursing practice (z= 2.446) was significantly positive. Conclusion: The results show that an evidence-based approach to the implementation of PONV care is effective in improving patient clinical outcomes and quality of care.

2023 찾아가는 유아 감염병 예방 교실 사업의 효과 (The Effect of 2023 Home-visiting Infectious Disease Prevention Class Project for Preschoolers)

  • 강정원;정주민;이지혜;장인순
    • 한국학교보건학회지
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    • 제37권1호
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    • pp.12-21
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    • 2024
  • Purpose: This study aimed to provide basic data for future infectious disease prevention educational programs targeting preschoolers by verifying the effects of the 2023 Home-visiting Infectious Disease Prevention Class Project for Preschoolers. Methods: The study is a descriptive survey that analyzed educational satisfaction of kindergarten teachers and the activity reports of visiting teachers. The effectiveness of the education on the children's side was evaluated with a quasi-experimental approach using pre- and post-test design. Data collection was conducted from September 6 to November 10, 2023. The data from 96 kindergarten teachers, 100 activity reports written by visiting teachers, 56 children in the experimental group, and 50 children in the control group were analyzed. Results: As a result of analyzing the satisfaction survey results of the kindergarten teachers and the activity reports submitted by the visiting teachers, all questions received a very positive evaluation with 4 or more out of 5 points. In addition, the children in the experimental group showed statistically significant positive changes both in hand-washing accuracy and their awareness of immunity. Conclusion: The Home-visiting Infectious Disease Prevention Class Project for Preschoolers is of great educational significance and is expected to be a useful educational intervention that can improve infection prevention behaviors and show practical preventive effects in preschoolers so that they can be prepared for various infectious diseases in the future.

실물 철근콘크리트 교각의 유사동적 실험에 의한 내진성능 평가 (Pseudo-Dynamic Test for Seismic Performance Evaluation of RC Bridge Piers)

  • 박창규;박진영;정영수;조대연
    • 한국지진공학회:학술대회논문집
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    • 한국지진공학회 2002년도 춘계 학술발표회 논문집
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    • pp.250-257
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    • 2002
  • Pseudo dynamic test is an on-line computer control method to achieve the realism of shaking table test with the economy and versatility of the conventional quasi-static approach Pseudo dynamic tests of six full-size RC bridge piers have been carried out to investigate their seismic performance. For the purpose of precise evaluation, the experimental investigation was conducted to study the seismic performance of the real size specimen, which is constructed for highway bridge piers in Korean peninsula. Since it is believed that Korea belongs to the moderate seismicity region, five test specimens were designed in accordance with limited ductility design concept. Another one test specimen was nonseismically designed according to a conventional code. Important test parameters were transverse reinforcement and lap splicing. Lap splicing was frequently used in the plastic hinge region of many bridge columns. Furthermore, the seismic design code is not present about lap splice in Korean Roadway Bridge Design Code. The results show that specimens designed according to the limited ductility design concept exhibit higher seismic resistance. Specimens with longitudinal steel lap splice in the plastic hinge region appeared to significantly fail at low ductility level.

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Wavelet 변환을 이용한 이방성 적층판의 판파 해석과 음원 위치 결정 (Wavelet Analysis of Plate Waves in Anisotropic Laminates and Acoustic Source Location)

  • 장영수;정현조
    • Composites Research
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    • 제13권1호
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    • pp.61-68
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    • 2000
  • 이방성 적층 복합재 판의 과도적인 파동 해석을 위한 새로운 방법을 제시하였다. Gabor wavelet을 사용하는 wavelet 변환을 분산성 굽힘파의 시간-주파수 해석에 적용하였다. 시간-주파수 영역에서 wavelet 변환의 크기의 최대값은 군속도의 도달시간을 나타냄을 보였다. 음향방출원으로서 연필심 파단을 사용하여 준등방성 판과 일방향 보강 적층판에서 실험을 수행하였다. 굽힘파의 분산 예측을 위하여 Mindlin 판이론을 사용하였으며,주파수의 함수로 몇 개의 방향에 대해 측정한 군속도 실험 결과와 잘 일치하였다. 굽힘파의 주파수 의존 도달 시간과 같은 파의군속도 방향의존성을 이용하여 이방성 판에서의 파손 위치를 결정하였으며, 그 결과를 제시하였다.

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라미네이트 복합재 판의 저속 충격 손상 모델링 (Modeling of Low Velocity Impact Damage in Laminated Composites)

  • 공창덕;이정환
    • 한국복합재료학회:학술대회논문집
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    • 한국복합재료학회 2005년도 춘계학술발표대회 논문집
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    • pp.240-244
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    • 2005
  • In this study a simple model is developed that predicts impact damage in a composite laminate using an analytical model. The model uses a non-linear approximation method (Rayleigh-Ritz) and the large deflection plate theory to predict the number of failed plies and damage area in a quasi-isotropic composite circular plate (axisymmetric problem) due to a point impact load at its centre. It is assumed that the deformation due to a static transverse load is similar to that occurred in a low velocity impact. It is found that the model, despite its simplicity, is in good agreement with FEM predictions and experimental data for the deflection of the composite plate and gives a good estimate of the number of failed plies due to fibre breakage. The predicted damage zone could be used with a fracture mechanics model developed by the second investigator and co-workers to calculate the compression after impact strength of such laminates. This approach could save significant running time when compared to FEM solutions.

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이동좌표계를 이용한 3차원 유도가열공정 해석 (Three Dimensional Analysis of Induction Heating Process using a Moving Coordinate)

  • 윤진오;양영수;신희윤
    • Journal of Welding and Joining
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    • 제25권1호
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    • pp.24-29
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    • 2007
  • Finite element analysis for induction heating process including magnetic and thermal situations is presented. Because magnetic and thermal material properties vary with the temperature, material properties depending on temperature are considered. As the inductor moves, the solution domains corresponding to the inductor change into those of the air and the solution domains corresponding to the air change into those of the inductor. For these reasons, modeling of induction heating process is very difficult with a general purpose commercial programs. In this paper, three dimensional analysis of induction heating process for moving inductor is analyzed using moving coordinate. The skin effect is confirmed inside the steel plate in the electro-magnetic analysis. The distribution of heat generation at the initial state is different from that at the quasi-stationary state. Therefore, material properties depending on temperature must be considered. The calculated results of finite element analysis agree well with the experimental temperature results. This approach is suitable to solve magneto-thermal coupled problems.

유사동적 실험에 의한 철근콘크리트 교각의 주철근 겹이음에 따른 한정연성능력 (Limited Ductile Capacity of Reinforced Concrete Bridge Pier with Longitudinal Steel Lap-splicing by Pseudo Dynamic Test)

  • 박창규;박진영;조대연;이대형;정영수
    • 한국콘크리트학회:학술대회논문집
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    • 한국콘크리트학회 2002년도 봄 학술발표회 논문집
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    • pp.885-890
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    • 2002
  • Pseudo dynamic test is an on-line computer control method to achieve the realism of shaking table test with the economy and versatility of the conventional quasi-static approach. Pseudo dynamic tests of four full-size RC bridge piers have been carried out to investigate their seismic performance. For the purpose of precise evaluation, the experimental investigation was conducted to study the seismic performance of the real size specimen, which is constructed for highway bridge piers in Korean peninsula. Since it is believed that Korea belongs to the moderate seismicity region, three test specimens were designed in accordance with limited ductility design concept. Another one test specimen was nonseismically designed according to a conventional code. Important test parameters were transverse reinforcement and lap splicing. Lap splicing was frequently used in the plastic hinge region of many bridge columns. Furthermore, the seismic design code is not present about lap splice in Korean Roadway Bridge Design Code. The results show that specimens designed according to the limited ductility design concept exhibit higher seismic resistance. Specimens with longitudinal steel lap splice in the plastic hinge region appeared to significantly fail at low ductility level.

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인체근육의 동작의도를 이용한 하지 근력증강형 외골격 로봇의 제어 알고리즘 (Control Algorithm of the Lower-limb Powered Exoskeleton Robot using an Intention of the Human Motion from Muscle)

  • 이희돈;김완수;임동환;한창수
    • 로봇학회논문지
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    • 제12권2호
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    • pp.124-131
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    • 2017
  • This paper present a novel approach to control the lower body power assistive exoskeleton system of a HEXAR-CR35 aimed at improving a muscular strength. More specifically the control of based on the human intention is crucial of importance to ensure intuitive and dexterous motion with the human. In this contribution, we proposed the detection algorithm of the human intention using the MCRS which are developed to measure the contraction of the muscle with variation of the circumference. The proposed algorithm provides a joint motion of exoskeleton corresponding the relate muscles. The main advantages of the algorithm are its simplicity, computational efficiency to control one joint of the HEXAR-CR35 which are consisted knee-active type exoskeleton (the other joints are consisted with the passive or quasi-passive joints that can be arranged by analyzing of the human joint functions). As a consequence, the motion of exoskeleton is generated according to the gait phase: swing and stance phase which are determined by the foot insole sensors. The experimental evaluation of the proposed algorithm is achieved in walking with the exoskeleton while carrying the external mass in the back side.