• Environmental Analysis Health and Toxicology
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• v.29
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• pp.6.1-6.6
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• 2014

Objectives Hospitalized patients are vulnerable to sleep disturbances because of environmental stresses including noise. While most previous studies on hospital noise and sleep have been performed for medical machines in intensive care units, there is a limited data for patients hospitalized in medical wardrooms. The purpose of present study was to measure noise level of medical wardrooms, identify patient-perceived sources of noise, and to examine the association between noise levels and sleep disturbances in hospitalized patients. Methods Noise dosimeters were used to measure noise level in 29 inpatient wardrooms at a university hospital. Sleep pattern and disturbance were assessed in 103 hospitalized patients, using the Pittsburgh Sleep Quality Index (PSQI) and Leeds Sleep Evaluation Questionnaire. Results The mean equivalent continuous noise level for 24 hours was 63.5 decibel A (dBA), which was far higher than 30 dBA recommended by the World Health Organization for hospital wardrooms. Other patients sharing a room were perceived as the most common source of noise by the patients, which was usually preventable. Of the patients in the study, 86% had bad sleep as assessed by the PSQI. The sleep disturbance was significantly correlated with increasing noise levels in a dose response manner. Conclusions Systemic organizational interventions are needed to keep wardrooms private and quiet to reduce sleep disturbance.

• Journal of the Korean Institute of Oriental Medical Informatics
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• v.15 no.2
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• pp.101-113
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• 2009

Objectives: Nowadays, the number of patients having the Functional Gastrointestinal Disturbance has been on the rise and this tendency is clear in the female group. This study is aimed to investigate their cause of disease, dietary lifestyle, digestion functions, general symptoms and any disadvantages in daily lives etc. Also, it would suggest any effective results from oriental medical treatments. Methods: The total number of 20 female patients, who have been participated in this study, have been treated at Oriental Internal Medicine, Dong-eui Hospital. We have performed the survey with 50 questionnaires. Results: Most patients were having dyspepsia and had been treated more than once before the survey. The major cause of their disease includes irregular eating habits(p<0.05) and stressful mental conditions. The patients had suffered much disadvantages in daily lives and different symptoms. Specially, pain in the below of stomach pit and early satiation were common.(p<0.05) However, the Discomfort index of patients has been decreased from 9.22 point to 2.85 point after oriental medical treatment. It means this treatment has meaningful effectiveness to the Functional Gastrointestinal Disturbance patients. Conclusion: We have investigated the features of female patients with Functional Gastrointestinal Disturbance and conclude that the Oriental Medical Treatment is effective to them.

• Korean Journal of Adult Nursing
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• v.25 no.2
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• pp.183-193
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• 2013

Purpose: The purpose of this study was to identify the prevalence and risk factors of sleep disturbance among community dwelling adults in Korea. Methods: Data were collected from nine hundred fifty nine adults dwelling in a metropolitan city in Korea. Subjects were older than 45 years, did not take medication for sleep problems on a regular basis, and did not work at night. The Pittsburgh Sleep Quality Index was used to collect data about sleep disturbance. Sociodemographic, life style, and health related factors were included as risk factors. Chi square test and logistic stepwise regression were used to identify the risk factors. Results: The prevalence of sleep disturbance was 13.1%. The significant risk factors were being female, age, number of toilet use at night, perceived health, and pain. Risk factors were somewhat different by gender. Emotional and job status were the risk factors only for men and menopausal status were for women. Conclusion: Prevalence of sleep disturbance in community dwelling adults in Korea was not greater than those dwelling in other countries. Females, older adults, the number of toilet use at night, perceived health, and pain were the most important risk factors for sleep disturbances. Gender was a factor in reported sleep disturbances. It might be useful to investigate the factors that contribute to the number of toilet use at night as this might have some underlying factors that could be corrected.

• Journal of Haehwa Medicine
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• v.29 no.2
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• pp.1-11
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• 2020

Objectives : The aim of this study was to report the effectiveness of Combined Korean Medicine treatment on a intracerebral hemorrhage patient with hemiplegia and gait disturbance. Methods : A 56-year-old, female patient with hemiplegia and gait disturbance was treated by Korean Medicine including acupuncture, moxibustion and herbal medicine. The effect of the treatment was evaluated by Manual Muscle Test(MMT), Modified Rankin Scale(MRS), Korean version of Modified Barthel Index(K-MBI). The gait of the patient was evaluated by 10m walk test, Timed Up&Go Test(TUG), Functional Ambulatory Category(FAC), GAITRite and Symmetry Criterion(SC). Results : After treatment, MMT, MRS, K-MBI, gait parameters and gait symmetry were improved. Conclusions : This study suggests that Combined Korean Medicine treatment might be effective for a intracerebral hemorrhage patient with hemiplegia and gait disturbance.

• The Journal of Internal Korean Medicine
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• v.44 no.1
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• pp.77-85
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• 2023

Objective: This clinical study describes the effect of Korean medicine on a post-traumatic hydrocephalus patient complaining of gait disturbance and dementia. Case presentation: A post-traumatic hydrocephalus patient complaining of gait disturbance and dementia was treated with herbal medicine, acupuncture, moxibustion, and cupping. Clinical symptoms were measured with the Korean Mini Mental Status Exam (K-MMSE), Functional Independence Measure (FIM), and Modified Barthel Index (MBI). After treatment, the patient showed improved K-MMSE, FIM, and MBI scores. Conclusion: This clinical case study provides evidence of the effect of Korean medicine on a post-traumatic hydrocephalus patient complaining of gait disturbance and dementia.

• Proceedings of the Korea Electromagnetic Engineering Society Conference
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• 2003.11a
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• pp.8-12
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• 2003

To protect digital communications and broadcasting that are expected to be increasingly used at frequencies above 1GHz, there is a need to determine permissible disturbance limits for frequency bands above 1GHz according to indicates that better correlates with interference level in digital systems. The quality of digital communications is expressed in terms of bit error rate(BER) or throughput. In this regard, it has been reported that degradation of BER or throughput can be estimated from the amplitude probability distribution (APD) of disturbance amplitude. Therefore, if the APD can simply be measured with a high accuracy, APD will be an optimal index for the assessment of interference in digital communications. In this paper, we show that a measurement method using statistic model of APD has compatibility about performance reduction estimation of WLAN. And through approach of this inspection, we propose numeral models about interference effects of peak value and time rate of spurious.

• The Korean Journal of Rehabilitation Nursing
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• v.15 no.1
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• pp.1-10
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• 2012

Purpose: To identify Korean versions of self-reported sleep questionnaires for cross-cultural research and practice on sleep disturbance, we searched self-reported sleep questionnaires which have been developed to measure general sleep patterns. They should be qualitative, easy to take permission, do not obligate to pay, do not need any skill or professional help for scoring and have been reported high reliability and validity. Methods: General Sleep Disturbance Scale (GSDS), Leeds Sleep Evaluation Questionnaire (LSEQ), and Pittsburgh Sleep Quality Index (PSQI) were identified based on all criteria. Korean version of GSDS, LSEQ, and PSQI were developed according to the methods combined the guidelines for the process of cross-cultural adaptation of self-reported measures with decentering method. Results: Three Korean versions of self-reported sleep questionnaires were suitable for epidemiological study. They are not full length and easy to read. It requires less than 10 minutes for each subject to complete as well as for researchers to score. Conclusion: Psychometric analysis study is necessary to evaluate the reliability and validity of those Korean versions of self-reported sleep questionnaires.

• Korean Journal of Ecology and Environment
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• v.40 no.2
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• pp.327-336
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• 2007

This study assessed ecological health using a multi-metric fish model from 15 sites in the headwater watershed of southern Han River during June${\sim}$August 1999 and then compared the health with conventional community diversity index to figure out differences between health and diversity index. For the analysis, we adopted 10 metric IBI model for regional applications. During this survey, total number of species sampled were 24 (6 families) and varied depending on magnitude of ecological disturbance and stream order. In the mountainous streams, mean proportion of sensitive and insectivore species was composed of 91% and 56%, respectively, indicating a potential healthy conditions. However, tolerant species with 66% and omnivore species with 76% were sampled from the 2nd order stream, which was shown deterioration in the physical habitat quality. In the overall watershed, mean IBI value was 38, judging as "fair" condition by the health criteria. Values of Individual IBI were closely associated with stream order and this pattern was similar to other mountainous streams showing low chemical pollutions and disturbance. Our comparison between IBI and diversity index over the stream order showed a distinct difference; Shannon-Weaver diversity index overestimated the actual community conditions and the variation range in the 2nd order stream was greater in the diversity index. Overall data suggest that the multi-metric approach may to a useful tool for stream ecosystem management and the conventional diversity index may not effective unless the stream order is considered for the stream evaluation.

• Korean Journal of Ecology and Environment
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• v.54 no.2
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• pp.108-119
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• 2021

We aimed to develop a naturalness index for forest-dwelling birds in four national parks in Korea and to simulate the effect of species loss on this naturalness index. Five bird specialists were asked to give 112 bird species a disturbance susceptibility score (DSS), and the naturalness index was calculated based on this. The 112 bird species represented 8 orders (Cuculiformes, Piciformes, Accipitriformes, Falconiformes, Columbiformes, Caprimulgiformes, Strigiformes, and Passeriformes). DSS was the highest for Terpsiphone atrocaudata and Pitta nympha, and lowest for Pica pica, Hypsipetes amaurotis, and Streptopelia orientalis. There was a significant negative relationship between a species' population number and its DSS. Among the four national parks, Mt. Songni had the highest naturalness index, followed by Mt. Wolak, Mt. Juwang, and Mt. Wolchul. We investigated the change in biodiversity indices under four scenarios, which assumed the extinction of species with less than 5 (Scenario 1), 10 (Scenario 2), 50 (Scenario 3), and 100 individuals (Scenario 4). The results showed that although all biodiversity indices decreased as the species loss increased, they all behaved differently. Fisher's alpha diversity decreased as the number of species proportionally decreased. There was almost no change in Shannon-Wiener H' index in Scenarios 1 and 2. The naturalness index showed increased sensitivity in Scenarios 1 and 4. Our future aims are to obtain the DSS for all forest-dwelling bird species, and to adopt the naturalness index to evaluate temporal and spatial changes in biodiversity.

• Journal of muscle and joint health
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• v.8 no.1
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• pp.27-50
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• 2001

Rheumatoid arthritis is a chronic systemic autoimmune disease. Although the joints are the major loci of the disease activity, fatigue is a common extraarticular symptom that exists in all gradations of rheumatoid arthritis. Fatigue is defined as a subjective sense of generalized tiredness or exhaustion and has multiple dimensions. Therefore fatigue is a common and frequent problem for those with rheumatoid arthritis. In fact, 88-100% of individuals with rheumatoid arthritis experience fatigue. Especially the degree of fatigue is higher in women than men with rheumatoid arthritis. Despite the importance of fatigue among the patients with rheumatoid arthritis, the mechanism that leads to fatigue in rheumatoid arthritis is not completely understood. This study was intended to test and validate a model to predict fatigue in women with rheumatoid arthritis. Especially it was intended to identify the direct and indirect effects of the variables of pain, disability, depression, sleep disturbance, morning stiffness, and symptom duration to fatigue. Data were collected by questionnaires including Multidimensional Assesment of Fatigue(Tack, 1991), numeric scale of pain, graphic scale of joints, Ritchie Articular Index, Korean Health Assessment Questionnaire(Bae, et al., 1998), Inventory of Function Status(Tulman, et al., 1991), Center for Epidemiologic Studies-Depression, and Korean Sleep Scale(Oh, et al 1998). The sample consisted of 345 women with a mean duration of rheumatoid arthritis for 10.06 years and a mean age of 49.64 years. SPSS win and Win LISREL were used for the data analysis. Structural equation modeling revealed the overall fit of the model. Pain predicted fatigue directly and indirectly through disability, depression, and sleep disturbance. Disability, sleep disturbance predicted fatigue only directly, while depression only indirectly through disability and sleep disturbance. Also morning stiffness and symptom duration predicted fatigue through disability and depression. All predictors accounted for 65% of the variance of fatigue. Depression, pain, and disability predicted sleep disturbance. Depression had reciprocal relationship with disability and they both were predicted by pain directly and indirectly. In summary, pain, depression, disability, sleep disturbance, morning stiffness, and symptom duration contributed to the fatigue of patients with rheumatoid arthritis. The best predictor of fatigue was pain. This finding indicates that the modification of pain, depression, disability, sleep disturbance, morning stiffness could be nursing intervention for relief or prevention of fatigue.