• 제목/요약/키워드: initial compliance

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Assessment of Masks Used by Healthcare Workers: Development and Validation of a Mask Qualitative Assessment Tool (MQAT)

  • Gharibi, Vahid;Cousins, Rosanna;Mokarami, Hamidreza;Jahangiri, Mehdi;Keshavarz, Mohammad A.;Shirmohammadi-Bahadoran, Mohammad M.
    • Safety and Health at Work
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    • 제13권3호
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    • pp.364-371
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    • 2022
  • Background: Respiratory masks can provide healthcare workers with protection from biological hazards when they have good performance. There is a direct relationship between the visual specifications of a mask and its efficacy; thus, the aim of this study was to develop tools for qualitative assessment of the performance of masks used by healthcare workers. Methods: A mixed-methods design was used to develop a qualitative assessment tool for medical face masks (MFM) and particle filtering half masks (PFHM). The development of domains and items was undertaken using observation and interviews, the opinions of an expert panel, and a review of texts and international standards. The second phase evaluated the psychometric properties of tools. Finally, the validated Mask Qualitative Assessment Tools (MQAT) were used to assess six samples from 10 brands of the two types of masks. Results: MQAT-MFM and MQAT-PHFM shared 42 items across seven domains: "cleanliness," "design," "marking, labeling and packaging," "mask layers," "mask strap," "materials and construction," and "nose clip." MQAT-MFM included one additional item. MQAT-PHFM included another nine items associated with an eighth "Practical Performance" domain, and the valve version had another additional "Exhalation Valve" domain and six items. The evaluation indicated 80% compliance for MFM and 71% compliance for PFHM. "Marking, labeling and packaging" and "Layers" were associated with the least compliance in both types of masks and should be checked carefully for defining mask quality. Conclusion: MQAT can be used for immediate screening and initial assessment of MFM and PHFM through appearance, simple tools, and visual inspection.

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.

코골이 치료용 구강장치의 지속적 사용에 영향을 주는 요인의 분석 (Variables Affecting Long-Term Compliance of Oral Appliance for Snoring)

  • 이준엽;허윤경;최재갑
    • Journal of Oral Medicine and Pain
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    • 제33권4호
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    • pp.305-316
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    • 2008
  • 본 연구의 목적은 하악전방이동장치요법으로 코골이와 수면무호흡증에 대한 치료를 시작한 후 1년이 경과한 한국인 환자들을 대상으로 하악전방이동장치의 지속적 사용 여부, 사용 빈도, 사용 중단 시까지의 사용 기간, 부작용 발생 여부, 그리고 장치사용의 중단 원인 등을 조사하여 하악전방이동장치의 장기적 사용에 영향을 주는 요인을 분석하는 것이다. 경북대학교병원 구강내과에서 코골이와 수면무호흡증을 주소로 내원한 환자들 중에 수면다원검사를 받고 하악전방이동장치요법을 시술받은 후 1년 이상 경과한 환자 103명 중에 전화를 통한 설문조사가 가능했던 49명의 환자를 대상으로 의무기록 조사 및 설문조사를 실하였다. 이들 중 현재까지 장치를 사용하고 있는 환자는 25명이었으며 사용을 중단한 환자는 24명이었다. 이들을 각각 계속사용군과 사용중단군으로 분류하여 두 군 사이에 초진 시의 연령, 성별분포, 체질량지수, 호흡장애지수, 구강장치요법을 시행하기 전의 코골이 빈도와 강도, 구강장치요법 시행 후의 코골이 감소 정도, 본인과 동침자의 구강장치요법에 대한 만족정도 등을 비교하였으며, 사용중단군에 대해서는 중단 사유를 물어봄으로서 다음과 같은 결론을 얻었다. 1. 계속사용군과 사용중단군 사이에 치료 시작 시점의 연령, 성별분포, 체질량지수, 호흡장애지수의 유의한 차이는 없었다. 2. 계속사용군과 사용중단군 사이에 치료 시작 전 코골이 빈도와 강도에서 유의한 차이가 없었다. 3. 계속사용군이 사용중단군에 비해 코골이의 개선정도가 높았다. 4. 계속사용군이 사용중단군에 비해 구강장치요법에 대한 만족도가 높았다. 5. 계속사용군이 사용중단군에 비해 동침자의 구강장치요법에 대한 만족도가 높은 경향을 보였다. 6. 구강장치 사용을 중단하게 된 사유 중에는 턱의 통증(25%), 치아 통증(20%), 장치 파손(20%) 등이 많았으나, 효과가 없어서 사용을 중단한 경우는 4.2%에 불과하였다. 7. 전체 조사대상자의 1년 사용자비율(1년 순응도)은 79.59%로 나타났다.

고-저블럭 응력비에서 하중진폭이 작은 인장과대 하중의 균열성장 거동 (Crack Growth Behavior of Tensile Overload for Small Load Amplitude at High-Low Block Stress Ratio)

  • 김엽래
    • 한국공작기계학회:학술대회논문집
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    • 한국공작기계학회 1997년도 추계학술대회 논문집
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    • pp.120-126
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    • 1997
  • This paper examines the crack growth behavior of 7075-T651 aluminum alloy under high-low block loading condition. The cantilever beam type specimen with a chevron notch is used in this study. The crack growth and closure are investgated by compliance method. The applied initial stress ratios are R=-0.5, R=0.0 and R=0.25 Crack length($\alpha$), effective stress intensity factor range(ΔKeff), ratio of effective stress intensity factor range(U) and crack growth rate(d$\alpha$/dN) etc. are inspected fracture mechanics estimate.

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5052계 Al합금의 블록하중에 대한 균열진전 (Crack Propagation within Block Load of 5052 Aluminum Alloy)

  • 김엽래;이동명;이종선;여은구
    • 한국공작기계학회:학술대회논문집
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    • 한국공작기계학회 1999년도 춘계학술대회 논문집
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    • pp.32-38
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    • 1999
  • Fatigue crack propagation behavior for block load in high strength aluminum alloys was investigated in this study. The materials used in this study are aluminum alloy 5052-H32. Initial crack was made by applying cyclic load to a through crack with chevron notch. Crack length was measured from calibration curve, which was plotted by known crack length and resistance of standard specimens. Load was obtained from linear regression formula. Unloading elastic compliance method was applied to check the crack closure and cracked area. The present study results can be usefully applied to predicting the change of crack propagation rate, the crack closure, and the delay of crack propagation.

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Improvement of the Automobile Control Software Testing Process Using a Test Maturity Model

  • Jang, Jin-Wook
    • Journal of Information Processing Systems
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    • 제14권3호
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    • pp.607-620
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    • 2018
  • The problem surrounding methods of implementing the software testing process has come under the spotlight in recent times. However, as compliance with the software testing process does not necessarily bring with it immediate economic benefits, IT companies need to pursue more aggressive efforts to improve the process, and the software industry needs to makes every effort to improve the software testing process by evaluating the Test Maturity Model integration (TMMi). Furthermore, as the software test process is only at the initial level, high-quality software cannot be guaranteed. This paper applies TMMi model to Automobile control software testing process, including test policy and strategy, test planning, test monitoring and control, test design and execution, and test environment goal. The results suggest improvement of the automobile control software testing process based on Test maturity model. As a result, this study suggest IT organization's test process improve method.

Pediatric heart transplantation: how to manage problems affecting long-term outcomes?

  • Kim, Young Hwue
    • Clinical and Experimental Pediatrics
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    • 제64권2호
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    • pp.49-59
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    • 2021
  • Since the initial International Society of Heart Lung Transplantation registry was published in 1982, the number of pediatric heart transplantations has increased markedly, reaching a steady state of 500-550 transplantation annually and occupying up to 10% of total heart transplantations. Heart transplantation is considered an established therapeutic option for patients with end-stage heart disease. The long-term outcomes of pediatric heart transplantations were comparable to those of adults. Issues affecting long-term outcomes include acute cellular rejection, antibody-mediated rejection, cardiac allograft vasculopathy, infection, prolonged renal dysfunction, and malignancies such as posttransplant lymphoproliferative disorder. This article focuses on medical issues before pediatric heart transplantation, according to the Korean Network of Organ Sharing registry and as well as major problems such as graft rejection and cardiac allograft vasculopathy. To reduce graft failure rate and improve long-term outcomes, meticulous monitoring for rejection and medication compliance are also important, especially in adolescents.

Effect of Adhesives and Finger Pitches on Bending Creep Performances of Finger-Jointed Woods

  • Park, Han-Min;Oh, Seong-Won;Byeon, Hee-Seop
    • Journal of the Korean Wood Science and Technology
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    • 제33권5호통권133호
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    • pp.57-65
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    • 2005
  • Following our previous reports for finger-jointed woods with various finger profiles studied for the efficient use of small diameter logs and woods containing various defects, twelve types of finger-jointed woods glued with three kinds of adhesives and with two sizes of finger pitches were made with sitka spruce and red pine. The effects of the adhesives and finger pitches on bending creep performances of finger-jointed woods were investigated. The shape of creep curves differed among the used adhesives and finger pitches of finger-jointed woods for both tested species. Their creep curves showed a linear behavior beyond about one hour, and the N values fitted to power law increased with increasing finger pitches. The initial deformation increased with increasing finger pitches, regardless of the tested species and kinds of adhesives, whereas the effect of finger pitches on the creep deformation was not clear. For finger-jointed woods glued with polyvinyl acetate (PVAc) resin, creep failure occurred in 106 hours after the load was applied. And the difference of the creep compliance between finger-jointed woods glued with resorcinol-phenol formaldehyde (RPF) resin and aqueous vinyl urethane (AVU) resin was small. The ratios for creep performances of finger-jointed woods glued with RPF resin and AVU resin versus solid wood were higher in creep deformation than initial deformation for both species, and the difference between both adhesives was not found. The relative creep decreased with increasing finger pitches, and the marked differences was not found between RPF resin and AVU resin.

A Simplified Model for Compliance Determination of the Moving-Actuator Type Totally Implantable Artificial Heart

  • 박성근;최원우;안재목;김수정;최재순;조영호;엄경식;이종진;김희찬;최민주;민병구
    • 대한의용생체공학회:학술대회논문집
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    • 대한의용생체공학회 1996년도 춘계학술대회
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    • pp.82-83
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    • 1996
  • In this paper, we present a simplified model for complicance determination of the moving-actuator type totally implantable artificial heart (TAH). The modeling equations are derived from the mechanics and geometry of the TAH components. The interventricular pressure and volume are computed for determining the compliance of the interventricular space using this model. The model is capable of generating realistic hemodynamic variables such as the left atrial pressure and interventricular pressure and is proved to be acceptable. This model can be used as an initial step for analyzing characteristics of the moving-actuator type TAH.

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1/2T Compact-Tension Type 시편으로 구한 J-R (J-T) 곡선의 타당성 검토. (Qualification of J-R (J-T) Curve from 1/2T Compact-Tension Specimen)

  • Jee, Sae-Hwan;Park, Sun-Pil
    • Nuclear Engineering and Technology
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    • 제19권3호
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    • pp.169-179
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    • 1987
  • 소형시험편(1/2"T)을 이용, 균열진전량 및 J계산식에 따른 재료의 J-R (J-T) 곡선의 변화를 조사하여 신뢰성있는 J-R(J-T) 곡선을 구하기 위한 실험 및 해석방법을 고찰하였다. 시험은 국내 원자력발전소 압력용기감시 시험에 포함되어 있는 파괴인성시편과 꼭같이 SA 533 Grade 3, Class1 재료로 제작한 1/2"T, C-T 시편을 이용, Single Specimen Unloading Compliance Technique으로 수행하였다. 시험 및 해석결과 Ernst의 Deformation theory J (JD)식을 이용하여 초기 Uncracked ligament (be)의 25~30%까지 균열을 진전시켜 구한 J-R(J-T) 곡선이 대형시편의 결과와 가장 유사한 값을 나타내었다. 한편 Ernst의 Modified J (JM)식에 의한 J-R (J-T) 곡선은 Deformation theory J(JD)에 의한 J-R(J-T) 곡선보다 다소 높은 Instability 예측점을 얻을 수 있기 때문에 실제 압력용기 안전성 해석시에는 가동률향상 및 수명연장 측면에서 Modified J의 사용은 고려되어야 할 것이다.되어야 할 것이다.

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