• Title/Summary/Keyword: 근골격 질환

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Inspection on the acoustic output of the focused extracorporeal focused shock wave therapeutic devices approved by MFDS (식약처에서 허가된 집속형 ESWT 치료기의 음향 출력 분석)

  • Choi, Min Joo;Jeon, Sung Joung;Kwon, Oh Bin;Lee, Min Young;Cho, Jin Sik;Kim, Han Soo;Maeng, Eun Ho
    • The Journal of the Acoustical Society of Korea
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    • v.39 no.4
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    • pp.303-317
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    • 2020
  • Extracorporeal Shock Wave Therapy (ESWT) is an innovative treatment in chronic musculoskeletal pain management and cardiovascular diseases. In this study, we surveyed the acoustic shock wave outputs from the domestically used focal type ESWT devices. The survey data were collected through 30 technical documents registered to the Ministry of Food and Drug Safety (MFDS), Rep. Korea. The results show that the focusing geometry varies largely, 5 mm to 65 mm in the focal length, 3 mm to 30 mm in focal width, and 4 mm to 108 mm in focal depth. The maximum positive pressure (P+) ranges from 7 MPa to 280 MPa, the focal Energy Flux Density (EFD) from 0.0035 mJ/㎟ to 35 mJ/㎟, and the energy per pulse (E) from 0.737 mJ to 80.86 mJ. All domestic PE-type (five) and one EM-type domestic devices included in the analysis of the correlation between P+ and EFD are shown to be far beyond the usual ranges and do not comply with expected correlation so that the reliability of their data was suspected. For the suspected, post-performance tests are required by a recognized testing agency. MFDS guidelines need to be revised so that the pass criteria for the shock wave acoustic outputs can be based on the clinical tests for indications.

Investigation into Occupational Disease of Fishing Crew (어선원들의 질병 실태 조사)

  • Kim Jae-Ho;Jeong Eun-Seok;Moon Serng-Bae;Kim Jeong-Gon;Lee Sang-Woo
    • Journal of Navigation and Port Research
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    • v.30 no.5 s.111
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    • pp.405-414
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    • 2006
  • The purpose of this study was to find out morbidity rate and pattern of occupational disease and affect of variables related disease of Fishing crew The subjects this study were 624 Fishing crew who took education course in Korea Institute of Maritime and Fisheries Technology. This questionnaire was focused on finding the basic data for prevention of occupational disease and promotion health on the Fishing crew The collected data were analyzed by using descriptive statistics, Chi-square, cross tab by SPSS package. The result of this study are as follow. 1)The morbidity rate within recent 12 months was 70.2%. there were significant differences of occurred disease in age, rank, perceived health status, fatigue symptoms, rest time, workload, overtime duration 2) the more aging(p<0.01), perceived fatigue(p<0.01), workload(p<0.01), overtime(p<0.05) and the less perceived health status(p<0.01), rest time(p<0.01), the higher morbidity rate 3) Considering disease unable to work more than 4 hour, the number of those who had musculoskeletal disease were 20.9%, which revealed the highest rate, digestive disease 14.3%, traumatic disease 13.5%.

A Study on the Status of Disease for Fisheries (어선원(魚船員)들의 질병 실태 조사)

  • Kim Jae-Ho;Jeong Eun-Seok;Moon Serng-Bae;Kim Jeong-Gon;Lee Sang-Woo
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2006.06b
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    • pp.29-38
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    • 2006
  • The purpose of this study was to find out morbidity rate and pattern of occupational disease and affect of variables related disease of Fishing sailors' The subjects this study were 624 fisheries sailors' who took education course in Korea Institute of Maritime and Fisheries Technology. This questionnaire was focused on finding the basic data for prevention of occupational disease and promotion health on the fishing sailors' The collected data were analyzed by using descriptive statistics, Chi-square, cross tab by SPSS package. The result of this study are as follow. 1)The morbidity rate within recent 12 months was 70.2%. there were significant differences of occurred disease in age, rank, perceived health status, fatigue symptoms, rest time, workload, overtime duration 2) the more aging(p<0.01), perceived fatigue(p<0.01), workload(p<0.01), overtime(p<0.05) and the less perceived health status(p<0.01), rest time(p<0.01), the higher morbidity rate 3) Considering disease unable to work more tlnn 4 hour, the number of those who had musculoskeletal disease were 20.9%, which revealed the highest rate, digestive disease 14.3%, traumatic disease 13.5%.

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고학력 중년 여성의 취업 여부에 따른 영양섭취 실태 비교

  • 최지현;정영진
    • Proceedings of the KSCN Conference
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    • 2003.11a
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    • pp.1073-1074
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    • 2003
  • 본 연구는 고학력 중년 여성을 대상으로 취업 여부에 따른 영양섭취 상태의 차이를 분석하여 고학력 중년 여성의 영양 및 건강관리를 위한 대책 마련의 기초자료로 활용하고자 시행되었다. 연구 대상자의 선정은 유의추출 방법으로 전업 여성은 고학력자 비율이 높은 대전시의 일정 지역에 거주하는 기혼여성으로 하였고, 취업여성은 여러 직업의 특성으로 인한 교란(confounding)을 줄이기 위하여 고학력 여성의 비율이 높은 기혼의 교사로 한정하였다. 연령에 의한 교란을 방지하기 위하여 연령대별로 동일 비율로 무작위 추출하여 전업여성 250명, 취업여성 236명을 대상으로, 24시간 회상법을 이용하여 조사 전일 하루동안의 식이 섭취 내용을 개별 면담으로 조사하였다. 1일 영양소 섭취 조사 결과 취업여성은 전업여성에 비해 인, 비타민 B$_1$, B$_2$를, 전업여성은 취업여성에 비해 지방 및 동물성 지방, 나트륨, 비타민 C, 엽산을 많이 섭취하고 있었다. P/M/S비는 전업여성 1/1.19/1.05, 취업여성 l/l.05/0.87로 나타나 취업여성이 전업여성에 비해서, 그리고 한국인 영양권장량의 기준(1/1/1)에 비해서 포화지방의 비가 낮았다. 또한 지방 에너지 구성비도 전업여성(24.38%)이 취업여성(23.29%)에 비해 높았고, 총 열량에 대한 동물성 지방의 섭취비율이 전업여성 12.44%, 취업여성 11.46%으로 나타나 전업여성이 취업여성에 비해 동물성 지방, 포화지방비, 지방에너지 구성비가 모두 높았다. 영양권장량에 대한 영양소 섭취 백분율에서 전업여성과 취업여성 모두 칼슘과 아연을 권장량에 비해 낮게 섭취하고 있었고, 질적 영양지수(INQ)도 두 군 모두에서 칼슘이 가장 낮게 나타났다. 인의 영양밀도(Nutrient Density)가 취업주부에서 높았던 점 외에는 영양밀도와 영양소 적정섭취비(NAR) 모두에서 비타민 B$_1$, B$_2$가 전업여성에 비해 취업여성이, 비타민 C가 취업여성에 비해 전업여성이 더 높았다. 한편 두 군 모두 INQ가 가장 높은 영양소는 인이었고, INQ가 가장 낮은 영양소는 칼슘으로 나타났으며, INQ가 1 미만인 영양소는 칼슘과 함께 철분으로 나타났다. 이는 1998년도 국민건강영양조사 결과에서 45세 이상 여성의 경우 관절염, 요통.좌골통, 디스크 등 근골격계질환 유병률이 남자보다 3배정도 높게 나타난 결과에 비추어볼 때 이들 관련 영양소에 대한 섭취 방안 지도의 필요성을 제시하고 있다. 결론적으로 고학력 중년 여성중 전업여성에 대해서는 지방 특히 동물성 지방 식품 섭취에 대한 적절한 영양교육과 식사관리 지도가 요구된다 하겠다. 또한 고학력 중년 여성은 취업 여부에 관계없이 칼슘과 철분이 많이 함유된 식품으로 식사량을 증가시켜 주는 영양 지도 및 영양 보강 대책이 요구되며, 칼슘과 인의 적정섭취비가 되도록 인의 섭취를 낮추는 식생활 지도가 필요하다.

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Why are Cleaning Workers Precarious? - Subcontracted Female Cleaning Labour and Fictional Korean Social Protection (청소노동자는 왜 불안정(precarious)한가? -하청 여성 청소노동과 한국 사회안전망의 허구성)

  • Lee, Sophia Seung-yoon;Seo, Hyojin;Park, Koeun
    • Korean Journal of Labor Studies
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    • v.24 no.2
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    • pp.247-291
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    • 2018
  • This study investigates the employment structure and the social safety net experience of the subcontracting cleaning workers in Korea, who have been main targets of the labor outsourcing despite the necessity and permanence of their labour. This study specifically focuses on the fact that these subcontracting cleaning workers are mostly female and in their old age, and analyzes how the combination of their age, gender, and employment structure leads to the (mis)match with the Korean social security system. Case study with in-dept interview method has been conducted to the old-aged female subcontracting cleaning workers in Korea. The result of this study is as follows. It was the income insecurity that led them to (re)enter the labour market, and the cleaning work was the almost the only wage work they could do considering their age and gender. Cleaning workers are mostly employed in the subcontracting company, and thus their labour contracts depend on the business contract period between the original and subcontracting company. Consequently, their employment relationship is mostly insecure unless they are guaranteed employment succession through the collective agreement of trade union. Moreover, it has been discovered that the employment insecurity due to the indirect employment relationship led to the poor labour conditions, low wage, and the exclusion from the social safety net.

A Comparative Study of a Deeply-inserted Acupotomy Applied to Hyeopcheok Points and Usual Korean Medicine Treatments for Lumbosacral Radiculopathy: Safety, Effectiveness, Cost-effectiveness: A Study Protocol (요천추신경병증에 대한 심부협척 도침술과 한의통상치료의 효과 비교: 안전성, 유효성, 경제성평가: 연구 프로토콜)

  • Heo, In;Lee, Jin-Hyun;Ko, Youn-Suk;Jo, Dong Chan;Kim, Young Il;Lee, Sang-Hyun;Hwang, Eui-Hyoung;Park, Tae-Yong;Hwang, Man-Suk
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.16 no.2
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    • pp.69-77
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    • 2021
  • 연구 배경 최근 한국 및 중국에서 근골격계 질환에 대한 도침술의 활용이 늘고 있다. 하지만 현재까지의 임상연구는 대부분 증례보고 형태에 그치거나, 충분한 근거가 확보되지는 않은 실정이다. 우리는 요천추신경병증환자의 치료에 있어 도침치료와 통상한의치료와의 비교를 통해 도침치료의 유효성, 안전성, 경제성 평가를 시행하기 위해 본 연구를 기획하게 되었다. 연구 방법 본 연구는 예비임상 연구로, 다기관에서 진행되며, 무작위대조군, 활성 대조군을 통한 2개군 병행집단 연구로 평가자 맹검을 시행하게 된다. 이 연구에서는 총 50명의 요천추신경병증 환자를 대상으로 2개군으로 균등하게 분배하여 도침술 또는 통상한의치료를 시행하게 된다(각군당 25명). 도침술 그룹의 경우 협척혈에 도침치료를 시행 받게 되며, 통상 한의치료군은 연구자 판단하에 도침술을 제외한 적절한 한의치료를 시행 받게 된다. 두 개의 그룹은 주당 2회씩 총 3주간 치료를 받게 된다. 일차 유효성 평가는 요통으로 인한 기능장애를 평가하기 위한 Oswestry disability index를 통해 시행한다. 이차 유효성 평가지표로는 numeric rating scale, European Quality of Life 5-Dimension 5-Level, short-form McGill Pain Questionnaire, Roland-Morris Disability Questionnaire scores를 시행하게 된다. 고찰 본 예비임상연구의 결과는 추후 있을 요천추신경병증에 대한 도침치료 및 한의통상치료 비교효과 연구의 유효성, 경제성평가 본 임상연구를 위한 기초 정보 및 가능성을 확인하고 적절한 대상자수 산정에 도움이 될 것이다.

Hepatic and Renal Safety of Concurrent Use of Conventional and Herbal Medications for Musculoskeletal Disorders: A Retrospective Observational Study (근골격계 질환에 대한 양약 및 한약 병용의 간과 신장에 대한 안전성: 후향적 관찰 연구)

  • Kim, Se-Yoon;Kim, Hyungsuk;Kang, Doyoung;Ko, Junhyuk;Kim, Jongyeon;Kim, Koh-Woon;Kim, Bo-Hyung;Cho, Jae-Heung;Song, Mi-Yeon;Chung, Won-Seok
    • Journal of Korean Medicine Rehabilitation
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    • v.32 no.3
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    • pp.131-140
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    • 2022
  • Objectives This study aimed to investigate whether the concurrent use of conventional and herbal medications affects liver and kidney function, by examining blood test data. Methods We retrospectively reviewed the electronic medical records of 590 inpatients with musculoskeletal diseases between 2013 and 2017. We investigated cases of drug-induced liver injury (DILI) according to the Roussel Uclaf Causality Assessment Method criteria and cases of drug-induced kidney injury (DIKI) based on the Kidney Disease Improving Global Outcomes definition. Results One case (0.17%) of DILI and one case (0.17%) of DIKI were identified. Significant improvements in serum laboratory data were observed after the concurrent use of both types of medications (p<0.05). The kappa coefficients ranged from 0.26 to 0.72, indicating that the values after the concurrent use of conventional and herbal medications showed a fair similarity to the baseline values of the patients. The linear regression test showed that female sex and high body mass index (BMI) were risk factors for an increase in the serum blood levels of liver function parameters. Conclusions The concurrent use of conventional and herbal medications for musculoskeletal disorders is relatively safe; however, clinicians should exercise caution when prescribing these medications to female patients and patients with a high BMI because of their potential effect on hepatic function.

Blood Collection Workload and Safety of Medical Technologists at Korean Hospitals (한국 의료기관에서 임상병리사의 채혈 업무 현황과 안전 실태 조사)

  • Sung-Bae PARK;Suk JEKAL;Weon Joo HWANG;Do Wang LEE;Choong Won SEO;Sunghyun KIM
    • Korean Journal of Clinical Laboratory Science
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    • v.55 no.3
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    • pp.159-166
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    • 2023
  • This study investigates the current situation of medical technologists for blood collection, which is considered the most important step for diagnosis. The survey enrolled 650 medical technologists working in hospitals and medical check centers in Busan, Ulsan, and Gyeongnam. We found that each medical technologist performed blood collection for about 100 patients. There was more than one blood collection failure per day, with more than one case of pain and filing of civil complaints per year. Hence, there was a high work burden on the medical technologists. Cases where a medical technologist was stabbed with a used needle occurred more than once a year, and about 15% of them received infection control and treatment because of stab wounds. Additionally, more than half of the participants suffered from musculoskeletal disorders and mental stress due to blood collection work. Unlike administering intravenous and intramuscular injections using the same needle, no fee is charged for blood collection. Based on the results of this study, it will be possible to improve the safety and rights of medical technologists by calculating the actual fee for blood collection work and assigning a relative value score.

The Effect of Upper Thoracic Mobility on the Forward Head Posture, Disability, and Quality of Life in Patients with Chronic Neck Disability by Forward Head Posture (상부등 가동성이 만성 목 통증 환자들의 목 기능장애와 삶의 질에 미치는 효과)

  • Lee, Eun-Sang
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.6
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    • pp.257-264
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    • 2019
  • The purpose of this study was to investigate effective intervention(upper thoracic mobilization and upper cervical mobilization) methods for forward head posture. 32 subjects were divided into two groups: upper thoracic mobilization(UTM) and upper cervical mobilization(UCM) on three times a week for a total of four weeks. In both groups significant difference in forward head posture pre and post test(p <.01), significant difference between the two groups (p <.05, 95% CI: .157-.341). In both groups significant difference in neck disability index pre and post test(p <.01), significant difference between the two groups (p <.01, 95% CI: 1.273-8.728). In both groups significant difference in quality of life pre and post test(p<.05), significant difference between the two groups (p <.01, 95% CI: 4.234-18.391). The results of this study showed that the UTM was more effective than that of the forward head posture. It would be possible to provide more effective interventions for patients with forward head posture and also to prevent secondary musculoskeletal disorders due to forward head posture.

Evaluation of Visual-Motor Integration in Elderly Patient with Diabetes Mellitus (노인 당뇨환자의 시각-운동 통합능력 평가)

  • Yun, Hyo Soon;Kim, Mi Ae;Kim, Mi Han;Suh, Soon-Rim;Kim, Hong
    • 한국노년학
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    • v.31 no.3
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    • pp.641-652
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    • 2011
  • The purpose of this study was to investigate the ability of visual-motor integration (VMI) in elderly patient with diabetes mellitus(DM). Male elderly (from 65 to 70 years old) with DM and non-DM disease were participated in this study. Participants were divided into three group (n=30 in each group): the control group, non-DM group, and DM group. Data were collected through VMI-3R questionnaires and interviews. Statistical differences among groups were determined by one-way ANOVA followed by Duncan Post-hoc test and results were expressed the mean ± S.D. or percentage (%). The present results showed that the score of both VMI 24 and VMI 50 in DM group were statistically lower than both the control and Non-DM groups. Also, the lower rate of correct and higher rate of error in VMI-3R was observed in DM group compared to both the control and Non-DM groups. The item analysis of VMI-3R revealed that the most higher rate of error was observed in item 24 in all groups. Based on these results, this study suggests that DM might aggravate the function of visual-motor integration in male elderly.