• The Journal of Korean Medicine
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• v.43 no.2
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• pp.75-91
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• 2022

Objectives: The purpose of this overview was to summarize the evidence regarding the effectiveness of Cognitive Behavioral Therapy (CBT) for sleep disorders through systematic reviews (SRs) and meta-analyses (MAs). Methods: An overview of systematic review was conducted according to the study protocol (reviewregistry1320). A comprehensive literature search was performed using three databases (Pubmed, Cochrane Central Register of Controlled Trials, and Web of Science) and three Korean databases (KoreaMed, KMbase, and ScienceON). Final studies were selected by three authors according to inclusion and exclusion criteria, and data needed for analysis were extracted by a pre-planned extraction framework. Methodological quality of systematic review was assessed using the 'Assessment of multiple systematic reviews 2 (AMSTAR2)'. Results: Fourteen SRs and MAs were included, of which eleven SRs were performed MAs. Twelve studies studied insomnia among sleep disorders, and the rest are nightmares and sleep disturbances with PTSD. Ten studies reported the effect of CBT on sleep disorders measured by insomnia severity index (ISI) and sleep onset latency (SOL), and all reported a significant improvement effect. Eight studies reported the effect of CBT on sleep disorders measured by wake time after sleep onset (WASO), and seven studies reported a significant improvement effect. The methodological quality of the studies evaluated with AMSTAR 2 was mainly low or very low because of omission of protocol registration and excluded study list. Conclusions: Practical guidelines and studies show that CBT is effective for sleep disorders, but access to CBT needs to be improved.

• Safety and Health at Work
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• v.11 no.2
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• pp.244-247
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• 2020

The occurrence of the shift work disorder (SWD) in health-care workers (HCWs) employed in 24/7 hospital wards is a major concern through the world. In accordance with literature, SWD is the most frequent work-related disturb in HCWs working on shift schedules including night shift. In agreement with the Luxembourg Declaration on workplace health promotion (WHP) in the European Union, a WHP program has been developed in a large Hospital, involving both individual-oriented and organizational-oriented measures, with the aim to prevent the occurrence of SWD in nurses working on shifts including night shift. The objective assessment of rotating shift work risk and the excessive sleepiness were detected before and after the implementation of the WHP program, by using the Rotating Shiftwork-questionnaire and the Epworth Sleepiness Scale. The findings of this study showed the effectiveness of the implemented WHP program in minimizing the impact of shift work on workers' health and in preventing the misalignment between sleep-wake rhythm and shift working.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.8 no.2
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• pp.264-271
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• 1998

A pilot study was undertaken to examine the possible health effects of electromagnetic fields(EMFs). The purpose of this study was to investigate of the EMFs exposures of personal environment, 60Hz magnetic fields. An experimental study was performed for six weeks of January-February 1998 to compare changes in melatonin levels in urine of 20 subjects during their normal sleeping hours and each 20 subjects in occupational and non-occupational group measured personal 24-h continual exposure, using EMDEX II (for 40-800Hz, Enertech Consultant, Inc.). An urine samples were collected 3 times a day(before sleep or around 24:00 ; immediately after wake-up ; around noon) for an week from each subjects and analyzed by radioimmunoassay. This study did not significant difference for the subjective average melatonin levels between occupational and nonoccupational groups exposed to electromagnetic fields. The mean personal exposure levels of occupational group were $0.215{\mu}T$, whereas non-occupational group were $0.18{\mu}T$. Occupational group were exposed more highly while at work. Finally, this study would provide significant data for furture study of exposure assessment of magnetic fields. A large scale study concerning more detailed exposure assessment should provide important information on health risk assessment of MFs. Further study should provide information on the contribution of various sources and the relationship between melatonin and immune system activity.