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FES Exercise Program for Independent Paraplegic Walking (하반신 마비환자의 FES 독립보행을 위한 근육 강화 프로그램)

  • Khang, Seon-Hwa;Khang, Gon;Choi, Hyun-Joo;Kim, Jong-Moon;Chong, Soon-Yeol;Chung, Jin-Sang
    • Journal of Biomedical Engineering Research
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    • v.19 no.1
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    • pp.69-80
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    • 1998
  • This research was designed to investigate how the exercise program affects paraplegic standing and walking employing functional electrical stimulation(FES). Emphasis was also given to fatigue of major lower extremity muscles induced by different types of electrical stimulation. We applied continuous and intermittent rectangular pulse trains to quadriceps of 10 normal subjects and 4 complete paraplegic patients. The frequencies were 20Hz and 80Hz, and the knee angle was fixed at 90$^{\circ}$and 150$^{\circ}$to investigate how muscle fatigue is related to muscle length. The knee extensor torque was measured and monitored. We have been training quadriceps and gastrocnemius of a male paraplegic patient by means of electrical stimulation for the past two year. FES standing was initiated when the knee extensors became strong enough to support the body weight, and then the patient started FES walking utilizing parallel bars and a walker. We used an 8-channel constant-voltage stimulator and surface electrodes. The experimental results indicated that paralyzed muscles fatigued rapidly around the optimal length contrary to normal muscles and confirmed that low frequency and intermittent stimulation delayed fatigue. Our exercise program increased muscle force by approximately 10 folds and decreased the fatigue index to half of the initial value. In addition, the exercise enabled the patient to voluntarily lift each leg up to 10cm, which was of great help to the swing phase of FES walking. Both muscle force and resistance to fatigue were significantly enhanced right after the exercise was applied every day instead of 6 days a week. Up to date, the patient can walk for more than two and half minutes at 10m/min while controlling the on/off time of the stimulator by pushing the toggle switch attached to the walker handle.

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A Study of the Relationship of Nurses' Personality Type and Job Satisfaction Level, according to the Career (근무경력별 간호사의 성격유형과 직무만족도와의 관련성(MBTI이용))

  • Park Young Sook;Park Kyung Min;Park Jeong Sook;Koh Hyo Jung;Kwon Young Sook;Kim Myung Ae;Kim Chung Nam;Park Cheong Ja;Shin Yeong Hee;Lee Kyung Hee;Lee Byung Sook
    • Journal of Korean Public Health Nursing
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    • v.15 no.2
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    • pp.301-313
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    • 2001
  • This study was to explore the relationship between nurses' personality type and their job satisfaction level. The subjects of the study were the 364 nurses who were serving at the general surgical department, psychiatric department, pediatric department and emergency room. The hospitals for which they were working were four university hospitals in Daegu and Busan, and six other university hospitals in Seoul were selected as sample hospitals. For data collection, questionnaires were self-reported to the subjects, under their agreement, from May to June, 2000. The following two instruments were used in the study: One was MBTI Test whose Korean version designed and verified to reliability and validity by Kim Jung Taek and Shim Hae Sook(1990): the other was the Nursing Job Satisfaction Instrument, 'The Index of Work Satisfaction' developed by Slavitt, et al.., (1978). The data were analyzed by frequency, t-test, one-way variance analysis, scheffe's post hoc contrast, and Pearson correlation coefficient with SPSS Win 10.0 program. The results this study were as follows ; 1. As a result of testing nurse's personality type by function at each career, it's found that the most personality type was expressed by the ST-type$(37.3\%)$ at 1-5 years, the SF-type$(29.4\%)$ at 6-10 years, the ST-type$(43.3\%)$ at more than 11 years. 2. As a result of testing the disparity in job satisfaction according to career, it appeared that the 6-10 years group showed higher job satisfaction, followed by the 6-10 years$(119.6\%),\;1-5 years(118.6\%)\;and\;more\;than\; 11 years(117.7\%)$ groups. 3. As a result of testing job satisfaction level according to nurse's personality type by function at each career, it's found that the most job satisfaction was expressed by the SF-type(F=8.50, p=0.00l) at 1-5 years. the ST-type(F=30.61, p=0.001) at 6-10 years. the SF-type(F=4.98, p=0.003) at more than 11 years groups. 4. As a result of testing a significant correlation between nurse's personality type by function and job satisfaction level. the SF(r=0.279, p=0.001) and ST(r=0.222, p=0.001) types showed significant positive correlation. and the NF(r=-0.201, p=0.001) and NT(r=-0.402, p=0.001) types revealed significant negative correlation. The nursing management is likely to be done more effectively, if managers in charge of nursing administration carefully reflect nurses' personal opinions in posting and personnel management, keeping in mind that there is a specific personality type that serves to raise job satisfaction at a specific career.

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Relations Between the Dietary Habit and Academic Achievement, Subjective Health Judgement, Physical Status of High School Students (고등학생의 식습관과 학업성취도, 주관적 건강상태 및 체격과의 관계 연구)

  • 최정숙;전혜경;정금주;남희정
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.32 no.4
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    • pp.627-635
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    • 2003
  • This study was performed to investigate the relations between dietary habit and academic achievement, subjective health judgement, and physical status. The subjects consisted of freshmen in university and answered to questionnaires through the Internet. The questionnaire consists of the dietary habit, academic achievement (College Scholastic Ability Test), subjective health judgement, and physical status during their 3$^{rd}$ grade in high school days. Data were collected from 3,612 people. Over 33% of respondents had their breakfast daily. Subjects who had breakfast below twice per week were 37.9%. The major reason of skipping breakfast was lack of time to eat breakfast (62.8%). The subjects who recognized the importance of breakfast were 80.6% (p<0.001). More than half (52.7%) thought that dinner was most tasty. People who ate breakfast regularly had a tendency to recognize their health state were in good health (p<0.01). There was no significant difference of BMI (body mass index) according to the frequency of breakfast per week. The subjects who had their breakfast regularly and well-balanced dietary habit reported higher marks in the College Scholastic Ability Test. In contrast, the subjects who rarely had breakfast showed poor marks of academic achievement and subjective health judgement. According to these results, a good dietary habit is considered to be important to academic achievement and confidence in health. Therefore we suggest the school breakfast program and nutrition education program should be required for teenagers. In addition, the findings from this study would provide the basic information for nutrition education in Korean teenagers..

Clinical Characteristics and Heart Rate Variability of Foreign Domestic Violence Victims in Korea (국내 거주 외국인 가정폭력 피해 여성의 임상적 특징 및 심박변이도)

  • Kim, Kyu-Lee;Choi, Jin-Sook;Jang, Yong-Lee;Lee, Hae-Woo;Sim, Hyun-Bo
    • Sleep Medicine and Psychophysiology
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    • v.24 no.1
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    • pp.46-54
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    • 2017
  • Objectives: Domestic violence is related to many psychiatric diseases, such as depression, anxiety disorder, and PTSD. Heart rate variability (HRV) is an index of autonomic control of the heart and is related to cardiovascular and emotional disorders. Although there have been some studies on the effects of domestic violence on women's mental health, relatively little information is available on HRV in this population. The aim of this study is to investigate demographic data, psychological features, and HRV in female victims of domestic violence and difference between Korean and foreign female victims. Methods: A total of 210 female victims of domestic violence (166 Korean women and 44 foreign women) were recruited for this study. Psychological symptoms were measured using the Hamilton Rating Scale for Anxiety (HAM-A), Hamilton Rating Scale for Depression (HAM-D), and Impact of Event Scale-Revised (IES-R). HRV measures were assessed by time-domain and frequency-domain analyses. Results: The mean score of HAM-A was 13.81, that of HAM-D was 12.92, and that of IES-R was 33.61 ; there were no significant differences between Korean and foreign women in these measures. In HRV time domain analyses, approximate entropy (ApEn) was significantly increased in foreign women compared to the Korean women. The square root of the mean of the sum of the squares of differences between adjacent NN intervals (RMSSD) was significantly decreased in foreign women compared to Korean women. There were no significant differences in the other HRV variables between Korean and foreign women. Conclusion: Female victims of domestic violence in Korea are associated with depression, anxiety, and PTSD symptoms. The physiologic factors of a female victim's nationality could be related to higher ApEn and lower RMSSD in foreign female victims. These findings have important implications for future study to study the relationships among ethnic and environmental factors and HRV variables.

Ecological Changes of Insect-damaged Pinus densiflora Stands in the Southern Temperature Forest Zone of Korea (II) (솔잎혹파리 피해적송림(被害赤松林)의 생태학적(生態學的) 연구(硏究) (II))

  • Yim, Kyong Bin;Lee, Kyong Jae;Park, In Hyeop
    • Journal of Korean Society of Forest Science
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    • v.54 no.1
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    • pp.49-59
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    • 1981
  • In order to elucidate the process of plant succession of the Japanese red pine forests caused by pine gall midge, Thecodoplosis japonensis, in the area of Chungbuk and Kyongbuk, 12 study plots, 4 plots from each three districts, were set up. Districts A (Cheongwon)not attacked by this insect, as the check, District B(Gumi) in which the insect outbreak occured 5 years ago, and District C(Yeongdong)in which the insect outbreak occured 10 years ago, were sampled. The surveyed were some environmental factors, the number of woody plants, relative density, relative dominance values, species composition of plots by layer(upper, middle and ground), importance values, species diversity, similarity and dissimilarity index, etc. The results obtained are summarized as follows: The accumulation of litter on the ground was increased with the lengthening the insect damage duration. Through the crown opening and litter accumulation, the light intensity, temperature condition and soil moisture and nutrient content might be altered. According to the changes of species composition were forced. In general, the Genus Quercus, as a compensation species, has sprung up. The relative importance values for Q.aliena, Q.serrata, and Q.variabilis were significantly increased in the insect infested forests. 2. the stand structure and species composition of the insect attacked forest about 5 years later after the outbreak become complex and diverse. However, since this time, the simplicity of these regards become restored up to 10 years after the outbreak. 3. As the synthetic analysis of plant succession process, the relative values calculated from the relative density and the relative dominance values shown the dominant status of Genus Quercus in the heavily damaged forests. In addition, Genus Rhododendron and Genus Lespedeza with higher frequency become the ground vegetation components. They were gradually increased along the time elapsing after the insect out-break. 4. The differences in connection with the soil moisture contents, the organic matter contents which might give some influences to the vegetation change were hardly recognizable statistically among the studied plots by three district groups. We estimated that the annual mean precipitation and the annual mean temperature did not operated any meaningful effects on the vegetation alteration among plots between districts.

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Night Eating and Nutrient Intake Status according to Residence Type in University Students (일부 대학생의 거주형태에 따른 야식 및 영양소 섭취 상태)

  • Jun, Ye-Sook;Choi, Mi-Kyeong;Bae, Yun-Jung
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.44 no.2
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    • pp.216-225
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    • 2015
  • The purpose of this study was to evaluate night time eating habits, dietary habits, and nutrient intake in university students according to residence type. A survey was conducted by administering questionnaires to 664 students. Questionnaire interview and 24-h dietary recall were conducted. Subjects were divided into three groups according to residence type: dormitory boarding (DB group, N=313), self-boarding (SB group, N=246), and living with parents (LWP group, N=105). Average ages in the DB, SB, and LWP groups were 21.3, 22.2, and 22.1 years, respectively. There were no significant differences in body mass index between the three groups. In total, 77.3% of students regularly ate night time snacks. The proportion of students who reported night time eating was 84.0% in the DB group, 73.6% in the SB group, and 65.7% in the LWP group (P<0.001). In terms of food types consumed during night time eating, the DB group showed a significantly higher rate of consumption of fried chicken and flour-based foods than the SB and LWP groups, whereas the SB group showed a significantly higher rate of consumption of alcohol beverages than the DB and LWP groups. Energy, carbohydrates, protein, fat, vitamins, and mineral intakes were significantly higher in the DB group than in the SB and LWP groups. In addition, intake of cholesterol per 1,000 kcal was significantly higher in the DB group than in the SB and LWP groups. Thus, SB and DB students seemed to have more night time eating problems than LWP students. Accordingly, nutritional education is needed to support the development of healthier eating habits, in particular, night time eating habits, among students living in dormitories and in self-boarding situations.

The Effect of Hospital Service Coordinator Education Curriculum on the Education Satisfaction and the Quality of Medical Service (병원서비스코디네이터 교육과정이 교육만족과 의료서비스 품질에 미치는 영향)

  • Choi, Eun-Kyoung;Park, Chang Sik;Seo, Jong-Bum
    • The Korean Journal of Health Service Management
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    • v.2 no.1
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    • pp.137-154
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    • 2008
  • The increase of the supply of medical service and the increase of hospitals have intensified the competition of hospitals, and the advancement towards internationalization in the opening of medical industry has triggered the infinite competition of medical profession. In addition, the high expectation of customers and quality improvement in the medical care in accordance with the improvement of overall income, and the change of active role of medical consumers according to the popularization and the improvement of rights awareness reflect the customer needs and choice in the medical service. Customers wanted to receive the kind and pleasant service under the up-to-date medical service. Therefore, as a solution, hospital coordinators were emerged for the purpose of smooth treatment and customer satisfaction by generalizing all service of hospital. Accordingly, this thesis attempted to investigate the effect of hospital coordinator education curriculum on the education satisfaction and the quality of medical service. In order to solve the purpose of this study, I, author reviewed the existing literatures, established hypothesis, and verified hypothesis by using the variety of statistics techniques such as reliability, validity, frequency analysis, and regression analysis. The verification of hypothesis is as followings: First, among education training factors of hospital coordinators, the quality of instructor significantly affects the satisfaction of hospital coordinator education training. Second, among training factors of hospital coordinator, the attitude of trainee significantly affects the training satisfaction of hospital coordinator. Third, among education training factors of hospital coordinator, education course significantly affects the training satisfaction of hospital coordinator education. As the qualities of instructor are better equipped, the satisfaction of education becomes higher. It indicates that the education method of instructors is important as an index to represent the qualities of instructor such as the appropriateness of education method, preparation, passion, visual materials, the adequacy of education procession, and specialized knowledge, and it has important effect on the satisfaction of education. In order to enhance the satisfaction of hospital coordinator education, the creation of education environment, making trainee concentrate on the education, is required by appropriately allocating programs, arousing interest in education, based on the attitude of trainee, discussion, and preliminary programs, preparation, ahead of enforcement of education. Fourth, the satisfaction of hospital coordinator education training significantly affects the reliability among the qualities of medical service. Fifth, satisfaction of hospital coordinator education training significantly affects hospitality I kindness among the qualities of medical service. If the education satisfaction of trainee is high, it is effective in the practical application such as dealing with complaints, the duty performance for the patients, and so on in offering the medical service, related to reliability and furthermore, we can find the positive change in the attitude change of medical professions related to the reliability of hospital coordinator. In addition, in the process of offering medical services such as the kind explanation on the duty, rapid response to the customers inquiry, and tidy uniform, practical effect was verified. Sixth, the education training factor of hospital coordinator significantly affects the reliability among the quality of medical service. Seventh, the education training factors of hospital coordinator significantly affect hospitality/kindness. In the education of hospital coordinator, the methods to attract the interest of trainee by emphasizing reliability should be sought and for gaining the practical effect of hospital coordinator education, the sufficient preparation and investigation on the education curriculum should be prerequisite and under this condition, intensified discussion on the instructor and education course is needed. In the design of education course, more education hours and subjects should be allocated in the part of hospitality in order to improve the practical application of hospitality. Therefore, it is meaningful in a sense that this study newly approached the components of hospital coordinator education and the need to modify the quality components of medical service in accordance with the study subjects was raised. This study also finds its meaning in that it provides basic materials for the study of future hospital coordinator education by suggesting the system development model of hospital coordinator education through preliminary study of education training. In addition, this study is meaningful in the aspect that it suggested the direction of education training by showing how the hospital coordinator education training would applied to the hospital coordinator course of the Continuing Education Center at Pusan and Kyungnam National University to some extent. Since all investigation of this study was approached from the side of hospital coordinator, the thoughts of patients who are beneficiaries of medical service, and care givers cannot be identified. Therefore, the satisfaction of patients and care givers through the experience of medical service, which is the essential prerequisite of medical service, should be importantly considered and investigated. Accordingly, The study of comparing and analyzing the views of both patients and care givers should be carried out in the future.

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Prediction of Dispersal Directions and Ranges of Volcanic Ashes from the Possible Eruption of Mt. Baekdu

  • Lee, Seung-Yeon;Suh, Gil-Yong;Park, Soo-Yeon;Kim, Yeon-Su;Nam, Jong-Hyun;Yu, Seung-Hyun;Park, Ji-Hoon;Kim, Sang-Jik;Kim, Yong-Sun;Park, Sun-Yong;Yun, Ja-Young;Jang, Yu-Jin;Min, Se-Won;Noh, So-Jung;Kim, Sung-Chul;Lee, Kyo-Suk;Chung, Doug-Young
    • Korean Journal of Soil Science and Fertilizer
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    • v.51 no.1
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    • pp.16-27
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    • 2018
  • To predict the influence of volcano eruption on agriculture in South Korea we evaluated the dispersal ranges of the volcanic ashes toward the South Korea based on the possibilities of volcano eruption in Mt. Baekdu. The possibilities of volcano eruption in Mt. Baekdu have been still being intensified by the signals including magmatic unrest of the volcano and the frequency of volcanic earthquakes swarm, the horizontal displacement and vertical uplift around the Mt. Baekdu, the temperature rises of hot springs, high ratios of $N_2/O_2$ and $_3He/_4He$ in volcanic gases. The dispersal direction and ranges and the predicted amount of volcanic ash can be significantly influenced by Volcanic Explosivity Index (VEI) and the trend of seasonal wind. The prediction of volcanic ash dispersion by the model showed that the ash cloud extended to Ulleung Island and Japan within 9 hours and 24 hours by the northwestern monsoon wind in winter while the ash cloud extended to northern side by the south-east monsoon wind during June and September. However, the ash cloud may extent to Seoul and southwest coast within 9 hours and 15 hours by northern wind in winter, leading to severe ash deposits over the whole area of South Korea, although the thickness of the ash deposits generally decreases exponentially with increasing distance from a volcano. In case of VEI 7, the ash deposits of Daejeon and Gangneung are $1.31{\times}10^4g\;m^{-2}$ and $1.80{\times}10^5g\;m^{-2}$, respectively. In addition, ash particles may compact close together after they fall to the ground, resulting in increase of the bulk density that can alter the soil physical and chemical properties detrimental to agricultural practices and crop growth.

Characteristics of Vegetation on Soils Having Different Salinity in Recently Reclaimed Saemangeumin Region of Korea (새만금 신간척지 토양의 염농도별 식생특성)

  • Kim, Sun;Kim, Taek-Kyum;Jeong, Jae-Hyeok;Yang, Chang-Hyu;Lee, Jang-Hee;Choi, Weon-Young;Kim, Young-Doo;Kim, Si-Ju;Seong, Ki-Young
    • Korean Journal of Weed Science
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    • v.32 no.1
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    • pp.1-9
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    • 2012
  • This study was conducted to survey vegetation changes and soil characteristics in Saemangeum new reclaimed tidal land. Soil salinity in border area to tidal land was 22.3 dS $m^{-1}$ but showed 1.1~3.44 dS $m^{-1}$ over the distance of 2 km from border line. The vascular plants in survey sites were recorded as total 26 taxa in 6 families. The frequency of species appearance of Aster tripolium, A. subulatus var. sandwicensis were highest by 61.5 and that of Phragmites communis, Puccinellia nipponica were 53.8. The almost vegetations occurred in the patch which range of soil salinity 14 dS $m^{-1}$ were halophytes as Salicornia europaea, Suaeda asparagoides, S. japonica. As lowed soil salinity as 6.7 dS $m^{-1}$, mixed vegetation of halophytes with P. communis, P. nipponica, Carex pumila were occurred. Dominant species in the range of 3.0 dS $m^{-1}$ area were A. subulatus var. sandwicensis, P. communis, Echinochloa spp., Zoysia sinica and Conyza canadensis. Biomass production was the highest in the area of dominant vegetation with P. communis, and mixed zone with P. communis and Aeschynomene indica are followed. The correlation between vegetation biomass and soil salinity, soil pH and dominance index of vegetation were negative. But that of vegetation biomass and soil organic content were positive.

A Study on Health Behaviors and Problems of Female Retail Workers (유통업 여성 근로자의 건강 문제와 건강 행위에 관한 연구)

  • Kim, Souk-Young;Yun, Soon-Nyung
    • Research in Community and Public Health Nursing
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    • v.11 no.1
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    • pp.127-145
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    • 2000
  • The objectives of this study are to identify health behaviors and health problems. and the relations between health behaviors and health problems of female workers in the retail business. The number of subjects were 200 female workers of 6 department stores in Seoul and Kyonggi area, whose jobs last more than 6 months as retail employees. The data was collected during 2 months from July 1 to August 30, 1998. The Cornell Medical Index Health Questionnaire(CMI) was used to measure their health problems, while health behaViorn were investigated in terms of 'smoking', 'alcohol', exercise', 'diet', and 'sleeping'. The data were analyzed with frequency. percentage, t-test, ANOVA test, and $X^2-test$ by SPSS PC+ program. The results of this study are as follows: 1. Out of health problems. Digestive symptoms occupied the highest percent number. nervous ones the second and cardiovascular ones the third among physical health problems of retail female workers. The most frequent mental health problem was 'adequacy' and the next, 'tension' and 'anger', 2, Health problems according to general characteristics of subjects were shown that the younger or the unmarried complained more than the older or the married, especially in the items of 'eye and ear', 'respiratory system', 'cardiovascular system', 'digestive tract', 'nervous system', 'adequacy', and 'depression'. The longer working duration they have had, the more they complained of 'respiratory system' and 'adequacy'. The lower academic careers complained of 'nervous' than the higher ones with statistical significance. 3. The analysis of daily health clinic notes showed that respiratory complaints were the highest percent, successively followed by digestive tract, nervous one, external injury, musculoskeletal system, urinary-reproductive system and others. 4. The level of their health practice was generally low in smoking, diet habit and alcohol intake, exercise, sleeping, very low especially in smoking, diet, alcohol intake, and exercise among them all. 5. Present smokers and ones with past experience complained of physical and mental health problems of 'respiratory system', 'digestive tract', 'skin', 'nervous', 'urinary-reproductive system', 'fatigability', adequacy', 'depression', 'anxiety', 'anger' and 'tension', than non smokers, with statistical difference. Workers without having breakfast and with irregular diet had more complaints on 'digestive tract', 'adequacy' and 'tension', than those who had regular dietary habit. The less the subjects slept, the more they complained of eye and ear, cardiovascular system. The subjects who drank alcohol complained more digestive problem. However, whether they exercise or not did not affect physical and mental health problems in a significant manner. 6. The subjects' age and marital status were statistically significant relating to health behaviors, as the younger or unmarried recorded a low level of health practice in smoking, drinking, dietary habit. Based on the results, the suggestions are made as follows: 1. Health education program on smoking, alcohol intake, diet habit is needed to improve health problems and health behavior of female retail workers. 2. The unmarried workers of late teen and twenties, who are transitional period from teenagers to adulthood are important targets for health promotion program especially for maternal health. 3. Better working environment with sufficient time and facilities for workers to relax is required to promote female sales workers' health. 4. Further research is required to identify the relation between workers' visual fatigue and intense lights for the display of goods.

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