Prior outbreak nursing experience was importantly associated with intention to provide care for patients with a newly emerging infectious disease in the future considering stress and professionalism. Gathering information about nurses' experience of epidemics and regular assessment of job stress and professionalism are required.

PurposeWe assessed medication nonadherence, categorized as intentional or unintentional, and related factors in elderly patients with hypertension, correlating the data with measurement of blood pressure as the final target of medication adherence and other possible influencing factors, such as lifestyle.Patients and methodsSubjects were aged ≥65 years, resided in a rural area, and were taking antihypertensive drugs. The survey was conducted in July 2014. Participants were divided into the following three groups: “Adherence”, “Unintentional nonadherence”, and “Intentional nonadherence”. Individual cognitive components, such as necessity and concern as well as self-efficacy and other related factors, were compared according to adherence groups. The interrelationships between those factors and nonadherence were tested using structural equation modeling analysis.ResultsOf the 401 subjects, 182 (45.6%) were in the adherence group, 107 (26.7%) in the unintentional nonadherence group, and 112 (27.9%) in the intentional nonadherence group. Necessity and self-efficacy were found to have a significant direct influence on unintentional nonadherence behaviors (necessity β=−0.171, P=0.019; self-efficacy β=−0.433, P<0.001); concern was not statistically significant (β=−0.009, P=0.909). Necessity was found to have significant direct and indirect impact on intentional nonadherence (direct β=−0.275, P=0.002; indirect β=−0.113, P=0.036). Self-efficacy had no significant direct effect on intentional nonadherence though it had the only significant indirect effect on intentional nonadherence (direct β=−0.055, P=0.515; indirect β=−0.286, P<0.001). Concern had no significant influence on intentional or on unintentional nonadherence (direct β=0.132 0.132, P=0.151; indirect β=−0.006, P=0.909).ConclusionUnintentional nonadherence should be regularly monitored and managed because of its potential prognostic significance. Interventions addressing cognitive factors, such as beliefs about medicine or self-efficacy, are relatively difficult to implement, but are essential to improve medication adherence.

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For the better understanding of anti-wear properties of hard coating films, the effects of preferred orientation, surface roughness, and surface hardness on the tribological property of TiN and CrN films have been studied. TiN and CrN films were deposited by cathodic AIP (CAIP) with working temperatures of 350~450 ºC, working pressures of 1~5Pa, arc currents of 50~90 A, and bias voltages of 30~150V. The characteristics of microstructure and its effect on the friction coefficient were investigated with working conditions. The preferred orientation of the film was examined by XRD. The friction coefficient was determined using ball on disk tribometer. The preferred orientation of films was changed from (200) to (111) with decreasing working pressure and increasing bias voltage. It is reported that TiN coating with strong (111) orientation have better tribological property, but, in this study, although similar tendency was also found in TiN, the tribological property was increased with diminishing (111) orientation in CrN films. It is concluded in this study that the tribological property is not affected only by the orientation of the film, but it depends on the combined properties of surface roughness, surface hardness, and orientation of the film. The friction coefficients of TiN and CrN were 0.48~0.52 and 0.49~0.53, respectively.