• Journal of Korean Biological Nursing Science
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• v.2 no.2
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• pp.1-19
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• 2000

The purpose of this study was to identify the characteristics and physiological variables of chest pain induced by exercise test in angina suspected patients. The subjects of this study consisted of 28 inpatients and outpatients aged between 40 and 75 who underwent treadmill test at exercise testing laboratory of S-University from January 2000 to June 2000. Subjects were interviewed with questionnaire regarding sociodemography, the past health history and history related to chest pain before the exercise test. Subjects were interviewed with questionnaire concerning quality, intensity, duration of chest pain induced by walking on the treadmill(Marquette, U.S.A. 1992) according to Bruce protocol following exercise test. Systolic and diastolic blood pressure were measured before, during and after the test, heart rate was determined by ECG. The results of this study were as follows ; 1) Quality of chest pain induced by exercise test were feeling stiffness 19(67.9%), heavy 10(36.0%), exploded 9(32.1%), crushing, suffocating, tight 8(28.6%), stuffy, prickly 7(25.0%), burning 6(21.4%), clasp 5(17.9%), cleaved, tensed, piercing 3(10.7%), perfectly fitting, sore 2(7.1%), tearing, tingling, ticklish, heartburn 1(3.6%). 2) Mean score of VAS(intensity of pain) following exercise test was $5.79{\pm}2.27$ and mean duration of chest pain after the test was $7.83{\pm}5.31$ minutes. 3) Sites of chest-pain induced by exercise test were middle site 11(39.3%), left-chest 10(35.6%), right-chest 6(21.5%). Radiation site of chest-pain was neck(18.0%), right flank site 1(3.6%), left shoulder & arm 2(7.1%) and back 1(3.6%). 4) Symptoms other than chest-pain induced by exercise test were dyspnea 21(75.6%), perspiration 14(50.4%), fatigue 12(43.2%), leg-pain 11(39.6%), dizziness 7(25.2%) anxiety toward chest-pain 3(10.8%), thirst 2(7.1%), and palpation, headache and tingling sensation of hand and leg 1(3.6%). 5) Mean MET(intensity of exercise) during the exercise test was $7.64{\pm}2.57$ and mean RPE(rating of perceived exertion) was $15.89{\pm}2.36$. Mean duration of exercise was $6.79{\pm}2.88$. 6) correlation coefficients between RPE and VAS was 0.500(p=0.003), those between MET and VAS was 0.287(p=0.069) and those between either depression or elevation of ST segment and VAS was 0.236(p=0.114). 7) There was a significant difference in mean systolic pressure between before and after the test as $146.29{\pm}28.18mmHg$ and $177.96{\pm}28.82mmHg$(t=-5.640, p=0.000), a significant difference in mean diastolic blood pressure between before and after the test as $84.85{\pm}15.07mmHg$ and $88.89{\pm}13.72mmHg$(t=-2.082, p=0.047), and there was a significant difference in mean heart-rate between before and after the test as $81.89{\pm}12.22/min$ and $160.68{\pm}21.77/min$(t=-21.255, p=0.000).

• Journal of Korean Academy of Nursing
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• v.27 no.4
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• pp.807-819
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• 1997

The purpose of the study was to identify the effects of a 12-week low-intensity exercise program on muscle strength, flexibility, balance, and cognitive characteristics related to the performance of activity of daily living(ADL). A total of 16 patients who were admitted to the medical unit of a general hospital in ChoongChung province were recruited, eight for the exercise group and eight for the comparison group. Four levels of low-intensity exercise from 'ROM on bed' to 'exercise while walking' were then applied to the exercise group according to their physical condition. During hospitalization, patients in the exercise group performed each level of the prescribed exercise with the researchers until they felt comfortable doing it independently. The researchers also visited the patients' homes after discharge to make sure they could perform the exercise with Theraband in their living environment. The exercise group was contacted by phone once a week to assess the frequency and intensity in which they performed the exercise as well as their physical condition. The subjects in the comparison group participated in measurements for the study without performing the exercise and were contacted by phone after discharge, in a matched time frame with the exercise group, to assess physical condition. Muscle strength, flexibility, balance, cognitive characteristics, and performance of ADL for the two groups were compared at the pretest and the posttest after the low-intensity exercise program by utilizing SPSSWIN and the results are as follows : 1) At the postest, measurements of muscle strengths showed that the strength of the dorsal flexor in the exercise group was significantly higher than in the comparison group. 2) Objective balance for the exercise group was significantly better than for the comparison group as measured by 'standing on one foot' and Tinetti gait and balance control. 3) The exercise group showed significantly higher task self-efficacy than the comparison group. 4) Perceived exertion for ADL for the exercise group was significantly lower than for the comparison group. 5) Improvement of performance of ADL without assistance was significantly higher for the exercise group than the comparison group. The findings suggest that a low-intensity exercise program would be useful for the elderly who show decline in their physical functioning due to hospitalization by partly improving physical strength, task self-efficacy, and performance of ADL. Directions for further research on issues of motivating people to exercise as well as of standardizing various types of exercise were discussed.

• Biomedical Science Letters
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• v.19 no.3
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• pp.254-260
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• 2013

The purpose of this study was to survey the effects of Karvonen exercise prescription in coronary artery disease patients reaching age-predicted maximal heart rates with the exercise stress test on hemodynamic responses and cardiorespiratory fitness. The subject group was comprised of acute coronary syndrome (ACS) patients, who were divided into the maximal heart rate (MHR) group that included those who completed the test with their heart rates reaching the number of 220-age and the maximal dyspnea (MD) group that included those who could not continue the test due to respiratory difficulty and were asked to stop the test. Both groups had the exercise stress test before and after the experiment. In the exercise stress test before the experiment, the exercise prescription intensity of Karvonen was set at the target heart rates of 50~85% with a six-week exercise monitoring arrangement. As a result, there were no interactive effects in rest heart rate (RHR) according to time and group, but interactive effects were observed in maximal heart rate (MHR) (P=0.000). Both rest systolic blood pressure (RSBP) and rest diastolic blood pressure (RDBP) had no interactive effects according to time and group. Maximal systolic blood pressure (MSBP) showed significant interactive effects according to time and group (P=0.017). Maximal diastolic blood pressure (MDBP) showed no interactive effects according to time and group, while maximal rate pressure product (MRPP) showed significant interactive effects according to time and group (P=0.003). Maximal time (MT) had no interactive effects according to time and group. $VO_{2max}$ and maximal metabolic equivalent (MMET) showed significant interactive effects according to time and group (P=0.000, P=0.002, respectively), whereas maximal respiratory exchange ratio (MRER) and maximal rating of perceived exertion (MRPE) showed no interactive effects according to time and group. The exercise test that was discontinued as the subjects reached the predicted maximal heart rates considering age did not reach the maximal exercise intensity and accordingly showed low exercise effects when applied to Karvonen exercise prescription intensity. That is, the test should keep going by monitoring cardiac events, MRER and MRPE until the heart rates exceed the predicted MHR by up to 10~12 even after the subject reaches the predicted MHR considering age in the exercise stress test.

• Korean Journal of Applied Biomechanics
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• v.19 no.2
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• pp.227-235
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• 2009

The purpose of this study was to analyze differences of 45minutes up-hill walking depending on hiking poles and steady walking time. Seven healthy men volunteered for this experiment. Each of them performed up-hill walking with hiking poles and without hiking poles at speed of 3.5km/h during 45minutes on a treadmill. The treadmill was set 25% up-hill inclination. The lower extremity 4 muscles activity including rectus femoris, tibialis anterior, gastrocnemius, biceps femoris was recorded and assessed by using EMG. And Heart rate(HR) and Rating of perceived exertion(RPE) were recorded and analyzed by 15minutes interval. The statistical analysis was two-way ANOVA with repeated measures to compare effects of hiking poles and steady walking time. The level of statistical significance for all tests was P<.05. The results of this study were following : Integrated EMG about four individual muscles doesn't have statistical significancy. However, the sum of IEMG of the four muscles was decreased some with poles than without poles(p<.0l) and IEMG about four muscles was rut different on steady walking time. Second, HR was increased significantly as time up(P<.01). RPE was decreased some with poles than without poles(P<.05) and RPE was increased significantly as time up(P<.01).

• Journal of Distribution Science
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• v.12 no.6
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• pp.41-48
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• 2014

Purpose - This study aims to investigate a solution to reduce the negative reactions arising from the performance of duties or the job distress of workers in the service industry, because human resource statistics regarding workers in the service sector have been unreported, while concerns regarding exposure to emotional exertion and poor working conditions have been continuously increasing. Research design, data, and methodology - This study specifically focused on workers in highway service areas. It differs from previous studies because it involves the perspective of the person-organization fit and regards workers' cognition of leaders through the psychological distance toward the leader and the contact frequency between workers and leaders within the framework of the leader-individual fit. Moreover, this study highlights the role of the self-leadership of workers as an important factor that becomes manifested in the individual-level fit to the organization. Hence, this study investigates whether the positive role of the above factors, in turn, could reduce job distress. Workers from highway service areas in Gyeonggi-do province provided data; 141 valid questionnaires are collected. SPSS 19.0 and AMOS 19.0 were used to test the reliability and validity of constructs. Simple regression, multiple regression, and 3 step mediation tests were used to test the hypotheses after the correlation tests. Results - Results indicated that leader-member contact frequency and psychological distance have negative effects on job distress but positive effects on self-leadership. A mediation test revealed that self-leadership, in the relationships between contact frequency and job distress and between psychological distance and job distress, resulted in partial mediation and full mediation, respectively. Conclusions - The result can be understood through two different possible explanations. First, service area workers generally possess a positive perspective toward their leaders. This can be interpreted to mean that increased contact frequency and psychological distance would be considered as supports from the leader, rather than intrusive controls or management schemes. Therefore, the management in highway service areas should invest efforts in increasing contact frequency as well as maximizing psychological similarities by adopting the viewpoints of workers in terms of moral and ethical management, to reduce the workers' job distress. The results relating to self-leadership also indicate that increased contact frequency must be accompanied by intentions for the effective promotion of workers' self-leadership. It also signifies the necessity of a strategic approach by leaders to induce workers to perceive "in-group"ness as suggested both by the similarity-attraction theory and by the social identity theory. In addition, the results of the mediation test of self-leadership indicate that because workers' self-leadership activates upon increased contact frequency by the leader, it should not be a means of control and should not be utilized only from the perspective of management. It is also suggested that strategies such as transfer of authority could have a positive effect in promoting the expansion of self-influence from workers.

• Journal of Life Science
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• v.20 no.2
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• pp.304-313
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• 2010

Out of the tenth graders of K girl's high school in J city, 24 students whose %fat was over 30% were divided into 3 groups through Purposing Sampling. Groups A and B were exercise groups and C was the control group. Using Borg's RPE (rating of perceived exertion), RPE 15-17 (hard-very hard) $\times$ 3 sets were set up for group A, RPE 11-13 (fairly light-somewhat hard) $\times$ 3 sets were set up for group B, and both groups performed step aerobics (step box: 68cm in length, 28cm in width, 15cm in hight, 450g in weight) for 50-60 minutes a day, 3 days a week for 8 weeks in total. This research was conducted to find out the effects of various RPE in step aerobics on the immunologic function (neutrophil, lymphocyte, monocyte, eosinophil, basophil, IgG, IgA, and IgM levels) of overweight female high school students. By using SPSS Ver. 14.0, a repeated two-way ANOVA was conducted to find out the effects of interaction between the groups and time period, paired t-test to evaluate data within each group, and pre- and post experiment difference rates (%diff) to perform one-way ANOVA for group comparisons. The following results were found. As for WBC, within group A, neutrophil, monocyte, basophil, and eosinophil levels increased, while lymphocyte levels remained the same. Within group B, eosinophil levels decreased while neutrophil, lymphocyte, monocyte, and basophil levels showed no differences. Within the control group, neutrophil, basophil, and eosinophil levels decreased while lymphocyte and monocyte levels showed no differences. As for the group comparisons, neutrophil levels increased more in group A than group B and the control group. There were no differences in lymphocyte levels among the three groups. Monocyte levels increased more in group A and B than the control group. Basophil and Eosinophil increased more in group A than group B and the control group. As for immunoglobin, within group A, the IgG level increased but the levels of IgA and IgM did not change. Within group B, the IgA level increased but the level of IgG decreased, and the level of IgM did not change. Within the control group, the IgG level decreased but the levels of IgA and IgM did not change. As for the group comparisons, the level of IgA increased more in group A than the control group, and the level of IgG increased more in group A than group B and the control group, but levels of IgM among the three groups did not show any difference. In summary, WBC and Ig levels showed that the three groups remained at the reference interval even after the exercise program. However, group A, which performed RPE 15-17 in step aerobics, showed increase in more measured items than the other groups, and this implies that the immunologic function has improved in the range of the reference intervals. Therefore, it will be effective to conduct step aerobics with the RPE 15-17 (hard-very hard) in order to increase the immunologic function.