• Title/Summary/Keyword: Stress scale

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Factors Affecting Disaster Victims' Quality of Life: The Uljin and Samcheok Forest Fires (산불피해자의 삶의 질에 영향을 미치는 요인: 울진⋅삼척 산불을 중심으로)

  • Hee-Ji Kang;Dong-Hoon Kim;Jae-Ok Ha;Chang-Hyou Kim;Sang-Yoel Han
    • Journal of Korean Society of Forest Science
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    • v.112 no.1
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    • pp.105-116
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    • 2023
  • As forest fires' scale has increased, they have become disasters that destroy not only forests but also property, human psychological balance, and even human lives. As a result, governmental support has become a crucial part of the forest fire restoration process. Quickly restoring victims' quality of life (QOL) from not only an ecological perspective but also from their human perspective has become an important goal. Therefore, through structural equation modeling, this study analyzed effects of government support, post-traumatic stress disorder (PTSD), and resilience on 195 Uljin and Samcheok forest fire victims' QOL. In the final research model, the total standardized effect on QOL of government support to PTSD and resilience was found to have significant effect (0.417). By path, the effect of government support on QOL through resilience was verified as 0.172. Examination of the path between latent variables revealed that resilience had the greatest influence on QOL, and government support had a significant effect, thus confirming that they were the main factors affecting QOL.

Calculation of Bearing Capacity of Tapered Drilled Shafts in Cohesionless Soils Using Shape Factor (형상계수를 이용한 사질토 지반에 타설된 테이퍼말뚝의 지지력 산정)

  • Paik, Kyu-Ho;Lee, Jun-Hwan
    • Journal of the Korean Geotechnical Society
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    • v.24 no.12
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    • pp.13-22
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    • 2008
  • Fourteen calibration ehamber tests were performed using one cylindrical and two tapered piles with different taper angles to investigate the changes of the bearing capacity of tapered piles with soil state and taper angle of piles. The results of calibration chamber tests show that the ultimate base resistance of tapered piles increases with increasing mean stress and relative density of soil. It also increases with increasing taper angle for medium sand, but with decreasing taper angle for dense sand. The ultimate shaft resistance of tapered piles increases as vertical and horizontal stresses, relative density and taper angle increase. Based on the results of model pile load tests, a new design method with shape factors for estimation of the bearing capacity of tapered piles is proposed considering the effect of soil state and taper angle on bearing capacity of tapered piles. In order to check the accuracy of predictions calculated using the new method, middle-scale field pile load tests were also conducted on cylindrical and tapered drilled shafts in clayey sand. Comparison of calculated values with measured ones shows that the new design method produces satisfactory predictions tor tapered piles.

Comparison of the Modified Brostrom Repair Technique with and without Augmentation Using Suture Tape for Chronic Ankle Instability (만성 족관절 불안정성을 가진 환자군에서 변형 브로스트롬 술식과 봉합 테이프를 추가한 술식 간의 결과 비교)

  • Gwak, Heui-Chul;Jung, Soo-Hwan;Kim, Jung-Han;Park, Dae-Hyun;Choo, Hye-Jung;Kim, Dae-Yoo
    • Journal of Korean Foot and Ankle Society
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    • v.26 no.1
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    • pp.40-47
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    • 2022
  • Purpose: The modified Broström repair (BR) technique has yielded good outcomes in patients with chronic ankle instability. This study compared clinical and radiological outcomes between two groups of patients who underwent modified BR or lateral ligament augmentation using suture tapes (ST). Materials and Methods: Seventy-seven patients (ST group [n=47], BR group [n=30]; body mass index <26.61 kg/m2; mean age, 30.7±11.0 years [range, 17~39 years]; mean follow-up, 34.0±12.0 months [range, 24~59 months]) were retrospectively reviewed between January 2014 and July 2017. The Foot and Ankle Outcome Score (FAOS), American Orthopedic Foot and Ankle Score (AOFAS), Foot and Ankle Ability Measure (FAAM), visual analogue scale (VAS) score, and Sefton grading system were used for clinical assessment. The talar tilt angle and anterior talar translation were measured using the Telos stress device (Telos GmbH, Marburg, Germany) at 150 N for radiological evaluation. Results: FAOS, AOFAS, FAAM, and VAS scores improved in both groups at final follow-up (ST, 91.1±5.2, 93±2, 88.1±4.5, 1.5±0.7 vs. BR, 91.3±5.4, 93±3, 83.3±4.8, 1.2±0.7, respectively; p=0.854, 0.971, <0.001, 0.04, respectively). According to the FAOS, mean sports activity scores for the ST and BR groups at the final follow-up were 90.3±3.2 and 76.6±4.2, respectively, reflecting superior outcomes in the ST group (p<0.001). Sefton grading revealed satisfactory functional outcomes (ST, 91.5% vs. BR, 90.0%). There was significant improvement in the talar tilt angle and anterior talar translation in both the ST and BR groups (7.6°±1.2°, 10.5±1.8 mm vs. 4.9°±1.1°, 7.9±1.5 mm, respectively; p<0.001). Conclusion: The ST group demonstrated comparable clinical but better improvement in mechanical stability and FAOS sports scores than the BR group.

Factors Impacting the Work Efficiency and Stress of Case Managers with the Korea Worker's Compensation & Welfare Service (근로복지공단 사례관리자의 업무 효율 및 스트레스에 영향을 미치는 요인)

  • Lee, Su-jin;Kim, Seung Won
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.32 no.1
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    • pp.64-77
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    • 2022
  • Objectives: The purpose of this study is to objectify the level of case management performance and the factors influencing performance, to improve the case management performance at the Korea Worker's Compensation & Welfare Service (KWCWS) on the basis of the recognition of the objective realities of case management by job coordinators at the KWCWS, to develop a model of case management fit for the KWCWS, and to provide a basis for establishing guidelines for standardized case management. Methods: A total of 156 questionnaires were distributed to job coordinators at the KWCWS's headquarters, six regional headquarters, and 55 branches. One hundred forty-one questionnaires were collected and 126 were analyzed statistically using SPSS 21.0. Factor analysis and reliability analysis were conducted to verify the validity and reliability of the main measurement items in the research model. Frequency analysis was conducted for general characteristics of survey subjects. Frequency analysis or descriptive statistics were conducted to identify the level of independent variables (case manager's individual variables, job variables, institutional and organizational variables). Dependent variables (case management performance) and the degree of correlation were analyzed through correlation analysis between research variables. Multiple regression analysis and hierarchical regression analysis were conducted to examine the effect of independent variables on case management performance. Results: The results of the study showed that the level of overall performance in the five stages of case management was ordinary, with an average level of 3.45 on a 5-point scale. Levels of performance by step were institutional approach and intake (3.69), assessment (3.63), goal setting and intervention planning (3.46), implementation of intervention plan (3.32), and evaluation and termination (3.20), in that order. The explanatory power of case management performance (overall) by case managers with the KWCWS was case manager's institutional and organizational variables, job variables, and individual variables, in that order. At each stage of case management, the explanatory power of a case manager's institutional and organizational variables was found to be the greatest. The model changes at each stage of case management assume similar aspects statistically. In hierarchical regression analysis, it was institutional support that had a significant effect on case management performance (overall), and institutional support had the greatest effect. The results of multiple regression analysis in which all variables are input simultaneously showed that institutional support and expertise as well as self-efficacy had a positive effect. However, case management work experience, expertise (technology), and autonomy were found to have a negative effect during the stage of case management performance. Conclusions: As a result of the study, it was confirmed that raising the case manager's expertise and support from the institution and organization are important factors to improve the level of case management performance. The research also derived practical ways of reinforcement of case manager capacity, institutional and organizational support, operation of rehabilitation-case management teams, and occupational health-related aspects.

Suspension of Sediment over Swash Zone (Swash대역에서의 해빈표사 부유거동에 관한 연구)

  • Cho, Yong Jun;Kim, Kwon Soo;Ryu, Ha Sang
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.28 no.1B
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    • pp.95-109
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    • 2008
  • We numerically analyzed the nonlinear shoaling, a plunging breaker and its accompanying energetic suspension of sediment at a bed, and a redistribution of suspended sediments by a down rush of preceding waves and the following plunger using SPH with a Gaussian kernel function, Lagrangian Dynamic Smagorinsky model (LDS), Van Rijn's pick up function. In that process, we came to the conclusion that the conventional model for the tractive force at a bottom like a quadratic law can not accurately describe the rapidly accelerating flow over a swash zone, and propose new methodology to accurately estimate the bottom tractive force. Using newly proposed wave model in this study, we can successfully duplicate severely deformed water surface profile, free falling water particles, a queuing splash after the landing of water particles on the free surface and a wave finger due to the structured vortex on a rear side of wave crest (Narayanaswamy and Dalrymple, 2002), a circulation of suspended sediments over a swash zone, net transfer of sediments clouds suspended over a swash zone toward the offshore, which so far have been regarded very difficult features to mimic in the computational fluid mechanics.

Predictors of Burnout among Staff in Long-term Care Facilities for the Elderly (노인장기요양보호 인력의 소진 예측 요인)

  • Lee, Choo-Jae
    • 한국노년학
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    • v.31 no.1
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    • pp.97-109
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    • 2011
  • The purpose of this work is to examine how work stressors are related to the burnout among staff in long-term care facilities for the elderly. This study offers some responses to a growing stress and burnout for the long-term care workers. The demand for long-term care workers is set to rise in light of an increasing share of older people and dependent elderly. Long-term care workers provide long-term care services to persons with a reduced degree of functional, physical or cognitive capacity. Cross-sectional survey data were collected from 216 staff in long-term care facilities. The standardised Maslach Burnout Inventory(MBI) was used to assess levels of burnout in long-term care workers. The MBI consists of 22 items using a 5-point Likert scale, measuring three sub-scales of burnout; Emotional exhaustion, Depersonalization, and Personal accomplishment. Data were analyzed using regression. This study is empirically tested the degree of association between burnout and its antecedents. The majority of differences in burnout could be explained by work stressors such as client relationship, job overload, job role conflict, and conflicts with clients' family. The study also identified workers' perceptions of their image in society and emotional support as predictors of burnout. Therefore long-term care facilities are encouraged to review their practices so that workers well-being is supported. The study findings suggest attention for organizational oriented initiatives to cope with burnout.

Acute Insomnia in Post-Traffic Accident Patients Treated with M&L Psychotherapy Combined with Traditional Korean Medicine: Three Case Reports (교통사고 후 발생한 급성 수면장애 환자에 대한 M&L 심리치료와 한방 복합치료 치험 3례)

  • KANGMOO GOO;Ji-Won Park;Jeong-Hyo Ji;Na-young Kim;Dong-Hwan Lee;Hyo-Rim Kim;Yu-Ra Im;Ja-Yean Son;Seok Gyu Yang
    • Journal of Oriental Neuropsychiatry
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    • v.35 no.2
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    • pp.205-216
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    • 2024
  • Objectives: To evaluate the effectiveness of Mindfulness & Loving Beingness (M&L) psychotherapy combined with traditional Korean medicine in treating acute sleep disorders in patients hospitalized following traffic accidents. Methods: We applied traditional Korean medicine treatments in conjunction with various mindfulness meditation techniques from M&L therapy, including Resource Mindfulness and Nourishment Brief Therapy. This study was conducted on three patients who reported acute sleep disorder symptoms on the first day of hospitalization following a traffic accident. The effectiveness of these interventions was assessed using the PTSD Checklist for DSM-5 (PCL-5-K), Insomnia Severity Index (ISI), EuroQol 5-Dimension (EQ-5D), Numerical Rating Scale (NRS), and Patient Global Impression of Change (PGIC). Results: ISI and PCL-5-K scores showed significant improvements after treatment, indicating reduced sleep disturbances and stress symptoms. Additionally, EQ-5D and PGIC scores were enhanced, reflecting an overall improvement in quality of life. Conclusions: This study suggests that integrating M&L therapy with traditional Korean medicine could significantly improve symptoms in patients with acute sleep disorders following traffic accidents.

Spatiotemporal Monitoring of Soybean Growth and Water Status Using Drone-Based Shortwave Infrared (SWIR) Imagery (드론 기반 단파적외(SWIR) 영상을 활용한 콩의 생장과 수분 변화 모니터링)

  • Inji Lee;Heung-Min Kim;Youngmin Kim;Hoyong Ahn;Jae-Hyun Ryu;Hoejeong Jeong;Hyun-Dong Moon;Jaeil Cho;Seon-Woong Jang
    • Korean Journal of Remote Sensing
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    • v.40 no.3
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    • pp.275-284
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    • 2024
  • Monitoring crop growth changes and water content is crucial in the agricultural sector. This study utilized drones equipped with Short Wavelength Infrared (SWIR) sensors, sensitive to moisture changes, to observe soybeans' growth and water content variations. We confirmed that as soybeans grow more vigorously, their water content increases and differences in irrigation levels lead to decreases in vegetation and moisture indices. This suggests that waterlogging slows down soybean growth and reduces water content, highlighting the importance of detailed monitoring of vegetation and moisture indices at different growth stages to enhance crop productivity and minimize damage from waterlogging. Such monitoring could also preemptively detect and prevent the adverse effects of moisture changes, such as droughts, on crop growth. By demonstrating the potential for early diagnosis of moisture stress using drone-based SWIR sensors, this research suggests improvements in the efficiency of large-scale crop management and increases in yield, contributing to agricultural production.

Case Study on the Application and Evaluation of an Integrated Medical Service Model to Improve the Quality of Life for Breast Cancer Patients and Caregivers (유방암 환자와 보호자의 삶의 질 증진을 위한 통합의료서비스모델 적용평가 사례 연구)

  • Moon Joo Cheong;Do-Eun Lee;Un Jong Choi;Han Baek Cho;Hyung Won Kang
    • Journal of The Korean Society of Integrative Medicine
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    • v.12 no.3
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    • pp.163-178
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    • 2024
  • Purpose : This study aimed to evaluate the effectiveness of an integrative medical service model applied to breast cancer patients and their caregivers, exploring its feasibility and challenges within the context of South Korean healthcare system. Methods : A case study approach was chosen to assess the integrative medical service model's efficacy, involving one breast cancer patient and her primary caregiver from W University Hospital. The patient had completed reconstructive surgery and chemotherapy and was undergoing radiotherapy. The model included standard treatments alongside psychological counseling, aromatherapy, axillary rehabilitation exercise, make-up program, art therapy, laughter therapy, horticultural therapy, and yoga programs, and meditation programs delivered over eight weeks. Quantitative and qualitative data were collected through surveys, psychological tests, and feedback assessments. Results : The integrative medical service model demonstrated notable improvements in the quality of life for both breast cancer patients and their caregivers. Participants reported enhanced emotional well-being, reduced stress levels, and improved coping mechanisms throughout the treatment journey. Qualitative feedback highlighted the positive impact of holistic interventions in alleviating psychological distress and fostering resilience. Quantitative data corroborated these findings, showing statistically significant improvements in various psychosocial parameters assessed. Conclusions : Our findings underscore the benefits of integrative medical service model with standard medical treatments in the care of breast cancer patients and their caregivers. The holistic approach not only addresses physical symptoms but also enhances overall well-being and quality of life. However, the implementation of such models faces challenges within the South Korean healthcare system, including fragmented service networks and financial constraints. Addressing these structural barriers is crucial for the widespread adoption and sustainability of integrative care models in oncology practice. Future research should focus on larger-scale studies to further validate these findings and inform policy decisions aimed at optimizing cancer care delivery.

Effect of Bedding Conditions on Earth Pressure Distribution of Embedded Pipes (EPS베딩재가 지중매설관의 토압에 미치는 영향)

  • Yoo, Nam-Jae;Lee, Hee-Kwang;Park, Byung-Soo;Jeong, Gil-Soo;Sim, Do-Sik
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.11 no.6
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    • pp.121-130
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    • 2007
  • In this paper, large scale experimental model tests were performed to investigate the distribution of earth pressure acting on embedded rigid pipes having different bedding conditions. For these tests, very light weighted EPS blocks were installed at top and bottom of the rigid pipe and Jumunjin Standard Sand was used as a ground material. As results of model tests, for the case of no bedding on the pipe, the measured pressure at the bottom of the pipe was $4.96_{tf/m^2}$ whereas they were in the range of $1.87{\sim}4.96_{tf/m^2}$ in the case of EPS beddings being installed at the top and the bottom of the pipe. Therefore, for the case of EPS bedding being installed, the ratio of reduced pressures acting on the pipe, compared with the case of no EPS beddings, were in the rage of 16~62%. As a result of parametric test with changing the locations of EPS bedding, the trend of reducing the stress acting on the pipe was in the order of bottom bedding, top bedding, and top and bottom bedding. Effect of bedding positions on the reduced magnitude of acting pressure on the pipe was more significant in the case of top bedding than in the case of the bottom bedding.