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A Study on the Fatigue of Hospital Nurses in Gwangju and Jeonnam Region (광주$\cdot$전남지역 병원 간호사의 피로 연구)

  • Kim Yeong Hie;Cho Soo Hyun
    • Journal of Korean Public Health Nursing
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    • v.16 no.2
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    • pp.271-284
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    • 2002
  • This study was to provide basic materials to help reduce the fatigue by analyzing what effective factor the fatigue of hospital nurses in Gwangju and Jeonnam region. and what causes their fatigue. This descriptive research by Questionaires includes two hospitals in Gwangju. and seven hospitals in Jeonnam region, total 9 hospitals sampled at convenience sampling. The periods of collecting data was from Jul.22, 2002 to Jul. 30, 2002. Multidimensional Fatigue Scale; MFS, developed by Jang Se-Jin(2000) was taken to measure the fatigue. All collected materials were got the statistics by SAS for Windows Release 8.01. The result of this study was as follows. 1. This study included total 740 nurses, whose age ranged from 22 to 50; 30 years old by average. Nurses fatigue mean score was 90.24 (the scope by the measuring instrument is 19-133). Nurses at University Hospitals marked 92.36 and those at General Hospitals marked 87.91 in the mean score of fatigue. 2. They kept tired at work, and felt more tired while working at computer in the hospital. 3. The part of body in which they felt fatigue was the calf and $feet(36.6\%)$, the shoulders and back of the $neck(30.7\%)$, and the whole $body(10.8\%)$ and the reason that they felt tired at work was mental $stress(33.0\%)$, overworking(25.2\%)$, and irregular working $conditions(14.7\%)$ in order. 4. The solution to their fatigue at work appeared nothing by $50.1\%$, and the way of releasing fatigue after work indicated getting some $sleep(30.8\%)$, and taking a bath or a $shower(21.7\%)$ in order. 5. The degree of fatigue depending on whether they were satisfied with their pay and labor condition appeared low: and when they were satisfied with doctors. and when they were getting on well with caregivers. 6. The effective factor of the degree of fatigue appeared: the influence that fatigue in the hospital makes on daily life was $10.6\%$, the cause of fatigue at work, $9.3\%$, time of fatigue at work, $7.8\%$, the relationship with caregivers, $5.3\%$. and these explanatory$(R^2)$ variables.$33\%$. To conclude. the degree of nurses' fatigue appeared high. and it was higher in nurses at University Hospitals than in ones at General Hospitals. In addition, the influence that fatigue from the hospitals made on daily life was the most explanatory.

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A Study on Knowledge, Attitude and Prevention Behavior of Tuberculosis in Male High School Students (남자 고등학생의 결핵에 대한 지식, 태도 및 예방행위에 관한 연구)

  • Jung, Eun Young;Seo, Ji Hae;Kong, Jeong Hyeon
    • Journal of agricultural medicine and community health
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    • v.43 no.4
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    • pp.213-223
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    • 2018
  • Purpose: The purpose of this study was to identify the knowledge, attitude and preventive behaviors of tuberculosis in male high school students and to identify the factors influencing preventive behaviors and to provide basic data for the development of prevention programs for tuberculosis of male high school students. Methods: This study was conducted from May 1, 2018 to May 30, 2018, and six high school students in S city and Y city of Jeonnam were selected. 465 male high school students in the first grade were selected. Collected data were analyzed using t-test, ANOVA, pearsons's correlation and Multiple regression analysis by SPSS/WIN 21.0 program Results: As a result, the knowledge score was 11.92, the attitude score was 28.32 and the prevention behavior score was 30.07. All of these correlations were statistically correlated. In addition, factors influencing preventive actions against tuberculosis were attitude toward tuberculosis, exercise, health status, and sleep time Conclusion: Based on the above results, it is thought that to improve the preventive behavior of tuberculosis in male high school students, it is necessary to develop a practice-oriented program for forming healthy lifestyle as well as to change the attitude toward tuberculosis positively.

Association between Subjective Distress Symptoms and Argon Welding among Shipyard Workers in Gyeongnam Province (경남소재 일개조선소 근로자의 건강이상소견과 아르곤 용접과의 관련성)

  • Choi, Woo-Ho;Jin, Seong-Mi;Kweon, Deok-Heon;Kim, Jang-Rak;Kang, Yune-Sik;Jeong, Baek-Geum;Park, Ki-Soo;Hwang, Young-Sil;Hong, Dae-Yong
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.24 no.4
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    • pp.547-555
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    • 2014
  • Objective: This study was conducted to investigate the association between subjective distress symptoms and argon welding among workers in Gyeongnam Province shipyard. Method: 31 argon and 29 non-argon welding workers were selected as study subjects in order to measure concentrations of personal dust, welding fumes and other hazardous materials such as ZnO, Pb, Cr, FeO, MnO, Cu, Ni, $TiO_2$, MgO, NO, $NO_2$, $O_3$, $O_2$, $CO_2$, CO and Ar. An interviewer-administered questionnaire survey was also performed on the same subjects. The items queried were as follows: age, height, weight, working duration, welding time, welding rod amounts used, drinking, smoking, and rate of subjective distress symptoms including headache and other symptoms such as fever, vomiting and nausea, metal fume fever, dizziness, tingling sensations, difficulty in breathing, memory loss, sleep disorders, emotional disturbance, hearing loss, hand tremors, visual impairment, neural abnormality, allergic reaction, runny nose and stuffiness, rhinitis, and suffocation. Statistical analysis was performed using SPSS software, version 18. Data are expressed as the mean ${\pm}SD$. An ${\chi}^2$-test and a normality test using a Shapiro wilk test were performed for the above variables. Logistic regression analysis was also conducted to identify the factors that affect the total score for subjective distress symptoms. Result: An association was shown between welding type (argon or non-argon welding) and the total score for subjective distress symptoms. Among the rate of complaining of subjective distress symptoms, vomiting and nausea, difficulty breathing, and allergic reactions were all significantly higher in the argon welding group. Only the concentration of dust and welding fumes was shown to be distributed normally after natural log transformation. According to logistic regression analysis, the correlations of working duration and welding type (argon or non-argon) between the total score of subjective distress symptoms were found to be statistically significant (p=0.041, p=0.049, respectively). Conclusion: Our results suggest that argon welding could cause subjective distress symptoms in shipyard workers.

A Study on the Relations between Yangseng Level and Stress in Industrial Workers (근로자(勤勞者)의 양생수준(養生水準)과 스트레스와의 관계(關係))

  • Ahn, Hun-Mo;Kim, Sung-Sam;Kim, Wan-Gyeom;Yu, Ho-Dal;Chong, Myong-Soo;Lee, Ki-Nam
    • Journal of Society of Preventive Korean Medicine
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    • v.11 no.1
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    • pp.109-129
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    • 2007
  • This study aims at grasping the relativity between laborers' yangseng level and stress so as to present the groundwork for preventive oriental medicine approach in industrial health. The researcher prepared the questionnaire on general character, health-related yangseng level and chose 632 people to execute Autonomic balance test through heartbeat change. The collected material was analyzed by SPSS and tested by T-test, ANOVA. The general yangseng level average is 3.27, morality yangseng 3.91, sleep yangseng 3.39, mind yangseng 3.32, sex life yangseng 3.29, exercise yangseng 3.14, activities and rest yangseng 3.07, diet yangseng 2.95, seasonal yangseng 2.84. The highest is morality yangseng and seasonal yangseng is the lowest. In the aspect of yangseng level : Having a spouse, Non-smoking, Non-drinking, Regular exercising, Sufficient sleeping have higher yanseng levels. In Autonomic balance test, age from 35 to 40 has the highest autonomic activity and job period from 5 years to 10 years has the highest stress resistance. Non-smokers have high autonomic activity and stress resistance. Further, have low autonomic balance, stress index and fatigue strength. In the case of regular exercising person, he/she has high autonomic activity and stress resistance with low stress index. Regarding sleeping time, autonomic balance is the highest when he/she sleeps less than 6 hours. Stress resistance is the highest when he/she sleeps 7 hours and stress index is the highest when he/she sleeps 6 hours. After comparing the relativity between yangseng level autonomic balance test, only exercise yangseng has plus factor on autonomic activity and stress resistance and minus factor on stress ind ex and fatigue strength. Yangseng level has been affected by individual character and daily habits. Also stress is more influenced by daily habits than by individual character. We can find the relativity of exercise yangseng between yangseng and stress which suggests that we need to take measures to win over stress in individual health in the near future.

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A Study on the Application of the Korean Valuation Weights for EuroQoL-5 Dimension (EuroQoL-5 Dimension 한국 가중치 모형의 적용 연구)

  • Lee, Young-Hoon;Choi, Jin-Su;Rhee, Jung-Ae;Ryu, So-Yeon;Shin, Min-Ho;Kim, Jin-Hee
    • Korean Journal of Health Education and Promotion
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    • v.26 no.1
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    • pp.1-13
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    • 2009
  • Objectives: This study was conducted to estimate the health-related quality of life (HRQOL) using EuroQoL-5 Dimension (EQ-5D) and to identify its related factors among urban-dwelling adults. Methods: The data for this study were obtained from 1,134 subjects aged $20\sim91$, who participated in 'Survey on the health status and demand for health' in two cities of Korea (Dong-gu, Gwangju and Suncheon-si, Jeollanamdo). The HRQOL was measured using the EQ-5D instrument and EQ-5D index scores were calculated by two Korean valuation study model using time trade-off method. Results: The mean EQ-5D index scores for all subjects were $0.865{\pm}0.218$ (model A), and $0.921{\pm}0.170$ (model B). The EQ-5D index score was significantly different according to demographic and socioeconomic characteristics (gender, age, marital status, education, occupation, income, and health security system), self-rated health condition, health-related psychological assessments (enough sleep, fatigue rate, stress rate, and degree of satisfaction on the residence). The results of multiple linear regression showed that age, marital status, income, coverage of medical insurance, self-rated health condition, and fatigue rate were significantly related common statistical factors of HRQOL in two Korean valuation study model. Conclusion: Among the adults residing in urban environment, the HRQOL was significantly lower on the subjects with following conditions: higher age, being alone without a spouse as a result of death, divorce or separation, low income, medical aid program, poor self-rated health condition, and chronic fatigue. In order to improve the urban adults' quality of life, healthcare policy and health promotion program must be developed with considerations to factors related to the HRQOL.

Clinical Implication of EGF A61G Polymorphism in the Risk of Non Small Cell Lung Adenocarcinoma Patients: A Case Control Study

  • Masroor, Mirza;Amit, Jain;Javid, Jamsheed;Mir, Rashid;Prasant, Y;Imtiyaz, A;Mariyam, Z;Mohan, Anant;Ray, PC;Saxena, Alpana
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.17
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    • pp.7529-7534
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    • 2015
  • Background: The epidermal growth factor (EGF) plays important roles in non-small cell lung cancer (NSCLC) susceptibility and functional polymorphism in the EGF (+61A/G) gene has been linked to increased risk of NSCLC. This study aimed to evaluate the role of the EGF +61A/G polymorphism in risk of NSCLC adenocarcinoma (ADC) occurrence and survival in an Indian population. Materials and Methods: This casecontrol study included 100 histopathologically confirmed NSCLC (ADC) patients and 100 healthy controls. EGF (A61G) was genotyped by AS-PCR to elucidate putative associations with clinical outcomes. The association of the polymorphism with the survival of NSCLC patients was estimated by Kaplan-Meier curves. Results: It was found that EGF 61AG heterozygous and GG homozygous genotype is significantly associated with increased risk of NSCLC (ADC) occurrence compared to AA genotype, [OR 2.61 (1.31-5.18) and 3.25 (1.31-8.06), RR 1.51(1.15-2.0) and 1.72 (1.08-2.73) and RD 23.2 (6.90-39.5) and 28.53(7.0-50.1) for heterozygous AG (p=0.005) and homozygous GG (p=0.009)]. Patients homozygous for the G allele exhibited a significantly poor overall survival. The median survival time for patients with EGF 61 AA, AG, and GG genotypes was 10.5, 7.4, and 7.1 months (p=0.02), respectively. NSCLC (ADC) patients with GG + AG exhibited 7.3 months median survival compared to the AA genotype (p=0.009). Conclusions: The present study revealed that the EGF A61G genotype may be a novel independent prognostic marker to identify patients at higher risk of occurrence and an unfavourable clinical outcome.

A Study on the Relations between Yangseng Level and Stress in Industrial Workers (근로자(勤勞者)의 양생수준(養生水準)과 스트레스와의 관계(關係))

  • Ahn, Hun Mo;Kim, Sung Sam;Kim, Wan Gyeom;Yu, Ho Dal;Chong, Myong Soo;Lee, Ki Nam
    • Journal of Korean Medical Ki-Gong Academy
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    • v.10 no.1
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    • pp.100-129
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    • 2007
  • This study aims at grasping the relativity between laborers' yangseng level and stress so as to present the groundwork for preventive oriental medicine approach in industrial health. The researcher prepared the questionnaire on general character, - health-related yangseng level and chose 632 people to execute Autonomic balance test through heartbeat change. The collected material was analyzed by SPSS and tested by T-test, ANOVA The general yangseng level average is 3.27, morality yangseng 3.91, sleep yangseng 3.39, mind yangseng 3.32, sex life yangseng 3.29, exercise yangseng 3.14, activities and rest yangseng 3.07, diet yangseng 2.95, seasonal yangseng 2.84. The highest is morality yangseng and seasonal yangseng is the lowest. In the aspect of yangseng level: Having a spouse, Non-smoking, Non-drinking, Regular exercising, Sufficient sleeping have higher yangseng levels. In Autonomic balance test, age from 35 to 40 has the highest autonomic activity and job period from 5 years to 10 years has the highest stress resistance. Non-smokers have high autonomic activity and stress resistance. Further, have low autonomic balance, stress index and fatigue strength. In the case of regular exercising person, he/she has high autonomic activity and stress resistance with low stress index. Regarding sleeping time, autonomic balance is the highest when he/she sleeps less than 6 hours. Stress resistance is the highest when he/she sleeps 7 hours and stress index is the highest when he/she sleeps 6 hours. After comparing the relativity between yangseng level autonomic balance test, only exercise yangseng has plus factor on autonomic activity and stress resistance and minus factor on stress index and fatigue strength. Yangseng level has been affected by individual character and daily habits. Also stress is more influenced by daily habits than by individual character. We can find the relativity of exercise yangseng between yangseng and stress which suggests that we need to take measures to win over stresses in individual health in the near future.

Comparison of Clinical Characteristics by Types of Enuresis in Children Utilizing Questionnaires (병력취득 설문지를 이용한 야뇨증의 형태에 따른 임상양상의 비교)

  • Choi, Jung-Youn;Park, Yong-Hoon
    • Childhood Kidney Diseases
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    • v.11 no.2
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    • pp.264-271
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    • 2007
  • Purpose : It is important to take a precise history of patients to diagnose enuresis. However, this is difficult to perform in the outpatient department, because the consultation time is limited. So by taking the medical histories with questionnaires, we classified the enuresis patients into monosymptomatic and non-monosymptomatic groups and compared the clinical characteristics between the two groups in order to determine whether this would aid in the diagnosis and treatment of enuresis. Methods : Thirty-four enuresis patients seen in the Department of Pediatrics at Yeungnam University Hospital from 2004 January to 2005 July were enrolled in this study. Two to three weeks before starting medical treatment, questionnaires about the patients' urination habits and past medical history were taken from the Parents with consents. Results : There were 21 patients in the monosymptomatic group and 13 patients in the non-monosymptomatic group. There was no difference in the delivery mode, birth weight, birth order, sleep habit, constipation, and treatment results between the two groups. Urinary infection was more frequently observed in the non-monosymptomatic group. There was a higher incidence of daytime incontinence and a past medical history of allergy in the non-monosymptomatic group. Oriental medicine was the most common treatment of enuresis before visiting the hospital, but the treatment effect was minimal. Conclusion : Comparison between the monosymptomatic and non-monosymptomatic group with the questionnaires was helpful for detailed diagnosis and treatment of enuresis. A more effective education for enuresis patients is needed, since before visiting the hospital many of them wasted their efforts with ineffective oriental medicine treatment. (J Korean Soc Pediatr Nephrol 2007;11:264-271)

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A Study on the Development of Remodeling (plan) by Deriving Temporary House Improvements (임시주거용 조립주택 개선사항 도출을 통한 리모델링(안) 개발 연구)

  • Lee, Ji-Hyang;Son, Myung-Chan;Kwon, Jin-Suk;Park, Sang-Hyun;Won, Jin-Yung
    • Journal of the Society of Disaster Information
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    • v.15 no.2
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    • pp.301-311
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    • 2019
  • Purpose and Method: In this study, a questionnaire interview survey was conducted for the victims living in the temporary house by the Pohang earthquake, and improvements were derived. Results: As a result, major improvements in terms of facilities are as follows. First, in order to expand the toilet and cooking space, the existing inner gate and the wall are removed and the width of the toilet is expanded. Minimize the inconvenience by adding a cooking table as wide as the extended toilet. Second, a separate sleep compartment is set up to secure storage space in a limited area. And the storage closet is installed below and used as a storage space. At this time, the size of the sleeping space is set to double bed size. Third, curtains and blinds are installed on both windows to secure privacy, thereby protecting privacy and psychological stability. Conclusion: If the remodeling of the temporary house proposed in this study is utilized and applied, it is possible to provide a better living environment. In addition, it is expected that it will be possible to improve the efficiency of space and overcome existing spatial limitations by minimizing inconveniences reflecting the needs of the victims.

Factor Influencing Health-Related Quality of Life in Korean Hypertensive Seniors with Osteoarthritis (골관절염이 동반된 고혈압 노인의 건강관련 삶의 질 영향 요인)

  • Kim, Eun-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.3
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    • pp.169-180
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    • 2021
  • This study was undertaken to determine the degree of quality of life, and factors influencing osteoarthritis in hypertensive elderly 65 years or older patients, using data from the 7th National Health and Nutrition Survey 2018. Totally, 843 subjects were included from a national sample. The SPSS WIN 26.0 program was used to analyze complex samples by applying the Rao-Scott chi-square test, t-test, and multiple regression analysis. Results indicate that quality of life of the hypertensive group with osteoarthritis is significantly lower than the group with only hypertension (t=5.07, p<0.001). Factors affecting the decrease in quality of life of the hypertensive group were age, subjective health status, and activity restrictions, and the explanatory power was 46.1% (F=12.33, p<0.001). In the hypertensive group with osteoarthritis, the effective factors included gender, cohabitation status, economic activity, subjective health status, activity restriction, body mass index, sleep time, stress perception, and depression, and the explanatory power was 44.6% (F=99.82, p<0.001). Subsequent studies showed that in order to improve the quality of life of hypertensive seniors, intervention programs are required to actively accommodate health conditions and minimize activity restrictions. In addition, for the elderly with osteoarthritis and hypertension, it is necessary to include exercise and nutrition education for body mass index management, and the development and intervention of multidisciplinary participation programs to strengthen mental health.