• Title/Summary/Keyword: 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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    • v.13 no.3
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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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    • v.56 no.1
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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.

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

  • Lee, Jun-Youp;Hur, Yun-Kyung;Choi, Jae-Kap
    • Journal of Oral Medicine and Pain
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    • v.33 no.4
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    • pp.305-316
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    • 2008
  • The mandibular advancement device(MAD) has been used to help manage snoring and obstructive sleep apnea. The aims of this study were to specify the demographic and clinical characteristics of the patients receiving long-term treatment with MAD and to quantify the compliance with and side effects of the use of the device. Of 103 patients who were treated with MAD for at least one full year after delivery date, 49 were able to be contacted with telephone and complete follow-up questionnaires were obtainable. They were telephoned to determine whether they were still using the device. If not, they were asked when and why they stopped using it. Patients were also asked how much effectiveness of the MAD in decreasing snoring and how much they and their bed-partners were satisfied with the MAD therapy. The initial respiratory disturbance indices and pre-treatment snoring frequency and intensity were obtained from the medical records of initial visit. All the data were compared between users and nonusers. The results were as follows: 1. Of 49 patients 25 are still using the device, but 24 stopped using it. Among nonusers nobody stopped wearing the device within first 1 month, but 37.5% of nonusers stopped wearing it in the following 6 months, and another 4.2% before the end of the first year. 2. The one-year compliance of the MAD therapy was 79.59%. 3. There were no significant differences in mean age, mean body mass index, and gender distribution between users group and nonusers group. 4. There was no significant difference in mean respiratory disturbance index at initial visit between users group and nonusers group. 5. There was no significant difference in pre-treatment snoring frequency and intensity between users group and nonusers group. 6. The degree of decrease in snoring with use of MAD was significantly higher in the users when compared to nonusers. 7. Patient's overall satisfaction with treatment outcome was significantly higher in the users when compared to nonusers. 8. Bed partner's satisfaction with treatment outcome tended to be higher in the users when compared to nonusers. 9. The most frequent reasons why patients discontinued wearing the MAD were: jaw pain(25%), dental pain(20.83%), broken appliance(20.83%), hassle using(16.67%), lost weight(8.3%), dental work(8.3%), no or little effect(4.17%), sleep disturbance(4.27).

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

  • 김엽래
    • Proceedings of the Korean Society of Machine Tool Engineers Conference
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    • 1997.10a
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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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Crack Propagation within Block Load of 5052 Aluminum Alloy (5052계 Al합금의 블록하중에 대한 균열진전)

  • 김엽래;이동명;이종선;여은구
    • Proceedings of the Korean Society of Machine Tool Engineers Conference
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    • 1999.05a
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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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    • v.14 no.3
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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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    • v.64 no.2
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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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    • v.33 no.5 s.133
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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

  • Park, S.K.;Choi, W.W.;Ahn, J.M.;Kim, S.J.;Choi, J.S.;Jo, Y.H.;Om, K.S.;Lee, J.J.;Kim, H.C.;Choi, M.J.;Min, B.G.
    • Proceedings of the KOSOMBE Conference
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    • v.1996 no.05
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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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Qualification of J-R (J-T) Curve from 1/2T Compact-Tension Specimen (1/2T Compact-Tension Type 시편으로 구한 J-R (J-T) 곡선의 타당성 검토.)

  • Jee, Sae-Hwan;Park, Sun-Pil
    • Nuclear Engineering and Technology
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    • v.19 no.3
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    • pp.169-179
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    • 1987
  • The change of material J-R (J-T) curve with crack extension and J-calculation method was investigated to give experimental and analytical method for reliable J-R (J-T) curve, which was adapted recently as a tool for instability analysis of Nuclear Pressure Vessel. Experiments were carried out by Single Specimen Unloading Compliance Method using 1/2"T, Compact-Tension Type fracture mechanic specimens which were the same size and material as domestic nuclear pressure vessel material surveillance specimens. The results revealed that crack extension up to 25~30% of initial uncracked ligament and JD (Deformation theory J) calculation method, currently being used in NUREG-0744, could give rather reliable material J-R (J-T) curve than the small crack extension and JM (Modified J) calculation method. But as JM results more or less higher J at instability, the application of JM should be considered regarding to the problem of power plant availability.lity.

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