Psychometric properties of a short self-reported measure of medication adherence among patients with hypertension treated in a busy clinical setting in Korea.

BackgroundWe examined the psychometric properties of the Korean version of the 8-item Morisky Medication Adherence Scale (MMAS-8) among adults with hypertension.MethodsA total of 373 adults with hypertension were given face-to-face interviews in 2 cardiology clinics at 2 large teaching hospitals in Seoul, South Korea. Blood pressure was measured twice, and medical records were reviewed. About one-third of the participants (n = 109) were randomly selected for a 2-week test-retest evaluation of reliability via telephone interview.ResultsInternal consistency reliability was moderate (Cronbach α = 0.56), and test-retest reliability was excellent (intraclass correlation = 0.91; P < 0.001), although a ceiling effect was detected. The correlation of MMAS-8 scores with scores for the original 4-item scale indicated that convergent validity was good (r = 0.92; P < 0.01). A low MMAS-8 score was significantly associated with poor blood pressure control (χ(2) = 29.86; P < 0.001; adjusted odds ratio = 5.08; 95% CI, 2.56-10.08). Using a cut-off point of 6, sensitivity and specificity were 64.3% and 72.9%, respectively. Exploratory factor analysis identified 3 dimensions of the scale, with poor fit for the 1-dimensional construct using confirmatory factory analysis.ConclusionsThe MMAS-8 had satisfactory reliability and validity and thus might be suitable for assessment and counseling regarding medication adherence among adults with hypertension in a busy clinical setting in Korea

Superconducting transition of a two-dimensional Josephson junction array in weak magnetic fields

The superconducting transition of a two-dimensional (2D) Josephson junction array exposed to weak magnetic fields has been studied experimentally. Resistance measurements reveal a superconducting-resistive phase boundary in serious disagreement with the theoretical and numerical expectations. Critical scaling analyses of the $IV$ characteristics indicate contrary to the expectations that the superconducting-to-resistive transition in weak magnetic fields is associated with a melting transition of magnetic-field-induced vortices directly from a pinned-solid phase to a liquid phase. The expected depinning transition of vortices from a pinned-solid phase to an intermediate floating-solid phase was not observed. We discuss effects of the disorder-induced random pinning potential on phase transitions of vortices in a 2D Josephson junction array.Comment: 9 pages, 7 figures (EPS+JPG format), RevTeX

Why should we switch chest compression providers every 2 minutes during cardiopulmonary resuscitation?

Objective. Tis study was conducted to determine whether trained male rescuers could maintain adequate chest compression depth (CCD) for longer than the current recommended guidelines of 2 minutes. Methods. Forty male medical doctors administered a 5-minute single rescuer cardiopulmonary resuscitation (CPR) to a manikin on the foor with conventional CPR or randomly administered continuous chest compressions (CCC). Te ratio of compression to ventilation was set to 30:2 with mouth-to-mouth technique during conventional CPR. Chest compression data were recorded with an accelerometer device and divided into 1-minute segments for analysis. Results. Although average CCD maintained the recommended depths throughout 5 minutes in conventional CPR, it decreased signifcantly with CCC (1 minute: 55.4 ± 4.5 mm; 2 minutes: 54.2 ± 5.4 mm; 3 minutes: 52.6 ± 5.6 mm; 4 minutes: 51.6 ± 5.5 mm; 5 minutes: 49.9 ± 5.8 mm, p < 0.001). Te average chest compression numbers (ACCN) per minute were maintained over 80/min and have not been changed signifcantly within 5 minutes in the CCC. However, it didn’t reach to the 80/min and decreased signifcantly afer 3minutes compared to the baseline ACCN during frst 1-minute segment in the conventional CPR. Conclusions. Despite the chest compression providers being limited to trained male medical doctors, the average CCD decreased signifcantly within 5minutes with CCC. Although maintaining adequate CCD, ACCN in each minute decreased signifcantly afer 3minutes in the conventional CPR. Terefore, we should rotate chest compression providers every 2minutes regardless of the rescuer’s qualifcations and CPR methods

Effects of production parameters on microstructure and densification of iron/glass syntactic foam by conventional powder metallurgy

Iron and steel matrix syntactic foams have received a lot of attention owing to their high strength, temperature capability, and corrosion resistance. However, high melting point of the iron and steels complicates applications of some conventional production processes. Since few casting methods were proposed to fabricate iron and steel syntactic foams embedded with the ceramic and metal hollow spheres having macro diameters, most of the foams having micro ceramic and glass hollow spheres were fabricated through powder metallurgy (PM) process, which allows reduction of temperature levels by about 30~40% compared to the casting. Metal injection molding (MIM) was mostly used toward the iron and steel matrix foams because of requiring only limited adaptations for switching from making solid parts to syntactic foams and its capabilities for producing various geometries and sizes. However, if the shape allows the production of the part by conventional PM (pressing and sintering), MIM would in most cases be too expensive. To date, detailed fundamental researches on conventional PM process to fabricate the iron or steel syntactic foams have not been reported. Difficulties of the conventional PM process to fabricate the iron and steel syntactic foams are working pressures and temperatures. For compacting powders to make green bodies, high working pressures can assist the densification of the matrix during sintering while this can deform or fracture the hollow spheres embedded. In case of the foams with the glass hollow spheres, softening of the glass occurs at high temperature thus original shape of the hollow spheres cannot be preserved. Therefore, to overcome the difficulties and to produce sound sintered bodies, the investigation on the production parameters of the conventional PM to fabricate the iron and steel syntactic foams is necessary. In this study, the iron/glass hollow spheres syntactic foams were fabricated via the conventional PM process. Fabrications were conducted with considering different production parameters, which included the compaction pressures and sintering temperatures in conjunction with various volume fractions and particle sizes of the hollow spheres. The microstructures and densification behaviors of the fabricated syntactic foams were characterized by X-ray diffraction, optical microscope, scanning electron microscope and energy dispersion spectroscope