• Safety and Health at Work
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• 제13권3호
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• pp.315-325
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• 2022

Background: Firefighters are required to carry self-contained breathing apparatus (SCBA), which increases the risk of musculoskeletal disorders. This study assessed the newly recruited firefighters' internal forces and potential musculoskeletal disorders when carrying SCBA. The effects of SCBA strap lengths were also evaluated. Methods: Kinematic parameters of twelve male subjects running in a control condition with no SCBA equipped and three varying-strapped SCBAs were measured using 3D inertial motion capture. Subsequently, motion data and predicted ground reaction force were inputted for subject-specific musculoskeletal modeling to estimate joint and muscle forces. Results: The knee was exposed to the highest internal force when carrying SCBA, followed by the rectus femoris and hip, while the shoulder had the lowest force compared to the no-SCBA condition. Our model also revealed that adjusting SCBA straps length was an efficient strategy to influence the force that occurred at the lumbar spine, hip, and knee regions. Grey relation analysis indicated that the deviation of the center of mass, step length, and knee flexion-extension angle could be used as the predictor of musculoskeletal disorders. Conclusion: The finding suggested that the training of the newly recruits focuses on the coordinated movement of muscle and joints in the lower limb. The strap lengths around 98-105 cm were also recommended. The findings are expected to provide injury interventions to enhance the occupational health and safety of the newly recruited firefighters.

• 대한의생명과학회지
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• 제29권1호
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• pp.26-33
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• 2023

Ziziphus jujuba Mill. (ZJM), a traditional folk medicine and functional food in South Korea and China, has been reported to having pharmacological activities against anti-cancer, anti-oxidative, and anti-obesity. However, the effect of ZJM related to myoblast differentiation has not been known. In this study, we investigated the effects and mechanism of ZJM on myogenic differentiation of C2C12 cells. ZJM promotes myogenic differentiation and elevates the formation of multinucleated myotube compared to the control group. ZJM significantly increased the mRNA and protein expression of MyHC1, myogenin and MyoD in dose- and time-dependent manner. Interestingly, ZJM significantly inhibited the mRNA and protein expression of protein degradation markers, atrogin-1 and MuRF-1, in dose- and time-dependent manner. Taken together, our data suggest that ZJM is a potential functional candidate for muscle growth and strength by promoting myogenic differentiation.

• The Korean Journal of Pain
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• 제36권1호
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• pp.106-112
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• 2023

Background: Most international bodies recommended against musculoskeletal steroid injection during the COVID-19 pandemic, fearing that the immunosuppressive effects of the steroid could worsen COVID-19 infection, thus prolonging the suffering of patients with severe musculoskeletal disease. The authors' aim is to analyze the risk of COVID-19 infection after musculoskeletal injections. Methods: This is a retrospective study of patients who visited a sports medicine clinic and received musculoskeletal steroid injections between January 1, 2020 and February 28, 2021. The collected data was compared with the national COVID-19 registry to identify positive COVID-19 patients. The patients were only considered positive for COVID-19 following corticosteroid injection within 3 months after injection. Results: Out of 502 steroid injections; 79.7% (n = 400) received a single injection in one day, 19.1% (n = 96) received steroid injections at 2 sites in one day, and 1.2% (n = 6) received steroid injections at 3 sites in one day. Using the Fisher's exact test, there was no statistically significant association of COVID-19 infection between the steroid group and control group (relative risk, 1.44; 95% confidence interval, 0.9-23.1, P = 0.654). Only one patient contracted mild COVID-19 with no post COVID complications. Conclusions: The authors recommend the use of musculoskeletal steroid injections in clinically indicated situation without having increased risk of COVID-19.

• 대한치위생과학회지
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• 제1권1호
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• pp.1-10
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• 2018

From October 01, 2017 to October 30, 2017, Busan. The following are the results of 185 studies on the identification of lifestyle habits and subjective symptoms of musculoskeletal disorders in Kyungnam dental hygienists. 1. The dental hygienist's lifestyle showed more regular exercise with age, and there was a significant difference according to age(χ²=34.17, p<.001). 2. The housework habits were more than 1 hour for older dental hygienists, and there were significant differences according to age(χ²=66.09, p<.001). 3. In the case of musculoskeletal diseases with or without age, dental hygienists experienced musculoskeletal disorders in the past and showed a significant difference according to age(χ²=39.51, p<.001). 4. 35~39 years old Dental hygienist There were present musculoskeletal diseases and there was a significant difference according to age(χ²=45.44, p<.001). 5. There was a significant difference between the dental hygienists aged 35~39 years due to musculoskeletal disorders and age(χ²=24.19, p<.001). As described above, the dental hygienist needs to adjust the work in consideration of the year, and in the case of low annual, measures are needed to prevent the disease.

• 치위생과학회지
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• 제15권4호
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• pp.472-479
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• 2015

치과위생사의 주요 건강문제인 근골격계 장애를 조사하고, 근무환경 요인과 스트레스 및 근골격계 장애의 관련성을 파악하기 위해 광주지역 치과위생사 483명을 편의 추출하여 자기기입식 설문조사를 시행하고 빈도분석, 교차분석, t-검정, 다중 로지스틱 회귀분석을 실시하여 분석한 결과는 다음과 같다. 연구대상자의 심한 통증을 호소하는 정도인 근골격계 장애는 29.8%였다. 근무환경요인과 스트레스 및 근골격계 장애의 관련성을 파악한 결과, 근무환경 요인에서 휴식시간 빈도였으며, 그 외 스트레스 요인 등이었다. 근무환경 요인에서 휴식시간 빈도가 없음으로 응답한 군에 비해 2회라고 응답한 군의 OR은 0.29 (95% CI, 0.11~0.73)로 근골격계 장애가 감소하여 유의한 차이를 보였으나, 휴식시간 빈도가 1회와 3회 이상에서는 유의한 차이가 없었다. 스트레스의 근골격계 장애 OR은 0.44 (95% CI, 0.27~0.70)로 음의 상관관계를 보였다. 이것은 휴식시간 빈도가 적당할수록(2회일 때) 근골격계 장애가 낮음을 의미하며, 근골격계 장애가 있는 경우 스트레스가 낮게 나타났다.

• 한국비블리아학회지
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• 제30권3호
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• pp.93-110
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• 2019

이 연구에서는 공공도서관 사서의 업무 및 환경적 요인이 근골격계에 부담이 되며 직무만족도에도 영향을 미칠 것이라는 가정 하에 유해요인을 밝히고자 서울시 서북권역 공공도서관 사서를 대상으로 조사하여 129명으로부터 응답받았다. 조사결과 첫째, 일반사항의 특성에 따라서 보면 성별에 있어 어깨의 경우 근골격계 증상은 남자보다 여자가 높은 것으로 나타났다. 둘째, 근무환경의 특성 가운데 팔과 팔꿈치는 근무 기간에 따라 1년~3년 미만의 경우 높은 증상을 보였다. 허리는 운영방식에 따라 교육청과 지자체 위탁의 경우 높은 증상을 보였으며, 목은 근무 시간에 따라 주간이 야간 보다 높은 증상을 보였다. 셋째, 업무환경의 특성에 따라서는 손과 손목 그리고 손가락은 모든 업무환경 특성, 허리는 업무만족을 제외한 업무환경 특성 그리고 다리와 발은 숙련도 업무강도 육체적 부담에 따라 높은 증상을 보였다. 넷째, 개인의 업무만족도에 따른 근골격계 증상 차이를 보면 모든 부위가 업무만족도가 높을수록 근골격계 증상이 낮아지는 것으로 나타났다. 따라서 공공도서관 사서의 건강을 위하여 업무강도의 조정을 통한 육체적 부담을 줄일 수 있도록 하여 근무 및 업무환경을 개선하고 개인의 업무만족도를 향상 시킬 수 있도록 공공도서관 운영주체의 노력이 필요하다.

• 대한골관절종양학회지
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• 제1권1호
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• pp.68-76
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• 1995

견갑관절 주위의 악성종양 치료후의 기능평가를 위하여 저자들은 1991년 1월부터 1993년 12월까지 가톨릭대학교 의과대학 정형외과학 교실에서 견갑관절 주위 악성종양에 대한 수술적 치료를 받은 9례를 분석하여 다음과 같은 결과를 얻었다. 남자 5례, 여자4례이었고, 나이는 최저 22세, 최고 64세로 평균 47세이었다. 연부조직 종양이 2례(MFI, dermatofibrosarcoma protuberance 각각 1례)이었는데, 1례는 forequarter 절단, 1례는 광범위 절제술로 치료하였다. 골종양은 7례(chondrosarcoma 2례, osteosarcoma, MFH, plasmacytoma, thyroid carcinoma metastasis 및 malignant schwannoma 각각 1례)이었는데, 1례는 상완골 근위부 부분절제, 4례는 Malawer분류 제 I-A형의 절제, 1례는 제 I-B형, 1례는 제 V-B형의 절제술을 시행하였다. low grade의 연골육종 1례와 dermatofibrosarcoma protuberance 1례, 갑상선 종양 전이의 1례의 3례를 제외한 6례에서 항암화학요법, 혹은 방사선 요법을 시행하였으며, 1례에서 국소재발이 있었으나 평균 15.3개월 추시된 현재 전례가 생존하고 있다. 골종양 7례증 2례는 관절유합술, 4례는 관절전치환술로 치료하였으며, 관절유합술을 시행한 예와 관절성형술을 시행한 예의 기능은 큰 차이를 보이지 않았다.

• 대한인간공학회지
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• 제34권6호
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• pp.609-622
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• 2015

Objective: This study aims to investigate the correlation between office and work environment satisfaction levels and workers' musculoskeletal symptoms by conducting surveys asking office workers to state their musculoskeletal symptoms and office and work environment satisfaction levels. Background: The increased number of office workers and their indoor work hours using computers have led to new understandings of the importance of office environment including its temperature, humidity, noise levels, lighting and quality of air, and work environment including monitor arrangement, space arrangement and the functions of desks and chairs. Method: Specific details on office work, office environment satisfaction levels, work environment satisfaction levels, musculoskeletal symptoms, absence from work and treatment due to musculoskeletal related symptoms were analyzed based on the survey answers given by 397 office workers who were the subjects of this research. Results: Office workers showed different characteristics of musculoskeletal symptoms depending on their gender, age, work experience, office hours, break time and time spent on computers. Also, differences in symptoms were found for workers'with different satisfaction levels for office environment (temperature, humidity, noise levels, quality of air, lighting) and work environment (location of monitors, area and display of office space, chairs and desks). ANOVA shows the differences between groups of subjects classified by the experience of work-absences and treatments or pain complaints. Conclusion and Application: Relationship between workers' satisfaction levels with the office and work environment and their musculoskeletal symptoms is expected to be served as essential data for systematic management of the workplace.

• 한국산업보건학회지
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• 제25권1호
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• pp.13-19
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• 2015

Objectives: The purpose of this study was to assess excavator drivers in order to determine the proportion showing subjective symptoms of musculoskeletal disorders and to evaluate the association between the symptoms and characteristics of the subjects. Methods: A questionnaire survey was conducted to collect the information on participants' age, average working hours per day, duration of career (years), work-related musculoskeletal symptoms, and more. The final dataset included 141 excavator drivers. Frequency and percentage were summarized and then the associations between the characteristics of the subjects and symptoms were evaluated as odds ratios (ORs) and 95% confidence intervals (CIs) using multiple logistic regression analysis. Results: Seventy-six percent of the currently reported musculoskeletal symptoms. Those who have musculoskeletal symptoms attributed their symptoms to unstable posture at work, mental stress or vibrations. There was a significant association between symptoms of musculoskeletal disorders and career of excavator drivers (P for trend=0.04). Conclusions: The results of this study suggest that the prevalence of musculoskeletal disorders may be high among excavator drivers and warrants well-designed studies on work-related disorders among excavator drivers.

• 한국산업보건학회지
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• 제18권2호
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• pp.122-132
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• 2008

The purpose of this study is to present the basic materials of a developmental counterplan by assessing prevalence of musculoskeletal symptoms and characteristics of work-related ergonomic risk factors. The prevalence of musculoskeletal symptoms of 64 vineyard workers was investigated by using a self-reported questionnaire. And the vineyard workers' tasks were also collected and analyzed during 9-month period by observing and videotaping methods to identify the ergonomic risk factors. The prevalence rate of musculoskeletal symptoms of female(84.4%) was much higher than that of male(62.5%) and a total prevalence rate was 73.4%. There was no different prevalence of musculoskeletal symptoms between age over 60 years and under 60 years. The prevalence rates of musculoskeletal complaints for each body part were 48.4%, 42.2%, and 35.9% for the wrist, legs/knee, and shoulder, respectively. In postural risk analysis, 7 works(REBA score) represented the high risk tasks such as delivering harvest boxed(12), picking cluster(11) and so on. The main works(exposure score) were orderly ranked as picking cluster(1590), pruning branch(388), and cluster thinning(327). The risk factors of vineyard work were identified as follows: shoulder flexion(${\geq}45^{\circ}$), wrist Flex./Ext.(${\geq}15^{\circ}$), hand force(power/pinch-grip), and prolonged standing(${\geq}4hr$). The engineering solutions including an improvement of hand tools, working process, and working environment should be applied to the high risky tasks in order to resolve the ergonomic problems. The administrative solutions such as improving a distribution of resting time, an exercise cure, an early recognition of symptoms and rehabilitation might be another solution for reducing musculoskeletal symptoms in vineyard workers.