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        A Theory-Based, Technology-Assisted Intervention in a Hybrid Cardiac Rehabilitation Program for Patients with Coronary Heart Disease: A Feasibility Study

        Chong Mei Sin,Sit Janet Wing Hung,Choi Kai Chow,Suhaimi Anwar,Chair Sek Ying 한국간호과학회 2023 Asian Nursing Research Vol.17 No.3

        Purpose To assess the feasibility of a technology-assisted intervention in a hybrid cardiac rehabilitation program among patients with coronary heart disease. Methods This study was a two-arm parallel randomized controlled trial. Twenty-eight patients with coronary heart disease were randomly assigned to either the intervention group, receiving a 12-week technology-assisted intervention (n = 14), or the control group (n = 14), receiving usual care. Guided by the Health Belief Model, the intervention group received three center-based, supervised exercise training sessions, a fitness watch that served as a cue to action, six educational videos, and a weekly video call. The Self-efficacy for Exercise, exercise capacity, and Health Promoting Lifestyle Profile II were assessed at baseline and immediately post-intervention (12-weeks). Results Among the 28 patients who participated in this study, 85.7% completed the program, with a relatively low attrition rate (14.3%). The number of exercise training sessions accomplished by the participants in the intervention group was 51.27 ± 19.41 out of 60 sessions (85.5%) compared to 36.46 ± 23.05 (60.8%) in the control group. No cardiac adverse events or hospitalizations were reported throughout the study. Participants in the intervention group showed greater improvement in health-promoting behaviors when compared with the control group at 12 weeks. Within-group effects demonstrated improvement in exercise self-efficacy and exercise capacity among participants in the intervention group. A participant satisfaction survey conducted immediately post-intervention revealed that participants were “very satisfied” (23.1%) and “satisfied” (76.9%) with the technology-assisted intervention. Conclusions The findings demonstrated that technology-assisted intervention in a hybrid cardiac rehabilitation program was feasible and suggested to be beneficial in improving exercise self-efficacy, exercise capacity, and health promoting behavior among patients with coronary heart disease. A full-scale study is needed to determine its effectiveness in the long term. Trial and protocol registration ClinicalTrials.gov NCT04862351. https://clinicaltrials.gov/ct2/show/NCT04862351.

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        Exhaust Air Energy Recovery System for Electrical Power Generation in Future Green Cities

        Wen Tong Chong,Sin Chew Poh,Ahmad Fazlizan,Sook Yee Yip,Mei Hyie Koay,Wooi Ping Hew 한국정밀공학회 2013 International Journal of Precision Engineering and Vol. No.

        This paper investigates a technology-driven solution to supply a portion of energy demand in future green cities. An idea on harnessing unnatural wind resources for electricity is presented. Two vertical axis wind turbines with an enclosure are mounted above a cooling tower to recover part of the energy from the exhaust air. Guide-vanes are designed to create a venturi effect and guide the wind before it interacts with the turbine blades. Diffuser-plates help to draw more wind and accelerate the exhaust airflow. Safety concerns that may result from blade failure are minimized by the design of the enclosure. From the laboratory test and field test results, there is no significant difference in the current consumption of the fan motor with the installation of the wind turbines. The integration of the enclosure has shown an improvement on the turbine’s rotational speed which is 30.4% higher. The electricity generated from this system can be fed into the electricity grid. For 3000 units of cooling tower (2 m outlet diameter powered by a 7.5 kW fan motor and operated for 16 hours/day), 13% of the energy to power the fan motor is expected to be recovered from this system which equals 17.5 GWh/year.

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