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Improving Tuberculosis Medication Adherence: The Potential of Integrating Digital Technology and Health Belief Model

  • Mohd Fazeli Sazali;Syed Sharizman Syed Abdul Rahim;Ahmad Hazim Mohammad;Fairrul Kadir;Alvin Oliver Payus;Richard Avoi;Mohammad Saffree Jeffree;Azizan Omar;Mohd Yusof Ibrahim;Azman Atil;Nooralisa Mohd Tuah;Rahmat Dapari;Meryl Grace Lansing;Ahmad Asyraf Abdul Rahim;Zahir Izuan Azhar
    • Tuberculosis and Respiratory Diseases
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    • v.86 no.2
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    • pp.82-93
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    • 2023
  • Tuberculosis (TB) is a significant public health concern. Globally, TB is among the top 10 and the leading cause of death due to a single infectious agent. Providing standard anti-TB therapy for at least 6 months is recommended as one of the crucial strategies to control the TB epidemic. However, the long duration of TB treatment raised the issue of non-adherence. Non-adherence to TB therapy could negatively affect clinical and public health outcomes. Thus, directly observed therapy (DOT) has been introduced as a standard strategy to improve anti-TB medication adherence. Nonetheless, the DOT approach has been criticized due to inconvenience, stigma, reduced economic productivity, and reduced quality of life, which ultimately could complicate adherence issues. Apart from that, its effectiveness in improving anti-TB adherence is debatable. Therefore, digital technology could be an essential tool to enhance the implementation of DOT. Incorporating the health belief model (HBM) into digital technology can further increase its effectiveness in changing behavior and improving medication adherence. This article aimed to review the latest evidence regarding TB medication non-adherence, its associated factors, DOT's efficacy and its alternatives, and the use of digital technology and HBM in improving medication adherence. This paper used the narrative review methodology to analyze related articles to address the study objectives. Conventional DOT has several disadvantages in TB management. Integrating HBM in digital technology development is potentially effective in improving medication adherence. Digital technology provides an opportunity to improve medication adherence to overcome various issues related to DOT implementation.

Analysis of the Current Status and Proposals for Policy Tasks of Public Libraries in Daegu City (대구시 공공도서관 현황 분석 및 정책과제 제안)

  • Hee-Yoon Yoon;Seon-Kyung Oh
    • Journal of Korean Library and Information Science Society
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    • v.54 no.2
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    • pp.43-65
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    • 2023
  • The purpose of all public libraries is to provide knowledge and information services for the intellectual and reading activities of local residents, program services that provide opportunities for cultural enjoyment and lifelong learning, and third-party spaces and facilities that contribute to the development of the community. To this end, social needs must be reflected in a timely manner with the establishment of a sound infrastructure as a prerequisite. This study analyzed the current status centered on key indicators of the public libraries in Daegu City and presented policy issues that need to be improved through a survey. The key indicators in Daegu City, compared to the national average, were not only significantly weak for the 3rd largest city but also showed considerable variation among local governments. While Daegu citizens valued public libraries in their daily lives, the dissatisfaction rate was high in the order of transportation inconvenience, lack of necessary materials and desired programs, and various regulations. Therefore, Daegu City should focus on increasing the acquisition budget, strengthening the development of new book collections, expanding the number of librarians, expanding the construction of public libraries to address service disparities among local governments, improving accessibility, and addressing factors that hinder usage. In addition, with the establishment and operation of the Daegu Library in 2024, efforts should be made to establish an operational system for public libraries, expand the scope through collaborative partnerships with other knowledge and cultural institutions, and enhance knowledge and cultural services for the Daegu citizen.

Analysis of Hydraulic behavior in Unsaturated Soil Slope for the Boundary Condition and Hysteresis of SWCC (경계 조건과 불포화 함수 특성 곡선의 이력에 따른 불포화 토사 사면의 수리적 거동 분석)

  • Lee, Eo-Ryeong;Park, Hyun-Su;Park, Seong-Wan
    • Journal of the Korean Geotechnical Society
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    • v.39 no.1
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    • pp.15-25
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    • 2023
  • Recent weather changes have led to an increase in heavy rainfall resulting in frequent large-scale slope failures. To minimize damage to life and property, a measurement system is used in slope failure warning systems. However, understanding the slope failure behavior is difficult as the measurement system only measures a specific point. Therefore, numerical analysis must be p erformed with the measurement system. The soil water characteristic curve (SWCC) drying curve and boundary conditions that consider evapotranspiration and precipitation have been applied to numerical analysis, but the hysteresis of SWCC affects the numerical analysis results. To address this, a new evapotranspiration calculation method is proposed and applied to boundary conditions, and the measurement data are compared with the results of the numerical analysis. This method takes into account the different infiltration behaviors on evapotranspiration according to the drying and wetting curves of the SWCC, and allows for a more rational prediction of water movement on unsaturated slopes.

The impact of influencer characteristics on consumer behavior through coexistence of buyers (인플루언서의 특성이 구매자의 공존성을 통해 소비자 행동에 미치는 영향)

  • Kim Do-Eui;Ku Yeong-Ae;Lee Sin-Bok
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.3
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    • pp.193-204
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    • 2023
  • In recent years, the concept of influencer marketing has experienced rapid growth in both academia and industry, leading to its emergence as a crucial consideration in the marketing strategies of many businesses. Despite the significance and expansion of the influencer market, however, research on the topic has not kept pace with its growth. Thus, this study seeks to address this gap by empirically analyzing the impact of influencer characteristics on consumer behavior through the coexistence of buyers and providing an empirical contribution to expand the relevant literature. To accomplish this, a survey was conducted with a sample of 400 individuals who had purchased a product through an influencer, and 384 responses were ultimately utilized in the analysis. The results revealed that the attractiveness and empathy of influencers had a positive impact on satisfaction among coexisting buyers, while also having a negative impact on dissatisfaction. In contrast, expertise had no impact on satisfaction, but a positive impact on dissatisfaction. Moreover, satisfaction was found to have a positive impact on brand image and recommendation intention, whereas dissatisfaction had a negative impact on both. Overall, this study adds to the growing body of literature on influencer marketing by providing empirical evidence of the impact of influencer characteristics on consumer behavior, specifically through the lens of coexistence with buyers. These findings hold important implications for businesses looking to develop effective influencer marketing strategies that can enhance their brand image and recommendation intention among consumers.

Intervention of Swallowing Disorder in Dementia Patient: A Systematic Review (치매환자의 삼킴장애 중재에 관한 체계적 고찰)

  • Park, Chi-Soo;Ham, Min-Joo;Hong, Deok-Gi;Yoo, Doo-Han
    • Therapeutic Science for Rehabilitation
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    • v.11 no.1
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    • pp.21-33
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    • 2022
  • Purpose : The purpose of this study was to establish scientific evidence though a systematic review, of the existing interventional methods and their respective effects, for swallowing disorders among dementia patients. The interventional methods were based on patient characteristics. Methods : An electronic literature search was performed using five electronic databases from 2010 to 2020. The keywords were 'Dementia', 'Alzheimer disease', 'Deglutition disorder', 'Swallowing disorder', 'Dysphagia'. Five articles met the inclusion criteria. Results : One study with moderate-to-severe and four studies with severe dementia patients were included. The interventions consisted of one remedial intervention, three compensatory interventions, and one comprehensive intervention. Compensatory intervention, including behavioral and psychological management, were used in moderate-to-severe patients. For the severe patients, remedial, compensatory, and comprehensive intervention were used to address the feeding tube problem. The interventions used in each study had a positive effect on the outcome variables associated with swallowing ability. Conclusion : The purpose of the intervention and the intervention factors changed depending on the patient's dementia stage. The intervention was effective when considering the progressive stage of the patient. These results may serve as a guide in designing effective interventions for swallowing disorders in dementia patients.

A Study on the Leaching and Recovery of Lithium by Reaction between Ferric Chloride Etching Solution and Waste Lithium Iron Phosphate Cathode Powder (폐리튬인산철 양극재 분말과 염화철 에칭액과의 반응에 의한 리튬의 침출 및 회수에 대한 연구)

  • Hee-Seon Kim;Dae-Weon Kim;Byung-Man Chae;Sang-Woo Lee
    • Resources Recycling
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    • v.32 no.3
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    • pp.9-17
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    • 2023
  • Efforts are currently underway to develop a method for efficiently recovering lithium from the cathode material of waste lithium iron phosphate batteries (LFP). The successful application of lithium battery recycling can address the regional ubiquity and price volatility of lithium resources, while also mitigating the environmental impact associated with both waste battery material and lithium production processes. The isomorphic substitution leaching process was used to recover lithium from spent lithium iron phosphate batteries. Lithium was leached by the isomorphic substitution of Fe2+ in LFP using a relatively inexpensive ferric chloride etching solution as a leaching agent. In the study, the leaching rate of lithium was compared using the ferric chloride etching solution at various multiples of the LFP molar ratio: 0.7, 1.0, 1.3, and 1.6 times. The highest lithium leaching rate was shown at about 98% when using 1.3 times the LFP molar ratio. Subsequently, to eliminate Fe, the leachate was treated with NaOH. The Fe-free solution was then used to synthesize lithium carbonate, and the harvested powder was characterized and validated. The surface shape and crystal phase were analyzed using SEM and XRD analysis, and impurities and purity were confirmed using ICP analysis.

Exploring Place Identity and Sustainable Residency of Youth Migrating to Local Areas (청년들의 지방이주와 정주지속을 위한 장소정체성 연구)

  • Lee, Chang-Hyun;Park, Ji-Young
    • Journal of the Korean Institute of Landscape Architecture
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    • v.51 no.3
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    • pp.139-152
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    • 2023
  • Recently, there has been an increasing interest in the migration of young people to local areas. These young people are discovering and reinterpreting local resources to open local businesses while generating new value in local activities and businesses. This study was initiated with the recognition that fundamental solutions are needed for these young people to settle and sustain residence in the local area. Edward Relph stated that 'place' is a fundamental attribute that influences human existence in the world and is the source of stability and identity formation for individuals. This is deeply related to the psychology of young people who have migrated to local areas. These young people accept the unfamiliar 'space' as a 'place' to form stability and personal identity. Therefore, this study utilized PhotoVoice methodology to examine the process and key factors of place identity formation among migrant youths. As a result, the study identified factors that enable young people to settle in local areas and sustain residence while recognizing elements the local government should focus on to support and address the influx of young people. The results of this study can serve as a foundation for addressing the declining population in local areas through the formation of a relationship population and spur the inflow of young people to local cities in the future.

Environmental Assessment of Shotcrete Using Recycled Industrial By-Products (Fly Ash) and Silica Fume (산업부산물(플라이애시)과 실리카퓸을 재활용한 숏크리트의 환경유해성 평가)

  • Park, Cheolwoo;Sim, Jongsung;Kang, Taesung;Park, Seongeun
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.30 no.3C
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    • pp.159-165
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    • 2010
  • The problems such as natural resource exhaustion, pollutant emission and waste generation are increasing worldwide with the industrial development. The quantity of the industrial by-product in Korea is 6 million tons a year, and even its basic treatment processes including landfill, incineration and storage have reached their limits. In this study, fly ash and silica fume were applied to shotcrete to develop a method for the reuse of resources and to increase the use of fly ash, which is an industrial waste. An environmental hazard evaluation is a must to actively address the worldwide environmental problems, though. Therefore, an environmental impact assessment was conducted using the chemical content analysis test and heavy metal exudation test, for ten mixtures that were obtained through the pre-mixing and compressive strength tests. The results of the compressive strength test showed that all mixtures satisfied national and international standards. Cr, Cd and Hg were not detected, and Pb was detected only in some cases with fly ash. Cu and As were detected in all mixtures, but all of them satisfied national and international standards.

The Study of Digitalization of Analog Gauge using Image Processing (이미지 처리를 이용한 아날로그 게이지 디지털화에 관한 연구)

  • Seon-Deok Kim;Cherl-O Bae;Kyung-Min Park;Jae-Hoon Jee
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.29 no.4
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    • pp.389-394
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    • 2023
  • In recent years, use of machine automation is rising in the industry. Ships also obtain machine condition information from sensor as digital information. However, on ships, crew members regularly surveil the engine room to check the condition of equipment and their information through analog gauges. This is a time-consuming and tedious process and poses safety risks to the crew while on surveillance. To address this, engine room surveillance using an autonomous mobile robot is being actively explored as a solution because it can reduce time, costs, and the safety risks for crew. Analog gauge reading using an autonomous mobile robot requires digitization for the robot to recognize the gauge value. In this study, image processing techniques were applied to achieve this. Analog gauge images were subjected to image preprocessing to remove noise and highlight their features. The center point, indicator point, minimum value and maximum value of the analog gauge were detected through image processing. Through the straight line connecting these points, the angle from the minimum value to the maximum value and the angle from the minimum value to indicator point were obtained. The obtained angle is digitized as the value currently indicated by the analog gauge through a formula. It was confirmed from the experiments that the digitization of the analog gauge using image processing was successful, indicating the equivalent current value shown by the gauge. When applied to surveillance robots, this algorithm can minimize safety risks and time and opportunity costs of crew members for engine room surveillance.

Full mouth rehabilitation with fixed prostheses by increased vertical occlusal dimension using 3D printed splint in a patient with excessive tooth wear (과도한 치아 마모 환자의 3D 프린팅 교합안정장치를 이용한 수직 교합 고경 증가를 동반한 고정성 보철물 전악 수복 증례)

  • Se-Young Kim;Soo-Yeon Shin
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.3
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    • pp.215-226
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    • 2023
  • Severe wear of the anterior teeth facilitates the loss of anterior guidance, which protects the posterior teeth from wear during excursive movement. Additionally, when treating patients with collapsed occlusion due to multiple tooth loss and tooth wear, it is important to determine the presence of vertical dimension loss through accurate clinical and radiographic examinations and diagnostic wax-up. The patient of this case is a 44-year-old female patient who complained of overall tooth wear and loss of posterior teeth due to bruxism and clenching habits, visited the hospital with the address of restoring masticatory function and improving aesthetic appearance through prosthetic treatment. Through model analysis and diagnostic wax-up, an increase in vertical dimension was determined, and full mouth restoration with fixed prostheses was planned. The degree of adaptation to the vertical dimension was confirmed step by step using an occlusal splint designed with CAD (Computer aided design) software and 3-D (3-Dimensional) printed, and then restored with provisional restoration and after a 4-month adaptation period, the entire dentition was restored with metal ceramic crowns and implants. Through this procedure, satisfactory treatment results were obtained in terms of function and aesthetics.