• 제목/요약/키워드: cross-compliance

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기관 내 흡인 유형이 인공호흡기 대상자의 폐기능과 저산소혈증에 미치는 효과 (Effects of Open or Closed Suctioning on Lung Dynamics and Hypoxemia in Mechanically Ventilated Patients)

  • 이은영;김수현
    • 대한간호학회지
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    • 제44권2호
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    • pp.149-158
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    • 2014
  • Purpose: This study was conducted to compare effects of open and closed suctioning methods on lung dynamics (dynamic compliance, tidal volume, and airway resistance) and hypoxemia (oxygen saturation and heart rate) in mechanically ventilated patients. Methods: This study was a cross-over repeated design. Participants were 21 adult patients being treated with endotracheal intubation using a pressure-controlled ventilator below Fraction of Inspired Oxygen ($FiO_2$) 60% and PEEP $8cmH_2O$. Data were collected at baseline and 1, 2, 3, 4, 5, and 10 minutes after suctioning. Data were analyzed using two-factor ANOVA with repeated measures on time and suctioning type. Results: Effects of the interaction between suction type and time were significant for oxygen saturation and heart rate but not significant for dynamic compliance, tidal volume, or airway resistance. Prior to performance of suctioning, tidal volume and oxygen saturation were significantly lower, but airway pressure and heart rate were significantly higher using the closed suctioning method as compared with the open suctioning method. Conclusion: For patients on ventilator therapy below $FiO_2$ 60% and PEEP $8cmH_2O$, open suctioning performed after delivery of 100% $FiO_2$ using a mechanical ventilator may not have as much negative impact on lung dynamics and hypoxemia as closed suctioning.

피로 하중을 받는 철근콘크리트 구조물의 안전성에 관한 연구 (A Study on the Safety of Reinforced Concrete Structures under Fatigue Load)

  • 채원규
    • 한국안전학회지
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    • 제9권2호
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    • pp.18-25
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    • 1994
  • In this thesis, the fatigue tests were performed on a series of reinforced concrete to Investigate the variation of strength and the safety of reinforced concrete structures under fatigue load. The specimens were of the same rectangular cross-section, of effective height 24cm and width 30cm and their span was 330cm. The three point loading system is used in the fatigue tests. In these tests, the fracture mode of reinforced concrete structures under fatigue load, relationship between the repeated loading cycles and the mid-span displacement of the specimens were observed. According to the test results, the following fatigue behavior of reinforced concrete specimens were observed. By increasing of the number of repeated loading cycles, the mid-span displacement became greater, however the Incremental amounts of the displacement were reduced. It could be also known that the inelastic strain energy of the doubly reinforced rectangular beams was larger than that of the singly reinforced rectangular beams as increasing the number of repeated loading cycles. Compliance of reinforced concrete structures tended to be reduced as increasing the repeated loading cycles, and the compliance of the doubly reinforced rectangular beams was generally smaller than that of the singly reinforced rectangular beams. Based on the above investigation, it could be concluded that the doubly reinforced rectangular beams under fatigue load were more efficient to resist the brittle fracture than the singly reinforced rectangular beams.

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Determining the Awareness of and Compliance with Breast Cancer Screening among Turkish Residential Women

  • Yilmaz, Demet;Bebis, Hatice;Ortabag, Tulay
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권5호
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    • pp.3281-3288
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    • 2013
  • Background: Breast cancer is the leading cause of cancer-related deaths in women. Despite being associated with high morbidity and mortality, breast cancer is a disease that can be diagnosed and treated early. Materials and Methods: In this cross-sectional study of 321 women, data were collected by Questionnaire, Breast Cancer Risk Assessment Form and Champion's Health Belief Model Scale. Mann-Whitney U, Kruskal-Wallis, Chisquared tests and logistic regression were used in the statistical analysis. Results: It was found that only 2.2% of women have high and very high risk levels of breast cancer risk. There is a positive correlation between early diagnosis techniques and Health Belief Model Sub-Dimension scores which are sensibility, health motivation, BSE (Breast self-examination) self-efficient perception and negative correlation between mammography barrier score and BSE barrier score (p 0.05). When factors for not having BSE were examined, it was determined that the women who do not have information about breast cancer and the women who smoke have a higher risk of not having BSE. Conclusions: It is important to determine health beliefs and breast cancer risk levels of women to increase the frequency of early diagnosis. Women's health beliefs are thought to be a good guide for planning health education programs for nurses working in this area.

침출수 이동 해석을 통한 석탄재 처분방식의 평가 (Evaluation of Fly Ash Disposal Methods by Analysis of Leachate Migration)

  • 이상일
    • 물과 미래
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    • 제25권4호
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    • pp.61-73
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    • 1992
  • 폐기물 처분장으로부터 인간생활 환경으로까지 침출수가 어떤 방향과 속도로 유출될 것인가하는 것은 많은 사람의 관심의 대상이며, 어떤 처분장 설계가 관련 규제법을 효과적으로 만족시키고 있는가를 알아야 할 필요가 있다. 침출수이동에 관한 해석방법을 제심함에 있어, 화력발전의 결과로 생기는 석탄재의 폐기 방식중 두 가지 대표적인 방식인 매립방식과 연못방식에 대한 평가를 예시하였다. 관련 규제법으로는 "100/100 룰", 즉, 처분장으로부터 100ft(30.5cm) 떨어진 곳까지 침출수가 도달하는데 100년이상 걸려야 한다는 제약조건을 적용하였다. 수치해석에 의한 지하수 유동방정식의 해는 압력수두 분포와 유동량(flux)에 관한 정보를 제시하여 주었으며, 유적선(pathline)의 해석은 침출수 이동 경로와 시간에 관한 예측을 가능케 하였다.을 가능케 하였다.

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Personal Protective Equipment Availability and Utilization Among Interventionalists

  • Rose, Andre;Rae, William Ian Duncombe
    • Safety and Health at Work
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    • 제10권2호
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    • pp.166-171
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    • 2019
  • Objective: This study explored personal protective equipment (PPE) availability and PPE utilization among interventionalists in the catheterization laboratory, which is a highly contextualized workplace. Methods: This is a cross-sectional study using mixed methods. Participants (108) completed a survey. A hyperlink was sent to the participants, or they were asked to complete a paper-based survey. Purposively selected participants (54) were selected for individual (30) or group (six) interviews. The interviews were conducted at conferences, or appointments were made to see the participants. Logistic regression analysis was performed. The qualitative data were analyzed thematically. Results: Lead glasses were consistently used 10.2% and never used 61.1% of the time. All forms of PPE were inconsistently used by 92.6% of participants. Women were 4.3 times more likely to report that PPE was not available. PPE compliance was related to fit and availability. Conclusions: PPE use was inconsistent and not always available. Improving the culture of radiation protection in catheterization laboratories is essential to improve PPE compliance with the aim of protecting patients and operators. This culture of radiation protection must include all those involved including the users of PPE and the administrators and managers who are responsible for supplying sufficient, appropriate, fitting PPE for all workers requiring such protection.

Relationship between Functional Fitness and Break Response in Elderly Drivers: Comparison with Young Driver

  • Kim, Ga Eun;Choi, Ye Eun;Yang, Su Seong;Kim, Sun A;Bae, Young Sook
    • The Journal of Korean Physical Therapy
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    • 제30권5호
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    • pp.187-192
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    • 2018
  • Purpose: This study compared the functional fitness and brake response of elderly and young drivers to confirm the correlation between the functional fitness and brake response. Methods: This study was a cross sectional observational design. Older drivers (>65age, n=21) and young adult drivers (20-40aged, n=20) were enrolled as subjects. The functional fitness of the subjects was measured using a senior fitness test consisting of a back scratch (BS), chair sit and reach (CSR), arm curl (AC), chair stand up (CSU), foot up and go (8-FUG), and 2-minute step (2-MS). The brake response used the virtual driving simulator to measure the brake reaction time (BRT) and braking distance (BD) according to the pedestrian protection and traffic signal compliance. Results: The older drivers had a lower BS (p<0.000), CSU (p=0.040), and 8-FUG (p=0.011) than the young adult drivers. BS and 8-FUG showed a significant positive correlation with the BRT and BD of pedestrian protection and traffic signal compliance. CSU showed a significant negative correlation with the BRT of pedestrian protection and traffic signal compliance. Conclusion: These findings suggest that the flexibility of the upper extremity, lower extremity strength, and agility are strongly correlated with the driving performance of elderly drivers.

Predisposing, Enabling, and Reinforcing Factors of COVID-19 Prevention Behavior in Indonesia: A Mixed-methods Study

  • Putri Winda Lestari;Lina Agestika;Gusti Kumala Dewi
    • Journal of Preventive Medicine and Public Health
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    • 제56권1호
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    • pp.21-30
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    • 2023
  • Objectives: To prevent the spread of coronavirus disease 2019 (COVID-19), behaviors such as mask-wearing, social distancing, decreasing mobility, and avoiding crowds have been suggested, especially in high-risk countries such as Indonesia. Unfortunately, the level of compliance with those practices has been low. This study was conducted to determine the predisposing, enabling, and reinforcing factors of COVID-19 prevention behavior in Indonesia. Methods: This cross-sectional study used a mixed-methods approach. The participants were 264 adults from 21 provinces in Indonesia recruited through convenience sampling. Data were collected using a Google Form and in-depth interviews. Statistical analysis included univariate, bivariate, and multivariate logistic regression. Furthermore, qualitative data analysis was done through content analysis and qualitative data management using Atlas.ti software. Results: Overall, 44.32% of respondents were non-compliant with recommended COVID-19 prevention behaviors. In multivariate logistic regression analysis, low-to-medium education level, poor attitude, insufficient involvement of leaders, and insufficient regulation were also associated with decreased community compliance. Based on in-depth interviews with informants, the negligence of the Indonesian government in the initial stages of the COVID-19 pandemic may have contributed to the unpreparedness of the community to face the pandemic, as people were not aware of the importance of preventive practices. Conclusions: Education level is not the only factor influencing community compliance with recommended COVID-19 prevention behaviors. Changing attitudes through health promotion to increase public awareness and encouraging voluntary community participation through active risk communication are necessary. Regulations and role leaders are also required to improve COVID-19 prevention behavior.

한국 외래형 국소용 피부 외용제의 사용 현황에 대한 기초 평가 (Evaluation of Using Pattern of the Topical Agents in Korean Community)

  • 천영주;김숙현;김옥주;홍세화;양진욱;김정태;임성실
    • 약학회지
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    • 제58권6호
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    • pp.378-386
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    • 2014
  • Topical agents including of steroids are easily exposed to Korean patients in community setting. Those topical agents must be use cautiously because can cause adverse drug reaction unlike other oral medication. We evaluate the using pattern topical agents of Korean in community setting. We performed a questionnaire survey in three different pharmacies (general community pharmacy, dermatology clinic oriented pharmacy, general hospital oriented pharmacy) and in three university town. The survey asked necessity of topical agents, the number of applications per day, application period, site, and exist of steroids ingredient, etc. Total 330 people was participated in the survey from May 1st to July 31st, 2014. We analysed the survey by the frequency of each question and cross-analysis of the compliance between general public and pharmacy groups. In results, Korean people used topical agents for sudden skin diseases (66.9%), was gotten by dermatologist's prescription (89.1%), and did not know their diagnosis (39.2%). The people applied topical agents on face (22.3%), less one half FTU (finger tip unit) per application (61.9%), less than one week (62.9%). Though they was received drug education from pharmacist (52.2%), did not heard about adverse effects (78.4%). And compliance of applied times in pharmacy group was higher than in-non-pharmacy group (56% vs 38%, p=0.002). The highest compliance between 3 pharmacy subgroup was general community pharmacy (76.3% vs 61.6%, 61.2%, p=0.039). Compliance of applied duration was no difference between groups. Majority of respondents did not know diversity of ingredients, potency, application area of topical steroids, and replied to feel some vague reluctance and to think so dangerous about topical steroids. In conclusion, Korean people in community use topical agents well but still some exposed to risk from topical agents.

정보보안 의식과 대처 효능감, 준수의향이 정보보안 행동에 미치는 영향분석: 가용성 차원과 문화 차원을 중심으로 (Analysis of the effects of Information Security Awareness, Response Efficacy, and Compliance Behavioral Intention on Information Security Behavior: Focursing on Availability and Culture)

  • 허성호;황인호
    • 한국융합학회논문지
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    • 제12권1호
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    • pp.211-218
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    • 2021
  • 본 연구는 정보보안의 연구 중 인간 요소를 다루는 분야의 필요성이 제기되어 융합연구 설계방안을 구성하였다. 본 연구의 목적은 정보보안의 측면이 보안 정책과 연관되는 인지과정에 미치는 효과성을 검정하는 것이다. 연구 방법은 가용성 차원과 문화 차원의 교차설계로 구성되었고, 정보보안 과정은 정보보안 의식, 대처 효능감, 준수의향, 정보보안 행동의 네 가지 변인으로 측정되었다. 연구 결과, 가용성 차원은 대처 효능감에 유의미한 영향을 미치고 있었으며, 사례 중심 조건의 영향력이 통계중심 조건보다 더 큰 것으로 나타났다. 문화 차원은 정보보안 의식, 대처 효능감, 준수의향, 정보보안 행동에 유의미한 영향을 미치고 있었으며, 동질성 조건의 영향력이 다양성 조건보다 더 큰 것으로 나타났다. 결과적으로 제시한 연구 모형은 측정변인으로 재구성된 다원적 매개모형으로 검증되었다. 아울러, 논의는 개인 요소와 조직 특성을 고려한 정보보안 전략의 필요성에 대하여 기술하고 있다.

Exploring Reliability of Oriented Strand Board's Tensile and Stiffness Strengths

  • Wang, Y.;Young, T.M.;Guess, F.M.;Leon, R.V.
    • International Journal of Reliability and Applications
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    • 제8권1호
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    • pp.111-124
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    • 2007
  • In this paper, we apply insightful statistical reliability tools to manage and seek improvements in the strengths of Oriented Strand Board (OSB). As a part of the OSB manufacturing process, the product undergoes destructive testing at various intervals to determine compliance with customers' specifications. Workers perform these tests on sampled cross sections of the OSB panel to measure the tensile strength, also called internal bond (IB), in pounds per square inches until failure. Additional stiffness strength tests include parallel and perpendicular elasticity indices (EI), which are taken from cross sectional samples of the OSB panel in the parallel and perpendicular directions with respect to the orientation of the wood strands. We explore both graphically and statistically these "pressure-to-failures" of OSB. Also, we briefly comment on reducing sources of variability in the IB and EI of OSB.

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