• The Journal of Korean Medicine
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• v.41 no.1
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• pp.93-106
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• 2020

Objectives: The aim of this review is to ascertain whether Bojungikgi-tang and its modifications is more effective than non-specific management in chronic fatigue syndrome (CFS). Methods: We collected clinical trials to investigate the effects of Bojungikgi-tang and non-specific management on general symptoms, fatigue, and sleep quality in CFS patients. The databases used for data retrieval were Pubmed, Central Cochrane, CNKI, VIP, CiNii, OASIS, RISS, and Koreamed. We performed selection/exclusion process from the found records according to prespecified criteria, and assessed the final included trials according to the Cochrane risk of bias tool. The included studies were classified on the basis of interventions in experimental group. Results: Seven randomized controlled trials (476 participants) were eligible and their results were synthesized in the meta-analysis. The synthesis showed a substantial effect of Bojungikgi-tang (relative risk 0.20 [95% CI 0.13 to 0.31], Z=7.44, P<0.00001; I²=0%) and combination of Bojungikgi-tang and Sosiho-tang (relative risk 0.15 [95% CI 0.08 to 0.28], Z=5.85, P<0.00001; I²=0%) compared with non-specific management on improvement of general symptoms. However, we could not find sufficient clinical research records to determine their effects of improvement on fatigue and sleep quality. Conclusions: Bojungikgi-tang and its modifications are more effective than non-specific management for improvement of general symptoms in CFS post-treatment.

• Proceedings of the KSR Conference
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• 2011.05a
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• pp.965-972
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• 2011

Unlike metallic materials, the importance of fatigue performance of concrete has been ignored. However, it is reported that environmental effects, if it cause deterioration, may increase the risk of fatigue failure under repeated loadings. In case of railroad bridges, the risk may increase due to highly periodic, repetitive, heavier nature of train load, which runs through the fixed passage called the track. Especially, when new material or structure is implemented for a main bridge member, experimental validation should be performed to avoid damage or failure due to unexpected behavior. In this paper, the fatigue performance of an IT girder is examined via a repeated loading test. The IT girder is a new type of a prestressed concrete (PSC) girder with two prestressed H-beams in the top of the girder, which provide additional sectional capacity, and it can be applied to the span longer than 30m which is a typical limit for a usual PSC girder. To obtain the fatigue performance, a 10m IT girder specimen is designed, and a repeated load test is performed by applying the cyclic load two million times. The fatigue performance of the girder is examined according to the Japanese and the CEB-FIB design codes. The fatigue test result shows that the IT girder satisfies both design codes.

• Journal of the Korea Safety Management & Science
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• v.16 no.3
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• pp.35-44
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• 2014

This study empirically examines how much effect levels of fatigue and stress of a construction worker have on disaster risks from the perspective of human factors concerning construction disaster risks. To achieve the purpose of this study, a survey was conducted with respect to construction workers working at large construction sites within the metropolitan area. The retrieved survey data were analyzed by using the statistical software programs, SPSS 18.0 and AMOS 8.0. The results of this study do not definitively lead to the conclusion that the level of fatigue or stress of construction workers result in disaster risks. However, it does show that the results vary depending upon the individual approach and treatment of stress and fatigue. In particular, this study revealed that disaster risk levels could increase through unsafe behavior intentions which were established as a mediator variable. Also, with respect to unsafe behavior intentions of construction workers leading to disaster risks, when examining the results that the level of mental fatigue, occupational stress and social-psychological stress of construction workers had a greater significant effect than the level of physical fatigue, this study demonstrates the importance of psychological and mental issues that could be easily overlooked with respect manual labor workers.

• Proceedings of the Safety Management and Science Conference
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• 2008.11a
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• pp.329-341
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• 2008

The psychosocial stress and musculoskeletal disorders(MSDs) have been one of major health problems for hospital workers. This study tried to understand the relationship between symptoms associated with MSDs and risk factors such as working posture, job stress, psychosocial stress and fatigue. A total number of 655 hospital workers participated in this study. Specifically, REBA was applied for evaluating working posture and a checklist prepared by KOSHA(Korean Occupational Safety and Health Agency) was used for symptom survey. A questionnaire from KOSHA was also used for collecting data associated with job stress, psychosocial stress and fatigue. All these data were formulated and modeled by path analysis which was one of major statistical tools in this study. Specifically, path analysis for the data we collected came up with several major findings. The risk scores from working posture based on REBA had indirect effects via fatigue factor(MFS) as well as direct effects on symptoms. The factors associated with job stress(KOSS) and psychosocial stress(PWI-SF) had significant effects on symptoms. Specifically, indirect effect of job stress factors via fatigue factors(MFS) had bigger than that of direct effect of job stress on symptom.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.7
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• pp.543-554
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• 2016

This study examined the fatigue and its association with job stress among male workers engaged in small-scale manufacturing industries. The study subjects were 553 male workers under 50 members of manufacturing industries. The study survey was a structured questionnaire of the Korean Occupational Stress Scale (KOSS) and Multidimensional Fatigue Scale (MFS) during April, 2015. The data were analyzed using the SPSS ver 21.0 program. The results showed that the high risk fatigue group was significantly higher in the high risk group of job stress than in the normal group of job stress. Fatigue was positively correlated with job stress. The odds ratio of the high risk fatigue group were increased significantly in the high risk group of job stress than in the normal group of job stress. The factors of influence with explanatory powers of 27.7% on fatigue included age, marital status, educational level, subject health status, sleeping time, drinking coffee, job tenure, shift work, visiting out-patient department, sense of satisfaction in job life, and job stress. Fatigue was associated with the sociodemographic characteristics, health behavior related characteristics, job-related characteristics, and job stress.

• International Journal of Highway Engineering
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• v.12 no.1
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• pp.21-27
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• 2010

Management of driver hours of service (HOS) for commercial vehicle operators has been a continual safety challenge. One of the more critical issues to government and motor carriers is fatigue and fatigue-related accidents. To reduce truck drivers’fatigue-related accident risk in other countries, the government issued the HOS regulations. However, korea government does not have any HOS regulations. The objective of this research gives the clues that korea should have the HOS regulation to reduce truck drivers’fatigue-related accident risk. This study examines the HOS regulation over other countries and conducts relative accident risk analysis using the real data from 3 freight companies. The data set includes 231 accident involved drivers and 462 non-accident drivers. Therefore, the size of the total data set is 693 drivers. One of the most important aspects of early studies of safety and HOS was the need to characterize continuous driving by using the notion of "survival". Subsequent research used a data replication scheme and logistic regression to capture the survival effect. This study uses time-dependent logistic regression. The test of significance between parameters indicates that the first three hours are almost the same risk. In the 10th hour of driving, the risk was more than 2.2times that in the baseline first hour. In conclusion, as driving time goes on, the crash risk increases.

• Journal of the Korea Safety Management & Science
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• v.11 no.4
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• pp.57-67
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• 2009

The psychosocial stress and musculoskeletal disorders(MSDs) have been one of major health problems for hospital workers. This study tried to understand the relationship between symptoms associated with MSDs and risk factors such as working posture, job stress, psychosocial stress and fatigue. A total number of 655 hospital workers participated in this study. Specifically, REBA was applied for evaluating working posture and a checklist prepared by KOSHA(Korean Occupational Safety and Health Agency) was used for symptom survey. A questionnaire from KOSHA was also used for collecting data associated with job stress, psychosocial stress and fatigue. All these data were formulated and modeled by path analysis which was one of major statistical tools in this study. Specifically, path analysis for the data we collected came up with several major findings. As a result, as for body part(neck), (waist) and (arms) the degree of risk of work posture measured with the use of job stress(KOSS), psycho-social stress(PWI-SF) and REBA is significantly more affected by fatigue than muscular skeletal disease related consciousness symptom. However, regarding bod(wrist), the degree of risk of work posture measured with the use of job stress(KOSS) and REBA is directly affected by muscular skeletal disease related consciousness symptom. This study is meaningful in that the study clarified the causal relations of the degree of risk of work posture, degree of fatigue, and muscular skeletal disease related consciousness symptoms by each body part measured with the use of work stress(KOSS), psycho-social stress(PWI-SF) and REBA.

• Restorative Dentistry and Endodontics
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• v.45 no.2
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• pp.25.1-25.12
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• 2020

Objectives: This systematic review evaluated the influence of autoclave sterilization procedures on the cyclic fatigue resistance of heat-treated nickel-titanium (NiTi) instruments. Materials and Methods: A systematic search without restrictions was conducted in the following electronic databases: PubMed, Scopus, Web of Science, ScienceDirect, Cochrane, and Open Grey. The hand search was also performed in the main endodontic journals. The eligible studies were submitted to the methodological assessment and data extraction. Results: From 203 abstracts, a total of 10 articles matched the eligible criteria. After reading the full articles, 2 were excluded because of the absence of the heat-treated instruments in the experimental design and 3 due to the lack of a control group using heat-treated instruments without autoclave sterilization. From the 5 included studies, 1 presented a low risk of bias, 3 presented moderate and 1 high risk. It was observed heterogeneous findings in the included studies, with autoclave sterilization cycles increasing, decreasing or not affecting the cyclic fatigue life of heat-treated NiTi instruments. However, the retrieved studies evaluating the cyclic fatigue resistance of endodontic instruments presented different protocols and assessing outcomes, this variability makes the findings less comparable within and also between groups and preclude the establishment of an unbiased scientific evidence base. Conclusions: Considering the little scientific evidence and considerable risk of bias, it is still possible to conclude that autoclave sterilization procedures appear to influence the cyclic fatigue resistance of heat-treated NiTi instruments.

• Women's Health Nursing
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• v.28 no.2
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• pp.145-153
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• 2022

Purpose: This study aimed to investigate the influencing factors of breast cancer recurrence by comparing the risk factors and lifestyle patterns related to breast cancer in Korean women with and without recurrence. Methods: This cross-sectional survey comprised 241 Korean women diagnosed with breast cancer who had received follow-up treatment. Participants were recruited from a university hospital in Seoul and an online social media platform for breast cancer patients. Data were collected either via online or a paper survey, using a structured questionnaire that included general and disease-related characteristics and lifestyle behaviors. Data were analyzed using descriptive statistics, univariate analysis, and logistic regression. Results: Recurrence of breast cancer was influenced by four factors; childbirth experience, consumption of green/yellow vegetables, drinking behavior, and recovery from fatigue after sleep. Prevalence of recurrent breast cancer was associated with no childbirth experience (OR=2.29, p=.010), fewer green/yellow vegetables (OR=0.71, p=.008), drinking behavior (OR=0.24, p=.001), and a lower level of recovery from fatigue after sleep (OR=0.51, p<.001). Conclusion: Aside from having experienced childbirth, this study identified several modifiable factors that influence breast cancer recurrence. Increasing green/ yellow vegetable intake, alleviating fatigue, and reducing alcohol intake are important. Intervention strategies in clinical research and practice can be applied to address risk factors and reduce the prevalence of recurrent breast cancer.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.6
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• pp.2589-2599
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• 2012

This study was intended to assess fatigue symptoms of nurses working for general hospitals and to reveal its association with the type A behavior pattern. The self-administered questionnaires were given to 306 nurses employed in general hospitals from May, 1st to June, 30th 2011. As a results, The proportion of behavior pattern was 50.7%, of type A, and 49.3% of type B. The distribution of fatigue symptoms was 76.8% of normal group, and 23.2% of high risk group. In terms of the distribution of fatigue symptoms according to the type A behavior pattern, the normal group of fatigue symptoms was higher in the type B behavior pattern group, but the high risk group of fatigue symptoms was higher in the type A behavior pattern group. The type A behavior pattern was significant positive correlation with fatigue symptoms. In logistic regression analysis, the adjusted odds ratio of the high risk fatigue symptoms were significantly increased in the group of type A behavior pattern than type B behavior pattern. As a conclusion, fatigue symptoms was higher in the group of type A behavior pattern than the group of type B behavior pattern. Hereafter, the sustainable study would require that the relation between type A behavior pattern and fatigue symptoms to the various study subjects.